VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.







Manufacturers

Total Manufacturer

Incidents per State

State Total
92,076
AK1,880
AL6,345
AR4,151
AS46
AZ14,991
CA66,887
CO12,550
CT8,943
DC1,795
DE2,009
FL42,724
FM4
GA17,031
GU124
HI2,580
IA4,919
ID2,892
IL22,128
IN24,197
KS5,047
KY9,111
LA5,500
MA15,718
MD13,434
ME3,351
MH8
MI20,971
MN13,585
MO10,747
MP30
MS3,198
MT2,477
NC18,051
ND1,501
NE3,109
NH3,218
NJ20,216
NM4,218
NV4,728
NY37,667
OH20,793
OK6,692
OR9,244
PA25,607
PR2,588
QM2
RI2,163
SC7,261
SD1,282
TN10,445
TX39,890
UT4,618
VA15,980
VI67
VT1,830
WA16,071
WI12,042
WV2,571
WY926
XB5
XL1
XV2

ID: 1393208
Sex: F
Age: 21
State: UT

Vax Date: 04/02/2021
Onset Date: 06/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: unknown

Symptom List: Dysphagia, Epiglottitis

Symptoms: patient received second Covid vaccine more than 6 weeks after first dose

Other Meds: unknown

Current Illness: unknown

ID: 1393209
Sex: F
Age: 65
State: NY

Vax Date: 03/06/2021
Onset Date: 06/07/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Phenothiazines Steroids

Symptom List: Anxiety, Dyspnoea

Symptoms: I have had muscle aches and tiredness since I had Covid-19 in April of 2020. The symptoms have gotten worse since I got the vaccine. The muscle aches were unbearable and I had a fever for the first two days. The aches and pains are still present after three months and they come and go at the moment. I have a constant ache in my legs as well as tiredness. These symptoms were present since my Covid-19 but they are worse than they were before the vaccine.

Other Meds: Prilosec Oxycodone Clonazepam Lunesta Detlin Rizatriptan Cyclobenzaprine Vitamins

Current Illness:

ID: 1393210
Sex: F
Age: 57
State: CA

Vax Date: 05/17/2021
Onset Date: 05/19/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Chest discomfort, Dysphagia, Pain in extremity, Visual impairment

Symptoms: Pt had allergic reaction with hives and swelling that was similar to her allergic reaction she has to shellfish

Other Meds:

Current Illness:

ID: 1393211
Sex: F
Age: 16
State: CA

Vax Date: 06/11/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient received #1 dose Pfizer Covid vaccine on 5/21/2021 and inadvertently received #2 dose of Moderna Covid vaccine today.

Other Meds: levonorgestrel 0.15mg daily Vit D3 1250mg once weekly

Current Illness: None

ID: 1393212
Sex: M
Age: 67
State: IN

Vax Date: 03/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Heart flutter and skips a beat every 20 seconds.

Other Meds: None

Current Illness: None

ID: 1393215
Sex: M
Age: 48
State:

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Chills, Confusional state, Eye inflammation, Headache, Laboratory test

Symptoms: pt states experienced ringing in the ears approx 3 hours after vaccination and has continued to experience ever since

Other Meds:

Current Illness:

ID: 1393216
Sex: F
Age: 34
State:

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Attendee became suddenly lightheaded flt hot, diaphoretic, felt "faint, had peripheral "dark vision", refused to lie on cot, instead lid down on the floor with her feet up on chair. Vital signs in normal range - remained under observation x30 minutes, then left with her husband.

Other Meds:

Current Illness:

ID: 1393217
Sex: M
Age: 62
State: MT

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Nonexistent

Symptom List: Pharyngeal swelling

Symptoms: I have a high platelet level and inflammation from the vaccine caused blood flow problems resulting in trouble thinking clearly as well as walking.

Other Meds: None

Current Illness: None

ID: 1393218
Sex: M
Age: 30
State: CA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Elevated heart rate. Normal resting heart rate is 60-80 for me. From 7:30 for the rest of the night, until the following day, my heart rate as around 110-125 resting. I wear a fitness tracker and was able to keep track of it. Chest pains overall. Elevated heart rate went away after about a day and I did not go to the hospital. After seeing reports in the news of heart inflammation, I realized that must have been what happened to me.

Other Meds: Metoprolol Succinate ER Omeprazole

Current Illness: None

ID: 1393219
Sex: M
Age: 25
State: NC

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None reported

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient stated before receiving the vaccine that he had very bad anxiety in regards to needles. I administered the shot and the patient immediately said he didn't feel well and asked for water. I went to retrieve water and when I returned he had fainted. He came to within a minute. He laid down on the floor until his family arrived to help him get home.

Other Meds: None

Current Illness: One month ago had upper respiratory infection

ID: 1393220
Sex: M
Age: 52
State: CA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Seen at urgent care on 5/11/21. c/o of symptoms of HA headache,ear ache,sore throat and ulcer in mouth x5 days starting 5/7/21 following dose 2 of vaccination. Pt given chlorhexidine mouth rinse by urgent care MD

Other Meds:

Current Illness:

ID: 1393221
Sex: F
Age: 15
State: CA

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: no known allergies

Symptom List: Rash, Urticaria

Symptoms: Status post vaccination , pt. experienced vasovagal syncope. Pt became dizzy, disoriented, and briefly unresponsive. Using a pulsometer, her HR was determined to be 49BPM with an O2sat of 99%. Patient was attended to and provided water, she became oriented and responsive within a few minutes. The patient was monitored for 30 minutes.

Other Meds: n/a

Current Illness:

ID: 1393222
Sex: F
Age: 0
State: CA

Vax Date: 06/07/2021
Onset Date: 06/08/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: non-pruritic rash to B/L lower extremities developed the day of after receiving vaccines. Vaccines admin on 6/7/2021, sx reported to have started on 6/8/2021. On 6/11/2021, mom made initial contact w/ our office regarding the rash, at which point, it was mostly resolved per her account. Baby did not develop fever or rash to other parts of her body. Rash per photos emailed on 6/11/2021 was flesh color papules localized to the lower extremities only.

Other Meds: None

Current Illness: Viral GE 4/23/2021.

ID: 1393223
Sex: F
Age: 18
State: OH

Vax Date: 06/06/2021
Onset Date: 06/06/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Patient was given an undiluted dose of the Covid 19 vaccine on Sunday, June 6th at 10:18 AM . Patient was followed up with the day of, and several days after, with no adverse signs and symptoms reported. Event also reported to patient's pediatrician.

Other Meds: None

Current Illness: None

ID: 1393224
Sex: F
Age: 35
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/20/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Muscle soreness throughout body

Other Meds: Birth control

Current Illness: None

ID: 1393225
Sex: F
Age: 55
State: CA

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Cillan drugs Azithromycin Sulfa Drugs

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: 01/29/2021 I had scorpion feeling bites (pain) left upper shoulder and bite, had 3 to 5 lesions that were diagnosed as shingles. occasionally still have some residual nerve pain from the shingles.

Other Meds: Atenolol Levothyroxine

Current Illness: None

ID: 1393226
Sex: F
Age: 56
State: OH

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: penicillin

Symptom List: SARS-CoV-2 antibody test, SARS-CoV-2 test negative

Symptoms: constant gas, acid indigestion, and heartburn

Other Meds: Daily at bedtime: Rosuvastatin Tabs 20 mg Lisinopril Tabs 5 mg

Current Illness: none

ID: 1393227
Sex: M
Age: 43
State: MI

Vax Date: 01/21/2021
Onset Date: 02/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: About 2 weeks after getting my second vaccination, I started to have mild but then severe heart palpitations. I thought it was the anxiety meds I was on, and adjusted the dosage but it wasn't helping. I stopped taking them. After about a month I started gradually feeling better. Palpitations would worsen if I worked out and or stood up too fast. Today my PCP and I scheduled for me to see a Cardiologist at the end of June. My PCP did some tests that included an EKG after first 6 weeks which was normal. She also did a troponin test, which was also normal. A CRP and Sed rate which were also normal. I still struggle with heart palpitations to this day.

Other Meds: Omeprazole- 20mg - 2xday Buspirone - 7.5mg- 2xday Fluticasone Salmeterol - 113mcg - 1 puff 2xday Claritin - 10mg - 1xday Mesalamine - 1.2g tablet - 2 tabs - 1x day Mesalamine - 4g - 1day Nasacort - 55mcg - 1xday

Current Illness:

ID: 1393228
Sex: F
Age: 18
State: NY

Vax Date: 04/01/2021
Onset Date: 04/28/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: No

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Difficulty walking. Blurry vision. 2 Emergency room visits 3 weeks after shot. Diagnosed with FND cohen's hospital.

Other Meds: Octellar

Current Illness: Seizure disorder

ID: 1393229
Sex: M
Age: 72
State: MD

Vax Date: 02/22/2021
Onset Date: 06/01/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: morphine?

Symptom List: Blood pressure increased, Chest discomfort, Heart rate increased

Symptoms: three months after vaccination i came down with a headache, fluctuating fever (97-102) queasy stomach, loss of energy. syptoms have lasted for three days now

Other Meds: xeralto, folbic, septra ds

Current Illness: none

ID: 1393230
Sex: F
Age: 62
State: OH

Vax Date: 06/01/2021
Onset Date: 06/03/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Shingles

Other Meds: Vitamin d, vitamin c

Current Illness: None

ID: 1393231
Sex: M
Age: 54
State: IL

Vax Date: 04/28/2021
Onset Date: 06/03/2021
Rec V Date: 06/11/2021
Hospital: Y

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: Severe immune system response. High fever, chills, aches. Set off atrial flutter and was admitted to emergency room/hospital for cardiac ablation

Other Meds: Baclofen, Testosterone, rosuvastatin, multivitamin, turmeric

Current Illness: none

ID: 1393232
Sex: F
Age: 14
State: IA

Vax Date: 06/04/2021
Onset Date: 06/07/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None listed

Symptom List: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: baseball sized red circle at the injection site that was sore but not swollen, still present when seen by doctor on 6/9 told it was not infected and to go ahead and get second dose when ready

Other Meds: NA

Current Illness: NA

ID: 1393233
Sex: M
Age: 50
State: CA

Vax Date: 04/23/2021
Onset Date: 04/28/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Pain

Symptoms: Pt experience growing pain at lower abdomen/groin area 5 days after the 2nd dose Moderna... linger for 4-6 weeks. Patient just inform the pharmacy today 6/11 upon picking up his medication that the PCP ordered. PCP will do a full work up to make sure it's not something else. Pt claims that he's a healthy person, no illness. MD prescribed him temporary Medrol to calm down the system. I inform the patient to take the med, closely follow up with his PCP, & do a full work up to find the uderlying cause.

Other Meds: none

Current Illness: none

ID: 1393234
Sex: M
Age: 21
State: VA

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: na

Symptom List: Injection site pain, Menorrhagia

Symptoms: Sweating, palor, fainting, clammy skin. Patient laid down for 15 minutes and recovered afterwards

Other Meds: na

Current Illness: na

ID: 1393235
Sex: F
Age: 44
State:

Vax Date: 03/03/2021
Onset Date: 03/21/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Arthralgia, Chills, Headache, Mobility decreased, Myalgia

Symptoms: Unusual heavy vaginal bleeding about 2 weeks after the second vaccine dose . This occured on day 17 of menstrual cycle and lasted about 5 days. Regular cycle resumed on day 28 of cycle.

Other Meds: None

Current Illness: None

ID: 1393236
Sex: F
Age: 47
State: AZ

Vax Date: 06/03/2021
Onset Date: 06/06/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none per profile

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: PER CONVERSATION ON 6/6/, PT HAD A RASH THAT WAS SPREADING, "FELT LIKE THROAT IS TIGHT", RECOMMENDED PT GOES TO ER, PT WENT TO ER, AFTER REPEATED ATTEMPTS WAS ABLE TO REACH HER ON 06/11/21, SHE WENT TO THE ER, WAS GIVEN AN EPIPEN AND SOME OTHER MEDS, ,SHE WAS BACK TO NORMAL AFTER 24 HOURS

Other Meds: pt does not get all meds at this location

Current Illness: when i spoke to patient, she did not mention that she was sick

ID: 1393237
Sex: M
Age: 43
State: PA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: I am allergic sulfa drugs.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I started having pain 2-3 hours after receiving the vaccine. I started having convulsions late at night from 12:15AM-12:45AM. I put my symptoms in my app, for the hospital, and my doctor called me and told me to go to the hospital. I went to the hospital and had my appointment. They did a detailed check-up and did not find anything wrong. My doctor told me that if I have these episodes anymore, then I need to contact her and go to the hospital. I have not had any other episodes except for that night.

Other Meds: I was taking fish oil.

Current Illness: I was not experiencing any other illnesses.

ID: 1393238
Sex: M
Age: 16
State: OH

Vax Date: 06/06/2021
Onset Date: 06/06/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient was given an undiluted dose of the Covid 19 vaccine on Sunday, June 6th at 10:28 AM. Patient was called the same day, and a few days after, with no adverse effects to report.

Other Meds: None

Current Illness: None

ID: 1393239
Sex: M
Age: 47
State: CA

Vax Date: 05/19/2021
Onset Date: 05/31/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: On 5/31/21 I got a headache and noticed blurry vision. At approximately 11pm I noticed I was dribbling when I drank from a cup. At 2am on 6/1 I went to the Medical Office at my work and spoke to the Nurse. After seeing my face the Nurse determined I needed to go to the ER immediately. I went to the ER . After CT scan and physical test they determined I had Bell's Palsy.

Other Meds: none

Current Illness: none

ID: 1393240
Sex: M
Age: 40
State: DC

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Dextromethorphan

Symptom List: Injection site pain

Symptoms: Chest pain and trouble breathing ending in ER visits on Jan 11 and 16, intermediate cardiologist visit Jan 14. Significant increase in blood pressure with any exertion (160/100 after 1 flight of stairs with "one sentence" dyspnea, my baseline ~120/80, baseline weekly exercise of 4 - 8 miles running and 1+ hours strength training). Chest pain @ 2/10, some radiation to left arm. Resolved in ER with IV Toradol. Spontaneously resolved after ~2 weeks. Subsequent persistent chostocondritis, no dyspnea.

Other Meds: None

Current Illness: None

ID: 1393241
Sex: F
Age: 21
State: MN

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Peanuts

Symptom List: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Elevated heart rate of 150 for 4 hours, heart palpitations, was going to go in but it slowly went away.

Other Meds: Sertaline, advair, BCP, multivitamin

Current Illness:

ID: 1393242
Sex: F
Age: 36
State: CA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa and steroids

Symptom List: Chills, Dizziness, Nausea, Pain, Tachycardia

Symptoms: Severe fatigue for going 6 weeks, swollen lymph nodes, severe inflation, joint aches

Other Meds: Seraquil 50 mg

Current Illness:

ID: 1393243
Sex: F
Age: 64
State: WV

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: It started with flu-like symptoms -- chills, fever, muscle aches, and headache all of which lasted throughout the next day following the vaccine. Also on that day, I had a flare up of Raynaud's that lasted for the next 3 to 4 hours. The flu-like symptoms lasted about 48 hours, after which I felt an overwhelming fatigue that has continued.

Other Meds:

Current Illness:

ID: 1393244
Sex: F
Age: 17
State: MD

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Within seconds of receiving the 2nd PFizer covid vaccine, the patient slumped over sideways in her chair, losing consciousness. Next, her arms went straight and locked, both her hands locked in a curled position. I looked up at her face and her eyes had rolled back into her head and her body started jerking. Shortly after, she sat upright in chair with her eyes open and didn't realize what had happened. She said a tingling sensation had gone up her arm. She was extremely pale. My tech called 911. I took her blood pressure which was 88/46 with a pulse of 45. As we were waiting for paramedics, she said she was sweaty and started getting abdominal cramps. Paramedics arrived and took over her care.

Other Meds:

Current Illness:

ID: 1393245
Sex: F
Age: 78
State: WA

Vax Date: 03/05/2021
Onset Date: 05/15/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa drug

Symptom List: Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Myalgia

Symptoms: Pain and stiffness in hands. Pain and stiffness all the time.

Other Meds: D3, Calcium/Magnesium, Multiple Vitamin, Zinc/Copper

Current Illness: none

ID: 1393246
Sex: F
Age: 51
State: MO

Vax Date: 06/04/2021
Onset Date: 06/04/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: At 4 o?clock the day of my shot I became extremely exhausted. I have been through chemo and it was that type of exhaustion. Then the headache and nausea started. I woke up Saturday morning running a low-grade fever, by lunch it was 102.7. Around that time diarrhea started. Friday night until 915 Sunday morning, I would be awake for an hour and a half or two hours, then sleep for the same around the clock. I had every symptom on the nonemergency list except for injection site problems and vomiting. The fever broke Sunday afternoon, but I still felt terrible. I barely made it through work on Monday. I started feeling a little better throughout the week. But a week later I still have nausea and diarrhea no matter what I eat. Also still more tired than usual. I had Covid back in November, and I heard that the vaccine side effects could be worse, but I sure wasn?t expecting all of this!

Other Meds: Tamoxifen Protonix Vitamin D Magnesium Melatonin Glucosamine chondroitin Biotin

Current Illness: None

ID: 1393247
Sex: F
Age: 74
State: TX

Vax Date: 04/14/2021
Onset Date: 04/18/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Tramidol, piroxicam methyolate.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe shingles, for 8 weeks, now. Very severe pain.

Other Meds: 81mg aspirin, 50mg losartin, magnesium, b complex, vitamin C.

Current Illness: None

ID: 1393248
Sex: M
Age: 12
State: NC

Vax Date: 06/10/2021
Onset Date: 06/11/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Nuts Peanuts Eggs

Symptom List: Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Blister near injection site

Other Meds: Singulair Flonase

Current Illness: None

ID: 1393249
Sex: M
Age: 28
State: MA

Vax Date: 05/10/2021
Onset Date: 06/07/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Allergic to Augmentin

Symptom List: Chills, Feeling cold, Feeling hot, Myalgia, Pain

Symptoms: Shingles showed up about 4 weeks after second dose on right side of the neck affecting nerves causing headaches and numbing of the right side of face. Had chicken pox as a young child.

Other Meds: Cannabis

Current Illness: None

ID: 1395355
Sex: M
Age:
State: NM

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: dizziness + queaziness

Other Meds: none

Current Illness: none

ID: 1395357
Sex: U
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Abnormal behaviour, Adverse reaction, Anger, Asthma

Symptoms: Enlarged lymph nodes Possibly R/T recent Covid vaccine

Other Meds:

Current Illness: Enlarge Lymphnods

ID: 1395467
Sex: F
Age: 27
State: CO

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: nka

Symptom List: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: The patient received the vaccination at 12:15pm on 6/10 and reported back to pharmacy around 1:20pm with a skin reaction of hives and no respiratory distress. Pt was administered diphenhydramine 50mg and monitored by rph for approximately 1 hour. At the time the hives had decreased substantially but were still present and there was not further progress of adverse event. The patient was referred to primary care md and declined to have us call emergency number. The patient left shortly after this time without informing rx staff. We tried to follow up with patient three times on 6/11 and the number on file was not connected and rang busy each time. It is unknown if pt followed up with md as directed.

Other Meds: none

Current Illness: none

ID: 1395765
Sex: F
Age: 31
State: FL

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: Anesthetics

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: -Tingling down Arms -Shaking -Shallow breathing -Palpitations

Other Meds:

Current Illness:

ID: 1395900
Sex: F
Age: 14
State: KY

Vax Date: 05/21/2021
Onset Date: 05/27/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List: Vomiting

Symptoms: Pt with abdominal pain prompting eval / pt with SI enlarged spleen / EBV titers show past EBV covid antibodies positive

Other Meds: None

Current Illness: None

ID: 1395901
Sex: F
Age:
State: NM

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: patient felt tingley + dizzy

Other Meds: unknown

Current Illness: unknown

ID: 1406224
Sex: F
Age: 15
State: CT

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 06/11/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

Symptom List: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: hives - Benadryl given & hives resolved.

Other Meds: Mupirocin 2% Oint. Apply TID.

Current Illness: Acne, Allergic rhinitis, Anxiety, BMI, Chronic epigastric pain, Depression, Emotional upset, impetigo, Irregular periods, Keratosis pilaris, Suspected COVID-19 virus infection

ID: 1393978
Sex: F
Age:
State: SC

Vax Date:
Onset Date: 04/13/2021
Rec V Date: 06/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: No additional AE. No PQC. No further information available; GARDASIL 9 in 2016 when Patient was 12 years old was administered the 2nd GARDASIL 9 dose on 04/13/2021; This spontaneous report was received from a Nurse, referring to a 16 year old female patient. Information regrading the patient's pertinent medical history, concurrent conditions, known allergies and concomitant medications was not provided. In 2016, when the patient was 12 year old, she was vaccinated with the 1st dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) with lot # L024993 and expiration date on 17-OCT-2017 (route of administration was not provided) for prophylaxis. Subsequently, on 13-APR-2021, the patient was vaccinated with the 2nd dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast)(GARDASIL 9) (route of administration, lot # and expiration date were not provided) also for prophylaxis. No additional adverse events were reported.

Other Meds:

Current Illness:

ID: 1393979
Sex: U
Age:
State: GA

Vax Date:
Onset Date:
Rec V Date: 06/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: It was reported that a patient received the first dose of GARDASIL 9 over a year ago; No adverse event; This spontaneous report was received from a Medical Assistant, referring to an approximately 21 year old patient of unknown gender. Information regrading the patient's pertinent medical history, concurrent conditions, known allergies and concomitant therapies was not provided. Approximately in 2020 (reported as "over a year"), the patient was vaccinated with the 1st dose of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) (route of administration, lot # and expiration date were not provided) for prophylaxis. It was reported that, at reporting time, the patient had not received any other doses of hpv rl1 6 11 16 18 31 33 45 52 58 vlp vaccine (yeast) (GARDASIL 9) vaccination series. The patient want to be vaccinated to complete the series. No adverse events were reported.

Other Meds:

Current Illness:

ID: 1393980
Sex: F
Age:
State: KS

Vax Date:
Onset Date:
Rec V Date: 06/12/2021
Hospital:

Vax Type:
Manufacturer:
Vax Name:
Lot:
Dose Series:
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: made her deaf; fever; scared to get the shot because of my reactions before to other vaccines / after the vaccine she had an allergic reaction (rahses); This spontaneous report was received from an 56-year-old female consumer reporting on herself. On an unknown date, when she was born, she was vaccinated with measles, mumps, and rubella (wistar ra 27-3) virus vaccine, live(MEASLES, MUMPS, AND RUBELLA (WISTAR RA 27-3) VIRUS VACC, LIVE) (dosage regimen, route of administration, lot number and expiration date were not reported) for prophylaxis. On an unknown date, after the vaccine, the patient experienced an allergic reaction-rashes (dermatitis allergic), fever of 105 (units not provided) (pyrexia) and made her deaf (deafness) The outcome of deafness, dermatitis allergic and pyrexia, as well as the causal relationship with the vaccination were not reported. Upon internal review, the event of deafness was considered medically significant

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am