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: 1395018
Sex: M
Age: 21
State: TN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Next morning after receiving vaccine, there was tightness in upper chest that migrated to the left side near the heart. It persisted for about 3 weeks and then I started having stomach problems. About a month after I started having headaches and started having difficulty breathing.

Other Meds: none

Current Illness: none

ID: 1395019
Sex: M
Age: 15
State:

Vax Date: 06/09/2021
Onset Date: 06/12/2021
Rec V Date: 06/13/2021
Hospital: Y

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

Lab Data:

Allergies: Cats, spring tree pollen (Birch)

Symptom List: Anxiety, Dyspnoea

Symptoms: 4 days after administration of Pfizer COVID19 vaccination patient developed shortness of breath and pleuritic chest pain on 6/12/21 evening. Patient came to Emergency Room overnight on 6/13 and was identified to have elevated troponins indicative of myocarditis.

Other Meds: None

Current Illness: None

ID: 1395020
Sex: M
Age: 50
State: NC

Vax Date: 05/01/2021
Onset Date: 05/05/2021
Rec V Date: 06/13/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Cryptogenic Ischemic Stoke. At approximately 11am on the morning of the incident I felt the blood leaving my arms and legs, began to feel feint. Laid down on ground with legs elevated. Began shaking. Called 911. Was taken to the hospital by ambulance. Once at hospital, felt arms and legs were numb. After a period of time going through testing at the ER, feeling returned to all but left leg. Stayed overnight, went home on 5/6/2021. Strength returned to left left over the next several days. Since 5/6/2021. Have been dealing with increasing debilitating anxiety, as well as photosensitivity, insomnia, and other related issues since returning home.

Other Meds: Balsalazide Disodium Tylenol

Current Illness: None

ID: 1395021
Sex: M
Age: 15
State: PA

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

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

Lab Data:

Allergies: NONE

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: PATIENT BECAME FAINT, AND HOT AFTER RECEIVING VACCINE. PATIENT THEN WENT UNCONCIOUS, HIT HEAD ON FLOOR AND IS BELIEVED TO SEIZED FOR APPROXIMATELY 20 SECONDS. PATIEN THEN BECAME CONSCIOS, STATED HE WAS STILL FAINT AND LIGHT HEADED AND WAS SEATED UNTIL EMT ARRIVED. EMT CHECKED PATIENTS VITALS, RECOMMEND PATIENT BE SEEN AT NEARBY HOSPITAL TO EXAMINE PATIENT. PATIENT THEN WALKED OUT OF STORE WITH EMT PERSONELL AND GOT IN AMBULANCE

Other Meds: UNKNOWN

Current Illness: NONE KNOWN

ID: 1395022
Sex: M
Age: 36
State: NY

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/13/2021
Hospital: Y

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: 24 hours: Acute Myopericarditis, Difficulty breathing, Heavy chest Within hours: Fever, Severe Chills, extreme fatigue

Other Meds: None

Current Illness: None

ID: 1395023
Sex: M
Age: 24
State: MI

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 06/13/2021
Hospital: Y

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: Tachycardia (sustained >130 while resting) 2 emergency room visits and hospitalization Beta blockers for symptom control Still having tachycardia 2 months laser though not as severe

Other Meds:

Current Illness:

ID: 1395024
Sex: F
Age: 16
State: LA

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/13/2021
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: She is only 16y/o at the time of Vaccination.

Other Meds:

Current Illness:

ID: 1395025
Sex: F
Age: 16
State: VA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Pharyngeal swelling

Symptoms: Patient received her 1st dose on 6/1, 9 hours later she fainted. She has no medical conditions and no history of fainting.

Other Meds: n/a

Current Illness: n/a

ID: 1395026
Sex: F
Age: 33
State: CA

Vax Date: 05/09/2021
Onset Date: 05/14/2021
Rec V Date: 06/13/2021
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: Tinnitus

Other Meds: None

Current Illness: None

ID: 1395027
Sex: M
Age: 12
State: NM

Vax Date: 02/11/2019
Onset Date: 02/11/2019
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; No treatment or adverse reaction.

Other Meds:

Current Illness:

ID: 1395028
Sex: F
Age: 40
State: CA

Vax Date: 05/06/2021
Onset Date: 05/10/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Started with fever (103) on May 7th. Night sweats, racing heart, chills, headache, fatigue, and extreme muscle soreness. Lasted 2 days. Followed by: (May 10th) Sharp Chest Pain Left Arm Pain Racing Pulse High Blood Pressure Left Shoulder Pain Left Jaw Pain Left Neck Pain Called doctor. Told to go to Urgent Care. Urgent care did vitals and EKG and decided it best to send to ER. Stayed at ER for observation and testing (chest X-ray, ekg, bloodwork). No definitive result was given aside from ?chest wall spasm?. Potassium was very low and was given a tablet, along with ibuprofen.

Other Meds: Multi-vitamin

Current Illness: None

ID: 1395029
Sex: F
Age: 45
State: IL

Vax Date: 04/17/2021
Onset Date: 04/22/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: Keflex, biotene

Symptom List: Rash, Urticaria

Symptoms: 5 days post dose 2 I began to suffer from fatigue combined with symptoms of sinus infection. The fatigue worsened while the other symptoms remained static (minor sore throat, dry cough, clear nose). Fatigue continued for weeks. Finally realized I needed to see a doctor -- that I was not actually sick with COVID-19 or sinus infection. First doctor appointment was on 5/18/2021. Fatigue appears to have been caused by liver issue. Results below.

Other Meds: Multivitamin, calcium, magnesium, vit D3. No other medications.

Current Illness: I was not sick at the times of either vaccination (3/25/21 for dose 1). I did suffer an intestinal issue on 4/9/21 after consuming dinner at a Mexican restaurant the night before. Three out of four family members also had similar issues that day.

ID: 1395030
Sex: M
Age: 21
State: KY

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 06/13/2021
Hospital: Y

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: Generalized seizure, lasting less than one minute, with poetical phase. Hospitalized, questionable cyst on CT brain but subsequent MRI normal. Outpatient 72 hour EEG normal. Neurologist followup pending. No current medical treatment.

Other Meds: fluoxetine mirtazapine

Current Illness: COVID 19

ID: 1395031
Sex: M
Age: 32
State: NY

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

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

Lab Data:

Allergies: No

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

Symptoms: I have felt relatively ok after the shot (second dose) I got yesterday. Today out of no where, my left lower eye lid started to twitch. That was hours ago. It hasn?t stopped. I?ve never experienced this prior to the vaccine. I?m sure this is related. Since my first dose I have been dealing with some random nerve pain in different parts of my body. Nothing major but things feel connected more now. I hope the eye twitching stops and no worse symptoms arise from this.

Other Meds: No

Current Illness: None

ID: 1395032
Sex: F
Age: 39
State: NJ

Vax Date: 05/07/2021
Onset Date: 05/10/2021
Rec V Date: 06/13/2021
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: I still have the symptoms no treatment done yet

Other Meds: None

Current Illness: I can't breathe right To feel oxygen in my lungs I have to take a deep breath every 5 minutes. From so much deep breathing my chest and lungs and heart ache, I also feel my heart racing and then it gets super slow I almost feel like my heart stops. I have anxiety and panic attacks. I don't have health insurance and I don't have a primary doctor. I have gone to the emergency room 4 times and they can't find anything. I am very frustrated because I feel like I am dying and in emergencies they tell me that I am fine. I can't go to work and I don't have a medical note to back me up, I need urgent and immediate help. It all started on May 10 3 days after the second dose of the vaccine.

ID: 1395033
Sex: F
Age: 29
State: TX

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

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

Lab Data:

Allergies: none

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

Symptoms: Pt was okay immediately after receiving vaccine. She stood in line at the front counter for a water and she passed out approximately 10 to 15 minutes after getting the vaccine. Placed her in chair and gave her a cold water bottle on her neck and a cold popsicle. She complained that she was very hot and had not eaten since breakfast. The store was very hot and humid inside. We called 911 and she deferred help. She was able to answer the questions from the EMS.

Other Meds: none

Current Illness: menstrual cycle

ID: 1395034
Sex: M
Age: 16
State: WI

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Under age vaccination

Other Meds:

Current Illness:

ID: 1395035
Sex: F
Age: 30
State:

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Red patch on my arm. Arm pain for a few days but now it is just red and feels hard

Other Meds: Vitamin C, multi vitamin

Current Illness:

ID: 1395036
Sex: F
Age: 16
State: CO

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

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

Lab Data:

Allergies: No known drug allergies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient returned after 15 minute observation with complaints of "chest pain"; denies pain radiating towards arm or having difficulty breathing; pain rated 3/10 on p.ain scale. RN and LPN assess vitals, provide water, extend observation time to 30 minutes, and assure pt sits upright. Vitals: B/P: 102/64; HR: 68; O2 Sats: 97% on room air; RR: 16; anterior lungs clear bilaterally. Pt spoke in full complete sentences without difficulty RN and LPN educated parent on high alert symptoms and when to call 911 or pediatrician. Pt vitals after 30 minute observation: BP: 110/72; HR: 72; O2 Sats: 98% on room air; RR: 16. Pt spoke clearly without difficulty and was alert and oriented to person, place, and time.

Other Meds: Not applicable

Current Illness: Not applicable

ID: 1395037
Sex: F
Age: 76
State: IA

Vax Date: 06/08/2021
Onset Date: 06/09/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: PT REPORTS CHILL, FEVER, TIRED AND UPSET STOMACH AND GREEN DIARHEA

Other Meds:

Current Illness:

ID: 1395038
Sex: M
Age: 76
State: NH

Vax Date: 03/15/2021
Onset Date: 03/25/2021
Rec V Date: 06/13/2021
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: Chronic diarrhea for ~100 days after vaccine.

Other Meds: None

Current Illness: None

ID: 1395039
Sex: M
Age: 4
State: NM

Vax Date: 02/01/2019
Onset Date: 02/07/2019
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; No treatment or adverse reaction.

Other Meds:

Current Illness:

ID: 1395040
Sex: F
Age: 31
State: IL

Vax Date: 05/23/2021
Onset Date: 05/24/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: NO KNOWN ALLERGIES

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

Symptoms: PATIENT REPORTS NUMBNESS, PINS, AND NEEDLES FOR 2 TO 3 DAYS POST VACCINATION. THIS AFFECTED HER LEFT JAW, LEFT HAND, FINGERS AND HER LEFT FOOT.

Other Meds: LEXAPRO 10MG, WELLBUTRIN XL150MG, BACLOFEN5MG

Current Illness: PATIENT REPORTED CARPEL TUNNEL ISSUES

ID: 1395041
Sex: M
Age: 29
State: IL

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

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

Lab Data:

Allergies: no allergies

Symptom List: Injection site pain, Pain

Symptoms: Patient got the vaccine around 12:45pm. At around 1 pm, the patient fainted for about 7 seconds and fell out of the chair in the waiting room. I ran outside of the pharmacy to assist him. He was conscious but confused for a few moments. Then said he felt fine. Patient showed no signs of allergic reaction. I asked him if he had any injuries/bleeding and he said no. I asked him to stay at the pharmacy for another 30 minutes so I could observe him closely. We gave him a cup of cool water to sip on. At around 1:10 pm, I went outside the pharmacy to check on him again and he said he felt flushed and asked for a bucket. At 1:15 pm, he vomited into the bucket. He said he felt 100% better after vomiting. I had him stay at pharmacy until shortly after 1:30 pm when he said he felt okay to go home. I called him at home around pm the same day and he said he felt fine.

Other Meds: not known

Current Illness: no known

Date Died: 03/29/2021

ID: 1395042
Sex: M
Age: 82
State: NY

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Cardiac arrest leading to death

Other Meds:

Current Illness:

ID: 1395043
Sex: F
Age: 22
State: ND

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: Cefzil

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

Symptoms: Fever 102 for 24+ hours Sinus headache/pressure Respiratory symptoms

Other Meds:

Current Illness:

ID: 1395044
Sex: F
Age: 35
State: NJ

Vax Date: 06/05/2021
Onset Date: 06/06/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills, fever 102.2F and whole body ache. took Tylenol. Symptoms went away within 3 days. Day 5, started to notice rashes on face similar to allergic reactions. Rashes has not gone away on day 8.

Other Meds: N/a

Current Illness: N/a

ID: 1395045
Sex: M
Age: 34
State: AK

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 06/13/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Myocardial infarction RCA with immediate angioplasty. 100% occlusion. CFX and LAD totally clear. Initial troponin ~5.7 x ULN.

Other Meds: Lisinopril

Current Illness: None

ID: 1395046
Sex: M
Age: 50
State: MN

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: I suffer a severe allergic reaction to "Extra-Strength Tylenol-brand" capsules, due to the particular formula of chemical compounds which the medication includes in its doses. After consuming the "Tylenol"-brand capsules, I suffer a stiffening of leg muscles which prevents me from walking and prohibits me from sitting and standing up without experiencing extreme pain. Hence, I've discontinued use of the particular medication and will, henceforth, merely rely upon "Extra-Strength Excedrin-brand" capsules as an over-the-counter pain relief medication available to patients without a doctor's prescription.

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

Symptoms: I received the inoculation against the SARS-CoV-2 at around 9:40 a.m., CDT as of FRI., Jun. 11, 2021. Later that night, at approximately 12:00 a.m., CDT, as of SAT., Jun. 12, 2021, I began experiencing what I feel to be adverse side-effects due to the inoculation I received earlier in the day. I began experiencing sharp pain in the brain, due to pressure in a blood-vessel in the brain, as if a blood-vessel in the brain were being clenched due to a blockage, and I also experienced a narcotic-like "high", due to the fact the inoculation, i.e., the Covid-19 vaccine, includes in its formula of chemical compounds a narcotic which sedates the nervous-system as a narcotic would do, such as alcohol. My view is due to the fact the vaccine never underwent proper FDA-approval, the vaccine will incur serious side-effects in individuals receiving the inoculation form healthcare professionals which did not result in clinical studies in patients receiving the vaccination in clinical trials prior to its introduction to the public, due to the fact the company did not have the time necessary to determine as to whether or not the vaccine would adversely effect individuals receiving it in certain sectors of the population. The company failed to factor in all necessary factors in the test population of vaccine recipients in tis phase of clinical trials, hence, the vaccine, could prove to have serious side-effects on certain members of the population. And the vaccine itself might prove to have long-term side-effects for patients receive the inoculation which will only be discovered in years to come, as these health issues emerge in recipients of the dosages, if the vaccine indeed proves to have an adverse effect on any individuals health-status.

Other Meds:

Current Illness: Low-Potassium Disorder High Blood-Pressure

ID: 1395047
Sex: M
Age: 0
State: WI

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Under age vaccination

Other Meds:

Current Illness:

ID: 1395048
Sex: U
Age: 1
State: NM

Vax Date: 01/02/2019
Onset Date: 01/02/2019
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; No treatment or adverse reaction.

Other Meds:

Current Illness:

ID: 1395049
Sex: F
Age: 14
State: CO

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Prior to vaccination patient appeared anxious and resulted in nose bleed. During observation period time vitals assessed. Pt reports needle anxiety; spoke clearly without difficulty; A&O x3. Vitals: BP: 90/60; HR 70; O2 Sat: 98% in room air; RR: 20. LPN educated in slow deep breath techniques, provided water, and educated to keep car cool. Vitals re-checked at 1429: BP: 112/80; HR: 70; O2 Sat: 98% on room air; RR:20; pt reports feeling "dizzy" and stated she did not eat prior to vaccine. LPN provided OJ and crackers; continued to monitor for 25 full minutes. Pt reports "feeling better" after interventions; vitals within range; spoke clearly without difficulty; pt and family educated on high alert symptoms as well as continuing deep breathing and avoiding the sun. Pt left at 1435.

Other Meds: Not applicable

Current Illness: Not applicable

ID: 1395050
Sex: F
Age: 36
State: CO

Vax Date: 04/30/2021
Onset Date: 05/28/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: 13 minutes after getting the injection, my left side of my face, from my eyebrow down to the side of my nose down to the middle of my chin down to the left side of my neck and all the way down my arm to my fingers went numb. I went to the paramedic tent and they checked my vitals, O2 levels, blood sugar levels, temperature, pulse, and breathing. It wasn't painful. It was more of a tingly annoying sensation, example would be receiving novocaine at the dentist. After 40 minutes I started getting feeling back. I was then let go to go home. My second dose of the covid-19 moderna vaccine I had a similar reaction but not as bad. I did go numb, but the numbness started in the middle of my chin and followed my jawline up to my ear. I got a little bit patches of numbness in my neck. I got numbness at the back of my arm from where I got the injection. Again the numbness started around 13 minutes and I started getting feeling back after 30 minutes.

Other Meds: Prenatal vitamins, vitamin D3

Current Illness: None

ID: 1395051
Sex: F
Age: 15
State: NC

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

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

Lab Data:

Allergies: n/a

Symptom List: Tremor

Symptoms: Approximately 30 seconds after injection of covid vaccine patient stopped talking, her eyes rolled back and she slumped over in chair. Patients head rolled side to side and patients mom started freaking out thinking she was having a seizure. She screamed at the technician who administered the vaccine to call 911 . Patient regained consciousness after 10 seconds and was fully alert and able to speak/ answer questions. Pt maintained consciousness the whole time while waiting for the ambulance. Pt's mom still wanted an ambulance so one was called and EMT's came and accessed the patients vitals. Vitals were all within normal limits and EMTs spoke with mom and advised that pt most likely did not have a seizure and gave the option to transport to the hospital or monitor at home. Mom chose to monitor at home and pt was able to walk out of the store on her own.

Other Meds: n/a

Current Illness: n/a

ID: 1395052
Sex: F
Age: 13
State: PA

Vax Date: 06/09/2021
Onset Date: 06/10/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Nauseous and chills (flu like symptoms for 20 hours) Still has body temperature issues. Gets very cold and shakes periodically still Still has a sore arm

Other Meds: None

Current Illness: None

ID: 1395053
Sex: F
Age: 22
State: PR

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

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

Lab Data:

Allergies: Risperdal

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

Symptoms: Patient suffered a vasovagal syncope without losing consciousness, pt suffers from anxiety and did not eat, only in the morning

Other Meds: N/A

Current Illness:

ID: 1395054
Sex: F
Age: 54
State: IN

Vax Date: 03/12/2021
Onset Date: 06/03/2021
Rec V Date: 06/13/2021
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: In menopause for over two years and I started spotting June 3rd and have been spotting ever since.

Other Meds: Valacyclovir, Gabapentin, Progestrone, Metformin, Black Cohosh, Turmeric, Magnesium, Folic Acid, D3, K2, Lutein & Zeaxanthin

Current Illness: None

ID: 1395055
Sex: F
Age: 60
State: PA

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs Macrobid Hydrochlorothiazide Wasp and yellow jacket stings

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: May 1, 2021 ? Received 1st Covid19 shot around 3:00PM at a Pharmacy. No concerning reaction. May 2, 2021 ? Arm a little sore at site of shot. Not a problem. Later afternoon some posterior leg muscle pain. Not severe. May 3, 2021 ? Bowels are hardened and a little difficult to push out. In the afternoon definite pain in various places in the large posterior muscles of both legs. In the evening abdominal cramping. A little tired feeling. May 4, 2021 ? Bowels hardened. Abdominal cramping. Deep specific areas of pain in both my posterior leg muscles including: calves, hamstrings, gluteals ? felt like someone sucker punched me up and down the backs of my legs. Right thigh is going numb while I work. Forearms and hands are going much more numb. Extreme fatigue by afternoon, to the point I had to sleep for a while. Diarrhea by early evening. May 5, 2021 ? Hardened bowels. Pain in legs is less severe but still there plus pains in inner thigh. Slight headache (I very rarely get headaches), extreme fatigue by afternoon, Debilitating, I had to take a nap. Thigh continues to go numb off and on while I work. My forearms and hands are tingling and going numb at times. May 6, 2021 ? I am noticing mild headache comes and goes, am experiencing ringing in head like I had with past concussion. Extreme fatigue by afternoon and have to lie down. My bowels are less hardened but still not regular. Still have deep pains in legs muscles but not as severe. Joints are achy: wrists, elbows, hips, knees. May 7, 2021 ? Same as day before. Also realize my blood pressure is running high. May 8, 2021 ? One Week Since Shot. Have noticed I am not able to focus in on specific things as well as normal. The fatigue is debilitating at times. It is affecting my daily chores. I have definitely gained weight, joints continue to be achy and stiff. Less headaches and leg pains are much less. No more abdominal cramping. Bowels are still a little hard. May 8, 9, 10, 11, 12 ? Still more tired than usual but not as debilitating. Bowels are better. My joints and muscles are still sore but not as bad. I am noticing swelling in my arms and legs and face ? feels like I am retaining fluid. I have occasional periods where I am not mentally focused/ forgetting things/ not as observant. Ringing in head happens from time to time. Blood pressure is higher than normal. May 13, 14, 15, 16, 17, 18 ? No more leg muscle pains but continue to have fluid retention. My joints are more sore than normal. Thigh and forearms are no longer going numb. Still more tired than normal but no longer need naps. Mental clarity is better but still feel ?off.? May 19, 20, 21 ? Exhausted. Completely exhausted. Legs and arms and face swollen. Bowels are hardened again. I feel like I have regressed. No deep muscle pain. Joints are stiff again. Mentally out of it. Not able to intently focus. Blood Pressure is up again. May 22, 23, 24 ? Body edema continues. On Sunday the 23rd my face literally swelled up! I took a benedryl and did lymph drainage massage on myself. It eventually went down after several hours. Never experienced difficulty breathing, my parotid glands did not seem to be swollen. May 25 to June 13 - Some days I feel okay, other days I am having swelling in legs, arms / seems like I am still retaining fluid, still more tired than I was before the Covid shot/ still have times a don't focus in as well as normal / joints are stiff at times from swelling and right thigh goes numb off and on when standing.

Other Meds: Amlodipline Besylate Carvedilol Clonidine Biest cream Vitamin D

Current Illness: none

ID: 1395056
Sex: F
Age: 23
State: NY

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

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

Lab Data:

Allergies: Wool "Frio" - Cold weather Cold beverages

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

Symptoms: 15:40: Patient was noted to be uncomfortable by observer and I was called over 15:41: I had patient walk to Med Eval 3 room 1, she states she has facial itchiness, stomach pain, and nausea (Patient only speaks Spanish) 15: 42: An interpreter (virtual) was brought to room via tablet by EMS. 2 EMTs were present through out patient care. 15:45: Vitals were taken by EMS (P: 82, O2 Sat: 98 on RA, BP: 114/90, Resp: 18) initially (please see EMS documentation for further vital signs 15: 45: Patient confirm no known drug allergies, Benedryl 50mg (12.5mg/5ml ) given PO x 1 dose here. 15: 45: Lungs auscultated by EMS, clear bilaterally per EMTs exam, patient is not in acute distress and can take deep breaths easily 15:50: Patient continues to rub and scratch face, continues to be flushed. She states her lips feel a little swollen and itchy when asked. She is feeling a little dizzy but continues to sit up. 15:03: Patient agrees to transport to ER for further evaluation, treatment and observation. 16:04: EMS Responds 16:05: Vitals Reassessed by EMS (VS: 16:08 P 70, BP 113/80, Resp: 18), her lungs were auscultated again and were found to be clear. She was able to speak in complete sentences without difficulty while on stretcher and being rolled out of Med Eval on way to ambulance. Her cousin will go with her and serve as an interpreter. Of note: During my history patient states she has not taken any of her normal medications today, since she forgot. She has a history of allergic reactions that were treated with oxygen and inhalers. She also notes that her anxiety disorder also causes itching, but only ever on her arms and never on the face.

Other Meds: Unknown Depression and Anxiety Claritin

Current Illness: None

ID: 1395057
Sex: M
Age: 28
State: NY

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Body aches, lymphadenopathy, fatigue, subjective fever, diarrhea, from 24 to 48 hours post injection. Mild positional chest discomfort starting several days after injection, with feeling of chest fullness after exercise lasting approximately 2-3 weeks Patient is a medical student and did not seek medical care. Took ibuprofen for symptomatic relief

Other Meds: None

Current Illness: None

ID: 1395058
Sex: M
Age: 44
State: VA

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 06/13/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: DVT and PE, chest pain, shortness of breath about 4 weeks following vaccine

Other Meds:

Current Illness:

ID: 1395059
Sex: F
Age: 21
State: VA

Vax Date: 05/13/2021
Onset Date: 05/24/2021
Rec V Date: 06/13/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Nine days after I received the shot, I had a first-time seizure and I was unconscious for about 30 minutes after. I broke my nose and busted my lip during it. The only signs I can think of that may have been a warning was that I couldn't spell cardiac and I had Deja Vu. My CT and MRI scans came back normal I go for a 24 hour EEG on June 26th. The doctors are unsure of what caused it.

Other Meds: Wellbutrin

Current Illness: None

ID: 1395060
Sex: F
Age: 17
State: WI

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Under age vaccination

Other Meds:

Current Illness:

ID: 1395061
Sex: M
Age: 32
State:

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rolling body aches and pain throughout body, subsiding after two days.

Other Meds:

Current Illness:

ID: 1395062
Sex: F
Age: 39
State: OR

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Vomiting

Symptoms: Violent shaking that subsided after an hour (not chills, but uncontrollable teeth-chattering, couldn?t hold phone or type or walk) Simultaneous burning in chest Simultaneous lack of circulation to hands and feet. Subsided after about an hour.

Other Meds:

Current Illness: None

ID: 1395063
Sex: M
Age: 29
State: OR

Vax Date: 06/13/2021
Onset Date: 06/13/2021
Rec V Date: 06/13/2021
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 reported dizziness. Blood pressure 59/33 heart rate 53. Patient instructed to lay down with feet elevated and 1 ammonia inhaled by patient. Patient reported feeling better. We alerted 911. We were instructed to give patient 4 chewable 81 mg aspirin. Emergency responder arrived promptly and cleared patient . Vitals were taken : blood pressure , heart rate, oxygen and blood sugar within normal. Responder ask if patient wanted to be transported to hospital, but patient refused.

Other Meds: suboxone

Current Illness: none

ID: 1395064
Sex: F
Age: 59
State: TX

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa antibiotics Mold, Mildew, Dust

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

Symptoms: Fever - 101.8 x 12 hrs Chills Weak x 2 days - couldn't stand for more than 2-4 min

Other Meds: Levothyroxine - 125 micrograms/day Escitalopram - 10mg/day Spironolactone - 100 mg/day Probiotic capsule Multi-vitamin

Current Illness: None

ID: 1395065
Sex: F
Age: 69
State: NM

Vax Date: 04/21/2021
Onset Date: 05/31/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Loss of memory for 2 - 2 1/2 hours. Could not remember awareness of conversations, actions, or routine. Never before experienced this type of event in life.

Other Meds: Atorvastatin, Lisinopril, Alendronate

Current Illness: None

ID: 1395066
Sex: F
Age: 1
State: NM

Vax Date: 01/16/2019
Onset Date: 01/16/2019
Rec V Date: 06/13/2021
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: Storage unit did not record temperature of vaccine. Could not verify for a period of time, vaccine may have been ineffective; No treatment or adverse reaction.

Other Meds:

Current Illness:

ID: 1395067
Sex: F
Age: 31
State: OR

Vax Date: 05/11/2021
Onset Date: 05/19/2021
Rec V Date: 06/13/2021
Hospital:

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

Lab Data:

Allergies: Only a slight allergy to prescription pain pills

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

Symptoms: The breast on the side that I got my vaccine in was particularly more visually swollen and tender/sore than the other breast for a full week prior to the period that happened after. This is unusual for me. That breast is ever so slightly naturally bigger than my right, but they always are affected equally/in tandem in regards to my cycle.

Other Meds: NONE

Current Illness: Don't know

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am