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: 1400414
Sex: F
Age: 67
State: CA

Vax Date: 01/28/2021
Onset Date: 05/07/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Diagnoses 1. Cough (R05) 2. Exposure to COVID-19 virus (Z20.822) 3. Reactive airway disease with wheezing (J45.909) Patient with cough with reactive airways with wheezing and rhonchi, with possible left upper lobe early infiltrate. Will start patient on doxycycline to cover for possible bacterial infiltrate. Also will be placed on albuterol inhaler and prednisone to deal with inflammatory aspect of her disease. Recommend she follow back up with her primary care provider in the next 1 week, return to urgent care for any worsening symptoms. See urgent care discharge summary for plan. She was also swabbed for Covid, though quite unlikely since she has received both vaccines already. Advised to self isolate at home and not return to work or school until COVID results available. Advised results may take 2 to 3 days for to be available, and all results will show up on medical records. We will call you with any positive results. Tylenol or ibuprofen as needed for fevers, body aches. Over-the-counter cough and cold medication as needed. If any increasing shortness of breath, or other concerning or worsening symptoms, go to the emergency room for further evaluation.

Other Meds: Losartan Potassium 50 MG Levothyroxine 25 MG Progesterone 100 MG Estradiol 10 MCG Generic Claritin 10 MG Probiotic - over the counter Glucosamine Chondroitin - over the counter

Current Illness: None

ID: 1400415
Sex: M
Age: 73
State: AZ

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Anxiety, Dyspnoea

Symptoms: On the next day he began to get right eye pain in eye and around the eye socket. Went to eye doctor on 2-24-21 and checked eye nothing in the eye irritation gave drops for irritation. Follow up with Dr. eye doctor still having issues. Went to Emergency Room in March still having pain and irritation in right eye-doctor said there was nothing that they could do for him. Made an appointment with MD ophthalmology corneal and external disease on 5-24-21 and nerve damage and there was nothing that they could do.

Other Meds: Metformin 500mg BID, Amlodipine 10mg once a day, Glimepiride 5mg once a day, fish oil 500mg once, vitamin B3 once a day, B12 once a day, zinc once a day,.

Current Illness: None

ID: 1400416
Sex: M
Age: 22
State: DE

Vax Date: 05/13/2021
Onset Date: 05/16/2021
Rec V Date: 06/15/2021
Hospital: Y

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

Lab Data:

Allergies: Lactose intolerance, Soy Allergy, Tree Nut Allergy.

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

Symptoms: On Friday, May 14, 2021 started to have aches and flu-like symptoms. Then on Saturday, May 15, 2021. developed a migraine-like headache and chest pain along with worsening flu-like symptoms. By midnight Sunday, May 16, 2021 awoke with 8-9 out of 10 chest pain, with copious amounts of vomiting, a 9 out of 10 headache, abdominal pain with a feeling of hot than freezing, shivering, unable to keep clear liquids down. No loose stools, reported having a normal bowel movement. reported that since the vomiting started overnight the chest pain got no better but felt worse like an elephant was sitting on his chest. was taken to Hospital emergency department where he was originally treated, Tests performed were bloodwork including Troponin levels, EKG, Chest X-Rays, and CT scan. Per the Physician Assistant who initially saw stated that his EKG was abnormal than his Troponin level was elevated. Due to concerns withs history of Marfan Syndrome and the possibility of a torn aorta, increased Troponin, abnormal EKG the ED doctor wanted him helicoptered to Hospital's Cardiac Cath Lab to rule out a torn aorta. was helicoptered to Hospital taken to the Cardiac Cath Lab ruling out a torn aorta. After IV fluid hydration and other treatment, was diagnosed with myocarditis. Upon discharge, was placed on medication and to follow up with his PCP and cardiologist on 6/25/21.

Other Meds: Zyrtec 10mg PO PRN seasonally.

Current Illness: None.

ID: 1400417
Sex: M
Age: 17
State: CA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I gave the Pfizer vaccine first dose to patient and consulted patient waiting in the store for 15minutes and told him common side effects. After 10 minutes sitting down, his mom notified us the patient fell on the floor. He hurt his right eye brown and caused bleeding and we called 911 . I took the patient sat on the chair in the lobby and tried to clean his opened wound on the eye brown. We gave him drink some water and he felt tired and light dizziness.After 20 minutes, 911 came and checked his pulse, oxygen, and clean his wound. After 30 minutes, patient felt okay and no longer having dizziness and he refused to go to Emergency. He still had pain from hurting eye brown.

Other Meds: Patient got Pfizer covid vaccine dose 1 and stated no medical condition and not taking any medication

Current Illness: none

ID: 1400418
Sex: M
Age: 74
State: VA

Vax Date: 06/13/2021
Onset Date: 06/14/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: My first shot 033C21A left me with a small acceptable pain for about 3 hours. THE REASON I AM FILING THIS IS BECAUSE I HAVE DOUBTS ABOUT MY SECOND SHOT. I felt absolutely NOTHING AT ALL and both shots went into my left shoulder area. I AM WONDERING IF THE SECOND SHOT was somehow corrupted and not at the strength it should have been. I tried 5 times calling the Pharmacy but was never connected. It struck me that maybe you could provide me with the answer. I realize this is a somewhat backward report since you are looking for adverse reactions, BUT NO REACTION AT ALL left me wondering if something went wrong in the processing stage . The Pharmacy and the label on the first shot ONLY shows expiration of 10/27/21 but there is no comparable information about the second shot.

Other Meds: n/a

Current Illness: n/a

ID: 1400419
Sex: M
Age: 26
State: NY

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

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

Lab Data:

Allergies: no known allergies

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

Symptoms: Patient came into pharmacy for scheduled vaccine appointment. They stated they were nervous about needles but that they wanted to get vaccine today. Patient was able to have a normal conversation about travel plans while I administered vaccine. Right after administration I turned to get band aid and patient fainted out of chair. His companion and I got him seated again right after and he resumed normal behavior. I gave patient cold compress and observed him for about 20 minutes.

Other Meds: unkown

Current Illness: no known illness

ID: 1400420
Sex: F
Age: 24
State: CA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: NKA, NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: At approx. 1057 pt received first dose of Pfizer COVID vaccine, pt has known hx of anxiety with blood draw or vaccines, subsequently she was asked to wait x15 min sitting in the lobby, per nursing staff pt ambulated to lobby with no abnormal gait noted and sat down in a chair. At approx. 1108 pt started to c/o inability to breathe, dizziness and presented syncope. Pt was triaged by Doctor, VS obtained T: 97.7 P: 65 R:17 B/P: 100/67 O2: 97%.. Pt recovered consciousness approx. 2-3 minutes and was transferred to a private room. Pt was alert, answered Doctor questions while in supine positiion. Pt was assisted to a fowler's position with c/o slight dizziness. Doctor proceeded to further assess pt by completing a neurological and strength test to which pt followed directions and completed test fairly well. EKG completed per Doctor, process explained to pt prior to conducting EKG, all metal was removed, with 2 more set of vitals completed:1120 T: 97.6 P: 85 R: 18 B/P: 103/72 and 11:49 T: 97.8 P: 68 R: 16 B/P: 101/70. Post last set of vitals pt was asked to stand and ambulate around the room. Per pt she felt better and was able to ambulate with no assistance required. Pt A&O x3, with Mother driving her back home.

Other Meds: None

Current Illness: Pt reported none.

ID: 1400421
Sex: F
Age: 62
State: AZ

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, Augmentin, Levaquin

Symptom List: Pharyngeal swelling

Symptoms: Shortness of breath at 8pm. Chest felt heavy like it was pulling down on me.

Other Meds: Lipitor, Lexapro, Dali rest, E, C, Ibuprofen, Lutein, ProAir, Trilogy, Centrum Silver

Current Illness: NONE

ID: 1400422
Sex: F
Age: 64
State: AZ

Vax Date: 03/27/2021
Onset Date: 06/14/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Dilauded Codine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Paralysis on right side of face

Other Meds: Doxepin 10mg General multivitamins and supplements

Current Illness:

ID: 1400423
Sex: F
Age: 27
State: WA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Cipro caused tingling

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Immediate sharp pain at the vaccine site radiating to the forearm and hand associated with tingling dysesthesias into the forearm. Pain and tingling lasted three days then lessened with rest and ibuprofen only to recur at 7-10 days with increasing pain with arm movement and then at two weeks after injection to near constant throbbing pain in the shoulder, sharp deltoid region pain with abuduction and elevation . Pain wakes her from sleep at hight.

Other Meds: ibuprofen

Current Illness: none

ID: 1400424
Sex: F
Age: 35
State: MI

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: A few days after the shot, my arm was still in extreme pain. I was noticing that my arm wasn't able to extend how it normally does . I called my PCP and let them know about the pain, and mobility issues., I called a week after, and then two weeks later because I was getting concerned. My PCP referred me to get an EMG. After that, he referred me to someone else, He evaluated my shoulder and gave me the diagnosis of Adhesive capsulitis. doctor sent me for physical therapy for 1 month 2x a week. I had that appointment with Dr on June 4th. I return to see him Monday June 21st for a follow up to see if I have had any improvement . I am in excruciating pain. I have never had any issues with my arm/shoulder. It was a nurse that gave me the injection, at the health department. I did go to a CVS and got my 2nd dose of pfizer on 6/8/21 with no additional side effects. I have been to a lot of doctors for this. My pain doctor was in shock. And no one seems to have ever heard of this being a lasting side effect. I struggle dressing, putting my seatbelt on, I can extend or reach in certain directions. Its not just because of the pain? I physically can extend after a certain angle. I am very concerned about the next steps on seeing how my doctors can help me through this bizarre diagnosis. Like I said, I've never had any issues with my shoulder

Other Meds: Gabapentin 800mg, naproxen 500mg, tizanidine hlc 4 mg, trintellix 20mg, metoprolol succ ER 200mg, lamotrigine 200mg, alprazolam .5 mg, Wellbutrin hcl xl 300mg, Norvasc 5mg

Current Illness: No

ID: 1400425
Sex: F
Age: 61
State: WA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: I am allergic to Sulphur and the adhesive for bandages.

Symptom List: Rash, Urticaria

Symptoms: After I had the 2nd dosage of the Moderna shot and it felt like I was going to have a heart attack (like someone threw a blanket over me because I became clammy, sweaty, and weak. I went to see my Doctor and she did an EKG in the office and decided that I need to go to see a Cardiology as a precaution. The Cardiologist will be performing an Echo Cardiogram an a stress test on my heart.

Other Meds: I skipped my normal medications that I take.

Current Illness: No

ID: 1400426
Sex: M
Age: 62
State: MD

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: cipro

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

Symptoms: I started having visions issues. I went to the emergency room. At the Hospital everything look normal - but it was detected that I had an Hemorrhagic Vitreous. I have been sick since.

Other Meds: none

Current Illness: no

ID: 1400427
Sex: F
Age: 51
State: WA

Vax Date: 05/23/2021
Onset Date: 06/04/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Amlodipine--causes severe heartburn. Beta blocker--contraindicated due to existing sinus bradycardia. Hydrochlorothiazide--photodermatitis. Lisinopril--causes persistent cough.

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

Symptoms: Developed left sided numbness involving entire body 10-11 days after first Pfizer vaccine. This is persistent and has not improved since.

Other Meds: Irbesartan 75 mg once a day.

Current Illness: none.

ID: 1400428
Sex: F
Age: 58
State: PA

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Shoulder Injury Related To Vaccine Administration ( SIRVA) Urgent care visit Toradol Injection for pain Aleve 2 tablets every 8 hours for pain Extreme Arm Pain Unable to lift or move arm (Frozen shoulder) Ice then heat packs

Other Meds: Claritin

Current Illness: none

ID: 1400429
Sex: F
Age: 39
State: NY

Vax Date: 03/25/2021
Onset Date: 03/30/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Seasonal

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

Symptoms: Left arm pain,weakness, numbness radiating to fingers

Other Meds: Amlodipine. Allegra.

Current Illness:

ID: 1400430
Sex: M
Age: 70
State: CA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
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: Nurse penetrated client's left deltoid with needle and realized syringe was empty of vaccine. Nurse stated she did not administer air into client's arm. Nurse then proceeded to remove syringe and dispose in sharp container. Nurse made client aware of situation and then administered new dose of Covid vaccine in left deltoid 1 inch away from other site

Other Meds:

Current Illness:

ID: 1400431
Sex: M
Age: 41
State:

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Excessive fatigue lasting 2.5 days. Would get up to walk to the restroom and could only take steps that were about 6 inch strides and a walk that should only take 4-5 seconds would take 45 seconds each way. Inability to write legibly with a pen or open a bottle of Tylenol because of the protective seal. Convulsions while trying to breathe.

Other Meds:

Current Illness:

ID: 1400613
Sex: F
Age: 48
State: IL

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

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

Lab Data:

Allergies: penicillin, sulfa drugs, tetracyclines, bupropion, clarithromycin, and bee stings

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: red itchy bumps on both arms and large bumps that have turned white on left elbow and red itchy bumps on right hand.

Other Meds: Risperdol consta injection, metformin, losartan, victoza injection,Trazadone, hydroxyzine pamoate, clonazepam, atorvastatin, metoprolol, breo inhaler, ventolin inhaler, furosemide, elquis, baclofen, benztropine, duloxetine

Current Illness: N/A

ID: 1400614
Sex: F
Age: 65
State:

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 06/15/2021
Hospital: Y

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

Lab Data:

Allergies: penicillan, all sulpha drugs, codeine, latex, strawberries, tomatoes

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

Symptoms: severe headache, nausea, sweating, eventually no feeling on left side of face,mouth, arm, leg, and foot

Other Meds: steroid inhaler, simvastatin, cyclobenzaprine (prn), spironolactone ,

Current Illness: none

ID: 1400615
Sex: F
Age: 21
State: FL

Vax Date: 06/14/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever, chills, body aches, muscle cramps in legs, nausea, fatigue

Other Meds:

Current Illness:

ID: 1400616
Sex: F
Age: 72
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: Two days after the shot (2/28 in the afternoon) I began to have difficulty walking. I continue to have this problem with difficulty increasing . I began to have numbness in my left foot, now in both feet. Also have feet cramps.

Other Meds: Amlodipine Besylate 5mg , Lisinopril/HCTZ 30-25MG , Vit D3, Zinc Picolinate 50MG, Fish Oil

Current Illness:

ID: 1400617
Sex: F
Age: 28
State: NY

Vax Date: 05/09/2021
Onset Date: 05/09/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever, aches accompanied by blurred vision that turned into double vision over the first 24 hours after shot. Diplopia and ptosis were severe and I visited the urgent care who sent me to emergency eye hospital May 14th, eye exam performed confirming diplopia and ptosis, and did bloodwork. Ordered CT scan that I completed June 4th,. Visited neuro opthamologist again June 10th, ordered emergency brain MRI and EMG. MRI completed June 11, EMG scheduled tomorrow June 16, diplopia and ptosis still present for the last 5+ weeks, everyday- all the time. Now, I have to wear an eye patch at all times to even kind of see.

Other Meds: None

Current Illness: None

ID: 1400618
Sex: F
Age: 76
State: IN

Vax Date: 03/08/2021
Onset Date: 03/11/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: penicillin, ceclor, PPI, lactose

Symptom List: Injection site pain, Pain

Symptoms: Heart pounding, palpitations day 3-4. Decreased hearing after shot #2 given on 03/29/2021. Increased joint pain in right hip after second shot. Noticed pain increase about first week of May, 2021.

Other Meds: normodyne, furosemide, Norvasc, budesonide, amitriptyline, Xarelto, tramadol, xanax, Vit. D3,

Current Illness: none

ID: 1400619
Sex: M
Age: 18
State: TN

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient developed a rash on his torso, but no difficulty breathing or swallowing. Mother was told to give the patient Benadryl tablets and if the reaction intensifies or leads to difficulty breathing or swallowing to seek emergency help immediately. Spoke to mother at 6:00pm patient was at work had taken the Benadryl and reaction had not intensified

Other Meds: none

Current Illness: no

ID: 1400620
Sex: M
Age: 64
State: WA

Vax Date: 01/30/2020
Onset Date: 02/01/2020
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: pen, sulfa, mustard

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

Symptoms: The day after the vaccine I started feeling ill, then developed a 103.5 degree fever. The next day I was having some pain while breathing. I saw my physician of Feb. 2 and was diagnosed with pneumonia for the first time in my life and was given cefpodoxime 200mg tablets to take bid x 10 days. Sorry for the abbreviations, I'm a retired pharmacist. That seemed to clear it up eventually but I still have herpes simplex flares which seems strange since the vaccine was for herpes zoster but maybe there is some association. Anyway, I did not realize I could do my own VAERS report until recently so here it is finally.

Other Meds: Allopurinol, ticagrelor, pantoprazole, carvedilol, atorvastatin

Current Illness: none

ID: 1400621
Sex: F
Age: 15
State: VA

Vax Date: 06/15/2021
Onset Date:
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: patient stated feeling dizzy, nausea, stomach pain. Patient was given ice pack and felt better after 25 mins

Other Meds:

Current Illness:

ID: 1400622
Sex: F
Age: 49
State: CA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Vaccination was administered outside of best use time window. Approximately 1.5 hours outside of the best use time window.

Other Meds:

Current Illness:

ID: 1400623
Sex: M
Age: 16
State: UT

Vax Date: 05/17/2021
Onset Date: 05/28/2021
Rec V Date: 06/15/2021
Hospital: Y

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

Lab Data:

Allergies: KNMA

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

Symptoms: Presented to urgent care on 5/28 with complaints of sore throat, Headache, body aches and fever for 103, slight cough, denies chest pain or SOB. Had a neg rapid strep. Diagnosed with viral illness 5/30 presented to the ED with chest pain, cough, wheezing and SOB. Also had diarrhea and low abdominal pain. Was hypotensive and bradycardia. Received 2 bolus of Lactated Ringers . EKG with ST segment elevation. Concern for MISC. Transferred to hospital. 5/30 at the hospital he had another bolus of fluid, continued bradycardia admitted to the ICU for potential for hypotension during IVIG for suspected MISC, worsening ST elevation on EKG. TTE unremarkable. Started on IVIG, anakinra, lovenox and solumedrol. Monitored on telemetry. EKGs consistent with myopericarditis. discharged home on prednisone on 6/4 with a long taper, has follow up with rheumatology and cardiology. Stool enterovirus positive culture positive. He had previously been diagnosed with COVID-19 in November 2020

Other Meds: Albuterol several times a day Singulair

Current Illness: Was ill with nasal congestion, sore throat and cough for 5 days starting on April 15, 2021

ID: 1400624
Sex: F
Age: 48
State: PA

Vax Date: 06/10/2021
Onset Date: 06/13/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Nausea

Symptoms: Patient said three days after her immunization she developed multiple bruises on arms and legs.

Other Meds: NA

Current Illness: NA

ID: 1400625
Sex: F
Age: 25
State: CA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: Patient was given covid Pfizer vaccine first dose and I consulted patient to wait in the store 15 minutes and told her some common side effects. After 10 minutes, she felt dizziness and light headed, we offered her to drink some water . About 30 minutes, she was felt okay and walk out the store

Other Meds: Patient got covid Pfizer vaccine first dose, no medical condition and not taking any medication

Current Illness: none

ID: 1400626
Sex: F
Age: 29
State: AK

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin , sudafed, seasonal allergies, cats

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

Symptoms: My mouth instantly started to have a taste of metal as soon as the injection entered my arm and soon after that my lips started to tingle about 5 minutes after the injection. 20 minutes after the vaccine the roof of my mouth felt like I bit into a hot pizza, the burning mouth sensation still persist as of today. Around 5:00 pm that day , my whole body was shaking uncontrollably it lasted around 2 hours. I went to the doctor and the doctor called it a panic attack. The burning mouth sensation, I would describe as having shingles in your mouth, because I have had shingles before. I still have extreme fatigue, which causes me to be depressed , and brain fog

Other Meds: propranolol 10 mg 2 x day

Current Illness: no

ID: 1400627
Sex: F
Age: 13
State: SC

Vax Date: 06/12/2021
Onset Date: 06/12/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: patient was inject with NaCl instead of reconstituted vaccine

Other Meds:

Current Illness:

ID: 1400628
Sex: F
Age: 30
State: TX

Vax Date: 06/13/2021
Onset Date: 06/14/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Mold and grass

Symptom List: Tremor

Symptoms: I got the shot around 2 pm and the next day at 4:08 am I woke up and took my dog to potty. Within 5 minutes of waking up I got dizzy, felt like I had to throw up, my heart felt weird and my lips were going numb. I fell and blacked out for a few seconds. I fell so hard I scraped my knees really bad. After that I went back inside and fell on the couch because it was difficult to breath for about 5 minutes. I ended up falling back asleep for about 4 hours. And during all this my head was pounding like crazy and my vision was kind of blurry.

Other Meds: 0

Current Illness: No illness

ID: 1400629
Sex: M
Age: 15
State: CA

Vax Date: 06/09/2021
Onset Date: 06/12/2021
Rec V Date: 06/15/2021
Hospital: Y

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

Lab Data:

Allergies: NONE

Symptom List: Erythema, Pruritus

Symptoms: Acute myocarditis on 6/12/2021 --- chest pain, dysphagia, transient chills

Other Meds: NONE

Current Illness: NONE

ID: 1400630
Sex: F
Age: 34
State: FL

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: The patient is an associate at this store. Per front end associate the patient called the store a few minutes after leaving and stated that she was calling from her car and couldn't see (blacking out) and she was shaking. Associate says she was incoherent and not making sense. She said she was on her way back to the store and her hands were going stiff and she was sweating a lot. Management came to the pharmacy at approximately 6pm to ask me to come outside to take care of an associate having an anapylactic reaction. I grabbed the Epipen and closed the pharmacy. As we were walking to the parking lot I was informed that the patient has just received a vaccine at the pharmacy. When we arrived to the patient, paramedics had already arrived on scene and they were preparing to take her to the hospital. I could see her shaking and her arms sticking rigidly out of the car door. The patient received her vaccine at 3:16pm on 6/15/2021, this was her second dose of the Moderna vaccine. She reported some side effects from the first vaccine including muscle aches, feeling "out of it" and having to leave work early.

Other Meds: none known

Current Illness: none known

ID: 1400631
Sex: M
Age: 13
State:

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain - started 1hr after shot, lasted for 2 days Tiredness - started 4 hr after shot, lasted for 2days Headache - started 1.5 hours after shot, lasted until next day morning Fever - started morning of the day after shot, lasted until same day evening

Other Meds:

Current Illness:

ID: 1400632
Sex: F
Age: 33
State:

Vax Date: 06/11/2021
Onset Date: 06/14/2021
Rec V Date: 06/15/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: myocarditis

Other Meds: none

Current Illness: none

ID: 1400633
Sex: F
Age: 57
State: VA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Body aches Brain fog Low energy Coughing Shortness of breath Diagnosed with Superimposed pneumonitis & asthmatic bronchitis Treatment: Steroids, Antibiotics, Nebulizers, Inhalers

Other Meds:

Current Illness:

ID: 1400634
Sex: M
Age: 34
State:

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Rec'd vaccine at 1500, reaction started at 1505- pt observed to be stiff posture, eyes rolled to back of head and unconscious. Pt transferred to a gurney and heard to be wheezing. Epi x1 given and 911 was called. Pt became arousable after a few minutes as ambulance arrived. Pt breathing improved and able to answer simple questions. Transferred to nearest hospital.

Other Meds:

Current Illness:

ID: 1400635
Sex: F
Age: 62
State: CA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Vaccination was administered outside of best use time window. Vaccination is good for up to 6 hours once punctured if refrigerated; it was administered 1.5 hours outside of this window.

Other Meds:

Current Illness:

ID: 1400636
Sex: F
Age: 39
State: NY

Vax Date: 03/05/2021
Onset Date: 04/09/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: pcn

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

Symptoms: sweets syndrome

Other Meds: alprazolam breo ellipta albuterol

Current Illness: htn allergies history of uveitis raynauds

ID: 1400637
Sex: F
Age: 48
State: SC

Vax Date: 06/12/2021
Onset Date: 06/12/2021
Rec V Date: 06/15/2021
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: patient injected with NaCl instead of reconstituted vaccine

Other Meds:

Current Illness:

ID: 1400638
Sex: M
Age: 19
State: WV

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Shellfish and peanuts

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

Symptoms: Patient was clammy, getting tunnel vision, and hearing was "tightening". Blood pressure was 101/56. this happened roughly 5 minutes after administration

Other Meds: N/A

Current Illness: n?a

ID: 1400639
Sex: F
Age: 28
State: FL

Vax Date: 03/24/2021
Onset Date: 04/07/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: No.

Symptom List: Vomiting

Symptoms: Heavy, irregular and painful periods after vaccine. Was on birth control with very regular and light periods. My period came 2 weeks early after the vaccine with heavy bleeding and passing large blood clots. Period will last for over a week, disappear and then come back 1-3 weeks later. Have had over 6 periods since shot.

Other Meds: Nexplanon

Current Illness: No.

ID: 1400640
Sex: F
Age: 26
State: CA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Numbing pain on the injection site Sweating Fever and chills

Other Meds:

Current Illness: N/A

ID: 1400641
Sex: M
Age: 32
State: NM

Vax Date: 02/17/2021
Onset Date: 05/23/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: On 5/23/2021 I experienced a seizure, and again on 5/9/2021.

Other Meds:

Current Illness:

ID: 1400642
Sex: F
Age: 34
State: CA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: SQUID

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient got the shot and was advised to wait for 15 minutes to monitor side effects. Five minutes after the shot, patient started to feel weakness on legs, hyperventilation and fall down to the floor. Paramedic was contacted and patient was helped to lye down to the floor and to breath in the paper bag. Five minutes later, paramedic came and checking the vital signs. Patient was monitoring for 10 more minutes and was asked if she was ok to stand up and walk home. Paramedic left and the patient was helped by her boyfriend to go home.

Other Meds: N/A

Current Illness: N/A

ID: 1400643
Sex: F
Age: 67
State: NC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: Antibiotics

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

Symptoms: I started to have chills the same day and it continued for three days. My lymph gland started to swell and I was running a fever. That Monday my fever went up to 108. I was also so tired and I could barely walk. I continued to run a fever until 02/05, but I was still tired and had extreme diarrhea and swollen glands. Covid rash on the left arm for about 6 days.

Other Meds: Vitamin D and C

Current Illness: No

ID: 1400644
Sex: F
Age: 63
State: SC

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/15/2021
Hospital:

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

Lab Data:

Allergies: CEPHALASPORINS, ERTHROMYCIN, SULFA.

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

Symptoms: PFIZER COVID VACCINE VIAL WAS EXPIRED AT 2:07PM, VACCINE WAS ADMINISTERED FROM SAME VIAL AT 4:23PM.

Other Meds: UNKNOWN

Current Illness: N/A

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am