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**
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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: 1429665
Sex: F
Age: 16
State: MO

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

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

Lab Data:

Allergies: NKDA

Symptom List: Dysphagia, Epiglottitis

Symptoms: PT WAS GIVEN FIRST DOSE OF PFIZER IM LEFT ARM. APPROXIMATELY 3-5 MIN AFTER ADMINISTRATION PATIENT PASSED OUT. 911 WAS CALLED, PT BECAME ALERT, NO EPI-PEN NEEDED, COMPLAINE DOF HEADACHE AND NAUSEA. SHE USED HER ALBUTEROL INHALER. BP TAKEN 101/67 PULSE 85. EMS ARRIVED AND TOOK MORE VITALS. PT IMPROVED ENOUGH TO WALK TO CAR TO GO HOME FOR OBSERVATION. MOM WAS PRESENT AND OPTED NOT TO GO TO ER

Other Meds: PT TAKES SERTRALINE, HYDROXYZINE, AND GIANVI DAILY. SHE TOOK THEM AS USUAL BEFORE THE VACCINE PER MOM. PT USED PERSONAL ALBUTEROL INHALER AFTER VACCINE ADIMINSTRATION.

Current Illness: NONE NOTED

ID: 1429666
Sex: M
Age: 63
State: CA

Vax Date: 05/06/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
Hospital: Y

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

Lab Data:

Allergies: No

Symptom List: Anxiety, Dyspnoea

Symptoms: Recurring bouts of fever, aches. Pain when taking deep breath. eventually shortness of breath and pressure high in chest. Diagnosis : Pericardial Effusion. Treatment : Surgery to drain fluid. install drain. install pericardial window. 5 days in hospital.

Other Meds: Rosuvastatin, metoprolol, lyrica

Current Illness: No

ID: 1429667
Sex: F
Age: 25
State: MI

Vax Date: 06/18/2021
Onset Date: 06/25/2021
Rec V Date: 06/26/2021
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: Site: Bruising at Injection Site-Severe, Site: Itching at Injection Site-Severe, Site: Pain at Injection Site-Severe, Site: Redness at Injection Site-Severe, Site: Swelling at Injection Site-Severe

Other Meds:

Current Illness:

ID: 1429668
Sex: M
Age: 12
State: IN

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Sore arm, headache, weakness, upset stomach, fatigue

Other Meds: Journay Ritalin Intuniv Risperidone Clonidine Vit D Methylfolate Melatonin

Current Illness: None

ID: 1429669
Sex: F
Age: 12
State: KS

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 06/26/2021
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, Injection site warmth

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Weakness-Medium, Additional Details: hypoglycemic event

Other Meds:

Current Illness:

ID: 1429670
Sex: M
Age: 40
State: CA

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Extreme fatigue, exhaustion, and overall body pains. Sore arm at injection site.

Other Meds: None

Current Illness: None

ID: 1429671
Sex: M
Age: 14
State: MD

Vax Date: 06/03/2021
Onset Date: 06/10/2021
Rec V Date: 06/26/2021
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: Chest pain, shortness of breath, trouble swallowing, cough

Other Meds:

Current Illness:

ID: 1429672
Sex: F
Age: 46
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypertension-Medium, Additional Details: Patient said she sat down after vaccine. She said as she was sitting she passed out and fell to the side and hit her head on top. She had a small amount of blood in her hair. We sat her back in a chair and her bp was taken --169/96 and pulse 80. 911 was called and paramedics came to check her out. They said she was okay and she said she was okay to drive. She left on her own.

Other Meds:

Current Illness:

ID: 1429673
Sex: F
Age: 48
State: CA

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/26/2021
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: Patient developed back pain the following day, along with a buring sensation that wrapped around to her abdomen. 4 days later a rash developed. Patient sough out medical care and was diagnosed with shingles on 6/26/21

Other Meds: Lisinopril

Current Illness:

ID: 1429674
Sex: F
Age: 29
State: IL

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

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Systemic: Chills-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Fever-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: Pt was seated during 15 minute mandatory observation period. Within 10 minutes, Patient fell out of chair and was found on the floor conscious within seconds of her fall. Pt reports feeling queasy, lightheaded, flush, hot and having chills prior to fainting. Pt was assessed by nurse practicioner, bp, breathing, pulse reported to be normal. EMS was called and pt assessed by paramedics. Pt reports feeling better.

Other Meds:

Current Illness:

ID: 1429675
Sex: M
Age: 15
State: AZ

Vax Date: 06/24/2021
Onset Date: 06/25/2021
Rec V Date: 06/26/2021
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: episode of near syncope and diaphoresis, drop in BP followed by chest and neck pain lasting about 1 hour

Other Meds: Adderall XR Prozac omeprazole airduo vitamin D calcium

Current Illness: no illnesses

ID: 1429676
Sex: F
Age: 62
State: CA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: extremely ill, fever, chills nausea headache for 36 hrs. extreme tiredness two weeks after

Other Meds: high blood pressure, rheumatoid arthritis meds

Current Illness: none

ID: 1429677
Sex: F
Age: 56
State: WI

Vax Date: 04/13/2021
Onset Date: 04/20/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: Iodine, Codeine, Sulfa Drugs

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

Symptoms: Beginning April 20, 2021 I experienced numbness, tingling and prickling sensations in my extremeties: Both feet, ankles, all toes, and both hands and all fingertips. As of today's date (6/26/21) the symptoms have dissipated somewhat but are not completely gone from any of the above mentioned areas.

Other Meds: Multi-vitamin

Current Illness: None

ID: 1429678
Sex: F
Age: 35
State: CT

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
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 felt nauseous and dizzy after receiving the vaccine. Patient felt better after sitting for few minutes

Other Meds: none

Current Illness: none

ID: 1429679
Sex: F
Age: 37
State: MA

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: unknown

Other Meds:

Current Illness:

ID: 1429680
Sex: M
Age: 38
State: CO

Vax Date: 05/17/2021
Onset Date: 05/31/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: PATIENT ALERTED US ON 6-18-21 THAT EXACTLY 2 WEEKS AFTER HIS VACCINE HE WNET TO THE DOCTOR FOR SHOULDER PAIN AND HAD A SUPERFICIAL BLOOD CLOT. THEY PERFORMED AN MRI AND DETERMINED BLOOD WAS STILL FLOWING SO THEY DETERMINED NO TREATMENT WAS NECESSARY

Other Meds:

Current Illness:

ID: 1429681
Sex: M
Age: 58
State: MA

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/26/2021
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: unknown

Other Meds:

Current Illness:

ID: 1429682
Sex: M
Age: 34
State: OR

Vax Date: 06/25/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: No, known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Muscle Aches, EXTREME kidney pain (I'm going to drink cranberry juice after work, Hopefully that will help)

Other Meds: CoQ10, R-ALA, acetyl?l?carnitine

Current Illness: None

ID: 1429683
Sex: F
Age: 72
State: NY

Vax Date: 04/06/2021
Onset Date: 06/11/2021
Rec V Date: 06/26/2021
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: Since receiving 2nd dose. Non specific cardiac abnormality, Hemoglobin A1C 7.1, RBC 5.45, Hemoglobin 16.3, Hematocrit 49.5,BUN 145, Calcium 10.8, Globulin 4.8,

Other Meds: pravchol, metformin, fish oil. b -12, calcium, vitamin d3

Current Illness: no

ID: 1429684
Sex: F
Age: 18
State: MA

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/26/2021
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: unknown

Other Meds:

Current Illness:

ID: 1429685
Sex: M
Age: 70
State: NC

Vax Date: 02/12/2021
Onset Date: 04/01/2021
Rec V Date: 06/26/2021
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: Hearing loss, tinnitus

Other Meds: synthroid, losartan, crestor

Current Illness: None

ID: 1429686
Sex: M
Age: 55
State: IL

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429687
Sex: F
Age: 31
State: WA

Vax Date: 06/03/2021
Onset Date: 06/04/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Migraine lasting 48 hours, Menstrual spotting

Other Meds: None

Current Illness: None

ID: 1429688
Sex: M
Age:
State:

Vax Date: 06/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: local erythema and puritis in left arm around injection site; took benadryl

Other Meds:

Current Illness:

ID: 1429689
Sex: F
Age: 61
State: IL

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429690
Sex: M
Age: 47
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: After receiving the vaccination, patient experienced nausea , dizziness and sweating. He was instructed to lay down. Ambulance was called. Upon evaluation by the paramedics, patient's vital signs were stable, but the patient asked to go to the hospital for further evaluation.

Other Meds:

Current Illness:

ID: 1429691
Sex: M
Age: 73
State: IL

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429692
Sex: F
Age: 25
State: IL

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429693
Sex: F
Age: 80
State: IL

Vax Date: 03/06/2021
Onset Date: 03/14/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, red yeast rice

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

Symptoms: About 7 days after my second shot in the left arm of Moderna my index finger on my left hand began to feel funny. Within a few days the funny feeling went to all my fingers, the left hand first and then the right. I then noticed that my fingers were very sensitive to hot and cold. that feeling has not left. It is better some days than others. I have to wear gloves to get in the freezer..,,.I never have had sensitive fingers before. My doctor suggested that it might be a side effect from the Moderna vacine.

Other Meds: Bystolic Bumetanide Eliquis Felodipine Duloxetine Magnesium Aspirin Vascepa Ester C D3 Zinc Melatonin

Current Illness: none

ID: 1429694
Sex: M
Age: 30
State: TX

Vax Date: 06/08/2021
Onset Date: 06/19/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Left arm sore, stiff, and tired it led me to believe I was having a heart attack and had to go the ER the doctor at the time stated I didn't have a heart attack nor had any visible signs of heart damage

Other Meds: None

Current Illness: None

ID: 1429696
Sex: M
Age: 39
State: AZ

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
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 in the designated waiting area after having received a vaccine. He was seated in a chair just outside the vaccination room. After about 10 minutes he was observed to suddenly fall to the side of his chair to the floor. The Cashier quickly called to me for help, I quickly ran out to the patient and found him face down on the floor attempting to raise his head and look around, I told him to remain on the floor and we turned him over and kept him lying down on the floor. I asked him what he could see, if it was fuzzy or unclear. He stated that I seemed to look clear to him. He stated that he didn't want to be on the floor and wanted to sit down, so I helped him into the chair and I sat down in a chair directly in front of him. With in a minute he stated that he was beginning to be light headed again. I noted that he was losing his color. I asked him to lay down on the floor again. We got him a pillow for his head and a bottle of water to hydrate him. We also put a cool compress on his forehead. Through questions I asked, again it was determined that he has had no history of any seizures, and had fainted before when it had been too hot. We were able to have him get us his father's phone number and we called him to come to the pharmacy from home. Patient remained on the floor till the father arrived and we asked him a few questions. Father wanted the BP taken, so we did, it was 122/69 Pulse rate was 72. Father wanted to give him a sugar pill because he thought that might increase the blood pressure some. So we gave him one glucose tablet. Patient then expressed that he was ready to try and stand again. We helped him stand up and allowed him to take a few steps and to monitor him. We brought over a powered scooter to have him sit on out to his dad's vehicle. It didn't have enough power so we had my Tech and the Patient's father escort him out to the car with out incident. We asked them to call us if they had any questions. The Father was asked if he was going to take his son to be checked out and he didn't feel it was necessary.

Other Meds: I am not aware of other meds or supplements

Current Illness: None

ID: 1429697
Sex: F
Age: 70
State: WA

Vax Date: 02/02/2021
Onset Date: 02/24/2021
Rec V Date: 06/26/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa drugs, penicillin, tetracyclin, cephalexin

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

Symptoms: Premature Vascular Contractions (low pulse rates), atrial fibrillation after having been in sinus rhythm for several years

Other Meds: Furosemide (Lasix) Enalapril Dofedilide Metformin Metoprolol Amlopadine Align Intestinal Care Vitamin D3 Vitamin B Complex Flax Oil L-Lysine Fish Oil CoQ10 Ocuvite Magnesium Viactiv - Calcium, D & K Metformin Xarelto Atorvastatin (Lipitor

Current Illness: Coronary artery disease, atrial fibrilation

ID: 1429698
Sex: F
Age: 55
State: IL

Vax Date: 02/20/2021
Onset Date: 06/17/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I?ve developed Shingles after having the vaccine shots early in 2021 one month following my second COVID vaccine.

Other Meds: None

Current Illness: COVID vaccines end of April and In May Developed shingles

ID: 1429699
Sex: U
Age:
State:

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Severe headaches for 3-4 days. Low fever. Inflammation on the injection site, hardness and hot to the touch. Body, joint pain and stiffness. Mild seizures.

Other Meds:

Current Illness:

ID: 1429700
Sex: M
Age: 24
State: WI

Vax Date: 04/02/2021
Onset Date: 05/01/2021
Rec V Date: 06/26/2021
Hospital: Y

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

Lab Data:

Allergies: Seasonal Allergies

Symptom List: Erythema, Pruritus

Symptoms: I felt really weak after my second dose. I was very sore and tender to even move. I was also stated to look puffy in my neck and chest area. I was diagnosed with Myositis and Rhabdomyolysis. I was hospitalized overnight to keep fluids flushing through me due to the muscle count found in my blood.

Other Meds: None

Current Illness: None

ID: 1429701
Sex: F
Age: 28
State: WI

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient was inadvertently administered a 3rd dose of the Pfizer covid19 vaccine. she was to receive varivax. dose and route of administration were correct for the covid 19 immunization however it was a 3rd dise whicg is not yet recommended. patient reported feeling typically flu like symptoms for 24 hours after the error.

Other Meds: none

Current Illness: none

ID: 1429702
Sex: M
Age: 55
State: FL

Vax Date: 04/27/2021
Onset Date: 06/16/2021
Rec V Date: 06/26/2021
Hospital: Y

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: Chronic Chest pain radiates into arms and shoulders, shortness of breath.

Other Meds:

Current Illness:

ID: 1429703
Sex: M
Age: 21
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: patient felt light headed upon standing and fell to the ground; patient hit nose and started to bleed; patient felt fine after consuming a candy and some water

Other Meds:

Current Illness:

ID: 1429704
Sex: F
Age: 31
State: NY

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Had extreme chest/back pain 24 hours following the vaccine, that was some relieved by positioning and resolved by the following day. Was 24 weeks pregnant at time of vaccine. Due date is 9/2/21.

Other Meds: Prenatal Vitamin

Current Illness: N/A

ID: 1429705
Sex: F
Age: 71
State: PA

Vax Date: 05/28/2021
Onset Date: 06/02/2021
Rec V Date: 06/26/2021
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: Sudden onset severe vestibular neuritis with vertigo, vomiting, extreme prostration - extremely symptomatic with significantly elevated BP - severely symptomatic x 36 hrs - mildly symptomatic for another 3 days

Other Meds: Benazapril, atorvastatin, levothyrozine, hydrochlorothiazide, calcium, mutli vits, magnesium, vit D

Current Illness: none

ID: 1429706
Sex: M
Age: 50
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Chest Heart Burning beginning 5 minutes after injection and continuing for approximately 30 minutes Lightheadedness/dizziness beginning 15 minutes after injection and continuing intermittently for approximately 20 minutes Slight headache at left lower side base of skull. Currently, the dizziness has subsided. Heart burning sensation has alleviated and gone to none and then back to warm but not burning. headache slight still as of 5:15pm

Other Meds:

Current Illness:

ID: 1429707
Sex: M
Age: 44
State: TX

Vax Date: 06/12/2021
Onset Date: 06/13/2021
Rec V Date: 06/26/2021
Hospital:

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: Dizziness (patient feels like he is spinning and lightheaded) and dizziness

Other Meds: atorvastatin, losartan

Current Illness: htn

ID: 1429708
Sex: F
Age: 51
State: CT

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

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Approximately 8 hours after my vaccine the back of my knees were swollen/puffy. As of today June 26th I still have puffiness/swelling behind my knees. Some days it is less puffy/swollen and other days more so. I have never had this symptom ever before.

Other Meds: Vitamin D, 2000 IU

Current Illness: None

ID: 1429709
Sex: M
Age: 32
State: IL

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

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

Lab Data:

Allergies: None

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

Symptoms: During the post vaccine observation period, patient had a sync opal episode and fell off a charge face down on the floor. He was turned over he came to immediately and was oriented to place, person, time ,and ,situation . He was noted to be diaphoretic. He reported to staff that he usually passes out after a vaccination and had not had eaten. He was observed for an additional 45 mins before leaving the site of the vaccination.

Other Meds: None

Current Illness: None

ID: 1429711
Sex: M
Age: 60
State: AZ

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Vomiting

Symptoms: My right arm still hurts and it is hard for me to move it. My range of motion has diminished some. It has been 3 months and the pain still persists. I had the second dose on 4/28/2021 my arm was still sore from the first shot. Seemed like the second shot did not hurt at all compared to the first shot. How long will the the pain continue? Who do I see for this? My pcp said to just keep an eye on the situation.

Other Meds: Tylenol #3

Current Illness: Reiter's syndrome

ID: 1429712
Sex: F
Age: 46
State: LA

Vax Date: 04/06/2021
Onset Date: 04/15/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: Peanuts and tuna

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Within 15 minutes extremely sharp pain up shoulder to back of neck, generalized sick feeling, 5 days after diarrhea, nausea, headache for 7 days, 9 days calf cramp in right leg with red spot in same spot, 2 days later nerve pain started then a week later nerve pain started in left leg. It?s been 2-1/2 month still nerve pain in both legs, joint swelling and muscle spasms. 2-ER visits, Urgent Care visit, Dr visit, x-rays-cervical and lumbar, leg ultrasound, various multiple blood test ran all coming back normal. Scheduled to see a neurologist

Other Meds: Multivitamin

Current Illness: None

Date Died: 06/19/2021

ID: 1429713
Sex: M
Age: 30
State: NH

Vax Date: 06/13/2021
Onset Date: 06/18/2021
Rec V Date: 06/26/2021
Hospital: Y

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

Lab Data:

Allergies: No

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

Symptoms: My son had been complaining of racing heart and became a week after the first dose of Moderna then started vomiting once or twice a week thereafter I tried to get him to go the doctor but he kept saying he was ok. He said he feels like something was wrong but didn?t know what. He received his second dose of moderna 6/13/2021, 5 days later on 6/18/2021 he didn?t feel well laid down around 9 pm was checked on at 9:21 he was unresponsive no heart beat no breathing 911 was called. They resuscitated him after 45 minutes then he was transported to hospital then to medical center. he was in ICU on a ventilator unresponsive brain swollen , totally unresponsive and organs shutting down. He passed away 9:45 pm June 19

Other Meds: No

Current Illness:

ID: 1429714
Sex: F
Age: 19
State: MA

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

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: unknown

Other Meds:

Current Illness:

ID: 1429715
Sex: M
Age: 58
State: NC

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: na

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

Symptoms: Pt received Moderna vaccine initial dose on 5-7-21. WE were giving only Pfizer, and patient apparently didn't understand, and we didn't fully investigate. It was noticed after he had received the Pfizer. He was informed, was not concerned, and had no ill effect

Other Meds: na

Current Illness: na

ID: 1429716
Sex: F
Age: 26
State: CA

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

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

Lab Data:

Allergies: Seafood and oats. Patient found out today she may be allergic to oats. She had it for breakfast broke out in hives. Her hives may be from the oatmeal this morning.

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

Symptoms: Patient has hives 30 minutes after vaccination. Patient states she found out she's allergic to oat this morning after having oatmeal for breakfast (she broke out is hives and itchy mouth). After her hives died down she came in to get her vaccine then had hives again 30 minutes after. She took benadryl and felt better after.

Other Meds: dupixent every other week

Current Illness: none

Total 2021 VAERS Injuries: 704,237

Page last modified: 26 October 2021 2:21am