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
72,296
AK1,638
AL5,339
AR3,412
AS44
AZ13,316
CA58,147
CO11,002
CT7,824
DC1,626
DE1,670
FL36,235
FM3
GA13,429
GU82
HI2,195
IA4,332
ID2,473
IL19,261
IN22,568
KS4,284
KY6,945
LA4,714
MA13,886
MD11,901
ME2,997
MH8
MI17,865
MN11,345
MO8,919
MP30
MS2,676
MT2,147
NC15,401
ND1,273
NE2,732
NH2,859
NJ17,232
NM3,702
NV4,071
NY32,763
OH18,072
OK5,940
OR7,954
PA22,457
PR2,104
QM2
RI1,911
SC6,055
SD1,133
TN8,691
TX34,122
UT4,023
VA13,944
VI49
VT1,661
WA13,811
WI10,395
WV2,220
WY805
XB5
XL1
XV2

ID: 1431534
Sex: M
Age: 28
State: CA

Vax Date: 05/20/2021
Onset Date: 05/23/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Three days after patient received Moderna COVID-19 vaccine shot 1, He went to ER complaining of heart palpitation. Patient were diagnosed of A-Fib. Patient were discharged on the same day with prescription of Flecainide 150mg to be used as needed for heart emergency. Patient didn't use the medicine and is doing ok. Patient stated that they have received the second shot on 06/17/2021at pharmacy with no adverse reaction.

Other Meds:

Current Illness: none

ID: 1431535
Sex: F
Age: 32
State: NM

Vax Date: 04/14/2021
Onset Date: 05/21/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List:

Symptoms: Unaware of pregnancy status when she got her vaccine on 4/14 on 5/21 she had a miscarriage at 7-9 weeks of pregnancy.

Other Meds: N/A

Current Illness: none

ID: 1431536
Sex: M
Age: 13
State: TX

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: None stated.

Other Meds: None that we know of

Current Illness:

ID: 1431537
Sex: M
Age: 49
State: NY

Vax Date: 05/01/2021
Onset Date: 05/29/2021
Rec V Date: 06/28/2021
Hospital: Y

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

Lab Data:

Allergies: Food allergies turkey,fish,chicken

Symptom List:

Symptoms: On the evening of May 28 into The morning of May 29 started vomiting and had diarrhea. Then into the early morning started getting extreme pain in my abdomen. Went to ER

Other Meds: Lexapro 10mg,vitamin C 1000mg,vitamin D3 2000IU,multi vitamin,Fish oil

Current Illness:

ID: 1431538
Sex: M
Age: 65
State: TX

Vax Date: 03/20/2021
Onset Date: 04/01/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Shellfish; Iodine

Symptom List:

Symptoms: So, I started to have some epidermis outbreaks about a week after the second vaccine. Shortly, after that I had a poison ivy reaction, but this reaction was different in which it started to go, which is odd for poison ivy. I was having an overaction to certain irritants as well. I also would have an abnormal amount of warts that were showing up. I have a lot of epidermis outbreaks. I also have had terrible joint pains also which started a week after the second dose. I was not able to lift things or do normal activates. I am still having trouble with my joints.

Other Meds: Januvia; Lisinopril; Atorvastatin; Vitamin B and D

Current Illness:

ID: 1431539
Sex: M
Age: 31
State: CT

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: pt felt faint, turned white, loss hearing right after receiving vaccine

Other Meds: n/a

Current Illness:

ID: 1431540
Sex: F
Age: 15
State: WI

Vax Date: 06/23/2021
Onset Date: 06/25/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Patient woke up the morning of 6/25/21 with a rash on both of her hands. Throughout the day, the rash did spread to her upper thighs and lower legs. The rash continued to spread to her feet. The rash was bilateral on her body, and appearance was similar to a viral rash. She did complain of her body being sore and achy as well. The rash did not itch. We gave her ibuprofen and antihistamine during the day which seemed to help with comfort. The next morning (6/26), patient woke up and the rash was almost gone. She still had a little bit of the rash on her calves and feet. By the end of the day and next day, the rash was gone.

Other Meds: Escitalopram 15mg PO Daily, Risperidone PO BID, Hydroxyzine PO PRN, Zyrtec PO PRN

Current Illness: None

ID: 1431541
Sex: M
Age: 42
State: TX

Vax Date: 06/16/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Non

Symptom List:

Symptoms: I was given a double dose of the second shot of Pfizer my arm is still hurting today. Blurry vision as well.

Other Meds: Naproxen

Current Illness: None

ID: 1431542
Sex: F
Age: 64
State:

Vax Date: 06/02/2021
Onset Date: 06/16/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: developed classic case of shingles on right side of body approx 1 week after vaccination

Other Meds:

Current Illness:

ID: 1431543
Sex: F
Age: 71
State:

Vax Date: 01/22/2021
Onset Date: 03/30/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: sulfur, prednisone, daypro, haldol,

Symptom List:

Symptoms: fever fatigue weakness lasted a day, got very ill 1 month later, immobile arms and legs bad balance bad concentration bad vision migraines, shingles

Other Meds: klonopin, vraylar, risperidone, lithium, topiramate, lamictal, synthroid, protonic, zocor, vitamin d-12/d-3, wlbutriun,

Current Illness:

ID: 1431544
Sex: F
Age: 65
State: SC

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

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About an hour after second dose of Pfizer shot, my mouth tasted like metal. I could not taste anything for about 6 hours. After 6 hours, this side-effect went away for the most part. The worst side effect happened 10 days later. All the joints in my fingers became swollen. (Not the knuckles, but both joints above.) 2 fingers on each hand were especially bumpy, red and painful. (Index and middle fingers.) I felt pins and needles in my hands for weeks. Hands and fingers were achy and sore. Sometimes I experienced sharp pains in them. I could barely use my hands at all. I tried everything to stop the pain. Sprays, gels, Aleve and compression gloves. Only after 10 WEEKS and starting on a dose of Tumeric and Curcumin has the pain begun to subside to the point I am not crying everyday. I did see the doctor who took X-Rays. These showed my osteoarthritis which I know I have in my hands. But I have NEVER HAD PAIN in all the digits and hands at one time. This was a major flare-up and very very painful and concerning. This condition has not cleared completely but does seem to be reversing.

Other Meds: None

Current Illness: None

ID: 1431545
Sex: F
Age: 60
State: KY

Vax Date: 06/09/2021
Onset Date: 06/15/2021
Rec V Date: 06/28/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient presented to ER with myalgias/arthralgias, flu like symptoms including fever, congestion, sore throat. Pt had COVID vax 6/9. In ER, noted to have leukocytosis of 36k with neutrophil predominance. Admitted and no infectious source identified. COVID negative on 6/22. Pt transferred to higher level of care due to concern for hematologic malignancy. All tests unremarkable so far. Ferritin was > 11k. Pt case reviewed by rheumatology who suggested adult onset Still's disease which could be vaccine related. Starting Anakinra asap in effort to see improvement

Other Meds:

Current Illness:

ID: 1431546
Sex: F
Age: 34
State: IN

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List:

Symptoms: After receiving the vaccination patient immedicatly stated her arm her. after a minute or so she got extremely light headed. we used ice on her neck and laid her on ground. Her blood pressure fell to 73/40. We recheck and it began to come back up. Patient was fine about about 15 minutes. Patient did mention numbess in fingers

Other Meds: n/a

Current Illness: n/a

ID: 1431547
Sex: F
Age: 34
State: PA

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

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

Lab Data:

Allergies: Kiwi, Norco

Symptom List:

Symptoms: Patient reported feeling faint after recieving dose 1 of Pfizer vaccine. She was feeling hot and faint, needed to lay down. Her Blood pressure was 156/36 and temp 97.5. After no improvement we called 911. She also reported feeling nauseaus.

Other Meds: Lipitor and Lexapro

Current Illness: none according to patient

Date Died: 06/17/2021

ID: 1431548
Sex: F
Age: 94
State: CO

Vax Date: 01/27/2021
Onset Date: 06/17/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Patient died due to COVID-19 illness after being fully vaccinated. no one believes the death to be related to the vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 1431550
Sex: M
Age: 24
State: WA

Vax Date: 06/22/2021
Onset Date: 06/27/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Chest pain and lightheaded. Resolved prior to arrival in ED

Other Meds: Wellbutrin 150mg daily Bit B2 Daily Omega 3 BID

Current Illness: None

ID: 1431551
Sex: F
Age: 69
State: PA

Vax Date: 01/26/2021
Onset Date: 03/01/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List:

Symptoms: Rash on right forearm. Has spread to 2 inch by 2 inch over 3 months

Other Meds: Lipitor 50mg Vitamin d Alendronate 70mg Tazorac

Current Illness:

ID: 1431552
Sex: F
Age: 43
State: TX

Vax Date: 06/16/2021
Onset Date: 06/18/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Macrobid

Symptom List:

Symptoms: Vertigo

Other Meds: Gorgeous hair skin and nails multivitamin gummy Probiotic

Current Illness: None

ID: 1431553
Sex: F
Age: 44
State: TN

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Vaccine vial was opened at 9:34am on 6/28/21. Dose was drawn out of vial at 4:52pm on 6/28/21 and given immediately. Vial had already expired at 3:34pm that day but was left in the refrigerator, and dose was inadvertently drawn and given out of the expired vial.

Other Meds:

Current Illness:

ID: 1431554
Sex: F
Age: 19
State: MI

Vax Date: 01/23/2021
Onset Date: 02/04/2021
Rec V Date: 06/28/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient experienced shortness of breath and chest pain resulting in a visit to the ER (02/07/2021) where doctors found multiple blood clots in lungs as well as decreased heart function due to stress on cardiac system. Patient was hospitalized for 3 days and had to have an INR procedure to remove the blood clots (Patient is now on blood thinner and diagnosed with Antiphospholipid Syndrome after event.)

Other Meds: Lexapro Birth control (Viorelle)

Current Illness:

ID: 1431555
Sex: M
Age: 53
State: WA

Vax Date: 03/15/2021
Onset Date: 05/24/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Fentanyl, Nitrous Oxide, Tape

Symptom List:

Symptoms: I started getting extreme sensitivity to noise, especially lower frequencies, in my left year. So I sought out help.

Other Meds: Allopurinol, Lovaza, Zetia, Metoprolol, Nortriptyline, Relpax (as needed), Nicotinamide, D3, Multi-vitamin, Resveratrol, Benadryl, Triple-Flex, C, Cranberry Extract

Current Illness: N/A

ID: 1431556
Sex: F
Age: 76
State: IN

Vax Date: 04/15/2021
Onset Date: 05/01/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: right ear fluid on may may 1 .second vaccine was 5/13 and loss hearing .

Other Meds: topraol xl 100 mg ,valsartin 60/12.5 ,sintroid 125, provostatin centrum silver, calcium Tylenol as needed

Current Illness: cut hand April 8th and Keflex and tetanus was given

ID: 1431557
Sex: M
Age: 57
State: OH

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Started as sore arm feeling sick then become worse arm felt numb ,tingly , swells , becomes cold at times can?t lift my arm. Taking physical Therapy currently, had a nerve test done and waiting to see a nerve specialist.

Other Meds: None

Current Illness: None

ID: 1431558
Sex: F
Age: 31
State: PA

Vax Date: 06/16/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: bactrim

Symptom List:

Symptoms: patient reports on 6/28/2021 around noon she started experiencing dizziness and heart palpitations

Other Meds: n/a

Current Illness: n/a

ID: 1431559
Sex: F
Age: 12
State: NC

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Received the injection, she stood up while her other family member got their vaccine. Went to sit down and when the immunizer came around, she was slumped over in her chair and presented with jerking motions. After about a minute, she came to and said that she was really dizzy. We asked if she was okay and asked her to stay for an additional 30 minutes for further observation. She drank some water and ate a snack afterwards. She said she was okay to leave after that and her mother was driving her home.

Other Meds: None

Current Illness: None

ID: 1431560
Sex: F
Age: 37
State: TX

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Ever since I got the vaccine shots I have been sick on and off and had horrible allergies. Before the vaccine I was rarely sick and didn't have bad allergies. There is no proof this is related to the vaccine but I just think it's strange. I have had sore throat, snotty nose, cough, sinus pressure, blisters in my mouth, headaches, I went and got a steroid shot last month and I'm finally getting some relief. I dont know that this is related but I just think it's crazy I have been sick so many times after the shot and the actual shots made me sick too.

Other Meds: Zoloft, nature thyroid

Current Illness: None

ID: 1431561
Sex: M
Age: 29
State: TN

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: patient received pfizer covid vaccine and had syncopy event during the 15 minute wait period and lost conciousness for a few seconds. He recovered and EMS was called to check him out. They cleared him to leave with a family member.

Other Meds: n/a

Current Illness:

ID: 1431562
Sex: F
Age: 43
State: CT

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

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

Lab Data:

Allergies: Lactose Intolerance Seasonal Allergy Cats Mosquito Bites

Symptom List:

Symptoms: The day of the vaccine I felt really tired after a few hours. I normally have low grade fevers so I was not concerned with that. During the night I woke up and I passed out and had some symptoms of seizure when I got up. I am still experiencing symptoms and it has been twelve weeks and my heart rate is high. I continued having a high fever for two weeks, it was running at 102-103 degrees instead of my normal low grade fever at times 99-100 degrees. My heart rate was also very high exaggerated heart rate since getting the vaccine Even if I do normal activity I feel palpitations and my heart rate is elevated. My blood Pressure had been elevated and I have been experiencing dizziness. Some tests are showing leaky valves and PVCs. I have experienced chest pain which is recently resolved. I feel tired and dizzy. At one time the backs of my hands turned blue for a few days. I was unable to work for the first month after the second dose of the vaccine. I have been working but I am still very tired and I have used all of my time off. I have seen a Cardiologist, Neurologist.

Other Meds: Nortriptyline 10mg Seroquel 25mg Yazmin Advair inhaler Epipen PRN Claritin 20mg 2 times daily Vitamin C, Vitamin B12 Complex, Calcium with D

Current Illness:

ID: 1431563
Sex: F
Age: 35
State: AZ

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: No known allergies to medications, food or other products.

Symptom List:

Symptoms: After receiving her 3rd dose of the Hepatitis B vaccine in her right deltoid, at 08:52 the patient notified me that she had pain, tingling and a burning sensation throughout her right arm with most of the pain located in her forearm. I assessed the patient for any other signs and symptoms of a reverse reaction and no other symptoms were present. Consulted with designated Provider. Applied ice to injection site, encouraged water intake and movement. Continued to monitor for 30 minutes with no change to symptoms. Followed up with the patient later that evening and she stated that her symptoms have resolved.

Other Meds: No prescriptions, over-the-counter medications, dietary supplements, or herbal remedies being taken at the time of vaccination.

Current Illness: No other illnesses at the time of vaccination and up to one month prior.

ID: 1431564
Sex: F
Age: 52
State: CA

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

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

Lab Data:

Allergies: Bee sting anaphylaxis one time

Symptom List:

Symptoms: Lupus - lungs tight, cough/breathless out of nowhere, crushing headaches, vertigo, goop in nose and throat, extremely low (96s) body temp, shaking chills, sleep troubles, fatigue, seeing ?black spots?/almost passing out, balance off where had to lean against walls. I am VERY fit, do high intensity workout, hike tall mtns 15-20 mi day hikes and never get sick. Had these cycling symptoms the DAY I got the second vax after just minimal arm ache with the first vax. I had newer job as mortgage lender - working 45-50 hrs on phone 9-10 hrs a day selling loans company wanted at least 150 calls a day - high stress and pressure. Have been on medical leave since this started as no way can work; get awful cough fits if even talk for a few mins and memory gets like a sieve and I have gotten disoriented in my own home. It is very disabling and I was FINE before and am VERY durable.

Other Meds: None

Current Illness: none

ID: 1431565
Sex: M
Age: 36
State: CA

Vax Date: 05/04/2021
Onset Date: 05/26/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List:

Symptoms: Patient was given vaccine too soon. First vaccine was administered on 5/4/21 and second vaccine was administered on 5/26/21.

Other Meds: n/a

Current Illness: n/a

ID: 1431593
Sex: F
Age:
State: CA

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

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

Lab Data:

Allergies:

Symptom List:

Symptoms: JANSSEN COVID 19 VACCINE INJECTED INTO TENDON VERSUS MUSCLE; INFLAMMATORY RESPONSE TO UNKNOWN SIDE OF ARM INJECTED THAT WAS LIKE AN ORANGE ON HER SHOULDER; CHILLS FOR THE FIRST FEW HOURS AFTER INJECTION; This spontaneous report received from a consumer concerned a 63 year old female. The patient's height, and weight were not reported. No past medical history or concurrent conditions were reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown) dose was not reported, administered on 01-JUN-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 01-JUN-2021, the subject experienced janssen covid 19 vaccine injected into tendon versus muscle. On 01-JUN-2021, the subject experienced inflammatory response to unknown side of arm injected that was like an orange on her shoulder. On 01-JUN-2021, the subject experienced chills for the first few hours after injection. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills for the first few hours after injection on 01-JUN-2021, and had not recovered from janssen covid 19 vaccine injected into tendon versus muscle, and inflammatory response to unknown side of arm injected that was like an orange on her shoulder. This report was non-serious.

Other Meds:

Current Illness:

ID: 1431729
Sex: F
Age: 59
State: CA

Vax Date: 05/14/2021
Onset Date: 06/23/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Bleeding of the left eye retina

Other Meds:

Current Illness: None

Date Died: 05/25/2021

ID: 1431730
Sex: M
Age: 88
State: CO

Vax Date: 02/17/2021
Onset Date: 05/25/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List:

Symptoms: Patient died due to COVID-19 illness after being fully vaccinated. no one believes the death to be related to the vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 1431732
Sex: F
Age: 40
State:

Vax Date: 05/26/2021
Onset Date: 06/04/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: intolerance to NSAIDS (itchy throat, ears)

Symptom List:

Symptoms: The day following the shot I had a very sore arm (which was to be expected) this went away in a day or two and felt completely fine after. On day 9/10 following the vaccine, I woke up with severe pain in the same arm at the injection point and pain with mobility of the same shoulder. Later the same day I unexpectedly began my menstrual cycle. It was 7 days early. It's never early, ever. My cycle is down to the day and regular, always. No usual menstrual cycle indicators/symptoms prior to it beginning either. The day after my cycle started, I noticed my heartbeat was pounding very loudly at night in bed, this lasted for 3 days with moments of minor chest tightness in the center of the chest, which was concerning, I almost opted to go to ER. this sensation subsided on the 4th day and has not returned.

Other Meds: N/A

Current Illness: N/A

Date Died: 06/19/2021

ID: 1431733
Sex: M
Age: 71
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 06/28/2021
Hospital: Y

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

Lab Data:

Allergies: Unknown

Symptom List:

Symptoms: I am filing this on behalf of my sister, who feels it needs to be reported but she is too grief-stricken to do this herself. The morning after the second shot, my sister texted that her husband was up at least 10 times during the night, and five times the next night. He was agitated and hallucinating (swatting at bugs that weren't there.) For the next four weeks he had progressively more difficult breathing, and on 4/28 a liter of fluid was drained from his chest. He continued to have difficulty breathing and was taken by ambulance to Hospital on May 2 where they again drained his chest and diagnosed him with pneumonia. A nurse told him they were seeing a number of cases of fluid around the lungs (his fluid was around the lungs, not in them) after COVID vaccines. He was sent home May 4 and commented that it was strange his cardiologist hadn't visited. Almost immediately he was experiencing liver and gall bladder pain, even though tests for those showed the two organs were healthy. On May 8 my sister said patient woke up hyperventilating, which also became more frequent. On the 9th his daughter told me the labs were not trending well, and on May 10 he saw his cardiologist. He diagnosed him with congestive heart failure and got him an appointment at the Heart Hospital on May 17 - he explained congestive heart failure is scary but can be managed through programs at the heart hospital. He began sleeping outside because it made it easier to breathe. On May 15 he was advised to go to the ER/Hospital for tests the heart hospital would need and, once there, they discovered his kidneys weren't functioning and he was admitted immediately. He spent 17 days at Hospital- if the kidneys improved, the heart got worse. If the heart improved, the kidneys failed. He was released on June 2. On June 7 my brother took him to get blood work done - Patient was too weak to get in and out of the car by himself. The blood work came back bad, and on June 8 he was admitted to the Heart Hospital. On June 10 he was transferred to the Regional Community Hospital to be closer to his cardiologist. From there he continued to decline, and the doctors wanted to do surgery for a LVAD but couldn't. To help him get stronger, he had an impeller put in by catheter on June 19 and died that night. His own cardiologist said congestive heart failure is manageable. The symptoms started the night of the second vaccine and his illness wasn't gradual - he went off a cliff. With all the heart problems appearing in males, we don't think this was coincidence.

Other Meds: He was taking normal supplements to maintain health for his age.

Current Illness: None. He felt bad (flu like symptoms) after the first shot (2/27/21) for about two weeks but recovered.

ID: 1431734
Sex: M
Age: 39
State: CA

Vax Date: 05/31/2021
Onset Date: 06/06/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List:

Symptoms: PT CLAIMED AFTER A WEEK OF 1 DOSE OF MODERNA COVID 19 PT START GOT ACNE ON BOTH OF HIS TEMPO FOREHEAD

Other Meds: NO

Current Illness: NO

ID: 1431735
Sex: M
Age: 49
State: MN

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None Known

Symptom List:

Symptoms: Noticed after I gave vaccine that his first one was on 6/14/21. I called patient because he had left before his 15 minute waiting period was done. He said he thought that it was 2 weeks from the first one. I said that according to the informatin on the CDC web site, he does not need to repeat the dose.

Other Meds: Not known

Current Illness: None known

ID: 1431736
Sex: M
Age: 52
State: AZ

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The general side effect of a one time headache, medium strong type, duration of 2 minutes disappeared after pain med acetometaphine was taken.

Other Meds:

Current Illness:

ID: 1431737
Sex: F
Age: 33
State: MD

Vax Date: 06/07/2021
Onset Date: 06/12/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Heart palpitations, extreme fatigue, intermittent pain in chest, shortness of breath - on and off for 3 weeks

Other Meds: Junel Fe birth control

Current Illness: None

ID: 1431739
Sex: F
Age: 34
State: MD

Vax Date: 05/14/2021
Onset Date: 05/21/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Barley, mollusks

Symptom List:

Symptoms: "Covid arm" began 1 week after first Vax. Arm near and around injection site was red, hot to the touch, swollen, painful, and itchy.

Other Meds: Zoloft 50 mg ; vitamin d 50 mcg

Current Illness: None

ID: 1431741
Sex: M
Age: 52
State: MD

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient got janseen & janseen on 03/18/2021 . Did not mention it and got pfizer vaccine today.

Other Meds:

Current Illness:

ID: 1431742
Sex: M
Age: 24
State: CA

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: patient experience pain at site of reaction but also experience numbness at lower left jaw/upper left neck which started a little after an hour after administration. After patient got a good night's sleep, all symptoms disappeared after about 24 hours.

Other Meds: OTC Zytrec-D, OTC Flonase

Current Illness: none

ID: 1431743
Sex: M
Age: 20
State: WA

Vax Date: 06/08/2021
Onset Date: 06/09/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: About 24 hours after my second dose I started having symptoms similar to seasonal allergies, though I had been nowhere new and have no history of having allergies. I also grew a cyst (about 2 inches in diameter) under my left collar bone 24 hours after the second dose (I have no history of anything like this).

Other Meds: None

Current Illness: None

ID: 1431744
Sex: M
Age: 64
State: OR

Vax Date: 05/21/2021
Onset Date: 06/11/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN

Symptom List:

Symptoms: PT SAID HE EXPERIENCE BAD NEUROPATHY ABOUT A WEEK BEFORE GETTING THE SECOND SHOT. HE CHECKED HIS A1C AND WAS 9.7. HE GOT THE SECOND SHOT AND EXPERIENCED EXRTREME MUSCLE FATIGUE AND EXTREME CRAMPING. HIS SON WAS TOO SCARED TO LEAVE HIM ALONE AT HIS HOUSE AFTER THEIR FISHING TRIP

Other Meds: VICTOZA, FESO4,METFORMIN,LIPIRTOR,LYRICA,CLOPIDOGREL,NORTRIPTYLINE

Current Illness:

ID: 1431745
Sex: F
Age: 57
State: LA

Vax Date: 06/21/2021
Onset Date: 06/22/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Macrodantin/nitrofurantoin, bactrim, codeine

Symptom List:

Symptoms: Sharp chest pains, heart palpitations, racing heartbeat.

Other Meds: Armor thyroid, low dose naltrexone, bioidentical hormone replacement therapy

Current Illness: None

ID: 1431746
Sex: M
Age: 53
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 2nd dose Pfizer given too early. 1st dose Pfizer was on 04-07-2021

Other Meds:

Current Illness:

ID: 1431747
Sex: F
Age: 35
State: MO

Vax Date: 04/01/2021
Onset Date: 05/06/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Fetal cerebral ventriculomegaly demonstrated on May 6th for the first time. Both lateral cerebral ventricles dilated: one side is currently mild; the other moderately dilated.

Other Meds: Lexapro, hydroxyzine, prenatal vitamins

Current Illness:

ID: 1431748
Sex: M
Age: 55
State: NJ

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: After dose 1 on Jan 27, 2021, only soreness in left arm around the site of the shot which abated by the end of the 2nd day. After dose 2 on Feb 24, 2021, soreness in right arm around the site of the shot, headache, neck ache, lower back ache which abated by the 3rd day. HOWEVER, my very mild pre-existing tinnitus became much louder and has not dissipated.

Other Meds: Multi-vitamin and Omega 3 fish oil

Current Illness: None

ID: 1431750
Sex: F
Age: 66
State: NV

Vax Date: 05/26/2021
Onset Date: 05/29/2021
Rec V Date: 06/28/2021
Hospital:

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

Lab Data:

Allergies: Legumes Grains

Symptom List:

Symptoms: Three days after the second dose of the vaccine I woke up and I could not see. My vision was blurry, and I was seeing double. It lasted for two days all day and than it went away. I went to the ER and I was Tachycardic. I went to the Ophthalmologist and there was no evidence of damage. Two weeks after the vaccine I had symptoms of a Stomach Virus with vomiting and diarrhea.

Other Meds: Metformin, Doxycycline 100mg Ezetimibe 10mg, Citalopram 20mg, Alendronate 70mg Vitamin D3, Calcium with D3 Preservision, Vitamin B12, Folic Acid

Current Illness:

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm