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: 1478170
Sex: F
Age: 24
State: WV

Vax Date: 07/13/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List:

Symptoms: Migraine chest pain rapid heart rate 140-160 high blood pressure 157/102 dizzy nauseous had to go to ER

Other Meds: None

Current Illness: None

ID: 1478171
Sex: M
Age: 62
State: CT

Vax Date: 04/07/2021
Onset Date: 05/01/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: In May patient noticed progressive painful lower extremity edema (left greater than right). On June 11, patient came to the hospital with sudden onset dyspnea, palpitations, lightheadedness and dizziness while refereeing a basketball game. Ultrasound of lower extremities found non-occlusive thrombus in the left common and profunda femoral veins/occlusive thrombus throughout the left femoral vein/popliteal vein, and tibioperoneal trunk. Patient started on heparin drip and admitted to stepdown unit for concern of submassive PE given elevated BNP, DVTs, and dyspnea, and confirmed via VQ scan. Patient was transitioned to oral anticoagulation (apixaban). Swelling of legs greatly improved, and dyspnea improved though cough persistent by the time of discharge. Of note, patient also has a history of elevated PSA (to 80s), but patient has not seen urology for follow-up for possible malignancy. Patient also found to have UTI (klebsiella) secondary to his chronic urinary retention.

Other Meds: None

Current Illness:

ID: 1478172
Sex: F
Age: 72
State: GA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Latex, hydrocodone

Symptom List:

Symptoms: I had the shot at 8 am and about 6 pm I had a terrible headache until I went to bed about 8:30 and too some Tylenol. It was gone in the morning.

Other Meds: Vitamin E, B Plus, Co Q 10, Glucosamine, Magnesium, Vitamin D3, 3, Calcium

Current Illness: None

ID: 1478173
Sex: M
Age: 58
State: CA

Vax Date: 07/13/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None that I know of

Symptom List:

Symptoms: Strong Hissing in both ears (still present), high blood pressure (147/92 pulse 98). Pressure in my head and 'feeling my heart pounding'. Normally I do not have high blood pressure, nor pulse nor headaches. Mild chills that went away Hissing still present but at lower levels. Blood pressure is back to normal. Taking Metroprolol in addition to the hives medication mentioned in the beginning. It is helpful. Also took Iboprufen and Tylenol the first two days after vaccination. Have been given Singulair for anti-inflammatory action re. my ears that show congestion. Will follow up in a week and if it does not help might switch to cortizone. Will follow up with a dr. appointment at the end of the month. Blood test next week Feeling better slowly and hopefully surely.

Other Meds: Zyrtec, Hydroxizine, Famotidine

Current Illness: Hives (mainly due to stress and anxiety)

ID: 1478174
Sex: F
Age: 69
State: WY

Vax Date: 01/06/2021
Onset Date: 02/01/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Routine mammogram showed a lump. There was a biopsy on February 9th that came out atypical ductal lobular hyperplasia, pre-cancerous, we ended up doing a lumpectomy for it on March 22nd and that was at hospital. Pathology showed the same thing on multiple spots. They did put me on chemo prevention which is an oral medication that is a five-year course. Surgeon also saw: Nurse Practitioner at the clinic.

Other Meds: Levothyroxine; Amlodipine; Maxide, Hydrochlorothiazide Triamterene Mix; Wellbutrin; Calcium; Vit D3

Current Illness: None

ID: 1478175
Sex: M
Age: 43
State: KS

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient had requested J&J vaccine, and I mistakenly administered Pfizer, Patient was irritated they had to come back for second shot at first, but was fine about it when they left

Other Meds:

Current Illness:

ID: 1478176
Sex: F
Age: 41
State: CA

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: NSAIDs, codeine

Symptom List:

Symptoms: 41 Years old Female presenting with palpitations starting earlier today around 1630 after receiving the COVID vaccination. Patient states they experienced SOB for approximately 30 minutes following the vaccination. Positive for chills and lightheadedness. Patient states their autoimmune disease is not currently normal, the "antibodies are attacking the thyroid". Unknown manufacturer and dates given of vaccine.

Other Meds: none

Current Illness: none

ID: 1478177
Sex: M
Age: 17
State: MO

Vax Date: 07/09/2021
Onset Date: 07/11/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Developed red, raised, itchy splotches, similar to hives on multiple areas of the body, 2 days after receiving the vaccine. Splotches have started to go away on their own, without any medical intervention.

Other Meds:

Current Illness:

ID: 1478178
Sex: M
Age: 72
State: CA

Vax Date: 03/06/2021
Onset Date: 03/31/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List:

Symptoms: I had chest pain and went to the ER. I was diagnosed with pericarditis and pericardial effusion. A few weeks later, I had heart arrythmias and pleural effusions.

Other Meds: Mushroom 7 Calcium Multivitamin Percocet

Current Illness: Prostate Cancer

ID: 1478179
Sex: F
Age: 40
State: MN

Vax Date: 05/25/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt currently has covid 19

Other Meds:

Current Illness:

ID: 1478180
Sex: F
Age: 45
State: CO

Vax Date: 04/12/2021
Onset Date: 04/24/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies: steroids

Symptom List:

Symptoms: Moderna COVID-19 Vaccine EUA: patient in clinic for follow-up a few months after hospitalization. Twelve days after immunization patient presented to emergency department reporting three episodes of pressure-like chest pain while on a walk that resolved with rest. Patient was admitted, underwent heart catheterization that was negative for coronary heart disease. Patient discharged medically stable. At follow-up visit patient is improving, increasing exercise, and received second dose of vaccine without any concerning symptoms.

Other Meds: levothyroxine

Current Illness: none reported

ID: 1478181
Sex: M
Age: 80
State: KY

Vax Date: 03/05/2021
Onset Date: 07/14/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies: nka

Symptom List:

Symptoms: Patient received dose 1 3/5/21 and dose 2 4/2/2021. Became ill early July 2021 with a stuffy nose and sinus infection. On 7/3 returned to PCP and was diagnosed with Covid infection at a different facility per report. On 7/15/21, following admission to ICU on 7/14/21, patient tested positive for sars-cov2.

Other Meds: albuterol sulfate 2 inh qid prn atenolol 25mg po qday atorvastatin 40mg po qday vitamin d3 50,000 unit cap po qfriday citalopram 40mg po qday diphenhydramine 25mg po qhs docusate 100mg po tid prn Breo Elipta 200mcg/25mcg 1 inh bid hydroxyz

Current Illness: chronic asthma hypertension dyslipidemia gerd bph recurrent DVT's

ID: 1478182
Sex: F
Age: 74
State: IN

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient was given a Pfizer 1st dose instead of a Moderna 2nd dose. Patient is okay. Pharmacy did not administer a 2nd pfizer shot due to pt having 1 moderna and 1 pfizer shot.

Other Meds:

Current Illness:

ID: 1478183
Sex: M
Age: 49
State: NV

Vax Date: 03/09/2021
Onset Date: 05/05/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: - Severe fatigue, muscle cramps and weakness, dizzy, light headed, blurred vision - numbness and tingling in feet and hands, headaches, chest tightness, - prolonged severe daily headaches, blurred vision, high blood pressure

Other Meds: pravastatin, alprazolam as needed vitamin D, Turmeric, Coq 10

Current Illness: none

ID: 1478184
Sex: M
Age: 59
State: NM

Vax Date: 07/07/2021
Onset Date: 07/07/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Aspirin - difficulty breathing; Peanuts - anaphylaxis; Shellfish - anaphylaxis; Bee Stings - late phase anaphylaxis.

Symptom List:

Symptoms: At approximately 7:00pm on 7/7/2021, I started to show signs of an anaphylaxis reaction. Those include: lip swelling, facial swelling, moderate difficulty breathing, anxiety, and severe diarrhea. Since it was late in the evening, I treated with an Albuterol inhaler, which provided very little relief. On 7/8/2021, I went to Urgent Care and was given a course of Prednisone, starting at 60mg and tapering down. Lip and facial swelling and diarrhea continued to be moderate to severe. On 7/9/2021, my breathing condition improved while still on 60mg of Prednisone. Facial and lip swelling continued. Additional diarrhea continued, but not as severe. On Sunday, 7/11/2021, as I reduced to 40mg of Prednisone, my condition deteriorated starting at 10:00am. Facial and lip swelling worsened, there was quite a bit of difficulty breathing and more diarrhea. However, I started to feel a lump in my throat as well. An on-call nurse asked me to take 25mg of Benadryl-- which I did. On 7/11/2021 at approximately 3:00pm, I went to the Emergency Room. O2 Sat levels ranged from 88 % to 95% and my BP was in the normal range. At 5:00pm, I was given additional Prednisone orally to increase that daily does to 60mg. I remain on a tapering dose today-- at 40mg and decending.

Other Meds: Fluticasone Propionate x2/day; Losartan-Hydrochlorothiazide 50-12.5 mg per tablet x1/day; Famotidine 40 mg tablet x1/day; Pantoprazole 40 mg tablet x1/day; Levocetirizine 5 mg Tablet x1/day; Trazodone 50 mg tablet x2 tabs/day; B-complex wit

Current Illness: None.

ID: 1478185
Sex: F
Age: 25
State: WI

Vax Date: 03/30/2021
Onset Date: 04/08/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I had my J&J vaccine on 03-30-2021. I was supposed to get my menstrual cycle on 04-08-2021 but I did not get. I went to see my gynecologists on 07-09-2021 because of my missed period in April, May and June. I tried to get an earlier appointment but there was no date available until 07-09-2021. On 07-11-2021, I did get my menstrual cycle. I am now not sure and a bit concerned whether my menstrual cycle will be regular.

Other Meds: Amitriptyline

Current Illness: None

ID: 1478186
Sex: M
Age: 29
State: MN

Vax Date: 06/11/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt currently has covid 19 Vaccine #1 06/01/2021 Modrna lot # n/a vaccine #2 06/11/2021 Janssen lot # 203A21A

Other Meds:

Current Illness:

ID: 1478187
Sex: M
Age: 56
State: WI

Vax Date: 05/20/2021
Onset Date: 06/01/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: BCG

Symptom List:

Symptoms: Thrombophlebitis superficial lower limb right (blood clot in right foot). Warm compresses and time. Subsided.

Other Meds: Notriptoline, multivitamin, cranberry pill, loratadine

Current Illness: None

ID: 1478188
Sex: M
Age: 64
State: TX

Vax Date: 07/14/2021
Onset Date: 07/16/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Patient received first dose Pfizer on 7/14/21 with signed consent form indicating no previous COVID-19 vaccinations and/or treatment. Upon documentation of Pfizer dose, report of Janssen vaccine on 4/5/21 was found in the ImmTrac Reporting System. Patient was called and did not admit to receiving Janssen vaccine. Called Pfizer medical line (interaction #00336730) and no guidance given to administer second dose Pfizer.

Other Meds: N/A

Current Illness: N/A

ID: 1478189
Sex: M
Age:
State:

Vax Date: 07/13/2021
Onset Date: 07/13/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Pt we/ a hx of allergy to treenuts and "vaccine" (anaphylaxis).

Symptom List:

Symptoms: Pt we/ a hx of allergy to treenuts and "vaccine" (anaphylaxis). 35mins post vaccination, pt c/o chest discomfort (stabing, brief), tingling in Left UE, and Left jaw ache/numbness. BP 121/70, HR 64, RR 16, O2 Sat 99% -- > 119/65, 63, 98%. NO rash, hives, angioedema noted. Numbness resolved. No further complaints of discomfort, numbness, or tingling. No further reports of abnormal symptoms. Pt stable and released from the vaccination site w/ dad @12:53.

Other Meds:

Current Illness:

ID: 1478190
Sex: F
Age: 66
State: PA

Vax Date: 01/07/2021
Onset Date: 07/07/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Diagnosis Probable Idiopathic Urticaria treated with Aatrax. 6 months post vaccination unknown cause of continual hive eruptions over the past 10 days . Multiple sites including Arms, Legs, Buttocks and face. Symptoms respond to antihistamine treatment but reoccur when medication is stopped. Currently on chronic antihistamine treatment as per physician.

Other Meds: Atorvastatin Amlodipine/Benazipril

Current Illness: None

ID: 1478191
Sex: F
Age: 44
State: PA

Vax Date: 01/20/2021
Onset Date: 03/15/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Allergy to yellow jackets and cherries

Symptom List:

Symptoms: Increase in menstrual cramping and blood clots w period

Other Meds: Amitryptiline 35mg

Current Illness: None

ID: 1478192
Sex: F
Age: 68
State: CT

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Raw Cabbage

Symptom List:

Symptoms: Rapid onset of infection in lower right jaw where tooth was loose but not infected. tooth was removed on 03/22/2021 but Infection resisted multiple antibiotics for 10 days, but there was no fever. Infection and swelling finally subsided after 21 days of treatment.

Other Meds: Amolodipine, Atorvastatin, Beneazepril, Synthroid, Toprol XL, Furosimide

Current Illness: None

ID: 1478193
Sex: F
Age: 37
State: MI

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen, Sulfa, Trimethoprim

Symptom List:

Symptoms: Developed hives and itching on arms, legs and trunk starting 1 hour after vaccination.

Other Meds: Clindamycin 1% gel Escitalopram 10mg tab Omeprazole 20mg capsule Buspirone 7.5mg BID Flexeril 5mg TID PRN

Current Illness: Back pain from recent strained back.

ID: 1478194
Sex: F
Age: 63
State: NC

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Conpasein

Symptom List:

Symptoms: Pt. states after receiving the Phizer 04/26/2021, started experiencing extreme soreness in the right shoulder, tender to the touch, difficult to move/extend, and stiffness. Still experiencing extreme pain in the right shoulder feeling as if being stabbed with a knife. Slight Arthritis noted in the right shoulder. Taking Gabapentin in attempt to control the pain. Feels like it moving down to the wrist with moments of stiffness, possibly nerves.

Other Meds: N/A

Current Illness: N/A

ID: 1478195
Sex: F
Age: 25
State: TN

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient received her Moderna COVID-19 as her 1st dose on 4/11/21 and Pfizer COVID-19 inadvertently as her 2nd dose on 5/21/21. Denies any significant issues from this, but it was brought to her attention by someone else after looking at her COVID Vaccine Card. Patient noticed the error and called the clinic on 7/14/21.

Other Meds:

Current Illness:

ID: 1478196
Sex: F
Age: 65
State: ID

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 1st shot - like I had a light case of the flu 2nd shot - almost totally incapacitated, in bed for 3 days, extremely dehydrated and had to get IV fluids at doctor's office, lost 20 pounds in 14 days, kept getting chills.

Other Meds: Multivitamins, hydroxychloroquine

Current Illness: Small reaction to 1st Pfizer on 2/17/21 at 0930am, in bed for a few days.

ID: 1478197
Sex: F
Age: 55
State: SC

Vax Date: 07/16/2021
Onset Date: 07/16/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Patient reported numbness in the left side of head and neck within one hour following COVID-19 vaccination. Patient reported this to clinic via telephone and was advised to go to a local urgent care facility. No other information available at this time.

Other Meds:

Current Illness:

ID: 1478198
Sex: F
Age: 31
State:

Vax Date: 06/07/2021
Onset Date: 06/12/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt reports: "After receiving the Pfizer vaccine for my second round on 6/7/21. I had went to the hospital with extreme chest and side pain. I could not breathe or talk. They sent me home after a x-ray and blood work ruled out no blood clots. They assumed it was a bruised rib and heart burn. The pain got worse so I called my family doctor. She did a cat scan and found fluid built up around my lungs and heart. My heart showed inflammation as well. he stuck me on pain medicine. I now have to go get two different heart tests on 7/12/21 and 7/14/21. My family doctor told me that all these problems developed because of the vaccine"

Other Meds:

Current Illness:

ID: 1478199
Sex: F
Age: 70
State: TX

Vax Date: 01/06/2021
Onset Date:
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: I don't remember if these symptoms started after taking the 1st or 2nd dose, but I developed a fever and flu-like symptoms. Later I developed a chronic cough. I am taking medicine to deal with the cough, but it has not gone away. On June 5th 2021, I went to the Emergency Room because I was coughing all night long and I couldn't breathe well. I took many tests when I was at the ER. I was recommended to see a Pulmonologist. They prescribed me with Omeprazole and Benzonatate medication. I was also told by them that I had scarring and inflammation of my lungs. My primary care doctor prescribed Zinc, Vitamin B-12, and Fish oil.

Other Meds: Levothyroxine

Current Illness:

ID: 1478200
Sex: F
Age: 1
State: TX

Vax Date: 06/01/2021
Onset Date: 07/04/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Intramuscular solid, well circumscribed mass approx 1.5cm

Other Meds: None

Current Illness: None

ID: 1478201
Sex: M
Age: 67
State: IL

Vax Date: 01/25/2021
Onset Date: 03/29/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: No alleges!

Symptom List:

Symptoms: Severe pain on surface of skin. At first, it felt as if my muscle was rip from my rib cage. Then the pain moved to my lower left chest. Doctors did an EKG and various blood test but could not pinpoint source. The same symptom moves to my left upper arm, then move to my upper abdomen. Now it is in both arms towards wrist, which is causing severe shales in both arms. In all cases my flesh is sensitive to touching, and the recovery times was an average of 3-to-4 weeks. I am active person, and now this ailment which seems like some nerve damage, is crippling. I can only link these symptoms to some byproduct of the vaccine.

Other Meds: No prescription drug, nor herbal remedies are being taken.

Current Illness: Not other illness before or after vaccination.

ID: 1478202
Sex: F
Age: 77
State: MI

Vax Date: 03/13/2021
Onset Date: 04/09/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen possibly

Symptom List:

Symptoms: Rashes: left breast approximately 3 inches by 3 inches, left thigh approximately 2 inches by 2 inches

Other Meds: Famotidine 20 mg, Vitamin D 25 mcg, Citracal + D, Centrum Adult

Current Illness: Rash after Covid vaccination on February 13, 2021

ID: 1478203
Sex: F
Age: 68
State: CO

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Prochlorperazine, terbinafine, amoxicillin, prednisone, linaclotide, penicillins

Symptom List:

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to clinic for follow-up with neurology. Approximately ten to fourteen days after immunization patient reports developing paresthesias in arms and legs and left side of face, cramps, weakness, and muscle spasms. Patient was prescribed diazepam which helped symptoms. Patient diagnosed with ADIP/Guillain-Barre syndrome, underwent physical therapy, and has gradually improved.

Other Meds: Denosumab, diazepam, tobramycin ophthalmic

Current Illness: None reported

ID: 1478204
Sex: M
Age: 21
State: FL

Vax Date: 07/15/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List:

Symptoms: 102 fever (from about 9:00 pm to 9 am), then turned into mild fever.

Other Meds:

Current Illness:

ID: 1478205
Sex: M
Age: 32
State: VA

Vax Date: 07/16/2021
Onset Date: 07/16/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: 12:00 Client received Pfizer #1 12:01 Client felt tingling in his injection arm 12:02 Client felt lightheaded, black flashes in his vision, and then had full syncope 12:02 Client came to in the chair in observation and felt sweaty but improving. 12:03 Client moved to a cot where he recovered fully over the next 20 minutes.

Other Meds: Zyrtec 10mg every day

Current Illness: None

ID: 1478206
Sex: F
Age: 23
State: TX

Vax Date: 07/14/2021
Onset Date: 07/15/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List:

Symptoms: Painful swelling in right armpit

Other Meds: N/A

Current Illness: N/A

ID: 1478207
Sex: M
Age: 58
State:

Vax Date: 07/01/2021
Onset Date: 07/12/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: Pt admitted on 7/9/2021 with cellulitis and abscess of right leg after receiving second dose of vaccine on 7/1. Per guidelines, all hospitalizations are reported.

Other Meds:

Current Illness:

ID: 1478208
Sex: F
Age: 16
State: WI

Vax Date: 05/27/2021
Onset Date:
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None listed

Symptom List:

Symptoms: Left VM to return call. No return contact made. no report of adverse reaction.

Other Meds: None listed

Current Illness: none reported

ID: 1478209
Sex: F
Age: 62
State: FL

Vax Date: 04/09/2021
Onset Date: 05/29/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: I woke up with lung pain when taking a deep breath, sharp pain in my chest and lungs. I got hold of my cardiologist and he said to take Ibuprofen 3-4 times a day. The Ibuprofen really helped right away and after the holiday weekend I did not have lung pain but I did have the chest pain. I then went to see my PCP after the holiday weekend, she told me to continue taking Ibuprofen, the suggestion was that I might of had pleurisy. I then began to take Ibuprofen when I started to feel chest pain, around my heart area and because of my pace maker. I felt lousy for the month of June. I also had few days of low grade fever which went away. On the first week of July, I feel like I am coming out of a fog and stopped taking Ibuprofen on 07-07-2021 and I have been fine ever since I had lab work, echocardiogram, EKG and all my tests show I was fighting off something. I did not get tested for Covid. I felt like almost I had the flu, fever, body aches. Been to doctor but no diagnosis. I feel fine for over a week and a half now. All my symptoms happened 6 weeks post vaccination.

Other Meds: None

Current Illness: None

ID: 1478210
Sex: F
Age: 47
State: IL

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: CoXII inhibitors, gluten, corn

Symptom List:

Symptoms: I had numbness and tingling, dizziness, and extreme fatigue for 5 weeks post injection. these are all Multiple Sclerosis symptoms that I battle with but not all at once and not in extremis.

Other Meds: Vit D, Losartan

Current Illness: None

ID: 1478211
Sex: F
Age: 51
State: CA

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List:

Symptoms: The day after receiving her 1st dose of the Pfizer COVID vaccine on 6/11/21 patient reports having flue like symptoms, throwing up, body ache, diarrhea, but denies a fever. These common side effects did not resolve and got worse. On 7/1/21 patient says she was feeling over heated and hot, was vomiting and even lost consciousness (passed out). On 7/2/21 she got her second dose of the Pfizer vaccine and her side effects have continued. She passed out again and was hospitalized from 7/13/21 to 7/14/21. As of today patient reports vomiting and dry heaving has continued and overheating.

Other Meds:

Current Illness:

ID: 1478212
Sex: M
Age: 45
State: SC

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Shrimp

Symptom List:

Symptoms: Red spots over entire body. Feeling like joints being hammered on by an ice pick. Tingling in hands and legs. Side effects lasted roughly 24 hours then stopped completely.

Other Meds: Omeprazole

Current Illness:

ID: 1478213
Sex: M
Age: 66
State: FL

Vax Date: 02/22/2021
Onset Date: 02/27/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: seasonal hay fever

Symptom List:

Symptoms: heart palpitations, cold sweats at night, 5 days after the vaccine, on February 27, 2021. On the 10th day after the vaccine, I was playing golf around noon, and I started having heart palpitations and felt dizzy again and I stopped playing golf. I went to see my cardiologist. Diagnosed me that I basically had an occasional additional heart beat. It was occurring less than 3 percent of the time. They ruled out Atrial fibrillation. I still have some episodes were I feel heart palpitations, they are not as frequent, they are totally random. It occurs maybe once a week now. It doesn't stop me from exercising.

Other Meds: Lisinopril 10 mg OD Allegra 24 hr. 180 mg OD Tylenol 8 hr 650 mg 2 caplets 2 morning /2 night over 55 daily vitamin Tamarac Vitamin D3 Zinc fish oil

Current Illness: no

ID: 1478214
Sex: M
Age: 52
State: PA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Cats; dogs

Symptom List:

Symptoms: Approximately 12 hours after the vaccine, experienced wheezing and difficulty breathing. Had to use an inhaler to regain normal breathing. Happened with first dose but patient did not report.

Other Meds: None listed

Current Illness: None noted

ID: 1478215
Sex: M
Age: 51
State: DC

Vax Date: 07/15/2021
Onset Date: 07/16/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline

Symptom List:

Symptoms: I got my second shingles vaccine yesterday and I feel crappy today. Achy, tired, a little nauseated, muscle pain, etc... No fever or anything extreme. I took Aleve.

Other Meds: N/A

Current Illness: N/A

ID: 1478216
Sex: M
Age: 69
State: NJ

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 07/16/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List:

Symptoms: Arms felt very heavy, fainted, struck head and side of rib cage. Went to primary care physician. Atrial flutter diagnosis. Sent to Emergency Room, admitted to hospital. Converted back to normal sinus rhythm with meds only, no further intervention needed.

Other Meds: metformin 1000mg x2, januvia 100mg, atorvastatin 80mg, losartan 50mg, fenofibrate 160mg, Vitamin D3 50 mcg 2000IU

Current Illness: none

ID: 1478217
Sex: M
Age: 21
State: VA

Vax Date: 06/16/2021
Onset Date: 06/17/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: azithromycin (listed as allergy, hives?)

Symptom List:

Symptoms: Chest pain started 1 day after vaccine, resolved, and then returned one week later. Patient did not report to healthcare provider. Patient returned on 7/7 for 2nd vaccine, reported symptoms after 1st vaccine and 2nd vaccine was NOT given. Workup started, see below item 19. Pending echo and appt with cardiology. Advised to strenuous exercise until cleared by cardiology. Advised COVID-19 vaccinations are contraindicated for patient until further notice. Letter provided, waiving him from 2nd vaccine.

Other Meds: None

Current Illness: No known recent illnesses

ID: 1478218
Sex: F
Age: 56
State: OH

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: Antibiotics in the mycin group

Symptom List:

Symptoms: Increased heart rate (over 120 beats per minute) for about five hours. Rate gradually decreased over the course of 24 hours, returning to normal after several days. Other reactions included body aches, nausea, fatigue.

Other Meds: Multi-vitamins

Current Illness: None

ID: 1478219
Sex: M
Age: 12
State: CA

Vax Date: 05/28/2021
Onset Date: 06/20/2021
Rec V Date: 07/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List:

Symptoms: Left shoulder burning pain x 1 month, started 2 days after getting the Pfizer vaccine.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 599,999

Page last modified: 03 October 2021 5:28pm