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
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1545089
Sex: F
Age: 73
State: PA

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: MIXED COVID MRNA VACCINATION PFIZER AND MODERNA

Other Meds: CALTRATE 600 + D, LIPITOR 10MG, ANASTROZOLE 1MG, VIT D3 2000U, LASIX 20MG, CELEXA 5MG, ZOFRAN 4MG, LORAZEPAM 0.5MG, HYDROCORTIZONE CR 0.5%, MILK OF MAG, FLEETS ENEMA, BISACODYL SUPP

Current Illness:

ID: 1545090
Sex: F
Age: 34
State: NM

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: The patient was complaining about her head hurting and feeling as if she needed to throw up, she also stated that she was feeling nausea and feeling as if she was going to faint. The patient was asked if 911 needed to be called and she responded, No. The patient?s vitals were checked by the vaccinator who is licensed as an EMT, all vitals were normal and the patient was asked to stay in the observation area for another 15 min. After time was up the patient left with no further incidents.

Other Meds:

Current Illness:

ID: 1545091
Sex: F
Age: 48
State: NC

Vax Date: 08/10/2021
Onset Date: 08/11/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa, iodine products

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

Symptoms: Starting at 2 am after vaccine Severe headache, nausea, diarrhea, muscle aches, right arm pain, fever, sweating, bilateral eye pain

Other Meds: Headache medication PRN

Current Illness: None

ID: 1545092
Sex: F
Age:
State: TX

Vax Date: 04/07/1921
Onset Date: 04/21/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: Gluten

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Sore shoulder which hasn't healed. Sought advice from Primary care provider on appointment scheduled 11 August 2021

Other Meds: (1) Norvasc 10 mg daily (2) low dose aspirin 81 m (3) estradiol 1 mg (4) Provera 2 .5 mg. (5) myrbetriq (6) armour thyroid. (7) D3 2000 IU (3) B 1

Current Illness:

ID: 1545093
Sex: F
Age: 48
State: GA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Shell fish; Sulfur Drugs; Diovan; HCTZ

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

Symptoms: Severe abdominal pain came back ER 01/28/2021 did CT Scan no medication, 02/10/2021 second shot throwing up every week 2-3 a couple times a week, GI doctor and EGD showed gastroenteritis labs showed that liver enzyme was elevated and doing observation. Diagnosed with COVID chronic bronchitis wheezing and cough that could not get rid of and chest congestion. March 2, 2021 - ophthalmologist he drops steroid drops for eyes was blood red and on steroid for three months June 17, 2021. Tested positive for COVID, Quarantine or 10 days. Congestion chronic bronchitis wheezing is continuing.

Other Meds: Metoprolol; Micardis; Amlodipine; Omeprazole; Vitamin C; Mutil-Vitamin

Current Illness: No

ID: 1545094
Sex: F
Age: 39
State: IL

Vax Date: 12/30/2020
Onset Date: 03/01/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa

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

Symptoms: Neuropathy type tingling, burning in back, arms, legs. In the beginning the feeling was almost always (so much it kept me up at night) but at this time (august) seems to be improving. I haven?t had any injuries or accidents. I initially thought it may be my thyroid medications. So I contacted my doc and we ran labs Which came back fine. They are keeping me suppressed due to thyroid cancer history. TSH 0.97 Free T4. 1.20. I am an RN. I don?t have diabetes, I?m relatively healthy. I can?t think of anything else it could be. So just trying to help with data in case anyone else is experiencing this after the vaccine.

Other Meds: 137mcg Levothyroxine

Current Illness: None

ID: 1545095
Sex: F
Age: 21
State: CA

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Allergic to sulfa medication.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Six minutes after receiving the vaccine, within the 15 minute waiting period, I suddenly became very lightheaded. Within seconds, I lost consciousness. I received footage from the security camera of this incident. Once I fainted, I had seizure like activity and was unconscious for under a minute. I have never fainted like this in my life before.

Other Meds: Blisovi Fe birth control.

Current Illness: None

ID: 1545096
Sex: F
Age: 50
State: MA

Vax Date: 04/16/2021
Onset Date: 05/03/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, silpril, and bicine

Symptom List: Pharyngeal swelling

Symptoms: On May 3, 2021 notice an increase in migraine headaches were far worse than she has ever had. The migraines are continuous and they have not stop. Had to take her medications daily which is not supposed to be taken every (Topamax).

Other Meds: Triptan and Advil

Current Illness:

ID: 1545097
Sex: F
Age: 71
State: PA

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: SAID ALOT OF FOOD ALLERGIES.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient said that 1 hour after receiving the Pfizer vaccine she had 1 hive on her chin. She said that it resolved 1 hour after it appeared.

Other Meds: NOT AWARE OF

Current Illness: NOT AWARE OF

ID: 1545098
Sex: F
Age: 36
State: PA

Vax Date: 07/16/2021
Onset Date: 07/23/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After initial dose patient reported tenderness and soreness at the injection site for the first 2 days which then went away and subsided. Patient did not take anything for the discomfit. Her arm felt "heavy" this went away. Then about a week later she developed a "pinching" sensation when she raises her arm

Other Meds: Daily multi-vitamin, Hair skin and nails vitamin, occasional OTC use of motrin for HA

Current Illness: Factor-5 for blood clotting

ID: 1545099
Sex: M
Age: 15
State: MI

Vax Date: 06/08/2021
Onset Date: 08/10/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: patient tested positive after routine testing following and Emergency Center visit for a motorcycle crash, patient is asymptomatic

Other Meds:

Current Illness:

ID: 1545100
Sex: F
Age: 32
State: MS

Vax Date: 04/02/2021
Onset Date: 04/28/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Cephalexin, Macrobid

Symptom List: Rash, Urticaria

Symptoms: I began experiencing abnormally heavy bleeding and uterine cramping/pressure after my first cycle after my final vaccination. Pain relief medication did not give relief. Pain and pressure were so severe that I went to the ER to make sure I was okay. After this, I had 3 cycles in one month; I typically have a cycle every 25-28 days.

Other Meds: Ritalin, Zoloft, Paragard IUD

Current Illness: None.

ID: 1545101
Sex: F
Age: 30
State:

Vax Date: 04/12/2021
Onset Date: 05/20/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Not that I know of

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

Symptoms: My mensural cycle has stopped, (200 days without) since April 2021.

Other Meds: None

Current Illness: None

ID: 1545102
Sex: F
Age: 45
State: TX

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: 45-year-old female received her first dose of the Covid-19 vaccine mRNA Moderna on August 06, 2021. On August 06, 2021, the patient complained of pain and soreness to the left arm at the site of injection. Patient did not request any treatment to treat the pain On August 10, 2021, I spoke with the prescriber who states that patient is doing okay, and pain related to COVID-19 vaccine has resolved.

Other Meds:

Current Illness:

ID: 1545103
Sex: F
Age: 53
State:

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Mango, Gabapentin,

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

Symptoms: Started hallucinating the night of receiving the vaccination, back aches, joint pain, and fatigue.

Other Meds:

Current Illness:

ID: 1545104
Sex: M
Age: 46
State: PA

Vax Date: 05/30/2021
Onset Date: 08/03/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: KNA

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

Symptoms: RESIDENT INDICATED THIS WAS HIS 1ST COVID DOSE, WAS NOT IN PASIIS PRIOR. UPON ENTERING WHAT WAS THOUGHT TO BE THE 1ST DOSE, THEIR APPEARED A PREVIOUS 1ST DOSE OF PFIZER BY ANOTHER PROVIDER

Other Meds: HCTZ 25MG, INSULIN ASPART, AUGMENTIN, LEVEMIR, LEVAQUIN, GABAPENTIN, STABLE GI, LISINOPRIL, METOPROL 25MG, METFORMIN 1000MG LIPITOR 40MG, ASA 81MG, AMLODIPINE 5MG MIRALAX, MELATONIN 3MG NIFEREX 150, TYLENOL 325MG,

Current Illness:

ID: 1545105
Sex: M
Age: 17
State: TX

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: Patient was given Janssen without confirmation of age. Patient is 17 yrs 10 months

Other Meds:

Current Illness:

ID: 1545106
Sex: M
Age: 12
State: AR

Vax Date: 07/27/2021
Onset Date: 08/09/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: no

Symptom List: Ear pain, Hypoaesthesia

Symptoms: hives

Other Meds: claritin

Current Illness: none

ID: 1545107
Sex: M
Age: 21
State:

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: About 10 minutes after getting the vaccine, patient got very pale and fainted forward in his seat. His parents prevented him from falling and held him upright while we gave him a bottle of Gatorade. Patient drank 1/4 bottle and started feeling better. He continued to sit for 10 more minutes before he was feeling well enough to leave.

Other Meds:

Current Illness:

ID: 1545108
Sex: M
Age: 69
State: TX

Vax Date: 04/12/2021
Onset Date: 04/17/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies: None

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

Symptoms: Muscular Aches and Pain

Other Meds: Centrum Silver Multi Vitamin

Current Illness: None

ID: 1545109
Sex: F
Age: 49
State: TX

Vax Date: 01/01/2021
Onset Date: 01/31/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codeine and morphine

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

Symptoms: I received the first CoVid-19 Pfizer vaccine on 1/23/21. I was very careful not to travel or be about the community after the shot. I felt soreness at the site as well as dull headache, malaise and joint discomfort beginning the next day, 1/24/21. The headache progressively worsened teh following weekend. By Sunday, 1/31/21, I had a stabbing headache 8/10 behind my eyes. I did not seem febrile. I was unbearably tired and sore everywhere. Monday 2/1/21, I was very sore, terrible headache that felt like ice picks to both eyes. I had difficulty staying awake, reading for work. By Tuesday, the body and headaches were 9/10, my vision was disturbed. I could not stay awake, I fell asleep at 4:30 pm and woke to my morning alarm at 7 am Wednesday. I felt less of a headache, but had lost my smell and taste senses and began a slight cough. I tested CoVid-19 positive on 2/4/21 with a pharmacy test. I was told to quarantine and go to the hospital if I had difficulty breathing. I subsequently reached out to telemedicine and received HCQ, Z pack, prednisone, and ivermectin which I took as prescribed. I was also prescribed breathing treatments which I did not administer. After quarantine and treatment, I tested again at pharmacy on 2/13/21 as Negative for CoVid-19.

Other Meds: OTC Vitamins: A, B complex, C, D, E, Magnesium, Potassium, Ashwagandha, CoQ10 with resveratrol and tumeric, black cumin seed, psyllium fiber, Xyzal Prescription: Oriahnn, Iron Ferrous

Current Illness: seasonal allergies

ID: 1545110
Sex: F
Age: 73
State: FL

Vax Date: 04/01/2021
Onset Date: 06/01/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Celiac, gluten allergy

Symptom List: Unevaluable event

Symptoms: Non Ischemic cardiac myopathy, new onset out of the blue post vaccine . Mom is celiac and concern that perhaps autoimmune response or trigger from vaccine / exposure ?

Other Meds: caltrate, Co Q-10, centrum silver, gabapentin 300, sinwastatin 40mg, duloxetine hcl 60mg, omepanzole 20mg, levoxyl 50mcg, melatonin 10mg, relazin

Current Illness: left bundle branch block

ID: 1545111
Sex: F
Age: 59
State: CA

Vax Date: 03/05/2021
Onset Date: 08/11/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillin, thimerasol

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

Symptoms: Heart problems, a possible arrhythmia, possibly premature ventricular contraction, heart fluttering

Other Meds: Estradiol and progesterone

Current Illness: N/A

ID: 1545112
Sex: M
Age: 47
State: IL

Vax Date: 06/21/2021
Onset Date: 06/22/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Pain in left arm turned into joint pain in both shoulders, after several days it went to my knees and hips and it became difficult to walk. Took Prednisone for a week and improved, Symptoms worsened when I stopped taking it and could barely walk and straighten my legs. Took another week and a half dose of Prednisone and upon completion lost mobility of wrists and hands in addition to shoulders, hips, and knees. Saw rheumatologist after 7 weeks of pain and was diagnosed with rhuematoid arthritis.

Other Meds: None

Current Illness: None

ID: 1545113
Sex: F
Age: 33
State: OH

Vax Date: 03/12/2021
Onset Date: 05/05/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient had two miscarriages after receiving vaccines.

Other Meds: Unknown

Current Illness: None

ID: 1545114
Sex: F
Age: 57
State: AZ

Vax Date: 04/14/2021
Onset Date: 06/03/2021
Rec V Date: 08/11/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Weak heart, fluid in lungs

Other Meds: ibuprofen

Current Illness:

ID: 1545115
Sex: F
Age: 54
State: MA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, apple, peach, mango and almonds

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Nasal congestion, wheezing, slight sore throat, coughing, laryngitis, inside fever and cracked lips.

Other Meds: hydrochlorotiazide, omeprazole, celecoxib

Current Illness: Osteoarthritis, spondylosis

ID: 1545116
Sex: F
Age: 32
State: MD

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: shellfish Corhexadine - wash they use before operations.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Normal periods always but had an Irregular period : Very heavy flow and - it lasted about 6 weeks. I went to Dr. and transvaginal ultrasound - negative for abnormalities. Dr. had me stopped all my birth control. Just got back on it. And it's been okay ever since. I have been on the same birth control since 2009.

Other Meds: Yes: birth control; Wellbutrin; Valacyclovir

Current Illness: no

ID: 1545117
Sex: F
Age: 43
State: NY

Vax Date: 07/17/2021
Onset Date: 07/18/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None known

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

Symptoms: My right hand is in constant pain since vaccination. I have no strength and nerve pain in the elbow, neck and below the elbow. I cannot sleep because it is the worst when I am lying down or sitting down. I have seen my family doctor three times, I just did a series of x-rays. I saw a neurologist on 8/8 and going to see another neurologist on 8/12. The neurologist said that it was definitely nerve inflammation caused either by the shot or by reaction to the vaccine.

Other Meds: None

Current Illness: None

ID: 1545118
Sex: F
Age: 35
State: NE

Vax Date: 08/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: vomiting off & on

Other Meds: hydrolozine, neabetric, citrozine, ativan, balcyclovere, aspirin, latuda, meloxican, methenam hrp, iron, vitamin c, dantalene, zanaflex, lyrica, stool softener, symbolta, hydrocodone

Current Illness: spinal cord injury, stroke

ID: 1545119
Sex: F
Age: 48
State: AR

Vax Date: 04/09/2021
Onset Date: 04/12/1921
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: My joints ache all the time. My lungs hurt all the time at the top when I breath , I get short of breath easily and get fatigued easily. Before the shot I didn?t have any of these issues.

Other Meds:

Current Illness:

ID: 1545120
Sex: M
Age: 33
State: FL

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Symptom of concern: Chest pain, rapid heart beat especially at night. For about a week after shot. Minor symptoms: Soreness in site of shot

Other Meds: Aprirpizole and Cymbalta

Current Illness:

ID: 1545121
Sex: F
Age: 11
State: KS

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

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

Symptoms: Mother and daughter arrived at the pharmacy seeking a first Pfizer dose for the daughter. After returning the consent form with her daughter's date of birth, making her an eligible 12 year old to receive the vaccine, we promptly administered the vaccine to the child. After mother and daughter left following her 15 minute observation period, the pharmacy staff discovered upon entering patient information into state's immunization registry that the patient's actual date of birth is incorrect. After calling and questioning the mother more, the mother did admit to lying on the consent form and that she did indeed change her daughter's date of birth to make her eligible to receive the Pfizer vaccine. There has been no known adverse reaction to the daughter to date.

Other Meds: N/A

Current Illness: N/A

ID: 1545122
Sex: F
Age: 37
State: TN

Vax Date: 05/08/2021
Onset Date: 06/01/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Tremor

Symptoms: Period is delayed. Cycle is longer by 4-5 days. Menstrual phase is longer by 3-4 days.

Other Meds: Multi vitamin

Current Illness: N/A

ID: 1545123
Sex: M
Age: 56
State: MI

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No known allergies

Symptom List: Erythema, Pruritus

Symptoms: The Moderna Covid Vaccine (Dose 2) was given 1 week earlier than it was supposed to be given. No reactions at the time it was given or 15 minutes after being given.

Other Meds: metFORmin (GLUCOPHAGE XR) 500 mg 24 hr tablet insulin glargine (Basaglar KwikPen U-100 Insulin) 100 unit/mL (3 mL) solostar pen Inject 0.22 mL (22 Units total) under the skin nightly.

Current Illness: n/a

ID: 1545124
Sex: F
Age: 39
State: OR

Vax Date: 07/13/2021
Onset Date: 07/20/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: Outdoor allergies, methylphenidate

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

Symptoms: 2+ weeks of increasing symptoms, including: dizziness, unequal equilibrium, increased cognitive difficulty with memory, processing, confusion, and retention, headaches, nauseous, fatigue, muscle tension, decreased appetite, low mood, hot/cold sweats, interrupted sleep, eye pain

Other Meds: Na

Current Illness: None

ID: 1545125
Sex: F
Age: 33
State: IL

Vax Date: 03/01/2021
Onset Date: 03/15/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: I have not had a menstrual cycle since receiving my Covid vaccination.

Other Meds: Botox, Vitamin B, Baclofen, Junel FE, Gabapentin, Topamax

Current Illness: Covid + in October 2020

ID: 1545126
Sex: F
Age: 60
State: CO

Vax Date: 06/04/2021
Onset Date: 06/06/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient reported received Pfizer on 5/13 and 6/4. Patient reported after her COVID vaccine her ?lower half just collapsed?. On 5/13 patient came to ER for intoxicated with multiple falls. On 6/6 patient was fell down at her home.

Other Meds:

Current Illness:

ID: 1545127
Sex: M
Age: 37
State: OH

Vax Date: 05/18/2021
Onset Date: 05/21/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Shingles outbreak.

Other Meds: None

Current Illness: None

ID: 1545128
Sex: F
Age: 39
State: NY

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None.

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

Symptoms: Change in menstrual cycle. Prior to being vaccinated, my menstrual cycles averaged 80 days. Since being vaccinated my cycles have averaged 40 days.

Other Meds: None.

Current Illness: None.

ID: 1545129
Sex: F
Age: 37
State: MO

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: pencillin , atrovastatin , cephaloporins , loratadine, sulfamethoxazole-w-trimethoprim

Symptom List: Pain in extremity

Symptoms: rash at injection site and burning face ( rash ) treatment - benedryl and itch cream

Other Meds: lisinopril , spironolactone , sprintec, metformin , fish oil ,montelukast, hydrochlorothiazide, levocetirzine, simvastin , multi vitamin,

Current Illness: fever high as 103.5 aches pains headache. Rash at injection plus all over my face ( RED and burning ) used benedryl and inch cream on it

ID: 1545130
Sex: F
Age: 53
State: FL

Vax Date: 04/29/2021
Onset Date: 05/02/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: none

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

Symptoms: After 2nd dose, pain in arm did not subside, it became increasingly worse. Within 2 days i could not raise arm, as the days passed arm became stiff and extremely painful- to the point that I could not dress, bath, put on deodorant, wash hair, etc. without assistance. I made appointment with Orthopedist and was told that I had Adhesive Capulitis. I was given injections and unfortunately that has failed to yield any relief. It has actually gotten worse. I am a very healthy, fit individual and this is impeding and affecting my everyday life. It is extremely painful. The pain radiates from my shoulder to my neck, breast, down to my elbow and wrist. Nothing provides relief.

Other Meds: Topamax

Current Illness: Epilepsy

ID: 1545131
Sex: F
Age: 74
State: NC

Vax Date: 03/25/2021
Onset Date: 05/01/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: SULFA

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

Symptoms: TINNITUS IN LEFT EAR ( MY SHOT ARM). STARTED AS A SOFT BUZZ. HAS WORSENED TO A VERY LOUD BUZZ. AS OF NOW NO TREATMENT AVAILABLE AS STATED BY HEALTH PROFESSIONAL. I WOULD LIKE INFORMATION ON OTHER PEOPLE IF TINNITUS HAS LESSEN OR GONE AWAY. IT IS VERY VERY ANNOYING.

Other Meds: NONE

Current Illness: NONE

ID: 1545132
Sex: F
Age: 59
State: MI

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: I had a swelling in my throat that lasted about 45 minutes that started about 20 minutes after dosage. Had heart palpitations for 1 1/2 days.

Other Meds: Vitamins C, D3, E, B12, OsteoBiflex, Centrum Silver, Claritin

Current Illness:

ID: 1545133
Sex: F
Age: 60
State: WI

Vax Date: 08/07/2021
Onset Date: 08/08/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

Symptom List: Vomiting

Symptoms: Pt. states that after receiving the 1st dose of Phizer 08/07/2021, started experiencing symptoms 08/08/2021 of woke up with extreme dizziness, intense nausea, (mild) vomiting, cold sweats, shaking, Glucose (10pm 198), (04:17am 292), and weakness. Primary communications suggested VAERS reporting. 08/09/2021 symptoms subsided with mild weakness and continuing to subside.

Other Meds: Tramadol, Pramapexil, Gabapentin

Current Illness: N/A

ID: 1545134
Sex: F
Age: 20
State: NC

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: HA, nausea

Other Meds:

Current Illness: none

ID: 1545135
Sex: M
Age: 49
State: CA

Vax Date: 04/25/2021
Onset Date: 07/27/2021
Rec V Date: 08/11/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: nka

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

Symptoms: 49 Y M with a Hx of IDDM, HLD, who was admitted on 7/27 for SOB, found to have COVID PNA (s/p 1 dose of Pfizer 4/21), hospital course c/b worsening respiratory failure with O2 needs increasing requiring 40L HFNC 100%, was transferred to ICU care for iNO. Pt was given high dose steroids, Tocilizumab x 1 (7/28), remdesivir (7/30-8/1), and eventually weaned to 3L NC and transferred out of the ICU and continued on O2 weaning and steroid taper. CORONAVIRUS COVID-19 PNEUMONIA ACUTE HYPOXEMIC RESPIRATORY FAILURE Date of sx onset: 7/21/21, Date of positive test: 7/24/21. Patient tested positive 7/24/21, of note wife also tested positive and was admitted. Whole family was tested positive. Pt was COVID positive on admission 7/27. No leukocytosis, afebrile, Cr 1.3 at baseline, but elevated inflammatory markers Ferritin, LDH, CRP, D-Dimer. CXR with diffuse patchy opacities. CT with extensive ground glass opacities. Found with COVID PNA, treated with Remdesivir (7/28-8/1), high dose steroids, tocilizumab x 1 (7/28, second dose was not given at the time due to patient being an ECMO candidate if needed and a desire to prevent further immunosuppression). He had worsening respiratory status requiring increase from 40LPM HFNC ->100% and was transferred to the ICU for iNO. He was started on Ceftriaxone (7/31-8/5) and Azithromycin (7/31-8/1), sputum cultures with staph. Inflammatory markers followed started to downtrend and were discontinued. Weaned to 30LPM and 30% FiO2, then weaned to 3L NC with >90% saturation. Transferred out of the ICU, with improving respiratory status. Steroids were weaned from methylpred 250 mg q12 (7/28-7/30), methylpred 125 mg q12 (7/31 - 8/2), dexamethasone IV 20mg (8/3), dexamethasone 10mg (8/4-8/6). Pt eventually requiring no supplemental oxygen, able to walk with >92% spO2, no SOB. Given steroid taper on discharge. DM2 H/o IDDM, takes Lantus 45u and Metformin 1000mg BID at home. Pt was started on sliding scale insulin, continued to be hyperglycemic with BG in 200-300s given high dose steroids. Lantus was increased to 60 and then 70 units daily with high intensity sliding scale for better control. Patient able to tolerate PO as normal, home Lantus increased to 60 units while on steroid taper at discharge.

Other Meds: Atorvastatin, Insulin Glargine, Insulin Lispro, Metformin

Current Illness: Hyperlipidemia, muscle cramps

ID: 1545136
Sex: F
Age: 31
State: CA

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Phenergan

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient developed autoimmunity to heart and ovary glands with diffuse systemic inflammatory response resulting in chronic severe fatigue, shortness of breath and chest pain/pressure.

Other Meds: Prednisone, sirolimus, Mupirocin, atorvastatin, aspirin - low dose , Provera, Myfortic, omeprazole, medroxyprogesterone,

Current Illness:

ID: 1545137
Sex: F
Age: 52
State: AR

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

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

Symptoms: Patient had her 1st Pfizer Covid vaccine on 7/22 and was due for her 2nd vaccine on 8/12, but instead received it on 8/11.

Other Meds: N/A

Current Illness: NO

ID: 1545138
Sex: F
Age: 46
State: OK

Vax Date: 04/19/2021
Onset Date: 06/19/2021
Rec V Date: 08/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: - compazine

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

Symptoms: Pt stated that after she received the vaccine, her arm was sore; around two months after the second dose she slept on that arm and woke up experiencing pain in the muscle of the arm she received the shot. Pt stated that her shoulder did not hurt, just the muscle. Pt stated the pain went away, but she still experiences intermittent pain in the muscle (left deltoid) where she received the vaccine.

Other Meds: - medical marijuana

Current Illness: - none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm