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: 1558206
Sex: F
Age: 37
State: FL

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: About 1-2 minutes after the patient received the vaccine, she reported she wasn't feeling well and then fainted while sitting in chair. Her husband and I proceeded to transfer her to the floor and elevate her legs. Patient resumed consciousness after 1 minute and had no recollection of what happened. Blood pressure was taken after 5 minutes (95/55) and again after 10 minutes (117/96). EMS was called because patient was still not feeling improvement after 10 minutes (reported shakiness, tingling feeling in hands and tongue). EMS cleared her as BP was normal and blood glucose level was normal.

Other Meds: None

Current Illness: UTI

ID: 1558207
Sex: F
Age: 67
State: NH

Vax Date: 03/10/2021
Onset Date: 04/20/2021
Rec V Date: 08/14/2021
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: Sulfa, penicillin, cromolyn, all PPIs

Symptom List: Anxiety, Dyspnoea

Symptoms: Shingles, treated successfully with valocyclovir

Other Meds: Plaquenil, Zoloft, Pepcid

Current Illness:

ID: 1558208
Sex: M
Age: 30
State: MN

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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: none reported

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

Symptoms: I believe the vaccine may have been expired. The vaccine was in the fridge when I pulled it out to withdraw the dose. After giving the dose I realized I had not pulled the top off myself, and that it may have been opened yesterday. After calling the manufacturer they recommended not revaccinating and having the patient receive a second dose in 28 days as normal.

Other Meds: none reported

Current Illness: none reported

ID: 1558209
Sex: F
Age: 33
State: FL

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: Cipro, Penicillin, Apples, environmental allergens

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extremely large hive at site of injection, very hot to touch, and extremely tender for over 3 weeks. Once swelling went down, it left a hole in my muscel where the hive had been. Residual weakness in left arm and sore shoulder and elbow in same arm.

Other Meds: Xyzal, Singulair, Asmanex, Nasacort, Sertraline, Meloxicam

Current Illness: None

ID: 1558210
Sex: F
Age: 38
State: SC

Vax Date: 08/04/2021
Onset Date: 08/08/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

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

Symptoms: My first side side effect from the vaccine was a painfully swollen, red, and hot to the touch arm at and around the injection site. A few days later I was seen in urgent care for extreme fatigue, asthma symptoms, painful joints, sore muscles, high blood pressure, and brief loss of taste and smell. I was diagnosed with an upper respiratory infection and told to rest and stay out of work for 2 days. I was seen again the next day by a FNP at my place of work for the same symptoms, add in weakness. I was advised to maybe get a send out covid test as all my priors were neg when the send out was positive. I was also told that my symptoms were likely due to side effects from getting the vaccine even though it was a week out from the date of vaccination. My symptoms have been slowly improving, however as of yesterday, August 13, 2021, my arm at the injection site suddenly started itching and burning and turned red, swollen, and hot to the touch even wit me trying not to touch it.

Other Meds: prenatal vitamins, vitamin d, folic acid, metformin, xanax, adderall, b12, albuterol,

Current Illness: no illnesses

ID: 1558211
Sex: M
Age: 49
State: MD

Vax Date: 07/02/2021
Onset Date: 07/21/2021
Rec V Date: 08/14/2021
Hospital: Y

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: NKA

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

Symptoms: The patient reported getting his second COVID vaccine on July 2nd. He reported that 3 weeks later which would be July 21st he started having pain in his left leg. He noted severe fatigue that would not go away. A few days later he started having pain in his chest. He was previously hiking 5 miles several times a week. He reached out to his PCP about the chest pain and they ordered an x-ray. His pain continued. He went out for one of his 5 mile hikes, but made it less than 1 mile and had to rest 13 times just to get back home. He presents to the ER on August 11th and was found to have a large DVT from left groin to ankle and large bilateral pulmonary emboli. He required hospitalization.

Other Meds: none

Current Illness: no medical history or coinciding acute illness

ID: 1558212
Sex: F
Age: 59
State: ME

Vax Date: 12/01/2020
Onset Date: 07/25/2021
Rec V Date: 08/14/2021
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: Erythromycin, Penicillin, shellfish

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 7/26/21 New allergy to bug bites-2 bug bites on lower left leg -both became painful/swollen/red/hot within 24 hours; treated at urgent Care/diagnosed w/cellulitis/started 5 day course Doxycycline/symptoms resolved over 1 week. 8/3/21 2 bug bites right lower leg/foot-became swollen/red/hot; self-treated w/Cortisone cream, Benadryl topical spray and po Benadryl (4 tabs in 24 hours)/symptoms resolved over 1 week.

Other Meds: Ursodiol, Multivitamin, Budesonide nasal spray, Finacea facial cream

Current Illness: None

ID: 1558213
Sex: F
Age: 45
State: CA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, yeast,wheat,eggs milk I found my food allergies after vaccine.

Symptom List: Pharyngeal swelling

Symptoms: Brain inflammation ongoing headache that have not gotten better. Ringing in my ears, blurry vision, words get jumbled. Several days of missed work dues to head pain.

Other Meds: Humira, synthroid, effexor, singular, flexeril, trazdone, vitamin c, d , zinc probotic, multiple vitamin.

Current Illness: Hidradenitis. Breast cancer

ID: 1558214
Sex: F
Age: 71
State: CA

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: fever up to 102, severe headache and neckache, nausea, vomiting and diarrhea, chills, body aches. recovered in 10 days

Other Meds: none

Current Illness: none

ID: 1558215
Sex: F
Age: 61
State: PR

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 08/14/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: tachycardia and highblood pressure.

Other Meds: aspirin, calcium, vit d, b12,

Current Illness:

ID: 1558216
Sex: F
Age: 41
State: CA

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Vaginal bleeding. My menstruation ended 3 days ago. Today, about 24 hours after receiving my first dose, I started bleeding again.

Other Meds: Zolpidem 10mg, Sudafed 30mg, Claritin 10mg, Macrobid

Current Illness: UTI

ID: 1558217
Sex: F
Age: 50
State: IL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 08/14/2021
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: NONE

Symptom List: Rash, Urticaria

Symptoms: ARM SORENESS AND MY ARM ACHES ALL THE TIME, I HAVEN'T CONTACTED THE DOCTOR BECAUSE THE CDC SAID IT IS EXPECTED TO HAPPEN AFTER THE VACCINATION. MY ARM IS SWOLLEN AND SORE SINCE FEBRUARY. MY DOCTOR SAID I MIGHT NEED TO GO TO THE CHIROPRACTOR. THE DOCTOR JUST TOLD ME TO TAKE IBUPROFEN AND ADVIL.

Other Meds: VITAMIN D

Current Illness: NONE

ID: 1558218
Sex: F
Age: 15
State: WA

Vax Date: 08/04/2021
Onset Date: 08/07/2021
Rec V Date: 08/14/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Parient/daughter received covid shot on 8/4/21 at pharmacy. On 08/7, patient was found face down having a seizure. She stopped breathing and had no pulse and cpr was started and EMS called. Paramedics arrived and took over and were are to start her heart. She was ambulance to Er , transfered to Icu. She wasn't cognitive until the next day with no recollection of what happened and impaired short term memory. The hospital found that her potassium was low and it took a few days to normalize with supplementation. Many scans were preformed including brain and heart mri. Pt is under constant monitoring at hospital. They plan on sending her to another hospital for more test and possible surgery to place defibrillators.

Other Meds: Cranberry tablets, b12, sennisides(25 MG a fre days before)

Current Illness: None

ID: 1558219
Sex: F
Age: 40
State: VA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/14/2021
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: Systemic: Abdominal Pain-Medium, Systemic: Body Aches Generalized-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Nausea-Severe, Systemic: Vomiting-Severe, Systemic: Weakness-Severe, Additional Details: Patient unable to keep any food down, feeling very weak. Drinking plenty of fluids calling PCP and seeking care if no improvement

Other Meds:

Current Illness:

ID: 1558220
Sex: F
Age: 28
State: NY

Vax Date: 06/01/2021
Onset Date: 07/01/2021
Rec V Date: 08/14/2021
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: Amoxicillin. Benzoyl peroxide

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

Symptoms: Fever , shortness of breath , Fatigue , kidney pain, UTI , irregular cycle , body aches. 3 rounds of antibiotics

Other Meds: Venlafaxine

Current Illness:

ID: 1558221
Sex: F
Age: 50
State: PA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Heavy head and body and burning pain in back and very pale-Severe, Systemic: Headache-Severe

Other Meds:

Current Illness:

ID: 1558222
Sex: F
Age: 31
State: KS

Vax Date: 04/02/2021
Onset Date: 05/03/2021
Rec V Date: 08/14/2021
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: none

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

Symptoms: Between 4 and 6 weeks after the vaccine, I developed iron deficient anemia (hemoglobin 8.6, ferritin 3) and abdominal pain. A blood test revealed celiac disease and I just received the biopsy results from the endoscopy confirming the diagnosis. Seeing as all the symptoms began 4-6 weeks after the vaccine, I believe it's possible the vaccine could have been the trigger, so I thought I'd report it as I know the vaccines are still being studied. Below, I've said "no" to recovery and "none of the above" to result or outcome, as celiac is a lifelong autoimmune disease, managed with a gluten free diet.

Other Meds: amitriptyline 100mg QDpm baclofen 20mg every 6 hours PRN yaz women's multivitamin

Current Illness: none

ID: 1558223
Sex: F
Age: 19
State:

Vax Date: 08/11/2021
Onset Date: 08/13/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Ear pain, Hypoaesthesia

Symptoms: after the vaccination i had chills, fever, nausea, diarrhoea, and a headache for the first two days three days after i started developing difficulty breathing with a lot of chest pain, pain at the back of my back, also pins and needles in my lower legs and feet

Other Meds: Tax ( the pill ) took Ibuprofen for knee pain on the 12&13th

Current Illness: n/a

ID: 1558224
Sex: M
Age: 45
State: CT

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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: Error: Booster Given Too Early-

Other Meds:

Current Illness:

ID: 1558225
Sex: F
Age: 35
State:

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/14/2021
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: Shingles left L1 dermatome developed evening of COVID 19 second dose vaccine. Patient is currently breastfeeding.

Other Meds: None

Current Illness: None

ID: 1558226
Sex: M
Age: 30
State: TX

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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: No

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

Symptoms: Received 2nd dose of Moderna 3 months after first dose. Fell asleep around 11 pm, woke up at midnight with severe headache, shaking with fever of 103, vaccination site hurt. Unable to sleep the rest of the night. Just thought it was interesting because of the interval from the first to second dose and the intensity of the reaction. Fever and headache still happening at around 1 pm right now, but not so bad.

Other Meds: CBD flower

Current Illness: No

ID: 1558227
Sex: M
Age: 30
State: IN

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: Fish intolerance, no allergies

Symptom List: Unevaluable event

Symptoms: Kidney Pain, difficulty breathing

Other Meds: None

Current Illness: None

ID: 1558228
Sex: F
Age: 19
State: TX

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 08/14/2021
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:

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

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Body Aches Generalized-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium

Other Meds:

Current Illness:

ID: 1558229
Sex: F
Age: 46
State: MD

Vax Date: 08/05/2021
Onset Date: 08/06/2021
Rec V Date: 08/14/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Additional Details: 3 days after normal redness, swelling and pain subsided but 2 days later redness and swelling (no pain) returned and is also warm to the touch. No pain or discomfort. Not getting worse. She was advised to contact PCP monday to have evaluated and if pain or discomfort happens before then to visit an urgent care center. Patient will follow up after PCP visit.

Other Meds:

Current Illness:

ID: 1558230
Sex: M
Age: 28
State: TX

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Client was vaccinated with Pfizer's 1st dose at 1020. At 1025, the client stated he was light headed. RN on staff began taking his vitals: BP was 168/82 at 1030, 138/72 at 1039, 134/68 at 1051, and 128/72 at 1108. The PulseOx reading was 107 to 180 at 1035, 72 to 74 at 1042. Within this time, RN and client walked around the vaccination area. His mobility was good, as he described himself as a "runner." At 1110, he was cleared by RN and he stated he was feeling good.

Other Meds: Vitamins and pre workout supplements

Current Illness: Reaction to Yellow Fever vaccine

ID: 1558231
Sex: M
Age: 37
State: NC

Vax Date: 07/26/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient went home, and shortly after arriving at home sat down. While resting, he felt sharp, needle-like pain for a couple of minutes. These were sudden, and dissipated shortly thereafter. Then he noticed his resting HR to be increased by about 20 bpm. He experienced this a few times after this, but none since the second day after the shot. After the second day post vaccine, he started to feel pressure in chest, as if he exited a room temp building and walked out on a hot, humid, summer day. He has experienced this a few times since then.

Other Meds: None

Current Illness: None

ID: 1558232
Sex: F
Age: 40
State: NY

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: patient received her second dose of pfizer vaccine. After sitting for about 5-10 minutes, she said she was not feeling well. she said she was having a difficulty breathing and her throad feeling "weird", sweating and flushed. she asked to call 911. diapatcher over the phone said paramedics are on the was and do not give her anything. Patient looked stable and left with paramedics

Other Meds:

Current Illness:

ID: 1558233
Sex: M
Age: 49
State: TX

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Site: Bruising at Injection Site-Mild, Site: Swelling at Injection Site-Mild

Other Meds:

Current Illness:

ID: 1558234
Sex: F
Age: 43
State: MI

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 08/14/2021
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: Amoxicillin, augmentin, bactrim

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

Symptoms: Red raised warm swollen area at injection site and around site measuring approx 4.2 cm in diameter. Extreme pain at injection site.

Other Meds: Toprol

Current Illness: None

ID: 1558235
Sex: F
Age: 35
State: IL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: mangos

Symptom List: Nausea

Symptoms: -102.4 F fever that responded to ibuprofen. Lasted 3 days -mild insomnia that also lasted 3 days -body aches lasting 3 days -sore arm lasted 7 days -heavy menstrual cycle (6 oz in 24 hours) started 2 weeks after injection, lasted 7 days although the flow decreased over the week. Should not have had my period as I am on the pill. This occurred for 2 months and I appear to be back to normal. -Was breastfeeding my 13 month old at the time and he was irritable and unable to sleep starting about 24 hours after my injection, and this lasted 3 days.

Other Meds: progestin only birth control (mini pill)

Current Illness: none

ID: 1558236
Sex: M
Age: 12
State: CA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain

Symptoms: Pt was ambulating to car with mom who states he fell into wall hitting right shoulder, did not fall to ground, she accompanied him back to observation area and Pt was assisted to gurney area with legs elevated slightly. Pt had received First Pfizer vaccine approx 20 min before. Pt states he feels dizzy, reports he ate a croissant this am and a few sips of water this morning. Denies and mom confirms no prior reactions with vaccines, allergies or medical problems. 10:12 am VS 90/50, p 93, 02 sat 99%, mild diaphoresis noted. Drank apple juice slowly and ate a few animal crackers when feeling well enough to. VS 10:17 90/50 p 91 and 02 sat 100%. 10:20 90/50 p 92 O2 sat 99%. Consumed additional juice, skin color improved, no diaphoresis noted and denies dizziness. Able to move shoulder without difficulty. Pt stated he was feeling well enough to walk to car where his father is waiting and will sit in back seat with Pt. Given additional juice and snack to consume as needed. Given protocols for contacting provider/EMS if does not continue to improve. Ambulated to car with mom with steady gait. Advised father by phone to relay history of this vaccination and request Pt be vaccinated lying down. Father states Pt is currently eating breakfast and is feeling back to normal.

Other Meds:

Current Illness: No reported illness.

ID: 1558237
Sex: F
Age: 55
State: MI

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: unknown, none listed

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

Symptoms: ~5 minutes after pt received her vaccine she stated she felt light headed and was having severe lower back spasms. She was sitting down, refused water. A few minutes later her son summoned me stating she wasn't doing better. Pt said she was feeling like she did when she had a heart attack a few years ago, but denied having chest pain. We immediately called 911 and a 'code white' per facility protocol. I took her BP which was 167/103. EMS arrived and transported to local hospital. Pt did not loose consciousness during this episode, nor did she appear short of breath.

Other Meds: unknown

Current Illness: HTN

ID: 1558238
Sex: F
Age: 45
State: AL

Vax Date: 08/12/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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: Latex

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

Symptoms: Part of my right thigh is numb.

Other Meds: None

Current Illness: None

ID: 1558239
Sex: F
Age: 32
State: CA

Vax Date: 04/21/2021
Onset Date: 05/12/2021
Rec V Date: 08/14/2021
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: Halibut, eel, hazelnut, dairy

Symptom List: Tremor

Symptoms: Itchy right eye only, conjested right nostril, tiny bumps around the lips, swelling the lips, dizzyness/confusion, swelling of the eyelid, bumps on eyelid

Other Meds: Zoloft

Current Illness: None

ID: 1558240
Sex: F
Age: 52
State: MD

Vax Date: 08/11/2021
Onset Date: 08/12/2021
Rec V Date: 08/14/2021
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: Fluoroquinolones

Symptom List: Erythema, Pruritus

Symptoms: aches, chills, sweats, nausea

Other Meds: Lo Loestrin birth control, One a Day Multivitamin, Meloxicam

Current Illness: n/a

ID: 1558241
Sex: F
Age: 49
State: NY

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/14/2021
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: None

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

Symptoms: Headache, body pain, left arm feels hot, lightheaded

Other Meds:

Current Illness: Migraine

ID: 1558242
Sex: M
Age: 75
State: MT

Vax Date: 07/14/2021
Onset Date: 07/16/2021
Rec V Date: 08/14/2021
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 known

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

Symptoms: Severe rash on legs, back, arms and chest; headaches at times severe; occasional tightness in chest and pain, unreasonably elevated elevated heart rate after minimal exercise. Has been going on for 4 weeks not and all symptoms are still present.

Other Meds: synthroid, lipitor, Ddavp, ambien, CoQ10, zinc, B12, asprin, fishoil, preservision

Current Illness: None

ID: 1558243
Sex: M
Age: 51
State: MI

Vax Date: 07/24/2021
Onset Date: 07/24/2021
Rec V Date: 08/14/2021
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: Icy clean and some citrus.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Within 1 minute of the injection my left arm became numb in some portions of my arm. My hand and fingers tingled. For the 15 minutes I sat at the pharmacy the reaction continued. This was the same reaction that I had with the first shot but symptoms were worse. After the 15 minutes I left the pharmacy. Within 15-20 minutes of leaving the pharmacy the right side of my face became somewhat numb and the muscles were slow to respond. This is an ongoing issue the numbness is better but not gone but the muscle slowness continues.

Other Meds: Vitamin B12, Vitamin D3, Buspar

Current Illness: None

ID: 1558244
Sex: F
Age: 63
State: FL

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 08/14/2021
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: Shrimp

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

Symptoms: The next morning after vaccine,, weakness in overall muscles in the entire body, left knee pain, and lower back pain L 4-5, No energy , feeling tired and slowly walking to bathroom, so I remained in bed with lots of fluids. The next day the pain had all but gone and I was able to move around with out pain or weakness.

Other Meds: Nothing

Current Illness: The next morning after vaccine,, weakness in overall muscles in the entire body, left knee pain, and lower back pain L 4-5, No energy , feeling tired and slowly walking to bathroom, so I remained in bed with lots of fluids.

ID: 1558245
Sex: F
Age: 23
State: MO

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/14/2021
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 known

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

Symptoms: Bones felt like glass. Chills. Shaking. Lasted for 24 hrs.

Other Meds: none

Current Illness: none

ID: 1558246
Sex: F
Age: 21
State: CA

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Temperature of 99 degrees started around 6 pm after getting vaccine at 9:30 am, temperature rose to 102 degrees by 12 am, temp was brought down to 100 degrees using both ibuprofen and acetaminophen. Following day a rash broke out on the legs and the whole body is itchy.

Other Meds: None

Current Illness: None

ID: 1558247
Sex: F
Age: 69
State: NY

Vax Date: 01/01/2021
Onset Date: 02/24/2021
Rec V Date: 08/14/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Increased Afib episodes

Other Meds: Synthroid, Metropolol, Norvasc, Allopurinol, Telemisarten, Xarelto

Current Illness: Hypothyroidism Hypertension Afib Gout CKD stage 3/4

ID: 1558248
Sex: M
Age:
State: NY

Vax Date:
Onset Date: 06/24/2021
Rec V Date: 08/14/2021
Hospital: Y

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

Symptoms: Conjestive heart failure. Afib

Other Meds: Norvasc amlodopine. Callis xr

Current Illness: No

ID: 1558249
Sex: M
Age: 34
State: PA

Vax Date: 04/04/2021
Onset Date: 05/30/2021
Rec V Date: 08/14/2021
Hospital: Y

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: Fatigue and trouble breathing. Blood tests led to diagnosis of Acute B Lymphoblastic leukemia. Current treatment is aggressive chemotherapy. Blood transfusions

Other Meds:

Current Illness:

ID: 1558250
Sex: F
Age: 38
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 08/14/2021
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: No

Symptom List: Vomiting

Symptoms: Some light spotting in between periods

Other Meds: Adderall

Current Illness: No

ID: 1558251
Sex: F
Age: 24
State: CT

Vax Date: 02/01/2021
Onset Date: 02/20/2021
Rec V Date: 08/14/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: circular red raised rash around vaccine location. Didn't develop until a week or two post vaccine. No other symptoms and doctor cleared it.

Other Meds: Cymbalta, buspar, strattera

Current Illness: None

ID: 1558252
Sex: M
Age: 42
State: TN

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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: NKA

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

Symptoms: The patient received the vaccination at 1212pm and did not complain or show any signs of distress. He then waited in the room as his wife received her vaccinated approximately 3 minutes later. The patient sat upright in the chair and did not display any signs of a reaction. He talked and joked while his wife received her vaccination and while I filled out their vaccination cards. He exited the exam room walking and talking with his wife around 1219. He and his wife walked about 10 feet from the clinic when the wife called out for help. The patient was found extremely diaphoretic, confused, weak and very anxious. He then stated that he could not see and that everything was black. EMS was called and it was discovered his heart rate was elevated at 200 and his blood pressure was low at 100/90. The wife did state that he has a fear of needles but stated that he would normally pass out at the sight of the need, not minutes after the administration. The patient was taken from the clinic via EMS services.

Other Meds: Losartan

Current Illness: None

ID: 1558253
Sex: F
Age: 38
State: AZ

Vax Date: 08/06/2021
Onset Date: 08/14/2021
Rec V Date: 08/14/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Large red rash at injection site occurring 8 days after injection. Slight burning sensation around rash.

Other Meds: Slynd BC

Current Illness:

ID: 1558254
Sex: F
Age: 24
State: IL

Vax Date: 02/18/2021
Onset Date: 03/19/2021
Rec V Date: 08/14/2021
Hospital:

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

Lab Data:

Allergies: Bell peppers, pimento peppers

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

Symptoms: Following the second dose of the vaccination on February 18th, 2021, I felt extreme fatigue, malaise, 101F temperature (with alternating Tylenol 1,000mg and ibuprofen 600mg) the following day as expected. However, the following month I began to experience mood swings, abdominal cramping, low back pain and cramping. This is highly unusual for me (I have been using the Nexplanon implant since 02/2016) and have not had any vaginal bleeding or symptoms relating to my menstrual cycle since the original implant nor the replacement implant in 03/2019. I scheduled an appointment with an OB-GYN to follow up with these concerns. On 03/19/2021 I had a transvaginal ultrasound and noticed prior to the exam I had vaginal bleeding, which I had not experience in 3+ years. I came out of the bathroom into the exam room and stated to the ultrasound technicians, ?I?m bleeding? in disbelief. Following this, I decided to go to a larger facility for continuation of care, thinking there was something very wrong. On 4/16/2021 I had a diagnostic laparoscopy, D&C and hysteroscopy relating to the persisting symptoms relating to my reproductive system. Nothing was found to explain my symptoms, My symptoms have progressively gotten worse since then and are still continuing.

Other Meds: Fenofibrate 148mg dly, venlafaxine ER 75mg dly, Xanax 1mg bid prn, omeprazole DR 20mg dly, vyvance 20mg dly

Current Illness: None.

ID: 1558256
Sex: F
Age: 40
State: AZ

Vax Date: 08/02/2021
Onset Date: 08/11/2021
Rec V Date: 08/14/2021
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: None

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

Symptoms: Large, red, itchy rash at vaccination site. Appeared about 1 week after vaccine.

Other Meds: Multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm