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
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: 1573882
Sex: F
Age: 57
State: NJ

Vax Date: 03/16/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: Ibuprofen

Symptom List: Dysphagia, Epiglottitis

Symptoms: Admitted after returning and feeling weak with cough.

Other Meds: insulin degludec 100 unit/mL (3 mL) Insulin Pen Directions: 66 unit subcutaneous daily every morning (Active) ramipril 5 mg Capsule Directions: 1 capsule oral twice a day (Active) semaglutide (Ozempic) 0.25 mg or 0.5 mg dose (2 mg/1.5

Current Illness:

ID: 1573884
Sex: M
Age: 67
State: MD

Vax Date: 02/27/2021
Onset Date: 03/20/2021
Rec V Date: 08/16/2021
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: None known

Symptom List: Anxiety, Dyspnoea

Symptoms: Heart Palpitations( daily especially upon exertion), shortness of breath (daily upon exertion, e.g climbing stairs, walking for exercise, bike riding for exercise - need to stop and rest), joint pain (knees especially -required anti-inflammatory doses of naproxin for 10 days but still a problem), fatigue (lack of desire to do even mundane tasks), confusion (making simple mental errors at work and in daily life).

Other Meds: Losartin Potassium 100mg Simvastatin 20 mg

Current Illness: None

ID: 1573885
Sex: F
Age: 56
State: FL

Vax Date: 08/11/2021
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
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: Erythromycin

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

Symptoms: Started with extremely sore arm right away. As day went on, I started getting the chills, and shakes, then a low grade fever. About 15 hours after vaccination, my eyes became itchy and swelled up. I also then started feeling like I had a lump in my throat and it was a little hard to swallow. I then had my husband take me to ER because it was 4:30 am. I took Benadryl while waiting to be seen (I was there about 4 hours waiting). Once seen, they prescribed Prednisone twice a day; Famotidne, twice a day. They also told to continue to take the Benadryl that I bought over the counter. I then followed up with Dr. but was only able to see the PA. She said to continue with ER gave me but prescribed Cetrizine HCL, once a day. She said it worked better than Benadryl so I stopped taking Benadryl and switched to the Cetrizine. My next appointment is via zoom on Wednesday, 8/18/21. To date, my eyes are still slightly swollen but almost back to normal. Night sweats continued since vaccination. Last night 8/16/21 was first night not having them.

Other Meds: Apple Cider Vinegar Complex (Paleovalley brand, 3 capsules every morning) I Am Myself Again - Phase It Up Supplements

Current Illness: N/A

ID: 1573886
Sex: M
Age: 41
State: IL

Vax Date: 02/06/2021
Onset Date: 02/27/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Myself and my two sons are having similar heart symptoms after receiving the COVID vaccination. For myself: Several days (maybe weeks) after the second dose of the vaccine, I began having a racing heart beat. I became constantly aware of my heart beat as though it was beating harder than before the shot. Occasonally, it would feel like there was also a breif arrhythmia (several seconds) before resetting to a normal beat. There was no pain, only discomfort. I didn't immediatly connect the issue to the vaccine, but I spoke to my doctor about it. Only after my two sons started having the same issues, did I connect the timeline to the vaccine. My Oldest son (18 years old) recently received his second dose of the Pfizer vaccine (Aug 8th, 2021). After 2 or 3 days he began feeling the same symptoms; strong heart beat. However, he has had additional, more sever, symptoms. Within 5 days, he stopped eating and we complaining of strong tightness in his chest. We took him to emergency care where he received a EKG and chest x-rays. The EKG was high, but not severly high and his resting heart rate was 112, way above normal. He is lathargic, has diarea and is not eating. We are taking him back to the hospital today. I've run out of time, so I can't report on my middle sons symptoms. They were similar to mine. ALso requiring a dr visit.

Other Meds: None

Current Illness: None

ID: 1573887
Sex: F
Age: 54
State: VA

Vax Date: 08/12/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Levaquin

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

Symptoms: Large, hard lump at the injection site; painful, hot to the touch and marked redness. Lump is lessening as time passes, but the redness remains.

Other Meds: Synthroid; Zyrtec; multivitamin

Current Illness: n/a

ID: 1573888
Sex: F
Age: 70
State: CA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
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: NA

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

Symptoms: 34+ hours post vaccination noted swelling of left armpit. Swelling feels large and soft and localized in armpit- approximately 2 inches long x 1 inch wide - enough to make bring arm from open to closed position noticeable and uncomfortable. Some pain toward back of armpit that caused me to wake up when changing positions during sleep. Vaccination site in left arm tender but not red or swollen. No other noticeable side effects.

Other Meds: current: Vitamin B, Nicotinamide, Vitamin D, Resveratrol 3- days prior to vaccination: completed 7 day course of Amoxicillin post tooth extraction

Current Illness: NA

ID: 1573889
Sex: M
Age: 56
State: NC

Vax Date: 05/17/2021
Onset Date: 07/22/2021
Rec V Date: 08/16/2021
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: Penicillan

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Dizziness- Lightheadness- Mild Headache-

Other Meds: Metformin-Lantus-Jardiance- Finasteride- CoQ10- Multi-vitamin- Fish Oil- Hydroxycut-Biotin-B-Complex- Vitamin C

Current Illness: Osteo-Arthritisis

ID: 1573890
Sex: F
Age: 26
State: VT

Vax Date: 01/11/2021
Onset Date: 03/08/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: NKDA Hives to dogs when licked

Symptom List: Pharyngeal swelling

Symptoms: Pregnant at time of vaccination, confirmed by 8wk ultrasound with heartbeat on 1/29/21. Due date was . Missed miscarriage discovered at a routine ultrasound (nuchal translucency) at 13w2d on 3/8/21. Baby was a few days behind on measurements (so died within that week). No cause found but also no genetic testing done. No maternal illness or symptoms.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1573891
Sex: F
Age: 35
State: KY

Vax Date: 07/28/2021
Onset Date:
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: NA

Other Meds: NA

Current Illness: NA

ID: 1573892
Sex: M
Age: 85
State: PA

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/16/2021
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: After 12 hours patient's entire body turned bright red. He was seen in the ER and given IV steroids.

Other Meds:

Current Illness:

ID: 1573893
Sex: M
Age: 46
State: ID

Vax Date: 08/14/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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: Swelling of the underarm lymph node and tenderness on left side

Other Meds: Omeprazole, Calcium, D3, K2, Vitamin C, Joint Support, Magnesium, Omega 3

Current Illness: None

ID: 1573894
Sex: M
Age: 53
State: IN

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Fatigue lasted for 12 hours, then returned the next day not as bad

Other Meds:

Current Illness:

ID: 1573895
Sex: F
Age: 27
State: IN

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Tingling, numbness, and generalized weakness on left extremities (arm, hand, leg, foot).

Other Meds: Immune Supplement (Vitamin C, Vitamin D3, Zinc, Elderberry, Echinacea)

Current Illness: N/A

ID: 1573896
Sex: M
Age: 54
State: OH

Vax Date: 07/20/2021
Onset Date: 07/26/2021
Rec V Date: 08/16/2021
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: Penicillin

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

Symptoms: I had Covid in Late March 2021 and recovered with symptoms by April 1st. On April 19th, I woke up with chest pains and went to Hospital Emergency Room. Was diagnosed with Pericarditis after many tests and being in hospital for 3 days. Took Colchicine Tab 1/day and ibuprofen for 2 months and was fully recovered. July 2nd had visit with Cardiology and was told I could stop all medicine and could get Covid Vaccine. On July 20th, I had 1st dose of Maderna, On July 21st I had full Covid symptoms of extreme tiredness, fever of 100.5 deg F, and chills, which lasted until July 22nd. On 7/26, I began having symtoms that felt like Pericarditis, so I went to my family doctor. Blood work showed CRP of 4, then on 7/29, I had blood work again that showed CRP of 43.1 and had heart discomfort. Had blood work again on 8/10 and CRP was down to 1.5 level. As of 8/16, I am still having Pericarditis symptoms when I do any exercise.

Other Meds: Pravastatin Sodium

Current Illness: None

ID: 1573897
Sex: F
Age: 20
State: IA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
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: reglan ibuprofen

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

Symptoms: No known adverse reaction. Phone number given by patient does not work. Patient said it was her first dose, so moderna covid vaccine administered and 2nd dose scheduled. Upon entering dose in database, found that Pfizer covid vaccine dose was administered to patient on 1/31/21, so patient rec'd mixed dose of mRNA vaccines.

Other Meds:

Current Illness: anemia

ID: 1573898
Sex: F
Age: 43
State: MN

Vax Date: 01/11/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
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: COVID positive >14 days post vaccine series.

Other Meds:

Current Illness:

ID: 1573899
Sex: F
Age: 66
State: OH

Vax Date: 02/13/2021
Onset Date: 02/27/2021
Rec V Date: 08/16/2021
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: Sulphas

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

Symptoms: Individual reported that a couple of weeks after she got her first injection she had a "heavy feeling in the bladder area", and a little discomfort when urinating. She sought medical attention with her PCP, and she treated her as a "yeast infection" The treatment was unsuccessful and she was referred to a Urologist. In the mean time she got her 2nd dose of Pfizer vaccine, on 03/06/21, and she felt "worse: she felt pain as carrying a rock". Pt went to her appt. with the Urologist and she has been treated with local antibiotics. She was diagnosed of: "Interstitial cystitis". Individual is still dealing with "pain and wanted to report this as an adverse reaction because nobody knows for sure how this happen 2 weeks after her first vaccine, and got worse after receiving her second dose".

Other Meds: Advil of pain

Current Illness: None

ID: 1573900
Sex: F
Age: 52
State: IL

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: neosporin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: non-toxic L sided goiter appearing after administration of 2nd dose of Pfizer vaccine; noticed unilateral swelling of neck, reported to PCP, US revealed goiter, goiter has since decreased in size to < half original size

Other Meds: prednisone, valacyclovir

Current Illness:

ID: 1573901
Sex: M
Age: 23
State: UT

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 08/16/2021
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: Patient received an expired vaccine.

Other Meds:

Current Illness:

ID: 1573902
Sex: F
Age: 32
State: MD

Vax Date: 06/30/2021
Onset Date: 07/31/2021
Rec V Date: 08/16/2021
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: Headache for 3 days straight after 2nd dose. Very heavy bleeding during period - very intense pre-menstral symptoms including - mood swings for a week and cramps like I?m in labor before period arrives.

Other Meds: Paxal

Current Illness: None

ID: 1573903
Sex: F
Age: 50
State: NC

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
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: penicillin morpheme

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

Symptoms: Patient report that she feels extreme weak, she has chills and cough. She is very congested and feels horrible

Other Meds: Levothyrod Protonix Trulance Multivitamin Hair Skin and Nail Vitamins B12 B1 sleeping aide

Current Illness:

ID: 1573904
Sex: F
Age: 50
State: FL

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 08/16/2021
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: Unevaluable event

Symptoms: Acute Lymphadenopathy High Bp Rash PVC's Went to see PCP , Cardiology, Endo, ENT . 6 months later Lymphnodes still swollen and diagnosted with auto immune (Hashimotos)

Other Meds: None

Current Illness: None

ID: 1573905
Sex: F
Age: 28
State: NC

Vax Date: 08/05/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
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: None

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

Symptoms: I am 27 weeks pregnant and have not had any bleeding, anxiety, or complications to date. As one one week following receipt of my first dose of Pfizer, I have had 3 anxiety attacks (I have never experienced anxiety before), have trouble breathing, and had minor vaginal bleeding. I spoke with my doctor and will continue to monitor my fetal movement to identify any fetal health concerns.

Other Meds: prenatal vitamin multivitamin

Current Illness: None

ID: 1573906
Sex: F
Age: 38
State: NC

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 08/16/2021
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: Ambien Keflex Percocet Flu Vaccine

Symptom List: Injection site pain, Pain

Symptoms: Headache within 10 mins of vaccine admin. Tachycardia, elevated BP, and SOB within 30-45 mins. Headache resolved within 2 hours. Tachycardia, elevated BP, and SOB last approx 18 hours. Increased SOB when lying down.

Other Meds: Coreg Eliquis Lipitor Zoloft Vitamin D Omeprazole Probiotic

Current Illness:

ID: 1573907
Sex: M
Age: 39
State: OK

Vax Date: 01/08/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: ASYMPTOMATIC

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1573908
Sex: F
Age: 44
State: MS

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 08/16/2021
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: Allergice to percocet

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

Symptoms: Severe pain in left arm daily, range of motion lost, SIRVA, still experiencing pain 6 months after injection. have had x-ray and cortisone shot in shoulder, but it did not help with the pain at all.

Other Meds: Losartan Potassium, Armor Thyroid, Nexium, Multi-Vitamin, Bio-Identical hormones

Current Illness: None

ID: 1573909
Sex: F
Age: 51
State: NC

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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: dizziness, headaches, coughing, felt under the weather, congestion, couldnt breath, fever, fells like shes pulled a muscle in the right side wants us to know she tested positive for anti bodies in may of 2020

Other Meds: sertrallne 25mg

Current Illness:

ID: 1573910
Sex: M
Age: 56
State: MI

Vax Date: 04/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: unknown

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt received vaccines in march and April. Pt is now hospitalized on 08/07 with Covid as a diagnosis

Other Meds: unknown

Current Illness: unknown

ID: 1573911
Sex: F
Age: 28
State: TX

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
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:

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

Symptoms: Patient requested to receive a 2nd dose of the covid vaccine. Patient was then given a consent form to fill. Patient stated that she had received a 1st dose of the vaccine from a different provider. She stated that she had received the Moderna vaccine. Patient was then administered the 2nd dose of the Moderna vaccine. Patient was then asked for her vaccine card which she handed to me. While filling out the information paterning to her 2nd dose I then realized that pateint has received the Pfizer vaccine.

Other Meds:

Current Illness:

ID: 1573912
Sex: F
Age: 68
State: OH

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: aspirin

Symptom List: Nausea

Symptoms: I developed profound hearing loss in left ear. On 2/24/21, I saw audiologist and ENT Physician. I got steroid injected into left eardrum and prescription for oral steroids. I was to follow up with an MRI and get a second round of injections scheduled for 3/4/2021. On 4/2/2021, I had MRI which came back normal. I had no other events to show a cause for the hearing loss and the only thing that I had was the vaccine. I did not get the 2nd Covid shot and my doctor did not recommend me to get the 2nd shot. After doing 2.5 weeks of oral and injection of steroids, I did get part of my hearing loss back. I still have partial hearing loss. I also still have tinnitus in left ear. Its all the time 24/7.

Other Meds: Lisinopril; Atorvastatin ; Bisoprolol/HCTZ; Multivitamin; Glucosamine

Current Illness: none

ID: 1573913
Sex: F
Age: 34
State: CT

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Irregular heartbeat/palpitations lasting 13 hours, fever/chills, headache

Other Meds: Multivitamin

Current Illness: None

ID: 1573914
Sex: F
Age: 55
State: TN

Vax Date: 08/05/2021
Onset Date: 08/06/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, corticosteroids

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

Symptoms: Fatigue, insomnia, decreased concentration, brain fog - still ongoing on day 11 after vaccine.

Other Meds: Metformin, Lisinopril, Fluticasone, Zyrtec

Current Illness: Vaginal candida

ID: 1573915
Sex: F
Age: 54
State:

Vax Date: 07/22/2021
Onset Date: 08/02/2021
Rec V Date: 08/16/2021
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: Leviquin

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

Symptoms: Persistent headache - still occurring more than three weeks later. Muscle relaxers, Tylenol PM, Aleve, Motrin, RX migraine meds do nothing to relieve the headache

Other Meds: Synthroid, Cytomel, Zyrtec, multivitamin

Current Illness:

ID: 1573916
Sex: F
Age: 82
State: IL

Vax Date: 01/17/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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: All meds except penicillin

Symptom List: Tremor

Symptoms: Full body breakout for 3 and 1/2 months.

Other Meds: vitamins

Current Illness: None

ID: 1573917
Sex: F
Age: 13
State: FL

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
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: NKDA

Symptom List: Erythema, Pruritus

Symptoms: Syncope

Other Meds: none

Current Illness: none

ID: 1573918
Sex: F
Age: 65
State: OH

Vax Date: 03/24/2021
Onset Date: 07/21/2021
Rec V Date: 08/16/2021
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:

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

Symptoms: Onset of symptoms started on 7-21-2021 with fever, feeling feverish, chills, runny nose, cough, headache, fatigue, loss of taste and smell. Tested on 7-27-2021 with positive PCR diagnosis on 7-29-2021. Pre-existing medical conditions include hypertension. Symptoms began approximately 4 months after second dose of Moderna vaccine.

Other Meds:

Current Illness:

ID: 1573919
Sex: F
Age: 41
State: TX

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/16/2021
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 at the time

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

Symptoms: Loud high pitch ringing in my ear, I have seen my doctor 8/11/2021 and have gotten no explanation, she prescribed me debrox to soften the ear wax and later prescribed muscle relaxer Tizanidine and no relief and also went to urgent care and stated no infection, I received a steroid shot and meclizine for vertigo and ear ringing and no relief I have a ENT specialist scheduled for 9/20 and I am in sever discomfort with anxiety due to this loud high pitch ring that does not go away since my vaccine

Other Meds: None

Current Illness: I am having GI issues prior to vaccine

ID: 1573920
Sex: M
Age: 56
State: UT

Vax Date: 08/02/2021
Onset Date: 08/02/2021
Rec V Date: 08/16/2021
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 given an expired dose of vaccine.

Other Meds:

Current Illness:

ID: 1573921
Sex: F
Age: 26
State: FL

Vax Date: 08/11/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
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: Bactrim

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

Symptoms: It started out only in my feet and legs, but now has spread to my arms and hands. A tingling pricking sensation that I have no control over. I notice it more at night but now it is in my arms and it seemed to be just at night. But now it is lasting through the morning.

Other Meds: None

Current Illness: None

ID: 1573922
Sex: M
Age: 63
State: MN

Vax Date: 04/06/2021
Onset Date: 08/11/2021
Rec V Date: 08/16/2021
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: codeine

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

Symptoms: Patient has contracted Covid-19.

Other Meds: amlodipine 5 mg daily, lisinopril 40 mg daily, simvastatin 40 mg daily, metformin 500 mg BID, levothyroxine 150 mcg daily, glimepiride 4 mg daily, insulin glargine 60 units BID, indapamide 2.5 mg daily, gabapentin 300 mg TID, omeprazole 20

Current Illness: Patient reports he had a "cold" (congestion and slight cough) in Feb 2021

ID: 1573923
Sex: F
Age: 57
State:

Vax Date: 01/06/2021
Onset Date: 06/27/2021
Rec V Date: 08/16/2021
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: On June 4th and later, on June 27th 2021 (5 monthes after vaccine) I got severe syncope symptoms without no advanced reasons or warnings. On the 27th, I lost conscious for few minutes whilst sitting in a cafe outside early evening, which followed with non stop vomitings when I woke. I was taken by ambulance to emergency room at Medical Center, and was released after full scale check ups. The following day, for a whole week I had a severe diarrhea, weakness and more vomiting. Still felt quite weak for more than a month. Still feel far more tired than I used to be.

Other Meds: none (got a yearly aclacsta on 3rd January 21, 3 days before vaccined, and I take daily calcuim and vitamin D due to minor esteopenia)

Current Illness: none

ID: 1573924
Sex: F
Age: 42
State: MA

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

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

Lab Data:

Allergies:

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

Symptoms: Severe muscle pain all over but worse in neck, back and both arms. Muscle weakness in both arms. It hurts to hold the neck up, having a hard time typing, picking things up, pushing things and grasping things due to weakness and pain. Also having muscle twitching and trembling in index fingers and thumbs and all over the body. At night twitch to the point that I keep waking up and body jerking at times as well. Also, extreme fatigue.

Other Meds: Zinc, Vitamin C, Vitamin D, probiotic

Current Illness: sleep apnea, heart palpitations, potential epilepsy, potential autonomic dysfunction, low blood pressure, strabismus in left eye, central serous retinopathy in both eyes but worse in left.

ID: 1573925
Sex: M
Age: 17
State: NY

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/16/2021
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: None that are known

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

Symptoms: Right after injection was given to my son. He immediately began to feel a tickle in his throat with a very strong lead taste. He became dizzy and became dazed and confused. A very strong metal odor was coming out of his sweat pours.

Other Meds: None

Current Illness: None

ID: 1573926
Sex: M
Age: 60
State: LA

Vax Date: 07/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/16/2021
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: none

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

Symptoms: Sever shoulder joint pain that was diagnosed by an emergency walk-in clinic Dr as arthritic in nature in the order of septic arthritis. Pain started as a lesser soreness in shoulder that quickly escalated into sever pain that limited range of motion and functionality. Event began on a Friday morning and proceeded to increase through the weekend. A Dr was consulted on the following Monday (total of four days between onset and treatment). This event of severe shoulder joint pain occurred approximately 10 days after the previously reported swelling/inflammation/infection of the subclavicular lymph nodes on my left side ended (ie swelling of lymph nodes ) Also of note: tenderness and sensitivity with mild firmness of left nipple was also noted prior to event and remains sensitive.

Other Meds: Lisinopril 20 MG, Spironlactone 25 MG, Vitamin D and C, Zinc, Omega 3 fish oil

Current Illness: none

ID: 1573927
Sex: M
Age: 39
State:

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/16/2021
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:

Symptom List: Vomiting

Symptoms: Muscle aches, joint pain, lower back and chest pain, pain at injection site, lymph nodes are seen popping out of skin, heart palpitations.

Other Meds:

Current Illness:

ID: 1573928
Sex: F
Age: 58
State: SD

Vax Date: 05/10/2021
Onset Date: 05/13/2021
Rec V Date: 08/16/2021
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: Penicillion

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Nerve was hit in arm. Unable to raise arm without shooting pain that goes from injection site to elbow to thumb. Same thing happens if I try to pick up something with that hand. More weight of item being picked up worse it is.

Other Meds: Cyclosporine, cellcept, lasix, prednisone, carvedilol, losartan, atorvastatin, Vitamin C & D

Current Illness:

ID: 1573929
Sex: F
Age: 51
State: MI

Vax Date: 04/18/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
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: no

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

Symptoms: Pt recieved vaccines in march and april. Pt was hospitalized on 08/15 with a covid diagnosis

Other Meds: unknown

Current Illness: unknown

ID: 1573930
Sex: M
Age: 17
State:

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/16/2021
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: Patient was given vaccination 2 weeks prior to his 18th birthday

Other Meds:

Current Illness:

ID: 1573931
Sex: M
Age: 71
State: OH

Vax Date: 02/04/2021
Onset Date: 07/23/2021
Rec V Date: 08/16/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Symptom onset of 7-23-2021 with chills, muscle aches, runny nose, sore throat, cough, wheezing, shortness of breath, chest pain, fatigue, loss of taste and smell, difficulty breathing.

Other Meds:

Current Illness:

ID: 1573932
Sex: F
Age: 35
State: MN

Vax Date: 02/23/2021
Onset Date: 08/07/2021
Rec V Date: 08/16/2021
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:

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

Symptoms: She has tested COVID positive on 8/15/2021

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm