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: 1578578
Sex: M
Age: 55
State: AR

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Reports burning sensation in feet 3 hours after immunization while working outside and wearing boots. When took boots off, noticed blisters around ankle of one foot and across toe line of other foot. Took a diphenhydramine and blisters scabbed over 24 hours later.

Other Meds:

Current Illness:

ID: 1578579
Sex: F
Age: 31
State: PA

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 08/17/2021
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: Pt c/o scratchy, sore throat and voice sounding hoarse. Same situation occurred after receiving first dose of vaccine. She reported feeling this way to her primary doctor who instructed her to take Benadryl which alleviated the symptoms. Benadryl 25mg po x 1 dose. Dose given at 1737. Vitals at 1748: BP 116/67, HR 77 and pulse ox 97% on room air. Patient reports improvement in symptoms. Husband present with patient. Pt left with husband at 18:20 with no complaints

Other Meds:

Current Illness:

ID: 1578580
Sex: M
Age: 14
State: CO

Vax Date: 08/13/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital: Y

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: No known allergies

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

Symptoms: Chest pain 24hrs post COVID vaccine that progressed x 48hrs. He received his second dose of the Pfizer COVID-19 vaccine 3 days ago. Since the vaccine he has been having low grade tactile fevers and headache that mom has been treating with Tylenol as needed. His chest pain is central and does not radiate. He denies syncope, shortness of breath or dizziness, and lower extremity edema. He does feel like his heart is racing at times and occasionally skips a beat. The pain is worse with exercise and with lying flat, he prefers to lean forward. Admitted for acute myocarditis post Covid vaccine. Toradol q8hr. IVIG and 1 dose of solumedrol being given. Following serial troponins

Other Meds: None

Current Illness: None

ID: 1578581
Sex: F
Age: 65
State: ND

Vax Date: 07/30/2021
Onset Date: 08/05/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 6 days after the injection I developed small bumps on the left upper arm that were very itchy and developed tiny blisters. The next morning my arm was swollen from shoulder to elbow,red and warm to touch. My scalp and skin felt crawly all over. This went on for about a week. Arm is still itchy and slightly red after almost two weeks since symptoms began.

Other Meds: Multi daily. Vitamin. Turmeric curcumin daily

Current Illness: None

ID: 1578582
Sex: F
Age: 54
State: IA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Mixed 1.3 ml with vaccine and gave to patient instead of 1.8 ml. No adverse events at this time. Patient waited 15 minutes without sx.

Other Meds:

Current Illness:

ID: 1578583
Sex: F
Age: 41
State: WI

Vax Date: 01/27/2021
Onset Date: 02/09/2021
Rec V Date: 08/17/2021
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: None

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

Symptoms: With the 1st dose (lot EL3248 IMRA) I had mild symptoms with acute left lobe back pain which lasted for weeks. I was unable to bend down. I am a physical therapist and his hindered me from doing my job. It lasted for 2 weeks and resolved. I went ahead to get my 2nd dose vaccine. About 12 hours later, I developed fatigue, whole body pain and aches, fever and sweating. These symptoms lasted 24 hours. 13 days post vaccine, I had a headache and took BC powder and within 1.5 hours, the pain increased significantly and the pressure in my head was intense. Pain level 9 out of 10. BP was 130/90. I went home and laid down and the pain went away. Anytime I stood up or sat up the pain return. I went to the ER. They did a CT scan which was normal, and I was diagnosed with tension headache. I was discharged to take ibuprofen and follow up with PCP. The PCP did prescribe a round of Medrol Dose Pak, which did help some. The symptoms progressed to dizziness and tinnitus in both ears with loss of hearing in right ear along with tension headaches and head pressure in the entire head from spine. My PCP did lab work and MRI which showed I have a CSF leak. I was referred to a neurosurgeon and scheduled to do a blood patch on 3/17/2021. The blood patch has resolved 90% of my headaches and head pressure. The symptoms I still have now; hypertension, dizziness, head pressure, and fatigue.

Other Meds: Zyrtec

Current Illness: None

ID: 1578584
Sex: F
Age: 54
State: MI

Vax Date: 07/27/2021
Onset Date: 07/27/2021
Rec V Date: 08/17/2021
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: Morphine ,,Toradol, Daravon, Mango,Corn,Dust Sudafed , Tramadol,Erythromycin ,Pistachio, Ragweed Gabapentin, Percocet, Lisinopril ,Tape,Cats,Mucomyst Donnatal ,Premarin , Iodine contrast Belladonna , Estradiol , Flu vaccine Codeine , Darvocet , Hepatitis Vaccine Hydrocodone-Acetaminophen , Eggs

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Severe rash with pus filled blister sac, Searing pounding Headache, Itching from head to toe, oral blister , body aches ,nausea, and weakness lasting 3 weeks Fever for 4 days

Other Meds: Norvasc 10 mg Propranolol 80 mg HCTZ 25 mg

Current Illness: none

ID: 1578585
Sex: F
Age: 37
State: NY

Vax Date: 02/07/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
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: Pharyngeal swelling

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/10/21 pfizer,Lot#012L20A 2nd dose:02/07/21 Pfizer,Lot# 012M20A Diagnosed covid positive:08/11/21 Symptom onset:08/10/21 Exposure:Home Symptoms:Runny nose, head ache

Other Meds:

Current Illness:

ID: 1578586
Sex: F
Age: 36
State: PA

Vax Date: 03/02/2021
Onset Date: 07/29/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: EXPOSURE Loss of taste Loss of smell

Other Meds: multivitamin 400 mcg tablet venlafaxine XR (EFFEXOR-XR) 37.5 mg 24 hr capsule(Expired)

Current Illness:

ID: 1578587
Sex: M
Age: 39
State: CA

Vax Date: 05/16/2021
Onset Date: 08/11/2021
Rec V Date: 08/17/2021
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: Bell's Palsy and Mental fog

Other Meds: Methylphenidate ER 27 MG at the time of vaccine. Increased to 36 MG the following month

Current Illness:

ID: 1578588
Sex: M
Age: 45
State: TX

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
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: Administered first and second dose Moderna vaccine to patient today within one hour of each other.

Other Meds:

Current Illness:

ID: 1578589
Sex: M
Age: 36
State: TX

Vax Date: 04/08/2021
Onset Date: 04/18/2021
Rec V Date: 08/17/2021
Hospital: Y

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 Known

Symptom List: Rash, Urticaria

Symptoms: The initial symptoms started 10 days after I received the 2nd Pfizer Vaccine. The initial symptom that I noticed was tingling in my left toes (specifically my left big toe). Over the next couple days that progressed to where the tingling sensation had moved farther up my leg (up to my calf) and it also would turn in to a pretty severe burning sensation later in the evening/night. Around the same time period I began waking up in the middle of the night with my arms/hands & feet/legs feeling like they had fallen asleep even though I hadn't been laying on them. My left side was most impacted by the tingling/burning, with my right hand being least impacted. I also developed very noticeable twitching all over my body (from my feet all the way up to my neck/shoulders). My hands and feet were also much quicker to reach the feeling of "falling asleep" even when sitting in normal positions. At this point I made an appoint with my PCP who ran some bloodwork and prescribed me Gabapentin to see if that would help with the symptoms. His opinion was that it was likely a "mild" adverse reaction to the vaccine that caused neuropathy and that I should give it some time to see if things improved. Unfortunately, the symptoms became worse over the next week and a half. The burning sensation become worse which greatly impacted my sleep and I felt very weak (minimal movement would make me feel like I had worked out). At the point we made the decision to visit the emergency room where I stayed for ~2 days. After being discharged from the hospital the symptoms changed some over the next few weeks (through weeks 4-8). The tingling and burning became less noticeable, however, I started having deep cramping sensation pains/aches(though the muscles weren't actually cramping). I would get those pains randomly from the bottom of my feet all the way up to my neck/jaw. I also had a couple weeks where I would have some pretty severe pain in my left elbow and neck when I would move my hands/head certain directions. I also developed a buzzing/vibrating type sensation in my lower back area that would happen pretty consistently throughout the day as well as an uncomfortable spasm sensation in my right hamstring. The twitching at this point was also still very noticeable. I am still currently dealing with some symptoms almost 4 months later, however, I would say they are less severe and I have regained most of my strength. My remaining symptoms are as follows: - Mild cramping sensations all over body (typically bottom of feet, calves, and pads of hands). These are less severe than before - Mild twitching that can occur all over - Consistent/constant dull burning sensation on left lower leg (above ankle) - Limbs feel more shaky than before (especially fingers/hands)

Other Meds: Montelukast Atorvastatin

Current Illness: None Known

ID: 1578590
Sex: M
Age: 25
State: NY

Vax Date: 02/07/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/10/21Moderna,Lot#025J2OA 2nd dose: 02/07/21Pfizer,Lot# 013L20A Diagnosed covid positive:08/11/21 Symptom onset:08/09/21 Exposure:Community Symptoms:fever, cough,fatigue,loss of smell/taste, sore throat, runny nose, headache.

Other Meds:

Current Illness:

ID: 1578591
Sex: M
Age: 42
State: TX

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
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: na

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

Symptoms: Moderna dose #2 was given at 2 wks instead of 28 days

Other Meds: Atorvastatin Ca, Meloxicam, Methocarbamol

Current Illness: na

ID: 1578592
Sex: M
Age: 25
State: NY

Vax Date: 01/30/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
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:

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

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/02/21 , Moderna,Lot#039K20-2A 2nd dose: 01/30/21 Moderna Lot# : 013L20A Diagnosed covid positive:08/10/21 Symptom onset:08/09/21 Exposure:Travel Symptoms:Fever, cough,fatigue,muscle ache,runny nose, headache, chills, sore throat

Other Meds:

Current Illness:

Date Died: 06/25/2021

ID: 1578593
Sex: M
Age: 34
State: WA

Vax Date: 06/15/2021
Onset Date: 06/23/2021
Rec V Date: 08/17/2021
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: Penicillin

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

Symptoms: Died June 25th after cardiac arrest on June 23rd, 8 days after his vaccine.

Other Meds: Gabapentin Clonazepam Baclofen Cimetidine

Current Illness: N/A

ID: 1578594
Sex: F
Age: 40
State: NY

Vax Date: 02/06/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/09/21 pfizer,Lot#012L20A 2nd dose: 02/06/21 Pfizer,Lot# 012M20A Diagnosed covid positive:08/10/21 Symptom onset:08/09/21 Exposure: Symptoms:SOB, Cough, muscle aches, fatigue, sore throat loss of smell/taste, chills, runny nose, headache.

Other Meds:

Current Illness:

ID: 1578595
Sex: M
Age: 17
State: GA

Vax Date: 07/29/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Ear pain, Hypoaesthesia

Symptoms: PT WAS 17 YEARS OLD AND WAS ADMINISTERED MODERNA VACCINE INSTEAD OF THE PFIZER VACCINE BY ACCIDENT PT DOING FINE AND NO ADVERSE EVENTS AFTER ADMINISTRATION OR LATER

Other Meds: NONE

Current Illness: NONE

ID: 1578596
Sex: F
Age: 43
State: NY

Vax Date: 02/06/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose 01/09/21 Moderna,Lot#012L20A 2nd dose: 02/06/21 Moderna,Lot# 012L20A Diagnosed covid positive:08/10/21 Symptom onset:08/10/21 Exposure: Symptoms:Runny nose

Other Meds:

Current Illness:

ID: 1578597
Sex: F
Age: 18
State: IA

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Mixed 1.3 ml with vaccine and gave to patient instead of 1.8 ml. No adverse events at this time. Patient waited 15 minutes without sx.

Other Meds:

Current Illness:

ID: 1578598
Sex: F
Age: 58
State:

Vax Date: 01/14/2021
Onset Date: 02/27/2021
Rec V Date: 08/17/2021
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, latex.

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

Symptoms: No smell or taste, ringing in ears. Was seen by allergist.

Other Meds: Doxepin.

Current Illness:

ID: 1578599
Sex: M
Age: 25
State: IA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
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: Unevaluable event

Symptoms: The expired vaccine from the day before was mixed with non expired vaccine mixed that day. We are unsure if patient received expired vaccine. I f/u with pt and let them know Pfizer was testing the stability and we could redoes them per CDC guideline...however he reported having a lot of side effects over the weekend so he felt confident the vaccine he received was active and didn't want to repeat until his 2nd shot

Other Meds:

Current Illness:

ID: 1578600
Sex: F
Age: 70
State: CA

Vax Date: 02/10/2021
Onset Date: 04/14/2021
Rec V Date: 08/17/2021
Hospital: Y

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 and crab

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

Symptoms: Two months after vaccine, I felt a tightness in chest and radiated in jaw. I went to ER. I was hospitalized - two nights. It was a specialized kind of heart attack. It was a heart spasm. Takotsubo Cardiomyopathy. Heparin IV and nitroglycerine IV at hospital. Treated with medication went released to go home. I'm on five meds: Lipitor; Cozaar; Toprol XL; Nitroglycerin as needed ( I haven't need it); baby aspirin. Been symptom free since then.

Other Meds: Meloxicam; Gummy calcium and gummy Vitamins

Current Illness: No

ID: 1578601
Sex: F
Age: 36
State: TN

Vax Date: 03/02/2021
Onset Date: 03/15/2021
Rec V Date: 08/17/2021
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: Nka

Symptom List: Injection site pain, Pain

Symptoms: HSV was in remission for several years and had repeated flare ups post vaccination

Other Meds:

Current Illness:

ID: 1578602
Sex: M
Age: 70
State: WI

Vax Date: 03/19/2021
Onset Date: 08/16/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: Penicillin - Anaphylaxis

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient tested positive for COVID-19 after being fully vaccinated

Other Meds: aspirin 325mg HS dulaglutide 0.75mg/0.5mL subcutaneous q7days furosemide 20mg daily insulin aspart TIDAC insulin glargine 64 units subcutaneous HS levothyroxine 100mcg IV daily lisinopril 20mg daily metformin 1000mg BID pioglitazone 45mg TI

Current Illness: None documented

ID: 1578603
Sex: F
Age: 45
State: MN

Vax Date: 12/27/2020
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
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: Sulfa; Imitrex

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

Symptoms: Starting on 8/12/21 tightness in her breathing making it difficult to take a deep breath, low energy and body aches, headache. fever, loss of taste, loss of smell, dyspnea, sore chest, unable to sleep, cough.

Other Meds: Ritalin; Concerta; Escitalopram, Zofran; Naratriptan; Propranolol; Ibuprofen

Current Illness: none

ID: 1578604
Sex: M
Age: 38
State: WI

Vax Date: 03/24/2021
Onset Date: 08/03/2021
Rec V Date: 08/17/2021
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: PATIENT CONTRACTED COVID >2 WEEKS AFTER LAST DOSE OF VACCINATION SERIES

Other Meds:

Current Illness:

ID: 1578605
Sex: M
Age: 71
State: NY

Vax Date: 02/08/2021
Onset Date: 08/03/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: contracted COVID, developed respiratory symptoms including severe hypoxia, required brief MICU stay

Other Meds:

Current Illness:

ID: 1578606
Sex: F
Age: 19
State: OH

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/17/2021
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: Upper arm swelling and redness

Other Meds:

Current Illness:

ID: 1578607
Sex: F
Age: 44
State:

Vax Date: 05/19/2021
Onset Date: 08/09/2021
Rec V Date: 08/17/2021
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: Nausea

Symptoms: black speck in my right eye that moves as my eye moves and clouds my vision in that eye, pain in heart area for the first time

Other Meds: iron supplement

Current Illness: N/A

ID: 1578608
Sex: F
Age: 80
State: NV

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 08/17/2021
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; Sulfa; Erythromycin; Tetracycline; Iodine

Symptom List: Injection site pain

Symptoms: I have Bronchiectasis and the day after the vaccine I had weakness in my arms and legs and my Oxygen level was at 86-87. I had to go to bed for the whole day. The symptoms lasted for 36 hours. It was hard to stand, hard to walk and hard to breathe. My breathing got a little better over time. My Oxygen returned to about 92 and it improved over a few days. The weakness gradually improved over time and after ten days my strength was more normal. I broke my hip on 07/02/2021 after a fall.

Other Meds: Levalbuterol; Symbicort; Plavix; Zetia

Current Illness:

ID: 1578609
Sex: F
Age: 56
State: PA

Vax Date: 03/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Encounter for screening laboratory testing for severe acute respiratory syndrome coronavirus 2

Other Meds: cetirizine (ZyrTEC) 10 mg tablet fluticasone propionate (FLONASE ALLERGY RELIEF) 50 mcg/actuation nasal spray

Current Illness:

ID: 1578610
Sex: F
Age: 60
State: KY

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 08/17/2021
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: Penicillin, betadine

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

Symptoms: After my first Covid vaccine I experienced mild light sensitivity for a couple of days. A few days after the second, I experienced extreme light sensitivity in my right eye. The opthamologist diagnosed uveitis and I was treated with steroid and dilation drops for 3 weeks. Everything resolved and I have had no further problems. The doctor said this was more usual following an infection, but as I had not been ill, it seemed likely to be a sequela of the covid vaccination.

Other Meds: Hydroxychloroquine, Lantus, Humalog, Metformin, Lisinopril, vitamin D, multivitamin, Calcium citrate, urea, cranberry extract supplement

Current Illness: none other than chronic conditions (see below)

ID: 1578611
Sex: F
Age: 31
State:

Vax Date: 08/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/17/2021
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: Tremor

Symptoms: Left lower eyelid twitching that doesn't stop

Other Meds: OTC Vitamin D supplement oral birth control

Current Illness:

ID: 1578612
Sex: F
Age: 54
State: TX

Vax Date: 12/01/2020
Onset Date: 01/20/2021
Rec V Date: 08/17/2021
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: Erythema, Pruritus

Symptoms: Pneumonia 01/2021 Stomach inflammation 03/2021 Tendonitis in hand 06/2021

Other Meds: Insulin

Current Illness:

ID: 1578613
Sex: F
Age: 63
State: TX

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 08/17/2021
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: The next day I was tired and fatigue and was in bed. I had cospentrithis, I was in pain 24/7. I had an MRI and it did show that I had problem between E6 and E7. I had an inflammation.

Other Meds: Tyranzline; Diagatham; Hypotonie; COPD Medicine

Current Illness: none

ID: 1578614
Sex: F
Age: 43
State: OH

Vax Date: 08/14/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
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: Penicillin, abilify, tegratol, Bactrim, doxycycline Cinnamon

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

Symptoms: Headache, nausea, joint pain, arm pit pain, shoulder and neck pain, tiredness, feeling unwell

Other Meds: quetiapine fumarate Buspirone

Current Illness: none

ID: 1578615
Sex: M
Age: 57
State: MN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 08/17/2021
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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: PATIENT HAD RECEIVED THE PFIZER VACCINE ON 3-12-21 AT PHARMACY. PATIENT TOLD US THIS WAS HIS FIRST COVID-19 DOSE. WE STARTED AND FINISHED A COURSE OF THE MODERNA VACCINE. CONTACTED THE PHARMACY OF THE ERROR IN ADMINISTERING THE VACCINE. THE PATIENT NEVER REPORTED A PROBLEM OR ADVERSE REACTION TO THE VACCINE TO OUR KNOWLEDGE.

Other Meds: N/A

Current Illness: N/A

ID: 1578616
Sex: F
Age: 36
State: TX

Vax Date: 08/12/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
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:

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

Symptoms: Vaginal bleeding

Other Meds:

Current Illness:

ID: 1578617
Sex: F
Age: 55
State: PA

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/17/2021
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: PENICILLIN, BACTRIM, ONION, GARLIC

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

Symptoms: Pt was nervous about getting vaccinated. Before administering the shot, the pt was told that she had to wait 30 mins after the injection to make sure she doesn't have any reactions to the vaccine. 20 mins after the vaccination, the pharmacy technician told the pharmacist that the pt did not look well while waiting with her husband. The pharmacist then spoke with the patient and husband. The pt was seated and said she had an itchy red hive on her left forearm ( the same arm of the vaccination). She said she had benadryl and would take them if she needed to. The pharmacist observed the 2 inch hive, asked the pt to check for more hives on her body and if she had any other symptoms. Pt did not. Pt sat for 25 minutes more. The hive was fading away at that time (45 mins post vaccination). The pt was told to go to another facility with emergency services if MD clears her for further doses. MD was informed on the next business day (2 days later). The MD office left a voicemail stating for the next dose the pt needs to go to a facility capable of treating anaphylaxis on site.

Other Meds: UNKNOWN

Current Illness: Antiphospholipid syndrome (APS)

ID: 1578618
Sex: F
Age: 0
State: PA

Vax Date: 08/17/2021
Onset Date:
Rec V Date: 08/17/2021
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: Pain in extremity

Symptoms: pt was given her 2nd dose at 21 days not 28 days pt reported no additional symptoms other then typical sore arm

Other Meds:

Current Illness:

ID: 1578619
Sex: M
Age: 33
State: IA

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/17/2021
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: The expired vaccine from the day before was mixed with non expired vaccine mixed that day. We are unsure if patient received expired vaccine

Other Meds:

Current Illness:

ID: 1578620
Sex: F
Age: 49
State: MI

Vax Date: 03/20/2021
Onset Date: 05/24/2021
Rec V Date: 08/17/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Shingles diagnosis Treated with anti virals

Other Meds: vitamin D, Zinc, Vitamin C

Current Illness: n/a

ID: 1578621
Sex: M
Age: 52
State: MA

Vax Date: 08/07/2021
Onset Date: 08/10/2021
Rec V Date: 08/17/2021
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: compazine

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

Symptoms: tingling over entire body low level. vision blurry . balance issues in the am. headache

Other Meds: mens one a day silver , claritin, phenylephrine 10mg

Current Illness: n/a

ID: 1578622
Sex: F
Age: 43
State:

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 08/17/2021
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: Patient experienced generalized body aches after her 2nd dose of the COVID vaccine.

Other Meds:

Current Illness:

ID: 1578623
Sex: F
Age: 35
State: MN

Vax Date: 04/30/2021
Onset Date: 08/17/2021
Rec V Date: 08/17/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Tested positive for COVID 8/17/21 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1578624
Sex: F
Age: 63
State: MN

Vax Date: 04/17/2021
Onset Date: 05/28/2021
Rec V Date: 08/17/2021
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: NoNone

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

Symptoms: I was initially injected into my left arm and 4 weeks later injected into my right arm. On May 28, 2021 six weeks after my second injection, I had a reaction to what I thought was a bug bite. Within several days, I began to get similar, extremely itchy spots on the right side of my abdomen. I saw my doctor on the fifth day after the initial "bite". We concurred that it was likely a flea bite as I had recently treated my dog for fleas but failed to treat my cat until May 29, 2021. He prescribed a topical steroid. It did not help and I continued to have more outbreaks of extremely itchy spots. Subsequently, I have seen a primary care provider 4 times, a dermatology physician 4 times, an allergist 4 times while this condition has migrated to random parts of my body--from my neck and ears to my ankles. Although the itching has abated somewhat, this condition is still active. NONE of the professionals have a clue about why this is happening

Other Meds: Metoprolol 50mg daily Bupropion 300mg daily Gabapentin 800mg daily Vitamin D 5000 IU daily Zolpidem 5mg as needed

Current Illness: None

ID: 1578625
Sex: F
Age: 51
State: AR

Vax Date: 08/02/2021
Onset Date: 08/02/2021
Rec V Date: 08/17/2021
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: Erythromicin, vicodin, aspirin, neomycin, reglan, darvocet, demoral,

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Heart palpitations and racing for 3 days.

Other Meds: Iron, vitamin c

Current Illness: None

ID: 1578626
Sex: F
Age: 32
State: IL

Vax Date: 07/30/2021
Onset Date: 07/31/2021
Rec V Date: 08/17/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Extreme headache, chills, with fever. Fever reached 103.0 degrees fahrenheit in which I self medicated with Tylenol and cold compress/wash clothes. I then became severely hypertensive with tachycardia and presented to the ER on 8/3/2021.

Other Meds: Amlodpine 5mg tablet- One tablet daily

Current Illness: None

ID: 1578627
Sex: F
Age: 42
State: FL

Vax Date: 08/15/2021
Onset Date: 08/15/2021
Rec V Date: 08/17/2021
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: Within 8-10 hours: dull headache, fever of 100-101, severe aches, joint and muscle aches, lethargy, and severe left arm pain for about 24 hours from collarbone to wrist.

Other Meds: Vit D

Current Illness: 3 weeks prior, head cold, negative COVID test

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm