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: 1583074
Sex: M
Age: 36
State: NV

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/18/2021
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: SHORTLY AFTER PATIENT RECIEVED VACCINE, HE FELT FAINT , DIZZY AND COULDNT SEE CLEARLY. SO HE LAYED ON THE FLOOR

Other Meds: ROSUVASTATIN 5MG, FAMOTIDINE 40MG

Current Illness: NONE

ID: 1583075
Sex: F
Age: 39
State: FL

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/18/2021
Hospital: Y

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

Symptom List: Anxiety, Dyspnoea

Symptoms: 30 minutes after receiving vaccine developed shortness of breath, throat tightness, itchy throat/mouth, body spasm and extreme pain to upper and lower extremities, difficulty walking. The next day felt fatigue and hand twitching. Then, developed stutter, difficulty speaking, involuntary head movement and hand jerking, brain fog, headaches, and loss of coordination.

Other Meds:

Current Illness: Hashimoto's

ID: 1583076
Sex: F
Age: 60
State: MI

Vax Date: 08/17/2021
Onset Date: 08/17/2021
Rec V Date: 08/18/2021
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: latex, influenza, Asa, cipro, sulfa, citrus,

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

Symptoms: coughing , nausia vomiting hot flash, heat fluttering., treated with EPi prednisone and benadryl

Other Meds: proventyl symbicort, lisinopril, singular, spirva

Current Illness: none

ID: 1583077
Sex: M
Age: 66
State: FL

Vax Date: 03/02/2021
Onset Date: 08/17/2021
Rec V Date: 08/18/2021
Hospital: Y

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

Lab Data:

Allergies: AMPICILLIN, PENICILLIN

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: arrived from home by EMS. Pt tested COVID+ on 8/13, c/o weakness and lethargy, intermittent SOB. Denies n/v/d, abd pain

Other Meds: ALLOPURINOL, ATORVASTATIN, AMLODIPINE, POTASSIUM CITRATE, TRAMADOL, GLIMEPIRIDE, METFORMIN

Current Illness:

ID: 1583078
Sex: F
Age: 61
State: TN

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/18/2021
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: Site: Pain at Injection Site-Medium, Site: Redness at Injection Site-Medium, Site: Swelling at Injection Site-Medium

Other Meds:

Current Illness:

ID: 1583079
Sex: F
Age: 25
State: ND

Vax Date: 03/17/2021
Onset Date: 06/05/2021
Rec V Date: 08/18/2021
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: cannot take NSAIDS - bleeding disorder

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

Symptoms: Taste changes - Onions and ginger beer so far. Used to love both. Onions: now taste and smell extremely rotten. Every color/type of onion, cooked or raw, even dried minced & onion powder. The smell of onions smells rotten, or like porta potties/sewage. Ginger beer: I have tried it twice now, and it tastes "old" to me. Like expired, almost having a dusty taste to it. Also similar rotten taste to it as well. Period changes - I have had random menstrual bleeding. As of a few days ago (during one of these times of bleeding - while in the middle of a birth control cycle), I had a piece of mucous/membrane/blood clots/tissue come out of my vagina, which has never happened before. I was positive with COVID around March 3-13th was my 10-day quarantine. The vaccine became available to me during my quarantine,the vaccine right after that. So I am not sure if these side effects are from COVID, or the COVID vaccine. I have found research stating both.

Other Meds: sprintec birth control, women's daily multivitamin, phentermine, topiramate

Current Illness:

ID: 1583080
Sex: M
Age: 72
State: DC

Vax Date: 07/21/2021
Onset Date: 07/21/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 3 bouts of loose stools

Other Meds: Escitalopram, Olanzapine, Phenobarbital, Levetiracetam, Donepzil, Vitamin D3 50 mcg, Rosuvastatin, Latanoprost, Dorzol/Timolol 2-0.5%

Current Illness: Unknown; pt not ill at time of vaccine

Date Died: 08/15/2021

ID: 1583081
Sex: M
Age: 78
State: TN

Vax Date: 02/23/2021
Onset Date: 08/15/2021
Rec V Date: 08/18/2021
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: COVID19 death

Other Meds:

Current Illness:

ID: 1583082
Sex: F
Age: 51
State: AR

Vax Date: 05/24/2021
Onset Date: 05/27/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Swelling about three times the size of my normal arm; red and hot-to-the-touch.

Other Meds:

Current Illness:

ID: 1583083
Sex: M
Age: 77
State: PA

Vax Date: 04/10/2021
Onset Date: 08/03/2021
Rec V Date: 08/18/2021
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: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: COUGH, FATIGUE, CONGESTION AND RUNNY NOSE Contact with and (suspected) exposure to covid-19 Fatigue, unspecified type Cough Acute pharyngitis, unspecified etiology

Other Meds: cholecalciferol, vitamin D3, 25 mcg (1,000 unit) capsule

Current Illness:

ID: 1583084
Sex: F
Age: 50
State: FL

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

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

Lab Data:

Allergies: Gogi

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

Symptoms: Weak knees shaky. Racing heart. No treatment, stayed at pharmacy for about an hour until it subsided. Wasn't anxious but thought it was similar in behavior to anxiety .

Other Meds: None

Current Illness: None

ID: 1583085
Sex: F
Age: 34
State:

Vax Date: 07/30/2021
Onset Date: 08/01/2021
Rec V Date: 08/18/2021
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: SEVERE HEADACHES AND NAUSEA FOR 2 WEEKS AFTER THE 1ST DOSE.

Other Meds:

Current Illness:

ID: 1583086
Sex: F
Age: 42
State: CA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 08/18/2021
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: I actually felt bit sick after first dose, with pain, chills, numbness to my nerves in my body. I started to notice that I was feeling more sick. I went to see a doctor which I told her about my symptoms. I told the doctor I experienced hip pain radiating to my thighs and up to my shoulders with numbness sensation. I could not shrug my shoulders and my pain went up to my head. I have been using use crutches to ambulate due to my hip and leg pain. The doctor said she did not find any correlation with the vaccine and to wait it out for 90 days to see how I would be feeling and this it was up to me to take the second vaccine. I then went to get my second shot 05-01-21, I again felt the numbness again to my left ear, neck and headaches. My head hurts, on the left side and my jaw and ear go numb. I got lab work and they told me I have inflammation in my body. I got my vaccine on the right shoulder and again experienced ear pain and numbness and excruciating headaches. I also felt numbness to my right leg, calf and down to my big foot. I also had a small ball size lump to my right toe. I also have a small ball size lump to my right hand, index finger. My forehead hurts, my shoulders hurt and I can not lift anything. I can not sit for too long periods of time. I am still using the crutches to ambulate daily. I can not sleep at night and I can not lie down on the left side, back due to my head pain. My head pain now radiates to the front side of my face, left side since receiving my second vaccine. I sleep 2-4 hours a day at night every day. Both of my legs feel inflamed. I have taken Ibuprofen medication after my vaccine and today I still continue with the face numbness, headaches to the left side of my face and hip and leg pain. I have not recuperated from my symptoms.

Other Meds:

Current Illness:

ID: 1583087
Sex: F
Age: 31
State: FL

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: None known

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

Symptoms: Chest pain and discomfort

Other Meds: Nexplanon implant

Current Illness: None known

ID: 1583088
Sex: M
Age: 14
State: AZ

Vax Date: 07/20/2021
Onset Date: 07/29/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Noticed missing hair just below and to the right of the crown of head about the size of a quarter on 7/29/2021. Checked regularly and about 8/17/2021 noticed the size of the missing hair had grown to about the size of a half-dollar. The following day 8/18/2021 noticed substantial chunk of hair dandling from left temple. Gently tugged and it came out with any force. Scheduled dermatologist appointment for as soon as possible to determine official diagnosis, treatment and expected outcomes. Soonest available times are weeks out (8/27/2021). Suspect this could be Alopecia Areata.

Other Meds: Seysara, Epiduo

Current Illness: none

ID: 1583089
Sex: F
Age: 12
State: KS

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: NA

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

Symptoms: Pt received vaccinations, Then as she was exiting the clinic she passed out, hitting her head and neck in multiple locations. Pt was provided first aid by nurses, Neuro signs were checked, Blood pressure was checked. Pt was evaluated and an ambulance was called based on patient's c/o neck pain, tiredness.

Other Meds: NA

Current Illness: NA

ID: 1583090
Sex: F
Age: 49
State: SC

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 08/18/2021
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: Latex Sensitivity

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

Symptoms: I had my second dose in the same arm as the first. The day after I slept for 15 hours. Two days after the second dose of the vaccine I had a painful lump under my arm near my arm. My Lymph node was swollen under my right arm which was the arm that I got the shot was given. It was a +2 Edema and I had two nodes that I could feel. It resolved within a few days using warm compresses.

Other Meds: Protonics 40mg/daily; Vitamin D 2000

Current Illness:

ID: 1583091
Sex: F
Age: 43
State:

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: Client received 1st dose of Pfizer back in April. She had no reactions from the first dose and when she arrived to our clinic, requested for J&J initially but notified client that she must get another mRNA vaccine which we only had moderna. Client decided and consented to get moderna as second dose. We double checked CAIRS for first dose record which was not there but client provided proof of first dose of Pfizer from pharmacy and we proceeded to give second dose moderna. Client had no reactions after 15 min of monitoring.

Other Meds: N/A

Current Illness: None

ID: 1583092
Sex: F
Age: 44
State:

Vax Date: 08/07/2021
Onset Date: 08/08/2021
Rec V Date: 08/18/2021
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: After I received the first dose of pfizer, In an hour or so had mild tenderness on the spot of injection. Next day had a slight fatigue and fever 37.4 in the afternoon. At that time I felt and heard some awkward sound (hissing) in my left ear. The fever and fatigue went away soon. The sound still persists in my ear.

Other Meds:

Current Illness: Toothache. Tooth pulled out by a dentist a week prior. Also, checked d-dimer rate the day before. It was higher than normal.

ID: 1583093
Sex: F
Age: 33
State: KY

Vax Date: 04/23/2021
Onset Date: 08/13/2021
Rec V Date: 08/18/2021
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: Tested positive for COVID-19, symptoms included muscle aches, headache, fatigue, cough, and diarrhea

Other Meds:

Current Illness:

ID: 1583094
Sex: F
Age: 49
State: GA

Vax Date: 08/17/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: PCN

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

Symptoms: I have a very swollen and tender lymph node in the armpit of my right arm.

Other Meds: Etodolac ER 400mg daily, hydrochlorothiazde 25mg daily, gabapentin 300mg TID, hydroxyzine hcl 25 mg PRN, Humira CF Pen 40mg/0.4 ml Pnkt.

Current Illness:

ID: 1583095
Sex: F
Age: 30
State: IL

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: Patient presented for Pfizer COVID19 vaccine appointment and indicated on consent form that she had not received any prior COVID19 vaccines. After receiving the Pfizer COVID19 vaccine it was revealed that she had already received a J&J COVID19 vaccine on 4/8/21( Lot # 1808980). She developed headache and dizziness 30 minutes after Pfizer COVID19 vaccine administration with stable vital signs and a normal physical exam. She was advised a 2nd Pfizer COVID19 vaccine was not indicated.

Other Meds:

Current Illness:

ID: 1583096
Sex: F
Age: 51
State: PA

Vax Date: 04/07/2021
Onset Date: 08/11/2021
Rec V Date: 08/18/2021
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: No Known Allergies

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

Symptoms: Scratchy chest Exposure to COVID-19 Tested Positive

Other Meds: multivitamin 400 mcg tablet

Current Illness:

ID: 1583097
Sex: F
Age: 65
State:

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: Incorrect dose given. Patient received 0.3ml of undiluted vaccine from the vial.

Other Meds:

Current Illness:

ID: 1583098
Sex: F
Age: 45
State:

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 08/18/2021
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: Injection site pain, Menorrhagia

Symptoms: servere headache, joint pains, prolonged pain at injection site (weeks later)

Other Meds:

Current Illness:

ID: 1583099
Sex: F
Age: 42
State: NY

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/18/2021
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:

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

Symptoms: Fever, chills, muscle pain, headache, insomnia, fatigue

Other Meds:

Current Illness:

ID: 1583100
Sex: M
Age: 72
State: UT

Vax Date: 02/11/2021
Onset Date: 08/03/2021
Rec V Date: 08/18/2021
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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Positive Covid Test , unremembered fall, low oxygen levels, cough.

Other Meds: None

Current Illness: None

ID: 1583101
Sex: F
Age: 29
State: CA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: 29 year old female Patient received the vaccine and had no reactions during observation period of 15 minutes. She checked out and left the clinic at 10:00 am. She began to develop pink rash spots to the right arm with one quarter size raised inflamed rash to the brachial area. Patient returned to the vaccination clinic to report symptoms at 10:45 am. She denies any respiratory distress. Manager assessed patient. Benadryl was offered and patient agreed to take a 50 mg of oral Benadryl capsule at 11 am. Patient refused to be observed further stating she had to go pick up her child and felt less itching prior to leaving. Advised her to drive with caution due to risk of drowsiness from taking Benadryl. She verbalized understanding and stated she lived close by that she would be fine.

Other Meds: none

Current Illness: none

ID: 1583102
Sex: F
Age: 75
State: LA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: Registered nurse accidentally diluted 1 vial of pfizer covid 19 vaccine with sterile water instead of 0.9% normal saline and administered it to the patient.

Other Meds:

Current Illness:

ID: 1583103
Sex: F
Age: 26
State: CO

Vax Date: 04/12/2021
Onset Date: 04/22/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Irregular menstrual cycles and heavy periods since ive received the covid-19 vaccine. Cycles have an 8.4 day variance and I bleed through many pads on the first two days of my period. The amount of bloating and nausea has increased during menstrual bleeding since I've received the Pfizer COVID 19 vaccine doses.

Other Meds: Multivitamin and vitamin D supplements

Current Illness:

ID: 1583104
Sex: F
Age: 14
State: ID

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/18/2021
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: 5 - 10 MINUTES AFTER SHOT ADMINISTRATION PATIENT BECAME PALE AND COMPLAINED OF PAIN IN UPPER RIGHT CHEST. DEVELOPED NAUSEA, VOMITING, AND DRY MOUTH. I ADMINISTERED 25 MG DIPHENHYDRAMINE LIQUID BY ORAL ROUTE. MOM DIDN'T WANT TO STAY FOR MONITORING AGAINST OUR ADVISE. COUNSELED MOM TO WATCH FOR ANY SYMPTOMS OF PROGRESSING ALLERGY INCLUDING TINGLING IN THE LIPS, TONGUE, MOUTH, TROUBLE BREATHING, HIVES, OR ANYTHING ELSE OF CONCERN. I ADVISED THEM TO TAKE PATIENT TO ER IF ANYTHING CHANGED. ON 8/11/2021 I FOLLOWED UP WITH PATIENT WHO WAS DOING WELL. MOM STATED SYMPTOMS HAD SUBSIDED. THE DIPHENHYDRAMINE MADE HER TIRED.

Other Meds: NONE

Current Illness: NONE

ID: 1583105
Sex: F
Age: 51
State: CA

Vax Date: 02/13/2021
Onset Date: 02/26/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, Zythromycin

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

Symptoms: My white blood cell count is low (was never low before) My period stopped suddenly and hasn't started again I have severe hot flashes 20-30 times per day

Other Meds: Singulair

Current Illness: none

ID: 1583106
Sex: F
Age: 69
State: NY

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 08/18/2021
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: Amoxicillin Penicillin Codeine scallops poison ivy alcohol (rosacea)

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

Symptoms: Headache, chills , fatigue, joint pain, swelling and redness at injection site Granuloma annulare

Other Meds: Basic vitamins. No medications

Current Illness: None

ID: 1583107
Sex: F
Age: 63
State: OR

Vax Date: 08/06/2021
Onset Date: 08/13/2021
Rec V Date: 08/18/2021
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: Tremor

Symptoms: A week after the initial vaccination I developed a red, itchy rash on and about the injection site. It was about 2" in diameter. The following day the rash area felt very hard and thick to the touch. The hardness subsided that evening but was replaced by heat. I began to ice the area a couple times a day. That Sunday a large oval, red "ring" appeared on my upper arm. The shape was distorted and was the color of a new sunburn. The heat dissipated after a few days but the rash and outside ring are still visible after 5 days.

Other Meds: None

Current Illness: None

ID: 1583108
Sex: F
Age: 39
State: ID

Vax Date: 08/17/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: Itchy, back hurting, arm hurting , heavy breathing while walking, stuffy nose, headaches, body chills , aches in back and hip area and right arm hurting.

Other Meds: N/A

Current Illness: N/A

ID: 1583109
Sex: F
Age: 56
State: FL

Vax Date: 07/10/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: Redness, inflammation and hardness of the site of injection since shot was given.

Other Meds:

Current Illness:

ID: 1583110
Sex: M
Age: 62
State: PA

Vax Date: 04/10/2021
Onset Date: 08/05/2021
Rec V Date: 08/18/2021
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: NKA

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

Symptoms: Question: Any new symptoms of fever, cough, shortness of breath? Answer: Yes Question: Have you been exposed to anyone with COVID or a person under investigation for COVID in the last 10 days? Answer: Yes

Other Meds: ascorbic acid, vitamin C, (VITAMIN C) 500 mg tablet atorvastatin (LIPITOR) 40 mg tablet cyclobenzaprine (FLEXERIL) 5 mg tablet multivitamin 400 mcg tablet omeprazole OTC (PriLOSEC OTC) 20 mg EC tablet

Current Illness:

ID: 1583111
Sex: M
Age: 27
State:

Vax Date: 05/12/2021
Onset Date: 07/01/2021
Rec V Date: 08/18/2021
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: Starting late May (around two weeks after second dose), I developed noticeably blurrier vision in my right eye. Over time that developed into double vision and blurry vision in both eyes that persists to this day. It comes and goes and has improved somewhat over the last few weeks but my vision is definitely not back to 20/20.

Other Meds: Xyzal, Prevacid, Vit C, Vit D

Current Illness: None

ID: 1583112
Sex: M
Age: 75
State: PA

Vax Date: 04/08/2021
Onset Date: 08/13/2021
Rec V Date: 08/18/2021
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: No Known Allergies

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

Symptoms: Tested positive for COVID-19

Other Meds: ascorbate calcium 500 mg tablet calcium-D3-K-FA-B12-C-minerals 500 mg calcium- 400 unit-15 mcg tablet cholecalciferol, vitamin D3, 400 unit tablet naproxen (NAPROSYN) 500 mg tablet

Current Illness:

ID: 1583113
Sex: F
Age: 47
State: CO

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: Latex

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

Symptoms: Tasting of Metallic, itchy eyes and throat. Tongue swelling

Other Meds: n/a

Current Illness: n/a

ID: 1583114
Sex: F
Age: 28
State: PA

Vax Date: 03/09/2021
Onset Date: 04/07/2021
Rec V Date: 08/18/2021
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: Missed my period for the first time in 5 years despite being on birth control and never missing it before. I was not and am not pregnant.

Other Meds: Birth control pills

Current Illness: None

ID: 1583115
Sex: F
Age: 66
State: SC

Vax Date: 03/06/2021
Onset Date: 03/30/2021
Rec V Date: 08/18/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Adverse symptoms started with unusual belching, severe, paralyzing constipation, then bloodshot right eye, went in for medical treatment and questioned blood lab results. Physician was giving excellent report for A1c reading and took no note of malfunctgions in kidneys and liver, dark urine, nitrates found in urine, kidney function dropped 7.8 points from .66 in October 2020 to .59 after Ozempic and Pfizer Covid 19 shot. Also had an allergy shot one day prior to 2nd Covid shot.

Other Meds: Ozempic (started in January 2021), all other meds taken for years Levothyrozine, Lisinipril, Prevastatin, monthly allergy shot

Current Illness: None

ID: 1583116
Sex: F
Age: 27
State: LA

Vax Date: 08/18/2021
Onset Date: 08/18/2021
Rec V Date: 08/18/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Registered Nurse used sterile water instead of 0.9% normal saline to dilute 1 vial of pfizer covid 19 vaccine and administered it to the patient.

Other Meds:

Current Illness:

ID: 1583117
Sex: F
Age: 40
State: MI

Vax Date: 08/16/2021
Onset Date: 08/17/2021
Rec V Date: 08/18/2021
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: Keflex, morphine

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

Symptoms: High grade fever consistent for 36 hours ranging from 100.7F to 103.5F despite alternation of acetaminophen and ibuprofen every 3 hours. 103.5 fever registered 27 hours after vaccine. Severe body aches, right axilla tenderness, nausea, diarrhea, multiple episodes of tunnel vision and tinnitus. Bilateral flank pain for 24 hours and severe headache.

Other Meds: none

Current Illness: none

ID: 1583118
Sex: F
Age: 68
State: IN

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 08/18/2021
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: Ampicillin Seldane TavistD I've had reactions to these

Symptom List: Vomiting

Symptoms: Dizziness nauseated headache weakness sweating cold elevated heart rate and 101 temp. Bad enough that I thought I might have gotten covid before getting the shot. Went to a clinic and in order to get seen by doctor had to get covid tested. The test also tested for flu a and flu b. All came back negative. Doctor said I was experiencing effects from the vaccination and that it would pass in a couple days. She was right.

Other Meds: Omeprazole 20 mg Calcium 600 mg + vitamin D3 800 iu twice daily Vitamin D3 2000 iu once daily 2 calcium chews = 500 mg calcium 500 iu vitamin D and 40 mcg V K

Current Illness: None

ID: 1583119
Sex: F
Age: 51
State: KY

Vax Date: 04/28/2021
Onset Date: 08/10/2021
Rec V Date: 08/18/2021
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: Unknown

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Case received both Moderna vaccines 1= 3/24/21 LOT# 017B21A and 2=4/28/21 LOT# 046B21A. Case had onset of Covid 19 symptoms on 8/6/21 which included fever, subjective fever, chills, muscle aches, runny nose, sore throat, new olfactory disorders, headache, fatigue, cough and nausea. Case was still symptomatic at time of Disease Investigation on 8/16/21

Other Meds: Unknown

Current Illness: Unknown

ID: 1583120
Sex: F
Age: 39
State: IN

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/18/2021
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: Fluroscein, Whole wheat, white potato, vanilla bean, yellow dye

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

Symptoms: Saturday evening, August 14, developed low grade fever and severe arm pain where shot was given, severe fatigue. Sunday, August 15, low grade fever-- 100 degrees F all day, treated with Tylenol. Severe head pain in center of head-- worse than migraine pain. Severe fatigue, nausea, body aches all over body, chills. This all lasted for about 24 hours. By Monday, 8/16, symptoms mostly gone except for arm pain.

Other Meds: Charlotte 24, Multi-vitamin, Acyclovir, Prevacid, Lamictal, Zoloft, Zyrtec, Trokendi XR, Baclofen, Vitamin D, Emgality, Maxalt, Reglan

Current Illness: Common cold-- within a week or so before vaccine

ID: 1583121
Sex: M
Age: 70
State: AZ

Vax Date: 08/14/2021
Onset Date: 08/14/2021
Rec V Date: 08/18/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Body aches, fever, vomiting, extreme diarrhea, dehydration,chills,headache

Other Meds: Anti rejection meds

Current Illness: None

ID: 1583122
Sex: F
Age: 24
State: NY

Vax Date: 07/20/2021
Onset Date: 07/20/2021
Rec V Date: 08/18/2021
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: High fever, nausea, vomiting, headache, body aches, chills,

Other Meds:

Current Illness:

ID: 1583123
Sex: F
Age: 66
State: GA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 08/18/2021
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: Carhxadine; Hex Methadone; Trovane; Adhesive

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

Symptoms: When I got the injection I had pain towards my body away from the injection site. 6 days later it became itchy, red, painful rash look like hives, it took four days for that to go away. Very fatigue.

Other Meds: Yes

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm