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: 1135405
Sex: F
Age: 70
State: OH

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: fever, chills, aches, headache

Other Meds:

Current Illness:

ID: 1135406
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/25/2021
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: Thing that I am serious is an itch; it's not red or nothing from my waist, all the way around except from back and it's very annoying; Last night I could not sleep; When I wear t-shirt it touches, it burns me; It itches but there is no red spots; This is a spontaneous report from a contactable consumer, the patient. This patient of unknown age and gender received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, lot number: unknown), single dose via an unspecified route of administration on an unknown date for COVID-19 vaccination. There was no relevant medical history reported. Concomitant medications were not reported. On an unknown date, "thing that I am serious is an itch; it's not red or nothing from my waist, all the way around except from back and it's very annoying," "last night I could not sleep" and "w hen I wear t-shirt it touches, it burns me; It itches but there is no red spots." The outcome of itch, burns and could not sleep were unknown. Information on the Batch/Lot number has been requested.

Other Meds:

Current Illness:

ID: 1135407
Sex: F
Age: 69
State: MD

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: nickel

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

Symptoms: First 2 days - fatigue, slight head ache, slight pain at injection site. All that went away, and I though no more of it until exactly 8 days after the injection, I developed a intense itch at the injection site as well as a red rash and it is painful. Google tells me this being called "Covid Arm" and is nothing to worry about. So, I'm not worrying about it, but I felt it was interesting enough to report.

Other Meds: Spiriva, Symbicort, albuterol, Azithromycin, Escitalopram, Vitamin D2 (1.25 MG/once a week); Also has a infusion of Reclast about 6 weeks ago)

Current Illness: none

ID: 1135408
Sex: F
Age: 31
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse. NO ADVERSE REACTION, just reporting medication error. Our Vaccine Task Force, after speaking with CDC and DOH, decided to offer the employee an additional COVID-19 vaccine dose. Thanks.

Other Meds:

Current Illness:

ID: 1135409
Sex: F
Age: 67
State: VA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS

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

Symptoms: Severe chills, migraine, some nausea, zero appetite, body muscle pain and joint ache, soreness at vax site and extreme tiredness. Symptom onset was 12 hours after the shot.

Other Meds: Metoprolol, Claritin, One-a-Day vitamin

Current Illness: None

ID: 1135410
Sex: F
Age: 22
State: UT

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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 known

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

Symptoms: Around midnight I got severe chills, and felt extremely cold. I bundled up but my husband said I felt extremely hot and I was shivering. Feverish, achy, headaches all night and day. Mild nausea and dizziness. Overall fatigued. I called in sick to work this morning.

Other Meds: None

Current Illness: None

ID: 1135411
Sex: M
Age: 62
State: NY

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Patient fainted about 5-10 minutes after receiving vaccine. EMS evaluated, patient left and drove home.

Other Meds:

Current Illness:

ID: 1135412
Sex: F
Age: 58
State: CT

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: possible bee sting allergy

Symptom List: Pharyngeal swelling

Symptoms: Chemical taste in mouth was the first sign, then inability to swallow for approximately 1-2 minutes. Resolved by itself and no further problems.

Other Meds: multi-vitamin, vitamin D3, fish oil, ginkgo biloba

Current Illness: none

ID: 1135413
Sex: M
Age: 25
State:

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Mild throat and chest tightness which resolved with juice

Other Meds:

Current Illness:

ID: 1135414
Sex: F
Age: 53
State: PA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/25/2021
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: Morphine, mold spores

Symptom List: Diarrhoea, Nasal congestion

Symptoms: As soon as vaccine was injected, I saw stars and was dizzy for about 1 minute. After the stars disappeared, I then started to feel like I had the flu. I waited at pharmacy for 15 minutes. I was drove to facility and drove home. After arriving at home 5 minutes after the 15 minutes, I had to lie down and started to feel the aches and pains. After approximately 1 hour my palse increased to 100. I couldn't raise my left arm, the site of the injection. After 3 hours, I was in excruciating pain and my blood pressure increased to 148/103. I was breathing radically. After 5 hours I was advised to go to ER. I had to be helped by two people to do anything. Complete assist. At ER, I was evaluated and monitored. I never got a fever. I was given pain medication via IV and medicine to get my heart rate down. After about two hours of observation, I was released. No medications were given to me. The next day, I was still in pain, and had aches all over and was exhausted. By 4pm on Sunday, I started to vomit. I was sick for 4 hours and got a headache and was very dizzy. Mon-Tues I remained dizzy, in pain, aches and exhaustion and my blood pressue was still high. The dizziness stopped by Wed but all other symptoms remain. The pain ranges from 8-10. Today, Thursday, my blood pressure is still high: 130/101. Wed it was 138/103. I still have pain and aches all over and in muscles and joints and exhausted. I have been advised by my primary care Doctor to be seen again and have blood labs taken.

Other Meds: Synthroid, gabapentin, meloxican

Current Illness: Feb illness infection that put me in the hospital at the beginning of Feb. Infection was resistant to oral antibiotics. Infection was gone before vaccine. Not on antibiotics for a month prior to vaccine.

ID: 1135415
Sex: F
Age: 67
State: IN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Difficult because i react differently to some medications.

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

Symptoms: Very large knot on the arm. Very red in color.

Other Meds: None

Current Illness: None

ID: 1135416
Sex: F
Age: 56
State: CO

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/25/2021
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: n/a

Symptom List: Rash, Urticaria

Symptoms: severe arm pain on arm of injection - limited movement and difficulty sleeping due to pain. Sever for 2 days, then just sore. After 9 days severe pain returned for 2 days. Now at 14 days am still sore but most range of motion is returning. Have treated with ice and advil but concerned that I won't be healed before vaccine #2.

Other Meds: n/a

Current Illness: n/a

ID: 1135417
Sex: F
Age: 40
State: OR

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, NSAIDS, agave, dairy, soy

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

Symptoms: 2.5 hours after vaccination, I was sitting watching tv when I had a sudden neurological event. It was like a seizure. I was unable to talk, my eyes rolled back, and my right shoulder and arm seized up. I was sputtering and unable to make it stop. Lasted for a minute or two then stopped for a minute and happened again. I felt disoriented, confused, scared. I was unable to walk straight or visually focus on anything. I contacted my primary care doctor and she recommended I be seen immediately but advised I call Providence and speak with a nurse. I did that and the nurse said to come in to the ER immediately. I did.

Other Meds: Venlafaxine, progesterone, daily multivitamins

Current Illness: None

ID: 1135418
Sex: F
Age:
State: AK

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: motion sickness; Pain in injection spot; dizziness; headache; nausea; fatigue; weakness; This is a spontaneous report from a contactable consumer, the patient. A 21-year-old non-pregnant female patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE; Lot number: unknown), via an unspecified route of administration in the right arm on 22Feb2021 at 08:30 (at the age of 21-years-old) as a single dose for COVID-19 immunization. Medical history included penicillin allergy and COVID-19 (prior to vaccination), both as of unspecified dates. Concomitant medications included sertraline hydrochloride (ZOLOFT) and bupropion. The patient did not receive any other vaccines within 4 weeks of the vaccination. On 22Feb2021 at 15:45, the patient experienced pain in the injection spot, dizziness, motion sickness, headache, nausea, fatigue and weakness. The patient was not treated for the events. Since the vaccination, the patient had no been tested for COVID-19. The clinical outcome of pain in the injection spot, dizziness, motion sickness, headache, nausea, fatigue and weakness was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected

Other Meds: ZOLOFT; BUPROPION

Current Illness:

ID: 1135419
Sex: M
Age: 57
State:

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/25/2021
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: VACCINE ERROR: DOSE GIVEN OVER 6 HOURS AFTER VIAL PUNCTURED

Other Meds:

Current Illness:

ID: 1135420
Sex: M
Age: 27
State: KY

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Pt received Pfizer COVID-19 vaccine on 3/25/21 at around 11:15 am and immediately lost consciousness. Nurse administered epinephrine and called 911. Pt regained consciousness shortly after receiving epinephrine. Pt did report history of syncope with injections before receiving the vaccination.

Other Meds:

Current Illness:

ID: 1135421
Sex: M
Age: 43
State: CA

Vax Date: 03/18/2021
Onset Date: 03/21/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Left flank shingles outbreak

Other Meds: Buspar Escitalopram

Current Illness: None

ID: 1135422
Sex: M
Age: 31
State: NC

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Hives and itchy around belly button

Other Meds: Adderal, Paxil

Current Illness:

ID: 1135423
Sex: F
Age: 45
State:

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Milk, cheese, Advil

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient reports feeling tired and headaches. No lightheadedness, no hives or flushing. Patient was seen and assessed by EMS. BP 137/91, pulse 78, Spo2 100%, BS 152. Patient reports feeling better (symptoms improved) cleared by EMS

Other Meds:

Current Illness:

ID: 1135424
Sex: M
Age: 76
State: MA

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

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

Lab Data:

Allergies: Sulfa drugs; cats; dust mites; B complex vitamins

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

Symptoms: Patient's report: About one week after the immunization, I noticed a burning sensation within an ~3 inch diameter region on my back near my right shoulder blade. The pain was a constant 1 to 2 on a 10 point scale--tolerable but concerning. My wife inspected the affected region every night for about a week and saw no sign of inflammation or bruising. She applied lotion once per night for several nights and that might have slightly reduced the pain. I tried Tylenol only once and it seemed to have no effect. The pain has persisted, but seems to be reducing in strength to barely perceptible now.

Other Meds: alfuzosin 10 mg oral daily; finasteride 5 mg oral daily; lisinopril 10 mg oral daily; warfarin variable doses as directed; vitamin D 5000 IU oral daily

Current Illness: No acute illnesses for 1 month prior.

ID: 1135425
Sex: F
Age:
State: WA

Vax Date: 02/03/2021
Onset Date: 02/01/2021
Rec V Date: 03/25/2021
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:

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

Symptoms: has been sick; immune system was not okay; This is a spontaneous report from a contactable consumer, the patient, via the sponsored program. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), via an unspecified route of administration on 03Feb2021 as a single dose for COVID-19 immunization. Medical history and concomitant medications were not reported. On 05Feb2021, the patient experienced being sick and she was getting worse. The patient had blood work on Feb2021, and her immune system was not okay. The patient underwent laboratory tests on Feb2021 including a COVID-19 test: negative. The patient wanted to confirm if these experiences were normal. The clinical outcome of "immune system was not okay" was unknown and of "has been sick" was not resolved. Information about lot/batch number has been requested.

Other Meds:

Current Illness:

ID: 1135426
Sex: F
Age: 43
State: IL

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Unevaluable event

Symptoms: Dormant small fiber neuropathy (Erythromelalalgia) on hands only became full flare 5 days after 1st dose EN6203 on 03/02/21- never before had symtoms of burning on face, ears, hands, neck, arms, legs. Doctor treated with prednisone and flare subsided after 10 days. After second dose ER8732, extreme flare within 24 hours. Burning on hands, face, ears, arms, legs, feet. Doctor treating with prednisone.

Other Meds: Advil

Current Illness: Ehlers-Danlos Symdrome Dormant Erythromelalalgia

ID: 1135427
Sex: F
Age: 46
State: NH

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/25/2021
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: Ampicillin, clindamycin

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

Symptoms: Severe pain at injection site about 6-7 hours post injection, lasting several days. Headache started on day two and has increased, worsening significantly at day 9. Dizziness began day 9, worsened day 10. Had to leave work early and call out the next day. No treatment sought as of yet, just self-administered ibuprofen. Minor improvement day 12.

Other Meds: Methimazole 5mg daily

Current Illness: None

ID: 1135428
Sex: M
Age: 46
State: GA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Shrimp

Symptom List: Injection site pain, Pain

Symptoms: At 2:00 am the following morning after my 1st dose of the Moderna vaccine I started experiencing a severe headache and body pains. My left arm was sore and difficult to lift which is the arm I received the shot in. Throughout the day I have continued to have a headache, body pains and developed a fever up to 101.00. I have also felt nauseous at times and at one point threw up some of the Gatorade that I had a little while earlier. So to summarize, all in all, I feel absolutely terrible.

Other Meds: Dailey Multi Vitamin

Current Illness: None

ID: 1135429
Sex: F
Age: 81
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: sulfa antibiotics

Symptom List: Injection site pain, Menorrhagia

Symptoms: tongue and lip swelling concerning for anaphylaxis

Other Meds: vitamin D3 keppra multivitamin

Current Illness: none

ID: 1135430
Sex: F
Age: 56
State: OH

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 03/25/2021
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: Any milk products, pineapple, Penicillin , sulfa, meclomen,

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

Symptoms: Friday 19th sore arm and fatigue Sat the 20th diarrhea, nausea Mon 22 vertigo Tues 23 vertigo and fatigue Wed same Thurs 25th vertigo and fever

Other Meds: Gabapentin , buspar, levecetrizine, lexapro, oxybutynin, myrbetriq, omeprazole,

Current Illness: Allergies

ID: 1135431
Sex: F
Age: 50
State: IL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Shellfish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Allergic reaction. Hives/redness on injection site (arm). Hives/redness, mottled skin on chest and abdomen. Patient has had anaphylaxis to shellfish stated it felt the same as before.

Other Meds: None

Current Illness: None

ID: 1135432
Sex: F
Age: 24
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: VACCINE ERROR: DOSE GIVEN OVER 6 HOURS AFTER VIAL PUNCTURED

Other Meds:

Current Illness:

ID: 1135433
Sex: F
Age:
State: TX

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 03/25/2021
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: She's having back pains; headache; This is a spontaneous report from a program. A contactable female consumer reported that: This is a spontaneous report from a contactable consumer, the patient via the Pfizer-sponsored program. A female patient of an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE, Lot number unknown), via an unspecified route of administration on an unspecified date as a single dose for COVID-19 vaccination. Medical history was not provided. Concomitant medications were not provided. On an unspecified date the patient experienced back pain and headache. The patient mentioned that the pains she is experiencing are unrelated to the vaccine.The clinical outcomes of back pain and headache were unknown.; Sender's Comments: Based on the current available information, the events are most likely related to an intercurrent or underlying condition which is unlikely related to the suspected drug. The case will be reassessed if additional information becomes available.

Other Meds:

Current Illness:

ID: 1135434
Sex: F
Age: 42
State: MI

Vax Date: 03/09/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Imitrex Amoxicillin Bactrim Clindamycin Ofloxacin Lobster

Symptom List: Nausea

Symptoms: ?Covid Arm?, redness, uticaria, raised lesions, mild itchiness, spreading along upper arm and worsening each day/throughout each day. Pain at injection site initially and had a knot under the skin prior to the redness spreading.

Other Meds: 10mg Zyrtec 120mg Verapamil 50mg Desvenlafaxine 100mg Topamax 15mg Meloxicam/Mobic 1 Solaray Once Daily High Energy Multivitamin 1 365 High Potency Biotin (5000mcg) 1 Calcium Citrate/Magnesium/Zinc w Vit D3 Vitamin D3 (5000iu) Vitamin C

Current Illness: None

ID: 1135435
Sex: F
Age: 24
State: TX

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Levaquin

Symptom List: Injection site pain

Symptoms: Felt cramps in my lower abdomen, then in my mid back. Put heat on my back. Then I started to feel very nauseous and light headed, dizzy. Shortly felt a burning feeling in my chest and collar bones, that spread to my head. My head started to burn, it felt like it was on fire, along with my neck and chest. I felt dizzy, like i was going to faint, the burning and dizziness lasted for about 5 minutes. Shortly after i felt like my throat closed up and I was having very labored breaths. The burning feeling in my body and dizziness came back, along with not feeling like i could breathe well. I went to an ER, they gave me an IV with Benadryl, and I started to feel well enough 2 hours later to go home.

Other Meds:

Current Illness: TMD History of stomach ulcers

ID: 1135436
Sex: F
Age: 58
State: UT

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Food Sensitivities , penicillin, Adjovey

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

Symptoms: Heart populations shortness of breath chest pains

Other Meds: Topamax Gabapentin Oxycodone Lunesta

Current Illness: Lupus, Occipital Neuralgia, Neuropathy, fibromyalgia, PTSD, anxiety disorder

ID: 1135437
Sex: M
Age: 28
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 03/25/2021
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:

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

Symptoms: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse. NO ADVERSE REACTION, just reporting medication error. Our Vaccine Task Force, after speaking with CDC and DOH, decided to offer the employee an additional COVID-19 vaccine dose. Thanks.

Other Meds:

Current Illness:

ID: 1135438
Sex: M
Age: 53
State: OH

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: No adverse effects initially. On second day after the vaccine, I woke up feeling like I had sustained some kind of shoulder injury: significant reduction in motion, weakness, pain. So far it has lasted two days.

Other Meds: None

Current Illness: None

ID: 1135439
Sex: F
Age: 30
State: OH

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Erythema, Pruritus

Symptoms: "Covid Arm" - itching and rash appeared a week after on the injection site

Other Meds: Birth Control pill

Current Illness: No

ID: 1135440
Sex: F
Age: 67
State: CO

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: unknown

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

Symptoms: Patient came into received her second dose of Pfizer vaccine and was given Moderna in error. Pt has not reported any adverse reaction. This report is for reference only at this time.

Other Meds: unknown

Current Illness: unknown

ID: 1135441
Sex: F
Age: 51
State: NY

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/25/2021
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

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

Symptoms: After about 5 min of injection - my heart began to race and and felt it pounding in my chest. After 15 of vaccine my heart was still like this - told the nurse she took pulse. 94 beats/min and blood pressure 130/80. Waited another 15 min and finally heart beat was 62/minute. This was 3/19/21. On Sunday AM 3/21/21 I woke up feeling foggy and light headed and slightly dizzy. after a couple hours no change so took allergy medicine (xyzal) no change - have been this way since eases a bit during day if I drink alot of water but still am off.

Other Meds: Vit C, Cranberry Vit, Vit D (Took at 5:00 AM that morning)

Current Illness: None

ID: 1135442
Sex: M
Age: 42
State:

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/25/2021
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: VACCINE ERROR: DOSE GIVEN OVER 6 HOURS AFTER VIAL PUNCTURED

Other Meds:

Current Illness:

ID: 1135443
Sex: F
Age: 6
State: OH

Vax Date: 03/21/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: N/A

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

Symptoms: patient was given a dose under the age of 16. No adverse events reported aside from the age at vaccination.

Other Meds: Unspecified Medications for T1DM

Current Illness: Type one diabetes mellitus

ID: 1135444
Sex: F
Age: 49
State: SC

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: Sulfa drugs, environmental: pollens, dust, cotton blossom, fiberglass insulation

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

Symptoms: Woke about 24 hours after vaccine, more fatigue than usual, chills, fever, body tingles, immense brain fog, we blister rash around both sides of my neck, migraine induced.

Other Meds: DULOXETINE HCL DR 60 MG CAP CAPSULE,DELAYED RELEASE(DR/EC), MONTELUKAST SOD 10 MG TABLET, LOSARTAN POTASSIUM 100 MG TAB, LEVOCETIRIZINE 5 MG TABLET, SPIRONOLACTONE 25 MG TABLET, ACARBOSE 100 MG TABLET, METFORMIN HCL 500 MG TABLET, FENOFIBR

Current Illness:

ID: 1135445
Sex: M
Age: 68
State: NC

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pain in extremity

Symptoms: Had Sore Arm (Expected), had high fever 102.5 Had fever all day 3/24/21 over 101.9-100.3, 3/25/21 had fever 100.1 -99.1 range dropped to normal for a while but went back up to 100.2 where it is at now 6:35pm. I started Tylenol before the shot and had Tylenol before bed 03:00 am 3/24/21 and woke up at 08:00am with high fever 101.3 and it progress from there . I have been taking Tylenol the whole time. I had Coved19, 09/27/20 was sick for almost 2 weeks. I had high fever and persistent dry cough especially when laying down in bed. My wife caught it from me and ended up hospitalized for 5 days was oxygen deficient it was 85 when she was admitted.

Other Meds: Turmeric Curcumin Complex, Cetirizine, Omeprazole, Linzess, Rosuvastatin, Losartan/HCTZ50/12.5

Current Illness: none

ID: 1135446
Sex: F
Age: 34
State: IL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Patient complained of difficulty breathing. Injected self with own epi pen. EMT called to scene. Patient refused transport to hospital.

Other Meds:

Current Illness:

ID: 1135447
Sex: F
Age: 28
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 03/25/2021
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: Employee received .2 cc of Pfizer instead of .3 cc which was inadvertently administrated by vaccine nurse. NO ADVERSE REACTION, just reporting medication error. Our Vaccine Task Force, after speaking with CDC and PA DOH, decided to offer the employee an additional COVID-19 vaccine dose. Thanks.

Other Meds:

Current Illness:

ID: 1135448
Sex: M
Age: 50
State: AL

Vax Date: 03/21/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: No issues day of vaccine. Next day (Monday) started to have racing heartbeat. Tuesday his blood pressure shot up (he did not say what it went up to). Wednesday he broke out into a full body itchy rash with large welts.

Other Meds:

Current Illness:

ID: 1135449
Sex: M
Age: 57
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/25/2021
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: VACCINE ERROR: DOSE GIVEN OVER 6 HOURS AFTER VIAL PUNCTURED

Other Meds:

Current Illness:

ID: 1135450
Sex: F
Age: 16
State: NC

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Allergy to Amoxicillin - hives

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Grey toes concerning for COVID toes

Other Meds: None

Current Illness: None

ID: 1135451
Sex: F
Age: 44
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/25/2021
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: Phenergan

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

Symptoms: Within 5 minutes, I developed an intense migraine - it was an 8 or 9 our of ten. I felt nauseous and lethargic. I was given water and told to drink it and wait for 30 minutes. I lasted the whole day of work, but called out the next day.Body Aches chills within12 hours. I had those symptoms about a week and a half. The night of the vaccine: About three in the morning, I developed achiness all over body. It was horrible. I was cold, lethargic, shivering. I used a heat pack. The migraine I had from the injection didn't go away for about a week which caused me to go to Urgent Care - to get a shot - it may have been demoral but I'm not sure. It helped with the migraine - it went down from a 9 to a 5. The symptoms just slowly went away after the week and a half.

Other Meds: magnesium; coumadin

Current Illness: no

ID: 1135452
Sex: F
Age: 36
State: TN

Vax Date: 03/17/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: I have ?Covid Arm?. It has been eight days since my first shot and suddenly today I noticed that the injection site started to swell, turn red and hurt. It?s also a little itchy. I also started feeling very tired and got a head ache.

Other Meds: None

Current Illness: None

ID: 1135453
Sex: F
Age: 45
State: CA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: pt c/o dizziness and palpitations v/s 99RA 75bpm, 19cpm BP 148/81

Other Meds:

Current Illness:

ID: 1135454
Sex: F
Age: 55
State: FL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Some food

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

Symptoms: Pounding Headache chills fever nausea muscle pain

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm