VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1190342
Sex: M
Age: 52
State: OH

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 04/10/2021
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: Patient experienced vivid dreams/hallucinations. He also experienced fever, shivers and flu like symptoms.

Other Meds: unknown

Current Illness: unknown

ID: 1190343
Sex: F
Age: 37
State: UT

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: The morning after getting the vaccine, I passed out while sitting. I had no warning, I just woke up on the floor. This has never happened to me before.

Other Meds: 5mg daily lexipro

Current Illness: None

ID: 1190344
Sex: F
Age: 65
State:

Vax Date: 03/09/2021
Onset Date: 03/23/2021
Rec V Date: 04/10/2021
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:

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

Symptoms: Patient stated a red, itchy rash developed on her arm from around elbow area to shoulder area that she received the vaccine in 2 weeks after her first dose of Moderna. She sought medical attention and was told it was a T-cell reaction to the vaccine.

Other Meds:

Current Illness:

ID: 1190345
Sex: M
Age: 58
State: TX

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Flare up of gout.

Other Meds: Aspirin, atorvastatin bisoprolol

Current Illness: None

ID: 1190346
Sex: F
Age: 24
State: IN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
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: Fever, vomiting, severe headache, pain at injection site, body aches, body soreness. Symptoms began Tuesday morning and lasted until Wednesday night.

Other Meds:

Current Illness:

ID: 1190347
Sex: F
Age: 34
State: WA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NA

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

Symptoms: Janssen COVID-19 Vaccine EUA Symptoms started April 7, 2021 (one day following vaccine): -8am body aches, chills and headache started, noticeable pain, swelling and redness of injection site -10am fever of 100, headache, chills and body aches persisted (took ibuprofen, which reduced fever), redness of injection site grew to nearly 2" diameter. -6pm fever of 102.5, nearly unbearable body aches and chills (took more ibuprofen, which brought fever down to 99.4 and took edge off body aches) April 8, 2021: -3:45am fever of 99.8, sweating until clothes were wet, chills and body aches. Pain at injection site worsened. -7am chills, body aches lessened, dizziness started. After the chills, body aches, fever and headache subsided, I did not experience fever, but I still feel "hot flashes" and dizziness occasionally. Itchiness of the injection site. Redness still around 2" diameter.

Other Meds: Women's multi-vitamin, glucosamine, broccoli sprouts

Current Illness: NA

ID: 1190348
Sex: F
Age: 49
State: IL

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: 8 Days after first injection almost fainted while driving. Heart raced and felt hot/clammy/dizzy/blurred vision. Lasted for 20 minutes. Continue to feel light headed, occasionally dizzy, and brain fog since then..

Other Meds: Taltz, Statin, baby aspirin

Current Illness:

ID: 1190349
Sex: M
Age: 48
State: NV

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Statins

Symptom List: Pharyngeal swelling

Symptoms: Received the vaccine shot at 10:30 in the morning. That same night at 9 PM became tired and started shaking. Had violent chills and hot episodes. Woke up at 2:15 AM and couldn?t move. My arms and hands and feet were completely paralyzed. Couldn?t speak or call out. Slowly started attempting to move fingers and feet and head. After several minutes was able to roll over on stomach. Could not move. After several minutes of attempting movement was able to push myself up and grab a piece of furniture. After several more minutes was able to get legs to move sufficiently to walk to bathroom by holding onto furniture and leaning against walls and door jams. Still feeding feeling feverish with chills. My son took my temperature with a forehead scanning thermometer and it registered at 100.3. He said my skin felt extremely hot. Took 1000 mg acetaminophen. Finally was able to go back to sleep around 4 AM and slept for a couple more hours. Woke up just before 7 AM and was able to stand and walk with some effort. Currently 9:30 AM and still have aches and pains and difficulty walking.

Other Meds: 20 mg omeprazole 20 mg escitalopram

Current Illness: None

ID: 1190350
Sex: M
Age: 38
State: MA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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 disclosed

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: pt felt dizzy and then lost conciousness. vomited.

Other Meds: none disclosed

Current Illness: non disclosed

ID: 1190351
Sex: F
Age: 57
State: MO

Vax Date: 03/24/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 4" diameter red, swollen area on arm a.m. low-grade temp and area hot to touch p.m., didn't feel well fine by next morning

Other Meds: Fluoxetine, Lovastatin, multi-vitamin, calcium, fish oil, fiber, stool softener

Current Illness: none

ID: 1190352
Sex: M
Age: 31
State: NY

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Pt received vaccine pulled into recovery had dazed blank stare , became pale and very diaphoretic. - LOC - SOB -N/V. Left Deltoid site benign - redness - swelling. Trmt: VS 110/52, HR 58, resp 16 reg, non labored, SpO2 99% (pt stated he regularly has low HR and BP) Ice to back of neck, gave water for hydration, reclined seat (refused to come to cot to lie down wanted to stay in vehicle). Changed monitor time to 30 min. provided reassurance. After 15 min pallor and diaphoresis subsided. Pt stated he felt much better. Advised to let passenger drive home he agreed. OK'd to exit after 30 min.

Other Meds: Proazc (didn't take today)

Current Illness: Anxiety

ID: 1190353
Sex: F
Age: 39
State:

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
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: Headache, body ache, fever, dizziness.

Other Meds:

Current Illness:

ID: 1190354
Sex: F
Age: 59
State: AR

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Day after 2nd shot I developed extreme fatigue, almost feeling paralyzed, On day 3 the fatigue has eased up but I have a rash from my neck to my bellybutton. It is not raised or itchy but red as an apple. I took Benadryl and it was no help. It is growing as I type.

Other Meds: None

Current Illness: None

ID: 1190355
Sex: F
Age: 60
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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

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

Symptoms: mild intermittent stomach muscle spasms the following afternoon after receiving the vaccine shot the night before. Same symptoms 48 hours later.

Other Meds: none

Current Illness: none

ID: 1190356
Sex: F
Age: 38
State: GA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Within the first couple of minutes she had a metallic taste in her mouth that went away quickly. After about 25 minutes the left side of her face began to swell and tingle and her cheeks were flushed. I called 911 and monitored her blood pressure. She never felt faint. She went to hospital via ambulance to get treated. She was released from hospital a couple of hours later and she stated that after steroids and pepcid the face swelling was completely gone.

Other Meds: benadryl 50mg taken 45 minutes before dose

Current Illness: none

ID: 1190357
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/10/2021
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: During the observation period the patient lost consciousness for a short period. The patient was sitting in a chair and dropped her phone. She exhibited a mild fencing response and her hand trembled until she regained consciousness. Patient stated she has passed out from needles in the past.

Other Meds:

Current Illness:

ID: 1190358
Sex: F
Age: 64
State: IN

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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 that I know of

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

Symptoms: Pfizer 3/15/21 EN6200 1st shot; Pfizer 4/5/21 EP7534 1nd shot. 4/7/21 started breaking in hives. Took otc benaas didryl & used hydrocortisone cream; 4/8/21 6:30 am still have hives & face was badly swollen. Called Dr. Office, they instructed me to go the ER. Dr. at ER said this was not related to Covid. I have ate or did any different. Prescribed me Prednisone 50 mg 1 daily. Taking benadryl as directed & using hydrocortisone cream on rash-hives.

Other Meds: Euthyrox 75 mg - 1st 6:30am; lisnopril/hctz 10-12.5 mg 1/2 tablet daily - 9:00 pm; low dose aspirin 9:00 pm; Rosuvastatin 5 mg M, W, F 1 hole pill, T, T, S, & S 1/2 pill Shingles in Sept. 2020; Flue shot 10/21/2020; 1st shingles shot 1

Current Illness: none

ID: 1190359
Sex: M
Age: 61
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Fever 102.3%. Vomiting lethargic disiness

Other Meds: Breo. Zoloft tranxene iron. Vit. C. Multi. Vitamin

Current Illness: None

ID: 1190360
Sex: F
Age: 35
State: NY

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: The day of the shot I had some pain on my right side body, right jaw... on Wednesday I was just very tired and slept a lot. Thursday morning I woke with pain in my hips and Pelvis, and around 9am pelvic pain started that felt as sever as the pain I felt giving birth (20 months ago). Thurs/Friday and today (Saturday) it?s been so painful I?ve had a hard time walking, laughing, coughing and caring for my toddler has been immensely challenging. My period began Friday afternoon, a heavier flow than usual. To be clear I have VERY mild periods and am a very healthy young woman. This is unlike anything I?ve ever experienced and the only thing that is different was receiving the vaccine and upon further research it seems MANY women of menstruating age have been experiencing abnormal periods. Today I am still in so much pain it?s debilitating however it is less sever than yesterday (Friday) and the fatigue also continues even after sleeping 10 hours last night.

Other Meds: None

Current Illness: None. But I am a breastfeeding mother to a 20 month old.

ID: 1190361
Sex: F
Age: 35
State: IL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: PATIENT CALLED AFTER ABOUT 45 MINUTES TO AN HOUR TO VACCINE SAYING THAT HER THROAT FELT SORE AND TIGHT, BUT HAD NO DIFFICULTY BREATHING. PATIENT WAS TOLD TO GO TO ER. WHEN PATIENT WENT THERE THEY GAVE HER BENADRYL AND STEROIDS, BUT TOLD PATIENT THAT REACTION DID NOT SEEM ANAPHYLACTIC

Other Meds: BENADRYL, FAMOTIDINE , PREDNISONE

Current Illness: NONE

ID: 1190362
Sex: F
Age: 86
State: FL

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 04/10/2021
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: Amoxicillin Yellow jackets sting. Ace inhibitors

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

Symptoms: 6th day after (April 1) - in the evening, inflamed lump behind my right knee, couldn't bend the knee, pain with walking. went away by Fri. night. Saturday( April 3) in morning my right hand swelled up and I couldn't open or close my hand, painful, aching. Couldn't hold anything. It didn't go away, so I went to my Dr. on Monday April 9, he prescribed 6-day pak of MethylPrednisolone 4mg per tab. By the 2nd day the swelling was slowly going down. Now at the 6th day, the swelling is gone and I can move my hand normally.

Other Meds: Amlodipine Besylate 10mg- 1 a day Hydralazine 25mg- 1 a day Rosuvastatin 5mg- 1 every other day. Vitamin D3 Walgreens multi vitamin

Current Illness: none

ID: 1190363
Sex: M
Age: 34
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Unevaluable event

Symptoms: Headache, nausea, chills, soreness at injection site and left armpit, fatigue, sensation of fever (no actual temp), redness/ swelling at injection site.

Other Meds: None

Current Illness: Nine

ID: 1190364
Sex: M
Age: 40
State: TX

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Nine

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

Symptoms: Ringing in ears , loss of hearing , tinatus

Other Meds: Nine

Current Illness: None

ID: 1190365
Sex: U
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 04/10/2021
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: Urine bleeding at the day of injection. Heavier period, nose bleeding, and fatigue

Other Meds:

Current Illness:

ID: 1190366
Sex: F
Age: 25
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Observed patient fixated looking at the floor and seemed to be confused. We asked medical hx and she has seizure and clonazepam prescription. Pt was able to verbalize name and location but struggled in talking. Paramedics responded. Vitals within normal range.

Other Meds:

Current Illness:

ID: 1190367
Sex: F
Age: 18
State: MI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: No Allergies

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

Symptoms: Patient head tilt back and seized, not responsive and gasped for about 30 seconds, then became responsive. Talked with patient who know date and time got water. EMS was called and arrived within 10minutes.

Other Meds: None

Current Illness: None

ID: 1190368
Sex: F
Age: 42
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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 flexeril septra

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: -Recieved shot about 3pm -During the 15 min waiting period my eyes felt kind of dry and "weird". I honestly didn't even consider it could be a reaction, I thought the way I was breathing through my mask must have been drying my eyes out. -Left clinic after 15 mins, only symptom at this point was dry eyes -about 5 mins in to our drive home my face was feeling very funny and kind of numb. I was feeling worse and worse. -looked in mirror and noticed face was bright red and swelling up. Also my throat was fire red. -it was getting worse and worse, also was starting to get itchy. -My entire face was bright red -Stopped at Sister-in-law's house (cause it was on the way home and she is a nurse) and took two benadryl. Was observed for another 20 mins there and the reaction started to calm down. The redness was still there, but the swelling seemed to have stopped. -went home and kept a close eye on it the rest of the night. -became itchy, but no rash. The bright redness went away after about 20 mins, but my face stayed red (like a sunburn) most of the evening. Throat was red as well. -felt fine when waking up on 4/9 and no other instances of these symptoms -sore arm 4/8-4/10

Other Meds: N/A

Current Illness: N/A

ID: 1190369
Sex: F
Age: 22
State: FL

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Felt nauseous the night after getting the vaccine and slightly dizzy the following day (4/8), felt ok on 4/9, woke up at 5am on 4/10 with head spinning, extreme dizziness, and nausea. Dizziness has remained since. Nausea has subsided.

Other Meds: Tri-lo sprintec (birth control pills) Prozac 40mg

Current Illness: None

ID: 1190370
Sex: F
Age: 55
State: NY

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

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

Symptoms: trembling, chills, suspected fever, severe head ache/migraine, nausea, extreme fatigue

Other Meds: oxycodone/apap

Current Illness: Covid infection in spring of 2020

ID: 1190371
Sex: M
Age: 25
State: MA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Patient came today to receive his Janssen Covid vaccine and experienced feeling faint and light headedness few minutes after administering the vaccine. He has no history of allergic reactions to a vaccine, medication or food. There was no visible swelling or localized reactions to the injection site. I cleared the table next to him and had the patient lie flat on the floor with feet elevated for several minutes. He still continued to report feeling faint and stated ?I am about to pass out?. we called 911 to seek further medical assistance. I checked his blood pressure and it was 122/84. EMS arrived minutes later and patient started to stabilize. Patient asked to be transported to the hospital & EMS took patient to the hospital for further evaluation.

Other Meds: Unkown

Current Illness: Anxiety

ID: 1190373
Sex: M
Age: 31
State: AL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Benadryl

Symptom List: Injection site pain

Symptoms: Approximately 10 mins. after receiving vaccine, the patient started c/o feeling warm and cold at the same time, headache, dizziness, confusion and hands feeling heavy. Patient stated that he is allergic to Benadryl. Assessment: Person was alert and responsive to questioning. Patient denied of mouth and neck swelling. None noted. Patient denied of SOB or trouble breathing. Noted facial redness and perfused sweating. Nail-beds pink, resp. 24 with deep breathing off/on. Trembling noted while checking pulse 92. Manual fan blown in face. 911 notified. Ambulance arrived 10:45 am. B/P 142/90, P 104 and O2 Sat 99 %. Patient continue to c/o confusion and hands feeling heavy. Patient called wife on cell phone with a little difficulty in dialing cell phone. Wife spoke with patient and also EMT. Decision was made per patient and wife that he should go to the ER for evaluation. 11:20 am Patient was transported per stretcher to Hospital per ambulance for evaluation. 10:55 am Arrived at hospital per ambulance. Assessment started per CRNP with IV (NS bolus-1000 ml), Radiology (ECG Tracing/EKG) and Labs (BMP; CBC with Diff./Creatine Kinase/Troponin T). All procedures and labs within normal range. Discharged 04/01/2021 1:54 pm with diagnosis of Dizzy and Near Syncope.

Other Meds: Unknown

Current Illness: None

ID: 1190374
Sex: M
Age: 58
State: CO

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/10/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine amoxacillian intolerance.

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

Symptoms: I hadn't been feeling well. Called my Doctor the day after receiving the shot and made an appointment for the first available time (Friday April 2). On Thursday morning I was having vision problems, high blood pressure, weakness on left side. I was rushed to the hospital administered tPA and was diagnosed with a stroke.

Other Meds: Vitamin B12, Daily multi-vitamin.

Current Illness: N/A

ID: 1190375
Sex: M
Age: 49
State: MO

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Allergic to Penicillin

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

Symptoms: Itching at the injections site

Other Meds: Multivitamins

Current Illness: None

ID: 1190376
Sex: F
Age: 56
State: MN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Eye pain, fatigue, arm pain migraine light sensitivity sore throat left arm and hand numbness

Other Meds: Claritin allergy medicine

Current Illness: None

ID: 1190377
Sex: F
Age: 40
State: WA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Severe body shakes and chills, full body aches, and fever 101

Other Meds: Zoloft, Desonide, up & up multi vitamin

Current Illness:

ID: 1190378
Sex: F
Age: 70
State: NY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 04/10/2021
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: Sulpha

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

Symptoms: Dizzyness, aches, chills, sweating, dry heaves - 24 hours

Other Meds: Captopril, Atenolol, Tylenol

Current Illness: none

ID: 1190380
Sex: M
Age: 34
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: syncope

Other Meds:

Current Illness:

ID: 1190381
Sex: F
Age: 49
State: LA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/10/2021
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: Sore left arm for approximately 3 days

Other Meds: Fluoxetine 20mg Vitamin D

Current Illness: none

ID: 1190382
Sex: F
Age: 46
State: VA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Neomycin, bactrim

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

Symptoms: Intense pain in left arm during vaccination. Pain and weakness in left arm started immediately. Loss of mobility in left arm - not able to raise arm past shoulder height.

Other Meds: None

Current Illness: None

ID: 1190383
Sex: F
Age: 41
State: OH

Vax Date: 04/04/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Optiray for ct scan, fillers in prednisone

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

Symptoms: I break out in a hot to the touch, itchy red rash every time I am in the sun for any amount of time.

Other Meds: None

Current Illness: None

ID: 1190384
Sex: M
Age: 24
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Client recieved J&J vaccination and arrived at obseravtion area. Client stated he was feeling faint and dizzy, Prior to passing out. Nurses and EMT beside client. Client was assisted gradually to the floor with legs elevated. Client Vital signs 101/62 99% O2 HR 69. Dr educated patient to hydrate and to stay in observation area longer to be monitored. Client states he has a fear of needels and has experinced fainting after recieving a vaccine in the past. Client states he feels much better and no longer feeling faint.

Other Meds:

Current Illness:

ID: 1190385
Sex: M
Age: 27
State: VA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: At approximately 11:00 PM, 13 hours after receiving the vaccine, I began to feel cold and have chills. I also experienced achiness at this time. This progressively worsened throughout the night, resulting in my struggling to sleep, until about 4:00 am, when I noticed that I did not feel the feverish coldness symptoms as intensely. From this point on however, I experienced a substantial headache, coming and going all morning. Until now (12:45 PM) when I still feel a slight headache.

Other Meds: N/A

Current Illness: N/A

ID: 1190386
Sex: F
Age: 54
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: malaise, generalized muscle aches, temperature 100.2 F awoke on 04/09 (the day after injection) with the above symptoms; symptoms resolved approximately 08:30 pm the same day; temperature at 10:00 pm was 96.7 F injection site became reddened, firm, elevated, and hot to the touch starting about 02:00 pm on 04/08 (the date of injection) and remains the same as of 12:40 pm on 04/10.

Other Meds: Estradiol; 1 mg, SID, PO Fexofenadine HCl, 60 mg, BID, PO combined with Pseudoephedrine HCl, 120 mg, BID, PO

Current Illness: none

ID: 1190387
Sex: F
Age: 43
State: TX

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 04/10/2021
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: None

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

Symptoms: Fever, malaise , body aches, headache, foggy memory, fast heart rate lasting more then a week and progress worse each day diagnosis with sepsis in the hospital

Other Meds: Metformin 500 mg , Thyroid NP 60 mg

Current Illness: None

ID: 1190388
Sex: M
Age: 52
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Significant exhaustion, chills

Other Meds: Metformin ER 500 mg x4 Levothyroxine 50 mcg Bystolic 5 mg Esomeprazole 40 mg (Nexium) Fomotidine 40 mg (Pepcid) Farxiga 10 mg Lovaza 1 gm x4 Trulicity 3mg weekly Treciba 100 units x2 Azelastine 2 sprays c2 Vitamin D supplement 25 mcg x2 Vit

Current Illness:

ID: 1190389
Sex: F
Age: 60
State: TX

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Imitrez, Latex, Clinoril, IV Dye, Valtrex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: around 1106am patient complained of "harsh" throat and "just not feeling right" EMS on scene performed EKG 11:10am patient had emesis, 118/72, HR-76, 98% on room air, PA evaluated pt on site and ordered Hydroxyzine 25mg po x1. pt took this and has no complaints.

Other Meds: unknown

Current Illness: unknown

ID: 1190390
Sex: M
Age: 34
State: TX

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Cold and hot flashes, intense headache, upset stomach, stiff joints, sore muscles

Other Meds:

Current Illness:

ID: 1190391
Sex: F
Age: 46
State: ME

Vax Date: 03/13/2021
Onset Date: 03/31/2021
Rec V Date: 04/10/2021
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: Bruise on injection site and bruises on the right forearm.

Other Meds: Sprirolactone

Current Illness: None

ID: 1190392
Sex: M
Age: 24
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Client recieved J&J vaccination and arrived at obseravtion area. Client stated he was feeling faint and dizzy, Prior to passing out. Nurses and EMT beside client. Client was assisted gradually to the floor with legs elevated. Client Vital signs 101/62 99% O2 HR 69. Dr educated patient to hydrate and to stay in observation area longer to be monitored. Client states he has a fear of needels and has experinced fainting after recieving a vaccine in the past. Client states he feels much better and no longer feeling faint.

Other Meds:

Current Illness:

ID: 1190393
Sex: F
Age: 79
State: FL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
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: Flu-like Illness started Day 2 at waking up. 2 nights of Weird , confusing dreams, chills, Nausea, fatigue - tiredness, some quick headaches, NO fever, lasted through day 5

Other Meds: Metoprolol ER 25MG - Eliquis 5 MG - Iron 65MG - Furosemide 20MG - Vitamin D3 25mcg(1000IU) Toviaz - 4 MG - Rosuvastatin 20 MG - 'equate' women's 50+ Dietary Supplement

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm