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: 1192336
Sex: F
Age: 58
State: NC

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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient reported feeling extremely nauseated 10 min after receiving vaccine

Other Meds: unknown

Current Illness: unknown

ID: 1192337
Sex: F
Age: 31
State: IA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Benadryl Tdap Sulfa drugs Caffeine Gardasil Seafood Peanuts Everything environmental

Symptom List: Anxiety, Dyspnoea

Symptoms: I received the rash within 3-4 hours of receiving the vaccine and a gold ball size bump. On day 8 I was on my way home and I was on my way home and I reached behind me and had a sharp, needle like sensation, pain like when I first got the shot, my arm was on fire and itching. I got home and examined the spot and it was also peeling of the skin and hot to the touch. I ended up going to an urgent care where I was put on antibiotics for cellulitis and prednisone for possible allergic reaction. I was told to come back in after 24-48 if I still had the symptoms. I will note that I am not 100% sure if the initial rash ever went away or if I have had the rash for 8 days.

Other Meds: None

Current Illness: None

ID: 1192338
Sex: F
Age: 63
State: OK

Vax Date: 04/03/2021
Onset Date: 04/03/2021
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: iodine dye

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

Symptoms: An hour after receiving the shot, my arm felt like I had been punched in it. Later that evening, the injection site begin to swell and. turned red. By the next morning, it begins itching It is lumpy, red, swollen and itchy still today (4/10/21). A full week later. My entire left arm feels achy like I slept on it wrong but I didn"t. The skin at the injection site has darkened and the itching is maddening.

Other Meds: OLME/AMLO/HCTZ 40-10-25 MG TAB PAR Lipitor (atorvastatin) TAB LEG 20 mg Lasix (furosemide) TAB MYLAN 20 mg Klor Con M20 MEQ ER TAB Bystolic 20 mg TAB FOR Baby aspirin (2) Metamucil 1 tsp. daily

Current Illness: N/A

ID: 1192339
Sex: M
Age: 55
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/18/2021
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: CAT scan dye

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Ongoing arthritis in hands Pressure both sides of brow

Other Meds: Prozac 20 mg

Current Illness: None

ID: 1192340
Sex: F
Age: 37
State: LA

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

Symptoms: ABOUT 5 MINUTES AFTER RECEIVING MODERNA (DURING THE 15 MINUTE OBSERVATION PERIOD), PATIENT REPORTED FEELING "STRANGE". SHE HAD A HARD TIME CONVEYING WHAT SHE WAS FEELING. I ASKED HER IF SHE WAS SHORT OF BREATH, FELT LIKE HER THROAT WAS CLOSING, OR IF SHE WAS GOING TO FAINT. SHE STATED NO, THAT SHE JUST FELT A LITTLE WEAK. SHE ASKED ME TO RETRIEVE HER A COKE, I DID. SHE STATED SHE FELT BETTER AFTERWARDS. AFTER HER 15 MINUTE OBSERVATION PERIOD WAS UP, SHE STATED SHE WANTED TO WAIT LONGER TO MAKE SURE SHE FELT BETTER AND THAT SHE HAD CALLED HER HUSBAND TO COME PICK HER UP BECAUSE SHE DID NOT WANT TO DRIVE. SHE THEN STATED HE WAS NOT COMING TO PICK HER UP AND THAT SHE WANTED TO CONTINUE TO SIT JUST TO MAKE SURE SHE FELT OK AND THAT THE STRANGE "FEELING" SHE HAD WAS COMING AND GOING. SHE DECLINED ANYTHING I ASKED HER (TO LAY DOWN, TO GET HER A COLD WASHCLOTH). SHE STATED SHE THOUGHT SHE WAS JUST NERVOUS ABOUT THE VACCINE, AS SHE WAS EXTREMELY NERVOUS TO GET IT. AFTER A FEW MORE MINUTES SHE ASKED FOR US TO CALL AND AMBULANCE. SHE STATED SHE JUST WANTED TO BE CHECKED OUT TO MAKE SURE SHE WAS OK AND THAT SHE DID NOT WANT TO DRIVE UNTIL SHE WAS. SHE STILL SAID HER BREATHING WAS FINE, AND THAT SHE DID NOT FEEL LIKE SHE WAS GOING TO PASS OUT. SHE DID THEN TELL ME THAT HER HEART FELT LIKE IT WAS BEATING FAST BUT THAT WAS EARLIER ON AND THAT IT HAD STOPPED. EMTS ARRIVED. I CALLED HER THE SAME DAY TO FOLLOW UP AND SHE WAS HOME AND FELT FINE. SHE HAD BEEN GIVEN ATIVAN IN THE HOSPITAL TO CALM HER DOWN. SHE STATED THE HOSPITAL SAID THEY DID NOT KNOW IF IT WAS HER NERVES OR A REACTION TO THE VACCINE.

Other Meds:

Current Illness:

ID: 1192341
Sex: M
Age: 28
State: NY

Vax Date: 03/16/2021
Onset Date: 03/18/2021
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: geodon, ragweed

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

Symptoms: First day I only had a sore arm Second day, typical malaise, flu-like symptoms Third day I saw improvement but still malaise. I tried a 500mg tumeric curcumin suppliment which was new for me ~5 hours later I noticed brain fog and my vision was not as clear. Over the next 3-4 days my brain stem/back brain started to throb/vibrate occasionally, and I got very bad tinnitus.

Other Meds: Cimetidine 300mg, asprin 75mg

Current Illness: n/a

ID: 1192342
Sex: F
Age: 43
State: NY

Vax Date: 04/09/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: At injection site a large red spot. It is hard and still growing. It hurts to touch.

Other Meds: None

Current Illness: None

ID: 1192343
Sex: M
Age: 27
State: CA

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: tomatoes

Symptom List: Pharyngeal swelling

Symptoms: My body is sore and stiff all over, chills and hot hours after getting the vaccine.

Other Meds: no

Current Illness: no

ID: 1192344
Sex: F
Age: 66
State: VA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
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: sulfur drugs

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 4/1 arm pain. 4/2 very tired, muscle & joint pain, headache. 4/3 little pain when lifting right arm, headache. 4/4 soreness under left breast on ribs, headache. 4/5 started with chills during morning, sudden severe pain lower left abdomen to my back, nausea/vomitting, pain was so severe I had to go to the ER. This event lasted over 3 hrs. 4/6 recurring headache. 4/7 headache, 4/8 headache, little discomfort in stomach, 4/9 headache, little discomfort in stomach.

Other Meds:

Current Illness: none

ID: 1192345
Sex: M
Age: 31
State: CA

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Flu symptoms. Body ache. Chills. Fever. Starting at 8pm 8 hrs after shot. By 9am. Symptoms were gone

Other Meds:

Current Illness:

ID: 1192346
Sex: M
Age: 64
State:

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient had syncope from a sitting position, history of vasovagal syncope, occurred 10 minutes after receiving vaccine. Patient recovered in the recovery area, advised to follow up with MD

Other Meds:

Current Illness:

ID: 1192347
Sex: F
Age: 63
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: In Monitoring area, patient stated, I feel heaviness I'm my chest and I feel a little lightheaded. ". Patient assessed by RN and OCFD. Patient refused further care but stated, " I will wait for 30 minutes and I will drink the Gatorade you gave me.". After 30 minutes of monitoring, Patient stated," I am good. I don't feel lightheaded or the heaviness on my chest and my O2 SATs is ninety eight percent. I am ready to go.".

Other Meds:

Current Illness:

ID: 1192349
Sex: F
Age: 23
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:
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: Approximately 5 weeks pregnant, estimated due date December 11, 2021. Symptoms after vaccine include; pain at and around injection site through right shoulder, tiredness and fatigue, chills, headache, nausea, intense dizziness and feeling faint. Pain symptoms started within 1 hour after injection, all other symptoms approximately after 8 hours.

Other Meds:

Current Illness:

ID: 1192350
Sex: F
Age: 28
State: CA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Denied

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

Symptoms: HPI: PT 28 y/o F feeling light headed after J&J vaccination. PT with her mother, became light-headed and dizzy while walking from vaccination site back to vehicle for 15 minute wait. PT became unresponsive with mother and fainted. Parking staff alerted rapid response team, PT regained responsiveness and was given chair to sit on, water to drink. Rapid response team arrived to a responsive, A&Ox4, pale female who was still feeling weak and light-headed. PT was transferred to a cot (in the shade) where she was placed in supine position with legs elevated on a chair. Pt was given water and hard candy to suck on while vitals were taken,, Airway, breathing and circulation were all WNL. PT states she presently has a strep infection (throat area) and has been afebrile, and is to begin oral antibiotics once she picks RX up from pharmacy. PT began feeling significantly better over 10-15 minutes of laying down in the shade. EMS LAFD was called and transfer of care to EMS Station 93 for further work-up was instituted. PT felt much better and was able to stand and ambulate from cot to EMS vehicle without issue. PT chose to go home with her mother instead of being transported by EMS to medical facility. Exam (update as needed): GEN: Alert and oriented x 4, relaxed in appearance. HEAD: WNL EYES: PERRL, EOMI ENT: Ears normal, Nose normal, OP normal, no evidence of angioedema, no cyanosis NECK: Supple, without LAD. CV: RRR, no m/r/g

Other Meds: PT denied

Current Illness: HX of strep infection (throat) Endometriosis - acute

ID: 1192351
Sex: F
Age: 54
State: CA

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: none

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

Symptoms: patient fainted less than a minute after injection. She regained consciousness and were taking care by fire department crews . Other wise doing fine.

Other Meds: N/A

Current Illness: none

ID: 1192352
Sex: M
Age: 67
State: IL

Vax Date: 02/09/2021
Onset Date: 02/16/2021
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: bee venom (anaphylaxis, swelling), Hylan G-f 20 (rash), isosorbide mononitrate (nausea), minocycline (nausea, dizziness, disorientation)

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

Symptoms: He started developing right shoulder pain a week after the 2nd dose of the Moderna shot in his right arm. The pain persisted for another month and spread to both shoulders, both hips, and the muscles of his arms and legs. Tylenol and flexeril did not help much. He went to the ER on 3/15/21 where he received an IV fluid bolus and had his levothyroxine dose lowered a little. Since discharge from there, he then followed up in clinic on 3/23/21 where he said his pain and weakness were bad enough that he was having difficulty lifting his arms, grabbing objects especially at/above shoulder level, and holding objects in general to perform his daily activities of living. He was placed on a 2-week tapered course of prednisone on 3/23/21 and again required another 2-week course on 4/8/21 because when the prednisone wore off he was back to having pain and weakness.

Other Meds: apixaban, aspirin, benazepril, cetirizine, clopidogrel, cyanocobalamin, docusate, famotidine, furosemide, glipizide, levothyroxine, metoprolol succinate, multivitamin, omega-3 fatty acid/fish oil, simvastatin

Current Illness: none reported

ID: 1192353
Sex: M
Age: 19
State: SC

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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

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

Symptoms: Fever for 12 hours of 102.4

Other Meds: None

Current Illness: None

ID: 1192354
Sex: F
Age: 25
State: CA

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: Shellfish allergy

Symptom List: Ear pain, Hypoaesthesia

Symptoms: The first symptom was a pounding headache which got progressively worse and was also the longest lasting symptom. Fever of 102.5 degrees. Fever lasted approximately 12 hours, and included heavy chills and sweating. Extreme fatigue, weakness, and dizziness. Metallic taste in mouth. Body aches, and especially soreness in the left arm (injection site). Loss of appetite. By 24 hours after the vaccine injection, almost all symptoms were gone, but soreness in left arm persisted. About 26 hours after the vaccine, I had extreme acid reflux which lasted a few hours. In the two days since the vaccine I've experienced a ringing in my left ear.

Other Meds: Norethindrone (5mg), fish oil, alpha lipoic acid, vitamin d

Current Illness: Concussion (head injury happened one month prior, and I was almost entirely symptom free by time of vaccination).

ID: 1192355
Sex: M
Age: 32
State: AK

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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 reported

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 2-3 Minutes after receiving the vaccine, the patient was seated in the waiting area for his 15 minute wait time. We heard a crash and the yell of his wife and 3 children. Found the patient laying on his back on the ground. Patient was breathing, but non responsive to tapping and shouting. 911 was called. Patient regained consciousness after about 15-30 seconds. He complained of being hot, thirsty, having to go to the bathroom and feeling out of it. He appeared pale. We did record a BP of 95/57. He remained conscious until EMT's arrived. He was attended to and taken to the ER by emergency personal.

Other Meds: Unkown

Current Illness: none

ID: 1192356
Sex: M
Age: 56
State:

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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:

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

Symptoms: Itching started in right arm and front of chest, redness. No hives or SOB. Offered water but patient refused benadryl. Stabilized and felt better afterwards.

Other Meds:

Current Illness:

ID: 1192357
Sex: F
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: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

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

Symptoms: chills, body aching, feeling tired

Other Meds: no

Current Illness: no

ID: 1192358
Sex: F
Age: 40
State: MA

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: SULFA

Symptom List: Unevaluable event

Symptoms: 101 fever, muscle aches, fatigue, nausea, headache, occasional muscle spams, white coated tongue (on day 2)

Other Meds:

Current Illness:

ID: 1192359
Sex: F
Age: 58
State: OK

Vax Date: 04/08/2021
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: LA

Lab Data:

Allergies: None

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

Symptoms: Rash warm to touch. It itches and my arm is tender to touch.

Other Meds: Gabapentin Corlanor

Current Illness: None

ID: 1192360
Sex: F
Age: 31
State: CO

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: After 4 hrs: dizzy, lightheaded, hard to focus, fatigue After 8hrs: extreme muscle pain, low grade fever, chills, disoriented - worsened throughout the night After 14 hrs: slowly reduced throughout the day I took a sedative that night to help sleep and early the next morning I had some ibuprofen which helped a little. I'm still in moderate pain 32 hrs later

Other Meds: Bupropion Xl 450mg, Nifedipine, low dose asprin

Current Illness:

ID: 1192361
Sex: F
Age: 36
State: NC

Vax Date: 03/31/2021
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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Large rash on arm

Other Meds:

Current Illness:

ID: 1192362
Sex: F
Age: 20
State: VA

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: While the vaccine was going in my arm it was stinging and burning. I fainted about 30 seconds after the injection. I waited at my vaccination site for about 30 minutes after that. My vision was blurring and turning black and white and my hearing went out. I felt lightheaded and fainted for a few seconds. Afterwards, I was lightheaded for quite some time and my blood pressure was a bit low.

Other Meds: Lexapro 12.5mg

Current Illness: None

ID: 1192363
Sex: F
Age: 45
State: VA

Vax Date: 04/10/2021
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: Tomatoes, Walnuts, Pecans, Grapes, Alcohol (like drinks, not rubbing alcohol), Hemp/marijuana (oil, seeds, smoke, I've had a reaction from everything from this plant I've ever come into contact with), Charmin toilet paper (Not kidding!), Red Food Dye, Chamomile, seasonal allergies (pollen, dust), whatever stuff the pest control guy sprays

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Face, beginning with upper lip and eventually all of face numbness, started about 45 minutes after receiving the vaccine and lasted about 15 minutes. Cheeks felt swollen, like a chipmunk, but no real difficulty breathing, very minor if at all. Facial numbness returned about 8:45pm, less noticeable than before, Random itchy spots on arms, scalp, and face, but no noticeable hives. Taking Allegra

Other Meds: Allegra 12hr, Losartan 50mg, Turmeric Curcumin 550mg, Magnesium 250mg, Equate One Daily Women's 50+

Current Illness: None

ID: 1192364
Sex: F
Age: 59
State: ME

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: Morphine compazine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever chills diarrhea body aches

Other Meds: Vyvance trazadone lefothroid pristique

Current Illness: None

ID: 1192365
Sex: F
Age: 65
State: OR

Vax Date: 03/30/2021
Onset Date: 04/03/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Woke up early on the morning of 04/03/2021 with ringing, roaring, and deadness in left ear.

Other Meds: Lisinopril Diltiazem

Current Illness:

ID: 1192366
Sex: F
Age: 63
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Within 12 hours of the vaccination, I experienced shaking chills and a temp of 101.0, which spiked to 101.5 the next day. These side effects resolved within 48 hrs post-vaccination. I experienced no side effects at all after the 1st Pfizer vaccination.

Other Meds: Betablocker, amlodipline, renin-inhibitor, statin

Current Illness: None

ID: 1192367
Sex: F
Age: 41
State: CA

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin , Ibuprofen

Symptom List: Injection site pain

Symptoms: Patient came to Vaccine POD to receive first dose of Pfizer vaccine (LOT #ER8731, Expires 07/2021) on 4/10/2021. Patient has a medical history of hypertension and has allergies to ibuprofen and penicillin. Patient received approval from her doctor and specialists to receive Pfizer vaccine. The patient gave verbal consent to receive the Pfizer vaccine and was vaccinated at 1459 by RN. The patient was given an observation time of 30 minutes with RN, who was performing the EMT observer role on site. At 1530, the patient reported experiencing "tingling" in her lips and tongue. Lead RN was called to assist with the patient. The patient presented with redness localized on face. The patient was assisted to anti-gravity chair at 1531. At 1532, the patient's vitals were taken by RN: BP 160/90, HR 83 BPM, RR 21/min. RN administered 50mg/1mL Benadryl IM in the patient's right arm at 1537. The patient denied difficulty breathing. The patient's vitals were reassessed every 5 minutes for 30 minutes. The patient remained A&Ox4 throughout 30 minute observation period. The patient's vitals at 1538 were: BP 200/118, HR 88 BPM, RR 22/min. The patient states she forgot to take her blood pressure medication in the morning. She states her baseline blood pressure is around 160 systolic. At 1543, the patient's vitals were: BP 160/102, HR 90 BPM, RR 22/min. Visibly, the patient was less flushed. Patient was able to look at herself through her cell phone camera and pallor returned to normal limits, per patient. At 1548, the patient's vitals were: BP 155/108, HR 83 BPM, RR 20/min. At 1553, the patient's vitals were: BP 160/102, HR 79 BPM, RR 18/min. The patient states the tingling in her lips and tongue has resolved. The patient sat up with her feet dangling below her, her vitals were as follows: BP 167/110, HR 79 BPM, RR 17/min. The patient reported "feeling better" and requested to drive herself home. RN provided patient with education about side effects of Benadryl, including fatigue. Patient states she is unable to find a ride and must drive herself home. Patient states she is "feeling fine" and lives "3 minutes away". The patient was given education related to when to seek medical care, including shortness of breath, chest tightness, and sensation of throat tightness. The patient demonstrates understanding of teaching and states she will call her doctor if her symptoms worsen. The patient's gait was steady and patient denied any dizziness or lightheadedness. At 1601, the patient requested to drive herself home. She was escorted to her car by RN. Upon departure, patient was ambulatory, A&Ox4, with no reports of trouble breathing, dizziness, or lightheadedness. Patient drove herself home AMA at 1604.

Other Meds:

Current Illness:

ID: 1192368
Sex: F
Age: 40
State:

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Headache and Dizziness, BP 124/92 HR57 RR20, patient given bottle water and apple juice and felt better. Headache improved, left in stable condition

Other Meds:

Current Illness:

ID: 1192369
Sex: F
Age: 34
State: UT

Vax Date: 04/08/2021
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: NKDA

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

Symptoms: Rash on neck, chest, abdomen, back

Other Meds: MVI, vitamin e, omega-3

Current Illness: None

ID: 1192370
Sex: F
Age: 52
State: CA

Vax Date: 04/07/2021
Onset Date: 04/10/2021
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:

Symptom List: Tremor

Symptoms: Sudden onset abdominal pain, transaminitis

Other Meds: citalopram

Current Illness:

ID: 1192371
Sex: F
Age: 45
State: CA

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: IM
Vax Site: LA

Lab Data:

Allergies: Epinephrine

Symptom List: Erythema, Pruritus

Symptoms: Client complained of shortness of breath and chest pain. ALS was called, MD and Paramedics on site assessed client. Symptoms self resolved. Client left medical facility did not want to go to the hospital.

Other Meds: Unknown

Current Illness: Unknown

ID: 1192372
Sex: F
Age: 76
State: CO

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: None stated

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

Symptoms: After receiving the 2nd dose of the Pfizer immunization, the pts blood pressure began to increase. It got to 210/120. Paramedics were called and responded promptly. Pt was left in their care.

Other Meds: Unknown

Current Illness: First Covid shot given 3/19/1921

ID: 1192373
Sex: F
Age: 49
State: ME

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: Tetracycline

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

Symptoms: No symptoms 15 minute after receiving injections. Mild symptoms four hours later. Strong but tolerable symptoms that required me to lay in bed and stay there eight hours after vaccination. Symptoms started with chills and progressed to body aches, headache, fever, and some tingling in my arms. Arm is sore at the injection site.

Other Meds: None

Current Illness: None

ID: 1192374
Sex: M
Age: 37
State: ME

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: I got a headache, queasy stomach and tired. 12 hours after shot. Improving after 14 hours of first symptom

Other Meds: None

Current Illness: None

ID: 1192375
Sex: M
Age: 43
State: FL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: None

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

Symptoms: Below and above normal temperature, headache, lower back ache, general body ache, nausea, insomnia.

Other Meds: Rosuvastatin 20 mg daily

Current Illness: None

ID: 1192376
Sex: M
Age: 39
State:

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Dizziness, offerrted bottled water and apple juice, patient felt better. BP 116/80, P64, RR20

Other Meds:

Current Illness:

ID: 1192377
Sex: M
Age: 39
State:

Vax Date: 04/03/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Pain in extremity

Symptoms: Dizziness when lying down, worse at night and in the morning

Other Meds: N/A

Current Illness: N/A

ID: 1192378
Sex: F
Age: 62
State: OK

Vax Date: 03/09/2021
Onset Date: 03/21/2021
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: The evening of 03/20/2021 the left side of my mouth began feeling numb and my left eye was drooping slightly. The morning of 03/21/2021 I could not close my left eye or the left side of my mouth. I went to the ER that morning and was diagnosed with Bells Palsy. I was given Prednisone and Acyclovir tablets. As of today, 04/10/2021 I still have very slight paralysis on the left side of my face.

Other Meds: Coreg, Hydrochlorothiazide, Lipitor, Olmesartan, Low dose aspirin

Current Illness: Sinus infection

ID: 1192379
Sex: F
Age: 53
State: NJ

Vax Date: 03/14/2021
Onset Date: 03/14/2021
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: Penicillin, Mango

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

Symptoms: After 2nd dose: Body aches, joint pain, chills, fever, nauseated, headache, rash for 3 days.

Other Meds:

Current Illness:

ID: 1192380
Sex: M
Age: 47
State: FL

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: None

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

Symptoms: Severe chills; pain at injection site began at night and lasted until morning. All of the next day, fatigue and weakness. Following evening, fever of 100.9

Other Meds: Member's Mark Men's Daily Multivitamin

Current Illness: None

ID: 1192381
Sex: M
Age: 49
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
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: Shrimp

Symptom List: Vomiting

Symptoms: Flu like symptoms within 6 hours of being vaccinated, extreme fatigue lasting 4 days - 3 days bedridden, chest pain, cough, headache, neck ache, hard to breath, muscular aches, aches in armpits, sore back, stiff legs, face hurts, tingling in head, Still feeling sick on day 4 from vaccine. Would have not gotten the vaccine if I knew I would be this sick

Other Meds: Descovy, Wellbutrin, Seroquel, Neurotin, Vistaril, Flonase, Zyrtec

Current Illness: none

ID: 1192382
Sex: F
Age: 55
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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Accidently used a wasted extra dose that left in a pfizer vial and mixed it with 1.8 ml Normal Saline. Thinking i was mixing an intact vial. A dose was withdrawn from the affected vial and administered to the patient.

Other Meds:

Current Illness:

ID: 1192383
Sex: F
Age: 36
State: NJ

Vax Date: 04/10/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Severe arm pain, inability to lift arm above shoulder height

Other Meds:

Current Illness:

ID: 1192384
Sex: F
Age: 45
State: NY

Vax Date: 03/18/2021
Onset Date: 04/06/2021
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: I got shingles symptoms 2 days before my second vaccine

Other Meds: Claritin-D Multivitamin Vitamin-b-12

Current Illness: None

ID: 1192385
Sex: F
Age: 39
State:

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Anxiety, BP 130/75 HR85 RR16, patient stabilized and was released from vaccination site

Other Meds:

Current Illness:

ID: 1192386
Sex: F
Age: 25
State: PA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Tylenol with codien

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

Symptoms: Vaccine was done at 2:50. Around 6pm I started getting a headache, neck pain and my lymph nodes were enlarged. Took 1000mg of Tylenol. At 1030 pm, I started getting all over muscle spasms, headache returned, onset of dizziness, nausea and uncontrollable shaking. At 1145pm, I started vomiting, the muscle spasms got increasing worse, the shaking only decreased while in the bath tub in very hot water. No fever was noted with thermometer, but after a second dose of 1000mg of Tylenol at 1am, I broke out profusely sweating 30 minutes later. The uncontrollable shaking stoped at about 4am, along with the nausea and vomiting. Upon waking up the next day, muscle spasms were still there as well as the headache and dizziness. By end of day 4-10-21 (today) all symptoms have resolved but the headache.

Other Meds: Hormonal birth control pill

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm