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: 1192439
Sex: F
Age: 49
State: NC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
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: Swollen lips, swollen mouth, swollen tongue, swollen trachea, irritated gums, facial numbness

Other Meds: Hydrochloroquine, HCTZ, Celebrex

Current Illness: None

ID: 1192440
Sex: F
Age: 46
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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Codeine, Percocet, Neosporin, lactose intolerant

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe pain in left arm, from the shoulder to the elbow of left arm felt heavy and very painful for two days. I started my menstrual cycle the day after the vaccination - two weeks early. I am on birth control and my dates have not varied in twenty years until this time. It has been an abnormally heavy cycle with very painful cramps this time too - things which I have not had since I was in my early twenties (and never since I have been on birth control).

Other Meds: Microgestin, Claritin D 24 hour, Amlodepine, Hydrochlorothiazide, Bupropion, Vitamin B12, Calcium supplement, Multivitamin, Iron chewable, Vitamin C

Current Illness: Seasonal allergies

ID: 1192441
Sex: F
Age: 22
State: TN

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: chills, uncontrollable shaking, fever, fever dreams, headache, dizziness, nausea, loss of vision (momentarily), loss of hearing (upon waking up)

Other Meds: birth control, 2 Tylenol, vitamin D, vitamin B-12, magnesium, fiber supplement

Current Illness: none

ID: 1192442
Sex: M
Age: 47
State: NY

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extreme arm pain for 36 hours following first dose. Unable to sleep or function properly. Pain then subsided for 4 days On day 8, extreme arm pain came back again. Unable to sleep or function properly.

Other Meds:

Current Illness:

ID: 1192443
Sex: F
Age: 21
State: NY

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

Symptoms: Nurse made errors in administering vaccine. Lower-than-authorized dose volume administered. Fluid leaked out after removal of the needle. The fluid sat on top of vaccine site. Nurse also had trouble drawing vaccine fluid out of vial into needle, so I am unsure if the proper dosage was in the needle to begin with. Nurse pinched vaccination site, leading to potential subcutaneous injection. I did not see the angle or depth of which the needle entered. 3 hours after vaccination, large bump began to form on vaccination site. Has grown large as of time of writing, currently 1.5inch in diameter. Bump is hot and painful to the touch, and tender. Only other side effect is fatigue.

Other Meds: methimazole levothyroxine

Current Illness:

ID: 1192444
Sex: M
Age: 31
State: VA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
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: none

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

Symptoms: Tinnitus - hearing high pitch sound in both ears

Other Meds: none

Current Illness: none

ID: 1192445
Sex: F
Age: 49
State: FL

Vax Date: 04/02/2021
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: N/A

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: COVID arm. Left arm injection site itchy, swollen, on 4/10/21

Other Meds: Iron supplement

Current Illness: N/A

ID: 1192446
Sex: F
Age: 21
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

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: 1192447
Sex: F
Age: 36
State: PA

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: Clams

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Chest pain and chest heaviness

Other Meds: Cymbalta 90mg qd Vitamin D 5000iu qd Vitamin C 500mg wd

Current Illness: None

ID: 1192448
Sex: F
Age: 56
State: IL

Vax Date: 03/19/2021
Onset Date: 03/21/2021
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: Pennicillen

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Watery Diarrhea started on 3/19 and continues to go on each morning, up to twice, since 3/19. Contacted Dr. and started taking Imodium AD to see if it helps. I took two pills yesterday, one pill this AM per the directions. Experienced one additional watery bowel movement this morning. Stomach is bloated and uneasy. Watery stools up to twice in am since 3/19. The watery stools are the only issue, with bloating. Still has appetite and feels otherwise, normal. Stomach is the issue.

Other Meds: Armour Thyroid, Lisinopril, Melatonin, Rainbow Light Multi-vitamin, Vit. C, Vit. D, Magnesium, Evening Primrose Oil, Tumeric/Curcumin, Benefiber, Green Tea, Florojen probiotic

Current Illness: None

ID: 1192449
Sex: F
Age: 47
State: AL

Vax Date: 04/01/2021
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: Redness around injection site 8 days after injection

Other Meds: Lexapro, Losartan, vitamin C, D, calcium, biotin

Current Illness: None

ID: 1192450
Sex: M
Age: 30
State: WI

Vax Date: 03/15/2021
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: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: As a person who has never had any kind of allergies--including seasonal allergies--as of the week I received the vaccine, I appear to have developed a new allergy to dust mites. When resting my head against a pillow (especially near the open end of the pillow case), I develop sneezing, complete sinus congestion (to the point I am not able to breathe from either nostril), runny eyes, and similar histamine responses. The symptoms have responded well to diphenhydramine and loratadine, as well as use of allergen-resistant pillowcases, but they have reduced my sleep quality in the weeks since they developed, and I feel this new allergy has negatively impacted my quality of life.

Other Meds: Clindamycin 1% gel

Current Illness: None

ID: 1192451
Sex: M
Age: 55
State: MN

Vax Date: 04/03/2021
Onset Date: 04/04/2021
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: Terrible congestion, runny nose that did not stop from Sunday 4/4/21-Saturday 4/10/21 8:00 am, chest, lungs hurt, body aches earlier in week, had to stay in bed on and off all week, no energy, forced myself to eat, severe coughing by Wednesday 4/7/21 which has only stopped on 4/10/21. was most severe Thursday 4/8-Firday 4/9 Could not concentrate all week, even watching tv.

Other Meds: Dovato, Buspirone, Glucomannon, Psyllium Husks, D3

Current Illness: None

ID: 1192452
Sex: F
Age: 27
State: KY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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:

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

Symptoms: Allergic reaction on arm with both shots on both arms. Worse with the second dose. Warm to touch, hard, sore, itchy, red, spreading across my arm, swelling. Intense pain across whole body, particularly in pelvic and low back areas and joints. Fatigue Bloating

Other Meds: Wellbutrin XL 300mg Multivitamin

Current Illness:

ID: 1192453
Sex: F
Age: 42
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Unknown

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

Symptoms: Immediately after the vaccine was administered the patient complained of pain in the arm. I escorted her to a chair in the waiting area for 15 minute observation and she said she didn?t feel right and I should get her husband . She began seizing in the chair and I held her safely during the episode. Her husband came in and she became oriented, but still complained that her arm hurt from the injection. . Before her vaccine I questioned her about her seizures and she said the seizures were being controlled by medicine. After the episode when talking with the patient?s husband he said her seizures are quite frequent, the last one being about 1 month ago. EMT?s came to the pharmacy to monitor her before she was released to go home.

Other Meds: Zonisamide 25mg

Current Illness: Unknown

ID: 1192454
Sex: F
Age: 70
State: CA

Vax Date: 03/13/2021
Onset Date: 03/20/2021
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: Sulfa drugs

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

Symptoms: Became itchy and then large area of hot, hard snd red with a 3 inch diameter. Was not painful. Lasted 3 days before it began to subside; gone after a week.

Other Meds: Cymbalta, vitamin D, fish oil, lecithin, baby aspirin

Current Illness: None

ID: 1192455
Sex: M
Age: 53
State: MI

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

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

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: 1192456
Sex: F
Age: 41
State: IL

Vax Date: 04/01/2021
Onset Date: 04/03/2021
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: Approx. 36 hours after the first shot, I noticed an intense ringing in my ears that has not gone away. For the first 48 hours I also experienced dizziness, confusion, mood swings, and soreness in my arm. I still have occasional dizziness and mild vertigo.

Other Meds: None

Current Illness: None

ID: 1192457
Sex: M
Age: 21
State: MI

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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

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: 1192458
Sex: F
Age: 67
State: CA

Vax Date: 01/01/2021
Onset Date: 02/01/2021
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: N/a

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

Symptoms: A strong thrumming in left ear. Occurs indiscriminately throughout the day, every day. Some episodes are intense. Pulsating seems to mimic my heart and/or pulse rate.

Other Meds: N/a

Current Illness: N/a

ID: 1192459
Sex: F
Age: 56
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: COVID arm. Swollen and red and vaccination site. Hard raised lump, approx. 1.5 inch diameter.

Other Meds: Sertraline, Effexor XR, Lisinopril, Montelukast, Black Cohosh, Omega 3, Fluticasone Propionate & Salmeterol inhaler, Xopenex inhaler, Famotidine, Cetirizine

Current Illness: None

ID: 1192460
Sex: M
Age: 24
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: amoxicilin

Symptom List: Unevaluable event

Symptoms: Beginning 7 hours after inject, has increased in severity in the 4 hours since fatigue confusion dizziness lethargy soreness throughout body nausea fever i feel like shit dude

Other Meds: onfi 10mg night keppra 500mg bid lamotrigine 100mg bid

Current Illness: epilepsy

ID: 1192461
Sex: M
Age: 29
State: FL

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: NSAIDs

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

Symptoms: Lost consciousness

Other Meds: None

Current Illness: None

ID: 1192462
Sex: F
Age: 39
State: MN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: No

Symptom List: Injection site pain, Pain

Symptoms: Almost 12 hours after vaccine, started feeling muscle and joint aches (in hips, arms, legs and neck area), followed by chills for a few hours and then got very hot. I have also had a sore arm since receiving the vaccine. Also, I went to this vaccine clinic with 2 of my neighbors that also had the exact same reactions.

Other Meds: Ferrous Sulfate, Vitamin D and birth control

Current Illness: No

ID: 1192463
Sex: F
Age: 50
State: NJ

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: n/a

Symptom List: Injection site pain, Menorrhagia

Symptoms: Skin rash on arm around injection location started one day after vaccination and was mild, more red and bumpy 10 days later.

Other Meds: n/a

Current Illness: n/a

ID: 1192464
Sex: F
Age: 82
State: AL

Vax Date: 02/23/2021
Onset Date: 04/06/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Valium

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

Symptoms: Fatigue, achy all over, pain under right rib cage that hurt threw to my back. Went to med center and was seen by Dr. He was concerned so that he insisted that I go to the hospital to be admitted on Tuesday 4/6/21. Was admitted and blood work was done and ct abdomen and car which was negative. More lab work was done on 4/7/21 which showed a elevated d-diner. At that time a ultrasound of legs done which showed a clot in my right leg. Then a ct chest was scheduled and done 4/8/21 which showed a clot in my right lung.

Other Meds: Synthroid, Aricept, Trazadone

Current Illness: Hypothyroidism,

ID: 1192465
Sex: F
Age: 57
State: CA

Vax Date: 04/07/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa morphine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I became very dizzy about 1.5 hours after receiving the shot. I cannot shake the feeling of my equilibrium being off. I feel like i just got off of a spinning ride at an amusement park and I cannot get my bearings. I never have had dizziness like this before so i feel that it must be related to the shot.

Other Meds: none

Current Illness: none

ID: 1192466
Sex: F
Age: 64
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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

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: 1192467
Sex: M
Age: 46
State: WI

Vax Date: 04/07/2021
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: Statins, rodent dander

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

Symptoms: Dizzy, light headed. Started middle of the night day after shot (night of the 8th). Woke me up multiple times. Spent all day Friday the 9th in a daze. Felt like a flu, but no fever or chills. Slept most the day and work up today (Sat the 10th) feeling close to normal. A few dizzy spells but nothing compared to yesterday.

Other Meds: Type 1 diabetic - novolog, lantus Advil for arm sore arm

Current Illness: None

ID: 1192468
Sex: M
Age: 16
State: WA

Vax Date: 04/08/2021
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: not known

Symptom List: Nausea

Symptoms: patient under the age of 18 at time of vaccination

Other Meds: not known

Current Illness: not known

ID: 1192469
Sex: F
Age: 22
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: I started having a fever and headache around 7pm. At 10 pm my back was hurting badly, head hurting badly, and lots of chill shaking my body

Other Meds:

Current Illness: Sore throat

ID: 1192470
Sex: F
Age: 37
State: TN

Vax Date: 04/05/2021
Onset Date: 04/05/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Fever, vomiting, diarrhea, chills, persistent weakness and fatigue

Other Meds: Simbicort inhaler, singular

Current Illness: None

ID: 1192471
Sex: F
Age: 51
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

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: 1192472
Sex: F
Age: 61
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Tremor

Symptoms: Very strong chills during the night, the next day weakness. Inappetence, excessive sleepiness, headache. place of the vaccine inflamed with pain and itching it is been five days and it's still swollen and painful, from day 4 throat swelling with pain, place of the vaccine inflamed and pain. I have taken antiallergy, ibuprofen, cortisone cream in the place of the vaccine, and cold and hot

Other Meds: None

Current Illness: None

ID: 1192473
Sex: M
Age: 45
State: FL

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

Symptom List: Erythema, Pruritus

Symptoms: Patient had generalized weakness, dizziness, fatigue, confusion, blurry vision, lethargy, neck pain 5 minutes after the first dose of Pfizer coronavirus disease vaccine. MRI C spine negative for COVID related transverse myelitis. CT head negative. His glucose was also low that was treated. He felt better the next day and was discharged.

Other Meds: Atorvastatin, bupropion, lisinopril

Current Illness:

ID: 1192474
Sex: F
Age: 33
State: UT

Vax Date: 03/19/2021
Onset Date: 03/19/2021
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: N/a

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

Symptoms: Frequent heart palpitations, doctor visit, cardiologist visit

Other Meds: Advair discus, sertraline, singulair, Zyrtec, prenatal vitamin

Current Illness: N/a

ID: 1192475
Sex: M
Age: 60
State: FL

Vax Date: 04/05/2021
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: tramadol

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

Symptoms: Severe Headache general aching all over body coughing and low grade fever

Other Meds: Metformin,lisinopril, metoprolol

Current Illness: none

ID: 1192476
Sex: F
Age: 62
State: MD

Vax Date: 03/23/2021
Onset Date: 03/25/2021
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: Sulfa, pennicillan

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Hissing in both ears

Other Meds: New crater, immune support, vitamin ProOmega-D supplement Valacyclovir 500 mg-1 tablet daily Clopidogrel 75 mg- 1 tablet Astorvastatin 20 mg- 1 tablet Valsartan- 160 mg -1 tablet Aspirin-81mg Multivitamin, women 50+ centrum Eszopiclone 3mg

Current Illness: Heart disease Herpies Hpv

ID: 1192477
Sex: M
Age: 72
State: NH

Vax Date: 02/27/2021
Onset Date: 03/23/2021
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: Environmental allergies, dust, mold, ragweed, perfumes, paints, solvents, some chemicals etc.

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

Symptoms: Episodic, rapid thumping sound in left ear. Much more rapid than heartbeat. Some sort of tinnitus. Comes and goes.

Other Meds: Atorvastatin, 20 mg. Aspirin 82 mg. Loratadine 10 mg.

Current Illness: None

ID: 1192478
Sex: M
Age: 19
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Peanuts, Tree nuts, Dairy

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

Symptoms: Headache

Other Meds:

Current Illness: n/a

ID: 1192479
Sex: F
Age: 73
State: OH

Vax Date: 03/30/2021
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: Pain in extremity

Symptoms: Purpura: broken blood vessels in legs. This has never happened to her before. It is a new condition. We are concerned for where else this could be happening, including in her brain.

Other Meds: Lamotrigine, donepezial

Current Illness: None

ID: 1192480
Sex: F
Age: 22
State: TX

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Apples, cherries, peaches, almonds (Birch pollen)

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

Symptoms: The night I got my shot, my entire body was freezing and I couldn?t sleep at all because my entire body was in so much discomfort and pain, especially near my rib cage area in the front and back. The following day was the exact same, except my front rib cage didn?t hurt anymore (only the back). I was extremely fatigued and I couldn?t sit down because my body hurt so much. The worst symptoms were the sharp ear and neck pain (by the ears). It was a sharp, sporadic pain, but it still hurts a lot. It?s now been 2 days since the shot and the neck and ear pain is now more frequent, though my fever and some of my muscle sores are now getting better. I also feel extremely nauseous, like I?m going to puke anytime soon.

Other Meds:

Current Illness:

ID: 1192481
Sex: F
Age: 46
State: MN

Vax Date: 03/19/2021
Onset Date: 04/08/2021
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: Day 8 - COVID arm 3/8/21 - Developed Shingles

Other Meds: None

Current Illness: None

ID: 1192482
Sex: F
Age: 63
State: IN

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: 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: Low grade fever , body aches, fatigue for about 12-20 hrs. Headaches day 3 after (Saturday) Ibuprofen 7 hrs. after onset

Other Meds: hydrochlorathiazyde Fish oil Glucosamine chondroitine Multivitamin

Current Illness: none

ID: 1192483
Sex: F
Age: 28
State: TX

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Vomiting

Symptoms: She develop fever, abdominal pain, vomiting

Other Meds: none

Current Illness: none

ID: 1192484
Sex: M
Age: 62
State: FL

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: When I woke up, my entire body felt really bloated and soar. Moderate headache. Dizzy, could not think. Walking very slow. No desire to do anything. Sat in my recliner most of the morning with body aches and sleeping. In the early afternoon, I decided to go lay down in my bed to get more comfortable. Continued drinking water throughout the day. Woke up about 7:00 PM. As I got out of bed, I immediately noticed that I was feeling about 80-90% better. The whole body bloating feeling was gone. Body aches were very reduced. Headache was very minor. I felt like a different person when I woke up (better). Very freaky feeling! I was also able to eat some good at this time.

Other Meds: B-12 shot, farxiga, Metformin, Losartan, Omeprazole, Vascepa, Buspirone, Sertraline, metoprolol, lipitor, novolog and Soliqua insulin as needed.

Current Illness: None.

ID: 1192485
Sex: M
Age: 49
State: MI

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:

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

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: 1192486
Sex: F
Age: 29
State:

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever, chills, body aches, sore throat, diarrhea, fatigue, continued swelling, redness, and pain at injection site

Other Meds:

Current Illness:

ID: 1192487
Sex: F
Age: 63
State: MD

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: Mycin class of drugs. Surgical Steel and surgical tape.

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

Symptoms: Started with extreme tiredness around 8 pm same day as vaccine. Woke up with fever and some confusion the next morning. Fever persisted with analgesics on board and hydration efforts for almost 15 hrs.

Other Meds: Lisinopril 2.5mg not for hbp. Jenumet .Vit D. Meloxacam . Centrum silver. Busprione. Cinnamon. Krill oil. Rouvastatin.

Current Illness: None.

ID: 1192488
Sex: F
Age: 24
State: GA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
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: Ibuprofen

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

Symptoms: I received my 1st dose of the vaccine on 3/19 which was also the same time I should have gotten my period. My period cycle ranges from 24-26 days on average, so it wasn't certain that I would get my period on 3/19. As on 4/10/2021 I discovered that I never got my period. There is no possible chance that I am pregnant because I am not sexually active and have never been. I haven't taken any form of contraceptive for about 2 years, maybe longer. The only factor, other than the vaccine, that might cause a missed period could be stress. The date of my vaccine shot was around the end of the school term which is a higher stress time period, but not much more than normal and I experience that level of stress about every 9-11 weeks. None of which did I miss or have a delayed period. My 2nd dose is scheduled for 4/16/2021.

Other Meds: Spironolactone

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm