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: 1207051
Sex: F
Age: 59
State: PA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 04/14/2021
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: I do not take medicines because I get sick when I do take any type of medicine. Ie) intestinal upset , fatigue etc

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever, chills, severe headache and fatigue. It was exhausting opening my eyes. Even after two weeks I would try to convince myself to pull over in my truck and take a nap! I am still extremely tired. My Heart was pounding, throbbing in ?my ears?. I could hear it so loudly . 2weeks of brain fog ? could not stay on task (due to dehydration?) I still can?t drink enough water and Gatorade to satisfy my thirst. Extreme Weakness, Nausea , especially when I would try to eat . Increased thirst/ urination . My ankles and feet swelled . My friend who is a pharmacist instructed me to take a Tylenol but I couldn?t even get out of bed to get one to take. ? any movement made my head swim and I felt like I would throw up. I slept most of that day and also the next day

Other Meds: None

Current Illness: None

ID: 1207052
Sex: M
Age: 21
State: MD

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: The patient presented to the pharmacy to receive his Covid-19 vaccination. He was accompanied with his mother, who stated that she was there for support. It was not made clear to the vaccinator that the patient had a history of fainting with vaccines or blood draws. The vaccine was administered, and the patient immediately lost consciousness. The patient was placed in a chair with arms, and was caught before falling to the ground. The patient did not come in contact with the floor or any surfaces to cause further damage. The patient with quickly assessed by the pharmacist on duty and 911 was called by the other pharmacist. The patient quickly regained consciousness and was aware that he had "done it again". Neither the patient nor the mother were particularly concerned about the event, but we called the paramedics to be safe. The paramedics came and took vitals, everything checked out okay and the patient declined transport to the hospital. The patient's mother then drove the patient home.

Other Meds:

Current Illness:

ID: 1207053
Sex: F
Age: 23
State: GA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/14/2021
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: Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient fainted after receiving her first dose of the Pfizer vaccine for covid 19. She\r\nwas laid down on her back. Fainting spell lasted about 2-3 minutes. She said it was usual for her to faint after immunization as a child. She didn't mention this because she thought she had outgrown it. She complained about quizziness in her stomach after the fainting spell. She was given 1 tablet of 25mg Benadryl.

Other Meds:

Current Illness:

ID: 1207054
Sex: F
Age: 72
State: NY

Vax Date: 04/04/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: dilaudid, prochloperizide, promazine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt was admitted with chest pain and thoracic arotic dissection 6 days after her second covid 19 vaccination. CT imaging showing a dissecting mid descending upper abdominal aneurysm. She was transferred to the ICU on an esmolol drip and ultimately transferred to hospital MICU where she remains hospitalized

Other Meds: lovastatin, singulair, paxil, prednisone 20mg/d, sodium chloride tablets, trelegy, ventolin prn

Current Illness: Pt had Mohs surgery to remove a L lateral cheek lesion on 4/6

ID: 1207055
Sex: F
Age: 68
State: IN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Vomiting and diarrhea for approximately 3 hours, then nausea and headache for another 24 hrs. Stayed in bed, slept, took ibuprofen.

Other Meds: Levothyroxine, rosuvastatin, calcium, vit. D, CoQ10, low dose aspirin

Current Illness: None

ID: 1207056
Sex: F
Age: 41
State: IN

Vax Date: 03/31/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: Moderna COVID-19 Vaccine EUA Large red, itchy patch on shoulder where injection was given, about 3 inches by 3 inches First appeared this morning, two weeks after injection

Other Meds: omeprazole, 20 mg each morning, multivitamin each night

Current Illness: None

ID: 1207057
Sex: M
Age: 17
State: NY

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Systemic: Fainting / Unresponsive-Mild, Systemic: Headache-Mild, Systemic: Hypotension-Mild, Systemic: Weakness-Mild

Other Meds:

Current Illness:

ID: 1207058
Sex: M
Age: 28
State: NJ

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: sweating-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Mild, Systemic: Weakness-Mild

Other Meds:

Current Illness:

ID: 1207059
Sex: F
Age: 40
State: OH

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/14/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever, chills, body aches, headache, nausea, fatigue. Symptoms lasted 24-48 hours. All symptoms were gone by 48 hours. Treated with ibuprofen and bed rest.

Other Meds: Zyrtec Nuva Ring Magnesium Lysine Calcium Probiotic

Current Illness: None

ID: 1207060
Sex: F
Age: 59
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 04/14/2021
Hospital: Y

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: On day of vaccine 1/26/21, had minutes of right arm paralysis. On 1/29/21, had hours expressive aphasia and the hour of right arm and leg weakness with fall. On 1/30/21, has stroke with expressive aphasia and some right arm weakness. Was admitted to hospital 1/30/21. MRI showed multiple infarcts left hemisphere and carotid dissection. Heart monitor after discharge showed new onset paroxysmal atrial fibrillation. Echocardiogram normal. Symptoms have improved over weeks.

Other Meds: Escitalopram, Progesterone, Estradiol, Synthyroid

Current Illness: None

ID: 1207061
Sex: F
Age: 42
State: NY

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: gluten sensitive

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

Symptoms: Severe abdominal cramping that lasted for hours with vomiting and dry heaving. Headache and neck stiffness. Symptoms appear resolved as of 4/14/21 at 8 am.

Other Meds: synthroid, womens multivitamin, chasteberry, ashwagandha, maca

Current Illness: None

Date Died: 03/21/2021

ID: 1207062
Sex: M
Age: 70
State: OH

Vax Date: 03/08/2021
Onset Date: 03/18/2021
Rec V Date: 04/14/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: No

Symptom List: Rash, Urticaria

Symptoms: My father died 10 days after receiving the vaccine. According to the doctors he was a strong healthy man. How he dropped suddenly and died three days later our family would like to know. He had the one dose Johnson and Johnson vaccine. The only change in his medical is that his BP was elevated and the doctors said that led to his hemorrhagic aneurysm causing his death.

Other Meds: Blood pressure medication

Current Illness: Eye surgery

ID: 1207065
Sex: F
Age: 40
State: NC

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Advil

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

Symptoms: Abdominal pain, pain on the injection site, trouble breathing on small occasions, body pain

Other Meds:

Current Illness:

ID: 1207066
Sex: M
Age: 62
State: OK

Vax Date: 02/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/14/2021
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: Suffer from Gout. OA in my hands.

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

Symptoms: My right leg has been very tight with a small bump between knee cap & ankle. Shortly after the second dose. ON 3/26/2021.

Other Meds: Indomethacin & Acetaminophen & Allopurinol. Vitamin C pill.

Current Illness: none

ID: 1207067
Sex: F
Age: 53
State: NC

Vax Date: 01/12/2021
Onset Date: 03/22/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Bruising on inner left arm and outer right arm ...unknown reason ..started on 3/22 bruise still present on left arm

Other Meds: Vitamin D ,Multivitamin, Zinc,VitaminC

Current Illness: None

ID: 1207068
Sex: F
Age: 65
State: LA

Vax Date: 03/31/2021
Onset Date: 04/04/2021
Rec V Date: 04/14/2021
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: PCN

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

Symptoms: 4days post injection she developed a full body rash, ears are "swollen", and throat has a funny sensations in it. Breathing normal. Treated on 2 successive days with a predinsone injection, but then was admitted for observation the next day. Treated as an inpatient for 24 hours with Solu-Medrol every 6 hours. Recovered and was released. Patient reported that she had been previously vaccinated against COVID-19 in January, but we have no record of that (all vaccinations in Louisiana are required to be in our State Immunization Registry).

Other Meds: ASA 81mg

Current Illness: Hx of sinus tachycardia, h/o CVA

ID: 1207069
Sex: M
Age: 63
State: LA

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 04/14/2021
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: Systemic: Allergic: Difficulty Breathing-Severe, Systemic: SOB from 48 hours post vaccine to present-Severe, Additional Details: 6'2\" 235lb adult male with no history of SOB reports abrupt onset of SOB 48 hours post vaccine to present (19 days later) with exertion, walking or talking. Physician reported neg for covid and normal EKG. Refered to cardiologist to continue investigation. Told to hold second dose.

Other Meds:

Current Illness:

ID: 1207070
Sex: F
Age: 67
State: NC

Vax Date: 03/01/2021
Onset Date: 03/05/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Leviquin, Oxycodone, Hydrocodone, Sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient suffered rapid heart beat 5 days after injection. Emergency room visit, heart was stopped and started to get to normal heart rhythm. This event occurred after the second vaccine also.

Other Meds: Ibrance, Xgeva, Faslodex

Current Illness:

ID: 1207071
Sex: M
Age: 53
State: IL

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Janssen COVID-19 Vaccine EUA Injection site pain; muscle stiffness; joint pain in shoulders, elbows, knuckles, hips, knees; severe headache; nasua; fatigue; low grade fever

Other Meds: None

Current Illness: No

ID: 1207072
Sex: F
Age: 17
State: SC

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient fainted in waiting are 5 minutes after shot. Patient's muscles stiffened up and she hit back of head on shelf. Pharmacists lowered patient to recovery position on floor, where pt recovered consciousness and relaxed. Patient's mother said that patient has vaso-vagal responses to shots and that she was having one of those. Patient was well and was able to leave without further assistance.

Other Meds:

Current Illness:

ID: 1207073
Sex: F
Age: 42
State: IA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
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: Body aches, fever, chills, headache, and heart palpitations that started approximately 12 hours administration of vaccine. Fever, chills and body aches subsided within 36 hours. Heart palpitations reduced but continue to occur periodically

Other Meds: none

Current Illness: none

ID: 1207074
Sex: M
Age: 61
State: VA

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Peanut

Symptom List: Unevaluable event

Symptoms: Edema near lymph nodes under arm in which vaccine was injected. Noticed this after Monday morning swim while showering and swelling has persisted

Other Meds: Lisinopril, Simvastatin, Low dose aspirin, Fish oil, Zyrtec

Current Illness: none

ID: 1207075
Sex: F
Age: 43
State: IN

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: PNC, Keflex, Ceclor

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

Symptoms: Sore arm

Other Meds: Xyzal, Singular, Cymbalta, Vitamin D3, Fluticasone, Accutane

Current Illness: Acne

ID: 1207076
Sex: F
Age: 25
State: MA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/14/2021
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: Dairy and gluten

Symptom List: Injection site pain, Pain

Symptoms: Within a few hours after receiving the vaccine, right arm started hurting, soon after the body aches and chills set in. Overnight my arm hurt so bad i couldn't roll over onto that side or lift my arm up. I developed a fever around 11 pm and it spiked to 101.4 for a few hours before I started taking motrin. Fever was gone by the morning but I had to take it around the clock for about 48 hours or else the body aches and chills would set back in.

Other Meds: None

Current Illness: Sinus infection 2 weeks prior

ID: 1207080
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/14/2021
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: I got the Shingles vaccine and got the worse case of shingles ever/Suspected vaccination failure; I got the Shingles vaccine and got the worse case of shingles ever / this time it's on my right side, last time it was on my left side; This case was reported by a consumer via (Shingles Facebook page) interactive digital media and described the occurrence of suspected vaccination failure in a adult patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the vaccination failure and shingles were unknown. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. Additional details were provided as follows: The age at vaccination was not reported. The age group was not reported but was selected as adult as per vaccine indication. The patient experienced worse case of shingles after vaccination with Shingles shot. This was 2nd time patient got shingles and it was on right side while last time it was on left side. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, laboratory confirmation, time to onset of shingles were unknown at the time of reporting.

Other Meds:

Current Illness:

ID: 1207081
Sex: F
Age: 39
State: GA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
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: Numbness in hands and feet, also felt numbness in neck and lower part of back of the head. Difficulty breathing, heart palpatations, feeling of needing to pass out multiple times. Nausous for a wee straight, with gastro symptoms. I have lost 10 pounds in the week since I have had the shot. Still having tingling sensations in hands and feet.

Other Meds: none

Current Illness: none

ID: 1207082
Sex: M
Age: 62
State: OH

Vax Date: 03/01/2021
Onset Date: 03/19/2021
Rec V Date: 04/14/2021
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: Tramadol

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pain in right leg that lasted for 2 days, that started 2 weeks after injection. Also had 5 minutes of dizziness the morning after the injection. I?m going to report this info to my personal physician today.

Other Meds: None

Current Illness: None

ID: 1207083
Sex: F
Age: 77
State: NY

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa, rosuvastatin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt received her 2nd covid 19 vaccine on 4/7/2021 and was admitted severe sob, respiratory failure and hypoxia on 4/10/2021/ she remains hospitalized as of 4/14/2021. she is being treated with oxygen, antibiotics, steroids and nebulizers.

Other Meds: albuterol prn, vit d, vit d, asa, guiafensein, duonebs q6h, levothyroxine, magnesium, omeprazole, potassium, pravastatin, valsartan,

Current Illness: none

ID: 1207084
Sex: M
Age: 34
State: NH

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Additional Details: After the first dose of the Pfizer COVID19 vaccine, patient felt faint while sitting. When patient stood up to report dizziness, the patient ended up fainting and falling. Patient reported that he did not hit his head. He regained consciousness quickly after and was able to sit for 30 minutes before leaving the facility.

Other Meds:

Current Illness:

ID: 1207085
Sex: F
Age: 49
State: SC

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: severe flu like symptoms.. body ache, sweats chills, and headache to lint of nausea. Neck to wrist pain in injection arm 4/14 only headache persists other symptoms gone

Other Meds: Evamist

Current Illness:

ID: 1207086
Sex: F
Age: 79
State: OH

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Thrombotic CVA of L hemisphere and spleen. CVA occurred overnight and was complete when patient found. Therefore, no treatment. Result R side paresis arm and leg and aphasia/apraxia.

Other Meds: Lisinopril, Coreg

Current Illness: None

ID: 1207087
Sex: F
Age: 18
State: MA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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: Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild

Other Meds:

Current Illness:

ID: 1207088
Sex: F
Age: 54
State: FL

Vax Date: 03/22/2021
Onset Date: 04/05/2021
Rec V Date: 04/14/2021
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: Floroquinolines

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

Symptoms: The week of April 5, I believe it was April 5 & 6, I thought that I was coming down with a sinus infection. I was having some blood when blowing my nose and remember seeing some small, hard balls which I now realize were clots. I did not go to the doctor because my back was very bad and I was in a lot of pain and I had an upcoming appointment with my doctor. I believe that the symptoms resolved after 2 or 3 days and I did not even mention it to my doctor when I saw him. I felt a lot of pain in my leg, but this is probably due to my ongoing sciatica/radiculopathy /bursitis problems that I experience.

Other Meds: Aspirin 81mg QD, topiramate 50 mg BID, sertraline 50 mg QD, Methylcarbonal 750mg, Lidoderm patch 5%, Vitamin D, Vitamin B, Multi vitamin, Digestive enzymes, Motegrity 3mg, Probiotics, Phentermine 37.5mg

Current Illness:

ID: 1207089
Sex: F
Age: 24
State: NY

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/14/2021
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: Pain in arm, pain in armpit ( Swollen Lymph Nodes)

Other Meds:

Current Illness:

ID: 1207090
Sex: M
Age: 65
State:

Vax Date: 03/30/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
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 known

Symptom List: Erythema, Pruritus

Symptoms: Patient presented to clinic 9 days after vaccination in acute distress, shivering, tachypneic and having difficulty with speech. Heart rate at 130 beats per minute, Spo2 91% on room air, temp 99.9f oral. Initial difficulty obtaining blood pressure due to shaking. Patient was treated with 500mL NS and 2L O2 via nasal cannula, which immediately improved symptoms. Due to elevated glucose and minimal austere conditions, patient was evacuated from camp to hospital. There, patient diagnosed with COVID-19 infection, bilateral basilar and right apical pneumonia, diabetes and sepsis.

Other Meds: Termisartan, Simvastatin, amlodipine, polyethylene glycol

Current Illness: none acute

ID: 1207091
Sex: F
Age: 62
State: MA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/14/2021
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

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

Symptoms: HEADACHE, LEFT side of head sensitive to touch

Other Meds: Sertraline, Pot Chlor, atorvastatin, Triamterene/Hctz, triazolm, trazodone, multi vitamin, baby aspirin

Current Illness:

ID: 1207092
Sex: F
Age: 62
State: VT

Vax Date: 03/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Onset of dull headache which worsened. Continued worsening into a massive migraine(cluster, light sensitive). After several hours I took a migraine relief OTC medication. The headache subsided with minor headache into the following day.

Other Meds: None

Current Illness: None

ID: 1207093
Sex: F
Age: 45
State: AL

Vax Date: 04/07/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
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: Shortness of breath, dry cough and swollen arm for many days after the shot.

Other Meds: None

Current Illness: None

ID: 1207094
Sex: U
Age:
State: PR

Vax Date: 03/31/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: Impression, asthma

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

Symptoms: Bruising

Other Meds: Losartan 100

Current Illness: No

ID: 1207095
Sex: F
Age: 50
State: NC

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/14/2021
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: none

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

Symptoms: Fever, chills, (hot, then cold) sweating for a couple days, then nausea for about 4 days. Lethargy

Other Meds: Vitamins A,C,E Lessina

Current Illness:

Date Died: 04/06/2021

ID: 1207096
Sex: U
Age: 80
State:

Vax Date: 03/29/2021
Onset Date: 04/03/2021
Rec V Date: 04/14/2021
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:

Symptom List: Pain in extremity

Symptoms: Death Acute blood loss anemia Pleural effusion GI bleed NSTEMI (non-ST elevated myocardial infarction)

Other Meds:

Current Illness:

Date Died: 04/04/2021

ID: 1207097
Sex: F
Age: 74
State: FL

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Banana, Benadryl, Iodine, Kidney beans, Milk Containing Products, Mushroom, oats, Penicillins, Remicade, Seafood/ saltwater fish, Sulfa

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

Symptoms: According to hospital records, patient presented to the ER in full cardiac arrest with ongoing CPR in progress.

Other Meds: N/A

Current Illness: Hypercoaguable state

ID: 1207098
Sex: F
Age: 20
State: NY

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Mild, Additional Details: Pt stated that she was nervous that she would \"pass out from vaccine\", recommended she stay 30 min instead of 15 min for monitoring. Has hx of anxiety d/o & panic attacks (3x/month). Stated she felt dizzy after getting vaccine and she contributed it to that. Gave 12oz OJ, 1 protein pack (nuts & chocolate berries) and water. Only had ramen noodle soup today & was dehydrated. Checked in after 30 minutes, felt fine and was back to normal.

Other Meds:

Current Illness:

ID: 1207099
Sex: F
Age: 27
State: GA

Vax Date: 02/28/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
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: My menstrual cycle came on 5 days early but when it came on I had large blood clots. I?ve never had my cycle come on early. I take birth control tablets the correct way and the Saturday when I started bleed, I had taken my tablet at my regular time that day. I also usually don?t have heavy periods at all so the amount of blood so early was unusual for me.

Other Meds: One a day multivitamin Probiotic Zyrtec Flonase Zaditor eye drops Sprintec birth control

Current Illness: None

ID: 1207100
Sex: F
Age: 53
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: Symptoms: On Monday April 12 while at work, I felt dizi, like fainting and when walking I felt like I was not walking straight. It was intermittent, sometimes I was feeling fine, and later on, I started feeling as described (dizi, feel like things around me were moving). It was very strange. When to see the nurse at work and my blood pressure was 122/87. On April 13, went so see my doctor, I was feeling fine, but my blood pressure was 120/90. It is kind of high for me, as I have a history of low blood pressure . Janssen COVID-19 Vaccine EUA

Other Meds: None

Current Illness: None

ID: 1207101
Sex: M
Age: 31
State: NY

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: None stated.

Other Meds: tylenol

Current Illness: none

ID: 1207102
Sex: M
Age: 18
State: GA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: 18 yo male fell out of chair and hit the left side of his head, ~5 min after receiving vaccine. The patient reported that he remembers becoming dizzy prior to falling out of chair. A nurse and pharmacist immediately placed him onto a sheet and elevated his feet. He was diaphoretic, warm to touch and awake. His initial blood pressure was 89/58. 2nd-4th readings were WNL. He was given water, an icepack for neck and abrasions on his face were treated. He reported that he was feeling much better.

Other Meds:

Current Illness:

ID: 1207103
Sex: M
Age:
State: WV

Vax Date: 01/15/2021
Onset Date: 01/01/2021
Rec V Date: 04/14/2021
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: exposed to Covid; This is a spontaneous report from a contactable consumer (Patient). A male patient of an unspecified age (70 Unspecifed units) received bnt162b2 (BNT162B2), dose 1 via an unspecified route of administration on 15Jan2021 (Batch/Lot number was not reported) as SINGLE DOSE for covid-19 immunisation. The patient medical history and concomitant medications were not reported. His wife and he had their first dose of the vaccine on 15Jan2021 and were scheduled to get their second dose on 05Feb2021. They have been exposed to Covid and were going to go get tested today. It was questioned that could they still get the second dose if they test positive. Outcome of the event was unknown. Information on the lot/batch number has been requested. Follow-up attempts are completed. No further information is expected.; Sender's Comments: Linked Report(s) : US-PFIZER INC-2021122427 same reporter/drug/event, different patient

Other Meds:

Current Illness:

ID: 1207104
Sex: F
Age: 48
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Ampicillin, peanuts, milk, Monosodium Glutamate.

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

Symptoms: Fatigue and Swelling in face which spread to entire body and I took 5mg loratadine initially because I was at work. Headache which was intermittent throughout vaccine day and 4/12/2021 thru 4/14/2021. I took 800mg ibuprofen and 25mg diphenhydramine at 8pm 4/12/2021. Fever presented at 6:30pm on 4/12/2021. At 6:45p,m chills and shivering. I turned heater to 81 degrees . At 9;58pm my fever was 100.8 degrees F. I took 1075mg Aspirin at some point during the evening of 4/12/2021. During the day of 4/12/2021 I had joint pain and pain that progressed throughout my body. I had intense back pain from below my shoulder blades to below my waist during the day of 4/12/2021 and got progressively worse as the day progressed. Swelling slowly getting better still a little swelling on 4/14/2021. Muscle aches, Pain, still remain on 4/14/2021 but are less. Fatigue is still intense on 4/14/2021. Diphenhydramine 25mg and Aspirin 1075mg have been taken intermittently from 4/12/2021 to 4/14/2021. One dose of Meclizine 12.5mg because of dizziness on 4/13/2021.

Other Meds: Diphenhydramine 25mg and Acetaminophen 1000mg at 8pm the night before vaccine.

Current Illness: allergies due to pollen, Iron deficiency anemia

ID: 1207105
Sex: F
Age: 57
State: GA

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
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: Hives and swelling beginning on head and neck and then extending down the arms and body. Joint pain. Redness and swelling at injection site >10cm. Not relieved by OTC antihistamines (Zyrtec). Required prescription prednisone to resolve.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm