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: 1215462
Sex: F
Age: 28
State: MI

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: Nausea, upset stomach

Other Meds: Daily vitamin

Current Illness: None

ID: 1215463
Sex: F
Age: 47
State: IN

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: Sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe vertigo off and on for six hours Heavy menstrual bleeding - normal period should have ended two days ago

Other Meds: Minocycline Zoloft Trazadone

Current Illness: N/a

ID: 1215464
Sex: F
Age: 53
State: WI

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: Extreme dizziness - Threw up due to upset stomach. Extremely hot.

Other Meds: Multivitamin; Vitamin C; D3

Current Illness: None

ID: 1215465
Sex: F
Age: 46
State: NV

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: body aches, fever,

Other Meds:

Current Illness:

ID: 1215466
Sex: M
Age: 60
State: CA

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/15/2021
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: Acute onset left foot pain (5th metatarsal protuberance), lasted six days, resolved with ibuprofen, colchicine, Keflex. Prompted urgent care clinic visit on 4/13/2021 where x-rays showed no abnormalities. Diagnosed as probable gout flare (my first first diagnosis of gout, but second episode of this type of pain).

Other Meds: telmisartan 20 mg PO qd; hydrochlorothiazide 25 mg PO qd; metoprolol 50 mg PO qd; omeprazole 20 mg PO qd; Citracal 2 tabs PO qd; One-a-Day Vitamins Men 50+ 1 tab PO qd; Metamucil 1 tbsp PO qd

Current Illness: none

ID: 1215467
Sex: M
Age: 31
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 04/15/2021
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: Haldol Celexa Effexor XR latuda lamictal

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

Symptoms: Sever chest pain following morning which was Jan 23rd 2021. Went to hospital and was told it was just a strong response to the vaccine since I had covid-19 on Dec 10th.

Other Meds: Vyvanse Zoloft triliptal seroquel singular

Current Illness: Covid-19

ID: 1215468
Sex: M
Age: 51
State: PR

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: High fever, chills, headache, nausea, tiredness, overall bad feeling

Other Meds: none

Current Illness: none

ID: 1215469
Sex: M
Age: 60
State:

Vax Date: 04/05/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
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: COUGING UP BLOOD; CHEST PAIN

Other Meds:

Current Illness:

ID: 1215470
Sex: F
Age: 16
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Clinic manager has reported the incidence to Director of Pharmacy and Clinics. The infectious disease specialist of Hospital has been consulted immediately with reference to CDC guidelines on COVID vaccination errors. According to CDC guideline, "if age 16-17 years and moderna vaccine was inadvertently administered as the first dose, may administer Moderna vaccine as the second dose (as off-label use, because Moderna vaccine is not authorized in this age group)". Staff tried to contact patient regarding incidence, however the phone number provided by patient has been discontinued. staff contacted patient insurance company trying to get patient contact information. However the insurance company does not have phone number in profile for the patient nor her guardians. we set reminder in patient profile to notify patient about the incidence when she return for her second dose on 5/13/2021.

Other Meds: none

Current Illness: none

ID: 1215471
Sex: M
Age: 30
State: CO

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: blurry/double vision, nausea about 5 mins post injection. Did not vomit. Reported that he did have lunch but did not drink much water today. He sat for about 45mins drank a bottle of water and symptoms resolved.

Other Meds:

Current Illness:

ID: 1215472
Sex: F
Age: 34
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Sudafed

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

Symptoms: About 15-30 seconds after the vaccine, my heart was racing and I startedgetting lightheaded. My airway was clear but I felt like I couldn't catch my breath. I had a metallic taste in my mouth and my hands started shaking. It lasted about 3-5 minutes. I sat down and drank cold water, did some breathing exercises, and it eventually subsided. I took half of a .25 mg Xanax about 20 minutes later to settle my nerves a bit.

Other Meds:

Current Illness:

ID: 1215473
Sex: M
Age: 35
State: TN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
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: Mouth ulcers. Behind mouth lips in front of teeth, top and bottom. Not present around cheeks or elsewhere in the mouth, just at the front. Painful especially when brushing teeth. Present three days so far. White, circular, swollen.

Other Meds: Herbal tea: ?traditional medicinals: Gypsy Cold Care, elderflower spice?

Current Illness:

ID: 1215474
Sex: M
Age: 71
State: NM

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, Septrin

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

Symptoms: Headaches ,nausea, diarrhea, dizziness, fatigue, disorientation, blurred vision. 5 days after 2nd shot. 5 days so far of symptoms.

Other Meds: Liothyranine, Tadalafil

Current Illness: None

ID: 1215475
Sex: F
Age: 17
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: NKA

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

Symptoms: Patient is a 17-year-old, female. Alert, oriented X3, clear speech, able to answer to the questions. No known underlying medical conditions. No history of allergies. Denied having allergies to food, other vaccines, or components of COVID-19 vaccine. At 1:52 pm, the patient received her first dose of Pfizer (lot number EW0162, expires on 07/2021) on left deltoid, given by RN. Patient continued to be A&Ox3, walked herself over to the EMT waiting area with a steady, balanced, and sat down. At 2:10 pm, while waiting in observation area, patient reported feeling "light-headed" and ?tightness? in throat to her father. The patient?s father alerted EMTs of his daughter?s symptoms. EMT responded by offering the client a water bottle, assisting her to anti-gravity chair, and taking the patient's vitals. At 2:15 pm, BP 128/78, HR 66, Resp 14. Patient states the last time she ate was at 11:00 am, when she had a bagel and a cup of coffee. EMT alerted Lead RN of patient?s symptoms. Vial signs were taken every 5 minutes. At 2:20 pm, BP 126/80, Sp02 at 99% room air, HR 69bpm, Resp 16/min. At 2:25 pm, BP 126/80, HR 75 bpm, 17 resp/minute, unlabored. Patient still reporting lightheaded-ness and states ?it feels like I swallowed something when I breathe in?. At 2:30 pm, BP 117/78, HR 53, RR 14 res/min, unlabored, SpO2 99%. Patient reports tightness in throat ?feels better?. Patient and father were provided with education related to the use of Diphenhydramine for symptoms of allergic reaction. RN advised patient and father that if the tightness in throat worsens, to take Benadryl and notify health care provider. Patient and father were provided with education concerning when to call 9-1-1, including worsening of symptoms and trouble breathing. At 2:40 pm, BP 120/74, SpO2 98%, HR 74 bpm, RR 15 res/min, unlabored. Patient ingested 16 oz of water, denied any discomfort. Patient denies lightheadedness. At 10:45 pm, BP 123/80, HR 69, RR 16 res/min, unlabored, SpO2 99%. Patient left facility at 2:50 pm, accompanied by father to car. Patient denies dizziness and lightheadedness Patient was able to walk without assistance, gait was steady and balanced. Patient's father stated he would be driving her home.

Other Meds:

Current Illness:

ID: 1215476
Sex: M
Age: 49
State: IA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: Lisinipril

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

Symptoms: Began experiencing chills and had difficulty breathing. Pulse oximeter was between 90 to 95%. Pulse as high as 106. Could not breath adequately laying down until after 4:00 am. So I had to sit up or dtand that time. Due to chills needed to have blanket wrapped around me.

Other Meds: Victoza, Metformin, famotadine, verapamine, bisoprilol, atovastatin

Current Illness:

ID: 1215477
Sex: M
Age: 16
State: IL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
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: NKA

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

Symptoms: ERROR IN ADMINISTRATION, RECIPIENT IS UNDER 18 Y/O

Other Meds: N/A

Current Illness: N/A

ID: 1215478
Sex: F
Age: 54
State: MI

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 04/15/2021
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: Vicodin, guaifenesen, erythromycin - projectile vomit

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

Symptoms: 15 hrs later woke up in the middle of the night with severe total body itching, facial, eye and lip edema

Other Meds: Atorvastatin 40 mg, Metoprolol 12.5 mg bid

Current Illness: None

ID: 1215479
Sex: M
Age: 1
State: CA

Vax Date: 10/26/2020
Onset Date: 10/27/2020
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Strawberries and eggs.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I am the mother of patient. From the day he was born, patient had been meeting all of his milestones, he was happy, strong, and tried to communicate as much as he could. However, it all changed in October 26th, 2020 after he got the MMR vaccine. By then, I was already aware of all the issues linked to certain vaccines which is why I did not want him to get all of the ones he was due for, instead I just chose that one. This has been the worst mistake of my life. The one that the media won?t say is linked to autism but every mom of an autistic child admits and believes is the vaccine that gave their children autism. After that day, patient had fevers, he was fussy, he stopped making eye contact, he started ignoring us, he would not look at us, he would not listen to his name, started throwing tantrums, and making unique hand movements very close to his eyes. What happened to our healthy and happy child? We just wanted the best for him. MMR VACCINE OCT 26, 2020 CALLED DOC OCT 30, 2020 WITH CONCERN BUT DOC SAID IT WAS TOO EARLY TO DIAGNOSE ANYTHING AUTISM-CONCERN APPT DEC 02, 2020 AUTISM DIAGNOSIS APR 9, 2021

Other Meds: None

Current Illness: None

ID: 1215480
Sex: F
Age: 76
State: SC

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None that I know of

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Significant teeth chattering, body shaking chills starting about 3:45 am lasting about 1 1/2 hours and then fever of 101 next morning. Body aches and lethargic most of day

Other Meds: Multi vitamin Areds 2

Current Illness: None

ID: 1215481
Sex: U
Age: 62
State: PA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Biaxin-bitter taste in mouth

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

Symptoms: s/p vaccine 10 min, patient began to feel lightheaded and faint. She was safely lowered to the floor at which time sx improved. She was transported via litter to observation 1. No syncope, CP, SOB, paresthesia. Observed patient while supine with some improvement of sx. Positive h/o similar sx that lasted "all day: Pt drove self here from work. Mild HA Vitals: @ 1507 lying HR 101, BP 157/81, O2 97, @1519 lying HR 90, BP 136/81, O2 98, @1529 sitting HR 93, BP 150/89, O2 99 Pt feeling better with minimal dizziness

Other Meds: Synthroid, ASA, provastatin, magnesium, Bactrim, multivitamin, Bumex, prednisone, calcium

Current Illness:

ID: 1215483
Sex: M
Age: 73
State:

Vax Date: 03/19/2021
Onset Date: 03/25/2021
Rec V Date: 04/15/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Blood in urine D68.9 - Coagulopathy (CMS/HCC) R31.0 - Gross hematuria D64.9 - Anemia, unspecified type

Other Meds:

Current Illness:

ID: 1215484
Sex: M
Age: 61
State: NE

Vax Date: 03/29/2021
Onset Date: 04/07/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Bells palsey on left side. Had stiff neck several days before with first shot and more with second shot that escalated to bells palsey.

Other Meds: Tumeric, vitamin d and vitamin c

Current Illness: None

ID: 1215485
Sex: F
Age: 66
State: NJ

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: zetia

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

Symptoms: Just sore arm lasting about 36 hours

Other Meds: prozac, LITHIUM CARBONATE ER, quetiapine fumarate, lamotrigine, MELATONIN, calcium/magnesium/capsai/gingr, LEVOTHYROXINE SODIUM, FLUTICASONE PROPIONATE, MULTIVITAMINS, vitamin c, Alpha Lipoic Acid

Current Illness: none

ID: 1215486
Sex: F
Age: 30
State: VA

Vax Date: 02/22/2021
Onset Date: 03/03/2021
Rec V Date: 04/15/2021
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: A week following my second vaccine, I experienced a full day of facial numbness/tingling sensation on the left side of my face. This symptom was gone the next day but returned a week later and was persistent for several weeks. I experienced facial numbness and tingling on my face, neck, and scalp (all left side). After about 3 weeks, and multiple negative tests, these symptoms started to subside.

Other Meds:

Current Illness:

ID: 1215487
Sex: M
Age: 35
State: MN

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: Injection site pain, Menorrhagia

Symptoms: Muscle aches, joint pain, fatigue, chills, mild headache, scratchy throat.

Other Meds: Atenolol (25mg), multivitamins, milk thistle, fish oil, ashwaghanda

Current Illness: None

ID: 1215488
Sex: F
Age: 27
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 04/15/2021
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: Penicillin and blueberries

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

Symptoms: Experienced tightness of the throat and some difficulty breathing about half an hour to an hour after. I also experienced difficulty breathing for about a week so much so that my employer had me evaluated in the emergency room and tested for COVID-19 twice (results were negative both times). I received a saline IV for hydration, chest x-rays, and blood tests to rule out infection. My normal side effects consisted of chills, body aches, tiredness, headache, and nausea.

Other Meds: Multivitamin, Collagen, Vitamin C, Zinc, Vitamin D, Omega-3 Fish Oil, Myo & D-Chiro Inositol, True Cinnamon (Ceylon), Echinacea, NAC, Chaste Tree Berry, Saw Palmetto

Current Illness: N/A

ID: 1215489
Sex: F
Age: 52
State: MD

Vax Date: 04/03/2021
Onset Date: 04/05/2021
Rec V Date: 04/15/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe arm and shoulder pain. Throbbing continuous pain in my shoulder and upper right shoulder blade. Mobility restricted. 17 days later my shoulder is still hurting. I've treated with heat, ice, Aleve, Arincare gel, massage and rest.

Other Meds: Amlodipine 10 mg, vitamin d3, multivitamin collagen, hair-skin-nail, zinc and probiotics

Current Illness: None

ID: 1215490
Sex: F
Age: 67
State: WA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: SHINGLES shot benadryl vit c ambian most antibiotics

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The first day after the shot. headache and a bit tired... 2 days later the vaccine triggered my SHINGLES reactions... BLISTERS on the back of my head! Way more than my normal. My ear is pealing off more than before the shot. I am losing parts of my left ear every since the SHINGLES shot. This lasted for a couple of days then went back to my NORMAL(?) reactions i have had for many years from the shingles shot.

Other Meds: metoprolol 25mg cyclobenzaprine 10 mg

Current Illness: none

ID: 1215491
Sex: F
Age: 38
State: TN

Vax Date: 03/31/2021
Onset Date: 04/06/2021
Rec V Date: 04/15/2021
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: None

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

Symptoms: I have had nonstop headaches since post vaccine day 6; Tylenol ibuprofen and aspirin do not help it, the meds just minimize it. The headaches move all over my head they?re not in one place. They?re all day long. I?m hoping they?ll go away soon. It?s been 11 days now with this. I?m also having some orthostatic BP dizziness.

Other Meds: None I purposely stopped taking ALL vitamins before and after the shot just in the slight chance it might interfere.

Current Illness: None

ID: 1215492
Sex: M
Age: 35
State: NY

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
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 chest pain started a and led to externally heavy chest feeling, currently in hospital. Evening of vaccine very weak and muscle aches. Within days extreme chest pain, weakness, heavy ness in chest.constant pain and breathing problems

Other Meds:

Current Illness: Lupus, epilepsy, adhd

ID: 1215493
Sex: F
Age: 83
State: MD

Vax Date: 03/01/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: The resident was given the second dose less than 21 days after the first dose was given

Other Meds: Unknown

Current Illness: unknown

ID: 1215494
Sex: M
Age: 77
State: OR

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
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: Latex - dyspnea reaction

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

Symptoms: Patient began to develop progressive weakness on the night he received his first vaccine dose. This continued to progress over the course of two days and included left sided numbness and left sided deficit, including facial droop. Patient presented to the emergency department and was admitted for an acute ischemic CVA.

Other Meds: Not currently taking any medications.

Current Illness: COVID-19 back in Nov 2020

ID: 1215495
Sex: M
Age: 43
State: NJ

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: unknown

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

Symptoms: pt felt light headed and sat down on the floor. He was attended quickly by an rph , checked for signs and symptoms , pt was talking all the time,, paramedics were called. he was given fluid (gatorede) as he mentioned not having enough food / fluids through out the day, paramedics came and checked the vitals , he was alright and refused to go with paramedics. He sat for a while after, ate some food and left with an uber

Other Meds: unknown

Current Illness: unknown

ID: 1215496
Sex: M
Age: 44
State: IN

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/15/2021
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: Received shot at 9:20 am. Came home and went to bed. Woke up at 3pm and felt worn out. Then about 5:30pm I got super uncomfortable and then my skin got hypersensitive. To the point I couldn't even touch it. Then I felt like I had a fever but when I checked I did not. Went to bed at 8pm still with the hypersensitive skin. Could not get comfortable to sleep but when i eventually fell asleep I slept for 10 hours. Thats about 5 more than I normally do. The next day the hypersensitive skin was gone just felt a little wore out.

Other Meds: synthroid 75mcg, salmon oil,zinc, vitamine C, vitamine D, aller-tech, and melatonin

Current Illness:

ID: 1215498
Sex: F
Age: 55
State: OH

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/15/2021
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: Erythema, Pruritus

Symptoms: 102 fever chills myalgia body aches

Other Meds: Busbar Wellbutrin ambien trazadone

Current Illness: None

ID: 1215499
Sex: F
Age: 16
State: MI

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/15/2021
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: not known

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

Symptoms: no adverse reaction reported expect for the age 16 years old

Other Meds: not known

Current Illness: no

ID: 1215500
Sex: M
Age: 32
State: NY

Vax Date: 04/10/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: not that I known

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

Symptoms: 1st day (the day shot): shot area hurts. 2nd day shot area hurts more, headache, tiredness, wake up with dry throat .3rd day: feeling better, no more headache, shot area hurting level decreased, tiredness, wake up with dry throat. 4th day: tiredness, shot area hurts the same as 3rd day, wake up with dry throat. 5th day: tiredness, both arms feeling tired, numbness and muscle weakness when sleeping and awake, nausea (only a moment), wake up with dry throat, feeling a little better when stands up/wake up, hands and arm still feeling weak. 6th day: tiredness, both arms feeling tired, numbness and muscle weakness when sleeping and awake, wake up with dry throat and dizziness, feeling a little better when stands up/wake up, hands and arm still feeling weak.

Other Meds: tea

Current Illness: Mouth ulcer

ID: 1215501
Sex: F
Age: 66
State:

Vax Date: 03/24/2021
Onset Date: 04/06/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: COVID-19 Shortness of breath weakness

Other Meds:

Current Illness:

ID: 1215502
Sex: F
Age: 53
State: MO

Vax Date: 03/26/2021
Onset Date: 04/02/2021
Rec V Date: 04/15/2021
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:

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

Symptoms: 7 DAYS AFTER VACCINATION PATIENT FELT NUMBNESS AND LOSS OF TASTE IN HER TONGUE. THE FOLLOWING MORNING SHE WOKE AND ONE SIDE OF THE FACE WAS DROOPING. PATIENT RECEIVED CARE AT AN URGENT CARE FACILITY. A CT SCAN WAS PERFORMED TO RULE OUT BLOOD CLOT. PATIENT WAS DIAGNOSED WITH BELL'S PALSY

Other Meds: EMGALITY, LYRICA, PROPRANOLOL

Current Illness:

ID: 1215503
Sex: M
Age: 40
State: NV

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
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: My left thigh went numb. Like I had a few shots of novocaine in it. Its been numb for 2 days now. The nurse who gave me my shot told me I got Johnson and Johnson. Just found out today that I got Moderna apparently. Unless someone messed up.

Other Meds:

Current Illness:

ID: 1215504
Sex: F
Age: 18
State: TX

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pain in extremity

Symptoms: Right after patient received vaccine, she experienced severe dizziness that she had to sit down. She also had shivering, warmth, nausea and vomiting

Other Meds: No

Current Illness: No

ID: 1215505
Sex: F
Age: 61
State: MI

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Vioxx, Losartin, Monosodium Glutimate, BHT, TBHQ (preservatives)

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

Symptoms: Hot and cold sweats all night, severe joint and muscle pain, very fatigued, did not get up all day except to urinate. It was like the worst flu ever! 4/15/21: extreme fatigue and dizziness upon getting up to walk or moving my head. Unable to concentrate on computer screen to work. but, pain and hot/cold sweats gone.

Other Meds: Verapamil , Provigil , Cymbalta , Lisinopril , Klonopin , Pravastatin , Vitamin B complex, Vitamin D , Omega

Current Illness: None

ID: 1215506
Sex: M
Age: 27
State: OH

Vax Date: 03/31/2021
Onset Date: 04/04/2021
Rec V Date: 04/15/2021
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: Bell's palsy, took prednisone and acyclovir

Other Meds:

Current Illness:

ID: 1215507
Sex: F
Age: 60
State: WA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/15/2021
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: Codeine and Penicillin

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

Symptoms: My vision had 5-7 water bubbles that appeared with blood-stained edges. They would move as I looked at things for about 10 minutes. Was on a walk and went home and sat in a chair. 4 hours after injection my neck and upper back was killing me. I have had a previous injury from a car wreck 40 hears ago. I slept in the chair that night and the next days on a heating pad. My back felt like a horse kicked me. The next day my eyelids were too heavy to lift for about the duration of a movie. I could not fall a sleep, but could not lift my eyelids. I had vaccination on Friday night. I could not stand any sunlight until Sunday. My sinuses were killing me and the back of the head. On Sunday afternoon I could eat chicken broth and drank lots of water. By Sunday night, I felt fine and ran 5 miles on the treadmill. Feel great now.

Other Meds: None

Current Illness: None

ID: 1215508
Sex: F
Age: 62
State: IN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: Soreness at injection site. Extreme feeling of tiredness. I slept almost the entire day. An over all achy feeling in my body. I took no medication until the following morning. all pain subsided the next day, April 15.

Other Meds: none

Current Illness: none

ID: 1215509
Sex: M
Age: 17
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: nka

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Clinic manager has reported the incidence to Director of Pharmacy and Clinics. The infectious disease specialist of the Hospital has been consulted immediately with reference to CDC guidelines on COVID vaccination errors. According to CDC guideline, "if age 16-17 years and moderna vaccine was inadvertently administered as the first dose, may administer Moderna vaccine as the second dose (as off-label use, because Moderna vaccine is not authorized in this age group)". Contacted patient to inform the incident and recommendations.

Other Meds: none

Current Illness: none

ID: 1215510
Sex: M
Age: 52
State: CA

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/15/2021
Hospital: Y

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: Na

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

Symptoms: Woke up Sunday the day after and couldn't walk. Waited to see if it would wear off the next day was admitted into emergency with a minor stroke caused by a blood clot

Other Meds: Hydrocortisone 20mg 1.5 per day Levoxine for thyroid 100 micrograms1 per day

Current Illness: None

ID: 1215511
Sex: F
Age: 31
State: WI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
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: Fentynol, remeron, bactrum Dark chocolate

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Been sleeping for almost 5 days, nauseous, muscle weakness and exhaustion, rapid onset sinus infection, migraine I can't get rid of, hot and cold Migraine startig 4/14 as of 6 pm 4/15 not gone.

Other Meds: Lithium

Current Illness: None

ID: 1215512
Sex: M
Age: 57
State: OR

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: penicillins

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

Symptoms: Vaccine administered Friday 4/9/21 morning. By afternoon and next morning, pt reports having many COVID 19 symptoms: cough, headache, congestion, fever, shortness of breath, nausea, diarrhea, fatigue, runny nose, loss of taste and loss smell, chills, body aches and sore throat. Pt tested for COVID 19 4/12/21; was negative.

Other Meds:

Current Illness:

ID: 1215513
Sex: F
Age: 49
State: WA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/15/2021
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: sulfa

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

Symptoms: The usual arm soreness and feeling of fatigue for a few days after. Not sure the following is related, but mentioning here due to the small number of women who experienced severe issues related to blood clots. Light nose bleeds - mostly when blowing nose - chunks - persists. Also, have been menopausal but am now having a cycle - thin and light bleeding.

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm