VAERS 2021 Database www.vaers.hhs.gov

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






Manufacturers

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

Incidents per State

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

ID: 1225459
Sex: F
Age: 63
State: IL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/18/2021
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: headache stomach pains muscle aches tested positive for covid on 4/16/21

Other Meds: inhaler

Current Illness: no

ID: 1225460
Sex: F
Age: 46
State: WI

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: Smashing Headache, Chills, Fever, Body Aches, EXTREME Fatigue, Light headedness, Floating feeling

Other Meds: None

Current Illness: NONE

ID: 1225461
Sex: F
Age: 61
State: NY

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/18/2021
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: Penicillin

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

Symptoms: Strong pains in lower abdomen the following evening, roughly 24 hrs after injection, and considerable blood in urine the following day roughly 8 hrs later. Urine dark pink to red. Bleeding lasted for 3 days after first dose. Bleeding still ongoing currently.

Other Meds: Metformin, Crestor, Multivitamin, Vitamin B12, Echinacea, Vitamin C

Current Illness: None

ID: 1225462
Sex: F
Age: 43
State: NC

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Expected symptoms included fever, malaise, and injection site pain. However, I also had an unexpected reaction of acute hypertensive crisis with BP 189 / 120. Three readings validated the initial reading. Hypertensive crisis was associated with inability to walk more than a couple of steps without feeling I was going to pass out and incohorence. My regular BP is always in normal low range, once resolved at 9am on April 17, 2021 was 96/58.

Other Meds: Lexapro 10mg / day

Current Illness: None

ID: 1225463
Sex: F
Age: 61
State: WA

Vax Date: 04/12/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Contrast IVP Dye

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

Symptoms: Tinnitus. Woke up with loud ringing in both ears, which has yet to subside. This has never happened to me in 61 years, so I'm very sure this is related to the shot. Prior to that, I had run a fever, and had my whole upper arm swollen and hot , which have both just started to subside.

Other Meds: Vitamin D, Ashwanghanda, Turmeric, Trazadone, Glucosamine

Current Illness: None

ID: 1225464
Sex: F
Age: 36
State: OR

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/18/2021
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: Feeling cold and hot at night. Body feels cold to touch and feeling freezing but sweating as well. Having symptoms like thyroid disorder. Fatigued and brain fogginess noticably. I have a lump(benign cyst) in the back side of neck and it started having pain after the vaccination which never bothered me for more than 5years.

Other Meds: Vitamin D, B, adrenal cortex

Current Illness: None

ID: 1225465
Sex: F
Age: 54
State: IN

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 04/18/2021
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: Day pro, bacitracin, some red dye

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I had a strong headache for 4 days 3/8-3/11. Since then, I have headaches 1-3 days per week. The headaches are strong and unlike headaches I have had prior to the vaccine.

Other Meds: Collagen, turmeric, fish oil, multi vitamin, st Johns wort.

Current Illness: None

ID: 1225466
Sex: F
Age: 75
State: KS

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Celebrex, some other arthritis medications, none in the past 10 years

Symptom List: Pharyngeal swelling

Symptoms: two days after the shot the injection area looked pink, was tender to touch but I thought it would go away. I got the shot on April 10th, the injection site has become more tender, swelled some ,has a 'granular feel under the skin, pink in color . At first the area just felt itchy but now has become a larger pink area and my arm feels sore/tender from shoulder to elbow; the discomfort is getting worse with each passing day. I see on an information center site something called Arm Rash or CoVID Rash, mine doesn't look like a rash, no spots, no blisters, just swollen pink tissue radiating from the injection site that is not improving with the passage of time.

Other Meds: Tylenol 650mg x4 times a day for Fibromyalgia, occasional 81mg baby aspirin for healthy heart No Rx taken

Current Illness: None

ID: 1225467
Sex: F
Age: 28
State: WA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Body aches/chills starting at 6pm 100.7 fever peak around 8pm. On and off body chills all night, feverish, clammy, headache, body aches, joint pain. Treatment with acetemetaphin, taking baths, sleeping. Symptoms stayed at least 24 hours after injection time.

Other Meds: Daily take Montelukast, supplement pain with acetemetaphin, use marijuana recreationally

Current Illness: Was on my period during time of vaccination

ID: 1225468
Sex: F
Age: 50
State: OH

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/18/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Sore Arm Fever and chills at 19 hour mark Fatigue for approximately 24 hours

Other Meds: Multivitamins

Current Illness: None

ID: 1225469
Sex: F
Age: 53
State: MI

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies; lactose; soy & peanut allergies

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

Symptoms: Malaise and tiredness; odd headache; achiness, joint pain

Other Meds: Probiotics; Amlodipine; Pristiq

Current Illness: None

ID: 1225470
Sex: F
Age: 19
State: NH

Vax Date: 04/13/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: Peanuts and treenuts

Symptom List: Rash, Urticaria

Symptoms: While talking to my parents I started to say things completely opposite of the conversation we were having. My speech began to slur and then I passed out/fainted and was unconscious for approx 1 minute. Once I came to I was disoriented and nauseated.

Other Meds: Famotidine 20mg twice a day , drospirene-ethinyl estradioL 3mg at morning, Melatonin 12 mg at night

Current Illness:

ID: 1225471
Sex: F
Age: 50
State: AL

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Dizziness, extreme nausea, headache, weakness about 10 minutes following vaccine. Still having severe headaches, dizziness, memory loss, blurred vision, fatigue, restlessness.

Other Meds: Hctc, adipex, acid relax meds

Current Illness:

ID: 1225472
Sex: F
Age: 44
State: MA

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/18/2021
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: Compazine

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

Symptoms: Hives all over body

Other Meds: Zoloft, synthroid, cephelexine

Current Illness: Thumb skin infection

ID: 1225473
Sex: F
Age: 62
State: OH

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/18/2021
Hospital: Y

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

Lab Data:

Allergies: Morphine ~ Anaphylaxis, Lyrica, Concerta

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

Symptoms: starting at 930 pm the day of vaccination I started to have SOB and chest pain. I tried to take 2 puffs of my ProAir inhaler, this did nothing to help the SOB. Within the hour I could not get a full breath at all. the chest pain was only tolerable if I was leaning forward. My husband took me to the ER. They did testing and found that I had Pericarditis and Pleuritis. They informed me that I should NOT get any further COVID vaccines because it could kill me.

Other Meds: L-Tryptophan 500 mg QD, Verapamil 240 mg QD, Lipitor 40 mg QD, Requip 0.5 mg QD, Omeprazole 40 mg QD, Levothyroxine 25 mcg QD, Multi Vitamin QD, Vit D 5000 U twice a week, Breo 200/25 mcg 1 puffs QD, ProAir PRN, Axert PRN

Current Illness: N/A

ID: 1225474
Sex: M
Age: 33
State: FL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/18/2021
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: Penicillin

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

Symptoms: Within 2 minutes of vaccine i became very light headed and needed to lay down and was sweating. This is common with me with any vaccine. Within 24 hours severe shortness of breath and severe chest pains. Went to 2 urgent cares. Was prescribed Prednisone and a Inhaler. Both did nothing. Symptoms got worse. went to my primary doctor who ordered a chest X ray which came back good. and a EKG which came back with a slight issue and referred me to a cardiologist next month. Was sent home to recover. Pain and shortness of breath got worse. Within a week after that i got severe headaches and the left side of my head arm and leg began to get numb and tingle sensation which lasted about 48 hours. About 2 weeks after vaccine i began to improve. Chest pain started to go away and my shortness of breath as well. As of today 4-18-2021 no chest pain, and shortness of breath still comes and goes but nothing compared to weeks before.

Other Meds: Align probiotic

Current Illness: none

ID: 1225475
Sex: M
Age: 17
State: NY

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/18/2021
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: Augmentum

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

Symptoms: Hearing loss and a clogged, stuffed feeling in the left ear. Significant level of tinnitus in the left ear. It came on suddenly in the evening 3 days after receiving the vaccine. Saw an ENT the following morning (April 12, 2021) who cleared the ears of wax and performed a hearing test. Diagnosed 50% loss of hearing in the left ear. No fluid in the ear or any explanation readily available. He diagnosed sudden sensorineural hearing loss. He prescribed Prednisone, Valtrex and N-Acetyl_L-Cysteine to begin immediately. He referred patient to a specialist who patient saw on 4/16/21 at 4pm. Doctor performed another hearing test that confirmed hearing loss and tinnitus in the left ear. The test showed perhaps slight improvement in hearing but not in level of tinnitus. Doctor injected steroids directly behind patient's left eardrum during the visit and Patient is scheduled for follow up injections on 4/23/21 and 4/30/21. patient was directed to continue taking all the medications prescribed by doctor on 4/12/21 (prednisone, valtrex and N-Aceyle-L-Cystine) Patient is scheduled for an MRI of his internal auditory canals on 4/21/2021 which was ordered by doctor.

Other Meds: calcium, fish oil, vitamin C, multi-vitamin, probiotic, Flonase nasal spray, Zyrtec, all supplements are taken daily Zofran as needed for nausea associated with occasional migraine headaches

Current Illness: None

ID: 1225476
Sex: F
Age: 66
State: PA

Vax Date: 04/07/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa antibiotics

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Middle back pain began on Friday, April 16th and has continued. It is now upper back/neck and shoulders as well.

Other Meds: Vitamin D3; Vitamin C(500 mg)

Current Illness: N/A

ID: 1225477
Sex: M
Age: 41
State: NC

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: very bad headache, body aches and soreness from over night aching. chills over night but no noticeable fever. tylenol helped with the severity of the aches. took tylenol again before bed and had a much better nights sleep. still a slight headache the second day afterwards.

Other Meds: none

Current Illness: none

ID: 1225479
Sex: F
Age: 55
State: TX

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillins and macrobid

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

Symptoms: 24 hours after injection developed shaking chills, fever, headache, body aches. The symptoms lasted about 24 hours. 72 hours after injection I have red patch on arm 2 inches below injection site. Pain if pressure applied and constant itching. No rash. Currently still going 24 hours after it started

Other Meds: Bisoprolol and Hydrochlothorazide

Current Illness: None

ID: 1225481
Sex: F
Age: 63
State: KY

Vax Date: 04/01/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Sulfa /codene

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

Symptoms: Tinnitus

Other Meds: Metformin, simvastatin, lisinopril, Ozempic, glymiperide, Levemir, multi vitamin

Current Illness: None

ID: 1225482
Sex: F
Age: 29
State: MA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillan

Symptom List: Unevaluable event

Symptoms: Since the vaccination I have been experiencing intermittent tinnitus.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1225483
Sex: F
Age: 68
State: NY

Vax Date: 03/17/2021
Onset Date: 03/22/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Vomiting, chills, temp of 100.4, fatigue and nausea for 3 days

Other Meds: Amlodipine, Irbesartan, Carvedilol, Simvastatin, Omeprazole, Metformin, Plaquinal, Pilocarpine HCL, Eliquis, vitamin D.

Current Illness: None

ID: 1225484
Sex: F
Age: 48
State: FL

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Burning feeling from injection site into right chest and breast immediately. Nausea a couple hours later. Increased pain injection site. Throughout the day. Approximately 8 hours later, severe body aches and pain throughout entire body. Chills. 24 hours after shot, increased severe body aches and pain. Mild Headache. Chills. Overall severe flu like symptoms, weakness in entire body.

Other Meds: None

Current Illness: None

ID: 1225485
Sex: F
Age: 37
State: ME

Vax Date: 02/17/2021
Onset Date: 02/24/2021
Rec V Date: 04/18/2021
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 intolerance

Symptom List: Injection site pain, Menorrhagia

Symptoms: Sharp pain in the chest behind sternum upon inhalation started approximately one week after the vaccine accompanied by chest tightness and an occasional non productive cough. The pain and occasional cough lasted for approximately 3 weeks and spontaneously resolved. No other illness symptoms were present at this time.

Other Meds: None

Current Illness: None

ID: 1225486
Sex: M
Age: 25
State: VA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/18/2021
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: NKA

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

Symptoms: Client received their vaccine in the vaccination room. Client ambulated independently to the observation room. Observation staff approached client and greeted them. Observation staff seated client and instructed them to notify staff if they are experiencing any symptoms. Client began to feel faint and lost consciousness before they could alert staff. Client fell forward resulting in a contusion and abrasion on their forehead and nose. EMS and Safety officer notified via radio. EMS arrived to the scene and placed client in supine position. Client regained consciousness. EMS began assessment. Vitals taken 1st BP: 98/45 Safety officer arrived to the scene. Client transferred to wheelchair and taken to EMS area. Vitals taken 2nd BP: 103/56 Client refused to be transferred to hospital. Client completed observation time in EMS area. Client able to ambulate independently to exit. Client transported home by friend. Time course, approximately 1 hour from start to finish.

Other Meds:

Current Illness:

ID: 1225487
Sex: F
Age: 22
State:

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: No

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fatigue, hot flashes, sore throat, slight fever, nausea

Other Meds: Tylenol Extra Strength Yaz Claritin

Current Illness: No

ID: 1225488
Sex: F
Age: 66
State: PA

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: alcohol (sulfites in wine and beer); feathers; nickel; lactose; latex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Rash began one week after the vaccine was administered. Left deltoid, same location that vaccine was given. Related itching but no pain. Examined approximately 18 hrs into the rash -- "mildly erythematous coalescing papule. Total surface area 2 cm x 1.5 cm. No significant warmth, non tender." Not consistent with cellulitis.

Other Meds: Lisinopril, Omeprazole, Vitamin C, Docusate, Multivitamin, Vitamin B Complex, Calcium

Current Illness: None known

ID: 1225489
Sex: F
Age: 57
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: Demerol; gluten intolerance but not allergy. Dairy intolerance but not an allergy

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

Symptoms: Woke up day after vaccine with trouble breathing; shortness of breath. Tried old inhaler, allergy tablet and deep breathing. Nothing helped but sleep. Felt light headed and faint, and only resting helped. Felt less gasping for breath in the evening, went to bed early, and awoke today/Sunday with the same gasping of breath, feeling weak, light headed and unable to breathe properly.

Other Meds: diphenhydramine - to help with sleep and allergies

Current Illness:

ID: 1225490
Sex: F
Age: 39
State: IN

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Woke up with a sore arm at injection site. Went downstairs to get Tylenol for pain, standing at cabinet got extremely hot and dizzy. Fainted and fell on the floor. Couldn?t get up without extreme dizziness for 15-20 minutes. Now my left armpit lymph node is swollen and tender to touch.

Other Meds: Vraylar, hydrochlorothiazide, lisinopril

Current Illness: None

ID: 1225491
Sex: F
Age: 54
State: CT

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Metallic taste for approximately 8 hours

Other Meds: None

Current Illness: None

ID: 1225492
Sex: F
Age: 57
State:

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: 4/16/2021-sore arm and slight swelling at 5:00 PM. 4/17/2021-fatigue, slight headache, elevated temp at 4:30 AM; severe headache and fatigue at 11:00 AM; took two 500 mg acetaminophen talents at 11:00 AM; fell asleep at 1:00 PM and woke up at 2:00 PM with less head pain; 5:00 PM severe headache again and nausea; took two 500 mg acetaminophen tablets at 5:00 PM. Felt better by 9:30 PM-slight headache, slight nausea: 4/18/2021-no headache, normal temp, no nausea

Other Meds: Fish oil; calcium+vitamin D; levothyroxyn; hydroxychloroquine

Current Illness: None

ID: 1225493
Sex: F
Age: 58
State: WI

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Allergic to all narcotic meds

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

Symptoms: Within 4 hours after receiving first dose of vaccine , I experienced tiredness , fatigue, headache, body aches , fever,chills and was extremely thirsty. These symptoms lasted about 8 hours after the onset.

Other Meds: Simvastatin , Levothyroxin, Vitamin C , Vitamin D , Glucosamine, Calcium, Magnesium , Collagen , Complete Multi Vitamin, Omeprazole

Current Illness:

ID: 1225494
Sex: F
Age: 69
State: MI

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin in my younger yrs.

Symptom List: Tremor

Symptoms: Tossed & turned all night...woke up 7am w/ chills & weakness & sore arm. Feel feverish. Temp is 99.9. No energy & a little nauseous. Body aches.

Other Meds: Vitamin C 1000mg w/breakfast.

Current Illness: None

ID: 1225495
Sex: F
Age: 63
State: FL

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: This was my second shot. After my first shot the only, minor side effect was mild pain at the site of the shot. However my second shot was entirely different. Pain in the site of the shot was almost immediate. Only 10 hours after my shot, I felt very tired, no appetite, nausea, had chills throughout the night and head ache. Next day stayed in bed all day with head aches (not very bad) but extremely tired, no appetite, pain behind both eyes. Next morning (right now as I am writing this) I feel a lot better, still has pain behind my eyes (not bad) but feeling more energetic. Appetite still not great.

Other Meds: Metoprolol, multi vitamins, red yeast rice, vitamin B-complex

Current Illness: N/A

ID: 1225496
Sex: M
Age: 57
State: NY

Vax Date: 03/29/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
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: Shingles on left side of body.

Other Meds: None

Current Illness: None

ID: 1225497
Sex: F
Age: 35
State: FL

Vax Date: 04/06/2021
Onset Date: 04/15/2021
Rec V Date: 04/18/2021
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: Ringing, pain on left ear. Stared mild and progressively started to get worse to a point I could not sleep without medication.

Other Meds: None

Current Illness: None

ID: 1225498
Sex: F
Age: 55
State: FL

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: lost hearing in right ear. Serious dazzy. Urgent care in Hospital and also visited Institute. Now use Prednisone, 3 once per day

Other Meds: No

Current Illness: No

ID: 1225499
Sex: M
Age: 56
State: IN

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Flu like symptoms-- night sweats abs chills, low grade fever, headache, muscle aches.

Other Meds: Loratadine 10mg; Multivitamin

Current Illness: None

ID: 1225500
Sex: F
Age: 53
State: MD

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
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: Intense body aches, +4 degree F fever. Took 2 rounds of Tylenol. Felt fine the morning of 04/18/2021

Other Meds:

Current Illness:

ID: 1225501
Sex: F
Age: 96
State: AZ

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 04/18/2021
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: none

Symptom List: Pain in extremity

Symptoms: The above info is available but it is as my mothers....She had a bad reaction ( very flu like for several days). I proceeded with second shot in February....she did not feel well, but just sorta didn't want to get up anymore. She slept more and more and more. Her appetite declined. I got her up and she was ravenous. She slept more and seemed in a lethargic way to take less and less interest. She was living independently and had been most of her life. We scheduled an internist report. She passed labs with flying colors....... when you are 96 they look at everything as remarkable ( will live for 10 more years). I also was not equating any of this with the vaccine. However, we could not ignore it any longer Saturday the 4-10-21. I took her to ER. She was lucid and walking with difficulty. I took her in by ambulance as she was just saying, "I'm so week!" I'm so whoozie! On Sunday they are talking immediate intensive rehab. Neurologist leave for 5 days and in next 48 hours she becomes 200% less. First delusional, then sleeps all day. He showed me an MRI that to a layperson looked like little hives all over the brain ( I had also gotten hives from somewhere on my skin that I originally equated with Covid but no one thought so. I have also had the two shots.) One week out I was looking at Hospic eand long term care placement. Yesterday they couldn't get a diagnosis for Hospice ( the person sent to sign her up). I thought what? After all these tests and maybe it is cardio, maybe it is exchemic strokes, they don't have a diagnosis because she hasn't changed much since 2017? We have to take this totally fine independent woman and in one week say, "She has Dementia?" It's possible but what caused it? It's not age......we live until we are 110. Yes, that MRI showed me little formations of clotting all over ( no major bleed if any in a lobe). Over the last week I have been looking at her health and how we just slowly went downhill. It's easy to blame a vaccine, but still..........I am saying that there were NO OTHER reasons other than she didn't seem to tolerate the shots well........first was acute, and the second was long term and slow...........

Other Meds: Nephedipine for blood pressure, Eliquis and Bisopherol

Current Illness: None - total independent living

ID: 1225502
Sex: F
Age: 52
State: GA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Vancomyocin, Tofranil

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

Symptoms: I have a red swollen, itching place on my left arm where I got the shot , it started getting red after I left and it has gotten bigger and he has fever in it.

Other Meds: Sucralfate 1 gm 4 times a day,Topiramate 25mg 2 at night, Pantoprazole 40 MG twice a day, Dicyclomine 10 MG as needed,

Current Illness: Ulcers and Gastritis

ID: 1225503
Sex: M
Age: 56
State: NH

Vax Date: 04/12/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Pneumonia vaccine

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

Symptoms: Dizziness, Brain Fog

Other Meds: Celebrex, Cymbalta, Amlodipine, Klonipin, Hydrochlorothidize, Lyrica, Multivitamin, probiotic, calcium, vitamin D,

Current Illness:

ID: 1225504
Sex: M
Age: 59
State: MO

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/18/2021
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: Terrible headache, pain in eyes, aching joints

Other Meds: None

Current Illness: None

ID: 1225505
Sex: M
Age: 55
State: IN

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: Penicillin

Symptom List: Vomiting

Symptoms: When blowing nose it was bloody. No blood draining. Occurred at some point overnight until early/midmorning. May or may not have been related to vaccine.

Other Meds: No

Current Illness: No

ID: 1225506
Sex: F
Age: 70
State: TX

Vax Date: 04/12/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Codeine, valium

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: NO taste 2nd dose on Monday, fatigue and nausea during week, then on Saturday afternoon: NO Taste

Other Meds: Lisinopril, statin, vitamin C,

Current Illness: None

ID: 1225507
Sex: F
Age: 55
State: FL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/18/2021
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: Demerol

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

Symptoms: Adverse event was lower heart rate at around 61 at rest. Normal at rest rate is approximately 75. Normal rate while walking is around 110. Previously had 200 rate lasting 60 minutes in November. Adverse event was 4/1/21 and 4/2/21. Slight swooning feeling, uncomfortable feeling, difficulty finding pulse.

Other Meds:

Current Illness:

ID: 1225508
Sex: M
Age: 20
State: PA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: shellfish

Symptom List: Injection site swelling, Limb discomfort

Symptoms: body aches, fatigue, headache, fever, chills

Other Meds: neproxin

Current Illness: no

ID: 1225509
Sex: F
Age: 38
State: NY

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 12 hours of fatigue, headache and body aches.

Other Meds: None

Current Illness: Covid-19 positive March 1, 2021

ID: 1225510
Sex: F
Age: 61
State: MN

Vax Date: 04/03/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: Latex and silicon

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

Symptoms: Chills, coughing, headache, muscle aches, fatigue, tightness in chest, skin tenderness.

Other Meds: Vitamin b-12 shots, gabapentin, oxycodone, ondansetron, amitriptyline, melatonin, vitamin d3, magnesium,, calcium

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm