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: 1225867
Sex: M
Age: 40
State: TX

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

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient fainted while sitting in observation area. Patient regained consciousness within a few seconds. Patient was assessed and left vaccination clinic in stable condition.

Other Meds:

Current Illness:

ID: 1225868
Sex: F
Age: 51
State: DE

Vax Date: 03/31/2021
Onset Date: 04/05/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Systemic: Fainting / Unresponsive-Medium, Systemic: Tachycardia-Medium, Additional Details: 6 days after vaccine

Other Meds:

Current Illness:

ID: 1225869
Sex: F
Age: 26
State: AZ

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

Lab Data:

Allergies: N/A

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

Symptoms: Fever (24 hours) Dizziness Nausea Chills Body ache

Other Meds: N/A

Current Illness: None

ID: 1225870
Sex: F
Age: 27
State: CO

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

Lab Data:

Allergies: Abilify and seroquel She has throat selling with these two drugs.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: About 15 mins after pt received her vaccine she reported that she was having trouble swallowing . The EMS crew immediately took her vitals and they were WNL BP 120/80 and SpO2 was 98% and remain that way for the duration of her time in observation. Pt stated that she felt like she was getting worse so she was administered Benadryl 50 mg IM by the EMS crew at 1215. at 1230 pt stated her throat was feeling mostly better and She could now swallow but that the inside of her mouth felt like it was swelling. The EMS crew stated that due to them giving her Benadryl their protocol was to call an ambulance. The ambulance arrived and evaluated pt and recommended that she be seen at the hospital. Pt refused stating that she would have her husband that was with her drive her there. Pt was then released to drive herself to medical center.

Other Meds: Latuda Prozac gabapentin Clonidine

Current Illness: Psychiatric History Anxiety and depression

ID: 1225871
Sex: M
Age: 61
State: AZ

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: Penicillin

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

Symptoms: Substantial Fever, body aches, headache, weakness all over

Other Meds: None

Current Illness: None

ID: 1225872
Sex: F
Age: 64
State: CA

Vax Date: 04/10/2021
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:

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

Symptoms: Systemic: Body Aches Generalized-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: hard to walk-Medium

Other Meds:

Current Illness:

ID: 1225873
Sex: F
Age: 23
State: CO

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Amoxicillin Tomatoes

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Rash on the arm at the site of injection. Lasted about 24 hours. Very itchy Treatment- Hydrocortisone cream

Other Meds: Ambien Adderall

Current Illness: N/A

ID: 1225874
Sex: F
Age: 60
State: CT

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Pharyngeal swelling

Symptoms: I woke up on March 9th, 2021, and my left eye was swollen shut and my right eye was partially swollen. I am not an alarmist and I thought I was having an allergy reaction to food or the enviroment. It occurred to me that this may be a response to the Moderna vaccination. I did some research and discovered an adverse response is facial swelling and there was a photo of my exact adverse response. It has not gone away is today it has gotten worse. I went to the Clinic this morning. I did call Moderna and report this the last week in March. My second shot was scheduled for Monday, April 5th and I was hesitant to take the shot when I was still exhibiting an adverse response. I am starting to really be concerned as this has now started to go down into my entire face. It is extremely uncomfortable and very itchy. Never mind it is very unattractive -my swollen, red, and itchy eyes and now entire face. At this time it is impossible to know if this is a permanent condition. It has been 6 weeks and starting the 7th week with worsening coniditon.

Other Meds: I went to the Clinic today. The nurse practitioner put me on the following drugs -dicloxacillin 250 mg 2 capsules by mouth 4 times a day, for five days, Erythromycin Ophthalmic ointment USP 0.5% (sterile). topical application Administer

Current Illness: NONE

ID: 1225875
Sex: M
Age: 19
State: GA

Vax Date: 04/16/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Sick and achy for three days. Both hands randomly going numb, and everything taste sour.

Other Meds:

Current Illness:

ID: 1225876
Sex: M
Age: 57
State: NY

Vax Date: 04/18/2021
Onset Date: 04/18/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 49yr patient with hx of Hashimoto who had received second dose at 10:58M, was observed to pass out while sitting on the observation area, as per paramedic patient (who was sitting right in front of him) pass out for 30 seconds while sitting on his chair. On my arrival patient awake, alert and oriented x3, seem a little pale, he was sitting up drinking water, he was taken to the examination room, laying flat on the stretcher, initial vital signs were BP 93/58 HR 48 RR 20, Sat 100% on room air, EKG long strip was done with showed sinus bradicardia, subsequent BP after 18 mins were 104/70 and then 114/69 HR 60. Patient denies shortness of breath, itchining or rash. fingerstick was 102mg/dL. (see below)

Other Meds: Ambient

Current Illness: None

ID: 1225877
Sex: F
Age: 17
State: PA

Vax Date: 04/18/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: PCN

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

Symptoms: AFTER VACCINE, PATIENT HAD TUNNEL VISION, FELT LIKE SHE WAS GOING TO PASS OUT (BUT DID NOT), MOM WITH PATIENT AND STAFF ASSISTED TO FLOOR, LEGS ON CHAIR UNTIL ASSISTED TO W.C. AND TAKEN TO OBS. TRENDELENBERG ON STRETCHER, STATES RELIEF. SAT UP FOR SNACK/WATER. S/S RESOLVED AND ESCORTED TO EXIT WITH NO ISSUES AT 1210. 1145 INITIAL BP 117/72 HR 73 RR 18 SATS 98% ON RA 12P STANDING BP 118/75 HR 79 RR 18 SATS 98% ON RA

Other Meds: MINOCYCLINE, VIT D

Current Illness: NA

ID: 1225878
Sex: F
Age: 34
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: NA

Symptom List: Rash, Urticaria

Symptoms: Chills, body aches,

Other Meds: Prenatal multivitamin

Current Illness: N/A

ID: 1225879
Sex: F
Age: 33
State: CA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: None

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

Symptoms: Extremely high fever of 105 for 8hrs, severe headache, neck pain and fatigue.

Other Meds: None

Current Illness: None

ID: 1225880
Sex: F
Age: 23
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Additional Details: EMS WERE CALLED. PATIENT WAS GIVEN CLARTIN 10MG AS SHE REFUSED DOSE OF BENADRYL

Other Meds:

Current Illness:

ID: 1225881
Sex: F
Age: 46
State: AZ

Vax Date: 03/26/2021
Onset Date: 03/31/2021
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: penicllian

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

Symptoms: 6 days after receiving vaccine, I experienced an episode where I got extremely hot, sweaty in neck and chest area, dizzy, loss of balance, blurred vision and blacked out for a few seconds. The episode lastly apprx. 4-5 mins. I laid down and fell asleep for about 20 mins afterward and woke up to moderate headache and slight burry vision still on left side. I saw my primary dr the next morning on 4/1/21 and reported issue.

Other Meds: Thyroid tablets, olmesartan and chlorthalidone

Current Illness: n/a

ID: 1225882
Sex: M
Age: 20
State: VA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Tiredness, headache, muscle pain, chills, joint pain, fever, nausea, feeling unwell, swollen lymph nodes, difficulty breathing, swollen throat, dizziness and weakness.

Other Meds: None.

Current Illness: None.

ID: 1225883
Sex: M
Age: 30
State: MA

Vax Date: 04/10/2021
Onset Date: 04/16/2021
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: nka

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

Symptoms: Patient developed a varicelliform rash on medial elbow, in the same location as shingles a year ago, along with stiffness, pain in the left arm, 6 days following vaccination for COVID 19 with Moderna.

Other Meds:

Current Illness: none

ID: 1225884
Sex: F
Age: 82
State: TX

Vax Date: 04/14/2021
Onset Date: 04/17/2021
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: NKA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient received her Pfizer Covid-19 shot on Wednesday April 14th at 5:30 pm. She stayed at the pharmacy area for 15 minutes with no symptoms and went home. Three days later on Saturday April 17th, she woke up and not being able to feel her right side of her face. She went to Emergency room and doctor told her that she has bell's palsy due to covid-19 shot. She was prescribed Prednisone 20mg and Valtrex 1g.

Other Meds:

Current Illness:

ID: 1225885
Sex: F
Age: 23
State:

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Immediate pain upon injection, body aches within 12 hours, massive headache, arm still sore after three weeks.

Other Meds:

Current Illness:

ID: 1225887
Sex: F
Age: 68
State: AZ

Vax Date: 04/05/2021
Onset Date: 04/13/2021
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: No

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

Symptoms: "Covid Arm" : Arm at injection site became pink, itchy & somewhat tender to touch. Area was about 3" long & 2" across; slightly raised. Time Frame: April 13-18-21 No specific treatment as it wasn't particularly bothersome. Faded away after about 6 days.

Other Meds: Warfarin, Digoxen, CO Q10

Current Illness: No

ID: 1225888
Sex: M
Age: 65
State: DC

Vax Date: 03/13/2021
Onset Date: 04/14/2021
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: none

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

Symptoms: Diagnosed with Bell's palsy on April 14, 2021

Other Meds: Crestor, sertraline

Current Illness: none

ID: 1225889
Sex: F
Age: 57
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: LA

Lab Data:

Allergies: Morphine, any pain medsno

Symptom List: Unevaluable event

Symptoms: 20 hrs after shot, cold chills, headache fever of 100.1 3pm fatigue set in took Tylenol 2-500 mg. Bed. 4/18/21 5 am. Backache, headache, fever of 99.1 Tylenol again. 2 pm all above temp is 99.2

Other Meds: Atorvastatin 20 mg

Current Illness: None

ID: 1225890
Sex: F
Age: 25
State: MN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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: Sulfa, dairy

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

Symptoms: Right after I got the shot, my arm was sore. I became nauseous a few hour laster and that lasted for a few hours. Beginning a few hours after the shot, I started to get very tired and have body aches. This lasted for 36 hours after the shot and then went away.

Other Meds:

Current Illness:

ID: 1225891
Sex: F
Age: 50
State: IN

Vax Date: 04/16/2021
Onset Date: 04/18/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Hard, red lump. Approximately 2" in diameter. Very sore and itchy.

Other Meds: Bupropion

Current Illness: None

ID: 1225892
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Dizziness, Nausea. Pt c/o dizziness a few mins after injection. No respiratory distress. A&O x 4. Water given VSS. BP 101/58 HR 64, RR 18 -- > 110/80,60,18 Pt stable and released from vaccination site.

Other Meds:

Current Illness:

ID: 1225893
Sex: M
Age: 62
State: MI

Vax Date: 03/23/2021
Onset Date: 04/14/2021
Rec V Date: 04/18/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient was diagnosed with COVID-19 on 4/14/2021 after receiving his first dose of Moderna COVID-19 vaccine on 3/23/2021

Other Meds:

Current Illness:

ID: 1225894
Sex: F
Age: 63
State: IN

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: a sensitivity to caffeine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had a migraine headache for about 24 hours. I took my prescription Butalb/Acetamin/Caf/Cod 50/325 twice (which I never do) during this migraine, and the pain was only relieved for a short time of about 2 hours. I rated it as a #8 (no vomiting) on a scale of 1-10.

Other Meds: Nortriptyline 50 Mg, a Botox treatment (03/29/2021), Estroven and a fiber capsule

Current Illness:

ID: 1225895
Sex: M
Age: 61
State: NJ

Vax Date: 04/18/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient received vaccine was sitting for 15 minutes and got up in the middle of his 15 minutes to approach the pharmacist and the pharmacist sat him down again and he passed out onto the floor hitting his head with a cut on his eyebrow and nosebleed. Ems arrived and got patient back into chair and he again passed out and began seizing. He again regained consciousness and was taken away in a stretcher.

Other Meds:

Current Illness:

ID: 1225896
Sex: F
Age: 28
State: NY

Vax Date: 04/14/2021
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: No

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

Symptoms: Hives on chest, left arm, and right arm. So far continuing for 2 days. Not itchy, just red and bumpy.

Other Meds: Lamictal, vraylar, synthroid, vitamin b12, vitamin b complex, vitamin D3, aklief

Current Illness: None

ID: 1225897
Sex: M
Age: 18
State: CA

Vax Date: 04/18/2021
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: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Pfizer-COVID 19-EUA: The patient began complaining of nausea and being lightheaded about 5 minutes after receiving vaccine. Pt was sitting down and had a syncopal episode while in observation area. Pt was assisted to the ground. Pt was hypotensive and treated by staff with and IV and fluids. Pt improved with treatment and was transported to Hospital. Incident #. PCR was completed by staff.

Other Meds: None

Current Illness: None

ID: 1225898
Sex: M
Age: 19
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Around 9:00 am EST on Saturday, April 17 - vomiting, fever, chills, fatigue, loss of appetite. Lasted all day. Took a nap around 11:00 am for about an hour. Took another nap around 4:00 pm. Took another nap around 10:00 pm; had chills and fever. When he woke up, blanket drenched in sweat. He went to bed - still not eating anything. Slept until next day (Sunday, April 18) until about 10:00 am EST. Feels fine now.

Other Meds:

Current Illness:

ID: 1225899
Sex: F
Age: 51
State: NC

Vax Date: 02/14/2021
Onset Date: 04/02/2021
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: NKDA

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

Symptoms: vesicular rash under hair line above left ear, does not respond to Clobetasol ointment, originally thought it was just a manifestation of psoriatic arthritis/psoriasis. Have just been living with it, wasn't sure what else to do. Just saw Medscape article today regarding series of HZ flares after mRNA vaccination in people with auto-immune diseases with a 1.5% incidence rate, incidence is 0% in control patients with normal immune systems.

Other Meds: Stelara 45mg q3 weeks (dose given 3/1/2021), Hydroxychloroquine 100mg qam, 100mg every other night, methotrexate 20mg q Tuesday, Folic Acid 1 mg qam, zyrtec 10mg qhs, synthroid 37.5 mcg qam, metoprolol ER 25mg qam, duloxetine 60mg bid, linz

Current Illness: none

ID: 1225900
Sex: M
Age: 34
State: TN

Vax Date: 03/21/2021
Onset Date: 04/18/2021
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: RA

Lab Data:

Allergies: NKDA

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

Symptoms: Patient with large pulmonary embolism. Associated thrombocytopenia. No provoking factor identified.

Other Meds: none

Current Illness: None

ID: 1225901
Sex: F
Age: 54
State: TX

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Swollen lump node under left arm and pain in body

Other Meds: Tylenol

Current Illness: None

ID: 1225902
Sex: F
Age: 32
State: MO

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

Lab Data:

Allergies: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: Soreness at and around injection site about a soft ball area, feels swollen. Whole body aches and soreness with exhaustion, slight headache, dimished taste of food

Other Meds: Pre/post natal Vitamin, Omeprazole, calcium, vitamin D, magnesium,

Current Illness: None

Date Died: 02/20/2021

ID: 1225903
Sex: F
Age: 78
State: UT

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 04/18/2021
Hospital: Y

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:

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

Symptoms: Brain Bleed - Hemorrhaging Stroke

Other Meds:

Current Illness:

ID: 1225904
Sex: F
Age: 67
State:

Vax Date: 04/09/2021
Onset Date: 04/18/2021
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:

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

Symptoms: Patient came by the pharmacy a week after receiveing her first Moderna immunization and had a red rash at the injection site. I told her if it is itching to try taking Benadryl and if it doesn't resolve in a few days to contact her PCP.

Other Meds:

Current Illness:

ID: 1225905
Sex: F
Age: 32
State: WI

Vax Date: 04/07/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: SULFA MEDICATIONS,

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: ADVERSE EVENT: DEEP VEIN THROMBOSIS SYMPTOMS: RIGHT INNER THIGH PAIN TIME: 9 DAYS POST VACCINATION

Other Meds: CLARITIN 10MG, WOMEN'S MULTIVITAMIN

Current Illness:

ID: 1225906
Sex: M
Age: 45
State: PA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Patient received his second Pfizer vaccine on Friday. Saturday he came down with symptoms that we considered were like the stereotypical second dose. Fever, cough, shortness of breath, coming and going. It lingered until Tuesday, at which time he got a Covid test- negative. Went to dr, and he said there was a possibility of blood clots. Tests showed that he had severe pulmonary embolisms in both lungs- the main and 3 secondary arteries.

Other Meds: None. Had taken a few days of oral steroids a couple weeks before

Current Illness: None

ID: 1225907
Sex: F
Age: 52
State: SC

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

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: phenergan

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

Symptoms: Moderna COVID?19 Vaccine EUA. Severe headache and meningismus within 24 hours of vaccine. Sterile CSF studies.

Other Meds: loratadine

Current Illness: none

ID: 1225908
Sex: F
Age: 55
State: CA

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

Lab Data:

Allergies: Sulfa

Symptom List: Pain in extremity

Symptoms: Hives on my right arm/armpit - opposite side of the vaccinated arm..

Other Meds: None

Current Illness: None

ID: 1225909
Sex: M
Age: 56
State: FL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
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: None that I know of

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

Symptoms: Both feet bottom of feet and top of feet extreme heat started on April 15 and still happening now Since 4/15/21 had approximately 4 hrs of sleep. Not sleepy or tired. Feeling heat sensation on a scale of 1 to 10 heat is about 10. Continuous have no relief And cannot sleep

Other Meds: Eliquis 5mg Metoprolol 50 mg Aspirin 81 mg Famotidine 20 mg Fish oil 1200 mg Centrum silver multi vitamin

Current Illness: I?ve benn treating afib

ID: 1225910
Sex: F
Age: 47
State: CA

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codine

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

Symptoms: All hours post shot: -8 hrs: uncontrollable chills -10 hrs: fever set in for the next 24 hrs at 102 my normal temp is 97. -13 hrs: body aches like you couldn?t imagine-I could not move my arm. Could not lift it, nothing. -13-24 hrs: loss of appetite/nausea wicked body aches took an aspirin, lowered the fever to 100 but it came back in the middle of the night. -extreme thirst and feeling dehydrated even though I was drinking massive amounts of water -24-30 hrs: lethargic and I basically went from my couch to my bed and slept but not a deep sleep more like a pass out from the pain sleep. Didn?t eat all day. ??Massive headache and pressure that lasted for 48 hrs. -32hrs: Finally got the energy for a bath that helped with the pain in my lymph nodes and joints. Took two Asprin. Fever came down at around 34/35 hrs post shot -36hrs: Started to feel better and ate something. Body aches and pains subsided. -Fever came back in the middle of the night (101) on the second day took aspirin and it went away -48 hrs: Feel really weak like I just had the flu. Headache.

Other Meds: None

Current Illness: None

ID: 1225911
Sex: F
Age: 41
State: CO

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

Lab Data:

Allergies:

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

Symptoms: About 15 mins after pt received her Vaccine she reported that she was feeling a tightness in her chest. Vitals were taken and they were BP 130/90 witch pt stated was high for her and spO2 was normal. She was evaluated for another 30 minutes. Pt stated that tightness was very minimal now and she wanted to leave. Her mother would be driving her. Pt advised to go immediately to the ED if her symptoms returned or became worse.

Other Meds:

Current Illness:

ID: 1225912
Sex: F
Age: 60
State: TN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: unknown

Symptom List: Vomiting

Symptoms: Patient received Pfizer for her first dose on 3/17/21 and a moderna for her second dose on 4/8/21. She states at the 24 hour mark of receiving the moderna she experienced extreme joint pain and swelling. She states she has not been able to work when I called to check on her on 4/13/21.

Other Meds: unknown

Current Illness: unknown

ID: 1225913
Sex: F
Age: 51
State: MT

Vax Date: 03/25/2021
Onset Date: 04/01/2021
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: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Itchy red rash entire left deltoid area, has lasted more than 2 weeks so far and entire right ear is itchy swollen and red--ongoing

Other Meds: buproprion, adderall, nifedipine, lunesta, magnesium, vitamin b-2, lysine

Current Illness: none

ID: 1225917
Sex: F
Age: 61
State: FL

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/18/2021
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: Morphine - pruritis

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

Symptoms: Bilateral pulmonary embolism. She had chest pain, SOB, tachycardia in 130s. . Presented to ED. CTA positive for bilateral PE with Left popliteal DVT. She was treated with systemic TPA and heparin. She is still hospitalized.

Other Meds: Lasix 40 mg po daily Albuterol 1 inhalation qid losartan 50 mg po daily methocarbamol 750 mg po daily montelukast 10 mg po daily. omprezole 40 mg po daily percocet q6 hours prn

Current Illness: Skin cancer removal 4/5/21

ID: 1225918
Sex: F
Age: 64
State: CT

Vax Date: 04/01/2021
Onset Date: 04/13/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pain in left side of neck 04/09/20121. Signs of Bell's Palsy 4/13/2021/ Seen at Local ER 4/14/2021. CT scan of head done. Stroke ruled out. Diagnosed with Bell's Palsy. Left side of face droopy. Eyelid not closing completely. Difficulty eating.

Other Meds: Baclofen, Lexapro, Vitamin D, Miltivitamin

Current Illness:

ID: 1225919
Sex: F
Age: 72
State: CA

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: Penicillin, cat hair, ragweed, pollen

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

Symptoms: Muscle aching, chills, 102-degree fever. Then increasing pain in the lower left abdominal area over 3-4 hours while lying in bed with the fever, etc. Finally, around 5 pm, the pain was unbearable -- 10+ on a scale of 1-10. I was unable to walk without stabbing pain. I called friends to help me get to the hospital. I was admitted to the emergency room at Hospital around 6 pm. I spent that night and two more days in the hospital. A low-grade infection was found and two intravenous antibiotics were administered -- Cipro and Flagyl.

Other Meds: Ropinirole

Current Illness: restless legs syndrome joint and muscle pain digestive issues

ID: 1225920
Sex: U
Age: 17
State:

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

Lab Data:

Allergies:

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

Symptoms: Dizziness, SOB, Lightheadedness. Patient layed until he felt better. Removed mask and states that his SOB has resolved. Water and therapeutic talk provided. BP 84/60, HR 84, RR 16 -- > 102/67,87,16. Patient stable and released from vaccination site.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm