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: 1229848
Sex: F
Age: 32
State: WA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/19/2021
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: Sulfa / erythromycin/ lactose

Symptom List: Dysphagia, Epiglottitis

Symptoms: Severe headache, nausea, diarrhea, tachycardia, shortness of breath, fluid in lower lobes of lungs, elevated O BNP, high temperature >103. Blood pressure increased

Other Meds: Na

Current Illness: Na

ID: 1229849
Sex: M
Age: 57
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: The patient received the Moderna COVID-19 vaccine on 3/22/21 at a different clinic, then came to a different clinic and received a Pfizer COVID-19 vaccination on 4/19/21. The patient failed to inform the vaccinators that the first dose he received was Moderna and came to a second dose Pfizer clinic.

Other Meds:

Current Illness:

ID: 1229850
Sex: F
Age: 59
State: MA

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 04/19/2021
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: grass trees mold

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

Symptoms: headaches started two days after all day and night every day front forehead and eyes

Other Meds: none

Current Illness: none

ID: 1229851
Sex: F
Age: 61
State: SC

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/19/2021
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: Chills, Hot Flashes, Head Ache, Body Aches, Congestion, Stomach Issues

Other Meds: None

Current Illness: None

ID: 1229852
Sex: M
Age: 42
State: WA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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: Near syncope

Other Meds: None

Current Illness: past reaction to medical procedures.

ID: 1229853
Sex: F
Age: 57
State: CA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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: Described swollen nymph nodes and itching of arms. Has history of allergic reactions to environmental factors and the flu shot

Other Meds:

Current Illness:

ID: 1229854
Sex: F
Age: 59
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt felt nausea, dizzy/lightheadeness, and palpitations ~3 min after vaccine admin.

Other Meds:

Current Illness:

ID: 1229855
Sex: F
Age: 18
State: NY

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Pharyngeal swelling

Symptoms: Pt became nauseous/sweaty/dizzy 10 minutes after 1st vaccine. Passed out w/ EMS for about 20 seconds then vomited. Pt fully recovered and hydrated. Released home.

Other Meds: n/a

Current Illness: n/a

ID: 1229856
Sex: M
Age: 37
State: MN

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I didn?t notice anything after the injection. The next day my wife asked about the bumps on my arms. I did nothing different and nothing new from any other normal day. Red rashes or bumps that look like pimples or blisters

Other Meds: None

Current Illness: None

ID: 1229858
Sex: F
Age: 16
State: OH

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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 allergies to any medications or foods

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient with near syncope, provided juice, ice pack and rest, continued to feel dizzy, moved to the cot to lay down, then a syncope episode occurred, Medics on site, transfer to local Emergency Department via squad. Vital Signs: B/P 120/73 P: 103 R: 18 Pulse ox: 100%

Other Meds: None on file at this time

Current Illness: None

ID: 1229859
Sex: F
Age: 29
State: LA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Mixed Series given. 1st dose Pfizer on 3/28/21, second dose Moderna on 4/19/21

Other Meds:

Current Illness:

ID: 1229860
Sex: F
Age: 25
State: FL

Vax Date: 04/13/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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: penicillin

Symptom List: Rash, Urticaria

Symptoms: Two days after the shot I had a really bad cold, during the cold, I noticed that my lip and tongue felt funny. A day after I was over my cold (no more symptoms) My eye began to water by itself and I could see a stye on my inner lid. The next day (Today) I noticed I couldn't purse my lips around a straw, and my right side isn't moving at all. My eye won't blink unless I force it, and my lip won't move.

Other Meds: None.

Current Illness: None.

ID: 1229861
Sex: F
Age: 52
State: OH

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
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: Pt called in and c/o a golf ball size lump under left Arm. Pt reports the lump is painful. Pt was advised by RN at medical facility to contact her PCP if does not get better in the next 24 hours.

Other Meds:

Current Illness:

ID: 1229862
Sex: F
Age: 63
State: WY

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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: NONE

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

Symptoms: [jab #1 - no reaction at all, not even sore arm] DAY OF SHOT - NONE DAY AFTER SHOT 4/16/2021: 5:00 - 11:30 WOKE TO V. SEVERE HEADACHE, LIGHT AND NOISE SENSATIVITY, NAUSEA, DRY HEAVES 11:30 - 14:00 SEVERE HEADACHE (similar to bad eye-strain), ABLE TO TAKE SMALL AMOUNT OF WATER 14:00 - 17:00 BAD HEADACHE (my caffeine addiction kicking in) ABLE TO TAKE TEA WITH CRUSHED ASPIRIN TO MITIGATE AND SLEEP DAY TWO AFTER SHOT 4/17/2021 5:00 - 14:00 WOKE FEELING V. WELL BUT HAD NO APPETITE AT ALL UNTIL MID-AFTERNOON.

Other Meds: NONE

Current Illness: NONE

ID: 1229863
Sex: F
Age: 51
State: OR

Vax Date: 04/14/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: tinnitus occurred 04/18/2021

Other Meds:

Current Illness:

ID: 1229864
Sex: F
Age: 55
State: IL

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/19/2021
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: no

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

Symptoms: Itchy rash over abdomen, chest and leg (left side of body) began 7 days after vaccine. Applied sterroid cream. Rash continues to errupt 2 1/2 weeks after vaccine.

Other Meds: NP thyroid

Current Illness:

ID: 1229865
Sex: M
Age: 24
State: CT

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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: NO KNOWN ALLERGIES

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

Symptoms: APPROXIMATELY 5 MINUTES FOLLOWING ADMINISTRATION, PATIENT FAINTED WHILE SITTING IN THE OBSERVATION AREA POST-VACCINATION. PATIENT WITHIN A FEW SECONDS OF FAINTING. WAS HELPED BACK UP TO CHAIR AND GIVEN WATER. MONITORED CLOSELY FOR AN ADDITIONAL 30 MINUTES. PATIENT WAS FULLY AWAKE AND ALERT WITHIN A FEW MINUTES WITH NO OTHER REPORTED EFFECTS. FOLLOWED UP WITH PATIENT VIA THE PHONE A COUPLE HOURS LATER AND PATIENT STATED THEY HAD EXPERIENCED NO OTHER EPISODES OR SIDEEFFECTS UP TO THAT POINT.

Other Meds:

Current Illness: NO KNOWN HEALTH ISSUES

ID: 1229866
Sex: M
Age: 0
State: NY

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Dose 1: Arm soreness, Dizziness, Fatigue starting 20 minutes after dose and lasting 2 days. Dose 2: More severe soreness, swelling at biceps and progressing to forearm Lasting from 2 days post to 7 days post. Chills, aches muscles and joints (flu-like) no fever, for 1 day, day after shot. ****Dizziness, balance unsteadiness, brain fog starting 2 days post to present (1 month) Standing only. This last one is worrisome. Doesn't really show signs of improvement.

Other Meds: Amlodipine, Losartan

Current Illness: None

ID: 1229867
Sex: F
Age: 45
State: IN

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Sore right arm. Hurt to touch and move. Major fatigue

Other Meds: Vitamin d Omeprazole

Current Illness: No

ID: 1229868
Sex: F
Age: 58
State: TX

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Extreme vertigo that lasted three days. Some dizziness still persists one week later.

Other Meds: None

Current Illness: None

ID: 1229869
Sex: M
Age: 16
State: CA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
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:

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

Symptoms: Patient fainted and fell on the floor. Patient was awake and oriented on the floor. Vitals taken, BP 100/52,pulse 72, respiration 12. EMS called. Patient transported to hospital for further evaluation.

Other Meds:

Current Illness:

ID: 1229870
Sex: F
Age: 44
State: PA

Vax Date: 03/03/2021
Onset Date: 03/12/2021
Rec V Date: 04/19/2021
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: General seasonal allergies as well as allergy induced asthma.

Symptom List: Unevaluable event

Symptoms: I had a seizure and fell out of bed between the night of March 12th and the morning of March 13, 2021. I injured my face badly as well as my eye. I had to go to the Emergency room here on 3/16/21. I had a second seizure at the entrance to event on Saturday March 27, 2021 . It was a grand mal, clonic-tonic seizure. I was life flighted to Medical center on March 27, 2021 I was not discharged until 3/31/21.

Other Meds: Prenatal vitamins, albuterol inhaler, ibuprofen, claritin, flonase

Current Illness:

ID: 1229871
Sex: F
Age: 40
State: MN

Vax Date: 02/04/2021
Onset Date: 04/12/2021
Rec V Date: 04/19/2021
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:

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

Symptoms: Developed symptoms of Covid 19 4/12/2021 including congestion, headache, and loss of taste/smell and tested positive 4/18/2021.

Other Meds:

Current Illness:

ID: 1229872
Sex: F
Age: 36
State: NM

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
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: peanut oil, cephalexin, clindamycin, other cephalosporins

Symptom List: Injection site pain, Pain

Symptoms: The day following the immunization injection site became red, warm to the touch and raised about the size of a golf ball. recommended patient has examination just in case

Other Meds: n/a

Current Illness: n/a

ID: 1229873
Sex: F
Age: 75
State: CA

Vax Date: 03/03/2021
Onset Date: 03/10/2021
Rec V Date: 04/19/2021
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: Dizziness and intermittent headaches. A feeling of shaking in my body, and unsteady on my feet much of the time. Occurs also when I'm sitting or lying down. Sensations of waves in my body. No treatment. I went to urgent care and spoke to 2 different doctors virtually. I have an upcoming physical exam and my doctor may order a head CT scan.

Other Meds: Enalapril, HCTZ

Current Illness: none

ID: 1229874
Sex: F
Age: 48
State: FL

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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: Environmental allergies

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

Symptoms: 47 y/o female, with past medical history of Menopause, HTN and environmental allergies, who presents with feeling hot and throat tightness post vaccination administration. Patient states that this is her 1st vaccination, received in the Left deltoid. Patient denies previous vaccination reactions. NP and Paramedics at patient side. Patient with mild sweating and clearing of her throat. A bottle of water provided, and patient given 25 mg of Benadryl PO x1. Patient vitals within normal limts (initial vitals: 141/98 BP, 98% RA, 80 P, Resp 14. Vitals on discharge: 126/91, 98% RA, 60 HR, 10 Resp). Patient with alleviation of feeling hot and throat tightness within 12 minutes of medication administration. Patient states that throat no longer felt tight and with no difficulty swallowing. Patient cleared to go home in stable condition.

Other Meds: Hormone therapy

Current Illness:

ID: 1229875
Sex: F
Age: 27
State: MN

Vax Date: 04/01/2021
Onset Date: 04/12/2021
Rec V Date: 04/19/2021
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: Gluten, dairy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I received my first Moderna shot on April 1, 2021. On April 12th, I began experiencing what felt like air pressure issues in my right ear on and off throughout the day until April 14th, then I felt like I was loosing hearing on my right ear. On April 15th, exactly two weeks after recieving my first Moderna dose, I completely lost hearing on the right side of my ear and had awful ringing in my ear. I went to see a PCP and they could not diagnose me. On Monday, April 19th I went to see an ENT specialist, they did not find an infection or ear wax built up and said I may have Sudden Sensorineural Hearing Loss (SSHL) and prescribed me Prednisone. They were not 100% sure if the vaccine could be the cause but said it is a possibilty, especially as the number of people keeps increasing. My left hearing is perfect but my right is almost nonexistent. I am 27 year old, female, petite and healthy. I have never had any hearing problems in my life and this occured within 2 weeks of my vaccination. It is difficult to hear and my quality of life just in the last week had diminished as it is overwhelming to drive, be in meetings, or even listen to music.

Other Meds:

Current Illness:

ID: 1229876
Sex: F
Age: 29
State: LA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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: Mixed Series mRNA vaccination given. 1st dose Pfizer on 3/28/21; second dose Moderna on 4/19/21

Other Meds:

Current Illness:

ID: 1229877
Sex: M
Age: 53
State: NY

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/19/2021
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: Shortly after receiving the shot, I had combination of headache/head pressure, which went away after about 2 hours. Somewhere in 36-48 hours later, I began having headaches (clearly aches, not pressure). These were like my concussion headaches (but I hadn't had been experiencing such strong headaches for a while). These lasted about 2 weeks. Along with the headaches, I got lightheaded very easily. I also noticed my heart rate was lower than normal when I did light exercising (and maybe even at rest, too). I had been experiencing the headaches and lightheadedness when my concussion was worse; I figure some connection / recession brought about by the vaccine. Neurologist attributes the response to inflammation.

Other Meds: Prescriptions: None. Supplements: Vitamins D3 and K2

Current Illness: PCS (Persistent Concussion Symptoms)

Date Died: 04/05/2021

ID: 1229878
Sex: M
Age: 58
State: WA

Vax Date: 03/23/2021
Onset Date: 04/03/2021
Rec V Date: 04/19/2021
Hospital: Y

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: Dissection of the right ICA with occlusion of tthe right ICA, right MCA and portions of A1 segmenet of the ACA

Other Meds:

Current Illness:

ID: 1229879
Sex: M
Age: 67
State: VT

Vax Date: 04/14/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: cannot take hydrocodone

Symptom List: Injection site pain

Symptoms: 5 days after the 2nd dose of moderna vaccine my husband started shaking severely, his whole body, stating he was freezing and he had trouble walking, he wobbled to his recliner. I covered him with several heavy blankets and he continued to shake in episodes of 10 - 15 seconds, then it would stop for 10 -15 seconds and start again. I tested his blood sugar which was 80. He did not have a temperature. This shaking continued for about 1 hour before slowly subsiding and gradually fading away. He then slept for 2 hours. He awoke the next morning with a moderate headache and a temp of 99.5 and felt achy all over. I gave him 2 extra strength tylenol and left for work. At 10:30 am his temp was still the same he took more tylenol. I called his physician, a nd reported his symptoms to the nurse. The doctor felt it was a reaction to the vaccine and recommended rest, fluids and tylenol.

Other Meds: aspirin 325mg fenofibrate prevastatin sodium atenolol levethyroxine sodium primidone metformin Jardiance ropinirole

Current Illness: none

ID: 1229880
Sex: F
Age: 57
State: FL

Vax Date: 04/06/2021
Onset Date: 04/09/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Cubicin Doxcycline Codeine Methylprednisolone

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

Symptoms: 04/09/21- severe edema especially feet & legs - resolved next day. 04/10/21- joint pain knees & elbows and achiness throughout entire spine - resolved next day. 04/11/21- several watery blisters - left hand, face & right thigh. 04/13/21- SEVERE vertigo lasting several days accompanied with on/off headache. 04/15/21- very emotional still vertigo slight 04/17/21- still slight vertigo on/off. 04/18/21- still slight vertigo. Headache. Depressed. Very foggy and out of it feeling.

Other Meds: Turmeric Vit D2 Multi Vit Fish Oil Zinc

Current Illness: None

ID: 1229881
Sex: F
Age: 76
State: IA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chart notes written on 4/16/2021: Patientis presenting for having muscle aches and back pain since she received the 1st Moderna vaccine on 03/26/2021. The patient states that her arm started hurting right after she got the vaccine but just over the past couple weeks it has gotten worse. It is red under her arm and not by the injection site. Her whole body has been achy since the injection. On Monday of this week she developed 3 areas of red itching round patches. She denies any other causes for the hives. She has been taking some tylenol for the muscle aches and this seems to help a little.

Other Meds:

Current Illness:

ID: 1229882
Sex: F
Age: 51
State: GA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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 stated

Symptom List: Tremor

Symptoms: 30 minutes post vaccination, pt developed 0.8 red, raised area to right arm at injection site. MD administered Benadryl 25 mg PO and monitored for 15 additional minutes. No worsening of symptoms and pt. was dismissed.

Other Meds:

Current Illness:

ID: 1229883
Sex: M
Age: 66
State: MO

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 04/19/2021
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: The patient woke up on 03/22/21 at 7:30 with multiple symptoms. He had a fever of 100.5, both hands were swollen to the point he couldn't make a fist, a rash from wrist to elbow on right arm, chills and overall hurting from head to toes. By the evening he had a rash on both legs from ankles to hips. He lost his appetite for two days. Also, for two days his glucose levels were between 300 and 408. Patient took acetaminophen but it didn't relieve his fever. His wife called his primary care provider, on 03/22/21. She was instructed to call a hot-line, which ended up being our county health department. She was told by them to contact his primary health provider. She didn't call the primary provider again. The patient's symptoms had resolved by 03/25/22 except for the rash on his right arm. The wife called Care physician on 04/09/2021 to talk abouth what happened to her husband. This time provider called the state hot-line. The state hot-line advised the patient not to take the second shot because the symptoms could be worse or fatal.

Other Meds: Humalog 15 units; Levemir 10 units; Mobic 15mg; Lyrica 75mg; Aspirin 81mg

Current Illness: none

ID: 1229884
Sex: F
Age: 75
State: CA

Vax Date: 03/03/2021
Onset Date: 03/10/2021
Rec V Date: 04/19/2021
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: Dizziness and intermittent headaches. A feeling of shaking in my body, and unsteady on my feet much of the time. Occurs also when I'm sitting or lying down. Sensations of waves in my body. No treatment. I went to urgent care and spoke to 2 different doctors virtually. I have an upcoming physical exam and my doctor may order a head CT scan.

Other Meds: Enalapril, HCTZ

Current Illness: none

ID: 1229885
Sex: F
Age: 61
State: NY

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/19/2021
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: Sulfa, Augmentin

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

Symptoms: geographic tongue, front part of tongue tingling 24/7.

Other Meds: Simvastatin, Lisinopril, Nasonex, Allegra

Current Illness: none

ID: 1229886
Sex: F
Age: 50
State: OH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: After the administration of vaccine (while sitting in car) was told to pull up and wait for the allotted time frame. While waiting, within 2-3 minutes afterwards, I began to ?feel? a sensation coming up the back of my neck and going into my head. After that happened, I began to feel tingling on the left side of my face and lips. The firefighter came to check on me and said that he noticed hives and welts on my face and neck. He told me to pull aside to be monitored longer and asked for me to step out of car to get fresh air. He then asked for me to be checked out by the EMS workers. They sat me down and took my blood pressure and pulse. They had asked me if I could breath, which I could . They did notice the hives and welts as well. Upon sitting there for about 20-30 minutes, I began to feel better and they said the hives/welts were subsiding along with the tingling.

Other Meds: Triamterene-HCTZ 37.5 mg ( 1tablet daily) Atenolol 50 mg (1tablet daily) Atorvastatin 10 mg (1 tablet daily) Loratadine 10 mg (1 tablet daily) for seasonal allergies

Current Illness: None

ID: 1229887
Sex: F
Age: 49
State: ME

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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: Patient received her 1st dose of Moderna COVID. She exited the clinical services room and sat down to wait her 15 minutes for observation. About 5 minutes after she received the vaccine she stated that she wasn't feeling well. She said that she felt lightheaded, a little weak, and nauseous. Her pulse was taken and was in the 50s but the blood pressure monitor was not working when we tried (tried with 2 different machines). While a tech and pharmacist was attending to the patient, another staff member called 911 and a code white. The patient stated that she started to feel better and was coming out of the event. She explained that she had just come from working out at the gym and had not drank many fluids. After being examined by the EMS her vitals were normal and she was feeling much better. She decided that she was fine to leave on her own and was cleared by the EMS. She continued to shop and was going to have someone come pick her up and bring her home (at the suggestion of the EMS).

Other Meds: unknown

Current Illness: unknown

ID: 1229888
Sex: F
Age: 45
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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: Caller states that she received her first dose of PFIZER at COVID facility this am. She sat for the recommended 15 minutes and started to feel dizzy, they gave her water and she left. Once she arrived home she stated that she was still feeling dizzy and that her cheek has become numb and red and it feels like it is going toward her throat. Advised caller to see immediate medical care at an urgent care or ED to r/o a severe reaction, and that if her breathing became difficult or throat felt like it was closing to call 911. Caller verbalized understanding and is seeking immediate care.

Other Meds:

Current Illness:

ID: 1229889
Sex: F
Age: 56
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: The first night I was ok, just felt slightly nauseous in the middle of the night. I woke up THursday AM with a little head ache, but was fine all morning. Got a little tired in afternoon, but was ok. In the middle of the night (Thurs into Fri), I felt like I had to throw up. I was in the bathroom, and the next thing I know, my husband is trying to wake me up. He said it looked like I was having a seizure. HE heard me groan and bang my head on the side vanity. After the 2nd time, he got out of bed to check on me. He got in the bathroom as I hit my head for the 3rd time.. He could not wake me up. I finally heard him call my daughter's name who was sleeping upstairs. I don't remember any of this but I banged

Other Meds: N/A

Current Illness: none

ID: 1229890
Sex: M
Age: 63
State: AK

Vax Date: 03/12/2021
Onset Date: 04/05/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, levaquin

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

Symptoms: Vet states he is having right-sided chest pain under his right breast. It stared about 2 weeks ago which was two weeks after getting the Janssen vaccine. he heard the vaccine was causing lung clots and he wanted to notify us.

Other Meds: Menthol-salicylate, tiotropium, albuterol, atorvastatin,

Current Illness: COVID illness in December 2020.

ID: 1229891
Sex: F
Age: 31
State:

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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: Fever, Chills, Body Aches

Other Meds:

Current Illness:

ID: 1229892
Sex: F
Age: 63
State: MD

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/19/2021
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: CAT SCAN DYE;; SHELLFISH

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

Symptoms: I'm very worried my reaction could be worse after the 2nd shot-----+++In the past Ive had anaphylaxis to Cat Scan Dye- symptoms were immediate nose, ear blockages, hoarse voice, felt like breathing through a straw, chest tightness. ***on day of 1st shot I waited for 30 mins, felt fine. Within 2hrs of shot, while I was home I experienced throat tickling/itchiness, one side of my nose felt the same, and the other side ear felt stuffy I took a benadryl and used my inhaler, while I have prednisone I didn't think I was suppose to take it after the vaccine, so I did not. The symptoms didn't get worse Spoke with my dr., we did a conference call with cdc, they couldn't tell me to get the 2nd or not, said to contact VAERS

Other Meds: Plaquenil/hydroxychloriquin;;; Gabapentin;;; Atenolol;;; Aspirin 325mg;;; generic Vytorin;;; synthroid;; Nascobal spray- B12 RX nasal spray;;; tzantidine 1mg;;; Prednisone 10mg as needed- sometimes one per day, once or 2x week ****occasiona

Current Illness: I have Autoimmune Diseases(S)- - Undifferentiated Mixed Connective Tissue Disease;;; - Stroke in 2010-;;; MGUS- Monoclonal Gammopathy, Pre malignant Multiple Myeloma cells in bone marrow- ;;;Occasional--- Asthma;;; -Migraines-Receive botox ;;; -Cervical Dystonia- receive Xeomin;;; - various disc problems

ID: 1229893
Sex: F
Age: 52
State: TX

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/19/2021
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: Arm was sore after 1st shot... 3 days after second shot shoulder joint became sore and still is. Hard to move the joint without pain

Other Meds: One a day; potassium, magnesium, omega 3

Current Illness: None

ID: 1229894
Sex: F
Age: 62
State: CA

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/19/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: blood clots in lungs

Other Meds:

Current Illness:

ID: 1229895
Sex: F
Age: 4
State: TX

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
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: NKA

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

Symptoms: Rash and swelling on the left leg following vaccines

Other Meds: N/A

Current Illness: None

ID: 1229896
Sex: M
Age: 58
State: SD

Vax Date: 03/19/2021
Onset Date: 03/31/2021
Rec V Date: 04/19/2021
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: bee stings anaphylaxis

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Bells Palsy, other nerve problems, body aches, body pain

Other Meds: none

Current Illness: shingles outbreak in eye

ID: 1229897
Sex: M
Age: 28
State: PA

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/19/2021
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: VOICED BECOMING LIGHTHEADED, DIZZY, AND HAVING VISION CHANGES POST VACCINE. PALE, DIAPHORETIC UPON ARRIVAL TO OBS AT 1353. PLACED IN TRENDELENBERG, VSS, SNACK PROVIDED, S/S RESOLVED. ESCORTED TO EXIT WITH NO ISSUES WITH SIG OTHER AT 1409. 1353 INITIAL BP 125/70 HR 63 SATS 95% RA 1400 BP 118/71 HR 64 SATS 96% RA 1505 STANDING BP 128/84 HR 60 SATS 97% RA

Other Meds: LAMICTAL

Current Illness: NONE

ID: 1229898
Sex: F
Age: 25
State:

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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: Severe bone and muscle pain, fever, severe headache. Symptoms appeared 7-9 hours after vaccination and only lasted about 12 hours.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm