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: 1230764
Sex: F
Age: 72
State: NY

Vax Date: 03/05/2021
Onset Date: 04/19/2021
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: Codiene, laytex

Symptom List: Dysphagia, Epiglottitis

Symptoms: Extreme dizziness, off balance, nausea. Has not let up at all. When to dr. He is sending me for mri/contrast on brain. April 28, 2021 Went to another ent Dr and he has put me on Methyiprdnisolone.

Other Meds: Lorsatarn 50 mg.

Current Illness: None

ID: 1230765
Sex: F
Age: 35
State: PA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
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: Patient was fine immediately after vaccination. She left our vaccination room to sit down and wait 15 minutes and for some reason did not sit down, but kept walking, then proceeded to lay herself down in an aisle of the store. She says she passed out. I only witnessed her being awake. She urinated herself. She asked for a pillow and cold wash cloth. We got her those. We tried to get her a snack and a juice, but she didn't take those. I had a technician call an ambulance and pressed a button we have that calls the police as well. The police arrived first. The ambulance crew took her out into their truck to be evaluated and said she was fine, but had her mom come pick her up because they just didn't want her to drive. She did tell me before I gave her the shot that she passes out from vaccines.

Other Meds:

Current Illness:

ID: 1230766
Sex: F
Age: 17
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: None

Other Meds:

Current Illness:

ID: 1230767
Sex: F
Age: 54
State: PA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
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: mild wheat allergy

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: (My normal temp 97.7) Thursday: Woke up freezing during night with temp of 96.5. Woke in morning whole body hurt to move. Temp steadily increased during day to 101. Took tylonol. Also my shoulder really hurt and rash started. Consumed complete upper arm almost to elbow. Hard, red, hot, welt and itchy. Early evening slight heavy in breathing and ribs in back hurt. Friday: some improvement, still sore all over. Arm same. Saturday: feeling better about 75-80%. Arm same. Sunday much better just tired. Monday arm improving but growing around arm.

Other Meds: atenolol, hctz, acedamedamine early morning day of, keto suppliment, tumeric with ginger

Current Illness: none

ID: 1230768
Sex: F
Age: 50
State: ID

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

Lab Data:

Allergies: Not a severe allergy to latex

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

Symptoms: 4 hours post vaccination developed severe itching, next morning after shower full body hives back and stomach, under arms, behind knees and full body redness. Saw PMD and they stated to use Benadryl for relief 3 days later. Called dermatology and they gave her cream (trimcinolone acetonide) to help with hives along with allegra and symptoms have resolved after 17 days.

Other Meds:

Current Illness: none

ID: 1230769
Sex: F
Age: 17
State: CA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
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: Dizziness, fell from feeling faint; h/o vasovagal episodes after shots. BPs 79/31 (pulse 50), 103/52 (pulse 46). O2 sat 100%.

Other Meds:

Current Illness:

ID: 1230770
Sex: F
Age: 49
State: AZ

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Caused severe swelling , and pain in my arm pit on the right side where the shot was administered.

Other Meds: none

Current Illness: none

ID: 1230771
Sex: M
Age: 57
State: MN

Vax Date: 04/07/2021
Onset Date: 04/15/2021
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: None

Symptom List: Pharyngeal swelling

Symptoms: Deep Vein Thrombosis in lower right leg

Other Meds: Duloxetine 60mg Pantoprazole 40mg Bupropion HCL XL 300mg Zolpidem 10mg Docusate Calcium 240mg

Current Illness: None

ID: 1230772
Sex: F
Age: 29
State: MA

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: Amoxicillin, Bactrim

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Tingling in left hand, forearm and left foot almost immediately after being administered shot. Symptoms continue to persist a few hours after shot.

Other Meds:

Current Illness:

ID: 1230773
Sex: F
Age:
State: PA

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: GENERAL FATIGUE; ARM PAIN; SWELLING; REDNESS; TENDER TO TOUCH; CHILLS; BAD HEADACHE; This spontaneous report received from a patient concerned a female of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 10-APR-2021 12:00 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On APR-2021, treatment medications included: diphenhydramine/paracetamol, and ibuprofen. On 10-APR-2021 22:00, the subject experienced chills. On 10-APR-2021 22:00, the subject experienced bad headache. On 11-APR-2021, the subject experienced tender to touch. On 11-APR-2021, the subject experienced general fatigue. On 11-APR-2021, the subject experienced arm pain. On 11-APR-2021, the subject experienced swelling. On 11-APR-2021, the subject experienced redness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the chills, bad headache, general fatigue, arm pain, swelling, redness and tender to touch was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1230774
Sex: F
Age: 62
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
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: Penicillin, Aspirin, Cephalosporins,crabs, albuterol, winter green

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

Symptoms: Developed high blood pressure 168/100 (MAP 101)around 40 mins after vaccination which lasted more than an hour. I had pain from my left shoulder , left neck up to the base of my left head like throbbing pain. My left ear felt numb and warm since i was slightly reddish up to my arms. I didn't have to take any antihistamine since it subsided after half an hour.

Other Meds: Synthroid 50 mcgs before meals daily

Current Illness: none

ID: 1230775
Sex: F
Age:
State: LA

Vax Date:
Onset Date: 04/12/2021
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:

Symptom List: Rash, Urticaria

Symptoms: FEVER; CHILLS; FATIGUE; VERY BAD HEADACHE; This spontaneous report received from a patient concerned a 19 year old female. The patient's weight was not reported and height was 67 inches. The patient's concurrent conditions included non alcoholic, and non-smoker, and other pre-existing medical conditions included the patient had no known allergies. no drug abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1808982, and expiry: UNKNOWN) dose was not reported, administered on 12-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced chills. On 12-APR-2021, the subject experienced fatigue. On 12-APR-2021, the subject experienced very bad headache. On 13-APR-2021, the subject experienced fever. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from chills on 12-APR-2021, and had not recovered from fatigue, very bad headache, and fever. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-smoker

ID: 1230776
Sex: M
Age: 69
State: OR

Vax Date: 03/16/2021
Onset Date: 03/17/2021
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: After 2nd dose, pt. describes severe muscle tightness and weakness. Could not stand up without the aid of his arms, low back was especially tight and felt like" contacted". Sought was seeing chiropractor about back pain more in the mid back prior but went to the ED with this new pain. Was put on Prednisone, Flexeril, Lidocaine. and Tylenol. Continued to have pain when standing and weakness requiring a walker or cane. No one is sure this is related to the vaccine but the symptoms worsened within about 24 hours of the second dose. Improving now but still limited by weakness and pain.

Other Meds:

Current Illness: Was experiencing some back pain especially with movement.

ID: 1230777
Sex: F
Age: 38
State: NY

Vax Date: 03/31/2021
Onset Date: 04/14/2021
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: Naproxen Cipro Vanillian

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

Symptoms: Bad headache, right side of face pain, vision issues, chest pain, blocked right ear, went to er, did tests "all ok". 5 days later and still feel awful everyday. Minor to moderate headaches, low grade fever, minor chest pain, heart racing, fatigue, brain fog.

Other Meds: Wellbutrin sr 150mg Iron 25mcg

Current Illness: None

ID: 1230778
Sex: F
Age: 45
State: PA

Vax Date: 04/01/2021
Onset Date: 04/05/2021
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: None

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

Symptoms: Mild arm pain at injection site. I also gave been having difficulty the past 2 weeks trying to recall certain words or remember people's names. It's been enough that I noticed and it is out of character for me. It just feels off. It's not normal and I don't have memory recall issues. I hope it goes away.

Other Meds: None

Current Illness: None

ID: 1230779
Sex: F
Age: 39
State: FL

Vax Date: 04/19/2021
Onset Date: 04/16/2021
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:

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

Symptoms: skin hives and burning down arm, back and chest her feet swelled

Other Meds:

Current Illness:

ID: 1230780
Sex: F
Age: 63
State: IN

Vax Date: 02/27/2021
Onset Date: 03/02/2021
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: latex, sulfa, peppers, hazelnuts

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

Symptoms: Since day 3 after the vaccine I have had cramping and twitching in arms, legs, feet, hands. Since Day 7 I have had a tremor in my neck and face. At times my throat /neck feels like it is swollen. I have had tinnitus since about Day 7. I have had no treatment. Drs. do not know what to do.

Other Meds: Synthroid, restasis, avenova, Centrum 50+ multivitamin for women, Vitamin C, Vitamin D3

Current Illness: none

ID: 1230781
Sex: F
Age: 69
State: GA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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: any med that contains ace inhibitors,, my doctor says tarka

Symptom List: Ear pain, Hypoaesthesia

Symptoms: was given Pfizer-BioNTech COVID-19 in right arm duty 1. within 2 minutes of shot, my throat began closing and lasted 20 minutes 2. next morning I awakened with right hand severely contracted and had a tingling sensation; I forced my hand to open and close to relieve contraction 3. .then all day, I lost control of my bladder and had to use several pads to catch the flowing urine;

Other Meds: none within hours of vaccination

Current Illness: none

ID: 1230782
Sex: U
Age:
State: MI

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: EXPIRED VACCINE INJECTED; SYRINGES HELD AT ROOM TEMPERATURE; This spontaneous report received from a health care professional concerned multiple patients. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 201A21A and expiry: UNKNOWN) dose was not reported, administered on 10-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 10-APR-2021, the subject experienced expired vaccine injected. On 10-APR-2021, the subject experienced syringes held at room temperature. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the expired vaccine injected and syringes held at room temperature was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1230783
Sex: M
Age: 35
State: WA

Vax Date: 04/02/2021
Onset Date: 04/16/2021
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:

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

Symptoms: Developed a mild rash around the injection site 1 week after received. Rash went away on its own and taking antihistamines

Other Meds: Adderall

Current Illness:

ID: 1230784
Sex: F
Age: 61
State: WI

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: 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: The day after 2cnd vaccine, I experienced a severe headache/neckache, severe body aches, fever, chills, dizziness, lethargy. This was like a fast-moving but fairly severe flu, and lasted only 24 hours. I used Acetaminophen, and was feeling almost 100% the next day.

Other Meds: Multi-vitamin, Vitamin D

Current Illness:

ID: 1230785
Sex: M
Age: 78
State: AZ

Vax Date: 04/12/2021
Onset Date: 04/18/2021
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: unknown

Symptom List: Unevaluable event

Symptoms: Acute respiratory failure- bilateral pulmonary emboli. Acute renal injury. New onset of atrial fibrillation. Patient in ICU intubation occurred on 4.18.2021

Other Meds: unknown patient intubated

Current Illness: unknown patient intubated

ID: 1230786
Sex: F
Age: 60
State: PA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
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: None

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

Symptoms: Severe stomach pain, passed out cutting chin, neck, bruised windpipe, vomiting and chillls

Other Meds: Multi vitamin, montelukast, fish oil, vitamin D, Turmeric, , vitamin B Complex

Current Illness: None

ID: 1230787
Sex: M
Age: 25
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Vasovagal response. Sweaty, light headed, hearing changes, change in vision. Felt back to baseline within 20 mins. Had patient lie down, hydrate with water, gave a sucker. elevated legs, cold cloth to forehead. Continuous monitoring.

Other Meds: None

Current Illness: None

ID: 1230788
Sex: F
Age:
State: TN

Vax Date:
Onset Date: 04/12/2021
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: Injection site pain, Menorrhagia

Symptoms: INJECTION SITE PAIN; INJECTION SITE SWELLING; INJECTION SITE REDNESS; This spontaneous report received from a patient concerned a 66 year old female. The patient's height, and weight were not reported. The patient's concurrent conditions included high blood pressure. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 041A21A expiry: UNKNOWN) dose was not reported, administered on 09-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On 12-APR-2021, the subject experienced injection site pain. On 12-APR-2021, the subject experienced injection site swelling. On 12-APR-2021, the subject experienced injection site redness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site pain, injection site swelling, and injection site redness. This report was non-serious.

Other Meds:

Current Illness: Blood pressure high

ID: 1230789
Sex: F
Age: 92
State: GA

Vax Date: 03/03/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
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: Ativan

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

Symptoms: Left femoral DVT on 4/18/21. symptoms of left leg swelling noted on 4/18/21.

Other Meds:

Current Illness:

ID: 1230790
Sex: F
Age: 80
State: AZ

Vax Date: 04/17/2021
Onset Date: 04/17/2021
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: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 10 minutes after administering the vaccine the patient was concerned she was experiencing a skin irritation (welt) on her left wrist. She had no breathing issues or any other adverse effects. She was asked if she wanted a generic Benadryl capsule and agreed. Her caregiver said this happens often when she receives vaccines but did not indicate that on the VAR. After 10 more minutes, the welt subsided and she was comfortable with leaving.

Other Meds: furosemide, potassium, Eliquis, primidone, lantus, metolozone, allopurinol, donepezil, simvastatin, Montelukast, levothyroxine, amlodipine

Current Illness: diabetes

ID: 1230792
Sex: F
Age: 64
State: CA

Vax Date: 03/09/2021
Onset Date: 03/23/2021
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: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Tinnitus in right ear that is nonstop. It worsens at night. Exam by physician found ear canal is clear. Also had MRI of brain and right ear canal. It was also clear.

Other Meds: None

Current Illness: None

ID: 1230793
Sex: F
Age: 34
State: SD

Vax Date: 03/10/2021
Onset Date: 03/17/2021
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: Sulfa-hives

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

Symptoms: One week after the first dose of the vaccine I had breakthrough bleeding. It was enough to soak a sanitary pad. I went to the ER and they could not identify the reason for the vaginal bleeding. I was discharged the same night. It reoccurred three days after when I had been on a walk. It did not happen again and I did not have any problems after the second shot. The baby seems to be fine. Due Date -09/17/2021 Pregnancy-First

Other Meds: Prenatal Vitamin

Current Illness:

ID: 1230794
Sex: M
Age: 73
State: NC

Vax Date: 03/27/2021
Onset Date: 04/08/2021
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: Nausea

Symptoms: Headache and pain behind Rt. eye, developing into a low grade reaver and vomiting. By Tuesday the 11 I developed a rash on my face with pain shooting behind my eye to the back of the head. Tuesday at Emergency room eye was swollen closed, rt. side of face was broke out in scabs and sharp pains through the eye and scalp.

Other Meds: B12, D3, Alpha Lipoic Acid, Saw Pareto, Black Seed, Presser Vision, Berberine, Quercetin, Zinc, Probiotic, Famodidine, Magnesium and Asprin

Current Illness: None

ID: 1230795
Sex: M
Age:
State: TX

Vax Date:
Onset Date: 03/11/2021
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:

Symptom List: Injection site pain

Symptoms: UNABLE TO RISE UP ARM AS NORMAL; LEFT SHOULDER PAIN; INJECTION SITE SORENESS; This spontaneous report received from a patient concerned a 77 year old male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 11-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 11-MAR-2021, the subject experienced unable to rise up arm as normal. On 11-MAR-2021, the subject experienced left shoulder pain. On 11-MAR-2021, the subject experienced injection site soreness. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from injection site soreness, left shoulder pain, and unable to rise up arm as normal. This report was non-serious.

Other Meds:

Current Illness:

ID: 1230796
Sex: F
Age: 40
State: AZ

Vax Date: 04/08/2020
Onset Date: 04/08/2020
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 48 hr fever, 72 hr muscle pains, headache, eye pain ( severe flu symptoms) slight cough with asthma symptoms

Other Meds: Effexor, multivitamin, vit D

Current Illness: None

ID: 1230797
Sex: F
Age: 52
State: IN

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: 24 hours after receiving the injection, I had a 100.5 temperature, joint aches, body aches and a headache that lasted about 24 hours.

Other Meds: None

Current Illness: None

ID: 1230798
Sex: F
Age: 60
State: IN

Vax Date: 02/01/2021
Onset Date: 04/01/2021
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: Penicillin, lisinopril, sulfa drugs, calcium channel blocker, spironolactone

Symptom List: Tremor

Symptoms: My total cholesterol shot up 60 points from level it was 6 months prior to vaccine; , LDL & triglycerides went up also

Other Meds: Eplerenone, vitamins C, D, E, and K, Calcium, B12

Current Illness: None

ID: 1230799
Sex: F
Age: 33
State: CA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
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: Lobster

Symptom List: Erythema, Pruritus

Symptoms: I received the vaccine and then stood up. They told me to go wait for 15 minutes. As soon as I started walking, I started feeling dizzy. I could feel how the vaccine traveled through my veins, my left arm up, go down to my heart and then go up my throat. I started feeling nauseous. I said I didn't feel well. They instructed me to go sit but I barely made it there. I felt as if I was about to faint, I was sweating. A nurse came and offered water. I couldn?t breathe well. I had to remove my mask because I wasn't getting enough air. The water came and I started feeling better. Within 5 minutes I was feeling well. That day outlet a bit of body ache. Took a NyQuil and went to bed. The next day my arm was sore and had a small headache. The third day I was perfect.

Other Meds: The pill

Current Illness: None

ID: 1230800
Sex: M
Age: 29
State: AZ

Vax Date: 04/16/2021
Onset Date: 04/19/2021
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: Significant diarrhea, gas and cramping.

Other Meds: Clonidine, Levothyroxine, Methadone

Current Illness: None

ID: 1230801
Sex: F
Age: 41
State: NE

Vax Date: 04/01/2021
Onset Date: 04/10/2021
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: none

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

Symptoms: Acute hepatic injury

Other Meds: phentermine, gabapentin, minocycline, nabumetone, gabapentin, cetirizine, duloxetine, omega 3, lisinopril, amlodipine, spironolactone, levothyroxine

Current Illness:

ID: 1230802
Sex: M
Age: 16
State: CA

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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient went to observation area and was sitting with his mother after receiving vaccine at 03:41 PM on RA. Patient told nurses at 03:45 PM he felt lightheaded, was seeing blurry vision, and his stomach hurt. Patient was pale, diaphoretic, and had unstable vitals. First set of vitals was taken on the RA at 03:46 PM with BP 80/40 mmHg, HR 90 bpm, RR 18 bpm, and oxygen at 98%. Patient was told to take slow deep breaths, was given an ice pack for the neck, water to drink, and some pretzels. At 03:48 a second set of vitals was taken on the LA with BP 120/60 mmHg, HR 56 bpm, RR 18 bpm, and oxygen at 100%. Patient claimed vision was no longer blurry, he was no longer lightheaded, and stomach no longer hurt. Patient was no longer diaphoretic and was no longer pale. Last set of vitals was taken on the LA at 03:50 with BP 122/78 mmHg, HR 56 bpm, RR 17 bpm, and oxygen 100%. Patient stayed for an additional 15 minutes and left at 04:16pm with his mother. He claimed to feel back to normal. Both patient and his mother, father, and sister were educated on what to do if he starts to feel these symptoms again.

Other Meds: Pristiq and Cannabis

Current Illness: None

ID: 1230803
Sex: M
Age: 51
State: NV

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: N/A

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

Symptoms: Patient initially experienced dizziness, sweating and blurriness. The symptoms increased to lips tingling and arms feeling heavy. blood dropped slightly and felt nauseous

Other Meds: N/A

Current Illness: None noted

ID: 1230804
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 04/01/2021
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: REDNESS AT INJECTION SITE; SWOLLEN PATCH AT INJECTION SITE; HEAT AT INJECTION SITE; FEELING UNWELL; DIZZINESS; TIRED; NAUSEA; This spontaneous report received from a patient concerned a 49 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 206A211, and batch number: 206A211 expiry: UNKNOWN) dose was not reported, administered on 08-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced dizziness. On APR-2021, the subject experienced feeling unwell. On APR-2021, the subject experienced tired. On APR-2021, the subject experienced nausea. On 13-APR-2021, the subject experienced heat at injection site. On 13-APR-2021, the subject experienced redness at injection site. On 13-APR-2021, the subject experienced swollen patch at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from dizziness, feeling unwell, tired, and nausea on APR-2021, and had not recovered from redness at injection site, heat at injection site, and swollen patch at injection site. This report was non-serious.

Other Meds:

Current Illness:

ID: 1230805
Sex: F
Age: 28
State: NE

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: Pain in extremity

Symptoms: Fever, aches, lethargic, swollen arm, injection area hot

Other Meds: Wellbutrin, propranolol

Current Illness:

ID: 1230806
Sex: F
Age: 49
State: IL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
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

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

Symptoms: I had a hematoma in my left hand from the first vaccine that was the size of a large grape. My entire hand swelled up and bruised. It went away after 3 weeks. After the second vaccine, it came back within 2 hours and my hand swelled up more than the first time. I also had tingling in the veins in my hand and up my arm. It went away after 3 days.

Other Meds: flonase, claritin, multivitamin, vitamin d, elderberry, fish oil

Current Illness: none

ID: 1230807
Sex: F
Age: 60
State:

Vax Date: 04/01/2021
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: lidocaine

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

Symptoms: itching of throat

Other Meds:

Current Illness:

ID: 1230808
Sex: M
Age: 50
State: NY

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Slight stomach pain began 7 hours after injection. As the night progressed, I felt the pain getting stronger. After eating dinner, I was expecting the pain to subside, but that did not happen. As the pain became more intense, I decided to lay down for the night. I was awaken in the middle of the night with several bouts with sharp abdominal pains. I took (2) Tylenol for the pain in the middle of the night. The next morning, the pain was still there, and more intense. The day after I continued to experience constant sharp abdominal pains. Again, I took another (2) Tylenol for the pain. As the day progressed I continued to experience sharp abdominal pains. I thought it might have been trapped wind, so I took Miralax. Unfortunately that did not help. Again, I went to bed the second evening with concerns this may be a reaction to the virus. On the third day, I started to feel slightly better. I the sharp abdominal pains were subsiding from a level 10 down to a level 8. As the day progressed, down to a level 6. However, I began to feel a headache in the front right lobe. So, I took (2) Tylenol and went to bed. On day four, I woke without any abdominal pains, however I still had a headache and it was non-stop. This continued through day four and through the evening. On day five I still had a headache, but was feeling slightly better. By end of day five the headache stared to subside. On day six, I was feeling back to normal.

Other Meds: none

Current Illness: none

ID: 1230810
Sex: M
Age: 51
State: IN

Vax Date: 04/17/2021
Onset Date: 04/19/2021
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: Severe swelling of the left eyeball and eyelid starting at 2:30 am on 4/19/21. No pain, fever or itchiness. But there was flow of tears and couldn?t open that eye. The swelling in the eye got worse in the morning and it was completely shut.

Other Meds: None at the time of vaccination but took an Advil twice on the day after (4/18/2021) to reduce fever and body aches.

Current Illness: None

ID: 1230811
Sex: M
Age: 45
State: CA

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

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

Lab Data:

Allergies: penecililn

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Soreness at injection site disappearing after 4 days. Strong shooting pains in left quadriceps lasting 5 days with decreased frequency and intensity on subsequent days.

Other Meds: none

Current Illness:

ID: 1230812
Sex: M
Age:
State: CA

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

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

Symptoms: This spontaneous report received from a consumer concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 30-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On 30-MAR-2021, the subject experienced sweating. On 30-MAR-2021, the subject experienced leg weakness. On 30-MAR-2021, the subject experienced chills. On 30-MAR-2021, the subject experienced fever. On 30-MAR-2021, the subject experienced muscle pain. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from sweating, leg weakness, chills, fever, and muscle pain on 31-MAR-2021. This report was non-serious.

Other Meds:

Current Illness:

ID: 1230813
Sex: F
Age: 77
State: SC

Vax Date: 03/23/2021
Onset Date: 04/07/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Extreme shortness of breath, dry cough, mucus build up

Other Meds: 81 mg aspirin-1, 20 mg Atorvastatin-1, 10 mg Lisinopril w/12 mg HCTZ-2 25 mg Sertraline HCL-1, 100 mcg/25 mcg Breo Elipta- 1 puff SUPPLEMENTS: biotin 10,000 mcg-1, 580 mg turmeric extract carcumin C3 w/bio prince-1 20 mg Lutein w

Current Illness: None

ID: 1230814
Sex: F
Age: 57
State: NC

Vax Date: 04/16/2021
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: RA

Lab Data:

Allergies: Tomato Allergy; gluten sensitivity

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

Symptoms: Initially had extreme fatigue and mild nausea. Hives started on Sunday on torso and at injection site (LA) and continued to spread throughout the night. Monday AM (4/19) spread to neck, chest, legs and arms. Also have a dry cough.

Other Meds: Levothyroxine/Liothyroxine/HRT

Current Illness: None

ID: 1230815
Sex: M
Age: 67
State: IL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
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: IM
Vax Site: RA

Lab Data:

Allergies: Acetaminophen

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

Symptoms: ATRIAL FIBRILLATION

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm