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: 1232303
Sex: F
Age: 27
State: WA

Vax Date: 04/08/2021
Onset Date: 04/12/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Day after shot, I experienced flu-like symptoms. I experienced a high fever and body aches. On the 13th of April, I began to experience severe dizziness, vertigo, and blurred vision. I have been experiencing this everyday since the 13th of April. I was submitted to the hospital on April 16th due to severe dizziness and blurred vision. The diagnosis was BPPV (benign paroxysmal positional vertigo) and I received 0.9% NaCl (NS) and Meclizine (Antivert). I am still experiencing severe dizziness and vertigo.

Other Meds: none

Current Illness: none

ID: 1232304
Sex: M
Age: 83
State: WI

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 04/20/2021
Hospital: Y

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: PT hospitalized within 6 weeks of receiving COVID vaccine on 3-9 for 7 hours and on 3-23 for one day

Other Meds:

Current Illness:

ID: 1232305
Sex: F
Age: 94
State:

Vax Date: 02/16/2021
Onset Date: 02/28/2021
Rec V Date: 04/20/2021
Hospital: Y

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: ED/hospitalization with 6 weeks following COVID vaccine

Other Meds:

Current Illness:

ID: 1232306
Sex: M
Age: 40
State: WA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA/NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient had reaction to COVID-19 vaccine. Patient was monitored after COVID-19 vaccine as recommended per ACIP guidelines. The following reaction signs/symptoms were observed: syncope, vomitting Emergency response notified: EMS (911) EpiPen administered by RN as per JH standing order?: No Required VAERS reporting completed?: No Report given to EMS (911) Patient was given vaccine at 0918, immediately flagged for nurse at 0920. Nurse went to patient and obtained vitals. BP 150/80 HR 56 regular SP02 99% R 18 regular Called EMS, patient was given water and emesis bag. Vital taken again: BP 130/70 HR 60 regular EMS evaluated patient and stayed 10 mins, advised of nurse hotline on COVID packet & further medical evaluation. Patient was then release to go home.

Other Meds: ibuprofen PRN

Current Illness: NONE

ID: 1232307
Sex: F
Age: 30
State: NY

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Superficial thrombophlebitis right arm ( same arm as administration of vaccine and iv site)

Other Meds: Birth control pills

Current Illness: Had colonoscopy the day prior with iv in right arm

ID: 1232308
Sex: F
Age: 49
State: PA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 04/20/2021
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: Sulfa drugs,latex,penicyllin

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

Symptoms: shot #1 developed large red, painful lump at injection site the night that I got the shot. The next day It was difficult to move my arm from the pain. Each day it got better. Two weeks later I developed a large painful lump and red circle again at the injection site, it started to get better after about 3 days. 6 weeks after the first shot, my injection site was still tender to touch. shot #2. I developed an even larger swollen, red, painful and sometimes itchy lump at the injection site within approximately 8 hours after the shot. Today is day 9, it's better but I still have some mild swelling and moderate tenderness with touch.

Other Meds:

Current Illness: none

ID: 1232309
Sex: F
Age: 31
State: MN

Vax Date: 01/12/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
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. is a healthcare provider that received the 2nd dose of the Moderna COVID19 vaccine on 1/12/21. Pt. reports COVID like symptoms beginning 4/11/21 and tested COVID positive. Pt. works with patients but had no known work or community exposure to COVID.

Other Meds:

Current Illness:

ID: 1232310
Sex: F
Age: 25
State: PA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Pt c/o clogged ears, which happened last time she passed out during blood draw. Denies dizziness, denies LOC. Pt placed on back on floor with feet on chair in pod while awaiting stretcher arrival. Pt able to stand and ambulate to stretcher, transported to med obs #1. Pt reports resolution of symptoms upon arrival to med obs. VSS. No s/s of distress noted. Requesting to d/c to home. Pt escorted to exit with staff and significant other. VS are as follows: 1640: BP 138/90, HR 97, RR 17, O2 sat 99% on RA

Other Meds: aviane

Current Illness: none

ID: 1232311
Sex: F
Age: 51
State: IL

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Possible Penicillin Allergy

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Immediately after injection. I felt a heat go from my head to toes and down my arms into my hands. My lower legs, feet, hands, left arm and chest begin to tingle. After sitting a few minutes it did not get worse. The tingling is not constant now, but I am still having it. Seems like I have it in the left arm more often than anywhere else. Within 20 minutes of the shot I began having gastrointestinal issues., that progressed. It built into strong chest pressure, acid reflux and indigestion. I got into the Dr on March 25. He prescribed Nexium. I am now having significant hair loss and have started having heart palpitations. I am waiting on his response as to what tests are needed to proceed.

Other Meds: 0

Current Illness: 0

ID: 1232312
Sex: F
Age: 26
State: GA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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: NSAIDS

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Diarrhea

Other Meds: Oral contraceptive

Current Illness: No

ID: 1232313
Sex: M
Age: 37
State: NV

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: No known

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

Symptoms: Migraine headache occurred in the day following injection. Treated with two doses of Excedrin at home, taken according to the dosing instructions on the label.

Other Meds: None

Current Illness: None

ID: 1232314
Sex: F
Age: 20
State: CT

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/20/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: large hematoma, slowly resolving

Other Meds: none

Current Illness: none

ID: 1232315
Sex: F
Age: 46
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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: "Administered - 13:30 Adverse event started - 13:40 Patient had light headedness, palpitations, cold hands. BP 155/97 -- > 159/90 -- > 149/89 (changed to high Fowler's position) -- > 120/69 (standing position), HR 85 -- > 87 -- > 69 -- > 81, RR 18, O2 100%, A&O x3. checked patient. At 13:38 same day, patient denied symptoms."

Other Meds:

Current Illness:

ID: 1232316
Sex: F
Age: 64
State: NY

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
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: NKDA

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

Symptoms: Tightness in the left breast several days. Thick palpable cord/ inflammation of vein.

Other Meds: Naproxen, Amlodipine Besylate, Quinapril-Hydrochlorothiazide, Potassium Chloride ER, Atorvastatin Calcium, Aspirin 81, Metformin HCL

Current Illness:

ID: 1232317
Sex: M
Age: 36
State: VA

Vax Date: 04/18/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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: Patient experienced bruising on the left arm and other parts of the body (abdomen and both legs).

Other Meds: Aspirin 81mg

Current Illness:

ID: 1232318
Sex: F
Age: 52
State: MO

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/20/2021
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: Walnuts Possible shrimp allergy Zithromycin (z pack)

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

Symptoms: Throat all of a sudden started feeling like when I eat walnuts-tingling and coughing and the sense of closing or swelling. Took Benadryl for the evening. Woke up and only slightly better but throat felt like it was spasming. Called cdc, called doctor, called urgent care-ended up going to ER. Gave me steroids and Pepcid and Benadryl to help with reaction. Tuesday-still have slight spasms and slight weazing like when my asthma kicks up.

Other Meds: 65 mg Naturethroid Cut cumin Turmeric Tylenol Ibuprofen

Current Illness: None

ID: 1232319
Sex: F
Age: 51
State: MA

Vax Date: 04/18/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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:

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

Symptoms: Headache and fatigue

Other Meds: Pepcid AC 10 mg Azelaic acid topical Clobetasol ointment topical

Current Illness:

ID: 1232320
Sex: F
Age: 35
State: CA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, suprax, amoxicillin, pediazole, sulfa and derivatives, pencillins and derivatives, cephalosporins and derivatives, levaquin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Extreme 12/10 pain at site as well as complete lack of motion. Pain started before the needle was even removed from arm. This extreme pain and loss of motion lasted 3-4 days and then started to diminish. Pain still persists at a level of 4/10 as of today 4/20, 9 days after shot. Currently have range of motion back but at some spots, pain is evident.

Other Meds: Fiber gummies and multivitamin gummies

Current Illness:

ID: 1232321
Sex: F
Age: 21
State: GA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: None noted

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Student scheduled for second dose Pfizer vaccine and received Moderna vaccine instead of Pfizer vaccine.

Other Meds: Unknown

Current Illness: None noted

ID: 1232322
Sex: F
Age: 64
State: CO

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: simvastatin (severe cramps) idiopathic urticaria, single incident, July 2019

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

Symptoms: Slight nausea set in around 9pm, along with headache. Headache and nausea intensified and remained through next day. Fever set in with chills, and maximum temperature recorded was 39.4C (digital non contact forehead measurements). Chrlls remained throughout through 4/14/20, ie 2 days. Extreme fatigue and "black-out-like sleep all of 4/13/21 (day after injection) through 4/14 am. . None of my prescriptions taken on 4/13/21 till about 8:30pm /4/13/21, when only the hydrocortisone full day dose was taken. Extreme thirst/oral dryness all of 4/13-14. Lost 5lbs between am 4/12/21 prior to inoculation and 2 days later (4/14/21 am). Fluids only refilled by Friday as per BDW. NO FOOD palatable or able to eat on 4/13/21 due to nausea, extreme fatigue, except for 6oz milk to take with hydrocortisone ills. Alendronate missed on both 4/13/21 and 4/14/21.

Other Meds: Humalog (~35U/day-Tandem Pump, Control IQ/Dexcom G6 CGM); Hydrocortisone (20mg/day); Fludrocortisone (0.05mg/day); Alendronate (10mg/day); Levothyroxine (112microgram/day); Rosuvastatin (5mg/day); DHEA (25mg/day); Multivitamin (Centrum wome

Current Illness: Type 1 Diabetes; Addison's Disease; Hashimoto's Thyroiditis = Polyglandular Autoimmune Syndrome Osteoporosis; Serrated PolyposisSyndrome; Torn Retina; Macular Edema; Proliferative Diabetic Retinopathy; Peripheral Neuropathy; Carpal Tunnel Syndrome; Complex Regional Pain Syndrome

ID: 1232323
Sex: F
Age: 34
State: CA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/20/2021
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: no known drug allergies

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

Symptoms: PATIENT STATED THAT SHE EXPERIENCE SOME SIDE EFFECED FROM HER 1ST COVID 19 VACCINE. SHE SAID THAT FOR FIRST FEW DAYS SHE HAD INFLAMMATION AT INJECTION SITE ( BALL IN THE ARM), THEN AFTER SEVERAL DAYS , NOW SHE FEELS INDENTATION(DEPRESSION) ON THE ARM. SHE STATED THAT SHE DOES NOT HAVE ANY PAIN AT THIS MOMENT.

Other Meds: n/a

Current Illness: n/a

ID: 1232324
Sex: F
Age: 43
State: IL

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Unevaluable event

Symptoms: Had cold like symptoms and lots of phlegm, developed a cold sore. The coughing and runny nose went away after 7 days but the phlegm and headache have remained. The headache goes from mild to extreme especially at night

Other Meds: Prenatal vitamin , Magnesium, Vitamin D

Current Illness: N/A

ID: 1232325
Sex: F
Age: 16
State: IL

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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: Patient was 16 at time of vaccination. Patient was administered 1st dose Moderna vaccine.

Other Meds:

Current Illness:

ID: 1232326
Sex: F
Age: 40
State: NM

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/20/2021
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: High fever (103), extreme dehydration and thirst; chills; nausea; extreme fatigue; general malaise all started at 14 hours after injection. At 16 hours post injection, symptoms of inability to communicate or get up from bed, out-of-body sensations. All symptoms persisted for 6 hours. After this, fever and chills subsided, but general malaise, inability to focus mentally, nausea and extreme fatigue persisted and continue even today (11 days post vaccination).

Other Meds: none

Current Illness: none

ID: 1232327
Sex: F
Age: 52
State: OR

Vax Date: 04/06/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient reports redness, rash and swelling at injection site 2 weeks post injection

Other Meds: Estradiol, albuterol , fluticasone, pseudoephedrine multivitamins

Current Illness: none

ID: 1232328
Sex: F
Age: 59
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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:

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

Symptoms: "Administered - 09:58 Adverse event started - 10:15 Patient had hives, flushing/sweating. BP 118/54, HR 83, RR 18, O2 92%. Given 0.3mg EpiPen at 10:25, 911 called at 10:30, patient taken to emergency room."

Other Meds:

Current Illness:

ID: 1232329
Sex: F
Age: 46
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/20/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: "Pt received vaccine at 11:57 - pt started to c/o tongue felt metallic taste and felt numb at 12:06. Pt c/o slight sweating. Pt did not eat breakfast and states this has not happened to him before. Pt denies cp, sob, tongue swelling, trouble swallowing, dizziness. Pt requesting some water. Initial vitasl 142/76 99% RA. Hr 76. RR 20. 12:24 - pt still c/o sweating, funny taste in Mouth. Pt repeat vitasl 142/82 100% RA HR 85. RR 20. Feel pt needs further evaluation. No rash, cp, sob, trouble swallowing. Pt still diaphoretic. Note from ED: 46yoM with possible allergic reaction after Moderna vaccine. VS wnl, OP exam wnl, no signs of anaphylaxis or airway compromise. Monitored here in the ED and did well with symptom resolution. Advised on current CDC recommendations to avoid 2nd injection, as well as potential for rebound allergic reaction, with good return to ED instructions. Pt indicated understanding. No evidence of anaphylaxis or airway compromise. Discussed rebound potential; feel home observation reasonable. Instructed on antigen avoidence. "

Other Meds:

Current Illness:

ID: 1232330
Sex: F
Age: 55
State: GA

Vax Date: 04/06/2021
Onset Date: 04/09/2021
Rec V Date: 04/20/2021
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 REPORTS HER ARM IS HURTING AND MAKES HER VERY UNCOMFORTABLE. THE PAIN HAS BEEN CONSTANT OVER THE PAST WEEK OR SO. PATIENT REPORTS THAT SOMETIMES THE PAIN RADIATES INTO NECK.

Other Meds:

Current Illness:

ID: 1232331
Sex: F
Age: 26
State: CA

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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: n/a

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

Symptoms: Skin was rashy, blotchy and itchy about 12 hours after the vaccine. This has persisted for 12 hours

Other Meds: Birth control pill, spironolactone, ashwagandha

Current Illness: n/a

ID: 1232332
Sex: F
Age: 53
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Allergy to epinephrine, type of allergy wasn't known

Symptom List: Nausea

Symptoms: Patient complains of dizziness and was brought to medical tent. Offered water and rest , elevated legs. Pt then c/o of numbness and tingling to left side of face. Benadryl 25mg was given @ 11:53AM. PT was stable and symptoms continued to progressively increase. More numbness, tingling extending to entire face, lips, and neck. Able to speak in full sentences, lips appear slightly edematous. Given a second dose of Benadryl. VS stable. Pt left with EMS at 12:15

Other Meds:

Current Illness:

ID: 1232333
Sex: F
Age: 82
State: NV

Vax Date: 04/10/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital: Y

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

Lab Data:

Allergies: codeine, latex

Symptom List: Injection site pain

Symptoms: Left MCA stroke

Other Meds: atorvastatin 40 mg oral tablet, 1 Tab, PO, Daily, 11 refills Dilt-XR 120 mg/24 hours oral capsule, extended release, 1 Cap, PO, Daily iron 100 Plus oral tablet, 1 Tab, PO, qDay levothyroxine 88 mcg (0.088 mg) oral tablet, 1 Tab, PO, Daily,

Current Illness: -

ID: 1232334
Sex: F
Age: 59
State: OH

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient woke up feeling feverish, headache and bilateral rib aching and upper abdominal pressure.

Other Meds:

Current Illness:

ID: 1232335
Sex: M
Age: 46
State: WI

Vax Date: 04/02/2021
Onset Date: 04/08/2021
Rec V Date: 04/20/2021
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: patient developed DVT shortly after recieving the vaccination. diagnosed on 4/15/2021 symptoms started about one week prior to this.

Other Meds: lisinopril, clonidine, allopurinol. omeprazole and vitamin D

Current Illness: none

ID: 1232336
Sex: M
Age: 61
State: NC

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/20/2021
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, lactose intolerance.

Symptom List: Tremor

Symptoms: During the middle of the night after receiving the vaccine, woke with chills and other flu-like symptoms such as fatigue and body aches into the next day. Had some chest congestion into the next day. Advil tylenol and allegra to get through the symptoms. Slept for most of the day the following day.

Other Meds: Testosterone injections, cardura, vit D3, fish oil, precision supplement package, and allegra, two advil before vaccine.

Current Illness: Sinus infection 2-3 months ago (antibiotics and prednisone).

Date Died: 03/24/2021

ID: 1232337
Sex: M
Age: 57
State: IL

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 04/20/2021
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 known

Symptom List: Erythema, Pruritus

Symptoms: Death (attributed to the toxic effects of multiple drugs and not to recent vaccination)

Other Meds: furosemide 20mg, gabapentin 500mg, and diclofenac 75mg

Current Illness: None known

ID: 1232338
Sex: M
Age: 39
State: CA

Vax Date: 03/23/2021
Onset Date: 04/11/2021
Rec V Date: 04/20/2021
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:

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

Symptoms: Dizzy spells mainly later in the day or at night. Started noticing them on April 11th, and have been off work since.

Other Meds: Allopurinol 300Mg Fluoxetine Hcl 60Mg

Current Illness:

ID: 1232339
Sex: F
Age: 30
State: WA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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: unknown

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

Symptoms: Patient felt dizzy and like she was going to pass out. Patient was sweaty and clammy. Gave patient water, brought a fan over. She did pass out for a second or two so we laid patient on the floor. We called 911. Firemen arrived and took patient blood pressure (around 90/60). Patient reported having low blood pressure and occasionally passing out after giving blood. After about 15 minutes of laying down, firemen helped patient sit down. Patient refused to go to hospital.

Other Meds: Sertraline

Current Illness: unknown

ID: 1232340
Sex: F
Age: 55
State: CA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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, keflex, mucinex.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Approximately 10-12 hours after vaccine body aches & headache began, 12-24hrs added chills, sweating, sleeplessness, 24-36 very bad headache w/sensitivity to noise & light, added low fever, muscle aches, dizziness, light headed when sitting up, getting up to walk. 36-48 hours continued body aches lessened, headache lessened, nausea & dizzy w/lightheadedness. 60-72 hours diarrhea for 12 hours & stiff sore muscles, but headache lowered in pain, as with body aches, chills & sweating.

Other Meds: Dextroamp-amphetamin 10 mg 1/day, dextroamp-amphetamin ER 25mg 1/day, Trintellix 10mg 1.5/day, Junel fe 1mg-20mcg tablet/day, supplements: Biotin, Vitamin B12, multivitamin for women, Vitamin D.

Current Illness: None

ID: 1232341
Sex: M
Age: 40
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: "Administered - 4/19, time unknown Adverse event started - 10:06 Patient had syncope, flushing/sweating. BP 109/53 -- > 114/55, HR 68 -- >64, RR 16 -- >16 , O2 100% -- > 99%, Temp 97.3F. Given PO juice, Graham crackers. Patient stable, released from vaccination site."

Other Meds:

Current Illness:

ID: 1232342
Sex: F
Age: 68
State:

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/20/2021
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: Dristan, Latex, Nickel, and Penicillin

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

Symptoms: Patient reported feeling like her throat was closing/tighening in her throat upon returning home . Took 1/2 Benadryl tablet and symptoms resolved on their own.

Other Meds:

Current Illness:

ID: 1232343
Sex: F
Age: 37
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: A mild allergy to fruits

Symptom List: Pain in extremity

Symptoms: There's a metallic taste in my mouth plus dryness in the mouth also that's causing bad breath which is lasting for about a week now.

Other Meds: None

Current Illness: None

ID: 1232344
Sex: M
Age: 11
State: AL

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: RED AREA LEFT ARM

Other Meds: Unknown

Current Illness: Unknown

ID: 1232345
Sex: M
Age: 26
State:

Vax Date: 04/19/2021
Onset Date:
Rec V Date: 04/20/2021
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: "Administered - 14:30, Adverse event started - 14:38. Patient had syncope, flushing/sweating, dizziness. History of ""blackouts during blood draws"". BP 92/53 -- > 93/58y, HR 74 -- > 68, RR 18 -- > 18, O2 97% -- > 98%. Patient stable, released from vaccination site."

Other Meds:

Current Illness:

ID: 1232346
Sex: F
Age: 60
State: MI

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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: erythromycin, sulfa drugs, Terazol 3 cream, benzoyl peroxide gel or cream, anything with yellow dye number 5, Xeljanz XR and/or Xeljanz, versed, Avelox, pineapple (anasphysis to pineapple), tree and grass pollen, dust and dust mites, mold, strong sents and perfumes set off asthma.

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

Symptoms: Received the shot about 1:30. Everything was fine. By evening, the arm was sore and left armpit hurt. Went to bed about 10. Woke up about 1:30/2:00 with left arm hurt a lot. Took Advil and went back to bed. Woke up at 4 am to get ready for work and felt awful. Noticed was out of breath on short horizontal walk from bedroom to bathroom, chest tight, acting like an asthma attack. Took a puff of albuterol inhaler and went back to sleep. Got up just before 7, still sore to breath. Grabbed oximeter (being asthmatic, I have one) and noticed )s level down to 94/95 when normally it reads 98/99 on this one. Called allergist to cancel allergy shot scheduled for that morning. Took another puff of albuterol. (Waiting to see if need nebulizer.) Breathing becoming easier and reading now about 97/98 with pulse lower, more normal. Lungs a bit touchy this time of year anyway. And I have had allergic reactions in the past take place as an asthma attack. (For instance, if I eat a small quantity of something with yellow dye 5 in it, I will notice that my breathing is more difficult.)

Other Meds: xyzal, singulair, mucinex, flonase, dulera (200/5), spiriva respimat, premarin, synthroid (125), olmesartan medoxomil, rabeprazole sod Dr, pataday, plaquenil, (Oluminant normally taken withheld for 1 week prior to 1st dose and still withhel

Current Illness: No illnesses. Hay fever acting up a bit due to the time of the year and and asthma acting up due to time of the year (pollen) and exposure to dust from a newly constructed second home the prior week. Should not have run the vacuum (even though hepa filter). Under control the week of both vaccines.

ID: 1232347
Sex: F
Age: 73
State: SC

Vax Date: 04/08/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
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: shingles. symptoms began Wednesday, April 14 at approx 3 pm as a series of needle-like stabs below the skin on my right hip and extending outward 2-3 inches in all directions. Acute pain started within 1-2 hours of the initial reaction and continued unabated. On Friday evening, April 16 the classic shingles rash was visable at the site of the initial pain and became progressively more intense over the next three days. A second, mall shingles erruption was visible on Sunday am (April 18). As I write this report on Tuesday, April 20, the pain seems to have plateaued, i.e, is not getting worse.

Other Meds: metoprolol, nifedipine, losartan, lipitor, celexa antidepressant, buspar, lorazapam, tylenol pm, , Co-Q 10, vitamin D

Current Illness: none

ID: 1232348
Sex: F
Age: 57
State: CA

Vax Date: 04/03/2021
Onset Date: 04/06/2021
Rec V Date: 04/20/2021
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: I experienced dizziness on 4/5-4/6 and then ringing in my ears on April 6 for over an hour that evening, and it has continued ever since. It comes and goes at various times throughout the day and evening.

Other Meds: B12 complex, Biotin, vitamin D, Zinc, Calcium, vitamin C, Tylenol and prior to vaccine Ibuprofen, Garlique.

Current Illness: None.

ID: 1232349
Sex: F
Age: 45
State: MI

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 04/20/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: On Monday 1/11, I began to feel ill, Achy, Headache, Stuffy nose, extreme Tiredness and Fatigue.

Other Meds: Zyrtec 10, Bupropion, Duloxetine, Chlorthalidone

Current Illness: none

ID: 1232350
Sex: F
Age: 27
State: NY

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 04/20/2021
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: 1/11/2021: I experienced a bit of an itch on my right foot. 1/12/2021: Then felt it again the next day. 1/13/2021-1/30/2021: This itch traveled out of my foot and I started to feel this tingling sensations on my right leg. The tingling would come and go. It moved to my left leg and then my arms. I also felt the tingling in my elbows, fingers, neck, boob area, abdomen. My lower back felt tight too. I was also experiencing chest pains, like pressure on my chest that would come on throughout the day. Sometimes 1 a day sometimes 3 times a day. Pressure would come on for about 30 seconds to 1 minute then subside. I also had an increased heart rate (tachycardia). I received the second dose of Pfizer on 1/30 and experienced the ?typical? symptoms the next day. On 1/31/2021 I had body aches, fatigue, low grade fever. The symptoms disappeared within 24 hours, and I did not feel any tingling on that day. On 2/1/2021 in the evening, I started experiencing severe tingling in both lower extremities. On 2/2/2021: I felt the tingling all over my body: legs, torso, forehead, back of head, vagina, tongue, back. I was experiencing severe chest pains. Heart rate was extremely high. On 2/3/2021: I went to the ER, and they sent me home with a referral to see a neurologist. Blood Pressure was extremely high (153/110). On 2/5/2021: I felt this horrible pin pricking sensation up and down my spine that went on for hours. Additionally, my right leg went numb and stayed numb until the next morning. On 2/6/2021: My right leg went numb again in the evening. It resolved in an hour. I also began experiencing some muscle twitching. It started in my right leg but I can feel it in various parts on my body (thighs, buttock, calves, arms, hand, and right underneath armpit on my back). I have burning mostly in my thighs, forearms (near elbows area), and upper shoulders. I have pin pricking sensations around my body. And I have muscle twitching in my arms, legs, back, and hand. Chest pains have resolved, blood pressure is back to normal, and my heart rate isn't so elevated anymore. I also have been experiencing some bad diarrhea the past two months (beginning on 2/19/21 until current)!

Other Meds: Apri Birth Control, Zinc (50 mg), Vitamin C (250 mg), Vitamin D3 (50 mcg)

Current Illness: None

ID: 1232351
Sex: F
Age: 69
State: VT

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
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 causes rash

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

Symptoms: Anxiety with panic attack, no vertigo, Face flushed, HR rapid, brought to first aid room and after lying down for a few minutes felt better. HR 88, Resp 16 B/P 128/90

Other Meds: unknown

Current Illness: Unknown

ID: 1232352
Sex: F
Age: 71
State: VA

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 04/20/2021
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: Ciprofloxacin CodeineNausea And Vomiting Shellfish-derived Products Ceftin [Cefuroxime]Rash PenicillinsRash Sulfa AntibioticsRash

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

Symptoms: Hemorrhagic stroke

Other Meds:

Current Illness: Low back pain

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm