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: 1259771
Sex: F
Age: 17
State: TX

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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: LATEX

Symptom List: Dysphagia, Epiglottitis

Symptoms: THE PATIENT WAS 17 YEARS OLD AT THE TIME OF ADMINISTRATION AND PHARMACY STAFF DID NOT REALIZE THAT SHE WAS NOT 18 YEARS OF AGE UNTIL AFTER THE VACCINE WAS ALREADY GIVEN.

Other Meds: SPRINTEC ADDERALL 20MG

Current Illness: NONE KNOWN

ID: 1259772
Sex: F
Age: 67
State: MD

Vax Date: 04/02/2021
Onset Date: 04/20/2021
Rec V Date: 04/26/2021
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: None known

Symptom List: Anxiety, Dyspnoea

Symptoms: Appendicitis. Pain in upper right abdomen over course of 2 weeks. Treatment was appendectomy.

Other Meds: Vit D Baby Aspirin Vit B12 Vit B1 Vit C Vit E

Current Illness: None

ID: 1259773
Sex: F
Age: 43
State: WA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/26/2021
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: Benadryl - Rash mild to moderate Amoxicillin - rash moderate Ibuprofen - hives moderate Latex - hives moderate Lisinopril- cough Toradol - dizziness mild to moderate

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

Symptoms: Started to get dizzy nearly immediately after vaccine. She says he barely made it home. She developed joint pain, fatigue, headache, hot sweats, nausea and vomited once, which was reported on a 3/31/2021 appointment. The next day she had improvement, but the joint pain, dizziness, and abdominal cramping persisted. On my 4/21/2021 appt still have significant joint pain and having to stop working due to this pain.

Other Meds: None

Current Illness: None

ID: 1259774
Sex: F
Age: 37
State: TX

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: About a minute after the injection the patient complained of heart racing, pulse 94, feeling anxious, elevated blood pressure, 164/90, slight rash- hives like around upper torso only. Patient put to lie down on exam table and PCP called. Patient was here for a visit with Dr. Patient calmed down and rash gone and B/P and pulse back to normal within 15 minutes. Visit continued with PCP Patient feeling fine when she left

Other Meds: Elavil, metformin, tramadol, voltarin gel

Current Illness: None

ID: 1259775
Sex: M
Age: 56
State: WI

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/26/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Chest pain in less than 10 hours of shot administered

Other Meds: Wellbutrin, seroquel, atavan, atorvestatin, carvadilol, spirolactone, lamictal, Protonix, flow max, vitamin b and vitamin d

Current Illness: Complete proctoctomy surgery on March 18,2021

ID: 1259776
Sex: M
Age: 53
State: AZ

Vax Date: 04/04/2021
Onset Date: 04/08/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Received the vaccine on 4/4/2021. On 4/8/2021 started having pain in lower left leg. Pain off and on for two weeks. Pain intensified on 4/23/2021. I went to the emergency room where they performed on ultra sound examination of my left leg. Confirmed that I have a deep vain thrombosis (DVT) behind my left knee. Prescribed Eliquis. Saw Dr. today. He could not confirm that DVT was caused by vaccine, but I thought I should report it. I am to stay on Eliquis for six months at which time I will be evaluated for a blood clot disorder.

Other Meds: Sudafed (occasional)

Current Illness: None

ID: 1259777
Sex: F
Age: 27
State: OH

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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 listed

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: patient called stating that her upper arm was numb.

Other Meds: unknown

Current Illness: none

ID: 1259778
Sex: F
Age: 52
State: ID

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: IBU, Aspirin, can only take acetamenophen. Has too many to list, does not have list with her.

Symptom List: Pharyngeal swelling

Symptoms: massive red sores, about quarter size, raised, all over her head. Started the same day. She still have them, they are scabbed over almost gone, but still has them. Client cannot walk/stand on her feet d/t pain on the soles of her feet, still cannot walk on them.

Other Meds: Insulin, lantus and novolog, , several other medications,

Current Illness: seasonal allergies

ID: 1259779
Sex: F
Age: 44
State: ME

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Seasonal, penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Instant headache that subsided quickly, sore arm at injection site for 48 hours, rash covering torso and arms and neck that is very itchy and sore

Other Meds: Bupropian, prenatal vitamins, Claritin

Current Illness: None

ID: 1259781
Sex: F
Age: 30
State: WI

Vax Date: 04/21/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swollen eye lid on left eye.

Other Meds: None

Current Illness: None

ID: 1259782
Sex: M
Age: 72
State: NY

Vax Date: 03/05/2021
Onset Date: 03/22/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Allergies Phenobarbital Nylon Neomycin-Polymyxin-Hc ear suspension Metformin (Low's and Kidney) Ibuprofen (Kidney)

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

Symptoms: After three weeks I had a test to determine if my anti rejection drugs allowed the shots to work. The shots were rejected.

Other Meds: Total Left Knee Replacement 4/22/2010 Total Right Knee Replacement 8/24/2011 Ears & Hearing aids & p312 Batteries Drugs: Allopurinol 300 mg tab (gout) {1 AM} Ammonium Lactate 12% Lotion { apply topically once daily for dry sk

Current Illness: None

ID: 1259783
Sex: F
Age: 65
State: OR

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/26/2021
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: violent, screaming, throwing things, crying, slept 3 days, diarrhea, chills, lost vision, shaking,

Other Meds:

Current Illness:

ID: 1259784
Sex: F
Age: 39
State: WA

Vax Date: 04/01/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Paresthesia in left arm, left leg & foot, right foot, and right side of face

Other Meds: Multivitamin

Current Illness: None

ID: 1259785
Sex: M
Age: 45
State: OK

Vax Date: 04/08/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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: Bell Palsy, left side of face severe paralysis. Treatment Prednisone 20MG Tablets (7 days) / follow up with primary care doctor.

Other Meds: Dulera Inhaler

Current Illness: none

ID: 1259786
Sex: F
Age: 28
State: CA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/26/2021
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: The next day after receiving my vaccination, I started having vaginal bleeding. However 2 weeks prior to my vaccination I already had my menstrual cycle. I typically either spot or have a small period that lasts 3-4 days due to my birth control (implant). Today 4/26/21, I am still currently experiencing heavy vaginal bleeding, and I am not sure if I consider this my menstrual cycle. It is now more than 2 weeks and I am still bleeding.

Other Meds: None.

Current Illness: None.

ID: 1259787
Sex: M
Age: 21
State: NV

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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: Numbness on the chest and shaking.

Other Meds:

Current Illness:

ID: 1259788
Sex: M
Age: 84
State: IL

Vax Date: 04/16/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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: none

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

Symptoms: After second dose of the vaccine the middle of the tongue turned black and and yellow film around the black.

Other Meds: TAMSULOSUIN FINASTERIDE 5MG AMLODIPINE 5MG PANTOPRAZOLE 40MG

Current Illness:

ID: 1259789
Sex: F
Age: 64
State: LA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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: Rash on left arm, headache

Other Meds: Multi-vitamin,

Current Illness: None

ID: 1259790
Sex: F
Age: 34
State:

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

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

Lab Data:

Allergies: NSAIDS

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient started having itchy throat, feeling of warmth throughout entire body. within 10 minutes of getting first dose pfizer vaccination

Other Meds:

Current Illness:

ID: 1259791
Sex: F
Age: 19
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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: reported sudden headache. Normal VS.

Other Meds: none

Current Illness: none

ID: 1259792
Sex: F
Age: 39
State: PA

Vax Date: 01/01/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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: fully vaccinated in Jan 2021 tested positive for covid 4-26-21 via PCR

Other Meds:

Current Illness:

ID: 1259793
Sex: F
Age: 52
State: NY

Vax Date: 03/29/2021
Onset Date: 04/07/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfur, codeine, amoxicillin, Demerol, Bactrim

Symptom List: Unevaluable event

Symptoms: Rash on chest and arms , hive like and extremely itchy started in day 9 and is continuing through day 33

Other Meds: Atorvastatin

Current Illness:

ID: 1259794
Sex: M
Age: 52
State: CA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/26/2021
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: Dizziness, vertigo

Other Meds: Omeprazole, men's over 50 vitamin, triple flex, tumeric, collagen

Current Illness:

ID: 1259795
Sex: F
Age: 37
State: IN

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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: After receiving her first dose of the Moderna Covid-19 Vaccine at 10:55 a.m., the patient fainted while in her chair in the waiting area and had convulsions. We immediately called 911 and we were able to get the patient to the floor safely and elevate her legs. Her convulsions stopped shortly after they began, and I stayed at the patient's side. She had normal breathing and pulse and began to wake up shortly after her legs were elevated. I applied a cold pack to the patient's forehead with her consent. She was very disoriented upon waking up. EMS arrived at 11:08 a.m. and took her blood pressure and blood glucose reading. She was conscious when they arrived but still disoriented. Her blood pressure was low and the patient said she felt like she was going to pass out again after they stuck her finger to check glucose. EMS transported the patient to Hospital because of her persistent low blood pressure. I attempted to call the patient this evening to check on her but was unable to reach her.

Other Meds: Unknown

Current Illness: None

ID: 1259796
Sex: F
Age: 45
State: OR

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodone/Vicodin Qvar (Beclomethasone dipropionate)

Symptom List: Injection site pain, Menorrhagia

Symptoms: asthma attack, not responsive to at-home medical treatment including inhalers and nebulizer received medicinal treatment discharged a few hours later with updated prescriptions and improved breathing

Other Meds: 10mg Zyrtec 450mg Welbutrin 50mg Adderal XR 60mg Cymbalta

Current Illness: Mental health decline (depression) resulted in changes to medication. Cymbalta was a new medication, nearing end of 3rd week, at time of vaccination.

ID: 1259797
Sex: F
Age: 35
State: TX

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/26/2021
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: Pertussis, tramadol

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

Symptoms: 3/27/21 30hrs flu like symptoms muscle and joint aches/pain and weakness; 3/28/21 24hr physical fatigue, nausea, mental fatigue; 3/29/21 3 days of mental fog, physical fatigue, 4/1/21 No symptoms

Other Meds: Claritin, Nexium, wellbutrin, pravastatin, Lexapro

Current Illness: Seasonal allergies

ID: 1259799
Sex: F
Age: 43
State: CA

Vax Date: 02/13/2021
Onset Date: 03/23/2021
Rec V Date: 04/26/2021
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: Had a normal menstrual cycle March 23 - March 27 after my 2nd vaccine (except for EXTREME heavy bleeding on day 4). Was off my cycle for one and a half weeks and then started my period agian for another two and a half weeks, April 7 - April 23. 1st dose: 02/13/21 2nd dose 03/13/21

Other Meds: Birth Control Pill

Current Illness: None

ID: 1259800
Sex: M
Age: 61
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/26/2021
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 Per patient

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: patient c/o mouth dryness, slight headache, and slight upset stomach. Provided water to patient. patient seen by Dr. Monitored patient for additional 30 minutes. After 30 minute observation patient felt better and no longer had symptoms. Patient was sent home and was advised to eat breakfast. patient verbalized understood and agreed.

Other Meds: None per patient

Current Illness: None Per patient

ID: 1259801
Sex: F
Age: 58
State: TX

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/26/2021
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: unknown

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

Symptoms: Visiting Teammate requested to receive her Pfizer vaccination on 4/9/21, stating this was her first dose. Immediately after the dose was administered, the Facility Administrator attempted to enter the data into the computer and the Teammate had an entry from another facility on the day prior. Facility administrator contacted the other facility who verified that the Teammate did receive their first vaccine on 4/8/21. Teammate did not recall receiving the vaccine the day prior. Administrator spoke with teammate on four occasions since 4/9/21 to ensure there have been no side effects. Teammate states there have been no issues.

Other Meds:

Current Illness:

ID: 1259802
Sex: F
Age: 78
State: CA

Vax Date: 02/18/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Early morning after 2nd vaccination, 2/19/21), patient was what is best described as in a comatose type state. Symptoms where unresponsiveness, fever (101 degrees), unable to eat, drink or open eyes. Was able to suck on a washcloth. The following day, 2/20/21, same symptoms as day before but fever went down. Took blood sugar in the morning and it was good. Was able to give minimal liquids by a bottle. Got about 4 ounces of water in about 2 days. On 2/21/21 around midday patient was able to get out of bed and was on way to recovery.

Other Meds:

Current Illness:

ID: 1259803
Sex: M
Age: 46
State: CA

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: No symptoms after 1st dose. 15 hours after 2nd dose, patient experienced high fever, chills, muscle soreness, headache for 36 hours.

Other Meds: none

Current Illness: none

ID: 1259804
Sex: M
Age: 16
State: MT

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: unknown

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

Symptoms: Patient was minor, age 16, at time of first Moderna dose on 3/29/21. He presented with mother and received COVID-19 vaccination with Moderna instead of Pfizer. Moderna not authorized for use in patients less than 18 years of age. Patient presented with his mother on 4/26/21 (28 days after 1st dose of Moderna) for his scheduled 2nd dose of Moderna vaccine, as instructed. At patient check-in, it was discovered that patient had received the wrong vaccine for his first dose; all info was verified by 2 staff members. Patient still age 16 at time of presentation for 2nd dose of Moderna. CDC guidelines for 'Recommendation for COVID-19 Vaccine Administration Errors and Deviations' for 'Unauthorized age group' were consulted to determine how to proceed with 2nd dose. Per guidelines, patient was administered a 2nd dose of Moderna as off-label use 'because Moderna vaccine is not authorized in patient's age group of 16-17 year olds.' (source: CDC.gov). A copy of the CDC guidance for this situation was explained to, and dispensed to, mother & patient. Both wished to proceed with 2nd dose of Moderna to complete the vaccine series.

Other Meds: unknown

Current Illness: unknown

ID: 1259805
Sex: F
Age: 59
State: VA

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 04/26/2021
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: Penicillin and tetracycline

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

Symptoms: Bloody nose. Noticed last night. Not dripping blood but bright red when I blew my nose. Not a lot of liquid but bright red mucus or clots. Same this morning. Had to blow my nose multiple time over about 20 minutes to clear it. Nothing since.

Other Meds: Atorvastatin, Tirosint, Mult vitamin, probiotic, krill oil, vitamin D, zyrtec, CBD oil, valerian

Current Illness: none

ID: 1259806
Sex: M
Age: 62
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/26/2021
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: Tremor

Symptoms: Patient had sudden intense headache 20 min post vaccination. Patient stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1259807
Sex: F
Age: 60
State: NJ

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/26/2021
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: Sulfa

Symptom List: Erythema, Pruritus

Symptoms: I woke up from almost like a pop in my brain and fluid started pouring down my throat and I started choking. I woke up and was able to spit some of it out. It was clear and also tinged with blood. It stopped once I stood up. I immediately thought my brain was leaking. I told my daughter about this the next day. My balance was off and I had a weird flapping in my head for the next few days. As well as a headache. A few days after I heard about the blood clots. I am not 100% sure if it was from the shot but it was literally hours from when I received it. It was very scary.

Other Meds: None

Current Illness: Broken nose Poisoned from Assured Brand Medication

ID: 1259808
Sex: F
Age: 44
State: TX

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/26/2021
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: NKA

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

Symptoms: My left arm has numbness that won't go away and hasn't decreased since I noticed it.

Other Meds: Premarin 1.25mg Meloxicam 15mg Calcium 6oomg with vitamin D

Current Illness:

ID: 1259809
Sex: M
Age: 66
State: AL

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/26/2021
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: Patient received the first dose of Moderna COVID vaccine on 4/22/2021. Upon reporting vaccine to state registry, pharmacist noticed he had previously received Johnson & Johnson COVID vaccine on 03/10/2021 at another facility. This information was not volunteered by the patient at the time his Moderna vaccine was administered, but was confirmed with the patient after the vaccine (Moderna) was administered. The patient will not be receiving the second dose of the Moderna vaccine, due to the fact that he was not indicated to receive both Modera and Johnson & Johnson vaccines. The patient reported low-grade fever, headache, nausea, and dizziness lasting for 1 day beginning the day after vaccine administration of Moderna vaccine. No treatment was necessary, and patient fully recovered from this adverse effects.

Other Meds: Unknown

Current Illness: No illnesses at time of vaccine. Unknown 1 month prior.

ID: 1259810
Sex: M
Age: 32
State: CA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/26/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: patient reported rapid heart rate, weakness, dizziness the next morning after the vaccine

Other Meds: patient says he experienced palpitation and dizziness and weakness upon waking up next morning after the vaccine

Current Illness:

ID: 1259811
Sex: M
Age: 18
State: NJ

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 04/26/2021
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: Penicillin, Peanuts

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

Symptoms: Migraine and constant aura...continues to this day!!

Other Meds: Warfarin, Enalapril, Atenolol

Current Illness: none

ID: 1259812
Sex: F
Age: 61
State: TX

Vax Date: 03/04/2021
Onset Date: 04/15/2021
Rec V Date: 04/26/2021
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: Medications: Penicillin, Levaquin, Erythromycin

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

Symptoms: Vaccine was administered by Health & Human Services, 1st dose on 2/11/2021 and 2nd dose on 3/4/2021 (both vaccine at 3:00 PM). Shingles later developed on the left arm as well as respiratory problems. Visit to regular GP on 4/22/2021 resulted in RX for Valacyclovir 1GM tablets, methylprednisolone tablets USP dosepak 4 mg, Breztri inhaler to accompany Albuteral inhaler. Currently on day 4 of 7-day regimen. Breathing is vastly improved and shingles are drying out and clearing up. Recovery progressing and ongoing.

Other Meds: RX: Metoprolol ER Succinate 50 mg/daily, Lisinopril 20 mg/daily, Hydrochlorothiazide 12.5 mg/daily, Potassium CL 10 MEQ/daily, Aspirin 81 mg/daily Supplements: Multivitamin + Vitamins D3, C, B-Complex, Ubiquinol, CitraNox, Culturelle, Mel

Current Illness: None

ID: 1259813
Sex: M
Age: 62
State: MD

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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: Pain in extremity

Symptoms: shoulder achiness within a few hours, in less than 24 hours had entire body ache and chills lasting 24 hours

Other Meds: multple vitamn, vitamin c, vitamin d, coq10, calcium/magnessium, probiotic, glucosamneand chondroiten, green veg /fruit powder drink

Current Illness: none

ID: 1259814
Sex: M
Age: 17
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient was 17 and 6 month at the time of administration and Moderna is indicated for 18 years and older. Patient didn't experience any adverse events.

Other Meds: None

Current Illness: None

ID: 1259815
Sex: F
Age: 64
State: MI

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/26/2021
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: CT iodine, Ciprofloxin, estrogen

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

Symptoms: The following day and since I have had continued huge increase in my peripheral neuropathy and trigeminal neuralgia symptoms. I have pins and needles neuropathy in almost whole body and facial pain (TN). This has been a huge increase of pain and I am VERY scared this is a permanent effect that this vaccine has caused.

Other Meds: Gabapentin prior at 9am, Levothroxine prior at 8am

Current Illness: Neuropathies, peripheral and trigeminal neuralgia

ID: 1259816
Sex: F
Age: 18
State: WI

Vax Date: 04/06/2021
Onset Date: 04/12/2021
Rec V Date: 04/26/2021
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: NKDA

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

Symptoms: Rash developed on abdomen, back, arms, neck. Started approximately 4/12/2021, worsened on 4/17/2021. Exam is more consistent with Pityriasis rosea vs strep vs non-specific dermatitis.

Other Meds: Multivitamin

Current Illness: None

ID: 1259817
Sex: F
Age: 32
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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: Sulfa, Prednisone

Symptom List: Vomiting

Symptoms: Swollen, tingling, slightly numb tongue 20 mins after injection; tingling and numbness disappeared by morning but swollen sensation lasted until 2 days post injection. Slight fever/feeling warm and flush beginning 2 hours after injection and carrying over into morning after injection. Extreme lethargy and feeling as if dehydrated evening of injection and still present as of today (4 days post injection). Dizziness present when turning head too quickly in certain direction (left/right, up/down); present first day post injection lasting through until 3 days post injection. Slightly swollen and sore left arm at site of injection; swelling disappeared by first day post injection but soreness still present until 3 days post injection. Diarrhea beginning morning after injection and still present as of today (day 4 post injection). Sore throat began 2 days post injection and was accompanied with major sinus pressure and sensation of ears being pressurized; sore throat disappeared day 3 post injection but was replaced with dry cough that is still present as of today (4 days post injection)

Other Meds: Zinc, B-12, Levothyrozxine

Current Illness:

ID: 1259818
Sex: F
Age: 62
State: MD

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 04/26/2021
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: Flu Shot-anaphylactic Codeine- Itching on legs Latex Sensitivity Onion and Garlic

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The day after the vaccination I started to be very itchy. I was also very tired and nauseous. Two days after the shot the itch was much worse. I did not have a visible rash, but I was very itchy. My legs were most itchy, but it was all over. I used Steroid ointment and it seemed to help. I was itchy for four weeks. After the first dose I had also been itchy for two weeks.

Other Meds: Xyzal Hydrochlorothiazide Vitamin D Probiotics

Current Illness:

ID: 1259939
Sex: F
Age: 63
State: CO

Vax Date: 04/09/2021
Onset Date: 04/17/2021
Rec V Date: 04/26/2021
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 that I know of

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

Symptoms: deep muscle pain in left hip with nerve pain 1 week after 2nd shot, calves were extremely tight after walking 2 days after 2nd vaccine, low back went out 2 days after 2nd shot, rash on lower shin of left leg onto foot 12 days after 2nd shot of vaccine.

Other Meds: Multiple vitamin and mineral supplement, 100 mg of B-complex, 500 mg of vitamin C, 5000 IU of D3, 1.5 mg of Methylcobalamin, 22 mg Zinc Picolinate, 81 mg Aspirin, 1000 mg Black Currant Oil, 715 mg of Omega 3 through Algae Ome

Current Illness: Very sore muscles, calf, hip muscles, rash on bottom shin to under foot of left leg

ID: 1259940
Sex: F
Age: 40
State: UT

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 04/26/2021
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: Penicillin, ibuprofen, influenza vaccine with preservatives, TB skin test

Symptom List: Injection site swelling, Limb discomfort

Symptoms: - Itchy hands and feet (but no visible rash) for about an hour beginning about 9 hours post-injection. - Jumbling up words when speaking for about 30 minutes (about 9 hours post-injection). - Injection site redness and extreme itching which increased over 48 hours then faded over the next 72 hours. The redness and itchiness returned on day 7 post-injection and remained visible for four weeks before it faded away leaving an indentation that lasted about two more weeks. - Diarrhea, bouts of dizziness, nausea, and vaginal blood spotting on post-injection days 1-3. - Difficulty thinking clearly and concentrating on tasks on post-injection days 1-3. - Hives on neck on post-injection day 7. The hives lasted about an hour. Also minor hives and itchiness on right side of forehead accompanying the more prominent neck hives. - Sharp burning sensation on bicep skin on injection arm on post-injection day 7. The sensation lasted less than a minute. - Bouts of dizziness returned on post-injection day 7. - Metallic taste in mouth began around 11 pm on post-injection day 9 and lasted for about four weeks. COVID-19 test was negative. - Abnormal vaginal bleeding for five days beginning on post-injection day 13. - Swollen lymph node in neck on side of injection beginning on post-injection day 15 and lasting a few days. - Sudden ringing in left ear (tinnitus) that lasted about a minute (did not record the date but it was within two weeks of injection). - Sensation of throat numbness (similar to dental numbing) that lasted about an hour (did not record the date but it was either evening of vaccination or next day). - Fatigue- minor fatigue lasted for about a week post-injection. - Minor hives on stomach appeared the night of post-injection day 16 and were gone by the next morning. - Trouble sleeping for two weeks beginning on day 14 post-injection. - Frequent urination for one week beginning on day 14 post-injection. - Loss of appetite for two weeks beginning on day 14 post-injection. - Feeling jittery/shaky, even upon waking, for two weeks beginning on day 14 post-injection. - Anxiety for about three to four weeks beginning on about post-injection day 21. Also some symptoms of depression (crying and feelings of hopelessness) during this time.

Other Meds: Calcium Chews, Florastor probiotics, Vitamin D Gummies As Needed: Regular Strength Acetaminophen

Current Illness: Migraine headache on 1/9/21

ID: 1259941
Sex: F
Age: 36
State: TX

Vax Date: 04/01/2021
Onset Date: 04/22/2021
Rec V Date: 04/26/2021
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: Large brusing on left arm. Bruising through out body. All brusing appeared 2 weeks after vaccination

Other Meds: Benicar and lopressor multivitamin

Current Illness:

ID: 1259942
Sex: M
Age: 25
State: CA

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

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

Symptoms: Patient's mother called us around 10 am and told us that his son fainted at home after he got home after receiving his second covid shots. Patient did stayed in our pharmacy for 15 minutes after his shot and he felt ok at that moment. Patient was awake and was resting on bed when his mother called his. According to his mon, he was given banana after the event. After further inquiry, his mother mentioned that he did not eat anything in the morning, and was on empty stomach when he came to receive his shot.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm