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: 1263925
Sex: U
Age: 24
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt c/o lightheaded, "sight went black" 2 mins after receiving vaccine. She reports that she gets these feeling when she gets vaccines, last one was Hep B vaccine dose #1 3 months ago. She denied any other past med hx. Pt assessed and monitored by NP, EMT.

Other Meds:

Current Illness:

ID: 1263926
Sex: F
Age: 36
State: NH

Vax Date: 04/13/2021
Onset Date: 04/24/2021
Rec V Date: 04/27/2021
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: Allergic to all NSAIDS

Symptom List: Anxiety, Dyspnoea

Symptoms: I had a proper menstrual cycle for the first time in 8 years, including bleeding, cramping, bloating, and increased appetite. My birth control allows for continuous use so that I do not have bleeding or any other symptoms, and have not had a period since 2013. If I followed my typical menstrual cycle, it would have happened 2 weeks after this adverse reaction occurred. I have experiences heavy bleeding, painful cramps, and bloating for 4 days now.

Other Meds: Nuvaring, continuous use; Lexapro, 10 mg daily; turmeric, daily; vitamin D, daily; Trazadone, 100 mg daily.

Current Illness: N/A

ID: 1263927
Sex: F
Age: 52
State: WA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
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: Bees, keflex, pcn, amoxacillin

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

Symptoms: Client with dyspnea at 1135, epi given at 1136, client refused EMS. oxygen saturation level 100 percent on room air, MD determined lungs sounds clear to auscultation, client waited 30 more min. felt fully recovered and admitted most likely anxiety as cause for dyspnea. Client left in no apparent distress.

Other Meds:

Current Illness:

ID: 1263930
Sex: F
Age: 32
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: PT C/O FEELING WEAK WOOZY 10 MINUTES AFTER VACCINATION "VISION GOING BLACK" HANDS TINGLY/ SWEATY BP 72/58 HR 76 2:35 BP 80/54 STRONGER INIDCATES "SHOT PHOBIA" 2:34 BP 100/52 2:40 EMTS ARRIVED- 3;15 PT LEFT ON OWN AFTER OBSERVATIONBY EMT STAFF 4/6/2021 RET'D DOSE 2 WITH NO ADVERSE EFFECTS

Other Meds: NA

Current Illness: NA

ID: 1263931
Sex: F
Age: 26
State: FL

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient reports dizziness and feeling of passing out.

Other Meds: None

Current Illness: None

ID: 1263932
Sex: F
Age: 66
State: NY

Vax Date: 03/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/27/2021
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: n/a

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

Symptoms: Development of shingles a aprox. 2 weeks after 2nd dose of covid-19 vaccination.

Other Meds: amitiza, amlodipine, azelastine hcl, celecoxib, claritin, effexor, famotidine, fluticasone propionate, glucosamine, lansoprazole, latanoprost, lorazepam, omeprazole, reclast, sildenafil, tums, valsartan-hydrocholorothiazide, valsartan, vita

Current Illness: n/a

ID: 1263933
Sex: F
Age: 41
State: KY

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/27/2021
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: Naproxen, nickel, adhesive, latex, environmental allergies, sensitivity to dairy

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: First night had chills and fever that lasted about two days Area around right knee swelled quite a lot about two days after shot given with some pain, most swelling has subsided but some superficial veins still more visible than before

Other Meds: Blood pressure meds, Zyrtec, Flonase, multi vitamin

Current Illness: On menstral cycle

ID: 1263934
Sex: F
Age: 29
State:

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/27/2021
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: Pharyngeal swelling

Symptoms: Patient had dizziness. Did not eat or drink water since breakfast before 9AM. Waited in line over 2 hours. Gave 2 8-oz bottles of water. Stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1263935
Sex: M
Age: 67
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt c/o burning sensation in left hand 15 mins after receiving vaccine in left deltoid. He denies numbness, tingling, weakness, headache, visual changes, or any other complaints. He reported hx of hyperlipidemia, no other hx. Pt assessed and monitored by Nurse.

Other Meds:

Current Illness:

ID: 1263936
Sex: F
Age: 67
State: FL

Vax Date: 04/16/2021
Onset Date: 04/20/2021
Rec V Date: 04/27/2021
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: joint pain, body aches in hands and wrist, took aleve, upper back issues,

Other Meds:

Current Illness:

ID: 1263937
Sex: M
Age: 60
State: CO

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The Janssen vaccine was administered to this patient 5 minutes after the beyond use time (must be used within 6 hours).

Other Meds: Unknown

Current Illness: None

ID: 1263938
Sex: M
Age: 53
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
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: second dose given before 24 days

Other Meds:

Current Illness:

ID: 1263939
Sex: M
Age: 48
State:

Vax Date: 02/04/2021
Onset Date: 02/16/2021
Rec V Date: 04/27/2021
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:

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

Symptoms: Pt had an ED visit and/or hospitalization within 6 weeks of COVID vaccine

Other Meds:

Current Illness:

ID: 1263940
Sex: M
Age: 46
State: CO

Vax Date: 04/08/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital: Y

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 reported

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

Symptoms: Janssen COVID-19 Vaccine EUA: two weeks after vaccination patient reported to an urgent care with right leg swelling and headache. Two days later patient presented an emergency department, diagnosed with left lower extremity deep vein thrombosis (DVT) and bilateral pulmonary emboli (PE). Transferred to current hosptial for management including anticoagulation with a direct thrombin inhibitor, intravenous immune globulin (IVIG), and additional laboratory testing.

Other Meds: None reported

Current Illness: None reported

ID: 1263941
Sex: F
Age: 85
State: IL

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: sulfa, dairy, soy, gluten intolerant

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

Symptoms: pt says she had violent shaking, like tremors for hours. She stayed in bed for about 4 days due to the fatigue. She had brain fog, dizziness and is unbalanced. She went to her PCP on 3/17/21. She had blood work with normal results. These symptoms continued all the way through to her 2nd vaccine.

Other Meds: glucosamine, cbd oil, chondroitin, 5 HTP, Gingerforce, tumeric, ibuprofen,

Current Illness:

ID: 1263942
Sex: M
Age: 16
State: MN

Vax Date: 04/22/2021
Onset Date: 04/24/2021
Rec V Date: 04/27/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: COVID-19 in Nov 2020. At the time had sore throat, runny nose, and body aches for about 3 days. No chest pain at the time. Patient developed episodic chest pain starting Saturday 4/24 (2 days after vaccination). First episode 4/24 and then again 4/25 PM. Found to have elevated troponins, cardiac imaging normal (EKG, ECHO, chest CT). Depending on trend of troponin may receive IVIG, although currently not indicated given improvement in troponins.

Other Meds:

Current Illness: none

ID: 1263943
Sex: M
Age: 46
State: TX

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: NKA

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

Symptoms: NONE

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1263944
Sex: M
Age: 37
State: MN

Vax Date: 04/08/2021
Onset Date: 04/14/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Codeine, peaches, mango, carrots, apples, hazel nuts

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 4/8 Vaccination 4/14 7:30 in the morning, I was driving my son to school. I got this really bad HA on R side of head. Went away quickly. Left side of face was left numb. I quickly did a neuro check; I could move fingers, eyes, etc. I called nurse and told to go to the ER. At the ER, Covid test; neg, CT scan, MRI, blood work; all normal. Something happened to the nerve on that side of my face, trigeminal nerve. It took a couple days for the numbness to dissipate. But I do still have some pain on the L side of my face. Told to follow up with PCM; scheduled for 429/2021

Other Meds: Claritin, vit D, women's daily vitamin, Zoloft

Current Illness: Sinus infection (didn't know until shown on CT scan; hx of sinus infections)

ID: 1263945
Sex: M
Age: 52
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/27/2021
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: Patient had a syncope episode. Fluids and food were given. EMTs called to the scene. Patient is a type 2 diabetic. Blood glucose was 274 when checked by EMTs. EMT cleared patient after normal EKG and vital signs. Watched patient for an additional 1.

Other Meds:

Current Illness:

ID: 1263946
Sex: F
Age: 69
State: AZ

Vax Date: 02/13/2021
Onset Date: 03/13/2021
Rec V Date: 04/27/2021
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: Main symptoms are heart palpitations mostly occuring in early morning hours 2 am to 5 am, shortness of breath, swollen upper abdomen, pressure in chest, pain on left chest, neck and left arm, tiredness, and insomnia.

Other Meds:

Current Illness:

ID: 1263947
Sex: F
Age: 40
State: NM

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 04/27/2021
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: Kiwi, Imitrex, juniper

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

Symptoms: Pain, inflammation, rash at injection site. Swelling approx 4 inches wide

Other Meds:

Current Illness:

ID: 1263948
Sex: F
Age: 37
State: DC

Vax Date: 04/15/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Allergy to codeine

Symptom List: Unevaluable event

Symptoms: My menstrual cycle began six days after my vaccination and the cramping pain I experienced was more extreme than usual and lasted a solid 36 hours longer than usual. I was later informed that this has been an anecdotal side effect.

Other Meds: Paroxetine 20mg Vitamin D supplement Biotin supplement

Current Illness: None

ID: 1263949
Sex: F
Age: 45
State: TX

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 04/27/2021
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: no listed

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

Symptoms: Occurred over 3 days:nausea, tunnel vision, ringing in the ears, lightheadedness, racing pulse, clamminess but not diaphoresis. Pain, heat induration, redness and itching at injection site. Itching from injection site moving up arm to neck, side of face and hair. Itching to inside of mouth and lips. Feeling of heaviness and weakness to arms and legs. Chest heaviness and increased work of breathing. I wasn?t breathing faster, but I was aware of the fact that I had to work harder to breath. As I said, these symptoms occurred over three days. The Friday I went to the ED at Hospital. I arrived around 14:45 and I think it was somewhere around 20:30 when I left.

Other Meds: Methotrexate, Cymbalta, cevelimine, biotin, Benadryl, fioricet, folic acid, potassium gluconate, ASA, Amlodipine, aldactone, Symbicort, Aztelin, Flonase, Singulair, Neurontin, Lyrica, Flaxseed Oil, Topamax, Ativan, Atarax, Xopenex, Tums, Pr

Current Illness:

ID: 1263950
Sex: F
Age: 50
State: MA

Vax Date: 04/06/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
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: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: I had two menstrual cycles in quick succession with spotting in between. The first started on 4/9 and was not out of the ordinary except that spotting continued, then a second started on 4/22. I would normally have cycles no sooner than 21 days apart.

Other Meds: Omeprazole 20mg 1xday Claritin Fish oil Women's under 50 multivitamin Elderberry extract supplement

Current Illness: None

ID: 1263951
Sex: M
Age: 34
State: WA

Vax Date: 04/16/2021
Onset Date: 04/24/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Widely scattered what-looks-like faded welts on his torso and upper arms. Not itchy or painful at all. No treatment recommended.

Other Meds: None

Current Illness: None

ID: 1263952
Sex: M
Age: 22
State: MI

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/27/2021
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: Amoxicillin

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

Symptoms: Body aches, headaches, chest/stomach aches, tiredness. Lasted 2-3 days after the shot.

Other Meds: Mirtazapine

Current Illness:

ID: 1263953
Sex: M
Age: 56
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/25/2021
Rec V Date: 04/27/2021
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: Penicillin based drugs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Became very unsteady on my feet within 2 weeks of getting the fist shot. Went for second shot despite being unsteady, it has not gone away now going on 10 weeks. Hearing is down and fullness in my left year. Saw an ENT and my family practitioner. Nothing they can do, so I take meclizine on the really bad days, which helps a little. Very hard to function since the shot.

Other Meds: Multi vitamin D-3 Vitamin Fish oil supplement Bio-flavonoids Levothyroxine Simivistatin Diabetic Wellbutrin

Current Illness:

ID: 1263954
Sex: F
Age: 34
State: CA

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Later that night, I got low grade fever, body aches, chills and a headache. The headache became really severe the next day. And about two or three days later it was really severe - and it lasted a good three weeks. On the 20th I had donated blood - I asked the staff and they said it should be fine to donate after receiving the first vaccine. I called my primary care doctor for CAT SCAN of my head. I almost heard a pop in my head so I was worried. My headaches didn't go away even with taking Ibuprofen and Tylenol around the clock for almost three weeks. I don't drink caffeine anymore but at that time I was trying to drink caffeine to try to help my headache go away and that didn't help.

Other Meds: Levothyroxine - hypothyroidism; Zyrtec - allergies

Current Illness: No

ID: 1263955
Sex: F
Age: 61
State: NY

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Syringe malfunctioned upon administration with a significant loss of fluid. Patient was re-vaccinated on the opposite arm with the full dose. Supervisor on site was notified and pharmacy made aware.

Other Meds: N/A

Current Illness: N/A

ID: 1263956
Sex: F
Age: 66
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
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: second dose given before 24 days

Other Meds:

Current Illness:

ID: 1263957
Sex: M
Age: 60
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/27/2021
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: Pt c/o headache, 2/10,"funny feeling" 15 mins after receiving vaccine. He noted that he was hx of multiple allergies including anaphylaxis and sees allergist and gets allergy shots. He also noted that he has IDDM, has insulin pump. Self monitored.

Other Meds:

Current Illness:

ID: 1263958
Sex: M
Age: 50
State: MD

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Pain on left arm for 1 day, Headaches 6 days, bodyache 6 days ,chills ,soft stool for 2 days and Tiredness 6 days.

Other Meds: Tylenol

Current Illness: N/A

ID: 1263959
Sex: F
Age: 43
State: MA

Vax Date: 04/12/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Facial spasms, chin

Other Meds: Levothyroxine, Flovent, Proair inhaler

Current Illness:

ID: 1263960
Sex: M
Age: 19
State: CT

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: 10 minutes post shot patient was feeling light headed. Pharmacist went out to check on them and his eyes rolled back in his head and he started having a seizure that lasted for just under 1 minutes. regained consciousness, started sweating . no history of seizure. Ambulance called and came within 5 minutes

Other Meds: none

Current Illness: none

ID: 1263961
Sex: F
Age: 17
State: AZ

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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: UNK

Symptom List: Erythema, Pruritus

Symptoms: Off Label use - 17 year old

Other Meds: UNK

Current Illness: UNK

ID: 1263962
Sex: F
Age: 64
State:

Vax Date: 04/22/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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: Hot red and hot area of vaccine site on right arm. Noticed symptom on 4/26/21. No fever.

Other Meds:

Current Illness:

ID: 1263963
Sex: F
Age: 47
State: SD

Vax Date: 03/15/2021
Onset Date: 03/18/2021
Rec V Date: 04/27/2021
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: iodine

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

Symptoms: developed headache 3 days post vaccine and it has not gone away

Other Meds: Humira, Praluent, Vascepa, Lantus, Prevacid, Novolog,Cozaar, Demadex, Valtrex, Flexeril, Effient, Aspirin, Coq10, vitamin D, multivitamin

Current Illness: no acute illnesses

ID: 1263964
Sex: F
Age: 54
State: NY

Vax Date: 03/20/2021
Onset Date: 04/10/2021
Rec V Date: 04/27/2021
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 reports a continuous headache which began following first dose of COVID vaccination which was administered at a state run facility located at the mall in town

Other Meds:

Current Illness:

ID: 1263965
Sex: F
Age: 16
State: TN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/27/2021
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: nkda

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

Symptoms: Nurse was giving injection and small amount splashed into patient's eye. PT C/O BURNING. Mom flushed eye with bottle of water from car. Eye was flushed with saline by medical personnel. Eye was not red swollen or drainage was noted.

Other Meds: unknown

Current Illness: unk

ID: 1263966
Sex: M
Age: 23
State: CO

Vax Date: 04/13/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NO KNOWN ALLERGIES

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

Symptoms: Patient developed urinary retention and weakness and numbness in lower extremities 25 April 2021 (12 days after vaccine)

Other Meds:

Current Illness: NO ILLNESS AT TIME OF VACCINATION

ID: 1263967
Sex: F
Age: 36
State: AZ

Vax Date: 03/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Penicilin

Symptom List: Pain in extremity

Symptoms: Hearing loss (right ear), ringing in ear, vertigo, diziness, numbness in my head, pins and needles in my face, arms and legs Diagnosis: Labyrinthitis, Sensorineural hearing loss, BPPV Recomendations: VRT with physical therapy, steroid treatment

Other Meds: None

Current Illness: None

ID: 1263968
Sex: F
Age: 64
State: NJ

Vax Date: 04/14/2021
Onset Date: 04/19/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Codeine Penicillin Tessalon Perles All cheeses Bee stings

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

Symptoms: 4/14/21 received COVID vaccine and Thursday morning began with a sore arm and muscle aches no treatment done at this time. 4/19/21 Monday woke up at 6:00 am with chills, aches, headaches and extreme fatigue (Temperature was normal). On Friday 4/23/21 case spoke to PCP and PCP advised case to get a COVID test. Case went to urgent care and test result was negative 4/23/21, treatment on Monday night Tylenol extra strength 2 tab every 6 hours around the clock ever since 4/19/21. 4/27/21 9:00 am began coughing and short of breath called PCP and waiting for PCP response.

Other Meds: Tylenol Vitamin B-12 by PCP 4/8/21

Current Illness: none

ID: 1263969
Sex: F
Age: 16
State: TN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/27/2021
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: Patient experienced a syncopal episode while in clinic. The episode was addressed while the patient was in our care.

Other Meds:

Current Illness:

ID: 1263970
Sex: F
Age: 31
State:

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pt c/o light-headedness and dizziness 15 mins after receiving vaccine. She denied any past medical history. She noted that she last ate at 10:30am today. She was assessed and monitored by NP, EMT and paramedic. BP - 127/88, HR - 93, O2 sat 97% on RA.

Other Meds:

Current Illness:

ID: 1263971
Sex: F
Age: 71
State: MA

Vax Date: 04/14/2021
Onset Date: 04/19/2021
Rec V Date: 04/27/2021
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: Silver Nitrate

Symptom List: Vomiting

Symptoms: Had chills, muscle aches and fatigue six hours after shot administered on the 14th. Then was confirmed by CT scan diverticulitis on the 19th. Prescribed Cipro/Flagyl for meds. Two and a half days in, fatigue, body sweats, overwhelming radiating heat over entire body and racing heart. Went back to ER on 22nd. Did enzyme test to rule out heart attack, switched med regimen to Amoxicillin/Bactrim and took that until 7 days post meds. No pain from diverticulitis but same symptoms of fatigue, body sweats, overwhelming radiating heat over entire body and racing heart persisted.

Other Meds: Escitalopram, Calcium, Vitamin D, Vitamin C, Magnesium, Probiotic, Refresh Eye Drops

Current Illness: None

ID: 1263972
Sex: F
Age: 50
State: NE

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 04/27/2021
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: Palpitations started approximately 24 hours after injection. Captured arrhythmia on iwatch later that day as bigeminy PVCs. No heart history or arrythmias prior to this day. Symptoms continued several episodes a day for 2 months, increasing in frequency and duration after the second shot on 1/11/21.

Other Meds: Levothyroxine 50 mcg daily Vitamin D3 2000 iu daily

Current Illness: none

ID: 1263973
Sex: M
Age: 23
State: OH

Vax Date: 03/30/2021
Onset Date: 04/02/2021
Rec V Date: 04/27/2021
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: Penicillin and sulfa

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

Symptoms: Patient tested positive for COVID-19; patient had a cough and lost some sense of taste and smell

Other Meds:

Current Illness:

ID: 1263974
Sex: F
Age: 48
State: MN

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
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 Listed

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Client presented for 2nd dose Moderna Covid vaccine. Client was vaccinated without incident. Immediately after vaccinating client, nurse realized she had given her 1 mL instead of 0.5 mL. Client waited in observation area for 30 minutes with no problems. Nursing supervisor educated client on side affects and to continue using Vsafe and to contact PCP if she developed side affects that were troublesome. Client reported she is breast feeding.

Other Meds: Unknown

Current Illness: History of Vertigo - patient reported

ID: 1263975
Sex: F
Age: 34
State: WI

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: amoxycillian.

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

Symptoms: Headache, chills, fever, muscle soreness, stomachache, general lethargy, brain fog.

Other Meds: Citalopram, vitamin D.

Current Illness:

ID: 1263976
Sex: M
Age: 60
State: NY

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/27/2021
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: Dairy

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

Symptoms: Lower back and left leg spasms (LLE spasms q/min or <), patches of BLE dermatomes. Bilateral anterolateral thigh muscle burning sensation during prolonged exertion. Difficulty standing from a crouched position. G.U. Urgency. Symptoms similar to viral transverse myelitis diagnosed in 2013

Other Meds: Zoloft 200 mg qd, asa 81 mg, acetaminophen 500 mg.

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm