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: 1269411
Sex: F
Age: 36
State: MA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/28/2021
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: Amoxicillin/ Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: An hour after getting the vaccine I started to get chills. As the chills set in, a deep itch started jumping to different parts of my body, head to toe. My eyes also started watering profusely. I got very tired and went to lay down. At 1:30/2:00p ( 1.5-2 hrs post vaccine) my throat started to tickle/itch. It felt like I needed to clear my throat. Then it started to feel thick in my throat. Almost as if I had mucous or something in my throat, but could not cough it up. I also felt the constant need to swallow. This lasted about 6 hrs, with the eye watering and itchiness starting to wane around hour 4, and the rest dropping off slowly after. 12 hrs after the shot, the symptoms I was experiencing were gone. My left shoulder has felt like it was bruised ever since the morning after the vaccine (4/3/2021). Today, 4 wks later, it still hurts to the touch.

Other Meds: None

Current Illness: None

ID: 1269412
Sex: F
Age: 33
State: MI

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/28/2021
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: none

Symptom List: Anxiety, Dyspnoea

Symptoms: First Day of shot I had cramps 4/21. Second Day 4/22 I had cramps like a period and I started to bleed from my Vagina. I just had a period in April and my last day of the cycle was 4/9. I bleed for 7 days. I stop bleeding today 4/28. However I'm still cramping like a period.

Other Meds: none

Current Illness:

ID: 1269413
Sex: F
Age:
State: CA

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 04/28/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: had a mild allergy after the first dose; This is a spontaneous report from a Pfizer-sponsored program. A contactable female consumer (patient) received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot number: unknown), via an unspecified route of administration on 01Mar2021 as single dose for COVID-19 immunization. Patient's concomitant medication and medical history were not reported. The patient reported that she had mild allergy after the first dose. The outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained. No further information is expected

Other Meds:

Current Illness:

ID: 1269414
Sex: M
Age: 29
State: FL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Naproxen

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient became nauseated, and light headed. Patient was offered some apple juice and was encouraged to stay seated. After 20 minutes he still looked pale. The pharmacist called 911 and EMS arrived 15 minutes later. Patient was taken away in a stretcher.

Other Meds: n/a

Current Illness: N/A

Date Died: 04/19/2021

ID: 1269415
Sex: F
Age: 64
State: GA

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/28/2021
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: Pseudoephedrines Demerol Oxycodone Vancomycin

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

Symptoms: ? Tuesday, April 6th ? Patient receives the 2nd Pfizer vaccine shot ? Thursday, April 8th ? Patient is sick with vomiting and diarrhea ? Friday, April 9th ? Patient is delirious and still sick with vomiting and diarrhea. She is also has pain in her stomach. An ambulance is called to take her to the hospital. The hospital determines her white blood count is elevated, indicating an infection. Blood sugar is very high ? approximately 400. Covid test is negative. She is restless upon arrival. She tries to climb out of bed continuously. She is restrained. o Saturday, April 10th ? Patient is running a fever and is in pain. She is also confused and doesn?t recognize her oldest sister. Meds are administered to handle both items. (Toradol?). Blood sugar around 200. She continuously counts and calls for Mother and Father. Patient continues to be restless o Sunday, April 11th - at request of family, a CT scan is done of her stomach and abdomen. Nothing is found. Potassium was at 3.2 (normal is 3.5) so she received an IV drip to help with potassium levels. Sugar ? 206. Later drops to 176. Patient calms down some. She is still confused and doesn?t recognize her oldest sister. ? Monday April 12th ? the hospital attempts to do an MRI, but patient panics. This is a closed MRI and her 1st husband died in one. The MRI isn?t done. ? Tuesday, April 13th ? she is asked by the doctor to state her name and wiggle her toes. She complies. Doctor orders speech therapy. She is sedated for an MRI and a CT scan. Both are successfully completed. She sleeps for the rest of the day. Blood sugar ? 274 @ 5:09pm. ? Wednesday, April 14th ? Patient was asleep all day. Most of the day she isn?t responsive when nurses come in and do things like take blood. She normally responds even if she is asleep. Around 5pm she starts to respond and make noises; she briefly opens her eyes then falls asleep. She continues to run a temperature. ? Thursday, April 15th ? Patient is asleep most of the day. She is responsive when nurses do things like take blood. A spinal tap is performed. There was mention of dementia. Hospital is sharing little information, varying from she is retreating into herself vs. something worth isolating is going on. Temp was 102.3 at 7:37, but later dropped to 99.3 without meds. Dr. (neurologist) provides an update to the family. Tests so far are negative. EEG showed sleeping brain (she was asleep during test). MRI showed nothing. Spinal tap negative so far. No infection or anything has shown up. Orders another EEG and MRI ? Friday, April 16th ? Patient tried to open her eyes. ? Saturday, April 17th ? a met code was called on her and she was moved to ICU. A circulation issue was found in right leg. Occlusion was really bad. Initially the doctor was concerned about blood clots. None were found, just swelling. Pressure was relieved. Blood pressure issues. She was put on 2 blood pressure meds, at least. She was dehydrated and acidic. Diabetic ketoacidosis was mentioned. A cytokine storm was expected. ? Sunday, April 18th ? blood pressure not stable. She was put on dialysis. Peripheral circulation was worse. ? Monday, April 19th ? she coded around 5am. Doctors were trying to save her. She passed away about 30 minutes later .

Other Meds: Acetaminophen, 1,500 mg 2x daily Pravastatin, 40 mg daily Glimepiride, 4 mg, 1/2 tab in am, 1 tab in pm Januvia, 50 mg twice daily *Prednisone, 5 mg, 1 in am, 1/2 in pm Levothyroxine, 0.100 mg daily * Azathioprine, 50 mg 2x daily Lisinopri

Current Illness: None

ID: 1269416
Sex: F
Age: 53
State: NY

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/28/2021
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: Allergy to certain antibiotics.

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

Symptoms: First experienced lightheadedness and numbness in my arm and leg. This progressed to ringing in ears and severe imbalance. I have had continuing problems with lightheadedness, movement sensation and dizziness. I have also been very fatigued.

Other Meds: None.

Current Illness: None.

ID: 1269417
Sex: F
Age: 50
State: PA

Vax Date: 03/13/2021
Onset Date: 03/23/2021
Rec V Date: 04/28/2021
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: Bactrim Pennilin Ibuprofen

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: All over body skin rash. Itching and discomfort Measle like Pityriasis rosea Still having the rash today 4/28/2021 Nothing helps.

Other Meds: Vitamin C Aldactone Pravastatin Victoza Metformin

Current Illness:

ID: 1269418
Sex: F
Age: 51
State: AZ

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Starting around 10am, very tired and a headache and arm was sore from injection. Around 11:30am chills and loss of appetite. By 4pm in bed with severe headache, fever, chills, total exhaustion and muscle pain throughout my body. Woke up a little after 6pm and majority of the symptoms were gone. Went to bed that night around 11pm feeling tired and my ankle joints hurt. Woke up feeling much better on 4/25.

Other Meds: Levothyroxine Sodium 88mcg (Euthyrox)

Current Illness: None

ID: 1269419
Sex: F
Age: 50
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/28/2021
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: I received the 2nd dose of Moderna on 4/26/21. My arm is in extreme pain. I can't lift my left arm. I can't drive or dress myself. Pain level is 9/10 with Advil and Tylenol. I need help with daily activities. The nurse who injected me pulled and pushed the needle in an and out and left it in my arm for longer than a usual shot. I'm really in bad pain.

Other Meds: Trimeterene 37.5/HCTZ 25mg

Current Illness:

ID: 1269420
Sex: M
Age: 34
State: OH

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient was due for 2nd dose on 4/27/21, administered second dose early on 4/25/21

Other Meds: unknown

Current Illness: unknown

ID: 1269421
Sex: F
Age: 21
State: TX

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: fish and eggs

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

Symptoms: At 10:40, the patient went in for her first Moderna vax. She was slightly nervous since she's not a fan of needles. When she got it a vessel must have been nicked, because she experienced a bit of blood streaming down her arm which surprised us. The nurse wasn't concerned and stopped it quickly and cleaned up her arm. Got her a new bandaid and she was sent to the chairs in the waiting area to wait her 15 minutes following the vax. I had to pick up my regular prescription so I got in line while she was sitting there surfing on her phone. As I got to the front of the line, the patient called me and said she was feeling lightheaded. I immediately left the line, and was there (I was maybe 15 feet away) and was asking how she felt. She said she felt sweaty and like she might pass out. Right then, her eyes rolled a bit and closed and she went limp. I was able to hold on to her and a customer that was behind me in line and I were able to alert the nurse that gave the vax and the pharmacist. Both immediately came to our aid. We got the patient on the floor and on her side. The nurse wanted us to have an epi pen in case, but we all didn't think it was an allergic reaction. We checked her blood pressure and it was low. Another employee was already calling an ambulance and another was getting her some juice. She was beginning to regain consciousness. She was only out for about 2 to 3 minutes at the most. Her blood pressure was low, but started to come back to normal pretty quickly. We had her lay there a few minutes and then sit up. Eventually we moved her to the chair a few minutes later. Within another few minutes the emts arrived. She had already had answered questions for us like her name, birthday, where she was, etc. The emts repeated those same questions, asked us what happened and rechecked her vitals. All were back to normal. They gave her the option of be transported to the ER, but given that she was feeling back to normal she declined and everybody felt good about that decision.

Other Meds: None

Current Illness: None

ID: 1269422
Sex: F
Age: 35
State: IL

Vax Date: 04/07/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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: Sulfa

Symptom List: Rash, Urticaria

Symptoms: Late period, heavier than usual bleeding, more fatigue

Other Meds: Levothroxine

Current Illness: None

ID: 1269423
Sex: F
Age: 20
State: FL

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Tree nuts

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

Symptoms: Nerve pain, vomiting, headache, weakness, nausea, fatigue, abdominal pain, bloating, early satiety, increased heart rate, irregular heart rate - all symptoms constant in afternoon/night - zofran odt for vomiting and nausea, midodrine for headache, methocarbimol for pain

Other Meds: Sertraline, Vyvanse, Midodrine, Gabapentin, Levothyroxine, Fludrocortisone, Aimovig Injection

Current Illness:

ID: 1269424
Sex: F
Age: 32
State: CA

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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:

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

Symptoms: Day of injection I felt alright, some arm soreness as the day went on and ended with a touch of dizziness. Day after injection, I woke up with fever chills, shivering, couldn't get warm. But around 2 in the afternoon it subsided and I was feeling a bit better. Day 2 after injection, in the shower, I noticed my lymph nodes on my armpits were a bit swollen and tender to the touch.

Other Meds: Allergy medicine (loratadine)

Current Illness:

ID: 1269425
Sex: F
Age: 35
State: MI

Vax Date: 04/17/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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: Norco (rash, nausea and vomiting), Propxyphen N-acetaminophen (nausea and vomiting)

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

Symptoms: R arm rash onset 10 days after vaccination in the same location. 4cm x 7cm lightly erythematous irregular oval with a rim of 0.5-1cm darker erythema around the border.

Other Meds: Finacea, Wellbutrin, Fibercon, Celexa, Theracran, Denta 5000 Plus, Yasmin, Pepcid, Levsin, lactobacillus, Mirena, multivitamin, Motegrity, Retin-A, Valtrex (prn), Effexor

Current Illness: None

ID: 1269426
Sex: M
Age: 38
State: OH

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/28/2021
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: unknown

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

Symptoms: patient was due for 2nd dose on 4/27/21, administered the 2nd dose of vaccine early on 4/25/21

Other Meds: unknown

Current Illness: unknown

ID: 1269427
Sex: F
Age: 35
State: UT

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/28/2021
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: Sudden hearing loss and tinnitus in right ear

Other Meds: Multi vitamin

Current Illness: None

ID: 1269428
Sex: F
Age: 45
State: OK

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: tramadol, duloxetine, peaches, onions

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient reported a dry throat and tingling lips soon after administration. Patient had history of anaphylaxis, and stated that these symptoms did not feel the same. Patient had no difficulty breathing nor swelling of the face. Patient was monitored for worsening of symptoms. Symptoms eventually subsided and patient returned home. Patient instructed to seek medical care if symptoms returned.

Other Meds: none known

Current Illness:

ID: 1269429
Sex: F
Age: 18
State: AZ

Vax Date: 04/05/2021
Onset Date: 04/18/2021
Rec V Date: 04/28/2021
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: Dyskinesia for about 2 hours, with involuntary head, arm, leg movements

Other Meds: Zyrtec

Current Illness: had a cold within the month prior, was tested and it was not COVID

ID: 1269430
Sex: F
Age: 59
State: TX

Vax Date: 03/01/2021
Onset Date: 03/04/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Leaky Gut Syndrome follow strict diet paleo type

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

Symptoms: Severe diarrhea for 1 1/2 months until I started budesonide

Other Meds: Losartan Multi vitamin, vitamin D, Thyrocare, PS150, progesterone, omega 3, probiotic

Current Illness:

ID: 1269431
Sex: F
Age: 38
State: WA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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: Latex, penicillin, bacitracin

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

Symptoms: Palm-sized welt/swelling on arm at injection site with severe pain, rash on arm, swollen armpit, fever, fatigue, asthma exacerbation. The arm pain is almost as bad as labor.

Other Meds: Synthroid, adderall, albuterol, Allegra, nexium, montelukast, multivitamin

Current Illness: None

ID: 1269432
Sex: F
Age: 27
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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: Unevaluable event

Symptoms: Patient received vaccine around 2:30pm. Before vaccine, pt was nervous but was unaffected by the administration. Pt was told to wait in waiting area to be observed for 15 minutes but had left 5 min later because she was feeling hot and wanted to get some air. While walking, her knees fell weak, she felt dizzy and she tumbled down to her knees. We ran over and patient was conscious and we waited and observed her further. Then we sat her down, gave her some water and restarted 15 min waiting period.

Other Meds: none

Current Illness: anxiety surrounding needles

ID: 1269433
Sex: M
Age: 40
State: FL

Vax Date: 04/23/2021
Onset Date: 04/25/2021
Rec V Date: 04/28/2021
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 (rash on body)

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

Symptoms: 4/24 - low-grade fever (99.5 F), muscle aches, headache, lasted all day + all night 4/25 - low grade fever continued (99.5 F), sweats/chills, sharp headache, fatigue, muscle aches 4/26 - low grade fever continued (99.5 F, dropped to 99.3 F in evening), sweats/chills continued, sharp headache continued, fatigue + aches continued 4/27 - low grade fever (99 F), sharp headache, chest pain when coughing, developed sinus congestion, wet cough which produced mucous (clear), slight fatigue and aches (lessened), new symptom of low humming tinnitus in left ear only (when surroundings quiet) 4/28 - fever gone for 18 hours w/o fever-reducing medication, fatigue still present, cough with phlegm still present, slight headache, slight sinus congestion, low humming tinnitus in left ear continues (when surroundings are quiet)

Other Meds: melatonin 10 mg (nightly), tri-magnesium complex (nightly), Centrum men's multivitamin (daily), L-Glutamine powder (daily), Sam-e 400 mg (daily)

Current Illness: None

ID: 1269434
Sex: F
Age: 39
State: TX

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 04/28/2021
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 known

Symptom List: Injection site pain, Pain

Symptoms: inflammatory response; severe bruising at injection site. After 2 days, neck and lymph nodes were inflamed and visually noticeable. Nauswa and aching. GI cramping.

Other Meds: paroxetine 60mg sid Estrogen birth control sid Naprosyn 500mg 30 min prior to vxn

Current Illness: None

ID: 1269435
Sex: F
Age: 21
State:

Vax Date: 03/19/2021
Onset Date: 04/02/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever, fatigue, headache, body soreness, arm severely sore, irregular menstrual bleeding.

Other Meds: Wellbutrin, Ritalin, L-Lysine, lesion birth control

Current Illness:

ID: 1269436
Sex: F
Age: 54
State: KS

Vax Date: 04/07/2021
Onset Date: 04/12/2021
Rec V Date: 04/28/2021
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: Penicillin

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

Symptoms: Medium menses started on day five after vaccine and have not subsided. This is very unusual for me due to the fact I have an IUD, and for the last 10 years I have had short and light menses.

Other Meds: Synthroid Omega 3 Vitamin B12

Current Illness: None

ID: 1269437
Sex: F
Age: 17
State: NJ

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/28/2021
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: Patient had no adverse event but was given the vaccine while she was under the age of 18.

Other Meds:

Current Illness:

ID: 1269438
Sex: F
Age: 57
State: FL

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Received the shot on Saturday and was fine until I woke up at 6am Sunday with a fever. By 8am Sunday I had ringing in both ears. It has gotten worse over the next few days. It's consistent and loud. Will be scheduling a Dr. visit although I don't think anything can be done about this. As it stands right now, I regret getting the covid vaccine.

Other Meds: 1) Fenofibrate 145 MG Tablet 2) Ezetimibe 10MG Tablet 3) Furosemide 20 MG Tablet 4) Biotin 5000 mcg

Current Illness: none

ID: 1269439
Sex: M
Age: 26
State: CO

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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: green apples

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

Symptoms: one day after the first shot i got migraine and fever (38.1), on the second day after i only had migraine

Other Meds:

Current Illness:

ID: 1269440
Sex: F
Age: 31
State: WA

Vax Date: 04/21/2021
Onset Date: 04/25/2021
Rec V Date: 04/28/2021
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: Insomnia starting a few days after first shot. Heart rate 71 and blood pressure 130/87 at time of insomnia.

Other Meds:

Current Illness:

ID: 1269441
Sex: F
Age: 34
State: MN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Lexapro, Prozac, cymbalta, NSAIDS, Penicillin, cefprozil, clindimycin, cephalexin

Symptom List: Injection site pain

Symptoms: Hives, tongue swelling, shortness of breath, heart palpitations, chest pain

Other Meds: Welchol, pantoprazole, buspirone, sertraline, amitryptline, Tylenol as needed

Current Illness: UTI

ID: 1269442
Sex: F
Age: 52
State: CO

Vax Date: 04/18/2021
Onset Date: 04/26/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Fever, chills, body aches, nausea, fatigue, sore throat, Congestion

Other Meds: Gabapentin, Zoloft

Current Illness: None

ID: 1269443
Sex: M
Age: 23
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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: Within 5 minutes post-vaccination, the patient began to feel dizzy and requested some water. He looked pallid, felt cold and clammy. I helped the patient out of his chair and onto the floor. I retrieved an instant cold pack and prepared it. When I returned to the patient 45 seconds later, he said the coolness of the ground helped. He did not feel dizzy anymore but his fingers were still tingling. I gave him the cold pack to place behind his neck and provided him a bottle of water. I had him lie prone for another 5 minutes. When I re-assessed, he was no longer feeling any negative symptoms and he no longer looked pale nor felt clammy.

Other Meds: Lamotrigine

Current Illness: Unknown

ID: 1269444
Sex: F
Age: 25
State: CO

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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: I have a sharp pain in my left ear. I can still hear noises like usual, such as background fridge noise. But this pain is an incident condition that I did not ever experience before. It?s not a constant pain and comes in waves. My right ear feels normal. I have not sought a medical appointment yet, and am waiting to see if the pain goes away.

Other Meds: None

Current Illness: None

ID: 1269445
Sex: M
Age: 35
State: NJ

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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: Erythema, Pruritus

Symptoms: Painful rash at site of injection

Other Meds:

Current Illness:

ID: 1269446
Sex: F
Age: 40
State: MT

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: none

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

Symptoms: Vaccine was received at 11:30 am, 4/27/21. Very minor headache started a few hours later. Fatigue, aches and chills started around 6pm. At 8pm, temp was normal at 97.7. Around 11pm, while sleeping, heart rate increased to above 100, ranging from 105-140. At 12:30am, after no decrease in heart rate, I went to ER. After receiving 2 bags of IV fluids and multiple tests later, heart rate was down to around 105 and I was discharged at 2am. Heart rate returned to normal (about 61 for me) around 3pm on 4/28/21

Other Meds: Vitamin D, elderberry

Current Illness: none

ID: 1269447
Sex: F
Age: 18
State: NY

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: patient blacked out and passed out after receiving her first dose within the 15 min wait time. 911 was called and vitals were normal. patient refused admission to hospital

Other Meds:

Current Illness:

ID: 1269448
Sex: M
Age: 53
State: NC

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 04/28/2021
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: morphine (anxiety)

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 3 days after vaccine, developed tachycardia, intermittent, resting to 130bpm. No Shortness of breath or chest pain. No abnormal rhythm. Recurred day 4, 5, 6 in the mornings only. No change in diet or caffeine intake.

Other Meds: Claritin, flonase, omeprazole, vitaminD

Current Illness:

ID: 1269449
Sex: F
Age:
State: MO

Vax Date: 03/01/2021
Onset Date:
Rec V Date: 04/28/2021
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: wants to know if diarrhea is a side effect.; This is a spontaneous report from a contactable consumer (patient) to a Pfizer sponsored pro-gram. A female patient an unspecified age received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection Lot number and expiry date unknown), via an unknown route 01Mar2021 at single dose for COVID-19 immunization. On an unspecified date, the patient had diarrhea. The patient wants to know if diarrhea is a side effect. and why it was not listed as a side effect. Outcome of the event was unknown. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1269450
Sex: M
Age: 43
State: OK

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 04/28/2021
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: Eggs.

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

Symptoms: High fever for 3 and a half days. 102 degrees to 103.5 degrees. 1-27-21 through 1-30-21. Chills. Body aches. Lethargic. Injection site swollen, red and warm to the touch. Swollen from shoulder to elbow.

Other Meds: Claritin.

Current Illness: None.

ID: 1269451
Sex: M
Age: 35
State: DC

Vax Date: 04/15/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Cephalosporins Suprax Bactrim Augmentin

Symptom List: Pain in extremity

Symptoms: I had received my first Moderna vaccination into my left arm on April 15, 2021. On April 27, 2021, from 6:30 pm - 7:30 pm, I engaged in light athletic exercises at a local park. In the evening, at around 9:30 pm, I started experiencing symptoms that I thought were similar to allergies (some occasional sneezing), and also felt a tightness or heaviness in my chest. I did not have a fever, but was seating. My overall impression was sympathetic nervous system activation. I thought I could sleep it off, but woke up at 4:30 am with a racing heart and elevated heart pressure and heart rate so I went to a local emergency room. My heart pressure and heart rate went down within the hour, and a chest X-ray was negative (e.g., my heart was OK, my lungs were OK). Additionally, EKG signals at the time of my admission into the ER were also OK. Blood work conducted at the hospital was also okay, potassium levels were at 3.4, when the average should be around 3.5, so I received two potassium pills. Oxygen saturation levels were at 99%. At the time that I am writing this report, 10:52 pm ET on April 28th, I do still feel a slight heaviness of chest and some minor nasal congestion but I am doing significantly matter.

Other Meds: Claritin D

Current Illness:

ID: 1269452
Sex: F
Age: 32
State: NJ

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa and ceclor drugs

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

Symptoms: About three hours after receiving the shot I had arm pain around the injection site. About nine hours after receiving the shot I had a low grade fever, chills, a headache and body aches. These symptoms persisted for about 12 hours. I took Motrin and Tylenol and the symptoms improved.

Other Meds: Lialda, prenatal vitamins, Sunflower lecithin

Current Illness: None

ID: 1269453
Sex: F
Age: 49
State: IN

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 04/28/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Injection spot is red and inflamed and very hard & hot.

Other Meds: Ibuprofen

Current Illness: None

ID: 1269454
Sex: F
Age: 24
State: CO

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/28/2021
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: on monday i had chills for about one hour. i also have a swollen and sore arm but now (two days after vaccination) has decreased

Other Meds:

Current Illness:

ID: 1269455
Sex: F
Age: 78
State: MD

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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:

Symptom List: Vomiting

Symptoms: Patient had eyes closed and was not responsive 10 minutes after getting vaccine,. Pharmacist checked breathing and pulse which were ok. 911 was called to check out the patient. She did not go to the hospital.

Other Meds:

Current Illness:

ID: 1269456
Sex: F
Age: 18
State: MN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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: Yes

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Part of my left arm want purple and want num

Other Meds: No

Current Illness: No

ID: 1269457
Sex: F
Age: 36
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Significant bruising at injection site.

Other Meds:

Current Illness:

ID: 1269458
Sex: F
Age: 41
State: OR

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 04/28/2021
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: Food Allergies-Salmon & Tuna, Most all Fresh Fruits (except Strawberries and Mandarin Oranges), Most all Fresh Vegetables(except Mushrooms) Seasonal Allergies to various Trees and Grass

Symptom List: Injection site swelling, Limb discomfort

Symptoms: it started about the 10 minutes after the shot.my lips started swelling up and my tongue started getting tingly on the tip. my arm got swollen and was noticeable by the wrist area on the arm the shot was given on. my neck started to swell up on that side. then my cheak started getting numb like tingly feeling. it started coming up towards my face the numbness . they just gave shot of Benadryl. never had a reaction to a vaccine

Other Meds: Oxybutynin 10mg daily, Banophen 25mg sometimes

Current Illness: N/A

ID: 1269459
Sex: M
Age: 70
State: CO

Vax Date: 01/17/2021
Onset Date: 01/20/2021
Rec V Date: 04/28/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: stroke

Other Meds: low dose aspirin

Current Illness:

ID: 1269460
Sex: F
Age: 38
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/28/2021
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: Asthma and allergic to most non-citrus and non-tropical fruits.

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

Symptoms: Slight numbness in face beginning approximately two hours after injection. Approximately three hours after injection, felt disoriented and had difficulty breathing while seated in the passenger seat of car; immediately diverted toward nearest hospital. Five to ten minutes later, experienced an extremely elevated heart rate and a burning sensation in chest with continued difficulty breathing. Heart rate began to decline and breathing began to normalize when approaching the emergency room, so did not seek treatment. Waited for an hour outside emergency room before departing without treatment with no further symptoms other than fatigue and discomfort resulting from the episode. I had a similar but milder and more immediate (~15-20 minutes after injection) reaction to a quadrivalent influenza vaccine in October 2020; other than that, I have never experienced an adverse reaction to a vaccine.

Other Meds: Had taken 10mg loratidine at 7 PM on 4/27. No other medications.

Current Illness: N/A

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm