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: 1273065
Sex: F
Age: 43
State: WA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Weakness-Mild

Other Meds:

Current Illness:

ID: 1273066
Sex: F
Age: 44
State: MD

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/30/2021
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: Codeine

Symptom List: Anxiety, Dyspnoea

Symptoms: Dizziness one hour after second vaccine on the next day sore arm at side of vaccine and drowsiness tiredness. On Monday afternoon noticed lymph node in front of right ear opposite side of vaccine was swollen on Tuesday notice that there was fluid swelling directly under my right knee went to the doctor they said to monitor symptoms Thursday woke up to swelling in face on the left side between nose and cheek. Today feeling tinglingness in both legs hands and swelling continues in face right lymph node in front of ear is not as large.

Other Meds: Licorice root marshmallow root, tylenol relpax BC

Current Illness: Fibroid tumor removal between vaccinations

ID: 1273067
Sex: F
Age: 35
State: FL

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
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: Blood clot in right leg.

Other Meds: Escitalopram and buspirone

Current Illness:

ID: 1273068
Sex: M
Age: 34
State: AZ

Vax Date: 04/26/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Body aches, swollen and sore lymphnodes near injection site, headache persistent for more than 3 days

Other Meds:

Current Illness:

ID: 1273069
Sex: F
Age: 41
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: Body aches, chills, headaches, sore arm

Other Meds: Novolog insulin. Euthyrox, gabapentin, pristiq

Current Illness: None

ID: 1273071
Sex: M
Age: 34
State: NE

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Additional Details: immediately after vaccination patient became dizzy, started sweating, was flushed and naseaus. rested for about 40 minutes and felt better

Other Meds:

Current Illness:

ID: 1273073
Sex: F
Age: 59
State: MA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium, Systemic: Weakness-Medium, Additional Details: per patient she often experience hypotension, weakness, nausea after injection. She recovered within the hour

Other Meds:

Current Illness:

ID: 1273074
Sex: F
Age: 73
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Whitefish

Symptom List: Pharyngeal swelling

Symptoms: Muscle aches, chills, fever (100.6), headache, nausea started 12 hrs after 2nd injection. Muscle aches, chills, quit 12 hrs after starting. Nausea & headache lasted 48 hrs. I called my doctor on 4/29, in morning. They said lots of water, Tylenol, Epsom salt baths.

Other Meds: Advair 100/50 Mometasone Furoate Vitamin C, Vitamin D Allergy injections Xolair injections

Current Illness: None

ID: 1273075
Sex: M
Age: 34
State: IN

Vax Date: 04/01/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Arm pain in 2 hrs, resolved after 36hrs, fever 101.4 degrees and chills started after 15 hrs and resolved after 30 hrs from injection time, lethargy resolved after 36 hrs

Other Meds: Multivitamin, Allegra, Nasonex

Current Illness: Common cold

ID: 1273076
Sex: M
Age: 27
State: MO

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Hypotension-Medium, Additional Details: this patient has had similar events with all vaccines administered in the past. he has even had a similar event at work recently due to a cut on his hand.

Other Meds:

Current Illness:

ID: 1273077
Sex: M
Age: 73
State:

Vax Date: 03/11/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient ended up in the hospital within 6 weeks of covid vaccine.

Other Meds:

Current Illness:

ID: 1273078
Sex: F
Age: 41
State:

Vax Date: 04/21/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
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: Within two days of receiving my second Pfizer dose I began experiencing menstrual spotting and by 4/27/2021, my period started. It was 7 days early and I am *never* early?my cycle has been 28-30 days like clockwork since I started menstruating in 1993. My flow has been much heavier and I have had a lot of large clots which is very unusual for me.

Other Meds:

Current Illness:

ID: 1273079
Sex: F
Age: 58
State: IA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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, Amoxicillin, Lasix, Humira, Enbrel, Bactrim,

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

Symptoms: Around 2 hrs after receiving the Vaccine I began suffering a very bad headache, severe nausea, vomiting, extreme fatigue and weakness, severe body aches, temp between 99 and 100F, severe joint pain(more than normal for me)

Other Meds: Lyrica, Cymbalta, Prevacid, Tramadol, Sulundac, Wellbutrin, quentepine, Allegra, Flonase, Vitamin D3, lubricant eye drops and ointment

Current Illness: Rheumatoid arthritis, osteoarthritis, fibromyalgia, sjogren's syndrome, severe dry eye disease, GERD, eye inflammation, migraine, vertigo

ID: 1273080
Sex: M
Age: 42
State: TX

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: fever of 102, body aches, muscle twitching and shaking, extreme sweating, started approx. 10pm, fever broke approx 7am, still having muscle twitching and body aches

Other Meds: lacinopril, meloxicam

Current Illness: none

ID: 1273081
Sex: F
Age: 17
State: CO

Vax Date: 04/26/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Seasonal environmental allergies

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

Symptoms: After receiving the vaccine on 4/26, she developed headache and temperature to max 99-100 as well as muscle pain in the arm where she received the vaccine. Progressed to diffuse myalgias on 4/27 and 4/28. Was having a slight cough that is typical for her during this time of year due to allergies, no other respiratory symptoms. Then acutely developed severe jaw pain that radiated to the throat and into her chest when she woke up on 4/29 in the morning. She had 10 out of 10 crushing chest pain.

Other Meds: Tri-Lo-Marzia (norgestimate-ethinyl estradiol)

Current Illness: None prior to or at the time of vaccination

ID: 1273082
Sex: M
Age: 30
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: N/A

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

Symptoms: Adverse: Chills, Mid Grade Fever, Body Aches. Treatment: Bed Rest over the counter pain meds Outcome: 04/30/21 Still experiencing fever and aches

Other Meds: Zyrtec, Omeprazole, Vitamin D, Montelukast

Current Illness: N/A

ID: 1273083
Sex: M
Age: 43
State: TX

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Right upper eyelid bruise-Mild, Additional Details: patient came and said he woke up with right upper eyelid bruise and not hurting. I advised him to monitor and if getting worse , he need to go to emergency or urgent care

Other Meds:

Current Illness:

ID: 1273084
Sex: F
Age: 47
State: WA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient has history of fainting with all vaccines. Once receiving vaccine, passed out for 10 seconds and regained consciousness. Vitals were monitored, patient was fine and left after 30mins

Other Meds:

Current Illness:

ID: 1273086
Sex: F
Age: 48
State: OH

Vax Date: 03/31/2021
Onset Date: 04/09/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient reports sudden change in vision and "zapping " sensation in brain as well as short term memory loss that started within 1 week of vaccination and is progressively worsening

Other Meds: None

Current Illness: none

ID: 1273087
Sex: F
Age: 46
State: MN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and Pen family. Amox, ceftin, cefzil, erythromycin, morphine, topical sulfates like neosporin. Egg yokes, sweet potatoes, horse radish, cucumbers, and lactose intolerant.

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

Symptoms: I had advised the staff, like I was previously advised, of the mild reaction last time. They had the shot administered by a Dr there and the personnel were alerted to keep an eye on me. Shot was administered and they kept me at the seat with the doctor for several minutes before placing me in the waiting room. Metallic type taste and smell occurred in less than 5 minutes of the shot. Slight swelling of the tongue and throat. Caused the need to repeatedly clear my throat and more coughing than the first time. Could not catch my breath easily and felt labored. Was light heads, eyes watering and a little ?foggy.? Used my inhaler but that did not seem to help. Used my emergency inhaler a 2nd time about 2 minutes later. Was advised my face and chest were very red and a party sat with me for a bit. Took about 10 minutes before the breathing/coughing finally seemed to be resolving. The party checking on me stayed in the room and rolled a chair with wheels near incase she need to take me to the ER just down the hallway. She also had an epee pen and advised me she had it with her just in case. My tongue and roof (Ridges) of the mouth was noticeably swollen to me after just an hour. After about an hour and half there, the allergic reactions seemed to stabilize and the staff and I both felt we were out of the woods but I was not ok to leave yet. Coughing subsided drastically and color became normal again. Kept there for a little bit longer? I was at the hospital until 5:20pm-ish. Was advised to go home and take another antihistamine, drink a lot of water and rest. They also advised to report adverse reactions stating I had another mild allergic reaction to the 2nd shot. Came home and took another zyrtec and went to bed because I was so tired. Woke up to my arm being extremely sore but the area of the shot was not raised this time but was warm and painful to the touch. Felt very achy, headache, and exhausted the next day like I had the flu. Slept the majority of the next day. Smell and taste resolved within a few hours but the roof of the mouth is still rigid but metallic taste and soreness is gone. I can tell the tongue is no longer swollen. It?s no longer bulging to the side of my teeth and I no longer seem to have a little lisp. This is now April 30, 2021 at 8:15am.

Other Meds: Zyrtec (Antihistamine) advised to take 30 minutes prior to 2nd injection because of previous mild reactions during 1st shot on 04/07/2021. See Report 486930 filed.

Current Illness: 1st does received on 04/07/2021 with mild allergic reactions and then side affects.

ID: 1273088
Sex: F
Age: 38
State: NY

Vax Date: 04/22/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: Not any

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

Symptoms: 8 days after receiving the first dose of Moderna, the arm where the injection was given is now inflamed and itchy.

Other Meds: Apriso and Canasa Suppository

Current Illness: Not any

ID: 1273089
Sex: F
Age: 63
State: MD

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: clavulanate sulfa cipro leviquin some nuts, some chocolate and some tomato based products metal soaps, make up, shampoo, deodorant

Symptom List: Unevaluable event

Symptoms: 4/28 started with extreme fatigue that evening, the next morning on 4/29 I had joint and muscle pain that got worse throughout the day. I had a sight headache and by afternoon I had a fever of 101 which lasted through most of the night. When I got awake at 2:00 am my arm was hurting from the injection site into my arm pit. Day 2 , 4/30 after the vaccine I'm still exhausted and achy but not as bad as the 1st day after.

Other Meds: Armour Thyroid Hydralazine

Current Illness: none

ID: 1273092
Sex: F
Age: 46
State: IL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: Environmental allergies, possible sulfa allergy

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

Symptoms: Felt numbness to left arm 3 minutes after receiving shot.

Other Meds: Unknown

Current Illness: Unknown

ID: 1273093
Sex: F
Age: 24
State:

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Symptoms: Fatigue, body aches, body temperature changes, coughing, sneezing, headaches, minor sore throat Signs: soreness, low energy Treatment: ibuprofen Time course: 48 hours

Other Meds:

Current Illness:

ID: 1273094
Sex: F
Age: 41
State: FL

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: Fever, back pain, sweating, chills, anxiety

Other Meds: Gabapentin

Current Illness: None

ID: 1273095
Sex: M
Age: 53
State: NM

Vax Date: 03/18/2021
Onset Date: 03/24/2021
Rec V Date: 04/30/2021
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: N/A

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

Symptoms: Conjunctivitis (cleared up after 2 days). Facial itching, redness, burning which has continued for 5 weeks. Treated with over the counter antihistamines, prescription valocyclovir.

Other Meds: Melatonin

Current Illness: N/A

ID: 1273096
Sex: F
Age: 33
State: IL

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
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: Fever, muscle pain, swollen lymph node, fatigue, headache

Other Meds: Birth control

Current Illness: None

ID: 1273097
Sex: F
Age: 56
State: AL

Vax Date: 04/21/2021
Onset Date: 04/25/2021
Rec V Date: 04/30/2021
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 Known

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Vertigo x 3 days Dr Vist - prescribed PT and Eply exercises Feeling of heavy head - foggy once the vertigo lifted for several days

Other Meds: Vitamin D, Zinc Quercetin

Current Illness: None

ID: 1273098
Sex: M
Age: 16
State: MO

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Pt began sweating, stated he had ringing in his ears, became very pale stated he was having difficulty breathing.

Other Meds:

Current Illness:

ID: 1273099
Sex: M
Age: 40
State: TX

Vax Date: 04/06/2021
Onset Date: 04/13/2021
Rec V Date: 04/30/2021
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: none

Symptom List: Nausea

Symptoms: FOUND ON THE FLOOR OF HIS HOME UNRESPONSIVE, BY HIS SUOERVISOR, EMS CALLEED taken to hospital. HE REMAINS THERE TODAY AWAITING A LONG TERM ACUTE HOSPITAL BED UNABLE TO SPEAK, FOLLOWS SIMPLE COMMANDS, DOES NOT MOVE RIGHT ARE AND LEG

Other Meds: multi-vits

Current Illness: none

ID: 1273100
Sex: F
Age: 46
State: WI

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
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: My lymph nodes in my left armpit were engaged. It felt and looked like I had a small water balloon in my left armpit. It was painful to lay on my side. After 7 days, the swelling is gone but putting deodorant on is still tender. in addition, my energy levels went up and down over a 7 day period. Some days getting through work was challenging, even though I was working remotely. Almost 10 days out, I don't feel 100% of where I was before the vaccine.

Other Meds: Vitamin D3, Vitamin B complex, Magnesium Glycinate

Current Illness: None

ID: 1273101
Sex: F
Age: 69
State: NY

Vax Date: 04/25/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: She got her vaccine, she was okay. The next morning her arm was a little bit painful but nothing. Then she woke up and it was terrible, she had a headache, chills with constant shaking, no temperature. She cannot sleep due to the chills after having a couple of blankets due to the shaking. She has arm pain and leg pain and very dizzy and worried about falling. She is also tired. She has been taking Tylenol which has not helped her much. Her liver started aching and she stopped taking it. She has not called her doctor yet.

Other Meds: Levothyroxine.

Current Illness: None.

ID: 1273102
Sex: M
Age: 77
State: MN

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 04/30/2021
Hospital: Y

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: ED/Hospitalization within 6 weeks of receiving first COVID vaccine. First dose received 3/10/2021. Hospitalization 3/13/2021. Second dose received 3/31/2021.

Other Meds:

Current Illness:

ID: 1273103
Sex: F
Age: 50
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1273104
Sex: F
Age: 56
State: DE

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/30/2021
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: Penicillin, scallops

Symptom List: Erythema, Pruritus

Symptoms: Fever, chills, blinding headache, body aches and pains, vomiting

Other Meds: Multi vitamin

Current Illness: None

ID: 1273105
Sex: F
Age: 67
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: Fatigue

Other Meds:

Current Illness:

ID: 1273106
Sex: F
Age: 43
State: CT

Vax Date: 04/12/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: Haldol, Cymbalta

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

Symptoms: Headache lasting 3 days so far.

Other Meds: Gabapentin, protonix, ropinirol

Current Illness: n/a

ID: 1273108
Sex: M
Age: 38
State: MN

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: No

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Nose bleed - started around 6:15 am and lasted around 15 minutes. No history of nose bleeds or other bleeding problems.

Other Meds: Celexa

Current Illness: No

ID: 1273109
Sex: M
Age: 59
State: CT

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: none

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

Symptoms: I administered Pfizer vaccine as a second dose after a Moderna first dose.

Other Meds:

Current Illness:

ID: 1273110
Sex: F
Age: 55
State: NY

Vax Date: 04/03/2021
Onset Date: 04/23/2021
Rec V Date: 04/30/2021
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: none

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

Symptoms: I now have Shingles and see where there are many others reporting the onset of shingles after getting their COVID vaccine. I will NOT get the second dose

Other Meds: Synthroid 125mcg

Current Illness: none

ID: 1273111
Sex: F
Age: 67
State: MI

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Second dose of Pfizer vaccine given 14 days from first dose. No adverse effects noted

Other Meds: unknown

Current Illness: None

ID: 1273112
Sex: F
Age: 33
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Fever, fatigue, soreness, headache

Other Meds: Levothyroxine Lexapro

Current Illness: Stomach bug

ID: 1273113
Sex: F
Age: 32
State: PA

Vax Date: 04/05/2021
Onset Date: 04/08/2021
Rec V Date: 04/30/2021
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: 72 Hours post-vaccine, I began to experience severe pulsatile tinnitus in the left ear, headaches, lightheadedness, tingling/cold sensation in my left arm. Also can report an instance of "covid-toes" for a short period of time.

Other Meds: Nexplanon Birth Control Implant

Current Illness: None

ID: 1273114
Sex: F
Age: 70
State:

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/30/2021
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: shellfish (crab)

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

Symptoms: Skin felt prickly on throat, upper chest, face, arms and a little on legs at times since following day or two after shot up until now. I've had prickly skin on face and throat and upper chest in the past, but not as extreme and consistent as now and never on the arms. Saw two doctors, the other being my primary one, made a referral to see a neurologist. One of the doctors felt symptoms were paresthesia. They ruled out heart issues, had an EKG and blood test. My primary doctor suggested I wait to get the second dose until I see the neurologist as a precaution.

Other Meds: Silica nando forrmula for bone density, hair renew

Current Illness:

ID: 1273115
Sex: M
Age: 49
State: MI

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Vomiting

Symptoms: Medication error already vaccinated with PFizer series

Other Meds: none

Current Illness: no

ID: 1273116
Sex: F
Age: 37
State: TX

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/30/2021
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: Na

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Tongue swelling, Fatigue ,headache and heavy congestion cough

Other Meds: Adderall

Current Illness:

ID: 1273117
Sex: M
Age: 44
State: WA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Mild, Systemic: Nausea-Medium, Systemic: Vomiting-Severe

Other Meds:

Current Illness:

ID: 1273118
Sex: F
Age: 66
State: NY

Vax Date: 03/31/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NONE

Symptom List: Injection site swelling, Limb discomfort

Symptoms: THE PATIENT EXPERIENCE A FEW DAYS AFTER THE INJECTION A DISSEMINATED RED CIRCULAR RASH ON HER BACK AND CHEST. SHE APPLIED TRIAMCINOLONE CREAM 0.1% AND THE RASH DISAPPEARED WITHIN 7 DAYS.

Other Meds: DID NOT PROVIDE

Current Illness: NONE

ID: 1273119
Sex: F
Age: 26
State: NY

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: The nurse had completed vaccinating the patient and as she attempted to utilize the safety cap attached to the needle, the needle dislodged from the syringe and fell off sticking the nurse in her left thumb.

Other Meds: denies

Current Illness: denies

ID: 1273120
Sex: M
Age: 35
State: FL

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Penicillin Amoxicillin Dairy

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

Symptoms: Soreness at injection site Full arm pain of injection arm Body aches muscular and joint pain throughout body Nausea

Other Meds: Montelukast 10Mg Tablets Fenofibrate 160Mg Tablets Venlafaxine Er 37.5Mg Capsules Clonazepam 0.5Mg Tablets Bupropion Sr 100Mg Tablets (12 H) Cetirizine 10Mg Tablet Apple cider vinegar gummy?s

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm