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: 1273911
Sex: F
Age: 54
State: AZ

Vax Date: 03/22/2021
Onset Date: 03/24/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Tinnitus. Severe and non relenting . Aches in legs especially left side. Pain in left arm and tingling in left hand/foot

Other Meds: None

Current Illness: None

ID: 1273912
Sex: F
Age: 56
State: VA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 1273913
Sex: F
Age: 22
State: CA

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None.

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

Symptoms: Patient received the 1st COVID vaccine (Pfizer, Lot #: EW0173, and expiration date: 08/2021) at 2:55 PM. Patient received the vaccine while sitting in the zero gravity chair, due to a history of feeling lightheaded and passing out with needles. After a few minutes in the zero gravity chair, patient expressed that she was feeling good and wanted to sit in the observation area next to her boyfriend. She got up and walked to another chair without assistance and with a steady gait. EMT made contact with the patient at 3:12 PM, while she was sitting in the observation area. Patient was conscious, alert, and oriented to person, place, time, and situation but complained of "lightheadedness." EMT grabbed a wheelchair and patient was then transferred to wheelchair, without assistance. At 3:15 PM, baseline vital signs were taken, while patient was sitting: blood pressure: 136/82, heart rate: 108, respiratory rate: 18. Skin was cold, dry, and normal for ethnicity. Patient claimed to have anxiety and explained that fainting and lightheadedness was "common" for her after receiving a shot. Patient denied taking any medications or having any allergies. A second set of vital signs were taken at 3:20 PM: blood pressure: 136/86, heart rate: 108, respiratory rate: 18. Skin was moist, warm, and normal for ethnicity. Patient was negative for orthostatic pressures. EMT advised patient to stay an additional 30 minutes for further observation. Around 3:50 PM, patient was asked how she was feeling and she stated "good." EMT educated the client on what to do if additional signs and symptoms developed and when to contact her provider. EMT also explained the use of V- safe to the patient. Patient then left the vaccination site, unassisted and with a steady gait.

Other Meds: None.

Current Illness: None.

ID: 1273914
Sex: F
Age: 40
State: NY

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Reported itchy hives.

Other Meds:

Current Illness:

ID: 1273916
Sex: M
Age: 19
State: MD

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: LA

Lab Data:

Allergies:

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

Symptoms: Patient reports feeling light headed and diaphoretic. also reported muffled, heavy and blurry vision.. patient had seat laid flat. patient brought water and encouraged to stay hydrated .patient stated he has anxiety. Patient felt better after five minutes. Instructed to finish the rest of his 15 minutes and to let us know if symptoms return or become worse.

Other Meds:

Current Illness:

ID: 1273917
Sex: F
Age: 52
State: AL

Vax Date: 04/27/2021
Onset Date: 04/28/2021
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: Ceftin, Doxycycline

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

Symptoms: 4/28/2021@12:30pm noticed rash on left side of neck rash and swelling began to appear on left side of face.Called health department and was told they had no doctor to help me.4/29/2021 went to ER where I was given benadryl and a perscription.

Other Meds: NONE

Current Illness: NONE

ID: 1273918
Sex: F
Age: 42
State: PA

Vax Date: 03/15/2021
Onset Date: 04/09/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Leg swelling started on April 9th, had ultrasound to check for blood clot. Negative for blood clot. Still swollen doctor told me to report it to vaccine page

Other Meds: N/a

Current Illness: None

ID: 1273919
Sex: F
Age: 26
State: MS

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Pharyngeal swelling

Symptoms: Four hours after my second dose, I started to grow light-headed. I got up from my desk and stumbled over as I couldn't see quite straight. The rest of the evening I rested and stayed hydrated with fluids. From Thursday morning until Saturday morning I was unable to focus, concentrate, see straight, and got "foggy" every time I tried to stand and walk. I had a hard time keeping my eyes open and was very weak. It felt like I was under the influence of something as I felt extremely disoriented. It has been 9 days since my second dose and I am still not "100%" back to my normal self. These side effects were very scary to deal with.

Other Meds: Adderall Lyrica Tramadol Celecoxib

Current Illness: N/A

ID: 1273920
Sex: F
Age: 58
State:

Vax Date: 02/01/2021
Onset Date: 04/01/2021
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: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt had remote H/O ITP treated with steroids once in the past (>25 years ago.) Presented in April with Severe/refractory ITP and has been hospitalized for over 2 weeks. May need splenectomy this weekend as plt count still only 5K after steroids, IVIG, Romiplostim (max dose (10mcg/kg)).

Other Meds:

Current Illness:

ID: 1273921
Sex: M
Age: 29
State: NY

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1273922
Sex: F
Age: 64
State:

Vax Date: 04/06/2021
Onset Date: 04/07/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Nausea, followed by several episodes of vomiting, diarrhea and chills.

Other Meds: Two blood pressure meds and one anti-anxiety med

Current Illness: Early ovarian cancer

ID: 1273923
Sex: M
Age: 37
State: KS

Vax Date: 04/09/2021
Onset Date: 04/11/2021
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: 1.5 days post vaccine, patient developed a rash on right side of face. Above Right eye brow spreading to the back of the ear to the bottom of the jaw line. Some sensitivity and itching. Provider thought it might be shingles, another clinic told patient to take Benadryl and Pepcid. (He already takes Zyrtec. Patient plans to use this if reaction occurs again. ,RN JD 4/15/21 3:23 PM Note Patient sent a message notifying us that he has a facial rash which is tender to the touch. There is a photo attached to the message. APRN reviewed the message and picture and feels it is uncommon to develop a rash after the COVID vaccine. He can take benadryl and Pepcid to help. APRN will also send out a new prescription to increase patient's Acyclovir to 800 mg PO BID. Patient does not have a PCP to evaluate his skin at this time so it was recommended to him to go to the Urgent Care to be evaluated for shingles. Patient verbalized his understanding. Patient, RN Conversation: Rash PA-C PA-C 4/30/21 12:50 PM Incomplete Note Chart review performed. Patient concerned about a rash that developed on the right side of his face 1 1/2 days after his 1st COVID vaccine on 4/9/21. He called his provider on 4/9/21 to ask what he should do and uploaded a photo. The photo showed an evident raised somewhat erythematous rash located on the upper right side of his face near the eye with one area on the right nasal alae. Areas of redness appeared to have well-demarcated borders. No evidence of vesicles, pustules, scale, abrasions, excoriations, or ulcerations. HisNo evidence in his chart that he went to a medical facility site, however he stated he went to medical facility o/a 4/9/21 to rule out shingles as recommended by his provider. States they told him he did not have shingles and recommended some OTC and other meds he already had at home. benadryl, zofran (had some at home), and pepcid OTC. Added Benadryl cream. Was itchy with sweating and a little tender, but not really. Rash disappeared a few hours after waking up one day after 2 1/2 weeks. No problems with vision. Second vaccine today. No problems after vaccine today. Has no PCM, because everyone is full. No meds since home. Little groggy. Disability. Nose lesions resolved and he scratched. He denies any new lotions, soaps, detergents, and states he has some facial wipes that he uses to clean sweat off his face for a long time.

Other Meds:

Current Illness:

ID: 1273924
Sex: M
Age: 47
State: MI

Vax Date: 04/20/2021
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: None

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

Symptoms: Moderna COVID-19 Vaccine EUA Since receiving my second shot of the Moderna vaccine, my tinnitus has been louder and more intense.

Other Meds: Omeprazole 20mg - once daily

Current Illness: None

ID: 1273925
Sex: F
Age: 76
State: PA

Vax Date: 04/19/2021
Onset Date: 04/25/2021
Rec V Date: 04/30/2021
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: simvastatin, amoxicillin, oxycodone, sulfa, morphine

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

Symptoms: Patient presented with acute onset neck pain radiating into her arms bilaterally on 4/25. On 4/27 she acutely became paralyzed in her lower extremities and lose sensation over her abdomen completely and decrease sensation in her legs bilaterally. MRI confirmed large spontaneous epidural hematoma in cervical and thoracic spine.

Other Meds: levothyroxine, lisinopril, melatonin, atorvastatin

Current Illness: none reported

ID: 1273926
Sex: F
Age: 39
State:

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

Symptoms: 3/23/21 received Moderna vaccine as 1st dose. Incorrect 2nd vaccine dose given to patient, patient instead received Pfizer vaccine as 2nd vaccine.

Other Meds:

Current Illness:

ID: 1273927
Sex: F
Age: 50
State: FL

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: 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: 4-23-original symptoms were feeling very loopy like I had been given pain meds. lasted for about 2 hours. then mild headache. 4-24 other symptoms didn't begin until late afternoon the next day. low grade fever (99.9), chills, body aches, vomiting, headache. 4-25-very lethargic and tired into the entire next day. 4-26 -back to feeling completely normal

Other Meds: lisinopril, rosuvastatin, bupropion, sertraline, norethind-eth estrad

Current Illness: none

ID: 1273928
Sex: F
Age: 28
State: FL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1273929
Sex: M
Age: 45
State: CA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
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: Penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Seizure brought in by adverse reaction to my seizure medication.

Other Meds: Lamotrigine, Trazedone, Biktarvy,

Current Illness:

ID: 1273930
Sex: F
Age: 32
State: OH

Vax Date: 04/29/2021
Onset Date: 04/29/2021
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: Pain at the injection site, moderate full body aches, chills, low grade fever and headache, fatigue, but unable to sleep overnight due to body aches. Worst of symptoms started about 12 hours after vaccine, and mostly resolved about 30 hours after vaccine

Other Meds: Venlafaxine ER 75 mg daily

Current Illness: None

ID: 1273931
Sex: F
Age: 46
State: CA

Vax Date: 04/21/2021
Onset Date: 04/29/2021
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: Keflex

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

Symptoms: "COVID arm" - redness, firmness at injection site First noticed on day 9, larger on day 10

Other Meds: Vital Proteins collagen peptides Airborne immune support supplement

Current Illness:

ID: 1273932
Sex: M
Age: 63
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
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: None

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

Symptoms: Started with moderate arm pain about 11 hours after injection. Progressed to fatigue, moderate muscle and joint pain and slight fever over the next 12 hours. Felt terrible for about 24 hours and slowly began to feel better within 48 hours.

Other Meds: Lisinipril Simvastatin Digoxin Bupropion Levothyroxine Bystolic Xarelto

Current Illness: None

ID: 1273933
Sex: F
Age: 54
State: IN

Vax Date: 04/28/2021
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: Demerol

Symptom List: Unevaluable event

Symptoms: Chills, aches, fever

Other Meds:

Current Illness:

ID: 1273934
Sex: F
Age: 24
State: IA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: we have an incomplete list, but pt is prescribed an EpiPen and was marked for 30 min observation

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

Symptoms: Within 5 minutes of vaccination patient experienced a red rash on thighs, lower legs, and backs of arms. We administered 50 mg of diphenhydramine onsite. The reaction did not progress so the patient left the pharmacy after 30 minutes. She continued to take scheduled diphenhydramine until 4/21/21. The patient also reports needing to use her rescue albuterol inhaler more frequently than usual for the first two weeks following the vaccination. The rash remained for 1 to 2 weeks. The patient sought medical care with an immunologist Hospital. Dr. prescribed no additional medication, but told the patient not to receive the second dose.

Other Meds: hydroxychloroquine, doxepin, ondansetron, pantoprazole, amlodipine, rizatriptan, bupropion XL, iron, albuterol nebulizer soln, ProAir HFA, monthly Nucala injection, Spiriva, EpiPen, fluocinonide ointment, genteel gel, fluorometholone, lata

Current Illness:

ID: 1273935
Sex: F
Age: 33
State: NY

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1273936
Sex: F
Age: 64
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
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: She got the vaccine and later that evening she got the shakes so bad that the bed was shaking, achy. the next day same reaction, and had the itchy rash that was 3" down from the shot site and went down near her elbow. Then, a week after that on 4/4/21 she started getting a rheumatoid flare up which has never had one like this before, which has lasted now about a month. On 4/9/21 she started with back pain and went to her PCP and diagnosed with a UTI. You then continued with the same problems, and called her rheumatologist on 4/12/21 and was put on Prednisone. On 4/14/21 the lower right forearm had a blotch that looked like cellulitis but was not, and felt that it was an allergic reaction/possibly related to the RA flare up. The flare was in multiple joints and kept moving around. On 4/22/21 she was started on a 2nd dose of steroids and it didn't work. Everything has swollen to the point that she had to have her wedding band cut off due to the extreme swelling on 4/28/21 she had her last pill of steroids. She ended up getting an IV while in the ER of Methyl prednisolone, which did help her and today she is a different person. They also gave her a Toradol shot and now on a steroid pack, but this has been almost a month reaction and was having no symptoms before the vaccination. She does take Humira for her RA.

Other Meds: Atenolol, Folic acid.

Current Illness: None.

ID: 1273937
Sex: M
Age: 39
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Got shot on Wednesday afternoon. It developed body ache and joint pain by late evening. Thursday morning got Mild fever the whole day. Used tylenol in the evening and everything was good by Friday morning.

Other Meds: None

Current Illness: None

ID: 1273938
Sex: F
Age: 42
State: CA

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: no known drug allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: On the afternoon of 4/29/2021 at 2pm, patient came to the pharmacy after receiving her second Pfizer-Biontech COVID-19 vaccine on 4/27/2021 at 1pm. She spoke with pharmacist regarding side effects. She stated that on 4/27/2021 after receiving her vaccine, she woke up in the evening around 8pm feeling soreness in her arm and tingling that radiated from the injection site in the left deltoid muscle to the tips of her fingers. She told the pharmacist that on the following day 4/28/2021 at around 1pm she took some Tylenol for the pain. She noticed at that point that her arm and fingers were swollen, numb, and that she could not fully close her hand. When she appeared at the pharmacy on 4/29/2021, she stated that her ability to move her hand had returned, but that the swelling and numbness were still the same. Pharmacist observed that her arm around the injection site was warm and swollen. She advised the patient to contact her medical provider for further evaluation and in the meantime continue to use Tylenol (the patient could not use anti-inflammatory medications due to a medical condition) and apply cold compresses to the arm. She also requested the patient to contact the pharmacy for any further questions and to provide an update the following day on 4/30/2021. On 4/30/2021, pharmacist reached out to the patient at 10am to follow up. The patient stated that swelling and numbness in the hand had decreased, but the tingling sensation was still present. She is planning on following up with a medical provider today.

Other Meds: unknown

Current Illness: no known illnesses

ID: 1273939
Sex: M
Age: 46
State: OH

Vax Date: 04/19/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chronic and loud tinnitus, ear aches

Other Meds: Omeprazole, Celexa, Synthroid, Hydroclorizide and Avorstatin

Current Illness: none

Date Died: 04/11/2021

ID: 1273940
Sex: F
Age: 47
State: FL

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/30/2021
Hospital: Y

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: Heart Attack at 7:10 am( 4/9/21), CPR, CCU, CPR, Death(4/11/21) 9:15pm

Other Meds: None

Current Illness: None

ID: 1273941
Sex: M
Age: 52
State: IA

Vax Date: 03/26/2021
Onset Date: 04/11/2021
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: Augmentin and morphine

Symptom List: Nausea

Symptoms: H/A, Nausea, vomited x1, lightheaded

Other Meds: ASA 81mg po, Glucosamine Sulfate 1000mg , Vit D3, Clonazepam 0.5mg , Bupropion HCI 150mg , Empagliflozin 25mg , Glyburide 5mg BID, HCTZ 25mg , Indomethacin 50mg TID, Fish oil, Lisinopril 40mg, Loratadine 10mg , Metformin 1000mg bid, Metopro

Current Illness: none

ID: 1273942
Sex: M
Age: 46
State: MI

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: rocephin

Symptom List: Injection site pain

Symptoms: The vaccine was diluted with 1.8ml of the diluent. There was a misunderstanding and the pharmacist thought the same amount was also drawn up to be injected to the patient. The patient got too much of the dose.

Other Meds:

Current Illness:

ID: 1273943
Sex: M
Age: 29
State: PA

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: LA

Lab Data:

Allergies: CECLOR, ZITHROMAX, IV DYE

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

Symptoms: PATIENT VOMITED

Other Meds: UNKNOWN

Current Illness: ANXIETY AND SEIZURE DISORDER

ID: 1273944
Sex: F
Age: 48
State: VA

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: RA

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Additional Details: PATIENT WAS SITTING IN THE MINUTE CLINIC WAITING AREA, SYNCOPAL EPISODE, BP WAS 79/54, HR 71, TEMP 97.9, 02 98% LUNGS CLEAR, 15 MINUTES LATER PATIENTS BP 123/81 HR 74 100%

Other Meds:

Current Illness:

ID: 1273945
Sex: F
Age: 53
State: PA

Vax Date: 12/21/2020
Onset Date: 12/24/2020
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: NKA

Symptom List: Tremor

Symptoms: Cough Shortness of Breath Headache Nasal and Chest Congestion Loss of Taste and Smell

Other Meds: biotin 1 mg tablet calcium citrate/vitamin D3 (CALCIUM CITRATE + D ORAL) cyanocobalamin 1,000 mcg tablet FERROUS SULFATE, DRIED (IRON, DRIED, ORAL) magnesium 200 mg tablet MULTIVIT WITH CALCIUM,IRON,MIN (MULTIPLE VITAMIN, WOMENS ORAL) topir

Current Illness: None

ID: 1273946
Sex: F
Age: 54
State: MA

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: None

Symptom List: Erythema, Pruritus

Symptoms: 4/28/21 @ 630p headache,muscle pain,nausea,left arm pain. 4/29/21 715am slight headache, mild left arm soreness, over whelming nausea, dizziness followed by passing out. 4/30/21 715a slight left arm pain. Feeling fine.

Other Meds: Sertraline, one a day vitamin, vitamin C, vitamin D.

Current Illness: None

ID: 1273947
Sex: M
Age: 66
State: MD

Vax Date: 02/05/2021
Onset Date: 02/12/2021
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: Sulfa Lactose Celebrex

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

Symptoms: tinnitus (both ears)

Other Meds: Enbrel Ibuprofen D2 B12

Current Illness: None

ID: 1273948
Sex: M
Age: 81
State: CO

Vax Date: 03/08/2021
Onset Date: 04/29/2021
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: LA

Lab Data:

Allergies: Benzoyl peroxide (severe, rash and swelling) Prednisone (severe, rash and swelling) Neomycin (severe, rash and swelling) Tobramycin (intermediate, nausea and dizziness)

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

Symptoms: The patient presented to Emergency Department with lethargy, confusion, and hypoxia. Upon presentation to the ED, the patient tested positive for COVID-19 (04/29/21). The patient is currently being treated with dexamethasone and remdesivir.

Other Meds: Warfarin 5 mg po daily Rosuvastatin 10 mg po at bedtime Advair Diskus 500-50 1 puff BID Losartan 25 mg po daily Omeprazole 40 mg po daily

Current Illness: None

ID: 1273949
Sex: M
Age: 17
State: NC

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: Asthenia, Chills, Headache, Myalgia

Symptoms: This patient was given the 2nd dose 6 days early. The 1st dose was given on 04/14/2021. The symptoms reported by this patient's mom today were tiredness and soreness in his arm or the injection site but no fever noted. I gave a courtesy call today just to check to see how patient is doing. No serious side effects reported.

Other Meds:

Current Illness: mother said that he has seasonal allergy problems

ID: 1273950
Sex: M
Age: 39
State: FL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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:

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

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1273951
Sex: M
Age: 67
State:

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
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:

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

Symptoms: Patient received 2nd COVID19 Vaccine on 4/15/21. Patient began running a fever of >100.5 on the evening of 4/16/21. The morning of 4/17/2021 the patient was brought into the ER with concerns of hypoxia and tachypnea. Admitted to observation status to monitor oxygen saturation and respiratory status.

Other Meds:

Current Illness:

ID: 1273952
Sex: M
Age: 40
State: AL

Vax Date: 04/21/2021
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 known

Symptom List: Pain in extremity

Symptoms: Had the moderns vaccine dose 1 april 21, 2021, only had a sore arm for about 2 days after. Around April 29, 2021 a big red perfect circle had formed around it, it is really tender and is sore. I'm just trying to make sure I do not need to go to the doctor or the hospital. Thanks.

Other Meds: Prescribed methadone.

Current Illness: None

ID: 1273953
Sex: F
Age: 59
State: VA

Vax Date: 04/23/2021
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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Amoxicillin; Augmentin; Minocycline; NSAIDS; nylon sutures; mild seasonal allergies

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

Symptoms: Mild tingling of lips and face about 45 mins. following injection. Took Zyrtec and Pepsid. This did not happen with first dose. Arm red, swollen and hot to touch in 3" diameter around injection site, mild nausea, headache, fatigue within a few hours. Arm grew increasingly painful with area of inflammation increasing to most of upper arm area and itching of arm. Arm pain did not lessen for 5 full days then gradually resolved. All over aches and pains increased above patient's normal threshold for full to weeks following first vaccine on 03/27/2021 and continue today. Elevated fatigue also continues.

Other Meds: Gabapentin 300mg 3X/d; Oxycodone 10mg 3X/d; Tylenol arthritis 2 T 3X/d; prilosec 20mg/d; vitamin D 5000 iu/d; multivitamin 1/d

Current Illness: UTI

ID: 1273954
Sex: F
Age: 35
State: FL

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

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

Symptoms: 1:10 PM Patient complained of dizziness and sweating and lower back pain. Immediately evaluated by onsite NP and EMS. Placed on monitor which showed Sinus Tachycardia and a rate of 125. Finger stick BS 81. Patient had minimal food intake prior to coming to clinic. Offered cereal bar and cool water. Tachycardia did not resolve. Patient pulse raised to 151. Patient remained pale. Placed in Trendelenburg. O2 4 liters non-rebreather added at 1:40 PM. Contacted fire department to transport patient to hospital. 1:15: PM A and O X 3. Affect somewhat flat. BP 124/74 02: 99, Pulse 110 1:40 PM BP 130/80 P 125 02: 99. Continues to complain of lower back pain 3/10 1:50 PM: Fire department arrived to transport patient to hospital

Other Meds: None

Current Illness: None

ID: 1273955
Sex: F
Age: 49
State: TX

Vax Date: 04/15/2021
Onset Date: 04/29/2021
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:

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

Symptoms: PATIENT HAS LYMPH NODE PAIN IN RIGHT AXILLARY AREA

Other Meds:

Current Illness:

ID: 1273956
Sex: M
Age: 23
State: FL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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:

Symptom List: Vomiting

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1273957
Sex: M
Age: 48
State: MD

Vax Date: 04/19/2021
Onset Date: 04/28/2021
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: penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt presented to clinic with severe shingles rash 9 days after vaccine

Other Meds: metformin 1000mg twice a day, atorvastatin 20 mgdaily

Current Illness: prediabetes, hyperlipidemia

ID: 1273958
Sex: F
Age: 41
State: RI

Vax Date: 04/14/2021
Onset Date: 04/16/2021
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: Shellfish

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

Symptoms: My eyelids and the area right below my eyes starting swelling and peeling about 48 hours after my first vaccine. After about 10 days, I went to my doctor just to make sure I shouldn?t be worried about a worse after the second dose, but he didn?t think there was much we could do except wait it out (symptoms are annoying but not debilitating). We agreed that I should get the second vaccine. I am still experiencing swelling, itching, and irritation of the area surrounding my eyes (not the eyes themselves) 16 days after my first shot. It is worst in the morning. I have had slight improvement since initial onset, but I am definitely still experiencing symptoms.

Other Meds: None

Current Illness: None

ID: 1273959
Sex: M
Age: 72
State: MA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Shell Fish

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Swelling of Right Foot / Ankle / Calf. Swelling has subsided somewhat over last couple of weeks - but still some swelling - - added a compression sleeve - to see if it helps with swelling reduction - as recommended by doctor

Other Meds: ASPIRIN, Atorvastatin, Lisinopril, Metoprolol, Multivitamin, Isosorbide, Tamsulosin

Current Illness: None

ID: 1273960
Sex: M
Age: 51
State: CA

Vax Date: 04/12/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Dust and Cat/dog dander

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

Symptoms: Within a day of 2nd Pfizer dose (intramuscular, left shoulder) had flu-like symptoms (aching joints, tired, chills, swelling under jawline, metallic taste in mouth) but they disappeared by third day from date of vaccination. By the 10th day after vaccination had developed intense shoulder pain radiating from shoulder to mid-arm (left arm) and upper back (trapezius/neck). Went to local Urgent Care next day and was X-rayed and given the following: Methylprednisolone - 4MG (tapered dosage) ? Shoulder/trapezius muscle pain/inflammation Cyclobenzaprine - 10MG ? Muscle relaxant for shoulder/trapezius muscle pain/inflammation. By end of tapered does still feeling intense ache/throb and pain in same areas.

Other Meds: Amlodipine Besylate 10 MG; Tamsulosin HCL .4 MG; Oxybutynin CL ER 10 MG; Vitamin D3; Advil (ibuprofen); Nasal Spray (oxymetazoline hydrochloride); Loratadine 10MG (generic ?Claratin? - occasional use)

Current Illness: None

ID: 1273961
Sex: F
Age: 32
State: NY

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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:

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

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm