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: 1274744
Sex: F
Age: 64
State: ID

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: watermelon, potatoes, shrimp; penicillin, erythromycin, sulfa

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient reports about 30 seconds after receiving vaccine her throat felt dry and small. Tongue felt numb. These symptoms resolved by the next morning. Patient did not tell vaccinator about her symptoms and just went home. She reports not taking any medicine i.e. benedryl for symptoms (although she takes zyrtec regularly).

Other Meds: Zyrtec, Prevacid, Bentyl, Carafate, Estrogen, Thyroid, Welbutrin, Celexa, Symbicort, Spiriva, aspirin, prn soma and norco.

Current Illness:

ID: 1274745
Sex: M
Age: 45
State: IN

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: Patient stated he started having trouble breathing and became shaky about 5 minutes after the vaccine was given. An epipen, gatorade, and an icepack were given to the patient, and he immediately started feeling better.

Other Meds:

Current Illness:

ID: 1274746
Sex: F
Age: 42
State: AK

Vax Date: 03/02/2021
Onset Date: 03/31/2021
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: tylenol and cipro

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

Symptoms: I came down with shingles and then bell's palsy

Other Meds: progestrone and synthroid

Current Illness: None

ID: 1274747
Sex: M
Age: 23
State: IL

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient fainted after receiving his dose of the vaccine. Pharmacist was alerted by another customer that patient fell out of his chair. Patient was responsive as soon as pharmacist arrived. Patient states he does not think he hit his head. States he has fainted from needles in the past, but failed to inform pharmacist on VAR sheet. Patient denied emergent medical treatment and left 15 minutes later with his father.

Other Meds:

Current Illness:

ID: 1274748
Sex: M
Age: 22
State: VT

Vax Date: 04/01/2021
Onset Date: 04/16/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Numbness/loss of sensation in toes began around 4/16/2021: Sensation reduced from the toes up to the hip bilaterally (R

Other Meds: Paroxetine

Current Illness:

ID: 1274749
Sex: F
Age: 43
State: MO

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: Non steroidals

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

Symptoms: Right at 24 hours I experienced chills and body aches, but noticed when I woke up the next morning that the lymph nodes in my right armpit are were swollen to about the size of a small clementine orange. They lymph nodes are still very swollen and tender. It hurts to simply let my arm rest on the side of my body.

Other Meds: Levothyroxine 75mcg

Current Illness: n/a

ID: 1274750
Sex: F
Age: 26
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
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: unknown

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.

Other Meds: unknown

Current Illness: unknown

ID: 1274751
Sex: F
Age: 51
State: HI

Vax Date: 04/06/2021
Onset Date: 04/06/2021
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: sensitivity to a few antibiotics

Symptom List: Pharyngeal swelling

Symptoms: initially while driving home, eye spasms and eye dryness, various sharp pains in leg and right foot, a feeling of heightened anxiousness. Following day the typical fatigue, unusual headache, full tunnel feeling in head and ears, off balance feeling, some muscle aches as well as previously mentioned symptoms. this lasted for about 3 days. some mild relief in fatigue and headache but all of a sudden non stop ear ringing (Tinnitus) high pitched EEEEE with occasional low tone whistle sound. fast forward currently no relief in ear ringing and off and on mild pressure headaches, off balance,(some days worse than others) mild fatigue, some isolated off and on muscle aches. slight fainting feeling (occasional), don't feel grounded..... among other things

Other Meds: D3, Zinc, Magnesium, Probiotic

Current Illness: none

ID: 1274752
Sex: M
Age: 46
State: CA

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: the patient reported tingling feeling in hands and feet a couple days after the 1st vaccine dose.

Other Meds: none

Current Illness: none

ID: 1274753
Sex: F
Age: 65
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
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: Bactrim

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Slight chills, stomach upset, excitability, sore arm, blurry vision.......these did not last long.

Other Meds: None

Current Illness: N/A

ID: 1274754
Sex: F
Age: 53
State: WI

Vax Date: 02/17/2021
Onset Date: 04/27/2021
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:

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

Symptoms: Patient experienced cough, sore throat, headache, and runny nose on 4/27

Other Meds:

Current Illness:

ID: 1274755
Sex: M
Age: 54
State: NC

Vax Date: 04/14/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Patient comes with bilateral burning thigh pain and weakness for 2 weeks that began 1 week after Moderna COVID vaccine. MRIs of T & L spine are non significant. Inflammatory markers are elevated and he has worsening kidney disease than his baseline. Also with anemia. 4/29 MRI thigh muscles show extensive edema R>L suggestive of myositis from some source. Nephrology considering renal biopsy for his progressive kidney failure. Patient may have autoimmune or inflammatory process affecting both muscle and kidneys. Have sent for autoimmune antibodies as well as other vasculitic markers and requested muscle biopsy by general surgery. He needs to be started on steroids.

Other Meds:

Current Illness: The patient was last normal 2 weeks ago. He slipped on a wet hardwood floor and landed on his right hip. Since that time his legs have gradually gotten weaker and weaker. He constantly feels like his right knee is going to give out. Yesterday he was taking some children from the psychiatric facility where he works to the doctor's office when he had a sudden fall. He states it felt like his ?foot just left?. He fell on his right side again. Over the last week he has developed pain in his thighs and hips bilaterally, right greater than left. Rubbing helps a bit. He has no sensory loss. He denies ever having back pain or head trauma. He denies bowel and bladder problems. He denies dark urine and states his volume of urine is normal.

ID: 1274756
Sex: F
Age: 37
State: IL

Vax Date: 04/16/2021
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: Epinepherine

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

Symptoms: An unusually heavy and painful (on-time) period.

Other Meds: None

Current Illness: None

ID: 1274757
Sex: F
Age: 64
State: NC

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: adhesive Aspirin Betadine Viscous Gauze chlorhexidine diazepam famotidine Ibuprofen latex lisinopril Penicillins prednisone

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

Symptoms: Pt vaccinated with Moderna (first dose) and was awaiting alongside the booth standing up and within a minute felt dizzy and was short of breath. Son at her side and assisted her to walk over to observation and felt weak all over, extremities and assisted in the wheelchair. Complained of chest pain/pressure. EMS called and brought to ED. In ED, EKG normal. Trops 0.1, 0.04 then 0.01. Exercise Stress test normal Discharged to home with PCP followup.

Other Meds: CLONAZEPAM [KLONOPIN] - Klonopin 0.5 mg tablet. 1 tablet(s) by mouth up to twice daily for anxiety. Ok to fill today. Brand name only, no sub. LEVOTHYROXINE [LEVOXYL] - Levoxyl 88 mcg tablet. 1 tablet(s) by mouth once a day 30 min before ea

Current Illness:

ID: 1274758
Sex: F
Age: 62
State: TX

Vax Date: 04/20/2021
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: NSAIDS

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

Symptoms: Band of itchy, burning, excruciating sparking pain on right side of back and abdomen. Shingles diagnoses, I have know idea it if is related, I've never had Shingles previously

Other Meds: Hctz, Losartin Statin

Current Illness: none

ID: 1274759
Sex: F
Age: 23
State: IN

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa

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

Symptoms: Covid Arm, swelling, redness, itching. At this point it's been 8 days.

Other Meds: Zoloft

Current Illness:

ID: 1274760
Sex: F
Age: 43
State: ID

Vax Date: 04/30/2021
Onset Date: 04/30/2021
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: Strawberries

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

Symptoms: Within a minute of administering vaccine both of patient's hands began to swell and turn bright red but no reports of itchiness and otherwise patient was fine and did not report any other symptoms suggesting a systemic allergic reaction. Oral Benadryl was administered and patient was monitored for 30 minutes with no issues and no worsening symptoms, though the swelling and redness did not go down during that time. Patient mentioned a similar reaction happened after her 1st dose and that the swelling and redness took several hours to return to normal and that a similar reaction happens when she eats strawberries. Patient left on her own after 30 minutes (could not require her to stay) stating she was fine.

Other Meds:

Current Illness:

ID: 1274761
Sex: F
Age: 58
State: TX

Vax Date: 03/02/2021
Onset Date: 03/01/2021
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: not known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: rash on arms and all the way up to the face ; blisters and arms swollen

Other Meds: nkda

Current Illness: none reported

ID: 1274762
Sex: F
Age: 42
State: MN

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: Fainted approximately 2 minutes after injection. Woke up approximately 1 minute later and immediately vomited.

Other Meds: Lisinopril, xyzal, atorvastatin, lexapro, nuvaring, biotin, multivitamin

Current Illness: None

ID: 1274763
Sex: M
Age: 25
State: UT

Vax Date: 04/29/2021
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: N/A

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

Symptoms: Pt received the Anthrax vaccine within x14 days of receiving the COVID vaccine. Pt notes that he received the 1st COVID-Pfizer vaccine on 29Apr2021 and the 2nd dose of Anthrax on 19Apr2021. Pt notes the night of COVID vaccine he developed 99.5 and HA, today he continues to have HA, dizziness and stomachache.

Other Meds: N/A

Current Illness: N/A

ID: 1274765
Sex: M
Age: 33
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
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: unknown

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

Symptoms: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.

Other Meds: unknown

Current Illness: unknown

ID: 1274766
Sex: F
Age: 53
State: WI

Vax Date: 03/17/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Patient experienced cough, sore throat, headache, and runny nose on 4/27

Other Meds:

Current Illness:

ID: 1274767
Sex: M
Age: 53
State: CO

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Massive ringing and tinnitus in both ears within 8 hours of receiving the vaccine. Constant loud ringing in ears is ongoing, it has not gotten any better since the shot. Initially got fever (100.5) and chills and muscle aches and ringing in ears, the fever/chills/aches have resolved after 3 days, but the ringing in both ears is still present and loud.

Other Meds: Levothyroxine 50mcg/1xday Eliquis 5mg/2xday

Current Illness: None

ID: 1274768
Sex: F
Age: 49
State: NJ

Vax Date: 04/29/2021
Onset Date: 04/30/2021
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: Patient called on the phone and told me that her injection site was red, swollen slightly, painful and that her jugular vein was throbbing when she pressed down on it and so she was worried. i asked her if she was able to take tylenol and if she could apply ice pack to the site of injection. i also told her to call her primary care doctor or go to urgent care to asses the throbbing of vein in her neck.

Other Meds:

Current Illness:

ID: 1274769
Sex: F
Age: 40
State: FL

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Injection site pain, Menorrhagia

Symptoms: shingles

Other Meds: progesterone

Current Illness: no

ID: 1274770
Sex: F
Age: 56
State: MO

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: fatigue, nausea, vomiting, cough, shortness of breath, myalgia, chest congestion, chest pain, chest tightness, headache

Other Meds: sertraline, metoprolol

Current Illness: none

ID: 1274771
Sex: M
Age: 55
State: MI

Vax Date: 04/26/2021
Onset Date: 04/26/2021
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 known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fever, chills, sob, myalgias, diarrhea, fatigue

Other Meds: lisinopril, vascepa

Current Illness: none known

ID: 1274773
Sex: M
Age: 28
State: TX

Vax Date: 04/26/2021
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: RA

Lab Data:

Allergies: NA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: NAUSEAS, MUSCLE PAIN, FEVER, TIREDNESS, INJECTION SIDE PAIN,

Other Meds: NA

Current Illness: NA

ID: 1274774
Sex: M
Age: 34
State: CA

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: 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: Fever, fatigue

Other Meds:

Current Illness:

ID: 1274775
Sex: F
Age: 67
State: CT

Vax Date: 03/18/2021
Onset Date: 03/19/2021
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: None

Symptom List: Nausea

Symptoms: I woke up at 3:00 am out of a sound sleep on 3/19/21 with a very, unusual headache, whereby I could hardly keep my eyes open. I also had a stuffy nose, and felt slightly nauseous. I was exhausted and had difficulty going back to sleep. Around 10:00 pm on 3/20/21, I noticed a rash on my upper chest and my midriff was bright red. On 3/21/21 most of my front and back torso began to itch. On 3/22/21 the itching stopped.

Other Meds: 2000 ICU Vitamin D

Current Illness: None

ID: 1274776
Sex: M
Age: 17
State: ID

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: none

Symptom List: Injection site pain

Symptoms: Moderna vaccine was given instead of Pfizer for a 17 year old.

Other Meds: none

Current Illness: none

ID: 1274777
Sex: F
Age: 28
State: ID

Vax Date: 04/29/2021
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: None

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

Symptoms: Woke up at 8am with high heart rate over 100, occurred throughout sleep up to 110 bpm and continues to be over 100 during inactivity. Oxygen is good and fatigue is moderate. Not short of breath but have sore throat. Not an allergic reaction. Heart rate has came down by 4pm but is still high 90s.

Other Meds: Ibuprofen

Current Illness: None

ID: 1274778
Sex: M
Age: 26
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
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: unknown

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

Symptoms: The dose for the Moderna vaccine is .5 mL. The patient inadvertently received an extra 0.01 to 0.02 mL. The manufacturer instructed us to contact the patient to inform them that the increased dosage could potentially lead to side effects that could be local or systemic. No adverse events were reported by the patient.

Other Meds: unknown

Current Illness: unknown

ID: 1274779
Sex: F
Age: 76
State: NM

Vax Date: 04/05/2021
Onset Date: 04/05/2021
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: LATEX--OXYCODONE--VASOTEC.

Symptom List: Tremor

Symptoms: @ 10 PM, I STARTED GETTING HIVES BEHIND MY LEFT KNEE. THEY GOT WORSE, SPREADING AROUND MY ENTIRE LEG & @ 12" HIGH. I TOOK A BENADRYL TABLET, APPLIED TOPICAL CORTISONE MULTIPLE TIMES, USED BENADRYL SPRAY MULTIPLE TIMES. I DID THIS TIL @ 11:30 WITH NO IMPROVEMENT. I WAS AFRAID TO GO TO SLEEP, SO WE HEADED TO THE ER. @ 20 MINUTES LATER, THE REDNESS & SWELLING STARTED TO SUBSIDE. WE GOT TO THE HOSPITAL, BUT DECIDED, SINCE THE AFFTETED AREA WAS NOW NORMAL, THAT WE WOUD GO HOME. mY ONLY GUESS, IS THAT THE MEDICATIONS HAD FINALLY TAKEN EFFECT. I DO HAVE A PHOTE, IF YOU ARE INTERESTED IN THAT.

Other Meds: COREG-HCTZ-SPIROLACTONE-CRESTOR-LEVOTHYROXINE-VITAMIN D- MULTI VITAMIN-COQ-10-ENSURE-PREMIER PROTEIN DRINK.

Current Illness: HYPOTHYROIDISM-HTN-PULMONARY FIBROSIS-GERD-HIGH CHOLESTEROL.

ID: 1274780
Sex: F
Age: 74
State: MA

Vax Date: 03/10/2021
Onset Date: 04/27/2021
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: 49 days after the single injection of the Covid Johnson & Johnson vaccine I was diagnosed with Shingles even though I had been vaccinated with the Shingles vaccine in October and December in 2019

Other Meds: Alendronate Sodium,Actemra, prednisone, levothyroxine, Lisinopril, Multivitimim

Current Illness: none

ID: 1274781
Sex: F
Age: 62
State: CA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
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: None known.

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

Symptoms: Felt hot and sweaty for a few minutes. Walked over to restroom, felt dizzy and fainted for about a minute or so I was told. I called my primary care provider?s office and I was advised to go to ER which I did. ER records list the cause of the syncope as ?vaccine reaction.?

Other Meds: Hyoscyamine (substituted for Levsin), vitamin C, vitamin D-3, calcium/magnesium.

Current Illness: None

ID: 1274782
Sex: F
Age: 59
State: AZ

Vax Date: 04/01/2021
Onset Date: 05/29/2021
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: None

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

Symptoms: Wore up extremely tired,took temperature and had a fever of 99.4 couple of hours later I had a a headache that continued though the day. Stayed in bed all day fever got higher by 4:00 p.m. took Tylenol

Other Meds: None

Current Illness: None

ID: 1274783
Sex: M
Age: 75
State: OH

Vax Date: 12/30/2020
Onset Date: 01/03/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: I had received about 20CC Bellafill 5 Year Facial Filler . Four days after my first COVID 19 vaccine, I began to notice loss of volume in my face. That became severe with hollowing, emaciation, and severe asymmetry. My face is distorted and remains so today.

Other Meds: Tylenol

Current Illness: None

ID: 1274784
Sex: M
Age: 63
State: TX

Vax Date: 03/16/2021
Onset Date: 04/23/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Slurred speech, drooping left upper lip, feeling funny. One episode at @ 9:00 am, second episode @ 3:00 pm on the same day. Treatments at ER: Plavix, IV fluids

Other Meds: none

Current Illness: none

ID: 1274785
Sex: F
Age: 64
State: NY

Vax Date: 04/18/2021
Onset Date: 04/18/2021
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: ceclor, sulfa, infed, dvap, diflucan, hydrocodone, cipro, iv benedryl, dilaudid, mobic, naprosin, vicodin, darvon

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

Symptoms: hotness, going to pass out, vomit, stomach issues, afib, swollen lymph nodes, naseau

Other Meds:

Current Illness:

ID: 1274786
Sex: F
Age: 42
State: MA

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: IM
Vax Site: LA

Lab Data:

Allergies: Tylenol

Symptom List: Pain in extremity

Symptoms: Within 6 hours started to feel kind of crappy ;within 12 hours had a 101 fever ;with in 17 hours had a 104 fever. By 24 hours - the 36 hour mark I was fighting that fever. I could not move my arm. the fever finally did go away at the 36 hour mark and now I get these lightning bolt shocks through my joints..... 48 hours later... Now i got severe cold sweats

Other Meds: Gabapentin, prozac, Elavil

Current Illness:

ID: 1274787
Sex: M
Age: 53
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/06/2021
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: Vaccine was given Subcutaneously instead of Intramuscularly

Other Meds: NONE

Current Illness: NONE

ID: 1274788
Sex: F
Age: 37
State: HI

Vax Date: 03/22/2021
Onset Date: 03/27/2021
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: vulvar varicosity and hemorrhoids

Other Meds: none

Current Illness: none

ID: 1274789
Sex: F
Age: 55
State: WA

Vax Date: 04/23/2021
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: penicillin, sulpha

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

Symptoms: I am perimenopausal and have not had a period in almost 11 months. I started a light period on 4/22 in the morning with light cramping and it continued to be light all day. By 4pm I started to have painful abdominal cramps that became severe. I took about 8 doses of OTC naproxone between 5:30am-8pm but still experienced severe pain that kept me immobile from about 5pm to 9:30pm when I fell asleep. I woke up Friday 4/30 with continued light bleeding. At about 9am the bleeding became profuse for about 10 minutes soaking my pad and pants. Then it returned to light bleeding. This is not a typical period for me.

Other Meds: Bupropion, levothyroxine

Current Illness: none

ID: 1274790
Sex: M
Age: 47
State: ME

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Within 5 minutes, patient was sweating, flushed, and stated that he was about to faint. Patient fainted and was unable to respond to verbal or motor commands. Patient had rapid, shallow breathing. Patient's hands/arms were twitching very slightly. Patient was moved onto the floor and rolled onto his side after he started to gag like he would vomit. Once on the floor, patient regained consciousness within 1-2 minutes and was able to sit up after another 5 minutes. Paramedics arrived and examined him. He left under his own power.

Other Meds:

Current Illness:

ID: 1274791
Sex: F
Age: 62
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: AFTER RECEIVING FIRST DOSE MODERNA, PATIENT REPORTS FEELING DIZZY AND JULD SHORTNESS OF BREATH, , PT HAS ALLERGIES TO TO GENERAL ANASTHESIA, BENADRYL AND SEASONAL ALLERGIES UPON AMBULATION PATIENT REPORTS FEELING NAUSEOUS, DIZZY, WEAKNESS OF BILATERAL LEGS.

Other Meds:

Current Illness:

ID: 1274792
Sex: F
Age: 52
State: CA

Vax Date: 04/29/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: bodyaches fever chills

Other Meds:

Current Illness: NONE

ID: 1274793
Sex: F
Age: 70
State: AZ

Vax Date: 04/06/2021
Onset Date: 04/21/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Zithromax, eritomicin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: My left leg started hurting from my foot all the way up to the top of my thy was swollen painful.. the morning of 4/21/21

Other Meds: Prednisone 5mg hydrochloride 25mg, potassium 10meq,biotin, vit D3

Current Illness: None

ID: 1274794
Sex: F
Age: 36
State: WA

Vax Date: 04/01/2021
Onset Date: 04/26/2021
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: Nuts and peanuts

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

Symptoms: Sore arm, body aches, headache. Delayed menstruated cycle, mood swings (feel related to hormonal changes)

Other Meds: None

Current Illness: None

ID: 1274795
Sex: M
Age: 26
State: CA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Headache, fatigue

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm