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: 1278192
Sex: M
Age: 35
State: NY

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 05/01/2021
Hospital: Y

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: Abdominal discomfort diagnosed as acute appendicitis

Other Meds:

Current Illness:

ID: 1278194
Sex: M
Age: 42
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: No known drug allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: The patient received his covid vaccine and minutes later, he had a syncopal episode. He recovered shortly after, but his heart rate was low at 44 bpm. EMT was called to the pharmacy for emergency assistance.

Other Meds: Multivitamins

Current Illness: No reported illnesses

ID: 1278195
Sex: M
Age: 28
State: KS

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Patient fainted approximately 2 minutes after administration of Moderna vaccine. Patient was seated in chair and came too within 1 to 2 minutes. Patient did not require further treatment. Patient had a history of passing out on previous vaccinations.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1278196
Sex: F
Age: 40
State: PA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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 received vaccination at location listed and came into her pharmacy the day after vaccination to report a red, swollen area around the vaccination site. It is about 3 inches wide, lower than deltoid region of the arm, almost halfway between the shoulder and elbow. It is more posterior, warm to the touch. The patient also reports numbness in her left hand shortly after vaccination and sudden leg numbness day after vaccination that recovered. Informed patient to contact location that gave vaccination but clinic is closed for the weekend. Also encouraged patient to seek medical attention as soon as possible. She was considering an emergency room visit or contacting PCP on Monday, unsure of outcome.

Other Meds:

Current Illness:

ID: 1278197
Sex: M
Age: 35
State: CO

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: mild allergies to latex, some grass and tree pollen

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

Symptoms: After 2nd dose of COVID19 vaccine (taken 3 weeks after first dose) I had a feeling of a mild fever/chills and low energy and body aches about 12 hours after the injection. However I also begin getting a lot of pain and tightness around my right rib cage intercostal muscle area and lower back (QL area to Lats). This made it harder to breath and hurt while I laid down to sleep. It also hurt to take a deep breath/cough/laugh etc. This lasted until Thursday night (4/29/21) when the same kind of pain moved over to my left side. The past 2 days it has become quite intense though making it impossible to sleep on my back last night (I had to sit upright to avoid intense pain) and painful to even walk. It still hurts in my left rib cage at rest (feels more like a dull ache and stiff), but intensifies if I try to expand my lungs with breathing or lie down or move in any way. Mainly intercostal area around the rib cage and the back around my lung. Thought I might have to go to the emergency room last night it was so bad.

Other Meds: albuterol rescues asthma inhaler (Ventolin)

Current Illness: none

ID: 1278198
Sex: F
Age: 46
State: PA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 05/01/2021
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: Demerol (meperidine), Prochlorperazine, Quinolones, PCN

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

Symptoms: 27Mar21: In-office generalized rash/hives ~20-25 post injection (light, ~1-2/10); 27Mar21 on: Generalized itchiness later that day that has lasted days/weeks; Week 28Mar21: Mid-late week noticed slight discoloration on nose, freckly, cheeks blotchy; Resting HR, while "normal" seems elevated for what would expect when not active (mid 80s-mid 90s); lowest upon waking (high 60s); SEE CONTINUATION PAGE

Other Meds: Occasional multivitamins

Current Illness: Nothing notable

ID: 1278199
Sex: F
Age: 35
State: CA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 05/01/2021
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: Keflex, Bactrim, Doxycycline

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Chronic right shoulder pain, reduced range of motion Intermittent pain in right hand Intermittent shortness of breath Increased fatigue

Other Meds: Vitamin C Vitamin D Iron Zinc Glutathione Zyrtec NAC Energetix Phyto-Rad NutraMedix Burbur Pinella BioPure EN-V Holy Basil Ashwagandha 5-HTP Berberine B12 Magnesium

Current Illness:

ID: 1278200
Sex: M
Age: 43
State:

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital: Y

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

Lab Data:

Allergies: Keppra

Symptom List: Pharyngeal swelling

Symptoms: Received first Covid shot, immediately had aura of a seizure, then had seizure like activity

Other Meds: Abilify, Belbuca, Adderall, Cymbalta, Neurontin, Lamictal, Ativan, Provigil, Trileptal, Pravastatin, Prazosin, Testosterone

Current Illness: TBI, PTSD, focal seizures w/secondary generalization, DM, HTN, chronic pain, PNES

ID: 1278201
Sex: F
Age: 44
State: NM

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 05/01/2021
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: doxycycline, codeine, hydrocodone, avocados, melons, tomatoes

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 12/31 vaccination Later that afternoon, I started with body aches, hard time breathing. My husband took me to urgent care and put me on O2 for a while. A couple days later, same episode. Off and on, depending how active I was, it would happen. I would use my inhaler when needed. I went to talk to dr. Went back to urgent care . They got me a O2 machine and nebulizer. Stayed in at hotel and admitted into the hospital. I had to be incubated and inpatient till 1/29/ 2021. I was told I was COVID +. I really don't remember. I couldn't walk, move, I was too weak. I am still going thru physical therapy, appt to see lung doctor, on O2 machine. I go to PT 1x a week because I don't have enough oxygen bottles. *PCM ordering CT and to see lung specialist ; putting in referral *Referral OBGYN, stomach issues/pain *feet numbing and tingling; I still lose balance

Other Meds: n/a

Current Illness: n/a

ID: 1278202
Sex: F
Age: 43
State: NY

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: Nausea, Blurry vision, temp hearing loss, unconscious , and numbness all over the body

Other Meds:

Current Illness:

ID: 1278203
Sex: F
Age: 43
State: NH

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Keflex

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

Symptoms: Extreme migraine, excruciating body pains, chest pain, palpitations, shortness of breath, chills

Other Meds: Advil, vitamin C

Current Illness: None

ID: 1278204
Sex: M
Age: 45
State: WA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: unknown

Symptom List: Rash, Urticaria

Symptoms: Pt. experienced dizziness post first pfizer vaccination. Pt. found on ground conscious and responsive. EMS called. Vital signs stable. Pt. given juice, cleared by EMS.

Other Meds: unknown

Current Illness: unknown

ID: 1278205
Sex: M
Age: 48
State: NC

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: VALID VACCINE DOSES WERE MIXED WITH EXPIRED VACCINE DOSES (WHICH WERE NOT DISPOSED OF APPROPRIATELY). ADMINISTERING TECH IS UNSURE WHICH PATIENT RECEIVED. OFFERED PATIENT TO REVACCINATE PER RECOMMENDATION FROM CLINIC TEAM.

Other Meds: N/A

Current Illness: N/A

ID: 1278206
Sex: F
Age: 17
State: NY

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: No per patient's answers to questionnaire.

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

Symptoms: "Approximately 2 minutes after vaccination the 17 year old female had a "tonic seizure". Became unresponsive for about 2 minutes. Mother reports daughter has a history of fainting/seizure after blood draws ("she's afraid of needles")" Patient left with family ambulating.

Other Meds: No per patient's answers to questionnaire.

Current Illness: No per patient's answers to questionnaire.

ID: 1278207
Sex: F
Age: 32
State: CA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: I woke up the day after with a painful back and strong nausea. I had diarrhea. Had a bit of fever (38 degrees) and felt very weak.

Other Meds: None

Current Illness: None

ID: 1278208
Sex: F
Age: 35
State:

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Patient is 25wks pregnant with estimated delivery date of august 11, 2021. The adverse event was an elevated heart rate beginning 10 hrs after administration of vaccine dose and lasting approx 24hrs. Elevated heart rate base was 100bpm and fluctuated up to 135bpm. During the 24hr period the heart rate did not fall below the baseline of 100bpm. This was in conjunction with severe body aches, headache, sore throat, runny nose and fever of 99.7F.

Other Meds: Prenatal Vitamin

Current Illness:

ID: 1278209
Sex: F
Age: 58
State: IL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: hydromorphone, hydrocodone, sumatriptan, codeine, tramadol, cortisone, fluticasone, sumatriptan succinate

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

Symptoms: Headache on left side of head and eye, pt reported she couldn't see out of left eye. Pt reported her heart was racing and she felt nauseous. She said this happened when she had dose 1 of her covid vaccine. She said this was similar to her migraines and she took her two tablets of her medication: (acetaminophen, caffeine, butalbital). Her pain subsided and she could see out of her eye again after 30 minutes. She reported taking that medication helped resolve her symptoms after dose 1 of the covid vaccine.

Other Meds: (acetaminophen, caffeine, butalbital), amitriptyline, topiramate, albuterol nebulizer and inhaler, budesonide-formoterol inhaler, enalapril, pantoprazole, celecoxib, benzonatate

Current Illness:

ID: 1278210
Sex: F
Age: 60
State: NH

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Pfizer vaccine was given in error as the second dose instead of Moderna. Patient was contacted and has no complaints of any adverse events yet.

Other Meds:

Current Illness:

ID: 1278211
Sex: F
Age: 32
State: MO

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: Dizzy ness, vertigo

Other Meds: Prozac 40mg

Current Illness: None

ID: 1278212
Sex: M
Age: 37
State: FL

Vax Date: 04/20/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, penicillin

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

Symptoms: Itchy and rash all over body

Other Meds: Metoprolol, topiramate, losartan

Current Illness:

ID: 1278213
Sex: F
Age: 37
State: TX

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: n/a

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

Symptoms: I fainted the day after receiving the vaccination. I had some chills and aches before that, but nothing else seemed out of the ordinary. Suddenly, I lost all function and passed out in a public space. I have never fainted before, so this is not normal for me.

Other Meds: Birth control

Current Illness: n/a

ID: 1278214
Sex: M
Age: 57
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: dry throat, lip tingling, swollen tongue, pt cleared and released.

Other Meds:

Current Illness:

ID: 1278215
Sex: M
Age: 23
State: PA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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

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

Symptoms: Pod 3 Patient experienced blurred vision and dizziness, Patient experienced syncope but was caught by a vaccinator. Gave oral fluids and crackers in med observation 1. Took vitals on patient at 4:40 pm heart rate 75, o2 98, BP 104/62. Patient was feeling better and we released him at 4:48 pm by himself.

Other Meds: no

Current Illness: no

ID: 1278216
Sex: M
Age: 31
State: NJ

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: Low grade fever Chills Delusions Joint Pain

Other Meds:

Current Illness:

ID: 1278217
Sex: F
Age: 47
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Injection site pain, Menorrhagia

Symptoms: nausea, dizzy, evaluated by EMS, discharged home

Other Meds:

Current Illness:

ID: 1278218
Sex: F
Age: 41
State: LA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: Full body rash/hives on day after shot (04/30). Day after that (05/01) rash has faded a little bit feels like sunburn

Other Meds: None

Current Illness: None

ID: 1278219
Sex: M
Age: 38
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient received immunization, appeared fine, but then had vasovagal episode on his way to observation chair. Patient and Caregiver report that patient has had anxiety issues causing him to faint multiple times in the past.

Other Meds:

Current Illness:

ID: 1278220
Sex: F
Age:
State: SC

Vax Date: 03/26/2021
Onset Date: 04/04/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Have had a consistent tight feeling in my head after having a headache 9 days after my first dose.

Other Meds: Birth control

Current Illness: None

ID: 1278221
Sex: F
Age: 35
State: AZ

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Upset tummy

Other Meds:

Current Illness:

ID: 1278222
Sex: F
Age: 42
State: MI

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 05/01/2021
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: My initial reaction within 5 minutes after vaccine injection I was sitting in waiting/observation room and had 2 major dizzy spells. Felt like I was going to faint and heart rate felt elevated. This subsided somewhat. Stayed in waiting room for 30 minutes. When I left facility heading home as someone else was driving me, I had another sudden side effect attack but much worse. The side of my mouth/chin area started to flutter and then that was followed immediately by shortness of breath, minor feeling of throat closure, very dizzy and extremely rapid heartbeat.

Other Meds: None

Current Illness: None

ID: 1278223
Sex: F
Age: 61
State: NC

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Injection site pain

Symptoms: VALID VACCINE DOSES WERE MIXED WITH EXPIRED VACCINE DOSES (WHICH WERE NOT DISPOSED OF APPROPRIATELY). ADMINISTERING TECH IS UNSURE WHICH PATIENT RECEIVED. OFFERED PATIENT TO REVACCINATE PER RECOMMENDATION FROM CLINIC TEAM.

Other Meds: N/A

Current Illness: N/A

ID: 1278224
Sex: F
Age: 36
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Allergic to peanuts Had classic pertussis vaccination reaction at 4 months, haven?t had any pertussis vac since (but up to date on all other vaccines)

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

Symptoms: Chills, icy hands and feet, aches, swollen armpit and salivary glands on side of injection, swollen injection site, fatigue, weird persistent twitching/muscle spasm in my left upper lip.

Other Meds: Norethindrone/ethinyl estradiol 1/20 tablets daily 5,000-10,000 IU vitamin d 3 daily Multivitamin gummies approx 4x/week Magnesium supplement as needed for anxiety/sleep (estimated 2x/week) Zyrtec as needed for seasonal allergies (estim

Current Illness: None! I?ve been quarantined except occasional masked doctors appointments since March 2020 because I?m a caregiver for someone at-risk. Haven?t even had the sniffles.

ID: 1278225
Sex: M
Age: 0
State: IA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Patient experienced lightheadedness. Also reported feeling thirsty & sweaty.

Other Meds:

Current Illness:

ID: 1278226
Sex: F
Age: 18
State: MD

Vax Date: 04/12/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
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: Bacitracin

Symptom List: Tremor

Symptoms: Developed bilateral ankle pain on 4/28 which progressed to significant ankle pain (difficulty bearing weight) and rashes to both ankles, now spreading up both legs on 4/30.

Other Meds: Loestrin 21

Current Illness: None

ID: 1278227
Sex: F
Age: 70
State: NY

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Sulfur

Symptom List: Erythema, Pruritus

Symptoms: Patient received incorrect vaccine. Patient was observed for the 15minute observation period and had no noticeable reactions.

Other Meds: Aspirin, atorvastatin, carvedilol, hydrochlorothiazide

Current Illness: Anemia, hypertension, hyperlipidemia, branch vein retina occlusion

ID: 1278228
Sex: F
Age: 58
State: CO

Vax Date: 04/17/2021
Onset Date: 04/27/2021
Rec V Date: 05/01/2021
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: hydrocodone, oxycodone

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

Symptoms: Neurological event with neuropathy

Other Meds: metformin, omeprazole, potassium chloride, buproprion, progesterone, modafanil, chlorthalidone

Current Illness:

ID: 1278229
Sex: F
Age: 39
State: OK

Vax Date: 04/23/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Lortab, Gluten

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

Symptoms: On 4/30/21 at approximately 7:00pm, exactly 1 week after first dose of vaccine, I began noticing that my arm was itching at injection site. I looked and noticed site was red and I had a small hard knot in the area that was slightly warm. The appearance at that time was similar to a bug bite. By the next morning when I woke up (5/1/21) the area had grown much larger. I now have a large knot on my upper arm at injection site that is red, swollen, raised, hard, very warm to the touch, itchy, has a white pinpoint in the center, and is approximately 3-3.5 inches in diameter at this time currently. It is now 4:00pm on 5/1/21 and these are my current symptoms.

Other Meds: Liothyronine, Levothyroxine, Metformin, Hydroxychloroquine, Omeprazole, Pioglitazone, Baclofen, Uribel, Cetrizine, Tresiba, Aimovig, Vitamin D3, Probiotic, Melatonin, Biotin, Folate, Vitamin B12, Vitamin B6

Current Illness: None

ID: 1278230
Sex: M
Age: 26
State: UT

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: After receiving the COVID vaccine (2nd shot), the patient experienced some lightheadedness and lost consciousness and then regained consciousness after a couple of minutes. This has occurred in the past with other shots. A rapid response was called, the patient was evaluated and did not wish to go to the ED. Vitals were taken and were within normal limits. Patient remained in observation for 30 minutes and left.

Other Meds:

Current Illness:

ID: 1278231
Sex: F
Age: 58
State: IL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: hydromorphone, hydrocodone, sumatriptan, codeine, tramadol, cortisone, sumatriptan succinate

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

Symptoms: Pt had a headache on the left side and reported eye pain and not being able to see out of her left eye and feeling nauseous. She reported the same thing happened after dose 1. She also reported that she felt like her heart was racing. She took acetaminophen, caffeine, butalbital and her symptoms resolved within 30 minutes.

Other Meds: (acetaminophen, caffeine, butalbital), amitriptyline, topiramate, albuterol nebulizer and inhaler, budesonide-formoterol, enalapril, pantoprazole, celecoxib, benzonatate

Current Illness:

ID: 1278232
Sex: F
Age: 22
State: IN

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: Codeine

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

Symptoms: Sore throat, nausea, fatigue, and nasal congestion. Symptoms presented themselves two days post-vaccination and persisted for at least three days. Treated symptoms with acetomeniphine, peppermint essential oil, and eucalyptus essential oil.

Other Meds:

Current Illness:

ID: 1278233
Sex: M
Age: 39
State: TN

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: ibuprofen, hydrocodone

Symptom List: Pain in extremity

Symptoms: Patient was given his first modern dose. About 10 minutes after vaccination the patient and his wife alerted me that he was feeling like he was going to pass out. Also reported feelings of ringing in ears, nausea, cold sweats and very pale. I had the patient sit on the ground. I offered him water, but his wife got him a soft drink. He notified us that he had not eaten today. We gave his wife glucose tablets which the patient took 2. He took the 2 glucose tablets while we waited for EMT's to arrive. He had more color in his face after the soft drink and glucose tablets. The EMT's evaluated him and decided to take him to hospital out of caution.

Other Meds: not available

Current Illness: no reported illnesses

ID: 1278234
Sex: F
Age: 45
State: NY

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: flexeril

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

Symptoms: About 26 hours after 2nd dose of Covid 19 vaccine I had a series of short intense attacks of pain in my left center chest. The pain is not as severe as that day but still feels like there is an infection or blockage of sorts in that exact area.

Other Meds: levothyroxine, yaz, biotin, b12, minoxidil foam, calcium + d3, restasis, refresh

Current Illness:

ID: 1278235
Sex: M
Age: 27
State: OH

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chills, fever, joint ache, mild headache

Other Meds:

Current Illness:

ID: 1278236
Sex: M
Age: 62
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: No

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

Symptoms: Tired, vomiting, back and body hurt.

Other Meds: Losarton

Current Illness: No

ID: 1278237
Sex: F
Age: 34
State: TX

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 05/01/2021
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: I experienced red striations and a burning sensation on tongue and the sensation of a warm tooth. I was diagnosed with Burning Mouth Syndrome by my dentist a week after my first vaccine. Severe symptoms lasted about a month. Minor symptoms still present. No treatment required. Never experienced this syndrome before.

Other Meds: Erin Birth control and Allegra daily

Current Illness: None

ID: 1278238
Sex: F
Age: 47
State: TX

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Left side numbness from face to lower extremity of vaccine arm. EMT noted no facial drooping, and reported symmetry. Patient reported as very anxious with uncontrolled HTN and anxiety. Pt with history of Bell's Palsy, denies SOB or lip/tongue swelling. EKG WNL. Transported per patient request. See chronic conditions section for list of existing conditions.

Other Meds:

Current Illness:

ID: 1278239
Sex: F
Age: 31
State: NE

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: Fever, Body Aches, Headache, Dizziness, Shakes

Other Meds:

Current Illness:

ID: 1278240
Sex: F
Age: 32
State: FL

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Patient was checked out at 1603 but chose to remain in building to wait for her fiance. At 1610 patient began to complain about an itchy mouth, a metallic taste in her mouth. Observation nurse provided her with water. Symptoms worsened, progressing to worsening itchy mouth, coughing, hives on her chest, and Charge Nurse administered 20mL Benadryl. At 1615 Patient continued to have symptoms of coughing, metallic taste in mouth, burning of throat; then gagging. 1618 911 was called and a set of vitals were taken. Patient began complaining of pressure in her chest and then she fainted. Patient was moved from chair to laying flat on the floor. 1625 Epi-pen was administered on the left lateral thigh by charge nurse. 1626 EMS arrived, was given a report by the Charge Nurse. The patient left with the EMS.

Other Meds: None

Current Illness: High cholesterol

ID: 1278241
Sex: M
Age: 43
State: HI

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Vasovagal episode. After receiving dose patient complained of feeling lightheaded, nauseous and was visibly sweating. Vitals were taken 10:10 106/60 97% HR: 52. At 1015 vitals were 118/10, 98% and HR 65. Patient was given wet towels around his neck and on his forehead. brought cot to patient and patient placed in trendelenburg position. pt given water and stated he was no longer lightheaded or nauseous but continued to have HA. Pt at that time was being evaluated by both doctors. Patient then walked to monitor area where was continuously checked on until 1100 when his vitals were rechecked (118/80, 68HR). Pt stated he felt better and was released and recommended not to drive. Pt says his brother would drive him home. - RN

Other Meds: no

Current Illness: no

ID: 1278242
Sex: M
Age: 19
State: LA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: No known allergies

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

Symptoms: A few minutes after receiving their dose the patient was standing when he fainted and fell to the floor. Patient was on the floor for several minutes, receiving assistance from staff members and a pharmacist to get into a chair and check his status. He was sitting in the chair for a few minutes conscious when he began to faint again. Patient was splashed with water to keep him awake and monitored closely. Patient said he felt fine, 911 was already called and the ambulance took the patient to receive stitches for the blow to his chin when he fell.

Other Meds: None as in the profile

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm