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: 1280397
Sex: F
Age: 34
State: WA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/02/2021
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: Moderate-severe intolerance to gluten AND mild-moderate casein intolerance, both developed after getting covid-19 in December 2020. No other allergies.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Immediately after, the usual - nausea, arm pain, faintness. The next day - chills/fever, fatigue, nausea. Persisting for nearly 3 weeks to present - enlarged spleen presenting with spleen pain (something I haven't experienced since December with covid and in earlier 2020 with mono), fatigue, back pain, indigestion, nausea, right arm soreness at site of injection, joint pain

Other Meds: Multivitamin B-complex Vitamin D Iron GABA St. John's Wort L-taurine

Current Illness: Longhaul COVID-19 (mild)

ID: 1280398
Sex: M
Age: 43
State: NY

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none reported by client when asked

Symptom List: Anxiety, Dyspnoea

Symptoms: Client was administered second dose of Pfizer Covid Vaccine a week earlier than scheduled. NO reaction noted when observed for 15 minutes post vaccination. Medical consult given before and after.

Other Meds: immunocompromised, on medication

Current Illness: n/a

ID: 1280399
Sex: F
Age: 51
State: MI

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 05/02/2021
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: Approx 22 hours after receiving 2nd Covid 19 vaccine, I started to experience chills. Chills went away after 8 hours, but right after the chills started, I experienced an absolute terrible headache and nausea. Even had diarrhea. Everytime I moved my head, it hurt worse. I could not function. I was in severe discomfort. Symptoms lessened after 24 hours.

Other Meds: None

Current Illness: None

ID: 1280400
Sex: F
Age: 22
State: NJ

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: After 1st shot: sore arm (24hrs) - limited movement in arm when in certain positions above head (still continuing) 2nd shot: sore arm, limited movement in arm when in certain positions overhead chills, body aches, fatigue, sore arm, swollen node underarm (lasted 36hr after shot) 2 weeks after 2nd: still limited mobility in arm in certain position (not to the touch, more the muscle in certain positions)(more of an discomfort rather than sharp pain)

Other Meds: oral contraceptive

Current Illness: n/a

ID: 1280401
Sex: M
Age: 49
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Shot was on my left arm. My left side of the face felt like i came home from a brutal dentist appointment. The whole side of my face felt numb. My lymph node was also giving me pain..... It is now eight days after my shot, and I still feel a little numbness on the left side of my face. It is not as prevalent as it was, i am not taking any Tylenol or Advil because of it, although i did on day 1-3. (Tylenol)

Other Meds: none

Current Illness: none

ID: 1280402
Sex: M
Age: 47
State: PA

Vax Date: 03/27/2021
Onset Date: 04/07/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: rash all over body that got progressively worse, doctor thinks immune response to covid 19 vaccine triggered psoriasis flare, treatment with prednisone taper

Other Meds:

Current Illness:

ID: 1280403
Sex: M
Age: 32
State: IL

Vax Date: 03/25/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: patient presented to ed on 5/1/2021 with acute stroke, no family history of stroke. P

Other Meds: Daily marijuana use from dispensary

Current Illness: Neck pain- seen by ortho

ID: 1280404
Sex: F
Age: 77
State: NC

Vax Date: 03/31/2021
Onset Date: 04/06/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Nitroglycerin

Symptom List: Pharyngeal swelling

Symptoms: 4/6/21: Woke up in pain on left side of face and cannot swallow 4/10/21: Went to fast med with a swollen lympth node on the left side of jaw. MD stated there was an infection and prescribed Augmentin for 14 days. 4/23/21: back to fast med. Still has no healed and was prescribed Doxycycline for `14 days 4/26/21: Patient developed a vaginal itch and raw legs * Stated had a headache during this whole duration

Other Meds: None at the time

Current Illness: Thyroid

ID: 1280405
Sex: M
Age: 37
State: IN

Vax Date: 04/29/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Penicilin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Hives and Swelling of hands, face and arms. Treatment was an epi pen and 60mg of prednisone to be taken daily for 5 days.

Other Meds: Escitalopram 20mg Wellbutrin 150 mg extended release Gabepentin 300 mg Omeprazole 20mg

Current Illness: None

ID: 1280406
Sex: F
Age: 39
State: PA

Vax Date: 04/12/2021
Onset Date: 04/17/2021
Rec V Date: 05/02/2021
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: Morphine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 5 days after I got the shot my eyes started to get swollen and red eyelids. Went to my doctor on Tuesday (1 week) after the shot and she prescribed steroids, did not worked, 2 antibiotics did not worked, all blood work is normal. Two weeks after i started with symptoms my eyes are worst than ever. Eye doctor cleared me of infections.

Other Meds: Advil, vitamin

Current Illness: Back pain

ID: 1280407
Sex: M
Age: 63
State: NY

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 05/02/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Stroke

Other Meds: Amlodipine. Ramipril. Aspirin

Current Illness: High blood pressur

ID: 1280408
Sex: M
Age: 67
State: AL

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 05/02/2021
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: tramadol

Symptom List: Rash, Urticaria

Symptoms: acquired hemophilia, requiring hospital admission for internal bleeding

Other Meds: amLODIPine-benazepril (amlodipine-benazepril 10 mg-20 mg oral capsule) 1 cap(s) - Oral - Daily - amLODIPine-benazepril (amLODIPine-benazepril 10 mg-20 mg oral capsule) 1 cap(s) - Oral - Daily - aspirin (aspirin 81 mg oral delayed releas

Current Illness: sarcoidosis, left shoulder pain

ID: 1280409
Sex: F
Age: 42
State: AL

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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: Large lump on injection arm. It?s hot very swollen and sore

Other Meds: Tumeric, Tylenol, Benadryl

Current Illness:

ID: 1280410
Sex: F
Age: 47
State: NY

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: fever, arm soreness, headache, fatigue day after. 2 days after started unusually heavy period 8 days early.

Other Meds: low dose aspirin, 50mg spironolactone, vitamin d supplement

Current Illness: none

ID: 1280411
Sex: F
Age: 63
State: OH

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: No known allergies

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

Symptoms: Patient experiencing Arm Pain, stiffness, heaviness.

Other Meds:

Current Illness:

ID: 1280412
Sex: M
Age: 16
State: CT

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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: NKDA

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

Symptoms: Patient was sitting down and said he felt dizzy, guardian with him stated that he passed out briefly and then just said he felt dizzy. He wanted to get some air so him, myself, and his mom went outside and waited for the paramedics to arrive . Once outside, patient said he felt better but a little dizzy. Paramedics came to make sure he was okay, he went to the hospital after that,

Other Meds:

Current Illness:

ID: 1280413
Sex: M
Age: 62
State: MO

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: couldn't breath, gasping, inability to get up or get out of bed. lasted approximately 12 minutes then the gasping and labored breathing diminished and became easier to breath. after several more minutes, I was able to breath normally and could get up out of bed but couldn't walk without holding on to something. After a week my breathing is still shallow and my chest still feels "tight" at times.

Other Meds: diclofenac sodium 750mg hydrochlorothiazide 25mg amlodipine-benaz 10/40mg

Current Illness: none

ID: 1280414
Sex: M
Age: 52
State: GA

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: gluten and dairy sensitivities

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Within a week of vaccine started to have intense itching on back. A week later it progressed to the torso - both on the right side. Was diagnosed with shingles on April 18th and began a round of antiviral which reduced itching/burning sensation and reduced rash. Rash is now nearly gone although still feeling very fatigued.

Other Meds: Fosinopril, Tolvaptan, Fish Oil, Multivitamin, Vitamin D, Probiotic

Current Illness: None

ID: 1280415
Sex: M
Age: 49
State: WA

Vax Date: 04/29/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: When I woke up this morning I could feel my throat was swollen and I had slight difficulty ingesting saliva. But I was able to drink water without too much problem. After a while when I was brushing my teeth I realized I could not gargle. I did not pay much attention. When I tried to eat breakfast I realized that I was not able to ingest any solid food at all. Then I realized my voice had become very hoarse. When I told my wife about it (she is a pediatrician) she looked into my mouth to check uvula but could not see it. She pointed out it could be an allergic reaction but was not sure of the reason. I took liquid Benadryl which we had at home and she also gave me a table of famotidine. I also had prednisone but did not take that as as I did not want anything to hurt vaccine's immunity effect. However, out of caution we drove to an ER and waited in its parking lot for an hour. Slowly I noticed that my swelling had reduced and I was able to see a little bit of uvula. So we decided to come back home. I am feeling much better now though not fully normal.

Other Meds: Multivitamins

Current Illness: Seasonal allergy

ID: 1280416
Sex: M
Age: 25
State: CT

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chills, headaches, brief high fever

Other Meds: Glycopyrolate Multivitamins

Current Illness:

ID: 1280417
Sex: M
Age: 46
State: MI

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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 aware

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

Symptoms: Swelling of the lips and face

Other Meds: Aspirin - 81 mg Melixicam - 15 mg OxyCodone - 5 mg Acetaminophen - 500 mg

Current Illness: None

ID: 1280418
Sex: F
Age: 64
State: OR

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: sulfa penicillin thimerasol

Symptom List: Unevaluable event

Symptoms: Within an hour, tingling in feet and toes which lasted a couple hours, with both doses of vaccine. Mild but noticeable. No Rx, no change in OTC's taken those days, light breakfast only, no caffeine. I am retired pharmacist, and this side effect not listed on EUA label so I am reporting.

Other Meds: Vit D 2000IU qd turmeric 600mg qd ubiquinol i cap daily vit c 500mg qd probiotic 1 qd grape skin extract 1 qd

Current Illness:

ID: 1280419
Sex: F
Age: 78
State: GA

Vax Date: 02/25/2021
Onset Date: 04/24/2021
Rec V Date: 05/02/2021
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: PCN (itching)

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

Symptoms: Sore at injection sight (mild) next day. Nothing noticeable until 24 Apr 21 Pounding headache, fatigue, sleepy long periods , mild sore throat, blood pressure lower than usual . Temperature with in normal limits . I have been resting a lot , waiting for conditions to improve, however, as of this writing nothing has changed. Thus I decided to file this report. my I have not seen my healthcare provider yet but will make contact tomorrow

Other Meds: estrogen ASA Aleve Vit e3 Primidone

Current Illness:

ID: 1280420
Sex: F
Age: 37
State:

Vax Date: 04/15/2021
Onset Date: 04/24/2021
Rec V Date: 05/02/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: 1 week after 1st shot, small red spots appeared on legs, feet, thighs, neck, and chest. Along with unusally easy bruising on legs and thighs. These symptoms of spots and bruising still remain today.. Some blood after blowing nose for a few days. Pain in injection arm from wrist to shoulder and in armpit for a couple of days 1 week after shot.

Other Meds: Birth control pill, zyrtec, vitamin d/c/b

Current Illness: None

ID: 1280421
Sex: F
Age: 52
State: MA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: 52F with no known PMH developed progressive chest pain on 4/30/2021, admitted to Medical Center 5/2/2021 and found with NSTEMI with 95% proximal LAD occlusion w/ moderate thrombus successfully treated with drug-eluding stent x1. Pt received Pfizer vaccine #1 on 4/29. Of note, pt has not seen a doctor in several years, but labs notable for leukocytosis (WBC 14.0), polycythemia (Hgb 16.9) and thrombocytosis (PLT 959) concerning for undiagnosed polycythemia vera. If so, it is not clear whether her NSTEMI was a coincidence or whether the vaccine increased her risk of thrombosis.

Other Meds: None

Current Illness: None

ID: 1280422
Sex: F
Age: 43
State: PA

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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: After being outside today for no more than an hour I broke out in an itchy rash all over my legs (but only where they were exposed to the sun, not where they were covered). This used to happen a number of years ago the first few times I was in the sun each spring. However, this hasn't happened in a long time, maybe around 10 years or so. Today was very warm and sunny here so the sun was hot. I'm not sure if the return of the sun allergy is related to also having just gotten the vaccine, but nothing else was different and this hasn't happened in a very long time.

Other Meds: Losartan Potassium

Current Illness: None

ID: 1280423
Sex: M
Age: 24
State: FL

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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 allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: After ~5 minutes the patient got up and said he was feeling dizzy. We ran out and patient collapsed. They never lost consciousness, but were dizzy, pale, and sweating. We called 911. He started to feel better; however, paramedics took him away.

Other Meds: Nothing on profile

Current Illness: no know illnesses

ID: 1280424
Sex: F
Age: 93
State: OH

Vax Date: 04/22/2021
Onset Date: 04/28/2021
Rec V Date: 05/02/2021
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: Noticed some itching and redness around injection site on 4/28. Redness expanded in band around upper arm by 4/30. Today there is some itching and most of the redness a gone away.

Other Meds: Over the counter vitamin D3 2000IU intermittently hydroCHLOROthiazide 25MG one daily

Current Illness: None

ID: 1280426
Sex: M
Age: 44
State: TN

Vax Date: 01/12/2021
Onset Date: 03/01/2021
Rec V Date: 05/02/2021
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: Nka

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

Symptoms: Anxiety attacks began after taking the vaccine. Never had anxiety before getting the vaccine.

Other Meds: Zyrtec

Current Illness: None

ID: 1280427
Sex: F
Age: 45
State: FL

Vax Date: 03/25/2021
Onset Date: 04/02/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Supraclavicular lymph nodes inflammation (right side) It started 1 week after the shot and last a week more.

Other Meds:

Current Illness:

ID: 1280428
Sex: F
Age: 66
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: Swelling in feet beginning several hours after vaccine was admin. Continued thru ought that day 4/30/21 until completely subsided this morning (5/2/21) upon awakening.

Other Meds: None on file here.

Current Illness: N/a

ID: 1280429
Sex: F
Age: 39
State:

Vax Date: 04/24/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Motrin

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

Symptoms: Moderna arm--delayed allergic reaction in the injection site. I also have two scars from smallpox vaccine at childhood nearby. The while area is swollen and itch.

Other Meds: No

Current Illness: No

ID: 1280430
Sex: F
Age: 70
State: IN

Vax Date: 04/02/2021
Onset Date: 05/03/2021
Rec V Date: 05/02/2021
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: Tetanus

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

Symptoms: Aches all over. Extreme Headache. Fever and chills. Temp got up to 101 orally. Symptoms started in the night. Woke at 2AM the third with chills and aches. Symptoms lasted until Sunday 4/4/21 in the evening. Treated only with Motrin and Excedrine, water and rest. Sore arm also.

Other Meds: Hydrocodone:Tizanidine: Mirapex: Pepsid

Current Illness: None

ID: 1280431
Sex: F
Age: 59
State:

Vax Date: 03/01/2021
Onset Date: 03/31/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: I have had COVID Arm for five weeks and ibuprofen is not giving me any relief for the pain in my arm, shoulder, neck and armpit

Other Meds: Amlodipine 10mg

Current Illness: None

ID: 1280432
Sex: F
Age: 73
State: MD

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 05/02/2021
Hospital: Y

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, Thimerosal

Symptom List: Erythema, Pruritus

Symptoms: Dizziness started the next day and progressively got severe trying not to bump into things. The dizziness lasted for a few weeks and progressed into weird feelings in her legs as if they were "jelly". She was losing feeling in them and had trouble walking. She was also progressively losing feeling in her hands and had numbness. On 4/2 she had a bad fall due to her legs totally giving out. She was taken to the hospital and released for bad sprain and bruising. We went to her primary doctor to report her condition also. I asked him to report about her condition and he had no idea what the VAERS database was. A week after the fall she wasn't getting any better. She was losing control of more of her body. On 4/19 an ambulance took her to Hospital and they did tests for a week and couldn't find what it was. When she was transfered to another hospital she was diagnosed with Guillain-Barre Syndrome. She was there for a week and is now in a nursing home and has no ability to walk or use her arms.

Other Meds: Statin, multivitamin

Current Illness:

ID: 1280433
Sex: M
Age: 69
State: WA

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 05/02/2021
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: Shellfish

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

Symptoms: First shot, experienced anxiety at site. Second shot, experienced daily anxiety and some joint discomfort.

Other Meds: One a day vitamins. Tylenol , aspirin

Current Illness: None

ID: 1280434
Sex: F
Age: 45
State: CA

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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: meclizine

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

Symptoms: 15 minutes after dose administered patient stated was having a headache.

Other Meds: unknown

Current Illness: no

ID: 1280435
Sex: M
Age: 40
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/02/2021
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: Started with continuous ringing sound(mild) in right ear, 3hours after pfizer covid-19 2nd shot. It decreased intensiveness, but still happening sporadically. It is kind of beat around 10 times per minute. No quality of life issues.

Other Meds:

Current Illness:

ID: 1280436
Sex: M
Age: 31
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Just hype typical side effects: 1) Sore arm gradually worsening over the next five hours or so, staying sore overnight, and gradually healing over the next two days. 2) Headache/pressure in head starting Thursday evening, lasting through Friday. 3) Fever starting Thursday evening, lasting through Friday.

Other Meds: ?One a day men?s complete multivitamin?

Current Illness: None

ID: 1280437
Sex: F
Age: 77
State: CA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/02/2021
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:

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

Symptoms: Dizziness (h/o vertigo). Vitals wnl.

Other Meds:

Current Illness:

ID: 1280438
Sex: M
Age: 30
State: NH

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Pain in extremity

Symptoms: About 5 minutes after receiving the vaccine patient approached the pharmacy and said he wasn't feeling well. I asked him if he would like some water and he accepted. He returned to the chair in front of the pharmacy and sipped on the water. He looked like he was pale and breathing more slowly. I went out front to check on him and his breathing appeared labored, he was sweating profusely and he said he felt lightheaded and his hands were tingling. I told him to relax and take some breaths. His hands were very shaky and I took him BP (94/61 and HR 54). At this point I had my technician call 911. Between the time the paramedics arrived he went unresponsive for approx 20-30 seconds. I yelled his name and slapped his leg. No response. I checked for a pulse and if he was breathing. He did have a pulse and was breathing. After coming to the paramedics arrived and took him to the hospital for evalution.

Other Meds: unknown

Current Illness: unknown

ID: 1280439
Sex: F
Age: 59
State: CA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: RN ATTEMPTED TO VACCINATE PT ON THE LEFT DELTOID, BUT MET RESISTANCE UPON ADMINISTRATION AND DID NOT INJECT. RN WITHDREW THE NEEDLE/SYRINGE AND USED A NEW NEEDLE/SYRINGE ON THE PATIENT

Other Meds:

Current Illness:

ID: 1280440
Sex: F
Age: 40
State: NC

Vax Date: 03/11/2021
Onset Date: 04/08/2021
Rec V Date: 05/02/2021
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: Peppermint, pollen

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

Symptoms: Itchy armpits, and then cyst developed under left armpit. The cyst is about an inch in diameter. I'm having it removed this week.

Other Meds: Generic flonase, vitamin d, claritin

Current Illness: No

ID: 1280441
Sex: F
Age: 16
State: NE

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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: Patient received the Moderna vaccine at 16, under the age of 18. Patient and patient's parent are aware.

Other Meds: unknown

Current Illness: unknown

ID: 1280442
Sex: F
Age: 32
State: KY

Vax Date: 02/04/2021
Onset Date: 03/24/2021
Rec V Date: 05/02/2021
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: N/A

Symptom List: Vomiting

Symptoms: I had no period for 50 days and I have been regular every month for the past 2 years. I am not on birth control.

Other Meds: Vit E, Vit D, B-complex, Iron, zinc,Magnesium

Current Illness:

ID: 1280443
Sex: F
Age: 39
State: PA

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Since this morning she has been very cranky and nauseous and she it has had been having abdominal pain and weakness but extreme amounts of fatigue and she thought she had a fever but every time I felt her head her head was really cold now she is sleeping and my son has the similar issue and my son has autism

Other Meds: No

Current Illness: No

ID: 1280444
Sex: F
Age: 65
State: MD

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 05/02/2021
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: Sulfa, morphine, codeine

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

Symptoms: Chronic fatigue even though it has been 3 weeks since the vaccination . It was my 2nd dose.

Other Meds: Calcium

Current Illness: None

ID: 1280445
Sex: F
Age: 52
State: TX

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 05/02/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 03/23/2021 Temporary symptoms day of vaccine: minor pain in left arm hot sensation all over body chills hard to breathe heart raised muscle pain no energy nausea 03/23/2021-Present: Other symptoms elevated high & low blood pressure palpitations diarrhea vertigo (dizziness) headaches no energy difficulty breathing asthma body weakness insomnia low appetite anxiety fear of DEATH stomach feels bloated face swollen at times unable to drive heavy machinery unable to work

Other Meds: None

Current Illness: None

ID: 1280447
Sex: F
Age: 37
State: IL

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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: Sore at injection site, sore all down arm, extreme fatigue.

Other Meds: Lexapro 10mg, Wellbutrin 300mg, multi-vitamin

Current Illness: No

ID: 1280448
Sex: M
Age: 54
State: CA

Vax Date: 03/20/2021
Onset Date: 04/05/2021
Rec V Date: 05/02/2021
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: On the morning of 4/5/2021 about 8am I start having a mild headache. By 10am it was a migraine and my manager at work set me home I could not function at work. After that day I would have mini headaches 4 to 5 day a week thru out the days. On 4/24/2021 I had another migraine headache but I also felt dizzy and nauseous. I haven't had a headache over 10 years.

Other Meds: Imbruvica (420mg), Lisinopril-HCTZ, Atorvastatin, Vitamin D3, Aspirin and Fish oil capsules.

Current Illness: CLL, Blood Pressure, Cholesterol and diabetes.

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm