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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1281869
Sex: F
Age: 43
State: FL

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
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: Keppra, dextromethorphan

Symptom List: Dysphagia, Epiglottitis

Symptoms: two seizure episodes. patient was coherent before, between and after

Other Meds: none known

Current Illness: none known

ID: 1281870
Sex: F
Age: 44
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 05/03/2021
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: Shellfish, IVP dye, Iodine, Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: The afternoon of receiving the 1st Moderna shot, I developed an involuntary muscle twitch of my eyelid. The twitch would occur for 1-3 minutes in duration and anywhere from 3-17 times a day. This twitch lasted for approximately three weeks, at which point I noticed it was no longer occurring.

Other Meds: Rexulti 2mg; Brupropion XL 150mg; Modafinil 200mg; Montelukast 10mg

Current Illness: None

ID: 1281871
Sex: M
Age: 22
State: TX

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 05/03/2021
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: nausea

Other Meds:

Current Illness:

ID: 1281872
Sex: F
Age: 23
State:

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 05/03/2021
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: Dizziness, nausea, vomiting.

Other Meds: -Paroxetine -Wellbutrin -zyrtec -birth control -weed/cannabis

Current Illness:

ID: 1281873
Sex: M
Age: 41
State: MN

Vax Date: 01/20/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: No Known Allergies

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

Symptoms: Tested positive for COVID. Had a dry cough, congestion, and sneezing on 5/1/2021.

Other Meds: None

Current Illness:

ID: 1281874
Sex: M
Age: 42
State: MO

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
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: None

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

Symptoms: This employee says his arm became hot and inflamed after given the Moderna COVID19 vaccine. This left upper extremity was red in color. He asked this on site nurse for advice and I told him to be seen by a provider. He was diagnosed with cellulitis and given two scripts.

Other Meds: None

Current Illness: None

ID: 1281875
Sex: M
Age: 15
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient came in on 5/1/21 for a 2nd dose of Pfizer vaccine. On consent form for 2nd dose, date of birth was 5/9/05. Since he was under 16, patient was NOT given a 2nd dose, and was advised to wait until he is at least 16 years old. His first shot was given on 4/10/21 at the School Clinic. Consent form from first vaccine has his birthday as 4/9/05. Consent form for first dose showed the month crossed off and a new month was written (April). Confirmed with patient that his birthday is 5/9/05.

Other Meds: not known

Current Illness: not known

ID: 1281876
Sex: F
Age: 69
State: TX

Vax Date: 03/06/2021
Onset Date: 04/22/2021
Rec V Date: 05/03/2021
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: no known drug or food allergies

Symptom List: Pharyngeal swelling

Symptoms: The patient got her single shot Johnson and Johnson vaccine on 3/6/2021. Then, on or about 4/22/2021, she began to complaint of dizziness and left-sided weakness. She presented to emergency room on 4/29/2021 and was found to have a stroke via CT and MRI.

Other Meds: Docusate 100mg BID Lisinopril 10mg - currently noncompliant with this medication Metformin 1000mg BID Armour Thyroid 45mg Glimepiride 2mg

Current Illness: No known acute illnesses at time of vaccination or one month prior.

ID: 1281877
Sex: M
Age: 52
State: NY

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: I started feeling a little achy and flu-ish at bedtime -- about 8 hours after receiving my 2nd dose of the Moderna vaccine. (I'd had no ill effects after the first dose, save for a sore arm.) The next morning, I felt a little under the weather but nothing serious. It wasn't until bedtime *the next day* (about 30 hours after receiving the shot), that more serious symptoms kicked in. I started running a low-grade fever (100+ degrees F), had chills and bad aches. It was a rough night. Today -- day 2 after receiving the shot -- I feel a little better. No fever and aches and chills have subsided. But I'm not at 100 percent.

Other Meds: DAILY: Finasteride 1m; multivitamin; fish oil; B-complex; probiotic

Current Illness: N/A

ID: 1281879
Sex: F
Age: 54
State: WI

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 05/03/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Loss of appetite and cold symptoms (sore throat & cough)

Other Meds: Vit D, Metoprolol &, Doxycycline

Current Illness:

ID: 1281880
Sex: M
Age: 64
State: WA

Vax Date: 04/10/2021
Onset Date: 04/23/2021
Rec V Date: 05/03/2021
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: 4/25/2021 - He was apparently well until 2 days prior to admission when he developed spontaneous left calf pain and swelling. He denies any associated trauma, recent travel and immobility. He is not taking any new prescription, including steroids. One day prior to admission, he started experiencing left-sided pleuritic chest pain up to 9/10 in intensity and exertional shortness of breath. He denies any fevers, hemoptysis, sputum production, diaphoresis, nausea, vomiting, abdominal pain, dizziness or lightheadedness. The pain was persistent throughout the day. Today, his chest pain persisted and his shortness of breath had progressed. He also noted left arm swelling with mild discomfort. He felt that his left leg swelling and pain had improved today. Nevertheless, given persistent symptoms, he decided to come to the emergency room for further evaluation management. In the emergency room, his initial blood pressure was 218/104 with mild tachycardia of 99, normal oxygen saturation and no fevers. CBC showed a white count of 12.35, hematocrit of 50.4 and normal platelet count 198. INR was normal at 1.06. BMP showed mild hyperglycemia at 148. Troponin was 5 and BNP was 8. Imaging studies show extensive left upper extremity DVTs that involved the left subclavian vein, left lower extremity DVTs and bilateral lower lobe pulmonary emboli. 4/30/2021 Presumed unprovoked extensive DVT of the left upper extremity and left lower extremity. However, he did recently receive Johnson & Johnson Covid vaccine. Now status post catheter directed thrombolysis to the left upper extremity.

Other Meds: Cholecalciferol 5000 unit capsule 1 by mouth daily Ibuprofen 200 mg tablets. Take 2 tablets by mouth twice daily as needed Multivitamin - 1 tablet daily

Current Illness: None

ID: 1281881
Sex: M
Age: 37
State: MD

Vax Date: 04/30/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Vertigo, Ringing in the ears / sensitivity to sound / difficulty hearing

Other Meds: Losartan/HCTZ

Current Illness:

ID: 1281882
Sex: F
Age: 34
State: IN

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

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

Lab Data:

Allergies: shrimp, buckwheat

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

Symptoms: Fatigue beginning 4-5 hours after injection. Nausea, aching muscles, headache, stomach cramps, pain at injection site, chills, and fever beginning 12 hours after injection.

Other Meds: Prescriptions: Hydroxizine, Naltrexone, Norethindrone Supplements: iron, vitamin B12, vitamin D3, magnesium, turmeric, ashwaganda, omegas

Current Illness: none

ID: 1281883
Sex: F
Age: 17
State: FL

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
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: Mango, strawberry, citrus, dairy, dogs, seasonal

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

Symptoms: Patient become unresponsive and faint approximately 5-10 minutes after receiving dose 2 of the covid vaccine. After consuming some water patient vomited and remained unresponsive. Pharmacist went to get epi-pen to administer but upon returning with it the patient was responsive again and reported no difficulty breathing. Epi-pen was not administered.

Other Meds: unknown, none reported by patient

Current Illness: asthma

ID: 1281884
Sex: F
Age: 74
State: MD

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I initially spoke to the patient when she came to the vaccination clinic to receive her second dose of Moderna vaccine on 4/15/21. At that time, I was called over to her table to discuss whether or not she should get the second dose. The patient explained to me that she had not been doing well since she received her first dose of vaccine. Her first dose was 3/18/21, administered on the right side. After the first dose she had some rash, but also had more significant issues involving her joints on the side of her first injection. I could see that she was having difficulty with her right wrist and hand. She also said that she was having trouble with her knee. I advised her at that time to take some time to see if those issue resolved and to speak to her provider before getting the second dose. We agreed that she would let me know what the doctor told her. I received a follow-up phone call the week of 4/19/21. She told me that her doctor advised her not to get the second dose because the rash was indicative of an allergic reaction. Her doctor also told her that when she was vaccinated, the vaccinator likely hit a nerve and that is what is causing her joint issues. I heard from the patient again on 4/28/21. She told me that she has started to see a neurologist for the issues that she is having. She said that she was told that her problems were a result of the way the vaccine was administered and that the needle was ?way too high.? She also mentioned that her daughter is a nurse and explained that there is a right place to inject in the arm. She said that her wrist is horrible and that she can?t use her right hand. Her knee and joints on the right side are bad, but the worst is her wrist and hand.

Other Meds:

Current Illness:

ID: 1281885
Sex: F
Age: 60
State: NM

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Pain between should blades

Other Meds: Atorvastatin, Metformin, citalopram, iron, calcium, magnesium

Current Illness:

ID: 1281886
Sex: F
Age: 31
State: MA

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
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: neosporin with pain relief (specifically the pain relief part)

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

Symptoms: red rash surrounding injection site, painful when touched

Other Meds: Sertraline 200mg Nature Made Prenatal Multi + DHA daily vitamin

Current Illness: none

ID: 1281887
Sex: M
Age: 45
State: TX

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

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

Lab Data:

Allergies: NONE

Symptom List: Ear pain, Hypoaesthesia

Symptoms: PATIENT WAS GIVEN MODERNA VACCINE AS 2ND DOSE, BUT WAS GIVEN PFIZER AS 1ST DOSE

Other Meds: NA

Current Illness: UNKNOWN

ID: 1281888
Sex: F
Age: 58
State: MA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
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: I started getting a horrible migraine/sinus pain headache early evening the day of the vaccine. The left side of my face had tremendous pressure. The pounding in my head was so intense it upset my stomach to the point of nausea. The pain also went down into my neck. At around 10am the next day it finally subsided. I did take Ibuprofen around 8am that morning. I felt completely drain that entire day and evening. Also I had arm tenderness at the area around the vaccine. I did arm raises through the day to help keep arm pain down and it helped. The arm tenderness is still occurring 2 days after the shot (which is the day I am filling out this form).

Other Meds: L-thyroxine, Nutrafol, Krill

Current Illness: none

ID: 1281889
Sex: M
Age: 16
State: PA

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient was administered Moderna COVID Vaccine dose 1 on 4/27/2021. It was not identified that the patient was not of recommended age for the vaccine until the vaccine was administered to the patient. Moderna Medical Information agency was contacted which recommended to administered second dose 28 days from when the first dose was administration. Patient will be contact for second dose appointment.

Other Meds: None

Current Illness: none

ID: 1281890
Sex: M
Age: 54
State: MO

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

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

Symptoms: The excursion expiration date of 7 days thawed in refrigerator was followed because of the Pfizer email approving the 7 days. Pharmacy policy was to follow the expiration of 5 days.

Other Meds:

Current Illness:

ID: 1281891
Sex: M
Age: 41
State: TX

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 05/03/2021
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: dizziness, near syncope

Other Meds:

Current Illness:

ID: 1281892
Sex: M
Age: 52
State: NH

Vax Date: 04/14/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
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: Blood clotting in the left leg, Use ultrasound to identify and confirm clotting locations in the left calf leg. Cramp like pain in the left calf with blue-ish/purple color in the ankle and left foot. Foot and leg was cold to the touch with extraordinarily strong migraines. Person leads healthy lifestyle and is physically and athletically fit. I was given Gemtesa to treat the clots, 150mg x2 a day for 7 days then to 75mgx2 a day for an unknown period. First dose on 3/24/ 2021 Pfizer Lot#EN6205 Second Dose ON 04/14/2021 LOT#EW0161 10:30AM

Other Meds: GEMTESA

Current Illness: NONE

ID: 1281893
Sex: M
Age: 33
State: CA

Vax Date: 05/01/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
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: sulfa drug allergy

Symptom List: Injection site pain, Pain

Symptoms: Headache and eye pain. Started early morning on 5/3/2021.

Other Meds:

Current Illness:

ID: 1281894
Sex: F
Age: 16
State: MT

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: Shellfish - anaphylaxis

Symptom List: Injection site pain, Menorrhagia

Symptoms: At 1045 patient started experiencing eyes swelling and mild hives. 5/1/21 in morning had severe hives head-to-toe and swollen eyes worse. Took Benadryl 2 tabs, which totally resolved symptoms. This morning, 5/3/21, reoccurrence of hives and eye swelling. Taking Benadryl currently to manage symptoms.

Other Meds: Mylan (birth control)

Current Illness: None

ID: 1281895
Sex: F
Age: 26
State: FL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: n/a

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

Symptoms: 10:25 am, felt faint, wanted to pass-out. 11:00 am, patient stated she is feeling much better. 92/57, HR 82, BS 120, 97/57, 100/62, O2Sat 99%.

Other Meds: n/a

Current Illness: n/a

ID: 1281896
Sex: M
Age: 40
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient became weak . diaphoretic and was observed to have full dilation of pupils. Patient became unresponsive, un able to obtain a pulse. Patient lowered to the floor. Patient became responsive but remained disoriented. Paramedics were called. Patient had orthostatic hypotension and became bradycardic.(NR 30 BPM) He was transported to ED of Hospital. Patient indicates that he has a fear of needles and got "woozy" after immunization. Patient had two syncopal episodes. Patient reports having similar episodes in the past with blood draws. BP in ED was 113/61 and 111/60, EKG normal

Other Meds: none

Current Illness: none

ID: 1281897
Sex: F
Age: 68
State: TN

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

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

Lab Data:

Allergies: Lisinopril, Tramadol, Codeine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Cough that occurred immediately after receiving the second dose of the Moderna Vaccine.

Other Meds: Zyrtec, Benadryl, Zocor, Celexa, aspirin, Losartan, Omeprazole

Current Illness:

ID: 1281898
Sex: M
Age: 43
State: VA

Vax Date: 02/09/2021
Onset Date: 02/24/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: Shellfish allergy

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

Symptoms: Hives and itching 2 weeks after vaccine. I have been to my primary doctor and was given prednisone with no results. I went back a week later and was referred to discussed the problems. I was given a shot of Kenalog and put on Zyrtec. The shot was effective but wore off in 2 weeks. I went back after a month on May 3. I will now be doubling my dosage of Zyrtec and ad dont another pill twice a day. I have been sent for blood work looking for alfa-gal.

Other Meds:

Current Illness:

ID: 1281899
Sex: F
Age: 39
State: WV

Vax Date: 04/14/2021
Onset Date: 04/26/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: Toradol, wasps, steri strips, tetanus

Symptom List: Nausea

Symptoms: Developed blood clot diagnosed 5/1

Other Meds:

Current Illness: Acid reflux, hiatal hernia

ID: 1281901
Sex: F
Age: 44
State: HI

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

Symptom List: Injection site pain

Symptoms: developed, "strangulation" feeling in throat, thought initially was her "asthma" until it was "worst attack ever"

Other Meds: none

Current Illness: asthma

ID: 1281902
Sex: M
Age: 52
State: TN

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: Penicillin only.

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

Symptoms: Continued severe soreness at injection site in upper left arm for 3 days and extreme fatigue beginning about 10 hours after injection (2nd shot in a 2-shot series) and continuing for 2 days.

Other Meds: One Equate Complete Multivitamin (Adults 50+) daily; extra 1,500 mg Vitamin-C daily; one Puritan's Pride Probiotic Acidophilus capsule (100 million active cultures) daily; one 3mg tablet of warfarin daily.

Current Illness: None.

ID: 1281903
Sex: F
Age: 31
State: CA

Vax Date: 03/23/2021
Onset Date: 03/31/2021
Rec V Date: 05/03/2021
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: none

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

Symptoms: severe headache, hallucination, forgetfulness, left sided neck pain

Other Meds: Advil, excedrine, dayquil, nyquil, flonase nasal spray, gatorade

Current Illness: none

ID: 1281904
Sex: M
Age: 52
State: NC

Vax Date: 04/08/2021
Onset Date: 04/26/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Tremor

Symptoms: headache, high fever, chills, body aches, cough and at times trouble breathing

Other Meds: none

Current Illness: no

ID: 1281905
Sex: F
Age: 29
State:

Vax Date: 04/24/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
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: Itchiness, perceived but not visible swelling at injection site in left arm

Other Meds: None

Current Illness: None

ID: 1281906
Sex: F
Age: 40
State:

Vax Date: 04/29/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

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

Symptoms: Below injection site; arm is red, swollen, painful to the touch, and warm.

Other Meds:

Current Illness:

ID: 1281907
Sex: M
Age: 42
State: TX

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: dizziness

Other Meds:

Current Illness:

ID: 1281908
Sex: F
Age: 61
State:

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
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: Lightheaded, Left eye blurry, palpations, BP 142/88, 100 pulse ox, 82 Heart Rate, 20 respiratory. Emergency response called

Other Meds:

Current Illness:

ID: 1281909
Sex: M
Age: 68
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pfizer vaccine vial was incorrectly diluted with 1.6ml of sterile 0.9%sodium chloride instead of 1.8ml. Pt was injected with 0.3ml of diluted vaccine. Vaccine administrator was informed of vaccine dilution error as soon as error was realized (before vaccine was administered). Patient was stable after administration and left clinic after observation. Clinic manager and supervising MD were notified on same day. I was advised to report event to VAERS and ERS per manager. Patient was not contacted for status check per manager recommendation on 4/30.

Other Meds:

Current Illness:

ID: 1281910
Sex: M
Age: 63
State: MI

Vax Date: 04/07/2021
Onset Date: 04/23/2021
Rec V Date: 05/03/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

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

Symptoms: Emergency room with symptoms of cough, fever, phlegm and sinus congestion since 4/14. He had an outpatient COVID test positive on 4/16. His fevers reoccurred so his PCP obtained a CXR showing atypical pnuemonia, started him on azithromcyin and solumedrol on 4/22. He presents today with worsening shortness of breath, now hypoxic on day 9 of his infection. He got the Johnson & Johnson vaccine on 4/7.

Other Meds: Mucinex

Current Illness: None

ID: 1281911
Sex: F
Age: 65
State: TN

Vax Date: 04/05/2021
Onset Date: 04/18/2021
Rec V Date: 05/03/2021
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 Reported

Symptom List: Pain in extremity

Symptoms: The patient self reported a mainly full-torso rash that was blistering, as well as injection site swelling that occurred along with the reaction. She mentioned the arm at injection site did not swell until after 2 weeks post vaccine administration.

Other Meds: None Reported

Current Illness: None Reported

ID: 1281913
Sex: F
Age: 80
State: FL

Vax Date: 04/29/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, latex.

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

Symptoms: She got the vaccine, had no reaction at all. Then on Saturday morning she noticed that there was a red circle light pink circle on her upper arm, about in the area of the injection. Then over the next few days it got hot to touch, and the redness slowly started to spread. Right now it has spread down to the inside of her upper left arm, and is very itchy. She looked for a bug bite but has not seen one. She called her pharmacist yesterday and he suggested that this often happens with this particular reaction to that vaccine and told her to take Benadryl and to put cortisone cream on that area, but the area is still hot to touch, red, itchy and hurting.

Other Meds: Hydroxychloroquine, Eliquis, Lexapro, Synthroid, Metoprolol, Methenamine, vitamin D, zinc, fish oil, calcium, potassium, magnesium, B complex, Xanax.

Current Illness: None.

ID: 1281914
Sex: F
Age: 40
State: MO

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 05/03/2021
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: The excursion expiration date of 7 days was thawed in refrigerator was followed because of the Pfizer email approving the 7 days. Walgreens policy was to follow the expiration of 5 days.

Other Meds:

Current Illness:

ID: 1281915
Sex: M
Age: 54
State: MI

Vax Date: 04/24/2021
Onset Date: 04/26/2021
Rec V Date: 05/03/2021
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: Vancomycin

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

Symptoms: Recurrence of bilateral leg rash

Other Meds: none

Current Illness: n/a

ID: 1281916
Sex: F
Age: 57
State: PA

Vax Date: 05/01/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
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: Sulfa antibiotics, surgical tape

Symptom List: Vomiting

Symptoms: Painful, red, inflamed rash at the injection site

Other Meds: Hydroxychloroquine 200 mg, amlodipine 5 mg, indomethacin 75 mg, hydrochlorothiazide 25 mg, losartan 100 mg, Nexium 40 mg, multivitamin, turmeric, bupropion 150 mg

Current Illness:

ID: 1281917
Sex: F
Age: 48
State: MD

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
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: Sulfa,Amoxicillin, pollen

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On 4/31/21, sore are around 5 p.m. On the night of 4/31/21, developed slight fever, then thoughout the night body aches got worse and couldn't sleep well. On 5/1 /21, developed extrem fatigue, some nausia, continued body ache, slight fever, and chills. After taking an Aleve, the aches fever subsided, but still had extreme fatigue and cold sweat. On 5/2/21, no more fatizue and cold sweat, but has a large rash, 12x4 around the injection site. On 5/3/21, the rash is getting itch, so I took a Benadryl at 10:30. By 12:00, the rash looks about the same but not as itch.

Other Meds: Pristique

Current Illness: N/A

ID: 1281918
Sex: F
Age: 32
State: PA

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 05/03/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Fever or Chills Cough Shortness of Breath Fatigue Muscle or body aches Headache Sore throat Congestion or running nose

Other Meds: albuterol HFA (PROVENTIL;VENTOLIN) 90 mcg/actuation inhaler pediatric multivitamin no.76 (FLINTSTONES COMPLETE) tablet,chewable

Current Illness: None

ID: 1281919
Sex: F
Age: 46
State: MI

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 05/03/2021
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: After 24hours, heart palpitations began, occurring every few minutes. (Still occur today) And slight congested cough. Visited Primary Care Tuesday Visited ER, Thursday, ran xrays of chest, took blood, monitored heart. Detected palpation, tests returned normal though with symptoms recommended cariologist. Visted Cardiologist next day for consulation. Scheduled follow-up Holter & Echo two weeks out Friday March 2nd apx 11:45 PM, racing heart started and continued 4 hours along with continued palpations. Normal resting pulse is around 70, Friday March 2nd was 120 at rest. Slowed around 4AM, felt terrible, some nausea, exhaustions, off balance. Racing heart has continued to flare up randomly and usually at rest or at a slow walk. Will occasionally go for a few days of "normal" and will flare again. Wore Holter for 48 hours, no major abnormalities Echo showed normal results. 4/12 Been having pain behind left knee, contacted/visited primary care Sent me for imaging and testing at ER. Normal results. 4/21 - afternoon notes, one month out from first vaccine date: pain in upper back between shoulders pain in lower back similar to mensural pain Chest heavy as if congested Exhausted Feeling off, not dizzy but more like on a boat Drinking tons of water Took Ibuprofin at 4:30 (and baby asprin in AM) (felt the same the prior afternoon though felt fine in that evening through though morning) 2:45 AM woke up soaked in sweat. Heart rate has been in low 90s to 112, had chills/shakes on and off. No pain to note. Only strained and a bit achy. 4:22 AM Feeling awful. Off balance and base of my neck hurts, hip/butt joint pain. Barely slept. Heart rate still high. Not comfortable driving, Feeling shaky, like too much caffeine. Upper back betwee shoulder aches. stomach feels off. trying to eat a piece of bread. Dry mouth, drank about 4 pints of water during the night. 4/23 taking 5mg propranolol 2xs Wed- Friday 28th - 30th mid day were good days, no heart palpitations or racing and no other major symptoms except tiredness. Friday afternoon went on a very slow short walk and my pulse went up to 156 during this time. An hour later went very slowly to check on my boy fishing at the end of our yard and the same, high pulse. Started feeling off after this. Very tired Went to bed Woke up in a cold sweat twice Had mild pressure in my breast bone area and back Feeling tingly/spacey No high pulse Discomfort sleeping on left side (5/1) Tired Lower back achy Mild chest pressure Normal pulse 71 Still have mild congested cough 5/3 (today) Still having periodic racing heart with Beta Blocker. Very tired Little to no appetite Achy back Primary Care, Dr., running additional testing (current, waiting results) Stress test with Cardiologist tomorrow 5/4

Other Meds: Vitamin c, d, b & zinc

Current Illness: None

ID: 1281920
Sex: F
Age: 33
State: IL

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Body ache, headache, fever, nausea Body ache started first in the morning, followed by headache and fever in early evening, then nausea in the evening. Took two acetaminophen after start of fever. All resolved by the following day.

Other Meds: None

Current Illness: None

ID: 1281921
Sex: F
Age: 50
State: FL

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
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: NOT GIVEN

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

Symptoms: Inflammation to left arm started 4/28/2021; Chills and fever started 4/29/2021; Left canine discolored - turned dark brown on Friday. Client wears invasalign clear braces. went to the dentist today (5/3/2021). tooth is "still alive".

Other Meds: NOT GIVEN

Current Illness: NOT GIVEN

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm