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: 1281922
Sex: F
Age: 38
State: TX

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: NONE

Symptom List: Dysphagia, Epiglottitis

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

Other Meds: NA

Current Illness: UNKNOWN

ID: 1281923
Sex: F
Age: 22
State: AZ

Vax Date: 05/02/2021
Onset Date: 05/02/2021
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: n/a

Symptom List: Anxiety, Dyspnoea

Symptoms: A rapid heartbeat, throat closed, difficulty breathing, sweating & mild fever

Other Meds: n/a

Current Illness: n/a

ID: 1281924
Sex: F
Age: 30
State: UT

Vax Date: 04/21/2021
Onset Date: 04/21/2021
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: Clonozipam Amoxicillin

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

Symptoms: Bruise with a hard lump in the center appeared on my upper/inner arm, by my elbow (a good 6+ inches down from vaccine site) about 30-45 minutes after getting the vaccine.

Other Meds: Metformin Lamotrigine Buspirone Estradiol Iron Calcium Probiotic Mulit-enzyme

Current Illness: None

ID: 1281925
Sex: M
Age: 38
State: MA

Vax Date: 04/12/2021
Onset Date: 04/16/2021
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: Cats and tree pollen

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Rash, starting on lower back and stomach, along with some swelling throughout the body, starting at approximately 8 pm on 4/16. Benedryl (25 mg) was taken at approximately 9 pm. Redness and swelling continued on 4/17, with the redness, swelling, and itching spreading throughout the body. More Benedryl (25 mg) was taken at approximately 6 pm. Symptoms continued, though to a lesser degree on 4/18. Redness and itchiness had disappeared by 4/19, with swelling going away by 4/21.

Other Meds: None

Current Illness: None

ID: 1281926
Sex: F
Age: 48
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: LA

Lab Data:

Allergies: None.

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

Symptoms: Woke up on 5/2/21 with just a sore arm at vac site. About 3 hours later, 9:30 a.m., I felt extreme fatigue setting in. By 11 a.m. I was in bed with a fever of 101.2 and from 11 a.m. until 4:30, I could not stay awake and slept most of that period except for using the bathroom and drinking fluids. Fever reduced in the evening to 100.4. Very slight body ache and headache throughout the day, so the fever and fatigue were the biggest issues. Today, 5/3/21, feel much better, but still have a fever--fluctuating between 99.3 to 99.8 this morning--it is actually going up, not down but I am not feeling any worse.

Other Meds: Zyrtec but not for a few days prior to vac.

Current Illness: Had surgery to repair my quad tendon on 3/9/21.

ID: 1281927
Sex: F
Age: 36
State: CA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
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: PFIZER COVID-19 VACCINE (EUA) Starting at 5pm on 4/29: Swelling, soreness, redness and heat at injection site and 3" diameter around it. Persisted for 2 days Starting at 2am on 4/30: Fever Chills Headache Skin sensitivity (all over body) Joint aches Persisted for 24 hours Starting around 4pm on 4/30: Swollen and painful lymph node in left armpit. Persisted for 2.5 days.

Other Meds: Multivitamin

Current Illness: None

ID: 1281928
Sex: M
Age: 43
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The excursion expiration date of 7 days thawed in the 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: 1281929
Sex: F
Age: 83
State:

Vax Date: 03/24/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Admitted with intractable back pain (known compression fracture). Per ED note, patient found to have cough and labored breathing. New onset A fib

Other Meds:

Current Illness:

ID: 1281930
Sex: F
Age: 43
State: NJ

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Vertigo within minutes of receiving vaccine. pt states she has similar symptoms when BP is too high. Blood glucose 323 prior to arrival at site (taken at home). BP 147/73, HR 113, 100% on RA. Given water and monitored for 45 minutes. Symptoms started to improve without further intervention.

Other Meds: BP medications

Current Illness: None

ID: 1281931
Sex: M
Age: 29
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: Upon arrival, patient noted laying down on floor with feet elevated. Patient noted pale, sweaty and clammy. Patient awake, alert and oriented x3. Patient states that he started feeling light headed immediately after receiving his vaccine. Bp 143/95 P 70 T 97.7 O2 99% on room air and Blood glucose 114. Patient states that he had breakfast around 8am and fruit as a snack at 1030am. Vitals reassessed Bp 137/88 P 80. Patient states that he is feeling much better. Patient able to sit up without feeling dizzy or weak. Bp 126/91 Hr 83 Patient had granola bar and water. Patient had to rest an additional 30mins. will continue to monitor O2 remains @99% on room air. Patient states that he feels great. Vitals reassessed Bp 130/80 Hr 78 O2 99% on room air. Patient left facility in stable condition.

Other Meds: n/a

Current Illness: n/a

ID: 1281932
Sex: M
Age: 76
State: NY

Vax Date: 02/22/2021
Onset Date: 04/08/2021
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: NOT THAT I KNOW.

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

Symptoms: I HAVE BEEN EXPERIENCING AN ANNOYING CONTINUOUS SOUND IN BOTH EARS. THE SITUATION IS VERY DIFFICULT TO PUT UP WITH. I NEED HELP TO OVERCOME THIS ANNOYING SITUATION.

Other Meds: yes, METFORMIN ER, NAPROXEN, PROCARDIA XL, XARELTO, CRESTOR, ALDACTONE, TELMISARTAN, VITAMIN C & D3. PRILOSEC BUT NOT REGULARLY TAKEN.

Current Illness: ATRIAL FIBRILLATION, HYPERTENSION, OSA, I HAD AN OPEN HEART SURGERY-3 BYPASS., DIABETES, CHOLESTEROL, RECOVERED FROM BELL PALSY A 90%.

ID: 1281933
Sex: F
Age: 56
State: NJ

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: April 9, excrutiating pain in Left foot. April 10, excrutiating pain in right foot. April 11, pain in both feet. Can hardly walk, all of a sudden out of nowhere! Went to Urgent care April 12th. Unknown. Podiatrist April 14th, Unknown. Another Podiatrist April 21st, Unknown, but orders X-Rays. Show nothing. Walking like a crippled person in pain. Again, all of a sudden out of nowhere!. Sunday, April 25, excrutiating pain, weight-bearing on right foot. Husband carries me to the car and drives to ER . NOTE: All physical exams did not cause pain when manipulating joints.

Other Meds: None

Current Illness: None

ID: 1281934
Sex: M
Age: 46
State: GA

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

Lab Data:

Allergies: No known allergies.

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

Symptoms: Immediately after patient was given vaccine, the patient passed out for 1-2 minutes, then vomited, became light-headed, and broke out into sweats. After 2 minutes the patient regained consciousness, however, the other symptoms persisted for about 10 minutes.

Other Meds: Patient is not taking any medications, supplements, or herbal remedies.

Current Illness: None

ID: 1281935
Sex: F
Age: 43
State: NJ

Vax Date: 04/24/2021
Onset Date: 04/27/2021
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: none

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

Symptoms: Blood blister under tongue, Petechia in spots on skin, Blood donation on 4/29 - difficult to stop bleeding from both finger stick (iron check) and from left arm which was used for donation.

Other Meds: Eve womens vitamin, AZO probiotic, Turmeric supplement

Current Illness: none

ID: 1281936
Sex: F
Age: 47
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: N/A

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

Symptoms: DIARRHEA, SWOLLEN TONGUE, TONGUE SORES, FEVER, CHILLS, ACHES, HEADACHE, TONGUE SWELLED MORE THE NEXT DAY AND SORES WERE BECOMING INTOLLERABLE. MAJOR FATIGUE. HEART PALPITATIONS, WEAK LEGS. EVERYTHING SEEMED FOGGY.

Other Meds: WELLBUTRIN, LEXAPRO, HYDROCHLOROTHIAZIDE, GABAPENTIN, VITAMIN B

Current Illness: NONE

ID: 1281937
Sex: F
Age: 47
State: PA

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

Lab Data:

Allergies:

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

Symptoms: Today, at approx. 10:45, vaccinator was administering a first Moderna dose to , . felt extreme back pressure in the syringe, a Magellan 3ml syringe., Lot 729413. The vaccine squirted out of the back of the syringe, and very little vaccine was administered. Patient got very lightheaded and nauseated. Dr. saw the patient and offered to re-do the vaccine. The patient refused, but wishes to use her second dose appointment as her first dose.

Other Meds:

Current Illness:

ID: 1281938
Sex: M
Age: 35
State: PA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
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: Eggs Wheat

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

Symptoms: Patient passed out after receiving vaccine while waiting afterwards. He woke up disoriented, sweating. He said he had passed out previously and it felt the same. EMS checked him out and he left on his own.

Other Meds: Medical Marijuana Antidepressant Others unknown

Current Illness: None

ID: 1281939
Sex: M
Age: 21
State: MO

Vax Date: 01/06/2021
Onset Date: 01/07/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Onset of hives in 1/7/2021, occur everyday, worse in the evening. Taking Zyrtec to control symptoms.

Other Meds:

Current Illness:

ID: 1281940
Sex: F
Age: 33
State: IN

Vax Date: 05/01/2021
Onset Date: 05/02/2021
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: Swollen lymph node in armpit of left arm, tingly feeling in left arm, headache

Other Meds: Birth control, multivitamin, Ovasitol, Berberine, magnesium, Zyrtec, nasal spray

Current Illness: None

ID: 1281941
Sex: F
Age: 54
State:

Vax Date: 05/02/2021
Onset Date: 05/02/2021
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:

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

Symptoms: Burning, tingling from elbow to fingers. Slight numbness on left fingertips, especially the smallest finger. Felt better after resting and moving Left arm/hand. Stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1281942
Sex: F
Age: 20
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. Policy was to follow the expiration of 5 days.

Other Meds:

Current Illness:

ID: 1281943
Sex: F
Age: 50
State: MI

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

Lab Data:

Allergies: Penicillin, Cephalexin

Symptom List: Unevaluable event

Symptoms: Sore arm began a few hours after receiving shot and lasted for 2 days. On day 2, began experiencing swollen tongue and metallic taste; these lasted for 1 day. On day 3, began having difficulty concentrating / thinking clearly, experiencing anxiety, general sense of bodily discomfort, uneasiness. This lasted 2 days. On day 6, experienced an ocular migraine. No treatment was given, no further symptoms to date.

Other Meds: None

Current Illness: None

ID: 1281944
Sex: F
Age: 27
State: PA

Vax Date: 01/11/2021
Onset Date: 04/08/2021
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: NKA

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

Symptoms: Headache Congestion or running nose

Other Meds: ascorbic acid, vitamin C, (VITAMIN C) 500 mg tablet clindamycin (CLINDAGEL) 1 % gel fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray loratadine (CLARITIN) 10 mg tablet norethindrone-ethin estradioL (CYCLAFEM 1/35, 28,) 1-35 mg-

Current Illness: None

ID: 1281945
Sex: M
Age: 60
State: MN

Vax Date: 04/08/2021
Onset Date: 04/25/2021
Rec V Date: 05/03/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List: Injection site pain, Pain

Symptoms: Sudden bilateral leg weakness a little over 2 weeks from vaccine dose. Also had the inability to walk. Bilateral increasing numbness to both arms and legs. Progressive weakness. Admitted to hospital. Had CT scan, MRI scan, LP puncture, blood work. Findings/lab work state GBS (Gillian Barre syndrome)

Other Meds: Lasix, aspirin, Lipitor, plavix

Current Illness: Newly diagnosed pre-diabetic in February

ID: 1281946
Sex: F
Age: 65
State: ND

Vax Date: 04/12/2021
Onset Date: 04/12/2021
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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Light-headed, dizzy and felt like her tongue was very swollen after her first dose. Not to the point where she was unable to breath. Then she was "exhausted" the remainder of the day. She did not say how long her tongue was swollen, but it happen 5-10 minutes after her first dose. She recieved her second dose with us and The Pharmacy. She did not have any reaction within 30 minutes of the second vaccine. She was sent home with Benadryl just in case. Second dose recieved 5/3/21.

Other Meds: Unknown

Current Illness: None

ID: 1281947
Sex: F
Age: 31
State: NY

Vax Date: 05/02/2021
Onset Date: 05/02/2021
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: Medical adhesive/tape

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

Symptoms: Swollen/tender lymph nodes under left armpit presenting about 6 hours after injection. Fever and headache presenting approximately 12-14 hours after injection

Other Meds: Oral birth control, multi vitamin, vitamin b 12, Zyrtec

Current Illness: Seasonal allergies

ID: 1281948
Sex: F
Age: 40
State: FL

Vax Date: 03/20/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Period delayed two weeks. My cycle is very regular but after the vaccine it was delayed two weeks from the expected date. Additionally, I had a cold sore outbreak starting on April 11.

Other Meds: None

Current Illness: None

ID: 1281949
Sex: M
Age: 69
State: FL

Vax Date: 04/12/2021
Onset Date: 04/12/2021
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: no, penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 2/10 first dose, on 4/12 after 2nd dose that evening my eyes went completely into prisms and I could see 3 or 4 of everything and I was disoriented and it lasted about 5 minutes, then it went away then there was a change where I felt something in my eye and my right eye is extremely blurry and now there's a fog over my eye and it seems to be depleting.

Other Meds: Asparin, 12mg Metropolol, blood thinner, Lerodiadin

Current Illness: no

ID: 1281950
Sex: F
Age: 18
State: WI

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

Lab Data:

Allergies: NONE

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

Symptoms: CLIENT PASSED OUT OR FAINTED AFTER RECEIVING THE VACCINE WHILE VACCINATOR WAS PROVIDING HER WITH INSTRUCTIONS. CLIENT WAS ASSISTED TO THE FLOOR. NO INJURIES OBTAINED. CLIENT CAME TO IN SECONDS AND EXPLAINED SHE OFTEN FAINTS AFTER VACCINATION. CLIENT REMAINED UPRIGHT FOR 10 MINUTES AND DRANK WATER. WHEN ABLE TO WALK, CLIENT WAS ESCORTED TO A COT IN THE MONITORING AREA AND LAID DOWN. CLIENT WAS STABLE AND REMAINED AT FACILITY FOR 30 MINUTES UNTIL ABLE TO WALK AND WAS NO LONGER LIGHT HEADED.

Other Meds: NONE

Current Illness: UNKNOWN

ID: 1281951
Sex: M
Age: 60
State: CA

Vax Date: 04/17/2021
Onset Date: 04/19/2021
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: Nausea

Symptoms: Tinnitus in both ears. A very loud, high-pitched "ringing" noise, like an "angry" violin, in both ears

Other Meds: None

Current Illness: None

ID: 1281952
Sex: F
Age: 48
State:

Vax Date: 05/02/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Nausea. Headache, 8/10, piercing -- radiating from neck. Patient has history of migraines. Stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1281953
Sex: F
Age: 23
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: N/A

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

Symptoms: Approximately at 2am on 5/2/21, I began feeling nauseous and extremely hot. Within 30 minutes, I was vomiting and went from being hot to shivering from chills. I didn?t have a temperature reader, but I was fairly certain I was suffering from a fever. I continued to vomit and shake from chills until approximately 10am after taking Tylenol. From 10am to 11pm, I suffered from fatigue and body aches. I woke up at 11am 5/3/21 feeling no longer suffering from side effects. In addition to side effects after the vaccine, I was also suffering from head cold symptoms (sore throat, coughing, congestion). I had these symptoms start 4/30/21, so I tested for COVID-19 that day and my results came back negative.

Other Meds: Mili Birth Control

Current Illness: Head cold (sore throat, congestion/runny nose)

ID: 1281954
Sex: M
Age: 16
State: AZ

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: A 16-year-old patient was inadvertently given the Johnson & Johnson COVID-19 vaccine approved for 18-years-old and older. No adverse reactions were notes at time of vaccination or during observation time.

Other Meds: Unknown

Current Illness: Unknown

ID: 1281955
Sex: F
Age: 22
State: IN

Vax Date: 05/01/2021
Onset Date: 05/01/2021
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: penicillin and Zithromax

Symptom List: Tremor

Symptoms: fever (103.5 degrees), body aches, chills, nausea, fatigue, headache; beginning about 6 hours after vaccination, at its worst about 10 hours after vaccination and beginning to subside about 24 hours after vaccination; now, about 36 hours after vaccination, just fatigued

Other Meds: birth control pill

Current Illness: none

ID: 1281958
Sex: F
Age: 40
State: MI

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

Symptom List: Erythema, Pruritus

Symptoms: Arm went numb within and hr. Resulted in multiple neurological symptoms . Face numbness, leg weakness and numbness.

Other Meds:

Current Illness:

ID: 1281959
Sex: F
Age: 31
State: MI

Vax Date: 04/24/2021
Onset Date: 04/24/2021
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: Penicillin Sulfa

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

Symptoms: intermittent twitching of the muscle at the location of the injection site

Other Meds:

Current Illness: n/a

ID: 1281960
Sex: F
Age: 52
State: AL

Vax Date: 04/28/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Zomig

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

Symptoms: I woke up the morning after the vaccination with a rash between my breasts approximately 4 inches long. I have had shingles twice as well as the shingrix vaccine, but it looked and felt just like shingles. It was itchy, and it burned to touch or scratch the rash. After three days of no healing without treatment, I went to an urgent care facility on 5/2/21 where they said it appears to be shingles. They prescribed Valacyclovir as well as Triderm cream.

Other Meds: Omeprazole, prednisone, clindamycin, nystatin, Propanolol, excedrin migraine

Current Illness: Peritonsillar abscess, thrush

ID: 1281961
Sex: M
Age: 44
State: MN

Vax Date: 04/21/2021
Onset Date: 04/28/2021
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: Non

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dose 1 (lot no. ER8730) was 03/24/2021 at same pharmacy. Dose 2 (described above) was 04/21/2021. I started feeling very sensitive skin when I woke up the morning of 04/28/2021. On 05/01/2021 red splotches began to appear on my right shoulder, upper chest, and neck. The skin from the top of my scalp (right side) to my right hand is sensitive. The condition has been diagnosed as shingles.

Other Meds: Novolog, Basaglar, Atorvostatin, fish oil, and multivitamin

Current Illness: Type 1 Diabetes

ID: 1281962
Sex: F
Age: 29
State: NY

Vax Date: 04/26/2021
Onset Date: 04/26/2021
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: Naproxen (GI discomfort)

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

Symptoms: Pt developed chest pain 30 mins after vaccination, associated with feeling of shortness of breath and persistent cough that has lasted for 7 days. She developed fever/chills/muscle aches 14 hours after vaccination that lasted for 1-2 days and then resolved. Pt referred from our health center to local ED for more thorough evaluation to r/o PE.

Other Meds: Kyleena IUD.

Current Illness: n/a

ID: 1281963
Sex: F
Age: 48
State: WA

Vax Date: 01/09/2021
Onset Date: 02/09/2021
Rec V Date: 05/03/2021
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: Sulfa

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

Symptoms: I got really sick where I could not sit up, severe nausea and vomiting, body aches and dizziness, malaise and abdominal pain, lasting for several days and then they stopped. At the time of the vaccine I was 15 weeks pregnant. I went to urgent care and got a Covid test. An ultrasound was also performed to monitor the baby. My estimated date of delivery: 08-01-2021.

Other Meds: Valtrex, daily aspirin started on my second trimester, vitamin D, prenatal vitamin

Current Illness:

ID: 1281964
Sex: F
Age: 46
State: WV

Vax Date: 04/22/2021
Onset Date: 04/22/2021
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: Sulfa

Symptom List: Pain in extremity

Symptoms: I received my vaccine in a drive through clinic held in a parking garage. I waited in my car after the vaccine. Right before I was told i could leave I started to get a headache but it wasn't until I left the garage and he sun was super bright did I realize I was having a migraine. My headache was piercing and I could not handle the bright light, I almost had to pull over. I do not have a history of migraines. I got home and went to bed immediately and had to lay still because the migraine was so bad. By 3 pm I had started vomiting, dizzy, unable to tolerate any light, was shaking and my body was hurting in my joints and abdomen. By 4 pm I was not talking clearly and was neurologically confused and my husband took me to the ER. They had to give me several medications to reverse the migraine and nausea. They said I had a complex migraine and my blood sugar was elevated near 200 (had not eaten all day and normally do not have high bloodsugar). The doctor said it appeared my body was having an adverse autoimmune response. Since the reaction I have gained 10 lbs and have an appt with an endocrinologist to follow up on reaction

Other Meds: Lamicictal, Amnitryptaline, clonipin

Current Illness:

ID: 1281965
Sex: F
Age: 60
State: PA

Vax Date: 01/09/2021
Onset Date: 03/31/2021
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: Iodinated Contrast MediaOther (document details in comments) IodineOther (document details in comments)

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

Symptoms: Cough Headache Congestion or running nose

Other Meds: baclofen (LIORESAL) 10 mg tablet(Expired) diclofenac sodium (VOLTAREN) 1 % gel(Expired) methylPREDNISolone (MEDROL, PAK,) 4 mg tab

Current Illness: None

ID: 1281967
Sex: F
Age: 38
State: IL

Vax Date: 04/29/2021
Onset Date: 04/30/2021
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: none

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

Symptoms: Fatigue, muscle aches, fever, nausea, and swollen lymph nodes in left arm

Other Meds: none

Current Illness: none

ID: 1281968
Sex: F
Age: 17
State: OR

Vax Date: 04/22/2021
Onset Date: 04/25/2021
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:

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

Symptoms: Pt has had a rash on neck and face X 3 days. She reports its slightly itchy, swollen and red. Not painful. It started on neck and spread to face. No fever, no trouble breathing. Very slight tight feeling in her throat yesterday with mild difficult in swallowing, but otherwise no issues swallowing/breathing today. Had first dose of covid pfizer vaccine 10 days ago. Has tried benadryl and hydrocortisone (one dose/application each) with no significant improvement.

Other Meds:

Current Illness:

ID: 1281969
Sex: M
Age: 69
State: WA

Vax Date: 02/18/2021
Onset Date: 04/04/2021
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: Seasonal hay fever

Symptom List: Vomiting

Symptoms: Developed Shingles outbreak. No reason for it. Had them before - maybe 25 years ago.

Other Meds: None

Current Illness: None

ID: 1281970
Sex: F
Age: 31
State: GA

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Slight latex allergy

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I felt awful for 2 -3 days after the second vaccine shot (weak, muscle fatigue, joint pains, nausea, cold sweats, racing heartbeat, just overall exhaustion). I felt a little bit better day 4 and went back to my normal activities, but then felt awful again on Monday. I have had some "good days" where I just feel weak and tired, but other days are worse and I have to stay in bed from weakness.

Other Meds: Xanax, trazadone, prozac, depo provera shot

Current Illness: none

ID: 1281971
Sex: M
Age: 32
State: WA

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

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

Symptoms: Shakes, dizziness, hives(mild), itchiness -- took benadryl

Other Meds: None

Current Illness: 24 -hour stomach bug on 4/20/21 (throwing up)

ID: 1281972
Sex: F
Age: 54
State: WI

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
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: Flu Virus Vaccine, Gabapentin, Ibuprofen, Tramadol, Ondansetron, Contrast-iodinated Agents For Ct, Indomethacin, Alcohol, Dust Mite Extract, Oxycodone-acetaminophen, Polymyxin B-trimethoprim

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pt was given the Moderna COVID vaccine at 1141. At 1150, she reported that she was nauseous and itchy. Pt received Benadryl 50 mg IM and one dose of Epipen. She continued to c/o itchiness and began to have numb lips, throat irritation and chest tightness. She was transported to the ER and was subsequently admitted to our inpatient floor for observation overnight and discharged on 5/1. On 5/2, she was readmitted for observation after her symptoms returned and was discharged later that day. During her stay, she received Benadryl, Zyrtec, epinephrine, solumedrol, albuterol and pulmicort nebs, famotidine, hydroxyzine, prevacid, and prednisone.

Other Meds: albuterol HFA (PROVENTIL;VENTOLIN;PROAIR) 108 (90 Base) MCG/ACT inhaler, azelastine (OPTIVAR) 0.05 % ophthalmic solution, fluticasone hfa 110 (FLOVENT HFA 110) 110 MCG/ACT inhaler, fluticasone propionate (FLONASE) 50 MCG/ACT nasal spray, la

Current Illness:

ID: 1281973
Sex: F
Age: 53
State: NH

Vax Date: 04/23/2021
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: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: EXTREMELY ITCHY full body rash including entire left arm, entire right arm, both underarms, right trunk, both legs, right groin. Raised red itchy bumps, some becoming pustules and bursting to scab over. Moderna COVID-19 Vaccine EUA

Other Meds: none

Current Illness: none

ID: 1281974
Sex: M
Age: 50
State: KY

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: RA

Lab Data:

Allergies:

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

Symptoms: A medical assistant put the epired dose vial back in the fridge instead of throwing awaye on 04/30/2021. Another medical assistant unknowingly drew up and administred this vaccine to patient.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm