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: 1283135
Sex: F
Age: 33
State: MN

Vax Date: 04/18/2021
Onset Date: 05/02/2021
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: Allergic to ceclore

Symptom List: Dysphagia, Epiglottitis

Symptoms: Non-itchy, warm visible rash over left arm. Same arm I recieved my first dose shot.

Other Meds: None

Current Illness: None

ID: 1283136
Sex: F
Age: 20
State: CA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Right dorsal hand rash with itching and burning

Other Meds: none

Current Illness: none

ID: 1283137
Sex: M
Age: 24
State:

Vax Date: 05/03/2021
Onset Date: 05/03/2021
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: Pt stated "passed out", dizziness, bright vision, ringing in both ears, nausea. Evaluated by EMS-Refusal to transport.

Other Meds:

Current Illness:

ID: 1283138
Sex: F
Age: 18
State: TX

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

Lab Data:

Allergies: NONE

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: CHEST PRESSURE

Other Meds: BABY ASPIRIN DAILY

Current Illness: NO ACUTE DISEASE

ID: 1283139
Sex: F
Age: 77
State: CA

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: Celebrex

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

Symptoms: Five minutes after vaccine was given the patient experienced a tightness in her jaw. Her mouth was very dry and also she experienced an unpleasant taste. This was immediately reported to the head nurse. She was given 25 mg of Benadryl po which she swallowed without difficulty. Her VS were monitored. her BP was 154/48 , P was 86 and O2 sat 95%. She was monitored for 20 minutes and she her symptoms resolved 10 min after taking the Benadryl. Her Bp was 154/74, P was 86 and O2 Sat 94%. Patient was also on her own oxygen via nasal cannula at 3 liters. She did not feel sleepy and stated she felt comfortable to drive home. Her symptoms were resolved and she was in no distress. she was discharged after 20 min.

Other Meds: Oxygen via nasal canula 3 liters

Current Illness: COPD,Asthma

ID: 1283140
Sex: M
Age: 53
State: NM

Vax Date: 04/28/2021
Onset Date: 04/28/2021
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: no adverse event, was given a 3rd vaccine on 4-28-21

Other Meds: Trileptal, Keppra, ibuprofen, Flomax, Zonisamide

Current Illness: none

ID: 1283141
Sex: M
Age: 60
State: NY

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: pennicillan, islosone, sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: "Moderna COVID-19 Vaccine Was relaxing and getting ready to read my book on phone. A few minutes after taking the vaccine, blood pressure fell, dizzy with risk of passing out, weak, very rapid heart beat, nausea. Jumped up and starting moving to create energy to avoid passing out. The dizziness reduced somewhat and did not get worse, but was still present. Heart rate slowed after a significant period of time. Then symptoms resolved. No emotional triggers and no history of any such events at any time in 60 years.

Other Meds: none

Current Illness: none

ID: 1283142
Sex: F
Age: 33
State: OH

Vax Date: 02/20/2021
Onset Date: 04/01/2021
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: N/A

Symptom List: Pharyngeal swelling

Symptoms: I experienced abnormal menstruation for the entire month of April. I had a period (heavy flow) for approximately 3.5 weeks out of 4 that month, with only a few days without bleeding in between. I have had late or absent periods before, but never multiple periods in a month.

Other Meds: Adderall

Current Illness: N/A

ID: 1283143
Sex: F
Age: 41
State: TX

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

Lab Data:

Allergies: Cephalosporins

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: A hot, itchy rash developed on my arm at the injection site two days after getting the vaccine. The rash was approximately 5 inches across and hot to the touch. I applied cold compresses and took Benadryl. It seems to be nearly gone now, four days after appearing.

Other Meds: Irbesartan 150 mg

Current Illness: None

ID: 1283144
Sex: M
Age: 29
State:

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 12 hours after vaccination got chills and a fever of 102. Fever lasted for 18 hours at which point it died down quickly. 500mg Tylenol every 6 hours reduced fever to 101F at most.

Other Meds: None.

Current Illness: None

ID: 1283145
Sex: M
Age: 30
State: VA

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: SYR
Vax Site: LA

Lab Data:

Allergies: NKA

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

Symptoms: Patient indicated that he had not received the vaccine previously. Patients' mother comes in and says he has had the vaccine and she showed us the card and it said that he had received Pfizer. Mother mentioned that child has intellectual disabilities and that someone should of been with him. Technician went over form with him and he said that he had not received the vaccine.

Other Meds: Not known

Current Illness:

ID: 1283146
Sex: F
Age: 48
State: TX

Vax Date: 04/03/2021
Onset Date: 04/07/2021
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: no

Symptom List: Rash, Urticaria

Symptoms: constant ringing in my ears that worsen

Other Meds: Trintellix, ambien, and wellbutrin

Current Illness: no

ID: 1283147
Sex: F
Age: 45
State: NC

Vax Date: 04/22/2021
Onset Date: 04/27/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Developed redness 5 days after vaccine and now with blisters in a cirlce around the injection site after a cold compress 2 days ago. Warm and swollen. Came to Clinic for evaluation and treated with keflex antibiotic for 10 days starting today.

Other Meds: Alycen 1/35 Zoloft

Current Illness: NOne

ID: 1283148
Sex: F
Age: 30
State: TX

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: 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: Felt fine first shot. Had a very large knot on my arm that hurt and was very hot to the touch. I developed a blister at the injection site. Spot lasted almost a month. Second shot I was fine until around 12-14 hours I woke up and experienced a fever and horrible bone pain. I?ve never had my bones hurt. It was awful. Even with meds I was still very weak, and in pain for a day and half. Fever broke after about 12 hours.

Other Meds: None

Current Illness: Developed a kidney stone 3 weeks after my first shot on 3.38.21. Never had kidney issues before. Not saying they?re related. Just was something that happened in between doses.

ID: 1283149
Sex: M
Age: 26
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: 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: SYNCOPAL EPISODE. Evaluated by EMS-Refusal to transport.

Other Meds:

Current Illness:

ID: 1283150
Sex: F
Age: 60
State: CA

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: History of pain at injection site along with numbness/tingling with first dose. Doctor onsite approved to inject 2nd dose to thigh.

Other Meds:

Current Illness:

ID: 1283151
Sex: M
Age: 32
State:

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 05/03/2021
Hospital: Y

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: "Symptoms started approximately one week after getting the vaccine. Initially had trouble getting up from seated position. Sometimes feels off balance. He felt leg weakness and imbalance. He states it started to get better in last 1-2 weeks. He still feels tired. He says it is 50% better at this time. Patient can get up from seated position reliably at this point. He denies any autoimmune diseases or FH of Guillane Barre syndrome. Recommend MRI brain, C-spine, and T-spine at that time which subsequently revealed scattered T2/FLAIR hyperintensities suspicious for demyelinating disorder" - Neurologist Note on 5/3/21

Other Meds: N.A

Current Illness: None

ID: 1283152
Sex: F
Age: 64
State: CO

Vax Date: 04/27/2021
Onset Date: 04/27/2021
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: RN was asked to assess pt after the administration of the vaccine. Pt complained that her head felt like it was going to explode. The nurse took pt. vital signs which were 180/11 97% on 4 L NC (BL), 101, and 20 RR. Pt stated she "sometimes has right sides weakness". Pt had unequal smile, with weakness to the right. Pt also had unequal hand grips with right sided weakness and was unable to raise her eyebrows and had blurry vision. Pt was unable to state "No ifs ands or buts" to this nurse as well. Vaccine clinic staff called an ambulance after this nurses initial assessment of the pt. Medics arrived and took over care of the pt. Unknown disposition of patient.

Other Meds:

Current Illness:

ID: 1283153
Sex: M
Age: 59
State: MD

Vax Date: 04/23/2021
Onset Date: 04/26/2021
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: Event-pancreatitis Symptoms - abdominal pain / abdominal swelling / unable to eat went to emergency room 4/30/2021 - bloodwork & cat-scan -- prognosis was Pancreatitis currently waiting for follow up with gastro doctor on 5/5 -- liquid diet until I can see the doctor

Other Meds: pravastati 40mg -- verapamil 240mg -- doxazosin 1mg

Current Illness: none

ID: 1283154
Sex: F
Age: 51
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: ASPIRIN

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

Symptoms: ON 4/1/2021 PATIENT WENT HOME FELT A BIT TIRED FELL ASLEEP WOKE UP AROUND 9PM WITH ARM PAIN AND HEADACHE, ATE A LITTLE AND TOOK TYLENOL 500MG AND WENT BACK TO SLEEP WOKE UP THE NEXT DAY WITH EXTREME ARM PAIN CONGESTION AND HEADACHE. SHE TOOK TYLENOL EVERY 6 HOURS AROUND THE CLOCK. PATIENT ARM PAIN BECAME LESS PAINFUL HOWEVER THE HEADACHE LINGERED. PATIENT WENT TO URGENT CARE ON 4/29 MD PRESCRIBED NAPROXEN 500MG BID AND SUGGESTED TO SEE PCP IN A WEEK.

Other Meds: TYLENOL 500MG AND TAMOXIFEN 20MG

Current Illness: NONE

ID: 1283155
Sex: M
Age: 43
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: none

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

Symptoms: 1. Immediately upon injection, my tongue started to go numb, and it was numb/tingly within 10 seconds. 2. Over the 15 minutes I sat and waited, the sensation spread to much of my mouth and started to go down into my throat. I did not feel like anything was swelling per se, but definitely numb. 3. At 15 mins, it still seemed to be progressing, so I notified staff and went back to the first aid area. I was monitored and we waited to see what would happen. The numbness went a good way down my throat. 4. When I had some water, I noted that I was able to swallow fine but could barely feel the water going down. I also noted the tingling sensation had spread to the lower part of my face (that had been covered by my mask), though my face was not completely numb -- it felt like when local anesthetic is wearing off. 5. I stayed for a while longer, was evaluated by a doctor, and was eventually released. The numbness largely subsided by 4-5 hours after injection. 6. Notably, I have never had any sort of reaction to a vaccine before. 7. Concerned at a stronger such reaction to the second injection, an immunologist suggested I skip it and instead.

Other Meds: none

Current Illness: none

ID: 1283156
Sex: F
Age: 43
State: CA

Vax Date: 03/29/2021
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

Symptom List: Unevaluable event

Symptoms: On 04/18/21 started with minor pain on right ribcage. Pain progressed gradually. On 04/21/21 saw doctor, did not get any prescription; sent for X-ray and blood work. On 04/22/21 had X-ray, which indicated "nonspecific increase in the peribronchial marking within the perihilar distribution characteristic of reactive airway disease or a viral syndrome in the appropriate clinical setting". On 04/22/21 pain migrated to low right side of belly and upper right back. On 04/26/21 nine small blisters appeared on right flank. On 04/27/21 pain in abdomen was no longer tolerable and went for medical assistance (walk-in clinic). NP diagnosed herpes zoster and prescribed valacyclocir (3x daily for 7 days). Took ibuprofen 500 mg for pain, first at ~10 hours, then every 12 hours, then 16 hours and stopped on 05/01/21. As of 05/02/21 blisters look dry and pain in abdomen-rib cage is minimal.

Other Meds: Nexplanon in place

Current Illness: None

ID: 1283157
Sex: F
Age: 26
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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:

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

Symptoms: Reports she developed hives and wheezing same day (initially said within 4 hours, then shared it might have been within 7 hours) as her 1st COVID vaccine Pfizer dose. She reports calling her allergist and was recommended to take benadryl 50 mg po. She reports her symptoms improved so she did not go to seek emergency care. She reports numerous food and environmental allergies.

Other Meds:

Current Illness:

ID: 1283158
Sex: M
Age: 50
State: AL

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

Symptom List: Injection site pain, Pain

Symptoms: Stroke

Other Meds: Unknown

Current Illness: Unknown

ID: 1283159
Sex: M
Age: 64
State: CA

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

Lab Data:

Allergies: Sulfa, Almonds, Peanuts, Latex, Cipro

Symptom List: Injection site pain, Menorrhagia

Symptoms: May be nothing, but 12 hours after first vaccine my left hand started having "trigger Finger" on middle finger. Still intermittently there even after 2nd vaccine. This may be unrelated.

Other Meds: Enalapril, Sertraline, Meloxicam, Zyrtec,

Current Illness: None

ID: 1283160
Sex: M
Age: 58
State: CO

Vax Date: 04/21/2021
Onset Date: 04/29/2021
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: NKDA

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

Symptoms: Patient is a 58-year-old male with history of DM2 on insulin, bovine aortic valve replacement, nonischemic cardiomyopathy (unknown EF), hypertension, obesity, presented to Medical Center on 4/26/21 for left leg pain and swelling. Symptoms began about 2 days ago when he drove to visit some friends and started to " feel under the weather" hence drove back yesterday. He then had acute onset of left leg swelling and pain which prompted him to present to the ED. He was reportedly concerned about " having a clot" as he just received the Johnson & Johnson Covid vaccine this past week.

Other Meds:

Current Illness: None known

ID: 1283161
Sex: F
Age: 35
State:

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: NAUSEA. Evaluated by EMS-Refusal to transport.

Other Meds:

Current Illness:

ID: 1283162
Sex: M
Age: 62
State: CO

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

Lab Data:

Allergies: Pt reports allergy to erythromycin - causes nausea and vomiting.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt reported that he was vaccinated around 2:45 pm and at 6:45 pm the same day began to feel nauseous and light headed. He states he was so weak he had trouble getting into bed. He also experienced feeling cold and sweaty. He states he took his temperature and did not have a fever. He states he felt a little better around 8:30 pm and ate crackers and soup. He states he didn't sleep well and was still nauseous and felt like he had heartburn around 5 am. He states he was able to eat at 7 am the next morning (3/13) and took a shower around noon. Pt states he took his blood pressure on the morning of 3/13 and that it was low. He says he took his blood pressure daily until the 22nd, and it took about a week for it to return to normal for him. Pt reports that he saw his primary care provider on 3/18/21 and his EKG was normal but his BMP was elevated. PCP referred him to cardiologist.

Other Meds:

Current Illness:

ID: 1283163
Sex: F
Age: 18
State: MN

Vax Date: 04/22/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin

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

Symptoms: Hive like rash on elbows and knees. Began 9 days after injection on elbows. Raised and itchy. 10th day had spread to both knees and some finger joints.

Other Meds: None

Current Illness: None

ID: 1283164
Sex: F
Age: 28
State:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Patient comes to health clinic with complains of right arm redness. Patient had a 4cm diameter, erythematous, slightly indurated, warm lesion on right arm where her vaccination was injected. This appeared 1 day after and has been growing. She reports that her arm was not wiped with alcohol prior to injection

Other Meds:

Current Illness:

ID: 1283165
Sex: F
Age: 34
State: NJ

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Patient's husband called to say that the vaccine was given lower than deltoid muscle, that it was a few inches above the elbow. The arm is sore. He is concerned about long term effects. I called Pfizer on 5-3-21 11:20am. They gave me guidance by cdc that the dose does not need to be redone. I gave husband this info 5/3/21 at 5:55pm. He is still agitated and concerned.

Other Meds:

Current Illness:

ID: 1283166
Sex: F
Age: 21
State: MS

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: IM
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: Administration dose was .05 ml instead of .5ml, patient was called back in the same day and .45 ml was given to complete dose #1 dose.

Other Meds: Bentyl Inderal Vraylar

Current Illness:

ID: 1283167
Sex: F
Age: 58
State: WA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
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: Ambrosia Artemisiifolia (Ragweed). Sulfa Antibiotics.

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

Symptoms: Patient says they had a rash and a slight swelling of the throat after they got the shot.

Other Meds: Metformin ER. Rosuvastatin.

Current Illness: Hormone Deficiency. Furuncle. Primary hypercholesterolemia. Cellulitis. Invertigo. T2DM. Pancreatitis. Muscle Spasm. Bacterial Infection. Rhinitis.

ID: 1283168
Sex: F
Age: 31
State: MA

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: Tremor

Symptoms: Severe body aches starting approximately 8 hours after injection and lasting 24 hours. Mild fever beginning around 10am the day after injection, increasing to a fever of 102.1F around 3pm. Fever broke several hours later. Loss of appetite. All symptoms were resolved within 36 hours.

Other Meds: Zoloft, Trazadone, birth control pill

Current Illness: none

ID: 1283169
Sex: M
Age: 69
State: AZ

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Erythema, Pruritus

Symptoms: Inner cranial pressure followed by migraine the following day. . Loud hi frequency squealing in both ears, still persists.

Other Meds: Lisinipril, simvistatin, pantpropazole, glucosamine

Current Illness: None

ID: 1283170
Sex: F
Age: 39
State: MI

Vax Date: 05/01/2021
Onset Date: 05/03/2021
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: allergic to penicillin

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

Symptoms: Started menstrual bleeding 2 days after vaccination. (not on cycle)

Other Meds: none

Current Illness: none

ID: 1283171
Sex: M
Age: 47
State: UT

Vax Date: 03/05/2021
Onset Date: 03/17/2021
Rec V Date: 05/03/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: flu symptoms, fever and severe muscle/nerve pain within 24 hours of vaccine, lasting 36 hours. 12 days later severe muscle nerve pain in lower back/back of legs to above knees loss of taste facial paralysis on right side of face; moves to left side 2 days later muscle/pain from lower back to bottom of feet growing fatigue balance issues when walking onset of hand tremors, then hand tremors up the arm facial tremors headaches skin sensativity, especially on legs muscle weakness, especially in legs unable to walk more than a few minutes without needing to rest dextarity impacted by hand tremors slurred speech difficulty eating on right side of mouth pain and difficulty sleeping (can't get comfortable due to muscle/nerve pain) Loss of ability to get dressed (can't get socks on, balance) High blood pressue/heart rate when standing or brief activities (walking)

Other Meds:

Current Illness: None

ID: 1283172
Sex: M
Age: 62
State: CA

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: Contrast dye, morphine, albuterol

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Atrial fibrillation, dizziness, difficulty breathing, profuse sweating, pulse 110, very high blood pressure starting approximately 10 minutes after injection. Transferred to emergency room.

Other Meds: Chlorthalidone, eplerenone, Valium,

Current Illness: Low testosterone

ID: 1283173
Sex: M
Age: 58
State: WA

Vax Date: 04/19/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Rash on left arm and back, accompanied by mild muscle soreness. Rash not itchy but slightly painful to the touch.

Other Meds: Atorvastatin, low-dose aspirin, daily vitamin

Current Illness:

ID: 1283174
Sex: F
Age: 41
State: OK

Vax Date: 04/13/2021
Onset Date: 04/13/2021
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: Amoxicillin - swelling in different parts of her body, including mouth Bell pepper - migraine, rash

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

Symptoms: Fifteen minutes after the 2nd Moderna injection, she felt short of breath as she was leaving the facility. She drove home. Her symptoms worsened a couple of days later, she notified her physician who saw her in his office. She was tested for covid, which was negative, and prescribed an inhaler and an antibiotic. The inhaler "did not help at all". She took 1 dose of the antibiotic, and vomited. She did not take the antibiotic after that. She continued to have worsening shortness of breath and went to the ER 2 days later. She received a breathing treatment, blood labs, chest xray, She was discharged home. A few days later she returned to Dr office and was sent for a CT scan that day. The report showed left axillary swollen nodes . She received a script for Clindamycin for congested sinuses, which she is still taking.

Other Meds: Vitamin D Women's formula multivit

Current Illness: None

ID: 1283175
Sex: F
Age: 40
State: AZ

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: Sulfa

Symptom List: Pain in extremity

Symptoms: At 9:00am I had the Vx (left upper arm) No concerns until 10:00am. At that time there was a lot of pain in my left hand. The pain has moved to my neck and back. Then Headache, Sweating and then violent vomiting that started at ~3:00Pm. Lasted for 30 min. Then vomiting stopped but headache and body aches continue.

Other Meds: Lyrica (200mg SID), Zoloft (200mg SID), adderall (25mg SID)

Current Illness: Seasonal allergies

ID: 1283176
Sex: F
Age: 38
State:

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

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

Symptoms: After 35 min post vaccination patient was anxious and reported that she has "little tingling" on her upper lip. Throat feels like "pins and needles" inside. Mild headache. Given Benadryl 25 mg PO x1. Patient stable, released from vaccination site.

Other Meds:

Current Illness:

ID: 1283177
Sex: F
Age: 28
State: CA

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa and amoxicillin

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

Symptoms: Received the first dose on 4/7/21 at 3:30 pm, no adverse affects. Received the second dose on 4/28/21 at 3:30pm, only a sore arm for the first 24 hours. At about 3:30pm on 4/29/21, began to feel a tightness in the chest, took my inhaler and it provided slight relief. At 3:30am on 4/29/21, throat began to swell so I went to the ER to get that checked out. They gave me Benadryl, a steroid shot, and some Pepcid for anti-inflammatory and provided prescriptions for when the medicines they administered wore off. From 5/1/21 until today, I have felt slight swelling in the throat and mouth and sinus areas, all manageable by prescriptions given. Today, 5/3/21, felt fatigue and headaches. There is still a bruise at the sight of injection, but no swelling there.

Other Meds: Contraceptive-- Minastrin 24 fe generic, albuterol for asthmatic wheezing to take as needed.

Current Illness: none

ID: 1283178
Sex: F
Age: 54
State: NY

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

Symptoms: Nausea and hypertension

Other Meds:

Current Illness:

ID: 1283179
Sex: F
Age: 54
State: NV

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

Lab Data:

Allergies: Sulpha

Symptom List: Vomiting

Symptoms: Adverse Event: Big red itchy inflamed rash, arm pain Treatment: Ice, Triamcinolone Acetonide Cream, 0.1% Outcome: Swelling appears to be going down

Other Meds: Allegra-D, Multi-vitamin, Plant Calcium Bone Strength, Zyrtec, Glucosmine Sulfate

Current Illness:

ID: 1283180
Sex: F
Age: 56
State: CO

Vax Date: 04/13/2021
Onset Date: 04/16/2021
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 drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: A lump, about the size of a large grape, and a rash, about 4" x 4", developed at the injection site a few days after the shot. The rash was puffy and warm to the touch but neither the rash nor the lump were painful or itchy. Both subsided within about 10 days.

Other Meds: Levothyroxin, Adderall, fish oil, vitamin B 12, vitamin D, Potassium, multi-vitamin

Current Illness: Stomach flu the week before

ID: 1283181
Sex: M
Age: 47
State: CO

Vax Date: 04/22/2021
Onset Date: 04/23/2021
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: NKDA

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

Symptoms: provoked shingles, roughly C6 distribution, quite severe even 2 wks post-vaccination

Other Meds: lisinopril

Current Illness: none

ID: 1283182
Sex: M
Age: 23
State: CA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Client received first Moderna Covid 19 vaccine at 1615. Client tolerated vaccine well. Client was d/c'd from Covid clinic at 1630. No s/s of any distress noted at that time. Client was waiting in the waiting room for dental appointment in the same clinic. At 1700 dental staff came to get a medical staff due to client was not feeling well. Nurses walked in to dental office and found client laying down on the floor. Client was responding to the medical staff. Client was A+O x 4 . Client was clammy, diaphoretic, no SOB or wheezing noted, no swelling , no redness anywhere present, no n/v noted. Client stated that he laid him self down due to being very warm. Client took his Tshirt off prior laying him self down on the floor. Dental staff stated that client received Lidocaine and Epinephrine local anesthetic shortly prior. Dental staff claims that client did not lose his consciousness. Client confused about what happened moments before. Nursing assessment and VS taken. At 1703 VS BP 102/68, P 68, R 18, O2 sat 93% on RA. At 1705 O2 Sat at 100% on RA. Client was not sure why he felt like this per his statement. Client slowly set up and was talking to the nurse that is feeling better and less hot. Client A+O X 4 at all times. At 1705 VS BP 102/68, P 75, 18, O2 Sat 100% on RA. At 1710 Blood glucose level 126. Client received 8 oz. of OJ. Client stated that has not eaten anything in over 24 hours and not sleeping as well due to working night shift. Client sat him self up in the dental chair and stated that is feeling much better now. Client states all symptoms resolved. D/c'd home per dental staff. Dental appointment rescheduled.

Other Meds: Unknown

Current Illness: Unknown

ID: 1283183
Sex: F
Age: 65
State:

Vax Date: 04/21/2021
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: latex sulfa penicillin codeine

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

Symptoms: excessive tinnitus. have had tinnitus for 5 years and it is very managable using a masker. This tinnitus has become so much more excessive it reminds me of my first diagnosis. reaction began 4/26 and continues to this day o f 5/3 I have also been experience unusual dizziness and nausea; I was in bed for 2 days and stiff suffering but I have to go to work . I did not make the connection with the vaccine until today.

Other Meds:

Current Illness:

ID: 1283184
Sex: F
Age: 17
State: RI

Vax Date: 04/24/2021
Onset Date: 04/28/2021
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: My daughter has the Nexplanon arm implant to address her irregular menstrual periods and for the past two years has basically not had a menstrual period. Approximately 3-4 days after receiving the first dose of the Pfizer vaccine, she started a very heavy menstrual period and is still experiencing it. It is precisely the type of menstrual bleeding that resulted in the Nexplanon being prescribed.

Other Meds: Sertraline

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm