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: 1286815
Sex: F
Age: 57
State: NY

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/04/2021
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: Fever, all over heaviness, unable to get out of bed. Nausea. Starting after about 12 hours and lasting for a day

Other Meds: Vitamin D

Current Illness: None

ID: 1286816
Sex: F
Age: 54
State: NY

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 05/04/2021
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: Allergy to Sulfa and Ciprofloxacin

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever of 102 for 5 hours. Severe headache, chills, fatigue lasting 24 hours Abnormal swelling and tenderness at injection site lasting 2+ weeks. Inability to raise left arm. Acetaminophen taken throughout recovery.

Other Meds: Wellbutrin Valacyclovir

Current Illness: None

ID: 1286817
Sex: M
Age: 54
State: NY

Vax Date: 01/04/2021
Onset Date: 04/28/2021
Rec V Date: 05/04/2021
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: Received first dose on 1/4/21 and second dose on 1/25/21. 4/28/21 reported having leg pain and was seen by primary care where it was determined he had a blood clot and was placed on blood thinners.

Other Meds:

Current Illness:

ID: 1286818
Sex: F
Age: 41
State: TX

Vax Date: 04/16/2021
Onset Date: 04/20/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies: Aspirin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Six hours after I received the second dose of the Covid vaccine from Moderna I experienced Covid like symptoms. I had tested positive for Covid 75 days prior to the vaccine, and my symptoms were similar or worse than when I had Covid. I had severe body aches, fever of 101F, headache, fatigue and confusion starting on 16 April. The fever and body aches subsided the morning of 19 April. I continued to have severe fatigue and headaches through 22 April. Starting the morning of 19 April small bumps begin to appear behind my ears mostly on the left side. On the morning of 21 April a rash appeared on the left side of my neck, it began to spread down my arm and up my face, unilaterally. It began to blister, itch and burning pain. The rash clearly followed dermatomes. By evening the rash spread into red bumps all over my body, bilaterally upper and lower extremities. Rash was not reactive to Benadryl. I went to the ER and was immediately admitted to the hospital with a dx of Shingles. My left eye and left ear were beginning to swell shut, with an increasing headache. Please note the afternoon of 20 April I did have Dysport injections to my upper forehead. I have had these injections several times before without any prior reaction. Also, severe Covid like symptoms were experienced with the first dose of the vaccine.

Other Meds: Vitamin D3, Collagen and multi vitamins

Current Illness: No other illnesses

ID: 1286819
Sex: M
Age: 16
State: MA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/04/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient arrived at clinic and was registered and screened prior to vaccination; however, it was not captured that the patient was outside of the EUA authorized age group to receive the Moderna COVID-19 vaccine. Patient received first dose of Moderna COVID-19 vaccine at age 16 without any issue post-vaccination. Moderna Medical Information consulted for recommendations for dose given outside of authorized age range. Confirmed that second dose should be administered at 28 days out for this 16 year old patient. This will be considered off label use. Patient and family notified; patient has been scheduled for dose 2 in the series on 5/5/21.

Other Meds:

Current Illness:

ID: 1286820
Sex: F
Age: 53
State: TX

Vax Date: 04/14/2021
Onset Date: 04/19/2021
Rec V Date: 05/04/2021
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: Tinnitus, which I never had before

Other Meds: Vitamin D Losartan potassium 25 mg Pravastatin sodium 20 mg Zyrtec

Current Illness: None

ID: 1286821
Sex: F
Age: 37
State:

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 05/04/2021
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: severe headache/migraine, extreme exhaustion

Other Meds:

Current Illness:

ID: 1286822
Sex: F
Age: 69
State: MN

Vax Date: 03/13/2021
Onset Date: 04/01/2021
Rec V Date: 05/04/2021
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:

Symptom List: Pharyngeal swelling

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1286823
Sex: M
Age: 19
State: NY

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/04/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: dizzy and lightheaded couple minutes after second dosage, corrected on own with no interventions

Other Meds:

Current Illness:

ID: 1286824
Sex: F
Age: 66
State: CA

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: currently at 8 weeks of daily headaches. I have taken antibody tests for the covid virus and results are NEGATIVE. Brain fog began to calm at about 5 weeks. I now have strong tingling and numbness in my feet and calves. Sometimes my legs feel weak. In the last 2 weeks, my knee joints are swollen and I cannot fully bend. In addition to swollen joints, I have increasing joint pain in knees and hips and aches in my back and legs. Continued tightness in the back of my neck.

Other Meds: NONE

Current Illness: NONE

ID: 1286825
Sex: F
Age: 19
State: FL

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

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

Lab Data:

Allergies: N/A

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

Symptoms: post vaccination approximately 1 minute in observation patient began to slide off chair, eyes closed, pale vitals 121/66, 89, 22, 98.9 02. 98% 911 called patient assessed responding well was not transported to hospital remained in observation

Other Meds: none

Current Illness: none

ID: 1286826
Sex: M
Age: 74
State: ND

Vax Date: 03/24/2021
Onset Date: 04/04/2021
Rec V Date: 05/04/2021
Hospital: Y

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: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1286827
Sex: F
Age: 23
State: CA

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

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

Lab Data:

Allergies: allergic reaction to meningococcal vaccine, tramadol

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

Symptoms: Approx. 5 mins after vaccine, client c/o itchiness on left shoulder and legs. Skin above injection site did appear to be red. Benadryl was offered and accepted by client (oral solution 25mg x 2). Vital signs WNL. Client left site unassisted and with steady gait, stating "not as itchy."

Other Meds: leucovorin, methotrexate, plaquenil, folic acid, cyclobenzaprine, Macrobid, congestril

Current Illness: unknown

ID: 1286828
Sex: F
Age: 20
State: PR

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

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

Symptoms: PATIENT PRESENTS DIZZINESS, NAUSEA AND VOMITING.

Other Meds: N/A

Current Illness: N/A

ID: 1286829
Sex: M
Age: 69
State:

Vax Date: 03/18/2021
Onset Date: 04/01/2021
Rec V Date: 05/04/2021
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:

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

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1286830
Sex: F
Age: 37
State: MI

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/04/2021
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: Penicillins

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

Symptoms: The night of the vaccination, I felt fine until I went to bed, around 9:30pm. I noticed my arm around injection site was swollen, hot and sore. When I laid my head down my head started to hurt. As the night went on I took pain reliever but to no avail. By morning, I had a moderate fever of 102, my head was pounding as it had been all night, waking me out of sleep, and I had body aches and chills. I spent the next two days mostly in bed with these symptoms. I had an ease the third day, then the following day was fatigued and sore again but the headache was mostly gone. The symptoms worsen with movement . Around the 4th day after the vaccine, vertigo/ dizziness started. It is now 6 days after vaccination and I am still struggling with vertigo and cannot move my head quickly or turn fast otherwise I almost fall over. I have never had vertigo like this. The symptoms ebb and flow. I have not been to the doctor yet but have talked with the nurse at my doctor's office.

Other Meds: Topamax, Pristiq, Aimavig, Wellbutrin, Maxalt, albuteral

Current Illness:

ID: 1286832
Sex: F
Age: 42
State: TX

Vax Date: 04/10/2021
Onset Date: 04/19/2021
Rec V Date: 05/04/2021
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: Penicillin, Doxycyline, Ibuprofen, Aspirin

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

Symptoms: Second Pfizer dose 4/10; headaches, fatigue, malaise, light fever on 4/11, resolved by 4/12; bad headaches began 4/19, continued off and on for 10 days; on 4/24 severe fatigue episodes began with muscle weakness, dizziness and brain fog; tested negative for COVID-19 4/27; contacted PCP on 5/3 and tested positive for EBV 5/4

Other Meds: Xolair, Zyrtec, Famotidine, Vitamin C, Vitamin D, Biotin, B12, Vegan Multivitamin

Current Illness: None

ID: 1286833
Sex: M
Age: 64
State: CO

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

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

Lab Data:

Allergies: Amoxicillin, ampicillin, certain potatoes, one of the color coatings of M&Ms

Symptom List: Ear pain, Hypoaesthesia

Symptoms: For the first dose ONLY: Approximately two hours after injection, I noticed overall body aches, plus fatigue set in. The fatigue and body aches lasted ~18 hours. I had no adverse events for the 2nd dose.

Other Meds: Lisinopril HCTZ Allopurinol Aspirin Diclofenac Turmeric Vitamin D3 Calcium supplement Stelara

Current Illness: None

ID: 1286834
Sex: F
Age: 65
State: TN

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: RASH, OTHER ISSUES THAT WON'T GO AWAY

Other Meds:

Current Illness:

ID: 1286835
Sex: F
Age: 59
State: CA

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

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

Lab Data:

Allergies: sulfa amoxicillan

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

Symptoms: 102 fever all next day from 12 hours after the vaccination - recovered 100 fever 2nd day. - recovered nausea - mostly recovered, but haven't restored appetite pain, swelling in injected arm - 50% recovered. Arm started itching today - Tuesday itchy eyes, Have NOT recovered headaches - 5 straight days now - Have NOT recovered Nagging dry cough - seems allergic, but I've never had allergies in 60 years. Have NOT recovered

Other Meds: claritin (for vaccination side effects only) Advil (for vaccination side effects only)

Current Illness: just COVID ARM - reported on this site

ID: 1286836
Sex: F
Age: 34
State: CA

Vax Date: 04/15/2021
Onset Date: 04/21/2021
Rec V Date: 05/04/2021
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: I've been feeling very tired since April 21st. Tired to the point that I am incapable of performing routine tasks such as preparing breakfast for my children and taking them to school. My brain feels fuzzy. I am not able to perform my routine office work either. I have been on leave since my symptoms started. I can feel my heart beating very fast at times. At other times I find myself trying to catch my breath while doing routine things like eating food and drinking water. I also feel excessively thirsty.

Other Meds:

Current Illness:

ID: 1286837
Sex: M
Age: 56
State: TX

Vax Date: 04/10/2021
Onset Date: 04/19/2021
Rec V Date: 05/04/2021
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: I got shingles from getting the second vaccine shot

Other Meds: None

Current Illness: None

ID: 1286839
Sex: M
Age: 25
State: VA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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: patient said he felt he was sweating , and had a little difficulty breathing , we kept watching him , then he said he was feeling much better , and he was ok to go.

Other Meds:

Current Illness:

ID: 1286840
Sex: M
Age: 20
State: IL

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Patient states he felt very tired and light headed and dizzy about 45 minutes after receiving the vaccination.

Other Meds:

Current Illness:

ID: 1286841
Sex: F
Age: 58
State: NY

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

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

Lab Data:

Allergies: Probenicid Percocet-oxcodone Tramadoi Bee Stings Adhesive

Symptom List: Injection site pain, Menorrhagia

Symptoms: Chills started Saturday evening around 8:30 pm and continued until early Monday morning 1:00am Slept on & off the entire time Fever started around 3:00am and continued till around 9:30 am. Woke with severly chapped lips, wet and extremely week. Bad headache & sensitve to light and noise mostly all day Sunday body aches and fatigued starting to fade today Tuesday, May 4th

Other Meds: Simvasatin 40 mg 1 x per day Pantoprazole 40 mg 1 x per day Gabapentin 100 mg 1 x per day Duloxetine 30 mg 1 x per day

Current Illness:

ID: 1286842
Sex: M
Age: 59
State:

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

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: Acute hypoxemic respiratory failure; Hypokalemia; Lactic acidosis; Muscle weakness (generalized); Weakness

Other Meds:

Current Illness:

ID: 1286843
Sex: F
Age: 41
State: CO

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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: Allergy to a food (unspecified)

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt presented to clinic today for 2nd Pfizer COVID Vaccine. Pt reported HX of allergy to a type of food (unspecified), but reported no adverse reaction to 1st Pfizer covid vaccination. Pfizer administered at 10:20am without incident. At 10:35am (15 minutes post-vaccination) pt. reported dizziness when she stood to leave the clinic. RN instructed pt. to sit down, and provided juice and pretzels. Pt drank 8 oz of juice and ate pretzels, but reported that the dizziness was not subsiding. At 10:50am,pt. stood to walk, but stated that she was still feeling dizzy and she reported feeling hot. Pt denied blurred vision, HA, nausea and SOB. RN offered water and pt drank 8oz. Pt walked with assistance from RN to main clinic for further observation. Pt called husband for ride home, and stayed in observation with RN until 11:25am, when husband arrived. Pt reported that she was still feeling dizzy when she left with husband at 11:30am. RN provided instructions to pt and husband before they left the clinic. RN recommended increased fluid intake, laying down with legs elevated above heart, and to call PCP if symptoms persist. Pt and husband verbalized understanding and agreed to call PCP if symptoms continue. 4:20pm- RN called pt. by phone to f/u and see if symptoms resolved. No one picked up- RN left voicemail.

Other Meds: none reported

Current Illness: none reported

ID: 1286845
Sex: M
Age: 32
State: IL

Vax Date: 04/23/2021
Onset Date: 04/27/2021
Rec V Date: 05/04/2021
Hospital:

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

Lab Data:

Allergies: shrimp, scallops, wheat, sesame

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: hives, rashes all over my arms, stomach, back and legs

Other Meds: none

Current Illness: none

ID: 1286846
Sex: F
Age: 60
State: WA

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

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

Symptoms: Today (day 3 after 2nd dose) I woke up with the upper/outer of vaccinated arm blotch red, swollen, and hot to the touch. I did not have this at any point until today. Not with first vaccination either. A few years ago I had an allergic reaction to Clinomyacin that started like this and then spread to my entire body. I do not want that to happen with this! I thought about taking a Benadryl but then though it might interfere with the working of the vaccine. I need to know what, if anything I should do and at what point should I be concerned and what should I do if it gets worse.

Other Meds: Morphine 15mg, 1/2 tablet 4x/day

Current Illness: None

ID: 1286847
Sex: F
Age: 25
State: WA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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: syncope/ vasovagal response. sweating, dizzy, then unconscious for 15 seconds. was seated, so was placed lying down so as not to fall. return to normal after 15 seconds, with slight nausea. recovered fully after 10 minutes with water.

Other Meds:

Current Illness:

ID: 1286848
Sex: F
Age: 65
State: IN

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

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

Lab Data:

Allergies: Sulfa Blackberries

Symptom List: Injection site pain

Symptoms: Right underarm soreness and some swelling (same arm vaccine was given in), low-grade fever, muscle aches, mild headache.

Other Meds: Lisinopril Atorvastatin Hydrochlorothiazide Benadryl - taken to help with sleeping

Current Illness: Prior to vaccination I had mild sinus drainage and sneezing.

ID: 1286849
Sex: F
Age: 40
State: IN

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 05/04/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: With day my right arm became numb every night to where I couldn?t feel it. It progressively gotten worse. A week later my left arm started becoming numb with sleep. 2.5 weeks later bilateral lower extremities. I wake up unable to move them and it?s painful. Once I force movement it gets better. During the day I only have mild tingling in all 4 extremities but it?s getting worse. I did not get my second vaccination today.

Other Meds: Trazadone-sleep, Benadryl sleep, senna

Current Illness: None

ID: 1286850
Sex: M
Age: 22
State: AZ

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/04/2021
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: Woke up with pain and swellig base of left neck with a firm, slightly cystic feeling, rounds and slightly tender mobile mass (3 cm) anterior to left clavicle

Other Meds: none

Current Illness: none

ID: 1286851
Sex: F
Age: 70
State: CA

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

Symptom List: Tremor

Symptoms: Patient receiving the vaccine slapped the needle out of the right arm while being injected. Therefore the patient had only received a partial dose of the vaccine. Patient had also scratched right arm with the needle when she slapped at it. Injury site was cleansed by an RN and a band-aid was applied. An additional 0.3mL dose of Pfizer (same lot) was administered in patient's left arm. Dose was well tolerated by patient. Patient was assessed for 15 minutes following injection.

Other Meds: unknown

Current Illness: dementia

ID: 1286852
Sex: M
Age: 64
State: ID

Vax Date: 03/17/2021
Onset Date: 03/22/2021
Rec V Date: 05/04/2021
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: I experienced a dramatic increase in tinnitus. I got much louder and is persistent 24/7.

Other Meds: Astaxanthin, Magnesium, CoQ10, Gemfibrozil, Niatain, Warfarin, Collagen Peptides, Psyllium, MultiVitamin, HPA Adapt, Prenenolone CRT,

Current Illness: none

ID: 1286853
Sex: M
Age: 44
State: CA

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

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

Symptoms: RN give IM injection on the left arm but the needle retracted prematurely resulting in vaccine leaking. Another dose administered on opposite arm.

Other Meds: n/a

Current Illness: n/a

ID: 1286854
Sex: M
Age: 68
State: CA

Vax Date: 02/26/2021
Onset Date: 03/04/2021
Rec V Date: 05/04/2021
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: Iodine

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

Symptoms: complains of headache that started shortly after receiving the first covid vaccine and cont and progressed after second dose. Notes posterior neck pain and generalized pressure like headache. Notes it will get worse for about 30 min after meals to a 6/10. Denies focal neurological deficits. No fever/chills no nausea/vomiting., no light or noise sensitivity, no swelling of his right arm. He has tried over the counter and prescription pain medication without help. Has also tried massage, use hot tub and chiropractor which is not helping either.

Other Meds: glipizide

Current Illness: sore throat, body aches.

ID: 1286855
Sex: F
Age: 40
State: MA

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

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: after administering the vaccine during the observation time pt had syncope

Other Meds:

Current Illness:

ID: 1286856
Sex: F
Age: 49
State: GA

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 05/04/2021
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: ibuprofen

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

Symptoms: patient had poison ivy rash and was on prednisone taper at time of 1st moderna dose. patient's rash worsened.

Other Meds: prednisone taper

Current Illness: contact dermatitis from poison ivy

ID: 1286857
Sex: F
Age: 32
State: NC

Vax Date: 03/29/2021
Onset Date: 04/08/2021
Rec V Date: 05/04/2021
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: None

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

Symptoms: Disrupted menstrual cycle delayed by 5-7 days

Other Meds: Lorazepam

Current Illness: None

ID: 1286858
Sex: M
Age: 61
State: MS

Vax Date: 04/19/2021
Onset Date: 04/21/2021
Rec V Date: 05/04/2021
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: Pain in extremity

Symptoms: Cold symptoms.... lasted 1 1/2 weeks ... sore throat, stopped up nose, runny nose, cough, aches, no fever... undiagnosed COVID in Feb. 2020....but found out later was exposed to COVID... did have a test and was not flu.... unlike any flu/cold had before (in Feb 2020)

Other Meds: none

Current Illness: none

ID: 1286859
Sex: M
Age: 66
State: TN

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 05/04/2021
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: SORE SPOTS ON BACK..NOT GOING AWAY

Other Meds:

Current Illness:

ID: 1286860
Sex: M
Age: 21
State:

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/04/2021
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: anaphylactic reaction to penicillin

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

Symptoms: patient was nauseated 10 minutes after dose, proceeded to have tingling in feet first, then legs and arms that moved into abdomen as well. Pain and extreme heaviness in arm shot was administered in. Ice packs were placed on arm and back of neck. Patient then stated after another 10-15 minutes that breathing was becoming labored and then both hands drew in and locked unable to move them. EMS was called at this time and EPIPEN was readied but not administered. Patient continued to communicate tingling was coming and going and after another 10 to 15 minutes breathing eased up and tingling in lip and body was fading along with able to move fingers but not thumbs. EMS arrived and took all vitals and cleared patient. About 15 minutes after patient was able to leave on own accord.

Other Meds:

Current Illness:

ID: 1286861
Sex: F
Age: 47
State: MD

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/04/2021
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: Kiwi, mussels, sulfa antibiotics

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

Symptoms: Less than 48 hours after vaccination a rash appeared on the inside of my right elbow. It?s now 4 days out and it?s gotten slightly worse. It looks like eczema, tiny red blisters. It itches and stings a bit.

Other Meds: Loratadine, spironolactone

Current Illness: None

ID: 1286862
Sex: M
Age: 19
State: CA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: After the vaccine I had a sore muscle at the vaccination site, but that went away after a day. 5 days after receiving my first Moderna vaccine, I noticed a swollen lymph node under my armpit on the same arm that I received the vaccine on (left armpit), but went to sleep not thinking anything of it. I woke up at 9am the next day to intense body aches and skin sensitivity and the lymph node even larger. The body aches have remained all day, but have subsided from rest. I went to my local urgent care center to get a Covid-19 rapid test and it came back negative.

Other Meds: None

Current Illness: None

ID: 1286863
Sex: M
Age: 22
State: WA

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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: AFTER RECEIVING THE SHOT CUSTOMER WAS WAITING FOR 15 MINUTES . CUSTOMER FELT DIZZINESS AND COLLAPSE . MEASURE HIS BLOOD PRESSURE AT TAHAT TIME WAS 84/62. . HE WAS ASK TO WAIT MORE TIME AND AFTER HE WAS FEELING BETTER HE WAS LET GO HOME.

Other Meds: N/A

Current Illness: N/A

ID: 1286864
Sex: F
Age: 67
State:

Vax Date: 01/27/2021
Onset Date: 02/12/2021
Rec V Date: 05/04/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1286865
Sex: M
Age: 50
State: UT

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 05/04/2021
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: I felt sick and fatigue after getting the shot. And the next morning I passed out on my way to work and wrecked my truck.

Other Meds: Soma, seroquil, ibuprofen, suboxone,

Current Illness: None

ID: 1286866
Sex: F
Age: 25
State: CA

Vax Date: 04/14/2021
Onset Date: 04/24/2021
Rec V Date: 05/04/2021
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: Patient reports heavy menstrual cycle, bleeding 10 days straight after 2nd vaccine. Was given birth control pills to control bleeding, labs ordered.

Other Meds: March 18 used ibuprofen once. April 15 used Tylenol once. Was started on birth control end of April.

Current Illness: None

ID: 1286868
Sex: F
Age: 34
State: PA

Vax Date: 03/18/2021
Onset Date: 04/19/2021
Rec V Date: 05/04/2021
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: Shingles

Other Meds: Unisom, vitamin d, magnesium, b vitamins

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm