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: 1293588
Sex: F
Age: 30
State: FL

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Sore arm and Covid arm - red itchy rash near injection site about 5 inches long.

Other Meds: Protein powder and birth control

Current Illness: Got Covid in between the two doses. Tested positive about 7 days after first dose.

ID: 1293589
Sex: F
Age: 50
State: OK

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/06/2021
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: demerol lamictal effexor topamax zonegran levaquin

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever within a couple of hours. Crushing muscle aches and pain. (rating 9/10) Disorientation. Headache. Nausea. Extremely severe fatigue. Difficulty breathing (wheezing, a corset 6x too tight around torso and elephant sized weights on shoulders). Worst from hours 26-68. Fatigue still lingers at a moderate level. Severe depression (without immediate previous prior indication) started after the 3 days of severe illness. Depression still at a moderate to severe level. Medical attention sought and anti-depressants prescribed. Ineffective. Labs post injection showed a nearly 3x increase in hsCRP from prior to injection as well as ANA titer pattern change.

Other Meds: pepcid allegra tylenol vit d zinc omega 3

Current Illness: None

ID: 1293590
Sex: F
Age: 31
State: CA

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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: Mild dairy allergy

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

Symptoms: In addition to commonly reported side effects (headache, mild muscle pain and stiffness), approximately 18 hours post-injection distinctive systems normally associated with escitalopram withdrawal, mainly electric shock sensations in face and 'brain zaps,' began occurring. Symptoms disappeared within approximately an hour of taking normal daily dose of escitalopram (20 mg). Approximately 10 hours later, symptoms reappeared with similar severity, and a half-dose of of escitalopram was taken (10 mg). Again, within about an hour symptoms disappeared. No further symptoms have occurred as of >48 hours post-injection. No additional effects observed, and overall recovery from other post-vaccine symptoms proceeded quickly.

Other Meds: Escitalopram 20 mg/day; Modafinil 200 mg/day; Trazodone 12.5 mg/day; Nortel 35 mg/day

Current Illness:

ID: 1293591
Sex: F
Age: 34
State: WA

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

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

Lab Data:

Allergies: sulpha

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I didn't have any side affects except for pain and stinging my arm and a really hard lump that lasted for about four weeks. It's tiny now - I can still feel it but for the most part it's down to just a little lump. Went to Urgent Care - about two weeks after the vaccine. Topical ointment was given to me and was told to take Benadryl. I took it for two days and then went to see the other doctor and he said that the ointment wouldn't do anything and it hadn't so I stopped taking the Benadryl and using the ointment. That doctor wrote down how big the lump was. It was a few cm around. His

Other Meds: progesterone shots

Current Illness: no

ID: 1293592
Sex: M
Age: 19
State: OH

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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: I have swelling in my under arm on my left side. its painful and makes it difficult to sleep or move around

Other Meds: None

Current Illness: None

ID: 1293593
Sex: F
Age: 35
State: AR

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/06/2021
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: Augmentin

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

Symptoms: Fever 100+ Lasting 6 days post-shot

Other Meds: N/A

Current Illness: N/A

ID: 1293594
Sex: M
Age: 42
State: CT

Vax Date: 04/19/2021
Onset Date: 04/22/2021
Rec V Date: 05/06/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pulmonary Embolism and Pulmonary Infarction

Other Meds: Tylenol, vitamin d, calcium, multivitamin

Current Illness: Hip Surgery, femoral rod March 24th

ID: 1293595
Sex: M
Age: 57
State: FL

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Bee Stings-Anaphylactic

Symptom List: Pharyngeal swelling

Symptoms: The evening of the shot I woke up with pain in my legs near my hips which lasted for a day. On 04/12/2021 my left leg was swollen and painful. I was already taking blood thinner. I went to the Emergency Room the next day and they found a blood clot in my leg. The Thrombosis was behind my left knee. My leg was swollen from the knee down and my ankle was very swollen. My Eliquis dosage has been increased from 2.5mg to 5mg twice daily. I did not have a repeat sonogram but my leg is no longer swollen.

Other Meds: Eliquis

Current Illness:

ID: 1293596
Sex: F
Age: 67
State: PA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 05/06/2021
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, prednisone

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Severe diarrhea next day and for the next 3 weeks. No fever or other effects. Started to subside day before booster shot, then it started again day after booster. 2 weeks later, it seems to be gradually lessening, but still a problem.

Other Meds: Adderall

Current Illness: None

ID: 1293597
Sex: F
Age: 51
State: CA

Vax Date: 04/09/2021
Onset Date: 04/18/2021
Rec V Date: 05/06/2021
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: Mild allergies to dogs, cats, peanuts

Symptom List: Diarrhoea, Nasal congestion

Symptoms: RASH. 8 days after each shot. Rash after second shot was severe. Not at injection site. On both forearms, hands, and onto triceps. Palms, bottoms of feet, face, ears, and at the end, throat. Progressed for 8 days, then began to fade. (It is still detectable now, but nothing is inflamed.) Rash presented as either flat blotches or raised firm bumps. All became red and inflamed. Some bumps formed a head, some popped, which became scabs. Very very itchy. Only alleviated by ice packs.

Other Meds: Celexa, Wellbutrin, Adderall (5mg), magnesium

Current Illness: Had gotten very little sleep the week before, which was the week of my mother's funeral.

ID: 1293598
Sex: F
Age: 87
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: Patient has been experiencing horrible lower back pain that comes down into hips and side of leg

Other Meds:

Current Illness:

ID: 1293599
Sex: M
Age: 35
State: NY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/06/2021
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: gabapentin tylenol

Symptom List: Rash, Urticaria

Symptoms: Went to ER twice after first shot. Blood work from physical came back unnormal. High elevations in platelet, liver, and kidney. Very sick for 3 weeks. 2nd shot: woke up next day ended in ER with fever over 102. Continuous pain, nausea, anxiety, and migraines. PCP and doctors keep denying the shot caused the issues and urged me to get the 2nd dose.

Other Meds: Oxycodone Xanax

Current Illness: none

ID: 1293600
Sex: F
Age: 41
State: CA

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Severe lower abdominal pain and weakness for about 6-7 hours a day after vaccine administration.

Other Meds:

Current Illness:

ID: 1293601
Sex: M
Age: 63
State: MA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 05/06/2021
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: Allergic to: ibuprofen, shell fish, fish, pollens, azithromycin, cyprofloxacin, latex

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

Symptoms: Within 5 minutes of getting shot, my right forearm and hand tingled, turned red and started swelling. Next, I felt dizzy and light headed. A nurse then placed a BP cuff on me and measured my BP at 185/150. My oxygen level was 98. My face, neck and arms turned very red and my face - cheeks, nose and lips started to swell. They gave me apple juice and crackers. After about 45 minutes, my right arm was normal, the color in my face, neck and arms returned to normal, my BP was 150/90. My cheeks, nose and lips remained swollen. After another hour passed, I felt ok, so I left. I took Zyrtec and then Benadril, but they didn't help. My doctor prescribed prednisone but took me off of it after 3 days as it had no affect. After a week, the swelling in my cheeks and nose subsided, but as of today 5-6-21 my lips are still swollen.

Other Meds: Verapamil 120MG and Telmisartan 40MG

Current Illness: None

ID: 1293602
Sex: F
Age: 39
State: CT

Vax Date: 04/27/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: MY LEFT ARM IS SORE RED AND ITCHY.

Other Meds: ALBUTEROL, LEVOTHYROXINE

Current Illness: NONE

ID: 1293603
Sex: F
Age: 28
State: CA

Vax Date: 02/19/2021
Onset Date: 05/03/2021
Rec V Date: 05/06/2021
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: Oxycodone

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

Symptoms: Pt had a missed menstral period. Previously very regular, taking Lo estergen. Did not start cycle during sugar pills. Started new pack and began spotting 10 days later.

Other Meds: Loestergen-Fe birth control

Current Illness: none

ID: 1293604
Sex: M
Age: 31
State: PA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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: N/a

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

Symptoms: PT reports sweating and stomach cramps 10 minutes after vaccination. PT was pale and diaphoretic upon arrival. PT did not eat prior to vaccination. Vitals checked and monitored. 1742 LYING BP 112/71 HR 65 Sp02 96% 1754 LYING BP 117/75 HR 60 Sp02 100% 18:03 STANDING BP 132/86 HR 66 Sp02 100%

Other Meds: N/a

Current Illness: N/a

ID: 1293605
Sex: F
Age: 62
State: NC

Vax Date: 05/01/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever shaking muscle spasms twitching leg pains. My arm still has raised area

Other Meds: Atorvastatin. Roprinle lisinopril

Current Illness: None

ID: 1293606
Sex: F
Age: 30
State: IN

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

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

Lab Data:

Allergies: amoxicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever for over 24 hours of 102. Sever muscle pains and headache. Also, sever paid under left armpit. Random cough started too.

Other Meds: birth control

Current Illness: none

ID: 1293607
Sex: F
Age: 19
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: no reported allergies

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

Symptoms: Patient received the [1st] COVID vaccine (Pfizer Lot # ER8732). RN 1 reported to RN 2 that client had a reaction within the 4 hours following administration of first dose. RN 2 responded. Client report experiencing fatigue, dizziness and that the "floor looked funny" approximately 5 minutes after vaccination. Client reports she was offered EMS and client denies. Today she admits to some shortness of breath that lasted about 1 minute and that she does not fully recall what the EMTs and Nurses were telling her. RN 2 consulted with medical team who determined that this client is not eligible for Pfizer as 2nd dose. Medical team determined client can be offered Janssen as 2nd Dose. RN 2 reported to client that her name and phone number would be sent to our scheduling team for her second dose Janssen. Client verbalized understanding. Client denied additional concerns.

Other Meds: Levothyroxine

Current Illness: None reported.

ID: 1293608
Sex: M
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 05/06/2021
Hospital: Y

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: My son his paralyzed t12 and his left hip swelled up within 24 hours of injection, then he used a hand massager to loosen it up and the leg and knee became bright red, swollen even more, and the pain in the leg became unbearable he couldn't move without intense pain, he was taken to ER, where he was treated for possible infection, and they noticed his hemoglobin was dropping and his leg was getting larger, he received 3 units of blood during his stay, A hematoma developed and was growing in the left thigh. He was given Vancomycin, then Doxy. The blood stabilized day 6 and he was discharged day 7 to home to continued recovery.

Other Meds:

Current Illness:

ID: 1293609
Sex: M
Age: 65
State:

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: 65 year old man with HTN received second shot of Pfizer COVID 19 vaccine on 5/3/2021. He was found unresponsive on 5/4/2021. He was diagnosed with left intracranial hemorrhage with resulting right hemiparesis. His admission platelets was 46. His admission systolic blood pressure was 220. He only responds to touch and pain. He does not track movement. He is currently comfort care and on hospice

Other Meds:

Current Illness: Hypertension

ID: 1293610
Sex: M
Age: 54
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 05/06/2021
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 reported to have hives 1 hour after getting vaccine and stated that hives went away the following day.

Other Meds:

Current Illness:

ID: 1293611
Sex: M
Age: 60
State:

Vax Date: 04/26/2021
Onset Date: 04/30/2021
Rec V Date: 05/06/2021
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: Egg

Symptom List: Injection site pain, Pain

Symptoms: Fever, chills, sweats, rigors, cough, shortness of breath, right sided chest pain, pneumonia- confirmed on cxr and Ct chest, small pleural effusion, hypoxia, decreased BP.

Other Meds:

Current Illness:

ID: 1293612
Sex: F
Age: 79
State: MA

Vax Date: 03/06/2021
Onset Date: 03/09/2021
Rec V Date: 05/06/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Details of Hospital Stay History of Present Illness The patient is a 79-year-old woman with a past medical history of hypertension, hypothyroidism, lumbar compression fracture, hiatal hernia, metastatic adenocarcinoma primary lung to bone and question liver, on immunotherapy pembrolizumab started 12/3/2019, changed to osimertinib, right leg superficial thrombosis, on Xarelto presented to hospital on 3/10/2020 with complaints of 2 months duration shortness of breath, worsened over a 4-day period. She was admitted to the hospital with a diagnosis of acute respiratory failure with concerns of acute PE. For all details regarding the patient's initial presentation please refer to history and physical exam dated 3/10/2021.

Other Meds: acetaminophen (TYLENOL) 325 mg tablet Take 650 mg by mouth eve

Current Illness: Malignant neoplasm metastatic to lung, unspecified laterality

ID: 1293613
Sex: M
Age: 34
State: NC

Vax Date: 04/22/2021
Onset Date: 05/03/2021
Rec V Date: 05/06/2021
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: LARGE AREA OF REDNESS EXTENDING FROM DELTOID TO ELBOW, COVERING BICEP DEVELOPING ABOUT 10 DAYS AFTER VACCINE. NO PAIN OR ITCHING, NO OTHER SYMPTOMS.

Other Meds: N/A

Current Illness: N/A

ID: 1293614
Sex: M
Age: 38
State: GA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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: IV contrast dye PCN doxycycline shellfish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: flushing dizziness itching sweaty

Other Meds: testosterone 150 mg IM q 2 weeks aspirin 81 mg PO q day losartan 50 mg PO q day metformiin 1000 mg PO q HS Vitamin D 3 5000 IU q day zyrtec 10 mg PO q day lipitor 10 mg PO q HS

Current Illness: none

ID: 1293615
Sex: F
Age: 34
State: CA

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I continued to have my period since the vaccine. I was on day 6 or 7 of period when I received the second COVID 19 vaccine. I am currently on week 3 with continued abnormal uterine bleeding. I have only had a day or two break twice during the last 3 weeks but every time, my period restarts. Currently still bleeding and waiting to see an OB-GYN specialist. I have always had regular monthly periods prior to the vaccine. I am a physician myself. I completed pregnancy test and it is negative. Waiting on further studies and evaluation.

Other Meds: None

Current Illness: None

ID: 1293616
Sex: F
Age: 73
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 05/06/2021
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:

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

Symptoms: Pt c/o nausea, chills, and rigors. Water given at 1435. At 1439 pt c/o shaking. BP taken 180/74. BP retaken 190/86 at 1440. SpO2 98%, Temp 36.8C 1448: BP 187/83 1454 BP 175/77, HR 86, Temp 98.8

Other Meds:

Current Illness:

ID: 1293617
Sex: F
Age: 42
State: CA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: Benadryl, hydrocodone (itching)

Symptom List: Nausea

Symptoms: Patient noticed a small red rash around the injection site and her arm felt warm to her. Denies itching, shortness of breath, throat or face swelling. Redness observed around the injection site, no swelling, warm to the touch, localized rash. Blood pressure elevated at 172/108, pulse 73, oxygen saturation 100%. Doctor on site called and 10mg Zyrtec administered sublingual. Patient's blood pressure decreased over time and patient's symptoms resolved.

Other Meds: None reported

Current Illness: None reported

ID: 1293618
Sex: F
Age: 31
State: CO

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 05/06/2021
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: Consistent traveling body pain (forearms, triceps, quads, hamstrings, lower breasts, shins, calves, some feet/tips of fingers). Tightness in chest since 5/2.

Other Meds: Oral contraceptive

Current Illness:

ID: 1293619
Sex: F
Age: 49
State: FL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 05/06/2021
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: Onset of period the next morning. The heaviest and most painful of my life. ONGOING: Scull splitting headache, Sinus cavity congestion and contribution to headache, Chills to sweats back and forth. Extreme fatigue, muscle and joint pain

Other Meds: Multi vitamins, Acyclovir, clonazapam, progesterone, levothyroxine

Current Illness: None

ID: 1293620
Sex: M
Age: 23
State:

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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: NKA

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

Symptoms: dark urine, back pain, hematuria

Other Meds:

Current Illness:

ID: 1293621
Sex: M
Age: 43
State:

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/06/2021
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: Tremor

Symptoms: No adverse event noted. Vaccine accidently given at 22 days instead of 28 day interval.

Other Meds:

Current Illness:

ID: 1293622
Sex: F
Age: 38
State: CA

Vax Date: 04/01/2021
Onset Date: 04/29/2021
Rec V Date: 05/06/2021
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: N/a

Symptom List: Erythema, Pruritus

Symptoms: 7 days late period, which is otherwise very regular.

Other Meds: n/a

Current Illness: N/a

ID: 1293623
Sex: M
Age: 17
State: MO

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 2 dose of vaccine given at 14 days. No reactions or side effects

Other Meds:

Current Illness:

ID: 1293624
Sex: M
Age: 60
State: IN

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Moderna 2nd shot. Lower, left back pain. Never had any back issues before. Still having pain 17 days later. Pain is between top of hip to spine and about 3-4 inches above top of hip. So painful. Very difficult to move at times. Sleep interrupted by the pain nightly.

Other Meds: None

Current Illness: None

ID: 1293625
Sex: M
Age: 29
State: WA

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: pt received vaccine Moderna on 5/3 in Left deltoid; pt received Moderna vaccine 5/5 Right deltoid. pt completed consent form x 2 and did not report already receiving the vaccine. It was found when the pt was entered into system. Six hours later pt reported a "throat' problem but nothing observable. Benadryl given. No other symptoms or concerns.

Other Meds: Buprenorphine M, W, F Buspirone TID Quetiapine daily Venlafaxine

Current Illness: none

ID: 1293627
Sex: F
Age: 16
State: TN

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

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

Lab Data:

Allergies: None known

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

Symptoms: At approximately 9 AM on the morning after receiving the second dose, the patient became dizzy at school. As she was walking to the teacher's desk, she lost consciousness and fainted, hitting her head on a desk, scraping her neck on a desk, and suffering several other minor injuries from the fall. She was immediately seen by school nurse and released to my care for the rest of the day. She rested at home and then was seen in at Walk-In Clinic to be evaluated for a concussion. On Day 2 after receiving the vaccine, the patient reported a sore throat, but no other symptoms. She was seen on the third day post-vaccine by our pediatrician's office for possible strep. She tested negative for strep and a concussion from her fainting episode was confirmed due to the lingering headache.

Other Meds: Daily gummy multivitamin for adults

Current Illness: None

ID: 1293628
Sex: F
Age: 36
State: UT

Vax Date: 03/24/2021
Onset Date: 04/07/2021
Rec V Date: 05/06/2021
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: Tree nuts and bananas Seasonal

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

Symptoms: Progressive numbness and tingling in fingers and toes, concern for sensory neuropathy.

Other Meds: None

Current Illness: No

ID: 1293629
Sex: F
Age: 21
State:

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/06/2021
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: After the second does that night I had a really bad headache and felt like I was getting sick. It was hard to focus on doing work and bright lights and loud noises made the headache worse. The next morning, I felt very fatigued and got very tired after even walking short distances. The headache was much lessened but still present. Advil was taken for the headache that night and the next day and helped a bit. Just rest was the most effective. My arm was sore for a couple days after each dose and went away over time. Period was late, as it was due in-between the doses but did not arrive until the day after the second dose (This could have been stress related but is very abnormal)

Other Meds: Advil taken as needed for general reasons

Current Illness: It was finals week during college but no illnesses

ID: 1293630
Sex: F
Age: 45
State: CT

Vax Date: 04/27/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: I have had every side effect over the last 9 days including fever chills achy swollen joints headache heaviness and fatigue in limbs. but at day 8 I broke out in hives. Started on the same side as the shot (right) but spread throughout torso and arms. Very little on legs. Took benedryl 4 hours after onset and they were gone for about 12 hours then started to come back.

Other Meds: Black cohosh and melatonin Multi vitamin

Current Illness: No

ID: 1293631
Sex: M
Age: 25
State: MA

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/06/2021
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 known

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

Symptoms: Fever, chills, headache, vertigo, nausea, fatigue, heart palpitations, muscle & joint pain. All symptoms except headache, vertigo, and fatigue have resolved as of 05/06/2021.

Other Meds: Fluvoxamine (Luvox), Lisdexamfetamine (Vyvanse)

Current Illness: None

ID: 1293632
Sex: F
Age: 26
State: OH

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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: Penicillin

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

Symptoms: 11:00 am tiredness, dizziness 1-7pm fever, tiredness

Other Meds: Junel Fe Zyrtec Bupropion (150 mg)

Current Illness:

ID: 1293633
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/06/2021
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:

Symptom List: Vomiting

Symptoms: 4 days after 2nd dose experienced post menopausal bleeding, bloating, abdominal pain, muscle aches, sharp pains throughout body, lighthead, diarrhea and headaches.

Other Meds:

Current Illness:

ID: 1293634
Sex: F
Age: 61
State: OR

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt Reports numbness in right hand radiating up to elbow and Armpit numbness. No reduction in mobility, just "numb, lack of feeling entirely in fingers"

Other Meds:

Current Illness:

ID: 1293635
Sex: M
Age: 55
State: NH

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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: Technician placed needle into appropriate vaccine site on patients left deltoid. He went to plunge the dose into patient arm however, the syringe was empty. He removed the syringe from patient's arm. Explained to patient the clean, new, needle that was placed into his arm contained no vaccine. He did not have any air injected into arm. Technician alerted pharmacist, who had pre-drawn doses set aside. She stated that the syringe was taken out of the wrapper and was placed in the mix of syringes that were pre-drawn with the proper dosage of vaccine. Patient wanted to proceed with the 0.3ml of Covid Pfizer into the same left arm. Patient is well and happy to have received the correct dosage.

Other Meds: none listed

Current Illness: no

ID: 1293636
Sex: F
Age: 55
State:

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pt received the incorrect second COV 19 Vaccination today. Pt did not report any adverse s/sx after administration. Pt was advised that vaccine series is considered complete, and they had no further questions. Pt verbalized understanding.

Other Meds:

Current Illness:

ID: 1293637
Sex: M
Age: 46
State: CA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/06/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Patient didn't bring vaccine card to 2nd dose appointment. Pharmacist asked him if it was 28 days and due for 2nd dose and patient said yes. Patient falsified information. When we typed up the vaccine information we discovered we already had a profile for him and noticed that the 1st dose was given at a different store of ours on 04/21//21 (15 days prior). We called patient and asked how he got an appointment at our store at 15 days. He told us his wife scheduled it. He did not follow procedure of clicking the link to select Moderna vaccine and have our scheduler app book appt at original store on day 28. He was under the impression he had waited the correct duration of time when we spoke to him on follow up.

Other Meds: unknown

Current Illness: no

ID: 1293638
Sex: M
Age: 15
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/06/2021
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: Inadvertently given to patient one month prior to 16th birthday

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm