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: 1295978
Sex: M
Age: 69
State: WA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Facility acquired inaccurate data from patient/patient family stating he had received 1st dose of Pfizer vaccine from pharmacy in April, when in fact patient had received Moderna. He was administered Moderna as a booster dose by the pharmacy, based off the information that had been provided.

Other Meds:

Current Illness:

ID: 1295979
Sex: M
Age: 16
State: MD

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/07/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient is 16 and received a Moderna vaccine #1.

Other Meds:

Current Illness:

ID: 1295980
Sex: M
Age: 49
State: FL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: none

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

Symptoms: Elevated heartrate (approx. 120 bpm) for duration of approx 30 minutes; elevated blood pressure (150/90)

Other Meds: methylphenidate SR

Current Illness: none

ID: 1295981
Sex: M
Age: 54
State:

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient presented to vaccination center for second Pfizer vaccination. At the vaccination station, he did not have his documentation of his first dose. He reportedly did not know when his first dose was. RN reported that there was no record of first dose in the system. She gave patient his second dose without verifying when the first dose was. When the scribe started to document the second dose, then the first dose information popped up. He received his first dose 8 days ago. Patient was notified that he should have waited 3 weeks before getting second dose; however his vaccination is now complete and he can take Tylenol for fever or body ache. No reported adverse events documented at this time.

Other Meds:

Current Illness:

ID: 1295982
Sex: M
Age: 37
State: TX

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: unknown

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

Symptoms: FAINTING, SWEATING, EYES ROLLED BACK, ARMS AND LEGS JERKED. ABOUT 5 MINUTES OF SYMPTOMS, THEN RESTED FOR 30 MINUTES BEFORE LEAVING.

Other Meds: unknown

Current Illness: unknown

ID: 1295983
Sex: M
Age: 48
State: WA

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: Developed a pain at the injection site the next day. Manageable - Scale of 3 out of 10 After 24 hours or so, started developing minor rashes. Today (May 7th), the rashes are spreading across the body. Will see how it develops over the day and then call the doctors office.

Other Meds: Metformin ER - 500 mg, Multi-vitamins

Current Illness: None

ID: 1295984
Sex: F
Age: 59
State: MA

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 05/07/2021
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: Systemic: BACK ACHE, CLOT IN LUNG-Severe, Systemic: Vomiting-Severe, Additional Details: PER PT: PT WENT TO URGENT CARE 2 DAYS AFTER ADMINISTRATION OF VACCINE. PT EXPERIENCED BACK ACHES AND STARTED COUGHING UP BLOOD/ AT URGENT CARE PT GOT A CT SCAN AND CLOT WAS SEEN IN LUNGS. PT WAS PRESCRIBED ELIQUIS AND IS WAITING FOLLOWUP BY HEMATOLOGIST

Other Meds:

Current Illness:

ID: 1295985
Sex: M
Age: 84
State: CA

Vax Date: 02/06/2021
Onset Date: 02/11/2021
Rec V Date: 05/07/2021
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: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Patient developed shortness of breath and "barky cough" 5 days after first COVID 19 vaccination. Chest imaging revealed pulmonary embolism. Patient was hospitalized for 4 days and discharged on anticoagulation.

Other Meds: Atorvastatin, Gabapentin, Donepezil, Memantine, Carbidopa-Levodopa, Buproprion, Tamsulosin, Metformin, vitamin B12

Current Illness: none

ID: 1295987
Sex: M
Age: 72
State: NC

Vax Date: 02/19/2021
Onset Date: 04/18/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Sulphur drugs

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Ringing in ears.

Other Meds: Amlodipine, Atorvastatin, Carvedilol, Escitalopram

Current Illness:

Date Died: 05/07/2021

ID: 1295988
Sex: M
Age: 0
State: PA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: pt died at home next morning

Other Meds: sildenafil, first omeprazole

Current Illness: complex congenital heart disease, william syndrome, hearing loss

ID: 1295989
Sex: F
Age: 41
State: NY

Vax Date: 05/04/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Allergy to penicillin.

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

Symptoms: I experienced a large red area at the injection site that was itchy and painful to the touch. I believe it's what's referred to as "COVID arm."

Other Meds: Just a daily women's vitamin.

Current Illness: About 10 days prior to the shot, I had a very bad cold that felt like the flu and was bed-ridden for two days. I tested negative for covid (and the flu). I was back to normal by the time I got the shot. I've also been experiencing very bad seasonal allergies this year.

ID: 1295990
Sex: F
Age: 56
State: PA

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 05/07/2021
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: Cat Dander HydrocodoneNausea and Vomiting

Symptom List: Rash, Urticaria

Symptoms: Fever or Chills Muscle or body aches Headache Sore throat

Other Meds:

Current Illness:

ID: 1295991
Sex: F
Age: 35
State: CA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Mango

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

Symptoms: Headache not abated by Tylenol Stuffy/runny nose (So far that?s all the symptoms- positive experience)

Other Meds: Prenatal vitamins Thyroid medication Fish oil DHA

Current Illness: None

ID: 1295992
Sex: F
Age: 21
State: IL

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
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:

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

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Headache-Medium, Systemic: Tinnitus-Mild

Other Meds:

Current Illness:

ID: 1295993
Sex: F
Age: 49
State: GA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: Chills Terrible headache Heart palpitation Muscle pain Terrible pain in arm where shot was given

Other Meds: Prozac

Current Illness: None

ID: 1295994
Sex: F
Age: 44
State: MO

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: nausea, fever, chills, severe headache

Other Meds: Sertraline 200 mg

Current Illness: none

ID: 1295995
Sex: F
Age: 24
State:

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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 Minocycline

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

Symptoms: Red hot swollen spot on left arm at injection site. Slightly itchy and hard to the touch

Other Meds: Sertraline hcl 100mg Jun Fe 1.5 B12 1000mcg

Current Illness:

ID: 1295996
Sex: M
Age: 57
State: OH

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

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

Lab Data:

Allergies: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Very high pitched ringing in ears, specifically noticeable in my left ear. I never experienced this prior to the vaccine. This has not stopped since it began and it has gotten worse over the past couple of weeks.

Other Meds: Lisinopril 40mg

Current Illness: N/A

ID: 1295997
Sex: F
Age: 59
State: OH

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 05/07/2021
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: felt stabbing in back, pain around ribs and heart area, lasted through night, got better next day, though she was having heart attack

Other Meds:

Current Illness:

ID: 1295998
Sex: M
Age: 40
State: FL

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Severe, Systemic: Body Aches Generalized-Severe, Systemic: Confusion-Severe, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: vivid dreams-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Joint Pain-Severe, Systemic: Lymph Node Swelling-Medium, Systemic: Nausea-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Systemic: Weakness-Mild, Additional Details: general feeling of increased inflammation of joint pain

Other Meds:

Current Illness:

ID: 1295999
Sex: M
Age: 26
State: OH

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: Patient was sitting in chair after vaccine waiting the required 15 minutes. He states he was staring sown watching his phone and he felt hot and then woke up on the floor with people around him. He fainted. He felt hot and sweaty afterward. Episode seemed to pass within about 10 minutes all together. Paramedics came and checked him out since he hit his head when he fell. Patient didn't want to go to hospital and was picked up from the store by family member.

Other Meds: None

Current Illness: Patient stated he fainted 2-3 weeks prior to this fainting spell. That incident was unrelated to any vaccination.

ID: 1296000
Sex: F
Age: 23
State: VA

Vax Date: 04/14/2021
Onset Date: 04/21/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: projectile vomiting extreme joint paint passing out lost feeling in fingers confusion (cognitive dysfunction) fever shortness of breath chills skin roughness loss of apetite

Other Meds: trintellix meloxicam turmeric linzess

Current Illness:

ID: 1296001
Sex: F
Age: 58
State: PA

Vax Date: 01/14/2021
Onset Date: 04/07/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Fatigue Muscle or body aches Headache Congestion or running nose

Other Meds: escitalopram (LEXAPRO) 5 mg tablet gabapentin (NEURONTIN) 300 mg capsule

Current Illness:

ID: 1296002
Sex: F
Age: 59
State: MA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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 describes feeling dizzy

Other Meds:

Current Illness:

ID: 1296003
Sex: M
Age: 52
State: NJ

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: Injection site pain, Menorrhagia

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium

Other Meds:

Current Illness:

ID: 1296004
Sex: M
Age: 28
State: FL

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
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: None

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

Symptoms: Hives and rash on hands and feet

Other Meds: None

Current Illness: None

ID: 1296005
Sex: F
Age: 70
State: MO

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/07/2021
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: Buspar

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: That evening I woke up with fever 100.4, chills and body aches; the unusual thing was that my lungs hurt like burning and felt like a weight on my chest. Three weeks later I noticed it was not going away and seen my doctor and had a Covid test and got a negative but chest X-ray said I was diagnosed with acute pneumonia and I'm on medication. All week I've been in bed weak.

Other Meds: Famotidine, Loratadine, D3, B-complex, Zinc with Selenium, Omega's

Current Illness: No

ID: 1296006
Sex: F
Age: 70
State: TN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: PATIENT IS NOT FEELING WEEL AND IS COMPLAINING OF NAUSEA AND VOMITING

Other Meds:

Current Illness:

ID: 1296008
Sex: F
Age: 38
State: SD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 05/07/2021
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: Did not report

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

Symptoms: Approximately 3am, I woke up and had chills. Went back to bed and woke up again at 630am with chills, 100.0 temp, and nausea. I then went back to bed until 11am. Woke up again...no fever, no chills, no nausea, but had light body aches. All symptoms were gone by 2pm. Then approximately 21:00 I started to have chills again. woke up on 1/29/21 with no symptoms

Other Meds: Did not report

Current Illness: NO

ID: 1296009
Sex: F
Age: 42
State: CA

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: A few minutes after the vaccine I had a lot of heat and pain in my left ear. My left ear is still painful after four weeks. I am scheduled to see an ENT doctor today. I had to go to the emergency room because I was throwing up starting two hours after the vaccine and I was in pain all over my body. I became extremely fatigued, and I could not stop throwing up. I was given Reglan, to stop the vomiting, and I am still taking it twice daily after four weeks. I was also given Benadryl which seemed to help. I tried to stop taking the nausea medicine after three weeks and the vomiting returned. I threw up eight times that day. I still have aches in my legs and ear pain every day after four weeks. My fatigue has improved a little.

Other Meds:

Current Illness:

ID: 1296010
Sex: F
Age: 34
State: CA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: My menstrual cycle started the day after the first shot (and my flow was completely different than normal) and again the day after the second shot. Both times were very, very unexpected and not at the appropriate time.

Other Meds:

Current Illness:

ID: 1296011
Sex: F
Age: 61
State: OH

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 05/07/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Woke up freezing and felt like someone was crushing me bones. Had troubles breathing and very nauseous. This lasted 6 days. Blood pressure went sky high and had heart palpitations. Worst reaction I have ever had to anything. Almost felt need to call squad

Other Meds: Gabapentin 300 mg 3x day Linzess 290 mcg 1 x day Wellbutrin 100 mg 4 x day Mirtzapine 15 mg 1 x day Clonazapan 1 mg 2 x day Seroquil 15 mg 2 x day Abilify 5 mg 1 x day Vit D Vit E Valerian root at bedtime Ambien 6.25 mg 1 at bedtime Probiot

Current Illness:

Date Died: 05/06/2021

ID: 1296012
Sex: M
Age: 51
State: NE

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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:

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

Symptoms: Arrived to emergency department via ambulance from nursing home with complaints of "looking like he was about to have a seizure". Patient became unresponsive and a code was called. ACLS performed but the patient did not recover from cardiac arrest.

Other Meds:

Current Illness:

ID: 1296013
Sex: M
Age: 28
State: CA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/07/2021
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: KNA

Symptom List: Tremor

Symptoms: Hives with pruritits beginning Saturday the day after vacination.

Other Meds: none

Current Illness: none

ID: 1296014
Sex: F
Age: 19
State: CA

Vax Date: 04/26/2021
Onset Date: 04/28/2021
Rec V Date: 05/07/2021
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: Peanuts, Tree-Nuts

Symptom List: Erythema, Pruritus

Symptoms: Itchiness all over body causes rashes and little bumps,

Other Meds:

Current Illness:

ID: 1296015
Sex: F
Age: 30
State:

Vax Date: 01/15/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
Hospital: Y

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: Stroke in the right occipital lobe.

Other Meds: Birth control-nuvaring

Current Illness:

Date Died: 04/17/2021

ID: 1296016
Sex: M
Age: 88
State: KS

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 05/07/2021
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: milk

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

Symptoms: My father died, 20 days after his 2nd vaccination. Not sure if it is related to the vaccine, but a sister reported Arthritis pain, 3 times as bad, after the 2nd vaccination and recommended I report this. My father started having severe back pain, 3 days after the second immunization. I took him for an XRay and the hospital said he had Compression Fractures of the vertebrae, but they could not tell if they were new or old, so needed to do an MRI. Said it also looked like he had a Bowel Obstruction, but I told them he had been having normal BM's up to the previous day. He lived until the 17th of April and never had another BM. They said bring him to the ER. The ER decided to do a CAT Scan, but Dad was not interested in any further treatment. He just wanted to go, so we put him on palliative care and he passed away, 20 days after the 2nd vaccination.

Other Meds: Diltiazem, Eliquis, VitaFusion D# and Multivitamin Gummes

Current Illness: AFib and Vascular Dementia, Osteoporosis

ID: 1296017
Sex: F
Age: 67
State: KY

Vax Date: 12/30/2020
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: COUGH, SORE THROAT, FEVER, FATIGUE FOR 2 DAYS

Other Meds:

Current Illness:

ID: 1296018
Sex: F
Age: 59
State: OH

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/07/2021
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: in bed 3 days, extreme bone pain 4-5 days on left side, fever 4 days, itching at injection site,

Other Meds:

Current Illness:

ID: 1296019
Sex: F
Age: 69
State: CO

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
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: Sore Arm within about 2 hours. Chills; temperature spiked at 101, then settled to 100 degrees for several hours starting abut 1:30 PM on the first day until about 20 hours later (from 1:30 PM) gradually went down to 99 degrees and then by the third early morning it was back to the normal 98.x range. During this same time period, feverish, body aches in arms, neck, face, and teeth (not the legs), really bad headache, discomfit in intestines and for about a 2 hour period I felt like I had heartburn. Early morning on the third day at about 2-6 AM, I was now sweating but all other symptoms had abated.

Other Meds: None.

Current Illness: None.

ID: 1296020
Sex: F
Age: 27
State: IN

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List: Pain in extremity

Symptoms: Severe muscle pain from lower neck to deep in right scapula. Began the night of 5/6/2021, became more severe overnight into 5/7/2021. Has not resolved. Have been taking Tylenol and using heat packs to relieve pain.

Other Meds: Junel (birth control), Zoloft (anti-anxiety)

Current Illness: None

ID: 1296021
Sex: F
Age: 77
State: WA

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: sulfamethoxazole-trimethoprim, albuterol sulfate

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

Symptoms: I fully support efforts to end this COVID-19 pandemic. That is why I took these vaccinations Over the last twenty years I have taken a number of vaccination including an annual seasonal flu shot. I have learned during these years that when I take such a vaccination I need to do it when my schedule is clear to allow for several days of down time. I usually need several days to recover from such a vaccination. I also take only one vaccination at a time to lessen any problems I may have with it. Sometimes I have had a large red spot on my vaccination arm, up to four inches wide, near or around the injection site. Continued:

Other Meds:

Current Illness:

ID: 1296022
Sex: F
Age: 61
State: TX

Vax Date: 02/26/2021
Onset Date: 04/13/2021
Rec V Date: 05/07/2021
Hospital: Y

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

Lab Data:

Allergies: Adhesives

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

Symptoms: Dyspnea on exertion, orthopnea, SOB - diagnosed with possible myocarditis, myositis and pneumonitis along with diaphragm weakness potentially related to immune checkpoint inhibitor toxicity

Other Meds: cyanocobalamin, ergocalciferol, estradiol cream, gabapenetin, hydrocodone-acetaminophen, hydroxychlorquine, metaxalone, montelukast, morphine sulfate ER tablets, oxybutynin, prednisone, sertraline, simvastatin

Current Illness: None

ID: 1296024
Sex: F
Age: 23
State:

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/07/2021
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: "Redness to chest," no itching, no SOB and no difficulty swallowing. Lungs CTA B A/W. Patient pulse ox 98.1, pulse 82, faint redness and excoriations to upper chest. Faded in 15 min.

Other Meds:

Current Illness:

ID: 1296025
Sex: F
Age: 55
State: NC

Vax Date: 04/15/2021
Onset Date: 04/18/2021
Rec V Date: 05/07/2021
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: Started to feel itchy pain in middle of back. Progressed to intense pain where I could not wear a bra or tight clothing. Lasted 7 days. I concluded it was non-herpetic shingles.

Other Meds: Amlodipine/Valsartan, Meloxicam, Metformin, Vitamin D, Vitamin C

Current Illness: None

ID: 1296026
Sex: F
Age: 44
State: OR

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
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: Anaphylaxis to ciprofloxacin, codeine, and bee honey venom. Rash with latex.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient received first Pfizer COVID-19 vaccination at vaccination Center on 5/5. She began to feel nausea, stomach discomfort, lightheaded, have sensation of throat swelling, and felt short of breath as well. Staff attended to her; she was given 2 doses of epinephrine and 25 mg IM Benadryl at the convention center. Then EMS gave patient 10 mg IV dexamethasone en route. Upon arrival at the Emergency Room, patient had significant improvement in her symptoms though tongue still felt large, normal phonation, clear lungs, normal BP and HR. Patient has history of anaphylaxis with other medications and honey bee venom. She has previously been hospitalized for 1-2 days due to the severity of her allergic reactions. No history of asthma or any features of bronchospasm. Patient remained stable after 2 hours of observation. She was provided a prescription for an epinephrine pen and discharged home. If the PCP for this patient is not able to provide additional details (ED provider) may also be able to provide additional details.

Other Meds: Buspirone and tramadol

Current Illness:

ID: 1296027
Sex: M
Age: 82
State: MN

Vax Date: 03/26/2021
Onset Date: 04/12/2021
Rec V Date: 05/07/2021
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 on 4/12/21. Patient presented to the ED on 4/15/21 and was subsequently admitted. These visits were within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1296028
Sex: F
Age: 28
State: PA

Vax Date: 01/14/2021
Onset Date: 02/23/2021
Rec V Date: 05/07/2021
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: Tree NutSwelling WalnutSwelling

Symptom List: Injection site swelling, Limb discomfort

Symptoms: HEADACHE, SINUS PRESSURE. NASAL CONGESTION

Other Meds: cetirizine (ZyrTEC) 10 mg tablet clotrimazole-betamethasone (LOTRISONE) cream hydrocortisone 2.5 % ointment norethindrone-e.estradiol-iron (JUNEL FE 1/20, 28,) 1 mg-20 mcg (21)/75 mg (7) per tablet

Current Illness:

ID: 1296029
Sex: M
Age: 64
State: IN

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

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

Lab Data:

Allergies: Unknown

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

Symptoms: Patient presented to nurse A&O x3, with calm affect. No history of reactions to vaccines. After prescreening patient the vaccine was given. Immediately, the patients eyes rolled back and he went limp. RN supported patient in chair until paramedic took over quickly..

Other Meds: Unknown

Current Illness: Unknown

Date Died: 05/01/2021

ID: 1296030
Sex: M
Age: 33
State: NV

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 05/07/2021
Hospital: Y

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: Unknown cardiac event. Found on sidewalk down. Revived but resulted in extensive neurological damage. Was put in life support. Never came to. Passed away 05/05/2021.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm