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: 1300692
Sex: F
Age: 43
State: FL

Vax Date: 04/22/2021
Onset Date: 04/28/2021
Rec V Date: 05/09/2021
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: Period started a week later than normal

Other Meds:

Current Illness:

ID: 1300693
Sex: F
Age: 37
State:

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/09/2021
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: Dizziness, BPs 85/58 (pulse 77), 96/59 (pulse 82).

Other Meds:

Current Illness:

ID: 1300694
Sex: F
Age: 28
State: MI

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/09/2021
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: N/A

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

Symptoms: High fever, chills, severe muscle pain in injection site, inability to raise arm used for injection, fatigue, confusion, delayed and more severe menstrual period

Other Meds: N/A

Current Illness: N/A

ID: 1300695
Sex: M
Age: 57
State:

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/09/2021
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: Pale, some slurred speech. Vitals wnl.

Other Meds:

Current Illness:

ID: 1300696
Sex: M
Age: 32
State:

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/09/2021
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: Flushing/sweatiness, dizziness. Vitals . Lack of eating/drinking > 4 h. Given crackers, juice, and water.

Other Meds:

Current Illness:

ID: 1300697
Sex: F
Age: 42
State: HI

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/09/2021
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: no

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

Symptoms: I received the second COVID vaccine (Pfizer) on 5/1/21 at 11:15am (my first vaccine was on 4/10/21; no significant side effects at that time). Around 8pm that same day I felt some muscle ache-type feelings at the base of my skull and behind my right ear. My right top lip also felt a bit tingly and slightly numb. The next day (5/2/21) the whole right side of my face drooped. My facial muscles could not move and felt weak and numb. I could not completely close my right eye and my smile was crooked. I reached out to my primary care doctor (I am currently in another country and received the shot here), and was advised to go to the ER. On 5/4/21 I was officially diagnosed with having Bell's Palsy and was prescribed Prednisone and Valacyclovir to take for 1 week.

Other Meds: Losartan, vitamin C, Fish Oil, Multi-vitamin

Current Illness: no

ID: 1300698
Sex: M
Age: 17
State: CA

Vax Date: 04/17/2021
Onset Date: 05/06/2021
Rec V Date: 05/09/2021
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: Fever, rash, and thrombocytopenia

Other Meds:

Current Illness:

ID: 1300700
Sex: F
Age: 53
State: UT

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: headache, nausea, chills, aching but those went away by saturday ;however my arm has hurt from the second day and is red, quite warm to touch, swollen and painful (has kept me from hours of sleep)

Other Meds: thyroid medicine

Current Illness: none

ID: 1300702
Sex: M
Age: 43
State: UT

Vax Date: 04/29/2021
Onset Date: 05/02/2021
Rec V Date: 05/09/2021
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: 2-3 days after the first injection, I developed a blood clot in my lower right leg.

Other Meds: Ibuprofen, Sudafed, Multivitamin

Current Illness:

ID: 1300703
Sex: F
Age: 66
State: SD

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/09/2021
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: Codeine, Nizoral, Amoxicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Neck pain began day after injection on 5/6/2021. Neck pain became more severe throughout the day and through the night. I could barely move my head side to side or up and down as the pain became worse. On 5/7/2021 my neck pain became the most severe. By the morning of 5/8/2021 the pain began to decrease, however it didn't completely go away. On 5/7 and 5/8 I have been extremely tired.

Other Meds: Daily, Amour thyroid, Aspirin 1/2 dose, multi-vitamins

Current Illness: Hypothyroidism

ID: 1300704
Sex: M
Age: 32
State: CA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Approximately 8 hours after injection I began experiencing extreme fatigue. This was soon followed by uncontrollable shaking and chills. As this progressed I began to experience extreme aching pains all over my body, a headache, and dizziness. I fell asleep somewhere around 11pm or 2 hours after on set of symptoms. I awoke multiple times in the night to body aches and a head splitting migraine. During the night the chills and shaking turned into a fever and sweating. At 6am the next day I forced myself to take some painkillers and hydrate. The body aches had started to recede at that point but the migraine was extremely painful and It was nearly impossible to open my eyes with a hypersensitivity to light. I slept on-and-off through the next morning and nearly all symptoms stopped by 1pm on May 8 or 24 hours after the injection.

Other Meds: Creatine, DHEA

Current Illness: None

ID: 1300705
Sex: F
Age: 44
State:

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: For ten days since the second dose of Covid Pfizer: chills, loss of appetite, extreme malaise and fatigue, brain fog.

Other Meds: None

Current Illness: Slight iron deficiency

ID: 1300706
Sex: F
Age: 65
State: OH

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Brain fog, confusion, plugged ears, sweating , 6 hours on first day March 8th after 1st dose of Moderna around 9 PM , Second day March 9th still some brain fog , plugged ears , and confusion , vomited that evening Third day March 10th I awoke with sudden loss of hearing in right ear , bit ears felt plugged I went to ENT dr. on March 11th who described me prednisone 60mg --tapered for 12 days Follow up on March 25th , no improvement on loss of hearing Suggested and MRI which I have not scheduled as of May 9th

Other Meds: Atorvastatin

Current Illness: none

ID: 1300707
Sex: F
Age: 53
State: KS

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NONE

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

Symptoms: Series 2 Shot On 05/08/2021 at 10:30am noticed hives on chest and a circular red spot (rash) at injection site.

Other Meds: Protonix Vitamin D3 Allegra Flonase

Current Illness: NONE

ID: 1300708
Sex: F
Age: 26
State: MI

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Bee stings

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

Symptoms: Body aches, chills, fever (101.1 F) starting about 7-8 hours after receiving the 2nd dose - unresolved with tylenol 500mg. Headache starting about 16 hours after receiving 2nd dose.

Other Meds: Zoloft 50mg, Diltiazem 15mg

Current Illness: SVT

ID: 1300710
Sex: F
Age: 48
State: OH

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

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

Lab Data:

Allergies:

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

Symptoms: Red, swollen, painful rash displayed within a day after the 2nd Moderna vaccine dose. This also happened approx 7-8 days after the 1st dose. It didn't take as long to appear after the 2nd dose and is much more swollen and painful.

Other Meds: Linzess (290mg), methadone (30mg)

Current Illness:

ID: 1300711
Sex: M
Age: 36
State: CA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: None

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

Symptoms: Fever and fatigue

Other Meds: Multivitamins, Vitamin D, Fish Oil, Ashwagandha, CO-Q10

Current Illness: None

ID: 1300712
Sex: M
Age: 47
State: IN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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: Chills, fatigue, lower back pain, headache

Other Meds: Xhance

Current Illness: None

ID: 1300713
Sex: F
Age: 31
State: CA

Vax Date: 04/30/2021
Onset Date: 05/09/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: Mold, pistachio, dates, penicillin, hay

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Joint Pain (day after, then again on days 6&7), injection site swelling (day 9)

Other Meds:

Current Illness:

ID: 1300714
Sex: M
Age: 27
State: NY

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Hallucinations, throwing up bile, extreme fatigue

Other Meds: Melatonin before sleeping (around 12am)

Current Illness: Minor fatigue

ID: 1300715
Sex: M
Age: 19
State: NV

Vax Date: 05/06/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Chills, High Fever, Muscle Fatigue, Headaches, Can't raise left arm

Other Meds:

Current Illness:

ID: 1300716
Sex: F
Age: 36
State: IL

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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: Pt inadvertently received received a second dose of Pfizer instead of a second dose of Moderna. Pt received 1st dose of Moderna at another facility other than this facility. Received Moderna LOT: 037AZIB on 04/09/2021 28 days prior to dose of PFizer. PT had no reaction during observation period. PT left facility AAOX's 3 and in no present distress and denied any complaints.

Other Meds:

Current Illness:

ID: 1300717
Sex: M
Age: 30
State: PA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Headache that does not respond to tylenol. Still have a headache 36 hours later. Fever lasting several hours starting at 11PM 5/7 and coming and going a few hours at a time on 5/8. Body aches and chills all day 5/8. Chills. excessive sweating but no fever morning of 5/9.

Other Meds: None

Current Illness: none

ID: 1300718
Sex: M
Age: 59
State: VA

Vax Date: 03/10/2021
Onset Date: 03/14/2021
Rec V Date: 05/09/2021
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: Slight allergy to some shellfish

Symptom List: Injection site pain, Pain

Symptoms: Sudden onset of hearing loss and tinnitus in the left ear. Went through two courses of Prednisone treatment starting 4 days after the onset of symptoms. Three hearing tests were done - one before the treatments and one after each treatment. There was no significant improvement from the treatment.

Other Meds: Diclofenac, Glucosamine/Chondroitin.

Current Illness: None

ID: 1300719
Sex: F
Age: 59
State: CO

Vax Date: 04/26/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: At 5:00 am I walked from bedroom to bathroom. I was unstable, legs felt weak, and needed to crab furniture, door to keep from falling over. The symptoms have not abated. At 8:00 am That same day I felt numbness in my feet, both of them. My husband drove me to the hospital approximately 25 minutes later. I checked into the ER. Since this time the symptoms I have included severe restless legs at all times of the day, continued inability to walk normally - instability, weakness in legs in particular the left leg. In addition, while still being checked into the hospital, 1 day later I have now developed numbness throughout my abdomen and lower back. I am not emptying my bladder, even though I'm using the restroom regularly. I am not able to feel urges to use the restroom either to urinate or defecate. It is as if the entire area is numb. At this time, I am still in the hospital and I am not able to walk without assistance, walker, people holding me.

Other Meds: On days prior to after, but not on the day of either vaccine: 1.One-day-daily vitamin. 2. ?Restful? legs over the counter product. 3. Over the counter generic brand allergy medicine.

Current Illness: No.

ID: 1300720
Sex: F
Age: 56
State: VA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/09/2021
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:

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

Symptoms: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1300721
Sex: M
Age: 17
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

ID: 1300722
Sex: M
Age: 57
State: NC

Vax Date: 05/02/2021
Onset Date: 05/04/2021
Rec V Date: 05/09/2021
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: Golf ball size swollen lymph node under left arm. Painful on the first night that it affected sleeping (throbbing pain). One week later and still swollen to about half the size of golf ball and sore when touched or stretching arm. This occurred on the 2nd shot. Did not have this reaction with the first shot.

Other Meds: None

Current Illness: None

ID: 1300723
Sex: F
Age: 43
State: TX

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Systemic: Nausea-Severe, Systemic: Vomiting-Medium

Other Meds:

Current Illness:

ID: 1300724
Sex: F
Age: 50
State: GA

Vax Date: 04/24/2021
Onset Date: 04/27/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: Pradaxa penicillin

Symptom List: Nausea

Symptoms: My vaccine(the first one) was mixed up with my husbands (below) so we don?t know which one I actually received and caused these reactions. My PCP said this can be affecting me neurologically hence the constant numbness,tingling,loss of feeling in leg and face.

Other Meds: Coumadin lisinopril Cymbalta Xanax

Current Illness:

ID: 1300725
Sex: F
Age: 50
State: TX

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/09/2021
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: Site: Bruising at Injection Site-Medium

Other Meds:

Current Illness:

ID: 1300726
Sex: F
Age: 26
State: IL

Vax Date: 05/01/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: 2x3 inch area of redness and itchiness around injection site. Somewhat tender. Heard its called "covid arm"

Other Meds: None

Current Illness: None

ID: 1300751
Sex: F
Age: 24
State: WI

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Mild

Other Meds:

Current Illness:

ID: 1300752
Sex: M
Age: 37
State: WI

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypertension-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Mild

Other Meds:

Current Illness:

ID: 1300753
Sex: M
Age: 28
State: WI

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Erythema, Pruritus

Symptoms: Systemic: Chills-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Numbness (specify: facial area, extremities)-Mild, Systemic: Seizure-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: About 5 minutes after vaccination he had possible seizure for ~10-20 seconds with loss of consciousness & arched back posture followed by leaning forward and coughing, bit his lip, was confused & unaware of what happened as he began to resond to questions. Had "waves" of lightheadedness, tingling fingers, distorted perception of contrast in pictures with a white background, warm & thirsty .

Other Meds:

Current Illness:

ID: 1300754
Sex: F
Age: 33
State: MA

Vax Date: 04/06/2021
Onset Date: 04/18/2021
Rec V Date: 05/09/2021
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: I am a diabetic patient and I take insulin (short acting and long acting) and metformin (1000 mg) daily to control my blood glucose. I am noticing from past few weeks (~3 weeks) my glucose reading are abnormally high (~350- ~390) even after taking my regular insulin after lunch or dinner. I haven't changed anything in my diet and I am doing my regular exercise. The only thing that has changed is the vaccination.

Other Meds: Tresiba, Novolog, Metformin

Current Illness: diabetes mellitus

ID: 1300755
Sex: F
Age: 22
State: VA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Site: Itching at Injection Site-Medium, Additional Details: patient states a "little warmth ", dizziness, and feeling itchy but no other side effects . she waited about 30 mins plus and contacted family friend. nurse gave bottle water and we shared we would check on her in evening. also, recommended if any further concerns to contact ER or physician

Other Meds:

Current Illness:

ID: 1300756
Sex: M
Age: 16
State: TX

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Medium

Other Meds:

Current Illness:

ID: 1300757
Sex: F
Age: 25
State: PA

Vax Date: 05/08/2020
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Systemic: Flushed/Sweating-Medium.

Other Meds:

Current Illness:

ID: 1300758
Sex: F
Age: 17
State: IL

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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:

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

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Shakiness-Severe

Other Meds:

Current Illness:

ID: 1300759
Sex: F
Age: 20
State: FL

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Pain in extremity

Symptoms: Systemic: Dizziness / Lightheadness-Medium

Other Meds:

Current Illness:

ID: 1300760
Sex: M
Age: 42
State: ME

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Fever spiked at 101.9 14 hours after the shot but has was completely gone 28 hours after the shot. Mild headache the day following the shot. Arm is mildly sore two days after the shot.

Other Meds: Vitamin D3, Vitamin K, Multivitamin, Glocosamin/Condritin, Magnesium

Current Illness:

ID: 1300761
Sex: F
Age: 73
State: VA

Vax Date: 02/27/2021
Onset Date: 03/14/2021
Rec V Date: 05/09/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Systemic: Tinnitus-Medium

Other Meds:

Current Illness:

ID: 1300762
Sex: F
Age: 34
State: FL

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Error: Diluent Administered Instead of Vaccine

Other Meds:

Current Illness:

ID: 1300763
Sex: M
Age: 17
State: NJ

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Site: Pain at Injection Site-Mild, Additional Details: Patient was waiting after the his first covid shot and he was talking with his parents, they had a conversation for 5 minutes and then the patient fainted, fell down, had seizure for few seconds and then woke up in few seconds. Patient was sweating, feeling hot. He was breathing normal. Face was red. .911 was called. Patient had no issues with needles. HR was 104. Patient felt better after 10-15 mins and left with his parents. No hospitalization needed.

Other Meds:

Current Illness:

ID: 1300764
Sex: F
Age: 16
State: FL

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Itch Generalized-Mild, Systemic: itching of eyes, feeling warm-Mild

Other Meds:

Current Illness:

ID: 1300765
Sex: F
Age: 29
State: TX

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

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

Lab Data:

Allergies: None

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

Symptoms: Intense shoulder pain. Shoulder blade/Scapula is inflamed and radiates heat/pain. Limited mobility and shortness of breath due to pain in upper back.

Other Meds: None

Current Illness: None

ID: 1300766
Sex: F
Age: 18
State: PA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Systemic: Confusion-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Feeling of passing out, in and out of consciousness, general weakness, sweats, weakness in breathing-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Severe, Systemic: Weakness-Severe

Other Meds:

Current Illness:

ID: 1300767
Sex: M
Age: 45
State: AL

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/09/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Systemic: Headache-Medium

Other Meds:

Current Illness:

ID: 1300768
Sex: F
Age: 33
State: CA

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm