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: 1302977
Sex: F
Age: 46
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/10/2021
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: Eye swollen closed, throat scratchy and swollen. Per ED MD, severe allergic reaction consistent with anaphylaxis. Also has allergy to ibuprofen and reports took some earlier today; mistook the brand name for acetaminophen.

Other Meds:

Current Illness:

ID: 1302978
Sex: M
Age: 26
State:

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/10/2021
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: Pt received Moderna COVID Vaccine dose 1 on 3/8/21 but did not disclose this information. Vaccinator discovered vaccine history on the Rover after Pfizer COVID vaccine given. Talked to patient where they confirmed that they received Moderna and had cancelled 2nd dose appt. Now, patient thought that receiving another brand would increase vaccine efficacy.

Other Meds:

Current Illness:

ID: 1302979
Sex: M
Age: 42
State: TX

Vax Date: 04/14/2021
Onset Date: 04/18/2021
Rec V Date: 05/10/2021
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: A few days after the injection, my left wrist started to hurt as if I had sprained it. It hurt to rotate it. It felt like arthritis or something to do with my joints, but only in my left wrist. Then the pain began in my left elbow. More joint pain. Rubbing it helped alleviate the discomfort. After about 2 weeks, the wrist pain subsided and disappeared. The elbow pain remains at the time of this submission.

Other Meds: none

Current Illness: none

ID: 1302980
Sex: F
Age: 74
State: FL

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 05/10/2021
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: Received 2nd COVID Vaccine and the following day had vision changes, vertigo and near syncope.

Other Meds:

Current Illness:

ID: 1302981
Sex: F
Age: 59
State: MI

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

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

Lab Data:

Allergies: NSAIDS/Asprin, Latex and Tape

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

Symptoms: Hives, Red raised places on my skin, itching , painful joints and swelling at the joints, cold fingertips, chills

Other Meds: Benadryl, Zyrtec and Singulair

Current Illness: None

ID: 1302982
Sex: F
Age: 81
State: GA

Vax Date: 01/25/2021
Onset Date: 04/23/2021
Rec V Date: 05/10/2021
Hospital: Y

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:

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

Symptoms: Hospitalized due to COVID-19 after being fully vaccinated.

Other Meds:

Current Illness:

ID: 1302984
Sex: F
Age: 64
State: NJ

Vax Date: 02/15/2021
Onset Date: 03/15/2021
Rec V Date: 05/10/2021
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: shellfish

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: One month post vaccine, I had yearly physical with my primary physician. My BP was notably high. Dr. asked me to repeat at home. After 3 weeks still high. He increased Lisinipril from 5mg to 10 mg, no change. Called my cardiologist, who then increased lisinipril to 20mg, still no change. Pressure remains around 153/90. With the small dose of bystolic and lisinipril, I've maintained a pressure of 120/80 for years. The same thing happened to my husband after his vaccine. His pressure has always been around 120/75. Now it's averaging 155/90

Other Meds: metformin, bystolic, glimpride, synthriod, lisinipril

Current Illness: n/a

ID: 1302985
Sex: F
Age: 24
State:

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/10/2021
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: Severe nausea and weakness started morning after second vaccine. Lasted most of day. Fever of 101.2 until ibuprofen taken to reduce temperature. Severe symptoms persisted for about 10 hours.

Other Meds: Birth control - tri lo estarylla

Current Illness:

ID: 1302986
Sex: F
Age: 29
State: NY

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/10/2021
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: dizziness and diaphoresis

Other Meds: ibuprofen

Current Illness:

ID: 1302987
Sex: F
Age: 64
State: CT

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/10/2021
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: nka

Symptom List: Diarrhoea, Nasal congestion

Symptoms: fever 104 degree, trouble breathing, swelling on arm ,upper neck, chest, feeling weak and dizzy , fast heartbeat, blood pressure 200/110 lasted for 24 hours

Other Meds: no known information

Current Illness: none

ID: 1302989
Sex: M
Age: 17
State: TX

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 05/10/2021
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 under age 18 was vaccinated with Johnson and Johnson which is a vaccine error. Single vaccine at age 17. Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn away. Parent validated age as 18. Unreported as error, found in data mining.

Other Meds:

Current Illness:

ID: 1302990
Sex: F
Age: 19
State: OK

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/10/2021
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: Bees/wasps, animals, grasses; sun causes a rash; has fair skin

Symptom List: Rash, Urticaria

Symptoms: Pt. c/o hives and swelling of entire right arm developing later the same day of her 2nd Moderna vaccine. By 5/5, she had wheezing, coughing, itchy throat and eyes, and redness of face. As of 5/7, she is still wheezing and has a bruise at the injection site. Was seen at an urgent care center and advised to take Benadryl. It is minimally helpful and wears off quickly and the symptoms return. Pt. is currently uninsured and was given information for low-cost clinics. She was advised to have wheezing evaluated.

Other Meds: Only taking Allegra and Benadryl for vaccine reaction.

Current Illness: "extra fluid in brain" via MRI 2020 Feb.; not on treatment

ID: 1302991
Sex: M
Age: 48
State: PA

Vax Date: 01/22/2021
Onset Date: 01/26/2021
Rec V Date: 05/10/2021
Hospital:

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

Lab Data:

Allergies: PenicillinsOther (document details in comments)

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

Symptoms: UNKNOWN

Other Meds: cetirizine (ZyrTEC) 10 mg tablet multivit,calc,min/FA/K1/lycop (ONE-A-DAY MEN'S COMPLETE ORAL) omega-3 fatty acids-fish oil (FISH OIL) 300-1,000 mg capsule rosuvastatin (CRESTOR) 20 mg tablet

Current Illness:

ID: 1302992
Sex: M
Age: 63
State: MD

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/10/2021
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: This is ridiculous. Look, I signed up for daily Bd then weekly check ins after I received my 1st vaccine on April 5th. And indeed I was contacted by text everyday for a week, then weekly until my 2nd dose on May 3rd. After my 2nd dose, the only question I was ask was did I get my 2nd dose. Nothing about side effects. While I had no real side effects from the first shot, I did after the 2nd. Started about 3am, 12 hours after the 2nd shot and continued for about 12 hours and then quickly disappeared within 2 hours. Pretty bad body aches, muscles and joints. Low grade headache. Extreme fatigue. Everything hurt, moving or sitting still. The only thing that remained normal was my appetite...I was hungry and was able to eat...no digestive problems. Anyway, I was disappointed the system that had ask so often after my first dose, did not ask at all after my 2nd.

Other Meds:

Current Illness:

ID: 1302993
Sex: M
Age: 16
State: WI

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

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

Lab Data:

Allergies:

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

Symptoms: Moderna administered under 18 year old

Other Meds:

Current Illness:

ID: 1302994
Sex: F
Age: 31
State: FL

Vax Date: 04/19/2021
Onset Date: 05/04/2021
Rec V Date: 05/10/2021
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: I received my second covid vaccine on April 19th 2021. On May 4th 2021, I noticed a small skin irritation on both forearms. The next day the irritation had turn to a rash. The rash then spread to my face and covered my forearms by May 6th. By May 7th the burning, itching, blistering rash had covered half of my face, both forearms up to the elbow, and my right leg. clinic on May 9th and the physician prescribed 60mg of prednisone for 4 days and decreasing in intensity for 10days. She was unclear what could have caused the rash and told me to report the reaction.

Other Meds: Mirana IUD, multi vitamin

Current Illness: None

ID: 1302995
Sex: F
Age: 38
State: PA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 05/10/2021
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:

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

Symptoms: PCR+ on 4/5/21 after fully vaccinated

Other Meds:

Current Illness:

ID: 1302996
Sex: F
Age: 26
State: MA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/10/2021
Hospital:

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

Lab Data:

Allergies: Tree nuts, peanuts, eggs, crustaceans, shellfish, iodine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Swelling of lymph nodes ~20mins after, benadryl Anaphylaxis ~20mins after, benadryl Migraines, ~24 hours after Fatigue, ~20 hours after Body aches, ~20 hours after

Other Meds: Levothyroxine, 125mg

Current Illness: N/a

ID: 1302997
Sex: M
Age: 57
State: CA

Vax Date: 05/06/2021
Onset Date: 05/09/2021
Rec V Date: 05/10/2021
Hospital:

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

Lab Data:

Allergies: Shellfish containing products

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Runny nose, sneezing, mild headache, mild sore throat

Other Meds:

Current Illness:

ID: 1302998
Sex: M
Age: 35
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/10/2021
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: night sweats

Other Meds:

Current Illness:

ID: 1302999
Sex: F
Age: 32
State: CA

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/10/2021
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: UPON INJECTION, NEEDLE BENT AND VACCINE LEAKED OUT. PT DID NOT RECD ANY VACCINE. SECOND ATTEMPT WITH PFIZER VACCINE GIVEN ON THE SAME ARM.

Other Meds:

Current Illness:

ID: 1303000
Sex: F
Age: 37
State:

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/10/2021
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 c/o her throat was closing on her. Pt states she couldn't breath and her chest was heavy. Pt did not want Epi pen for a long time, she wanted just to go home. Pt looked dishelved so her friend came and said pt's voice is not normal. It took awhile for us to convince pt to take the Epi pen and to go the ambulance. Pt finally agreed after awhile. She felt much better after th epi pen. Pt was wheeled out on the stretcher by the paramedic. Given 0.3mg EpiPen. Taken to ED.

Other Meds:

Current Illness:

ID: 1303002
Sex: M
Age: 35
State:

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/10/2021
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: Flushing /sweating, dizziness. Pt has a fear of needles (info not disclosed at the time of vaccination). VSS. Patient stable and released from vaccination site.

Other Meds:

Current Illness:

ID: 1303004
Sex: M
Age: 17
State: TX

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 05/10/2021
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 under age 18 was vaccinated with Johnson and Johnson which is a vaccine error. Single vaccine at age 17. Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn away. Parent validated age as 18. Unreported as error, found in data mining.

Other Meds:

Current Illness:

ID: 1303005
Sex: M
Age: 44
State: IA

Vax Date: 05/07/2021
Onset Date: 05/10/2021
Rec V Date: 05/10/2021
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: Injection site pain, Menorrhagia

Symptoms: During administration of the vaccine the needle detached from the syringe resulting in a small amount of vaccine spraying onto the patients arm

Other Meds: unknown

Current Illness: unknown

ID: 1303006
Sex: M
Age: 35
State: CA

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 05/10/2021
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: Lipitor

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

Symptoms: Developed tinnitus after 2 days of vaccination. Prior to vaccination I was having mild ringing in my right ear due to moderate hearing loss caused by ear drum perforation. 2 days after vaccination I started having tinnitus on left side of my brain on and off and now it's continuous , also ringing in my right ear has increased , it is causing to me to have sleepless nights and groggy days. It has not improved even after a month. It could be a permanent damage but I am not sure.

Other Meds: metoprolol , effient , repatha injection , vitamin d , vitamin b12

Current Illness: diagnosed hole in right ear drum in March 2021

ID: 1303007
Sex: F
Age: 31
State: NJ

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/10/2021
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: redness and swelling at site of injection

Other Meds:

Current Illness:

ID: 1303008
Sex: F
Age: 39
State: PA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 05/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Headache Congestion or running nose COUGH

Other Meds: docusate sodium (COLACE ORAL) phentermine 37.5 mg capsule polyethylene glycol (MIRALAX) 17 gram packet topiramate (TOPAMAX) 50 mg tablet Clinic-Administered Medications levonorgestrel (MIRENA) IUD 52 m

Current Illness:

ID: 1303009
Sex: M
Age: 49
State: DC

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/10/2021
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: n/a

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

Symptoms: Within 24 hours I began to experience tinnitus and still have it as of 05/10/2021.

Other Meds: n/a

Current Illness: n/a

ID: 1303010
Sex: F
Age: 52
State:

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/10/2021
Hospital:

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

Lab Data:

Allergies: Iodine, iodine containing compounds Ceftrixone Sodium Hydrochorothymiazime

Symptom List: Nausea

Symptoms: None stated.

Other Meds: Blood Pressure Medication Amlodipine 5mg. 1 tab daily Losartan 50 mg. 1 1/2 tab daily. Motrin 400mg. As need

Current Illness: Mild case of Shingles approximately one month prior to receiving 1st vacinne.

ID: 1303011
Sex: M
Age: 68
State: GA

Vax Date: 12/30/2020
Onset Date: 02/23/2021
Rec V Date: 05/10/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Cardiovascular and Renal disease immunocompromised

Other Meds:

Current Illness:

ID: 1303012
Sex: F
Age: 39
State: CA

Vax Date: 01/07/2021
Onset Date: 01/13/2021
Rec V Date: 05/10/2021
Hospital:

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

Lab Data:

Allergies: Allergy to microbid (GI allergy)

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

Symptoms: After my Moderna vaccine I experienced flu like symptoms then those went away. On 01-13-2021, my left arm got itchy and formed giant hives and also my left arm swelled up. I took topical steroids and Benadryl and two different kinds of anti-histamines. About 5 days later my hives got worse and I went to the ER saw Dr. My tongue and throat swelled up and I also had a dry cough for eight weeks. I was put on to use an inhaler. I had multiple lab draws. I had weird itchy bump to my left arm, and I've had extreme fatigue for about ten weeks now and have ended up on a higher dose of steroids.

Other Meds: No medications takes at the time of vaccination

Current Illness:

ID: 1303013
Sex: M
Age: 15
State: CA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: An unaccompanied minor who was 15 years of age was given a dose of Pfizer COVID vaccine in error. The client had a valid appointment and the vaccinating RN did not register that the individual was underage. The vaccinator stated she did verify birthdate but did not ask the client his age and because client was presenting for a second dose assumed he was ok to vaccinate. The client did not suffer any adverse reactions to the vaccine and reported no signs or symptoms of reactions.

Other Meds: None

Current Illness: None

ID: 1303014
Sex: F
Age: 45
State: DE

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 05/10/2021
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: PCR+ on 4/5/21 after fully vaccinated

Other Meds:

Current Illness:

ID: 1303015
Sex: F
Age: 36
State: NY

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/10/2021
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: Blurred vision, confusion, tiredness

Other Meds:

Current Illness:

ID: 1303016
Sex: F
Age: 39
State: WA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/10/2021
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: #Muscle twitching - Symptoms started with left arm myalgia and gradually progressed to muscle twitching over the last 2 days - Eyebrows, upper/lower extremities and neck twitching

Other Meds:

Current Illness:

ID: 1303017
Sex: M
Age: 54
State: MD

Vax Date: 03/28/2021
Onset Date: 03/31/2021
Rec V Date: 05/10/2021
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: No Known Allergies

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

Symptoms: No adverse events listed - pt tested positive for COVID

Other Meds: albuterol HFA (PROVENTIL HFA) 90 mcg/actuation inhaler amLODIPine (NORVASC) 10 mg tablet atenoloL (TENORMIN) 25 mg tablet

Current Illness: None

ID: 1303018
Sex: M
Age: 34
State: NY

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

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

Lab Data:

Allergies: Sulfa antibiotics

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient was advised to remain in observation area for 30 minutes due to history of breathing difficulty with sulfa antibiotics in past. Shortly after being vaccinated the patient presented to our service window stating he did not feel well and was immediately escorted by the pharmacist to our administration area to have a seat. He stated he felt light headed, flushed (though not visibly), felt like his heart was racing, and was not having diffuculty breathing but felt like he couldn't catch his breath and stated he thought he was having a panic attack. He had stated before vaccination that he had not had a vaccine since his routing childhood schedule, his whole family had already had doses, and he had been putting it off because he was nervous. He insisted he needed some fresh air several times and was escorted outside by the pharmacist (with emergency supplies and a cell phone and within shouting distance of the pharmacy) for continued obsevation and was given water when requested. After a few minutes he stated he felt much better and the symptoms had resoved. He was directly observed outside per his request for the remainder of his waiting period and had no further symptoms. He was instructed to call the pharmacy right away if he had any additional symptoms after leaving.

Other Meds:

Current Illness:

ID: 1303019
Sex: M
Age: 72
State: NY

Vax Date: 02/08/2021
Onset Date: 04/09/2021
Rec V Date: 05/10/2021
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: erythromycin

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

Symptoms: 2 months after the second Moderna vaccine, I developed high temp-103.5F, profound fatigue, and a sensory loss along the medial nerve distribution of my left arm- the side where I received the vaccine. I was evaluated fo covid-19, tick borne diseases, neg for UTI, neg chest x-ray, normal cbc and differential. Evidence of old Ebstein-Barr infection with still high titers , PCR for EBV negative. After 3+ weeks, gradual resolution of fatigue and sensory loss is slowly resolving. I have been serious about always masking and avoiding contact with anyone, even adfter full vaccination. That is why I am submitting this form. Just interested if anyone is reporting long term issues with the vaccine.

Other Meds: lisinopril,simvastatin, metformin, allopurinol, losartan,

Current Illness:

ID: 1303020
Sex: M
Age: 17
State: TX

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 05/10/2021
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: Patient under age 18 was vaccinated with Johnson and Johnson which is a vaccine error. Single vaccine at age 17. Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn away. Parent validated age as 18. Unreported as error, found in data mining.

Other Meds:

Current Illness:

ID: 1303021
Sex: M
Age: 15
State: WI

Vax Date: 04/22/2021
Onset Date: 05/06/2021
Rec V Date: 05/10/2021
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: Patient under 18 received Moderna

Other Meds:

Current Illness:

ID: 1303022
Sex: M
Age: 66
State: FL

Vax Date: 03/13/2021
Onset Date: 03/25/2021
Rec V Date: 05/10/2021
Hospital: Y

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

Lab Data:

Allergies: No known drug allergies

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

Symptoms: Bilateral lower extremity weakness, bilateral hand paresthesia, areflexia - diagnosed as Guillain Barre Syndrome by neurology team

Other Meds: Eliquis, Amlodipine, Benazepril, Metformin, Oxybutynin, Gemfibrozil, Sildenafil

Current Illness: None

ID: 1303023
Sex: F
Age: 21
State: IL

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/10/2021
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: No known allergies

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

Symptoms: Patient told rph that she can faint when getting vaccination. Pharmacist vaccinated and patient immediately began to feel dizzy and started shaking. She did not pass out or fall out of her chair. It was conveyed by the pharmacist to the technician staff that the patient was having difficulty breathing. 911 was called. 2nd pharmacist went into room to assess and pt was breathing fine. She asked for some water and a bag of ice which were both given to patient. Paramedics arrived and took patient vitals. Patient refused and further care and a relative came to pick her up. Paramedics advised patient to follow up with further care if warranted. When patient left she was feeling better.

Other Meds: None that we know of

Current Illness: No other illnesses

ID: 1303024
Sex: F
Age: 42
State: IN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/10/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Increasing soreness at injection site that began spreading the next morning. Redness, heat, and itching that began at the injection site and by 5/9 covered my whole upper arm. The Redness and pain did begin to reduce on 5/10 without any medical intervention. Contacted Dr. Was instructed to follow up if the reduction did not continue.

Other Meds: Pristiq, Topamax, multivitamin,Valtrex, nuvigl, calcium

Current Illness: Dose 1 received 4/1. Gastroenteritis 2 weeks prior

ID: 1303025
Sex: F
Age: 42
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/28/2021
Rec V Date: 05/10/2021
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: Codeine

Symptom List: Vomiting

Symptoms: Severe heart palpitations, anxiety, nausea, weight loss, sweating of hands and feet

Other Meds: None

Current Illness: None

ID: 1303026
Sex: F
Age: 51
State: FL

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 05/10/2021
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: Sulfas, Codine, Kiwi

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Day 2 itching and swelling at the injection site; day 4 fever as high as 101.4; body aches; noticed painless, involuntary leg twitching after vaccine. I didn't think much of it until it disappeared about 2-weeks after the second dose.

Other Meds: None

Current Illness: None

ID: 1303027
Sex: F
Age: 49
State: NY

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/10/2021
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: avocado, cashews, pollen, watermellon

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

Symptoms: mild numbness and warm sensation

Other Meds:

Current Illness:

ID: 1303028
Sex: F
Age: 32
State: IN

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/10/2021
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: Latex

Symptom List: Injection site swelling, Limb discomfort

Symptoms: significant erythema, redness, tenderness at injection site

Other Meds: Vitamin D Ferrous Sulfate oral contraceptive ? name oral Vitamin B12 Metformin

Current Illness: none

ID: 1303029
Sex: F
Age: 34
State: CA

Vax Date: 05/06/2021
Onset Date: 05/09/2021
Rec V Date: 05/10/2021
Hospital:

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

Lab Data:

Allergies: Allergy to white radish

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

Symptoms: My 2nd vaccine shot was on a Thursday and by Sunday I started developing a rash on my face, inside of lower arms and stomach. By Monday morning (today), the rash was full body - scalp to feet, including face, neck, chest, stomach, back, butt and legs. No change in diet and no strenuous physical activity in the last 3 days - only a few walks around the neighborhood and sat in the yard for about an hour yesterday. I?ve taken a Benadryl and monitoring the rash.

Other Meds: Daily multi-vitamins (brand: Ritual), birth control daily pills (brand: Sprintec)

Current Illness: None

ID: 1303030
Sex: F
Age: 90
State: GA

Vax Date: 02/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/10/2021
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: Hospitalized due to COVID-19 after being fully vaccinated.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm