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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1317128
Sex: M
Age: 48
State: MO

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/14/2021
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: lisinopril wasp stings

Symptom List: Dysphagia, Epiglottitis

Symptoms: Went in to AFIB requiring conversion in ER on 05/10/2021 early AM

Other Meds: Bistolic Sprironolactone ASA HCTZ

Current Illness:

ID: 1317129
Sex: M
Age: 17
State: CA

Vax Date: 05/07/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
Hospital: Y

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: HI, couple days after my son (17 years old) got the 2nd shot he was heaving a pressure in his chest and left arm so we rushed him to the hospital. When we got to the hospital with his level of 26 (normal 1) and blood test show also lever inflammation they hospitalized him right away. He was there 3 days and just got released. now he need to be under care with medication and visit to a heart cardiology doctor every few days for tests. he cannot do any activity (per to the doctor including computer games that can raise his heart rate)

Other Meds:

Current Illness:

ID: 1317130
Sex: M
Age: 55
State: MI

Vax Date: 03/20/2021
Onset Date: 05/09/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: dehydration, pneumonia hypertension, aches, fever fatigue

Other Meds: clonidine, Humalog, insulin, Lisinopril, oxycodone

Current Illness: Diabetes mellitis, bipolar, obesity HTN

ID: 1317131
Sex: F
Age: 33
State: OR

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: allergy to grass, cats and dogs

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient developed a lump immediately after vaccination. then a few days later developed redness and itching within 48 hrs, persistent soreness. presents on day # 8 to clinic with worsening itchiness and painful, more swelling

Other Meds: Ketotifen oral

Current Illness: none

ID: 1317132
Sex: M
Age: 17
State: FL

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: nka

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

Symptoms: 1:02pm Patient complain about being light headed. 1:12pm Patient reported feeling better, requested water to drink. 98/81, HR 57, O2Sat 98%, 1:14on Patient reported that he feels better, left with mother. Informed parent that if patient still experiences symptoms to call 911 or primary care doctor. Understanding verbalized.

Other Meds: n/a

Current Illness: n/a

ID: 1317133
Sex: M
Age: 49
State: NY

Vax Date: 02/26/2021
Onset Date: 03/10/2021
Rec V Date: 05/14/2021
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: Lost hearing in my left ear around March 9. Went to doctor 3/19 and began oral steroids. Second dose of vaccine administered 3/20. Hearing did not improve so returned to doctor 3/26 and was given steroid shot to ear. Hearing was restored briefly until 4/13. Returned to doctor 4/14 and was given steroid shot to ear and oral steroids. Given a second steroid shot 4/19. Hearing restored 4/26. (2021)

Other Meds: prozac 20mg

Current Illness: none

ID: 1317134
Sex: F
Age: 67
State: PA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/14/2021
Hospital: Y

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

Lab Data:

Allergies: none known

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 67-year-old female to the ED from home with complaints of worsening shortness of breath, fatigue, chest pain. Diagnosed with COVID-19 5/11. Admitted to inpatient for pneumonia due to COVID 19. She reports muscular chest pain when she coughs. Arrives with hypoxia, decreased breath sounds. Placed on 2LNC. D-dimer, CRP, ferritin elevated. CT chest shows: Diffuse bilateral COVID 19 pneumonia. Start on IV Remdesivir. Trend inflammatory markers. Has had symptoms for 8 days, so out of window for plasma.

Other Meds: acetaminophen (TYLENOL) tablet 650 mg albuterol (PROVENTIL HFA,VENTOLIN HFA) inhaler 2 puff albuterol inhalation solution 5 mg (Completed) aluminum-magnesium hydroxide-simethicone (MYLANTA) oral suspension 30 mL ascorbic acid (VITAMIN C

Current Illness: Asthma Generalized anxiety disorder Hypothyroidism Insomnia secondary to anxiety Medicare annual wellness visit, initial Bilateral hearing loss due to cerumen impaction Viral upper respiratory tract infection Depression with anxiety Tick bite Seasonal allergic rhinitis due to pollen Irritable bowel syndrome with diarrhea Left cervical radiculopathy Cough with exposure to COVID-19 virus COVID-19 virus infection Date Unknown Cholecystectomy

ID: 1317135
Sex: F
Age: 60
State: NC

Vax Date: 02/08/2021
Onset Date: 02/12/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Pharyngeal swelling

Symptoms: Within a few days following the first COVID shot I started to experience ringing in my ears. I did not think much of it at first but when it did not resolve itself I became concerned. I saw reports on-line that it may be linked to a possible adverse reaction to the covid shot. Subsequently I went to my doctor's office. She administered a basic hearing test and looked in my ears. There were no significant findings on examination. The ringing is persistent. It is a very high pitch, annoying, continuous "buzz".

Other Meds: lisinopril 10mg

Current Illness: none

ID: 1317136
Sex: M
Age: 57
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: caffeine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Smell smoke periodically since the second dose. A strong smell of smoke that last for 15 seconds or so. The day after it happened a couple of dozen times. A month later it's only 1-3 times a day.

Other Meds: multivitamin, vitamin c (500 mg), vitamin d (1000 mg), zinc (100 mg), apple cider vinegar (1500 mg)

Current Illness: none

ID: 1317137
Sex: F
Age: 17
State: WI

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/14/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient was meant to be given the Pfizer vaccination based on current age. No adverse effects; infectious disease provider has reviewed case and has no imminent concerns. Patient's second dose is scheduled for 6/1 and will be receiving the Pfizer formulation.

Other Meds:

Current Illness:

ID: 1317138
Sex: F
Age: 44
State: LA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/14/2021
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: Temperature excursion with vaccine administered

Other Meds:

Current Illness:

ID: 1317139
Sex: F
Age: 65
State: VA

Vax Date: 03/09/2021
Onset Date: 04/11/2021
Rec V Date: 05/14/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Rash, Urticaria

Symptoms: Patient Received the COVID Janssen vaccine on 3/9/2021. On 4/11/2021, the patient developed symptoms described as right lower leg weakness (leg "bowed" out, felt, like a "lead" foot). She also complained of right upper arm weakness. She was admitted on 4/12 and determined to have an acute CVA. Her symptoms quickly resolved. She was started on enoxaparin, ASA, and rosuvastatin and discharged on 4/13.

Other Meds: Estradiol/norethindrone 0.5/0.1 mg tablets

Current Illness: None

ID: 1317140
Sex: F
Age: 19
State: MO

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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: patient had seizure post vaccination, had patient on ground with legs elevated, ambulance was called

Other Meds: unknown

Current Illness: none

ID: 1317141
Sex: F
Age: 29
State:

Vax Date: 04/10/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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: Large blood clot during mensural cycle. This is very abnormal for me.

Other Meds: None

Current Illness: None

ID: 1317142
Sex: M
Age: 33
State: PA

Vax Date: 05/01/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
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: Nausea, fatigue and sore at injection site.

Other Meds: Olanzapine, Ariprazole

Current Illness: Allergies, cold

ID: 1317143
Sex: M
Age: 54
State: NC

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Tinnitus (ear ringing) in both ears began on 2nd day after 2nd Moderna vaccine.

Other Meds: Venlafaxine HCL ER (Effexor XR) dosage 75 mg daily.; TESTOSTERONE CYPIOATE 2,000 MG/10 ML MDV - .75 ML injected once a week; TRIAMTERENE-HCTZ 37.5 25 MG CP ? ONCE DAILY

Current Illness:

ID: 1317144
Sex: F
Age: 65
State: FL

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/14/2021
Hospital: Y

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: codeine

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

Symptoms: patient apparently had taken Johnson Johnson COVID-19 vaccination that the was about 4 days ago. And since the that time patient had been having increasing shortness of breath patient denies any history of any fever chills denies any chest pain in. Of of the by the time patient had presented to the ER patient was hypoxic and was having respiratory of difficulty patient was initially put on a non-rebreather observe mask

Other Meds:

Current Illness: none

ID: 1317145
Sex: F
Age: 28
State: ID

Vax Date: 02/08/2021
Onset Date: 05/05/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient diagnosed with COVID19 After full vaccination. Vaccinated 1/11/21 and 2/8/21. Symptom onset 5/5/21. Symptoms included cough, congestion, headache, chest irritation and soreness from coughing. Symptoms are improving as of 5/13/21, not yet resolved.

Other Meds:

Current Illness:

ID: 1317146
Sex: M
Age: 77
State: CA

Vax Date: 02/12/2021
Onset Date: 03/06/2021
Rec V Date: 05/14/2021
Hospital: Y

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: Severe clots on right thigh rushed to urgent care and urgent care referred me to emergency Hospital. Was hospitalized for 5 nights with severe swelling on right thigh. The swelling has since abated but has still not subsided. Feel still very heavy on right thigh.

Other Meds:

Current Illness:

ID: 1317147
Sex: F
Age: 26
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Could not keep food down. Threw up 4 times within 12 hours.

Other Meds: Birth Control- Junel

Current Illness: None

ID: 1317148
Sex: M
Age: 70
State:

Vax Date: 03/26/2021
Onset Date: 05/09/2021
Rec V Date: 05/14/2021
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: boil on shoulder

Other Meds:

Current Illness:

ID: 1317149
Sex: F
Age: 37
State: CO

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: ASA, amoxicillin, PCN, antifungal yeast infection cream

Symptom List: Unevaluable event

Symptoms: Extreme dizziness, vomiting, diarrhea.

Other Meds:

Current Illness:

ID: 1317150
Sex: F
Age: 65
State: CA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/14/2021
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: dizziness BP: 142/78 Pulse: 72 P.T.O. patient advised to stay for extra 15 mins. observation - advised to drink more fluids -vitals after 15 mins. BP: 126/72 Pulse-72 Patient feels better and left for home

Other Meds:

Current Illness:

ID: 1317151
Sex: M
Age: 61
State: CA

Vax Date: 04/03/2021
Onset Date: 04/15/2021
Rec V Date: 05/14/2021
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: octopus

Symptom List: Injection site pain, Pain

Symptoms: For the first two weeks, there was only mild headache and fatigue. But on day 12 (or 13) following the shot, my husband had severe abdominal pain and black, tarry poop. He passed out on the toilet in the middle of the night and hit his head, woke up in a puddle of blood (from hitting his head) . He was severely lightheaded, short of breath, could not walk. He had to crawl back to bed. He continued to have severe lightheadedness, shortness of breath, muscle aches, abdominal pain, and also ringing in his ears. He called me early Saturday morning and told me what happened and that he called out from work. (We do not live together. He is 280 miles away because of his job.) That man has called out sick only one time since I've met him in 1998; so when he told me he did not go to work, I knew it had to be really bad. I drove up there ASAP the same day, and I took the pulse oximeter with me. His oxygen levels were all over the place. They were usually better (like high 70s to low 80s) while he was lying down. When he would sit up or stand up, the number would plummet, reading so low I thought he was going to die. One time his finger was so cold that it took me 4 tries to get a reading. It read at 55, but I realize that might be because his finger was too cold.

Other Meds: daily multivitamin

Current Illness: none

ID: 1317152
Sex: M
Age: 64
State:

Vax Date: 02/05/2021
Onset Date: 05/09/2021
Rec V Date: 05/14/2021
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: Four days post vaccine, associate started to get a pulsating headache. Two days later while at work, started to get a pounding headache, by noon started to get chest pain and felt dizzy. Went to the ER, did an EKG and blood work to rule out a stroke. has an appointment with an allergist and a brain scan.

Other Meds:

Current Illness:

ID: 1317153
Sex: M
Age: 66
State: UT

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/14/2021
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: Sudden hearing loss in the left ear the day after vaccine.

Other Meds:

Current Illness:

ID: 1317154
Sex: M
Age: 35
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/14/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Weak, exhausted, fever lasting 72-96 hours, no appetite.

Other Meds:

Current Illness: None

ID: 1317155
Sex: F
Age: 23
State: TX

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Intense headache and dizziness when waking up. Muscle soreness throughout the body. Arm pain.

Other Meds: N/A

Current Illness: N/A

ID: 1317156
Sex: F
Age: 66
State: TX

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/14/2021
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: NKA

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

Symptoms: NOT REPORTED

Other Meds: NOT REPORTED

Current Illness: NOT REPORT

ID: 1317157
Sex: F
Age: 39
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: acetaminophen; food intolerances: I can't digest dairy, gluten or eggs

Symptom List: Nausea

Symptoms: First I had a funny taste in my mouth - 2-4 hours after vaccine. 8-9 hours after the injection - I woke up with the first of what would become extremely severe body aches. I took some Aleve - that helped some with the symptoms - but not efficacious. It turned into bone deep pain that made me cry. I would say 7 on the pain scale. That lasted two days. It started slow and then it got big. It was very bad for 12-16 hours. I didn't leave bed and I cried a lot. Worse than childbirth. I was left with another two days after that with some severe fatigue and then I started recovering. About 10 days after vaccine, on the morning of the 17th, I thought I had a spider bite but it was the beginning of a rather severe shingles outbreak which I haven't had before. I had a telehealth appt with employee health - I was treated with anti-viral - Valtrex generic on the 19th. The rash was mostly gone with the medicine - everything is scabbed over but the nerve pain is still here to this day. I still missed work this week.

Other Meds: daily multi-vitamin

Current Illness: no

ID: 1317158
Sex: F
Age: 26
State: CA

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Mango, crabs and pollen

Symptom List: Injection site pain

Symptoms: After the second shot of Pfizer vaccine, I had trouble breathing. When I have to talk, I need to do harder breathing to feel better.

Other Meds:

Current Illness:

ID: 1317159
Sex: F
Age: 60
State: PA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; Hydrocodone; Walnuts

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

Symptoms: Swelling; Itching; Welts; Discoloration; Headaches; Nausea.

Other Meds: Atenolol; Hydrochlorothiazide; Baclofen; Suboxone

Current Illness: Chronic PAIN; Arthritis; Spinal stenosis

ID: 1317161
Sex: M
Age: 43
State:

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 05/14/2021
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: Received 1st Shot 4/10/21. A few days after 1st Shot of Pfizer: My eczema flared up and I was waking up from itching in the middle of the night. I was being treated for eczema for a few months prior to vaccination. I had never woken up from itching prior to vaccination. Flare up areas were on shoulder opposite of vaccination arm. This area had never flared up before. Also had period of flare up behind right knee for first time as well. All of these were more severe than before vaccination. I used topical steroids sparingly in the few weeks after 1st Dose. After 3rd week it seemed to ease. Received 2nd Shot 5/1/21. After 2nd Shot of Pfizer: I had Tinnitus side effect in both ears seemingly from the vaccine. I did not have worsening skin rashes/eczema after 2nd Dose.I did not have Tinnitus after 1st dose. 2 weeks later, symptoms seem less but not completely gone. Eczema is similar to what it was before both vaccine doses.

Other Meds:

Current Illness: Eczema

ID: 1317162
Sex: F
Age: 33
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
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

Symptom List: Tremor

Symptoms: Temperature of 101-102 for 24 hours. One hour extreme sweating and heat flash the next hour shakes and being very cold for over 24 hours. Aches through my entire body. Took Tylenol and Advil, water and electrolytes.

Other Meds: Birth control pill

Current Illness: None

ID: 1317163
Sex: M
Age: 40
State: IN

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
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: Prednisone, TB Skin Test

Symptom List: Erythema, Pruritus

Symptoms: Fever and chills for 18 hours, max temp 101.2. Exhaustion

Other Meds: Tylenol

Current Illness:

Date Died: 04/25/2021

ID: 1317164
Sex: M
Age: 88
State: PA

Vax Date: 04/07/2021
Onset Date: 04/25/2021
Rec V Date: 05/14/2021
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: Codeine

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

Symptoms: Upon reviewing patient's need for 2nd dose, we learned that patient died on 4/25/21.

Other Meds:

Current Illness:

ID: 1317165
Sex: F
Age: 49
State:

Vax Date: 04/26/2021
Onset Date: 04/30/2021
Rec V Date: 05/14/2021
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: Cats (being around them, not eating them) Hayfever

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

Symptoms: Five days after the vaccination, at least three lymph nodes in the same shoulder as the shot was administered (L) swelled up painfully, making moving that arm unpleasant. The tenderness lasted about five days, and the swelling receded a bit, but at least one node is still slightly enlarged and painful to the touch at this time (about 2.5 weeks later). I did not seek medical care since swollen lymph nodes were listed as a possible side effect of the vaccine, but figured I should probably report it.

Other Meds: ThyroidShiield, Flonase, Airborne vitamin tab, supplemental vitamin D

Current Illness: Cold during the week of 5-12apr (negative covid test)

ID: 1317166
Sex: M
Age: 80
State: IN

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: fatigue, tired

Other Meds: Atorvastatin; bethamethasone ointment; flucinonide; focus factor; low dose aspirin; magnesiun\m; multivitamin; stool softner; super b complex; triamein0l0ne cream; vitamin c; urinozinc ; zinc; escitalopram; finasreride; metformin; pantopraz

Current Illness: NONE

ID: 1317167
Sex: M
Age: 44
State: MO

Vax Date: 03/15/2021
Onset Date: 03/22/2021
Rec V Date: 05/14/2021
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: Penicillin

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

Symptoms: Tinnitus/Ringing in ear. Fullness in ear

Other Meds: none

Current Illness: None

ID: 1317168
Sex: F
Age: 59
State: IN

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
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: Allergies to aspirin,

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

Symptoms: Nausea, vomiting, severe headache, tired, couldn't get awake, fever

Other Meds: Prescription

Current Illness: My autoimmune diseases

ID: 1317169
Sex: F
Age: 26
State: MD

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Pain in extremity

Symptoms: My primary care doctor describes what I am experiencing as dermatographia. I started off having an itchy spot on the back of my neck, lightly rubbed the spot, and then my skin became immediately inflamed causing swelling and redness. I continue to experience this all over my body, it is not localized to one area. This has never happened to me before, I am not allergic to anything that I am aware of, and have never had a reaction from a vaccine previously.

Other Meds: Apri (birth control), probiotic, multiviatmin

Current Illness: NONE

ID: 1317170
Sex: M
Age: 43
State: WV

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/14/2021
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: General facial tingling and numbness to the left side.

Other Meds:

Current Illness:

ID: 1317171
Sex: F
Age: 0
State: NJ

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/14/2021
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: Hay fever

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

Symptoms: Went to check on patient after 15 minutes and she said she felt slightly nauseous but did not need any other help. She asked to be discharged to her mother.

Other Meds: Not known

Current Illness: Not known

ID: 1317172
Sex: F
Age: 67
State: FL

Vax Date: 04/30/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
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: dairy

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

Symptoms: inflamed redness area around site of injection

Other Meds:

Current Illness:

ID: 1317173
Sex: M
Age: 50
State: WI

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/14/2021
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: Client received Pfizer after having already received full series of Johnson & Johnson vaccine. Client admits he lied about not receiving previous COVID vaccine. State data entry system did not have capability to review previous vaccinations in state registry.

Other Meds:

Current Illness:

ID: 1317174
Sex: F
Age: 30
State: GA

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/14/2021
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: I felt no pain after shot. Went to sleep around 8pm woke up at 10pm to find my vision was blurry. I went back to bed and woke up 7am with sore left arm, body ache, head ache and blurry vision. It?s hard for my eyes to focus on things, light hurts my eyes and it?s blurry

Other Meds:

Current Illness:

ID: 1317175
Sex: F
Age: 16
State: MN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 05/14/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Patient was 16 years of age at time of vaccination. Moderna is not indicated for patients under 18. Patient reported no adverse events when seen for second dose on 5/12. (She did not receive second dose at that time, but will get it next week on 5/19)

Other Meds:

Current Illness:

ID: 1317176
Sex: F
Age: 41
State:

Vax Date: 05/08/2021
Onset Date: 05/10/2021
Rec V Date: 05/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Monday night-headache, chill, fever 38.4F, sinusitis,body pain Tuesday-headache,chill,sinusitis,earache,neck pain,body pain Wednesday-chill,sinusitis, body pain,earache,neck pain Thursday-chill,sinusitis resulting to loss of smell.and taste,body pain esp. upper back, vertigo with dizziness,earache,neck.pain Friday-sinusitis(loss of smell and taste), a bit chill, a bit of body pain, a bit of vertigo

Other Meds: Acetaminophen tablet (taken Monday night)

Current Illness: none

ID: 1317178
Sex: F
Age: 61
State: CA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 05/14/2021
Hospital:

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

Lab Data:

Allergies: Phenergan

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

Symptoms: 3/19/20 - Chest pain 24 hrs after injection. Fever, chills and body aches. 4/2/21 - EXTREME hair loss, lost 3/4 of my hair!!!! (I had a full thick hair prior to the vaccine!)

Other Meds: Vit D Vit C Synthroid

Current Illness: None

ID: 1317179
Sex: F
Age: 26
State: TX

Vax Date: 02/27/2021
Onset Date: 03/24/2021
Rec V Date: 05/14/2021
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: Allergic to cefaclor

Symptom List: Hot flush, Myalgia, Nausea, Tension headache

Symptoms: Armpit Pain when arm is raised for more than a minute or so (not every single time arms is raised for more than a minute). -Started: the day after 2nd injection (still persists but is less severe)

Other Meds: CBD, Multivitamins, Glucosamine supplement

Current Illness: n/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm