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: 1322322
Sex: F
Age: 60
State: TN

Vax Date: 05/11/2021
Onset Date: 05/12/2021
Rec V Date: 05/16/2021
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: PCN

Symptom List: Dysphagia, Epiglottitis

Symptoms: She was having joint pain

Other Meds: SYNTHROID, CRESTOR, ZOLOFT

Current Illness: UNKNOWN

ID: 1322323
Sex: F
Age: 14
State: FL

Vax Date: 05/01/2007
Onset Date: 05/01/2007
Rec V Date: 05/16/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Received vaccine, blacked out could not hear anything. Less than a month later became sick with Addison?s disease.

Other Meds: None

Current Illness: NA

ID: 1322324
Sex: F
Age: 13
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
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: client had syncope episode after receiving 1st dose Pfizer Covid Vaccine. Client received vaccine at 1336 and was standing next to vaccine station and Father as sibling was receiving vaccine. Within 3 minutes of standing client had syncope episode and hit back of head on floor. RNs responded. PHN called 911 at 1340. Per RN client collapsed and hit back of head, Father tried to hold on but was unsuccessful. As PHN was speaking with paramedics, client regained consciousness. Client stated she remembered feeling dizzy and then woke up on the floor. Client alert and oriented, pale and stated blurry vision. RN elevated legs. Vitals: blood pressure 130/90, pulse 102, oxygen 99%. Father denied any relevant medical history, medications, allergies or history of syncope. Client stated feeling dizzy, denied pain on head or rest of body. Paramedics arrived approximately 1346 and assumed care. After assessment Father signed AMA with paramedics. Client sat in anti gravity chair after paramedics left. EMT stayed with client. Vitals at 1412: blood pressure 120/80, pulse 85, oxygen 96%. Client stated feeling dizzy and head hurts when she moves. Blurry vision resolved. PHN spoke with parents to review ER precautions and advised to make follow up appointment with primary doctor. After sibling was done with observation, client left facility at 1425 with steady gait.

Other Meds: none

Current Illness:

ID: 1322325
Sex: F
Age: 36
State: MD

Vax Date: 04/02/2021
Onset Date: 04/23/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Very irregular menstral cycle. Typically I have very regular heavy cycles with severe pms. Since vaccine was administered, cycle has been very light no pms and very irregular with 2 cycles a month.

Other Meds: Vitamin D, Ashwagandah root, Zyrtec

Current Illness: None

ID: 1322326
Sex: M
Age: 63
State: CA

Vax Date: 04/03/2021
Onset Date: 04/05/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Nauseated for 2 weeks, Vomiting for 10 days , Urine Retention / blockage for 3 days

Other Meds: Lisinopril Aspirin 81 MG Super Beta Prostate Advanced 3x

Current Illness: none

ID: 1322327
Sex: M
Age: 15
State: OR

Vax Date: 05/02/2021
Onset Date: 05/10/2021
Rec V Date: 05/16/2021
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:

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

Symptoms: The person lied about their birthdate, making them eligible to receive the vaccine. They put down they were DOB was a specific date and their actual DOB is different. At the time the person was not eligible to receive the vaccine based on FDA guidance.

Other Meds:

Current Illness:

ID: 1322328
Sex: F
Age: 34
State: CA

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
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: Shrimp; Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Second vaccine shot; Lethargic and sleepy on the day of after second shot. Early morning woke up with extreme chills and my teeth chattering. Took Tylenol but entire body and head hurt, few hours later I had 104F fever. Nothing has been helping even with Tylenol I feel pain.

Other Meds:

Current Illness: Taking antidepressants, sertraline and bupropion; Thyroid medicine, Levothyroxine

ID: 1322329
Sex: F
Age: 26
State: IN

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, humira

Symptom List: Pharyngeal swelling

Symptoms: On the evening I got the shot, I felt extreme fatigue, had a bad headache, and started experiencing debilitating joint pain. At the injection site, I had only a small red area. The next day, I continued with these same symptoms and needed help caring for my child. The area on my arm doubled every 12 hours and has continued to increase in size. 3 days post vaccine, it is currently 2-3 inches in diameter and continuing to grow. It is red, inflamed, itchy, and painful.

Other Meds: Tylenol, zyrtec, benadryl, Entyvio

Current Illness: N/A

ID: 1322330
Sex: F
Age: 50
State: IL

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

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

Lab Data:

Allergies: Shellfish, fish

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Splotches around the vaccination site and down the arm

Other Meds: Vitamin C, Vitamin D, Iron, Nuvaring, Collagen

Current Illness: None

ID: 1322332
Sex: F
Age: 66
State: IN

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First injection 3-20-21. Left arm sore and trouble raising it for at least one week. On 3-30-21, I went to hospital for numb left arm and being nauseous. No heart issues, but possible pinched nerve. Still problems with left arm being numb at times. 2nd injection - Slept for most of 36 hours after injection on 4-26-2021. On 5-14-21, I discovered a magnet will stay on my arm at the injection site. This was done after talking with co-workers who saw this done on the internet. During this time, several people also discovered they had a magnetic site. Is this normal? And why would my arm be magnetized? Conspiracy theories are being discussed now.

Other Meds: bupropion sr 1500 mg, collagen + vitamin C & biotin

Current Illness: none

ID: 1322333
Sex: M
Age: 15
State: OR

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/16/2021
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: The person lied about their birthdate, making them eligible to receive the vaccine. They put down they were DOB was a specific date and their actual DOB is different. At the time the person was not eligible to receive the vaccine based on FDA guidance.

Other Meds:

Current Illness:

ID: 1322334
Sex: F
Age: 62
State: AZ

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
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:

Symptom List: Rash, Urticaria

Symptoms: pts hands are numb

Other Meds:

Current Illness:

ID: 1322335
Sex: M
Age: 27
State: IL

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

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

Lab Data:

Allergies:

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

Symptoms: Chills, cold sweats, throbbing headache, and hives

Other Meds:

Current Illness:

ID: 1322336
Sex: F
Age: 14
State: OR

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/16/2021
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: The person lied about their birthdate, making them eligible to receive the vaccine. They put down they were DOB was a specific date and their actual DOB is different At the time the person was not eligible to receive the vaccine based on FDA guidance.

Other Meds:

Current Illness:

ID: 1322337
Sex: F
Age: 53
State:

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/16/2021
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: Patient repots going to car and feeling flushed. BP 173/92. Patient denies any SOB, chest pain, patient denies any swelling to the tongue or mouth. Patient was administered 25mg of PO benadryl. BP 148/84. Patient understands she needs to report to Ed if she has worsening symptoms. Patient was administered an additional 25mg of PO benadryl. As she would have a ride home. Patient was also given Tylenol 650mg for headache.

Other Meds:

Current Illness:

ID: 1322338
Sex: F
Age: 37
State:

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
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: patient said she felt dizzy after getting the vaccine and sour after taste in mouth. patient's blood pressure was normal. patient left after 45 minutes after vaccination at her own will

Other Meds:

Current Illness:

ID: 1322339
Sex: M
Age: 15
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
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: Patient lost consciousness and fell on the floor 5 mins after receiving the shot. He had no response to any physical contact. His pulse was weak and pupils were dilated. One dose of 0.3mg Epipen was then given to the left thigh of patient. He regained consciousness in about 5 mins after the Epipen shot. His pulse and pupils turned back to normal as well. He was able to stand and answer questions to the EMS team when they arrived to the scene in another 5 mins. Patient was then taken to the ambulance.

Other Meds: none

Current Illness: none

ID: 1322341
Sex: F
Age: 38
State:

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Sever chills, head ache, ear pressure, lock jaw, muscle soreness and tension, restlessness and extreme exhaustion, mouth sores making hard to eat

Other Meds: Birth control pill and trazadone

Current Illness: No

ID: 1322342
Sex: F
Age: 39
State: CA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Sever abdominal pain, abdominal cramps, diarrhea, cold sweat, severe headaches, extreme fatigue

Other Meds:

Current Illness:

ID: 1322343
Sex: M
Age: 22
State: OR

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/16/2021
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: PATIENT FAINTED ABOUT 10 MINUTES AFTER RECEIVING PFIZER COVID 19 VACCINATION. HE WAS UNRESPONSIVE BUT BREATHING AND PULSE REGULAR. KEEP TRYING TO ROUSE AND PUT COLD CLOTH ON NECK AND PATIENT TRIED TO PUSH AWAY. WANTED TO KNOW WHAT HAD HAPPENED AND WE TOLD HIM HE HAD FAINTED AFTER GETTING HIS VACCINATION. I TOOK HIS BLOOD PRESSURE AT 4:46 AND IT WAS 126/53 . HE DRANK SOME WATER AND MY TECH ASKED HIM QUESTIONS ABOUT WHAT DAY IT WAS AND HIS BIRTHDAY AND HE WAS ABLE TO ANSWER CORRECTLY. HE WAS VERY PALE AND GLASSY EYED. TOOK BLOOD PRESSURE AGAIN AT

Other Meds: NONE

Current Illness: NONE

ID: 1322344
Sex: F
Age: 40
State: TX

Vax Date: 02/24/2021
Onset Date: 03/20/2021
Rec V Date: 05/16/2021
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: N/All

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Sudden vaginal bleeding in March, passing a large clot., only lasted a matter of 5-6 hours. Haven?t had a heavy period in years due to birth control. In May, have had a heavy period for 13 straight days. Again, haven?t had a heavy period in 20 years due to continuous birth control and never one that lasted more than 4-5 days. I?m on say 13 now, with no end in sight.

Other Meds: Synthroid Amitriptyline Zyrtec LoSeasonique Topimax Wellbutrin XL

Current Illness: N/A

ID: 1322345
Sex: F
Age: 68
State: KY

Vax Date: 03/06/2021
Onset Date: 04/01/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril

Symptom List: Unevaluable event

Symptoms: Tinnitus

Other Meds: Acyclovir, ambien, clonidine, metformin, levothyroxine, atorvastatin, Vit B, C, D, calcium, vagifem, Benadryl anaprazole in April

Current Illness: Breast cancer

ID: 1322346
Sex: M
Age: 31
State: FL

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/16/2021
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: SYNCOPE (SLUMPED OVER ) WHILE SEATED AFTER ABOUT 5 MINUTES POST VACCINATION. AS WE LOWERED HIM TO THE FLOOR HE INSTANTLY REVIVED AND JUMPED UP. HE WAS CONFUSED AND I MADE HIM SIT. WE GAVE HIM WATER AND HE HAD TO STAY FOR AN ADDITIONAL 15 MINUTES FOR OBSERVATION

Other Meds: NONE

Current Illness: NONE. ONLY FAINTS AFTER GIVING BLOOD

ID: 1322347
Sex: M
Age: 37
State: OR

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/16/2021
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: Person was given the second Moderna vaccine at 21 days instead of 28 days.

Other Meds:

Current Illness:

ID: 1322348
Sex: M
Age: 67
State: LA

Vax Date: 02/20/2021
Onset Date: 03/03/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: PENECILLIN, SHELLFISH

Symptom List: Injection site pain, Menorrhagia

Symptoms: SORE ARM FOR 2 DAYS AND FATIGUE FOR 1 DAY AFTER THAT I WAS FINE TILL I STARTED HAVE SEVERE JOINT PAINS EARLY MARCH.

Other Meds: REPATHA, BYSTOLIC, LOSARTAN, ASPIRIN, CHLORTHALIDONE

Current Illness: N/A

ID: 1322349
Sex: M
Age: 28
State: WA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
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: Pt got J&J COVID vaccine around 5:15pm, a few minutes into observation time, he told RX tech that he wasn't feeling so well so she suggested he move into the counseling room to lie down. As he got up to move he became lightheaded and had to squad down. We then instructed him to lie down and elevated his feet. We gave him some apple juice and water and he said he felt better after drinking the beverages. He was responsive and alert the entire time, and pharmacist continue to converse with pt until he no longer lightheaded. Pharmacist then asked pt to transition to sitting, continued that observation for 5 more minutes. At around 5:35pm the pt. was able to stand without issue and the pharmacist walked him to his car without further issue.

Other Meds:

Current Illness:

ID: 1322350
Sex: M
Age: 55
State: OH

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 05/16/2021
Hospital: Y

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: n/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: pain in arm, within 5 days-very tired and no apatite, fever/chills/cold sweats. within 30 days, sinus tachycardia, low Sp02, started having a cough. Sepsis secondary to severe right lung necrotizing pneumonia with empyema, hospitalized for 5 days. Discharged with a right chest tube with Pleur-evac. Will require at least 6 weeks of antibiotics.

Other Meds: OMEPRAZOLE / FOLIC ACID / ELIQUIS / BEVESPI / ALLEGRA / PARAPLATIN / B-12 INJECTION / ALIMTA CARBOPLATIN / KEYTRUDA / ALIMTA

Current Illness: Non small cell lung cancer

ID: 1322351
Sex: M
Age: 27
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient fainted after the administration of his Pfizer covid 19 vaccine . He recovered within few minutes and was laid flat on his back with his leg raised .911 was called and paramedics arrived and took the patient to the hospital.

Other Meds:

Current Illness:

ID: 1322352
Sex: M
Age: 31
State: OR

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/16/2021
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: Person passed out shortly after getting their first vaccine

Other Meds:

Current Illness:

ID: 1322353
Sex: F
Age: 23
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: client had vomit episode after receiving 2nd Pfizer Covid Vaccine.Client returned from restroom and informed EMT she had vomited and was still nauseous. Vitals at 1602: blood pressure 127/82, pulse 73, oxygen 100%. EMT gave client water. Per client had sat down in observation room around 1350. Per client had same reaction with 1st dose after she had left facility. RN joined EMT. Client informed RN after vomiting she felt better. RN informed she would be kept longer in observation, client agreed. Per client no relevant medical history, no allergies or current medications. Vitals at 1607: blood pressure: 118/70, pulse 92, oxygen 99%. Per client symptoms had resolved. Vitals at 1612: blood pressure 121/72, pulse 64, oxygen 99%. Vitals at 1617: 120/74, pulse 68, oxygen 100%. Client left facility with steady gait at 1621.

Other Meds: none

Current Illness:

ID: 1322354
Sex: F
Age: 31
State: CT

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/16/2021
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: Immediately after vaccination when waiting in the 15 min wait area, my wife experienced blurred vision while looking at her mobile phone. We have assumed it to be due to the bright sunlight. However it got worse over a period of time. Over the period of next few days every morning when she woke up she felt the vision for further detoriated. We have consulted opthomologist but they have mentioned the eye looks good, it might be temporary and suggested to use glasses. It?s worrying that the vision got worsened in a weeks time. Prior to this there was no problem with vision. Currently my wife is nursing a 6 month baby.

Other Meds: Prenatal vitamins, vitamin d

Current Illness:

ID: 1322355
Sex: M
Age: 41
State: VA

Vax Date: 05/07/2021
Onset Date: 05/10/2021
Rec V Date: 05/16/2021
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: Late night insomnia, agitation, restlessness, anxiety (awake between 3-6AM with racing thoughts); Able to fall asleep at normal bedtime; THC, CBD, melatonin 6mg ineffective; Benadryl partially effective.

Other Meds: Metamucil; Multivitamin; Guanfacine 2mg / day

Current Illness: None

ID: 1322356
Sex: F
Age: 37
State:

Vax Date: 04/11/2021
Onset Date: 04/14/2021
Rec V Date: 05/16/2021
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: Spotting after first dose, have not had a menstrual cycle since before my first shot. Ive had period symptoms but no bleeding. I am 10 days late for my cycle as of 5/16/21

Other Meds: One a day vitamins

Current Illness:

ID: 1322357
Sex: F
Age: 43
State: UT

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 05/16/2021
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: tinnitus, ringing in the ears

Other Meds:

Current Illness:

ID: 1322358
Sex: M
Age: 29
State: NY

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/16/2021
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: Cefzil

Symptom List: Erythema, Pruritus

Symptoms: Intense body aches and fever started 6 hours after the shot. I am still feeling the same way today 5/16/21 at 9pm

Other Meds: Tylenol

Current Illness: None

ID: 1322359
Sex: F
Age: 36
State:

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 05/16/2021
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: Hay fever.

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

Symptoms: The following morning I felt nauseous and had a headache. A week later (4/30) I noticed the site where my shot was done was swollen, red, warm, and itchy. It seemed to be stuck in the muscle so I massaged it and it went away within the hour. I again felt nauseous and got a headache. The symptoms went away later that day in both instances.

Other Meds:

Current Illness:

ID: 1322360
Sex: M
Age: 32
State: MO

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 05/16/2021
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: Had soreness the next day deep in shoulder. That night i woke up at 3AM with a feeling of a dead arm in my shoulder. I had to leave work the following day because it felt like a constant dead arm. It gradually got better of the next week but I lost motion and its alot weaker than it use to be. Please have somebody contact me on this. I will have to go to the doctor before long and id like to talk to you guys first.

Other Meds:

Current Illness:

ID: 1322361
Sex: F
Age: 67
State: NC

Vax Date: 05/04/2021
Onset Date: 05/06/2021
Rec V Date: 05/16/2021
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: codeine, marcaine, oxycodone

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 2 days after getting vaccine patient developed covid-like illness that has persisted for 10 days, including runny nose, congestion, cough, wheezing, shortness of breath, body aches, fatigue, malaise, headache, nausea, vomiting, diarrhea.

Other Meds: many prescription medications

Current Illness: none

ID: 1322362
Sex: F
Age: 16
State: OR

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/16/2021
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: Person does not meet the FDA age eligibility for the Moderna vaccine. Person received the first Moderna vaccine at the age of 16.

Other Meds:

Current Illness:

ID: 1322363
Sex: F
Age: 62
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 05/16/2021
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: Penicillin

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

Symptoms: Severe swelling and pain in joints. Cannot bend fingers or neck. Severe pain in neck.

Other Meds: Citalopram/20 mg day

Current Illness:

ID: 1322364
Sex: F
Age: 57
State: UT

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: Shell fish Lortab

Symptom List: Pain in extremity

Symptoms: I contracted COVID in August 2021. I spent 4 days at the health care receiving treatment. I received the vaccine on a Friday afternoon. Two hours later I began to have fatigue, fear, chills, a temperature over 103 degrees. By the next day, I had begun to itch tremendously, but continued doses of Benadryl kept that symptom in check. In addition, my pulse oxygen level was below 87. I had diarrhea and vomiting and could keep no food or liquid down. These were the same symptoms that I had with COVID. I began to have problems breathing and had to use an Albuterol inhaler several times. I experienced these symptoms for 3 days. I called my doctor who informed me that I should not get the second dose of the vaccine, because of my bad reaction and my allergy to shellfish.

Other Meds: Bio-Identical Hormones, Metoprol, Famotidine, Calicium, Multi-Vitamin, Vitamin D,

Current Illness: none

ID: 1322365
Sex: F
Age: 39
State: MD

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: Macrolide antibiotics

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

Symptoms: Uveitis in left eye approximately 25 hrs. Urgent care visited within 48hrs as sight/sensitivity to light/pain was increasing rapidly/unbearable.

Other Meds: None

Current Illness: None

ID: 1322366
Sex: F
Age: 33
State: CA

Vax Date: 05/02/2021
Onset Date: 05/06/2021
Rec V Date: 05/16/2021
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: NKA noted

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

Symptoms: 4 days after receiving vaccine mother states daughter had Bell's Palsy type of symptoms; mouth disfigured(pulled to right) and one side of eye orbit lifted and the other drooping.

Other Meds: not known

Current Illness: not noted

ID: 1322367
Sex: F
Age: 29
State: PA

Vax Date: 05/04/2021
Onset Date: 05/13/2021
Rec V Date: 05/16/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: My period came 2 weeks early. My last period prior to this was on April 30th and I started to get spotting on May 13th, 9 days after my first covid shot. After 2 days, the spotting turned into an actual period. I am not on BC, nor have I taken any emergency contraceptives or done anything different than normal. While this may be unrelated to the vaccine, i also have had a slight cold since about the 14th as well.

Other Meds: None

Current Illness: None

ID: 1322368
Sex: F
Age: 36
State: IL

Vax Date: 03/17/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Tachycardia with symptoms of lightheadedness, shortness of breath, presyncope. Started 11 days after second dose of vaccine. Tachycardia is occurring daily now and appears to be associated with standing/walking and better/normal when sitting/laying. Also new itching/hives on face, neck, and chest that began 4/1/2021. Lasts 1-2 days and happens once a week or so.

Other Meds: None

Current Illness: None

ID: 1322369
Sex: M
Age: 50
State: MO

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/16/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fatigue started night of 04302021. Could not keep eyes open, extreme fatigue 05012021. Fever of 102.7. Barely ate all day (around 300 calories). Did not start feeling ok until 05022021 in the morning.

Other Meds: Eliquis (5mg morning, 5mg night) Vitamin D2 1.25mg once per week Potassium 99mg once per day Magnesium 500mg once per day

Current Illness: None

ID: 1322371
Sex: F
Age: 71
State: VA

Vax Date: 04/27/2021
Onset Date: 05/16/2021
Rec V Date: 05/16/2021
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: naproxen, penicillin

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

Symptoms: Twitching in left arm over several days, followed by arm pain at injection site along with arm stiffness

Other Meds: Tirosint, magnesium, b12, vit c, vit d

Current Illness: none

ID: 1322372
Sex: F
Age: 29
State: NY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/16/2021
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: Dizziness, fainting, brain fog, headache, not feeling like myself, cognitive delay, visual impairment. I?ve never had issues with my eyes or dizziness.

Other Meds:

Current Illness:

ID: 1322373
Sex: F
Age: 55
State: RI

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 05/16/2021
Hospital:

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

Lab Data:

Allergies: Bactrum, mango, gluten and dairy sensitivities

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

Symptoms: Fever 101 F, chills, headache, body aches, joint aches, very low energy, decreased concentration (took 3 days until back to normal)

Other Meds: Effexor (1/4 of tablet that is 37.5 mg)

Current Illness:

ID: 1322374
Sex: F
Age: 54
State: CT

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/16/2021
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: Sulfa drugs Calamari Percocet

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

Symptoms: Sudden dizziness and nausea, feeling faint about 3 hours after vaccine. Lasted about an hour. Better after lying down.

Other Meds: Synthroid SSRI

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm