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: 1324293
Sex: F
Age: 31
State: NJ

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Missed period for a week, not bleeding the right way, chills, sweat, watery mouth and dry cramps really bad.

Other Meds: Tylenol

Current Illness: No

ID: 1324294
Sex: F
Age: 41
State: OH

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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: Allergy listed to latex

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient did report latex allergy which was review prior to giving shot - patient was advised of the minute amount from plunger, but the amount ws not documented as high enough to be contraindicated for a latex allergy. Patient was ok with getting the vaccine, and was assured that we did have benadryl and epipen available. After vaccine was administered, patient was directed to the waiting area, within 10 minutes the pt reported itching and was given a dose of benadryl. The patient did have a moment where her voice was hoarse, and the pharmacist asked if she was in need of more assitance and a dose of epipen with any difficulty breathing. Patient denied the need of epipen dose and only requested a second dose of benadryl. She was able to speak freely and said that this is a typical reaction for her allergy that she manages with benadryl. The patient was kept in the clinical service room under surveilance and checked on every 5 min for 30 min. Pt breathing ws unchanged, and cont to deny the need of the epipen, and stated that they were fine to leave. Pt husand present and breifed on situation. Patient denied additional aid , but I did not feel comfortable letting patient leave with still what sounded like strained breathing, I offered her an epipen in case symptoms got worse, and advised pt to urgent care or ER for follow up.

Other Meds:

Current Illness: none reported

ID: 1324295
Sex: F
Age: 48
State: CA

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/17/2021
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: no allergies

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

Symptoms: Patient received the covid vaccine at 10:45 am . At 10:47 am patient complain about experiencing sweet taste , irritation on the throat . Inform Dr . Per dr Order Benadryl giving by po. 11:09 am Patient stop feeling irritation on the throat . The sweet taste continue experiencing .

Other Meds:

Current Illness:

ID: 1324296
Sex: F
Age: 50
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Cipro

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Burning at injection site. Headaches. I was in menopause and now I have had two periods with heavy flow since the shot.

Other Meds: Multiple vitamin, Vitamin d

Current Illness: None

ID: 1324297
Sex: M
Age: 45
State: WA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Left shoulder tendinitis of infraspinatus, biceps long-head, triceps ipsilateral to both shots

Other Meds: Ibuprofen

Current Illness: None

ID: 1324298
Sex: F
Age: 34
State: VA

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 05/17/2021
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 known

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

Symptoms: vaccine was administered outside of the two hour time limit for the vaccine to sit out at room temperature after first puncture. vaccine had sat out at room temperature for about 4 hours after first puncture. no adverse events reported. called patient on 5/17 and told patient about the incident and that johnson and johnson does not recommend one way or the other regarding revaccination.

Other Meds: none known

Current Illness: none known

ID: 1324299
Sex: M
Age: 27
State:

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient had a syncope event post vaccination, was caught by nurse before hitting floor. 911 was called and was assessed by the paramedics and the patient and was cleared to go home. Additional set of vitals -done and were WNL and patient was finally released and sent home. No further action taken

Other Meds:

Current Illness:

ID: 1324300
Sex: F
Age: 57
State: CO

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Lactose, Gluten

Symptom List: Pharyngeal swelling

Symptoms: Excruciating pain in the wrists of both hands. The index finger of my left hand has been turning purple for a month, I feel as if something is bursting inside and it hurts for several days, it returns to normal for a couple of days and the same thing happens.

Other Meds: N/A

Current Illness: No

ID: 1324301
Sex: M
Age: 43
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/17/2021
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: Community member recieved 2nd dose within 21 days of first dose of Pfizer

Other Meds:

Current Illness:

ID: 1324302
Sex: M
Age: 41
State: CA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/17/2021
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: patient had experienced blurry vision starting 1 hour after receiving the vaccine.the vision had gotten worse since then and today he came to pharmacy to report the issue. the eyes looked little red as well. we recommended that patient go see an ophthomalogist

Other Meds: none

Current Illness: none

ID: 1324303
Sex: F
Age: 50
State: AZ

Vax Date: 04/09/2021
Onset Date: 04/30/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: My menstrual cycles have been completely screwed up. Three weeks to a month to two weeks or more this time. This vaccine has affected my hormones and menstrual cycle. I will now have to consult with my primary this month and incur costs associated with this.

Other Meds: none

Current Illness: none

ID: 1324304
Sex: M
Age: 62
State: AL

Vax Date: 04/24/2021
Onset Date: 04/26/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Constant ringing in both ears, tinnitus. Onset two days after second dose. Ringing remains constant, not getting worse or better.

Other Meds: Asthma Inhaler Vitamin D Generic Multivitamin

Current Illness: None

ID: 1324305
Sex: F
Age: 46
State: MA

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

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

Lab Data:

Allergies: Flu Vaccine

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

Symptoms: I started to have a swollen in my throat , my tong and lip. I also experienced red dots on my tong. and my arm was very itchy

Other Meds: Benadryl

Current Illness: Hip Arthritis

ID: 1324306
Sex: F
Age: 15
State:

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/17/2021
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: Flushing/sweating, Dizziness, near syncopal event after witnessing brother have a syncopal event after his first dose. Pt did not have breakfast. BP 100/52, HR 59, RR 18 -- > 108/67, HR 77 -- > 110/67, 75. Improved after water, crackers, rest. Recommended patient eat and drink prior to next dose. Patient stable and released from the vaccination site.

Other Meds:

Current Illness:

ID: 1324307
Sex: M
Age: 46
State:

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 05/17/2021
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: Opposite (right) arm (forearm) started to have pain. It has continued all the way to the 2nd vaccination on May 13. On May 14, after 2nd shot (on left upper arm again), the right wrist started to hurt on the next day. Just seems like a strange coincidence. I can deal with it. I'm hoping it goes away eventually.

Other Meds: Lisinopril

Current Illness:

ID: 1324308
Sex: F
Age: 37
State: NY

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/17/2021
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 reported to us that she had a miscarriage on 5/13/21. At the time of her first shot she marked on our consent form that she was considering becoming pregnant.

Other Meds:

Current Illness:

ID: 1324309
Sex: F
Age: 54
State: MN

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 05/17/2021
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: Soreness in arm (~48 hours); fatigue (~48 hours); slight fever and nausea day after injection.

Other Meds: vitamin D, levothyroxine, sertraline, modafinil

Current Illness: None

ID: 1324310
Sex: F
Age: 60
State: MO

Vax Date: 03/28/2021
Onset Date: 04/23/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Only 1" needles were available for the following 4 MERCE COVID-19 immunization clinics and 1 booster clinic documented on the Navigator site: March 28 at April 5 at the April 9 at April 14 at the and April 23 at I estimate that somewhere between 25 to 30% of those vaccinated were over the 200# for women and 260# for men weight guidelines for administering the COVID-19 vacine.

Other Meds:

Current Illness:

ID: 1324311
Sex: F
Age: 33
State: VT

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/17/2021
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: Patient experienced fever, vomiting, diarrhea, jaw locked, major migraine, weakness

Other Meds:

Current Illness:

ID: 1324312
Sex: F
Age: 27
State: MI

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, keflex, shellfish

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

Symptoms: Swelling, redness, pain, noticeable lump, itching just below the site of the injection that has been continuous since 5-17-21 to present

Other Meds: None

Current Illness: None

ID: 1324313
Sex: M
Age: 43
State: MT

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 05/17/2021
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: No

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

Symptoms: received the first dose of Pfizer COVID-19 (Lot#: EN6207) in the left deltoid in the early afternoon of March 24, 2021. He immediately felt left hand tingling/numbness at his left thumb and first finger that has intermittently worsened with flexing his arm. There was no local reaction. The next morning, he experienced severe fatigue, headache, muscle aches/soreness, fever and mild chest congestion that resolved after 5 days. He also developed itching and hives that occurred from his chin downward on his neck, bilateral shoulders, back, chest and abdomen with no hives below his waist. He had photo showing erythematous blotchy rash scattered over this neck, anterior shoulders, chest and upper abdomen. The hives continued daily despite Claritin 10 mg daily and have gradually subsided. There was no nausea, vomiting, diarrhea, abdominal pain, dysphagia, swelling, cough, wheeze or shortness of breath. HIs last hives was 2 days ago and no hives today. Prior to the vaccine he was well without colds or flu-like symptoms in his usual state of health. He had not taken NSAIDs or other medications or supplements.

Other Meds: No

Current Illness: No

ID: 1324314
Sex: F
Age: 53
State: MD

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Yes

Symptom List: Unevaluable event

Symptoms: I have ringing in my ears.

Other Meds: Yes

Current Illness: No

ID: 1324315
Sex: F
Age: 16
State: OR

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/17/2021
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: PINEAPPLE

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

Symptoms: pharmacist accidently administered MODERNA COVID 19 vaccine to patient 16 years old.

Other Meds: N/A

Current Illness: N/A

ID: 1324316
Sex: F
Age: 15
State:

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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: Pt became nauseated about 5 minutes after receiving her first dose of the Pfizer vaccine. She dry-heaved about 3 times but did not vomit. She stated that she also felt hot so was given two ice packs. She had only eaten a handful of snacks that morning. Denied dizziness or lightheadedness. BP 110/72, pulse 64 bpm. After 5 minutes she stated that she was feeling better. Pt left after 15-minute observation period with symptoms resolved

Other Meds:

Current Illness:

ID: 1324317
Sex: M
Age: 46
State: PA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/17/2021
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: member recieved dose 2 within 17 days of first dose Pfizer.

Other Meds:

Current Illness:

ID: 1324318
Sex: M
Age: 16
State: WA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
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: no

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

Symptoms: Information given to this writer as follows: 1 dose of Pfizer vaccine wasted. Pt was here to receive 2nd dose of Pfizer vaccine. Vaccinator administered vaccine into L deltoid, needle into arm, vaccine injected, and vaccinator retracted needle. When needle retracted, most of the vaccine leaked out of arm. Vaccinator states Pt received less than 50% of vaccine, and so with supervisor instruction, vaccinator revaccinated Pt with new full dose into R deltoid.

Other Meds: unknown

Current Illness: unknown

ID: 1324319
Sex: M
Age: 67
State: NC

Vax Date: 02/09/2021
Onset Date: 03/25/2021
Rec V Date: 05/17/2021
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 known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I have an eczema like rash that appears, and goes away. Mostly in late evening, but at other times as well. These are mostly small (lots of them) bumps on arms, torso, behind, sometimes legs or feet. It seems like it could be drive by outdoor plants (weeding yard). I have never had such a reaction when weeding. (I am not even allergic to poison ivy). - - Problems not bad enough to go to Doctor at this time (although if it continues, I will). It is just different than what I am used to, and annoying.

Other Meds: none

Current Illness: none

ID: 1324320
Sex: F
Age: 55
State: KY

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
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: nausea, dizziness, vomiting

Other Meds:

Current Illness:

ID: 1324321
Sex: F
Age: 46
State: CO

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 05/17/2021
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: Anaphylaxis to Penicillin Hives, shortness of breath to Sulfa Adhesive-

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

Symptoms: Injection received on a Wednesday 1/13 afternoon. By Friday, noticed slight sore throat, slightly swollen axillary lymph nodes on that side only and some slight shortness of breath on exertion, fatigue. By Monday, unable to place right arm by side or sleep on right side. Lymph nodes were significantly swollen golf ball size, slightly feverish and continued shortness of breath increasing. Unable to sleep Monday and Tuesday nights, restless increasing discomfort. Awoke Wednesday 1/20 increased shortness of breath, increased axillary swelling, warm to touch. Called clinic and was told to come right in. Saw FNP and she sent me for ultrasound scan at Radiology, reported back to clinic and was told to have someone drive me to ER due to increase shortness of breath. I was unable to speak more than 2 words without difficulty breathing. Saw MD at clinic, he ordered oxygen and a chest x-ray, conducted an exam and gave a dose of Tylenol and Prednisone. My breathing improved and I was placed on oral steroids and followed up via phone with initial provider Dr. .

Other Meds: botox for migraine, ibuprofen, ubrelvy, nurtec, xyzal, probiotics

Current Illness: none

ID: 1324322
Sex: F
Age: 57
State: AR

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea

Symptoms: Patient noticed swollen lymph nodes on neck by 9pm on 05/15/21. Fever, chills, and generalized weakness followed the next day. By 5/17/21, patient has developed an intractable headache. Patient will plan to see MD 5/18 if possible.

Other Meds: nystatin/triamcinolone

Current Illness:

ID: 1324323
Sex: M
Age: 54
State: CA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain

Symptoms: It started with body weakness; feverish; progressed to chills and high fever; moderate to severe body aches. And headaches severe sinus congestion. These lasted for about one week. I did Augmentin (I'm a dentist). I took Mucinex and Vitamin C, Zinc, and Levothyroxine and Theraflu. These helped my symptoms. I got skin rashes towards end of first week of the symptoms and they still haven't gone away. They are on my hand back part of the palm. It's itchy and raised. And I have them on my lower legs, as well. I have recovered from flu like symptoms but not from skin rashes.

Other Meds: No

Current Illness: No

ID: 1324324
Sex: F
Age: 66
State: ID

Vax Date: 05/12/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Dizziness since vaccination, usually in the mornings. Slight local reaction.

Other Meds: Unknown

Current Illness: No, positive for COVID around Christmas.

ID: 1324326
Sex: F
Age: 74
State:

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/17/2021
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: Pt w/ hx of allergy to Cipro, PCN (anaphylacitc).

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

Symptoms: Pt w/ hx of allergy to Cipro, PCN (anaphylacitc). Hx of HTN, DM, Thyroid disease. Pt c/o of Nausea, HA, and dizziness. BP 145/64, HR 80, RR 24 -- > 153/66, 77, 20 -- > 139/52, 75, 20. Provided juice and crackers. Pt felt better. Pt encouraged to eat and hydrate for next vaccination. Pt stable and released from the vaccination site.

Other Meds:

Current Illness:

ID: 1324327
Sex: M
Age: 61
State: IN

Vax Date: 03/15/2021
Onset Date: 04/21/2021
Rec V Date: 05/17/2021
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: Tremor

Symptoms: I woke up 7:00 am April 21st with ringing in my right ear. On Tuesday May 4th I went to clinic. The NP, gave me FLONASE and CLARITIN. Followed up on May the 11th. My symptom that day was better but I told the NP it still had ringing. She told me if I wanted the next step would probably go to a Ear, Nose, Throat.

Other Meds: NORVASC (10MG) LIPITOR (20MG) COREG (12.5 MG) PRILOSEC (20MG) ZOLOFT (100MG)

Current Illness: NONE

ID: 1324328
Sex: F
Age: 66
State: CA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/17/2021
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: No

Symptom List: Erythema, Pruritus

Symptoms: Started getting slight tingling in face and very slight ringing in ears. It lessened through the night and gone by next day around noon.

Other Meds: Multiple Vitamin D3 K2 Probiotic Ataxathan Vitamin C B12 Bilberry Lutein Selenium Turmeric

Current Illness: None

ID: 1324329
Sex: F
Age: 25
State: CA

Vax Date: 04/13/2021
Onset Date: 05/06/2021
Rec V Date: 05/17/2021
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: NA

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

Symptoms: Facial paralysis/Bell's Palsy

Other Meds: NA

Current Illness: NA

ID: 1324451
Sex: M
Age: 11
State: CA

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 05/17/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Patient went to a pharmacy offsite clinic at a company to get dose 1 of Pfizer. The parents put patient DOB with an age of 12 on the VAR form. Based on the age, the patient is only 11 years old at the time of the vaccination. Patient received COVID Pfizer vaccine outside of the age guidelines.

Other Meds: None

Current Illness: None

ID: 1324452
Sex: M
Age: 56
State: CA

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 05/17/2021
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: Tinnutis. I never previously experienced this. It has now been over 2 months. It has subsided a little bit. I have gone to a Chiropractor who adjusts the jaw I am taking natural supplements. I am doing acupuncture. I am doing ear exercises. I had a CT scan done and bloodwork-thankfully everything was normal. I got a full hearing test done at an Audiologist and my hearing is excellent. I am also doing meditation and praying often.

Other Meds: Lisonpril-10mg Metopropol-25 mg Baby aspirin-81 mg

Current Illness: None

ID: 1324453
Sex: M
Age: 82
State: CA

Vax Date: 02/20/2021
Onset Date: 03/07/2021
Rec V Date: 05/17/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

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

Symptoms: pt received pfizer #2 on 2/20. on ~3/7 family noticed that he was waking up at night more than his usual. They noticed that the patient was more lethargic and was starting to have visual hallucinations. Reportedly, the patient never endorsed any fevers or chills, neither did he complain of headaches. He also reported that the patient had been having a nonproductive cough since 3/3, constipation around this time. he was admitted 3/10 with altered mental status, respiratory failure s/p intubation. difficult LP, no cell count, had elevated protein. hospital course complicated by delirium, gout flare. he was empirically treated with broad spectrum abx bacterial and viral meningitis, completed 5/6, without significant improvement in mental status. repeat LP concerning for possible autoimmune encephalitis, started on steroids.

Other Meds: Atenolol Atorvastatin Digoxin FLUoxetine Furosemide (LASIX) 20 mg Oral Tab Takes Regularly Tamsulosin (FLOMAX) 0.4 mg Oral Cap Takes Regularly Urea (CARMOL 40) 40 % Top Crea Unknown Warfarin (COUMADIN) 2 mg Oral Tab Takes Regularly

Current Illness: CAD HTN A. fib on Coumadin Dyslipidemia Severe obesity OA BPH Gout Spinal stenosis H/o arthrodesis of R, ankle, 3/2011 -For DJD, has hardware H/o L Bell's palsy, 12/2008 H/o displaced L femoral neck fx - s/p L hip hemiarthroplasty 12/2020 - CT 3m prior was w/o fx; had chronic pain H/o L humeral greater tuberosity fx, 11/2018 POS PPD

ID: 1324454
Sex: F
Age: 61
State: OR

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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: NO

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

Symptoms: PT GOT MILD HIVES ON BOTH LEGS, PT ALREADY PUT ON SOME HYDROCORTISONE BUT STILL ITCHY. PATIENT SAID SHE IS DOING OK AND NOT TOO CONCERN ABOUT IT. PT ALREADY CONTACTED HER PROVIDER AND WAITING FOR A CALL BACK.

Other Meds: NO

Current Illness: NO

ID: 1324455
Sex: F
Age: 16
State: OH

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

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

Lab Data:

Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: Immediately after receiving vaccine patient stated that her entire hand was tinging and numb feeling. This was the hand of the arm the vaccine was administered in. Patient said no other symptoms of syncope were present and it was just the left hand with this issue. 10-15 min later she said for a short time it went up to elbow but did not last there. Had her stay an extra 15 min and by the time the patient left she said it was better.

Other Meds:

Current Illness:

ID: 1324456
Sex: F
Age: 26
State: AZ

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: penicillin,shell fish

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

Symptoms: low grade fever on first day, aches, diarrhea, vomiting, fatigue, dehydrated

Other Meds: marajuana

Current Illness:

ID: 1324457
Sex: F
Age: 55
State: CT

Vax Date: 05/15/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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

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

Symptoms: PT CALLED COMPLAINING OF FEVER, ABDOMINAL PAIN, AND BACK PAIN 48 HOURS POST VACCINATION. PT DID NOT INDICATE ANY ANAPHYLAXIS REACTION, SHORTNESS OF BREATH, RASH, OR DIFFICULTY BREATHING.

Other Meds: N/A

Current Illness: N/A

ID: 1324458
Sex: F
Age: 22
State: KY

Vax Date: 05/13/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 3 days after the first dose I thought I had food poisoning. Vomiting and diarrhea for about 4 hours, then nausea and diarrhea for about 5 days after. I haven't eaten anything out of the ordinary recently that could have given me food poisoning and it's so far been the same symptoms, just a day delayed.

Other Meds: Lithium(900mg) Vitamin D Women's Multi-vitamin

Current Illness:

ID: 1324459
Sex: M
Age: 26
State: NY

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
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: seasonal

Symptom List: Vomiting

Symptoms: Became pale and clammy. Felt "light-headed." He asked for water. Lied down on mat, feet elevated. Feeling of light-headedness passed after 5 minutes (1848). Right deltoid site benign. Monitoring changed to 30 minutes. Sat up at 1852. Color better, no longer clammy. Given water and juice. Tolerated well. Feeling better @1858. Will wait 30 minutes at next vaccination, educated & states understanding.

Other Meds: Claritin 10 mg (Taken this morning)

Current Illness: none

ID: 1324460
Sex: M
Age: 37
State: GA

Vax Date: 11/19/2019
Onset Date: 11/23/2019
Rec V Date: 05/17/2021
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: Ringing of ears, headaches, tingling, ear stuffiness, hearing loss, ear pain, vestibular neuritis, trouble focusing, dizziness, nausea, difficulty concentrating.

Other Meds: none

Current Illness: none

ID: 1324461
Sex: F
Age: 37
State: GA

Vax Date: 05/11/2021
Onset Date: 05/13/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Rash all over back and front body. Also in arms. Is given Prednisone 20 mg tab for 9 days.

Other Meds: Elderberry gummies

Current Illness: None

ID: 1324462
Sex: M
Age: 19
State: MI

Vax Date: 03/24/2021
Onset Date: 03/27/2021
Rec V Date: 05/17/2021
Hospital: Y

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: Patient admitted to hospital 3 days later with chest pain, ECG changes, and troponin elevation and was ultimately diagnosed with myocarditis.

Other Meds: None

Current Illness: None

ID: 1324463
Sex: M
Age: 51
State: CA

Vax Date: 04/28/2021
Onset Date: 05/17/2021
Rec V Date: 05/17/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Injection site has developed a raised welt and very itchy. Noticeable increase in fatigue

Other Meds: N/A

Current Illness: N/A

ID: 1324464
Sex: M
Age: 31
State: DC

Vax Date: 05/12/2021
Onset Date: 05/14/2021
Rec V Date: 05/17/2021
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: Sulfas

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

Symptoms: swollen ankles (both), numbness and tingling in both legs, 3 days after second dose. I had similar side effects after the first dose, but only in the injection arm.

Other Meds: Acetaminophen 1g

Current Illness: no

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm