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: 1327187
Sex: F
Age: 92
State: CT

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/18/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient went to hospital with complaints of tachycardia and tachypnea, also complained of lethargy and chills. Patient does have baseline shortness of breath and atrial fibrillation.

Other Meds: Metoprolol succinate, levothyroxine, furosemide, diltiazem ER, escitalopram, ferrous sulfate, acetaminophen, ondansetron, zinc sulfate, preservision, multivitamin

Current Illness:

ID: 1327188
Sex: F
Age: 69
State: PA

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

Symptom List: Anxiety, Dyspnoea

Symptoms: Heart gave a thus at 11pm and I started with PVC?s that gave continue in NC a daily basis

Other Meds: Symbicort 80/4.5 2 puffs am and pm HCTZ 12.5 mg Bid Pepcid 10-20 mg as needed TUMS as needed

Current Illness: None

ID: 1327189
Sex: F
Age: 46
State: UT

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

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

Symptoms: Patient was vaccinated at 6:00pm and told to stay at the store until 6:15pm. At approximately 6:40, while sitting in her car, she passed out. She had a friend with her that either called 911 or drove her to the emergency room.

Other Meds: Unknown

Current Illness: No

ID: 1327190
Sex: M
Age: 14
State:

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Throat felt tight, hx of allergy to shellfish-has epi-pen at home. This feels similar to his prior anaphylaxis. Pt. and mom agreed to epi and EMS transport. R. thigh epi administered and care was turned over to onsite EMS. Blood sugar was 210. Pt. has type 1 diabetes and uses insulin pump.

Other Meds:

Current Illness:

ID: 1327191
Sex: F
Age: 68
State:

Vax Date: 02/09/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
Hospital: Y

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: fall/syncope

Other Meds:

Current Illness:

ID: 1327192
Sex: F
Age: 60
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
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: Sulfa

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

Symptoms: Severe headache

Other Meds: None

Current Illness: None

ID: 1327193
Sex: F
Age: 17
State:

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
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: pt. c/o of upper abdominal pain and back pain. symptoms was resolved and patient went home.

Other Meds:

Current Illness:

ID: 1327194
Sex: F
Age: 65
State: MO

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
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: Pharyngeal swelling

Symptoms: Fever and body aches

Other Meds: Nothing

Current Illness: None

ID: 1327195
Sex: F
Age: 16
State: MA

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Briefly, patient is an otherwise healthy 16-year-old female who presents with 12 days of epigastric pain in the setting of getting her 2nd COVID vaccine on 5/5. Did have fever and vomiting during the first 24 hours which has since subsided, but the abdominal pain has persisted. She has had a reassuring work up through her PCP but presents with continued pain. Labs overall reassuring with normal LFTs and lipase. Awaiting RUQ US and urine at this time. 0100: Family requesting discharge home. does not want to wait for US as they have an outpatient US scheduled for Thursday 5/20. Temperature: 36.6 DegC (05/18/21 01:14:00) Systolic Blood Pressure: 118 mmHg (05/18/21 01:14:00) Diastolic Blood Pressure: 60 mmHg (05/18/21 01:14:00) Heart Rate: 80 bpm (05/18/21 01:14:00) Respiratory Rate: 20 br/min (05/18/21 01:14:00) Oxygen Saturation (SPO2): 98 % (05/17/21 20:28:00) On re-evaluation, patient is awake, alert and well-appearing. She has remained afebrile, with normal vital signs for age. Reports improvement in symptoms, has tolerated PO and feel that she is appropriate for discharge home. Anticipated course of illness reviewed. Supportive care (rest, push fluids) discussed. Reasons to return to the emergency department discussed in detail. Written instructions provided. All questions answered. Parents expressed understanding and agreement with this plan. Patient was awake, alert and well-appearing upon discharge home from the emergency department. Final Diagnosis 1. Epigastric pain R10.13 2. Adverse reaction to vaccine constituent T50.A92A

Other Meds: ethinyl estradiol-norgestimate

Current Illness: None reported

ID: 1327196
Sex: F
Age: 26
State: IN

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
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: Allergic to certain types of soaps and lotions, pollen, animal dander, dust and mold

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After a little more than 24 hours a red, circular welt appeared on my skin at the injection site. It was hard and hot to the touch. After another 24 hours the welt doubled in size. It's still hard and hot to the touch. It feels tender but doesn't itch.

Other Meds: Effexor Xr and Zanaflex

Current Illness: None

ID: 1327197
Sex: F
Age: 24
State: GA

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies, dust mites

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

Symptoms: Started taking Bactrim on 2/18/21 (5 days after vaccination) for hydradenitis suppurativa. Suffered a Stevens Johnson syndrome reaction on 2/20/21. Has been taking Bactrim for years for this condition. We are reporting this in case it was the vaccine that triggered her immune system to react to the Bactrim.

Other Meds: Bupropion, levothyroxine, Zyrtec, women's multivitamin, fish oil, vitamin D

Current Illness: none

ID: 1327198
Sex: F
Age: 41
State:

Vax Date: 04/23/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
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: Gluten, Barley (not severe allergies)

Symptom List: Rash, Urticaria

Symptoms: Received 1st Pfizer dose on 4/2/21. On (or about) April 15th (13 days later) I had a sudden sensation and felt the back of my knees and the bottoms of my feet overcome by a strong numbing sensation as if they had fallen asleep. This persisted for a half a day before suddenly going away. This is not a sensation I've ever experienced prior. I drank a lot of water and took magnesium for fear I was dehydrated. The sensation subsided later that day. Received 2nd dose of Pfizer on 4/21/21. On (or about) May 14th (21 days later) and another episode has started, however this has lasted for several days now persistently. This time a numbing sensation only resides on my left side starting from just above the back of my knee down the back of my calf and into the bottom of my foot. The sensation sometimes feels like a vibrating buzzing sensation, to a tingling/numbness. I also feel a numbness sensation on the bottom of my foot with each step taken. In addition, I have a slight numbness in my left arm that radiates from the shoulder, into the armpit, along the inner elbow, and into the palm of my hand and down to my fingers. My right side is not affected. The arm sensation comes and goes.

Other Meds: Ritalin SR 20 mg 2x/day Over the counter: Magnesium, Vitamin D3

Current Illness: None

ID: 1327199
Sex: F
Age: 12
State: DE

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

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

Symptoms: after vaccine, patient felt very dizzy, and pale. she was sitting in chair. she was responsive and talking but patient's mother wanted us to call 911/. Paramedics took her vital signs and she was good.

Other Meds: info not known

Current Illness: info not known

ID: 1327200
Sex: M
Age: 14
State: NC

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
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: Patient vomited and fainted. We already had EMS here for his sibling. He was also fine after resting and calming down.

Other Meds: None

Current Illness: None

ID: 1327201
Sex: M
Age: 23
State: MA

Vax Date: 05/13/2021
Onset Date: 05/13/2021
Rec V Date: 05/18/2021
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: Bilateral hand and wrist numbness, weakness and tingling. First onset lasted about 2 hours, has been returning intermittently for shorter episodes or longer but lessened symptoms

Other Meds: Cannabis

Current Illness:

ID: 1327202
Sex: F
Age: 13
State:

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
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: c/o of fatigue after vaccine. symptoms was resolved and pt. went home.

Other Meds:

Current Illness:

ID: 1327203
Sex: F
Age: 57
State: PA

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 05/18/2021
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: NKA

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

Symptoms: Fever or Chills Fatigue Muscle or body aches Headache

Other Meds:

Current Illness: Fever or Chills Fatigue Muscle or body aches Headache

ID: 1327204
Sex: F
Age: 26
State: SC

Vax Date: 04/17/2021
Onset Date: 04/20/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: Environmental allergies (pollen, grass, trees, mold)

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 4/20 around 8:30am head started feeling heavy when running 4/20 around 11am, got very dizzy, nauseous, buzzing in ears 4/21 around 6pm, got very dizzy, nauseous, buzzing in ears 4/23 visited Primary Care Physican who referred me to Neurologist 4/29 saw neurologist 5/14 visited neurologist a second time Symptoms never went away

Other Meds: Kariva birth control, Vitamin C, Singulair (montelukestat), Zyrtec

Current Illness: Dizziness / vertigo / vestibular issues

ID: 1327205
Sex: M
Age: 38
State: NY

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 04/09/2021- I had fatigue, headache, chills. 04/19/2021- I started experiencing tingling and numbness in legs and feet, lasted couple days, two days later started fatigue and cold, took off work 4/21/2021, went Urgent Care. Loss of coordination. Ran blood test. I felt better on 04/22/2021, got fatigue, had severe headache, went back to same urgent care, they prescribed prednisone. 04/23/2021- Started doxycycline in response to mixed result Lyme disease test, symptoms remained steady, on 04/25/2021, I began experiencing facial paralysis, can move my job and my tongue, lips don't move, symptom persists, went to ER 04/26/2021, admitted to hospital Discharged 04/30/2021 around noon. My symptoms seemed to temporarily improve but then a few days after being discharged, they started getting worse again. I continue to experience partial paralysis.

Other Meds: Lisinopril Mens Multivitamin B complex

Current Illness: None

ID: 1327206
Sex: F
Age: 45
State: NY

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 05/18/2021
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: Erythema annulare centrifugum rash - confirmed by biopsy. Spread over a period of weeks. Resolved with clobetasol ointment

Other Meds: Xyzal, sudafed, vitamin D

Current Illness: None

ID: 1327207
Sex: F
Age: 47
State: OH

Vax Date: 05/01/2021
Onset Date: 05/08/2021
Rec V Date: 05/18/2021
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: None none

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

Symptoms: Loss of taste Chills Headache Dizziness/ lightheaded Nausea Difficulty breathing Chest pain Extreme exhaustion

Other Meds: Metoprolol Simvistain

Current Illness: None

ID: 1327208
Sex: F
Age: 21
State: IN

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Unevaluable event

Symptoms: Woke up the next morning with numbness in injection arm from shoulder to elbow. Lasted about an hour after waking up. (Till about noon) Painful to move arm about two days after injection. (Note, I did have COVID-19 in January)

Other Meds: Lexapro

Current Illness: Na

ID: 1327209
Sex: M
Age: 44
State:

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
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: Patient experienced facial flushing with a rash; immediately given 25mg of liquid siladryl and sent to ER for observation. Later released to home where he is extremely tired. He feels like he has been lifting and moving things all day. Muscle aches. No report of temperature.

Other Meds:

Current Illness:

ID: 1327210
Sex: F
Age: 60
State: NJ

Vax Date: 04/29/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Pain in left arm at injection sight. Mild pain when lifting left arm and when I move it back.

Other Meds: Levothyroxin 100mg Restasis Baby Aspitin Vascepa Atorvastin

Current Illness: None

ID: 1327211
Sex: F
Age: 83
State: GA

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: I went to doctor appt was having pain in my left lung right under rib cage. I was transferred t to ER cause of severe pain. I was hospitalized for two days for pneumonia received antibiotics. The next day I asked to go home to take care of my spouse on Oxygen and he also exp pneumonia after vaccine.

Other Meds: No

Current Illness: No

ID: 1327212
Sex: F
Age: 38
State: NY

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
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: I developed a cough that is lingering since I received the first shot on April 19th. When I received my 2nd shot may 17th the cough is persistent. When I talking cough, when I inhale I get a tickle in the back of my throat that makes me cough

Other Meds:

Current Illness:

ID: 1327213
Sex: F
Age: 55
State: MA

Vax Date: 12/28/2020
Onset Date: 01/28/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: patient is a doctor, she had occupational needle stick exposure in Aug-2020 from a HIV- negative source patient. Our patient tested HIV neg by 4th gen test at baseline in Aug-2020 after he exposure. Occupational health inadvertently tested her again on 1/28/2021 for HIV, one month after Moderna vaccine first shot on 12/28/2020. Her HIV 4th gen ag/ab test was repeatedly positive, and on differentiation assay HIV-1 was negative and HIV-2 was "indeterminate". Her HIV -1 viral load on 2 occasions was negative since. We believe she had a false positive HIV 4th gen Ag/Ab test, about 1 month after her first shot of moderna covid vaccine.

Other Meds:

Current Illness:

ID: 1327214
Sex: M
Age: 77
State: NJ

Vax Date: 05/13/2021
Onset Date: 05/16/2021
Rec V Date: 05/18/2021
Hospital: Y

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

Lab Data:

Allergies: Trazodone, shellfish, Motrin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: developed lethargy 3 days later and found to have acute brainstem infarct on MRI

Other Meds: sinemet, imbruvica

Current Illness: Parkinson's, CLL, depression, BPH, dementia

ID: 1327215
Sex: F
Age: 15
State: NC

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Patient Vomited and passed out. EMS was called and Patient recovered after resting and calming down

Other Meds: None

Current Illness: None

ID: 1327216
Sex: M
Age: 44
State: CT

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/18/2021
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: Prior to receiving both Pfizer COVID19 shots I had been diagnosed with New Daily Persistent Headache since 07/20/17. This primary headache condition has left me with a constant tension headache, heavy fatigue and related cognitive issues. I had no side effects after receiving my first Pfizer COVID19 shot on 4/1/21. I had my 2nd Pfizer COVID19 shot on 5/3/21 and the only side effect has been a substantial increase in head pain within 5 hours of receiving the shot. The baseline pain was a 4 out of 10 prior to the 2nd shot and has been a 7 out of 10 since 5 hours after my 2nd shot. I've had no other side effects and the pain has been unrelenting and indefinite.

Other Meds: Prescriptions - Lisdexamfetamine, Divalproex SOD ER, Clonazepam, Amantadine, DMSA (Dimercaptosuccinic Acid) OTC Supplements - NeuroMag, Lithium (orotate), Vitamin D3, CoQ10, Atrantil, SPM Supreme, CytoQuel, Complete Mineral Complex, Hepat

Current Illness: -Clinic diagnosis of New Daily Persistent Headache and Chronic Migraine -Clinic diagnosis of Mercury poisioning and gut dysbiosis

ID: 1327217
Sex: F
Age: 33
State: PA

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
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: Full body hives itchy rash all over

Other Meds: Zyrtec

Current Illness:

ID: 1327218
Sex: M
Age: 71
State: MI

Vax Date: 03/26/2021
Onset Date: 04/09/2021
Rec V Date: 05/18/2021
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: 14 days after receiving the second dose, I experience gout like symptoms on my left foot (below big toe). This lasted for about 3 weeks which during this time I received medical treatment from my doctor. X-rays and blood work were conducted along with medication to reduce the swelling was prescribed.

Other Meds: Lisinopril/hydrochlorothiazide

Current Illness: none

ID: 1327219
Sex: F
Age: 16
State: MO

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/18/2021
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: amoxicillin

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

Symptoms: fainting and lightheadedness starting day after receiving second dose

Other Meds: birth control pills

Current Illness: none

ID: 1327220
Sex: M
Age: 38
State: PA

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 05/18/2021
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: Tremor

Symptoms: Fever or Chills Cough Shortness of Breath Fatigue Muscle or body aches Headache Sore throat Nausea or vomiting

Other Meds: lithium 600 mg capsule traZODone (DESYREL) 50 mg tablet triamcinolone (KENALOG) 0.1 % cream

Current Illness:

ID: 1327221
Sex: F
Age: 18
State: WI

Vax Date: 03/11/2021
Onset Date: 05/04/2021
Rec V Date: 05/18/2021
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: unknown

Symptom List: Erythema, Pruritus

Symptoms: 2nd covid vaccine received 03/11/2021. Tested positive for covid19 on a routine HCW screen after being fully vaccinated. Asymptomatic.

Other Meds: unknown

Current Illness: unknown

ID: 1327222
Sex: F
Age: 23
State: MA

Vax Date: 04/18/2021
Onset Date: 05/16/2021
Rec V Date: 05/18/2021
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: seasonal, cats

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

Symptoms: It's been a month today since I received my second dose of Pfizer-BioNTech (Lot #EW0164) on April 18, 2021. My first dose was at the same location, on March 28th, 2021 with lot #ER8732. I experienced extreme muscle soreness the day after, which I took with Tylenol. The feeling subsided. A month later on Sunday, May 16th, I started feeling pain at the injection site again. Though I've felt no other side effects, it's bizarre that this muscle soreness should come back. I took tylenol, but it's noticeable and very uncomfortable.

Other Meds: Mirena, straterra 60mg

Current Illness: n/a. Prior Pfizer Dose March 28th, 2021

ID: 1327223
Sex: F
Age: 21
State: OK

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

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

Symptoms: pt received covid shot and was waiting her 15 minutes. about 5 minutes later she fainted and an ambulance was called and took her to the hospital.

Other Meds:

Current Illness:

ID: 1327224
Sex: F
Age: 40
State: WA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Adverse effect of vaccine, initial encounter T50.Z95A E949.9 Left Arm Patient's Medications No medications on file Discharge Instructions Please apply warm compresses to the area of pain as often as possible to help improve circulation and resolve discomfort. You may utilize acetaminophen 1 g 3 times daily if needed for pain or fever. Please continue to utilize the left arm and perform range of motion as this will help resolve tenderness quickly. 40-year-old female presents with complaint of soreness to the left arm. Patient received her first coronavirus vaccination approximately 1 week ago. There was initially pain for several days but then resolved and now the pain has returned. She describes the soreness as a pinching sensation rated 2?3/10 which does not radiate. She has had no redness, warmth, ecchymosis or swelling at the site of the injection to the left deltoid. Patient denies fever or chills and has had no cough, shortness of breath, dyspnea, chest pain or other symptoms. Review of Systems Constitutional: Negative. Respiratory: Negative. Cardiovascular: Negative. Musculoskeletal: Positive for myalgias. Negative for arthralgias. Skin: Negative for rash and wound. Neurological: Negative. No Known Allergies

Other Meds:

Current Illness:

ID: 1327225
Sex: F
Age: 55
State: WI

Vax Date: 04/09/2021
Onset Date: 04/30/2021
Rec V Date: 05/18/2021
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: n/a

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

Symptoms: Extreme Fatigue (one day) followed by sores on tongue (3 days) followed by swollen lymph nodes and diarhea

Other Meds: Multivitamin and calcium and valerian

Current Illness: IBS

ID: 1327226
Sex: F
Age: 58
State: PA

Vax Date: 03/07/2021
Onset Date: 03/23/2021
Rec V Date: 05/18/2021
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: none

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

Symptoms: tinutitus (ringing in ear) - 2 months now

Other Meds: Levothoxine 100 mg

Current Illness: none

ID: 1327227
Sex: F
Age: 60
State: FL

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 05/18/2021
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

Symptom List: Pain in extremity

Symptoms: Fatigue, HA and migraine, neck pain, body aches, diarrhea that have lasted 4 days. Pt has taken Tylenol, Meloxicam, and Sumatriptan with mild improvement after medication but HA returns later. Diarrhea has improved. No improvement in body aches or fatigue

Other Meds: Flonase nasal spray Fexofenadine 180mg PO Albuterol nebulizer Symbicort inhaler Sumatriptan 100 mg PO was taken after the vaccine was given and the HA started.

Current Illness: Denies

ID: 1327228
Sex: M
Age: 12
State: NJ

Vax Date: 05/16/2021
Onset Date: 05/17/2021
Rec V Date: 05/18/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Hives on necks, chest, belly, back, groin, legs

Other Meds: N/A

Current Illness: N/A

ID: 1327229
Sex: F
Age: 17
State: PA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
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: unknown

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

Symptoms: patient fainted five minutes after receiving vaccine. regained consciousness and emts evaluated but did not have to go to hospital

Other Meds: unknown

Current Illness: unknown

ID: 1327230
Sex: F
Age: 62
State: TN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 05/18/2021
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: I did NOT have a Migraine after receiving the first dose of the pfizer vaccine for 3 weeks. After receiving the second dose of the pfizer vaccine, my migraines were minimal and not bad at all. After approximately 2-3 weeks after the second vaccine, my Migraines began coming back. I have chronic migraines, anywhere from 1-3 week, so this was just wonderful relief even though it was temporary. Maybe there is possibly something in this vaccine that could also help migraine sufferers.

Other Meds:

Current Illness:

ID: 1327231
Sex: F
Age: 31
State: MT

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/18/2021
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: No smell or taste, sore throat, positive test day after shot

Other Meds:

Current Illness:

ID: 1327232
Sex: F
Age: 35
State: CA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 05/18/2021
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: cilantro

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: started at 3 am 4/8/2021- stuperous, mind fog, forgetfulness, inability to walk, joint pain, lethargic, metal taste in my mouth, sensitivity to light, intense brain pressure like a migraine but not this lasted 3 days.

Other Meds: none

Current Illness: no

ID: 1327233
Sex: F
Age: 43
State: IL

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 05/18/2021
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: Allergic to sulfa drugs

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

Symptoms: Arm was very sore soon after receiving shot. After falling asleep, woke up at 1am with fever of 100.5. Had chills and sweats. Tossed and turned for 4-5 hours, fell back asleep. Woke up and spent day taking it easy, not working, just resting and being lazy. Went to sleep and woke up again in the middle of the night with a fever of 99.5. Tossed and turned for a couple hours, fell back asleep. Woke up and felt fine, except for sore arm for an additional few days.

Other Meds: Valacyclovir, 500mg, 1x/day Lisinopril, 10mg, 1x/day L-Lysine, 1000mg, 1x/day

Current Illness: NA

ID: 1327234
Sex: F
Age: 18
State: FL

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/18/2021
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: No

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient stated just after receiving vaccination, she felt dizzy and started to fall. Staff was able to assist patient to. floor.

Other Meds: Birth Control in Columbia (Bella Face)

Current Illness: None

ID: 1327235
Sex: M
Age: 50
State: NY

Vax Date: 04/27/2021
Onset Date: 05/04/2021
Rec V Date: 05/18/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Shingles appeared one week after receiving first dose of the Pfizer vaccine. Took seven days of pills recommended by my dermatologist. Fourteen days later it seems it is disappearing. And I got my second dose of vaccine today (05/18/2021).

Other Meds: None

Current Illness: None

ID: 1327236
Sex: M
Age: 73
State: WI

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 05/18/2021
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: Bee Stings

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

Symptoms: He has concern of hives which have been present directly following his 2nd COVID vaccine. He reports that it started off as a little itching on his chest, but the hives are now on his chest, abdomen and back. Reports that they are very itchy. He has been using over-the-counter Benadryl with little relief. Denies any shortness of breath, chest pain, tongue or neck swelling. Or difficulty swallowing.

Other Meds: loratadine (CLARITIN) 10 MG tablet predniSONE (DELTASONE) 10 MG tablet lisinopril (ZESTRIL) 10 MG tablet acetic acid-hydroCORTisone (ACETASOL-HC) otic solution EPINEPHrine (EPIPEN) 0.3 MG/0.3ML auto-injector albuterol 108 (90 Base) MCG/ACT

Current Illness: Unknown

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm