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: 1343791
Sex: M
Age: 56
State: PA

Vax Date: 01/26/2021
Onset Date: 04/29/2021
Rec V Date: 05/24/2021
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Encounter for screening laboratory testing for COVID-19 virus Upper respiratory tract infection, unspecified type Patient was seen today for headache and sneezing.

Other Meds: colchicine 0.6 mg tablet

Current Illness:

ID: 1343792
Sex: M
Age: 14
State: TX

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient (14 years old) fainted in the observation area receiving the first dose of the Pfizer vaccine. Patient fell from chair and had some scratches to right temporal region. Patient was accompanied by his mother. Patient was assisted to chair and appeared very pale and disoriented to time and place. EMS was called at 1138. Patient also stated his vision was blurred, reported nausea (emesis x1), and reported feeling very weak and ?really weird?. Patient also reported he was very sleepy and wanted to go to sleep. Patient was kept awake. Mother stated patient had history of ADHD and anxiety but no other past medical history. Paramedics arrived at 1145 and assessed patient. Blood glucose and VS were normal. Patient continued to report feeling unwell and wanted to go to the hospital but also wanted to ?stop for food?. Patient?s mother reported that patient was starting to sound like his normal self and that his color was returning. Patient?s mother agreed for the paramedics to transfer patient to ED for further evaluation. Patient left in ambulance at 1157.

Other Meds: Mother reported he takes medication for ADHD and anxiety

Current Illness:

ID: 1343793
Sex: M
Age: 32
State: FL

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Cardiac Disorder (diagnosed by MD)-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Hearing and vision difficulty-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Vitals were normal after 30 minutes

Other Meds:

Current Illness:

ID: 1343794
Sex: M
Age: 52
State: NV

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Currently being tested for food allergies- results not yet back in

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 1st day of vaccine; I felt very tired and fatigued and my joints started to hurt and I could not walk due to the pain in my joints. 3rd and 4th day of vaccine; I started to experience numbness sensation to my hands. I also had numbness sensation to my face, right side and lips and also to my head. I went to Urgent Care where lab work was performed as well as a CT scan of the head to check for blood clots and results came back normal. Also an U/S of the right leg to check for any blood clots was performed which came back normal. I then went to see my PCP who performed more tests and exams, again did lab work to check for blood coagulation and still continued with the numbness sensation to my hands and all to my body. After about 10 days of my vaccine, I noticed that my oxygen level was 87, 96, 86, 92 and where my oxygen level has always been around 98 or 99. I will be also having heart studies in a few weeks. I have not recovered from my symptoms and feel very fatigued and tired all the days.

Other Meds: Metoprolol, allergy medications

Current Illness:

ID: 1343795
Sex: F
Age: 46
State: MN

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 05/24/2021
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: Extreme dizziness - hit about 16 hours after injection, lasted 12-18 hours Extreme tiredness - same as above Sore armpit in same arm as injection - lasted 4-5 days

Other Meds: None

Current Illness: None

ID: 1343796
Sex: F
Age: 49
State: OH

Vax Date: 03/22/2021
Onset Date: 04/12/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Right armpit discomfort (lymph node?) about 3 weeks after vaccine. 5/18/2021 - mammogram showed focal asymmetry in left breast

Other Meds: Vit D, Iron, Magnesium

Current Illness: None

ID: 1343797
Sex: F
Age: 15
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
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: Nausea, Dizziness, Vomiting. Bp 107/59, HR 73, RR 16. Pt stable and released from the vaccination site.

Other Meds:

Current Illness:

ID: 1343798
Sex: F
Age: 73
State: CT

Vax Date: 03/06/2021
Onset Date: 03/12/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Approximately one week after the second dose of the Pfizer vaccine , I started to feel severe muscle aches , overall weakness and malaise . This lasted for approximately one month until the shingles on my scalp appeared . The rash subsided but now I suffer from post herpetic itch and pain .

Other Meds: Lisinopril, Hydrochlorothyazide, Aleve

Current Illness:

ID: 1343799
Sex: F
Age: 42
State: PA

Vax Date: 05/14/2021
Onset Date: 05/15/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin, yellow contrast dye

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: pt says she developed a migraine headache and low grade temp. By 5/17/21 she was not able to work for 3 days. She had extreme exhaustion. On 5/19/21 she was still exhausted feeling and had 27 episodes of diarhea. On 5/20/21 she was not able to eat w/out having diarhea and still very tired. By 5/22/21 she was feeling so bad she felt like she needed to go to the emergency room. She decided to take her dicyclomine medicine instead. This seemed to helped some but is waiting on her PCP to give her a CB.

Other Meds: Protonic 40mg, Xanax 50mg, Vitamin D 2000units, Vitamin C 1000mg, Vitamin B121000mg,

Current Illness:

ID: 1343800
Sex: M
Age: 67
State: DE

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/24/2021
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 that I knew of when I took the vaccine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Intermittent chills lasted 10 days. Intermittent low grade headache lasted 8 days, Severe skin rash / spots ongoing, but slowly going away. Joint pain, Very low energy ongoing.

Other Meds: No prescription drugs. B 12 100 mcg daily, C 500 mg daily, D 25mcg daily

Current Illness: None, I was feeling fine.

ID: 1343801
Sex: F
Age: 34
State: TX

Vax Date: 03/20/2021
Onset Date: 03/23/2021
Rec V Date: 05/24/2021
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: Within 12 hours, normal vaccine symptoms including fever of 101.5, chills and fatigue. Those symptoms all went away within 24 hours. Three days later, new more severe symptoms appeared including heart palpitations, high blood pressure, severe fatigue and shortness of breath. These symptoms happened in episodes every 3-4 days for two weeks and then at least once per week for two more weeks. I went to the hospital, my endocrinologist, my GP and a cardiologist. A whole battery of tests were done, but no cause was found beyond the explanation that it could have been from the vaccine. Six weeks out from the vaccine, all symptoms subsided and have not returned, at least for now.

Other Meds: NP Thyroid 60mcg 2x per day, Vitamin D, Vitamin B12

Current Illness: None

ID: 1343802
Sex: M
Age: 56
State: MI

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/24/2021
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: flagyl

Symptom List: Rash, Urticaria

Symptoms: Bruise at the injection site

Other Meds: n/a

Current Illness: n/a

ID: 1343803
Sex: F
Age: 33
State: CA

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
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 antibiotics

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

Symptoms: Chills, slight fever, body rash, and arm pain.

Other Meds: Fiber supplements

Current Illness: NA

ID: 1343804
Sex: F
Age: 33
State: IL

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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: Complaints of heart palpitations "racing" lightheadedness.

Other Meds:

Current Illness:

ID: 1343805
Sex: F
Age: 20
State: NJ

Vax Date: 05/19/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
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: no allergies

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

Symptoms: Chest pain starting on 5/23, 4 days after receiving the vaccine

Other Meds: Vyvanse, Wellbutrin XL, Levonorgest-Eth Estrad

Current Illness: no illnesses

ID: 1343806
Sex: M
Age: 65
State: KY

Vax Date: 05/23/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
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: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Additional Details: Patient came to pharmacy and stated that his doctor looked at his medical history and said he can get a COVID vaccine. Answered questionnaire and stated no allergies to anything. Gave pt the vaccine, and then patient told us that he had history of Guillain-Barre Syndrome. Gave patient cold water. Patient requested some table salts and 2 tabs of 25mg diphenhydramine. Patient refused Epipen and calling 911. He sat for at 45 minutes to an hour before leaving. He said he was feeling okay when leavin

Other Meds:

Current Illness:

ID: 1343807
Sex: M
Age: 73
State: OR

Vax Date: 05/19/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
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: NKDA

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

Symptoms: Moderna COVID-19 Vaccine EUA Patient developed an itchy rash all over his body was told to use Benadryl and topical anti-itch cream. He states that he is not having any pain or difficulty breathing. I let him know that if he develops any swelling in face and throat, a fast heartbeat, or dizziness and weakness to go to the ER. If the rash has not resolved in 2-3 days he needs to be seen by his PCP. He is scheduled to be seen by his PCP 5/25/21

Other Meds: Invokamet XR 150-1000 MG bid Januvia 100 MG qd Lisinopril 40 MG qd Simvastatin 40 MG qd Glimepiride 2 MG qd Oxybutynin Chloride ER 15 MG Aspirin 81 MG qd

Current Illness:

ID: 1343808
Sex: F
Age: 47
State: NY

Vax Date: 05/18/2021
Onset Date: 05/19/2021
Rec V Date: 05/24/2021
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: Swollen lymph node near left clavicle, tender and painful to the touch. Lessening but still present at 1 week post vaccine.

Other Meds: levothyroxine 25mg

Current Illness: seasonal allergies

ID: 1343809
Sex: M
Age: 50
State: PA

Vax Date: 01/29/2021
Onset Date: 04/23/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Copied from Database. Topic: Acute Illness >> Apr 26, 2021 8:30 AM wrote: POS SCREEN Pt started having Sx on 4/23, sinus congestion. Pt stated yesterday he had a temp of 101F and sore throat and crackling in ears. Pt stated he has received both Covid Vaccine injections. Please advise. Thank you

Other Meds: ascorbic acid-multivit-min (EMERGEN-C IMMUNE PLUS) 1,000 mg powder effervescent in packet esomeprazole (NexIUM 24HR) 20 mg capsule

Current Illness:

ID: 1343810
Sex: F
Age: 20
State: CA

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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 did not disclose she is prone to fainting after getting shots/blood drawn. 3-5 minutes after getting Janssen vaccine patient fainted in one of our aisles. We had her sit down. We gave her some water, kiwi strawberry, and a tootsie lollipop. We monitored her for 15-20 minutes, then her mother took her out to parking lot. We asked if they needed anything else while at our store, and just re-iterated that she is okay and is prone to fainting after any kind of shots/blood drawn.

Other Meds:

Current Illness: none

ID: 1343811
Sex: M
Age: 0
State: NM

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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: Medical Assistant did not double check if right vaccines were pulled. Vaccines that were pulled, Pediarix, HIB, PCV13, and Flu. Vaccines were verified by provider. Vaccine error was not caught until after patient was left. Mom was called and informed about event and was told that Medical Assistant will follow up today and tomorrow morning as well. Mom acknowledged information.

Other Meds: No

Current Illness: No

ID: 1343812
Sex: M
Age: 34
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Patient experienced generalized rash to trunk, arms, and legs after receiving the vaccine on 03May2021. Patient still has rash three weeks later.

Other Meds:

Current Illness:

ID: 1343813
Sex: F
Age: 48
State: ME

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/24/2021
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: Hydromorphone, Fentanyl

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

Symptoms: Nausea/vomiting for 24 hours after shot, muscle/joint pain for 3 days after shot, bilateral hand neuropathy (continuing) since 2 hours after first shot.

Other Meds: Multi-vitamin QD, Vitamin D 2000 units QD, Ibuprofen 400mg PRN, APAP 500mg PRN

Current Illness: NONE

ID: 1343814
Sex: F
Age: 59
State: NH

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
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: penicillin, seafood

Symptom List: Injection site pain, Pain

Symptoms: Minimal swelling, significant soreness, and redness from shoulder to elbow

Other Meds: metformin, glipizide, Lipitor, lisinopril, omeprazole, multivitamin, vitamin c, aspirin, ibuprofen, flexeril

Current Illness:

ID: 1343815
Sex: F
Age: 41
State: TN

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Reglan, Doxycycline, Augmentin, Bactrim, Topamax, Bee venom,

Symptom List: Injection site pain, Menorrhagia

Symptoms: Reported throat feeling "funny" and "hoarse" approximately five to six minutes post vac. Observed pt x 51 minutes. No SOB, tachycardia, tachypnea, wheezing, hives, cyanosis observed. Vitals WNL x 2. BP 118/80, Resp 16-18, Pulse 80-88. A/O x3. Over the 51 minutes feeling in throat improved w/o intervention. Left w/o assistance and under no duress.

Other Meds: ASA, Insulin pump, Lurasidone,

Current Illness: Tyoe-2 IDDM, Gastroparesis, Depression,

ID: 1343816
Sex: F
Age: 47
State: NV

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
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: latex, cats, medical adhesives, penicillin

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

Symptoms: menstruation began 1 day after 2nd dose of vaccine which was only 7 days after end of last day of regular mentruation. i do not have a history of irregular menstruation or spotting in between periods

Other Meds: none

Current Illness: none

ID: 1343817
Sex: M
Age: 54
State: HI

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 05/24/2021
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: received 2nd dose too early; 1st dose 4/23/2021, 2nd dose 5/14/2021

Other Meds:

Current Illness:

ID: 1343818
Sex: F
Age: 59
State: OR

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs; Scopolamine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I woke up with a fever and it was pretty high. 102.3. I had really bad body aches and a little bit of a headache. Really bad pain in hip joints and body aches and the fever continued into the third day - it was down to 100.5 in the morning and then it went away in the afternoon. The body aches lasted through the 2nd day. I took ibuprofen and that helped with the symptoms. I had called Caregiver health line on the 3rd day because I missed work because I still had a fever.

Other Meds: Synthroid; Occasional Vit D

Current Illness: no

ID: 1343819
Sex: F
Age: 48
State:

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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: Patient reported nausea and shortness of breath after 15 minute observation period. VS checked in clinic. ER MD assessed patient and asked patient be taken to ED for further evaluation and assessment.

Other Meds:

Current Illness:

ID: 1343820
Sex: M
Age: 54
State: NH

Vax Date: 05/01/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
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 known

Symptom List: Nausea

Symptoms: I received the vaccine in the right arm and within about 20 seconds I felt like I was going to faint and had rapid heart rate (pulse of 155) measured by EMT. I needed to remove the mask as I was having difficulty with the rapid heart rate and feeling of fainting. I also felt pins and needles type feeling in my legs and my face felt slightly swelled. I felt tired and that tired feeling lasted for the entire day. I stayed at the vaccination site for approximately 30 minutes at the advice of the EMT and went home. Later I had a slight headache but heart rate became more normal.

Other Meds: I have a weekly prescription for injection of Testosterone every Friday night. I take Calcium, Multivitamin, vitamin D, Turmeric.

Current Illness: One month prior was taken by ambulance for rapid heart rate and skipped beats. My sister passed away unexpectedly on March 25,2021 from natural causes related to heart stopping and not being able to revive her. She had had the Moderna two weeks prior with allergic rash on her arm which she was still dealing with exactly two weeks after 2nd vaccine. At this first vaccination, I immediately had rapid heart rate (pulse) 155. Also felt very dizzy and tired and face felt warm and slightly puffy. An EMT suggested to stay for an additional 15 minutes. I did that and felt slightly better. Today feeling better.

ID: 1343821
Sex: M
Age: 27
State: ME

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/24/2021
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: headache and feeling of nausea. patient laid down for 30, drank water, had spouse pick him up but still dizzy

Other Meds:

Current Illness:

ID: 1343822
Sex: M
Age: 13
State: WV

Vax Date: 05/22/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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: 13year old male received #1 dose of Jansen Covid 19 vaccine on 05/22/2021. Mother reports no adverse reactions at this time (05/24/2021).

Other Meds: None

Current Illness: none

ID: 1343823
Sex: F
Age: 17
State: NV

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
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: Systemic: Allergic: Anaphylaxis-Severe, Systemic: Fainting / Unresponsive-Severe

Other Meds:

Current Illness:

ID: 1343824
Sex: F
Age: 36
State: MD

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
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: Penicillin, valtrex

Symptom List: Tremor

Symptoms: Maintained a 103-104? fever for over 12 hours. Also started having paranoid hallucinations.

Other Meds: None

Current Illness: Common cold

ID: 1343825
Sex: F
Age: 56
State: MD

Vax Date: 03/03/2021
Onset Date: 03/14/2021
Rec V Date: 05/24/2021
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: Erythema, Pruritus

Symptoms: After the first vaccine, I had the expected headache, fatigue, slightly sore arm, slight nausea, and headache which lasted a couple of days. I then developed what felt like menstrual cramping and acidic stomach pain, but I hadn't had a menstrual cycle in seven months, and only two in the past two years. On the 11th day after my vaccination, I had very light bleeding for a day. I didn't connect it to my being vaccinated at all. In the past, I always experienced acidic stomach pain right before my period. I was concerned about cancer so made an OB appointment right away. I didn't see her until two weeks after my second vaccine. I was given the second dose three weeks later on April 21, 2021, and the morning after I had the same side effects as with the first dose--headache, fatigue, slightly sore arm, slight nausea, and headache. Two days later on April 23rd, I began having vaginal bleeding again, only three weeks after the first vaccine. The bleeding was very heavy and lasted for ten days--longer than any vaginal bleeding I'd ever had and much heavier in flow.

Other Meds: Synthroid 150mcg, Losartan 100mg, Effexor 37.5mg, Vytorin 10/20 *no medication changes in years

Current Illness: None

ID: 1343826
Sex: F
Age: 43
State: MN

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 05/24/2021
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: I am allergic to Penicillin and bee stings.

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

Symptoms: I noticed that a rash appeared at injection site and immediately went to my clinic and was examined.

Other Meds: I took the normal dosages of the following medications before taking the vaccination: Lyrica 175 Mg 3 times per day Wellbutrin - 150 Mg once per day Hiprex - 1 gram twice per day Naproxen - 500 Mg once per day Tizanidine - 4 mg (takes 12 m

Current Illness: None

ID: 1343827
Sex: F
Age: 39
State: CO

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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 verbally reported by patient.

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

Symptoms: At 10:58, patient reported feeling of ?foggy ness ? which she stated was ?like air in my head? after receiving Janssen vaccination at 10:53. Patient was found sitting outside of vaccination bus, alert and oriented to person, time, place and event and did not appear to be in distress. Patient denied shortness of breath, dizziness, blurry vision, weakness to one side of body, feeling of syncope, and was negative to all signs of the Cincinnati stroke scale test. Patient?s vital signs were monitored for the duration of event. After 15 minutes of monitoring, patient stated that her feeing of ?foggy ness? had improved but that it still mildly lingered. Patient was offered a call for emergency services but patient denied them and stated that she would seek further medical help if her condition worsened, or continued. Patient stated that she was going to visit a medical facility after leaving vaccination clinic.

Other Meds: None verbally reported by patient at the time. Patient stated taking antibiotics from 05/09/2021 to 05/19/2021 for a fever of 105 degrees Fahrenheit on 05/09/2021.

Current Illness: Patient stated having a fever of 105 degrees Fahrenheit on 05/19/2021. Patient stated taking antibiotics from 05/09/2021 to 05/19/2021.

ID: 1343828
Sex: F
Age: 12
State: AL

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 05/24/2021
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: Cats, dogs, outside allergens

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient was given Moderna vaccine even though it is not approved for her age group.

Other Meds: azelastine eye drogs and nasal spray, zyrtec

Current Illness: none

ID: 1343829
Sex: F
Age: 47
State: TN

Vax Date: 05/17/2021
Onset Date: 05/19/2021
Rec V Date: 05/24/2021
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: Pericarditis, after experiencing achy joints Excruciating stabbing pain in back through to chest

Other Meds: Progesterone, Estrodiol .05, Adderall 20mg

Current Illness: N/A

ID: 1343830
Sex: M
Age: 13
State: TX

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient (13 years old) fainted at the vaccination table after receiving his first dose of the Pfizer vaccine, while waiting for his mother as she was getting vaccinated. Patient saw his mother bleed after the vaccine and fainted in the chair, as he began to fall, the vaccinator was able to catch him and assist him to the floor. Patient was turned on his side. EMS was called at 0912 and arrived at 0919. Patient was assessed by paramedics and found to be stable. Patient?s mother reported no PMH and the he doesn?t usually faint after injections. Patient left accompanied by his mother.

Other Meds:

Current Illness:

ID: 1343831
Sex: F
Age: 71
State: CA

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: erythromycin- diarrhea Statin- could not function right or couldn't sleep

Symptom List: Pain in extremity

Symptoms: Lt facial twitching and muscle spasm of multiple extremities.

Other Meds: metformin 500mg takes two or three daily amlodipine 5mg one daily atenolol 25mg one daily

Current Illness: None

ID: 1343832
Sex: U
Age:
State: NV

Vax Date: 04/15/2021
Onset Date: 04/24/2021
Rec V Date: 05/24/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Stroke

Other Meds:

Current Illness:

ID: 1343833
Sex: M
Age: 17
State: NV

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/24/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: None

Other Meds: none

Current Illness: none

ID: 1343834
Sex: F
Age: 20
State: OK

Vax Date: 04/17/2021
Onset Date: 04/30/2021
Rec V Date: 05/24/2021
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 first menstrual cycle after the first dose was very short and very light, which is very abnormal for me. My second menstrual after the second dose is even more abnormal. My cramps this month were the worst I?ve ever felt, and I?ve currently been bleeding for 26 days. Long periods are nothing new to me, my usual period is about 12-14 days, but I?ve never gone longer.

Other Meds: Lexapro, metformin

Current Illness: None

ID: 1343835
Sex: M
Age: 45
State: IA

Vax Date: 03/12/2021
Onset Date: 04/01/2021
Rec V Date: 05/24/2021
Hospital: Y

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: severe thrombocytopenia - admitted to hospital 4/30-5/1/21; readmitted 5/24

Other Meds: rivaroxaban, esomeprazole

Current Illness:

ID: 1343836
Sex: F
Age: 68
State: PA

Vax Date: 02/02/2021
Onset Date: 04/28/2021
Rec V Date: 05/24/2021
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: AdhesiveRash GlutenOther (document details in comments

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 04/29/2021Expand AllCollapse All Number of Diagnoses or Management Options Acute non-recurrent maxillary sinusitis Close exposure to COVID-19 virus Diagnosis management comments: 68-year-old female no acute distress presents to urgent care with cough, sinus pain and congestion, postnasal drip, loss of taste and smell. Patient states that 1 week ago she was mowing her grass and her seasonal allergies "flared up" she started having a cough, postnasal drip, sinus pain and pressure. She reports that yesterday she lost her sense of taste and smell. She states she has been fully vaccinated for COVID-19. Due to patient's loss of taste and smell she was swabbed for COVID-19 PCR. I also treated her for sinusitis with a Z-Pak. Tessalon Perles were prescribed for cough. Patient is aware to quarantine until results come back and are negative. If she develops severe chest pain or shortness of breath she is to go to the emergency room.

Other Meds: acyclovir (ZOVIRAX) 400 mg tablet ascorbic acid, vitamin C, (VITAMIN C) 1,000 mg tablet cetirizine (ZyrTEC) 10 mg tablet chlorthalidone (HYGROTON) 25 mg tablet cholecalciferol, vitamin D3, 2,000 unit tablet citalopram (CeleXA) 40 mg tablet

Current Illness:

ID: 1343837
Sex: F
Age: 34
State: TX

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/24/2021
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: No adverse event.

Other Meds: none

Current Illness:

ID: 1343838
Sex: M
Age: 62
State:

Vax Date: 03/23/2021
Onset Date: 05/02/2021
Rec V Date: 05/24/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination. Diagnosis was subarachnoid hemorrhage.

Other Meds:

Current Illness:

ID: 1343839
Sex: M
Age: 49
State: IN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/24/2021
Hospital:

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

Lab Data:

Allergies: Allergy to Penicillin

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

Symptoms: My sense of smell has changed. I frequently smell a "chemical" odor (an acrid sulfur, or rotten iron smell) that doesn't actually exist, I happens especially when I'm eating my food. This "ghost smell" also occurs at relatively random times throughout the day.

Other Meds: Glipizide, Lisinopril/HCTZ, Atorvastatin

Current Illness: None

ID: 1343840
Sex: F
Age: 45
State: FL

Vax Date: 05/18/2021
Onset Date: 05/21/2021
Rec V Date: 05/24/2021
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: None

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

Symptoms: Expressive aphasia. Migraine. Scotoma. Right hand paresthesia.

Other Meds: Blisovi, turmeric

Current Illness: NA

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm