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: 1350439
Sex: M
Age: 88
State: PA

Vax Date: 04/19/2021
Onset Date: 04/30/2021
Rec V Date: 05/26/2021
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: shortness of breath

Other Meds: allopurinol (ZYLOPRIM) 100 mg tablet aspirin 81 mg tablet atorvastatin (LIPITOR) 40 mg tablet blood sugar diagnostic (ONETOUCH ULTRA TEST) strip bumetanide (BUMEX) 1 mg tablet ferrous sulfate 325 mg (65 mg iron) EC tablet KLOR-CON M20 20 mE

Current Illness:

ID: 1350440
Sex: F
Age: 59
State: PA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/26/2021
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: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Since my vaccine, I've had swollen glands in my neck and under my ear. It is not getting better. I went to my primary care doctor and got a prednisone pack (4 days), but it did not decrease the swelling.

Other Meds: Synthroid, Tylenol, Multivitamins, Reclast (annual infusion)

Current Illness: none

ID: 1350441
Sex: F
Age: 50
State: FL

Vax Date: 05/22/2021
Onset Date: 05/23/2021
Rec V Date: 05/26/2021
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 know allergies

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

Symptoms: Patient received initial Moderna vaccine on 4/21/2021 and had injection site reaction of Left upper arm (erythema and induration about size of soft ball) start 4 to 5 days later and resolved 4-5 days later. She then got the second Moderna vaccine Sat 5/22/2021 in the same arm and the following morning developed nausea, vomiting, diarrhea, fever, and diaphoresis. Her left arm developed injection site reaction starting small and then size of 2 baseballs put together.

Other Meds: Tylenol, carvedilol, lisinopril, and myrbetriq

Current Illness:

ID: 1350442
Sex: F
Age: 80
State: MI

Vax Date: 04/08/2021
Onset Date: 05/17/2021
Rec V Date: 05/26/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillins

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt received vaccine on 4/8/2021. Pt was diagnosed with COVID-19 on 5/17/2021. Pt was admitted to the hospital on 5/21/2021 for pneumonia secondary to COVID-19.

Other Meds: vitamin D, vitamin B12

Current Illness:

ID: 1350443
Sex: F
Age: 64
State: VA

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/26/2021
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: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1350444
Sex: F
Age: 20
State:

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1350445
Sex: F
Age: 24
State: CA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/26/2021
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: nothing

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The nurse asked me if I had dermafillers and I told her that I do. She asked when I got them, I told her that it has been 2 years, so she said that it?s too old to show effects and did the vaccine. 1-1,5 days later my lips got swollen as if they were going to explode. it was like that for 3 days until it started going back down. It was scary.

Other Meds: nothing

Current Illness: nothing

ID: 1350446
Sex: M
Age: 25
State: PA

Vax Date: 04/19/2021
Onset Date: 04/27/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pharyngeal swelling

Symptoms: UNKNOWN

Other Meds: acetaminophen (TYLENOL) 500 mg tablet

Current Illness:

ID: 1350447
Sex: M
Age: 56
State:

Vax Date: 01/28/2021
Onset Date: 05/25/2021
Rec V Date: 05/26/2021
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 known

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient fully vaccinated with Pfizer vaccine on 1/28/2021 and 2/24/2021. Patient diagnosed with Covid19 on May 25, 2021 with a rapid PCR test after a known exposure to a Covid positive person

Other Meds: none known

Current Illness: unknown

ID: 1350448
Sex: F
Age: 45
State: PA

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 05/26/2021
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: I had a fever, aches, chills, fatigue for approximately 24 hours. In addition, I had sharp pain (only when walking) in my right lower abdomen and in the second toe on my left foot.

Other Meds: Slo-fe iron supplement.

Current Illness: None

ID: 1350449
Sex: F
Age: 67
State: MD

Vax Date: 05/02/2021
Onset Date: 05/25/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: only codine upsets stomach

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

Symptoms: Bleeding from rectum, as though having a period, for about 5 to 10 minutes with spotting before and after then nothing

Other Meds: Amlodipine Besylate 10 mg tab, Calcium 500 mg with vitamin D3 25 mg, Centrum Multi for womem 50plus and Xyzal 5mg occasionally as needed

Current Illness: None

ID: 1350450
Sex: F
Age: 12
State: MD

Vax Date: 05/18/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
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: nut allergy

Symptom List: Rash, Urticaria

Symptoms: Blood spotting around left nipple (seen in two bralets and tank top- she did not feel any discomfort) appear to have started 5 or 6 days after the shot, on the same side of the body as the vaccine was administered. She has not started her period yet, but has started light breast development and hormonal mood changes in a monthly cycle. Having heard some odd hormonal/inflammation reactions are occurring in women after the vaccines- I thought this might be one that could be seen in the emerging pubescent girls and so should report it. I have a personal history of excess sex hormones (high baseline DHEA-S leading to high levels of Estrogen, Progesterone, and Testosterone), so as my daughter- she may also have more hormones than average.

Other Meds: none

Current Illness: none

ID: 1350451
Sex: F
Age: 42
State: TX

Vax Date: 05/23/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: N/a

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

Symptoms: Lost sense of taste

Other Meds:

Current Illness: N/a

ID: 1350452
Sex: F
Age: 39
State: NC

Vax Date: 03/15/2021
Onset Date: 04/27/2021
Rec V Date: 05/26/2021
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: Penicillin Amoxicillin

Symptom List: Dyspnoea, Fatigue, Feeling abnormal, Head discomfort, Headache

Symptoms: Pain on my arm for many weeks, little swelling, when arm healed, my back began hurting and I developed a rash, was told it was nerve pain began 4/27/2021 Diagnosed with shingles on may 6th I still have some residual muscle pain as of 05/26/2021

Other Meds: Ambien Lorazepam

Current Illness: Covid- Feb 4th Still no smell or taste as of vaccine date

ID: 1350453
Sex: F
Age: 16
State: MS

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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: Swollen, painful lymph nodes on both sides, worse on left side, left arm is extremely sore

Other Meds:

Current Illness:

ID: 1350454
Sex: M
Age: 41
State: IA

Vax Date: 04/26/2021
Onset Date: 04/29/2021
Rec V Date: 05/26/2021
Hospital: Y

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

Lab Data:

Allergies: Zithromax

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

Symptoms: Had expected fevers and chills day following vaccine. Started approximately 12 hours after shot and abated approximately 36 hours later. Of note, had a fever and chills when falling asleep night of 5/28 On 5/29 woke with specific chest pain localized to heart area. Waited approximately one hour to see if symptoms abated, then proceeded to ER to get checked out. EKG showed left branch block. Administration of Nitro and asprin alleviated chest pain. Was admitted to hospital for observation and testing to ensure heart functioning properly.

Other Meds: none

Current Illness: none

ID: 1350455
Sex: M
Age: 32
State: PA

Vax Date: 04/20/2021
Onset Date: 04/27/2021
Rec V Date: 05/26/2021
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: Exposure to COVID-19 virus Muscle or body aches Sore throat

Other Meds: docusate sodium (COLACE) 50 mg capsule hydrOXYzine HCL (ATARAX) 25 mg tablet lisinopriL (ZESTRIL) 10 mg tablet multiple vitamins (multivitamin) tablet tablet PARoxetine (PAXIL) 40 mg tablet

Current Illness:

ID: 1350456
Sex: F
Age: 19
State: NY

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/26/2021
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: Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Additional Details: pt complains of numbness/ tingling in arm of injection

Other Meds:

Current Illness:

ID: 1350457
Sex: F
Age: 27
State: NY

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
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 stood up within 5 minutes of recieving vaccine and fainted.

Other Meds:

Current Illness:

ID: 1350458
Sex: F
Age: 77
State: PR

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: Aspirina, Dipirona, Acido Mefenamico, Ibuprofen (derivados), Mariscos y Colorante artificial amarillo.

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

Symptoms: Patient showed copious rash and urticaria on the right arm (arm where the vaccine was injected)

Other Meds: Alprazolam, Dostinex, Calcio, Ranigitina, Carvedidol, Acido Folico, Desloratadina, Losartan, Euthyrox, Finasteride, Atorvastatina, Glucosamina, Nimodipina

Current Illness:

ID: 1350459
Sex: M
Age: 16
State:

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 05/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: AE: felt like patient was going to pass out Tx: no medication was given. water resolved the symptoms Outcome: Patient was discharged to POV/Home.

Other Meds:

Current Illness:

ID: 1350460
Sex: F
Age: 39
State: NY

Vax Date: 01/13/2021
Onset Date: 02/10/2021
Rec V Date: 05/26/2021
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: Unevaluable event

Symptoms: Headache, then a brain fog lasting months

Other Meds: Omeprazole

Current Illness: None

ID: 1350461
Sex: F
Age: 26
State: OH

Vax Date: 04/13/2021
Onset Date: 04/19/2021
Rec V Date: 05/26/2021
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: Penicillins, amoxicillin, doxycycline, bee venom, topamax

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

Symptoms: Heart palpitations, chest pain, chest tightness. Started to go away within two weeks without medication. Visited urgent care, primary care and cardiologist

Other Meds: Zyrtec, aurovela birth control

Current Illness:

ID: 1350462
Sex: F
Age: 31
State: WA

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
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: Systemic: Fainting / Unresponsive-Medium

Other Meds:

Current Illness:

ID: 1350463
Sex: F
Age: 23
State: IN

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

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever, cold sweats, headache, sore arm.

Other Meds: Celexa and Vienna birth control

Current Illness:

ID: 1350464
Sex: F
Age: 48
State: GA

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

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

Lab Data:

Allergies: NSAIDs, Latex, Imatrex, Relpax, insect stings, aspartame

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

Symptoms: 0905 tightening in chest, 0907 difficulty breathing-wheezing, grunting. Epi .3 mg x3 IM. Benadryl .25 po. 02 via nc at 3 LPM. EMS on arrival gave Predisone IM and 02 via face mask Pt was taken to the ER for treatment. Was started on BiPap overnight. Was discharged home the next day.

Other Meds: Maxide 75/50 daily, Potassium 20 meq daily, Lyrica 75mg daily

Current Illness: none

ID: 1350465
Sex: F
Age: 42
State: OR

Vax Date: 02/27/2021
Onset Date: 03/10/2021
Rec V Date: 05/26/2021
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: My period, which is normally very regular and predictable, has been completely thrown off since receiving the vaccine. It has never been more than 2 days late but since getting the vaccine, it has been one week late and 2 1/2 weeks late.

Other Meds:

Current Illness:

ID: 1350467
Sex: M
Age: 50
State: PA

Vax Date: 04/20/2021
Onset Date: 04/29/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Exposure to COVID-19 virus Dx Generalized Body Aches

Other Meds: cholecalciferol, vitamin D3, 25 mcg (1,000 unit) tablet COMBIGAN 0.2-0.5 % ophthalmic solution fluticasone propionate (FLONASE) 50 mcg/actuation nasal spray hydroCHLOROthiazide (MICROZIDE) 12.5 mg capsule lisinopriL (ZESTRIL) 20 mg tablet L

Current Illness:

ID: 1350468
Sex: F
Age: 50
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/26/2021
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: Pfizer-BioTech COVID-19 Vaccine EUA Shot 1: I had reported bleeding for 1 month. I went to doctor to rule out other reasons. Yes, highly a reaction to shot. Shot 2: THIS REPORT: now I haven't bled at all, plus other extreme symptoms. Like a rapid injection to go into menopause immediately! Side note: a family relative (early 30s) had a miscarriage soon after a shot. Please ** HALT VACCINES FOR GIRLS IMMEDIATELY ** Especially for UNDER 16; I'd even recommend STOP for under 40 In your emergency roll-out trials, you may have not seen an negative impact regarding fertility specifically (as those are the articles I keep coming across), HOWEVER THERE IS A NEGATIVE IMPACT on girls reproductive system!! Please ** HALT VACCINES FOR GIRLS IMMEDIATELY ** Please revisit your research and development. Remember shot was approved for emergency and NOT APPROVED. Please protect the girls. Remember, they are the ones that keep the human race going by having babies. Please ** HALT VACCINES FOR GIRLS IMMEDIATELY **

Other Meds:

Current Illness:

ID: 1350469
Sex: M
Age: 24
State: NY

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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: patient with immediate syncope with vaccination lasting less than 5 seconds. patient recovered with no recurrence. concomitant nausea without emesis and HA

Other Meds: none

Current Illness: none

ID: 1350470
Sex: M
Age: 70
State: MI

Vax Date: 03/12/2021
Onset Date: 05/21/2021
Rec V Date: 05/26/2021
Hospital: Y

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

Lab Data:

Allergies: Heparin: Other Imdur [Isosorbide Dinitrate]Unknown Nsaids Spironolactone

Symptom List: Injection site pain

Symptoms: 71-year-old male with history of lymphoma on chemotherapy and heart transplant in 2011 on immune suppressants presenting with fever, fatigue, cough, shortness of breath x4 days. Patient is afebrile upon arrival with otherwise normal vital signs. He did desaturate to 88% while at rest and was placed on 2 L nasal cannula. He has clear breath sounds bilaterally without any focal findings. Work of breathing is not increased and very stable in my opinion. He appears clinically euvolemic and denies history of heart failure. No wheezing warranting treatment beta agonist. Patient will require admission given his acute respiratory insufficiency, will need to discuss appropriate Campus placement with the Heart Transplant Service and anticipate he will require transfer to Grand Rapids. Given his reported dyspnea, EKG ordered. Will obtain routine screening labs, COVID-19 swab. With his reported fever, although not objectively present during this visit, and current immunocompromised state, will treat via the emergency department sepsis protocol and collect blood cultures. Fri May 21, 2021 1059 EKG with a normal sinus rhythm, rate of 88 beats per minute, no acute ischemic changes are noted. Patient has a right bundle-branch block. EKG is unchanged from that of January 21, 2021. BNP is 404, no chest pain to warrant cardiac biomarkers. [SR] 1113 COVID-19 is detected. [SR] 1125 CMP was sodium of 128, chloride 95, glucose 303, creatinine 0.87. Magnesium is 1.9. Phosphorus 2.1. Urinalysis with trace blood, no urinary tract infection. Urinalysis without urinary tract infection. [SR] 1147 INR subtherapeutic at 1.2. [SR] 1149 Received a critical result from lab, white blood cell count is 0.04, patient is by definition therefore neutropenic. Platelets are 21 K without reported active bleeding. Hemoglobin is 9.3. Have a call out to Oncology to discuss need for IV cefepime given the reported fevers at home although etiologies presumably viral with COVID-19 test. Further, I do not know if IV Decadron is appropriate given his profound neutropenia, especially having recently finished a high-dose course of 100 mg prednisone orally x5 days. [SR] 1150 CXR: Airspace opacities are seen involving both the lungs, more prominent in the right lung, as described above. These are likely due to consolidation/pneumonia. Viral pneumonia can also have similar appearance. Correlate clinically. [SR] 1218 Discussed case with Dr. from transplant team who agreed with admission to his service . He did recommend that I broaden his antibiotic regimen to include both IV vancomycin and IV cefepime. He recommended that I do provided dose of IV Decadron despite the neutropenia to treat his acute respiratory failure secondary to COVID-19. Still awaiting call back from Oncology. [SR] 1454 After multiple pages, I have not been connected to Oncology. Patient was transported by EMS. He will need a formal oncology consult upon arrival to admitting facility. [SR]

Other Meds: Hospital Medications aspirin chewable tablet 81 mg(Held by provider) atorvastatin (LIPITOR) tablet 10 mg bisacodyl (DULCOLAX) suppository 10 mg calcium citrate-vitamin D (CITRACAL) 315-250 MG-UNIT tablet 2 tablet cholecalciferol (VITAMIN D3

Current Illness: Hospital Diabetes mellitus due to underlying condition with hyperglycemia, without long-term current use of insulin (HCC) Status post heart transplant (HCC) COVID-19 COVID-19 in immunocompromised patient (HCC) Neutropenic fever (HCC) Acute respiratory failure with hypoxemia (HCC) Chronic deep vein thrombosis (DVT) of left popliteal vein (HCC) Chemotherapy induced neutropenia (HCC) Thrombocytopenia (HCC) Steroid-induced hyperglycemia Moderate protein-calorie malnutrition (HCC) Non-Hospital Mixed hyperlipidemia Essential hypertension, benign Hypogonadism male Hx of steroid therapy Other depression Aftercare following organ transplant Anticoagulated on Coumadin Deep vein thrombosis (DVT) of other vein of left lower extremity, unspecified chronicity (HCC) Osteopenia, unspecified location Immunosuppressed status (HCC) Abnormal stress echocardiogram Rhegmatogenous retinal detachment of left eye Overweight (BMI 25.0-29.9) Prostate cancer (HCC)

ID: 1350471
Sex: F
Age: 16
State: MA

Vax Date: 04/23/2021
Onset Date: 04/28/2021
Rec V Date: 05/26/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient has hyper eosinophilia and myositis, both of which are new and accompanied by severe leg cramping. This started shortly after her first Covid vaccine was given. Patient is being followed for repeat labs by PCP and seeing specialist at hospital.

Other Meds: No medications

Current Illness:

ID: 1350472
Sex: F
Age: 38
State: SC

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 05/26/2021
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: none

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

Symptoms: Body aches, muscles aches, tightness in the chest and pain. Little bit of asthma symptoms weezing a lot. Neck pain and feeling a rundown.

Other Meds: Zyrtec, singular, birth control, Flonase

Current Illness: none

ID: 1350473
Sex: F
Age: 85
State: IL

Vax Date: 04/17/2021
Onset Date: 05/02/2021
Rec V Date: 05/26/2021
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: Pt developed herpes zoster on the left side of her face and scalp.

Other Meds: Valsartan-hydrochlorothiazide, aspirin 81mg

Current Illness:

ID: 1350474
Sex: M
Age: 35
State: NJ

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/26/2021
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: Erythema, Pruritus

Symptoms: Systemic: Fainting / Unresponsive-Medium, Additional Details: immediately after administration of the first pfizer dose, patient started hovering over and saying I'm going down. Before I could respond immediately, he fell face first to the floor and got scraped on his nose and forehead

Other Meds:

Current Illness:

ID: 1350475
Sex: F
Age: 39
State: PA

Vax Date: 04/20/2021
Onset Date: 04/24/2021
Rec V Date: 05/26/2021
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: NKA

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

Symptoms: History Chief Complaint Patient presents with ? Fatigue all sx started saturday night ? Generalized Body Aches ? Sore Throat ? Headache Sinus pressue ? Chills ? Fever 100 this morning Patient is a 39 y.o. female HPI Had first vaccine last week. Pt presents with concerns of possible Covid 19. Pt reports the following symptoms that started 2 days ago. Sinus pain and pressure Yes Thought was allergies when first started. Fever/ chills Yes Headache Yes Body aches Yes Has fatigue Cough Yes Sob No Sore throat Yes Nausea/ vomiting/ diarrhea. No Loss of taste or smell No Medications used:Yes Tolerating fluids:Yes Tolerating. solids:Yes Smoke exposure:No Exposed to someone who tested positive for COVID 19: Yes History of asthma, bronchitis, pneumonia. No

Other Meds: levonorgestreL (MIRENA) 52 mg IUD multivit-min/ferrous fumarate (MULTI VITAMIN ORAL)

Current Illness:

ID: 1350477
Sex: M
Age: 17
State: TX

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Site: Bruising at Injection Site-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe

Other Meds:

Current Illness:

ID: 1350478
Sex: F
Age: 35
State: MD

Vax Date: 03/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/26/2021
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: Following the first, I got a respiratory illness for over a week. Following the second, I could barely walk and have not had a menstrual cycle since. I have missed my last 3 cycles. I have NEVER had an issue or missed before. I received 2 blood tests and was not pregnant, and neither show any reason to have missed it. I have no health issues, I am healthy, I just turned 36, have 2 healthy kids, exercise daily and eat properly. The only explanation for missed cycles would be the moderna shots I received.

Other Meds: None

Current Illness: None

ID: 1350479
Sex: F
Age: 14
State: OH

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 05/26/2021
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: None

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

Symptoms: Vaccine left Health District at 10:45 AM and was mixed and given to patient at 1:30 PM. This was 45 minutes outside of two hour window.

Other Meds: None

Current Illness: None

ID: 1350480
Sex: M
Age: 64
State: MN

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 05/26/2021
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: injection in arm became very painful and could not use my arm,within 2 weeks I could barely walk from groin pain and back pain

Other Meds: HYDROCLOROTHIAZIDE ,losartan potassium

Current Illness: no

ID: 1350481
Sex: F
Age: 28
State: NY

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
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: Pain in extremity

Symptoms: Shortly after receiving the 2nd dose of the Moderna vaccine, she was noted rubbing her eyes frequently. The observation RN walked over, and asked what was wrong, and the client stated her vision was blurry. She also reported she did not eat any breakfast this morning and she is approx. 2 months pregnant. Juice and graham crackers were offered and accepted. No improvement noted. Code Blue was activated and EMS was notified. The client also began scratching her upper body and complained of itchiness. EMS arrived and the client was transferred to Hospital via stretcher accompanied by EMS attendees.

Other Meds: N/A

Current Illness: N/A

ID: 1350482
Sex: M
Age: 27
State: FL

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Patient started to feel dizzy , skin color getting pale , cold hands , sweat , and was about to faint 5 minutes after administering the vaccine . pharmacist on duty grabbed the Epipen and blood pressure machine . patient blood pressure was 65/40 , patient started to feel better for couple minutes then he start to feel dizzy and to get same symptoms again , at this moment pharmacist injected the patient with Epipen as he stated he iwas fainting .patient denied to have any allergies , fear for needles or any health conditions . pharmacist kept watching and monitoring the patient till his blood pressure came back to 118/69. patient family came to pick him up .

Other Meds: no

Current Illness: no

ID: 1350483
Sex: F
Age: 16
State: FL

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 05/26/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Severe, Systemic: Vomiting-Mild, Additional Details: Patient temp at time of incident was 96.8. About 8 mintues after vaccination was given patient became pale and passed out for several seconds. Patient was dizzy and vomited. No other symptoms. Called paramedics to make sure patient was okay. Gave patient some water and spoke to patient until the paramedics arrived. Paramedics took her vitals and after while they cleared her. She was able to walk out on her own and went home with her father and brother.

Other Meds:

Current Illness:

ID: 1350484
Sex: M
Age: 60
State: PA

Vax Date: 04/20/2021
Onset Date: 04/27/2021
Rec V Date: 05/26/2021
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: PenicillinsOther (document details in comments)

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

Symptoms: Exposure to COVID-19 virus

Other Meds: amLODIPine (NORVASC) 10 mg tablet atorvastatin (LIPITOR) 20 mg tablet cod liver oil capsule coenzyme Q10 (CO Q-10) 10 mg capsule nystatin (MYCOSTATIN) powder

Current Illness:

ID: 1350485
Sex: F
Age: 33
State:

Vax Date: 05/23/2021
Onset Date: 05/23/2021
Rec V Date: 05/26/2021
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: AE: Syncope Tx: no medication given, monitored symptoms and checked vitals. Juice and water resolved the symptoms Outcome: Patient was discharged to POV/Home.

Other Meds:

Current Illness:

ID: 1350486
Sex: M
Age: 32
State: CT

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/26/2021
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: TMP-SMX

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On 5/22/2021, the patient, who was (and is) and inpatient at a healthcare facility, developed a fever to 101.4 F, had blood cultures drawn, and one bottle has grown Staphylococcus aureus (oxacillin-susceptible). No source for the bacteremia has been found.

Other Meds: ciprofloxacin, ferrous sulfate, melatonin, omeprazole, rifaximin, sertraline,

Current Illness: At the time of vaccination, hospitalized for decompensated cryptogenic cirrhosis.

ID: 1350487
Sex: F
Age: 45
State: MD

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient reports difficulty breathing. hives on chest . patient oxygen level 99% when checked the first time. Patient took Epi-pen at 8;08 am and 2nd dose epi-pen at 8:25 am. Arrival of 911 at 8:29 am. Patient transferred to Hospital.

Other Meds:

Current Illness:

ID: 1350488
Sex: F
Age: 53
State: MD

Vax Date: 04/11/2021
Onset Date: 04/14/2021
Rec V Date: 05/26/2021
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 allergies to meds, foods, or other products.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I had prickles down my legs and arms. I also got sun burn.

Other Meds: I am taking Prednisone and Benadryl.

Current Illness: No other illnesses.

ID: 1350489
Sex: F
Age: 69
State:

Vax Date: 02/25/2021
Onset Date: 04/30/2021
Rec V Date: 05/26/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Presents to ED with shortness of breath, history of COPD on home oxygen, noticed to progress over last 2 weeks. Patient was given IV corticosteroids and IV antibiotics then switched to oral once improved. Discharged on steroid taper and chronic antibiotics with follow up needed for left subclavian.

Other Meds:

Current Illness:

ID: 1350490
Sex: F
Age: 32
State: NC

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 05/26/2021
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: Moderna covid-19 vaccine eua Swollen knot in arm, not at injection site, maybe the lymph node listed in possible side effects. Soreness.

Other Meds: Metoprolol 25 mg Women's one a day vitamin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm