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: 1352750
Sex: F
Age: 22
State: TN

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/27/2021
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: Penicillin, kiwis, gluten

Symptom List: Dysphagia, Epiglottitis

Symptoms: Moderna COVID?19 Vaccine EUA Change in color and thickness of Vaginal discharge Period started 2 weeks early, very heavy

Other Meds:

Current Illness: Celiac?s Disease

ID: 1352751
Sex: F
Age: 16
State: CO

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 05/27/2021
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: Saline diluent used a second time for a second pfizer vial . No adverse events reported

Other Meds:

Current Illness:

ID: 1352753
Sex: F
Age: 43
State: TX

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/27/2021
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: NA

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

Symptoms: NURSE GAVE A .6CC INJECTION INSTEAD OF .3CC

Other Meds: NA

Current Illness: NA

ID: 1352754
Sex: F
Age: 38
State: TX

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: NURSE GAVE A .6CC INJECTION INSTEAD OF .3CC

Other Meds: NA

Current Illness: NA

ID: 1352755
Sex: M
Age: 23
State:

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Aching intermittent Left-sided CP x 2-3 hours, started while sitting today, radiates to Lt shoulder, deep breath makes worse; J&J COVAX yesterday.23 yo m presents with chest pain that radiates to lt shoulder, chills last night. J&J COVAX yesterday

Other Meds: UNK

Current Illness: Depression

ID: 1352756
Sex: M
Age: 58
State: TX

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/27/2021
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: NA

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

Symptoms: NURSE GAVE .6CC INJECTION INSTEAD OF .3CC

Other Meds: NA

Current Illness: NA

ID: 1352757
Sex: M
Age: 20
State:

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/27/2021
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: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: PT states getting J/J vaccine on tuesday, states lightheadedness and nausea today with headache and fever yesterday. 20-year-old male who reported to the emergency room with symptoms consistent with resolving side effects of coronavirus vaccine and/or mild dehydration. Patient's nausea resolved after 4 mg of Zofran and he subjectively felt better after 1 L of normal saline hydration.

Other Meds: UNK

Current Illness: N/A

ID: 1352758
Sex: F
Age: 56
State: CA

Vax Date: 05/14/2021
Onset Date: 05/24/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pharyngeal swelling

Symptoms: I started having hives 10 days after the shot - about midnight. It has been spreading around my body, changing locations, but has now lasted for almost 48 hours. Last night it was around my ears, eyes and mouth, the first night around my bra and panty lines. Today it is affecting mostly my arms and hands. I'm not having any difficulty breathing, but I have noticed that my Raynauds has worsened since I got the shot. It was very bad of course when I had the chills and shakes 12 hours after being vaccinated. I am taking Benadryl and my doctor said she could prescribe me zyrtech so that I can work. I can't wear any clothes because any contact seems to make the hives worse.

Other Meds: Calcium, vitamin B&D - sometimes echinacea and turmeric

Current Illness: none

ID: 1352760
Sex: F
Age: 19
State:

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

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

Lab Data:

Allergies: IODINE

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: PT states getting the COVID vaccine moderna x2 days ago with dizziness, nausea, and light headedness starting yesterday night. 19-year-old female comes to emergency room for 48 hours of nausea, vomiting and headache. Her examination was not concerning for bowel obstruction or serious underlying bacterial infection. She is subjectively improved after 2 L of normal saline hydration and Zofran 4 mg.

Other Meds: None

Current Illness: Low Back Pain.migraines

ID: 1352761
Sex: F
Age: 37
State: OR

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/27/2021
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 known

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Night of receiving 2nd dose of vaccine, 5/11/21, awoke in the middle of the night with nausea, extreme restlessness, anxiety, and had minimal, fitful sleep with nightmares. Experienced extreme fatigue, low mood, notable body aching and pains, and slight nausea the following day, 5/12/21, and continuing intense dreaming that evening. Experienced abnormally intense dreams every night for at least one week following the night of receiving 2nd dose of the vaccine on 5/11/21. Experienced increased feelings of depression and anxiety every day for at least two weeks following the day of receiving 2nd dose of vaccine (continuing up until now, current day of 5/26/21). No treatment obtained for any adverse effects experienced, other than taking Ibuprofen to relieve aches and pains the first two days after receiving vaccine dose.

Other Meds: Venlafaxine; B-50 Complex; Calcium/Magnesium; Vitamin D.

Current Illness: None

ID: 1352762
Sex: F
Age: 38
State:

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

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

Lab Data:

Allergies:

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

Symptoms: itchiness and hives

Other Meds:

Current Illness:

ID: 1352763
Sex: F
Age: 64
State: CA

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 05/27/2021
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: 0

Symptom List: Rash, Urticaria

Symptoms: Chills, pain behind eyes, fever, body aches, nausea, vomiting, diarrhea, chest restriction, bloating, fatigue

Other Meds: 0

Current Illness: 0

ID: 1352764
Sex: M
Age: 39
State: CA

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 05/27/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: March 22nd: ~6pm: Received 2nd dose of Pfizer Vax. March 23rd: ~12am: Started to notice irregular heartbeats. Used iWatch ECG feature and confirmed irregular heart beats. March 24th: 11pm: Went to urgent care for 12 lead EKG. EKG showed signs of PAC and referred me to see cardiologist for further follow-up March 25-April 13th - Irregular heart beat episodes can last from 15 min - 12 hours. Period between episodes varies from few hours to several days. April 14: Met with healthcare provider at healthcare facility. He prescribed an event monitor, stress test, and echocardiogram April 21: Started wearing heart monitor (ZioXT). During 2 week wear period, experienced several episodes. Monitor results showed 1st degree AV Block, SVT, Atrial Flutter (<1% burden), 2nd degree AV Block - Mobitz I May 19: Return to healthcare facility for stress test, and echocardiogram. During stress test, experienced SVT. doctor referred me to another doctor for further evaluation. Doctor recommended cardiac MRI - scheduled for Jun 7, 2021

Other Meds: none

Current Illness: none

ID: 1352765
Sex: F
Age: 31
State: ID

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 05/27/2021
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: My first done was April 27 and my second dose was May 25. Both times I was on my period. However, my current period came much lighter the previous period.

Other Meds: Multivitamins

Current Illness:

ID: 1352766
Sex: M
Age: 67
State: TX

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 05/27/2021
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: none

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

Symptoms: eosinophilia, cardiac tamponade/ pericarditis. Pericardial fluid was eosinophilic. One month later, he developed patchy pulmonary infiltrates.but biopsy was not obtained and ANCA was negative.

Other Meds: none

Current Illness: none

ID: 1352767
Sex: F
Age: 39
State: FL

Vax Date: 04/14/2021
Onset Date: 05/18/2021
Rec V Date: 05/27/2021
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: Prolonged menstrual bleeding, unstoppable with blood clods.

Other Meds:

Current Illness:

ID: 1352768
Sex: M
Age: 71
State: WA

Vax Date: 04/21/2021
Onset Date: 05/13/2021
Rec V Date: 05/27/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

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

Symptoms: Shingles. Herpes Zoster. Reactivation of varicella-zoster virus along C8 dermitome left side. Responded to valacyclovir HCL 1 gram tablets 3x daily for 7 days.

Other Meds: None.

Current Illness: None.

ID: 1352769
Sex: F
Age: 35
State: CA

Vax Date: 04/21/2021
Onset Date: 05/05/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Mild deltoid pain with arm movement and muscle contraction persisting to more than 5 weeks post-vaccination.

Other Meds: Occasional Prenatal Vitamin

Current Illness: Mild cold & cold sore

ID: 1352770
Sex: M
Age: 34
State:

Vax Date: 05/26/2021
Onset Date: 05/26/2021
Rec V Date: 05/27/2021
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: Feeling like passing out. Evaluated by EMS-Refusal to transport.

Other Meds:

Current Illness:

ID: 1352771
Sex: F
Age: 58
State: FL

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

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

Lab Data:

Allergies: Never

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

Symptoms: Breaking out in hives a little Every evening since getting the 2nd shot

Other Meds: Contrave

Current Illness: No

ID: 1352772
Sex: F
Age: 51
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 05/27/2021
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

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

Symptoms: After shot injection my left arm was extremely sore then soon after that my left arm including my armpit and side of left breast and my left arm from armpit to elbow became extremely painful to move as if it was muscle strain. Any kind of movement is painful some days are mild and other days are severe. I have gone to seek chiropractic treatment with some relief but here I am 6 weeks later and still having same pain. I use topical pain relief gels and take ibuprofen. .. the next day after injection I did become extremely tired for 2 days but some mild to mod headaches but those have since gone away. I still dont know what else to do with the on going arm pain.

Other Meds: Did not take any of my prescriptions or over the county medications only vitamins, b, c, d and collogen

Current Illness: no

ID: 1352774
Sex: F
Age: 89
State: FL

Vax Date: 05/12/2021
Onset Date: 05/27/2021
Rec V Date: 05/27/2021
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: None

Symptom List: Unevaluable event

Symptoms: Acute basilar artery occlusion resulting in CVA: Patient presented as a stroke alert with rapid onset of altered mental status with nonsensical speech, followed by aphasia. Initial NIH of 20. No history of stroke. No history of COVID.

Other Meds: Amlodipine 5 mg QD Aspirin 325 mg QD Lipitor 40 mg QD Lisinopril 40 mg QD

Current Illness: None reported. Patient was baseline functional.

ID: 1352775
Sex: F
Age: 65
State:

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Headache, joint pain, throat hurt, chills, and fatigue for 2 days.

Other Meds: Tramadol 50mg, cymbolta 60 mg

Current Illness: None

ID: 1352776
Sex: F
Age: 73
State: OR

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 05/27/2021
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: Levaquin

Symptom List: Injection site pain, Pain

Symptoms: About 10 to 15 minutes after the injection, I had a slight pressure on the right side of my neck that went up to my right jaw, and up in front of my right ear and up to my cheekbone. That pressure lasted the rest of that day. When I went to bed around 10:30 pm, I took one 325mg tylenol. In the morning, the pressure was still there but lessened. It continued on and off the second day but by nighttime was mostly gone.

Other Meds: clobetasol, Vitamin D3, AREDS, BiotinLevaquin

Current Illness: None

ID: 1352777
Sex: M
Age: 46
State:

Vax Date: 05/04/2021
Onset Date: 05/10/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: Metronidazole (flagyl ) medicine group. Had severe analysis reaction in 2018 by above group antibiotics.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Dizziness started after 9-10 days of receiving 2nd shot which is not going away till today. PL help what should I do to cure it. Thank you.

Other Meds: None

Current Illness: None

ID: 1352778
Sex: F
Age: 41
State: IL

Vax Date: 05/23/2021
Onset Date: 05/25/2021
Rec V Date: 05/27/2021
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: N/A

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

Symptoms: Left arm pain, a light throbbing chest pain near arm pit throughout the 2nd and 3rd day after shot.

Other Meds: Vitamin D Iron Pills EmergenC

Current Illness: N/A

ID: 1352779
Sex: M
Age: 22
State: SC

Vax Date: 05/24/2021
Onset Date: 05/25/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: chills, hot flashes that have persisted for more than 2 days, extremely hot/sweaty, constant headache/soreness at injection site.

Other Meds: Methadone (62mg) (at time of vaccine)

Current Illness: none

ID: 1352780
Sex: F
Age: 32
State: CA

Vax Date: 04/06/2021
Onset Date: 05/03/2021
Rec V Date: 05/27/2021
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: Sulfas

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Stillbirth at 39 weeks and 3 days

Other Meds: None

Current Illness: Nond

ID: 1352781
Sex: F
Age: 20
State: AZ

Vax Date: 04/27/2021
Onset Date: 05/23/2021
Rec V Date: 05/27/2021
Hospital: Y

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: NKDA

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

Symptoms: Headache onset 3-4 days after vaccine on 4/27/21. Subsequently developed visual changes (right homonymous hemianopsia/visual field cut) on 5/23/21 and presented to ED, diagnosed with cerebral venous thrombosis (left transverse, sigmoid and internal jugular thrombosis). On initial labs also had thrombocytopenia and mild leukocytosis.

Other Meds: Levothyroxine Ortho novum OCP Wellbutrin

Current Illness: treated for possible sinus infection

ID: 1352782
Sex: F
Age: 57
State: CA

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Nausea

Symptoms: 7 days so far of swollen left armpit gland 7 days so far of morning or evening headache General fogginess

Other Meds: Fluticasone Zetia Estradiol .05 Alvesco inhaler Medroxypr

Current Illness: None

ID: 1352783
Sex: F
Age: 37
State: WA

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 05/27/2021
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: None

Symptom List: Injection site pain

Symptoms: Heart beat racing . Severe palpitations. Mri done after several visits to be told i had Myocardiatis.

Other Meds: None

Current Illness: Had a small stomach bug in January.

ID: 1352785
Sex: F
Age: 57
State: HI

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 05/27/2021
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: Vacine administered on 8 April 2021. Adverse event began at 8 PM ops 10 April 2021. Loud ringing sound woke me up in the evening. Subsequently diagnosed as tinnitus. No prior history of condition. Ringing has been constant, with some days worse than others. Difficul to concentrate, increased anxiety at times.

Other Meds: Nothing

Current Illness: Bladder infection that was undiagnosed at time of vaccination, impacted left ear wax undiagnosed at time of vaccination.

ID: 1352786
Sex: F
Age: 64
State: OR

Vax Date: 04/30/2021
Onset Date: 05/07/2021
Rec V Date: 05/27/2021
Hospital: Y

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: On 5/7, she developed fatigue, chills, palpitations. She felt unwell and presented to the ED on 5/12.

Other Meds: Rosuvastatin, Omega 3, Aspirin, Hydrochlorothiazide, and multivitamin

Current Illness: After Initial 4/1 Moderna, she had fever and felt ill for around a week after.

ID: 1352787
Sex: F
Age: 38
State: TX

Vax Date: 04/15/2021
Onset Date: 04/29/2021
Rec V Date: 05/27/2021
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: Shellfish

Symptom List: Tremor

Symptoms: Diagnosed shingles. No prior health issues or immune compromising conditions.

Other Meds: Vitamins and probiotics

Current Illness: None

ID: 1352788
Sex: F
Age: 34
State: OK

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/27/2021
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: Influenza Vaccine Ceftin Dilaudid Imitrex Wellbutrin

Symptom List: Erythema, Pruritus

Symptoms: PITTING EDEMA BLE, HEART PALPITATION

Other Meds: Desmopressin 0.1% Gabapentin 300mg Synthroid 50mcg Doxepin 100mg Vitamin D 10,000u

Current Illness:

ID: 1352789
Sex: F
Age: 52
State: CA

Vax Date: 03/18/2021
Onset Date: 04/01/2021
Rec V Date: 05/27/2021
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: None known

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

Symptoms: My ears haven?t stopped ringing since I got the vaccine. It?s the first noise I hear in the morning it?s the last noise I hear before I fall asleep and every waking moment between, it?s maddening. I can?t take it. It?s anxiety causing and so disruptive I can barely concentrate or sleep, it?s louder than every ambient noise. While the vac may or perhaps not be the cause, getting the J&J vaccine is the only thing in this timeline that I can pin point. There have been no other changes in my life that would indicate it came from anywhere else. What can I do to make it stop. I can?t imagine living the next 40 years of my life this way, it?s unbearable. Had I known this may have been a side effect I never would have done it. I lived through the peak of Covid but I don?t know how I?ll live productively with this plaguing ringing in my ears. Please suggest a remedy, if you know of one. Signed, terribly regretful.

Other Meds: Multi vitamin, zinc magnesium calcium, vitamin d, e, b complex, Ocuvite, Sambucas.

Current Illness: None

ID: 1352790
Sex: F
Age: 62
State: FL

Vax Date: 05/20/2021
Onset Date: 05/27/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Woke in a.m. with heavy pressure pain mid chest and struggling to breathe, massive headache, could barely walk. Got up and thought I'd better sleep somehow so tried to find best position to allow me to breathe with less pain. Up/down several times, finally got to sleep.

Other Meds: None

Current Illness: None

ID: 1352791
Sex: M
Age: 19
State: IA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 05/27/2021
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: Zanton

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Extreme Chest pain in heart region, 103 degree fever, extreme chills, nausea, and high heart beat

Other Meds:

Current Illness:

ID: 1352792
Sex: F
Age: 32
State: TX

Vax Date: 04/28/2021
Onset Date: 05/09/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vitiligo -auto immune issue (never had it before)

Other Meds:

Current Illness:

ID: 1352793
Sex: F
Age: 31
State: NE

Vax Date: 02/26/2021
Onset Date: 03/11/2021
Rec V Date: 05/27/2021
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: Latex, Cephalexin, codeine

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

Symptoms: Had a very early menstruation within 10 days of the previous menstruation when period has been regular and tracked for years using an app. In additon it was a very heavy cycle and very painful. Now I've not had menstration for 40 days. After multiple at home pregnancy tests. I went to a physician and was tested and results are negative for pregnancy. She stated she is seeing multiple patients who are having multiple periods early or no periods and has asked me to report my experience to CDC.

Other Meds: Spirinolactone, escitalopram, d3, b12

Current Illness: N/A

ID: 1352794
Sex: F
Age: 28
State: CA

Vax Date: 05/25/2021
Onset Date: 05/26/2021
Rec V Date: 05/27/2021
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

Symptom List: Pain in extremity

Symptoms: About 1 day after receiving my second dose of the moderne shot, my left arm where I got the shot started to get warm, itchy, swollen and red. 7 days after receiving my first dose of moderna I had the same adverse reaction.

Other Meds: Ritual postnatal vitamins

Current Illness: None

ID: 1352795
Sex: F
Age: 4
State: NV

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies: Nothing that I am aware of

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

Symptoms: High fever 105. on and off. fever being treated with Tylenol and Motrin rotation. Fever does respond to the tylenol for 3 hours. Patient does have a history of high fevers when sick and has experienced a febrile seizure in the past. Patient is experiencing fatigue. body aches (Soreness in both arms as expected). Since the fever has been under control there has been no need for a ER visit at this time. However if her fevers continue over the next 24 hours I will follow-up.

Other Meds: None

Current Illness: No

ID: 1352796
Sex: F
Age: 40
State: UT

Vax Date: 05/12/2021
Onset Date: 05/13/2021
Rec V Date: 05/27/2021
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: Amoxicillin

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

Symptoms: My first shot came with full body hives, sweats, and I slept for three days straight. Felt normal in a little over a week. My second shot, I work up the next morning with one of the worst headaches I've ever had. I started to develop a fever. 101.5. It spiked at 102. The fever was off and on for three days. I couldn't stop sleeping. I could only stay awake for a couple of hours at a time. That lasted for four days. Now today marks the two week anniversary and I can only stay awake for six or seven hours at a time, then I'll sleep for seven or eight, and repeat. I am SO tired I can barely function. I talked to a doctor friend who suggested I file a report here. I don't have health insurance and can't go to the doctor.

Other Meds: None

Current Illness: None

ID: 1352797
Sex: F
Age: 48
State: GA

Vax Date: 04/01/2021
Onset Date: 04/26/2021
Rec V Date: 05/27/2021
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: Penicillin

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

Symptoms: I began have episodes of severe vertigo and dizziness 4 days post vaccination. They are unresponsive to typical medications used for vertigo.

Other Meds: None

Current Illness: None

ID: 1352798
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 05/25/2021
Rec V Date: 05/27/2021
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: Latex

Symptom List: Vomiting

Symptoms: Fever, chills, chest pain, upper abdominal pain, aches, dizziness, weakness, joint pain, fatigue

Other Meds: Vitamin d

Current Illness:

ID: 1352799
Sex: F
Age: 58
State: CA

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 05/27/2021
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: sulfa, reglan

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever, myalgia, fatigue

Other Meds: Budesonide (UCERIS) 9 mg Oral TaDE ER Tab Take 1 tablet by mouth every morning for 3 weeks, then follow direction on the 3MG tablets. ? Lactobacillus Rhamnosus GG (CULTURELLE) 15 billion cell Oral Sprinkle Cap Take 1 capsule by mouth daily

Current Illness: mets ovarian cancer

ID: 1352800
Sex: F
Age: 63
State: CA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 05/27/2021
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: sulfa

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

Symptoms: Side effects started about 8 hours after injection. Included fever of 101.9, sore right arm, achy and very tired. Fell asleep about 8pm on 3/29/21 with the TV on. Was laying on my left side. Woke up around 11pm and could not hear the TV very well. I sat up and realized I could now hear fine. Covered my left ear and again could not hear very well. Because I felt terrible I just went back to sleep. The next day I slept almost the entire day, not really eating or drinking anything. On the 31st I noticed that I had a high-pitched hum in my right ear and a feeling of a clogged ear. I had a terrible headache that went away after I ate and drank something. I thought the ear issues were just related to lymph nodes being impacted by the vaccine.

Other Meds: Levothyroxine 88mcg, multi vitamin, zinc

Current Illness: none

ID: 1352801
Sex: F
Age: 22
State: TX

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 05/27/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Currently can?t get warm with body chills/shakes but probably have a fever. Headache and nausea. Took 2 ibuprofen 200mg/ea at 0130

Other Meds: Lo loestrin Fe @ 2117 Advil @ 0130

Current Illness: On menstrual cycle at time of vac admin

ID: 1352938
Sex: U
Age:
State: CA

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: No additional AE; expired dose of VAQTA administered to a patient; Date of excursion: 20-JAN-2021; Temperature 46.2F; This spontaneous report was received from a registered nurse and refers to a patient of unknown age and gender. The patient's pertinent medical history, drug reactions, allergies and concomitant medications were not reported. On 05-MAY-2021, the patient was vaccinated with an expired and improperly stored dose of hepatitis a vaccine, inactivated (VAQTA) 50U/1ml, lot # reported as T014590, with expiration date 15-APR-2021 (both confirmed to be valid), 1 dose form for prophylaxis. The temperature excursion was 46.2 degrees Fahrenheit (F) for 10 minutes which occurred on 20-JAN-2021. There were no previous excursions reported. The digital data logger was not involved. No additional adverse events were reported. combinationproductreport: Yes; brandname: VAQTA SYRINGE (DEVICE); commondevicename: Hepatitis A Vaccine, Inactivated; productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: T014590; expirationdate: 15-APR-2021; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet the criteria for Reportability

Other Meds: VAQTA SYRINGE

Current Illness:

ID: 1352939
Sex: M
Age: 46
State: PA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 05/27/2021
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:

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

Symptoms: no adverse event; Practice manager calling to report that an expired vaccine was administered to a patient; This spontaneous report was received from an office manager, concerning a 46-year-old male patient. No information was provided regarding the patient's pertinent medical history, concomitant medications and drug reactions or allergies. On 11-MAY-2021, the patient was vaccinated with hepatitis a vaccine, inactivated (VAQTA) pre-filled syringe (lot number T014590, which was verified to be a valid lot number, expiration date reported and upon internal validation established as 15-APR-2021), as prophylaxis (dose, frequency, route of administration, anatomical location and vaccination scheme were not reported) (expired product administered). Additionally, it was reported the vaccine was not part of a temperature excursion. No additional adverse events were reported. combinationproductreport: Yes; brandname: VAQTA SYRINGE (DEVICE); commondevicename: Hepatitis A Vaccine, Inactivated; productcode: FMF; devicetype: SYRINGE, PISTON (FMF); manufacturername: Merck Sharp & Dohme Corp.; devicelotnumber: T014590; expirationdate: 15-APR-2021; deviceage and unit: 0 ; malfunction: Unknown; deviceusage: Initial; reasonfornoneval: 81 Other; labeledsingleusedevice: No; mdcpreportability: No; mdcpreprationale: Case information does not meet criteria for reportability

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm