VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1354763
Sex: F
Age: 45
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: uncontrollable chills, fever, headache, fatigue, lack of appetite, foggy head

Other Meds:

Current Illness:

ID: 1354764
Sex: M
Age: 28
State: AZ

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

Symptom List: Anxiety, Dyspnoea

Symptoms: Starting feeling dizzy, then extreme chills/shakes, followed by low grade fever. Fever broke during sleep, and pain in left arm.

Other Meds: Levetriacetam 250mg tabs

Current Illness: N/A

ID: 1354765
Sex: F
Age: 58
State: KY

Vax Date: 04/01/2021
Onset Date: 05/27/2021
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: nkda

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

Symptoms: hospitalized with covid one month post vaccination-1st dose.

Other Meds: warfarin, torsemide, renvlea, pravastatin, omeprazole, melatonin, synthroid, vistaril, gabapentin, folic acid, fluticasone, vit d3, cetrizine

Current Illness: ESRD, HYPOTHYROID, ANEMIA, HYPERKALEMIA

ID: 1354766
Sex: F
Age: 44
State: MI

Vax Date: 05/24/2021
Onset Date: 05/25/2021
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: Claritin, motrin, Levaquin, aspirin, all kinds of pepper, spices, watermelon, figs, peaches, environmental allergy, pollen,...

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Numbing in mouth jaw & gum, breathing wheezing problems, shortness of breath, irritations, skin & tongue burning, messed up my monthly period, swollen eyes, swollen lymph nodes, swollen face & mouth..heart achs & discomfort.

Other Meds: Zyrtec 10mg.

Current Illness: None.

ID: 1354767
Sex: M
Age: 69
State: SC

Vax Date: 05/20/2021
Onset Date: 05/21/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Approx 24 hrs after receiving vaccination , EE became n/v, upset stomach, dizzy, bp increased, weak, Had covid approx 4 1/2 months prior and received antibodies approx 4 months earlier.

Other Meds: none

Current Illness: none

ID: 1354768
Sex: F
Age: 48
State:

Vax Date: 05/25/2021
Onset Date: 05/25/2021
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:

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

Symptoms: Patient complained of abrupt onset of dizziness after 1st dose of pfizer vaccine, BP 169/109 P75 RR22, 02 saturation 100%, lungs clear, no dyspnea, no cyanosis, heart sounds normal, last ate at 1030am. Pt off her bystolic med for 5 days her cardiologist is aware. 2nd reading BP 155/109, pt called cardiologist office was instructed to pick up meds and restart today. Pt asymptomatic as long as she doesn't stand, declined ER eval as suggested by RN.

Other Meds:

Current Illness:

ID: 1354769
Sex: F
Age: 26
State:

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Extremely painful menstrual cycle. Typically there is little to no pain but the night after the first shot, I was in so much pain I almost threw up.

Other Meds: None

Current Illness: None

ID: 1354771
Sex: M
Age: 30
State: CA

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Per patient, he has a history of fainting with immunization. Pt felt dizzy after shot was given. Pt was given water and snack to eat while being monitored. Heat may have been on contributing factor. Patient felt nauseous and threw up about 15 minutes after shot was given. Patient stated he felt better as soon as he threw up. Patient was accompanied by spouse. After more than 30 minutes of being monitored, patient was able to go home to rest.

Other Meds:

Current Illness:

ID: 1354772
Sex: M
Age: 17
State:

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient complained of diaphoresis and dizziness. At 1803, BP 111/71, HR 60, R 14, O2 sat 97%, T 98.0. Patient was taken to another room to lay down on a stretcher. Patient was given water. BP 116/74, HR 59, R 16, O2 sat 99%, T 97.5. After, patient stated he was feeling fine and was able to stand for 2 minutes without dizziness. Patient was discharged to father.

Other Meds:

Current Illness:

ID: 1354773
Sex: F
Age: 73
State: FL

Vax Date: 02/13/2021
Onset Date:
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient stated that a few days after taking the vaccine she started to feel a swelling in her collar bone by the shoulder. Felt like a lump but very soft. She stated it feels like there is a liquid in it but doesn't hurt. She also stated it feels like a piece of fat but it was only noticed after she took the vaccine. No other c/o fever, body aches, chills, sob, cough. Due to this reaction patient contacted her PCP shortly after taking the 2nd vaccine where she was then evaluated under her armpit for any other lumps and the MD informed her that it will go away. Blood work was done at that time which came back normal. As of 5/26/21 patient still has this lump feeling. She went back to her pcp where she was informed that she needs to get a ultra sound done to see exactly what the lump is. No medications were taken, patient had no pain.

Other Meds: CALCIUM VIT B12 LISINOPRIL METOPROLOL TIMOLOL EYE DROPS ESCITALOPRAM ALENDRONATE

Current Illness:

ID: 1354774
Sex: M
Age: 26
State: MA

Vax Date: 05/27/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: 9:05am pt had just received 1st dose Pfizer vaccine and lost consciousness at the table with seizure like activity. Pt was lowered to floor with assistance of several staff members. Pt very diaphoretic with decrease in skin color. Didn't hit head. Pt mother called per pt request and states him having no hx of seizures and NKA. BP 94/60 and HR 84. 9:20 am pt assisted to stretcher with heavy assist. 9:24am A&O when EMS unit arrived to transport pt to hospital for further evaluation and care.

Other Meds:

Current Illness:

ID: 1354775
Sex: F
Age: 25
State: WA

Vax Date: 04/27/2021
Onset Date: 05/10/2021
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: None.

Symptom List: Rash, Urticaria

Symptoms: Guttate Psoriasis, small red/pink spots all over abdomin, given steroid cream from GP, have not completed treatment, unable to keep under control at this time.

Other Meds: Nexplanon.

Current Illness: None.

ID: 1354776
Sex: F
Age: 80
State: NC

Vax Date: 02/12/2021
Onset Date: 02/12/2021
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: Immediately after receiving her second Moderna vaccine, patient states that she felt a tightness in her chest. No shortness of breath noted. She did not tell anyone at the clinic, but went home to rest. She states that immediately after vaccine, she began to have cough, chest congestion and tightness. Two days later, she went to PCP for evaluation. The Dr diagnosed her with pneumonia and prescribed treatment of antibiotics, steroids and albuterol. Per patient, she has gone back to see the Dr four times and been on treatments continuously. She was referred to Pulmonologist and was seen on 4/14/21. She states that the insignificant nodules that were previously in her lungs were more pronounced. She continues to have cough and chest congestion. No fever has been noted. She will follow up with pulmonologist in July 2021. Patient states that she feels like she still has pneumonia.

Other Meds: Metapropolol, Aspirin, Lisinopril, Vit D

Current Illness: No

ID: 1354777
Sex: F
Age: 47
State: MA

Vax Date: 02/18/2021
Onset Date: 02/23/2021
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: none

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

Symptoms: each time I started with a strong headache and head pressure within 2 hours of the vaccine, and felt "off" for 24 hours (a little dizzy, a little nauseous, exhausted)

Other Meds: Vitamin B12 Iron+Vitamin C Vitamin Adderall 10mg 1x/day

Current Illness: anemia diagnosed 2/26/21

ID: 1354778
Sex: M
Age: 56
State: MA

Vax Date: 03/05/2021
Onset Date: 03/16/2021
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: NKDA

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

Symptoms: Presented with recurrent pericarditis 1-2 weeks after first Moderna dose, treated with NSAIDs and colchicine. NSAID dose tapered with clinical improvement. Got second dose of Moderna and pericarditis symptoms re-worsened, necessitating increasing dose of NSAIDs. TTE showed suggestions of constrictive pericarditis (new at least since acute pericarditis episode in 2019)

Other Meds: ASA 81, famotidine, lisinopril, atorvastatin

Current Illness:

ID: 1354779
Sex: F
Age: 34
State: MI

Vax Date: 05/17/2021
Onset Date: 05/27/2021
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: alka-seltzer, aspirin

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

Symptoms: Delayed hypersensitivity reaction at vaccine site (redness, warmth, mild swelling, itching)

Other Meds: Prenatal Combined oral contraception pill

Current Illness: none

ID: 1354780
Sex: U
Age: 42
State:

Vax Date: 04/11/2021
Onset Date: 04/11/2021
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:

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

Symptoms: 42-year-old female with history of bipolar disorder presents with allergic reaction. Patient states she received the Johnson and Johnson vaccine and subsequently developed itching and scratchiness in her throat on 4/11/21 and developed hives. Felt as though throat was closing. . Denied ever having any shortness of breath or difficulty breathing. Patient was given steroids epinephrine and Benadryl and transported to the hospital. Proceeded to ED and given Epi 0.5mg and Benadryl 50 mg PTA. Discharged and instructed to go to ED if ASAP if develop new/worsening symptoms and follow-up with PCP within next 24-48 hours. Patient denies any complaints at this time. States she never had a rash and denies any shortness of breath difficulty breathing. Denies any chest pain. Denies abdominal pain nausea vomiting or diarrhea and denies any urinary symptoms including urgency frequency or dysuria.

Other Meds:

Current Illness:

ID: 1354781
Sex: F
Age: 53
State: AS

Vax Date: 05/25/2021
Onset Date: 05/25/2021
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: She has food allergies w/similar anaphylactoid like reactions She has food allergies w/similar anaphylactoid like reactions to eggs, peanuts and fish and an allergy to pollens. No allergy to animals and no allergy to latex. An allergy to drugs PCN, Emycin, Biaxin, Amoxicillin, Tetracycline, flaggyl, IVP dye/Iodine, and after last flu vaccine. HPI: This 53 yo dependant female wanted Covid vaccine. She has hx of MS and is on Ocrevus infusions last given 5 months ago at civilian neurologist. Next dose/infusion due in 1 month. She has hx of MS and is on Ocrevus infusions last given 5 months ago at civilian neurologist. Next dose/infusion due in 1 month. She reports history of numerous "allergic reactions" of instant red rash all over body, throat closure sensation, occasional headaches and other s/s (can't recall all of them) after receipt of PCN, Emycin, Biaxin, Amoxicillin, Tetracycline, flaggyl, IVP dye/Iodine, and after last flu vaccine. She has food allergies w/similar anaphylactic like reactions to eggs, peanuts and fish. She has seasonal pollen She denies hx of covid disease.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 5/25/2021: Patient checked in to Immunization for Pfizer Covid Vaccine Dose #1 (LOT EW0183 EXP 08/21) at 1254 then sent to observation area after vaccine administration. Shortly after receiving the dose of Pfizer covid vaccine, patient had complaint of itchiness. Observer went to notify Nurse. Nurse noted patient began to have trouble talking and difficulty swallowing and breathing. EPIpen was immediately administered to Right Thigh (0FM500 exp May 22) at 1325. Patient states she has history of Anaphylaxis with Influenza vaccine and a "list" of medications. Patient then stated that immediately after receiving the COVID vaccine, when itchiness began she self-medicated with 25mg of Benadryl PO when she alerted the Observer of the itchiness. Code was called at 1331 and transported to ED for further treatment and evaluation (via wheelchair as awake, alert and oriented). Nurse from Immunizations went with Code team member to transport patient to ED when 2nd Epipen (0FM407 EXP FEB22) was administered with direction of MD in elevator after patient began having tightness in chest and grabbing throat. Patient care transferred to ED. Code cleared at 1348. 5/26/21: Follow up: This 53 yo stated within 5 min after yesterdays vaccination she was itching all over and felt hot and skin bumpy (rash). She took a benadryl and told staff and they gave her total of 2 epi pens due to c/o hoarse thick feeling in throat, SOB, chest tightness, (states this reaction was much faster than past reactions to other medications). Today she is doing well, no further itching, redness, tight throat, no SOB/CP and reports no fevers, HA, arthralgia, muscle aches or site irritation post vaccination. She is continuing the 3 medications given on discharge (steroid, 2 antihistamines) and is drinking lots of water to flush her system. She has family in the house with her.

Other Meds: Ocrelizumab (Ocrevus) infusion every 6 months - Synthroid 50 m, Ocrelizumab (Ocrevus) infusion every 6 months, Synthroid 50 mcg PO Daily, Gabapentin 600mg 3x daily, Symbicort BID, Vitamin D2 50,000 weekly, Vitamin D3 5000 International unit

Current Illness:

ID: 1354782
Sex: F
Age: 48
State: IL

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

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: saddle PE- in hospital currently on anticoagulation

Other Meds: none

Current Illness: none

ID: 1354783
Sex: M
Age: 66
State: AL

Vax Date: 03/23/2021
Onset Date: 04/07/2021
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:

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

Symptoms: Received 1st Moderna vaccine 3/23/21. experienced severe abdominal pain 4/7/21, had to go to ER 4/9/21. ER staff performed blood work and CT, administered antibiotic intravenously then continued with prescribed oral antibiotic. Pain had subsided by 4/14/21 (approx). Received 2nd Moderna vaccine 4/22/21. Experienced severe abdominal pain again, beginning 5/9/21. Saw my nephrologist on 5/10/21, who referred me to the infectious disease doctor. Have been receiving antibiotics intravenously through 5/26/21, changed to oral antibiotics on 5/27/21. Pain now down to 95%.

Other Meds: Allopurinol 150mg/day Losartan 50mg/day Rosuvastatin 10mg/day Diltiazem 180mg/day D3 1000IU/day low dose aspirin 81mg/alt days

Current Illness: I have Adult Dominant Polycystic Disease, stage 3

ID: 1354784
Sex: F
Age: 29
State: MI

Vax Date: 04/29/2021
Onset Date: 04/29/2021
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:

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

Symptoms: patient presented for 2nd dose and reported her arm has been "sore" on and off for 4 weeks. While administering 2nd dose RPh noticed patients had a bruise still in the area off the 1st dose

Other Meds:

Current Illness:

ID: 1354785
Sex: M
Age: 28
State: KY

Vax Date: 05/24/2021
Onset Date: 05/25/2021
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: N/A

Symptom List: Unevaluable event

Symptoms: Diarrhea, headache, stomachache, bilateral lower leg pain, temp of 103- all symptoms started the following day after vaccine.

Other Meds: Discovy

Current Illness: N/A

ID: 1354786
Sex: M
Age: 57
State: FL

Vax Date: 04/23/2021
Onset Date: 05/23/2021
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:

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

Symptoms: fatigue, nausea, ha, dizziness, difficulty breathing,

Other Meds:

Current Illness:

ID: 1354787
Sex: F
Age: 22
State: IN

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Headache, fever (99.7-100), body aches (mostly in the torso and neck), chills, tiredness, easily worn out. Took Advil. Lasted about 24 hours.

Other Meds:

Current Illness:

ID: 1354788
Sex: M
Age: 36
State: FL

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none reported

Symptom List: Injection site pain, Menorrhagia

Symptoms: Client was given a 2nd dose of Johnson & Johnson Vaccine on 5/25/21 after already receiving a dose on 4/6/21. Client has not reported any adverse events or reactions at this point in time. Will continue to follow up.

Other Meds: unknown

Current Illness: unknown

ID: 1354789
Sex: F
Age: 67
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: amoxicillin -- rash

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

Symptoms: I had the expected side effects of the vaccine during the evening following my second dose---chills, aches and fatigue. I thought it was over the following day, but it tended to recur every few days, primarily during the night, but occasionally during the day. The reoccurrences were primarily muscle aches that migrated from my upper legs to my upper arms and occasionally to my head. Sometimes it seemed to settle in my left knee and hip and was noticeable during the day--this involved more joint pain than muscle pain, so I'm not sure it was related to the vaccine. The pains seemed to dissipate after 3 weeks, but is still occasionally present as of yesterday, after almost 3 months.

Other Meds: Tumeric, omega 3's, flax seed oil

Current Illness: none

ID: 1354790
Sex: F
Age: 53
State: PA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: After each shot...the next day and for several days after, I had a racing heartbeat while sedentary. I also had high blood pressure. This happened after both shots. I know have a constant heavy feeling in my chest with tension in my back between my shoulder blades. I am currently under a Dr.'s care for these symptoms.

Other Meds: Metformin 1000 mg twice daily, Losartan 100 mg daily, Metoprolol 50 mg daily, Rosuvastatin 20 mg daily, Nexium 20mg daily, Xyzal 5mg nightly, Aspirin 81 mg daily

Current Illness: none

ID: 1354791
Sex: F
Age: 40
State: IN

Vax Date: 05/24/2021
Onset Date: 05/25/2021
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: RA

Lab Data:

Allergies: Allergic to medical tape

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: After receiving the shot on 5/24, I broke out in red itchy bumps all over my body. It looks as if I had been bitten by a bunch of mosquitoes. I called my doctor and was told to use Benedryl cream. I have these itchy bumps on my legs, knees, arms, back, stomach, and breasts. I'm using the cream and taking Benedryl orally to help get rid of this issue.

Other Meds: Glipizide, Dicyclomine, Loratidine

Current Illness: n/a

ID: 1354792
Sex: M
Age: 41
State: MA

Vax Date: 04/28/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None known

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

Symptoms: Approximately one week from the vaccination, the injection site started reddening with itchiness. Over the course of 8 days the redness spread and the richness increased in intensity, but eventually subsided.

Other Meds: N/A

Current Illness: None

ID: 1354793
Sex: F
Age: 33
State: NH

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: RA

Lab Data:

Allergies: dexedrine

Symptom List: Nausea

Symptoms: b/l hand swelling, burning paresthesia

Other Meds: none

Current Illness: none

ID: 1354794
Sex: M
Age: 68
State: VA

Vax Date: 05/27/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: Patient got Pfizer COVID vaccine 5/27/21 but pharmacy did not realize he has obtained Janssen COVID vaccine already in March 8, 2021. Patient has no immediate side effects or symptoms. When speaking to patient, he wanted both vaccines as he saw that there are better protection.

Other Meds: none

Current Illness: none

ID: 1354795
Sex: F
Age: 76
State: OH

Vax Date: 03/15/2021
Onset Date: 03/16/2021
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: Patient had severe unilateral headache, Near complete occlusion of the Right Middle cerebral artery , It is getting better so presumed diagnosis is Reversible Cerebral Vascoconstriction syndrome

Other Meds: Hydrochlorthiazide

Current Illness: NONE

Date Died: 05/21/2021

ID: 1354796
Sex: M
Age: 76
State: TX

Vax Date: 05/14/2021
Onset Date: 05/18/2021
Rec V Date: 05/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Unknown

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

Symptoms: According to the family, he had symptoms of weakness, nausea, headache, difficulty breathing beginning May 15, 2021. They spoke with him on Sunday, May 16, 2021 and he was continuing to have symptoms. On Monday, May 17, he called one of his daughters, but she missed the call. The family tried to call him on May 18- and May 19, but they couldn't reach him. A welfare check was initiated on May 20; however, the police didn't enter the residence. He was found dead in his bed on May 21, 2021, with changes of decomposition.

Other Meds: Symbicort, Proair, Lasix, Cozaar, Lopressor, Crestor, Vitamin D, Synthroid, Metformin

Current Illness:

ID: 1354797
Sex: M
Age: 29
State: IN

Vax Date: 05/25/2021
Onset Date: 05/27/2021
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: None

Symptom List: Tremor

Symptoms: Day two after the injection, left arm and hand, right hand, and Lips are numb. This started at 06:30 am on day two (5/27/2021) and is still ongoing 4 hours later. Called urgent care facility and they told me to file report and to get seen if becomes worse and lose strength.

Other Meds: None

Current Illness: None

ID: 1354798
Sex: F
Age: 43
State: PA

Vax Date: 01/17/2021
Onset Date: 01/20/2021
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: Erythema, Pruritus

Symptoms: I had a terrible headache the day after my vaccine, expected. Three days later I had terrible dizziness. I expected it to go away. It never did. I am very very lightheaded on most days. Some days vertigo symptoms, mild nausea and moderate headaches. But everyday I?m severely lightheaded, not for a few minutes but hours to days. I can?t work or drive. This is very scary as it?s been months.

Other Meds:

Current Illness:

ID: 1354799
Sex: F
Age: 66
State: TX

Vax Date: 04/28/2021
Onset Date: 05/26/2021
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: NKA

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

Symptoms: on 5/26/21 patient given a 2nd dose of Janssen, Provider in office explained signs and symptoms for patient to watch for and to notify our office immediately if needed. Patient had no complaints after being seen in office by provider

Other Meds: Levemir 25units BID Lispro 8 units TID Lisinopril 20mg daily Metformin 500mg BID Simvastatin 20mg daily Hydrochlorothiazide 12.5mg daily Amlodipine 5mg daily

Current Illness: No issues or complaints within last 30 days

ID: 1354800
Sex: F
Age: 43
State: IA

Vax Date: 05/27/2021
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: Anaphylactic allergy to rizatriptan

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

Symptoms: Patient stated that she was itching and burning on her skin. Started on lower left arm, spread up arm to face and neck, then continued to spread over body. Reaction started roughly 25 minutes after vaccination. Gave 25mg benadryl immediately (patient declined 50mg), then gave another 25mg 5 minutes later after no improvement. Roughly 40 minutes after immunization, patient reported rapid heart rate. Heart rate was ~105. Symptoms began to improve roughly 30 minutes after benadryl administration.

Other Meds:

Current Illness:

ID: 1354801
Sex: F
Age: 50
State: TX

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 05/27/2021
Hospital: Y

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: About 1 week after vaccination. I had pain in my legs and swelling in my feet, it made it difficult to walk. It was like I was carrying around a dead leg. I did have blood clots in leg. I ended up up being hospitalized 3 days to receive blood transfusions due to anemia after taking blood thinners.

Other Meds: none

Current Illness: none

ID: 1354802
Sex: F
Age: 65
State: MI

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: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Codeine, tomatoes, shellfish, halibut, spinach. These have been verified by doctors. Extremely sensitive to smells - can cause sensation on lips and tongue, sneezing, watery eyes, and/or severe headache. Bought a new shampoo and just the act of rinsing my hair in the shower caused my body to itch all day. ( I assumed it was due to the shampoo suds touching my body.) Decongestants give me an upset stomach.

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

Symptoms: Immediate extremely strong metallic taste in mouth. Tongue and lips a little puffy. Very inflamed lymph nodes in neck. Metallic taste went to gums, and I could feel the metal taste scallop across my teeth, from left to right. Felt a sweaty sensation on top of head, like I had a bowl on top of my head. Metallic taste started going down my throat. Soft palate swollen causing gagging due to uvula touching my tongue. Could feel the sensation on my head inching its way down my head. It stopped at the hairline above my ears, which made me think that I was getting in feeling in my hair follicles and not a sweaty sensation. Stayed 70 minutes at site. Metallic taste mostly gone. I was told to pick up some Benedryl. As soon as I took it I felt a strong pounding in my ears. When eating dinner I could feel a slight constriction while swallowing. The next morning the lymph nodes in my armpits were extremely sore. Neck lymph nodes stopped being sore Saturday, but are still a little swollen. Lymph nodes in arm pits were better on Sunday, but are still sore if pushed on.

Other Meds: Simvastatin, Omeprazole, OTC CVS brand Zertec

Current Illness:

ID: 1354803
Sex: U
Age: 66
State: MI

Vax Date: 04/26/2021
Onset Date: 04/28/2021
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: lactose intolerant

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

Symptoms: patient reports that after the 1st dose (2-3 days later) he developed a rash and hives on his trunk and arms.

Other Meds:

Current Illness:

ID: 1354804
Sex: M
Age: 38
State: MD

Vax Date: 05/08/2021
Onset Date: 05/09/2021
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: Pain in extremity

Symptoms: The day after the vaccine I noticed that I could not open my mouth wide. when I do open my mouth wide it makes a very loud popping sound. There is no pain though.

Other Meds: none

Current Illness: none

ID: 1354805
Sex: F
Age: 46
State: IL

Vax Date: 04/15/2021
Onset Date: 04/22/2021
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: Lisinopril, Cymbalta

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

Symptoms: Lymphadenopathy in the L arm. Large node in the axilla measuring about 2 cm with several small pea to peanut sized nodes throughout the forearm and upper arm. Tender, lasted greater than one months duration so far. Some generalized swelling to the L arm.

Other Meds: Losartan-hydrochlorathiazide medical marijuana

Current Illness: Fibromyalgia, HTN

ID: 1354806
Sex: M
Age: 61
State: WI

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Tree nuts. NKDAs

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

Symptoms: Patient reports throat swelling after first vaccination. He states he did not have trouble breathing but he felt like it was swelling. It went down after 30 minutes and patient was not administered epinephrine.

Other Meds: Unknown

Current Illness: Barrett's esophagus

ID: 1354808
Sex: M
Age: 53
State: FL

Vax Date: 03/13/2021
Onset Date: 03/26/2021
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: no allergies

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

Symptoms: 2 days after applying the vaccine I felt body pain, then a week later I began to have pressure in my chest that reached my throat so I was for a full week the third week I decided to go to the hospital and they discovered that I had blood clots in an artery in my heart. Then they installed 2 stents in my heart 2 days later they sent me home and 1 week later I had to return to the hospital after the studies they detected that I had blood clots in both legs, I had no problem before the vaccine and I'm almost 100 percent sure this is what caused these problems.

Other Meds: metformin 850mg twice a day , rosuvastatin 10mg 1 a day ,aspirin 81mg 1 a day , farxiga 10mg 1 a day

Current Illness: none

ID: 1354809
Sex: M
Age: 59
State: NY

Vax Date: 03/13/2021
Onset Date: 03/19/2021
Rec V Date: 05/27/2021
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: shellfish

Symptom List: Vomiting

Symptoms: Patient one week later had aseptic meningitis. LP showed elevated glucose, protein, monocytic lymphocytosis. Recovered after 2-3 days with antivirals and antibiotics

Other Meds: aspirin, atorvastatin, loasrtan ezetimibe, tadalafiniltamsulosin

Current Illness:

ID: 1354810
Sex: M
Age: 61
State: IL

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Various Tree Pollen, Penicillin,

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Flushing, Face Tingles, Hot Flashes feels like flushing of the face and upper body

Other Meds: Advil Allergy & Congestion Relief, Vit B-12(5000mcg)

Current Illness: Injured Back

Date Died: 05/13/2021

ID: 1354811
Sex: M
Age: 65
State:

Vax Date: 04/05/2021
Onset Date: 04/21/2021
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:

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

Symptoms: Patient was hospitalized and died within 60 days of receiving a COVID vaccine series

Other Meds:

Current Illness:

ID: 1354812
Sex: F
Age: 47
State: NC

Vax Date: 03/08/2021
Onset Date: 03/28/2021
Rec V Date: 05/27/2021
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: Septra

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Bell's Palsy

Other Meds: Escitalopram 20mg once a day

Current Illness: None

ID: 1354813
Sex: M
Age: 52
State: FL

Vax Date: 04/29/2021
Onset Date: 05/18/2021
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: none

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

Symptoms: the patient noticed a purple discoloration of the skin but no pain or rash

Other Meds: ibuprofen or tylenol

Current Illness: none

ID: 1354814
Sex: F
Age: 30
State:

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: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Severe chills, body aches, and nausea, beginning the night of receiving the vaccine. The day after receiving the vaccine the symptoms were most severe, including vomiting numerous times. The following day the symptoms were less severe - there was no more vomiting, but still body aches and chills and nausea. By the day after that smptoms had almost entirely resolved.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm