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: 1360878
Sex: F
Age: 16
State:

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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: AE: patient felt dizzy and lightheaded 20 minutes post vaccine administration. Treatment: no medication was given. patient was under observation. Water improved symptoms Outcome: symptoms resolved and patient was sent to POV/Home.

Other Meds:

Current Illness:

ID: 1360879
Sex: F
Age: 74
State: NY

Vax Date: 03/01/2021
Onset Date: 03/26/2021
Rec V Date: 05/29/2021
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: No

Symptom List: Anxiety, Dyspnoea

Symptoms: I have constant pain at the injection site. Comes & goes. The person might have given it to me too high on the shoulder . The pain becomes evident when I move the arm up to my shoulder. It's now May 29. It is the same pain as the time of the injection. The night of the injection I had terrible arm pain. I was unable to sleep the entire night. Could not lie on that shoulder. Hope this is not nerve damage.

Other Meds: None

Current Illness: none

ID: 1360880
Sex: F
Age: 49
State: MN

Vax Date: 05/02/2021
Onset Date: 05/11/2021
Rec V Date: 05/29/2021
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: Possible shellfish and iodine

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

Symptoms: Rash all over torso and extending through thighs and neck.

Other Meds: Zero

Current Illness: Zero

ID: 1360881
Sex: F
Age: 59
State: NY

Vax Date: 05/22/2021
Onset Date: 05/25/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: 0

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: crackling in right ear, slight hollow type sound when moving jaw, slight muffling, noticeable on and off... has not subsided as yet, have not ever had this type of issue with hearing..

Other Meds: Omeprazole, Vitamin E, Calcium Magnesium, vitamin C, Krill Omega, Vitamin D, Astragalus, Dermal Repair Complex, Hair skin, Nails

Current Illness:

ID: 1360882
Sex: F
Age: 64
State: PA

Vax Date: 05/22/2021
Onset Date: 05/25/2021
Rec V Date: 05/29/2021
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: After the second dose of the Moderna vaccine, my body became covered in very itchy hives from my ankles to my shoulders; down both arms and legs and along one side of my body. This started about four days after the vaccine. Also, on the first night after the vaccine, I experienced a high fever for about 12 hours.

Other Meds: none

Current Illness: none

ID: 1360883
Sex: F
Age: 53
State: RI

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient felt dizzy after vaccine and had a metallic taste in mouth. Her vitals were normal. No signs of allergic reaction. Patient said dizziness passed quickly. She declined treatment and felt fine enough to leave.

Other Meds: Unknown

Current Illness: None

ID: 1360884
Sex: F
Age: 40
State:

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

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: patient received 1st vaccine on 3/13/2021, she developed Covid 19 and per patient did not receive the 2nd vaccine. Per patient , she saw her PCP this week who advised her to proceed with receiving the 2nd dose. She received her 2nd dose today with no adverse reaction while here in observation.

Other Meds:

Current Illness:

ID: 1360885
Sex: M
Age: 28
State: IN

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Gentamicin

Symptom List: Pharyngeal swelling

Symptoms: Headache, nausea, tiredness

Other Meds: Symbacort

Current Illness:

ID: 1360886
Sex: M
Age: 61
State: OH

Vax Date: 05/21/2021
Onset Date: 05/23/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Severe joint pain, fever, sweating, shortness of breath, chills, weight loss, depression

Other Meds: Atorvastatin Lisinopril Mirapex Gabapentin Advair Albuterol

Current Illness: None

ID: 1360887
Sex: M
Age: 30
State: OH

Vax Date: 05/13/2021
Onset Date: 05/14/2021
Rec V Date: 05/29/2021
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: I am allergic to keflex, anything in the keflex family and penicillin. I am also allergic to peanuts, tree nuts, fish and shellfish.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: The night/next morning after receiving the vaccine I was awoken by a racing heart rate that I measured at a resting heart rate of 200 bpm. After 5 minutes of trying to assess what was happening, I recognized that my heart rate was not slowing down. I woke my wife because I was worried and had difficulty breathing. It continued to be in the 180-190's, I called an ambulance. On the way to the hospital my resting heart rate was 180. After I got to the hospital they ran blood work, a CT scan and a chest x-ray. I was in the hospital until 10 am. My heart rate steadily fell to about 110 beats per minute after 9 hours in the hospital. They released me because my tests had come back normal. Upon being released, I came home, had lots of fluids and rest. After 1 week, my heart rate went back up to 160's. My chest started to feel tight again and I had difficulty breathing again. I called my PCP emergency number and they advised me to go back to the ER at 10 am on 05/15/2021. They did another EKG, a D-Dimer and I received saline. My heart rate dropped to 120 and they released me. I was given an all clear from all tests performed. Sunday-Wed that week, I had a slightly elevated resting heart rate, have had difficulty getting a full breath, general stomach pains and I had felt fatigued. Thurs-Sat, my resting heart rate returned to normal (60 bpm) minimal difficulty breathing, but continued pressure in my abdomen and chest. Saturday I fell asleep because I was having a migraine. I woke up at 10 pm and the cycle started again. My heart rate went back up into the 160's. I called the emergency line for my PCP and was told to go back to the ER (05/22/2021). They performed a chest x-ray, an EKG and some blood work. My resting heart rate went to 90 bpm around 3 am and was sent back home. The rest of Sunday, I had difficulty getting a full breath and my resting heart was higher than usual. I had an echocardiogram on Wednesday and it came back normal. I wore a heart monitor for 24 hours, but I have not received the results yet from my doctor. I have never experienced any sort of cardiac episode in my life.

Other Meds: I do not take any medications.

Current Illness: I have not had any other illnesses.

ID: 1360888
Sex: M
Age: 30
State: AL

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 05/29/2021
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 known for food, medications, or materials; but some seasonal allergies.

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

Symptoms: Reporting primary symptoms: headache, fever, lightheadedness, elevated heart rate, arm soreness, muscle soreness, back pain, nausea, suppressed appetite, anxiety, and panic attacks. (see below for more information) Initially, felt faint and lightheaded. Stood up and the feeling worsened. Within five minutes, felt nauseated and clammy. Also, appeared pale in the face. Was given instructions to sit, close eyes, and take deep breaths. Applied a cool, wet rag to the face and neck as needed. Was anxious and may have had a panic attack triggered by the experience. Heart rate had elevated, but not to a concerning level. Within 30 minutes of initial vaccine administration, face was no longer pale and heart rate was lowering. Other symptoms mostly subsided within 90 minutes of the vaccine administration. The next morning (5/19/21), woke with a mild headache, low grade fever, some fatigue, slight nasal congestion, and very sore arm. Took Tylenol for fever and it was mostly gone by the next day (5/20/21). Felt well enough Saturday (5/22/21) morning for lots of physical activity (push-mowed lawn in humid conditions) and only had a mild headache and mild fatigue afterward. No notable symptoms on Sunday (5/23/21) morning, but had indigestion, gas pain, and some soreness (back muscle) late that night. Stayed up a little later than normal. Woke a few hours early (around 4:30 am) on Monday (5/24/21) with throbbing low-to-mid, left-side back pain and worsened indigestion and gas pain. Had anxiety that led to a panic attack. Did not feel well and tried stretching, taking Tums, deep breathing, used the bathroom, and walked around. This was helpful enough to return to sleep. Woke up again at 8:45 am and had a mild headache, some soreness in neck/shoulders, and anxiety about the situation. Took a shower, did some deep breathing, and tried to relax. Drank some caffeine at noon, but the headache was not relieved. Appetite was somewhat suppressed and was mildly lightheaded. Stomach became more unsettle by night. Stopped all caffeine intake and NSAID usage (and still no intake/usage at the time of this report). At night, anxiety over the situation worsened, so tried deep breathing, talking to others about the situation, and stretching. Panic attack occurred, but was able to manage with the aforementioned techniques. Woke the next day (5/25/21) with mild headache, muscle soreness in mid-to-upper back, shoulders, and neck, suppressed appetite, and anxiety. Was able to manage most symptoms with breathing, stretching, relaxing, and talking through the situation. No panic attack on 5/25/21. Went to bed earlier than normal (around 9:30 pm) and woke on 5/26/21 around 9:30 am. Had similar symptoms, but appetite was more decreased and worsened anxiety. Decided to see doctor that afternoon (see item 19 for more information on testing from that visit) and was told to give more time to recover from vaccine side effects. Did not give doctor information about anxiety or panic attacks at that time. Had a panic attack (less severe than previous) Wednesday night and managed with the aforementioned techniques. Thursday (5/27/21) morning woke with no headache and no fever, but still some soreness in neck/shoulder area, suppressed appetite, mild fatigue, and mild anxiety about the situation. No panic attack on 5/27/21. Friday (5/28/21) woke with similar symptoms and decided to visit doctor again about anxiety. Was prescribed Buspar and Zoloft. After taking Buspar (first time ever) at 2:30 pm, experienced an increased heart rate up to 160bpm and a low fever up to 100.2F. Experienced another panic attack during this time. Sought medical assistance from local ER around 3:30 pm. Was seen and monitored until discharge at about 11:45 pm. During stay, tests and levels were mostly normal except during a panic attack that was triggered after blood was drawn. Treated with Vistaril around 11:20 pm and monitored for about 20 minutes before being discharged. Anxiety was relieved after deep breathing and relaxing. Did not take Zoloft. Slept and woke on 5/29/21 with mild headache, unsettled stomach, and mild anxiety. Anxiety is more manageable so far and other symptoms were somewhat improved after eating breakfast. Currently, no plans to continue taking Buspar, but will consult doctor.

Other Meds: Loratadine 10mg (once nightly), vitamin C, vitamin D, Elderberry

Current Illness: None known. Was potentially exposed to RSV on 5/16/21-5/18/21, but had shown no symptoms.

ID: 1360889
Sex: F
Age: 19
State: PA

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
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: Moderna COVID-19 Vaccine EUA Fever of 102.2, swollen face and eyes, cold sweats, diarrhea, and confusion. Lasted from the night I got the second dose (5/27) until today (5/29).

Other Meds: Zoloft and Incassia

Current Illness: None

ID: 1360890
Sex: F
Age: 48
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: inapsine

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

Symptoms: After getting the vaccine. the first day looked like a big red spot under the injection site and then got bigger and bigger, few days after, it turned purple, and it was defusing into the arm. After 36 hrs. my arm was fine, but then one day, I woke up , went to work and by the afternoon my arm was red again. And then went to the clinic and the doctor said to put heat and ice in the arm. I did that and my arm was better. No need to see the doctor again.

Other Meds: Super B complex, D3, 4000 IC daily, Magnisium 400 MG daily, Calcium 1200 daily,. Aspirin 81 MG daily. Metoproloa succ ER 15MG daily, Celexa 20MG daily, Protonix 40MG daily, Hydroehlorothiazide 25MG daily.

Current Illness:

ID: 1360891
Sex: M
Age: 29
State: MI

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 05/29/2021
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: Shrimp -- hives, itching

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

Symptoms: Gross hematuria

Other Meds: Antihistamine (probably cetirizine) Marijuana

Current Illness: None

ID: 1360892
Sex: F
Age: 52
State: MS

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/29/2021
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: Penicillin family (reaction to shot) Alpha-gal (mammal meat) Mild reaction per allergy tests to milk, egg and peanuts but never noticed a real life reaction.

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

Symptoms: Day after shot, right side facial paralysis Then changed to numb feeling around right eye and ache behind eye ?Pulling? at right eye Tightness of scalp Ear ringing Tenderness/pain, right side of head Dry eye Nausea (comes and goes)

Other Meds: Lamictal (15 years) Synthroid (5 years) Wellbutrin (2 months and haven previously taken) Protonix (1 month) Pepcid (2 months) Xanax

Current Illness: Ear infection diagnosed 4/16

ID: 1360893
Sex: M
Age: 14
State: IL

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Pt with presyncope event. Pt complained of sudden onset of nausea and feeling ?weird.? Clinician immediately at chair side. Initial vitals 102/58, HR 49, RR 18, O2 sat 98%. Pt assisted with receptacle for emesis-none. EMS medic 153 on scene and present. 4:25p BP 102/64, HR 62. 428p transferred to avail cot to lay supine. Aox3 and verbal entire time. Ice pack to neck. Water to drink without difficulty. Orthostatic vitals assessed ,WNL. Parent present throughout event. Mom refused transport. 446p EMS called verbal report to hospital MD as part of release for transport refusal. Permission granted to refuse transport . Pt up, walking around. States he now feels fine at 452p

Other Meds: None

Current Illness: None

ID: 1360894
Sex: F
Age: 57
State: WA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
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 that I know of

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

Symptoms: Dizziness, light headed, rapid breathing, numbness started in hands and feel the numbness moving up my to my forearms, hands clamped and fingers locked in claw like position - called 911 since this happened while I was driving home

Other Meds: Lisinopril, Restasis

Current Illness: None

ID: 1360895
Sex: F
Age: 66
State: CA

Vax Date: 04/19/2021
Onset Date: 05/08/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodone

Symptom List: Ear pain, Hypoaesthesia

Symptoms: On 5/8/21 severe headache, extreme fatigue & (stiff neck (did go away after few days)) reported to Advice Nurse and Spoke to a Doctor. On 5/17 after the symptoms above worsening to include dizziness, shortness of breath, heart palpitations & constant headaches reported to Advice Nurse and video chat with doctor

Other Meds: Acyclovir 400, Lovastatin 40, Ibuprofen 800, Triamt/HCTZ 37.5/25,Trazadone 50 VITAMINS: Mutivitamin, Elderberry/C, Iron, Omega 3, CoQ10,

Current Illness: None

ID: 1360896
Sex: M
Age: 14
State: IL

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 5/16 Vaccination By 8 PM he started to have a stomach ache. He had went to bed. Went to school, was fine. Diarrhea started at home. 5:00 PM projectile vomiting. Continued with diarrhea for 20 minutes, uncontrollable. No temperature. *Was fine the next day.

Other Meds: Chlonidine, Vyvanse, latuda, magnesium, sertraline, vit D

Current Illness: n/a

ID: 1360897
Sex: M
Age: 46
State: PA

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: amoxycillin

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

Symptoms: A few days after taking the shot, I had headaches, ear ringing, and heavy head pressure. The ear ringing has persisted and I am still dealing with it. The doctor advised me to take Mucinex. Then I visited a new PCP to take a CT scan.

Other Meds: Omega 3 Vitamin B complex

Current Illness: Bumped my head a few weeks before vaccination

ID: 1360898
Sex: F
Age: 62
State: CA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 05/29/2021
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: I am allergic to Sulphur, tetanus, penicillin, nickel, egg

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

Symptoms: 04/19/2021 arm, fingers and right arm was swollen 05/2/2021 knee was swollen

Other Meds: None

Current Illness: None

ID: 1360899
Sex: F
Age: 40
State: CA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, peanuts, latex

Symptom List: Unevaluable event

Symptoms: Symptoms: Nausea, dizziness, decrease in level of consciousness Treatment: epinephrine 0.3 mg IM, called paramedics who arrived and continued care

Other Meds: Epipen

Current Illness:

ID: 1360900
Sex: M
Age: 19
State: NY

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 05/29/2021
Hospital: Y

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: Chest pain, sweating, Short of breath

Other Meds: None

Current Illness: None

ID: 1360901
Sex: M
Age: 63
State: CO

Vax Date: 05/06/2021
Onset Date: 05/23/2021
Rec V Date: 05/29/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Shingles outbreak on left arm from shoulder to wrist. Began 17 days after 2nd dose of vaccine. Rash with pustules.

Other Meds: Excedrin

Current Illness: None

ID: 1360902
Sex: F
Age: 76
State: CA

Vax Date: 02/26/2021
Onset Date: 05/01/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Pen, Sulfa, shrimp, milk latex

Symptom List: Injection site pain, Menorrhagia

Symptoms: At the time of vaccination, I had a headache and sore arm and felt tired for 24 hrs or so. My last check in report I would like to change my health status to serious vertigo experience beginning on May 1, 2021. In the middle of the night while in bed I felt like I was falling. The next day I had the need to fall to the left side all the way to the floor 2 times safety and felt very dizzy for the 2 days. I began my balance exercises. I continue to have frequent serious dizziness episodes since May 1. Can this recent on set of strong vertigo be a result of the vaccine? Until now all vertigo expressions were mild.

Other Meds: levothyroxine flaxseed oil, omega 3, vit D3, vit B12

Current Illness: none

ID: 1360903
Sex: M
Age: 52
State: FL

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

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

Lab Data:

Allergies:

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

Symptoms: Patient felt faint and was sweating profusely within 5 minutes of receiving vaccine

Other Meds:

Current Illness:

ID: 1360904
Sex: F
Age: 37
State: KS

Vax Date: 05/27/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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: Woke up to red rash across throat and right collarbone. Not itchy, no other symptoms.

Other Meds:

Current Illness:

ID: 1360905
Sex: F
Age: 68
State: OH

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: Neomisine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I had chills for 6 hours and my right risk swollen a week later.

Other Meds: Cozaar, visoproal, folic acid, methotrexate

Current Illness: Hypertension

ID: 1360906
Sex: F
Age: 52
State: FL

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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: no allergy

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

Symptoms: One of our technicians filled out the CDC vaccination record card and gave back to the patient. Pharmacist checked pt's consent form. The consent form did not show any problem, but the pharmacist couldn't get a chance to see her CDC card. One Immunization certified tech administered the second dose. After the tech gave a shot, we found the second dose was administered only 14 days apart. The first dose was given on 5/15/21 and the second dose was given on 5/29/21. I called the patient to notify the error and gave information how to monitor the possible adverse effects. When I was speaking to the patient, patient did not show any adverse effect.

Other Meds: No

Current Illness: no other illness

ID: 1360907
Sex: M
Age: 28
State: KS

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

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

Lab Data:

Allergies: NKA

Symptom List: Nausea

Symptoms: Approximately 8 minutes after vaccine administration, patient reported feeling clammy and light-headed. I provided cold compresses and water. Patient remained sitting in his chair and after about 5-10 minutes he reported feeling closer to normal. His father was accompanying him so they remained in our booth for about 20 minutes longer and he reported that he was feeling 98%.

Other Meds: None reported

Current Illness: None Reported

ID: 1360908
Sex: F
Age: 31
State: AZ

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Experiencing the same fatigue, chills, arm weakness and pain as with the first dose but with the second dose I woke up with swelling under both eyes the morning after.

Other Meds: Daily supplement

Current Illness:

ID: 1360909
Sex: M
Age: 57
State: KY

Vax Date: 05/18/2021
Onset Date: 05/20/2021
Rec V Date: 05/29/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient states severe pain that is underarm between his shoulder and elbow.

Other Meds:

Current Illness:

ID: 1360910
Sex: F
Age: 31
State: MO

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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 reported

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

Symptoms: Patient received the first dose of the Pfizer vaccine on 29JAN21 and received the second dose on 29MAY21. No adverse reaction to either dose.

Other Meds: None reported

Current Illness: None reported

ID: 1360911
Sex: F
Age: 48
State: PA

Vax Date: 05/25/2021
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
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: Tremor

Symptoms: Sore arm Breast tenderness and swelling for 2 days followed by menstrual spotting at day 11 of my cycle. I am always 27-29 days. This has never happened before. Why would a vaccine impact a women?s mental cycle? I am very concerned.

Other Meds:

Current Illness:

ID: 1360912
Sex: F
Age:
State: WI

Vax Date:
Onset Date: 05/28/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Erythema, Pruritus

Symptoms: Patient was diagnosed with covid after being fully vaccinated. Currently has symptoms of runny nose and loss of taste.FYI_ item number 22 should have been left blank.

Other Meds: unknown

Current Illness: none

ID: 1360913
Sex: F
Age: 49
State: CA

Vax Date: 05/01/2021
Onset Date: 05/07/2021
Rec V Date: 05/29/2021
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: Tetracycline

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

Symptoms: A few days after receiving the first injection, I developed a severe rash up and down BOTH arms. I could not stop scratching. I tried taking Benadryl, Allegra, topical Benedryl, Calamin Lotion, Anti-Itch Cream, Aloe Vera and ice. Nothing worked to stop the itching. I could not sleep as I would itch all night long. Finally, I went to urgent care about a week later and was given a Steroid shot and prescribed Pretazone for 10 days. It went away but now the itching is returning. Since also receiving the shot, I have experienced extreme fatigue and tiredness and have to sleep on and off throughout the day. It takes energy some days to just go up and down my stairs or walk the mailbox.

Other Meds:

Current Illness:

ID: 1360914
Sex: F
Age: 52
State: MA

Vax Date: 05/04/2021
Onset Date: 05/10/2021
Rec V Date: 05/29/2021
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: Lisinopril Losartan Latex Prydium Keflex

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

Symptoms: Nosebleed

Other Meds: Hydrochlorothiazide Metoprolol Cymbalta Omega CRP

Current Illness: Poison ivy

ID: 1360915
Sex: M
Age: 63
State: MN

Vax Date: 05/06/2021
Onset Date: 05/26/2021
Rec V Date: 05/29/2021
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: Penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Swelling of Artery Wall in left thigh

Other Meds: Rovustatin 20 mg Aspirin .175 Multi-vitamin

Current Illness: None

ID: 1360916
Sex: M
Age: 33
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/29/2021
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: Fever, chills, body aches, cough, headache - started within 12 hours and ended within 24 hours. Took Advil for symptoms.

Other Meds: None

Current Illness:

ID: 1360917
Sex: F
Age: 50
State: VA

Vax Date: 05/19/2021
Onset Date: 05/26/2021
Rec V Date: 05/29/2021
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: Aspirin

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

Symptoms: skin rashes on face,( neck, cheek and forehead) with burning effect. Rashes normalized after few hours and appears again with passage of time every day.

Other Meds: Lo Loestrin Fe

Current Illness: No

ID: 1360918
Sex: F
Age: 54
State: TN

Vax Date: 04/20/2021
Onset Date: 04/30/2021
Rec V Date: 05/29/2021
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: Pain in extremity

Symptoms: Had stomach ache. Ended up in the hospital with appendicitis. Had it removed in surgery. Went home the next day.

Other Meds: Beta Blocker 25mg

Current Illness: None

ID: 1360919
Sex: F
Age: 71
State: GA

Vax Date: 04/06/2021
Onset Date: 04/01/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient said a couple days after the shot, she started experiencing rashes and welts on her neck, back, arm, legs, and hands. These will disappear and then continue to come back. She states this reaction continues to this day. She has seen a dermatologist and was placed on antihistamines, but its not fully controlling the reaction. She is also experiencing a dry cough and headaches.

Other Meds:

Current Illness:

ID: 1360920
Sex: M
Age: 50
State: WA

Vax Date: 05/20/2021
Onset Date: 05/21/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Flu like symptoms for two days once those subsided then shortness of breath and heart palpitations began and have not subsided.

Other Meds: None

Current Illness: None

ID: 1360921
Sex: M
Age: 49
State: MN

Vax Date: 04/14/2021
Onset Date: 04/21/2021
Rec V Date: 05/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Parsonage Turner syndrome (Brachial Neuritis). Medication, occupational therapy

Other Meds: None

Current Illness: None

ID: 1360922
Sex: F
Age: 74
State: NC

Vax Date: 05/13/2021
Onset Date: 05/21/2021
Rec V Date: 05/29/2021
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: Patient reported having a delayed reaction at the injection site that occured 8 days following her shot. She said the injection site became swollen, blistered, and itchy. It was not infected, and cleared 2 days after appearing.

Other Meds:

Current Illness:

ID: 1360923
Sex: F
Age: 57
State: MO

Vax Date: 05/08/2021
Onset Date: 05/22/2021
Rec V Date: 05/29/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient had a tingling and slight pain on the bottom back of her right arm about two weeks after she got the vaccination (same arm she received COVID vaccine). She went to the emergency room and they concluded the COVID vaccine could have reactivated the shingles virus and she had a shingles infection. There was no rash. They prescribed her Valtrex 1 gram three times a day.

Other Meds: Atorvastatin Hydrochlorothiazide Lisinopril/hits Omeprazole Fluticasone

Current Illness:

ID: 1360924
Sex: F
Age: 68
State: GA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 05/29/2021
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: no

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

Symptoms: Onset was the next morning around 7:00 AM after the vaccination. 2 red very warm areas about the size of a quarter an inch below the injection site. no itching, just really warm. and it was pink. The same day I called my doctor, he told me over the phone to take Benadryl, 1 capsule early in the day, and 1 capsule later in the evening. and the day after I took 1 capsule. and it slowly faded away

Other Meds: atorvastain 40 mg 1xday bystolic 2.5 mg 1 x day clonazepam .5 mg 1xday 81 mg of aspirin multiple vitamins-smarty pants women vitamins

Current Illness: no

ID: 1360925
Sex: F
Age: 23
State: MI

Vax Date: 05/24/2021
Onset Date: 05/01/2021
Rec V Date: 05/29/2021
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: unknown

Symptom List: Injection site swelling, Limb discomfort

Symptoms: pt describes red lump at injection site

Other Meds: unkown

Current Illness: unknown

ID: 1360926
Sex: M
Age: 70
State: MA

Vax Date: 03/27/2021
Onset Date: 04/07/2021
Rec V Date: 05/29/2021
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: pennecillins

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

Symptoms: Symptom onset afternoon of 4/7 while playing golf, with feelings of fatigue and leg weakness, worsening leg weakness in the evening while taking a bath, followed by inability to get out of tub, but eventually able to drag self to bed where he passed out. Woke hours later and called EMS.

Other Meds: Metformin, Adderall, alphagan, iantanoprost, zoloft

Current Illness: none reported

ID: 1360927
Sex: F
Age: 38
State: FL

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 05/29/2021
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, per patient questionaire

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

Symptoms: patient after receiving vaccine was waiting in observation monitoring area and started to faint, her eyes rolled a little and then was fine, she was breathing properly but her companion was stating she didnt feel good, that was a little out of air. during time pt never loose conciounes nor fell down. after a while was fine

Other Meds: N/A

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm