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: 1365198
Sex: F
Age: 23
State: TX

Vax Date: 05/17/2021
Onset Date: 05/27/2021
Rec V Date: 06/01/2021
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: Witch Hazel

Symptom List: Dysphagia, Epiglottitis

Symptoms: I got itchy throat, dry cough, swollen lymph nodes. Lasted about 5 days and is now just a cough and congestion

Other Meds: Nothing

Current Illness: none

ID: 1365199
Sex: M
Age: 23
State:

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: Attendee was noted to be sleeping in the observation area at 12:42 pm. Staff member went over and tapped his on the shoulder when he did not immediately rouse to her asking if he was ok. He woke up and was alert and oriented, by stated that he was lightheaded. He was escorted to the cot and place on his left side. No tachypnea or dyspnea. HR 84 BP 136/98 O2Sat 99%. Two RN's stayed in attendance with him. At 13:24 he stated that he was feeling much better and denied any further lightheadedness. HR 86 BP 128/82 O2Sat 98%. He was assisted to a sitting position and then a standing position without any lightheadedness. At 1:30 pm he was discharge to home with his friends in attendance.

Other Meds:

Current Illness:

ID: 1365200
Sex: F
Age: 28
State: NY

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: unk

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

Symptoms: Client requested to lay on stretcher for vaccine, provided. Almost immediately following vaccine, client closed eyes- briefly did not respond to name. Skin warm and dry, strong steady pulse. Responded to verbal stimuli, complained of throat tightening and wheezing. EMT called to client pod. vss. HR76, BP 109/74, sat 97 on room air. Client then closed eyes again, briefly did not respond - then opened eyes . vs's continued stable. As per EMT positive slight wheeze. Ambulance arrived and client transported to ER.

Other Meds: vicodin, atenolo, zoloft, diamox

Current Illness: fibromyalgia, becketts disease

ID: 1365201
Sex: U
Age: 75
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Headache.

Other Meds:

Current Illness:

ID: 1365202
Sex: M
Age: 73
State: NV

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 06/01/2021
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: Client presented to Vaccine Unit on May 3, 2021 and received the Janssen vaccine. He did not bring his vaccine card back and presented again on May 24, 2021 and received another Janssen vaccine. When he filled out the patient information sheet he marked that he had not ever received a COVID-19 vaccine in the past. The vaccinator proceeded with his Janssen vaccine. It was not known that he received an additional vaccine until the information was input into the vaccine program. There is no way to notify the patient because he did not list a phone number or address of record. The vaccinator, upon query, remembers him having the appearance of possibly being transient. In summary, the client received 2 Janssen vaccines, 21 days apart and is lost to follow up.

Other Meds: none

Current Illness: none

ID: 1365203
Sex: M
Age: 33
State: UT

Vax Date: 05/27/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
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: penicillin

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

Symptoms: I woke up the next morning with an extreme headache that would not resolve for the entire day despite taking migraine medication. I felt achy and tired as well. The next day 5/29 I had extreme nausea, muscle pain, chills, shortness of breath/tiredness and a flare up of psoriatic arthritis and psoriasis activity as well as diarrhea. Today 6/1 I have a flare in PSA symptoms and diarrhea still.

Other Meds: Cosentyx injection, 4 different blood pressure medications, Prozac, Oral antibiotic for ear infection, migraine medicine (zoltriptan), claratin

Current Illness: Psoriasis, Psoriatic Arthritis, Hypertension, obesity, sleep apnea

ID: 1365205
Sex: F
Age: 44
State: PR

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: Pyrexia, White blood cell count decreased

Symptoms: After being vaccinated, patient began to experience numbness of the tongue that later extended to the throat.

Other Meds: Diphenhydramine 50mg/mL IM

Current Illness: None

ID: 1365206
Sex: M
Age: 38
State: AL

Vax Date: 04/22/2021
Onset Date: 05/09/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: 1st shot 4/22/2021 No immediate adverse reaction. Sudden facial paralysis on left side started aprox 2? weeks later (5/9/2021). Hospital diagnosed me with Bells Palsy on 5/10/2021 after I went to the emergency room . The bells palsy has corrected itself and now I owe $13,872.05 to the hospital because I have no insurance and cannot afford to pay it.

Other Meds: Prescribed to Buprenorphine & Clonazepam for 9yrs prior to vaccination

Current Illness: Iritis

ID: 1365207
Sex: M
Age: 31
State: IL

Vax Date: 04/18/2021
Onset Date: 05/02/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Began experiencing shingles symptoms on 5/2/2021, fourteen days after first dose. Began with soreness & tingling in neck/arm/hand before developing a rash several days later. Officially diagnosed via tele med by my primary care doctor on 5/12/2021. I was prescribed an anti viral for the shingles, and rash healed after several weeks.

Other Meds: None

Current Illness: None

ID: 1365208
Sex: M
Age: 39
State: MA

Vax Date: 05/11/2021
Onset Date: 05/13/2021
Rec V Date: 06/01/2021
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: Allergies to fish, seafood.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Initially developed a few itchy hives on my right outer calf on 5/13. It became widespread from my knee to my ankle by 5/16. On 5/17 smaller itchy bumps had spread to my stomach and chest and I was evaluated by PCP, who directed me to take Zyrtec and apply Eucerin. By 5/19 smaller itchy bumps had spread to my arms, and my right ankle and foot had started swelling. PCP prescribed a course of antibiotics as a precaution. By 5/21 rash had spread to my back and continued in all other locations. On 5/21 dermatologist prescribed oral steroids (prednisone) and topical triamcinolone. Swelling in leg subsided after a few days. Itching was reduced but still present through to June 1.

Other Meds: Vitamin D, Eucerin

Current Illness: n/a

ID: 1365209
Sex: M
Age: 76
State: WA

Vax Date: 03/22/2021
Onset Date: 05/20/2021
Rec V Date: 06/01/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

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

Symptoms: Patient received Covid vaccine in March (unknown date). He subsequently developed a burning chest pain and cough. Diagnosed with Covid May 20,2021. Admitted to the hospital May 27th with new stroke symptoms and mycoarditis/NSTEMI

Other Meds: Atorvastatin 80 mg daily Dabigatran 150 mg twice a day Hydroxyzine 25 mg p.o. q.day p.r.n. anxiety Metformin 1000 mg twice a day Nitroglycerin 0.4 mg sublingual Q 5 minutes for chest pain Sertraline 100 mg p.o. q.day Tamsulosin 0.4 mg p.o.

Current Illness:

ID: 1365210
Sex: U
Age: 76
State:

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 06/01/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Lightheadedness.

Other Meds:

Current Illness:

ID: 1365211
Sex: F
Age: 81
State: TX

Vax Date: 04/07/2021
Onset Date: 04/13/2021
Rec V Date: 06/01/2021
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: Gluten and Dairy Free - Preference

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

Symptoms: Heavy right foot 4/13 in afternoon. Then Thursday at 2:30am got up to go to the bathroom and had a difficult time walking and returned to bed afterward and had tingling sensation in right arm. Next morning still felt odd and at 8:00am went to primary and he sent her to the ER room. They ran many test and then discovered she had a stroke. There was damage also to the heart. She had lost all mobility in her right side but has since regained it. Transferred to hopital for 3 days. Many test ran. Never previous heart damage or issue with Blood pressure. Supplement list cont. - Immune Defense, B, Apha GPC, Theanine

Other Meds: Zinc, Curcumin, Magneisium, Brain Memory, D, CoQ10, Omega

Current Illness: None

ID: 1365212
Sex: F
Age: 17
State: WI

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 06/01/2021
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: none

Other Meds: Tums

Current Illness: none

ID: 1365213
Sex: F
Age:
State: MI

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I had symptoms of fatigue for a week. My arm hurt a lot where the injection was. I was given an anti-inflammatory medication 10mg for fourteen days. My arm and shoulder are still sore and its hard to cross over. I have limited range of motion. I had double hip replacement ten years ago but after getting the vaccine, pain started to arise in that area where I had the surgery. I have to go to physical therapy now because of this.

Other Meds: Cholesterol medication

Current Illness: Urinary tract infection

ID: 1365214
Sex: M
Age: 19
State: ID

Vax Date: 05/28/2021
Onset Date: 05/30/2021
Rec V Date: 06/01/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Severe chest pain requiring a visit to the ER. Patient was admitted into the hospitaland evaluated by the Er Physician and moved to Cardiology. He was diagnosed with Myocarditis. He was released midday on Monday. On Monday night, we returned to the ER with even worse chest pains (self rated at 10/10). He was re-diagnosed with both Myocarditis and Pericarditis.

Other Meds: None

Current Illness: None

ID: 1365215
Sex: M
Age: 18
State: VA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: about 5 minutes after patient received shot , he came to pharmacy counter to say he felt light headed, as I ( the pharmacist) headed out to have him sit down, dropped to a sitting position on the floor, I was able to get him up to a chair and was fanning him and we got him some water. he the passed out and his lead lobbed backwards, I got behind him so he did not hit his head and he went into a mini seizure which only lasted about 5 seconds and then he came out of, he was in sweats and we called 911. He declined to go to hospital and his mom came and picked him up

Other Meds: none

Current Illness: none

ID: 1365216
Sex: F
Age: 30
State: MD

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I received my vaccine at 11:30 AM and had a 102 degree fever by 6 PM. I began to shake very hard and had significant chest pain in my left side by my heart. The shaking and fever subsided by that Sunday night. However, it is now 6/1/21, and I had to go to the doctor today for my chest pain. While the ECG came back clear, the doctor determined that I have Costochondritis. As this is nothing I ever encountered before, I know that is was caused from the COVID vaccine inflammation response during my fever. This is when it was first noticed. It also causes back pain since it is between the breast bone and rib cage.

Other Meds: Lexapro and Blisovi

Current Illness: I had COVID in March 2021

ID: 1365217
Sex: F
Age: 31
State: MT

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/01/2021
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: Headache, Chills, Sore arm

Other Meds:

Current Illness:

ID: 1365218
Sex: M
Age: 87
State: RI

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I check resting heart rate every am, Normal low 50?s. High 50?s max with cold or flu shot. Following second shot resting heart rate jumped 20% to mid 60?s and remained there for 4 weeks. During 5th week it graduallly dropped back to normal and has remained low 50?s. I refrained from daily exercise during that period, but otherwise felt ok.

Other Meds: Lantanaprost, Simbrinza, xeralto, baby aspirin, 1000 D3, Osteo-biflex

Current Illness: None

ID: 1365219
Sex: F
Age: 78
State: SC

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 06/01/2021
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: NKDA

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

Symptoms: Within 24 hours of her first Pfizer vaccine, she developed angioedema of lower lip only. Took Claritin w/o any improvement. Seems to be spontaneously resolving. Of note, she is also on lisinopril and has been for years. Denies any dyspnea, dysphagia, facial swelling, tongue swelling.

Other Meds: Synthroid 88 mcg daily, vitamin d3 2000 IU daily, Premarin vaginal cream, lisinopril 30 mg daily

Current Illness: None

ID: 1365220
Sex: F
Age: 40
State: TX

Vax Date: 05/24/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: flexeril

Symptom List: Unevaluable event

Symptoms: Janssen COVID-19 Vaccine EUA

Other Meds: Bupropion, alprazolam, pantoprazole, sumatriptan, ozempic, triamterene-hctz, metformin. hydroxychloroquine

Current Illness: none per patient

ID: 1365221
Sex: F
Age: 60
State: MI

Vax Date: 05/28/2021
Onset Date: 05/30/2021
Rec V Date: 06/01/2021
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: Two days following the first dose of the Pfizer vaccine, the patient developed redness around the injection site that was hot to the touch. The redness/inflammation did grow to a larger area than just the injection site. I counseled on icing and treating with tylenol, ibuprofen, or benadryl and reporting back if the inflamed area continued to expand to a larger portion of her arm.

Other Meds:

Current Illness:

Date Died: 05/15/2021

ID: 1365222
Sex: M
Age: 49
State: TX

Vax Date: 05/01/2021
Onset Date: 05/15/2021
Rec V Date: 06/01/2021
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: Received the shot 5/6 and very unexpectedly died 5/15, autopsy was not performed because foul play was not suspected and family could not pay to have it done

Other Meds: Edarbi

Current Illness:

ID: 1365223
Sex: F
Age: 34
State:

Vax Date: 04/18/2021
Onset Date: 04/27/2021
Rec V Date: 06/01/2021
Hospital: Y

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: Injection site pain, Menorrhagia

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1365224
Sex: F
Age: 25
State: ND

Vax Date: 03/03/2021
Onset Date: 05/04/2021
Rec V Date: 06/01/2021
Hospital: Y

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

Lab Data:

Allergies: Gentamicin, grass pollen, watermelon

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

Symptoms: Patient was pregnant at time of both her COVID 19 vaccinations. Patient delivered a boy on May 4th, 2021 at 38wks gestation. Per infants discharge, patient was noted to have a loud split S2 this am with progresstive murmur/gallop by this afternoon. pulse ox 88-90% and started on O2 via NC. Able to wean fairly quickly but failed subsequent CCHD with right hand of 98% and R foot of 89% off of O2 with tachycardia of 170s. At that time, restarted O2, CXR showed cardiomegaly and EKG showed LVH. Murmur present loudest at LUSB and moderate tachycardia and pallor. Discussed case with NICU, and decision mace to start prostaglandins 0.03mcg/kg/min adter 10mg/kg bolus of caffeine. Patient discharged to secondary NICU. Per other information, infant has a aorta development issue.

Other Meds: prenatal vitamin, ibuprofen 600mg PO Q6H PRN

Current Illness: none known

ID: 1365225
Sex: F
Age: 15
State: IL

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: nkda

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: patient received vaccine and was light headed and fell twice. had patient sit and have oral glucose gel and her color came back and after 20 minutes patient seemed okay and left with mother

Other Meds: no information given

Current Illness: none reported

ID: 1365226
Sex: M
Age: 35
State: FL

Vax Date: 05/01/2021
Onset Date: 05/28/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, aspirin, ibuprofen cats antianflamitoris , NSAIDs

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Coughing congestion,nose,chest ears runny nosy stuffy nose sore throat body pain fatigue muscle aches 5/26/21 - now

Other Meds: Alprazolam

Current Illness: N/a

ID: 1365227
Sex: F
Age: 67
State: PA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 06/01/2021
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: Statins Sulfa antibiotics

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

Symptoms: Signs/symptoms of the flu, not mild. 18 hours of fever, shakes, pain in head, neck, jaw, back and joints.

Other Meds: Alirocumab Aspirin Famotidine Levothyroxine Multivitamin Omega-3 fatty acids Sertraline Vitamin E

Current Illness: None listed

ID: 1365228
Sex: M
Age: 47
State: NY

Vax Date: 05/22/2021
Onset Date: 05/30/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: The morning of May 30th, experienced hives all over torso and legs, as well as swollen lips. As of this report (6/1/21), still dealing with bouts of on and off hives and alternating areas swelling in lips and eyes. Currently treating symptoms with Benadryl which is helping to moderate symptoms. However, symptoms are still present.

Other Meds: none

Current Illness: none

ID: 1365229
Sex: M
Age: 65
State: CT

Vax Date: 03/11/2021
Onset Date: 03/21/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: Morphine induces nausea

Symptom List: Injection site pain

Symptoms: I received the COVID Vaccine on March 11, 2021. Ten days later, on March 21, i noticed the first hives on my legs. By March 23, the hives had spread across my body and the injection site on my left arm was inflamed. I went to the doctor's office and he prescribed Benadryl and Hydrocortosone cream. Five days later, the hives were still active and my upper lip swelled up. I contacted my doctor's office via a tele-medical call and they prescribed Allegra and Zyrtec also. By April 5, the swelling of my upper lip had gone down and my injection site was better, but the hives were still all over my body. I went back to the doctor's office and they precscribed Prednizone as well. After taking prednizone for 5 days and

Other Meds: See Continuation Page

Current Illness: None

ID: 1365230
Sex: M
Age: 50
State: CA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 06/01/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: I report this adverse event due to potential safety and quality of Pfizer vaccine for beyond use date. Pharmacist at Pharmacy. I want to check with you for the quality and safety of the remaining Pfizer Vaccine we have left in stock (648 doses equals 108 vials). I received a shipment of Covid-19 Pfizer Vaccine product on April 20th, 2021 for 1176 doses. I transferred the shipment to a low freezer fridge at a temperature range from -13 celsius to -24 celsius. Per ACIP guidelines, Pfizer is good to use for 14 days after removing from ultra cold storage and additional 3 excursion days. Based on the guidelines, Pfizer doses are good to use until May 6th, 2021 (15 days from April 20th, 2021). However, 333 doses of Pfizer vaccine was continuously administered to patients until May 28th, 2021 beyond use expiration date on old recommendation (May 6th to May 28th, 2021). Can you advise me on the quality and safety of use in this scenario if there is any data to support this or not? What to do with those patients who received vaccines during this excursion period? Of note, FDA has authorized Pfizer vaccine to be kept up to 30 days at 2C to 8C on May 20th, 2021. Is there any extension beyond use date for this vaccine in this case?

Other Meds: n/a

Current Illness: n/a

ID: 1365231
Sex: M
Age: 51
State: MT

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever & Chills

Other Meds:

Current Illness:

ID: 1365232
Sex: U
Age: 58
State:

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 06/01/2021
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: Lip numbness.

Other Meds:

Current Illness:

ID: 1365233
Sex: F
Age: 28
State: CA

Vax Date: 05/22/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: My period started again after 3 days if taking my second dose. My last period prior started on 05/05/21

Other Meds: N/A

Current Illness: N/A

ID: 1365234
Sex: F
Age: 20
State: WI

Vax Date: 05/10/2021
Onset Date: 05/10/2021
Rec V Date: 06/01/2021
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

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

Symptoms: none

Other Meds: none

Current Illness: none

ID: 1365235
Sex: F
Age: 20
State:

Vax Date: 05/27/2021
Onset Date: 05/30/2021
Rec V Date: 06/01/2021
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:

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

Symptoms: Patient was hospitalized due to bilateral emboli 4 days after Janssen covid vaccine.

Other Meds:

Current Illness:

ID: 1365236
Sex: F
Age: 31
State: KS

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: no known allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: She bleed at the injection site . Held cotton ball to injection site for about 1&1/2 minutes until the bleeding stopped. There was swelling at injection site. About 2 minutes later after Band-Aid had been applied she passed out and fell to the left. Immunizer caught her just as her head hit the counter top. Held her until she came to for about one minute. Room was closed and could not call for help. Patient then put her head between her legs and started to feel better and decided to walk out of immunization room after about 5 minutes to sit in waiting room. Got her a bottle of water and patient said she wanted to lie down. Went to immunization room and patient laid down for about 15 minutes. Immunizer kept her talking and watched for any reactions. Patient then said she was okay and sat in waiting room for another 10 minutes before leaving.

Other Meds: Tri-Sprintec

Current Illness: None

ID: 1365237
Sex: M
Age: 40
State: LA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: penicillin and sulfa

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

Symptoms: Patient received his Janssen Covid-19 immunization. The patient arrived at 11:00am on 6/1/21 and completed his pre-screening questions and temperature check. The patient then completed his "Patient Questionnaire and Consent Form." The patient was administered his Janssen Covid-19 vaccine around 11:05am. About 2 minutes after administration, the patient appeared pale and sliding out of his chair. The pharmacy technician responded and held the patient under his arms. The patient convulsed and then became unconscious. We called 911, checked the patient for breathing and responsiveness. The patient didn't stop breathing and became conscious about 1 minute after losing consciousness. We placed the patient on the floor and placed cold compresses under his neck and on his wrists. EMTs arrived and evaluated the patient and made sure the patient was stable. EMTs offered to take the patient to the hospital but the patient declined.

Other Meds: none

Current Illness: none

ID: 1365238
Sex: F
Age: 74
State: NC

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: CodeineUrticaria / Hives (ALLERGY), Shortness Of Breath (ALLERGY/intolerance) Demerol [Meperidine]Urticaria / Hives (ALLERGY), Shortness Of Breath (ALLERGY/intolerance), Nausea & Vomiting (ALLERGY/intolerance) Iv Dye [Iodinated Contrast Media]Anaphylaxis (ALLERGY), Urticaria / Hives (ALLERGY) OtherShortness Of Breath (ALLERGY/intolerance), Itching / Pruritis (ALLERGY/intolerance) TetracyclineUrticaria / Hives (ALLERGY), Shortness Of Breath (ALLERGY/intolerance), Itching / Pruritis (ALLERGY/intolerance) Venom-honey BeeAnaphylaxis (ALLERGY), Urticaria / Hives (ALLERGY), Shortness Of Breath (ALLERGY/intolerance), Itching / Pruritis (ALLERGY/intolerance) Multihance [Gadobenate Dimeglumine]Respiratory Distress (ALLERGY/intolerance) Nubain [Nalbuphine]Itching / Pruritis (ALLERGY/intolerance) TramadolItching / Pruritis (ALLERGY/intolerance), Nausea & Vomiting (ALLERGY/intolerance)

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

Symptoms: -nausea/vomiting, wooziness(light headedness) -was evaluated -was given Zofran for nausea

Other Meds: ACCU-CHEK FASTCLIX LANCET DRUM Misc acetaminophen (TYLENOL) 500 MG tablet albuterol 90 mcg/actuation inhaler alcohol swabs (ALCOHOL PADS) ascorbic acid (VITAMIN C) 500 MG tablet aspirin 81 MG EC tablet blood sugar diagnostic (ACCU-CHEK AVIV

Current Illness:

ID: 1365239
Sex: F
Age: 67
State:

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 06/01/2021
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: Pain in extremity

Symptoms: Chest pressure.

Other Meds:

Current Illness:

ID: 1365240
Sex: F
Age: 52
State: NJ

Vax Date: 03/09/2021
Onset Date: 05/01/2021
Rec V Date: 06/01/2021
Hospital:

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

Lab Data:

Allergies: Allergic to fluoroquinalones, zithromax and penicillin as well as a natural food coloring called annatto.

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

Symptoms: First shot was 2/16/21. Also had Pfizer Lot # EN6206 on 3/9/21 I didn't really have any symptoms with the first dose except mild soreness in arm. I had mild dizziness right after the 2nd dose for about 10 minutes and then the next day I had chills, fatigue and aches. But I started having weird symptoms a few weeks after the 2nd dose and I'm not sure if any of all of them are due to the vaccine. First I started having achy knees and some other joints about 2-3 weeks later. It is only a problem once in a while and presents in my left knee, my fingers, wrists, feet and shoulders. Then on May 1st I had a vmild case of what has now become more common and severe. I got tingly feet and became very thirsty. Then on May 23rd I went to the Emergency Room because my feet, hands and mouth/tongue became tingly. After about 20 minutes I became shaky. I was also very thirsty, so thirsty that after about 6 glasses of water I was still thirsty. We thought it was blood sugar issues, but my blood sugar was only slightly elevated and not enough to cause the symptoms I had. I was having fun with my family watching a movie when it started. Then on May 28th it happened again. I went to the school nurse with tingling, dizziness and thirst.

Other Meds: No prescriptions. I wasn't taking any supplements either.

Current Illness: I had not been ill prior to vaccine. The last time I had been sick was in October.

ID: 1365241
Sex: F
Age: 28
State: FL

Vax Date: 01/30/2021
Onset Date: 02/12/2021
Rec V Date: 06/01/2021
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: PINEAPPLE, KEFLEX, IMMATREX

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

Symptoms: Chest pains, breast pain,

Other Meds: IRON, SELENIUM, B12, VITAMIN D

Current Illness: None

ID: 1365242
Sex: M
Age: 62
State: MA

Vax Date: 04/06/2021
Onset Date: 04/09/2021
Rec V Date: 06/01/2021
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 suffered the worst herpes zoster infection I have ever had. An infection resulted in a scab, below my lower lip, that was about an inch square. It was HUGE. I also know that herpes zoster outbreaks after the vaccine are a sign that the vaccine has weakened my immune system.

Other Meds: Multi-vitamin, A, C, D, Silymarin, CoQ10.

Current Illness: None

ID: 1365243
Sex: F
Age: 48
State: MT

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 06/01/2021
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: After 24 hours fever, chills, headache, and sore arm. Two days following vaccine swollen lymph nodes.

Other Meds:

Current Illness:

ID: 1365244
Sex: M
Age: 35
State: MA

Vax Date: 03/25/2021
Onset Date: 04/02/2021
Rec V Date: 06/01/2021
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: Diagnosis of Autoimmune Hepatitis approximately one-month post-vaccination.

Other Meds: None

Current Illness: None

ID: 1365245
Sex: M
Age: 26
State: NC

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient had acute onset post-vaccination at 10 mins of nausea, bilateral UE and LE tingling sensation, no dermatological changes. Denied SOB. Patient reported last food was 30 mins prior to vaccination with bagel. Patient vitals as stated below and given OJ and gummies. VITALS: T97.7, HR 75, RR 14, O2 95%, BP 150/82 After 10 mins of snacks, symptoms were improving. After 15 mins, symptoms resolved entirely. patient left site 30 mins after onset without reoccurrence.

Other Meds: None

Current Illness: None

ID: 1365246
Sex: F
Age: 57
State: CA

Vax Date: 03/29/2021
Onset Date: 04/29/2021
Rec V Date: 06/01/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I was scheduled for surgery and had concerns about it following the vaccine, but my doctor said that it should be fine, do I had the surgery. After a few weeks, a blood clot was found in my breast. On May 11, 2021, I had to have another surgery to clean the blood clot from the area.

Other Meds: None

Current Illness: None

ID: 1365247
Sex: F
Age: 54
State:

Vax Date: 03/05/2021
Onset Date: 06/01/2021
Rec V Date: 06/01/2021
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: Lightheadedness; Heart palpitations EMS at bedside.

Other Meds:

Current Illness:

ID: 1365248
Sex: F
Age: 31
State: NH

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 06/01/2021
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: Ibuprofen, Augmentin, shellfish, nuts.

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

Symptoms: The day after I experienced extreme muscle and joint pain that lasted about a week. And it started to get better but the following Saturday I got a very terrible headache. And over the course of that week I started bruising very easily and all the veins all over my body were very prominent. The headache wouldn't go away and I started to have chest pain by that monday. And at that point all the muscle and joint pain came back and it was very very painful. At that point I called my primary care provider and they scheduled me with someone else in the clinic because i was having the chest pain. And they did a test for covid and urged me to go to the emergency room, which i did. After that I went to the emergency room and sat for 5 hours, they did bloodwork to check clotting factor, basic blood panel and also a CT of my head. According to them, everything was normal and they sent me home with a terrible headache. My biggest complaint was the bruising all over my body but no one ever looked at that.

Other Meds: Cingular 10mg, Daily Vitamin

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm