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: 1372580
Sex: F
Age: 41
State: OH

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
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: N/A

Symptom List: Dysphagia, Epiglottitis

Symptoms: Around 7:30 in the evening at work I started having a migraine. I could hardly lift my arm and the site was immediately swollen. My whole arm became red, hot and painful. I left work. I was very tired . All night long I was up nauseous, my throat hurts, pain in my chest. For a time I felt as if I couldn?t catch my breath. The worst is every bone in my body feels broke and continues to fill like my bones keep breaking over and over. The pain is unbearable. It?s 8:45 in the evening 24 hours later and I feel worse. I literally can not move my body hurts so bad. I?m sweating and then have chills. My left arm has pins and needles down to my finger tips. I have to take another day off of work tomorrow. When I got my first shot in May, a week later to the day my arm that I received the shot was very swollen, itchy, hives, red, hot, all the way down to my elbow. My son got his second shot also the same day as me and he is also sick today. Not as bad as myself, but was sent home from work. He feels like he can not breath, body aches and tired. I?m just wondering why I?m so sick?

Other Meds: Vitamin D

Current Illness: N/A

ID: 1372581
Sex: M
Age: 46
State: TX

Vax Date: 04/07/2021
Onset Date: 04/21/2021
Rec V Date: 06/03/2021
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: Medication: sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: ACCUTE APPENDICITIS

Other Meds: EZETIMIBE, LISINOPRIL, HYDROCHLOROTHIAZIDE, ATENOLOL, MEN'S 45+ MULTI-VITAMIN.

Current Illness: None

ID: 1372582
Sex: F
Age: 20
State: OR

Vax Date: 05/13/2021
Onset Date: 05/15/2021
Rec V Date: 06/03/2021
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:

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

Symptoms: I had a sore arm the first day after the shot. Two days after I woke up from my sleep with very bad chills and a 102 fever at 11:30 pm. After two hours, the chills stopped but my fever was still at 102. I went back to sleep at 3:00 am and woke up without a fever but still felt very tired and groggy for the next two days. Also, am not sure if it is related, but I am usually very regular on my menstrual cycle, but was 20 days late after getting the first vaccine. I know this because I track my menstrual cycle. Also, when my period did finally come, it was the most painful period that I have had in a while. The cramping was very painful and I bled very heavily. Although, I got my second shot on the 27th of May and had no symptoms. I also, to my knowledge, did not have covid prior to getting either shot.

Other Meds: probiotic iron calcium

Current Illness:

ID: 1372584
Sex: M
Age: 56
State: AL

Vax Date: 03/23/2021
Onset Date: 03/26/2021
Rec V Date: 06/03/2021
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: I have been diagnosed with Ulcerative Colitis where I had sporadic diarrhea. After the first Pfizer shot I started light bleeding. After the my second shot I started bleed heavily. I reported this to my doctor; underwent a quick mini-colonoscopy; and I was quickly put on Humira. After 4+ weeks on Humira, the bleeding appears to be slowing.

Other Meds: Mesalamine 3.6 GM daily; Budesonide 9 MG

Current Illness:

ID: 1372585
Sex: M
Age: 44
State: IN

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
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: sore throat, congestion,muscle pain.

Other Meds: None

Current Illness: None

ID: 1372586
Sex: M
Age: 61
State: MD

Vax Date: 06/02/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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: Non as I know

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

Symptoms: After the second dose of Moderna vaccine I slept at night for about 2 hours and I was feeling muscle fatigue. When I woke up, my body temperature was 100.4 F. Around 10 am I went to the kitchen to prepare my breakfast. During this time I was feeling that my head was heavy. Then I start to feel that I cannot stay anymore and I sat down on my stool. I don't know what happened after that because I lost my consciousness. After that I found myself lying on the back of my kitchen floor and I was completely wet. Few minutes later my body temperature was normal 97.88 F and I started to feel much better.

Other Meds: Vitamin D3, Turmeric.

Current Illness: hemorrhoid, tonsillitis, varicose veins

ID: 1372587
Sex: F
Age: 82
State: MO

Vax Date: 06/01/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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: Pennicillin asprin sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Quiet. Not think correctly. Low Fever. Warm hands

Other Meds: Eliquis preservision

Current Illness: None

ID: 1372588
Sex: F
Age: 13
State: CA

Vax Date: 05/20/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
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: Motor tics - head thrusting every 2-5 minutes, painful

Other Meds: None

Current Illness: None

ID: 1372589
Sex: F
Age: 26
State: NJ

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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: Moments after receiving the vaccine, while walking to the post vaccine area, patient reported right sided headache and generalized weakness. Weakness became progressively worse over 30-40 minutes, progressing to difficulty standing. Weakness generalized, not noted to be focal/unilateral. Speech slow and soft but clear. 911 called, transported to Emergency Department . Vital signs 121/76 hr 69 O2 100% rr 18. Denied pain at the time of transport.

Other Meds:

Current Illness:

ID: 1372590
Sex: M
Age: 47
State: MI

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 06/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NONE

Symptom List: Diarrhoea, Nasal congestion

Symptoms: PATIENT HAD A GOLF BALL SIZE LUMP UNDER HIS RIGHT ARMPIT THE NEXT DAY FOLLOWING THE VACCINE, SOUGHT TREATMENT FROM HIS DR 06/02/2021, PATIENT SAID DR PRESCRIBED ANTIBIOTIC AND ULTRASOUND TEST-OUTCOME UNKWON AT THIS TIME.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1372592
Sex: M
Age: 38
State: WA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 06/03/2021
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

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

Symptoms: Immediately after the shot, I began to feel light headed. The first time I felt like I was going to faint was 04/11/2021 within 24 hours of getting the shot. I began to feel lightheaded over the next few weeks. On May 2, 2021, I collapsed and fainted

Other Meds: Lisinipril-HCTZ 10 - 12.5 MG Tab

Current Illness: None

ID: 1372593
Sex: F
Age: 50
State: CT

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 06/03/2021
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: Lactose intolerance

Symptom List: Rash, Urticaria

Symptoms: First shot: immediately dry mouth and itchy throat. Within 1/2 hour eyesight was very slightly blurry. Second dose: Immediately after receiving shot had itchy inner ears and a dry, itchy throat. Within 1 hour after my face swelled up and I looked sunburned an had no wrinkles. (I am 51, so I definitely have wrinkles and all the lines in my face disappeared.) Swelling and symptoms were gone within 4 hours.

Other Meds: Biotin

Current Illness: none

ID: 1372594
Sex: M
Age: 72
State: CA

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

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

Lab Data:

Allergies: Possibly penicillin

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

Symptoms: None stated.

Other Meds: Percoset, Advil, Allopurinol,

Current Illness: Tightness in chest immediately after first vaccination. This progressed simultaneously with a pinched nerve in my neck that made my left hand weak. I had symptoms like that of a heart attack and was in tremendous pain. Went to the ER and after copious tests ruled out heart .. tons of MRIs etc and today the neurologist said I had a bout of Brachial Plexus and that he feels certain it was an immune response to my vaccination. He suggested I make this report and this was pretty severe.

ID: 1372595
Sex: F
Age: 52
State: AL

Vax Date: 06/01/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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: Horrible tinnitus started on the second day after my 1st COVID immunization.

Other Meds: None

Current Illness: None

ID: 1372597
Sex: F
Age: 4
State: ME

Vax Date: 10/29/2019
Onset Date: 10/01/2019
Rec V Date: 06/03/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Day after vaccine pain in left arm and behavior was fearful at every movement. Behavior changed and was angry and kicking and hitting walls repeatedly with hands and feet. hypersensitivity to noises, decrease facial expressions, and increased bowel accidents. Cough started 2 days later. 5 weeks later In middle of night with continued cough and severe wheezy cough, extremely high temperature 105, and was making forceful jerking movements while not able to respond to parent. Eventually woke up. Called doctor and they said gove Tylenol for temp movements were from high temp. Next morning eyes were dark. Cough persisted for a week and visited doctors who diagnosed her with pertussis. Since then diagnosed with Autism, Sensory Disorder, OCD, and Anxiety.

Other Meds: None. Not even vitamins

Current Illness: None

ID: 1372598
Sex: M
Age: 78
State: CA

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 06/03/2021
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: Three days after vaccination clinical depression recurred and became severe within one week.

Other Meds: Sertraline Mirtazapine Psorinum (homeopathic remedy) Multi-vitamins

Current Illness: None

ID: 1372599
Sex: F
Age: 33
State: IN

Vax Date: 05/06/2021
Onset Date: 05/31/2021
Rec V Date: 06/03/2021
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: Dizziness, vertigo, especially when standing up from sitting ir sitting up/standing up from lying down

Other Meds: Cymbalta

Current Illness: Concussion

ID: 1372600
Sex: M
Age: 16
State: CA

Vax Date: 05/18/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Tonic Clonic seizure

Other Meds: Mirtazapine, Prozac, Daytrana

Current Illness: None

Date Died: 04/16/2021

ID: 1372601
Sex: M
Age: 86
State:

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 06/03/2021
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: Noticeable decline after 2nd Moderna vaccine, patient could no longer get out of bed, stopped eating and was unable to communicate verbally

Other Meds: L-dopa, synthroid,b12,vitamin c, zinc, baby aspirin, namenda, cogentin

Current Illness:

ID: 1372603
Sex: M
Age: 34
State:

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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: Pt in for 2nd dose of COVID vaccine, negative reaction to first vaccine. Pt states he felt very dizzy after the injection. Staff (not including myself) witnessed pt have vasovagal fainting response (for about 3 seconds) and he fell straight down to ground from standing position. Paramedic(s) state they heard the pt hit the ground, and responded to the nurse stn quickly. This writer was passing out water to another pt when noticed the activity happening and was beckoned to come to the nurse's stn. Pt alert at this time, has c/o HA, no N&V, states does feel some dizziness, v/s 144/92, O2= 98%, R=16, responds to commands but keeps asking ?What happened? ? hand strength is stable, pupils are equal and reactive to light, no bleeding of head,ears, nose,etc, noted. Ice pack applied to pt?s forehead, does have profuse sweating. No significant medical hx, no allergies. 1205pm: 133/84, p=87, O2= 98% R 16, aware of name/ place/location, but continues to ask ?what happened?, no LOC noted. Advised team to call 911, pt needs to go for further exam of head injury, though he remains stable and alert. GF of pt unable to drive pt because she doesn't know how to drive stick shift. 1210pm: 135/86, p 94, R 16, 02 sat 98%, pt remains alert, sweating has stopped,denies dizziness at this time, does continue to say that ?back of head hurts? 1220pm paramedics have arrived, BP 128/68, p 85, R 16, 02 sat 98%. Assessment done by paramedics. Pt to go to hospital via ambulance, 1225pm pt left via gurney to ER. GF waiting for a ride for someone to come drive the car for her to meet pt at ER. Pt left alert, slowly starting to remember that he fell after injection he states.

Other Meds:

Current Illness:

ID: 1372604
Sex: F
Age: 52
State: CA

Vax Date: 04/22/2021
Onset Date: 04/26/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: A few days after the second shot, I started experiencing vertigo, and extreme headaches. This lasted for 6 weeks. Although it's better now, I still do not feel 100%. I had daily dizzyness, whenever I got out of bed, or up from a sitting position

Other Meds: Metformin, 500 mg per day, Januvia, 100 mg per day, Simvistatin, 20 mg per day, Vitamin D pill

Current Illness: None

ID: 1372605
Sex: F
Age: 53
State: TX

Vax Date: 04/03/2021
Onset Date: 04/28/2021
Rec V Date: 06/03/2021
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: na

Symptom List: Unevaluable event

Symptoms: i had a blood clot which caused a stroke

Other Meds: amlodopine, losartan,

Current Illness: none

ID: 1372743
Sex: F
Age: 53
State: VA

Vax Date: 05/11/2021
Onset Date: 05/14/2021
Rec V Date: 06/03/2021
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: Mushrooms

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

Symptoms: Rash on arm

Other Meds: None

Current Illness: None

ID: 1372744
Sex: M
Age: 29
State: TX

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 06/03/2021
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: Peas , legumes

Symptom List: Injection site pain, Pain

Symptoms: Chest pain. Visit to hospital outpatient. Non specific muscle pain diagnosis. Tylenol Pepcid. I don?t think they took my chest pain and potential link to vaccine as a serious possibility. It started minutes after vaccine as a sensation. Pain onset and increase for hours and persisted for days leading up to visit and after.

Other Meds: Flovent singular zyrtec

Current Illness:

ID: 1372745
Sex: M
Age: 37
State: IN

Vax Date: 12/24/2020
Onset Date: 04/01/2021
Rec V Date: 06/03/2021
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: Rocephin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Developed excessive bruising around march/april with office on 04/06 for evaluation of increase bruising and fatigue. CBC was check with platlet count of 7. CBC was repeated on 04/08 with platlet count of 13. She was referred to hematology for possible evaluation of acute ITP

Other Meds: no prescriptions medication

Current Illness: none

ID: 1372747
Sex: F
Age: 60
State: OH

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 06/03/2021
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: Sulfa, Percocet

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

Symptoms: First, vaccine caused pain. Second vaccine, caused patient pain and to retain fluid. Patient had an MRI of shoulder and culture of fluid. Fluid tested positive for staph.. Patient was given doxycycline for 10 days. Fluid was drained at hospital. Patient was admitted for overnight stay. Patient has incision in front and back of shoulder. She was diagnosed with tendonitis.

Other Meds: None

Current Illness: None

ID: 1372748
Sex: F
Age: 39
State: MI

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 06/03/2021
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: Levaquin Cipro Sulfa Drugs Flagyl

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Received 2nd dose of Moderna COVID-19 vaccine EUA. Caused central nervous issues similar to other allergic reactions I've had from some antibiotics. Heart racing, shortness of breath, panic attacks. Physically unable to control shaking. This started Tuesday a couple hours after the vaccine and lasted until Saturday (4 days).

Other Meds: Lexapro Singulair Myrbetriq Vitamin D

Current Illness:

ID: 1372749
Sex: F
Age: 43
State: NC

Vax Date: 04/07/2021
Onset Date: 04/25/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: polysporin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: intermittent chest pain, heart palpitations, elevated heart rate, headache, hands tingling, feet tingling, shortness of breath, extreme fatigue

Other Meds: prenatal multivitamin, 3000mg fish oil, 3000mg flaxseed oil, Vitamin D 5000 IU,

Current Illness: yeast infection (treated 5/3/2021)

ID: 1372750
Sex: F
Age: 34
State: TN

Vax Date: 03/18/2021
Onset Date: 04/18/2021
Rec V Date: 06/03/2021
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: NKA

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

Symptoms: Experiencing a menstrual period for the first time in five years. I have a Nexplanon implant and do not experience menstruation typically since receiving the implant. I had light spotting in April 2021 and a full heavy period in May 2021.

Other Meds: Bupropion XL, Nexplanon, Escitalopram, Humira, Spironolactone, Metformin ER, Rifampin, Clindamycin

Current Illness: None

ID: 1372753
Sex: M
Age: 15
State:

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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: Nausea

Symptoms: This information was reported to this writer. Immediately after receiving the second dose of the Pfizer vaccine, the patient reported a "weird sensation" in his chest. The patient became pale, and reported nausea and lightheadedness. According to the vaccinator it seemed as though the patient went into a syncopal episode. A nurse attempted to do a sternal rub to wake the patient up but was unsuccessful. The patient was then laid onto the ground and woke up; attempted to sit patient up and then went into another syncopal like episode. EMTs were notified and were on their way to attend to the patient. Patient's feet were elevated. No history of vaccine reaction. Patient had eaten and had fluids 2 hours prior to the vaccine. Patient was sat up again with assistance but immediately felt lightheaded and had another syncopal like episode. He was again placed in a supine position with feet elevated. Immediately reported improvement of symptoms. Patient had several sips of juice and was placed on a stretcher and taken to a back room. Patient had mom and sister at his side. As the patient remained in supine position, he denied nausea and lightheadedness; no chest pain, no dizziness. Patient was alert and oriented. Remained pale in color according to his father who just arrived. Per the advice of the EMTs, patient was transferred to hospital per ambulance.

Other Meds:

Current Illness:

ID: 1372754
Sex: U
Age: 40
State:

Vax Date: 04/04/2021
Onset Date:
Rec V Date: 06/03/2021
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: None stated.

Other Meds:

Current Illness:

ID: 1372755
Sex: M
Age: 50
State: GA

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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 started shaking a lot 5 minutes after vaccination. Checked Vitals and his BP was 241/212,SpO2 was 98. Called 911 and patient was taken to the hospital. BP dropped to 171/117 when EMS came in and checked.

Other Meds: Patient stated that he is on a BP medication but do not know the name

Current Illness:

ID: 1372756
Sex: M
Age: 17
State: AZ

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 06/03/2021
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: Pt is 17 yrs old and Moderna vaccines are currently only approved 18 yrs and older.

Other Meds:

Current Illness:

ID: 1372757
Sex: F
Age: 54
State: IL

Vax Date: 01/18/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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: NKA

Symptom List: Tremor

Symptoms: Everything tasting bad, persistent headache, ringing in ears persisting for last 5 months. ENT follow up to r/o sinus problems Neuro consult for abnormal MRI notes symptoms possibly related to vaccine and referred to COVID Neuro Specialist, Medication including muscle relaxers, NSAIDs and Steroids without relief. Hearing eval with decrease in response at 8-cannot tell if frequency of loss or inability to detect secondary to ringing in ears.

Other Meds: Hyzaar, Xanax, Effexor SR, Zinc, Iron, Protonix

Current Illness: none

ID: 1372758
Sex: F
Age: 44
State: VA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 06/03/2021
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: Cortef, Hydrocortisone, Avelox, Levaquin, Chicken, Pineapple

Symptom List: Erythema, Pruritus

Symptoms: Immediately after receiving first shot, I became light headed and developed a headache. Within 2.5 hours, I began to develop itching and hives on my face and neck and within 24 hours they were also covering the trunk of my body. Within three days they began to recede (treated with Zyrtec). Roughly 13 days after the shot, I began to develop hives and itching again but this time over my entire body. Began treating with Benadryl cream, Benadryl anti-itch spray, Zyrtec and by day 17 my hives had gone down by itching remained. Going on day 21 and itching remains and gets worse depending on what I eat, what medications I take. I now seem to be reacting as though I'm having an allergic reaction to (Gabapentin and Klonopin) and liquid and pill form Benadryl are making me itch. All began immediately after shot - no issues before.

Other Meds: Gabapentin, Klonopin

Current Illness: No illness, but dealing with spinal fluid leak

ID: 1372759
Sex: F
Age: 68
State: ME

Vax Date: 05/24/2021
Onset Date: 06/02/2021
Rec V Date: 06/03/2021
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: Latex

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

Symptoms: Rash appeared on right arm about 1.5 weeks after injection. Not raised or hot, not too itchy.

Other Meds: Vitamins

Current Illness: None

ID: 1372761
Sex: M
Age: 73
State: OR

Vax Date: 05/19/2021
Onset Date: 05/19/2021
Rec V Date: 06/03/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: SYNCOPE within an hour

Other Meds: metoprolol, Baclofen. Pantoprazole

Current Illness: N/A

ID: 1372762
Sex: F
Age: 51
State: CA

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

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Client received 1st COVID vaccine of Pfizer (Lot# EW0182, expiration 06/28/2021). At 1653, Client states that she is dizzy and has "hot flashes". At 1654, RN, RN, and RN responded to this event and transferred Client to the anti-gravity chair. At 1654, RN and PHN responded and began assessment. At 1654, vital signs are blood pressure is 180/100, heart rate 74, oxygen saturation 99%. Client reports the dizziness and hot flashes resolved in seconds. Client reports being recently diagnosed with hypertension two months ago, but is not on medication. Client states "I refuse to take medication". At 1656, blood pressure was rechecked on opposite arm and is 182/104. At 1657, blood pressure is 182/110. At 1701, PHN and RN educate Client on hypertension, ED precautions, and common adverse effects of the COVID vaccine. At this time, PHN offers Client emergency services, but Client declines. PHN and RN advises Client to follow up with primary care provider. At 1710, vital signs are blood pressure 182/102, heart rate 75, oxygen saturation 98%. At 1711, Client stood up with no complains and with resolved symptoms. Client left against medical advise to stay in observation for an addition 30 minutes. Client walked out of facility with a steady gait at 1711, and states "I will make an appointment with my provider tomorrow".

Other Meds: None

Current Illness: None

ID: 1372763
Sex: F
Age: 37
State: TN

Vax Date: 05/18/2021
Onset Date: 05/22/2021
Rec V Date: 06/03/2021
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: nka

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

Symptoms: red spot at injection site evolving into infection 4-10 post vaccine, visited walkin clinic and received cephalexin antibiotic plus ondansetron ODT for nausea

Other Meds: levothyroxine, linzess

Current Illness: nk

ID: 1372764
Sex: F
Age: 45
State: OH

Vax Date: 02/17/2021
Onset Date: 04/04/2021
Rec V Date: 06/03/2021
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: None known

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

Symptoms: Tinnitus

Other Meds: N/A

Current Illness: None

ID: 1372766
Sex: F
Age: 23
State: IL

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/03/2021
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: Vaccine was stored in the freezer for 15 days instead of the recommended 14 days. The vaccine was supposed to be removed from the freezer on 5/27 by 1pm and placed in the fridge. Instead in was kept in the freezer and given to the patient instead.

Other Meds:

Current Illness:

ID: 1372767
Sex: M
Age: 54
State: MO

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient reported feeling funny and then fainted for a couple of minutes. When he regained consciousness he was sweating profusely.

Other Meds: None

Current Illness: None

ID: 1372768
Sex: M
Age: 36
State: ID

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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 allergies listed

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

Symptoms: Patient received the shot at approximately 2:00pm. He was visibly anxious while waiting for the shot and receiving it, as he verbalized he was afraid of needles. After giving the shot and sitting for about 5 minutes, he stated he was feeling a little bit light headed and nauseous. At this time, I pulled up next to him and talked about symptoms. There was slight nausea and felt a little "out of sorts." Due to the nausea, gave a dose of benadryl in order to help with the nausea, sweats, and nervousness. 9-1-1 was called during benadryl administration. Within 5 minutes, the patient began to talk about his throat being itchy, and when about to administer epinephrine the paramedics arrived and took over, and left in an ambulance. Ultimately after discharge from the hospital, the patient did not receive Epinephrine either from our clinic or from the hospital.

Other Meds: N/A

Current Illness: No illnesses reported

ID: 1372769
Sex: M
Age: 61
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 06/03/2021
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: Unable to rotate left should without severe pain

Other Meds: baby aspirin 81mg, toprol xl 25mg, Plavix 75mg, Crestor 5mg,

Current Illness: No

ID: 1372770
Sex: F
Age: 40
State: IL

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
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: Vaccine was stored in the freezer for 15 days instead of the recommended 14 days. The vaccine was supposed to be removed from the freezer on 5/27 by 1pm and placed in the fridge. Instead in was kept in the freezer and given to the patient instead.

Other Meds:

Current Illness:

ID: 1372771
Sex: F
Age: 66
State: NJ

Vax Date: 12/20/2020
Onset Date: 12/25/2020
Rec V Date: 06/03/2021
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: Intermittent dull pain at the injection site. The pain is very localized. The pain is about a 4 on a scale of 0 to 10 with 0 being no pain and 10 being the worst pain. The pain happens daily and can last from 3 minutes to 30 minutes. It happens several times a day. Mostly in the afternoon. The pain goes away on its own. I am afraid to take any pain medication. The pain does not interfere with my daily functions.

Other Meds: metformin Lisinopril

Current Illness: none

ID: 1372773
Sex: F
Age: 13
State: TX

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 06/03/2021
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: Had petechiae of opposite arm 4 hours following COVID vaccination. Petechiae took over a week to resolve.

Other Meds: none

Current Illness: History of Gilbert and was having some fatigue at the time.

ID: 1372774
Sex: M
Age: 19
State: IL

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/03/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Vaccine was stored in the freezer for 16 days instead of the recommended 14 days. The vaccine was supposed to be removed from the freezer on 5/27 by 1pm and placed in the fridge. Instead in was kept in the freezer and given to the patient instead.

Other Meds:

Current Illness:

Date Died: 06/03/2021

ID: 1372775
Sex: M
Age: 65
State: TX

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/03/2021
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: AFTER RECEIVING SHOT C/O CHEST PAIN. PRONOUNCED SAME DAY AT FACILITY.

Other Meds:

Current Illness:

ID: 1372776
Sex: F
Age: 26
State: MI

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Chills, fatigue, aches in legs

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm