VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
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Manufacturers

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

Incidents per State

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

ID: 1396602
Sex: F
Age: 15
State: OH

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
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: Approx. 5 minutes after vaccine given Pt. felt weak and like she was going to pass out. She was sitting in chair and we gave her water and she put her head between her legs. After approx. 2-3 minutes she felt better and sat up drank water. After about 2 more minutes she felt dizzy and she went limp, she was diaphretic, pulse 50, bp 80/palp. Pt. arroused and was able to speak approx. 2 minutes later but was very weak and states "I cannot see anything". Squad was called they arrived and assumed care. Pt. was alert and oriented and was able to talk. Pt. Mom was with the patient the whole time

Other Meds:

Current Illness:

ID: 1396603
Sex: M
Age: 30
State: NY

Vax Date: 06/04/2021
Onset Date: 06/06/2021
Rec V Date: 06/14/2021
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: None known

Symptom List: Anxiety, Dyspnoea

Symptoms: Light headedness, weakness, and subjective fever onset during the morning of 6/6 following injection of second COVID-Pfizer vaccine on 6/4 at approx. 4:30 p.m, and the initial even also included minor muscular spasms, headache, heartburn, and abdominal pain. These symptoms worsened throughout the day. My pulse felt weak. My breathing became rapid and shallow, even though it was not difficult to draw breath. The major symptoms on 6/7 were headache, with a sense of my motion being affected. My urine throughout this time was excessively dark, even though I was drinking more water than normal. The following day, 6/8, most of my joints began to heart, and I became very stiff; this sx lessened after taking a long, slow walk. On 6/13 another event involving slowed heart rate, subjectively weak pulse, and shortness of breath ensued. There had been no unusual or excessive physical activity, and as I had not experienced this phenomenon before receiving the second vaccine dose on 6/4, I believe that the 6/13 event was also linked to the vaccination.

Other Meds: None

Current Illness: None

ID: 1396604
Sex: M
Age: 12
State: PA

Vax Date: 06/10/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
Hospital: Y

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: cephalosporins

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

Symptoms: chest pain, labs suggestive of myocarditis

Other Meds:

Current Illness:

ID: 1396605
Sex: F
Age: 26
State: AL

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt received a Moderna covid 19 vaccine and started having numbness and tingling in her lips, mouth ,gums ,throat with rapid heart rate vital signs assessed Pt given .3mg epinephrine IM via epi pen in left vastus lateralis and 50 mg Benadryl IM in right deltoid .EMS called. Pt's vital signs reassessed ,Pt now asymptomatic .EMS arrived and transport to Local emergency room via ambulance for further evaluation .

Other Meds: N/A

Current Illness: none

ID: 1396606
Sex: F
Age: 23
State:

Vax Date: 04/12/2021
Onset Date: 05/12/2021
Rec V Date: 06/14/2021
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:

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

Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

ID: 1396607
Sex: M
Age: 59
State: NM

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 06/14/2021
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: nka

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

Symptoms: Received 1st vaccine on 1/6/2021. The next day 1/7/21 felt weakness in right arm/elbow area, then the left forearm and thumb became numb. This has been going on and off since my vaccine. Was completely healthy and very physically active prior to my vaccine.

Other Meds: None, no meds at all.

Current Illness: no illiness

ID: 1396608
Sex: F
Age: 86
State: SD

Vax Date: 01/28/2021
Onset Date: 04/01/2021
Rec V Date: 06/14/2021
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: aspirin, ibuprofen, tylenol

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient developed vertigo about 6 weeks after receiving Covid vaccine

Other Meds: Vitamin D, metoprololXL 25, lotensin 10

Current Illness: compression fracture of spine; intermittent vertigo

ID: 1396609
Sex: F
Age: 80
State:

Vax Date: 03/13/2021
Onset Date: 04/23/2021
Rec V Date: 06/14/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

ID: 1396610
Sex: F
Age: 42
State: IL

Vax Date: 02/19/2021
Onset Date: 04/01/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: A month after the second dose and 2 days before my mensural cycle I collapsed on the floor of my kitchen. The pain was so bad that I was throwing up.

Other Meds: Birth control pills

Current Illness: COVID

ID: 1396611
Sex: F
Age: 53
State: DC

Vax Date: 03/25/2021
Onset Date: 05/10/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Case was symptomatic. Not hospitalized.

Other Meds:

Current Illness:

ID: 1396612
Sex: F
Age: 62
State: IL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: PATIENT SHAKING SLIGHTLY. COMPLAINED OF FEELING LIGHTHEADED. PATIENT DRANK WATER AND STATED FEELING BETTER.

Other Meds:

Current Illness:

ID: 1396614
Sex: F
Age: 43
State: NE

Vax Date: 06/12/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
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: Patient describes very sore arm. Also, arm is red and swollen and warm. Began day after vaccine and worsened 2 days after vaccinne.

Other Meds:

Current Illness:

ID: 1396615
Sex: F
Age: 39
State: NC

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Patient started feeling faint and became very pale. Her back was extremely sweaty and she was not very coherent. Her husband was with her and helped us lower her to the ground. We utilized a cold compress and elevated her feet. She came to and began feeling much better after approximately 5 - 10 minutes post vaccination. We held her to watch her an additional 15 minutes afterwards. Patient was able to walk to her car and did not feel she needed additional assistance.

Other Meds:

Current Illness: none reported

ID: 1396616
Sex: F
Age: 41
State: CA

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: vial had expired 18 hours previously

Other Meds:

Current Illness:

ID: 1396617
Sex: M
Age: 43
State:

Vax Date: 05/14/2021
Onset Date: 05/17/2021
Rec V Date: 06/14/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

ID: 1396618
Sex: F
Age: 30
State: AR

Vax Date: 05/17/2021
Onset Date: 05/18/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: SOB, chest pain, fever, night sweats, dizziness, neck pain, headache, axillary lump of the left arm occurred within the first 3 days. Given Toradol 30mg IM, Ketorolac 30mg/1mL IM, Celebrex Capsule 200 MG. Improvement within two weeks

Other Meds:

Current Illness:

ID: 1396619
Sex: F
Age: 72
State: NY

Vax Date: 05/24/2021
Onset Date: 05/24/2021
Rec V Date: 06/14/2021
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: Patient came in to get the TDAP vaccine and accidently got the Moderna vaccine (3rd dose). Patient did not have any symptoms and only reported a sore arm and tiredness the next day.

Other Meds: NOT KNOWN

Current Illness: NONE

ID: 1396620
Sex: F
Age: 34
State: NC

Vax Date: 06/12/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
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: Hot red large rash on left arm 2 days after shot and hot red spot growing Chills - 2 days Aches - 2 days

Other Meds: Lexapro

Current Illness: None

ID: 1396621
Sex: M
Age: 16
State: CA

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: None known at this time

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Admiration error was made by staff member. Vaccine not approved for this age patient.

Other Meds: None Known at this time

Current Illness: None known at this time

ID: 1396622
Sex: F
Age: 31
State: NC

Vax Date: 01/07/2021
Onset Date: 02/24/2021
Rec V Date: 06/14/2021
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 reported

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

Symptoms: At the beginning of January, my husband and I had already been trying to conceive. I received my second dose vaccine on 01-07-2021. In the first week of February I found out I was pregnant. By the end of February I had a miscarriage. I had the miscarriage on 02-24-2021. The day I miscarried I was going to have my first gynecological appointment to check my baby. I do not know if the vaccine had anything to do with my miscarriage. I was hesitant to getting my second dose but I still went through with it. I just think it is important for mothers who are expecting to wait at least till their second trimester to receive the Covid 19 vaccine, my opinion.

Other Meds: Zyrtec, pre-natal vitamins

Current Illness: None reported

ID: 1396623
Sex: F
Age: 19
State: SC

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
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: AMOXICILLIN

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

Symptoms: PATIENT DESCRIBED DIZZINESS, BLURRY VISION, LIGHTHEADEDNESS. PASSED OUT AND WAS HELPED INTO A CHAIR. LOSS OF MUSCLE TONE AND STARTED SLUMPING OVER. FELT HOT IN FACE AND ARM. WAS GIVEN COLD WATER AND PEANUT BUTTER CRACKERS TO EAT. PATIENT REPORTED NOT EATING ANYTHING ALL DAY. EMS CALLED AND PATIENT WAS CHECKED OUT. VITAL WERE NORMAL. WAS PICKED UP BY FAMILY MEMBER AND TAKEN TO AN EMERGENCY FACILITY FOR FURTHER CHECK-UP. APROXIMATE TIME OF INTERVENTION: 40 MIN

Other Meds: NONE

Current Illness: NONE

ID: 1396624
Sex: M
Age: 68
State: IL

Vax Date: 02/26/2021
Onset Date: 06/11/2021
Rec V Date: 06/14/2021
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: Unevaluable event

Symptoms: Received second Moderna in L deltoid on 2/26/2021. 6/11/2021 developed C6 dermatome shingles, exactly where c/o pain since vaccine. Also c/o L shoulder pain since vaccination (specific date unknown) and has tendonitis L shoulder.

Other Meds: Metformin ER 750 mg qd

Current Illness: Rash on legs c/w venous stasis dermatitis, and also dx with nummular eczema 1/2021

ID: 1396625
Sex: M
Age: 76
State:

Vax Date: 04/09/2021
Onset Date: 04/19/2021
Rec V Date: 06/14/2021
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:

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

Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

ID: 1396626
Sex: F
Age: 20
State: GA

Vax Date: 04/22/2021
Onset Date: 06/06/2021
Rec V Date: 06/14/2021
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: PT TESTED POSITIVE FOR COVI-19 AFTER BIENG FULLY VACCINATED.

Other Meds:

Current Illness:

ID: 1396627
Sex: M
Age: 25
State: KS

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Menorrhagia

Symptoms: At 3:48 patient began to feel light headed, had hot flashes, and blurry vision. No injuries occurred at time of adverse event.

Other Meds: n/a

Current Illness: n/a

ID: 1396628
Sex: F
Age: 29
State: DC

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 06/14/2021
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:

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

Symptoms: Patient is a COVID-19 vaccine breakthrough case who was hospitalized on 4/15/2021 due to COVID Pneumonia.

Other Meds:

Current Illness:

ID: 1396629
Sex: F
Age: 59
State: MD

Vax Date: 05/23/2021
Onset Date: 05/27/2021
Rec V Date: 06/14/2021
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: Ilosone

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Started with bad pain in right side and trouble breathing. Went to Emergency Room where CAT scan was done and was told Heart was enlarged, Liver was enlarged, Thyroid was enlarged, Lympnodes were enlarged and found Nodes and something that looks like glass in Lung. Second scan was done with Nuclear Medicine and then told to seek Hematology Oncology Specialist, Pulmanary Specialist and need more Scans done. HAve seen Primary Doctor on 6/4/2021

Other Meds: Pantoprazole

Current Illness: Gerd and Lymphedema

ID: 1396630
Sex: M
Age: 14
State: IL

Vax Date: 06/11/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: Peanut

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pityriasis rosea-like eruption

Other Meds: none

Current Illness: none

ID: 1396632
Sex: F
Age: 70
State: WI

Vax Date: 03/04/2021
Onset Date: 03/14/2021
Rec V Date: 06/14/2021
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: Clavulanate Bactrim Biaxin Codeine Dicloxacillin Erythromycin Morphine Motrin Promethazine Sulfate Benzonatate Beclomethasone Minocycline onions bee stings

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

Symptoms: I noticed an intense itching on my chest. It looked like a rash that was going up over my shoulder and down my arms. It was like hives. It was very intense. A couple days later I went to my PCP. The doctor gave me some prescription to help. It didn't make the itching go away immediately, but it make it bearable until it went away. It left scars. It finally stopped itching after 2 weeks. I think they did some test but I have no clue what they were.

Other Meds: Triamterene - 75mg/hctz 50mg/ 1xday Progesterone SR - k100m/1xday Omega 3 - 2.5g/1xday Magnesium - 125mg/1xday Baby Aspirin - 1xday Allegra 24 HR - 1xday Vitamin D3 - 5000IU/1xday DHEA - 25mg/1xday Multivitamin - 1xday MAC Nidogen - 300mg/

Current Illness:

ID: 1396633
Sex: M
Age: 73
State: TX

Vax Date: 05/06/2021
Onset Date: 06/02/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Nausea

Symptoms: Patient came into the pharmacy on 6/2/21 to get his 2nd dose of Pfizer vaccine. One of our technicians noticed he had vaccination cards for all 3 COVID-19 vaccines in his wallet (Moderna, Janssen, and Pfizer). We refused service on 6/2/21 due to patient showing multiple COVID-19 vaccinations and admitting that he had received all except his 2nd dose of Pfizer. He stated he needed them for travel since he traveled to various countries for work. It is not advised to receive all doses of the COVID 19 vaccines, so myself as the pharmacist on duty at the time, refused to give him the 2nd dose of Pfizer. We had already given him the 1st dose of Pfizer as he had written on the consent form he had not received any previous COVID 19 vaccines and when verbally asked on 5/6/21, he stated he hadn't either. Upon checking system on 6/2/21, it showed he was going to various clinics and pharmacies to get the different vaccines.

Other Meds: Unknown

Current Illness: Unknown

ID: 1396634
Sex: M
Age: 40
State: ID

Vax Date: 03/06/2021
Onset Date: 03/17/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Urticaria. Sudden , transient, onset. Episodes lasting anywhere from 10 mins to multiple hours.

Other Meds: Multi vitamin.

Current Illness: None

ID: 1396635
Sex: F
Age: 62
State: IL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 06/14/2021
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 COMPLAINED OF FEELING A LITTLE OFF. PATIENT DRANK WATER . OBSERVED.

Other Meds:

Current Illness: ANXIETY

ID: 1396636
Sex: M
Age: 77
State: CA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 06/14/2021
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: I can't almost any blood pressure meds. I can't take no muscle prescribe meds. They give me suicide side effects.

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

Symptoms: I took over the counter pain relief meds. Really bad neck ache all the way out to my shoulder. It was in my left arm and the pain was on the same side of the shot. It was the worst pain that I have ever had. It even went down into my back. I went back to where I got the vaccine and ask the nurse about my pain in my neck and she stated that she had the exact same symptoms. I ask her what did she do and she told me to take some over the counter pain aide. It's just the side effect. She told me that it will go away. It did go away after 3 days but than it return. The pain would leave but return again and again. The next thing I did, I call Moderna and I got a doctor and I explain to him what happen and he advise me that it is one of the side effect.

Other Meds: I took over the counter pain relief meds.

Current Illness: For 3 years I have been waking up in pain, throughout my body. But the Moderna shot had nothing to do with that.

ID: 1396637
Sex: F
Age: 28
State: DC

Vax Date: 03/20/2021
Onset Date: 06/04/2021
Rec V Date: 06/14/2021
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: This individual is a COVID-19 vaccine breakthrough case. Individual was symptomatic. Not hospitalized.

Other Meds:

Current Illness:

ID: 1396638
Sex: M
Age: 67
State: AL

Vax Date: 06/05/2021
Onset Date: 06/07/2021
Rec V Date: 06/14/2021
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: Erythema, Pruritus

Symptoms: Palsy. Drooping of lift side of face and twitching of eye and left eye doesn?t close. About a week and a half

Other Meds: None

Current Illness: None

ID: 1396639
Sex: F
Age: 31
State: FL

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
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: Denies

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

Symptoms: 32 y/o with no medical history who present with feeling of blood rushing out of her body, feeling of going to pass out post vaccination. Patient states that this is the second vaccination in the two-dose Pfizer series. Patient denies reaction to first vaccination Patient states that vaccination was placed to the L arm. Patient denies headache, sore throat, difficulty breathing, shortness of breath, chest pain or rash. Patient placed in wheelchair and taken to partitioned area. NP and Paramedics at patient bedside. Patient placed in Trendelenburg position. Patient vitals within normal limits (124/85 BP, 65 HR, 100% RA, 12 Resp). Patient reported that feeling would come and go, described as blood leaving body. Patient states that has been on low carb diet for two months and only ate a beef patty today, chips and one bottle of water. Patient states ate two hours ago. Patient glucose obtained at this time, 89, normal. Patient EKG normal (Sinus Brady). Patient provided with protein bar and a bottle of water. Patient placed in a sitting position to eat protein bar. Patient states that after eating protein bar felt a lot better and feels that lack of eating and low carb diet contributed to symptoms. Patient was able to ambulate without difficulty. Patient discharged in stable condition with normal vitals ( 132/86 BP, 73 HR, 99% RA, 12 Resp).

Other Meds: Denies

Current Illness: Denies

ID: 1396640
Sex: M
Age: 23
State: MD

Vax Date: 05/15/2021
Onset Date: 05/22/2021
Rec V Date: 06/14/2021
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 products

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

Symptoms: Tingling and numbness in left pinky and ring finger, feeling of discomfort in elbow, lower arm like hit funny bone, left hand gets stiff and trembles when trying to extend. Mild symptoms first 2 days, but now significant and unable to type or use left arm without discomfort so have been resting it. Over 3 weeks with no improvement.

Other Meds: None

Current Illness: None

ID: 1396641
Sex: F
Age: 49
State: OH

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 06/14/2021
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: This started with feeling sick and a medium case of the chills and then all of a sudden I?ll get warm, almost hot, ( my first dose I had the chills in a very BAD way), muscle pain, tiredness. The long adverse effects are chills and eventually ill get warm, and muscle pain.

Other Meds: Propranolol, Amitriptyline, and Sumatriptan

Current Illness: None

ID: 1396642
Sex: F
Age: 24
State: OH

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 06/14/2021
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: Tetracycline antibiotics

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

Symptoms: Severe flu symptoms starting ~12 hours after injection gone after 48 hours (fatigue, aches, nausea, vomiting, fever, fever chills). Developed evere sinus infection after flu symptoms cleared (runny/stuffed nose with colored mucus, new fever, headache and tenderness at sinuses, wet cough, lost voice, nausea, vomiting)

Other Meds: Focalin XR, Celexa, generic Zyrtec, vitamin D3 supplements, amytrypteline

Current Illness: Sinus cold

ID: 1396643
Sex: F
Age: 71
State: MI

Vax Date: 06/11/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
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: N/A

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

Symptoms: Patient complained that she had hives 2 days after receiving the vaccine. She was out in her garden and was bit by fleas which would usually not caused hives (has happened many times without hives) and she believes that her getting the vaccine may have exacerbated the flea bites causing hives. She wanted it reported. She said it wasn't too problematic.

Other Meds: N/A

Current Illness: N/A

ID: 1396644
Sex: M
Age: 22
State: NY

Vax Date: 06/10/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Shortness of breath, difficulty breathing, dizziness, constricting of throat

Other Meds: Tretinoin cream

Current Illness: None

ID: 1396645
Sex: F
Age: 14
State: MA

Vax Date: 06/10/2021
Onset Date: 06/13/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

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

Symptoms: Hives developed 3 days post-vaccination #2 in two large areas of extremities--one left UE and one on Right LE. Resolved with Benadryl. Non-recurring.

Other Meds: none

Current Illness: none

ID: 1396646
Sex: F
Age: 45
State: MO

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/14/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Patient had a localized injection site reaction covering approximately half of her upper arm. It was red and inflamed and she thought that it was getting worse. I instructed her to monitor the size of the reaction and make sure that is isn't getting larger and to take some over the counter benadryl to help with the reaction. She also mentioned she was going to go to her primary care physician and have him look at her arm as well. He marked her arm with a line to help measure the size of the reaction site. She received her vaccine June 11th.

Other Meds: Multivitamin 1 tablet every day. Vitamin C 1000mg, Vitamin D 125mcg (5000 iu) every day, and Vitamin A 2400mcg every day. She is taking zinc 50mg every other day.

Current Illness: Not at this time or 1 month prior.

ID: 1396647
Sex: F
Age: 62
State: OH

Vax Date: 04/02/2021
Onset Date: 04/16/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pt called today (6/14/21) to report "nodules" on body. Did not specify where. I explained the added risk for blood clots to the patient with administration of the Janssen (JNJ) Covid vaccine. She does not believe they are blood clots.I directed her to contact her physician immediately to notify of the adverse event as well as utilize v-safe and VAERS. Other than reported "nodules" pt is feeling fine.

Other Meds:

Current Illness:

ID: 1396648
Sex: M
Age: 55
State: WA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/14/2021
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: none known

Symptom List: Vomiting

Symptoms: Patient felt faint 5 minutes after being vaccinated. patient says is scared of needles and thinks it is due to this. He did not want us to call 911 since he does not have an insurance. I nevertheless monitored his vitals until his dauugter who is a nurse arrived .His heart rate varied from 45 to 61.

Other Meds: exedrin

Current Illness:

ID: 1396649
Sex: F
Age: 32
State: CA

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 06/14/2021
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: Unknown

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Tingling and numbness in arms, hands, legs and feet. Soreness up the left side of the neck. Heart palpitations. Feeling swelling around the lymph nodes, a chronic sensation of the throat closing up about once every two days. Chronic headaches from the lower part of the back of the head, dizziness, lightheadedness. Joint pain, fatigue.

Other Meds: Zinc, Vitamin D, Altarulm for stomach ease

Current Illness: None

ID: 1396650
Sex: M
Age: 61
State: TX

Vax Date: 04/28/2021
Onset Date: 05/08/2021
Rec V Date: 06/14/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: He reports changes in speech noted by neighbor on 5/8/21. Admitted for acute stroke on 6/12/21.

Other Meds: Ibuprofen, omeprazole

Current Illness: none

ID: 1396651
Sex: F
Age: 39
State:

Vax Date: 06/11/2021
Onset Date: 06/11/2021
Rec V Date: 06/14/2021
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 expired 18 hours previously

Other Meds:

Current Illness:

ID: 1396652
Sex: F
Age: 46
State: AZ

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 06/14/2021
Hospital:

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

Lab Data:

Allergies: I am allergic to stadol, compazine and clomid.

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

Symptoms: After receiving dose 1, I started to have a bit of discomfort and slight pain in my both breasts. After receiving the 2nd dose, I noticed that I had nodules starting to pop up on my right breast. I called my PCP, and scheduled an appointment. I saw his PA, and she ordered an emergency ultrasound, blood work and a mammogram. The radiologist recommended that I not touch my breast because their was so much inflammation. My doctor wanted me to have surgery to reduce the swelling. I went to get a second opinion. The doctor there said that he agreed with the radiologist. The PA wanted me to go in and have surgery to have all of my lumps drained. I'm going back in 6 months to do f/u ultrasounds and mammograms. My radiologist said that he wants me to f/u with him in one year.

Other Meds: I was taking vitamin D.

Current Illness: I did not have any other illnesses.

ID: 1396653
Sex: M
Age: 66
State: AZ

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 06/14/2021
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: n/a

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

Symptoms: I got the vaccine in the morning. That night I was unable to fall asleep the whole night. A few weeks went by and then I started experiencing occasional insomnia. I would wake up in the middle of the night and be unable to go back to sleep. It kept getting worse such that I could not fall asleep without taking a sleeping pill. What happens is that when I lay down after about 10 to 15 minutes I start to feel a surge of energy. My body gets hot. It is not a fever. My heart seems to beat faster and my mind is racing. My doctor prescribed both Ambien and Lunesta. I take one or the other and eventually I go to sleep. I am averaging about 4 hours of sleep at night after I take the drug. The stress of not being able to sleep well has given me some anxiety issues. In addition, the anxiety has led me to develop high blood pressure. I am now taking high blood pressure medicine. I am not the kind of person who has anxiety normally. I believe the vaccine introduced something into my system that is triggered every night now preventing me from natural sleep.

Other Meds: Iron, vitamin D3

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm