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: 1410765
Sex: F
Age: 82
State: IL

Vax Date: 05/25/2021
Onset Date: 06/17/2021
Rec V Date: 06/18/2021
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: Allergen Reactions ? Penbritin-S [Ampicillin] Other/Unknown (See Comments) ? Sulfa Antibiotics Other/Unknown (See Comments

Symptom List: Dysphagia, Epiglottitis

Symptoms: ER HPI: 82 y.o. female who presents with altered mental status. Patient is transported to ED via EMS from local nursing home because of increased confusion. Patient is unable to give any pertinent history. DX: Cerebral infarction due to embolism of cerebral artery

Other Meds: Current Outpatient Medications: ? amLODIPine (NORVASC) 5 MG tablet, Take 5 mg by mouth daily Hold if systolic BP is below 100 , Disp: , Rfl: ? HYDROcodone-acetaminophen (NORCO) 5-325 MG per tablet, Take 1 tablet by mouth every 4 hours a

Current Illness:

ID: 1410766
Sex: F
Age: 41
State: WI

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/18/2021
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: unknown

Symptom List: Anxiety, Dyspnoea

Symptoms: Client reported feeling nauseous and dizzy as well as having a headache and "heavy"right arm during the 15 minute waiting period after receiving her vaccine. Client's vital signs taken at 1545 and were BP 108/72, P 89, O2 99% and R 14. Client was given some water and animal crackers. Client was encouraged to drink fluids and stay hydrated. Client continued to report feeling dizzy and tired, but reported her heavy arm had improved. Blood pressure was reassessed at 1600 and was 126/82. PHN encouraged client to rest and stay hydrated and if her symptoms did not improve or resolve she should be seen in the walk in or by a medical provider. Client verbalized understanding. Client left clinic with her husband who was giving her a ride. On 6/18/2021 at 1022 PHN placed call to client to see how client was feeling today. Call went straight to voicemail. PHN requested call back. Client returned call just before 1400 and reported symptom improvement and that client was only feeling tired today.

Other Meds: unknown

Current Illness: unknown

ID: 1410767
Sex: F
Age: 29
State: TN

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
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: None

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

Symptoms: Muscular pain and weakness in arm shot was given in. Joint pain throughout rest of body.

Other Meds: None

Current Illness: None

ID: 1410768
Sex: F
Age: 54
State: MO

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

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

Lab Data:

Allergies: Azithromyci

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swelling in legs, ankles & feet.

Other Meds: METOPROLOL SUCC ER 200 MG; VALSARTAN-HCTZ 160-12.5 MG; ESTRADIOL 2 MG ; Zeritek 1 a day.

Current Illness: None

ID: 1410769
Sex: F
Age: 32
State: IL

Vax Date: 01/27/2021
Onset Date: 02/17/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: Amoxilycln and Chantex

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

Symptoms: After recieving my last vaccine on 2/17/2021 - March into April my mentstral cycle was completely off - I had a lighter period, following by spotting on and off through the whole month of April - April - May I was on my period 23 days - with golf size blood clots. I have NEVER had a period that I have bleed so heavy on, or had blood clots, and cramping through my pelvic and legs. Did blood work- all normal. Papsmear- Normal Had a ultra sound done and they found a polyp in my Uterus I will have it removed on 6/23/2021 And here we are in June and I have had two periods - 4 days apart Im miserable - I have never had a heavy period like this - and blood clots

Other Meds: Vivitrol injection (once a month)

Current Illness: NA

ID: 1410770
Sex: M
Age: 87
State: TX

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 06/18/2021
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: About three days after getting the vaccine I started getting blisters on my right lower leg, and it just kept growing. The blister broke and and became and open wound. I went to the dermatologist and they gave me some ointment, but that didn't really help. I went through doctors, and now a nurse comes to treat the wound.

Other Meds:

Current Illness:

ID: 1410771
Sex: M
Age: 12
State: GA

Vax Date: 06/06/2021
Onset Date: 06/11/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: RECONSTITUDED WITH BACTERIOSTATIC SODIUM CHLORIDE 0.9% CUSTOMER DID NOT EXPERIENCE ADVERSE EVENTS

Other Meds:

Current Illness:

ID: 1410772
Sex: M
Age: 24
State: ID

Vax Date: 12/19/2020
Onset Date: 04/02/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pharyngeal swelling

Symptoms: I also got the second Pfiszer-BioNTech shot on January 9th. On April 2nd, I was laying on the couch watching a movie and I had petechaie on my back from the couch. I also had it in a few spots on my chest. I did not have any bleeding. During my work shifts, I was fatigued during most of them that month. I saw my primary care doctor on April 29th and got labs drawn. The next day he called saying that my platelets were 5,000 and I did not have petechaie or bleeding at that time. Treatment has been 4 consecutive days of 40 mg of dexamethasone. My platelets dropped back to a similar level, so I was placed on prednisone 60 mg with a taper once I started 4 weekly Rituxamab treatments. I just finished those and my hematologist is recommending a spleenectomy at this time.

Other Meds: None

Current Illness: None

ID: 1410773
Sex: M
Age: 62
State: GA

Vax Date: 06/18/2021
Onset Date: 06/01/2021
Rec V Date: 06/18/2021
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: I was given the vaccine and when the pharmacists removed the needle I felt a cool feeling running down my arm to my elbow and I told her that and when I looked at my arm I seen a droplet almost to my elbow and I wiped it and asked her what it was and she said I do not know. I was concerned that I did not get the full 3 millimeters of the vaccine and I asked her if that was possible and she said that maybe the muscle wasn't strong enough and pushed some back out and she asked me if I wanted another shot and I asked if we should or is it ok to do that. she replied I don't know then she came back and gave me another shot but the second shot was only 1 millimeter. My question is how do we know how much of the vaccine did I actually receive and what I am I supposed to do because she didn't really seem like she knew.

Other Meds:

Current Illness:

ID: 1410775
Sex: F
Age: 70
State: OH

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 06/18/2021
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: WEAK THE ENTIRE NEXT DAY. COULDN'T UNDERSTAND THINGS PEOPLE WERE SAYING TO HER REPORTED SHE FELT LIKE SHE WAS GOING TO DIE

Other Meds: UNKNOWN

Current Illness: NONE NOTED

ID: 1410776
Sex: F
Age: 69
State: MD

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: bee stings, Augmentin

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

Symptoms: shortness of breath, joint swelling and stiff, extreme fatigue

Other Meds: bumetanide, buproprine xl,

Current Illness:

ID: 1410777
Sex: F
Age: 30
State: VA

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 06/18/2021
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: not as far as I know

Symptom List: Rash, Urticaria

Symptoms: After the first 10 minutes I felt dizzy, I got a cold sweat and them my throat become tight -I was feeling like having two hands on my neck squeezing it like they want to struggle me), I couldn't swallow well and I had problem with my breathing. After 30 minutes I was feeling my tongue becoming bigger. The same day I started having problems with my heart. My pulses are super high even when I am laying on bed and I have a chest pain. My cardiologist Dr. at Hospital has ordered a lot of tests but he still doesn't know what the heart muscle reacts like that. I have put Holter, I have done stress treatmill, many blood tests while I have scheduled the table exam and an exam to test my lungs because after the vaccine I have a big difficulty in breathing.

Other Meds: iron

Current Illness: no

ID: 1410778
Sex: F
Age: 47
State: GA

Vax Date: 06/06/2021
Onset Date: 06/11/2021
Rec V Date: 06/18/2021
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: RECONSTITUDED WITH BACTERIOSTATIC SODIUM CHLORIDE 0.9% CUSTOMER DID NOT EXPERIENCE ADVERSE EVENTS

Other Meds:

Current Illness:

ID: 1410779
Sex: F
Age: 45
State: WI

Vax Date: 04/24/2021
Onset Date: 05/29/2021
Rec V Date: 06/18/2021
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: Shellfish, pesticides

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

Symptoms: Swelling, soreness, tightness, and redness on my lower left leg, ankle and foot. Started around end of May and progressively go worse (site/place spread from foot to knee over time).

Other Meds: Pantoprazole, Albuterol, Hydrochlorothiazide, Norethindrone Acetate & Ethinyl Estradiol FE (birth control), Calcium +vitamin D

Current Illness: Asthma, hypertension

ID: 1410780
Sex: M
Age:
State: WI

Vax Date: 12/29/2019
Onset Date: 01/04/2021
Rec V Date: 06/18/2021
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: No

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

Symptoms: I was exercising and I started having a really bad headache. I got a scan and had blood in my brain

Other Meds: No

Current Illness: No

ID: 1410781
Sex: M
Age: 15
State: NJ

Vax Date: 05/21/2021
Onset Date: 05/22/2021
Rec V Date: 06/18/2021
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: 24 hours later, patient had severe abdominal pain, was found to have pancreatitis, confirmed by labs, CT scan and ultrasound scan, was admitted to Hospital. Very quick recovery, According to mother, he was given intravenous fluids, bowel rest, and nothing else.

Other Meds: none

Current Illness: none

ID: 1410782
Sex: F
Age: 16
State: GA

Vax Date: 06/06/2021
Onset Date: 06/11/2021
Rec V Date: 06/18/2021
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: RECONSTITUDED WITH BACTERIOSTATIC SODIUM CHLORIDE 0.9% CUSTOMER DID NOT EXPERIENCE ADVERSE EVENTS

Other Meds:

Current Illness:

ID: 1410783
Sex: F
Age: 31
State: FL

Vax Date: 04/06/2021
Onset Date: 05/10/2021
Rec V Date: 06/18/2021
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: After receiving the first dose of my Covid-19 vaccine on 4/6/21 I had my period on 4/8/21 as anticipated. I received my second dose of Covid-19 Vaccine on 5/4/21 and was anticipated to have my period for the month of 5/8/21. I did not receive my period which was odd as I was on birth control. I waited a week and when my period still had not started I decided to take a pregnancy test to verify I was not pregnant. The pregnancy test came back positive. I proceeded to take 3 more tests for accuracy. I had my first visit with my OBGYN who ordered blood work to confirm pregnancy and verified my due date would be 1/13/22 making estimated conception 4/22/21.

Other Meds: Tri-Lo Sprintec, Vita Fusion womens multi vitamin

Current Illness: None

ID: 1410784
Sex: M
Age: 38
State: WI

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

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

Lab Data:

Allergies: unknown

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Client reported feeling nauseous and lightheaded as well as having a headahe during the 15 minute waiting period after receiving his vaccine. Client's vital signs taken at 1553 and were BP 148/90, P 99, O2 97% and R 16. Client was given some water and animal crackers. Client was encouraged to drink fluids and stay hydrated. Client continued to report having nausea, dizziness, and a headache. Blood pressure was reassessed at 1610 and was 178/100. PHN questioned if client had high blood pressure and client reported, "It runs in my family." PHN educated client that his BP was quite elevated, and PHN explained that a diastolic BP of 100 usually occurs over time. PHN advised client to go to walk in if his symptoms do not improve, but PHN strongly recommended client follow up with his primary care provider in regards to his elevated blood pressure. Client told PHN that he would most likely go to the walk in. Client verbalized understanding. Client left clinic with his wife who was giving him a ride. On 6/18/2021 at 1014 PHN placed call to client to see how client was feeling today. Call went straight to voicemail. PHN requested call back.

Other Meds: unknown

Current Illness: unknown

ID: 1410785
Sex: M
Age: 26
State: TX

Vax Date: 06/01/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
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: NO ADVERSE REACTION. PATIENT RECEIVED TWICE THE AMOUNT OF THE VACCINE DUE TO IMPROPER MIXING OF THE DILUTENT 0.9% SODIUM CHLORIDE. PATIENT WAS INTRUCTED TO TREAT SYMPTOMS AS THEY ARISE AND TO CONTACT PCP IF PATIENT CAN'T CONTROL SYMPTOMS WITH OTC MEDICATIONS.

Other Meds:

Current Illness:

ID: 1410786
Sex: F
Age: 56
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: Flu-like symptoms: muscle/body aches, headache, lethargy, and nausea. Lasted 3 full days, then just lethargy for about 2 weeks.

Other Meds: Taken alternatively: Ibuprofen 400 mg every 8 hours; Acetaminophen 1000 mg every 8 hours.

Current Illness:

ID: 1410787
Sex: F
Age: 14
State: VA

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

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

Lab Data:

Allergies: Aloe

Symptom List: Unevaluable event

Symptoms: Between 12-1am on 6/18/21 Complaints of extreme hypersensitivity of skin, felt ?weird? for her clothing of bed sheets to touch her resulting in uncontrollable crying. Also fever of 101.3 Administration of ibuprofen by mouth for fever once able to calm the emotional reaction. Water intake & sleep. Awoke after 9am on 6/18, fever reduced, symptoms resolved except for tiredness.

Other Meds: One a day multivitamin, singulair 5mg daily, Zyrtec 10mg daily, Sudafed PE sinus & allergy daily, orthoTricyclen daily

Current Illness: None

ID: 1410788
Sex: M
Age: 46
State: MA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 06/18/2021
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: nka

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

Symptoms: By the evening of 4/14/21, my knees were feeling mildly sore. The weather had been improving so I thought it was just that I had been more active outdoors, but the pain in my knees peaked after my second dose (5/5/21, Lot# EW0182, Pharmacy Store). I've had constant knee pain (both knees) since then to where I cannot squat or lift anything heavy; I wake up at night with my knees aching. I've consistently used NSAID (Naproxen Sodium 440mg x 2/day) every day, iced. elevated, rested, compressed... still no change in my knee pain. Within a few weeks, I went from normal and healthy to limping and in pain.

Other Meds: Magnesium Glycinate, Naproxen Sodium, MSM Ginger Turmeric supplement

Current Illness: none

ID: 1410789
Sex: F
Age: 54
State: MI

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
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: Hope you're well! I had my first Covid vaccine a couple of weeks ago. I received the Pfizer vaccine at a pharmacy. All was fine, however, last week I got a bit of a sunburn on my left upper arm. After a couple of days, I developed a rash on my left bicep. I didn't think much about it until it started to spread down my arm and to the right bicep and forearm. I received the vaccine in my right arm. Now I'm wondering if the vaccine is contributing to this rash. I'm supposed to be getting my second covid vaccine early next week, but I'm wondering whether I should wait until the rash is gone. As you know, I've got a lot of allergies and my reactions typically tend to be delayed. Please let me know what you think. Thanks so much! BTW, I'm also wondering if I can get my second vaccine through a different provider. The pharmacy that I went to was filthy. I would rather not return there for my second dose.

Other Meds:

Current Illness:

ID: 1410790
Sex: F
Age: 12
State: NC

Vax Date: 06/14/2021
Onset Date: 06/15/2021
Rec V Date: 06/18/2021
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: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Status epilepticus in adolescent with well-controlled epilepsy, last seizure 9/2020. Seizures began 31 hours after second dose of Pfizer Covid vaccine. Headache, chills, myalgias, fatigue began 15 hours after second dose. Tylenol had been given to manage headaches about three times before seizures began. Fever to 101 was noted by EMS and in ER, no fevers had been noted before then.

Other Meds: Trileptal, Lamictal, multivitamin, vitamin D supplement

Current Illness: none

ID: 1410791
Sex: M
Age: 15
State: CA

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

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

Lab Data:

Allergies: none

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

Symptoms: COVID Vaccine #1 event, patient arrived to receive first dose of Pfizer vaccine. The patient has no allergies or medical history. Vaccine was administered at 1353. Patient was discharged at 1409 without any adverse events. Patient ambulated with mom to exit from the event. At 1515, I was informed the someone was having shortness of breath and chest pain. When I arrived with the vital machine the patient was sitting in a chair, skin color was normal but he had facial diaphoresis. Patients mom had brought patient back to mobile event. BP 146/90 HR101 RR 20 Oxygen saturation 98% on roomair. Patient complains of shortness of breath and constant chest pressure. Patient hair removed from face, ice pack applied to neck, patient mask removed so air intake was not restricted patients feet elevated on a chair. NP present assessing patient with MA interpreting in Spanish. NP verbalized to continue monitoring vitals every 15 minutes. At 1530, vitals BP 145/91 HR96 RR18 O2 Sat 96%RA. There were no changes in the patients complaints. NP reassesses patient recommends patient may need further evaluation. At 1543, vital remained stable BP 131/79 HR 103 RR18 O2 sat 96%RA. At 1547, EMT arrived. Patient ambulated to gurney and was transported to Hospital per patient mom request.

Other Meds: n/a

Current Illness: none

ID: 1410792
Sex: M
Age: 19
State: MA

Vax Date: 05/02/2021
Onset Date: 05/08/2021
Rec V Date: 06/18/2021
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: None known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: left sided facial palsy

Other Meds: None

Current Illness: COVID symptoms 1 month before (early April), he had 4-5 days of fever, chills, body aches and loss of smell and taste which are still persistent.

ID: 1410793
Sex: F
Age: 18
State: HI

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: nausea, vomiting, difficulty sleeping

Other Meds:

Current Illness:

ID: 1410794
Sex: F
Age: 36
State: NY

Vax Date: 06/10/2021
Onset Date: 06/11/2021
Rec V Date: 06/18/2021
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:

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

Symptoms: Difficulty breathing deeply, sore joints, lethargy.

Other Meds:

Current Illness:

ID: 1410795
Sex: M
Age: 66
State: MD

Vax Date: 03/30/2021
Onset Date: 04/04/2021
Rec V Date: 06/18/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Pt was admitted to hospital from the ED with GI bleeding on 4/4/21 after receiving the 2nd dose of vaccine on 3/30/21. Per guidelines, all hospitalizations are reported.

Other Meds:

Current Illness:

ID: 1410796
Sex: F
Age: 61
State: NV

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List: Injection site pain

Symptoms: When injected I felt cold liquid running down my arm from my deltoid muscle to midway down my upper arm. I remarked to the man administering the vaccine that I did not think I received the vaccine since so much fluid ran down my arm. He told me it happened all the time. I reported this at the time it happened to a representative of the health department. I was told they had had a staff meeting and were told not to readminister the vaccine if they could not verify how much was given. I emailed a complaint. I never got a response. I called health department. I was told an incident report would be filed & the person would be sent back to training. This resolution does not help as I am still not fully vaccinated. What can I do?

Other Meds: Synthroid

Current Illness: None

Date Died: 06/13/2021

ID: 1410797
Sex: M
Age: 80
State: MT

Vax Date: 02/06/2021
Onset Date: 05/30/2021
Rec V Date: 06/18/2021
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: Adhesive tape

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

Symptoms: Initially had fatigue, diarrhea, and loss of appetite. Tested positive for COVID 19 on 5/28/21 , during surveillance testing related to a facility COVID Outbreak. He went to ED 5/28/21 for decrease level of consciousness, high blood pressure, low blood sugar, anorexia. Once stabilized, transferred back to facility. On 6/7/21, transferred to ED for COVID pneumonia and hypoglycemia, treated with Dexamethasone and oxygen. Discharged back to facility 6/10/2021. On 6/12/2021, went to ED for ischemic stroke. Died 6/13/2021.

Other Meds: Combivent Respimat, Lactobacillus acidophilus, Mucinex, acetaminophen, azithromycin, bisacodyl , calcium carbonate, cholecalciferol , ferrous sulfate, finasteride, furosemide, hydralazine, ipratropium-albuterol, lidocaine [Lidoderm], losart

Current Illness: Anemia, COVID-19, Dementia, Diabetes Mellitus type II, heart failure. hypertension, radiculopathy

ID: 1410798
Sex: F
Age: 67
State: AZ

Vax Date: 03/11/2021
Onset Date: 03/24/2021
Rec V Date: 06/18/2021
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 do not have any allergies.

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

Symptoms: After receiving the vaccine, I started to have lower, right abdominal pain. I went to an urgent care and after they did an ultrasound, they did not find anything wrong. I went to the dentist and he noticed that I had high blood pressure. I have never had blood pressure problems before. On 05/12, I had an abnormal mammogram. The doctor called me and I had to go back in for a biopsy. They found a mass and it is cancer. I'm not sure if it's because of the vaccine, but I've never had these problems before in my life.

Other Meds: I was taking Senecot (OTC) and aspirin.

Current Illness: I did not have any illnesses at the time.

Date Died: 05/28/2021

ID: 1410799
Sex: M
Age: 60
State: CA

Vax Date: 05/26/2021
Onset Date: 05/27/2021
Rec V Date: 06/18/2021
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 known

Symptom List: Tremor

Symptoms: After first dose of vaccine on 4/23 complained of fatigue and tiredness. After second dose on 5/26 complained of fatigue, dizziness, nausea and body aches. Expired on 5/28.

Other Meds: Marijuana

Current Illness: None known

ID: 1410800
Sex: F
Age: 62
State: MS

Vax Date: 03/11/2021
Onset Date: 05/02/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: A CT scan showed a growth of an area, while they were looking for other cancer this was found.

Other Meds:

Current Illness:

ID: 1410801
Sex: M
Age: 55
State: TX

Vax Date: 02/27/2021
Onset Date: 03/07/2021
Rec V Date: 06/18/2021
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: Mild hayfever

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

Symptoms: Sudden loss of vision in right eye due to a central retinal vein occlusion (CRVO). Treating with regular (notionally every 6 weeks) injections of Eylea (aflibercept) to reduce swelling. No cure for CRVO. Treatment is expected to be life-long.

Other Meds: None

Current Illness: None

ID: 1410802
Sex: F
Age: 55
State: KS

Vax Date: 04/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/18/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: This patient attended a free vaccination event held in the community. She was administered dose #1 of Pfizer. When we returned to the clinic and entered consent forms into system, we noted that this patient had already received 2 doses of Moderna. She did not mention this during the Pfizer vaccination event; in fact, she denied having any other immunizations at that time. She does not have a phone, so we have attempted to contact her via letter to determine any adverse reactions from receiving 3 doses of covid vaccine.

Other Meds: Unknown

Current Illness: None

ID: 1410803
Sex: M
Age: 15
State: GA

Vax Date: 06/06/2021
Onset Date: 06/11/2021
Rec V Date: 06/18/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: RECONSTITUDED WITH BACTERIOSTATIC SODIUM CHLORIDE 0.9% CUSTOMER DID NOT EXPERIENCE ADVERSE EVENTS

Other Meds:

Current Illness:

ID: 1410804
Sex: M
Age: 5
State:

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/18/2021
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:

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

Symptoms: Fever 1 hr after vaccine, then two episodes diarrhea, vomiting x1, fatigue

Other Meds:

Current Illness:

ID: 1410805
Sex: M
Age: 22
State: VA

Vax Date: 04/17/2021
Onset Date: 04/25/2021
Rec V Date: 06/18/2021
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:

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

Symptoms: Gastrointestinal distress: chronic diarrhea lasting to date, Abdominal pain, fatigue, mental/brain fogp

Other Meds: Naproxen

Current Illness: Shoulder pain developed in March (around first shot timing), diagnosed as impingement with no testing/scanning done.

ID: 1410806
Sex: F
Age: 22
State:

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
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: I got home and about an hour after getting home I fell extremely tired and went to take a nap. 6 hours later I wake up and for about another hour I was feeling fine then in the middle of not doing and strenuous activity I got extremely nauseous and a massive headache. Now it is 4 hours later, I have drank water and eaten crackers, still feeling nauseous and having a persistent headache.

Other Meds: none

Current Illness: none

ID: 1410807
Sex: F
Age: 85
State: CA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 06/18/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Massive headache. Began forgetting things. She was asking the same questions over, and over. She never showed signs of concern over her memory.

Other Meds: Elliquis Metformin

Current Illness: COPD CHF A-Fib

ID: 1410808
Sex: F
Age: 16
State: CA

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/18/2021
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: Amoxicillin

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

Symptoms: 1040: Received patient via which post in Covid Vaccination Clinic. History of fainting post Covid Vaccine injection with seizure activity. Mother states that patient faints with injections or blood draws. Patient is alert on arrival. Skin warm and dry. Color pink. She desires to sit instead of lay down as she is not dizzy. Given water as requested. BP 119/66, HR 78. Dr. in to evaluate patient. 1105: Dismissed to home care by MD.

Other Meds: Clavaris 40mg

Current Illness: n/a

ID: 1410809
Sex: F
Age: 16
State: GA

Vax Date: 06/06/2021
Onset Date: 06/11/2021
Rec V Date: 06/18/2021
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: RECONSTITUDED WITH BACTERIOSTATIC SODIUM CHLORIDE 0.9% CUSTOMER DID NOT EXPERIENCE ADVERSE EVENTS

Other Meds:

Current Illness:

ID: 1410810
Sex: F
Age: 66
State: PA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 06/18/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Began having chest pain with breathing. Substernal pain that radiated into shoulders ipsilaterally. Increasing each day, sob started and became increasingly worse.On March 1, 2021 admitted to the Hospital, with Pericarditis and left lower lobe infiltrate. O2 sats 82.

Other Meds: Cardizem, Lexapro, Wellbutrin, asa 81mg, vit d, Pravachol

Current Illness: NONE

ID: 1410811
Sex: F
Age: 38
State: KY

Vax Date: 05/21/2021
Onset Date: 05/28/2021
Rec V Date: 06/18/2021
Hospital: Y

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

Lab Data:

Allergies: Compazine, zophran

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: My heart rate has increased as high as 153, my blood pressure has nearly dounled and I've been extremely nauseous

Other Meds: Xanex, antivan, buspar

Current Illness:

ID: 1410812
Sex: F
Age: 62
State: MS

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

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

Symptoms: Ct scan that was for my breast caner, detected something on her lungs. A bacterial infection of the lungs.

Other Meds:

Current Illness:

ID: 1410813
Sex: M
Age: 53
State: OH

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/18/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: No effects on first shot in left arm for the Pfizer. Second shot had a lot of muscle aches and pains especially on the left side and a headache for about a day and a half. Bad enough to miss work.

Other Meds: None

Current Illness: None

ID: 1410814
Sex: F
Age: 74
State: OH

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 06/18/2021
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: PATIENTS STATES PAIN IN RIGHT ARM 3 DAYS AFTER RECEIVING COVID VACCINE. TO HOSPITAL THAT NIGHT . DID X-RAY AND EKG. TEST NORMAL. GAVE HER MORPHINE A FEW DAYS LATER PRESENTED AT A DIFFERENT HOSPITAL WITH COMPLAINT OF PAIN IN RIGHT ARM. RECEIVED SAME TREATMENT. wAS GIVEN 4 PRESCRIPTIONS /PAIN MEDS.

Other Meds:

Current Illness:

ID: 1410815
Sex: M
Age: 30
State: KY

Vax Date: 12/01/2020
Onset Date: 01/01/2021
Rec V Date: 06/18/2021
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: Almonds

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

Symptoms: Started having sharp substernal chest pain that was positional in nature - worse when laying down and with deep breathing. Persisted for 2-3 weeks and was improved with NSAIDs

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm