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: 1415230
Sex: F
Age: 34
State:

Vax Date: 06/16/2021
Onset Date: 06/18/2021
Rec V Date: 06/21/2021
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: Patient experienced chest pressure and dizziness 2 days after receiving the Johnson & Johnson vaccine.

Other Meds:

Current Illness:

ID: 1415231
Sex: M
Age: 75
State:

Vax Date: 04/12/2021
Onset Date: 05/11/2021
Rec V Date: 06/21/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient presented to the ED on 5/11/2021 and was subsequently hospitalized with UTI and severe sepsis within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1415232
Sex: F
Age: 52
State: CA

Vax Date: 06/12/2021
Onset Date: 06/17/2021
Rec V Date: 06/21/2021
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: penicillin

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

Symptoms: Terrible case of Hives, all over body, tiredness, fever, body got large areas with postules of hives connecting in plaques. Nausea, headache. Gave me depression and anxiety. I will NEVER take this vaccine again.

Other Meds: none

Current Illness:

ID: 1415233
Sex: F
Age: 12
State: NY

Vax Date: 06/06/2021
Onset Date: 06/06/2021
Rec V Date: 06/21/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1415234
Sex: M
Age: 71
State: OH

Vax Date: 03/03/2021
Onset Date: 03/07/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: Yes, I am allergic to Lariam.

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

Symptoms: After the first vaccination, about 3-4 days I started feeling some tingly in my hands and feet. I had more of it in my feet. An then the second vaccination it came back about 3-4 days later. An it got worse in my feet and I felt it more on the left side of my body. I couldn't feel anything on my bottom, I could walk and hold my balance but I stepped on a lock and didn't feel it all. The tingly progressed up the left side of my thigh and my left calf. My left hand was partially numb and it was up to my wrist. On my right side, I had some numbness in my right foot and hand right hand. My right foot continue to get worse and that was up to 3 weeks ago. It has gradually started to get a little better. My toes on both feet are still numb. My left hand is still numb as well and it is getting better. My thigh and calf is also getting better.

Other Meds: Yes, I take levothyroxine, omeprazole, Claritin, budesonide, multivitamin, calcium, vitamin D, aspirin, B-12, Imodium, Iron Glycinate and Revlimid for Chemo treatment.

Current Illness: Blood Cancer & Graves Disease

ID: 1415235
Sex: F
Age:
State: MA

Vax Date:
Onset Date: 06/18/2021
Rec V Date: 06/21/2021
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: n/a

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

Symptoms: Patient reports pain in the chest 15 mins after vaccination. Exanimated patient with airway, administered site (arm), did not see signs of symptoms of allergic reactions. No Epipen, nor diphenhydramine was given at the time. Patient requested to call for ambulance and be taken to the emergency room.

Other Meds: Methotrexate

Current Illness:

ID: 1415236
Sex: F
Age: 10
State: IL

Vax Date: 06/18/2021
Onset Date: 06/18/2021
Rec V Date: 06/21/2021
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: A 10 year old was not flagged when entering the clinic and was given the Pfizer vaccine. Mom was notified that the second dose could not be given until it is approved for that age. No adverse effects or side effects were noted.

Other Meds:

Current Illness:

Date Died: 06/13/2021

ID: 1415237
Sex: M
Age: 46
State: KS

Vax Date: 05/04/2021
Onset Date: 06/01/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: My dad died after he had symptoms of sweating without doing anything to increase his heart rate. He had stated his heart had been racing recently. He died suddenly and unexpectedly.

Other Meds: Unknown, bipolar medications

Current Illness: No

ID: 1415238
Sex: F
Age: 59
State:

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/21/2021
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: Ten minutes after received the vaccine the patient reported generalized itching, headache, dizziness, and throatfullness. Patient spoke easily but stated 'I have itching all over and funny feeling in my throat' and was noted to be scratching arms, neck, legs, and middle while answering questions. No rash noted. Patient was taken to the ED (within same building) and given oral Benadryl 25mg at 1507 and acetaminophen 100mg orally at 1615. The patient was then discharged from the ED at 1639. At 1638 the patient reported that her itching was completely relieved.

Other Meds:

Current Illness:

Date Died: 06/19/2021

ID: 1415239
Sex: F
Age: 80
State: NE

Vax Date: 05/13/2021
Onset Date: 05/15/2021
Rec V Date: 06/21/2021
Hospital: Y

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

Lab Data:

Allergies: Iodine Anaphylaxis Other reaction(s): see contrast passed out Severity: Unknown ? Sulfamethoxazole Hives Severity: Moderate ? Trimethoprim Hives Severity: Moderate ? Clopidogrel ? Codeine Nausea And Vomiting Severity: Severe ? Cyclobenzaprine Hcl ? Sulfamethoxazole-Trimethoprim ? Latex Rash

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Myocarditis in 2 days - diuretics, Respiratory Failure in 2 days Bipap and Airvo, Clotted off leg in a few weeks Angiogram and Fascitomy, Ischemic gut weeks - comfort care orders, DVT in arm in weeks could have been due to PICC also - Elquis

Other Meds: ALPRAZOLAM (XANAX) 0.5 MG TABLET TAKE ONE-HALF TO ONE TABLET BY MOUTH THREE TIMES A DAY AS NEEDED FOR ANXIETY AMLODIPINE (NORVASC) 10 MG TABLET TAKE ONE TABLET BY MOUTH EVERY DAY ASPIRIN 81 MG CHEWABLE TABLET Take 1 tab

Current Illness: SOB after first covid shot.

ID: 1415240
Sex: F
Age: 26
State: IL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 06/21/2021
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: DIZZINESS, NAUSEA FEELING FINE AFTER 5 MINUTES

Other Meds:

Current Illness:

ID: 1415241
Sex: M
Age: 26
State: SC

Vax Date: 06/04/2021
Onset Date: 06/08/2021
Rec V Date: 06/21/2021
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: Phenargen, lamictal.

Symptom List: Rash, Urticaria

Symptoms: Cold sores, hives, bumps, rashes, severe itching over arms, legs, chest, and back of neck. Numbness and tingling in cranial nerves. Back of neck hot, pins and needles. Severe head fog, fatigue.

Other Meds: Vyvanse

Current Illness: N/A

ID: 1415242
Sex: M
Age: 50
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 06/21/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Patient presented to the ED and was subsequently hospitalized for severe sepsis and pneumonia within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1415243
Sex: M
Age: 15
State: NY

Vax Date: 05/30/2021
Onset Date: 05/30/2021
Rec V Date: 06/21/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1415244
Sex: F
Age: 45
State: IL

Vax Date: 06/10/2021
Onset Date: 06/19/2021
Rec V Date: 06/21/2021
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: Sulphur

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

Symptoms: Lymph nodes in neck became painfully swollen

Other Meds: Klonpin 25mg twice a day

Current Illness: no

ID: 1415245
Sex: M
Age: 51
State: WY

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/21/2021
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 listed

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

Symptoms: PFIZER Covid-19 vaccine LOT# EW0151 EXP. 07/2021 was reconstituted with 1.8ml of JANSSEN Covid-19 vaccine LOT#043A21A EXP. 06/21/2021 instead of the Sodium Chloride 0.9% (18mg per 2ml) diluent provided for reconstitution. Individual was given 0.3ml IM left deltoid of incorrectly reconstituted vaccine.

Other Meds: unknown

Current Illness: reports not sick today

ID: 1415246
Sex: F
Age: 66
State: NY

Vax Date: 05/26/2021
Onset Date: 06/02/2021
Rec V Date: 06/21/2021
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: LISINOPRIL - COUGH

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

Symptoms: THE PATIENT PRESENTED TO THE PHARMACY 2 WEEKS AFTER HER VACCINE WITH HAVING AT INJECTION SITE; ITCHING, A SMALL BUMP THAT WAS TENDER TO THE TOUCH. SHE EXPLAIN THAT IT WAS MUCH BETTER SINCE IT HAD BECOME REALLY SWOLLEN AFTER THE INJECTION. THE PATIENT WAS REFERRED TO HER PRIMARY PHYSICIAN TO BE EVALUATED.

Other Meds: METFORMIN 500MG, CHLORTHALIDONE 25MG, ASA 81MG, SIMVASTATIN 40MG, AMLODIPINE 5MG, CALCIUM WITH VITAMIN D

Current Illness: NONE

ID: 1415247
Sex: U
Age: 52
State: NY

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1415248
Sex: F
Age: 33
State: SC

Vax Date: 01/15/2021
Onset Date: 05/27/2021
Rec V Date: 06/21/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 3 weeks after first shot had first case of tachycardia, then two weeks after second shot started having shortness of breath with exertion more frequently. Tachycardia episodes then became more frequent with exertion. May 27th ended up admitted to the hospital, with any exertion heart rate was over 140-150. Chest pain, dizziness, SOB, extreme exhaustion. Diagnosed with myocarditis at urgent care. Echo shows LV hypertrophy, trace leaking of all four heart valves, possible SVT.

Other Meds:

Current Illness: Protein C deficiency, Asthma

ID: 1415249
Sex: M
Age: 51
State: CT

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 06/21/2021
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: Patient reported they had never received a COVID-19 vaccine in the past nor was there any vaccine listed in the medical system. The state vaccine registry later notified health district of the fact that the patient is listed as having gotten a Pfizir vaccine 01/2021.

Other Meds:

Current Illness:

ID: 1415250
Sex: F
Age: 25
State: TX

Vax Date: 06/19/2021
Onset Date: 06/20/2021
Rec V Date: 06/21/2021
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: swelling, redness, and firmness at the injection site, headaches, loss of appetite, fever, difficulty concentrating

Other Meds: paroxetine, naproxen

Current Illness: none

ID: 1415251
Sex: F
Age: 40
State: VA

Vax Date: 04/14/2021
Onset Date: 05/05/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Nickel, Gadolinium contrast

Symptom List: Unevaluable event

Symptoms: The patient is noting symptoms of worsening headache, neck pain, back pain, subjective fever, and joint pain post 2nd covid19 immunization that is worse than baseline symptoms.

Other Meds: Klonopin PRN Tylenol PRN Flexeril PRN OTC Magnesium OTC Silicone/zinc/MSM supplement

Current Illness: See Chronic medical conditions below, history of chronic joint pain, rashes, nail changes for many years prior to immunization.

Date Died: 06/20/2021

ID: 1415252
Sex: M
Age: 73
State: IN

Vax Date: 06/17/2021
Onset Date: 06/20/2021
Rec V Date: 06/21/2021
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: Amoxicillin, Spirolactone, Actos, Ace Inhibitors, PCN

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

Symptoms: Patient died 06/20/2021.

Other Meds: n/a

Current Illness: n/a

ID: 1415253
Sex: M
Age: 65
State: MN

Vax Date: 03/23/2021
Onset Date: 04/27/2021
Rec V Date: 06/21/2021
Hospital: Y

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: Patient presented to the ED and was subsequently hospitalized for atrial fibrillation with RVR within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1415254
Sex: F
Age: 54
State: PA

Vax Date: 06/21/2021
Onset Date: 06/21/2021
Rec V Date: 06/21/2021
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: Injection site pain, Menorrhagia

Symptoms: A previously diluted, used, and since expired vial of Pfizer Covid vaccine was rediluted and a dose of 0.3ml was administered. Pfizer was contacted for inappropriate administration guidance. A voicemail was left for the patient asking for a return phone call. At this time, it is not recommended to have the patient repeat the 2nd dose. If the patient returns our call, she will be advised to monitor for adverse reactions including infection at the injection site.

Other Meds: Advair; Albuterol; Bupropion XL

Current Illness:

ID: 1415255
Sex: F
Age: 63
State: CA

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 06/21/2021
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: Patient stated that she fainted about 2 days after receiving vaccine

Other Meds: ? Lisinopril, Levothroxyin

Current Illness: High blood pressure and Thyroid

ID: 1415256
Sex: F
Age: 56
State: CA

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/21/2021
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: All anti emetics and pain meds Only take zofran for naseua Fentanyl for surgery

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Extremely fatigued, naseua, spasticity, severe stomach pain, diarrhea and joint pain for 2 weeks , couldn?t move the arm of injection site for a week , and thrush

Other Meds: Lopressor, Isorbide dinitrate, 350 mg aspirin, gabapentin, bentyl, prednisone prn only, folic acid, b-12, b-6,

Current Illness: No

ID: 1415257
Sex: F
Age: 18
State: IL

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 06/21/2021
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: FEELING LIGHT HEADED WATER GIVEN. FEELING FINE

Other Meds:

Current Illness:

ID: 1415258
Sex: F
Age: 55
State: NY

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/21/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1415259
Sex: F
Age: 37
State: NV

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies: No e

Symptom List: Nausea

Symptoms: Pain lasting 8 weeks in upper right arm.

Other Meds: Sertraline 100 mg Certrizine 30 mg

Current Illness: None

ID: 1415260
Sex: M
Age: 54
State: MO

Vax Date: 06/19/2021
Onset Date: 06/19/2021
Rec V Date: 06/21/2021
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: Patient came in for a shingles shot and was mistakenly given a Pfizer covid vaccine. this is patients 3rd dose

Other Meds:

Current Illness:

ID: 1415261
Sex: F
Age: 37
State: TX

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 06/21/2021
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: shellfish hydrocortisone flexiril amoxicillin MRI contrast ogmenten hydrocodone Ambien lamixyl keppra

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

Symptoms: They watched me for 35 mins after receiving my vaccine and they were checking on me every 2 minutes. There were no reactions at that time. My arm just felt sore. I went to work right after that. By the time I got to work, my arm was a little sore like the flu shot. I work in business services and customer service. My right arm just kept getting more sore and sore. I was having more body aches. I was getting sluggish. They thought I wasn't feeling well because of my sickle cell. They offered for me to go home and I decided to work until 3. Towards the end of my shift, my arm was hurting, my back was hurting, and my head was hurting. I felt like I needed to lay down. When I got home, I crashed and it was only about 5pm. I started sweating real bad. I didn't eat or anything like that. I felt like I need to go to the ER, but I didn't want to. When things settle in that quickly they can normally turn real bad so I was told to call my PCP. It was over a period of time. It gradually increased. Any medicine I was taking was not helping. I had a pain crisis for 2 weeks and stayed in bed for 3 or 4 days. I ended up falling and hurting my elbow. I ended up in rehab (03/07). I still have headaches. I was taking my migraine medication every other day. I was also having a hard time breathing. My PCP thought that's what was making my head hurt. The headaches have been gradually intensifying. I have asthma. I believe that my headache caused me to fall. The headaches have been gradually intensifying. He has tried a few different medications and finally we found out that it's not responding to any of the medications. Turns out, it's not a headache. I didn't have any kind of nerve problems before any of this. Even my blood pressure was normal. They are trying to figure out what's caused the change and what's causing it. On the 18th, I completely loss the use of my left eye. I was admitted from the 18th-22nd. My right eye started having the same problems that my left eye had about a week later.

Other Meds: Zantac - 1xday Aspirin - 1xday Topamax -1xday Lyrica -1xday Endari - 1xday Prazosin - 1xday Laprasomib - 1xday Phenergan - as needed Regalin - as needed dalotted - as needed Jevity - 4x a day mybepryq - 1xday Benadryl - as needed

Current Illness:

ID: 1415262
Sex: F
Age: 20
State: NY

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/21/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1415263
Sex: M
Age: 65
State: MI

Vax Date: 05/18/2021
Onset Date: 06/19/2021
Rec V Date: 06/21/2021
Hospital: Y

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

Lab Data:

Allergies: none known

Symptom List: Tremor

Symptoms: Received Pfizer-COVID-19 vaccine on 5/18/2021 and 4/27/2021 (lot number EW01562). Presented to ED 6/19/2021 with painful mass in inguinal area thought to be a hernia. CT scan with contrast showed occluded main portal vein, masses throughout liver and kidney suggested of spreading hepatocellular carcinoma, no inguinal hernia.

Other Meds: benzoyl peroxide 10% wash, carvedilol, clindamycin lotion, furosemide, losartan, omeprazole

Current Illness: presented to ED with erythematous, painful hernia mass

ID: 1415264
Sex: F
Age: 31
State: CA

Vax Date: 05/16/2021
Onset Date: 05/19/2021
Rec V Date: 06/21/2021
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: Penicillins, tomatoes, blue cheese

Symptom List: Erythema, Pruritus

Symptoms: I have been on my contraceptive and skipping placebos with no issues or bleeding for 2-3 years. On May 19, I started having vaginal bleeding, very light, which continues today, day 33.

Other Meds: Norethindrone acetate and ethinyl estradiol tablets usp, 1mg/0.02mg

Current Illness: None

ID: 1415265
Sex: M
Age: 45
State: NC

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 06/21/2021
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: Alpha-gal positive.

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

Symptoms: Tinnitus (Ringing in both ears). Pins & Needles sensation throughout arms, legs, torso.

Other Meds: none.

Current Illness: none.

ID: 1415266
Sex: M
Age: 39
State:

Vax Date: 06/08/2021
Onset Date: 06/18/2021
Rec V Date: 06/21/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: ITP

Other Meds:

Current Illness:

ID: 1415267
Sex: M
Age: 78
State: IL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 06/21/2021
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: PATIENT WANTED BLOOD PRESSURE CHECKED. STATED 1 PFIZER DOSE CAUSED ELEVATED BP. PER PATIENT "FELT TWINGE LIKE BEFORE IN MY CHEST" NOT CHEST PAIN. STATED HE WOULD TAKE PRN BP MEDS AT HOME OBSERVED

Other Meds: BP MEDS

Current Illness:

ID: 1415268
Sex: F
Age: 62
State: NY

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/21/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1415269
Sex: F
Age: 26
State: CA

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 06/21/2021
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: Motrin, mild radish allergy (hives)

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

Symptoms: 1st Vaccine: red circle on arm, radiating heat, itchy, sensitive to touch, entire top of the arm. Lasted 2 weeks, was prescribed antibiotics. Antibiotics did seem to help. 2nd Vaccine: started reacting 10pm same day, uncontrollable shivers, fever, both intense, and Fainting. Weakness/fatigue Lasted throughout the night, the next morning had aches and pains but fainting had stopped. 24 hr period. Took tylenol as needed.

Other Meds: Lexapro, Birth control, Claritin

Current Illness: N/A

ID: 1415270
Sex: F
Age: 76
State: MN

Vax Date: 04/10/2021
Onset Date: 05/16/2021
Rec V Date: 06/21/2021
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: Pain in extremity

Symptoms: Patient presented to the ED and was subsequently hospitalized for heart failure within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1415271
Sex: F
Age: 74
State: SC

Vax Date: 05/11/2021
Onset Date: 06/10/2021
Rec V Date: 06/21/2021
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: Vomiting, weak, unable to walk without assistance, headaches, fatigue, and blurry vision.

Other Meds: Semglee 25-30, Methimazole 5mg, Ergocalciferol 1.25 mg, Glipizide 10 mg, Aspirin.

Current Illness:

ID: 1415272
Sex: F
Age: 57
State: IL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 06/21/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: DIZZINESS, NAUSEA, HOT TREATMENT- ICE PACK FEELING FINE AFTER SOMETIME.

Other Meds:

Current Illness:

ID: 1415274
Sex: F
Age: 60
State: MO

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 06/21/2021
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: I get allergies from certain medications.

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

Symptoms: After the vaccine I started feeling dizzy , and I was extremely tired the next day. I woke up probably about 4 in the morning and I woke up very nausea, had diarrhea, and stomach cramping. I had body aches all over my body, I felt horrible, I also had a massive headache. It felt like I had the flu but it was painful. Following the vaccine I also had to get my left thyroid removed on May 25,2021.

Other Meds: I was taking prescribed medication, fish oil, and multivitamins.

Current Illness: None.

ID: 1415275
Sex: F
Age: 52
State: MO

Vax Date: 06/19/2021
Onset Date: 06/19/2021
Rec V Date: 06/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Patient came in for a shingles shot and was accidently given a covid Pfizer vaccine instead.

Other Meds:

Current Illness:

ID: 1415276
Sex: F
Age: 12
State: NY

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 06/21/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1415277
Sex: U
Age: 46
State: CT

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 06/21/2021
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: Patient received a Janssen vaccine although he had previously gotten two Pfizer vaccines at another facility. Patient responded he had never gotten a previous COVID-19 vaccine in the past on the prevaccination questionnaire.

Other Meds:

Current Illness:

ID: 1415278
Sex: F
Age: 51
State: TX

Vax Date: 06/19/2021
Onset Date: 06/20/2021
Rec V Date: 06/21/2021
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: MACROBID VALTREX

Symptom List: Injection site swelling, Limb discomfort

Symptoms: ARM IS RED AND SWOLLEN

Other Meds: LISINOPRIL PRISTIQ ER

Current Illness: NONE

ID: 1415279
Sex: M
Age: 46
State: NY

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/21/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1415280
Sex: F
Age: 84
State: NV

Vax Date: 05/05/2021
Onset Date: 06/02/2021
Rec V Date: 06/21/2021
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: Medication error. 1st dose was Moderna. 2nd dose should have been Moderna, but was given Pfizer.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm