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: 1415982
Sex: F
Age: 56
State: CT

Vax Date: 01/12/2021
Onset Date: 01/26/2021
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: Codeine Vicodin Penicillin Wheat

Symptom List: Dysphagia, Epiglottitis

Symptoms: Tachycardia and irregular heartbeat throughout the day, especially in the morning and evening. I have a history of occasional transient arrhythmia, but symptoms became almost constant and quite strong about 2 wks after my second vaccine dose.

Other Meds: Synthroid Dexamethasone Calcium Strontium Fish oil Multivitamin Vitamin D Vitamin C Quercitin Melatonin Trazodone

Current Illness:

ID: 1415983
Sex: F
Age: 15
State: CA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: At 1443 EMT observed client leaning forward in chair and approached for further assessment. Client mentioned feeling dizzy. PHN arrived at 1445 and observed client sitting upright in chair, alert and oriented x4. PHN asked EM to bring anti-gravity chair. Client able to transfer to anti-gravity on her own. First vitals by EMT at 1445: blood pressure 148/86, pulse 92, oxygen sat 100%. Grandmother present with client. Client reported feeling dizzy and nauseous. Client denied headache, blurry vision, shortness of breath. PHN observed hives on neck, bilateral arms, chest and upper left back. PHN offered Benadryl, Grandmother accepted and stated she would go get Father who was outside. Father denied client having allergies, no pertinent medical history or current medications. At 1448 PHN administered 1ml/50mg Benadryl IM on right deltoid after checking dosage table and verifying weight with client. PHN called 911 at 1449. At 1452 client reported new onset of tingling on both hands. Client appeared pale and diaphoretic. Vitals at 1452 by EMT: blood pressure 150/90, pulse 108, oxygen sat 100%. Hives on bilateral arms improving, hives on upper left back resolved. Flushing of face and ears. 1456 PHN and EMT observe edema of lower lip. PHN on phone with 911 operator asked client if she was having trouble swallowing. Client unable to fully describe, drowsy, but was speaking in full coherent sentences. At 1456 pulse 95, oxygen sat 100%. Paramedics arrived at 1458 and assumed care. Client transported to

Other Meds: none

Current Illness:

ID: 1415984
Sex: F
Age: 14
State: CA

Vax Date: 06/21/2021
Onset Date: 06/21/2021
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: No

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

Symptoms: Client received the 1st COVID vaccine (Pfizer, Lot # EW0187, EXP: 07/10/2021) at 14:38. EMT reported to PHN of patient reporting of dizziness and nausea. Client is alert and oriented to person, place, time and date. Guardian of patient was present and reported patient hasn?t eaten since breakfast and reports a history of dizziness and anxiety and no known allergies to medications or food. At 14:43 patients? vitals were taken; blood pressure 110/70, heart rate 75, oxygen saturation 99, patient was given a granola bar. At 14:47 patient stated, ?nausea is subsiding?, at 14:50; blood pressure 112/82, heart rate 84, oxygen saturation 99. Patient and guardian was encouraged to stay 30 minutes for observation. PHN advised client and guardian to follow up with primary care provider and gave ER precautions. Patient denies any further nausea or dizziness. At 15:01 client left facility with a steady gait, accompanied by guardian.

Other Meds: Unknown

Current Illness: Unknown

ID: 1415986
Sex: F
Age: 54
State:

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Piriformis syndrome was made much worse after both shots. Pain from the injury increased by 80% after both shots. After first dose this inflammation lasted 6 days. I am into my 2nd day of bad inflammation from the 2nd shot I had pain to the injection site and a slight headache, but the inflammation was the worst part.

Other Meds: Advil dual action

Current Illness: None

ID: 1415987
Sex: F
Age: 53
State: MD

Vax Date: 06/13/2021
Onset Date: 06/13/2021
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: No

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

Symptoms: After recieving the Covid 19 Pfizer EW0181 vaccinne at pharmacy I expeirienced icing on the injection site a hour later. During the same day i experieced icing on my legs. the next day i saw rashes spreading all over my legs as well as bruises. its been spreading to my chest next and arms. I went to the doctor and he prescribed Triamcinolone Acteonide and Hydroxyzine HCL25MG. I have tried benedryl, cortizon, and providone-lodine, and calimine lotion with no possive effect. The doctor instructed me to file this form with you and instructed me not to take the second dose

Other Meds: Calcium, Natures Bounty Advanced Hair Skin and Nails, Vitamin E 180mg, Vitamin B1 250mg, One a Day Energy

Current Illness: No

ID: 1415988
Sex: M
Age: 83
State:

Vax Date: 01/01/2021
Onset Date: 02/01/2021
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:

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

Symptoms: Patient's prostate cancer had been stable on previous treatment up until his moderna covid vaccine. He states about a month after the shot his PSA levels went to positive 1 and he had to change medications for his cancer. His wife also had cancer (bladder) and was stable for a couple years; after her vaccine she passed away a few months later and he blames the vaccine.

Other Meds:

Current Illness:

ID: 1415989
Sex: F
Age: 31
State: PR

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin and sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itchy arm

Other Meds: Prednisone 5mg Folic acid Digestive enzymes

Current Illness: Idiopathic subglottic stenosis

ID: 1415990
Sex: F
Age: 37
State: MS

Vax Date: 06/10/2021
Onset Date: 06/11/2021
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: Clarithromyacin

Symptom List: Pharyngeal swelling

Symptoms: Extreme joint pain. Wrists and knees could barely move without burning and aching. Could barely walk the next day, it felt like my joints were inflamed.

Other Meds: Welbutrin, cetrizine

Current Illness:

ID: 1415991
Sex: M
Age: 17
State: OH

Vax Date: 05/07/2021
Onset Date: 05/07/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: None.

Other Meds:

Current Illness:

ID: 1415992
Sex: F
Age: 40
State: IN

Vax Date: 06/11/2021
Onset Date: 06/12/2021
Rec V Date: 06/21/2021
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: Penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fatigue- same day 4hrs later. That lasted 3 days. 2 migraines day after Raised welp on injection site arm. The next day.

Other Meds: Citalopram Proponal

Current Illness: None

ID: 1415993
Sex: M
Age: 13
State: NJ

Vax Date: 06/12/2021
Onset Date: 06/17/2021
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: NKDA

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

Symptoms: Dull pain in left testicle affect walking

Other Meds:

Current Illness: None

ID: 1415994
Sex: F
Age: 16
State:

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Low grade fever, body aches and swollen lymph node in armpit of arm the vaccine was injected. The lymph node has been swollen for 2-3 days. She has taken Tylenol and ibuprofen to decrease the swelling

Other Meds:

Current Illness:

ID: 1415995
Sex: F
Age: 39
State: KS

Vax Date: 05/17/2021
Onset Date: 05/20/2021
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: Penicillan

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

Symptoms: Over the course of 4 weeks after my second shot, I experienced the following symptoms which came and went and were present on my body in different locations throughout the four weeks. Skin sensitivity to the touch which felt like bad razor burn concentrated on the left side of my body - the outside edge of my left foot and up the outside of my left leg. Also, present on the back of my upper left and right legs, upper left hip and waist area. For about 2 days (14 days after the shot) both feet felt as though they were burning, toes were extremely sensitive to the touch, it was uncomfortable to use a towel to dry them off after a shower. Other adverse events included prolonged exhaustion throughout the 4 weeks and joint pain for approximately 2 weeks after the second dose. The longest lasting side effects were the exhaustion and skin sensitivity.

Other Meds: Birth control. Beyaz.

Current Illness: None

ID: 1415996
Sex: F
Age: 53
State: MI

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: SUMATRIPTAN SUCCINATE TABLETS 100 mg, SULFAMETH/TRIMETHOPRIM 800/160mg tbBactw

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

Symptoms: Same evening of May 27, 21, I experienced Pain on Right side of body. My right leg pain, weakness, numbness. My right arm tingling sensation, numbness, weakness. My right hand, weakness, numbness comes & goes, tingling..My right hand is dominant but, as of then and now, my right is weaker than left...What to do???

Other Meds: Singular, Buspirone, Spironolactone....Magnesium malate, Vitamin D-3, Biotin, Suprema Dophilus, Albuterol Inhaler

Current Illness: Bacteria infection & painful ringing in Right ear & vertigo....Fully recovered before getting Vaccinated! My doctor checked me out.

ID: 1415997
Sex: M
Age: 50
State: CA

Vax Date: 03/31/2021
Onset Date: 06/14/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: severe from 6/12 - 6/15 intense lower back pain 6/15 - present (6/21) intense abdominal pain 6/15 - present (6/21)

Other Meds:

Current Illness:

ID: 1415998
Sex: M
Age: 48
State: MS

Vax Date: 06/09/2021
Onset Date: 06/09/2021
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: Chicken

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

Symptoms: Facial numbness, hot flash, Sweating, increased heart rate, palpitations, shortness of breath, Dizziness, faintness, nausea, headache, fullness in the ears, lightheadedness, stomach pain.

Other Meds: Diazepam, Hyroxyzine HCL, Metoprolol

Current Illness: Anxiety

ID: 1415999
Sex: M
Age: 56
State: CT

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: None.

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

Symptoms: Headaches, fever, rash, throwing up, heart rate uncontrollable until seen by medical specialists. It?s been 3 months, I haven?t felt better since the day I took the vaccine

Other Meds: None.

Current Illness: None.

ID: 1416000
Sex: F
Age: 23
State: IN

Vax Date: 06/04/2021
Onset Date: 06/04/2021
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: Aripiprazole, Remeron, Topiramate, Cyclobenzaprine, Sertraline, Pineapple, Banana, Latex.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Since the first dose, I have had heavy menstrual bleeding. I initially thought it was spotting in between the sugar pills in my birth control, but this problem has consisted for the last two weeks since the shot. I am not trying to get pregnant and I have not had this kind of issue before. I felt sick (like the flu and cramps) the first 24 hours after the shot as well as both my arms hurting despite only my left arm getting the shot, then felt normal other than the menstrual bleeding and persistent arm pain.

Other Meds: Sprintec (birth control)

Current Illness: N/A

ID: 1416001
Sex: M
Age: 36
State:

Vax Date: 06/19/2021
Onset Date: 06/19/2021
Rec V Date: 06/21/2021
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: no adverse event(s) noted.

Other Meds: N/A

Current Illness: unknown

ID: 1416002
Sex: M
Age: 25
State: NV

Vax Date: 06/18/2021
Onset Date: 06/18/2021
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: STATED AS NO KNOWN ALLERGIES

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

Symptoms: PATIENT DISCLOSED AFTER VACCINATION A FEAR OF NEEDLES, FAINTED AT CLINIC, HIT HEAD ON FLOOR, CUT ABOVE EYE AND BROKEN TOOTH.

Other Meds: NA

Current Illness: NONE LISTED

ID: 1416003
Sex: F
Age: 42
State: CA

Vax Date: 06/21/2021
Onset Date: 06/21/2021
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:

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

Symptoms: Patient was administered Pfizer as their second dose. But should have gotten Moderna. Patient was contacted by the pharmacist and has no symptoms 6 hours post administration

Other Meds:

Current Illness:

ID: 1416004
Sex: F
Age: 23
State: NM

Vax Date: 03/04/2021
Onset Date: 04/03/2021
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: Penicilin/Amoxicilin, Lovenox

Symptom List: Unevaluable event

Symptoms: Shortness of breath, chest tightness, insufficient inhilation, air hunger. Started roughly 2-3 days after and was intermittent until 5/15/2021. Dyspnea is getting progressively worse with clear lung sounds

Other Meds: Bupropion XL 150mg, Vitamin D, Prenatal Vitamin

Current Illness: N/A

ID: 1416005
Sex: M
Age: 31
State: CA

Vax Date: 06/21/2021
Onset Date: 06/21/2021
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: none

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

Symptoms: After administration of the pfizer covid vaccine, patient experienced dizziness, chest tightness, tingling in the hands and had sweaty palms. Patient reported that possible dehydration may have contributed to dizziness and was given water and monitored for 1 hour.

Other Meds: none

Current Illness: none

ID: 1416006
Sex: M
Age: 56
State: CA

Vax Date: 05/11/2021
Onset Date: 05/14/2021
Rec V Date: 06/21/2021
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: Rash on right arm, gradually turning into bruising, resolved after 2 weeks Developed intermittent shortness of breath on 05/30/2021 intermittent joint pains

Other Meds: Pravastatin 80 mg per day

Current Illness:

ID: 1416007
Sex: M
Age: 43
State: MD

Vax Date: 04/09/2021
Onset Date: 04/27/2021
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: none known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Multiple Subsegmental pulmonary emboli. Treated with anticoagulation. Doing well.

Other Meds: Bupropion XL 300 mg once a day

Current Illness: No

ID: 1416008
Sex: F
Age: 61
State: TX

Vax Date: 06/19/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Ultram

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

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 1416009
Sex: F
Age: 49
State: SC

Vax Date: 06/21/2021
Onset Date: 06/21/2021
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: Antihistimines/decongestants, muscle relaxers

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Large red, hard, itchy painful lump that has only gotten worse with time. Covid arm maybe.

Other Meds: Suboxone. gabapentin. ambien. protonix

Current Illness: none

ID: 1416010
Sex: F
Age: 12
State: CA

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none per pt's mother

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: vomited small amt 6 minutes after the vaccination. She also c/o lightheadedness and stomach cramping. is menstruating at present. Assisted lay on Yoga mat with legs elevated. Her VS were taken. Her BP was 100/58, P 65;R18 and O2 sat 99%. stated she felt better after lay on yoga mat. Assisted sit up on Yoga Mat at 1:55PM ; VS taken sitting: BP 90/56; P90: Resp 18 and O2 sat 98%. admit she did not drink much water before she came and her menstrual period is heavy. instructed to drink water and electrical flds provided to her while sitting on mat which she did. Her heart rate went back to 70 and her BP went up to 100/60 sitting. At that time states she feels good and she went back to her chair. Observed for another 10 minutes and she left the site with her mother at 2:10pm completely recovered.

Other Meds: none per pt's mother

Current Illness: none per pt/s mother

ID: 1416011
Sex: M
Age: 68
State: TX

Vax Date: 06/21/2021
Onset Date:
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: NA

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

Symptoms: The patient got his first does of Moderna on 6/16/2021. He got another dose today, 6/21/2021, by mistake. No other complain

Other Meds: NA

Current Illness: NA

ID: 1416012
Sex: M
Age: 31
State: NV

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NONE LISTED

Symptom List: Nausea

Symptoms: PATIENT WAITED 15 MINUTES, AND LEFT THE OBSERVATION AREA. PATIENT RETURNED TO LET STAFF MEMBERS THAT HE WAS EXPERIENCING ONE SIDED WEAKNESS. EMTS WERE CALLED, PATIENT WAS PLACED ON A HEART MONITOR. PARAMEDICS UNSURE WHAT WAS GOING ON, EKG NORMAL. PATIENT WAVED AN AMBULANCE TO GO TO HOSPITAL AND WENT HOME WITH BROTHER

Other Meds: NA

Current Illness: NONE

ID: 1416013
Sex: M
Age: 36
State: WA

Vax Date: 04/29/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Expired Vaccine(Exp: 04/28/2021) was administered on 04/29/2021.

Other Meds:

Current Illness:

ID: 1416014
Sex: F
Age: 56
State: MI

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin several different allergy medications and seasonal allergies

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

Symptoms: Sporadic pustules started on back of right thigh moves to various areas. Left thigh, buttocks, belly, back, right arm.

Other Meds: Multivitamin, calcium, 800 MG ibuprofen at bedtime

Current Illness: None

ID: 1416015
Sex: M
Age: 22
State: CA

Vax Date: 06/03/2021
Onset Date: 06/05/2021
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: RA

Lab Data:

Allergies: NONE

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

Symptoms: 2 days after second dosage the patient began to experience chest pain and shortness of breath at rest and worse with minimal activity-body aches--myalgias--headache

Other Meds: Mirtazapine 30mg oral tablet, 1 Tablet by mouth every evening

Current Illness: NONE

ID: 1416171
Sex: F
Age: 14
State: CA

Vax Date: 06/03/2021
Onset Date: 06/13/2021
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: None.

Symptom List: Tremor

Symptoms: pressure in chest, shortness of breath, rapid/irregular heart beat, light headedness. Started afternoon of June 13 and continued to 6/15.

Other Meds: None.

Current Illness: None.

ID: 1416172
Sex: F
Age: 71
State:

Vax Date: 02/18/2021
Onset Date: 02/21/2021
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

Symptom List: Erythema, Pruritus

Symptoms: approx 48hr post injection I experienced severe pain at site of injection radiating to my chest/rib area and could not get out of bed. I saw my doctor and discussed SIRVA(injury related to vaccine administration)and she stated" probably made up by ambulance chaser." I was referred to physical therapy. I read up on VAERS and spoke with the Infectious disease doctor for the County and she stated that my complaints are valid and that is why I am filing VAERS report so late. She stated I should have received steroid treatment. I reported to my doctor that the injection had been given ^high in arm @acromion process, not in deltoid area as it should have been

Other Meds: fosamax 70 albuterol inhaler multi Vit

Current Illness: asthma Osteoporosis

ID: 1416173
Sex: F
Age: 24
State: GA

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

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: Citrus, dust, pollen, ragweed

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

Symptoms: Nausea, vomiting, abdominal pain consistent with Addisonian crisis

Other Meds: Fludrocortisone, Prednisone

Current Illness: None

ID: 1416174
Sex: F
Age: 61
State: NC

Vax Date: 06/18/2021
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: No

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

Symptoms: On June 19, 2021 at 8:00pm the left side of my chest and my left arm began shaking for about 1 minute. Then it would stop for about 2 to 3 minutes and start all over again. This lasted for approximately 1 hour.. I went and laid down when this happened and did not get back up till Sunday morning.

Other Meds: Ibuprofen 800 mg vitamin c 1000mg d3 2000iu super b complex calcium 1200mg letrozole 2.5mg magnesium 250mguu

Current Illness: Had carpal tunnel surgery and 2 trigger finger release surgery on June 10, 2021

ID: 1416175
Sex: M
Age: 16
State: NY

Vax Date: 06/18/2021
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:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Chest pain, myocarditis, decreased LV function

Other Meds:

Current Illness:

ID: 1416176
Sex: M
Age: 26
State: WA

Vax Date: 04/29/2021
Onset Date: 06/21/2021
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: Expired vaccine(Exp: 04/28/2021) was administered on 04/29/2021

Other Meds:

Current Illness:

ID: 1416177
Sex: M
Age: 72
State: CA

Vax Date: 02/25/2021
Onset Date: 05/02/2021
Rec V Date: 06/21/2021
Hospital: Y

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: Morphine

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

Symptoms: Acute Pericarditis

Other Meds: Famotidine, Pradaxa, Tessalon Perles, Colchicine, Ibuprofen, Protonix, Toprol XL, Potassium Cl

Current Illness:

ID: 1416178
Sex: F
Age: 31
State: NJ

Vax Date: 06/12/2021
Onset Date: 06/12/2021
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: Pain in extremity

Symptoms: 6/12/21 10:30 am shot given 1:00 pm arm pain at site of shot arm turning red put ice pack on arm Took 2 Tylenol 10:00pm feel pain throughout body and joints Trouble sleeping all night 6/13/21-6/14/21 fever 103 chills pain allover headache swollen lymph nodes and arm has red rash around can't really move arm kept ice pack on arm ... can't get comfortable no matter how I lay or sit there is pain in joints muscles Took 2 Tylenol every 4-6 hours 6/15/21 Took Tylenol Woke up no more body/joint pain still have chills not as severe very hot no matter what I do 1:00 pm fever finally broke Rash is huge and arm still swollen hard to move Ice pack to help with arm 6:00pm finally felt normal not sick anymore but arm still swollen and very warm to touch and lymph nodes are still swollen

Other Meds:

Current Illness:

ID: 1416179
Sex: M
Age: 60
State: CA

Vax Date: 03/02/2021
Onset Date: 04/07/2021
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: Developed PMR

Other Meds: hydrocodone, multivitamin

Current Illness: None

ID: 1416180
Sex: F
Age: 14
State: FL

Vax Date: 05/22/2021
Onset Date: 05/25/2021
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: N/A

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

Symptoms: Rash on both arms: circular and red around the elbows and bumps going down the forearms. Very itchy and red. Did not respond to hydrocortisone cream. Started approximately 3 days after the shot and Went away on it?s own approximately 5 days later.

Other Meds: N/A

Current Illness: N/A

ID: 1416181
Sex: F
Age: 66
State: FL

Vax Date: 02/14/2021
Onset Date: 03/02/2021
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: Benzodiazepines Bactrim

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

Symptoms: Developed shortness of breath two weeks after second vaccine in March 2021. Diagnosed with pneumonia on 5/28/21. Severe chest and back pain. No cough, no fever. 100% healthy prior to vaccine. For 3 days after second vaccine developed swollen arm, high fever 103.5. Then 2 weeks later SOB.

Other Meds: None

Current Illness: None

ID: 1416182
Sex: M
Age: 62
State: MI

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: stiff painful frozen shoulder symptoms quickly developed with second covid shot in left arm, seen primary care doc/steroid shots,,,,got mri, seen Orthopedic doc/thearpy better but still sore and catching/popping

Other Meds: crestor 10mg

Current Illness:

ID: 1416183
Sex: M
Age: 55
State: MD

Vax Date: 03/11/2021
Onset Date: 03/13/2021
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: Only seasonal allergies. Intolerant to lactose.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I developed imbalance, when lying down. I got really dizzy. I thought the symptoms would go away as part of the vaccination. I also developed upset stomach , but that one went away. The dizziness continued into the second dose and still continues. The second dose is EP 7533. I still get dizzy when i lay down and when get up, then it sort of normalizes, but when i lay down flat back and head up, dizziness starts. I have to be careful when i get out of bed and have to wait until i gain my balance back.

Other Meds: none.

Current Illness: n/a. none.

ID: 1416184
Sex: M
Age: 38
State: WA

Vax Date: 04/30/2021
Onset Date: 05/15/2021
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: N/A

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

Symptoms: After 14-15 days of the Vaccination, i have started seeing inflammation/Liquid build up/pain on both of my knees and stiffness behind left knee. Visited my primary care physician and he checked & suggested to use the knee cap after doing X-ray. As per discussion with Doctor, x-ray results are normal. i used the knee cap for a week and swelling is reduced ,and again increased depends on how much i rest or walk. again following week i visited the primary care doctor and he observed the increased swelling on both knees and referred me to rheumatoid arthritis specialist. meanwhile i also insisted my Primary care doctor to do the blood work to check if i have arthritis. Blood work results came as normal. I went to meet rheumatoid arthritis Doctor on June 14th and he looked into all the data checked my knees etc. He felt all are normal and again asked me to do the blood work to check if i have any other type of Arthritis. Today(06/21/2021) i got back the results from the doctors office saying all are normal. but i am not sure why this started happening to me . The symptoms are knee pain/inflammation, All joint(shoulders/ankel) pain - on and off. mild head ache. The only pointer i believe is Covid Vaccine is something to do with what i am going through now. but i don't know for sure and how to resolve my inflammation issue. Any advise would be greatly appreciated. I used to play Tennis before the vaccine frequently(3-4 days a week) and post this event i couldnt even walk actively as before as the inflammation increases based on the effort.

Other Meds: N/A

Current Illness: N/A

ID: 1416185
Sex: M
Age: 60
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/09/2021
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: none known

Symptom List: Injection site swelling, Limb discomfort

Symptoms: weakness in the legs, decreased stamina, imbalance

Other Meds: lisinopril 20 mg daily and Vitamin D 2000 IU daily

Current Illness: none

ID: 1416186
Sex: F
Age: 28
State: IL

Vax Date: 06/14/2021
Onset Date: 06/17/2021
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: severe vaginal bleeding with many clots over several days, outside of the menstrual period.

Other Meds:

Current Illness:

ID: 1416187
Sex: F
Age: 4
State: NY

Vax Date: 06/14/2021
Onset Date: 06/19/2021
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: No

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

Symptoms: Adverse reaction from the Dtap, severe swelling of injection site and large red circle. Hot to the touch and itchy. Started 4 days post injection and has gotten progressively worse to the point where we took our daughter in to see her doctor on day 7. Was prescribed antibiotics and allergy medicin to help, so far it is still getting worse.

Other Meds: No

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm