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

Date Died: 06/08/2021

ID: 1423308
Sex: F
Age: 37
State: MI

Vax Date: 04/07/2021
Onset Date: 06/07/2021
Rec V Date: 06/24/2021
Hospital: Y

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

Lab Data:

Allergies: clavulanic acid, sulfa

Symptom List: Dysphagia, Epiglottitis

Symptoms: patient complained of intermittent fevers since the first administration of the Moderna vaccine on 4/7/21. fevers continued intermittently until second moderna dose on 5/5/21. Patient developed lymphadenopathy and eventually was hospitalized on 6/6/21 for sepsis symptoms. Patient was intubated and found to have an acute lymphoproliferative disorder that caused cardiac arrest and the patient expired on 6/8/21. She has no lab abnormalities suggesting a lymphoproliferative disorder prior to these events.

Other Meds: Xanax 1mg, chlorthalidone 25mg, celexa 40mg

Current Illness:

ID: 1423309
Sex: M
Age: 58
State: NC

Vax Date: 06/08/2021
Onset Date: 06/11/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Anxiety, Dyspnoea

Symptoms: On Friday June 11 I woke up with itching hands; as the day went on the condition worsened; I applied Aveeno and Benadryl cream; Saturday June 12th I went to urgent care and received a Steroid shot which did help the rash and hives. On Sunday June 13th I noticed my hands starting to hurt ; by Monday the the pain was severe; I saw my family Dr on Tuesday June15th on he prescribed oral steroids. Wednesday the pain had moved to my shoulders and hands where it continues. The pain is not as severe but it still hurts to move my shoulder or to grip things with my hands.

Other Meds: Verapmil 180 mg, Irbesartan/HCTZ 150-12.5 81, 81mg aspirin, mupirocin 2%

Current Illness: None

ID: 1423310
Sex: M
Age: 70
State: NY

Vax Date: 03/26/2021
Onset Date: 06/01/2021
Rec V Date: 06/24/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: ace inhibitors, eggs

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

Symptoms: covid 19 vaccination moderna 2/26 and 3/26/21. Pt presenting with unusual neurological symptoms on 6/1/21.. Wife video recorded his ataxia on her phone to show neurology on follow up. His feeling of spinning which only occurs when lying still and resolves with movement of his head and sitting up is unusual. Physical therapy notes no ataxia however pt reports they did not test tandem walking or standing on one leg which he is unable to do and was recorded by wife on her phone. atypical presentation of vertigo. Only occurs when lying completely still in bed, does not worsen with head movement and resolves with sitting up. Lifelong non smoker/non drinker. Labs all normal. No vomiting, nystagmus, recent illness or uri, no sinusitis/mastoiditis on mri brain. No acute abnl of mri brain or cta head or neck. No recent medication changes. Pt consistently in sinus rhythm. No fever. No past hx of covid 19. Case reviewed with neurology. Recommending trial of meclizine and PT. Out pt follow up with neurology for further work up if persists. MRI cervical spine will need to be done as out pt. Tsh, b 12, folate normal.

Other Meds: METOPROLOL TARTRATE 100 MG Oral tablet 180 tablet apixaban 5 mg Oral Tab tab cholecalciferol, vitamin D3, 50 mcg (2,000 unit) Oral Tab diltiazem (CARDIZEM) 30 MG Oral tablet 10 tablet lisinopriL 5 MG Oral tablet meclizine 25 m

Current Illness: None

ID: 1423311
Sex: M
Age: 29
State: NY

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/24/2021
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: 1423312
Sex: U
Age: 71
State: NY

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423313
Sex: F
Age: 22
State:

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 06/24/2021
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: Periphery neuropathy (burning in hands and feet) persistent since time of second vaccine.

Other Meds:

Current Illness:

ID: 1423314
Sex: M
Age: 12
State: NY

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423315
Sex: F
Age: 81
State: PA

Vax Date: 06/23/2021
Onset Date: 06/23/2021
Rec V Date: 06/24/2021
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 known drug allergies no known latex allergy no known food allergies

Symptom List: Pharyngeal swelling

Symptoms: 3rd dose of Moderna was given by mistake only had record of first dose given on 05/04/2021 and could not verify that second dose was given daughter has vaccine record card in her possession and claimed that patient already received 2nd dose of Moderna 28 days after 1st dose patient signed consent form stating that she did not yet receive 2nd dose reporting just in case

Other Meds: tylenol ventolin biofreeze bisacodyl wellbutrin xl ferrous sulfate fleet enema folic acid gabapentin lovastatin milk of mag pantoprazole polyethylene glycol potassium chloride senna-s tramadol warfarin

Current Illness: no

ID: 1423316
Sex: F
Age: 63
State: OR

Vax Date: 05/12/2021
Onset Date: 05/26/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies: Cottenwood, GMO Wheat

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: When getting the shot a couple days later began having a fever, when the fever left noticed swelling in tounge and joints hurting. Went to quick care and was put on liquid steroids, but when finishing those the symptoms started to come back.

Other Meds: N/A

Current Illness: N/A

ID: 1423317
Sex: F
Age: 28
State: IN

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 06/24/2021
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: Crippling migraine. Lasted from about 8 p.m 6/22 until 12 p.m 6/23. Ibuprofen was ineffective in helping.

Other Meds:

Current Illness:

ID: 1423318
Sex: F
Age: 55
State: NY

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423319
Sex: F
Age: 57
State: FL

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 06/24/2021
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: pcn latex

Symptom List: Rash, Urticaria

Symptoms: I started will swelling in left arm. After I few days I lost range of motion. I have severe pain and loss of ROM in L shoulder/ rotator cuff area.

Other Meds: ambien, xanax, armour thyroid, premarin, valtrex

Current Illness: thyroid, vulvodynia, arthritis

ID: 1423320
Sex: F
Age: 29
State: PA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 06/24/2021
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: 1. Fever, chills, and body aches starting 12 hours after the shot 2. Swollen lymph nodes in the neck and underarm on the arm that received the shot for about 21 days after the injection

Other Meds:

Current Illness:

ID: 1423321
Sex: M
Age: 62
State: IL

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient became disoriented incontinent extremely high blood pressure lethargic exhausted confused jumbled speech

Other Meds: multi vitamins Levothyroxine Blood Pressure medication eye vitamins

Current Illness: none

ID: 1423322
Sex: M
Age: 65
State:

Vax Date: 06/09/2021
Onset Date: 06/22/2021
Rec V Date: 06/24/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: right lower extremity swelling and redness. He had an outpatient venous duplex of his RLE done earlier in the day and was referred to the ED due to extensive DVT. Heparin Drip

Other Meds: Lisinopril

Current Illness: No

ID: 1423323
Sex: U
Age: 47
State: NY

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423324
Sex: F
Age: 13
State: NY

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423325
Sex: F
Age: 59
State: CT

Vax Date: 03/05/2021
Onset Date: 04/04/2021
Rec V Date: 06/24/2021
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: Breakthrough bleeding postmenopausal

Other Meds: D

Current Illness:

ID: 1423326
Sex: M
Age: 61
State: IN

Vax Date: 06/22/2021
Onset Date: 06/23/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: High fever, nausea, ache pains, dizziness

Other Meds: None

Current Illness: None

ID: 1423327
Sex: M
Age: 24
State: NY

Vax Date: 05/12/2021
Onset Date: 05/12/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423328
Sex: F
Age: 74
State: SC

Vax Date: 01/23/2021
Onset Date: 05/15/2021
Rec V Date: 06/24/2021
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: DEVELOPED MENIERES 4 MONTH AFTER COVID VACCINE INJECTIONS ..NEVER HAD ANY INNER EAR PROBLEMS BEFORE HAS THERE BEEN ANY RECORDED CASES OF THIS MENTIONED TO PFIZER OR CDC.......THANK YOU

Other Meds: METOPOROL, MVI, CRESTOR

Current Illness: NONE I started with symptoms of Menieres disease 4 months after vaccination with pfizer covid vaccined...is there any documentation of inner ear symptoms after covid vaccination???

ID: 1423329
Sex: M
Age: 20
State: NJ

Vax Date: 05/27/2021
Onset Date: 06/22/2021
Rec V Date: 06/24/2021
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: Unevaluable event

Symptoms: PT TESTED POSITIVE FOR COVID 19 AFTER BEING FULLY VACCINATED.

Other Meds:

Current Illness:

ID: 1423330
Sex: F
Age: 57
State: OR

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 06/24/2021
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: no

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

Symptoms: Lumps around the groin area

Other Meds: no

Current Illness: no

ID: 1423331
Sex: F
Age: 69
State: OK

Vax Date: 05/04/2021
Onset Date: 06/01/2021
Rec V Date: 06/24/2021
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: none

Symptom List: Injection site pain, Pain

Symptoms: Pericardial effusion, shortness of breath, started within 2 weeks after 2nd vaccine

Other Meds: Lasix, adcirca, ASA, KCL, mycophenolate, nexium, and opsumit

Current Illness: none

ID: 1423332
Sex: M
Age: 24
State: NY

Vax Date: 05/25/2021
Onset Date: 05/25/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423333
Sex: M
Age: 39
State: NY

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 06/24/2021
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:

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

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423334
Sex: M
Age: 16
State: TN

Vax Date: 05/15/2021
Onset Date: 05/18/2021
Rec V Date: 06/24/2021
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: N/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Teen son described a heart pain on the left side of his chest when he leaned forward or took a deep breath. Pain went away when he stood upright and resolved after a few days.

Other Meds: N/a

Current Illness: N/a

ID: 1423335
Sex: F
Age: 17
State: NY

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423336
Sex: M
Age: 40
State: FL

Vax Date: 04/23/2021
Onset Date: 05/01/2021
Rec V Date: 06/24/2021
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: Cefdin

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

Symptoms: Myocarditis or pericarditis according to ED Doc.

Other Meds: None

Current Illness: None

ID: 1423337
Sex: F
Age: 35
State: NY

Vax Date: 05/27/2021
Onset Date: 05/27/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423338
Sex: F
Age: 46
State: MI

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies: I have a lot of allergies to medications, most narcotics, antidepressants too many to list, adhesives, contrast dye, Benadryl

Symptom List: Injection site pain

Symptoms: The next day I had a fever and my skin as a whole was extremely painful, nauseas extreme fatigue, depression with suicidal thoughts in the morning, brain fog and sweating with chills where my body was physically shaking. I could'nt function that day. The next day after taking a shower I noticed a rash on the same arm 2 inches lower from vaccination site and it was hot to touch. Some of the physical symptoms got a little better but the rash started growing and traveling down my arm. Still fatigue and brain fog. That rash lasted a little bit over a week. And still to this day kind of brain fog, fatigue and hot sweats and night sweats. Depression, I've noticed an increase with anxiety and a couple of days I've noticed depression is even stronger than normal. I can't seem to get anything done, just the fatigue is overwhelming. I went to the Doctor for the rash and they said it was an allergic reaction to the vaccine. I went to the Dentist for a potential tooth infection and she said that my symptoms were more than a tooth infection so I went to the Dr. and they said some of the things could be due to the vaccine -- fatigue, no motivation, sweating, depression, brain fog.

Other Meds: The only vitamin is vit D3, Loratabine10mg, Temazepam, Levothyroxine, Atorvastatin

Current Illness: No

ID: 1423339
Sex: F
Age: 33
State: MA

Vax Date: 05/30/2021
Onset Date: 06/22/2021
Rec V Date: 06/24/2021
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

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

Symptoms: Late/no period, irregular PMS symptoms. Loss of appetite and weight. No desire to drink the amount of liquids normally consumed.

Other Meds: Vitamin

Current Illness: none

ID: 1423340
Sex: F
Age: 39
State: NY

Vax Date: 04/06/2021
Onset Date: 05/30/2021
Rec V Date: 06/24/2021
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: pcn, latex, valproic acid

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

Symptoms: Pt received her 2nd moderna covid 19 vaccine on 4/6/21. she was hospitalized on 5/30 with c diff infection. she was treated with vancomycin po and discharged on 6/1/21. She reports no recent exposure to antibiotics and takes probiotics every day. She denies any prior hx of c diff infection in the past. She also has a recent hx of sudden vaginal bleeding and was seen in our ER on 5/7/21 for this. She reports she has not had a menstrual cycle since 2018 after she underwent an endometrial ablation and dx hysteroscopy In 5/18 with no further problem or bleeding and has been on medroxyprogesterone and suddenly started bleeding recently which concerned her. She reports she is now scheduled for a diagnostic hysteroscopy/d and c rollerball button and endometrial lining ablation on 6/2/21 which revealed a stenotic cervix and it was not dilated due to risk of uterin perforation. the cause for the Menorrhagia. Dysmenorrhea is unclear

Other Meds: ARIPiprazole (ABILIFY MAINTENA) 400 mg IM s carBAMazepine 200 mg Oral table cholecalciferol, vitamin D3, (VITAMIN D3) 50 mcg (2,000 unit) Oral Tab cloZAPine 100 MG Oral tablet doxepin 10 MG Oral capsule gabapentin 400 MG Oral capsule mec

Current Illness: none

ID: 1423341
Sex: F
Age: 75
State: MN

Vax Date: 06/22/2021
Onset Date: 06/23/2021
Rec V Date: 06/24/2021
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: Patient stated that around 3am, she developed a severe headache. Patient tried to use ibuprofen and it didn't work.. Patient stated that around 10am she started throwing up, patient stated that around 7pm she started feeling better.

Other Meds: NONE

Current Illness: NONE

ID: 1423342
Sex: F
Age: 48
State: NY

Vax Date: 05/17/2021
Onset Date: 05/17/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423343
Sex: F
Age: 52
State: WV

Vax Date: 06/14/2021
Onset Date: 06/22/2021
Rec V Date: 06/24/2021
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: None

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

Symptoms: Fifteen minutes after receiving injection, on 6/14/21, a mild headache developed, lasting for three hours. At 3:00 AM day of injection right arm began to hurt; area was hot with severe pain, no swelling, lasting 72 hours. On June 22, 2021, at noon, injection site developed extreme heat, pain, and swelling, symptoms have worsened through out the day. By 8:00 PM area was size of a lemon. This AM, 6/23/21, injection site is size of a softball and certain areas have the texture of lemon rind. A headache also started today, 6/23/21, and was present upon awaking, headache pain has stayed the same throughout the day. Described as dull ache with squeezing feeling that starts at bridge of nose, going over forehead and extending along top of head. Has taken Ibuprofen 800 mg three times (last night and today) without relief. Called her :PMD to call in rx. for topical steroid; has been using cold gel pack on arm every hour for 10 minutes. States cold makes it feel good but has not improved site. Encouraged client to go to ER due to c/o headache. States she will not go now but will monitor her symptoms and if symptoms worsen, she feels fever, heartbeat in headache, or symptoms worsen she will go to the ER and will call an ambulance for transportation.

Other Meds: Synthroid; Tenormin; Cymbalta - all QHS

Current Illness: None

ID: 1423344
Sex: U
Age: 23
State: NY

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 06/24/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423345
Sex: F
Age: 60
State: PA

Vax Date: 04/17/2021
Onset Date: 05/01/2021
Rec V Date: 06/24/2021
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: penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Two weeks after each shot I developed a rash on my forearm that looked like blood pooling under the skin. Approximately two weeks later the rash faded. One was one my left and one was on my right arm. This week, three weeks after the start of the 2nd rash, I developed two more spots.

Other Meds: metformin glipizide losartan simvastatin bupropion topiramate aripiprazole biotin

Current Illness: none

ID: 1423346
Sex: M
Age: 23
State: NY

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/24/2021
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: 1423347
Sex: M
Age: 37
State: MI

Vax Date: 03/20/2021
Onset Date: 04/01/2021
Rec V Date: 06/24/2021
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: Chicken, codine

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

Symptoms: Left muscle is very sore months after shot. The pain did not start until 1 month after the shot. It is impossible to use arm to lift heavy items and the pain sometimes cause me to be unable to do my normal jobs.

Other Meds: Tylenol pm Zubsol 5.7

Current Illness:

ID: 1423354
Sex: M
Age: 44
State: NY

Vax Date: 06/02/2021
Onset Date: 06/02/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423355
Sex: M
Age: 33
State: MD

Vax Date: 04/19/2021
Onset Date: 04/21/2021
Rec V Date: 06/24/2021
Hospital:

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

Lab Data:

Allergies: Bacitracin, neosporin

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

Symptoms: Sudden onset of tightness/pressure/pain in chest, shortness of breath, fluttering sensation associated with heartbeat. Duration: Tightness in chest - 8 hours Shortness of breath - 8 hours Fluttering sensation - 7-14 days

Other Meds: Aleve Multivitamin

Current Illness: None

ID: 1423356
Sex: F
Age: 52
State: RI

Vax Date: 05/27/2021
Onset Date: 05/30/2021
Rec V Date: 06/24/2021
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: Left arm swelled up a couple days later. Became red Itchy, painful & stayed like that for about 2 1/2 weeks!!

Other Meds:

Current Illness:

ID: 1423357
Sex: U
Age: 22
State: NY

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423358
Sex: M
Age: 17
State: MA

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

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

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: With in 3 minutes of receiving vaccine patient got dizzy and was brought the EMT on site. He sat there for about an hour due to dizziness and high blood pressure before I drove him home. Then nex day while driving he got dizzy and high blood pressure. Numbers were ranging from 150-170 over 99-108. Due to this he has several panic attacks and on medication for high blood pressure. He will not drive, work, or go many places since this vaccine and the panic attacks.

Other Meds: Acne antibiotic medication

Current Illness: None

ID: 1423360
Sex: F
Age: 28
State: LA

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 06/24/2021
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: Parasthesia/weakness in left side of face 24 hours after each shot, lasting for ~8 hours. Approximately 1 month after 2nd shot, parasthesia returned in face and left arm/leg. Constant muscle twitching in left knee. Hyperosmia. Chest/neck tightness. Left jaw pain.

Other Meds:

Current Illness:

ID: 1423361
Sex: U
Age: 24
State: NY

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/24/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 1423362
Sex: F
Age: 61
State:

Vax Date: 06/03/2021
Onset Date: 06/14/2021
Rec V Date: 06/24/2021
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: No

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Shingles , strong pain and burning rash with vesicles back and right sinus

Other Meds: None

Current Illness: No

ID: 1423363
Sex: M
Age: 67
State: PA

Vax Date: 04/12/2021
Onset Date: 06/12/2021
Rec V Date: 06/24/2021
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: maybe penicillin

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

Symptoms: Shortness of Breath. pain in back and chest area. Went to Hospital and they found multiple blood clots had formed in my lungs. Currently they are trying to determine what caused my body to form these blood clots

Other Meds: none

Current Illness: none

ID: 1423364
Sex: F
Age: 45
State: NH

Vax Date: 06/16/2021
Onset Date: 06/16/2021
Rec V Date: 06/24/2021
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: Yes, many. Aleve, singulair, phenergan/compazine, sulfa, amoxicillin, doxycycline, erythromycin, adhesives, sodium metabisulfite, milk proteine, celiac disease, mushroom, peanuts, almonds

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

Symptoms: Shortly after the shot itching all over began, with no hives. About 15 minutes after the dose, started with racing heart rate, shortness of breath, dizziness and near syncope, weakness, nausea. Then started with 30 minutes of legs spasming/trembling. Ears, throat, tongue itching and wheezing. No treatment administered by the facility. I used my own inhaler for the wheezing. Was then largely fine for about 6 hours at which time arm soreness began, following by fever, sweats, chills, exhaustion, nausea, lymph node swelling, body aches. High fevers and sweats for 36 hours (Did not take over night or through next morning but must have been well over 102 as I felt like I had pneumonia and felt remarkably better and could eat the second evening at which time I could check and it was 102). Already much improved by beginning of third day. Towards the middle/end of week one, however, began with eye pain and increased asthma symptoms, some transient hives periodically, and physically tired. Palpitations and chest pain began late last evening. If it gets like after shot 1, I will seek medical evaluation this time.

Other Meds: None

Current Illness: Lupus, asthma

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm