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: 1429806
Sex: F
Age: 17
State: AZ

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
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 was underage at time of vaccination. Patient received her first dose of Moderna at Pharmacy on 5/28/21. She returned for her second dose, but they were out of stock. She came here to complete her series. I called pharmacy to verify, and the pharmacist stated that he had received an email that approved Moderna for 16+ years old but now could not find it. Patient experienced no side effects after her first dose. I completed her series with her second dose.

Other Meds:

Current Illness:

ID: 1429807
Sex: F
Age: 58
State: WV

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 06/26/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient started expirencing symptoms the night of 6/25/21 after recieving vaccine the same day. Symptoms include headache and rash/hives with itching.

Other Meds:

Current Illness:

ID: 1429808
Sex: M
Age: 62
State: CA

Vax Date: 05/07/2021
Onset Date: 05/14/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: My second dose of Pfizer was on 5/7/21 and I started getting a headache from 5/14/21. It is still going on as of 6/26/21.

Other Meds: Esomeprazole 20MG

Current Illness:

ID: 1429809
Sex: M
Age: 26
State: CA

Vax Date: 06/02/2021
Onset Date: 06/03/2021
Rec V Date: 06/26/2021
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: The flu like symptoms dissipated very quickly. I was sent to the Foot Hill Presbyterian ER after a trip to urgent care. They took an X-ray and blood work. They ruled out myocarditis. I think my heart was elevated for 2 days after that. It would skyrocket for 120-130bpm. My heart rate would respond oddly depending on sitting down or laying down. No stimuli and it would still be odd numbers. I was getting weird readings each time I looked up my heart rate. I thought it was normalizing. I have been getting these tachycardia heartbeats as I am sitting down. It will be up to 120bpm after 2 hours. Now it stays at 90-100 bpm and palpitations keep happening. Sometimes when I get up, it will start skyrocketing. My BP jumped to 150/120 and my ER doctor prescribed me beta blockers (metoprolol 25mg). I am scheduled to see a cardiologist on Monday. I have had multiple EKG readings. I have noticed a strange cycle pattern for the past few days and no reason for it. It's almost like its playing its own beat.

Other Meds: Omega 3,Tumeric, vitamin D,

Current Illness: None

ID: 1429810
Sex: F
Age: 56
State: NY

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

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

Lab Data:

Allergies: Unknown

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

Symptoms: Extreme body aches and flu-like symptoms.

Other Meds: Unknown

Current Illness: Unknown

ID: 1429811
Sex: F
Age: 29
State: FL

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/26/2021
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: NKDA no food allergies

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

Symptoms: Allergic Urticaria that started 2 t 3 hours after the injection. She reports fatigue 2 days later with rash resolving with some use of Benadryl. She required additional Steroid injections, pepcid, and Benadryl for outpatient treatment.

Other Meds: Buspirone, fenofibrate, ketoconazole cream, trazodone, Effexor

Current Illness: NONE

ID: 1429812
Sex: F
Age: 57
State: FL

Vax Date: 05/01/2021
Onset Date: 05/19/2021
Rec V Date: 06/26/2021
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: severe cervical lymphadenopathy followed by weeks of malaise, shortness of breath and cough

Other Meds:

Current Illness:

ID: 1429813
Sex: F
Age: 59
State: IN

Vax Date: 06/17/2021
Onset Date: 06/01/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: Wheat, Soy, Bactrum, Avolox, Flexerell, Keflex, Ibuprophine, Penicciline

Symptom List: Pharyngeal swelling

Symptoms: injection site turned black and is hardened

Other Meds: Armor Thyroid, Lasix, Lipitor, Adderall XR, Bayer Low Dose, Trelegy, Ipratropium Bromide and Albuterol Sulfate, Pro Air, Green tea, ginger, Basil, Honey

Current Illness: N/A

ID: 1429814
Sex: M
Age: 64
State: OH

Vax Date: 06/21/2021
Onset Date: 06/22/2021
Rec V Date: 06/26/2021
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: Patient stated that the day after vaccine (over 24 hours later) he experienced chest tightness and difficulty breathing. He is still having these issues. I did instruct him to go to the hospital, but he refused at this time.

Other Meds:

Current Illness:

ID: 1429815
Sex: F
Age: 25
State: TX

Vax Date: 06/12/2021
Onset Date: 06/19/2021
Rec V Date: 06/26/2021
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: amoxicillin (From AUGMENTIN) (RASHES AND HIVES 06/25/21) clavulanic acid (From AUGMENTIN) (RASHES AND HIVES 06/25/21)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Possible myocarditis (came in with high grade fevers one week after getting vaccinated, chest pains and muscle aches, elevated troponin and white blood cell counts)

Other Meds: tylenol as needed for fever

Current Illness: None

ID: 1429816
Sex: M
Age: 0
State: CA

Vax Date: 06/24/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
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: Fever x 36hrs after, mild redness and swelling/induration at injection site, 1 in diameter. Morebilliform rash on trunk,groin, gluteal fold neck and scalp. Baby is well

Other Meds:

Current Illness:

ID: 1429817
Sex: F
Age: 52
State: CA

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 06/26/2021
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: Aspirin, sunflower seeds, and some fish

Symptom List: Rash, Urticaria

Symptoms: Ears are very sensitive to sound. Voices sound very loud and hurt ears. High pitched ear ringing.

Other Meds: None

Current Illness: None

ID: 1429818
Sex: F
Age: 36
State: UT

Vax Date: 06/22/2021
Onset Date: 06/25/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: Minocycline

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

Symptoms: 06/25/2021 - noticed swelling in arm 06/26/2021 - went to urgent care for swelling and was diagnosed with a blood clot.

Other Meds: Zoloft 100mg

Current Illness: None

ID: 1429819
Sex: F
Age: 46
State: IN

Vax Date: 06/23/2021
Onset Date: 06/23/2021
Rec V Date: 06/26/2021
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: Penicillin

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

Symptoms: Throat swelling, throat muscle tightening. Extremely hard to swallow. Rash on neck and face. Nausea. ER visit for IV medications for allergic reaction

Other Meds: None

Current Illness: None

ID: 1429820
Sex: F
Age: 30
State: PA

Vax Date: 06/18/2021
Onset Date: 06/25/2021
Rec V Date: 06/26/2021
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: Some tree nuts trigger migraines with aura. Some alcohol consumption results in face/neck flushing and hives.

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

Symptoms: Hives on legs and trunk. Swelling of upper lip (never had fillers).

Other Meds: Fish Oil, vitamin A/D/K, NAC, Quercetin with Bromelain

Current Illness: PCOS

ID: 1429821
Sex: F
Age: 41
State: MA

Vax Date: 05/29/2021
Onset Date: 05/29/2021
Rec V Date: 06/26/2021
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: Hydergine

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

Symptoms: Had chest pain after 20-30 mins of vaccine and lasted around a week.

Other Meds: Prednisone, Vitamin C, Calcium

Current Illness: None

ID: 1429822
Sex: F
Age: 21
State: MA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/26/2021
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: unknown

Other Meds:

Current Illness:

ID: 1429824
Sex: F
Age: 54
State: MD

Vax Date: 06/09/2021
Onset Date: 06/20/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, egg, Vitamin D3 (lanolin) seasonal allergies,

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Arm sore, red rash at injection site, exhaustion, stomach upset, metallic taste in mouth

Other Meds: Using Ivermectin topically for face; go to acupuncture 2x week MRI IV Contrast (6/17/21) 10/10 mL Clariscan single-use vial

Current Illness: C. Diff, Uterine Fibroids and Andemyosis

ID: 1429825
Sex: M
Age: 52
State: FL

Vax Date: 06/21/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: nosebleed an low platelets- started one week after vaccine, came to ER on day 7 when bleeding wouldn't stop.

Other Meds: ASA, atorvastatin, diazepam, HCTZ, losartan, metformin, protonix, actos, repaglinide, risperidone, Viagra, trazodone, insulin

Current Illness:

ID: 1429826
Sex: M
Age: 15
State: OR

Vax Date: 06/17/2021
Onset Date: 06/24/2021
Rec V Date: 06/26/2021
Hospital: Y

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies: watermelon - dyspnea

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

Symptoms: 6/24/2021 developed tactile fever, substernal chest pain, and shortness of breath 6/25/2021 increased shortness of breath, chest pain

Other Meds: none known

Current Illness: s/p Pfizer #1 on 5/27/2021

ID: 1429827
Sex: F
Age: 46
State: MA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/26/2021
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: unknown

Other Meds:

Current Illness:

ID: 1429828
Sex: F
Age: 35
State:

Vax Date: 05/20/2021
Onset Date: 05/26/2021
Rec V Date: 06/26/2021
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: A week after the 2nd dose I began to experience stomach aches & nausea after every time I eat food. I have also experienced general malaise. It has been a little over a month & I am still getting intense stomach aches and nausea whenever I eat. About 2 weeks I ago I also developed hemorrhoids. I have never in my life had this before, & until I had this 2nd dose, I have almost never got sick. I can barely eat more than once a day and have lost weight. I wish I knew if or when this would go away. My biggest regret is getting the 2nd shot. I wish I only got the first one or none of them. How long is this going to last?

Other Meds:

Current Illness:

ID: 1429829
Sex: M
Age: 58
State: PA

Vax Date: 05/30/2021
Onset Date: 06/04/2021
Rec V Date: 06/26/2021
Hospital: Y

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

Lab Data:

Allergies: nka

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

Symptoms: Per daughter: feeling tired and week, he went to the ER and was sent home. He went back due to worseing of weakness and was eventually sent to Pittsburgh hospital for further testing. His condition escalated to paralysis. Guillain-Barre syndrome was a possible diagnosis.

Other Meds: unknown

Current Illness: unknown

ID: 1429830
Sex: F
Age: 26
State: NY

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 06/26/2021
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: Celontin

Symptom List: Injection site pain, Pain

Symptoms: Increased seizure activity and tonic-clonic seizure following injection.

Other Meds: Concerta, Folic Acid, Kelnor, Zonisamide, Vitamin D, Alive! Women's Multivitamin

Current Illness:

ID: 1429831
Sex: M
Age: 52
State: MA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/26/2021
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: unknown

Other Meds:

Current Illness:

ID: 1429832
Sex: F
Age: 44
State: WA

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 06/26/2021
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: Tongue began burning as the injection was done. Tingling on tongue, weird metallic also. 2 hours after the shot, I had a full body rash that lasted a couple of hours. The rash did not require any medical attention but it was hot to the touch and it was slightly raised. I took benedryl and the rash cleared up. The severe burning mouth and tongue remains. Since the moment of my shot, I have had non stop tongue pain and mouth pain. It has not improved in the 5 weeks since I had it. The Doctor said nothing could be done to treat it. She said that Covid tongue could happen with a covid infection but not with the covid vaccination. I have scalloped tongue, my tongue has been swollen, it gets strange lesions on it every few days. It feels like when your burn your tongue on a hot cup of coffee. Pain reliever helps somewhat but I dont want to be on pain killers everyday. Lidocaine rinse works for about 15 min. It is painful to eat, it feels like I am eating pop rocks candy when I eat food. It has altered my taste. It is very bothersome. I had a diagnosed covid infection 18 weeks ago, but I did not have this burning mouth problem with the actual covid infection.

Other Meds: None

Current Illness: None

ID: 1429833
Sex: M
Age: 25
State: MA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/26/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: unknown

Other Meds:

Current Illness:

ID: 1429834
Sex: M
Age: 21
State: NY

Vax Date: 06/21/2021
Onset Date: 06/22/2021
Rec V Date: 06/26/2021
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

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Stabbing heart pain. Shortness of breath. Weakness in right hand (opposite the arm vaccinated). Extreme joint pain to the extend of difficulty walking. Symptoms abated strongly after 48 hours with the exception of tightness in chest.

Other Meds: None

Current Illness: None

ID: 1429835
Sex: F
Age: 18
State: MA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/26/2021
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: unknown

Other Meds:

Current Illness:

ID: 1429836
Sex: F
Age: 53
State: MD

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
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: Near syncope-reported feeling like about to pass out. Brought via wheelchair to med screening for evaluation by medics. Hyotensive. 66/30. Pt. laid down and monitored by EMT/paramedic for at least 10 mins. Oral hydration brought BP up 120/75. Patient observed another 10 minutes. Then released with husband . Patient and husband traveled from South America, over night for Vaccine. Recorded by RNs

Other Meds:

Current Illness:

ID: 1429837
Sex: F
Age: 36
State: MA

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/26/2021
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: unknown

Other Meds:

Current Illness:

ID: 1429838
Sex: F
Age: 32
State: IL

Vax Date: 06/14/2021
Onset Date: 06/14/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429839
Sex: M
Age: 59
State: NV

Vax Date: 06/18/2021
Onset Date: 06/20/2021
Rec V Date: 06/26/2021
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: None

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

Symptoms: Symptoms immediately started on Sunday, June 20, 2021. These effects are exactly like Walking Pneumonia: fever, headache, muscle & bone aches, no appetite (have not eaten a full meal since that Sunday), no bowel movement, 18 hours of sleep per day, with constant run on nightmares that make me feel as if I am going insane. I have no mental health issues whatsoever. I will not drive since my brain is clouded. This is affecting my school time since I cannot focus because of this vaccine. I will not lose earning my degree over experiment.

Other Meds: None

Current Illness: None

ID: 1429840
Sex: M
Age: 30
State: IL

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429841
Sex: M
Age: 53
State: IL

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/26/2021
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: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429842
Sex: M
Age: 50
State: NY

Vax Date: 06/06/2021
Onset Date: 06/06/2021
Rec V Date: 06/26/2021
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:

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

Symptoms: due to miscommunication, pt received 1 dose of the Pfizer covid vaccine instead the shingle shot the requested. at the time of the incidence, pt already received both doses of Moderna covid vaccine

Other Meds:

Current Illness:

ID: 1429843
Sex: F
Age: 58
State: IL

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/26/2021
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: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429844
Sex: F
Age: 17
State: IL

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/26/2021
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: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429845
Sex: F
Age: 37
State: PA

Vax Date: 05/19/2021
Onset Date: 06/11/2021
Rec V Date: 06/26/2021
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: None

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

Symptoms: Received 2nd dose at end of first trimester. Had healthy pregnancy with weekly scans. Strong growth and heart rate. No abnormalities detected during ultrasound on June 2nd (when I was 13.5 weeks pregnant). NIPT showed no abnormalities and they considered viable pregnancy. 2 1/2 weeks after vaccine, I went for routine doctor visit and baby had no heart beat. I STRONGLY believe this was the result of the Covid vaccine.

Other Meds: Pre natal vitamins

Current Illness: None

ID: 1429846
Sex: F
Age: 12
State: IL

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429847
Sex: M
Age: 49
State: NY

Vax Date: 05/28/2021
Onset Date: 05/30/2021
Rec V Date: 06/26/2021
Hospital:

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

Lab Data:

Allergies: aspirin- penicillin

Symptom List: Pain in extremity

Symptoms: just a sore arm at injection site---BUT CONSTANT HEADACHES SINCE GETTING THE SHOT-in varian degrees mild to borderline migrans not going away and its been a month now

Other Meds: tramadol-acetaminophen-37.5-325 1 tablet

Current Illness: none i was fine till i got the shot

Date Died: 06/25/2021

ID: 1429848
Sex: M
Age: 64
State: WI

Vax Date: 06/11/2021
Onset Date: 06/17/2021
Rec V Date: 06/26/2021
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: Chest pain which started 6/17, improved 6/19 and 6/20. Chest pain worsened 6/21 and persisted through the week. Became acutely short of breath and passed away 6/25 at hospital

Other Meds: None

Current Illness: None

ID: 1429849
Sex: F
Age: 56
State: MA

Vax Date: 06/20/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
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: appears to be a delayed localized cutaneous reaction developing 6 days post vaccination, that spans about 6-8 inches in diameter and is hot and itchy. referred to Md

Other Meds:

Current Illness:

ID: 1429850
Sex: F
Age: 13
State: IL

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/26/2021
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: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429851
Sex: F
Age: 49
State: OH

Vax Date: 06/08/2021
Onset Date: 06/12/2021
Rec V Date: 06/26/2021
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: The patient reported that she began having nose bleeds starting on 6/12, which started in her left nostril. Since then, she has continued to have nose bleeds that have progressed to both nostrils. She had more nose bleeds in the days after the shot and most recently had them the last 3 nights and one today 6/26/21.

Other Meds:

Current Illness:

ID: 1429852
Sex: M
Age: 30
State: IL

Vax Date: 06/15/2021
Onset Date: 06/15/2021
Rec V Date: 06/26/2021
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: The vial used was stored in the freezer beyond the recommended guidelines

Other Meds:

Current Illness:

ID: 1429853
Sex: F
Age: 62
State: MN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 06/26/2021
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: Cefdinir

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

Symptoms: Body rash over all body with exception of face, neck and feet. Terrible itching all over body.

Other Meds: I have terminal lung cancer as of July 2019. At time of first vaccination I was only on the immunotherapy drug Keytruda (made by Merch). I was on a every six week dose of I think 400 mg. I also took high blood pressure medicine of Ateno

Current Illness: Lung cancer. NSCLC Adenocarcinoma

ID: 1429854
Sex: F
Age: 51
State: VA

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/26/2021
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: nkda

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient got overheated, lightheaded, dry heaving. EVerything started about 10 minutes after injection. Patient ended going with EMS to hospital upon her request.

Other Meds: Omeprazole

Current Illness: n/a

ID: 1429855
Sex: F
Age: 55
State: VA

Vax Date: 04/16/2021
Onset Date: 06/05/2021
Rec V Date: 06/26/2021
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

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

Symptoms: On June 5th while running a race I experienced extreme fatigue, overheating, jaw pain, and shortness of breath. I thought I was suffering from heat exhaustion, but after several days, I was still short of breath and experiencing tightness in my chest. It continued to worsen, making it difficult to breath while walking, and eventually just sitting. I was told by my doctor report to the ER on June 14th. I was admitted that day due to elevated troponin levels. I had an EKG, chest x-ray, and ultrasound of the heart. On June 15th I had a cardiac catheterization. No blockages were found. I was sent home, but continued to experience shortness of breath and tightness in my chest. I went back to the doctor who was concerned about a pulmonary embolism. I had at CTA scan which showed no clots. The symptoms continued. On June 21st I went back to the doctor, who scheduled a pulmonary function test. I had that test on June 24th. It indicated that my lungs had some "blockage" (sorry, I don't know the exact terminology). I was given a prescription for Symbicort. I also had a follow-up visit with a cardiologist on the 24th. They have concerns about myocarditis and have scheduled me for a cardiac MRI.

Other Meds: None

Current Illness: None

ID: 1429856
Sex: F
Age: 24
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 06/26/2021
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: Sulfa drugs

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

Symptoms: About 4 hours after receiving the vaccine, I began to feel very nauseous and awful. I ended up throwing up twice. I went extremely pale. My lips and fingers were blue. I was incredibly cold, shaking and simultaneously felt hot. I also almost blacked-out. The shaking lasted for about an hour. I continued to feel sick and exhausted for about a week, but felt much better after the first day.

Other Meds: Minocycline, Zyrtec, Zinc

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm