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: 1433227
Sex: M
Age: 63
State: MN

Vax Date: 04/14/2021
Onset Date: 05/26/2021
Rec V Date: 06/29/2021
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:

Symptom List: Dysphagia, Epiglottitis

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

Other Meds:

Current Illness:

ID: 1433228
Sex: F
Age: 55
State:

Vax Date: 06/18/2021
Onset Date: 06/19/2021
Rec V Date: 06/29/2021
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: Moderna COVID-19 Vaccine EUA Hyposphagma(Subconjunctival hemorrhage), left eye, at 11:00 am 19 Jun 21 Can I take a second shot even this symptoms occurred?

Other Meds: none

Current Illness: none

ID: 1433229
Sex: M
Age: 83
State:

Vax Date: 04/30/2021
Onset Date: 06/04/2021
Rec V Date: 06/29/2021
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:

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

Symptoms: N17.9 - Acute kidney failure, unspecified

Other Meds:

Current Illness:

ID: 1433230
Sex: F
Age: 61
State: PA

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Mixing/Administration error: Nurse drew up 1.8ml of saline diluent and then drew up 0.3ml of vaccine concentrate from second vial. Injected patient with 2.1 ml of fluid. Did not reconstitute properly.

Other Meds: "fluid pill":

Current Illness: n/a

ID: 1433231
Sex: M
Age: 28
State: TN

Vax Date: 06/11/2021
Onset Date: 06/15/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Right index finger joint paint and stiffness, popping, soreness and tinder

Other Meds: N/A

Current Illness: N/A

ID: 1433232
Sex: M
Age: 15
State: AZ

Vax Date: 06/28/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
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: Sweating, headache, nausea, light headedness, blacked out, dizzy, body aches - after second dose. Tried Ibuprofen so far. Waiting to see if there is relief. Can barely stand on his own.

Other Meds:

Current Illness:

ID: 1433233
Sex: F
Age: 77
State: MO

Vax Date: 06/28/2021
Onset Date: 06/28/2021
Rec V Date: 06/29/2021
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: PENICILLINS

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: PAIN AND SLIGHT SWELLING IN INJECTION ARM. NO REDNESS, NO RASH. STARTED IN AFTERNOON AFTER 1ST DOSE OF MODERNA. CONTINUED TO TODAY (6/29/2021) AND PATIENT STATED THEY WERE ON THEIR WAY TO THE PHYSICIAN TO BE EVALUATED. PATIENT WAS AMBULATORY AND, OTHER THAN PAIN AT INJECTION SITE, SEEMED TO BE IN GOOD HEALTH.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1433234
Sex: F
Age: 50
State: CA

Vax Date: 05/19/2021
Onset Date: 05/30/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Exaggerated muscle pain after physical activity. This first happened 12 days after the first injection, and has continued to this day. Muscles are sore in general even without much physical activity. (I.e not necessarily in response to heavy exercise). This is not something that I normally experience, nor have I experienced before. Ibuprofen can help.

Other Meds: Multi vitamin, elderberry extract, probiotic (Align)

Current Illness: None

ID: 1433235
Sex: M
Age: 68
State:

Vax Date: 03/09/2021
Onset Date: 05/20/2021
Rec V Date: 06/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I21.4 - NSTEMI (non-ST elevated myocardial infarction) (CMS/HCC)

Other Meds:

Current Illness:

ID: 1433236
Sex: F
Age: 52
State: PA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 06/29/2021
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: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Approximately 6 hours after the injection, pain and stiffness occured in my left arm. As the days continued the pain worsened and range of motion lessened. Hot showers helped relieve some of the pain and improve mobility. After one week pain was only present when trying to fully extend the arm. After 3 weeks there was roughly 80% range of motion. The 2nd Covid shot on May 7 seemed to release something in the muscle. There was minimal pain at the injection site that only lasted 12 hours and mobilty improved to 90%. This was reported to my PCP at my annual physical on June 25. I was encourage today to report the side effect.

Other Meds: none

Current Illness: none

ID: 1433237
Sex: M
Age: 53
State: GA

Vax Date: 04/29/2021
Onset Date: 05/06/2021
Rec V Date: 06/29/2021
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

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

Symptoms: I noticed Heart skipping beats and chest discomfort 8 days after the Vaccine. It has remained an issue for 7+ weeks now and continues to skip many times each hour.

Other Meds: None

Current Illness: None

ID: 1433238
Sex: M
Age: 66
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 06/29/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: On April 28th they went the the doctor was thinking maybe a pinched nerve, on April 14th the went to the office the doctor wanted to conduct a nerve test. April 15th got a MRI done. Then April 18th got sent to the neurologist the have a MRI with contrast. The doctor is thinking it could possibly be ALC

Other Meds: 20mgLipitor 25mg Atorvertitan 20mg

Current Illness: N/A

ID: 1433239
Sex: M
Age: 54
State: FL

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 06/29/2021
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: As per patient, next day after he received his 2nd dose of Moderna he had fever and heart pain; he took Tylenol and it relieved the pain; however, today he call us to report it because the chest pain started again; he said he had being coughing since February 2020 after he suspected he had COVID19 but he never was diagnosed because he never got tested. He reported that he had chest pain back in February 2020; he had not seen a doctor and he was strongly recommended to see md ASAP to check his heart and lungs

Other Meds: lisinopril/htz

Current Illness:

ID: 1433240
Sex: M
Age: 55
State: KS

Vax Date: 03/19/2021
Onset Date: 05/01/2021
Rec V Date: 06/29/2021
Hospital: Y

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: Albuterol, none others known

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

Symptoms: Left arm pain, angina equivalent, woke up after going to bed with left arm pain, radiating from shoulder down the arm.

Other Meds: Valsartan 80 MG Daily Pure One Multivitamin 1x daily Vitamin D 3 125 MCG daily Turmeric 3000 MG daily Fish oil 1400 MG daily Vitamin B Complex 1 daily

Current Illness: none

ID: 1433241
Sex: F
Age: 74
State:

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 06/29/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: NSTEMI (non-ST elevated myocardial infarction)

Other Meds:

Current Illness:

ID: 1433242
Sex: M
Age: 56
State: LA

Vax Date: 02/01/2021
Onset Date: 05/27/2021
Rec V Date: 06/29/2021
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 that I'm aware of

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

Symptoms: I have some sort of skin reaction/fungus/rash/breakout where round-ish red blotches (about the size of a dime or smaller began appearing on the backs of my hands. Rash/blotches moved up my arms and spread to my lower legs until I contacted family doctor. Not sure at all if this is related to the COVID vaccination (and I doubt it is) but I wanted to at least report it. Treated/Treating with anti-fungal cream (Lamisil) 1 x daily at doctor's suggestion and it is effective on my lower legs, but keeps returning to my hands and forearm areas. Areas are very itchy and when it gets unbearable I treat specific areas with Cortizone cream (doctor's suggestion). Will be visiting doctor again if no improvement within 3 days on hands. The reddish affected areas start to dry the skin out and skin flakes as treatment gets underway.

Other Meds: Atorvastatin Aspirin Metformin Olmesartin Metoprolol fenofibrate OTC sugar-free fiber supplement OTC Nature Made Cholestoff Complete

Current Illness: none

ID: 1433243
Sex: M
Age: 67
State: MI

Vax Date: 06/10/2021
Onset Date: 06/11/2021
Rec V Date: 06/29/2021
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: Diarrhea, ongoing

Other Meds: None

Current Illness: None

ID: 1433244
Sex: F
Age: 81
State:

Vax Date: 03/25/2021
Onset Date: 05/22/2021
Rec V Date: 06/29/2021
Hospital: Y

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: I21.4 - Non-ST elevation (NSTEMI) myocardial infarction

Other Meds:

Current Illness:

ID: 1433245
Sex: F
Age: 44
State: VA

Vax Date: 03/25/2021
Onset Date: 05/28/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Reglan, sinigrin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On 5/28 I came down with head and chest cold like symptoms. No fever, just coughing and trouble breathing. No sore throat or anything like that. Some post nasal drip but not much. By 6/1, I went to my doctors office where I was put on an antibiotic. On 6/4, my breathing had deteriorated significantly. I went back to the Dr who thought I had pneumonia. A chest X-ray showed it was not pneumonia. My breathing was so bad on 6/8 I went to the emergency room. They did a CAT scan that showed inflammation of my left lung. I also had pain radiating from the left side of my chest. It was not determined what caused the inflammation. I was increased to 60mg of prednisone then to 40 and then 20. I just finished my prednisone. I was also put on a nebulizer. I followed up with a pulmonologist who put me on and inhaled steroid. I now take the inhaler and albuterol in order to breathe.

Other Meds: Yes, Lyrica, metformin, ozempic, Allegra, atorvastatin

Current Illness: No

ID: 1433246
Sex: M
Age: 42
State: PA

Vax Date: 06/08/2021
Onset Date: 06/10/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The second day after my injection I began to have a rash. It started on my face effecting my eyes and spread to my neck, both forearms, both hands, the right side of my stomach down to my right thigh, my right shin and my left foot. The rash has cleared up about 2 weeks after the vaccination but I still feel an itching sensation in the areas that I had a rash from time to time throughout the day.

Other Meds: None

Current Illness: None

ID: 1433247
Sex: M
Age: 46
State: MS

Vax Date: 03/03/2021
Onset Date: 06/21/2021
Rec V Date: 06/29/2021
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: chills and uncontrollable shakes, no fever initially; within a few hours temp was 101.6; cultures and labs showed urinary tract infection; sensitivities showed resistant to rocephin and ceftin; bactrim didn't prove strong enough; improvement finally began with levaquin; fever persisted 8 days; ibuprofen was required around the clock

Other Meds: humira; mobic

Current Illness:

ID: 1433248
Sex: M
Age: 70
State:

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/29/2021
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: Patient received a 3rd dose of Moderna. 1st dose on 1/25/21, 2nd dose on 4/12/21, and 3rd dose on 6/17/21.

Other Meds:

Current Illness:

ID: 1433250
Sex: M
Age: 84
State:

Vax Date: 05/26/2021
Onset Date: 06/01/2021
Rec V Date: 06/29/2021
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:

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

Symptoms: - Multifocal pneumonia

Other Meds:

Current Illness:

ID: 1433251
Sex: F
Age: 50
State: NY

Vax Date: 06/16/2021
Onset Date: 06/25/2021
Rec V Date: 06/29/2021
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: by the 9th day I developed excruciating headaches, shooting pain through the left temple to the left eye, painful to open and close left eye, a bruise under the left eye and edema under the left eye, arthritic type pains and shooting pains through the body and arms, pains in hands and fingers; pains in the small vessels and big inner and bruises on the right elbow. Toughing veins on the arms and legs is painful. bursting pain behind ears, a mild feeling of angio-edema in my throat, pains lymphatic knots under arms,

Other Meds:

Current Illness:

ID: 1433252
Sex: M
Age: 80
State:

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/29/2021
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: Patient received a 3rd dose of Moderna. 1st dose on 1/25/21, 2nd dose on 4/12/21, 3rd dose on 6/17/21.

Other Meds:

Current Illness:

ID: 1433253
Sex: F
Age: 90
State:

Vax Date: 04/05/2021
Onset Date: 05/11/2021
Rec V Date: 06/29/2021
Hospital: Y

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: I21.4 - Non-ST elevation (NSTEMI) myocardial infarction

Other Meds:

Current Illness:

ID: 1433254
Sex: F
Age: 25
State: MN

Vax Date: 06/15/2021
Onset Date: 06/17/2021
Rec V Date: 06/29/2021
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: Pt.'s mother states 06/17/2021 4:00pm, really agitated hitting herself, pulling skin off of arm. ER visit (stitches). communicated everything burns, she felt dirty. 06/29/2021 regular Physician appt. Still experiencing symptoms.

Other Meds: Levothriyxm, Zoloft, Seroquels, Abilify

Current Illness: N/A

ID: 1433255
Sex: F
Age: 33
State: NY

Vax Date: 06/26/2021
Onset Date: 06/27/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa antibiotics

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Excruciating pain throughout arm, collarbone and shoulder.

Other Meds: Effexor xr, syntheroid

Current Illness:

ID: 1433256
Sex: F
Age: 82
State:

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/29/2021
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: Patient received a 3rd dose of Moderna. 1st dose on 1/25/21, 2nd dose on 4/12/21, and 3rd dose on 6/17/21.

Other Meds:

Current Illness:

ID: 1433257
Sex: M
Age: 61
State: OK

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: oxycodone, acetaminophen

Symptom List: Nausea

Symptoms: my immunologist, stated it caused a "flare" of my arthritis. Pharmacy where I received shot did not tell me to pause my meds before or after shot. Caused extreme pain at site and in my entire L. shoulder area. Pain persists to present day. Doctor gave me prednisone im and p.o. as well as gabapentin and flexaril.

Other Meds: Embrel, methotrexate

Current Illness: psoriatic arthritis

ID: 1433258
Sex: M
Age: 20
State: KY

Vax Date: 06/01/2021
Onset Date: 06/02/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Rash on arm and chest. It was itching. Started 1-2 days after vaccine. Lasted 1 week after vaccine. Tried cortisone 10 and took plenty of showers to help with itching

Other Meds: None

Current Illness: None

ID: 1433259
Sex: F
Age: 52
State: FL

Vax Date: 06/07/2021
Onset Date: 06/06/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: erythromycin & cephalexin

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

Symptoms: immediate heart palpitations and sweating. 2 days later tighteness of the chest and trouble breathing. trouble breathing for 7 days after vaccine along with fatigue and inability to tolerate exercise. up every single night trying to catch breath along with acid reflux. needed IV treatment, nebulizer, and supplements.

Other Meds:

Current Illness: mold illness

ID: 1433260
Sex: M
Age: 26
State: IL

Vax Date: 05/07/2021
Onset Date: 05/12/2021
Rec V Date: 06/29/2021
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: Muscle twitching in different muscles. Started at the left arm

Other Meds: none

Current Illness: none

ID: 1433261
Sex: F
Age: 30
State: PA

Vax Date: 06/10/2021
Onset Date: 06/12/2021
Rec V Date: 06/29/2021
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: Tired, increased HR, migraine

Other Meds: Azothioprine, Dupixent

Current Illness:

ID: 1433263
Sex: M
Age: 83
State:

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/29/2021
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: Patient received a 3rd dose of Moderna. 1st dose on 1/4/21, 2nd dose on 4/12/21, and 3rd dose on 6/17/21.

Other Meds:

Current Illness:

ID: 1433264
Sex: M
Age: 33
State: NY

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 06/29/2021
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: 4/13/21 33yo male presents to the ED for evaluation of general malaise after receiving COVID vaccine yesterday. Pt reports body aches, photophobia, headache and abdominal pain that started today. Assessment: 33yo male presents to the ED for evaluation of general malaise after the COVID vaccine. No chest pain or SOB. Differential diagnosis: Vaccine reaction, dehydration Plan: Offered labs and IV fluids vs PO hydration Pt prefers to go home and rest and take ibuprofen and tylenol for pain. Reassured that symptoms are normal after COVID vaccine. ED Course and Disposition: Discharge.

Other Meds:

Current Illness:

ID: 1433265
Sex: F
Age: 55
State: MA

Vax Date: 01/12/2021
Onset Date: 02/01/2021
Rec V Date: 06/29/2021
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: Codeine

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

Symptoms: Systems of Poly-myalgia Rheumatica. Not yet diagnosed.

Other Meds: None

Current Illness: None

ID: 1433266
Sex: F
Age: 31
State: NC

Vax Date: 06/23/2021
Onset Date: 06/24/2021
Rec V Date: 06/29/2021
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: Prolonged menses. Patient stated that she was on the last day of her menses, was having scanty flow. The next day her period was very heavy saturating 3 pads per day from then to now (6days later). Started with headaches, and achy, felt feverish inside and then also had chills. Took Tylenol for other symptoms, but still has heavy menses. Referred her to her GYN physician.

Other Meds:

Current Illness:

ID: 1433267
Sex: M
Age: 42
State: FL

Vax Date: 06/09/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
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: None

Other Meds: Unknown

Current Illness: None

ID: 1433268
Sex: F
Age: 16
State: TX

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 06/29/2021
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: UNKNOWN

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

Symptoms: PATIENT IS 16 YEARS OLD RECEIVING MODERNA WHICH IS ONLY APPROVED FOR 18 YEARS AND UP. AFTER 20 MINUTES OF VACCINATION, PATIENT REPORTED NO SIDE EFFECTS.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1433269
Sex: F
Age: 64
State:

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 06/29/2021
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: Patient received a 3rd dose of Moderna. 1st dose on 1/4/21, 2nd dose on 4/12/21, and 3rd dose on 6/17/21.

Other Meds:

Current Illness:

ID: 1433270
Sex: F
Age: 70
State: AL

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 06/29/2021
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 tightness, chest squeezing, right-sided chest pain. ER visit testing all negative. FU cardiologist diagnosed vaccine-related myocarditis.

Other Meds: Oxcarbazepine, metoprolol ER, amlodipine, atorvastatin, levothyroxine, calcium, vitamin D, vitamin B12, low-dose aspirin.

Current Illness: None

ID: 1433271
Sex: M
Age: 64
State: NC

Vax Date: 06/29/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
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: NA

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

Symptoms: NONE, THE WRONG VACCINE WAS GIVEN

Other Meds: NA

Current Illness: NA

ID: 1433272
Sex: U
Age: 31
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 06/29/2021
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: None stated.

Other Meds:

Current Illness:

ID: 1433273
Sex: M
Age: 81
State: NY

Vax Date: 03/01/2021
Onset Date: 03/05/2021
Rec V Date: 06/29/2021
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: 81 yo male patient with a history of leukemia, diabetes, renal failure, htn, hyperlipidemia, and nephrolithiasis presents with increasing weakness over the last several days. The patient states that he received his second pfizer covid vaccination on Monday. Since then has felt weak and tired. Has been short of breath with any exertion. No fever or chills. No chest pain. Has had a cough when he breathes through his mouth. He states he is only short of breath when he breathes through his mouth. No nausea or vomiting. Had one episode of diarrhea. No blood in the stool or black stool. No abdominal pain. No urinary symptoms. Has been eating. Has been exposed to a known covid positive contact at home between

Other Meds:

Current Illness:

ID: 1433274
Sex: F
Age: 68
State: IL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 06/29/2021
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: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: few hours after the vaccination i had fever and aches all over my body, fatigue

Other Meds: none

Current Illness: none

ID: 1433275
Sex: M
Age: 53
State:

Vax Date: 06/20/2021
Onset Date: 06/20/2021
Rec V Date: 06/29/2021
Hospital: Y

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: Pericarditis

Other Meds:

Current Illness:

ID: 1433276
Sex: M
Age: 17
State: WI

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 06/29/2021
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 Known Allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Unknown - Unable to reach patient's guardian or patient himself to inquire. Unable to confirm whether or not patient has experienced an adverse event at this time. Patient or his guardian have not been in contact to report an adverse event.

Other Meds: None

Current Illness: None

ID: 1433277
Sex: F
Age: 70
State: MI

Vax Date: 03/27/2021
Onset Date: 06/29/2021
Rec V Date: 06/29/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa, codeine, iodine contrast

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

Symptoms: On April 4, 8 days following receiving second dose I experienced an ocular migraine lasting approximately 30 minutes. 10 weeks later on June 13 I experienced another ocular migraine lasting approximately 30 minutes. Prior to Apr 4 I had experienced ocular migraines only 3 times in my lifetime in 1997, 2016 and 2018. My symptoms included seeing a jagged wavy line of prism-like color in my peripheral vision that progressed to the loss of the right half of objects in my vision.

Other Meds: Metoprolol succ er 25 mg, latanoprost 0.005%, vit B, fish oil, red yeast rice, vit C, multi vitamin, theralith xr

Current Illness: None

ID: 1433279
Sex: F
Age: 58
State: TN

Vax Date: 04/10/2021
Onset Date: 04/24/2021
Rec V Date: 06/29/2021
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: unknown

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

Symptoms: Patient reported developing a rash 2 weeks post vaccination. She said the rash was "moving around" and she tried to wait for it to improve without trying anything. She was prescribed a z-pak and said the rash resolved, then returned. She is currently waiting to see a dermatologist regarding the rash.

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm