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: 1443322
Sex: F
Age: 20
State: CO

Vax Date: 06/09/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: administered past the current refrigeration beyond use date as listed in EUA

Other Meds: none

Current Illness: none

ID: 1443323
Sex: M
Age: 67
State: FL

Vax Date: 02/02/2021
Onset Date: 03/02/2021
Rec V Date: 07/02/2021
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: seasonal allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: No adverse reactions from the first shot, second shot my arm ached quite a bit for a few days. after a few weeks my body started have unusual aches and pains, i began having abdominal distress and tiredness. still ongoing and gaining in intensity.

Other Meds: Baby aspirin, daily multivitamin, red yeast rice supplement, CoQ10, D3,

Current Illness:

ID: 1443324
Sex: M
Age: 76
State: KY

Vax Date: 06/29/2021
Onset Date: 07/01/2021
Rec V Date: 07/02/2021
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: Patient received entire vial of undiluted vaccine. Patient being monitored for adverse effects while inpatient. Patient received vaccine while admitted for other medical conditions. Currently experiencing weakness and generalized pain.

Other Meds:

Current Illness:

ID: 1443325
Sex: F
Age: 23
State: ID

Vax Date: 07/02/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: Patient was sitting down after her vaccine waiting the 15 minutes. About 5 minutes in she stated she was dizzy and losing her vision and then her head rolled backward. The patient did NOT fall or hit her head, she was sitting down. She woke up shortly thereafter and taken to a patient room and laid down. While there she vomited a couple of times. Pt states only had doritos for breakfast and her friend talked to her during the vaccination process about the time she fainted while getting a TB test. Patient was evaluated by a PA who determined there was nothing clinically wrong with her, she was stable. After 40 minutes patient was discharged to home and told to follow-up with any changes or concerns.

Other Meds:

Current Illness:

ID: 1443326
Sex: M
Age: 33
State: CA

Vax Date: 03/25/2021
Onset Date: 05/07/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: Antibiotic-Ciprofloxacin

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

Symptoms: No treatment has been received. Anxiety with very elevated heart rate and shortness of breath. Almost like panic attacks. Those happen regularly that didn't happen before. The really bad one (episode) happened once. But I'm still getting them at a moderate level about 2 or 3 times a week. I went to ER other than that I've ridden it out when it happens. I went to ER on May 29th. I have scheduled a mental health therapist appt.

Other Meds: No

Current Illness: No

ID: 1443327
Sex: F
Age: 55
State: MT

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 07/02/2021
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: Food allergies - mango

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

Symptoms: I am a post-menopausal woman - 1 1/2 years from my last period. 2 weeks after my second covid vaccine, I began to bleed. The. bleeding continued for 7 days. I contacted my doctor and was seen in the office. She collected a FSH , which was 35.9. She also opted to do a TV U/S. The ultrasound findings were WNL, with the uterus being small and a thin endometrial stripe. All things looking normal, my physician told me to let her know if the bleeding didn't stop or returned again. I haven't had any bleeding since. I don't know if this unusual bleeding is related in any way to my vaccine.

Other Meds: Synthroid - 75mcg Multi-Vitamin Fish Oil

Current Illness: None

ID: 1443328
Sex: M
Age: 18
State: TX

Vax Date: 06/17/2021
Onset Date: 06/18/2021
Rec V Date: 07/02/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fatigue, dizziness, headaches

Other Meds: None

Current Illness: None

ID: 1443329
Sex: M
Age: 4
State: NH

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: n.k.d.a.

Symptom List: Pharyngeal swelling

Symptoms: Pt was given Pentacel and unfortunately, it was found later to have been an expired dose. After contacting the state, it was recommended the vaccine be re-administered. Mom was made aware at the time of the visit. We will re-administer when a dose is available.

Other Meds: Vitamin D, Elderberry, Zyrtec (childrens)

Current Illness:

ID: 1443330
Sex: F
Age: 52
State: CO

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 07/02/2021
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: Azithromycin, Gluten, Soy protein, Tetracyclines class

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Atrial Fibrillation w/RVR

Other Meds: Lopressor, levothyroxine, triamcinolone acetonide

Current Illness: None

ID: 1443331
Sex: M
Age: 30
State: CO

Vax Date: 06/09/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: administered past the current refrigeration beyond use date as listed in EUA

Other Meds: none

Current Illness: none

ID: 1443332
Sex: M
Age: 16
State: NH

Vax Date: 06/02/2021
Onset Date: 06/01/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: patient dad registered on line the wrong date of birth on patient. patient born 05/25/2005 and dad did his paper work as 5/25/2002 which qualified him for moderna vaccine. So patient was only 16 when he got moderna vaccine.

Other Meds: n/a

Current Illness: n/a

ID: 1443333
Sex: F
Age: 33
State: MO

Vax Date: 06/11/2021
Onset Date: 06/26/2021
Rec V Date: 07/02/2021
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: None known

Symptom List: Rash, Urticaria

Symptoms: Diffuse urticaric rash over torso, starting on abdomen and spreading to back, breasts, neck, and thighs. Rash is mildly itchy that worsens with heat. Unimproved with OTC Benadryl or Zyrtec. No other known cause of rash, including changes in detergents/soaps, foods, or other exposures.

Other Meds: Pristiq 50 mg daily Yasmin birth control pill 3-0.03 mg daily Flonase 50 mcg/actuation nasal spray

Current Illness: None reported

ID: 1443334
Sex: M
Age: 17
State: MS

Vax Date: 06/28/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: None reported

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

Symptoms: While giving Covid Vaccinations, this patient under the age of 18 was given the Moderna vaccine. Patient was monitored for 15 minutes as required after the vaccine and had no problems. Patient was checked on today (7/2/21), and has had no problems.

Other Meds: Unknown

Current Illness: Unknown

ID: 1443335
Sex: M
Age: 53
State: CA

Vax Date: 07/01/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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 received 1st dose moderna 4 weeks ago, unable to seek care for second dose moderna, will provide patient with Pfizer as second dose, risk outweigh, need

Other Meds: Na

Current Illness: None

ID: 1443336
Sex: F
Age: 55
State: CA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 07/02/2021
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: Fish and shellfish

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

Symptoms: I had a concussion on December 30, 2020. I was still recovering from that when I got the vaccine and I had the Zambia injections 3 weeks before the first shot. So I think it was a coincidence that it happened after the vaccine. The most bothering thing is the night sweats.

Other Meds: Baclofen 5 mg every 5 hours, Vitamin D 5000 mg a day, B12 shot 1000 mg a day, Advil, Zambia injections 900 ml in the upper body 3 weeks before the vaccine

Current Illness: None

ID: 1443337
Sex: F
Age: 14
State: OH

Vax Date: 07/02/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Shortly after the vaccine, she lost color in her face, she said her vision went blurry, then she vomited. Just a few minutes after vomiting, she said she felt fine. She waited around with her grandmother for another 20 minutes, then left, feeling well.

Other Meds:

Current Illness: none

ID: 1443338
Sex: F
Age: 44
State: CO

Vax Date: 06/09/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: administered past the current refrigeration beyond use date as listed in EUA

Other Meds: none

Current Illness: none

ID: 1443339
Sex: F
Age: 13
State: TX

Vax Date: 06/28/2021
Onset Date: 07/01/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pain in chest, burning sensation in chest, shortness of breath and tired with normal walking and talking.

Other Meds: None

Current Illness: None

ID: 1443340
Sex: M
Age: 70
State: CO

Vax Date: 06/10/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: administered past the current refrigeration beyond use date as listed in EUA

Other Meds: none

Current Illness: none

ID: 1443341
Sex: F
Age: 11
State: AZ

Vax Date: 05/20/2021
Onset Date: 05/20/2021
Rec V Date: 07/02/2021
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: Parent presented child at an age younger than 12 years old. Child received COVID-19 vaccine 5 months early.

Other Meds: None

Current Illness: None

ID: 1443342
Sex: F
Age: 34
State: IL

Vax Date: 07/01/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: Rash (no hives) developed on trunk and breast area.

Other Meds:

Current Illness:

ID: 1443343
Sex: M
Age: 66
State: CA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 07/02/2021
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: None

Symptom List: Unevaluable event

Symptoms: Within a day of my second Pfizer vaccine dose, I experienced a high fever, fatigue, slow thinking, an inability to work at my engineering effectively, sleepiness, and body aches. I took a Tylenol and my fever dropped. By 48 hours, the aches and fever had disappeared, but the fatigue and slow thinking and low energy persisted. My blood pressure seemed to stay normal when checked periodically and I continued the medicines above prescribed by my doctor, including the aspirin No headache, but I had pain in my neck, shoulders, and occasional body aches for the next few weeks--the biggest symptom was ongoing fatigue, poor sleep, slow thinking, and daytime sleepiness. I am not obese, take my meds diligently, do not have diabetes, eat a vegetarian and occasionally pescaterian low-salt diet, mostly cooked at home with olive oil. My BP was never over 130/80 even when stressed. I exercised 3-4 times a week, walking 7-10 miles each time, as well as working around the house. No history of falls. My internist had me on ASA because I had an uncle with a DVT at age 70, but I had no other family history of clots, bleeding, hemorrhage, or cardiovascular disease. My mother died "of old age", still sharp at 93, after declining to eat; and my father died at 83 of metastatic prostate cancer, while still physically fit. My lipids and CV exams including treadmill test were normal. At age 12, however, in another country, I developed ITP after a viral infection, and was hospitalized for 2 weeks with a purpuric rash, and followed for 2 years after. Believe it was a "childhood disease", but do not recall the pathogen. I have not had a recurrence of ITP or abnormal CBC's since. No known allergies. I rarely get sick, have fevers, or even colds. I quit smoking entirely in 1988, and drink a glass of red wine 2-3 x a week only. I continued to feel tired, sluggish, and slow with mild neck aches off and on for a month. The arm tenderness disappeared in a few days. Then I started developing esophageal tightness and tightness with swallowing. I also developed symptoms of acid reflux, rare for me. I consulted with a doctor friend and switched my diet to soft and liquid foods for a few days., avoided acidic foods, and took occasional Tums. I had no changes in my heart, lungs, or a sore throat. My voice did become more raspy and my muscles stiff. I was planning to see my MD for my annual physical in the upcoming two weeks, but with the diet change, my dysphagia and reflux seemed to resolve, so I didn't arrange an earlier visit. I was not under unusual or excessive stress during these weeks. I did start having hiccups and needing to cough more to clear my throat. My wife did notice a sudden change in my cognition/personality, in that I was irritable, not as quick conversationally, and was forgetting where I put things, all in a couple weeks before my event. The day of my event below, she said I asked a couple of questions twice, unusual for me as my IQ was 160 and I was always a good multitasker and had a good memory. We had a gentle day on May 20, but I noticed, for the first time in my 40 years teaching (I am a Professor of Engineering), that I mixed up entering my students' grades into the system. Never happened before. I was stunned, but was able to correct the entries. We had a quiet evening with my wife, and she went to bed while I prepared for bed around 11:30. in our upstairs bathroom. My 100 year old father in law lives with us. downstairs. My wife heard a noise and called for me to check on her father. I tried to answer but couldn't speak loudly or clearly. I staggered and caught myself from hitting the ground on the sink and did not bump my head, but the noise and no response from me got her to come to the bathroom, where she saw me staggering, with a sagging L arm, L facial droop, and a weak L leg. My speech was slurred, though my vocabulary was good. She led me to a seat and immediately called emergency services, telling them I was having a stroke. Emergency services sent a special ambulance with a CT scanner and it arrived in about 5-10 minutes, and they carried me in a bed downstairs and off to the hospital stroke unit. I could not believe it. In the ambulance, they did a CT scan, and saw that I had a R intracranial hemorrhage in the fronto-temporal area. I arrived in the ER in 15 minutes and they gave me DDAVP, platelets, did blood tests, did CTs, MRIs, angiograms, EKGs, carotid studies, and lab tests. I had a golf-ball sized bleed, but otherwise my cardiovascular exams were fine, my carotids clear, no clots or ischemia seen. My labs were all normal except my platelets, which, even after the transfusion were 120-130,000. My bleeding stopped, and I was admitted to the ICU. I was placed on Keppra for a week to avoid a seizure, which I've never had. My BP stayed under 140/85, and went lower (110/70) when they added amlodipine. They stopped the ASA. My lipids were normal. I was in the ICU slowly improving for 3 days, then transferred to the step-down ward for 3 days, then transferred to the a rehabilitation facility for 2 1/2 weeks. At the facility, I continued to improve, moving from bed to chair to walking with support, then a walker, and then on my own. My left leg strength returned fairly soon, and I was able to feed myself soft foods and then a regular diet. I was able to relearn Activities of Daily Living, such as brushing my teeth, toileting, tying my shoes, dressing, etc, but was slower than normal and not as adept with my L arm and hand. My droop lessened and my swallowing improved, and I was able to speak more clearly. I was originally told I would be discharged on June 22, but they discharged me a week early as I was doing so well. I was given a referral to a home rehab service, but they visited me a week later and said I was doing too well to be eligible for their services, so I am now going to be starting outpatient rehab. At home I am now fully mobil, walk 1-2 miles a day without support, walk up and down stairs without rail support; do all ADLs; speak better, but not as clearly and droop more when I am tired. My left arm is pretty good for most things, but I miss the intended key when I am typing often. I have read about the incidences of both clotting with Pfizer, and hemorrhage, as well as thrombocytopenic purpura. I had been in very good health for my age, and could not identify any precipitating factors other than the vaccine. I don't recall my platelets being low on a CBC as an adult as they were in the hospital. I am concerned that the second Pfizer dose might have triggered a simmering immune system reaction that attacked my platelets and, coupled with the well-intentioned ASA, from my internist, led to the hemorrhage. So I am reporting to VAERS. Please research these types of events. If I have to have a booster, I will be frightened if there is a potential side effect of a recurrent intracranial bleed.

Other Meds: Irbesartan, Terazosin, baby aspirin, Co-Q Enzyme, Vit D, Vit C

Current Illness: None

ID: 1443344
Sex: F
Age:
State: MA

Vax Date: 07/01/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: injection site red and warm to touch

Other Meds:

Current Illness:

ID: 1443345
Sex: F
Age: 68
State:

Vax Date: 04/03/2021
Onset Date: 04/15/2021
Rec V Date: 07/02/2021
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: new onset A-Fib

Other Meds:

Current Illness:

ID: 1443346
Sex: M
Age: 26
State: NY

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: long haired animals

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient states he fell off chair, but did not strike his head. No aches or pains, no head or spine deformities.

Other Meds:

Current Illness:

ID: 1443347
Sex: F
Age: 54
State: CO

Vax Date: 06/10/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: administered past the current refrigeration beyond use date as listed in EUA

Other Meds: none

Current Illness: none

ID: 1443348
Sex: M
Age: 43
State: MO

Vax Date: 03/30/2021
Onset Date: 06/07/2021
Rec V Date: 07/02/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Acute chest left side pain, like a pen pushed in left side of upper body towards heart.

Other Meds: Omeprazole, Lisenopril

Current Illness:

ID: 1443349
Sex: M
Age: 68
State: PA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 07/02/2021
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 Drug

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I got the 2nd shot 10 am at the store location which is a 3 1/2 hr drive from my house. After the 15min waiting period with no issues. I was able to get in the car and head home. The injections site did not bleed and the nurse didn't need to use a band aid. My wife and I went to an outdoor restaurant and had dinner I came home and everything was fine. I went to bed and when I woke up, I was very lethargic and out of it. Sometime during the day, I noticed my 3 middle fingers on each hand and the middle knuckle on those hands were painful and stiff. On my right hand the middle knuckle was swollen and noticeably large. These symptoms lasted for about a week or two. The pain and swelling in the middle knuckle lasted the longest. I was advised by my doctor I have slight arthritis but it does not prevent any of my daily activities. I noticed several weeks later around the 1st week in May as I would wake up in the morning, a pain would shoot throughout my entire right leg. I would get up and the pain would be gone for the rest of the day, The pain got progressively worse during the first 2 weeks of May. By the third week of May the pain had gotten so bad I could hardly walk. I made an appointment with my orthopedic surgeon with the idea I may need hip replacement surgery. Then I noticed during that 3rd week the pain completely went away. I called to cancel my appointment with my orthopedic surgeon. Around the last week of May and the first 3 weeks of June I would wake up in the morning I would have to run to the restroom because I had a lot of gas and some diarrhea. On the 17th of June my wife and I took a trip and as we walked around the town, I noticed there was something going on with my digestion and we rushed back to the hotel. During this period of time I would have to go to the restroom 2-4 times in the morning and maybe 1-2 times in the afternoon, This was mostly caused by gas with a bowel movement happening in small amounts throughout the day. I've noticed that these adverse reactions are impacting areas the body where I have may have been compromised previously.

Other Meds: 10 mg Crestor 1xdaily in the morning Low Dosage Finasteride 1xdaily

Current Illness: none

ID: 1443350
Sex: M
Age: 14
State: WA

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 07/02/2021
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: None

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

Symptoms: Patient was given the J&J vaccine by mistake instead of the Phizer vaccine which is approved for his age. He has had no adverse side effects from this vaccine, but was not supposed to receive it. He has not gotten a second dose of any vaccine. His pediatrician was contacted and they said to call back if he had any adverse effects. The site was contacted to let them know they made a mistake and they denied administering the wrong vaccine and offered to send me a new card with a Phizer sticker.

Other Meds: None

Current Illness: None

ID: 1443351
Sex: F
Age: 50
State: VA

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 07/02/2021
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

Symptom List: Nausea

Symptoms: I have been having severe dizziness since getting my second dose . I am still currently very dizzy. Haven?t been able to stand to long unassisted

Other Meds: Losartan/hctz, levemir, novolog, metformin , and vitamin

Current Illness: None

ID: 1443352
Sex: M
Age: 48
State: CO

Vax Date: 06/09/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: Administered past the current refrigeration/beyond use date.

Other Meds: None

Current Illness: None

ID: 1443353
Sex: F
Age: 16
State: GA

Vax Date: 07/02/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: patient returned to the lobby area and begin to turn pale and fainted briefly but came back to consciousness quickly and complained of blurred vision in the left eye and ringing in ears. patient was given cold water while awaiting service from EMS that was called by the pharmacy department. patients' color came back and EMS checked the patient vitals.

Other Meds: none

Current Illness: none

ID: 1443354
Sex: F
Age: 44
State: MI

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 07/02/2021
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: Fluttery feeling occasionally in heart. Chest became extremely tight where it felt like it someone was standing on my chest. Even had to remove bra because it felt like I was being strangled. The feeling came and went through out the night. I occasionally still get a fluttering stinging feeling in my left upper chest.

Other Meds: None

Current Illness: None

ID: 1443355
Sex: F
Age: 65
State: CO

Vax Date: 06/10/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: ADMINISTERED PAST THE CURRENT REFRIGERATION BEYOND USE DATE.

Other Meds: NONE

Current Illness: NONE

ID: 1443356
Sex: F
Age: 59
State: GA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 07/02/2021
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: codiene, Iodine, yeast, metformin

Symptom List: Erythema, Pruritus

Symptoms: Was shot with compressing gun; arm swelled up, can't move it or lift it up. Black not was raising underneath bandages; severe muscle pain, entire body ache and was on fire. Came home was suck to stomach. Lay down and fell a sleep and when I woke up, my left side have busted and the skin was missing in serval places. Assure Wireless phone would not work because after phone phone; they findly to me the towel does not reach my location, for they had switch to Tmobile

Other Meds: Lantus

Current Illness: none

ID: 1443357
Sex: M
Age: 0
State: MI

Vax Date: 07/02/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: Client was Due for the second dose of Moderna which was given in error (Client is 17 years old) . Parent was made aware of the error at the time of the event. according to Administration and Error documentation the second dose must be given. Deviation and error recommended as off label.

Other Meds: none

Current Illness: none

ID: 1443358
Sex: M
Age: 60
State: CO

Vax Date: 06/10/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: NONE

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

Symptoms: ADMINISTERED PAST THE CURRENT REFRIGERATION BEYOND USE DATE AS LINKED IN EUA

Other Meds: NONE

Current Illness: NONE

ID: 1443359
Sex: M
Age: 18
State: NC

Vax Date: 06/19/2021
Onset Date: 06/21/2021
Rec V Date: 07/02/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Endorsed acute chest pain around 1200 on 6/21 initially that seemed to get better. On the early morning of 6/22 at 0400, the pain woke him up from sleep with a 7-8/10 in severity. At this point it was extremely painful for the patient to breathe but he denies shortness of breath. Denies radiation of pain, felt better when he was lying down, worse when sitting up, and was extremely bothersome while ambulating. Presented to Hospital and was found to have elevated troponin ( 7.25--13.00--2.52). Transferred to another Hospital Cardiac MRI supported the diagnosis of myopericarditis. By the time of transfer to Hospital, hos chest pain had resolved. He was treated with a 6 week course of ibuprofen and colchicine.

Other Meds: None

Current Illness:

ID: 1443360
Sex: F
Age: 74
State: MI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 07/02/2021
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: Erythromycin; Tape.

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

Symptoms: After receiving the vaccine, I sat down for 30 mins. I felt fine. I walked through the store for about 15mins. I felt dizzy when I got into the car. I walked around the house and within the hour of being home, the back of my right knee started to ache. It just kept aching so I finally went to my PCP. He said I need an MRI on my knee. The MRI showed I had inflammation behind my right knee, and I also had a bakers cyst. Then I seen the orthopedic doctor and he said I should have a shot of steroids in my right knee which I have already gotten now.

Other Meds: Niraparib; Amitriptyline; Temazepam; Duloxetine; Multivitamin; Aspirin; Stool softener; Citracal Vitamin D3; Cranberry pill..

Current Illness:

ID: 1443361
Sex: M
Age: 31
State:

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 07/02/2021
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: NKDA at the time of vaccination.

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

Symptoms: "Pt w/ hx of Asthma and Anxiety. No current information regarding pt medications available. NKDA at the time of vaccination. Pt presented for 2nd dose on 7/1. Pt noted that after first dose Pfizer, pt had neck tightness and angioedema. Time course unclear. Pt was administered Janssen IM Left Deltoid 206A21A as an alternative to 2nd dose Pfizer. No reaction noted after vaccination on 7/1."

Other Meds: No current information regarding pt medications available.

Current Illness:

ID: 1443362
Sex: F
Age: 36
State: PR

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Pain in extremity

Symptoms: After a couple of hours stream pain in the left arm and headache. Next day fullness in the stomach and nausea. Body felt like flue symptoms.

Other Meds: Acetaminephen, Naproxen

Current Illness: no

ID: 1443363
Sex: M
Age: 56
State: MI

Vax Date: 05/16/2021
Onset Date: 06/20/2021
Rec V Date: 07/02/2021
Hospital: Y

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

Lab Data:

Allergies: No. I am only allergic to pollen and animal dander.

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

Symptoms: On Sunday June 20th I was feeling sick, Fever, body aches, head ache, fatigue. I also had an infection in my gums around my teeth that was burning as if someone poured hot coffee in my mouth non-stop. especially the roof of my mouth and right behind my upper front teeth. After 4 days of trying to sweat it out the night sweats stopped. But my heart rate was at 161 beats per minute but I could not feel my heart beating at all. We went to an urgent care that immediately sent me by ambulance to the hospital. Right away they got my heart rate under control but they spent 4 more days trying fight the infection. Finally on June 29th I was well enough to go home.

Other Meds: Loratadine 10mg. ( allergy's ) Tadalafil, Omega 3's and multi-vitamins.

Current Illness: None

ID: 1443364
Sex: M
Age: 39
State: PA

Vax Date: 05/28/2021
Onset Date: 05/28/2021
Rec V Date: 07/02/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Sat down after receiving vaccine. Started getting very tired very quickly. Got foggy. After a few minutes, lost consciousness for a brief period of time. Profuse sweating. Paramedics were called. 20 minutes later, he was awake and in the ambulance, vitals tested ok. They released from ambulance, he decided not to go to hospital.

Other Meds: Non

Current Illness: None

ID: 1443365
Sex: M
Age: 20
State: CO

Vax Date: 06/09/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: administered past the current refrigeration beyond use date as listed in EUA

Other Meds: none

Current Illness: none

ID: 1443366
Sex: M
Age: 48
State: CA

Vax Date: 06/24/2021
Onset Date: 06/24/2021
Rec V Date: 07/02/2021
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: Vaccine use by date was 6/23/21, patient received the vaccine 1 day past the use by date. No adverse reactions experienced by the patient known

Other Meds:

Current Illness:

ID: 1443367
Sex: F
Age: 32
State: CO

Vax Date: 06/11/2021
Onset Date: 07/02/2021
Rec V Date: 07/02/2021
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: ADMINISTERED PAST THE CURRENT REFRIGERATION BEYOND USE DATE AS LISTED BY EUA

Other Meds: NONE

Current Illness: NONE

ID: 1443368
Sex: F
Age: 15
State: PA

Vax Date: 06/01/2021
Onset Date: 06/01/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient left the clinic and developed itching in throat with in four hours post vaccine, was taken to the emergency room for treatment, given benadryl.

Other Meds:

Current Illness:

ID: 1443369
Sex: M
Age: 49
State: KY

Vax Date: 06/19/2021
Onset Date: 06/28/2021
Rec V Date: 07/02/2021
Hospital: Y

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: Platelet count of 4,000

Other Meds: None

Current Illness: None

ID: 1443370
Sex: M
Age: 46
State: OH

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 07/02/2021
Hospital:

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

Lab Data:

Allergies: Allergy to maple tree pollen per allergy test results.

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

Symptoms: Approximately 1-2 days after my second dosage i developed progessivly severe pain in what i can best describe as my rotator cuff. Over a couple days I then developed severe pain in both rotator cuffs, both knees throughout my back and in both thumbs at the bases between my thumb and wrists. This pain has persisted in all areas to this day and continues at varying levels and has at times severely affects my mobility/activity. I wore at times two or alternated knee braces and took lots of advil, ice, heat and self therapy with a vibrating muscle massager. I honestly feel that although the vaccine may not have caused all these issues it somehow attacked or targeted previous injuries or weak points in my body. I have had injuries or pain in these areas before but most not for 5-15 years and they all became almost unbearable within days for no reason. The severe lower groin pain that I felt very shortly after the first dosage had lessened substantially over the month. After the second shot it abruptly came back and has not left. It changes in severity but is now continually present and i will be seeking medical attention for it.

Other Meds: Medications possibly taken within the week but not the day of: Sumatriptan (as needed) Ibuprofen (as needed) antacid tablets (as needed)

Current Illness: Had possible adverse reaction to my first dosage of vaccine resulted in severe lower intestinal/groin pain that lessened in severity but still had sensation there.

ID: 1443371
Sex: M
Age: 59
State: MT

Vax Date: 03/21/2021
Onset Date: 04/22/2021
Rec V Date: 07/02/2021
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: dairy

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

Symptoms: I have been treated for borderline Crohns disease . I have been in remission for around 9 months . a few weeks after the last vaccine I started to get pains in my stomach and having issues with the crohns . sever pain in my lower and mid part of my stomach. it would come and go for a few months. then the pain was so sever that I had to go to the hospital for the pain. I had to almost stop eating to stop the pain. I now eat very little ( enough to get by ). the doctor and I was relating this to after the Covid-19 vaccine I fell out of remission. now I am back to square one trying to get back to remission.

Other Meds: mesalamine ( Lialda ) 1.2 gms , Metoprolol 50mg , levothyroxine 125mcg

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm