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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1443680
Sex: F
Age: 53
State: TX

Vax Date: 06/21/2021
Onset Date: 06/21/2021
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: Codeine & Sulfa

Symptom List: Dysphagia, Epiglottitis

Symptoms: BP 190/85 10 minutes after receiving vaccine. Heart rate 94. Felt nauseous, clammy, and faint/weak. 45 minutes later BP was 144/85. I went home. Base line BP is 108/68. Normal RHR 72. On June 25 BP 170/92 heart rate 98 couldn't stand without fainting, nauseous, weak, and cold. Called 911 and was transferred to ER and treated.

Other Meds: None

Current Illness: None

ID: 1443681
Sex: F
Age: 29
State: PA

Vax Date: 06/12/2021
Onset Date: 06/28/2021
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: No

Symptom List: Anxiety, Dyspnoea

Symptoms: My diagnosis of SVT may be from the vaccine

Other Meds: Prenatal, fish oil, calcium, vitamin d3

Current Illness: No

ID: 1443682
Sex: F
Age: 75
State: WY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
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: NKA

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

Symptoms: Client stated that she developed a rash on her hands that were extremely red, swollen, and itchy that night after receiving the vaccine. Client stated that she had to go to the doctor to get a a steroid cream to help get them to stop itching, swelling and to help the redness. Client stated that it took 10 days for having the steroid to get the symptoms to stop.

Other Meds: unk

Current Illness:

ID: 1443683
Sex: F
Age: 21
State: FL

Vax Date: 06/28/2021
Onset Date: 06/28/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: One of our stores got confused with the storage parameters around the Pfizer vaccine and exceeded the 14 day freezer window. The Vaccine was placed inside the freezer on 6/5/21 and taken out on 6/25/21 and placed into the refrigerator. The store has vaccinated 50 people from 6/25/21 ? 6/29/21. The temperature range for the days the vaccine was in the freezer was -0.9 (warmest) to -5.9 (coldest) with an avg temp of -4.9

Other Meds:

Current Illness:

ID: 1443684
Sex: F
Age: 51
State: DC

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: IM
Vax Site: LA

Lab Data:

Allergies: Allergic to sulfa antibiotics

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

Symptoms: Low-grade fever, shaking chills, fatigue (especially in legs, which felt heavy), and headache began about 12 hours after shot and then ended within about 24 hours of onset, except for the fatigue. Mild fatigue, mostly in legs, persisted for over a month and then gradually got better and I think now it's gone (roughly 2 months after shot). Also, I skipped a menstrual period; my period was due during the first few days of June but didn't start until July 1. The complicating factor is that I'm 51, and though I've never missed a period before, I know menopause has to start at some point. So I'm not sure whether the missed period is an effect of the shot, or the start of perimenopause/menopause.

Other Meds: Valacyclovir, fluonase, vitamin E, vitamin C

Current Illness:

ID: 1443685
Sex: M
Age: 47
State: CA

Vax Date: 05/18/2021
Onset Date: 05/18/2021
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:

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

Symptoms: received 2nd dose at day 21 vs day 28

Other Meds:

Current Illness:

ID: 1443686
Sex: F
Age: 36
State: AL

Vax Date: 05/07/2021
Onset Date: 05/08/2021
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: Nine days after my first Pfizer shot I woke up to a spinning room. The dizziness lasted for 1-2 hours. Two days later I developed an outer ear infection in my left ear. I have never had an ear infection in my life before. I was given antibiotic drops with steroids for treatment and that made it better. My second shot was much worse. I felt heat in my stomach minutes after receiving it. The injection site was swollen and painful for the next few days. The bad side effects started about 24 hours after the second shot. I experienced: severe vertigo, feelings of sinking floating, tilting. Complete loss of appetite. Inability to sleep. Feeling like I was being zapped at random times. Derealization and depersonalization. Brain fog. Forgetfulness. Extreme fatigue with inability to rest. Lump in my throat. Brain surge (feeling like my brain was flooded with heat or water). A lot of balance issues. Burning in arms, back, chest. All these brought on panic attacks which only made the original symptoms worse.

Other Meds: Prenatal vitamins, calcium and vitamin D3

Current Illness:

ID: 1443687
Sex: F
Age: 30
State: IN

Vax Date: 06/30/2021
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: No

Symptom List: Pharyngeal swelling

Symptoms: Lowgrade fever, sore, tired, nausea

Other Meds: Vitamin C and D, zyrtec, nasocort

Current Illness: No minus some mild side effects from the first shot

ID: 1443688
Sex: F
Age: 46
State: IL

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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient got Pfizer vaccine at 2:00 pm and she had reaction to the vaccine at 3:30 pm from the vaccine. Patient had difficulty breathing, light headed, her lips and nose turn blue to deep red color. Patient's blood pressure was 179/ 100 then second reading was 180/ 115 mmHg with Heart beat of 96. Patient felt chest tightness and hot flashes, she stated that she is going through menopause as well. Administered three ammonia, ice pack, and later on had patient to drink. Called 911 and they came in the mean time. Patient started coming back to normal status and her blood pressure was 130/ 89 with heart beat of 84. Patient agree to go with Ambulance to do full body check up. We will follow up with patient and her PCP to make sure she will be ok.

Other Meds:

Current Illness:

ID: 1443689
Sex: M
Age: 57
State: WA

Vax Date: 02/22/2021
Onset Date: 02/28/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swollen limp nodes under both arms

Other Meds: Dexilant Olmestarten

Current Illness: No

ID: 1443690
Sex: M
Age: 26
State: WY

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:
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: Day of-Within 5 minutes I went unconscious. I was sweating profusely and my vision began blurring I could feel my heart rate and had haggard breathing. After I came by to I had extreme light sensitivity and nausea. After 1 week-Still experience fever, chills, muscle ache, headaches, nausea, fatigue, winded easily, and hot flashes. 2 weeks- Still experience excessive fatigue, nausea, hot flashes, persistent mild to moderate headaches with occasional overwhelming migraine, light-headed, dizzy, loss of coordination and balance. 3 weeks-Same as 2 weeks out.

Other Meds: N-Acetyl-Cysteine

Current Illness: Knee and Foot Injury

ID: 1443692
Sex: F
Age: 13
State: CA

Vax Date: 06/05/2021
Onset Date: 06/06/2021
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: Tolerated #1 COVID-19 vaccine well. Recieved #2 vaccine and the following morning has significate chest pain and a bit of shortness of breathe. Was seen at Hospital ER. Heart rate 110-130, EKG normal, labs were normal except Ddimer was elevated. Nuclear study to r/o pulmonary embolism was negative. Given IV fluids and chest pain resolved. Discharged 8 hrs after arrival.

Other Meds: Methylephenidate ER 10 mg daily Escitalopram 20 mg daily

Current Illness: none

ID: 1443693
Sex: F
Age: 70
State: NM

Vax Date: 05/12/2021
Onset Date: 06/10/2021
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: Sulfide antibiotics Latex Iv imaging Contrast

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

Symptoms: Lab tests indicate a thrombosis caused a cardiac event, triponin and other labs indicate damage to the heart. Son had to perform CPR until EMT

Other Meds: Alive women?s multivitamin Immu blast chewable tablets Levothroxine Benadryl Ginkgo Echinacea

Current Illness: Herry cell Hypothyroidism

ID: 1443694
Sex: F
Age: 29
State:

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

Lab Data:

Allergies:

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

Symptoms: Dizziness, nausea. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1443695
Sex: F
Age: 62
State: CO

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

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

Symptoms: Regular fever symptoms and tiredness Abdominal pain kept me awake the whole night Doctor prescribed Prilosec Hours later I started vomiting and had severe abdominal pain Diagnosed with pancreatitis and splenic artery aneurysm Treatment: An anti-nausea medication and a shot of Toradol I was recommended to do a one week clear liquid diet

Other Meds:

Current Illness:

ID: 1443696
Sex: F
Age: 69
State: IN

Vax Date: 06/15/2021
Onset Date: 06/15/2021
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: statins protonix

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

Symptoms: dizzy and off balance Then I felt like I would faint like a feeling of receiving anesthesia meds before surgery. Stayed with me for 45 minutes. Arms and legs felt heavy, too. Breathing was shallow. Symptoms only on that date.

Other Meds: Advair 230/21mcg: 2 puffs in AM and 2 puffs in PM Allergy Choices SLIT Sublingual Drops: 1 drop in AM and 2 drops in PM Azelastine HCI 0.2% nasal spray: 2 sprays in PM Carvedilol 3.125mg: 1 tablet in AM and 1 tablet in PM Estradiol 0.5 mg:

Current Illness: none

ID: 1443697
Sex: F
Age: 23
State: FL

Vax Date: 06/27/2021
Onset Date: 06/27/2021
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: nka

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

Symptoms: pt received vaccine which had been in the freezer 4 days longer than the required storage timeframe

Other Meds: n/a

Current Illness: n/a

ID: 1443698
Sex: M
Age: 41
State:

Vax Date: 06/25/2021
Onset Date: 06/25/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: One of our stores got confused with the storage parameters around the Pfizer vaccine and exceeded the 14 day freezer window. The Vaccine was placed inside the freezer on 6/5/21 and taken out on 6/25/21 and placed into the refrigerator. The store has vaccinated 50 people from 6/25/21 ? 6/29/21. The temperature range for the days the vaccine was in the freezer was -0.9 (warmest) to -5.9 (coldest) with an avg temp of -4.9

Other Meds:

Current Illness:

ID: 1443699
Sex: F
Age: 17
State: CO

Vax Date: 06/14/2021
Onset Date: 06/14/2021
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: NA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient came in for a Moderna vaccine. PT was not of age of 18 to be eligible for the vaccine. Pt should have been offered the Pfizer vaccine. However, the patient's paperwork went through the pharmacist and grad intern and the DOB was missed 3 times and still got the Moderna vaccine. Pt was fine and did not experience any issues after the shot. Called the mother and mother said that the pt wanted the Moderna vaccine. And also the doctor was advised of the error and said it was ok and that pt should receive the 2nd dose and stated per the CDC guidelines that off label use can be used for patients 12-17 yr old.

Other Meds: NA

Current Illness: None

ID: 1443700
Sex: F
Age: 47
State: CA

Vax Date: 06/18/2021
Onset Date: 06/18/2021
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:

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

Symptoms: patient received 1 dose of Johnson and requested booster with MRNA for further protection

Other Meds:

Current Illness:

ID: 1443701
Sex: M
Age: 13
State: CA

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: 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: Incorrect diluent volume (i.e., the vial contents were diluted with a diluent volume more than 1.8 ml, but a 0.3 ml dose was still administered

Other Meds:

Current Illness:

ID: 1443702
Sex: F
Age: 14
State: TN

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: Unknown

Symptom List: Unevaluable event

Symptoms: Administered vaccine at 1:48 pm. Prior to administration patient's mother stated she had previously fainted after vaccine administration. Advised patient to wait in vaccine area for 30 minutes. Approx. 10 minutes after receiving the vaccination, the patient's mother called for help from the waiting area I went outside to waiting area. Had patient sit back and grabbed patient water and returned to waiting area. Patient began to faint and upon awakening she started to vomit continuously. Patient's mother and I decided to call EMS. EMS arrived and assessed patient. It was determined that her vitals were okay and since she was feeling better she would not go to the hospital and would follow up with her pediatrician about the incident.

Other Meds: Unknown

Current Illness: Unknown

ID: 1443703
Sex: F
Age: 41
State: CA

Vax Date: 03/26/2021
Onset Date: 06/25/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: The day of the vaccine, in the afternoon, and intense body aches and had chills and back pain. Felt tired, had fever (at around 5 pm and lasted 24 hours) and didn't sleep much - I was trying to massage my body( the aches started at around 5 pm and lasted 24 hours) at 04:00 in morning because of the aches - even in bottom of feet. By next day, fever wasn't coming back and I was very tired. By Sunday, no body aches, just tired. June 25th, I noticed a rash - itching on my hand on and of through the night. I started feeling my neck itching but no signs of anything until past 5 in the afternoon. My daughter noticed how red it was and it started spreading to my back, too and parts of my leg and my belly. I took Benadryl and applied Hydrocortisone cream. That didn't help. It night, past 9:00 pm, it was still spreading and I could feel like the top of my hands and between my fingers were burning. And rash had spread on my arms and towards my hands. My upper lip was full of the rash and my chin. I went to 25th of June, ER - they gave me some medication - Prednisone Steroids and more Benadryl and Pepcid. I was able to sleep through the night without itchiness but it woke me up in the morning with the itching. I was going to take the Benadryl and the Pepcid (twice a day) - and I was still applying the Cortisone. By 06:00, it started to get pretty bad again - everywhere was very itchy and I took more Benadryl and used the cream and 98% of my face of was covered by rashes- even eyelids and they felt hot. From my chest up and on top of head was red. My arms didn't' have anything at that point but by almost midnight - on the 26 I went to ER again and they gave me an EpiPen - and Steroids. They waited and when they saw the medication was taking affect they released me home. My temperature was 99 degrees - slightly higher than my usual. By three o'clock in morning, the 27th, the itching woke me up again - two more Benadryl and applied more Cortisone cream and waited for it to kick in and in the morning, I picked up for the pharmacy a prescription for Steroids for three more days - I took some Sunday, Monday and Tuesday. The hives - I sometimes had to take the cream every four hours instead of 6 - they all over my body. Yesterday, very early morning, I woke up with hives throughout the whole night. And in the morning - The sides of my feet were itchy. My legs - from knees down were full of redness and hives and a few patches on my inner thigh. By two pm I was better yesterday, and I haven't seen any rashes since then.

Other Meds: Mesalamine - 3 pills a day

Current Illness: no - ulcerative colitis flare up in February before the first vaccine

ID: 1443704
Sex: F
Age: 36
State: WA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
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: NKA

Symptom List: Injection site pain, Pain

Symptoms: Woke up early day after receiving vaccine with a tingling sensation all over my body and feeling groggy. I thought my walk to work would help, but part way there I became so weak I could barely make it. When I got to work I was confused and couldn't figure out what to do. I became diaphoretic and shaky (not rigoring). Admin staff called employee health who advised she call 911. I declined and another staff member provided Benadryl and Advil which I took around 0830. Went to urgent care: labs drawn, ECG performed (WNL so troponin and CXR not obtained). Having visual disturbances at urgent care and mild SOB. Received 4mg dexamethasone (I'm very sensitive to meds) and was sent home. Awake all night w/heart palpitations (from dex??) and for the following several weeks experienced intermittent chest pain, SOB, and dizziness. Missed 1 day of work d/t AEs. I am an avid hiker and have experienced wheezing and chest tightening shortly after starting every hike I've been on since receiving the 2nd dose of the COVID vaccine; no prior hx of anything similar.

Other Meds: OCP

Current Illness: N/A

ID: 1443705
Sex: M
Age: 54
State: TX

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

Lab Data:

Allergies: none reported

Symptom List: Injection site pain, Menorrhagia

Symptoms: throwing up, nausea, body aches

Other Meds: none reported

Current Illness: none reported

ID: 1443706
Sex: F
Age: 33
State: AR

Vax Date: 05/18/2021
Onset Date: 05/19/2021
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: penicillin, hydrocodone, trimodal amoxicillin, ceprazal, crithomancies, maphrodite, chancix, antistatic, betrone hcl

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

Symptoms: The next day hand began to itching and broke out in a rash tele- Health with Dr. family clinic, was prescribed phenazone pack 10mg tablets for six days ; stayed clear for two days then the rash and itching returned and then call in to doctor and re- prescribe the same treatment plan done with the medicine however hand is itching and feels like leather. Treat plan for another visit on August 04,2021.

Other Meds: Bustrione 10mg, and Prenatal

Current Illness:

ID: 1443707
Sex: M
Age: 13
State: CA

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Incorrect diluent volume (i.e., the vial contents were diluted with a diluent volume more than 1.8 ml, but a 0.3 ml dose was still administered

Other Meds:

Current Illness:

ID: 1443708
Sex: F
Age: 57
State: PA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
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: LEVAQUINN, DOXYCYCLINE

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: NEUROPATHY OF LEGS/ SEVERE PAIN IN LEGS

Other Meds: METROPROLOL 25MG ONLY AS NEEDED

Current Illness: NONE

ID: 1443709
Sex: F
Age: 86
State: WY

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: NKA

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

Symptoms: Within 15 minutes of receiving vaccine, client became dizzy, got a head ache. Client's heart rate was 104 bpm and blood pressure was 191/116. Oxygen stat was 95% on room air. EMTs had client lay down. Client was also given a cookie and some juice. Client was with EMTs for an hour. Blood pressure lowered to 175/110, and pulse to 80 bpm. Client refused EMTs taking her to the hospital. Client and client's daughter were advised to take client to hospital. Client stated that her daughter would take her to hospital.

Other Meds: Blood pressure meds, Plavix, thyroid medication, clonidine.

Current Illness:

ID: 1443710
Sex: M
Age: 41
State: CA

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: RA

Lab Data:

Allergies: None or Unknown

Symptom List: Nausea

Symptoms: No adverse effects noted following vaccination. Individual requested and received a different COVID-19 vaccine. The individual received 1st COVID vax dose on 4/23/21 (Pfizer, Lot Number ER8734). The individual requested and received a 2nd dose of Moderna (Lot Number 027C21A) on 7/2/21 at 0812. No reactions noted or reported and the report filed per protocol.

Other Meds: None or Unknown

Current Illness: None or Unknown

ID: 1443711
Sex: U
Age: 70
State: SD

Vax Date: 03/25/2021
Onset Date: 03/26/2021
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: Sulfa; strawberries

Symptom List: Injection site pain

Symptoms: COVID arm. 101.8 temp, chills, sick for about a day, loss of appetite.

Other Meds: Tylenol; Aspirin

Current Illness: No

ID: 1443712
Sex: M
Age: 5
State: WA

Vax Date: 04/09/2021
Onset Date: 04/17/2021
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:

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

Symptoms: HIVES ON FACE AND BODY AND SUSPECTED INTO THE ORAL CAVITY

Other Meds:

Current Illness:

ID: 1443713
Sex: F
Age: 58
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Sore, puffy underarm, same side that was vaccinated. Swollen lymph node.

Other Meds:

Current Illness:

ID: 1443714
Sex: F
Age: 21
State: AZ

Vax Date: 06/22/2021
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: sorbaview adhesive

Symptom List: Tremor

Symptoms: red, not itchy, swollen, tender, no treatments tried other than daily pain medication

Other Meds: topiramate, omeprazole, gabapentin, percocet, diclofenac, methocarbamol, sumatriptan, ondansetron, pramipexole, l-methylfolate, midodrine, freestyle libre

Current Illness: no

ID: 1443715
Sex: M
Age: 65
State: KS

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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: No.

Symptom List: Erythema, Pruritus

Symptoms: Within 24 hours after receiving the vaccine I had fever, chills, fatigue that lasted for about 4-5 days. Also, there was severe soreness in my arm where the shot was given.

Other Meds: Yes.

Current Illness: No.

ID: 1443716
Sex: F
Age: 28
State: CO

Vax Date: 06/18/2021
Onset Date: 06/25/2021
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: Latex

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

Symptoms: I am currently pregnant with my 5th child, due 01/22/2022. A week after receiving the first dose of the moderna vaccine, my right arm became swollen and itchy ( with a rash present) at the injection site.

Other Meds: Prenatal vitamin

Current Illness: N/A

ID: 1443717
Sex: M
Age: 12
State: CA

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: LA

Lab Data:

Allergies:

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

Symptoms: Incorrect diluent volume (i.e., the vial contents were diluted with a diluent volume more than 1.8 ml, but a 0.3 ml dose was still administered

Other Meds:

Current Illness:

ID: 1443718
Sex: M
Age: 15
State: MN

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient's mother handed the technician her own ID to register for a walk-in covid shot for her son. The prescription was put through for the mother instead of the 15 year old son. The pharmacist checked MIIC for the mother and verified the shot. The technician gave the immunization without verifying DOB or who the VAR was filled out for. The tech realized the mistake when filling out the CDC vaccine card. The patient had received Pfizer in the past and was expecting a second shot of Pfizer. Instead, he received one dose of Pfizer and one dose of moderna. The patient was counseled to watch for any side effects. The patients primary care doctor was contacted an a report was filed at the store level.

Other Meds: none

Current Illness: nonce

ID: 1443719
Sex: M
Age: 13
State: CA

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Incorrect diluent volume (i.e., the vial contents were diluted with a diluent volume more than 1.8 ml, but a 0.3 ml dose was still administered

Other Meds:

Current Illness:

ID: 1443720
Sex: F
Age: 20
State: NH

Vax Date: 07/02/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no known allergy

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

Symptoms: Patient had immunization at 5:40pm on left arm. Patient returned back at 6:40pm showing she had a bleeding (stopped at the time)and swelling at injection site. She complained that she did not have reaction on first dose. RPH cleaned up the blood on injection site and applied another bandage for for her, then informed the patient that she still can have reaction to second dose even she did not have reaction to first dose. Her swelling was localized at the injection site. She was advised to watch for any potential allergic reaction like rash, SOB or unusual swelling (anaphylaxis), call MD or 911 if severe allergic reaction occurred. Meanwhile she may use ice pack and ibuprofen to bring down the swelling.

Other Meds: None

Current Illness: none reported

ID: 1443908
Sex: M
Age: 66
State: KS

Vax Date: 03/27/2021
Onset Date: 03/28/2021
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: The next day after vaccine, I experienced all symptoms of COVID 19 except for sore throat. I went in to see my family practice doctor, got tested for COVID 19. It came back negative. These symptoms lasted for a month. I thought I was going to die. I still have fatigue, wheezing and a cough. I have been shaky and have fallen several times. I have lost 40 pounds since I received this vaccine. My family practice sent me to a GI doctor. I have also been referred to an oncologist and cardiologist to do CT scan and figure out why I still experience fatigue. Cardiologist appt on 07/13/2021.

Other Meds: Yes

Current Illness: No

ID: 1443909
Sex: F
Age: 14
State: CA

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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Incorrect diluent volume (i.e., the vial contents were diluted with a diluent volume more than 1.8 ml, but a 0.3 ml dose was still administered

Other Meds:

Current Illness:

ID: 1443910
Sex: F
Age: 23
State: IL

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no allergies

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

Symptoms: After waiting 10 minutes patient completely tilts to her right side and is awakened by an employee. Patient states that she feels dizzy, very warm, whole body was twitching and was sweating profusely. Patient also felt the urge to vomit.

Other Meds: Nothing

Current Illness: no other illnesses

ID: 1443911
Sex: F
Age: 40
State:

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:

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

Symptoms: patient came to pharmacy reporting nausea post vaccination

Other Meds:

Current Illness:

ID: 1443912
Sex: F
Age: 53
State: CA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NKA

Symptom List: Vomiting

Symptoms: Patient stated being ok after 15 min observation time. She came back a few minutes later to the clinic stating she felt a burning, numbing and swelling sensation near on her right neck/throat area. Her vitals were taken at 10:25am and read BP-140/84, HR-75, RR-18, O2 sat-98% at room air. She was given water and observed. she was talking and had no difficulty in drinking water, she had no complaint of having difficulty drinking. she stated it was feeling a bit better than when she first felt it. vitals were taken again in 10:45 and read BP-128/82, HR-70, RR-20, and O2 sat-97% at room air. Provider came in to exam patient and informed patient to monitor symptoms and if they got worse to return to clinic or go to hospital. Patient stated feeling better after being observed by the provider and was released home. Pt was contacted by phone at 4:17pm she stated the sensation and numbness had gone away and felt better.

Other Meds: Sintrocid (levotinoxina Sodica) 100mcg Losartan 50mg

Current Illness:

ID: 1443913
Sex: F
Age: 44
State: MA

Vax Date: 06/25/2021
Onset Date: 06/25/2021
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: Latex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: By 5:30pm I became febrile at 101.4 and had severe pain on the left side of my face. When I woke up in the morning, I couldn't open my mouth (trismus). Fever continued throughout Saturday with continued severe facial pain (along the facial nerve and axillary n. pathways). By Sunday, fever had resolved but facial pain and trismus continued. Was seen by primary care doctor on Monday who started me on a prednisone taper. Facial pain has improved but but still significant. I can open my mouth but if pushed I get shooting pains down along my jaw and up along the L side of my face extending caudally past my hairline onto my head.

Other Meds: Plaquenil, Sulfasalazine, Folic Acid, multi vit, Vit D, Biotin

Current Illness: Bite wound cellulitis resolving at the time of vaccine L arm

ID: 1443914
Sex: F
Age: 11
State: AL

Vax Date: 06/24/2021
Onset Date: 06/25/2021
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: Adverse reactions to vaccines

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

Symptoms: After the vaccine mild, non-concerning symptoms of headache and leg aches began. Friday morning, 6/25/21, a symptom of the inability to inhale for a few seconds happened. This happened again Friday night. My child has had breathing spasms since the MMR in 2017. These spasms are best described as forced, hard, abrupt exhaling. They can be seen and heard. They were severe for a year and gradually improved. After the Polio shot in 11/2020 the severity of these spasms returned. Again, they improved over time. Last night, 7/1/2021, I noticed these breathing spasms are severe again. My child told me today that she now has 2 new problems. The first being a few seconds of not being able to inhale and second a new noise in the throat area.

Other Meds: Children's Multivitamin

Current Illness: A cold

ID: 1443915
Sex: F
Age: 54
State: KY

Vax Date: 05/25/2021
Onset Date: 05/28/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Within a few days of having the second shot Patient said that she could not hear out of her left ear. The Dr said that she had fluid in her ear. Patient is also having nasal congestion. Patient also stated that when she lays down she gets dizzy and she can hear whistling in her ear.

Other Meds:

Current Illness:

ID: 1443916
Sex: M
Age: 61
State: NY

Vax Date: 03/16/2021
Onset Date: 03/30/2021
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: Allergic to seafood

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

Symptoms: Patient states he has had excessive bruising and inflammation in the leg since getting shot. He has had problems with circulation before but notes that it had not gotten as bad as it has within the last couple of months. Pt traveled out of the country after receiving shot and states that he noticed bruising on his legs and experienced severe inflammation of the legs around 2 weeks after receiving shots (around 3/30/21), noting that at one point they almost "looked purple". Since returning pt states inflammation has not been as severe but bruising continues and he is now noticing it on his arms as well. Patient has gone to see cardiovascular specialist who sent him to get a circulation test (pt not sure name of exam) on 6/24/21. He has an appointment to review results on 7/8/21.

Other Meds: Fluoxetine 40mg, Pregabalin 100mg, Trazodone 100mg, Nuedexta 20-10, Flonase nasal spray, Aspirin 81mg, Losartan 100mg, Diltiazem ER 300mg, Furosemide, Calcium 1000mg, Albuterol HFA, Omeprazole 20mg, Amlodipine 10mg, Naproxen, Atorvastatin 8

Current Illness:

ID: 1443917
Sex: F
Age: 15
State: CA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Incorrect diluent volume (i.e., the vial contents were diluted with a diluent volume more than 1.8 ml, but a 0.3 ml dose was still administered

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm