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: 1459690
Sex: M
Age: 11
State: CA

Vax Date: 05/22/2021
Onset Date: 05/22/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1459691
Sex: M
Age: 52
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Error: Improper storage (temperature).

Other Meds:

Current Illness:

ID: 1459692
Sex: F
Age: 59
State: MO

Vax Date: 03/23/2021
Onset Date: 03/30/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Joint pains, left leg aching, back of knee muscles hurt, pains lasted about 4 month and are still ongoing

Other Meds: Lisinopril 20mg daily Ibuprofen (4) daily Multivitamin NAC 600mg B Complex Glucosamine Chondroitin Calcium

Current Illness: None

ID: 1459693
Sex: M
Age: 18
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1459694
Sex: M
Age: 1
State: KY

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Inadvertantly removed adult Hep A vaccine instead of pediatric dose, child received vaccine via IM injection to the LVL prior to the recognition that it was an adult dose.

Other Meds: N/A

Current Illness: N/A

ID: 1459695
Sex: M
Age: 58
State: MN

Vax Date: 04/16/2021
Onset Date: 04/30/2021
Rec V Date: 07/09/2021
Hospital: Y

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: penicillins, erythromycin

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

Symptoms: Presented on 7/5 2 months of intermittent dyspnea and chest pain. Patient states it all began about 2 weeks after his first Moderna covid vaccine at mid/end of April. He developed exertional chest pain that felt like a squeezing. He was recommended a stress test at that time, but didn't have health insurance and wanted to wait until he was covered. He was put on a 5 day course of prednisone, that seemed to improve his symptoms and he felt back to baseline and was able to proceed with the 2nd moderna vaccine in the middle of May. Shortly after that, he developed intermittent dyspnea on exertion and chest tightness. It was difficult to take a deep breath in, felt like something was grabbing him when he tried to take a full deep breath. This has been becoming more constant over the last 2 weeks. Today, he was outside moving a lawnmower when his symptoms significantly worsened. He felt lightheaded. His wife convinced him to go to clinic, where he got a CTA that showed an saddle PE.

Other Meds: none listed

Current Illness:

ID: 1459696
Sex: F
Age: 72
State: VT

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 07/09/2021
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: Bactrim and Hydrochlorothiazide

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: at time of 1st vaccine felt ache soreness, has not abated . limited range of motion of the shoulder.

Other Meds: Lovastatin 40 1 tab daily; lisinopril 20mg 1 tab daily

Current Illness:

ID: 1459697
Sex: F
Age: 21
State: VA

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: Patient received the Pfizer COVID-19 vaccine on 7/8/21 at 10:17am. Patient called back around 4:00pm stating that she had developed a rash from the injection site that ran down her arm and across her chest several hours later. She stated that she felt completely fine and was surprised that this occured because it was not itchy. The patient was advised to speak with their PCP and to adminster benadryl. The patient was informed that this would be reported through the necessary channels.

Other Meds:

Current Illness:

ID: 1459698
Sex: F
Age: 54
State: VA

Vax Date: 04/24/2021
Onset Date: 07/04/2021
Rec V Date: 07/09/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: On the day of the first vaccine and then on July 4th and July 7th, I got hives. Each time I felt like I suddenly had a terrible sunburn. On the day of the first vaccine, it was just my face - turned red and was hot to the touch. I assumed it just a fever. On July 4th and 7th, I again felt like I had a terrible sunburn. But on these occasions it was my entire face and my arms. They were bright red, hot to the touch, and painfully tingly. I've been tested for allergies and they found none.

Other Meds: Escitalopram 10mg

Current Illness: None

ID: 1459699
Sex: F
Age: 11
State: MN

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 07/09/2021
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: NA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: An incorrect DOB was provided for the individual receiving the vaccine in the presence of an adult who claimed to be the legal guardian.

Other Meds: NA

Current Illness: NA

ID: 1459700
Sex: F
Age: 48
State: IL

Vax Date: 04/02/2021
Onset Date: 06/18/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: Sensitivity to: egg, honey Allergy to Cipro

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

Symptoms: I received my first vaccin 4/2/21 and second 4/23/21. At the time of each vaccine I had severe injection site pain which turned into greater arm and shoulder pain. Pain lasted approximately 4 days each vaccine. In late June I could no longer move my arm, head, neck and was in extreme pain. 10 out of 10. I called my husband's shoulder surgeon and received an appointment 2 days after the call (call on 6/21/21, appointment 6/23/21). I was diagnosed with adhesive capsulitis or "frozen shoulder". I was given a cortisone shot and prescribed physical therapy. After approximately 3 days I was able to move my arm, head and neck again but was still in extreme pain. 8 out of 10. I started physical therapy on 6/28 and as of 7/9 will have completed 4 physical therapy sessions. I have 2 remaining. My pain level is lower, perhaps 2 of 10 and my range of motion is improved.

Other Meds: Atorvastatin, Desvenlafaxine, Deplin, Phentermine, Metformin, Montelukast, Zonisamide

Current Illness: None

ID: 1459701
Sex: F
Age: 21
State: VA

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Site: Itching at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Allergic: Rash Generalized-Mild, Additional Details: Patient received the Pfizer COVID-19 vaccine on 7/8/21 at 10:17am. Patient called back around 4:00pm stating that she had developed a rash from the injection site that ran down her arm and across her chest several hours later. She stated that she felt completely fine and was surprised that this occured because it was not itchy. The patient was advised to speak with their PCP and to adminster benadryl. The patient was informed that this would be reported through the necessary channels.

Other Meds:

Current Illness:

ID: 1459702
Sex: F
Age: 32
State: VA

Vax Date: 06/29/2021
Onset Date: 07/06/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Ceclor Fragrance

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

Symptoms: 7 days post first covid shot, very painful left axilla/side of breast. Pain, tenderness, and achiness not in the middle of axilla but is in the very medial portion of the axilla and extends into side and top of left breast. Very painful to have left arm resting in its normal position, very uncomfortable walking. waking up in middle of night with pain.

Other Meds: prenatal vitamin

Current Illness:

ID: 1459703
Sex: F
Age: 29
State: VA

Vax Date: 04/07/2021
Onset Date: 04/27/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: So around the 27th of April, that week, I started having some symptoms. It started out with a posterior headache that became bad and debilitating. I also described the next as a sore throat but it was pain at the front of the neck. I had fever and chills, kind of flu like symptoms. I went to the ER on May 8, 2021. Once the results came back on May 12, 2021 and they said I had group c strep so I got antibiotics - Amoxicillin. I was still feeling terrible so I went to my PCD and she switched me to a z-pac. So around the 18th of May I went in to see her again and she told me to finish the Z-pac and they ran blood tests. A couple days later it showed I was in hyperthyroidism and I lost about ten pounds and that is significant for me. On June 16, 2021 I saw my endocrinologist. I got another blood test on June 29, 2021. Now I am clearly in Hypothyroidism, I feel a little bit better. My HR was 124 resting so I was also put on 25MG of Metoprolol, but now my heart rate is under control. I mainly talked to my Endo about this, but he said it may have better caused by the Janssen vaccine.

Other Meds: Sprintec, Multivitamin, Calcium, Vitamin B12, Citrucel

Current Illness: N/a

ID: 1459704
Sex: M
Age: 11
State: PA

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
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: n/a

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

Symptoms: Pt was administered the MCV4 vaccine @ 1000 on 7/8/2021, about 2000 on 7/8/21, pt complained about low grade fever of 100, and b/l UE and b/l LE pain. pt went to sleep, woke up about 2200 and then could not sleep well the rest of the night. Was up on 7/9/21 about 0630 with sxs of Diarrhea and still having b/l UE and LE pain still with a low grade fever. Advised mother to take pt to the ER to be evaluated.

Other Meds: n/a

Current Illness: n/a

ID: 1459705
Sex: M
Age: 49
State: MI

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 07/09/2021
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: Tetanus shot

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

Symptoms: I had swelling of my shoulder and left arm. I also had pain down my neck and fingers in my left arm. This went away in about 4 days. The only remaining symptom was pain in my index finger on my left hand.

Other Meds: Yes, amlodipine (2.5mg), omeprazole (3mg)

Current Illness: No

ID: 1459706
Sex: F
Age: 25
State: MO

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: sweating-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: After administering the Pfizer vaccine, in 2-3 minutes patient became light headed, had vision changes, lost her voice, and was sweating. Patient put her hands in her head and began to regain her vagal functions. The patient never lost consciousness and always had a pulse. She was given a bottle of water, an icepack, and a protein bar. Patient was monitored for more than 30 minutes to make sure she was ok by the pharmacist and technician who sat with her the whole time.

Other Meds:

Current Illness:

ID: 1459707
Sex: M
Age: 19
State: MO

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
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: Patient fainted approximately 5 minutes after receiving vaccine. Returned to normal approximately 30 seconds after elevating feet, providing ice packs.

Other Meds:

Current Illness:

ID: 1459708
Sex: M
Age: 17
State: VA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1459709
Sex: F
Age: 39
State: NY

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: myroxylon pereirae resin, nickel, bacitracin, disperse orange 3, methyldibromo glutaronitrile, propolis, benzophenone-3, goldsodiumthiosulfate, cobalt ii chloride hexahydrate, 2-n-octyl-4-isothiazolin-3-one

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

Symptoms: just sore left arm i was numb head to toe only on my right side. it's been 9 days i am not bck to 1005, my right side of my face doesn't feel rigth and still has numbness feeling.

Other Meds: tumeric, kealnor birth control pills.

Current Illness: hemochromatosis and solar dermatitis

ID: 1459710
Sex: F
Age: 43
State: PA

Vax Date: 06/30/2021
Onset Date: 07/02/2021
Rec V Date: 07/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None.

Symptom List: Injection site erythema, Injection site pruritus, Injection site swelling, Lymph node pain, Lymphadenopathy

Symptoms: Itchy rash, patches all over foot, elbow and legs. Healthcare provider prescribed Benadryl.

Other Meds:

Current Illness:

ID: 1459711
Sex: M
Age: 17
State: CA

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 07/09/2021
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: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1459712
Sex: F
Age: 15
State: WI

Vax Date: 07/07/2021
Onset Date: 07/07/2021
Rec V Date: 07/09/2021
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: None

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

Symptoms: Generalized maculopapular rash.

Other Meds: None

Current Illness: None

ID: 1459713
Sex: M
Age: 35
State: PA

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
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: Site: Swelling at Injection Site-Mild, Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypertension-Mild, Additional Details: called 911, taken to hospital,

Other Meds:

Current Illness:

ID: 1459714
Sex: M
Age: 14
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1459715
Sex: M
Age: 49
State: MI

Vax Date: 06/08/2021
Onset Date: 06/08/2021
Rec V Date: 07/09/2021
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: Tetanus shot

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

Symptoms: That night I had chills and fevers which lasted all night. The next day I was tired and got a rash on my leg. By Thursday, I had little red dots all over the bottom half of my legs. That cleared up a couple days later. Since then, I have had spots on my leg that itch all the time. About 2-3 weeks ago I began experiencing pain in my pinky finger. Also, my index finger began getting stiff with pain. I went to see a doctor, where they did some blood work and Xrays. Both were normal. I am scheduled to get an ENG done next.

Other Meds: Yes, amlodipine (2.5mg), omeprazole (3mg)

Current Illness: No

ID: 1459716
Sex: F
Age: 78
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 07/09/2021
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: Chocolate, acidic fruits (pineapple). Naproxen, Codeine, Benadryl.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: She got her vaccine, she was fine, drove herself home 5-10 minutes, felt fine until her arm started to feel hot and a rash broke out. There was lump at the injection site. Then she felt like she had a lightening strike through her body, and felt like she had the flu the next day. She could not move and it lasted only a day and she stayed in the bed, and it went away. She had a low grade temp of 100, normal temp 97. She then woke up on Wednesday with a rash at the injection site to the elbow but used hydrocortisone cream which did not release the pain and used a cold compress to remove the heat from her arm. The cortisone cream did not work and she called the doctor who prescribed Benadryl cream and Benadryl to take (allergic to). Cream worked, Benadryl made her sick so now lists that as an allergy. She then took Claritin and it worked, but the rash remained. She got a rash then on the back of her right thigh, and she had hives on both knees (one on each knee and on the elbows). The rash on her arm was there and had to use cold compresses and eventually by Friday of that week it subsided . Annoying due to the itching, but not painful. The rash on the thigh went away the next day. Also had rash on her buttocks, which went away the next day as well. Has been fine since the Friday after the vaccine. She saw her doctor who told her to take the shot, her son is a Dr. and they told her to take it. All of her family members and friends had no reactions.

Other Meds: Triamterene/HCTZ, multivitamin.

Current Illness: None.

ID: 1459717
Sex: F
Age: 17
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1459718
Sex: F
Age: 67
State: FL

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 07/09/2021
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: Intense Nerve burning and full body pain; general muscle weakness, sleeplessness, digestive track sluggishness and inflammation. Chronic ongoing nerve pain including neck, back, legs, arms. Treated with anti-inflammatory ibuprofen. Adverse effects have continued to this day. I?m concerned about permanent damage or continuing inflammation. (First vaccination produced 4 days of discomfort as well although different effects; malaise, general flu symptoms.

Other Meds: Pro-biotics

Current Illness: None

ID: 1459719
Sex: F
Age: 30
State: MI

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

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea

Symptoms: Patient given Pfizer as the second dose of the covid vaccine instead of Moderna as was the first dose. No signs or symptoms of adverse reaction. Patient states she feels good.

Other Meds: Levothyroxine, Rosuvastatin, Advil

Current Illness: None

ID: 1459720
Sex: F
Age: 1
State: PA

Vax Date: 06/30/2021
Onset Date: 07/06/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Injection site pain

Symptoms: Patient with small lump on left thigh noted 7/6/21 by mother; no apparent symptoms; child does not appear bothered by the lump.

Other Meds: None

Current Illness: None known

ID: 1459721
Sex: M
Age: 74
State: TX

Vax Date: 02/26/2021
Onset Date: 04/15/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Patient states he has been experiencing pain in the arm since receiving his second dose of the Pfizer COVID-19 vaccine. Pt reports of seeing his doctor 3 times since 4/15/21.

Other Meds: Unknown

Current Illness: Unknown

ID: 1459722
Sex: M
Age: 11
State: DE

Vax Date: 05/18/2021
Onset Date: 05/18/2021
Rec V Date: 07/09/2021
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: PATIENT WAS 11 YEARS AND 10 MONTHS OLD AT TIME OF VACCINATION AND WAS NOT ELIGIBLE FOR THE VACCINATION. NO PHYSICAL REACTIONS.

Other Meds:

Current Illness:

ID: 1459723
Sex: F
Age: 19
State: FL

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
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: As per nurse on site, patient stated feeling dizzy approximately 2 minutes after vaccine administration. Patient had syncopal episode with decreased O2 sats . Due to slow recovery from symptoms 911 was called and patient was transported by EMS to nearest emergency room.

Other Meds:

Current Illness:

ID: 1459724
Sex: M
Age: 69
State: TX

Vax Date: 06/30/2021
Onset Date: 07/03/2021
Rec V Date: 07/09/2021
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: Erythema, Pruritus

Symptoms: Soars that looks like big mosquito bites located on the upper part of hands, elbows, knees and legs

Other Meds: Tylenol Centrum Allergy tablets

Current Illness: None

ID: 1459725
Sex: M
Age: 11
State: DE

Vax Date: 06/25/2021
Onset Date: 07/09/2021
Rec V Date: 07/09/2021
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: PATIENT WAS 11 YEARS OLD AT THE TIME OF VACCINATION AND NOT ELIGIBLE FOR THE VACCINE. NO PHYSICAL SYMPTOMS REPORTED.

Other Meds:

Current Illness:

ID: 1459726
Sex: M
Age: 72
State: NJ

Vax Date: 03/26/2021
Onset Date: 04/14/2021
Rec V Date: 07/09/2021
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: On April 14, 2021, all of the skin came off of my second toe (not the whole foot, just the toe) on the right foot, and for the big toe, on my right foot I had a big water blister on top of my toe. On April 14, 2021, I called my doctor immediately and he told me to come in and I went to his office; he's a foot ankle and specialist. I don't know the name of his doctor's office, but I have the address. He examined my foot and said "oh, we have name for this, it's called Covid Toe". He didn't run any tests, but he prescribed me Silvadene cream. Once I left his office I had to go back once every week and I am currently still going because the big toe is still healing.

Other Meds: Lasix 120mg, Labetalol 200mg, Lipitor40mg, Aspirin, Multi vitamin,VC 500mg, VD 5000mg

Current Illness: Diabetic

ID: 1459727
Sex: F
Age: 13
State: FL

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 07/09/2021
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: Administered 1st dose of Moderna vaccine to 13 year old

Other Meds:

Current Illness:

ID: 1459728
Sex: F
Age: 61
State: MD

Vax Date: 04/05/2021
Onset Date: 06/25/2021
Rec V Date: 07/09/2021
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: Azithromycin, Bactrim, K-Flex, Biaxin, penicillin

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

Symptoms: So on Friday at 10:30PM On the Friday 25th of June, I had GI issues and a lot of stomach pain. I also had cramping and pain in the back of my legs as well. I went to the DR and she put me on antibiotics, Cipro and something else I cannot remember. I went to the DR on Wednesday the 30th of June. The GI problems have been happening for about 2 weeks. I also saw my cardiologist on 4/8/2021 and he saw I was ok, the pulmonary DR also said my lungs looked fine on 4/26/2021.

Other Meds: Amlodipine, vitamin D, vitamin C, zinc, biotin

Current Illness: N/a

ID: 1459729
Sex: M
Age: 65
State: MI

Vax Date: 06/23/2021
Onset Date: 06/24/2021
Rec V Date: 07/09/2021
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: none

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

Symptoms: Headache, body aches on 6/24/21, 0 adverse reaction on day 2 after vaccine .3 days after vaccine temp of 99.3 then resolved.

Other Meds: Xanax, calcium, Norco, hydrochlorathiazide, sybicort, ASA, zoloft

Current Illness: n/a

ID: 1459730
Sex: M
Age: 36
State: WI

Vax Date: 07/08/2021
Onset Date: 07/08/2021
Rec V Date: 07/09/2021
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: Pain in extremity

Symptoms: 14 minutes after receiving vaccine, patient was sitting in chair and had a syncopal episode. Unresponsive for 10-15 seconds. BP 92/50, pulse 66. Transported to hospital. Diagnosed with vasovagal reaction and sent home.

Other Meds: none

Current Illness: none

ID: 1459731
Sex: F
Age: 39
State: FL

Vax Date: 05/05/2021
Onset Date: 07/04/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Patient has positive COVID result on 07/08/2021 after having both Moderna vaccines. First one given 04/07/21, second dose given 05/05/2021

Other Meds:

Current Illness:

ID: 1459732
Sex: F
Age: 13
State: FL

Vax Date: 07/01/2021
Onset Date: 07/01/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 13 year old received one dose of Moderna vaccine

Other Meds:

Current Illness:

ID: 1459733
Sex: F
Age: 51
State: CA

Vax Date: 03/23/2021
Onset Date: 04/01/2021
Rec V Date: 07/09/2021
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: Return of monthly, regular and heavy menstrual cycle after entering peri-menopause. 2019: 8 cycles; sporadically missing single months. 2020: 7 cycles; sporadically missing single months & one 3-mo lapse in cycle (Sep-Nov). 2021: No cycle (3-mo lapse) and then cycle starts 8 days post Pfizer COVID-19 injection 1. Now I am getting heaving menstrual cycles on a monthly basis again, like when I was in my 20s and 30s.

Other Meds: No prescriptions; daily 1x each of Fish oil (1250mg), Vitamin D (125mg) & Claritin. Occasional ibuprofen 200mg.

Current Illness: None

ID: 1459734
Sex: F
Age: 42
State: CT

Vax Date: 06/30/2021
Onset Date: 07/01/2021
Rec V Date: 07/09/2021
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: chloriquine

Symptom List: Vomiting

Symptoms: diffuse itching, rash near site of injection

Other Meds: none

Current Illness: none

ID: 1459735
Sex: F
Age: 53
State: MI

Vax Date: 03/18/2021
Onset Date: 03/23/2021
Rec V Date: 07/09/2021
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: Zoloft, Levothyroxine, intolerance to gluten, dairy, soy

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: After receiving first dose, I had brain fog, visual disturbance and fatigue for several days. The same thing happened with the second vaccine, but much worse. The visual disturbance was worse, and has progressively gotten worse. Picture looking through a gray veil covered with glitter and smears. After receiving both vaccines, I also contracted COVID anyway. I believe my vision failure is due to the vaccines, as the onset coincides with the injections. Multiple eye exams have revealed nothing physically wrong with my eyes, and I'm awaiting an exam with a neurologist.

Other Meds: NP Thyroid, Estradiol, multi vitamins, CoQ10, L-Tyrosine

Current Illness: None

ID: 1459736
Sex: M
Age: 56
State: NC

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 07/09/2021
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: About 2 weeks after the shot, I started to have a Psoriasis flareup on both of my legs. mainly on the inside of the thigh and down onto the front of the shins. The flareup is still occurring 3 months later.

Other Meds: Humira, Sertraline HCL, Amphetamine Salts ER

Current Illness:

ID: 1459737
Sex: F
Age: 58
State: CA

Vax Date: 06/04/2021
Onset Date: 06/11/2021
Rec V Date: 07/09/2021
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: sulfa drugs codeine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Swelling and pain would move alternatively between wrist, knees, fingers and right toe and including the injection site. After a period of five days the swelling settled in wrists and knees, with reoccurring pain in the injection site. The swelling and pain persists as of today's date of 7/9/2021. Initial course of 20 mg Prednisone was prescribed by clinic on 6/18/2021 and a stronger course of 60mg for 3 days/40mg for 5 days and 20days for 5days by another MD on 6/21/2021. A rheumatologist referral has been made. My regular MD is taking over this case.

Other Meds: Levothyroxine 100mg calcium 1200 mg Vitamins: D - 50 mg, B12-1,500 mg, Glucosamine with MSM 1500 mg, Fish Oil 1,000 mg, magnesium 400 mg, Sleep Aid

Current Illness: Nothing except hypothyroid

ID: 1459738
Sex: F
Age: 50
State: MD

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

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

Lab Data:

Allergies: none

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

Symptoms: Developed a rash on backs of hands and forearms. Rash spread to stomach, inner thigh, neck, and nose.

Other Meds: Kerasal

Current Illness: none

ID: 1459739
Sex: F
Age: 57
State: UT

Vax Date: 05/28/2021
Onset Date: 05/30/2021
Rec V Date: 07/09/2021
Hospital:

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

Lab Data:

Allergies: SULFA, PENICILLIN, WELLBUTRIN, LATEX

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

Symptoms: joints, I'm retaining water really bad, especially on the right side, and my joints are swollen. I have to walk up and down stairs to my bedroom and it really hurts my knee and my foot and I've started to wear a knee brace sometimes. My arm hurts from my shoulder to my fingers and my back and ribs on the right are in constant pain. I have also had diarrhea since getting the shot and I usually do not have that problem.

Other Meds: OMEPRAZOLE, FUROSIMIDE, CITIRIZINE, GABAPENIN, POTASSIUM, METANX, LIQUID MELATONIN

Current Illness: NONE

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm