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: 1484043
Sex: F
Age: 67
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 07/18/2021
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: all codeine, aspirin, tramadol, keflex

Symptom List: Dysphagia, Epiglottitis

Symptoms: right side of face swollen and still swollen

Other Meds:

Current Illness:

ID: 1484044
Sex: F
Age: 54
State:

Vax Date: 05/01/2021
Onset Date: 06/24/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Acute tiredness. Vision deteriorated. Feet hurt for a simple walk.

Other Meds: None

Current Illness: None

ID: 1484045
Sex: F
Age: 47
State: MA

Vax Date: 07/18/2021
Onset Date: 07/18/2021
Rec V Date: 07/18/2021
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: keflex

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

Symptoms: The day of the vaccine: late afternoon and evening 5:30 p.m. - 1:30 a.m. - Swelling in my throat and lymph nodes, trouble breathing, fever, chills, nausea, rash at the vaccine site on my arm. The next day upon waking up : Extreme pain and weakness in my entire body (including my arm)

Other Meds:

Current Illness:

ID: 1484046
Sex: M
Age: 65
State: CO

Vax Date: 07/17/2021
Onset Date: 07/17/2021
Rec V Date: 07/18/2021
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: Dizziness, Warm sensation @ Injection Site

Other Meds: None

Current Illness: None

ID: 1484047
Sex: M
Age: 57
State: NY

Vax Date: 06/24/2021
Onset Date: 07/07/2021
Rec V Date: 07/18/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: SWELLING OF RIGHT EYE , ITCHY RASH MULTIPLE ARES ON BODY

Other Meds: phenobarbitol, carbamezopine, amlodopine, isebertan, centrum multi

Current Illness: none

ID: 1484048
Sex: F
Age: 37
State: KS

Vax Date: 06/27/2021
Onset Date: 06/27/2021
Rec V Date: 07/18/2021
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: Penicillin

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

Symptoms: Sweating, mouth went numb, itchy burning hands blotching on palms... Tight chest labored breathing tingling itching all over body... Extremely itchy cheeks and face

Other Meds: Zoloft 50 mg 1x daily.... orilissa 200mg xs daily

Current Illness:

ID: 1484049
Sex: F
Age: 30
State: IL

Vax Date: 07/06/2021
Onset Date: 07/13/2021
Rec V Date: 07/18/2021
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: Covid arm- round red itchy rash that started one week after vaccine was given.

Other Meds: Zoloft

Current Illness: None

ID: 1484050
Sex: F
Age: 36
State: IN

Vax Date: 05/02/2021
Onset Date: 05/01/2021
Rec V Date: 07/18/2021
Hospital: Y

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

Lab Data:

Allergies: PCN

Symptom List: Pharyngeal swelling

Symptoms: My blood pressure spikes from normal to 168/83, 199/120, 201/145, 199/128, 236/134, 183/116. My head, arms, and neck tingling like sharp pins and needles. I have lost my ability to speak, slurred my words, and been in able to catch my breath. I have passed out twice. I may go two day with a normal BP, but then it spikes for no reason. I have been women up with burning across my body an unable to catch my breath.

Other Meds: Topomax

Current Illness: Covid 19 one month prior

ID: 1484051
Sex: F
Age: 14
State: VA

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: 5 minutes after vaccination monitoring client had blurred vision, diaphoretic X@ altered pressure in ear, and alter mental status. Had eaten lunch- chick-fila and had no medical HX Vitals taken twice P48, BP 100/50, R16 O2 96% EKG sinus bradia, Near Syncopal P53, BP 88/51, R 20, O2 98%

Other Meds:

Current Illness:

ID: 1484052
Sex: F
Age: 49
State: CA

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/18/2021
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: Iodine Skin sensitivity to detergents & perfumes Allergies to dust & pollen

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Injection site swelling rash redness arm pain started within 12h from Injection time and subsided in 5 days. First couple of days pain was severe. Acetaminophen alone was not helpful. Advil dual action (Acetaminophen 250mg, ibulroden 125mg) seemed to provide releif along with cold compression. (wet towel) Day 6 rash barely visible. Day 7 a quarter size lump at injection site noticed. Day 8 swelling and rash returned with suburn tyoe of surface pain. Day 9 rash growing. Aprox size 10cm radius

Other Meds: None

Current Illness: Frequent headaches

ID: 1484053
Sex: F
Age: 55
State: IL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Ampicillin Doxycycline

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

Symptoms: On Friday, 4/9, I experienced a fever of 103.3, sore throat, earache on the left side, swelling on the neck and face, swollen tonsils, white stains on my tonsils, headache, toothache, and terrible muscle pain. When I went to the emergency room on 4/10, I received a dose of dexamethasone 15ml and was instructed to take Tylenol. On 4/11, I had no further symptoms after taking the dexamethasone. On 4/12 in the AM, my fever (101.4 F), sore throat, earache on the left side, toothache, headache, more swelling on the neck started to occur. I took Tylenol for the symptoms.; I was feeling very tired and weak the entire time and experienced severe dizziness. On 4/13, my body started to bruise up on the left side of my body (foot). Then, I developed a bruise on my left shin and left hand. I had severe tremors and shakes. I went back to the emergency room on 4/13 and lost consciousness in the waiting room. My left tonsil started to develop black spots on it. My doctors at the emergency room did not know what this was. I was given dexamethasone via IV and clindamycin 150MG X3/day X 6 days. On 4/13, my left buttocks developed shingles. On 4/16, I had a visit at my doctor's. I still had swelling on the face and neck, my bruises grew in size. My doctor prescribed me Valacyclovir 1gm X1 tablet X 3/day X 1 week. From 4./16, these symptoms persisted for about 10 days before I began to feel better.

Other Meds: Tylenol

Current Illness: None

ID: 1484054
Sex: F
Age: 60
State: CA

Vax Date: 07/14/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
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: Client reported nausea, tingling in her left hand, and slight dizziness at 6:45ish. Vitals obtained at 6:53PM PM were as follows: BP 120/78, HR 71, O2 96%. The client reported a history of nausea when she is nervous. Client was provided an emesis bag. Vitals obtained at 6:58PM were as follows: BP 120/68, HR 65, and O2 98%. The client reported a history of hypotension. The client stated she has to be sure to stay adequately hydrated or she notices a decrease in her blood pressure. Current medications include Avapena. The client denied any s/s of anaphylaxis. At 6:55PM the client reported a headache. The client did eat today. At 7:02PM RN provided the client a cotton ball with peppermint oil on it to smell.. The client stated her headache was very light at 7:05PM. The client left at 07:10PM.

Other Meds: Avapena

Current Illness:

ID: 1484055
Sex: M
Age: 57
State: CO

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 07/18/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: First shot: symptoms appeared within 6 hours, headache, fatigue, fever, muscle aches and shortness of breath. stayed about a week (fever and headache_. Then had a bit of itchy outbreaks for about another week Reported all on Second shot: Symptoms appeared within 4 hours. Felt lightheaded just leaving the innoculation center. Within a couple of hours, felt really tired, fell asleep, woke an hour or so later, massive headache, feverish, light sensitive, achey, shortness of breath. Light sensitivity went away after a few days but all other symptoms were much more intense and of longer duration then the first shot reactions. I noted that my health app showed a drop in my O2 levels at night and unexplained increased heart rate episodes (over 160) this went on for weeks. Got more severed itchy episodes several weeks after the second shot and that lasted for acouple of weeks. Noted three of four tiny "blood blisters" that itched on the arm I got the shot on. Got really dizzy at points too. I had chest tightness and breathing difficulties leading to light headiness when wearing covid masks, which did not have previously. SEE CONTINUATION PAGE

Other Meds: HBP meds, SYNTHYROID,

Current Illness:

ID: 1484056
Sex: F
Age: 37
State: MO

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/18/2021
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: Lithum

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

Symptoms: severe body pain and weakness. Inability to walk and stand alone. Blood pressure dropped to 54/36 and other very low ranges, almost lost consciousness from low blood pressure multiple times.

Other Meds:

Current Illness:

ID: 1484057
Sex: F
Age: 40
State: NC

Vax Date: 05/18/2021
Onset Date: 06/08/2021
Rec V Date: 07/18/2021
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: Penicillin

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

Symptoms: Feelings of vertigo three weeks after receiving vaccination. These feelings of the room spinning and nausea are ongoing. But do not happen all day or even everyday. It happens often, but not daily.

Other Meds: Sertraline

Current Illness: None

ID: 1484058
Sex: F
Age: 58
State: CA

Vax Date: 06/25/2021
Onset Date: 06/25/2021
Rec V Date: 07/18/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: lient reported 20 mins after receiving vaccine she experienced headache, warmth in ears, and tingling of the lip lasting 30 minutes. Per client no shortness of breath or swelling. Client stated she did not take any medication or followed up with provider

Other Meds: lisinopril, warfarin, novolog

Current Illness: blood clot

ID: 1484059
Sex: F
Age: 34
State:

Vax Date: 07/11/2021
Onset Date: 07/18/2021
Rec V Date: 07/18/2021
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: Mild allergies to some types of fruit. Mild seasonal allergies. Allergies to some pets.

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

Symptoms: Itchiness at the injection site, then swelling and pain. The swelling is getting bigger and so is the pain. It hurts to lift my arm up. This started a week after the injection....

Other Meds: Sertraline 25mg

Current Illness:

ID: 1484060
Sex: F
Age: 48
State: MA

Vax Date: 05/13/2021
Onset Date: 07/14/2021
Rec V Date: 07/18/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: on July 14th, patient had a massive ischemic stroke; no risk factors. Patient did have COVID infection February 2021

Other Meds:

Current Illness:

ID: 1484061
Sex: F
Age: 27
State: IN

Vax Date: 06/30/2021
Onset Date: 07/12/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Acetaminophen

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Developed a small rash (red itchy bumps)1 week after covid vaccine. 2 weeks later it spread down my arms, legs and torso. Seems to go away with antihistamines, the reactions happen off and on.

Other Meds: Zoloft

Current Illness: None

ID: 1484062
Sex: M
Age: 46
State: CT

Vax Date: 03/22/2021
Onset Date: 05/01/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: Seasonal, cat, dog, dust mites.

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

Symptoms: Approximately 3 weeks after second shot I developed tinnitus. Fully examined by ENT, no hearing loss or other explanation. Tinnitus still ongoing 3 months later.

Other Meds: Atvorostatin, losartan potassium

Current Illness: No

ID: 1484063
Sex: F
Age: 38
State: FL

Vax Date: 03/02/2021
Onset Date: 03/31/2021
Rec V Date: 07/18/2021
Hospital: Y

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: contrast media, triptan meds, toradol, fioricet, compazine, haldol, tape, keppra

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

Symptoms: first event 03/31/2021 patient reports having a seizure episode with migraine, hospitalized 5/28/21-5/30 and 7/1/21-7/3/21 and multiple er visits

Other Meds: lorazepam 1 mg twice daily, amiloride 5 mg bid, cimetidine 200mg bid, clonodine 0.3 every 8 hours, duloxetine 60 mg bid, hydralazine 100mg bid, gabapentin tid, hydralazine 100mg bid, metoprolol 100 mg tid, potassium 80 meq bid, phenergan25

Current Illness: renal disease, htn, normal pressure hydrocephalus with shunt,

ID: 1484064
Sex: M
Age: 58
State: SC

Vax Date: 04/30/2021
Onset Date: 06/04/2021
Rec V Date: 07/18/2021
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: 1st shot was in the left arm, 2nd shot was is in the right. Experienced overwhelming headache for several days from Friday afternoon through Monday Morning. Was given a CT scan and was found to have bleeding on the base of the brain and swelling so heavy, they could not determine where the leak was.

Other Meds: none

Current Illness: none

ID: 1484065
Sex: F
Age: 60
State: OR

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 07/18/2021
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: Hands and feet were burning, very painful and felt locked up. By the end of the day the extreme pain had subsided but now, hands, feet, ankles, back and arms hurt. So much so it?s keeping me up at night. Prior to the shot I did have hand pain due to RA. But not like this. Shooting pains start from wrists and go down into palms. Those come and go. Mornings are terrible. The pain is getting worse. Taking over the counter pain pills reduces the pain a little bit.

Other Meds: None

Current Illness: None

ID: 1484066
Sex: M
Age: 78
State: WI

Vax Date: 05/25/2021
Onset Date: 06/14/2021
Rec V Date: 07/18/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Symtoms were first noticed on Tuesday June 8th about two oclock in the afternoon when I noticed a slight burning sensation on my right shoulder. I had presumed this to be sunburn. The next day I noticed a few blisters and additional discomfort and subsequently applied OTC lotion. As the days progressed it looked as though it was poison-ivy as opposed to sunburn. Again applied OTC medications to relieve the pain. By Monday, June 14th, the situation had progressed in severity, necessitating a visit to the emergency room. I was examened by DR. who diagnoeded the problem as 'shingles', not poison-ivy. He subsequetly dianosed taking ValACYclovir for seven-days then recommended that I follow-up with a Primary Care Provider in seven-days. The valACHclovir helped stop the spread of the problem, but did't do much to relieve the discomfort. The following Tuesday, June 22nd I met with Dr. of the Health Clinic adjacent to the hospital. After vitals were all taken, we had a question and answer session where it was determined that nothing else could be done for Me except for the shingles to 'run their course'. Retuning home I continued to administer OTC lotions and sprays to help reduce some of the burning sensations experienced around the face, ear, neck, and shoulder which was becoming more severe. After several days of not being able to sleep or get any relief from the 'burning and stinging', I decided it was necessary to get a second opinion. I then notified another hospital, that I would be arriving for an examination that afternoon, July 12th. at approximately 2pm. Upon arrival and completion of completion of all vital signs by medical staff, I was met with a doctor. Upon examination and understanding the symptoms experienced, she prescribed 'Gabapentin' to help reduce the 'burning sensations' and 'Prednisone' to help reduce the 'skin rash and swelling'. Returning home and starting the prescribed meds, I did notice some immediate relief from the Gabapentin, which for the first time in more than a week or so, I was able to get a nights sleep. I didn't notice any changes taking the prednisone and had to presume that it helped stop the spead of the rash from going further. As I prepare this overview, it is now July 18th and once again experiencing severe pain and tighening of muscles around the face, neck and shoulder. Pain feels like 'stinging needles', 'miniture electical shocks' that course thru from above the ear, down thru the face neck and over to the chin-throat' area. Pain lasts but a brief second, but very painfull, making sleep impossible. Touching any area on the right side of my body from the scalp, across the face and neck down to my shoulder, back and collar bone result in extreme 'burning sensations'. I have a 12:45 pm appointmet at the hospital on Tuesday July 20th to meet with Dr. who will become my Primary Care Provider. I can only hope that we're able to come-up with some solution that will easy the severity of the 'stinging sensations and burning' that will allow me to sleep and get beck to resuming nornal activity. Up until this event, I had been an actrive, healthy, 78yo man who had never been sick nor been to a Dr. in over 20 years, which I contribute to the clean, healthy environment here. In summary, it is my firm belief that in view of recent media reports about the Guillian-Barr symtoms which affect the nerves and muscles, it is the result of having received the Johnson&Johnson vaccine that contributed to the onset of my developing shingles. Because I had not had the Shingles vaccine at any time, it might be advisable for those that are beyond a certain age who have not had the shingles vaccine NOT get the Johnson&Johnson vaccine if other alternatives are available.

Other Meds: Daily vitamin - Centrum Silver 1/4 Aspirin - generic valACHclovir

Current Illness: None

ID: 1484067
Sex: M
Age: 28
State:

Vax Date: 01/26/2021
Onset Date: 07/16/2021
Rec V Date: 07/18/2021
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: Covid positive 7/17/2021. Rec'd covid vaccine 1/2021

Other Meds:

Current Illness:

ID: 1484068
Sex: F
Age: 50
State:

Vax Date: 07/17/2021
Onset Date: 07/17/2021
Rec V Date: 07/18/2021
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:

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

Symptoms: ? fever for about 24 hours, up to 38.5 ? chills ? headache/pain back of the head ? nausea ? menstruation started 8 days earlier (about 30 hours after the shot) ? swollen left upper arm, redness

Other Meds:

Current Illness:

ID: 1484069
Sex: M
Age: 65
State: KS

Vax Date: 04/21/2021
Onset Date: 07/07/2021
Rec V Date: 07/18/2021
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: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient had no problems at the time of either first or second vaccine. He started having chest pain and hemoptysis on 7/2/2021 and was seen an a local emergency hospital on 7/6/2021. He was diagnosed with a pulmonary embolism, by CTA. No history of VTE and no provoking factors - had short flight prior to onset of symptoms.

Other Meds: tamsulosin, atorvastatin, omeprazole

Current Illness: None

ID: 1484070
Sex: M
Age: 71
State: AR

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 07/18/2021
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: polycythemia. Now anemic with no clear issue. requiring oral iron & possibly iv iron.

Other Meds:

Current Illness:

ID: 1484071
Sex: M
Age: 15
State: CA

Vax Date: 06/23/2021
Onset Date: 06/23/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Client reported one hour after receiving first dose of COVID vaccine Pfizer he developed a headache and dizziness that lasted one hour. The client only ate breakfast the day he received the first dose COVID vaccine Pfizer. The client ate breakfast today. He was provided a snack of chips and started eating them. Vitals obtained on 07/14/21 were as follows: BP 118/80, HR 87, O2 98%. The client denied SOB after first COVID vaccine Pfizer. The client did not follow up with a primary care doctor or allergist. The client denies any chronic conditions or medications. No known allergies.

Other Meds:

Current Illness:

ID: 1484072
Sex: M
Age: 90
State:

Vax Date: 02/08/2021
Onset Date: 05/26/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Patient experienced sudden and severe sweating over every inch of his body, described as if he was leaking out of every pore all at once. He got dizzy as if blood was rushing to head and attempted to make it into his bedroom where he knew he could safely collapse on the bed if needed. He reported seeing the room wobble as he was stumbling to his bed. He barely caught the edge of it before falling onto it. After several minutes, the sweating and wooziness subsided. When asked, he said he had never experienced any of those adverse effects before.

Other Meds:

Current Illness:

ID: 1484073
Sex: F
Age: 37
State: SC

Vax Date: 03/29/2021
Onset Date: 05/04/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Five days after getting the first dose of Covid vaccine, I started having severe pain in buttocks/hip area that radiated down both legs. I tried sitting, standing, laying, propping, etc. Nothing relieved the pain! It lasted about 6 hours. I mentioned this episode to my General Practitioner during a virtual visit a couple of weeks later. Since then, I've had almost constant severe joint and muscle pain throughout my body every day. I plan to talk to my doctor about this at my next visit.

Other Meds:

Current Illness:

ID: 1484074
Sex: M
Age: 24
State: AZ

Vax Date: 06/22/2021
Onset Date: 07/04/2021
Rec V Date: 07/18/2021
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: About a week or two after my second shot, I started developing constant, uncontrollable blinking. It feels like a spasm and causes other parts of my face to spasm (my jaw especially). I think it was exacerbated by my use of Zyn nicotine pouches, because the issue got better once I discontinued use. A couple weeks have passed since I stopped using this product though and the blinking/spasms persist.

Other Meds: Melatonin, 5HTP, Theanine, Valerian root. None of them used on a daily basis.

Current Illness: None

ID: 1484075
Sex: F
Age: 67
State: MD

Vax Date: 05/19/2021
Onset Date: 05/20/2021
Rec V Date: 07/18/2021
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: The day following the first injection, I started experiencing a series of adverse events that have not subsided. Initially, my left arm was swollen and painful, I was nauseated, feverish and had chills, in addition to a persistent productive cough. I went to the ER on 6/24 after symptoms worsened and was diagnosed with pneumonia. I was given a course of Azithromycin and Cefdinir, which I completed. The fever subsided but even weeks after the second dose, I am still experiencing persistent coughing. The pain in my left arm has also persisted and is accompanied with occasional numbness. I am unable to comfortably lay on my left side or firmly grip objects with my left hand because of the pain.

Other Meds:

Current Illness:

ID: 1484076
Sex: F
Age: 55
State: MI

Vax Date: 05/04/2021
Onset Date: 07/15/2021
Rec V Date: 07/18/2021
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: none

Symptom List: Tremor

Symptoms: This is not confirmed diagnosis however, part of the immediate differential diagnosis includes possible vaccine related thrombosis. Currently being worked up in the hospital for New - Onset aortic arch thrombus with thromboembolectomy to left arm. Patient has no previous history of blood clots, no family history of blood clots and the location of blood clot is in a very unusual location. Patient developed sudden onset symptoms of left arm arterial thrombosis that required immediate surgical embolectomy to restore blood flow to left arm. CT scan noted large aortic arch thrombosis and transferred to Hospital for escalation of care, cardiac surgery and vascular surgery evaluation. Hematology team consulted to begin workup for hypercoagulopathy.

Other Meds: none

Current Illness: none

ID: 1484077
Sex: M
Age: 38
State: WA

Vax Date: 07/13/2021
Onset Date: 07/15/2021
Rec V Date: 07/18/2021
Hospital: Y

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: ? 7/13/21 1015AM 2nd COVID vaccine from Moderna received. ? 7/15/21 0200AM (times are approximate) o I started having chest pains in the middle of the night. Sitting or kneeling seemed to relieve some of the pain. It went away after 1500 mg Acetaminophen lasting approx. 3 hrs. ? 7/16/21 (times are approximate) o 0100-0500 Chest pain came back, same style of pressure. No breathing issues. 1500 mg Acetaminophen o 0900 Checked into ER. 7/17/21 Discharged from hospital 330PM

Other Meds: 1 tablet - Carditone /day. Usually taken at night for past 4 years. 1 - 1000 mcg Chromium Picolinate / day 1- 400 mg Magnesium Oxide / day

Current Illness: None

ID: 1484078
Sex: F
Age: 40
State: OR

Vax Date: 01/01/2021
Onset Date: 01/27/2021
Rec V Date: 07/18/2021
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: Fentanyl, Latex and Paper Tape

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

Symptoms: Fever, headache, chills, body aches lasted over 2 weeks.

Other Meds: Acidophilus,Xanax,Vitamin C, Vitamin B, Vitamin D3, Zinc, Echinacea,Feosol, Lexapro, Cytomel, Synthroid, and Lisinopril.

Current Illness: None

ID: 1484079
Sex: M
Age: 37
State: MA

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 07/18/2021
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: It has been 4 months since I got the j and j shot and I still have pain at injection site, that radiates outward on my upper arm and shoots down to my elbow. It is always there, however certain motions and positions irritate it more.

Other Meds:

Current Illness:

ID: 1484080
Sex: F
Age: 38
State: OR

Vax Date: 06/25/2021
Onset Date: 06/26/2021
Rec V Date: 07/18/2021
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: Sulfur

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Extrem arm swelling, soreness, needle feeling up and down arm, wrist stiffness , pain at infection site, unable to use arm for normal daily activities, arm feels like rubber, pain in elbow, elbow feels like it is stuffed full of cotton. 80% of these symptoms are still going on.

Other Meds:

Current Illness: No

ID: 1484081
Sex: F
Age: 52
State: WA

Vax Date: 06/05/2021
Onset Date: 06/05/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: Face numbness began 25 minutes following injection, and extreme pain in left jaw, neck, shoulder and arm, very loud tinnitus also started same day; approximately one week later, began experiencing numbing and tingling in face around nose, cheeks, lips, and tongue, and both forearms and hands, and both legs below the knees and feet; numbing/tingling feeling and tinnitus ongoing for over six weeks and continues as of this report.

Other Meds: 1/2 Grain Thyroid supplement and daily vitamins.

Current Illness: None.

ID: 1484082
Sex: M
Age: 46
State: MI

Vax Date: 07/09/2021
Onset Date: 07/10/2021
Rec V Date: 07/18/2021
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: Next day left arm soreness lasted 2 days. Also 2nd day started feeling tired, exhausted for 1 week and nauseous for about 4-5 days. I fely hung over, achey, had slight fever and chills for 5 days. I am feeling 95% better now going on 9 days. I'm scared 2nd shot will be worse?

Other Meds: Very light use of steroid ointment on hands. (Clobetasol .05%) Not daily but probably 14 days out of every month to help psoriasis outbreak that first started 5 years ago.( Will be changing to Otezla 6 weeks after my second vaccine)

Current Illness: none

ID: 1484083
Sex: F
Age: 44
State: AZ

Vax Date: 06/16/2021
Onset Date: 06/17/2021
Rec V Date: 07/18/2021
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: Pain in extremity

Symptoms: Tired, pain in every muscle at least one week, fever on day 2 of 101, trouble focusing for at least 2 weeks, forgetful, no taste no smell for 4 days, bad headache for 2 days, generalized overall exhaustion until just before my second dose. Report regarding second dose will follow this report.

Other Meds: Phenylephrine

Current Illness: None that I'm aware of.

ID: 1484084
Sex: F
Age: 45
State: IN

Vax Date: 03/01/2021
Onset Date: 05/24/2021
Rec V Date: 07/18/2021
Hospital:

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

Lab Data:

Allergies: 0

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

Symptoms: Period returned after being menopausal (one year or longer without period)

Other Meds: 0

Current Illness: 0

ID: 1484085
Sex: F
Age: 33
State: LA

Vax Date: 07/17/2021
Onset Date: 07/17/2021
Rec V Date: 07/18/2021
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

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

Symptoms: Metal taste in mouth that lasted for about 6 hours.

Other Meds: Vyvanse 10mg daily

Current Illness: No

ID: 1484086
Sex: F
Age: 28
State: CA

Vax Date: 07/17/2021
Onset Date: 07/17/2021
Rec V Date: 07/18/2021
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: Within 5 hours of receiving the vaccination, I started having a skin reaction. Hives spread throughout my body, itchy bumps that appeared and disappeared.

Other Meds: None

Current Illness: None

ID: 1484087
Sex: M
Age: 18
State: NH

Vax Date: 07/16/2021
Onset Date: 07/17/2021
Rec V Date: 07/18/2021
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: Pollen

Symptom List: Vomiting

Symptoms: Pt woke 7/17 AM and coughed a bit of blood. On 7/18 AM, he woke and had a significant nosebleed. No hematuria, hematochezia, or melena.

Other Meds: cetirizine 10 mg daily prn (not used recently)

Current Illness: None

ID: 1484088
Sex: M
Age: 30
State: TX

Vax Date: 04/22/2021
Onset Date: 05/20/2021
Rec V Date: 07/18/2021
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: My left arm keeps getting bruised and blood clot looking things all over my left arm which is where I got both vaccines. I have had a loss of vision and seeing little black floating dots and have lost over 10 pounds since without working out.

Other Meds: None

Current Illness: None

ID: 1484089
Sex: F
Age: 57
State: TX

Vax Date: 07/16/2021
Onset Date: 07/18/2021
Rec V Date: 07/18/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Swollen arm at location site, aches, fever, chills and swollen bottom lip

Other Meds: Zoloft, triamerterine, adderral,

Current Illness: None

ID: 1484090
Sex: F
Age: 71
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 07/19/2021
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: Severe pain in both knees, could not walk. Symptoms lessened with cold compresses and Naprosyn, but stayed in bed most of the day. Chronic knee pain, pain in hands, more so than usual.

Other Meds: Estring, (estradiol 2mg vaginal ring) ;Macular protect eye vitamins, Calcium, glucosomine, tumeric, omega 3 fish oil, over 65 yr old multivitamin.

Current Illness:

ID: 1484091
Sex: F
Age: 57
State: FL

Vax Date: 06/24/2021
Onset Date: 06/25/2021
Rec V Date: 07/19/2021
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 that i'm aware of

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

Symptoms: My skin has become sensitive and itchy. Any abrasion causes redness and low hives - even holding the steering wheel. For the first day or two my skin felt hot -- similar to the feeling when you come out of a tanning bed. I was worried about getting the 2nd shot, but i did it. The skin condition continues, but it did not get worse with the 2nd shot. I did get the flu feeling that is the normal reaction (for 1 day). i am hoping that my skin gets back to normal soon.

Other Meds: none

Current Illness: none

ID: 1484092
Sex: F
Age: 36
State: CA

Vax Date: 07/01/2021
Onset Date: 07/15/2021
Rec V Date: 07/19/2021
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: none

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

Symptoms: Whole body joints pain for 2 days, Injecting site still in pain for 2 weeks now, Tingling whole body starting at 10th day , still ongoing, Left neck(injected at left arm) pain / stifness on and off, Light headache ongoing

Other Meds: None

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm