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: 1518755
Sex: M
Age: 48
State: IN

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 08/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever,severe headache,nausea,muscle soreness and stiffness,extreme fatigue and mild diarrhea

Other Meds: Lisinopril,nexium,methadone,Tylenol

Current Illness: None

ID: 1518756
Sex: F
Age: 26
State: MD

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 08/01/2021
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: Two days after my first dose i noticed a metallic taste in my mouth and smell in my stools. I also noticed that I was unable to taste certain things and what i was able to taste had this iron taste to it. I'm unable to smell certain things that are in front of me. all of these symptoms i was told would go away after a few days and it's been MONTHS and i am still being affected. My next menstrual cycle after my second dose came normal but then i had a second cycle the same month and it's continued that way. I've been having two cycles each month which is very abnormal for me.

Other Meds: None

Current Illness: None

ID: 1518757
Sex: F
Age: 41
State: FL

Vax Date: 06/10/2021
Onset Date: 06/10/2021
Rec V Date: 08/01/2021
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: Heavy long mentruation. For two months my flow has been very heavy and while I normally have 3 days of bleeding. (For years) Now I?m bleeding for 7 days-9 days

Other Meds: B12 oral supplement

Current Illness: None

ID: 1518759
Sex: F
Age: 24
State: OK

Vax Date: 07/25/2021
Onset Date: 07/25/2021
Rec V Date: 08/01/2021
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: Systemic: Fainting / Unresponsive-Medium

Other Meds:

Current Illness:

ID: 1518761
Sex: F
Age: 84
State: NY

Vax Date: 04/03/2021
Onset Date: 07/29/2021
Rec V Date: 08/01/2021
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: latex, pcn

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

Symptoms: Pt received her 2nd pfizer covid 19 vaccine on 4/3/21 without incident. She presented to the emergency room on 7/29/21 with complaints of sudden facial drooping, L sided weakness and slurred speech and suffered an acute parietal and frontal lobe stroke despite being on coumadin, aspirin and a statin. The cause for the stroke was unclear per neurology. she had no history of atrial fibrillation. Her gonadal vein thrombus for which she was taking the coumadin for since 10/20 was no longer present on imaging and therefore the coumadin was stopped during admission. She had 60 % stable/calcified plaque of her R internal carotid artery but neurology did not feel that was a causative factor. she was also discovered to have a small Patent foramen ovale on echocardiogram but that also was not felt to be causative. Her stroke was embolic in nature. She will continue to take the same dose of aspirin and lipitor on discharge as her ldl is at goal. she remains with L sided weakness, slurred speech and a left facial droop.

Other Meds: sinemet, glipizide, losartan, sertraline, simvastatin, coumadin, aspirin, biotin

Current Illness: none

ID: 1518762
Sex: F
Age: 54
State: OK

Vax Date: 03/11/2021
Onset Date: 04/06/2021
Rec V Date: 08/01/2021
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: NA

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

Symptoms: March 11 took Janssen Covid vaccine April 1 took my second Shingrix vaccine April 6, started having what I thought might be an ear infection left ear, started out as like a constant itching way down deep April 7, went to clinic, was given a z pack and steroids April 13, went back to clinic, was given Augentin 10 days and prednisone During this time, pain getting worse and radiating May 19, Feels like my neck is boiling? On fire, pain radiating and it almost felt like chest pain Went to hospital, CT scan, they say normal. Told me to take sudafed around the clock and gave me singular? During this time, I would feel pretty good in the mornings but it was anyones guess how long I would last through the day. Once Istarted having the swelling in my neck, I would be done for the day and nothing except sleeping on a heating pad would even come close to helping May 25-Nurse practioner gave me 5 more days of augmentin and tylenol with codine June 1st- The same neck boiling up happens, this time it felt like my throat was closing up. I called emergency services as I was alone and husband did not answer phone. Went to ER. They coded it as neck pain. Told me nothing was wrong. They did do 113 lab tests and did not discuss with me. After this, I made appointment with primary care and ENT as advised I call original endondist and they said to call a neurologist as he thinks is is nerve pain. Made appointment wiht neurologist and that appoitment is on 8/9 June 10-Went to urgent care, they put me on ivermectin told me I was having lingering issues from vaccine June 17-Getting worse, NP put me on Cipro 5 days All during this time, I am in pain at least half of the day. I go to sleep right after work and lay on a heating pad. I have slept no longer than 3 hours at a time since this started June 21 I have the appointment wiht ENT. I take my CT scan. She says she see some thing that do not look right to her and she want to have a radiologist look at it and will call me the next day. I do not hear anything. I send messages to clinig on 6/29. 7/2 and 7/8 After the 7/8 message I was called to go do an MRI. 7-16 MRI done 7-19 Radiology faxes me copy of MRI results 7-20 clled ENT clinic and no call back 7/21 Requested an appointment in online portal, I am lethargic and know something is not right. Still have the pain in neck, ears. Wherever it is. 7/23 Call clinic and said I need to be seen, see PA. Husband was with me. I did not know what was wrong. 7/24 Feel so much worse, because of all money spent, could not go to ER gain. Went to urgent care and had a UTI. Was given MACROBID 7 days 7/27 tooth that had original root canal is now painful and ear on left side radiating pain 7/28 neck pain in right side is much better, been alternating heat and ice. It is the left side that is still so painful Dr called to talk to me about MRI and plan, he advised me to call endodontist. His office says they will prescribe me a medrol dose pack and the first available appointment is 8/18 The PA tells me "We think you were injured by the vaccine, we do not know what to do about it. She told me to report it and to call the NP who had given me ivermectin to get that again.

Other Meds: Lorsartan-potasium 20 mg Fourismide 20 mg

Current Illness: NA

ID: 1518763
Sex: M
Age: 62
State: CA

Vax Date: 04/01/2021
Onset Date: 04/14/2021
Rec V Date: 08/01/2021
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: Wheezing/coughing/congestion Dr. Visit prescribed a steroidal inhaler: ?Flovent? 7/21/2021 Follow up visit scheduled in two months.

Other Meds: Rosuvistatin Lamodatine Tamsulolsin Losartin

Current Illness: None

ID: 1518764
Sex: F
Age: 35
State: MI

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 08/01/2021
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 allergy

Symptom List: Pharyngeal swelling

Symptoms: I get vertigo every time I lay down for bed, wake up or change head positions. To date, it has become less intense but is still present every day.

Other Meds: Multivitamin

Current Illness: None

ID: 1518765
Sex: F
Age: 44
State: MN

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/01/2021
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: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch Generalized-Medium, Additional Details: Pt is having itching sensation but there are no eruptions on the skin until she actually itches the skin. Pt of any other issues such as trouble breathing. Recommended trying benadryl 25mg today and seeking treatment from urgent care if benadryl does not help.

Other Meds:

Current Illness:

ID: 1518766
Sex: M
Age: 48
State: CA

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 08/01/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Additional Details: Patient had a mild reaction after Janssen Covid 19 vaccine. Observed pt pale in appearance, diaphoretic & unresponsive for 30 seconds. A/O x4. Verbalized feeling lightheaded after injection and has hx of fainting and feeling anxious. Pt given water, tolerated well. Assisted pt back to clinic room. Walked with no difficulty. Vitals taken, BP 133/85, P66, R20, O2 sat @99%. Verbalized feeling better. NP aware. No C/O lightheadedness or dizziness. Walking with steady gait. Pt discharged to home.

Other Meds:

Current Illness:

ID: 1518767
Sex: F
Age: 69
State: NJ

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Systemic: Exhaustion/Lethargy-Mild, Systemic: Fainting/Unresponsive-Mild, Systemic: Weakness-Mild.

Other Meds:

Current Illness:

ID: 1518768
Sex: M
Age: 26
State: FL

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
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: Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Mild, Additional Details: right after i gave the patient the vaccine, the patient fainted and blacked out. The patient then proceeded to seize

Other Meds:

Current Illness:

ID: 1518769
Sex: F
Age: 15
State: SC

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild, Systemic: Tachycardia-Mild, Additional Details: within minutes of receiving vaccine pt passed out falling face first onto floor. pharmacst rushed to pt who was conscious but disoriented. pt was rolled onto back and assessed and found to have 2 abrasions on face due to fall. pt stated she was ok. 911 was called. pharmacist checked pt bp and found it to be 122/48. pt was given water and monitored until ems arrived. EMS arrived and transported pt to ER due to heart rate still being high (130).

Other Meds:

Current Illness:

ID: 1518770
Sex: M
Age: 30
State: CA

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 08/01/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1518771
Sex: M
Age: 27
State:

Vax Date: 07/21/2021
Onset Date: 07/28/2021
Rec V Date: 08/01/2021
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: NKDA

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

Symptoms: Patient developed 3 days of atraumatic right first metatarsophalangeal pain (day 1 of symptoms was 7 days after vaccination), redness, and swelling that improved with ibuprofen. Pain gradually improved but was still lingering at time of encounter.

Other Meds: None

Current Illness: Had an episode of right first metatarsophalangeal pain, swelling, and slight redness developing shortly after the first of two Moderna injections that resolved after 1 day. Took ibuprofen after onset of pain. No prior occurrences.

ID: 1518772
Sex: M
Age: 30
State: MO

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 08/01/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1518773
Sex: M
Age: 33
State: MO

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 08/01/2021
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: Error: Booster Given Too Early-

Other Meds:

Current Illness:

ID: 1518774
Sex: F
Age: 38
State: OH

Vax Date: 05/21/2021
Onset Date: 07/13/2021
Rec V Date: 08/01/2021
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: First menstrual cycle post vaccine seemed normal on 6/28. The following week on 7/12, I experienced spotting up and light cramps on my right side every day until my next menstrual cycle. The second menstrual cycle post vaccine onset 7/27 and seemed normal the first day but has been much, much heavier than normal as of 7/28 and is accompanied with light cramps.

Other Meds: Vitamin C Multi-Vitamin

Current Illness: None

ID: 1518775
Sex: F
Age: 54
State: IL

Vax Date: 07/22/2021
Onset Date: 07/22/2021
Rec V Date: 08/01/2021
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: Site: Bruising at Injection Site-Severe, Site: Pain at Injection Site-Severe, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)-, Additional Details: patient is experiencing pain deep inside upper arm and numbness/tingling of pinky and ring finger that is making it difficult for her to function properly

Other Meds:

Current Illness:

ID: 1518776
Sex: F
Age: 29
State: MO

Vax Date: 06/22/2021
Onset Date: 06/22/2021
Rec V Date: 08/01/2021
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: Error: Improper Storage (temperature)-

Other Meds:

Current Illness:

ID: 1518777
Sex: F
Age: 32
State: FL

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Medium

Other Meds:

Current Illness:

ID: 1518778
Sex: F
Age: 34
State: MD

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 08/01/2021
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: Shoulder Joint Injury (prolonged pain, tingling, etc.)-

Other Meds:

Current Illness:

ID: 1518779
Sex: M
Age: 82
State: CA

Vax Date: 01/24/2021
Onset Date: 07/26/2021
Rec V Date: 08/01/2021
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: COVID Infection after vaccination with hypoxia and resultant hospitalization.

Other Meds: ASA 81 Lipitor Cozaar Wixela Duoneb Allopurinol Nortriptyline

Current Illness: None

ID: 1518780
Sex: F
Age: 30
State: CA

Vax Date: 07/27/2021
Onset Date: 07/28/2021
Rec V Date: 08/01/2021
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: Systemic: Body Aches Generalized-Medium, Systemic: Chest Tightness / Heaviness / Pain-Medium, Systemic: Nausea-Medium, Systemic: Tachycardia-Medium

Other Meds:

Current Illness:

ID: 1518781
Sex: F
Age: 73
State: MA

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/01/2021
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: Wrong Vaccine Formulation (ex. different manufact. initial and booster)-

Other Meds:

Current Illness:

ID: 1518782
Sex: M
Age: 21
State: MA

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium, Additional Details: tingling in hands

Other Meds:

Current Illness:

ID: 1518783
Sex: F
Age: 12
State: TX

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
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: Systemic: Fainting / Unresponsive-Mild, Systemic: Weakness-Mild, Additional Details: A 12 y/o female got 2nd dose pfizer vaccine, verbally informed to sit for 15 mins which she complied to. Few minutes after the administration while seated, patient fainted, fell on the ground as stated by her mother. Another caregiver called me stating someone had fainted. I rushed to the seating area, found patient on the ground slightly conscious with her eyes open but weak. I offered water , to call 911 but declined. She was monitored for 15 more mins and left the pharmacy. I will follow up

Other Meds:

Current Illness:

ID: 1518784
Sex: M
Age: 57
State: NJ

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: lightheaded joint pain problem with balance

Other Meds: none

Current Illness: none

ID: 1518785
Sex: F
Age: 54
State: NJ

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
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: no

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

Symptoms: Joint pain chills left arm

Other Meds: pain killers

Current Illness: problems with low back

ID: 1518786
Sex: F
Age: 53
State: TX

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 08/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and eggs

Symptom List: Nausea

Symptoms: My left shoulder frozen . It became extremely painful to life. I continue to have pain in my shoulder joint. It is stiff and I am unable to raise it more than 6 inches from my side since a few days after the injection. A day prior to the injection I was doing 50 sit ups a day in addition to jump roping. I can no longer do any arm exercises that include my left arm. I have tried physical therapy. It has not helped.

Other Meds: None

Current Illness: None

ID: 1518787
Sex: F
Age: 52
State: TN

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/01/2021
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: Rash red swollen at injection site, Severe headache and fever. Fever started the day after injection and lasted for two days. Fever ranged from 100 to 102. Fever finally broke on Saturday night but still have severe headache and arm is still red and swollen.

Other Meds: Synthroid, Estradiol, Plaquenil,

Current Illness:

ID: 1518788
Sex: M
Age: 49
State: LA

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 08/01/2021
Hospital:

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

Lab Data:

Allergies: Flagyl

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

Symptoms: The day following the injection, I began to experience hypertension and an accelerated heart beat. It was sustained at 140/100 and a pulse of 100, with an associated headache and dizziness. I also felt tightness in my chest. I do not have hypertension and usually my blood pressure is 125/80 with a pulse of 70. I was not exerting myself at the time of occurrence. This continued on and off for the next 2 days, prompting me to visit my doctor?s office. Symptoms subsided 3 days after starting.

Other Meds: Singulair 10mg, Zyrtec?D, Crestor 10mg

Current Illness: None

ID: 1518790
Sex: M
Age: 50
State: IL

Vax Date: 05/15/2021
Onset Date: 05/16/2021
Rec V Date: 08/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Extreme pain in bicep muscle muscle and tendon attaching at the elbow. Usually caused by lifting something with that arm but sometimes it flares up with no cause. Gradually getting better but still have lots of pain 2 1/2 months after injection which is limiting the use of right arm.

Other Meds: None

Current Illness: None

ID: 1518791
Sex: F
Age: 37
State: FL

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 08/01/2021
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: After receiving the 2nd dose my I have had pain in my shoulder and arm. I also have tingling shooting down my arm to my hand.

Other Meds: lo loestrin fe

Current Illness:

ID: 1518792
Sex: M
Age: 27
State: MI

Vax Date: 07/31/2021
Onset Date: 08/01/2021
Rec V Date: 08/01/2021
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: Augmentin

Symptom List: Erythema, Pruritus

Symptoms: Vasovagal syncope episode.

Other Meds: NyQuil Friday night

Current Illness: None

ID: 1518793
Sex: M
Age: 45
State: CT

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 08/01/2021
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: Dizziness with-in one minute of injection that lasted approximately two hours. Neck and chest broke out in hives approximately 15 minutes of injection lasting one hour.

Other Meds:

Current Illness:

ID: 1518794
Sex: F
Age: 34
State: TX

Vax Date: 07/26/2021
Onset Date: 07/27/2021
Rec V Date: 08/01/2021
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: Amoxicillin

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

Symptoms: Rapid heart rate- still rapid 7 days later

Other Meds: Vitamin D, multi vitamin

Current Illness:

ID: 1518795
Sex: F
Age: 33
State: MS

Vax Date: 07/28/2021
Onset Date: 07/29/2021
Rec V Date: 08/01/2021
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: Dairy

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Period began as it should on the evening of July 28; however, it has been extremely light. I have only spotted.

Other Meds: Adipex, trintellix, polyethylene glycol, magnesium, sodium biscodyl, calcium, vitamin D, prenatal vitamins

Current Illness: None

ID: 1518796
Sex: M
Age: 48
State: FL

Vax Date: 07/12/2021
Onset Date: 07/21/2021
Rec V Date: 08/01/2021
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: Headache, horrible flu like symptoms that lasted one day

Other Meds: Entresto and cordiveral

Current Illness: No e

ID: 1518797
Sex: M
Age: 68
State: TX

Vax Date: 03/23/2021
Onset Date: 04/15/2021
Rec V Date: 08/01/2021
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: Codine

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

Symptoms: kidney problems

Other Meds: Pentazocine/nalaxone Tramadol

Current Illness: None

ID: 1518798
Sex: F
Age: 28
State: CA

Vax Date: 07/30/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Pain in extremity

Symptoms: 2 inch red circle. Warm to the touch, hard to the touch as well.

Other Meds: NA

Current Illness: NA

ID: 1518799
Sex: M
Age: 19
State: VA

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: He passed out twice, vision changes prior to passing out. HR remained elevated for 12 hours after passing out, between 88-127 as we monitored it. Shivering and headache after passing out. Laying down didn't bring him out of the passed out state. He didn't come to until his feet were elevated a few seconds. BP afterward when laying down was 110/55, HR 68. He had COVID back in Dec 2020 with very mild symptoms. Totally healthy and feeling good when he got the vaccine yesterday and he is a very healthy 19/yo male.

Other Meds: None

Current Illness: None

ID: 1518800
Sex: M
Age: 64
State: NY

Vax Date: 03/08/2021
Onset Date: 03/30/2021
Rec V Date: 08/01/2021
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: Trigeminal neuralgia right side of face. Sensitive to touch, wind. Started a few days after second dose, lasted 3 months. Seems to have gone away now

Other Meds:

Current Illness:

ID: 1518801
Sex: F
Age: 77
State: CA

Vax Date: 02/04/2021
Onset Date: 03/01/2021
Rec V Date: 08/01/2021
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: Following my 1st injection (2/4/21, I had mild flu symptoms. After my second injection (2/26/21) , I began to feel are and achy in my shoulders, neck and hips. By March and April I was not able to do my normal activities. My clinic for my arthritis, told my I had a rotator cuff tear on the left side and arthritis on the right.

Other Meds: atorvastatin 10mg

Current Illness: none

ID: 1518802
Sex: M
Age: 34
State: NC

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 08/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: After about 12-18 hours I started to develop a headache. Over the next 24 hours I developed muscle and joint aches, shivers, and a fever a little bit over 100 degrees Fahrenheit. The symptoms started mild, progressed to moderate and stayed there until resolution at the end of the 36-42 hour window. I took four ibuprofen tablets roughly at the midpoint of the 24 hour window.

Other Meds:

Current Illness:

ID: 1518803
Sex: F
Age: 33
State: GA

Vax Date: 07/28/2021
Onset Date: 07/29/2021
Rec V Date: 08/01/2021
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: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: My taste and smell decreases,Fatigue and a sense of depression/anxiety

Other Meds: No

Current Illness: No

ID: 1518805
Sex: M
Age: 44
State: DE

Vax Date: 07/31/2021
Onset Date: 07/31/2021
Rec V Date: 08/01/2021
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: Melatonin

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

Symptoms: Approximately 5 minutes after injection patient briefly lost consciousness. He became pale and started sweating. He appeared confused and his eyes had rolled back in his head. We attempted to move him to the floor as he appeared to be fainting but he then came out of it. He was confused and thought he had fallen asleep. He remained nauseous, pale and sweaty. 911 was called at the time of occurrence and EMTs came to assess the patient and took him to the hospital.

Other Meds: Morphine er 15 mg 1q12 hours Hydrocodone-apap 10/325 mg 1q12 hours

Current Illness: N/a

ID: 1518806
Sex: F
Age: 39
State: IA

Vax Date: 04/11/2021
Onset Date: 04/01/2021
Rec V Date: 08/01/2021
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: Latex, walnut, banana, pumpkin, hay fever

Symptom List: Injection site swelling, Limb discomfort

Symptoms: UTI with dysuria, general bladder and urinary tract pain, bloating, fatigue, brain fog on the worst days. Started shortly after second vaccination. Has not responded to treatment with several different oral antibiotics--or rather, I get better then worse again a few days later. Possible interstitial cystitis. Still receiving testing and treatments.

Other Meds: Singulair, Fexofenadine, Asmanex, multi-vitamin

Current Illness: None

ID: 1518807
Sex: M
Age: 19
State: MA

Vax Date: 07/30/2021
Onset Date: 07/30/2021
Rec V Date: 08/01/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Pt felt nausea/feinting/weak/sweat. I called the ambulance and ask Pt to turn on his heart monitor on his phone device. His pulse rate was 75 and BP 110/75.

Other Meds: no

Current Illness: never had vaccination

ID: 1518808
Sex: F
Age: 33
State: WI

Vax Date: 04/16/2021
Onset Date: 07/25/2021
Rec V Date: 08/01/2021
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: I developed severe shingles 15 weeks post covid shot.

Other Meds: Lexapro 20mg Vitamin D 5,000 IU PRENATAL vitamin Magnesium glycinate 400mg daily

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm