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: 1526153
Sex: F
Age: 53
State: TN

Vax Date: 04/21/2021
Onset Date: 04/29/2021
Rec V Date: 08/04/2021
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: mild allergy to tree nuts, allergy to most diabetic medications

Symptom List: Dysphagia, Epiglottitis

Symptoms: April 29-tender knots in armpit on injection arm. April 30-Red patch at injection site (red, firm, raised, hot to touch, 4x3 inches long), hives on neck, tingling around chin and mouth. May 1-hives increased covering both forearms and left arm above elbow, lips tingling. May 4-red patch gone, armpit knots a little less tender. May 7-knots still present but only mildly tender. May 11-knots only tender if mashed. July 7-recurrance of knots in same armpit. Through July-ovarian cyst pain and hot flashes/night sweats (unrelated to menopause as bijuva had eliminated these symptoms for me).

Other Meds: levothyroxin, ozympic, bijuva, tylenol

Current Illness: none

ID: 1526154
Sex: M
Age: 13
State: GA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 08/04/2021
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: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1526155
Sex: M
Age: 15
State: NY

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

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

Lab Data:

Allergies:

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

Symptoms: No Adverse reaction, Moderna Vaccine was administered to a minor

Other Meds:

Current Illness:

ID: 1526156
Sex: F
Age: 43
State: FL

Vax Date: 07/22/2021
Onset Date: 07/22/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies: Sentra

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Immediately my vision got blurry, then nausea that hasn't stopped with vomiting, the day of vaccine I was sleeping within an hour, I had a bubble where the shot was given, I woke up on 8/1 with extreme itch at injection spot , a large Red rash that has a fever juat in that area of 102. My whole left arm started to break out in hives and I'm missing work from the itch, blurred vision and nausea.

Other Meds: Bupropion, cymbalta, adderall

Current Illness: None

ID: 1526157
Sex: M
Age: 68
State: MI

Vax Date: 03/04/2021
Onset Date: 08/01/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: cough, chest pain, back pain

Other Meds: Zanaflex, Lyrica, Metformin, Zetia, clonidine, lipitor, aspirin

Current Illness:

ID: 1526158
Sex: F
Age: 40
State: GA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 08/04/2021
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: PENICILLINS CEPHALOSPORINS ZITHROMAX

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

Symptoms: I had Adverse Reactions to both vaccines ( and i had Covid prior) . But the second one caused very intense SE, abnormal one being fainting spells. They lasted about 7 hours i would say, basically if i would stand for even 1 minute i would feel myself starting to faint (i fainted before and know exactly the feeling). If i lay down then the feeling would go away. But the weakness,lightheadedness, severe and i mean SEVERE body aches were present that whole day. Even my taste changed to bitter (just like when i had Covid). I know most of the SE are considered normal, but the fainting spells are not.

Other Meds: none

Current Illness: none

ID: 1526159
Sex: M
Age: 16
State: MO

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 08/04/2021
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: Patient was given vaccine reported feeling okay until he stood up. Once he sat down, he said he felt "hot". I gave patient an ice pack and a cold bottle of water to help. Patient then reported feeling tingling throughout his body, shaking, and blurred vision. After closing his eyes for about 6 minutes, he reported feeling better and was okay to leave. He said he'd rest more once he got home.

Other Meds: none

Current Illness: none

ID: 1526160
Sex: M
Age: 13
State: GA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 08/04/2021
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: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1526161
Sex: M
Age: 44
State: CA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 08/04/2021
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: Very mild tinnitus got noticibly worse. Now I hear it throughout the day. It is more difficult to sleep. I first experienced within a day or so after the first vaccine and it has been that way for 4 months without meaningful improvement.

Other Meds: None

Current Illness: None

ID: 1526162
Sex: F
Age: 42
State: CA

Vax Date: 07/13/2021
Onset Date: 07/16/2021
Rec V Date: 08/04/2021
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: penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I had numbness in my hands and legs, starting 2 days after the injection. The numbness comes and goes and is mostly in my right hand and foot, though at times the left side is still affected. I also have occasional mild pain in my arms and legs.

Other Meds: zinc

Current Illness: hypothyroid disorder

ID: 1526163
Sex: M
Age: 14
State: GA

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 08/04/2021
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: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1526164
Sex: F
Age: 51
State: AZ

Vax Date: 04/01/2021
Onset Date: 07/14/2021
Rec V Date: 08/04/2021
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: all animals, Sulfa, Morphine

Symptom List: Rash, Urticaria

Symptoms: I felt like having the flu, my body was aching, I had a fever for 3 or 4 days, I felt like crap, I was exhausted, I pretty much slept for like a week. I did not go to the doctor because I was expecting to be sick. On 07/14/2021 I went to the doctor because I had a fever again and my throat was pretty much closed up and really sore, a never ending headache, brain foggy. Every day I have like a giant headache and very foggy which is very annoying. They gave me antibiotics and did not do any medical tests which is very annoying.

Other Meds: allergy medicine, Xolair injection every month, vitamins, Prempro for hot flashes

Current Illness: None

ID: 1526165
Sex: F
Age: 18
State: IA

Vax Date: 08/01/2021
Onset Date: 08/02/2021
Rec V Date: 08/04/2021
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: Patient's mom reported that pt had a temp of 104 after the vaccine and then on Monday she had swollen eyes. She had a swollen arm and is still feeling miserable. Patient's mom gave her Benadryl.

Other Meds:

Current Illness:

ID: 1526166
Sex: F
Age: 14
State: FL

Vax Date: 06/03/2021
Onset Date: 06/03/2021
Rec V Date: 08/04/2021
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: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1526168
Sex: F
Age: 15
State: NC

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1526169
Sex: M
Age: 37
State:

Vax Date: 05/24/2021
Onset Date: 07/22/2021
Rec V Date: 08/04/2021
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: Penicillin

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

Symptoms: I have been experiencing neurological issues, i.e., facial numbness, and numbness/weakness in the extremities (arms and legs), frequent dizziness, and confusion.

Other Meds: Multivitamin, Zyrtec, Flonase

Current Illness: None

Date Died: 08/02/2021

ID: 1526170
Sex: F
Age: 44
State: MI

Vax Date: 03/30/2021
Onset Date: 07/21/2021
Rec V Date: 08/04/2021
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: Suspected covid break through

Other Meds:

Current Illness:

ID: 1526171
Sex: M
Age: 15
State: MI

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1526172
Sex: F
Age: 70
State: CA

Vax Date: 08/01/2021
Onset Date: 08/01/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Per report pt started to have SOB night of 8/1/21. During the day, 8/2/21 was not able to even eat. Started on 5L via NC, face was flushed, hadexternal cath because pt was unable to get out of bed. MD notified. CXR ordered, antibiotic given, BVG sent, breathing tx given twice, RT came and put pt on high flow at 45L 40%. Pt was getting Tachy, Md notified. This RN went to lunch and break RN called Rapid Response because pt c/o not able to stand the high flow. They tried to put pt on a face CPAP while waiting to transfer pt to ICU. Pt intubated in ICU

Other Meds: empagliflozin 10mg, nicotine 7mg/24hr patch, spironolactone 12.5mg, potassium chloride 40mEq, amiodarone 200mg, aspirin 81mg, apixaban 5mg, atorvastatin 80mg, budesonide/formoterol 160-4.5mcg/at 2 puffs, digoxin 0.125mg, docusate 100mg, fur

Current Illness: type 2 diabetes, COPD, paroxsymal Afib, precapillary pHTN, nonischemic HFrEF 15-20% with past history of methamphetamine use who was BIBA due to SOB and wheezing - medication noncompliance

ID: 1526173
Sex: F
Age: 51
State: IN

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/04/2021
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: sore throat, headache, body aches, chills, "real cold" all night, chest pain that hurt all night and went into friday and saturday

Other Meds:

Current Illness:

ID: 1526174
Sex: F
Age: 11
State: NC

Vax Date: 05/15/2021
Onset Date: 05/15/2021
Rec V Date: 08/04/2021
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: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1526175
Sex: F
Age: 54
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies: SULFA, FLU VAC 2018

Symptom List: Unevaluable event

Symptoms: HIVES ERYTHEMA BENEDRYL 25 MG PO RESOLVED

Other Meds: MULTI VIT, VIT B12, VIT D, CALCIUM

Current Illness: NONE

ID: 1526176
Sex: F
Age: 24
State: WA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 08/04/2021
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: Penicillin

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

Symptoms: High fever, soreness, fatigue, injection site soreness, caused flare up of chronic health condition, joint pain, rash.

Other Meds: Stelara; methotrexate; folic acid; Celebrex; paroxetine; Paxil; prednisone; trazadone; gabapentin; Nuva ring; hydrocodone

Current Illness: None

ID: 1526177
Sex: M
Age: 38
State: FL

Vax Date: 07/06/2021
Onset Date: 07/16/2021
Rec V Date: 08/04/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Pain

Symptoms: Bloods developed in left leg and both lungs. Diagnosed with Deep Vein Thrombosis and Pulmonary Emboli. Went to ER at Hospital late night Wednesday 7/21 and was admitted. Ultrasound of leg and CAT scan used to diagnose blood clots. Was admitted and started on heparin IV and discharged on Saturday.

Other Meds: Lisinopril-hczt

Current Illness: n/a

ID: 1526178
Sex: M
Age: 48
State: UT

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: I started with a fever at about 11:00Pm that night along with chills, and stomach aches. That lasted about 48 hours. Later on in the month I developed severe fatigue that disrupted my life. I couldn't do the things I did before. I'm still trying to get treatment and the outcome of it all. I've been to a lot of different specialist but noone has been able to tell me anything.

Other Meds: None

Current Illness: None

ID: 1526179
Sex: M
Age: 55
State: MI

Vax Date: 03/29/2021
Onset Date: 07/28/2021
Rec V Date: 08/04/2021
Hospital: Y

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: hospitalized with cough and shortness of breath after 7 days

Other Meds:

Current Illness:

ID: 1526180
Sex: F
Age: 38
State: MO

Vax Date: 08/02/2021
Onset Date: 08/02/2021
Rec V Date: 08/04/2021
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: The night patient received vaccine she had multiple dime-sized bruises on both arms. She was advised to go to the doctor if bruising got worse. Checked in with patient 08/04/2021 and she reported that bruising has improved.

Other Meds:

Current Illness:

ID: 1526181
Sex: F
Age: 36
State: MA

Vax Date: 04/30/2021
Onset Date: 07/15/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: July 15 I started bleeding; July 19 - when the miscarriage happened. Pregnancy - 1 live birth pregnancy - 2nd miscarriage. - (three pregnancies altogether). Estimated due date - February 2nd, 2022

Other Meds: Pantoprazole - heartburn; Topical stuff for psoriasis

Current Illness: no

ID: 1526182
Sex: F
Age: 15
State: NC

Vax Date: 05/11/2021
Onset Date: 05/11/2021
Rec V Date: 08/04/2021
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: Error: Patient Too Young for Vaccine Administered-

Other Meds:

Current Illness:

ID: 1526186
Sex: M
Age: 87
State: MD

Vax Date: 07/26/2021
Onset Date: 08/04/2021
Rec V Date: 08/04/2021
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 received 2 Pfizer vaccines 13 days apart.

Other Meds:

Current Illness:

ID: 1526187
Sex: F
Age: 49
State: FL

Vax Date: 07/18/2021
Onset Date: 07/18/2021
Rec V Date: 08/04/2021
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: Tingling on one side of face and inside one side of mouth and tongue with small amount of swelling on that side of face, mouth and felt like tiny bit in ear. Woozy and not able to think very well within a few minutes. Nauseas on way home. Tingling etc went away by that evening, a little nausea off and on for about a week, fatigue went away on 10th day and a bit minded over after about 5 days or so. On 12th day flutters and abdomen pain which went away by day 14.

Other Meds:

Current Illness:

ID: 1526188
Sex: F
Age: 44
State: CA

Vax Date: 06/04/2021
Onset Date: 06/05/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Full body is sore for about a month and for the first one and half weeks, I even couldn't sleep at night due to the extreme sore

Other Meds: No

Current Illness: No

ID: 1526189
Sex: F
Age: 15
State: AR

Vax Date: 08/02/2021
Onset Date: 08/02/2021
Rec V Date: 08/04/2021
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: KNDA

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

Symptoms: I was with a new nurse training in OB when the clerks paged for a COVID vaccine waiting for nurse. I finished helping the nurse 15 minutes later and noticed the COVID vaccine papers were still waiting for a nurse. The next maternity patient was ready but I sent the new nurse to get vitals and UA while I grabbed the COVID and would come back to the nurse since the other nurses were still busy. It ended up being 3 COVIDS together and not 1. I had to explain to the parents that the child could not get the J&J like they were told they could get because of her age and that she could only get Pfizer. The parents were not happy but I quickly went to draw up all the vaccine since I had a scheduled patient waiting. Reconciliation was done Friday afternoon when I was off work so I mixed up the vaccine and gave it to them making sure I gave the child the correct thing and sent them to the waiting room to wait their time and get the lottery tickets that the parents wanted. I realized after I gave the vaccine that the vial was expired and did not think about it at the time it was drawn up because the month had just changed over the weekend and I was not at work the week before to realize it was expiring soon and reconciliation had just been done and the vaccine was still in the stock fridge and not labeled expired. Dr. discusses incident with Pfizer and was told that dose is valid but report still needed to be completed.

Other Meds: n/a

Current Illness: none

ID: 1526190
Sex: F
Age: 64
State: KS

Vax Date: 08/02/2021
Onset Date: 08/04/2021
Rec V Date: 08/04/2021
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: Tylenol and Aspirin

Symptom List: Tremor

Symptoms: I got the Pfizer?BioNTech COVID-19 vaccine Monday 8/2/21 and woke up Wed 8/4/21 at 4:00 am with a pounding heart and very fast heart beat. It lasted about 20 seconds after I woke up. I called my physician and she told me to get rest and if it happens again and lasts longer to go to the ER.

Other Meds: 0

Current Illness: None

ID: 1526191
Sex: F
Age: 12
State: IN

Vax Date: 06/16/2021
Onset Date: 06/27/2021
Rec V Date: 08/04/2021
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: Amoxicillin

Symptom List: Erythema, Pruritus

Symptoms: Previously healthy 13yo female admitted on 7/11/21 with headache (initially started 6/27, intermittent but progressed), left-sided weakness, brief syncopal episode and altered mental status and hallucinations. Developed orofacial dyskinesias and choreoathetoid movements. CSF with WBC of 359 (73% lymphs, 23% monos), negative infectious workup but positive Anti-NMDA antibodies, ultimately diagnosed with anti-NMDA autoimmune encephalitis. The patient has received the following treatments for her autoimmune encephalitis: * IVIG 7/12-7/16 * Methylprednisolone 1000mg IV daily 7/12-7/17 * Prednisolone 51mg BID 7/18 - 7/22 PO * Methylprednisolone IV ? 50mg IV BID 7/23-7/25 ? 40mg BID 7/26 - 8/2 ? 30mg BID 8/2 * Rituximab 600mg 7/23 * PLEX 8/2 - 8/4 (today) Despite the above interventions, there has been no improvement in the patient's neuropsychiatric status. She is currently intubated with evidence of autonomic instability (suspected secondary to her autoimmune encephalitis), but even prior to recent intubated a few days ago, she does not recognize family members.

Other Meds: None

Current Illness: None known

ID: 1526192
Sex: M
Age: 53
State: LA

Vax Date: 07/23/2021
Onset Date: 07/25/2021
Rec V Date: 08/04/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: none

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

Symptoms: light headed lying down are getting up, looking straight up backward

Other Meds: losartan, potassium and hydrochlorothiazide 50 mg/12.5, glimepiride 2 mg., labetalol hcl 300 mg., metformin hcl 500 mg., amlodipine besylate 10 mg

Current Illness: none

ID: 1526193
Sex: F
Age: 35
State: NE

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 08/04/2021
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: allergy to morphine

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

Symptoms: patient got light-headed and heart racing, shivering about 15 minutes after vaccine. could not relax her breathing

Other Meds: hair skin and nails tablets

Current Illness: none

ID: 1526194
Sex: F
Age: 19
State: MO

Vax Date: 08/02/2021
Onset Date: 08/04/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Inside of right elbow is sore and kind of achy. I cant usually see my veins but I almost have purple spider like veins today. Not really concerned and pain is like 3/10

Other Meds: None

Current Illness: None

ID: 1526195
Sex: M
Age: 82
State: MI

Vax Date: 04/24/2021
Onset Date: 08/03/2021
Rec V Date: 08/04/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Patient had confusion and his lips turned blue so he came to the hospital

Other Meds:

Current Illness:

ID: 1526196
Sex: M
Age: 14
State: OR

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No known allergies to medications, food, or other products.

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

Symptoms: Client's father requested Pfizer 0.3 mL first dose. Client received Moderna 0.5 first dose instead. Client was observed for 30 minutes by RN. Client did not present with any signs or symptoms of an untoward response or reaction to the Moderna first dose.

Other Meds: unknown

Current Illness: Unknown

ID: 1526197
Sex: M
Age: 53
State: VA

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/04/2021
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: Pain in extremity

Symptoms: The patient did not suffer any adverse events as far as I know, they did however receive a dose of Pfizer under the guise of it being a first dose after having received the Janssen vaccination in April 2021

Other Meds:

Current Illness:

ID: 1526198
Sex: M
Age: 66
State: TN

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 08/04/2021
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: moderate to severe tinnitus

Other Meds: Pravastain - Finerstide

Current Illness: none

ID: 1526199
Sex: F
Age: 12
State: MO

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/04/2021
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: Within 5 minutes after receiving vaccine, patient became hot, sweaty, dizzy and nauseous. While moving patient to counsel room, she went limb but did not pass out. 911 was called. Patient then threw up, continued to be dizzy and nauseous. Patient never experienced hives, rash, swelling of the throat or difficulty breathing. Continued to monitor patient for breathing until EMT arrived and took over care. EMT advised mom to either take her to hospital by ambulance or herself or to monitor her at home. Mother took her to hospital herself.

Other Meds:

Current Illness:

ID: 1526200
Sex: F
Age: 39
State: FL

Vax Date: 07/29/2021
Onset Date: 08/01/2021
Rec V Date: 08/04/2021
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: N/a

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

Symptoms: Congestion, post nasal drip, severe back pains, skin pains and sensitivity, joint pain, fever, burning eyes, headaches, nausea

Other Meds: Cholecalcif; Folic Acid

Current Illness: N/a

ID: 1526201
Sex: F
Age: 11
State: MI

Vax Date: 06/05/2021
Onset Date: 08/04/2021
Rec V Date: 08/04/2021
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: no reported adverse event, parents told us patient was 12, however patient was 11 yr and 8 months upon first vaccination on 6/5/21 and subsequent second dose of 6/26/21

Other Meds:

Current Illness:

ID: 1526202
Sex: F
Age: 52
State: TX

Vax Date: 01/12/2021
Onset Date: 01/25/2021
Rec V Date: 08/04/2021
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: Began experiencing extreme thirst at night, leg cramps, fatigue

Other Meds: None

Current Illness: None

ID: 1526204
Sex: F
Age: 78
State: MI

Vax Date: 05/14/2021
Onset Date: 08/01/2021
Rec V Date: 08/04/2021
Hospital: Y

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: Suspected covid breathrough

Other Meds:

Current Illness:

ID: 1526205
Sex: F
Age: 39
State: NJ

Vax Date: 07/15/2021
Onset Date: 07/16/2021
Rec V Date: 08/04/2021
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, cipro, tetracycline, nickel, gold, soy

Symptom List: Injection site swelling, Limb discomfort

Symptoms: My resting heart rate is usually in the upper 70's/low 80's but has been in low 60's and 50's and upper 40's since the vaccine.

Other Meds: Adderral

Current Illness: none

ID: 1526206
Sex: F
Age: 84
State:

Vax Date: 05/21/2021
Onset Date: 05/21/2021
Rec V Date: 08/04/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Patient received a 2nd dose of Moderna after already getting 2 doses of Pfizer. 1st dose of Pfizer on 1/30/21 and 2nd dose of Pfizer on 2/22/21. 1st dose of Moderna on 4/23/21 and 2nd dose of Moderna on 5/21/21.

Other Meds:

Current Illness:

ID: 1526207
Sex: M
Age: 12
State: OR

Vax Date: 08/01/2021
Onset Date: 08/01/2021
Rec V Date: 08/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: the vaccine was expired by 1 day of manufacture expiration date.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm