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: 1529043
Sex: F
Age: 22
State: NY

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/05/2021
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: cats dogs Seasonal allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: After Patient got vaccine and headache. Patient stated that she had a fever and that most parts of her body felt hot. Patient went to sleep and then woke up and had a knot on her wrist. Patient stated that x ray showed that she had a spot on her lungs.

Other Meds: Birth Control pill

Current Illness:

ID: 1529044
Sex: F
Age: 34
State:

Vax Date: 03/02/2021
Onset Date: 07/31/2021
Rec V Date: 08/05/2021
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: fully vaccinated (pfizer, 2/3/21, 3/2/21); onset of symptoms 7/31/21

Other Meds:

Current Illness:

ID: 1529045
Sex: M
Age: 29
State: CO

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/05/2021
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: 10 minutes after vaccine administration pt stated he started to feel dizzy like he might pass out. After pt was moved from outside into an air conditioned mobile unit, provided water and a snack pt began to feel much better. Pt was monitored for 15 additional minutes at which point he stated ? he feels 100% ? pt was released.

Other Meds: None

Current Illness: None

ID: 1529046
Sex: F
Age: 33
State: IL

Vax Date: 07/23/2021
Onset Date: 07/23/2021
Rec V Date: 08/05/2021
Hospital:

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

Lab Data:

Allergies: bactrim ds

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The evening that I got the vaccine I noticed tingling in my legs. The next evening I noticed it again including involuntary muscle spasms. Over the course of the week it spread to my arms, back, scalp and face. It was worse when I was at rest but became bothersome all throughout the day. Muscle spasms, tingling and numbness peaked at 7 days after the shot and slowly started to subside. The symptoms are still present present at day 13.

Other Meds: probiotic

Current Illness: none

ID: 1529047
Sex: F
Age: 69
State: NY

Vax Date: 08/02/2021
Onset Date: 08/03/2021
Rec V Date: 08/05/2021
Hospital:

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

Lab Data:

Allergies: Adhesive

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

Symptoms: Very cold, shaking, shivering, could not get warm, headache, slight upset stomach, aches all over. Lasted about 24 hours.

Other Meds: Metformin er Centrum for women 50+ Baby aspirin Bayer Tylenol arthritis 8-hour Fomotidine

Current Illness:

ID: 1529048
Sex: M
Age: 18
State: CA

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/05/2021
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: NKA

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

Symptoms: PFIZER VACCINE WAS DILUTED WITH STERILE WATER INSTEAD OF SODIUM CHLORIDE, NO SITE REACTIONS REPORTED. PATIENT CONTACTED SAME DAY AND INFORMED OF EVENTS. PATIENT FEELS FINE AND WILL NOT BE CONTACTING MD AT THIS TIME PHARMACIST WILL FOLLOW UP IN 14 DAYS

Other Meds: PFIZER VACCINE

Current Illness: UNKNOWN

ID: 1529049
Sex: M
Age: 58
State: MN

Vax Date: 03/12/2021
Onset Date: 04/16/2021
Rec V Date: 08/05/2021
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: NA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I HAD A BLURRY SPOT IN THE VISION OF MY RIGHT EYE. IT DID NOT GO AWAY, SO I SAW AN EYE DOCTOR ON 05/22/2021 WHO FOUND THE CAUSE TO BE A "COTTON WOOL SPOT IN THE SUP ARCADE". IT WAS AN EYE INFARCTION WHICH RESOLVED ITSELF IN 6-8 WEEKS AS HE PREDICTED. BUT HE HAD ME SEE MY PCP, WHO RAN A BLOOD TEST THAT SHOWED 1/80 ANITNUCLEAR ANTIBODY MEASURE. DR REFERRED ME TO A RHEUMATOLOGIST ON THE OFF CHANCE THIS COULD BE LUPUS. THE RHEUMATOLOGIST FOUND NO CORROBORATING EVIDENCE OF LUPUS. NO ONE COULD ATTRIBUTE THE INFARCTION OR THE ANA MEASURE TO THE VACCINATION WITHOUT A LARGER STUDY, BUT IT IS POSSIBLE.

Other Meds: NA

Current Illness: NA

ID: 1529050
Sex: F
Age: 65
State: MI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 08/05/2021
Hospital:

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

Lab Data:

Allergies: Belladona, Valtrex, Tape

Symptom List: Pharyngeal swelling

Symptoms: On 1/14/2021 next day after 2nd vaccine, I developed ringing in my ears. It has not stopped and has gotten worse. My ability to hear has decreased.

Other Meds: Multivitamin, Lisinopril, Metoprolol, Diltiazem, Repatha, ASA 81mg, plavix, Vit C, Vit D, Singulair, Zyrtec, Vit Omega-3, Nexium, Hydrocortisone, celexa, crestor, colace, zetia, Co-Q10, Folic acid

Current Illness: None

ID: 1529051
Sex: M
Age: 23
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient complained of dizzines minute after the shot. Placed patent flat on the ground and raised feet. Still light headed and diaphoretic. Taken to hospital in ambulance 40minutes after vaccination.

Other Meds:

Current Illness:

ID: 1529052
Sex: F
Age: 51
State: IL

Vax Date: 06/17/2021
Onset Date: 06/17/2021
Rec V Date: 08/05/2021
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, Sulfa

Symptom List: Diarrhoea, Nasal congestion

Symptoms: My blood sugar plummeted below 40 continuously for four days. My endocrinologist was made aware as was my PCP.

Other Meds:

Current Illness:

ID: 1529054
Sex: F
Age: 56
State: ID

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 08/05/2021
Hospital:

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

Lab Data:

Allergies: Cipro; Percocet.

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

Symptoms: 01/21/2021 the night of the vaccine I had aches, pains and chills. Every since then I have had pains in my joints in my hands and feet. Ongoing.

Other Meds: Lexapro; Valtrex

Current Illness: None

ID: 1529055
Sex: F
Age: 52
State: TX

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 08/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: NONE

Symptom List: Rash, Urticaria

Symptoms: Patient stated that about 3 days after receiving vaccine, she had pains in the hands and feet. Then once that pain went there was some tingling in hands, feet, and tongue. After that symptom didn't go away, she went to her doctor and was prescribed "Verapamil". Patient stated that medication did not work, then she started having more numbness and started feeling a skin crawling/ tingling sensations in her hands and her arms. Patient stated that there was some frazzled nerve feeling, then a numbness. Patient randomly has shocking/stinging sensations. Patient stated that she feels like her muscles are very weak, and she's been having some shallow breathing and some anxiety as well. She said the there is some slowness in her coordination, and balance. Recently, patient has been feeling like her blood circulation has been cut off several times a day (for about a second each time).

Other Meds: Vitamin D,A, Calcium MSM, Omega 3 oil

Current Illness: NONE

ID: 1529056
Sex: F
Age: 38
State: IL

Vax Date: 07/10/2021
Onset Date: 07/10/2021
Rec V Date: 08/05/2021
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 passed out in her car after vaccine administered. Smelling salts used and client awakened and was alert. Pulse ox 99% Pulse 75. Patient was given gatorade and a snack. Patient was talking and alert, she decided to get out of the car and walk a little bit. Nurse was near her side. Patient verbalized feeling better. She called her husband and let him know to her expect her at home, as she decided to drive herself back home. Nurse advised patient to get a ride home and not drive, patient refused.

Other Meds:

Current Illness:

ID: 1529057
Sex: F
Age: 54
State:

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 08/05/2021
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: I was fine after the first dose (12/17/20). In this instance (the 2nd dose), I woke up in the middle of the night and thought I was paralyzed. Arms & legs so "heavy" I couldn't move them. I honestly can't remember if I did get out of bed, but was okay the next day...just tired. I went for my annual physical March 25th, tested positive for antinuclear antibodies, then went to Rheumatologist in April. Got additional bloodwork and showed positive for anti-dsDNA in May. Went for 2nd opinion in July, both docs said to continue to monitor if any symptoms arise.

Other Meds: Women's Multi, C and D

Current Illness:

ID: 1529058
Sex: F
Age: 38
State: TN

Vax Date: 07/22/2021
Onset Date: 07/27/2021
Rec V Date: 08/05/2021
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: Tinnitus started five days after shot. Pressure, fluid, pain in ears. Severe vertigo ten days after shot. Scalp pain (like a sunburn feeling) ten days after. Most have resolved but the ear issues remain.

Other Meds: Prenatal

Current Illness:

ID: 1529059
Sex: F
Age: 37
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 08/05/2021
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: Pt given saline injection only. Pt was asked to come back to be revaccinated with correct diluted Pfizer vaccine (lot EWO173) the same day.

Other Meds:

Current Illness:

ID: 1529060
Sex: F
Age: 38
State: CA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 08/05/2021
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: Penicillin

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

Symptoms: On the day of the vaccine, had needle inserted very high up in the arm (work in healthcare, very unusual). Deep and stinging sharp pain, hand and arm felt weak. Assumed it was normal vaccine soreness, but the pain did not subside as normal. Painful to the touch, could hardly use the arm. Pain for weeks, and have been doing exercises to try and help, still have residual joint pain, shoulder frozen. Planning to get a referral to an ortho and get an MRI.

Other Meds: N/A

Current Illness: N/A

ID: 1529061
Sex: F
Age: 39
State: LA

Vax Date: 06/18/2021
Onset Date: 07/01/2021
Rec V Date: 08/05/2021
Hospital:

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

Lab Data:

Allergies: Food: Soy, Tree Nuts, Peanuts, Gluten (Celiac) Outdoor: Various grasses and weeds

Symptom List: Ear pain, Hypoaesthesia

Symptoms: The first menstrual cycle I had after the second dose was vastly different from what I have been experiencing. I have had intense levels of pain each cycle since the second shot due to endometriosis flares. I believe this was caused by the inflammation process associated with the vaccine. My cycles are also extremely light compared to what they had been previously. My quality of life has suffered.

Other Meds: None

Current Illness: None known

ID: 1529062
Sex: F
Age: 12
State: MI

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/05/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Dosing was incorrect at 0.2ml instead of 0.3ml.

Other Meds: n/a

Current Illness: No.

ID: 1529063
Sex: M
Age: 52
State:

Vax Date: 04/27/2021
Onset Date: 06/01/2021
Rec V Date: 08/05/2021
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: have had tinnitus since receiving the vaccine

Other Meds:

Current Illness:

ID: 1529064
Sex: M
Age: 16
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 08/05/2021
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: Pt given saline injection only. Pt was asked to come back to be revaccinated with correct diluted Pfizer vaccine the same day.

Other Meds:

Current Illness:

ID: 1529065
Sex: M
Age: 34
State: CA

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/05/2021
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: Severe Headache After the Vaccine was given. I experienced Chills the following evening and a Fever the following evening on August 4th. Also nausea and extreme fatigue the following day. SEVERE Arm pain at the injection site, still existing nearly 48 hours after injection. Fatigue and general body soreness is also experienced nearly 48 hours after the injection. Rapid breathing and tightness in lungs is also felt (mild). I am vey healthy and never get these symptoms, the vaccine caused these symptoms.

Other Meds:

Current Illness:

ID: 1529066
Sex: M
Age: 46
State: LA

Vax Date: 03/02/2021
Onset Date: 03/15/2021
Rec V Date: 08/05/2021
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: Unusual strong urine odor, extreme change in taste and smell, mostly a metallic berry taste for all food and drinks, other foods and drinks leave a very stale and unpleasant taste to where I have had to change my diet tremendously, all fuels have a bold and nauseating smell. Headaches have become very frequent.

Other Meds: omeprazole, ibuprofen, celecoxib, Tylenol, multi vitamins

Current Illness: None

ID: 1529067
Sex: F
Age: 52
State: MS

Vax Date: 07/06/2021
Onset Date: 08/02/2021
Rec V Date: 08/05/2021
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: Latex LatexHivesMediumAllergy4/9/2018Deletion Reason: Banana BananaNot Specified11/28/2020Deletion Reason: Kiwi (Actinidia Chinensis) Kiwi (Actinidia Chinensis)Not Specified12/17/2020Deletion Reason: Latex LatexNot Specified1/31/2018Deletion Reason: Pineapple Pineapple

Symptom List: Injection site pain, Pain

Symptoms: Vaccine prepped on 7/2/2021 and administered on 7/6/2021. Pt reported no s/s. Moderna notified of error and recommendation given not to revaccinate.

Other Meds: As of 7/6/2021 10:50 AM azithromycin 250 MG Take 2 tablets (500 mg) on Day 1, followed by 1 tablet (250 mg) once daily on Days 2 through 5. cyanocobalamin (vitamin B-12) 1,000 mcg Intramuscular Once ergocalciferol (vitamin D2) 50,000 u

Current Illness: None

ID: 1529068
Sex: M
Age: 29
State: CA

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/05/2021
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: Client with history of short term memory loss. Came in for 1st dose of Pfizer, accompanied by father. Father unaware of client previously vaccinated with Modern vaccine. Client did not disclose/could not remember if previously vaccinated. Client received 1st dose of Pfizer. While in observation area, client could not remember is 1st or 2nd dose vaccine. Upon further investigating, records reviewed indicated client had received 2 previous doses of Moderna. NP on site consulted client due to receiving 3 vaccines in total. Client left clinic after 15min observation in no acute distress or reaction noted.

Other Meds:

Current Illness:

ID: 1529069
Sex: M
Age: 67
State: CA

Vax Date: 04/26/2021
Onset Date: 06/24/2021
Rec V Date: 08/05/2021
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: None

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

Symptoms: I experienced vertigo 8 weeks after second vaccine. I still experience dizziness, feel motion sickness on occasionally. I felt like bounding off the walls when I have vertigo. My doctor schedule me to see a specialist at Hospital and he made a comment there are apparently there is some relation of dizziness related to the vaccine. I also see a chiropractor that said he has seen clients complaining of vertigo and dizziness who had the vaccine, didn?t specify which vaccine and is treating them. To this day I still have vertigo and have motion sickness occasionally. I will follow up with Doctor, neurology group.

Other Meds: The night I received my vaccine I took 5mg of Lisinopril and 5mg of Terazosin

Current Illness: None

ID: 1529070
Sex: F
Age: 41
State: PA

Vax Date: 06/15/2021
Onset Date: 06/23/2021
Rec V Date: 08/05/2021
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 Cephalosporin-class Sulfa-class Valacyclovir

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chest tightness, pressure Hard to take a deep breath, felt restricted Fatigue Difficulty standing Leg weakness Dizziness

Other Meds: One-a-Day Women?s Complete multivitamin (1 tab, QD) Caltrate Bone Health 600+D3 (1 tab, BID) Advil 400mg q4-6h

Current Illness: None

ID: 1529071
Sex: F
Age: 17
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 08/05/2021
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: Pt given saline injection only. Pt was asked to come back to be revaccinated the same day.

Other Meds:

Current Illness:

ID: 1529072
Sex: F
Age: 55
State: TX

Vax Date: 07/23/2021
Onset Date: 07/24/2021
Rec V Date: 08/05/2021
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: PENICLIN B, KIWI AND MANGO

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

Symptoms: the same day the symptoms were light but the next day i had headaches, diarrheic, nausea and was feeling very tired and had to take off for the rest of the day. I did contact the doctor a couple of doctors and they did not gave me any medicines but i just found out yesterday that i have covid.

Other Meds: VITAMIN D, ONE DAY AND MULTIVATIME AND OXIBUTINE, LISINPROIL, ATORVASTATIN.

Current Illness: NONE

ID: 1529073
Sex: M
Age: 85
State: MN

Vax Date: 02/02/2021
Onset Date: 07/28/2021
Rec V Date: 08/05/2021
Hospital: Y

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: Vaccine Breakthrough COVID + 7/28/21. Inpatient hospitalization for hypoxia.

Other Meds:

Current Illness:

ID: 1529074
Sex: F
Age: 56
State: HI

Vax Date: 02/16/2021
Onset Date: 08/05/2021
Rec V Date: 08/05/2021
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: Positive covid test after full vaccination

Other Meds:

Current Illness:

ID: 1529075
Sex: M
Age: 24
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 08/05/2021
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: Pt accidentally given saline injection only. Pt was asked to come back to be revaccinated the same day.

Other Meds:

Current Illness:

ID: 1529076
Sex: M
Age: 38
State: CA

Vax Date: 05/16/2021
Onset Date: 05/16/2021
Rec V Date: 08/05/2021
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: Pt accidentally given saline injection only. Pt was asked to come back to be revaccinated the same day.

Other Meds:

Current Illness:

ID: 1529077
Sex: F
Age: 57
State: NY

Vax Date: 08/01/2021
Onset Date: 08/01/2021
Rec V Date: 08/05/2021
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: Sunday evening (date of vaccination 8/1/21), patient reported deep chills, body aches, spinning dizzy vertigo and fever which lasted till today 08/5/21. Patient reported having the same symptoms she experienced when she had covid in Oct 2020. She is still suffering from a severe, non-stop headache that she is still taking Tylenol for.

Other Meds:

Current Illness:

ID: 1529078
Sex: F
Age: 73
State: MO

Vax Date: 02/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/05/2021
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: Coreg

Symptom List: Erythema, Pruritus

Symptoms: Pleasant 73-year-old obese lady who was diagnosed with COVID-19 infection on 26 July 2021. Since then she has had on and off cough which is nonproductive. She is over the last couple of days been getting increasing shortness of breath. Today she was noted to be needing 5 L of oxygen via nasal cannula. She was subsequently transferred from the outside facility. She is fully vaccinated for COVID-19 taking more than vaccine. She denies any nausea vomiting or diarrhea. No recent travels. No sick contacts

Other Meds: Insulin Lispro, Simvastatin, levothyroxine, duloxetine, diltiazem, gabapentin, insuline,

Current Illness: DM2, HTN, OSA, obesity

ID: 1529079
Sex: M
Age: 36
State: HI

Vax Date: 01/13/2021
Onset Date: 08/03/2021
Rec V Date: 08/05/2021
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: fatigue, low-grade tactile fever, nasal congestion, runny nose, cough, body aches, chills, headache with COVID positive PCR on 08/04/2021

Other Meds: Zolpidem

Current Illness: none

ID: 1529080
Sex: M
Age: 46
State: CA

Vax Date: 07/02/2021
Onset Date: 08/03/2021
Rec V Date: 08/05/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I'm feeling tingling in my arms and legs regularly. Sometimes there is a sharper feeling like a bug bite. It basically feels like bugs crawling on my skin every few minutes or sometimes like a flea bite, but there are no bugs and no bites.

Other Meds: None

Current Illness: None

ID: 1529081
Sex: F
Age: 94
State: MN

Vax Date: 02/25/2021
Onset Date: 07/28/2021
Rec V Date: 08/05/2021
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:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Vaccine Breakthrough COVID + 7/31/21. Inpatient hospitalization for acute respiratory failure in ICU

Other Meds:

Current Illness:

ID: 1529082
Sex: F
Age: 24
State: MI

Vax Date: 08/03/2021
Onset Date: 08/03/2021
Rec V Date: 08/05/2021
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: no.

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

Symptoms: Dosing was incorrect with a 0.2ml instead of 0.3ml.

Other Meds: n/a

Current Illness: no.

ID: 1529083
Sex: F
Age: 19
State: AR

Vax Date: 08/02/2021
Onset Date: 08/02/2021
Rec V Date: 08/05/2021
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: About 10 minutes after the vaccination, the patient fainted in the pharmacy and hit the side of her head. She came to immediately upon prompting by pharmacy staff. I administered 25mg diphenhydramine and gave her a bottle of water. We left her supine for 10 minutes, and then sat her in a chair and checked her blood pressure and it was 110/60. She never stopped breathing or lost a pulse. Patient stated that she had been dieting and hadn't eaten at all that day yet. I obtained permission to call her parent and she came to the pharmacy immediately. We monitored her for an additional 30 min in the pharmacy and she had no breathing difficulties, no rash, no itching, and said she felt fine. So after the 30 minute waiting period, we let her Mother drive her home. I followed up several times that evening and daily for 2 additional days. Other than a black eye from falling, and needing a day post-vaccine to rest from fatigue, she felt fine today.

Other Meds: Microgestin birth control, had taken the morning of vaccine date

Current Illness: None

ID: 1529084
Sex: F
Age: 66
State: OH

Vax Date: 12/30/2020
Onset Date: 07/24/2021
Rec V Date: 08/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: Breakthrough Covid19 infection. Symptoms: congestion, extreme fatigue, loss of smell, taste and + test on July 24. 2021. temp 100 one day only. Husband ,also vaccinated developed symptoms 2-3 days before me. We had driven to , only around vaccinated family members from 7/15- 7/22. 4 other vaccinated family members in area also contracted symptomatic covid. Still have some congestion and fatigue but better this week than last . Today is day 13 for me. Nobody from or reached out to me. I called them and they just said someone would call me. I also called the . no one called me back

Other Meds: denosumab q 6 months

Current Illness: none

ID: 1529085
Sex: F
Age: 43
State: FL

Vax Date: 04/26/2021
Onset Date: 05/06/2021
Rec V Date: 08/05/2021
Hospital: Y

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

Lab Data:

Allergies: N/A

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

Symptoms: Arm tightness and head ache

Other Meds: Amlodipine 5mg lisinopril 25mg

Current Illness:

ID: 1529086
Sex: F
Age: 58
State: AZ

Vax Date: 06/30/2021
Onset Date: 07/05/2021
Rec V Date: 08/05/2021
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: Food allergies

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

Symptoms: It took about 5 days in and I started having a heavy chest and was congested. On Monday, July 26th, I went to the doctor and was prescribed prednisone. I have not recovered and have been out of work for weeks.

Other Meds: Azelastine; Wixela inhaler; Allegra; Singulair; valacyclovir; magnesium; vitamin D3; nebulizer

Current Illness: Epstein-Barr virus; Asthma

ID: 1529087
Sex: M
Age: 17
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 08/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: 17 y/o pt receiving moderna as dose 1 instead of pfizer.

Other Meds:

Current Illness:

ID: 1529088
Sex: M
Age: 84
State: MN

Vax Date: 02/04/2021
Onset Date: 08/01/2021
Rec V Date: 08/05/2021
Hospital: Y

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: Vaccine Breakthrough COVID + 8/1/21. Inpatient hospitalization for dyspnea. Inpatient telemetry unit

Other Meds:

Current Illness:

ID: 1529089
Sex: M
Age: 53
State: IL

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/05/2021
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: This patient had already received a Pfizer vaccine at a local pharmacy 10 days prior to the Janssen given today. I advised the patient to not receive anymore Covid vaccines.

Other Meds: None

Current Illness: None

ID: 1529090
Sex: M
Age: 15
State: MT

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/05/2021
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: Janssen inadvertently given to 15 year old, rather than Pfizer due to haste of nurse. I had spoken with the grandmother that had requested he be vaccinated during a home visit with her. She is homebound due to a double amputation and they have no transportation available. We had discussed the different options and she had requested the "one and done" over the phone. Since we had discussed it several times on the phone and I am sure she told me he was 18 I only brought the one product with me. He was very slow to fill out the form, and I asked about allergies and such and gave the shot. I was then filling out the cards and asked the date of birth and found out he was only 15 years old. It was then that the grandmother stated that she had wanted Pfizer for the both of them. She wanted him to be considered vaccinated for school in two weeks. I told her that the Janssen was the only product that would be able to do that since the Pfizer requires two shots 21 days apart and then another 14 days after that he would be considered fully vaccinated. She then asked if he will be considered fully vaccinated in two weeks for school, to which I said I was uncertain because of the mix-up.

Other Meds: None

Current Illness: None

ID: 1529091
Sex: M
Age: 24
State: VT

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/05/2021
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: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Ten minutes after receive vaccine patient stated he feeling off then began to feel sweaty, nauseated, and the vomited x1, had some tingling in fingers and became pale. Vitals taken at 12:37 Bp 100/60 p 80 respiration 24 oz sat 99. Pt was calmy to the touch but remained coherent. felt slightly faint but refused to lay on cot. Gave well cloth and by 12:50 color was returning BP was 110/70 p 76 and os sat 99. Tingling was dissipating from fingers. Color was returning to face and body and less clammy. Remained being observed until 1:10 total of 50+ minutes. Bp 112/72 p 72. o2 sat 99. Escorted to car with driver. told to relax this afternoon and if any further symptoms arise call MD or go to ER.

Other Meds: Uses marojuana on a regular basis

Current Illness: none

ID: 1529092
Sex: F
Age: 37
State: VA

Vax Date: 04/26/2021
Onset Date: 07/17/2021
Rec V Date: 08/05/2021
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 known

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

Symptoms: I had typical reactions - right after the vaccine. Recent health event: Starting July 17, sore throat and sinus infection and then into Bronchitis and chest infection. That was it. It was scary because I lost my sense of smell - but not until after a week after I first noticed symptoms. I went to Urgent Care course of Amoxicillin. It helped with symptoms. My smell loss returned within two days of starting Amoxicillin. I Could still taste sweets and sour - tongue flavors. But I could not smell my child's dirty diapers.

Other Meds: Zoloft - 50 mg per day; Adderall XR - 20 mg a day (maybe 30)

Current Illness: no

ID: 1529093
Sex: F
Age: 68
State: NC

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 08/05/2021
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: Tetanus Shot Allergy (high fever, swollen arm, hot arm), Quinalone (antibiotic, throat swelling), cholesterol medicine, cipro, Rocephin, Tamiflu (flu medication)

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

Symptoms: Within 30 seconds of the receiving the vaccine, rush of heat went across chest and up the throat, circled heart, excruciating pain at the base of the skull behind the right ear. Froze from the pain, became extremely flushed. Blood pressure was 195/90. Had headache for 4-6 weeks, went to doctor 4 times to attempt to get blood pressure under control, tried extended release blood pressure medicine, but made me sick. Went back to normal medicine but now have to take it twice a day instead.

Other Meds: 12.5 Lopressor (blood pressure), Hydrochlorothiazide, Vitamin D, Elderberry, Vitamin B12

Current Illness: N/A

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm