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: 1535002
Sex: F
Age: 39
State: NC

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: NKDA, NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient in and out of fainting status. I steadied head a couple times. She said she felt like she was going to "Pass out". She was seated and I cradled her head when needed. She was given cold water and orange juice to drink and eventually a cookie. She stated she had not eaten much today. She felt better after a couple minutes. I called a family member (with her daughters help) to contact a family member to pick her up.

Other Meds: N/A

Current Illness: N/A

ID: 1535003
Sex: M
Age: 42
State: VA

Vax Date: 07/17/2021
Onset Date: 07/19/2021
Rec V Date: 08/07/2021
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: n/a

Symptom List: Anxiety, Dyspnoea

Symptoms: Two days after receiving the first dose patient developed a lump on his arm that he received the shot in around the deltoid area. The lump is still there today, 8/7/21 when he came in for his second dose.

Other Meds: n/a

Current Illness: n/a

ID: 1535004
Sex: F
Age: 36
State: TX

Vax Date: 08/05/2021
Onset Date: 08/06/2021
Rec V Date: 08/07/2021
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: Severe lip swelling began at 7pm 8/6/21 did not subside until 5:30pm on 8/7/2021

Other Meds:

Current Illness: Acquired idiopathic Angioedema

ID: 1535005
Sex: F
Age: 18
State: AZ

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

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient received vaccine earlier than guidelines on day 23 of 28. (guidelines allow 24 to 28)

Other Meds: N/A

Current Illness: N.A

ID: 1535006
Sex: F
Age: 52
State:

Vax Date: 07/21/2021
Onset Date: 07/28/2021
Rec V Date: 08/07/2021
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: Large rash at shot site - over a week after first shot given. Major itching of torso, head, feet. Hair on head is falling out at a rapid pace. I am at almost 3 weeks after the first shot and still itching and still losing my hair.

Other Meds:

Current Illness:

ID: 1535007
Sex: F
Age: 13
State: VA

Vax Date: 08/05/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: None

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

Symptoms: Adverse reaction was immediate. Her eyes rolled back in her head and she convulsed four times. Had we not been next to her to hold her up, she would have fallen off of the table. It took a while for her to "come to" and then she proceeded to vomit several times. Her blood pressure dropped and her skin was clammy to the touch. Color was gone from her skin. She said she felt like her head was on fire. She was 90% better an hour later and was able to leave the clinic. She had a headache and jaw pain the rest of the day.

Other Meds: None

Current Illness: None

ID: 1535008
Sex: M
Age: 63
State: GA

Vax Date: 07/28/2021
Onset Date: 08/01/2021
Rec V Date: 08/07/2021
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: Woke up and was so dizzy I fell back in bed, got up 2 hours later and everything spinning. Went on To continue dizzy, headaches, sensitive to light, Nausia

Other Meds: Verapamil 120mg, Atenolol 100-25mg, Provastatin 20mg, Potasium Chlor 10mg (2 day) // One a Day Vit. //Occasionally Arthritis Pain Acetaminophen.

Current Illness: none

ID: 1535009
Sex: F
Age: 16
State: OH

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

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: patient fainted immediately after receiving the vaccine. she was only unconscious for less than a minute. she came around and is doing fine. no medical treatment was sought

Other Meds: none

Current Illness: none

ID: 1535010
Sex: F
Age: 40
State: FL

Vax Date: 05/07/2021
Onset Date: 06/25/2021
Rec V Date: 08/07/2021
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: I had a slight pain in my teeth for a few days, then I had pain on the right side of my face that lasted four days, very intense, a lot of pain from head to shoulder for several days, the pain did not go away. it still hurts, I get stabbing pains on the right side of my face

Other Meds: None

Current Illness: None

ID: 1535011
Sex: F
Age: 58
State:

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 08/07/2021
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: I am a physician. About 3 hours after injection of 2nd dose, I had rigors, severe upper abdominal crampy pain, severe nausea, and aches in all of my joints. This acute phase almost took me to the ER for relief of pain and misery, and lasted about 3 days. Subsequently, I had less nausea and abdominal pain, though the exact symptoms occur at a reduced level chronically. My joints continued to ache, and my IP joints became very swollen, and some erythematous (3 - 5 were the worse effected). The lateral aspects of all of my phalanges were exquisitely tender to very light touch. I could not fully bend my fingers, and the joints became distorted. My fingers have been the most effected, though my ankles and toes hurt also. The pain and swelling was NOT related to the time of day. After about 12 to 16 weeks, I tried to see a rheumatologist, but was told they have a several month wait (spoke with a doctor, and told her I am a surgeon unable to work). I never got an appointment (there are lots of elderly). Concerned about joint destruction, I went to an outpatient facility pain clinic. Not ideal, but the doctor and nurse were very kind and accommodating. I was treated with IV infusion of steroids and ketamine. I had remarkable improvement after 1 treatment. I had 3 additional treatments. I still suffer from joint pain, nausea, and upper abdominal pain. I have never had auto immune illness, and not a single person in my entire family had a joint replacement. The first dose did not make me ill, this second dose changed my life and ability to work, so far, permanently.

Other Meds:

Current Illness: none

ID: 1535012
Sex: F
Age: 13
State: IL

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: Pt started crying 5 minutes after receiving 1st dose of Pfizer. Parents were present, volunteer at site was translating but patient wouldn?t say anything as to what is going on with her. 4 ice packs were used and water was offered. Blood pressure at 2:24pm 142/82 mm/Hg. Mom fainted to the floor from her chair seeing her daughter. Asked to call 911. Patient still crying and now mentions she is hurting all over. Mom gains consciousness and was sat back in her chair. EMT arrived at the site. Mom faints again and gains consciousness. Mom threw up. Patient was transported to near by hospital. Mom refused to go with EMT to the hospital.

Other Meds:

Current Illness:

Date Died: 07/19/2021

ID: 1535013
Sex: M
Age: 53
State: IA

Vax Date: 05/17/2021
Onset Date: 05/21/2021
Rec V Date: 08/07/2021
Hospital: Y

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

Lab Data:

Allergies: gabapentin, lisinopril

Symptom List: Rash, Urticaria

Symptoms: On 5/22/21 he was taken emergently to the operating room and underwent repair of Type A aortic dissection with replacement of ascending aorta with re-suspension of his aortic valve. Post op he developed new onset right arm and right sided facial twitching along with right arm weakness. Neurology was consulted for focal motor status epilepticus and he was loaded on Keppra and started on Vimpat. EEG and MRI brain ordered. MRI revealed small foci of acute infarcts in the left occipital and right temporal lobes which may be embolic in etiology. He was initially very slow to wake up and follow commands appropriately. This improved over a number of weeks. By day of discharge on 6/21 to acute rehab, his right arm and facial twitching had completely resolved. He was alert, oriented X 3. His right arm continued to have slow return of function with fine motor skills. 6/22, patient reportedly had a 1 hour episode of AMS, witnessed by wife and daughter, in which his eyes rolled back into his head. He was arousable and answered simple questions. He had no associated tremors, shaking, rigidity. This resolved with an episode of emesis and patient was back to baseline within minutes of vomiting. 6/23, patient had another episode described as "generalized seizure" involving upper and lower extremities last several seconds followed by multiple focal seizures including only UEs. Was readmitted on 6/24 and was discharged on 7/16/21. He subsequently passed away on 7/19/21

Other Meds: albuterol, ellipta, klonopin, lexapro, allegra, flonase, lortab, singulair, multivitamin, prilosec, compazine

Current Illness:

ID: 1535014
Sex: M
Age: 34
State: WA

Vax Date: 08/02/2021
Onset Date: 08/06/2021
Rec V Date: 08/07/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Urticaria began roughly four days after receiving Pfizer covid vaccine. Begining on upper arms around 6pm on August 6th, 2021. Took Banophen before going to bed. Woke up around noon on August 7th 2021, hives have spread, covering hands, arms, torso (front, back and, sides), legs, and tops of feet. Angioedema of lips observed as well, beginning around 2pm August 7th 2021.

Other Meds: Adderall XR, One a Day men's multivitamin

Current Illness: none

ID: 1535015
Sex: M
Age: 48
State: NJ

Vax Date: 01/18/2021
Onset Date: 02/08/2021
Rec V Date: 08/07/2021
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: NKDA

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

Symptoms: 3/8/2021 onset rapid a fib, failed chemical cardio version requiring emergent DC cardioversion at hospital with no prior known history of arrhythmia. Following discharge, patient discontinued Norvasc and initiated on beta blocker therapy and anticoagulation. Intolerant of beta blocker with two subsequent syncopal events with temporary loss of consciousness. Patient?s blood pressure has remained labile with confirmed orthostatic hypotension. AM hypertension. Patient underwent echocardiogram displaying a not previously noted mildly dilated aortic root, otherwise unremarkable. Successfully passed non-pharmacological stress test. Tilt table test positive with nitro induction- patient syncopal with blood pressures in 80/40?s and non-compensatory heart rate in the high 30-low 40?s. Cardiology suspects this is potentially an autonomic dysfunction. Patient with no prior syncopal events. On 8/1, patient suffered traumatic fall with distal tibial spiral fracture, malleolar fracture, and proximal fibular spiral fracture. Tibia fixated with rod- malleolus fixated with screw. Fibula approximated intro-operatively. Patient intolerant of sitting on side of bed and standing upright. Upon standing, patient?s blood pressure 59/40 with first palpated pulse in 50?s. Patient requiring ICU step down monitoring as of day 7 with recommendation to report this sequence of events into the VAERS system.

Other Meds: Norvasc qday, albuterol prn

Current Illness: Shortness of breath, ankle edema

ID: 1535016
Sex: F
Age: 65
State: NY

Vax Date: 05/01/2021
Onset Date: 06/04/2021
Rec V Date: 08/07/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Hours after the second Moderna shot I broke out in massive tiny itchy blisters all over my body. It took weeks to heal and fade.

Other Meds: none

Current Illness: none

Date Died: 07/23/2021

ID: 1535017
Sex: M
Age: 56
State: AZ

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

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

Symptoms: C/O feeling short of breath & flushed at times. Unsure if he went to his primary doctor for a follow up. He was found deceased at home by his daughter

Other Meds: Metformin and h/o HTN medication. He was found dead at home due to cardio pulmonary hypertension. He was having symptoms of feelings flush and short of breath after the 2nd dose of Moderna vaccine

Current Illness: diabetic, hypertension

ID: 1535018
Sex: F
Age: 27
State:

Vax Date: 08/06/2000
Onset Date: 08/06/2000
Rec V Date: 08/07/2021
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: Became blind after receiving Johnson & Johnson vaccine and now has been said to be Blind-Function Neurological.

Other Meds:

Current Illness:

ID: 1535019
Sex: F
Age: 32
State: MD

Vax Date: 06/26/2021
Onset Date: 06/27/2021
Rec V Date: 08/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I had my vaccine the day before I expected my period. My period ended up being over a week late and I barely bled. My cycle has been incredibly regular my entire life, except for when I was in hormonal birth control, which I stopped taking well in advance of my vaccine. I took multiple pregnancy tests to confirm that my lateness was not a pregnancy, all of which were negative.

Other Meds: Women?s multivitamins Fish oil

Current Illness: N/A

ID: 1535020
Sex: F
Age: 0
State: CA

Vax Date: 09/10/2020
Onset Date: 09/10/2020
Rec V Date: 08/07/2021
Hospital: Y

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: After, we noticed a change in her behavior. Very fussy. It got increasingly worse. She would stare into space for minutes at a time. We now know these were seizures. A few weeks later she was diagnosed with infantile spasms.

Other Meds:

Current Illness:

ID: 1535021
Sex: F
Age: 29
State: CT

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

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

Lab Data:

Allergies: Penicillin, Macrobid, IV contrast dye

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

Symptoms: Tightness in throat

Other Meds: Lexapro

Current Illness:

ID: 1535022
Sex: F
Age: 55
State: FL

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: Codeine - hives

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

Symptoms: Approximately 3.5 hours after the shot I suddenly felt a surge of pain from my right arm up my neck - numbness in neck on both sides and top of head. Dizziness and blurred vision - extremely blurry. Trouble breathing - throat getting tight. Called Publix to find out if these were normal side effects - they told me to go to the emergency room. I immediately drove to the emergency room - hospital is about 1.5 miles from home. Once there, I had trouble breathing and went outside for fresh air. I was sitting down. I stood up when they called my name and my left leg locked up and I could barely move. This was probably one hour later (3:45 pm). Blood pressure was taken and it was 164 - my heart was racing - I felt like I had ingested a severe dose of caffeine.

Other Meds: Vitamin D & K with Iodine, Methylated B vitamin, Psyllium Husk Powder

Current Illness: No illnesses

ID: 1535023
Sex: F
Age: 53
State: TN

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

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

Lab Data:

Allergies: UNKNOWN

Symptom List: Unevaluable event

Symptoms: FACIAL NUMBNESS, NAUSEA, DIZZINESS. SENT TO ER. UNSURE OF OUTCOME AT THIS TIME.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1535024
Sex: F
Age: 54
State: IN

Vax Date: 07/19/2021
Onset Date: 07/21/2021
Rec V Date: 08/07/2021
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: Numbness beginning in left shoulder blade, later entire left side from top of head to knee. Lasted one and a half days, went away, then returned a week later. Now, the numbness is random and sporadic. Nerve pain in left hand finger tips.

Other Meds: Ofev 150mg Es-omeprozole 40mg Carafate 1 GM Baclofen 10 mg Levothyroxine 125 mcg Cetirizine 10 mg Crestor Metformin 500 mg Reglan Vitamin A Vitamin D2 Vitamin D3 Vitamin B-12 Multivitamin Iron Collagen elixir Prednisone 5 mg (last day of

Current Illness: Non specific Interstitial Pneumonia (interstitial lung disease)

ID: 1535026
Sex: F
Age: 52
State: GA

Vax Date: 08/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: Flu like symptoms ie: body aches, chills, leg and feet cramps, lethargic, no appetite in the middle of the night, early morning between 2-5am

Other Meds: Metroprolol, Attenanol, Omeprazol, Losartan, Multi vitamin, B12, Biotin, D3

Current Illness:

ID: 1535027
Sex: F
Age: 12
State: VA

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

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

Lab Data:

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

Symptom List: Injection site pain, Menorrhagia

Symptoms: No adverse reaction

Other Meds: No prescriptions

Current Illness: No other illnesses

ID: 1535028
Sex: F
Age: 66
State: MD

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 08/07/2021
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: Penicillin

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

Symptoms: Immediate rash & facial flushing after Pfizer -- passed in first 1-2 hours. Chills and headaches passed in 36 hours. Neurological symptoms occurred 2 hours after shot. Numbness, tingling, paresthesias, stabbing pains, muscle cramping, muscle weakness and mobility issues that worsened over the course of 2-3 weeks following shot. DX: peripheral neuropathies; GBS syndrome.

Other Meds: KLor-Con, Flonase, calcium citrate, vitamin D

Current Illness:

ID: 1535029
Sex: F
Age: 31
State: GA

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Malaise, 99.4 F temperature, backache, chills, minimal nausea

Other Meds: Lamotrigine Sertraline Spironolactone Claritin

Current Illness: None

ID: 1535030
Sex: F
Age: 12
State: FL

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

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

Lab Data:

Allergies: possibly penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: My son just turned 12 years old on 7/28/2009. He received his 1st dose of the Pfizer covid-19 vaccine on 8/3/2021. He started experiencing a cough the next day with no other symptoms. His cough still lingers daily. It's just one cough every so often. He has not been sick nor in contact with anyone with the covid virus. He is not sick nor running a fever. You should know this symptom was caused by the vaccine. Thank you

Other Meds: none

Current Illness: none

ID: 1535031
Sex: F
Age: 50
State: NC

Vax Date: 04/10/2021
Onset Date: 05/20/2021
Rec V Date: 08/07/2021
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: Vertigo, headaches, vision worsening, brain fog, worse tinnitus, dizziness. From May 19-current (8/7/21). Been going to PT for vertigo, helping but still have general dizziness, headaches, neck soreness, brain fog. Some days are better than others. Took low dose Valium fir a bit but no help. Meclazine, just knocked me out. Massage therapy and PT and sleep seem to help the best, but it just won?t go away.

Other Meds:

Current Illness:

ID: 1535032
Sex: F
Age: 70
State: NC

Vax Date: 08/04/2021
Onset Date: 08/05/2021
Rec V Date: 08/07/2021
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: Nausea

Symptoms: Right after I got the injection, I felt like my heart immediately started to race and that continued for a couple of hours. The next afternoon, I got extreme nausea. I have been nauseated before, but I never had it as bad as this. Right after this, when I laid down, my heart felt like it was going to go right through my chest it was pounding so hard. It wasn't as severe after I sat up. It eventually went away but I considered going to the ER. I actually called the ER and a nurse was supposed to call me back, but no one did. I started to feel better and did not go to Urgent Care or the ER, but just rested at home.

Other Meds: Armour thyroid. Fish oil, magnesium, C, D, zinc, curcumin, niacin.

Current Illness: none

ID: 1535033
Sex: F
Age: 61
State: VA

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 08/07/2021
Hospital:

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

Lab Data:

Allergies: Kiwi, now have allergic type responses to most fruits and some vegetables since Vaccine.

Symptom List: Injection site pain

Symptoms: I just started feeling very week and tired, with sharp pains that migrated. My rt shoulder hurt really bad and then my rt upper thigh area. The pain was severe enough to keep me from sleeping. The pains then started going every where in my body, but for shorter durations. Then I started getting a dull discomfort in my chest area in the left side near heart area, which was like a very uncomfortable fullness. This kept me from sleeping and scared me since it was near my heart area. Went to ER 6/25/2021.

Other Meds: CQ-10, Vitamin D, Krill Oil, NAC, Turmeric, magnesium

Current Illness: None, had Covid in January 2021.

ID: 1535034
Sex: F
Age: 49
State: CA

Vax Date: 04/01/2021
Onset Date: 05/01/2021
Rec V Date: 08/07/2021
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 Penicillin

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

Symptoms: Severe sinus congestion

Other Meds: Hydrochlorothiazide Tylenol

Current Illness: Left Ventricle Hypertrophy

ID: 1535035
Sex: F
Age: 19
State: TX

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: red dye

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

Symptoms: After about 15 minutes, patient start feeling dizzy and had headache, In addition, she was unable to stay focused.

Other Meds: unknown

Current Illness: no

ID: 1535036
Sex: F
Age: 19
State: NY

Vax Date: 08/04/2021
Onset Date: 08/04/2021
Rec V Date: 08/07/2021
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: Tree Nut Allergy

Symptom List: Tremor

Symptoms: Tingling started in hand of vaccination arm that evening and spread to the other hand as well as both legs and feet under the knee

Other Meds:

Current Illness:

ID: 1535037
Sex: F
Age: 40
State: MO

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

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Patient did not have initial card on her and stated that she received Moderna. She had in fact received Pfizer at hospital April 29th.

Other Meds: None

Current Illness: None

ID: 1535038
Sex: M
Age: 29
State: TX

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: aspirin- hives

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

Symptoms: Patient started feeling dizzy and sweating almost immediately after the vaccine. Patient requested water and an alcohol swab to smell.

Other Meds: unknown

Current Illness: none

ID: 1535040
Sex: F
Age: 17
State: MI

Vax Date: 08/02/2021
Onset Date: 08/02/2021
Rec V Date: 08/07/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Patient collapsed after getting the shot when she got up from the consulting room to go to the waiting area

Other Meds: Not known

Current Illness: None

ID: 1535041
Sex: M
Age: 35
State: WA

Vax Date: 08/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: Woke up in the middle of the night body was shaking uncontrollably and very cold though the temperature in our house was normal. Light fever. In the morning, continued to feel nauseated with headaches.

Other Meds: None

Current Illness: None

ID: 1535042
Sex: F
Age: 57
State: TX

Vax Date: 03/30/2021
Onset Date: 04/30/2021
Rec V Date: 08/07/2021
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 KNOWN

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

Symptoms: MY SLEEPING PATTERN IS BACKWARDS, COUGHING, VERY TIRED, DEPRESSED, SCARED OF PEOPLE, MAKES ME ISOLATE NOW I HAD NO SENSE OF TIMING ON DAY AND NIGHT I DONT EVEN CARE ANY MORE IM TIRED

Other Meds: METFORMIN, OMEGA III, LIPITOR, VITAMIN D, ALBUTEROL

Current Illness: SMELL AND TASTE SLIGHTLY CAME BACK AFTER A BOUT OF COVID-19 IN DECEMBER OF 2019

ID: 1535043
Sex: M
Age: 79
State: CA

Vax Date: 02/11/2021
Onset Date: 07/29/2021
Rec V Date: 08/07/2021
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: Sulfa, levofloxacin

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

Symptoms: hosp due to covid infection

Other Meds: zytiga,prednison ,Daliresp,atenolol, lipitor, norvasc, ProtonixAmiodrone,pradaxa

Current Illness: CAD, emphysema oxygen dependant,A.fib,HTN, met prostate cancer

ID: 1535044
Sex: F
Age: 15
State: DC

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

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

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: the second dose was given after 42 days window. might need to take another dose in 21 days (before 42 days from today)

Other Meds: not known

Current Illness: n/a

ID: 1535045
Sex: F
Age: 27
State: GA

Vax Date: 05/13/2021
Onset Date: 06/14/2021
Rec V Date: 08/07/2021
Hospital:

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

Lab Data:

Allergies: Ammoxicialin

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

Symptoms: Extreme tiredness, nausea and vomiting atleast 3 times weely, getting colds atleast 2 times monthly. Brain fog and dizziness, heart palpitations. Went to the hospital for heart palpitations and nothing was done. Was told that vaccine won't cause effects like this, but I have been perfectly healthy up until I have had this vaccine.And NO I am not pregnant.

Other Meds: Lexapro

Current Illness: No

ID: 1535046
Sex: M
Age: 21
State: CA

Vax Date: 07/17/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: Pt had Johnson & Johnson vaccine on 06/14/2021 and came to supermarket to get Pfizer 1st dose on 07/17/2021. Pt came back for 2nd dose Pfizer on 8/7/2021, upon query of only 1st and last name (DOB left open), the patient name was found twice in the registry with the same address and differ month/date of birth, but same year. Upon asking the patient, he confirms having had the Johnson & Johnson vaccine prior to the Pfizer vaccine. I explained to him that it was not advised to get another COVID vaccine after completing the JJ vaccine and he verbally communicated that he understood.

Other Meds:

Current Illness:

ID: 1535047
Sex: M
Age: 64
State: CA

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/07/2021
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: Fever started about 8 hours after the second dose. Peaked at 100.2. It lasted around 12 hours after that before it dissipated.

Other Meds: None.

Current Illness: None.

ID: 1535048
Sex: F
Age: 76
State: NV

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/07/2021
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: All morphine products; Latex

Symptom List: Vomiting

Symptoms: Temperature; cold chills; headache; tired; sore arm; nausea; vomiting.

Other Meds: Baclofen; Pantoprazole

Current Illness: None

ID: 1535049
Sex: F
Age: 45
State: CA

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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient started to experience chest discomfort the day after the vaccination. Patient also experienced palpitations the day after, and it lasted for a few hours in the evening. Her heartrate was at 130 upon checking with an at-home pulse oximeter. Since then, the palpitations come and go, but are in lesser magnitude in comparison to the first episode. Her heartrate is fluctuates from 80 to 130. Patient took OTC Tylenol every 4 hours the day after the vaccination to treat the underarm lymph node pain she experienced. Patient sought medical evaluation at the ER on 8/5/2021 at Community Hospital.

Other Meds: Vitamin D, Multivitamin, Tylenol for toothache

Current Illness: N/A

ID: 1535050
Sex: F
Age: 38
State: AZ

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 08/07/2021
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: Chills, muscle aches, headache, dizziness/lightheaded upon standing all lasting for 2.5 days. Took Tylenol for the headache and muscle aches.

Other Meds: Ortho Tri Cyclen lo Multi vitamin Fish oil supplement Lysine

Current Illness: None

ID: 1535051
Sex: M
Age: 58
State: NY

Vax Date: 07/27/2021
Onset Date: 07/27/2021
Rec V Date: 08/07/2021
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: Within minutes of the shot, I felt dizzy and lightheaded. That night, small hives began appearing on my chest and arms. My upper lip swelled. Over the next few days, I experienced digestive problems and a loss of appetite. I also felt feverish and weak. I spent more time sleeping than usual. At times, my heart raced. When the hives got worse and my condition did not improve, I visited my primary care physician. At that time (8/5/21), the hives were more pronounced and were on my chest, arms and legs. The doctor said my blood pressure was high. He prescribed Prednizone for the hives and Metroprolol to slow my heart rate.

Other Meds: none

Current Illness: none

ID: 1535052
Sex: F
Age: 45
State: FL

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

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

Lab Data:

Allergies: Penicillins

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

Symptoms: I was vaccinated at 3 pm. Just nausea at the beginning. It is now 7 pm. And I went to walk the dog and my vision could not focus far away. I was swing blurry and double. I cannot focus. I only need glasses for reading. My fat sight is perfect. So this was very noticeable immediately when outside. I returned home since I felt worried about my vision.

Other Meds: Ibuprofen 800 1 pill

Current Illness: N/a

ID: 1535053
Sex: F
Age: 17
State: CA

Vax Date: 08/07/2021
Onset Date: 08/07/2021
Rec V Date: 08/07/2021
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: On 8/7/21, patient presented for a Covid 19 vaccine to Pharmacy. At approximately 3:30p the patient was administered the Pfizer Covid 19 vaccination in her left arm. The patient was seated. Immediately afterward the patient began to "wobble" and fell forward toward her left knee and on the left armrest. The pharmacist immediately lifted her back upward to observe her reaction, the patient's body began to tense. The pharmacist confirmed the patient was breathing. The pharmacy intern assisted in holding the patient up while the pharmacist called in the patient's father. During this time the patient began to regain consciousness and had urinated in her seat. The time lapse from fainting to regaining consciousness was about 20 to 30 seconds. The patient was verbal and speaking but stated she felt weak. The patient was instructed to stay seated, she was offered a cold bottle of water, and asked to remove her mask so she would have better airflow. The pharmacist checked on her every few minutes. The patient felt better after about 25-30 minutes and confirmed she was ok to leave. The pharmacist checked and patient left with her father.

Other Meds: unknown

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm