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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1541161
Sex: F
Age: 42
State: TN

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 08/10/2021
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: morphine

Symptom List: Dysphagia, Epiglottitis

Symptoms: My right knee became filled with fluid. No known injuries. I went to Rheumatologist, checked for rheumatoid arthritis and lupus. No tears or anything. I had to get fluid drawn off the knee. Everything looked fine pathology-wise. At this point, I have not followed up with rheumatologist - it swells and goes down and swells and goes down - the fluid in the knee. Two weeks ago - I have a mass on my breast. I was scheduled for Mammography and an ultrasound. I am set up with Breast Biopsy now with a Breast Specialist. He was concerned where I had my COVID vaccine. On the 18th of this month will be the Biopsy - that will be done at the hospital.

Other Meds: Nubering birth control; Vit D; B12

Current Illness: no

ID: 1541162
Sex: F
Age: 23
State: FL

Vax Date: 08/05/2021
Onset Date: 08/05/2021
Rec V Date: 08/10/2021
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: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient stated he was not feeling good, he had numbness in the legs and hands, felt hot and weak/weird, itching and had a rash on his neck. No need for epi-pen. Called 911 as patients requested.

Other Meds: None

Current Illness: None

ID: 1541163
Sex: F
Age: 36
State: WA

Vax Date: 05/08/2021
Onset Date: 07/05/2021
Rec V Date: 08/10/2021
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: No

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

Symptoms: I experienced a confirmed pregnancy and started bleeding which eventually was resolved ( Intrauterine bleed). Currently, my pregnancy is coming along fine. The doctor did a ultrasound to ensure that my fetus is fine and ran some tests.

Other Meds: I was taking prenatal vitamins.

Current Illness: No

ID: 1541164
Sex: M
Age: 24
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient fainted and hit head resulting in a contusion. Patient came to within a few seconds and recovered quickly.

Other Meds:

Current Illness:

ID: 1541165
Sex: F
Age: 70
State: TX

Vax Date: 01/27/2021
Onset Date: 02/10/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Well I had a reaction to both of them. The first dose my blood pressure went up immediately and had to sit there till it came down. After the second dose I woke in the middle of the night and my face was tingling and I thought I was having a stroke. But when I reviewed the stroke symptoms I didn't have anything else so I went to the doctor the following Monday. And my left side of my face was still tingly. They sent me for a CT scan and everything was fine. I was never prediabetic and 4 months ago was diagnosed as diabetic. I'm not taking any medications for it right now. My face still gets tingly every now and then.

Other Meds: Eliquis 2.5mg 2xday; Carvedilol 2xday 3.125mg; Simvastatin 3mg/day; 81mg Aspirin; Calcium; Biotin; Glucosamin; Thyroid medication; Lezothyrosin 50mg

Current Illness: I had COVID in August 2020

ID: 1541166
Sex: M
Age: 61
State: GA

Vax Date: 07/25/2021
Onset Date: 07/26/2021
Rec V Date: 08/10/2021
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:

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

Symptoms: Patient reports itching under the skin of arms and face that has been unrelieved by OTC and prescription antihistamines that has been ongoing since receiving the vaccine.

Other Meds:

Current Illness:

ID: 1541167
Sex: M
Age: 12
State: PA

Vax Date: 08/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/10/2021
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 concentrated undiluated Pfizer vaccine unknown side effects

Other Meds: none

Current Illness: unknown

ID: 1541169
Sex: F
Age: 55
State: PA

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

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

Lab Data:

Allergies: bactrim

Symptom List: Pharyngeal swelling

Symptoms: patient was given concentrated undiluted Pfizer vaccine unknown reaction

Other Meds: unknown

Current Illness: unknown

ID: 1541170
Sex: F
Age: 37
State: SC

Vax Date: 07/31/2021
Onset Date: 08/08/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 8 days after the getting the shot I experienced intense itching at the injection site. The site swelled up and its hot to the touch and still itchy. I had no issues at all before the itching began.

Other Meds: Lea pro, one,pic

Current Illness: Na

ID: 1541171
Sex: M
Age: 17
State: IN

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient felt dizzy, hot, and described his vision as "everything went black." Patient passed out but was caught by his mother and lowered to the floor. He was given cool washcloths, BP monitored, pulse ox and pulse monitored. First vitals: BP 104/63, pulse 72, POx 99; Second vitals: BP 108/72, Pulse 103 (moved to a sitting position), POx 99; Third vitals 117/76, Pulse 77, POx 99; BP 120/74 (standing), Pulse 88, POx 98. Patient reported last eating a meal at noon. Patient was given water and a Coca-Cola to drink.

Other Meds: unknown

Current Illness: unknown

ID: 1541172
Sex: F
Age: 50
State: CA

Vax Date: 06/26/2021
Onset Date: 06/26/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Dilantin, Latex, sulfra, gluten, mold

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

Symptoms: severe fatigue for a week, large bruises on lower limbs, such weakness in my legs that it felt like I was paralyzed. If I stood up I would collapse immediately. neuropathy exaggerated beyond my medicine's capacity (Gabapentin)

Other Meds: AM: ?Bupropion HCL XL 300mg (Wellbutrin XL) ?Duloxetine HCL DR 60mg (1x capsule) (Cymbalta) ?Myrbetriq 50mg ?Gabapentin 900mg (3x 300mg) (Neurontin) ?C-E2, E3 (2mg-8mg/gram) Cream (four clicks) ?C-Testosterone 0.1% Cream (one click) NOON:

Current Illness:

ID: 1541173
Sex: F
Age: 31
State: NC

Vax Date: 05/14/2021
Onset Date: 05/14/2021
Rec V Date: 08/10/2021
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: versed

Symptom List: Rash, Urticaria

Symptoms: Initially had difficulty swallowing and facial droop within 45 minutes. No has developed functional movement disorder and pseudoseizure.

Other Meds: none

Current Illness: none

ID: 1541337
Sex: F
Age: 33
State: VA

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

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

Lab Data:

Allergies: lisinopril

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

Symptoms: Incident occurred at about 6:50pm. The patient complained of pressure in her chest. Patient said she has a history of hypertension. She was asked to lay down for awhile. Checked blood pressure and heart rate. Patient was advised to follow up with provider. Pt felt over 90% better and declined assistance to her vehicle.

Other Meds: amlodipine, Claritin

Current Illness: high bp

ID: 1541338
Sex: F
Age: 76
State: WI

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 08/10/2021
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: I have an awful lot of allergies.

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

Symptoms: My arm was sore, I ran a slight fever aches and pains, I felt horrible. I had diarrhea continued till now. I could not leave the house. I saw my GI Dr. She put me on Imodium in evening

Other Meds: Tylenol, Advair, Albuterol, Allopurinol, aspocream, aspirin, B12, Basaglar , tums, Coreg, Lotrimin, Creon, Flonase, Glucocon, Hydrocortisone cream, Athrozent, Imdur, Cozaar, nitroglycerin, NovoLog flex , potassium chloride, Merapex, Carafa

Current Illness:

ID: 1541339
Sex: F
Age: 18
State: TX

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: Post vaccination expressed feelings of nausea, dizziness, and syncope. Did not pass out, recovered and left ambulating independently with male companion.

Other Meds:

Current Illness:

ID: 1541340
Sex: F
Age: 20
State: MI

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Within 5 minutes of shot, experienced extreme tiredness and flushing of face, tightening of the throat, chest pain, heart pounding, numbness of neck and collarbone, rapid pulse, and dizziness. Staff provided a juice box and said to remain seated. Most symptoms subside but numbness spread and got worse. It spread to rest of head and back. When told about continued numbness after 30 minute, staff said patient could go and if it continues, benadryl should be taken and 911 called. Numbness spread to back and patient took 10 mg of liquid benadryl which took effect within 10 minutes.

Other Meds: None

Current Illness: None

ID: 1541341
Sex: F
Age: 17
State: KY

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: Nuts, penicillin of any kind, Bactrim

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

Symptoms: Jittery and rapid heartrate 114 beats per minute.

Other Meds: Nikki birth control pill

Current Illness: Urinary

ID: 1541342
Sex: F
Age: 12
State: AZ

Vax Date: 08/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: bactrim and Keflex

Symptom List: Ear pain, Hypoaesthesia

Symptoms: On Saturday my daughter felt like she was going to pass out in a couple of instances, I checked her vitals and BP and Oxygen were normal, but her heart rate was 145. Her heart fluctuated between 145 and a130 all day and was irregular. On Sunday, her heart rated did slow down, but still at about 110- 130's and was still irregular. Her heart normalized by Monday.

Other Meds: none

Current Illness: none

ID: 1541343
Sex: F
Age: 40
State: AL

Vax Date: 07/29/2021
Onset Date: 08/01/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Hives. Full body. Violent itching. Completely inflamed skin. No breathing issues.

Other Meds: None

Current Illness: None

ID: 1541345
Sex: M
Age: 38
State: KS

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: AFTER INJECTING PATIENT WITH NEEDLE AND TRYING TO PUSH VACCINE INTO PATIENT'S ARM, THEN VACCINE LEAKED OUT BETWEEN THE SYRINGE AND NEEDLE AND DRIPPED DOWN PATIENT'S ARM.

Other Meds:

Current Illness:

ID: 1541346
Sex: F
Age: 49
State:

Vax Date: 08/02/2021
Onset Date: 08/02/2021
Rec V Date: 08/10/2021
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: none

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

Symptoms: arm pain, numbness and tingling in both arms, metallic taste in mouth, HA, dry cough, fatigue, chills, malaise, diaphoresis

Other Meds: multivitamin, calcium, vitamin D

Current Illness: none

ID: 1541347
Sex: F
Age: 35
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa Drugs, Earrings and wristwatches, Pollen, Mold, Pet Dander

Symptom List: Unevaluable event

Symptoms: Headache, Fatigue, Sleep Disturbance, Joint Pain, Body Aches, Elevated Liver Enzymes, Deep Grooves in Thumbnails, Abdominal Swelling, Hand Tremor

Other Meds: Vitamins C, D, B complex, Calcium, zinc, magnesium, mushroom complex, collagen, Hyaluronic Acid, Glucosamine & chondroitin, Aloe Vera Juice, Noni Juice, Glutathione,

Current Illness:

ID: 1541348
Sex: F
Age: 19
State: AZ

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: Amoxicillin

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

Symptoms: Within 35 minutes of the vaccine administration I experienced discomfort in my jaw (left) and numbness and swelling in my cheek (left). I was driven directly to an clinic who directed me to the ER. Clinic performed bloodwork and observation. Bloodwork considered normal. Discharged with information on paresthesia and told to contact primary physician or return to the hospital if symptoms worsened. No symptom change at the time of this report, 4 hours post vaccination.

Other Meds: None

Current Illness: None

ID: 1541349
Sex: M
Age: 76
State: HI

Vax Date: 02/13/2021
Onset Date: 08/09/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Tested positive for covid-19 after being fully vaccinated

Other Meds:

Current Illness:

ID: 1541350
Sex: M
Age: 74
State: CA

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: Patient received third dose of Moderna covid-19 vaccine in August 2021. Patient completed series with last injection on 02-18-21.

Other Meds:

Current Illness:

ID: 1541351
Sex: F
Age: 67
State:

Vax Date: 08/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/10/2021
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: environmental, sulfer

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

Symptoms: extreme fatigued, too dizzy to stand, no appetite, couldnt take meds, headache

Other Meds: insulin humalog lantice metropopulol lecartin potassium vitamins

Current Illness:

ID: 1541352
Sex: F
Age: 39
State: CA

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fingers 2-5 on my right hand went numb, very cold, turned white and painful. Loss of feeling in my fingers during this time. My fingers looked like a dead persons fingers. This still happens.

Other Meds: Suboxone

Current Illness: N/A

ID: 1541353
Sex: F
Age: 12
State: WI

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: My daughter got extremely ill after the second dose. She developed a fever, chills, racing heart, headache, stomach ache, nausea, body aches, dizziness, and fatigue.

Other Meds: None

Current Illness: None at time of vaccination. Upper respiratory illness from 7/21-7/31.

ID: 1541354
Sex: F
Age: 36
State: CA

Vax Date: 01/15/2021
Onset Date: 03/03/2021
Rec V Date: 08/10/2021
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: penicilin

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

Symptoms: Missed period for 2 months after the vaccine. I work with a lot of OB-gyn patients who have also experienced changes. I understand the CDC is just now looking into this- most is likely unreported , however I would like to have this issue addressed because as they start forcing this vaccine on younger and younger individuals- whose hormones will 100 be effected- the long term side effects need to be considered before any young girl is mandated-forced to be vaccinated. A couple months of trials will not cut it.

Other Meds: Birth control

Current Illness: none

ID: 1541356
Sex: F
Age: 63
State: FL

Vax Date: 08/06/2021
Onset Date: 08/06/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List: Nausea

Symptoms: bodyache, sweats 4 days

Other Meds: clonazepam 2mg daily, celexa 20mg daily

Current Illness: none

ID: 1541357
Sex: F
Age: 57
State: UT

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Actrbacitrican Sulfa

Symptom List: Injection site pain

Symptoms: On my right forearm the blood vessels burst purpura. It was not painful at all but it just looked terrible. It continued happening so it happened about thirteen times. Now it is happening on both forearms. Sometimes it can be pretty extreme and sometimes pretty mild. The bloodwork only showed a vitamin B12 deficiency.

Other Meds: Avastin Injection every 8-10 weeks Omeparcole 20mg Budesonide 9mg Multivitamin Fish Oil 500mg Caltrate D3 1200mg Vitamin D3 25mcg Preservision 2x day Estradiol .5mg every other day Estrgnethte .625/1.25mg every other day Projestron 200mg T

Current Illness: None.

ID: 1541358
Sex: F
Age: 56
State: WA

Vax Date: 01/19/2021
Onset Date: 05/03/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: sensitity Erythromyacin - causes heartburn; maybe latex

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

Symptoms: Noticed an increased numbness - hands both sides - right greater than left. Intermittent and persistent. I am undergoing physical therapy - for pain in my neck - (I have had chronic neck pain in past. The numbness has not improved. Although the neck pain has. It's usually when I'm sleeping and something has gone numb. It use to happen rarely and now it's a common occurrence. I have to kind of wait for it to shake out. There is a new kind of tingling that has started - that is more on the right than the left. At the same time, I noticed something happening with bladder - they are attributing to age and hormones. I felt like I was needing to go but the bladder was very slow to empty. Vaginal estrogen - the symptom has improved but not resolved and that occurs at night as well. Neurologist for nerve conduction studies.

Other Meds: Synthroid

Current Illness: no

ID: 1541360
Sex: M
Age: 58
State: NJ

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: nka

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

Symptoms: the second vaccine was inadvertently administered on day 21 , I let the patient know that even though it was administered early it does not need to be readministered

Other Meds: n/a

Current Illness: n/a

ID: 1541361
Sex: M
Age: 39
State: OR

Vax Date: 07/22/2021
Onset Date: 07/24/2021
Rec V Date: 08/10/2021
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: some shellfish and 'hay fever' seasonal allergy

Symptom List: Tremor

Symptoms: Chest Pain. Worsened with full breadth or being bent over. Peaked in intensity July 27-29th but lingered until Aug 6th

Other Meds: none

Current Illness: none

ID: 1541362
Sex: F
Age: 64
State: OH

Vax Date: 06/23/2021
Onset Date: 06/24/2021
Rec V Date: 08/10/2021
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: Erythema, Pruritus

Symptoms: Patient reports twitching starting the next day. She states has continued since the shot. Occurs 2-3 times a day for about 5-15 seconds. Occurs all over diff areas of the body (legs, arms & neck mostly

Other Meds:

Current Illness:

ID: 1541363
Sex: F
Age: 52
State: CA

Vax Date: 03/31/2021
Onset Date: 04/18/2021
Rec V Date: 08/10/2021
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 knoown

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

Symptoms: 1st dose 3/31/21. As of mid April, started having severe nose bleeds. Went to ER on 4/27 as I was unable to stop bleeding that day. My nose was cauterized. Had my 2nd vaccine dose on 4/28. The nose bleeds lasted about 6 weeks. I had an appointment with an ENT on 5/26, and my nose was cauterized a 2nd time. Also during this period, started developing painful headaches at right rear base of head, experiencing eye pain with swelling/drooping, and started having dental pain. All on the right side of my head. I started bleeding and bruising easy, and I felt like my veins were inflamed. The nose bleeds stopped after about 6 weeks. I've had a brain MRI, and now being referred to a neurologist to try to diagnose the various head pain. Initial diagnosis was Trigeminal Neuralgia. Most all these symptoms developed after the first vaccination.

Other Meds: Cymbalta, Calm Magnesium powder supplement, various daily vitamins

Current Illness: None

ID: 1541364
Sex: F
Age: 58
State: FL

Vax Date: 08/08/2021
Onset Date: 08/09/2021
Rec V Date: 08/10/2021
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: codeine

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

Symptoms: Had sever Chills and Cramps in thighs of legs and very bad cramps in my left foot. Enough to wake me up when I was finally sleeping.

Other Meds: Claritin D, Tylenol, Cinnamon

Current Illness: none

ID: 1541365
Sex: F
Age: 59
State: GA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 08/10/2021
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: Lactose intolerant

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever with chills, headache and severe back pain began approximately 18 hours after shot. Symptoms persisted for 36 hours.

Other Meds: None

Current Illness: None

ID: 1541366
Sex: U
Age: 38
State: TN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 08/10/2021
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:

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

Symptoms: Fever that lasted for weeks, loss of taste, tinnitus, muscle ache and joint pain, suicidal thoughts, muscle spasms

Other Meds:

Current Illness:

ID: 1541367
Sex: M
Age: 27
State: RI

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

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

Symptoms: Patient was walking out the immunization room and fell about a minute after receiving the vaccine. He appeared to be having a seizure but quickly gained consciousness. Mom was with him and refused for me to call 911. He then began to vomit on his side laying down. I eventually got him to sitting up he was pale and sweaty, put cold packs on him and wet wash clothes. He drank a cold water slowly and I gave him 2 Benadryl tablets. after about 15 minutes he was able to stand and I helped him out to the car with his mother.

Other Meds:

Current Illness:

ID: 1541368
Sex: M
Age: 49
State: CO

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

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

Lab Data:

Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: Patient was given first dose of Pfizer-BioNTech today 8/10/21 but had received another COVID19 vaccine product in previously. Patient tolerated vaccination well without side effects/symptoms in office

Other Meds:

Current Illness:

ID: 1541370
Sex: F
Age: 41
State: TX

Vax Date: 08/07/2021
Onset Date: 08/08/2021
Rec V Date: 08/10/2021
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: Severe pain, Bells Palsy like symptoms, allergic reaction requiring medication, pain with moving muscles in left upper extremity

Other Meds: None

Current Illness: none

ID: 1541371
Sex: F
Age: 55
State: LA

Vax Date: 08/09/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: sulfa lidocaine

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

Symptoms: Started feeling tired and wiped out and went to bed around 8 pm around midnight woke up to extremely high fever with significant chills, shaking and muscles in head and neck locked in middle of the night extreme difficulty swallowing pills. Aching pain in all joints. Fever did respond to tylenol and gatorade after several hours. Still significant pain in injection site post 24 hours even with massage therapy and hot shower.

Other Meds: synthroid cytomel lisinopril

Current Illness: asthma attack had to use Proventil inhaler a week before

ID: 1541372
Sex: M
Age: 15
State: GA

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

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

Lab Data:

Allergies: no known allergies

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

Symptoms: Patient became pale and felt faint within 10 minutes of receiving vaccine

Other Meds: unknown

Current Illness: unknown

ID: 1541373
Sex: M
Age: 56
State: OH

Vax Date: 05/28/2021
Onset Date: 05/29/2021
Rec V Date: 08/10/2021
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: Pregabalin, Gralise

Symptom List: Vomiting

Symptoms: Patient states the pain in the right arm started the next morning of the vaccine, the pain started to get worse the next days to the point he couldn't hold a cup. he also feels numbness in the arm and the pain is getting worse and worse each day, patient says he's in excruciating amount of pain till this day, he's going to see a neurologist for this.

Other Meds: Patient states he didn't take any OTC medication, causes stomach upset.

Current Illness:

ID: 1541374
Sex: M
Age: 15
State: TX

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: Hx of faint, pale after other vaccinations, but came back within first 10 minutes

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 15 y/o male with hx of faint/pale from previous other vaccines (came back to normal within first 10 minutes) came to our pharmacy to get his 1st Pfizer COVID-19 vaccine. His mother and the patient both aware of the vaccine may cause the similar reaction and agreed to get the vaccine. Around 4:10pm I gave him a candy, then I have administered the vaccine. I monitored him about 2 minutes, I asked if he wanted some water, he said yes. While I went to go grab a bottle of water, he fainted and fell on ground. He started turning pale, showing of cold sweat, and twitching. I continuously monitored, checked his vital which was within normal range. He was responsive to my questions. 5 minutes later, he wanted to throw up and his mother told us he ate around 2pm. Around 4:40pm I had someone to call 911 for medical checkup after patient's mom agreed to. EMS arrived within 10 minutes, they checked vital and his condition. After the examination, they concluded that he had a shock from the fear of the needle. My concern is that he was able to answer with shaking & nodding his head, and thumbs up and down, however not able to speak. Medics tried to make him to say his name, but he was not able to. Patient's mother decided to carry him to the ambulance. I will make a follow up call to the patient to see if any progress is made.

Other Meds: None

Current Illness: None

ID: 1541375
Sex: F
Age: 25
State: WA

Vax Date: 08/01/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: Morphine

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

Symptoms: Arm pain, fatigue, headache, vomiting

Other Meds: Marlissa birth control

Current Illness: None

ID: 1541376
Sex: F
Age: 64
State: MI

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/10/2021
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: lisinopril, codeine, penicillins , statins , propoxyphene, amlodipine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: pt felt like she was breaking out in rash, she was pointing to the interparts of her fingers and her legs.

Other Meds: ezetimibe , metoprolol, famotidine , hydrochlorothiazide

Current Illness: na

ID: 1541377
Sex: M
Age: 12
State: NV

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Syncopal episode, pallor, shaking. Lasted for approx. 10 min. Juice and crackers given. Recovered well. Left with Mom in good condition.

Other Meds: none

Current Illness: none

ID: 1541378
Sex: F
Age: 46
State: OR

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 08/10/2021
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: Horse protein/derived products - hives, breathing effected, dr warned of potential death if bit by house or with use of antivenin due to severity; PCN - rash; Lamictal - ulcers in mouth Monistat

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

Symptoms: Within 24 hrs initially had the usual:painful arm, fever, chills, muscle aches/joint pain, back of head headache, upper backache. Missed 1 day of work. Bouced back witbh still painful arm with some pain at back of head upper back. A few day passed, and I still had painful left arm. I had worsening severe pain that went up left shoulder, left side to chin line and back of neck, severe pain at back of head/ upper back and joint between skull and spine, severe pain down my spine till middle back. Very stiff and had decrease mobility of neck. Missed work again 3 plus days, pain meds amd muscle relaxers via Medical Center, chiropractic twice or threetimed a week. So painful and stiff could not adjust back for about 1.5 wks. Painful to touch and inflammed and puffy body. Worsened depression and anxiety. Took 3 weeks or so to get better.

Other Meds: Seroquel; Crestor; Levothyroxine; Xanax; Verapamil - decrease hr for tx afib not high bp

Current Illness: UTI; Depression/anxiety

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm