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: 1541837
Sex: M
Age: 61
State: MD

Vax Date: 04/14/2021
Onset Date: 04/18/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Lost sense of smell, still has not returned.

Other Meds: Glucosamine LISINOPRIL /HCTZ 20/12.5 MG Amlodipine Besylate 5 mg

Current Illness: Respiratory Infection

ID: 1541838
Sex: M
Age: 50
State: IL

Vax Date: 05/22/2021
Onset Date: 05/29/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Sivere weakness in lower extremities/legs from hips down.

Other Meds:

Current Illness:

ID: 1541839
Sex: F
Age: 21
State: VA

Vax Date: 07/16/2021
Onset Date: 07/17/2021
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 known allergies.

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

Symptoms: -Blacked out in the shower - did not fully lose consciousness, but everything went black. Took a few seconds for vision to come back (7/17). -Arm pain - right arm was numb/tingly all the way down the arm into the fingers (7/17). -Leg pain - right leg was achy and radiated down the entire leg into the foot (7/18). -Rash - rash developed on right arm on day 7 (7/24). Rash was itchy on the first day and did not go away until two days later.

Other Meds: Nikki - birth control.

Current Illness: N/A.

ID: 1541840
Sex: M
Age: 57
State: FL

Vax Date: 04/19/2021
Onset Date: 04/23/2021
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: tinnitus, headaches

Other Meds: olmesartan 20mg

Current Illness: stage 3 kidney,

ID: 1541841
Sex: M
Age: 16
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: IM
Vax Site: LA

Lab Data:

Allergies: NONE

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

Symptoms: Patient moved from vaccine area to observation in pharmacy lobby, told his dad he didn't feel good and passed out before dad could get him to sit down. Patient came to immediately, asked for a sip of water. Checked pulse and monitored patient for worsening symptoms. questioned patient on meals, activity before vaccine=he had not eaten since dinner night before. Patient moved to chair, where he and his dad waited for 30 mins. Symptoms improved after water and a couple pieces of candy. Color and pulse were normal when patient left lobby

Other Meds: UNLNOWN

Current Illness: CHROHN'S

ID: 1541842
Sex: M
Age: 15
State: CA

Vax Date: 08/10/2021
Onset Date: 08/10/2021
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: None

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

Symptoms: Client reported dizziness at 6:46 PM. The client ambulated and sat in the anti-gravity chair. The client denied any other s/s of anaphylaxis. The client's father stated that red markings on the client's face have been present for several years. The client last ate around 2:00PM and drank water about one hour ago. Vitals obtained at 6:47PM were as follows: BP 154/99, HR 99, O2 99%. Repeat vitals obtained without the client's sweatshirt on at 6:51 PM were as follows: BP 138/85, HR 91%, O2 99%. The client stated the dizziness had resolved. He states that he was feeling nervous about getting the vaccine and is still currently feeling nervous. The client denies any chronic conditions or cardiac conditions. The client has no known allergies. The client does not take any medications regularly. Educated the client and his father regarding elevated BP, importance of hydration, when to seek EMS, and s/s of anaphylaxis. The client's father states he has a blood pressure cuff at home. Educated the client's father on normal BP range and suggested the client follow up with PCP regarding elevated BP. The client's father voiced understanding of this. The client stood up at 6:54 PM and denied any s/s of anaphylaxis or dizziness. The client sat down again. Repeat vitals obtained at 7:00PM were as follows: BP 128/82, HR 101, and O2 99%.

Other Meds: None

Current Illness: Unknown

ID: 1541843
Sex: F
Age: 26
State: TX

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: amoxicillin allergy

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: On 8/10/21 at 5:33pm, patient called the pharmacy that she had a reaction to moderna shot. Had red swollen arm and getting fever. She called her dr and her dr recommended tylenol for the pain and fever. I said if not doing better to check back with the doctor.

Other Meds: unknown

Current Illness: unknown

ID: 1541844
Sex: F
Age: 56
State: CT

Vax Date: 04/07/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sudafed type products

Symptom List: Pharyngeal swelling

Symptoms: Soreness and swelling/fluid pocket at injection site- significant discoloration/bruising followed on day 3, pain receding on day 5

Other Meds: Sinthroid, Zoloft, vitamin d, fish oil, magnesium zinc calcium

Current Illness: None

ID: 1541845
Sex: F
Age: 35
State: NJ

Vax Date: 03/05/2021
Onset Date: 04/22/2021
Rec V Date: 08/10/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: My menstrual cycles have always been very regular. The only time I have ever missed a period was with my 2 pregnancies in the past. Everything started in April which was the month after my second Moderna dose. My period was almost 2 weeks late(11 or 12 days). I took half a dozen pregnancy tests over that time period and they were all negative. When I did finally get my period I bled so much for so long. It was very heavy(scary heavy) for about a week and a half and then switched to a normal period flow but I bled for about 3 weeks total. After 11 or 12 days of bleeding I called and saw the Nurse practitioner at my OB/Gyn office. At that appointment she did an endometrial biopsy but didn?t prescribe anything for the bleeding bc my hemoglobin was still within normal limits and we were just going to try and wait for the biopsy results to come back to make sure the sample was adequate. Also, while we were waiting for the biopsy to come back, I went for a transabdominal and transvaginal ultrasound to get a better idea of what was going on. By the time we got the results of everything back a couple weeks had gone by and it had stopped or almost stopped. 2 weeks of no bleeding and then it started again. It wasn?t very heavy like the month before but after maybe 9 days of bleeding I called the office back and said i needed them to look into it further bc something was definitely wrong. They scheduled me for a consult with my primary OB/Gyn 4 weeks later since the office was very busy. On day 19 of bleeding I finally just called my doctor and discussed everything over the phone. He pretty much said we can skip the consult appointment and just call the office in the morning and they?ll schedule me for a hysteroscopy, which they did. My hysteroscopy was scheduled for August 10th(today). During the second round of bleeding I bled for over 7 weeks straight. I was prescribed oral progesterone which did not help initially but was increased and finally brought the bleeding to an end about 2 weeks ago. I have essentially been bleeding since May 3rd and the hysteroscopy today showed no indication of why I continued to bleed like that. There were no polyps and no fibroids discovered. Now I am stuck getting an IUD placed to attempt to control this bleeding and my chances of expanding my family become smaller and smaller every single day.

Other Meds: Prednisone 7.5mg Daily Plaquenil 200mg BID

Current Illness: RA

ID: 1541846
Sex: M
Age: 66
State: IA

Vax Date: 08/08/2021
Onset Date: 08/08/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pt had completed their covid vaccine course at the hospitals and then came to pharmacy to get a third shot. Pharmacy did not catch that the series was already completed.

Other Meds:

Current Illness:

ID: 1541847
Sex: M
Age: 12
State: AK

Vax Date: 08/03/2021
Onset Date: 08/04/2021
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: None

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

Symptoms: Eyes dilated, skin was ashy, lips turned white, eyes rolled up in head, passed out. Called 911. Oxygen level was 84%, gave supplemental oxygen until paramedics arrived. In route to hospital IV fluids were started and continued with 1000ml at hospital. Stayed at hospital for the day for monitoring. Discharged late afternoon. Very very tired for several days.

Other Meds: Concerta 27 mg in morning and 3mg Melatonin before bed.

Current Illness: None

ID: 1541849
Sex: M
Age: 60
State: NC

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: SYR
Vax Site: RA

Lab Data:

Allergies: Penicillin

Symptom List: Rash, Urticaria

Symptoms: Extreme fatigue and sleepiness. Slept for 20+ hrs beginning 8/10/2021 Mild to moderate heaches Difficulty in concentration Rash and swelling of face Inability to fully raise arm where the injection was. Symptoms still ongoing

Other Meds: Furosemide

Current Illness:

ID: 1541850
Sex: F
Age: 27
State: TN

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

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

Symptoms: Nausea and dizziness

Other Meds: unknown

Current Illness: unknown

ID: 1541851
Sex: F
Age: 50
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: Mold, dust, gluten, avocados, eggs, any and all beans

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

Symptoms: First injection 1/27/2021 042120A: increased heart rate from 63bpm to 105 for 36 hours. Second injection February 24, 2021 007M20A after 10 days I started an arthritis flare that continued for 2.5 - 3 months.

Other Meds: Low dose naltrexone, Thyroid Armour, Baclofen, Omega 3,

Current Illness:

ID: 1541867
Sex: F
Age:
State: MA

Vax Date: 01/14/2021
Onset Date:
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: patient tested positive for shingles and is being treated with antivirals; This spontaneous case was reported by a physician and describes the occurrence of HERPES ZOSTER in a 40-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) for COVID-19 vaccination. No Medical History information was reported. On 14-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On an unknown date, the patient experienced HERPES ZOSTER (patient tested positive for shingles and is being treated with antivirals). At the time of the report, HERPES ZOSTER outcome was unknown. Not Provided. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On an unknown date, Herpes zoster: positive Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Reporter did not allow further contact

Other Meds:

Current Illness:

ID: 1541868
Sex: F
Age: 64
State: IL

Vax Date: 01/18/2021
Onset Date: 01/24/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: large red area lower than the vaccine site; This spontaneous case was reported by a consumer and describes the occurrence of VACCINATION SITE ERYTHEMA in a 64-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 029K20A) for COVID-19 vaccination. No Medical History information was reported. On 18-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 24-Jan-2021, the patient experienced VACCINATION SITE ERYTHEMA. At the time of the report, VACCINATION SITE ERYTHEMA was resolving. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Concomitant medications were not provided by reporter. Treatment medications included Antibiotics.

Other Meds:

Current Illness:

ID: 1541869
Sex: F
Age: 48
State: CA

Vax Date: 01/24/2021
Onset Date: 01/26/2021
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:

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

Symptoms: COVID-19; fever; tiredness; cough; headache; This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (COVID-19), PYREXIA, FATIGUE, COUGH, and HEADACHE in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041l20a) for COVID-19 vaccination. NO Medical History Information was reported. On 24-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Jan-2021, the patient experienced HEADACHE. On 28-Jan-2021, the patient experienced COVID-19 (COVID-19), PYREXIA, FATIGUE, and COUGH. The patient was treated with PARACETAMOL for Adverse event, at an unspecified dose and frequency. At the time of the report, COVID-19 (COVID-19) had not resolved and PYREXIA, FATIGUE, COUGH, and HEADACHE outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Jan-2021, SARS-CoV-2 test: (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant Concomitant medications were reported. This case was received via an unknown source (no reference has been entered for a health authority) on 29-Jan-2021 and was forwarded to Moderna on 30-Jan-2021. This spontaneous case was reported by a consumer and describes the occurrence of COVID-19 (COVID-19), PYREXIA, FATIGUE, COUGH, and HEADACHE in a 48-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 041l20a) for COVID-19 vaccination. NO Medical History Information was reported. On 24-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 26-Jan-2021, the patient experienced HEADACHE. On 28-Jan-2021, the patient experienced COVID-19 (COVID-19), PYREXIA, FATIGUE, and COUGH. The patient was treated with PARACETAMOL for Adverse event, at an unspecified dose and frequency. At the time of the report, COVID-19 (COVID-19) had not resolved and PYREXIA, FATIGUE, COUGH, and HEADACHE outcome was unknown. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 28-Jan-2021, SARS-CoV-2 test: (Positive) Positive. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Unknown) was unknown. No relevant Concomitant medications were reported.

Other Meds:

Current Illness:

ID: 1541870
Sex: F
Age: 32
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Vaccine exposure during pregnancy; This spontaneous prospective pregnancy case was reported by a consumer and describes the occurrence of EXPOSURE DURING PREGNANCY (Vaccine exposure during pregnancy) in a 32-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 042C20A) for COVID-19 vaccination. No Medical History information was reported. On 29-Jan-2021, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. The patient's last menstrual period was on an unknown date and the estimated date of delivery was 26-Sep-2021. On 29-Jan-2021, the patient experienced EXPOSURE DURING PREGNANCY. On 29-Jan-2021, EXPOSURE DURING PREGNANCY had resolved. Not Provided The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. No relevant concomitant medications were reported. Treatment information was not provided.

Other Meds:

Current Illness:

ID: 1541871
Sex: M
Age: 68
State: NC

Vax Date: 01/29/2021
Onset Date: 01/21/2021
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Weakness; Increased Blood pressure 180/105; Increased Heart Rate 93 bpm; Dizziness; This spontaneous case was reported by a consumer (subsequently medically confirmed) and describes the occurrence of ASTHENIA, HYPERTENSION, TACHYCARDIA, and DIZZINESS in a 68-year-old male patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch nos. 032 L20A and 013 M20A) for an unknown indication. The patient's past medical history included Heart attack. Previously administered products included for an unreported indication: RANOLAZINE from March 2020 to March 2021. Concurrent medical conditions included Coronary artery disease since 02-Sep-2009 and Autonomic dysfunction (Frequent weakness, panic attacks) since July 2014. Concomitant products included LANSOPRAZOLE for Acid reflux, NITROSTAT for Chest pain, ATORVASTATIN for Cholesterol, ASPIRIN for Coronary artery disease. On 29-Jan-2021 at 10:00 AM, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) 1 dosage form. On 19-Feb-2021 at 9:00 AM, received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On 21-Jan-2021, the patient experienced ASTHENIA, HYPERTENSION, TACHYCARDIA, and DIZZINESS. On 24-Jan-2021, DIZZINESS had resolved. At the time of the report, ASTHENIA, HYPERTENSION, and TACHYCARDIA outcome was unknown. Not Provided. DIAGNOSTIC RESULTS (normal ranges are provided in parenthesis if available): On 21-Jan-2021, Blood pressure measurement: 180/105 mmHg (High) 180/105. On 21-Jan-2021, Heart rate: 93 (normal) 93 beats per minute. The action taken with mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) was unknown. Treatment medications were not provided. Most recent FOLLOW-UP information incorporated above includes: On 29-Apr-2021: Patient demographics, medical history updated, and suspect product information updated, concomitant drugs added.

Other Meds: ASPIRIN; ATORVASTATIN; PREVACID; NITROSTAT

Current Illness: Autonomic dysfunction (Frequent weakness, panic attacks); Coronary artery disease

ID: 1541872
Sex: F
Age: 31
State: TN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: itchy rash; rash on back of neck; This spontaneous case was reported by a physician and describes the occurrence of RASH PRURITIC (itchy rash) and RASH (rash on back of neck) in a 31-year-old female patient who received mRNA-1273 (Moderna COVID-19 Vaccine) (batch no. 030L20A) for COVID-19 vaccination. Concurrent medical conditions included Lupus erythematosus (reported that patient had lupus). Concomitant products included HYDROCORTISONE and PREDNISONE for an unknown indication. On 29-Jan-2021, the patient received second dose of mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular) dosage was changed to 1 dosage form. On an unknown date, the patient received first dose of mRNA-1273 (Moderna COVID-19 Vaccine) (unknown route) 1 dosage form. On 29-Jan-2021, the patient experienced RASH PRURITIC (itchy rash) and RASH (rash on back of neck). At the time of the report, RASH PRURITIC (itchy rash) and RASH (rash on back of neck) outcome was unknown. For mRNA-1273 (Moderna COVID-19 Vaccine) (Intramuscular), the reporter did not provide any causality assessments. Treatment details were not reported by the reporter. Most recent FOLLOW-UP information incorporated above includes: On 14-Apr-2021: Follow up was received and case is NNI.

Other Meds: HYDROCORTISONE; PREDNISONE

Current Illness:

ID: 1541903
Sex: M
Age: 33
State: WA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
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: Several hours after getting the shot I started to get dizzy and my motor function slowed way down. I got migraines and breathing problems, and four months later nothing has gone away, the symptoms are permanent it seems. I can feel my heart palpitating and though I'm starting to adapt to living with these problems it's definitely something I regret doing and won't be getting any more of these untested injections.

Other Meds: Descovy, Tivicay

Current Illness: Hiv positive undetectable

ID: 1541904
Sex: M
Age: 49
State: HI

Vax Date: 04/22/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: covid infection

Other Meds:

Current Illness:

ID: 1541905
Sex: M
Age: 54
State: MD

Vax Date: 05/01/2021
Onset Date: 07/09/2021
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: None

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

Symptoms: sudden right ear hearing loss, vertigo, tinnitus. Hearing loss in right ear is 100% and permanent

Other Meds: Blood pressure med and gout med

Current Illness: None

ID: 1541906
Sex: F
Age: 29
State: IA

Vax Date: 05/09/2021
Onset Date: 08/09/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies: Food allergy mushrooms, penicillin allergy

Symptom List: Injection site pain, Pain

Symptoms: I received my second Covid vaccine on May 9, had a period starting on May 22 it resulted in pregnancy, miscarried pregnancy. No known documentation for pregnancy except for miscarriage there?s no pregnancy symptoms arose so I test was never taken. Not sure if these are related but wanted to report just in case. This would be my fourth pregnancy and first miscarriage, my other three pregnancies resulted in live births.

Other Meds: Viactove calcium chews, prenatal vitamins, vitamin d3 chews and fortify probiotic

Current Illness: None

ID: 1541907
Sex: F
Age: 56
State: CA

Vax Date: 05/03/2021
Onset Date: 06/21/2021
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: Ultram Vioxx Sulfa Ceftriaxone Daisies/Thistles

Symptom List: Injection site pain, Menorrhagia

Symptoms: Post menopausal bleeding started 6/21 and lasted for 24 days straight. Menopause occurred in 2013.

Other Meds: Amlodipine 2.5mg/ 1x day Amoxycillin 250 mg/ 3x day Estradiol patch 0.05mg/ 2x week Progesterone 200mg/10x days per month Folic Acid 1mg/ 1x day Calcium 1500mg /day Vitamin D 4000IU/ day Multivitamin no Iron 1x/ day

Current Illness:

ID: 1541908
Sex: F
Age: 42
State: WA

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Heparin

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

Symptoms: 45 to 50 minutes after receiving the vaccine, my entire throat went numb, including my jaw. My tongue felt swollen at the base, as well as surrounding tissue. My lips were tingling and so were my teeth. I had shortness of breath, rapid heart rate, and my chest became tight. I immediately went to the nearest ER. They made me wait 3.5 hours until any kind of treatment. I went to the front desk people several times and told them it was not getting better and my chest was getting tighter. They did not care. Once I finally saw a doctor, he insisted that this was not because of the vaccine and that I was likely having a panic attack and this was purely in my head. I refuted this notion and asked him to administer medication, via IV.

Other Meds: Labetalol - 150mg Chlorthalidone - 25mg Potassium Chloride - 20mg Synthroid - 100mcg Vitamin D - 5,000 IU

Current Illness: None

ID: 1541909
Sex: M
Age: 39
State: CO

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: NONE

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: patient received his second moderna vaccine. He came in with a female companion. After the vaccine he was asked to go the waiting area for 15 minutes. I left the immunization booth to give them a minute to there belongings as I prepare for the next vaccine patient. After two or so minutes when I returned the patient was still seated with the head leaning forward and had out trash can in front of him, He was not throwing up but he said he was feeling nauseated and also looked as if he was sweating, He was able to answer all my questions during the entire event.. He later said he was feeling dizzy and light headed. He did not want to lay down but he accepted a bottle of water. After about 10 minutes he he said his right arm was numb. (vaccine was given on the left arm). at that point he was more sluggish. at that time I told the female companion that we have to call ems because she was starting to contemplate taking him to the urgent care herself. The ems were called. The patient state did not change all up to the time the ems got here. At one point while waiting for the ems the wanted to leave because he did not want to go the hospital but he could not gather enough strength to walk by himself.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1541910
Sex: M
Age: 62
State: FL

Vax Date: 04/05/2021
Onset Date: 04/07/2021
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: Developed a rash starting near the middle of my back and extending about half way to my left side. Rash looked like the start of shingles but never progressed to that (never had any blisters). Rash did sting moderately. Rash resolved by itself over a period of 6-7 days. Rash appeared about 36 hours after 2nd shot of vaccine given 21 days after first shot.

Other Meds: none

Current Illness: none

ID: 1541911
Sex: M
Age: 13
State:

Vax Date: 06/17/2021
Onset Date: 06/17/2021
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: None

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

Symptoms: Experience mild chest pain within the hour of injection (ache and tightness in the lower heart)

Other Meds: None

Current Illness: No

ID: 1541912
Sex: M
Age: 41
State: CA

Vax Date: 07/14/2021
Onset Date: 07/15/2021
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: None

Symptom List: Nausea

Symptoms: Co-lead nurse sent a medical consult to the clinical lead nurse for client who received his first dose of Pfizer on 7.14.21, EW0191 exp. 8.31.21. He reported he had lightheaded and fever for one day after his first dose. He said he had lightheaded prior to getting his first dose Pfizer COVID vaccine. Today (8.4.21), he ate and hydrated himself before coming to get his second dose Pfizer COVID vaccine and reported to the vaccinating nurse he started having the lightheaded 30 minutes before he sat at her table. He denied shortness of breath or any other anaphylaxis signs and symptoms after receiving his first dose Pfizer COVID vaccine. He denied following up with his primary care doctor for the lightheaded. He reported no known allergies or chronic illnesses. Clinical lead nurse sent the medical consult to the medical doctor due to his elevated blood pressure (BP). Vaccinating nurse took client's vitals at 3:45 PM, BP 159/108, Heart Rate (HR) 107, oxygen saturation rate (O2) 98% and at 4:00 PM, BP 136/101, HR 94, O2 99%. Client told lead nurse he cannot wait for the medical consult result but made an appointment for 8.5.21, Thursday at 1:00 PM for his second Pfizer COVID vaccine if approved at the public health center vaccination site. Co-lead nurse called client to let him know he is approved for his second dose Pfizer COVID vaccine after received a text medical consult from clinical lead nurse that she received from a medical doctor. Co-lead nurse only left a message for client to call back since unsure if the cell number client left was client's correct cell number. Since client didn't call back after co-lead nurse left him a message on 8.4.21 and he did not return to the POD for his second Pfizer COVID vaccine, co-lead nurse called client again and left him a message that he is approved for his second Pfizer COVID vaccine on 8.10.21.

Other Meds: None

Current Illness: Lightheaded after first dose Pfizer

ID: 1541913
Sex: M
Age: 41
State: NV

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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:

Symptom List: Injection site pain

Symptoms: About 90 min to 2 hours after receiving the initial dose, my entire right side went numb. I could not walk and had limited or no use of my right arm and leg for several hours. Normal sensations returned that evening but I continued feeling burning, tingling and numbness on and off for several weeks afterwards. I am on disability as I suffer from chronic Lyme disease and I have existing peripheral neuropathy (among other health issues). However, the intensity of nerve pain skyrocketed after the shot and has not let up, even 4 months later. The day after I also began experiencing flu-like symptoms, migraines, body aches, stiff neck and general malaise for 2 more weeks.

Other Meds:

Current Illness:

ID: 1541914
Sex: F
Age: 42
State: NJ

Vax Date: 07/02/2021
Onset Date: 07/03/2021
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:

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

Symptoms: Caused erratic uterine bleeding for extremely long periods and even after the bleeding stopped, it caused spotting. This went on for four weeks.

Other Meds:

Current Illness:

ID: 1541916
Sex: M
Age: 54
State: CA

Vax Date: 05/08/2021
Onset Date: 05/09/2021
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: RA

Lab Data:

Allergies: No known allergies.

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

Symptoms: Next day morning after vaccine first shot when waking up I felt sharp pain in my left shoulder when tilting my head back left. I thought it was just a muscle pain after sleeping in uncomfortable head position. But pain remain persistent for prolonged amount of time. I am feeling it permanently all the time, can't sleep at night, it disturbs my ability to work.

Other Meds: Supplements: Punarnava Madhur, Himalaya LIVERCARE, Himalaya URICARE, Himalaya HEARTCARE.

Current Illness: None

ID: 1541917
Sex: F
Age: 38
State: IL

Vax Date: 07/21/2021
Onset Date: 07/21/2021
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: propylene glycol penicillin duracef erythromycin levaquin nickel

Symptom List: Tremor

Symptoms: About 12 hours after administration of the vaccine into my left arm, I developed some L sided facial numbness. About 16 hours after administration of the vaccine, I developed paresthesia in my left hand radiating up my left arm. The symptoms worsened over the next 48 hours, which then resulted in an ER visit with a head CT. There was no facial paralysis and CT of the brain was normal. I followed up my ER visit with a visit to my primary care doctor 1 week after vaccination with the symptoms still present. I now have an appointment with a neurologist. The symptoms are still present and I have never had paresthesia or shooting pain to my ulnar or trigeminal nerves ever before in my life. Also, my menstrual cycle started very heavily about 48 hours after administration of the vaccine, which was the second time for July and completely off track and unexpected. It lasted almost 1 week.

Other Meds: Prenatal Vitamins

Current Illness: None

ID: 1541918
Sex: F
Age: 32
State: CA

Vax Date: 02/23/2021
Onset Date: 04/01/2021
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: Erythema, Pruritus

Symptoms: Two months after my second Covid vaccine I started experiencing very heavy periods. Every cycle has lasted on average 2 weeks long of bleeding along with passing blood clots.

Other Meds: Celexa and Omeprozole

Current Illness: None

ID: 1541919
Sex: F
Age: 34
State: NY

Vax Date: 07/30/2021
Onset Date: 08/01/2021
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: No

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

Symptoms: Extreme joint pain. Cannot bend my right knee. Numbness and tingling in hands and left side of my body all the way down to my toes

Other Meds: No

Current Illness: No

ID: 1541920
Sex: F
Age: 60
State: WA

Vax Date: 07/13/2021
Onset Date: 07/01/2021
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: NKDA

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

Symptoms: Pt reports that about 2 weeks after 1st dose she noticed "nerve pain" in both arms. Pain in the shot arm was more prominent. Pain was not severe, but nagging. Reports continued numbness in both hands and some in both feet. She said the pain and numbness has not worsened, but is persistent. Reports no history of any nerve pain. No previous reactions to vaccines.

Other Meds:

Current Illness: NONE KNOWN

ID: 1541921
Sex: F
Age: 13
State: IL

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Within minutes of receiving the shot Patient complained of feeling like she was going to pass out. At this point we had her lay down on the exam table where her eyes then rolled back and she passed out followed by convulsing/seizure. Eventually we were able to get her to wake up. She was very disoriented and weak. She was then given some juice and continued to lay down. As of 10:00 pm 8/10/2021 Patient is still complaining of not feeling well.

Other Meds:

Current Illness:

ID: 1541922
Sex: F
Age: 33
State: WA

Vax Date: 06/09/2021
Onset Date: 06/09/2021
Rec V Date: 08/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vasovagal response. patient became dizzy and fainted after receiving immunization.

Other Meds:

Current Illness:

ID: 1541923
Sex: F
Age: 32
State: MI

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillin

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

Symptoms: It started off as a slight fuzzy/ cloudy feeling and then turned into heavy brain fog the next day. Then for the next 5 or so days the brain fog continued along with dizziness, lightheadedness, fatigue and a little bit of vertigo. It was so bad on that Thursday that I ended up missing work. It is mostly gone now but I still have some slight symptoms.

Other Meds: Multivitamin

Current Illness: Scratcy throat

ID: 1541925
Sex: M
Age: 29
State: MD

Vax Date: 06/20/2021
Onset Date: 06/21/2021
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: None

Symptom List: Pain in extremity

Symptoms: *Disclaimer, all times are approximate* 6/20/21 1330: Obtained Pfizer vaccine (second dose) via injection into my left arm 6/21/21 0200 - 0700: Woke up numerous times throughout the night. At the time, I deduced that the lack of sleep attributed to rolling on the left side of my body where I felt soreness from the shot in addition to the high temperature in my condominium (this occurred during a hot, summer night and the AC was not turned on until the morning) 6/21/21 0700 - 2359: I noticed that whenever I would inhale (including breathing, laughing, yawning, coughing, etc), my lungs would feel like they were burning. Initially, I thought that I felt this way because the temperature in my condominium was higher than normal but after having the AC on all day, I realized that the burning sensation was from my lungs and not a result of the room's temperature. 6/22/21 0000 - 6/24/21 0700: The pain from inhaling persisted during this time period. I minimized the pain I felt by reducing all physical activities. Most of my day was spent either in bed or on my laptop to do remote work. During the nights, I would wake up every 30 - 60 minutes due to pain in my arm and not being able to breathe without feeling pain. 6/24/21 0700: I woke up the next morning breathing normally. I decided to get a COVID-19 test in the off-chance that I had obtained COVID-19 prior to my second Pfizer shot. Results showed that COVID-19 was not detected Since the COVID-19 test yielded a negative result and the burning sensation during inhalation was not a listed symptom of the Pfizer vaccine, I decided to submit a report to VAERS.

Other Meds: None

Current Illness: None

ID: 1541926
Sex: F
Age: 23
State: CA

Vax Date: 07/21/2021
Onset Date: 07/26/2021
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: penecillin

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

Symptoms: Evening of and day after felt extreme soreness in left arm, 2-4 days after experienced slight twitching and discomfort. Soreness and tingling followed on/off. August 4, began worsening feelings of numbness and tingling sensations on left arm and side. Injection site felt very tense. Two days after, tingling/numbing sensation spread to left side of face. It felt like my arm and side of face were asleep. I was fully neurologically functional throughout, it was just a persistent feeling of tingling and numbness. I visited Urgent Care August 7th and followed up with a doctor telephone visit August 9th. Feeling of tingling/numbness in face has gone away. Left arm feels slightly weaker and injection site is still extremely tense. Doctor suggested needle may have struck a nerve. She submitted my symptoms to allergy specialists for further inquiry. Bloodwork was completed to check for thyroid, etc. All results returned back normal.

Other Meds:

Current Illness:

ID: 1541927
Sex: F
Age: 53
State: AL

Vax Date: 07/23/2021
Onset Date: 07/23/2021
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: doxycycline, strawberries

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

Symptoms: hives all over left arm

Other Meds: estradiol, melatonin

Current Illness: none

ID: 1541928
Sex: F
Age: 15
State: CA

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Recipient had very brief; <5 second loss of consciousness from vasovagal syncope within about one minute of vaccination at her vaccination seat while seated. She self-recovered quickly and without issues. She quickly came to consciousness worried about her phone having fell and was awake, alert, oriented to person, place, time, date. We advised she lay down and elevated her legs to help with recovery and she was provided water and instructed to take slow deep breaths and relax. Recipient and family reported she had not had much food or fluids. Family reported patient experienced anxiety from patient's father's feelings about receiving the vaccine. Within 10 minutes patient sat up and proceeded to wait an additional 15 minutes in observation and went home without issues.

Other Meds: N/A

Current Illness: N/A

ID: 1542043
Sex: U
Age:
State: NV

Vax Date:
Onset Date:
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:

Symptom List: Vomiting

Symptoms: On day 9 I noticed an oval red rash around injection site. It was about 3 ? long by 2? wide? approximately.

Other Meds:

Current Illness:

ID: 1542044
Sex: F
Age: 19
State: IA

Vax Date: 05/14/2021
Onset Date: 07/19/2021
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: N/A

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I take birth control to skip my periods and hadn?t one for over 3 months unit the end of July, when I had a light period that lasted longer than usual. I also started a very heavy, painful period that has lasted at least 3 days more than my usual cycle (it?s still happening, we?re on day 8 I believe. When I had my period they were consistently 5 bleeding days). May not be directly related to COVID vaccine but I heard many other women were experiencing menstrual changes and I should not be having a period as I am on continuous birth control in order to not have them.

Other Meds: Cyclafem 1 mg

Current Illness: N/A

ID: 1542045
Sex: M
Age: 64
State: CA

Vax Date: 07/29/2021
Onset Date: 07/29/2021
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:

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

Symptoms: Arm pain persisting since July 29th administration from the moment of injection in the left arm.

Other Meds:

Current Illness:

ID: 1542047
Sex: M
Age: 38
State: MS

Vax Date: 08/08/2021
Onset Date: 08/08/2021
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: none listed

Symptom List: Injection site swelling, Limb discomfort

Symptoms: patient was given 0.5 ml instead of 0.3 ml, patient had sore arm & headache night of immunization but assumed it was normal

Other Meds: none listed

Current Illness: none listed

ID: 1542048
Sex: M
Age: 20
State: IL

Vax Date: 04/01/2021
Onset Date: 04/20/2021
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:

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

Symptoms: Neurology issues persist, respiratory issues, issues with vision, heart palpitations

Other Meds:

Current Illness:

ID: 1542049
Sex: M
Age: 67
State:

Vax Date: 07/23/2021
Onset Date: 07/23/2021
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:

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

Symptoms: Started with tingling in the right of tongue which later extreme tingling all over body. Itching in body especially face and scalp. Side effects lasted for 4 days.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm