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: 1573830
Sex: F
Age: 67
State: KS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 08/16/2021
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Developed Tinnitus day after injection that has not gone away

Other Meds: VIt C; 1000mg daily

Current Illness: None

ID: 1573831
Sex: F
Age: 55
State: NC

Vax Date: 08/01/2021
Onset Date: 08/02/2021
Rec V Date: 08/16/2021
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: Patient reported on 8/2/2021 the day after she had received her 2nd dose of Pfizer vaccine she had ?muffled? sound in ears , then developed into ringing in ears. She is seeing an ENT for this. He stated she has some hearing loss.

Other Meds:

Current Illness:

ID: 1573832
Sex: F
Age: 75
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 08/16/2021
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: Codeine.

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

Symptoms: Unable to take pain meds due to stomach problems, redness at injection site.

Other Meds: Lorazepam

Current Illness:

ID: 1573833
Sex: F
Age: 36
State: MO

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 11am: Covid Vaccine Shot #2 11pm: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings Midnight: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings, chills, uncontrollable shivering 3am: Heart Racing, Restlessness, unable to sleep, restless leg syndrome feelings, fever, excessive sweating, body aches, sore muscles 6am: body aches, sore muscles, headache, sinus pressure, stuffy nose, fever, fatigue 1 day later: headache, body aches, sore muscles, fatigue 2 days later: headache, fatigue

Other Meds: None

Current Illness: None

ID: 1573835
Sex: M
Age: 15
State: CA

Vax Date: 06/10/2021
Onset Date: 06/13/2021
Rec V Date: 08/16/2021
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: After the second dose of the Pfizer vaccine, approximately 48- 72 hours after she developed genital ulcers. Very painful, sore, reddened sores in the vaginal area. She did test positive for Covid on 2/5/2021

Other Meds: Tri-Lo Sprintec tablets

Current Illness: none

ID: 1573836
Sex: F
Age: 33
State: OK

Vax Date: 03/01/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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: LATEX, SEAFOOD

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

Symptoms: POSITIVE COVID TEST 08/10/21. NO SIGNS OR SYMPTOMS.

Other Meds:

Current Illness: NONE

ID: 1573837
Sex: F
Age: 69
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 08/16/2021
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: Erythromycin; Codeine; Sulfur; Cinnamon (life an death allergy); Corn; Environmental

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Got aches through my whole body went to the Doctor and he put me on prednisone for 2 weeks. They didn't go away. I went back to the Doctor and they gave me stronger prednisone and it didn't go away. It go worse and I couldn't lift my arms or feet. Went to the hospital and they did tests, they had no beds so came back home. Then went to my Family doctor. Then I went to the ER and they sent me to the Rheumatology Doctor. He diagnosed me with Tillis Disease they gave me several pills (toradof, methotrexate 20mg, folic acid 1mg/daily, Prednisone, Fosamax) for this and I don't have the Charlie horses as much now. I'm still having aches, very tired all the time, occasional charlie horse in neck/shoulders. I have another appointment with him. They said my heart was a bit compromised and left lung.

Other Meds: Flonase daily; Vitamin D3

Current Illness: none that I'm aware of

ID: 1573838
Sex: F
Age: 56
State: KY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 08/16/2021
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 known

Symptom List: Pharyngeal swelling

Symptoms: Th symptom started with tingling and itching across right breast. Everything looked fine otherwise so decided to wait on upcoming mammogram. The next symptom was a sharp electric zap in a leg muscle when I would bend my left knee too far, and/or sit back on my hips. Thought that could be due to a nerve pinch, and decided to wait to get it checked out until after a 10 day vacation. This went on for a while, and about 6 weeks after the second vaccine, both legs started to have zapping and burning pains, and random muscle twitching. Shortly after that, it evolved to burning, numbness and tingling all over, including face, scalp, torso, plus both arms and legs. The areas with "zapping" and burning also have lasting skin sensitivity that feels a bit like sunburn. These sensations have evolved to fell more like prickling, and stinging. It is still ongoing. and leg muscles still get electrical jolt with certain positions.

Other Meds: valacyclovir, estriadol, progesterone magnesium

Current Illness:

ID: 1573839
Sex: M
Age: 56
State: SC

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

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: #1: RASH IN RIGHT HAND, DERMITOLOGIST SAID "WEIRD, LIKE FROM WITHIN BODY" - STAYED FOR 2 MONTHS TRYING DIFFERENT CREMES AND BENADRYL FOR ITCHING, FINALLY A STEROID CREME GAVE RELIEF, STILL POPS UP IN TIMES OF HEAT. NEVER OCCURED BEFORE IN 57 YEARS #2: NAUSEA, WEAKNESS, GAUNT APPEARANCE, TIRED, LACK OF APPETITE, LOW-GRADE FEVER

Other Meds: ALLEGRA, BENADRYL

Current Illness:

ID: 1573840
Sex: M
Age: 37
State: IN

Vax Date: 08/06/2021
Onset Date: 08/08/2021
Rec V Date: 08/16/2021
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: I defecated my pants.

Other Meds: None

Current Illness: None

ID: 1573841
Sex: F
Age: 62
State: WV

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Multaq

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

Symptoms: #1. Tired. Sore arm. Headache. Increased heart rate #2. Aches. Low grade fever 100.4. Body aches headache x 24 hrs. Increased irregular heart rate

Other Meds: Aldactone 50mg daily. Enalopril 5mg daily. Melatonin 3 mg daily. Vitamin c 1000 mg daily. Vitamin D3 5000 iu daily. Nexium 40 mg qod. MVI. 1 daily. Aspirin 325 mg daily. Aleve 200 mg prn

Current Illness: None

ID: 1573842
Sex: F
Age: 57
State: ID

Vax Date: 07/29/2021
Onset Date: 07/29/2021
Rec V Date: 08/16/2021
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: No known allergies

Symptom List: Rash, Urticaria

Symptoms: Tendonitis- M 77.9

Other Meds: Estradiol 1 mg tablet

Current Illness: N/A

ID: 1573843
Sex: M
Age: 37
State: PA

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

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

Lab Data:

Allergies: N/a

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

Symptoms: Hives all over body. First observed on forearms and lower back. They were then observed all over the body. I went to the ER at hospital in city, state. They administered Prednisone, Benedryl, and Pepcid. I was discharged from the hospital with a script for prednisone. Symptoms started occurring the following day (Sun 8/15) and benedryl/prednisone combination appeared to help symptoms. The next morning (Mon 8/16) symptoms arose again, with hives on arms, legs, neck, feet, and head. Doctor visit is scheduled but if symptoms do not subside I will need to visit the ER again (Mon 8/16).

Other Meds: Daily multivitamin, daily Allegra for seasonal allergies

Current Illness: N/a

ID: 1573844
Sex: F
Age: 41
State: UT

Vax Date: 08/12/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Dose given on 8/12 was not diluted and patient received the whole pfizer vaccine vial. Patient received 6x the amount of vaccine.

Other Meds:

Current Illness:

ID: 1573845
Sex: M
Age: 68
State: MI

Vax Date: 02/02/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
Hospital: Y

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: Positive covid test required hospitalization. History of B Cell Lymphoma (Cancer) Going thru Treatment Patient admits to SOB, Confusion / Patient is doing chemo / still in hospital on a regular unit

Other Meds: Patient is on Chemo currently

Current Illness: cancer / type 1 DM

ID: 1573846
Sex: M
Age: 50
State: MN

Vax Date: 04/08/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
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: Received both covid vaccine and still got covid

Other Meds: nothing

Current Illness: none

ID: 1573847
Sex: M
Age: 53
State: OH

Vax Date: 04/15/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital: Y

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: buspirone (palpitations), clozapine (palpitations), nicotine patch (dermatitis), olanzapine (palpitations), haloperidol (GI intolerance)

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

Symptoms: Breakthrough COVID (partially vs fully vaccinated?). Patient received one dose of Pfizer vaccine, but states he completed 2 shots of Pfizer in July. Could not be confirmed. Admitted for suicidal ideation with an incidental finding of COVID. Patient is symptomatic with chills, body aches, diarrhea, nausea, but no respiratory symptoms.

Other Meds: unknown

Current Illness: unknown

Date Died: 08/15/2021

ID: 1573848
Sex: F
Age: 86
State:

Vax Date: 08/13/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital: Y

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: Internal bleeding, purplish fluid began to ooze from her mouth on.

Other Meds:

Current Illness:

ID: 1573849
Sex: F
Age: 67
State: MD

Vax Date: 02/07/2021
Onset Date: 02/15/2021
Rec V Date: 08/16/2021
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: Developed Shingles ( Herpes Simplex) om neck in an area that has had repeated outbreaks. Didn't connect the dots to COVID shot until I read about the connection between MRNA shots and herpes simplex outbreaks.

Other Meds: tamoxifen, vitamin D, Prollia

Current Illness:

ID: 1573850
Sex: F
Age: 70
State: IN

Vax Date: 07/28/2021
Onset Date: 07/28/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: anaphylaxis to flu shot

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

Symptoms: 10 minutes after receiving vaccine patient reported to nurse a "sensation of her throat closing." Patient had taken 100 mg Benadryl at home before appt. Patient injected own epi pen. Smartwatch showed normal sinus rhythm and heart rate in the 70s. Lungs were clear and no edema noted to mouth or facial area. Patient refused EMS to be called. Was observed for 30 minutes without further incident.

Other Meds: unknown

Current Illness: unknown

ID: 1573851
Sex: F
Age: 72
State: KY

Vax Date: 04/02/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital: Y

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

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

Symptoms: Patient was fully vaccinated as of April 2021 and resulted in testing positive for COVID on 8/14/2021 and has been admitted to the hospital

Other Meds: Coreg, Vitamin D, Vitamin B, Digoxin, glipizide, Synthroid, metformin ER, Xarelto, onglyza

Current Illness:

ID: 1573853
Sex: F
Age: 41
State:

Vax Date: 07/10/2021
Onset Date: 07/14/2021
Rec V Date: 08/16/2021
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: ED visit, Non-prescription medication, Prescription medication No significant past medical history who presents to the ED with 2-week history of fever, chills, fatigue, sweating and frontal headache. The patient states that 4 days after getting her Covid Pfizer vaccine//2021 she started developing the symptoms on a daily basis. The symptoms have been constant with no day/night variations. The patient has been taking Tylenol and Advil with mild improvement in symptoms. Patient also reports some "swelling" at the side of her neck, but no URI symptoms or problems with swallowing. She did report also dry cough with no CP, SOB, palp, wheezing, or hemoptysis; On presentation the patient had mild fever 37.9, heart rate 122, BP 80/52, she received 1 L bolus of Plasma-Lyte and pressure responded. CBC showed mild hypochromic microcytic anemia Hgb 11.3, MCH 25.1, MCV 78.2, platelets 295, no leukocytosis WBC 7.4. Her metabolic panel showed mild hyponatremia NA 132, K4.7, CR 0.9. There was mild AST 84 and ALT 69 elevation with normal bilirubin 0.6, alk phos 241. Lactate x2 normal. Troponin x1 normal. Normal coagulation panel. Negative Covid and respiratory panel. UA showed SG 1.020, trace ketones, protein, leukocyte Estrace, 1-5 WBC and RBC. Blood and urine cultures were sent. Patient was started on Vanco and Zosyn. Chest x-ray normal. Abdominal ultrasound shows GB wall thickening 6.9 mm, negative sonographic Murphy sign. Mild hydronephrosis of right kidney.. Portal lymph node. Borderline enlarged liver 18.2 cm. Left liver cyst 2.2 x 1.6 x 2.3 cm; Extensive workup was done and patient presented with diagnosis of chronic Hepatitis B and extensive retrorperitoneal lymphadenopathy on CT abdomen. Patient followed by Infectious disease and oncology for differential diagnosis of lymphadenopathy that included infection x lymphoma/leukemia.

Other Meds:

Current Illness:

ID: 1573854
Sex: F
Age: 92
State: MN

Vax Date: 02/17/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: weakness

Other Meds:

Current Illness:

ID: 1573855
Sex: F
Age: 43
State: CT

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 08/16/2021
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: Guaifenesin

Symptom List: Injection site pain, Pain

Symptoms: After I received the injection it was fine, That evening I noticed a little red circle at sight where injection was administered. The next day the site was red and hot to touch and it kept getting larger. I called my PCP and he had me come in so he could look at it and he said I was having an allergic reaction to where they did the injection.

Other Meds: Metformin ( 500mg 2xday ); Glimepiride ( 2mg 1xday ); Rosuvastatin ( 5mg 1xday ); Oxybutynin ( 10mg 1xday ); Pantoprazole ( 40mg 1xday )

Current Illness: NA

ID: 1573856
Sex: M
Age: 49
State: PR

Vax Date: 04/23/2021
Onset Date: 07/01/2021
Rec V Date: 08/16/2021
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

Symptom List: Injection site pain, Menorrhagia

Symptoms: I have a month with pain in the area where the vaccine was given. The pain is not necessarily constant, it is intermittent. It is a pain that bothers me a lot, it deepens at night making it unable to sleep.

Other Meds: None

Current Illness: None

ID: 1573857
Sex: M
Age: 51
State: OK

Vax Date: 03/30/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
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: NKA

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

Symptoms: FEVER, HEADACE

Other Meds: LEVEMIR, NOVOLOG, IBUPROFEN, METFORMIN, ERGOCALCIFEROL, ALBUTEROL, DICOLFENAC, CETIRIZINE, FLUTICASONE/SALMETEROL, ALOGLIPTIN, MONTELUKAST, GABAPENTIN, ASPIRIN, SILDENAFIL, LISINOPRIL, ATORVASTATIN, METOPROLOL, NITROGLYCERIN

Current Illness: NA

ID: 1573858
Sex: M
Age: 62
State: KY

Vax Date: 04/29/2021
Onset Date: 08/14/2021
Rec V Date: 08/16/2021
Hospital: Y

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: Not on file

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient fully vaccinated in April 2021. Now presented to ED and has been hospitalized with COVID-19 infection.

Other Meds: ASA, Norvasc, Lipitor, Jardiance, Vitamin D3, Lasix, glipizide, metformin, actos, ozempic, Zoloft, testosterone

Current Illness:

ID: 1573859
Sex: M
Age: 74
State: TX

Vax Date: 02/10/2021
Onset Date: 08/02/2021
Rec V Date: 08/16/2021
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: Tested positive for COVID after being vaccinated.

Other Meds: Atorvastatin; Enbrel; duloxetine; meloxicam; pantoprazole; vitamin e; fish oil

Current Illness: None

ID: 1573860
Sex: F
Age: 37
State: TX

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 08/16/2021
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: After I had the shot within 12 hours I got very sick with high fever, chills so bad my teeth were chattering, nausea, migraine, sweating which lasted 2 full days. And then for past 6 months my periods have started to become very heavy for the first two days which I?m switching out tampons every hour which is very frustrating since I work at the hospital. Then in June I had my period middle of the month which lasts about 5-6 days then exactly a week and half later I started my period again which I have never had irregular periods ever always on time except when I was pregnant with my two children. And now it?s August and I finally have my period again which again frustrating never have had a problem until after the vaccine

Other Meds: Prenatal vitamins which I have been taking for 3 years now

Current Illness: None

ID: 1573861
Sex: F
Age: 36
State:

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

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Tingling in arm half of face swollen back pain

Other Meds:

Current Illness:

ID: 1573862
Sex: F
Age: 39
State: MD

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: Mold

Symptom List: Injection site pain

Symptoms: The day after my left arm started have a lot of swelling and joint pain. After 3 weeks my wrist got to the point where I couldn't hold anything. I started getting trigger finger in my left ring finger. A week later it started on my right side with trigger finger. I had to wear a brace on both hands to keep my fingers from bending. I had to have physical therapy a few times. After receiving the second vaccine all the pain was gone until February 9th and all the pain came back and has not stopped. X-Ray.

Other Meds: Aleve

Current Illness: Mold induce asthma

ID: 1573863
Sex: F
Age: 42
State: VA

Vax Date: 07/26/2021
Onset Date: 07/26/2021
Rec V Date: 08/16/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Back of head swelled same day. Sore throat at day 2 and stopped up nose at day 5.

Other Meds: Lisinopril, Amlodipine, hydrochlorthyazide, meloxicam

Current Illness: None

ID: 1573864
Sex: F
Age: 24
State: MO

Vax Date: 08/07/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
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: N/A

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

Symptoms: Swelling, tough, itchy lump on skin on left shoulder around injection site.

Other Meds: N/A

Current Illness: N/A

ID: 1573865
Sex: F
Age: 58
State: AL

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 08/16/2021
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: No

Symptom List: Tremor

Symptoms: I feel like my muscle or bone is very weak, it's like my arm doesn't work in full capacity anymore. I've adjusted to it its been since January. I work in a nursing home and have to lift things and I don't have the strength that I once had. Feels like deterioration in my muscle or my bone or something.

Other Meds: I wasn't taking any medications

Current Illness: No

ID: 1573866
Sex: M
Age: 25
State: FL

Vax Date: 08/15/2021
Onset Date: 08/16/2021
Rec V Date: 08/16/2021
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: Tinging in left hand/arm, small tingling in left calf. Muscles on left side of body feel tight, along with general soreness at the injection site. Noticed when I woke up this morning around 8am on 8/16/2021 the tingling. It has been persistent through the morning so far.

Other Meds: Clomid 10mg/day, Vit B6 100mg/day, Vit D2 50,000 IU 2x/week, Cetirizine 10mg/day

Current Illness: None

ID: 1573867
Sex: F
Age: 83
State: NJ

Vax Date: 03/07/2021
Onset Date: 08/15/2021
Rec V Date: 08/16/2021
Hospital: Y

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: Ibuprofen

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

Symptoms: Patient admitted to hospital with being treated with remdesivir and dexamethasone. COVID 19 Antigen (-) , PCR (+)

Other Meds: amLODIPine 5 mg Tablet Directions: 1 tablet oral daily (Active) aspirin 81 mg tablet,chewable Directions: 1 tablet oral daily (Active) atorvastatin 20 mg Tablet Directions: 1 tablet oral daily at bedtime (Active) multivitamin with foL

Current Illness:

ID: 1573868
Sex: F
Age: 78
State: KS

Vax Date: 01/28/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: POSITIVE COVID ANTIGEN TEST AFTER BEING FULLY VACCINATED- SYMPTOMS INCLUDE COUGH, CHILLS, HEADACHE, MUSCLE ACHES, COUGH.

Other Meds:

Current Illness:

ID: 1573869
Sex: M
Age: 45
State: OK

Vax Date: 08/06/2021
Onset Date: 08/07/2021
Rec V Date: 08/16/2021
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: My arm hurt so bad could not sleep then I get headache so bad I have to break a sweat everynight to relieve myself and have a hard time sleeping now if I can get any.

Other Meds: None

Current Illness: None

ID: 1573870
Sex: F
Age: 65
State: OH

Vax Date: 01/08/2021
Onset Date: 04/22/2021
Rec V Date: 08/16/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: Received 1st dose 1.8.21 and second dose 2.3.21. Week of April 19 began feeling bad, increasingly SOB. Severe SOB 4/22 that subsided. Admitted to hospital 4/25 with severe SOB. Diagnosis muliple Pulmonary Emboii. No cause identified. Labs/genetic studies negative. Treated with heparin and on Eliquis now for life.

Other Meds: synthroid 175 coreg 6.25 losartan 50 zoloft 50 asa 81

Current Illness: none

ID: 1573871
Sex: F
Age: 58
State: AZ

Vax Date: 08/06/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Left armpit lymph gland swollen and sore where shot was administered

Other Meds: None

Current Illness: None

ID: 1573872
Sex: F
Age: 41
State: AL

Vax Date: 08/13/2021
Onset Date: 08/13/2021
Rec V Date: 08/16/2021
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

Symptom List: Pain in extremity

Symptoms: pt felt SOB, arms felt tingly and legs felt heavy, these symptoms lasted about 1 hr, vitals signs.

Other Meds: none

Current Illness: none

ID: 1573873
Sex: F
Age: 86
State: OK

Vax Date: 03/10/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: CODEINE, ERYTHROMYCIN

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

Symptoms: FEELING TIRED/SICK, FEVER, HEADACHE, MUSCLE PAIN, RUNNY NOSE

Other Meds: DICLOFENAC GEL, OMEPRAZOLE, AMLODIPINE, ATENOLOL

Current Illness: NA

ID: 1573874
Sex: F
Age: 55
State: NC

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 08/16/2021
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: Allergic reactions to penicillin drugs, sulfur drugs, Enbrel, latex, Celebrex, Lisinopril, Amlodipine, Losartan

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

Symptoms: Extreme fatigue and overwhelming sinus issues, extreme mucus and congestion that is not clearing up, diminished kidney function

Other Meds: Super B complex Lysine Fish Oils Calcium Lysine Magnesium Potassium CoQ10

Current Illness: High Blood Pressure

ID: 1573875
Sex: F
Age: 36
State: MN

Vax Date: 04/09/2021
Onset Date: 08/12/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: COVID positive >14 days post vaccine series.

Other Meds:

Current Illness:

ID: 1573876
Sex: F
Age: 52
State:

Vax Date: 07/29/2021
Onset Date: 07/30/2021
Rec V Date: 08/16/2021
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: None.

Symptom List: Vomiting

Symptoms: Knot at injection site, warm feeling at injection site going on 2 weeks.

Other Meds: None.

Current Illness:

ID: 1573877
Sex: F
Age: 73
State:

Vax Date: 05/17/2021
Onset Date: 08/09/2021
Rec V Date: 08/16/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: positive covid test

Other Meds:

Current Illness:

ID: 1573878
Sex: F
Age: 65
State: MO

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 08/16/2021
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: Immediately felt pain down arm and very " odd sensation ". Slightly light headed- went to sit down and was monitored for a time. Blood pressure slightly high. After about 30-45 minutes of no change I went home. Still felt "odd" and just not fully normal with a weak feeling. I went to bed at about 7 or 8 pm and was too weak to get out of bed till morning. I had severe chills -so bad my teeth shook where I couldn't speak. I used a heating pad and multiple blankets all night. Breathing seemed shallow. I thought the shaking and chills would never end. Finally by morning they stopped. I was weak but gradually recovered through the next day.

Other Meds: Lisinopril-HCTZ 10/12.5mg magnesium vitamin D

Current Illness: none

ID: 1573879
Sex: F
Age: 26
State: MI

Vax Date: 08/10/2021
Onset Date: 08/10/2021
Rec V Date: 08/16/2021
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: Dizziness,inittally, evening of vaccination rash on chest, back ache, and chills. next day Cp, throat tightness . Seen at hospital

Other Meds: pre natal vit, motrin ,senokot

Current Illness: none

ID: 1573880
Sex: F
Age: 76
State: WI

Vax Date: 02/17/2021
Onset Date: 08/07/2021
Rec V Date: 08/16/2021
Hospital:

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

Lab Data:

Allergies: codeine - euphoria penicillin - localized inflammation, rash tranexamic acid - contraindications

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

Symptoms: Patient contracted COVID-19 after being fully vaccinated.

Other Meds: aspirin 81mg daily atenolol 50mg daily atorvastatin 20mg daily benazepril 20mg daily calcium-vitamin D 600mg/5oo intl units qAM cranberry daily estradiol topical 0.1mg/g vaginal gream as needed famotidine 40mg daily fexofenadine 24hr 180mg

Current Illness: None Documented

ID: 1573881
Sex: F
Age: 43
State: CA

Vax Date: 07/27/2021
Onset Date: 07/30/2021
Rec V Date: 08/16/2021
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: No

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

Symptoms: Tingling arms & legs since receiving 2nd dose. Reactivation of shingles rash, which i had in my 30?s. Excruciatingly heavy painful and period following the vaccine. Shifting pain in arms and legs. Swollen lymphnodes

Other Meds: No

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm