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: 0992349
Sex: M
Age: 27
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Approximately nine hours after second dose, I began to feel as if a flu was coming on. Shortly after upon falling asleep, I started getting the chills and felt as though I had a fever. Waking up in the morning, I had a painful throbbing headache. My muscles ached and I felt very fatigued. I was unable to get out of bed due to said fatigue. I felt as though I had a temperature, but did not take it at that juncture. I had no appetite. When I did manage to stand, the headache would throb and I felt nauseated. Later that evening, I had a slight fever of 100.8 degrees fahrenheit. The following morning, I felt nearly recovered, but my head would still throb when changing positions, but not with the same severity as the previous day. Headache slightly persists to this day.

Other Meds: B 12 Advil Aspirin Benadryl

Current Illness:

ID: 0992351
Sex: F
Age: 50
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Statins, Sinvia

Symptom List: Anxiety, Dyspnoea

Symptoms: I developed chills, fever, a headache and nausea shortly after the vaccination and I developed a small rash but nothing like after the 1st dose.

Other Meds: Aspirin 81mg, Claritin, Metroprol 50mg, Buspirone, Premarim 0.3mg, Exlivit 18-10mg, Topiramite 50mg, Hydrocodone, Cyclodenzaprine 10mg, Vasepa 1g, Centrum Silver, Biotin, B12, Vit C 500 mg, Chewable 600 D3+ mineral Caltrate, Engality Injec

Current Illness: no

ID: 0992352
Sex: F
Age:
State: NC

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
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: penicillin group antibiotics; oyster mushroom; ant bites

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

Symptoms: had rash on left hand after shot in 10 minutes (same arm having vaccine) then was given one tablet of zyrtac after ~15 to 20 minutes, having swelling tongue after ~10 to 15 minutes, took one dose of benadryl ~1 to 2 hour, all symptoms go away

Other Meds:

Current Illness:

ID: 0992353
Sex: M
Age: 46
State: MA

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
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: Came down with bad head cold nasal congestion, cough and weezing. Also a rash similar to poison ivy all over my neck, both arm and body.

Other Meds: None

Current Illness: None

ID: 0992354
Sex: F
Age: 44
State: MD

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: She noticed a cold sore that occurred the day after she received the 2nd dose of vaccine. Treated with Valtrex

Other Meds:

Current Illness:

ID: 0992355
Sex: F
Age: 39
State: KY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
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: Sinus tachycardia, paroxysmal atrial tachycardia, activity intolerance- heart rate 150's within minutes of injection. Random spells for 4 days. Heart rate is trending down with occasional spike. Activity intolerance continues. Contacted cardiologist and was told to take an extra dose of metoprolol. Continues to double the dose for 4 days. Today is Day 5 and will assess the need later, for this morning I took the regular prescribed dose.

Other Meds: Corlanor, Metoprolol, Linzess, Effexor, Omega 3s, Probiotic, Claritin, Magnesium

Current Illness: None

ID: 0992356
Sex: F
Age: 56
State: NM

Vax Date: 12/01/2020
Onset Date: 01/11/2021
Rec V Date: 02/01/2021
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: got a rash all over my chest, and back of head. given: Triamcinolone 0.1-1 topical cream

Other Meds: none

Current Illness: none

ID: 0992357
Sex: M
Age: 82
State: CA

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Myrbetriq

Symptom List: Pharyngeal swelling

Symptoms: Flare and exacerbation of symptoms of Polymyalgia Rheumatica. now on going for 3 weeks

Other Meds: Insulin, Prednisone, Tocilizumab, Alirocumab, Denosumab, Protonix, Colpidogril, Amlodipine, Protonix

Current Illness:

ID: 0992358
Sex: F
Age: 44
State: CA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Woke fever, chill, body aches

Other Meds:

Current Illness:

ID: 0992359
Sex: F
Age: 67
State: WA

Vax Date: 01/19/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin Sulfur

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After receiving the shot my arm was sore for just one day. About 12 days later, the site of the shot started itching. Upon looking at it noticed that it was/is red, warm and feels like a lump in the middle. The red site is approx. 6cm x 7cm

Other Meds: Zejula 100mg Omeprozole 40mg B12 Vitamin D Allegra

Current Illness: Anemic

ID: 0992360
Sex: M
Age: 65
State: MN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient presented for Covid Vaccination. Nurse used Smiths Medical Hypodermic needle kit 4234 to administer vaccine. Needle broke off at hub after inserting into arm. Hub was tight. Nurse was able to remove needle and patient consented to revaccination. Patient revaccinated without incident. (Lot #3975524)

Other Meds:

Current Illness:

ID: 0992361
Sex: M
Age: 31
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: Approximately 15 minutes after the vaccine was administered, the patient reported feeling hot and lightheaded. They begin vomiting and sweating heavily within 30 minutes after the vaccine. They felt very dizzy and were unable to walk from the clinic to their car and had to find a ride home from the facility. They were unable to return to their shift that evening.

Other Meds: N/A

Current Illness: N/A

ID: 0992362
Sex: F
Age: 21
State: NY

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

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

Lab Data:

Allergies: tree nuts

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

Symptoms: fever, sever chills all night, sore legs and abdomen, sore breasts

Other Meds: concerts 54mg

Current Illness:

ID: 0992363
Sex: F
Age: 41
State: CT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: amoxicillin, macrobid

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

Symptoms: fever 100.8, chills, headache, nausea, muscle aches, very sore painful arm. Symptoms lasted 12 hours

Other Meds:

Current Illness: no

ID: 0992364
Sex: F
Age: 77
State: GA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: Iodine

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: At 4:15 am, 1/30/2021 (8 hours after received dose 1 of Moderna, I was awakened with a very strong heart beat in my chest, fast and irregular heart rate, I had no arm, back, or jaw pain. Within 40 mins., the pounding heart sensation subsided yet the fast, irregular heart beat continued. I finally fell asleep again around 5:00 am that morning and awoke at 9:30 am. At that time my pulse rate was still fast and irregular yet not strong. On Oct. 31 in the morning, my pulse rate was back to normal at 60 bpm and regular.

Other Meds: CRESTOR, AMLODOPINE, LOSARTAN, CARVEDILOL LUMIGAN, TIMILOL, DOORZOLAMIDE, VITAMIN D3, Aspirin 81 mg.

Current Illness: None

ID: 0992365
Sex: M
Age: 33
State: MN

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: Eggs

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

Symptoms: Moderna COVID-19 Vaccine EUA Saturday night 1/30, one week after receiving the vaccine, I noticed the site of the injection felt warm to the touch. The next morning, 1/31, I noticed the area around the injection site was red, warm to the touch, and hurt when pressure was applied. The next morning, 2/1, the size of the red area increased slightly and it was still warm and hurt when pressure was applied. This afternoon, 2/1, I'm noticing feeling warmer and sweating more than usual. I'm not sure if that is related but I don't have another explanation for it.

Other Meds: Dexedrine, Trintellix, Propranolol, Vitamin D, Multivitamin

Current Illness: None

ID: 0992366
Sex: F
Age: 41
State: MT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Fever, Chills, Body aches, Headache

Other Meds:

Current Illness:

ID: 0992367
Sex: F
Age: 94
State: MN

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: pt states no symptoms until 1/29 pt stated she woke up w/ fever and did not feel. Pt called her PCP and spoke to the nurse and was told to rest and drink fluids and call if symptoms got worse.

Other Meds: Multivitamin and eye drops

Current Illness: none

ID: 0992368
Sex: M
Age: 30
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Back pain and lethargy

Other Meds:

Current Illness:

ID: 0992369
Sex: F
Age: 30
State: MO

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Allergic to sulfa

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

Symptoms: At 2:30 am I got up to use the restroom. I felt very dizzy and cold as if I were going to pass out. I got out my blood pressure machine and my BP was 80/60. It is usually 117/70 so this was way out of the ordinary. I felt like I was going to need to call 911 due to the weakness and not being able to stand up without wanting to pass out. Got some salt and water and relaxed until the about 7am when it subsided.

Other Meds: Duloxetine 60mg a day Women?s alive energy

Current Illness: Na

ID: 0992370
Sex: F
Age: 28
State: NY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Penicillin, sulfur-containing drugs

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

Symptoms: I received the second dose of the Moderna COVID19 vaccine at approximately 2pm on 1/28/21. Starting at 10am the next morning I noticed I was feeling fatigued and my heart rate was starting to increase. By 11am, I was experiencing diffuse myalgia, fatigue, and malaise. By the time I went home at 11:30am, I had a fever to at least 101F, chills, body aches, and headache. I rested in bed the whole rest of the day and the night. I felt better taking Tylenol but it only relieved my fevers somewhat. I had no GI symptoms, rash, or difficulty breathing. By the next morning my fever had abated and my energy level much improved.

Other Meds: Mirena IUD

Current Illness: None

ID: 0992371
Sex: F
Age: 38
State: FL

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

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

Lab Data:

Allergies: Penacylne, Bactrim

Symptom List: Unevaluable event

Symptoms: The same night as the second dose of Pfizer vaccine i was experiencing fever of 101.8 with chills,sweats, full body aches, migraine, nausea, stomach pain ,lower back pain and diarrhea for 4 days (01/27/2021 @11:45pm till 01/31/2021 pm)

Other Meds: ?)Lexapro 20 1x daily ?) Synthroid 112mcg 1x daily ?)Lorezapam. 5 as needed ?) Biotin daily ?)Iron daily ?) Vitamin D? ?)Tylenol extra strength and ?)Omeprazole 20 for GERD

Current Illness: I am a 38yr old female with Hashimoto/ Thyroiditis for 30yrs prior to Covid-19 and take good care of this illness

Date Died: 01/24/2021

ID: 0992372
Sex: F
Age: 73
State: OR

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/01/2021
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: (1) Etodolac (rxn = n/v, diarrhea, SOB) (2) Bee Pollen (3) Escitalopram (rxn = 'intolerance') (4) Paroxetine (rxn = 'ineffective') (5) Venlafaxine (rxn = 'ineffective')

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

Symptoms: This is a 73 year old female that received her 1st dose with Moderna vaccine on 1/8/21 at approximately 1600. Within one hour, the patient developed altered mental status and increasing weakness. She was transported to the hospital by the staff at her Assisted Living Facility for concern of a vaccine reaction. On admission, oxygen saturation was found to be 89% on room air, BP=137/86, HR=94. Labs were normal, with the exception of WBC=15 (leukocytes normal, chest xray clear, COVID test negative), and a detectable troponin=63. Head CT negative. Physical exam was only notable for 'slight superficial erythema over distal right forearm and dorsal hand. No significant edema.' The patient was treated for a possible allergic reaction to vaccine with NS bolus, methylprednisolone 125mg, famotidine 20mg, and aspirin 300mg PR. She was admitted for monitoring given continued altered mental status/weakness. The next day, she continued to show no improvement, so a head MRI was ordered. MRI showed " 1. Numerous acute cerebral and cerebellar infarcts involving both anterior and posterior circulations consistent with a central embolic source. 2. Minimal right parietal petechial hemorrhage. 3. Moderate atrophy and moderate nonspecific white matter signal abnormalities compatible with chronic microvascular ischemia " Neurology was consulted, who approved the start of aspirin and to continue DVT prophylaxis. The patient's advanced dementia and timeline preclude other intervention. The patient's status was DNR/DNI. The patient was discharged on hospice to her assisted living facility on 1/11/21 (with reports of continued somnolence). It was reported that date of death was 1/24/21.

Other Meds: (1) Acetaminophen 500mg PO Q4H PRN pain (2) Albuterol inhaler 1 puff Q4H PRN (3) Cyanocobalamin 1000mg PO daily (4) Diazepam 5mg PO daily PRN anxiety (5) Ergocalciferol 48,000 units PO daily (6) Fluoxetine 20mg PO daily (7) Arnicare cream 1

Current Illness:

ID: 0992373
Sex: M
Age: 17
State: TX

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/01/2021
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: Moderna Covid Vaccine administered to individual under the age of 18

Other Meds:

Current Illness: High-risk per mother, had a Drs' note

ID: 0992374
Sex: F
Age: 48
State: VA

Vax Date: 01/06/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: NKDA / No allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Atypical menstruation. AFter the first covid19 vaccine, I had abnormal spotting approximately 1.5 weeks post vaccine (and it was 2 weeks prior to me menstruating. I had my regular cycle at the right time. After the 2nd dose, I am 6 days late with my period. I know that I am not pregnant, nor have any other reason to go through amenorrhea. Speaking to other women, they have had similar side effects happen to them.

Other Meds: Calcium and Vitamin D; Omega 3 vitamins

Current Illness: none

ID: 0992376
Sex: M
Age: 21
State: MO

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: Patient experienced muscular rigidity and carpal pedal spasms. He had increased DTRs and clonus on exam.

Other Meds: Citalopram, Pepcid, Insulin, Methylprednisolone

Current Illness: Uvulitis one month prior and not at time of vaccination

ID: 0992377
Sex: M
Age: 70
State: CO

Vax Date: 01/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Got shot at 8am 22 Jan. Slight soreness in arm developed later the same day, but no problem. Everything was normal and went to bed. Woke up approximately 2-3 h later with extreme vertigo, dizziness, imbalance, completely clogged left ear, tinnitus in left hear and nausea. Within about an hour I was hyperventilating and had cold tingling sensation in hands and feet. About 2am went to hospital. They did a bunch of tests including a CT scan which revealed nothing adverse. They kept me over night and gave me an MRI the next morning. Again nothing adverse found. I was released that next day with orders to see PCP. Got an appt 2 days later. PCP immediately started me on Prednisone and referred me to ENT doctor. Got an audio test 2 days later and because of the severity of my symptoms (sudden, acute tinnitus and complete hearing loss in left ear) ENT prescribed higher dose and duration of prednisone. I am on day 5 of the 24day course prescribed by ENT with no appreciable improvement. Still have no hearing in left ear and tinnitus, imbalance and trouble focusing and walking. No causal link has been ascribed to the vaccine, but I am terrified of having the booster shot which is schedule for 12 Feb.

Other Meds: Pseudophedrine, atorvastatin, joint supplement (chondroitin/glucosamine)

Current Illness: Very slight vertigo on 2 short occasions a few days prior to vaccination. Passed quickly so wasn't concerned and took pseudophendirine at night a couple of time to clear what I thought was simply sinus congestion. I had a knee inflamation due to osteo arthritis on 1 Jan and had taken a 5-d course of Prednisone beginning 1 Jan. Infmamation subsided and not further prednisone was taken between 6 and 22 Jan.

ID: 0992378
Sex: F
Age: 46
State: MT

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Diarrhea

Other Meds:

Current Illness:

ID: 0992379
Sex: F
Age: 26
State: IN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
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: At 3am (Wednesday) the following day after my shot, I began having chills and a fever. My fever started at 100.5 and continued through out the entire day, reaching 102. degrees Fahrenheit. At the same time I was extremely weak and could hardly walk. I had a pounding headache and could not sit up. I had to lay down. I was very nauseous and couldn't eat much. I was dizzy and couldn't even look at my phone. at 9pm on Wednesday I was able to finally eat a substantial meal and finally took some Tylenol. Around 10:30pm my headache lessened and I was able to sit up. My temperature was around 99 degrees. I went to bed, then woke up at 1am (Thursday) freezing again with chills, then the sweats. By 3:45am I was able to sleep until 7am. 7am on Thursday morning my temperature was normal (98.6) but my head was hurting. I had some weakness but was able to stand long enough to shower. The biggest symptom I had all day Thursday was a lot of body aches. Mostly in my hips and back, but all over. My right arm was also extremely red and swollen. Wednesday and Thursday I stayed home from work. Friday I returned to work, but I had a headache, would get over heated easily and had body aches. This is when the injection site and surrounding area began itching. Saturday I had a stomach ache and head ache and continued to feel sluggish. I did not move around much and was exacerbated trying to grocery shop. Sunday I had pressure in my head (top of the head) especially when I would bend down. It is now Monday. My headache has cleared but my arm remains itchy, though there is no sign of swelling or redness. I do not have a history of Chronic Migraines and I have not had a cold/the flu in over a year.

Other Meds: None

Current Illness: None

ID: 0992380
Sex: M
Age: 57
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Chills, slight headache, overall fatigue, injection site pain for approx 24 hours

Other Meds: none

Current Illness: none

ID: 0992381
Sex: F
Age: 66
State: CA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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: say Vaccination In the Evening, chills, headache, fever, next day 100 fever , body aches, headache, taste is off.

Other Meds:

Current Illness:

ID: 0992382
Sex: F
Age: 34
State: TX

Vax Date: 01/04/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: levaquin IV iodine

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

Symptoms: hives itching scratchy throa lip tingling

Other Meds: rocephin inj IM on 1/25 lexapro gabapentin clonazepam

Current Illness: csection 12/28/20

ID: 0992383
Sex: F
Age: 54
State: KS

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Moderna Lot 025L20A Four to Five days after this patient received the Moderan vaccine on 1/7/2021 a half dollar size red rash appeared at the injection site on arm. Patient did not take any medication for the itching. Pharmacist and on site vaccine clinic provider decided to give the patient 10mg of Zyrtec x1 dose prior to second Moderan vaccine shot, and have patient wait 30 minutes after vaccine was administered on 2/1/2021. Patient had not have any reaction during the 30 minute observation.

Other Meds:

Current Illness:

ID: 0992384
Sex: F
Age: 35
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
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 & penicilin

Symptom List: Tremor

Symptoms: At approximately 11:45 a.m. on the date of the injection my hands became freezing cold. This lasted for approximately 16 hours. My skin has since been very sensitive to touch, this includes skin on my face, arms, hands, and chest. I am very sensitive to temperature changes, especially cold. My nervous systems feels very sensitive, especially my hands. Touching cold items (refrigerator, outside, etc.) makes me shiver. I have also been experiencing a covid fog. I do not feel like myself and am not experiencing joy. I cry daily for no reason.

Other Meds: metoporol

Current Illness: none

ID: 0992385
Sex: F
Age: 73
State: CA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
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: Codeine

Symptom List: Erythema, Pruritus

Symptoms: Flue like symptoms, right arm hurt and felt very cold, body ached, , felt dizzy like vertigo, had the chills, needed to sleep. went to bed early around 8 and slept through the night getting up once to go to the bathroom. Has breakfast just toast the next morning and had to get back into bed and slept 4 more hrs. Body still aching. slept with heating pad and iced my arm. I felt a little better the next day around 2 pm. I drank lots of fluids and rested the rest of the day. Next day still felt weak. 3 days later feeling ok. I am worried about my next vaccine due on the 14th of Feb. Would like to know what to take. My doctor referred me to you with no instructions......

Other Meds: Lipitor . night, Advil, Vit D, C, B, Zinc, Fish Oil, Vivisca, Calcium,

Current Illness: none

ID: 0992386
Sex: F
Age: 76
State: CA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/01/2021
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: Penicillin Quinolones

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

Symptoms: TWO ADVERSE EVENTS 1. Itchy red bumpy rash appearing on forearm in 3 spots about 2"-3" in size on 1-17-21, still visible, no longer itchy 2. Red itchy smooth rash 3"x5" around injection site appearing on 1-30-21

Other Meds: Valsartan Atorvastatin Coumadin Tylenol Multi Vitamin

Current Illness:

ID: 0992387
Sex: F
Age: 34
State: OH

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: NKA

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

Symptoms: Large (about 3 in diameter) red, hot, raised and itchy mark on arm around injection site

Other Meds: Birth (mini pill), Claritin, prenatal vitamin, iron, sunflower lecithin (currently nursing my 8 month old daughter)

Current Illness: NA

ID: 0992388
Sex: F
Age: 89
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: Tetracycline

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: chills, lethargic, muscle pain-saturday felt tired, took tylenol,

Other Meds: prednisone 5mg, metetate0.6, folic acid 400mg, vitamin c 500mg, vitamin e 400 mg, vitamin d3

Current Illness: n/a

ID: 0992389
Sex: F
Age: 27
State: DC

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: I experienced severe pain at the injection site. Mild soreness began immediately after injection but became progressively worse over the next 5-7 hours. The pain felt like a constant ache and sharp pain when I moved my arm at all. I eventually took Ibuprofen at around 9 or 10 pm, which helped somewhat. My arm was still sore the next day but the pain was more moderate.

Other Meds: Buproprion 300 mg Zoloft 75 mg Midodrine 10 mg Fludrocortisone .1 mg Hydrocortisone 10 mg Vitamin D Tri-Previfem Deplin

Current Illness:

ID: 0992390
Sex: F
Age: 87
State: CA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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 that I am aware of.

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

Symptoms: Injection given Friday morning. On Saturday she was very tired all day. Sunday she was very tired and became light-headed around noon. By Sunday evening she was lethargic. Monday morning, still lethargic and light-headedness has increased. Feeling somewhat disoriented. No fever, blood oxygen at 93.

Other Meds: High blood pressure and thyroid meds. Uncertain of any others. I am a family member making this report on her behalf.

Current Illness: None that I am aware of.

ID: 0992391
Sex: F
Age: 59
State: NJ

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 02/01/2021
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: Pain in extremity

Symptoms: Muscle aches in upper front thigh and hip , also right back - deep throbbing aches

Other Meds:

Current Illness:

ID: 0992392
Sex: F
Age: 43
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Left arm is swelling and redness, and the next day arm continued to be red (for 2 weeks) The skin on site is discolored as of today.

Other Meds:

Current Illness:

ID: 0992393
Sex: M
Age: 46
State: NE

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: PCN - hives Tomatoes - tongue swelling, Peanuts - hives Environmental allergies (dust, dust mites, dander, pollen) - undergone allergy testing

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

Symptoms: Friday - 10 pm, headache Saturday - 11:00 am, Severe headache, arm pain/ swelling/ reddened, stomach ache, fever 101, severe body aches & fatigue, sore throat, chills. Sunday - Severe headache, arm pain/ swelling/ reddened, stomach ache, fever 101, severe body aches & fatigue, sore throat, chills. Monday - Slight headache, slight stomach ache, fatigue, slight sore throat, arm pain/ swelling/ reddened

Other Meds: Ecinacea 1x/day, Cherry Extract 1x/day, Centriq Multivitamin 1x/day, Vitamin C 1x/day, Fish Oil 1x/day, Magnesium 1x/day, chia seeds1x/day, Vitamin B (unknow which one), Cinnamon capsule, Sal Palmetto 1x/day,

Current Illness: gout, ^ blood sugar (not diabetic per patient - has not been tested in awhile), arthritis

ID: 0992394
Sex: F
Age: 35
State: PA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
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: Bactrim, iodine

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

Symptoms: From employer: "Reaction: Vaccine date 1/25 at approximately 1pm. On Tuesday afternoon 1/26 employee had body aches and left work early. She was PCR tested and POC tested for COVID as that is our routine testing day for all staff. Both tests came back negative. On Wednesday employee had severe body aches and a temp of 104 which did not break until Friday. Additional symptoms were severe headache and severe fatigue. She attempted to drive to the Drs on Sunday but had a car accident which put her in the Emergency room where the Doctor determined that there were no infections present and the symptoms were related to a reaction from the Vaccine." Spoke to pt on 2/1/21 and pt reported feeling better.

Other Meds: unknown

Current Illness: none noted

ID: 0992395
Sex: M
Age: 44
State: NY

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: Jan 28. 2nd dose vaccine, sore arm at injection site. Slight fever at night. Jan 29. Still sore arm, temp 99.7F Jan 30. 8pm rashes all over the body and scalp. Fever 100.7F. Tylenol and Benadryl taken. Jan 31 went to urgent care. Possible rashes due to covid vaccine. Methylprednisolone prescribed. HEart rate 115-130s Feb 1 still with rashes temp 99.1 heart rate 100-120s

Other Meds: Aspirin Artovastatin

Current Illness: None

ID: 0992397
Sex: F
Age: 48
State: UT

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
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: Swollen lymph node and tenderness near left collarbone 5 days after vaccination.

Other Meds:

Current Illness:

ID: 0992398
Sex: F
Age: 82
State: NY

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 02/01/2021
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: Penicillin, Sulfur

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

Symptoms: Had a rash about 4" long by 2" wide. Occurred about 5 days after the first vaccination. It is fading and less itchy over time. Had the first vaccination 1/14 and scheduled for the second on 2/11. Should I take the second vaccination as scheduled? Are there any meds or herbs or supplements or food I shouldn't take before the vaccination?

Other Meds: Advair, Levalbuterol nebulizer and inhaler, NAC, HyperSal nebulizerfor asthma. Omeprazole for reflux. Calcium & Magnesium with Vit. D, Vit. D3 and Prolia for osteoporosis. Miralax for regularity. Tylenol, Advil, Tizanidine, turmeric tea a

Current Illness: None

ID: 0992399
Sex: F
Age: 57
State: NC

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Swollen lymph nodes 6 days after shot. Enlarged, hardened, and will not dissipate

Other Meds:

Current Illness:

ID: 0992400
Sex: F
Age: 58
State: AL

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Wasps

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

Symptoms: Idiopathic thrombocytopenia Onset Jan 27; platelets dropped to <3000. Good response to decadron with rise to 100,000 by feb 1. No significant bleeding

Other Meds: None

Current Illness: None

ID: 0992401
Sex: F
Age: 72
State:

Vax Date: 01/14/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None known

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

Symptoms: Itchy rash developed at the vaccination site on my arm ten days after receiving vaccination. Rash and itchiness gradually disappeared after three to four days.

Other Meds: Daily -- 50 mg Losartan, Vitamin C, Vitamin D3

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm