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: 1007769
Sex: M
Age: 77
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/06/2021
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: fever 102-chills- unable to walk-disorientated-loss of appetite-dizzy- we had to take him to his Dr in a wheelchair on Monday ,February the 1st. Doctor put him on covid meds and he is still to this date (Feb. 6th) still weak . we had a covid test done and it was negative.

Other Meds: Buspirone/Lorazepam/Bupropion/Oxcarbazepine/Lamotrigine/Alfusozin/Dutasteride/Myrbetriq/Amiloride/Atenolol/Levothyroxine/ Simvastatin/81 mg aspirin/Multi Vitamin 50+/Turmeric

Current Illness: manic depression/prostate/kidney/thyroid/Hi-Blood

ID: 1007770
Sex: F
Age: 37
State: OR

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe to Violent tremors

Other Meds: None

Current Illness: None

ID: 1007771
Sex: M
Age: 52
State:

Vax Date: 01/01/2021
Onset Date: 01/22/2021
Rec V Date: 02/06/2021
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: NKA

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

Symptoms: Fever

Other Meds:

Current Illness:

ID: 1007772
Sex: F
Age: 50
State: MT

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Day 2 after vaccine: hives on hips, stomach, armpits and buttocks (noticed upon waking @5am). Day 3 after vaccine: hives on hips and stomach, and a few on buttocks. Claritin helped.

Other Meds: valacyclovir, levothyroxine, bupropion, estradiol patch, fish oil, natrol fruit and vegetable supplements

Current Illness: none

ID: 1007773
Sex: F
Age: 61
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Received the vaccine at 7:00 a.m. on 2/3/21. I woke up at 1:00 a.m on 2/4/21 with a racing heart, sweats, severe muscle/joint pain. According to my Watch app., the resting hear rate upon waking was 115.. I had a severe headache and generally felt awful. I took Aleve and did deep breathing to try to bring heart rate down. One hour later it was coming down, although still higher than my normal resting rate of 60. The arm where the injection was given has been extremely sore with a rash, sore enough that it is hard to use the arm. It is now 3 days since the vaccine, my heart rate has been normal. My arm pain is reduced but still sore with a rash. I feel fatigued and foggy. The severe joint pain is less but still present.

Other Meds: Fenofibrate, metformin, lisonopril/htz, Celebrex, multi-vitamin, vitamin D

Current Illness: No

ID: 1007774
Sex: F
Age: 41
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: Sulfa

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

Symptoms: Chills, headache and body aches

Other Meds: Zyrtec, singular

Current Illness:

ID: 1007775
Sex: M
Age: 81
State:

Vax Date: 02/03/2021
Onset Date:
Rec V Date: 02/06/2021
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: Amoxicylin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Body rash 48 hours after injection.

Other Meds: Losartan, Torsemide, Allopurinol, Atorvastatin, asprin, Multivitamin

Current Illness: none

ID: 1007777
Sex: F
Age: 51
State: MN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Betadine

Symptom List: Pharyngeal swelling

Symptoms: Extreme shivers, fatigue, headache, nausea, diarrhea,

Other Meds: None

Current Illness: None

ID: 1007778
Sex: M
Age: 46
State: MD

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Swollen tender lymph node in armpit

Other Meds: Losartin, amlodipine

Current Illness: None

ID: 1007779
Sex: F
Age: 62
State: WV

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/06/2021
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: Arthritis Flare, fatigue, and Sinus Infection (beginning 2 days after shot) and progressively worsened throughout week..

Other Meds:

Current Illness: None

ID: 1007780
Sex: F
Age: 50
State: MT

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: PNC, animals, dust, mold, trees, environment

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

Symptoms: 2/5/2021 @ 1:00 AM vomited X2, chills, body aches, fever 100.6, HA, fatigue, watery eyes, weakness, sweating, and nausea for 30 hours. Feel weak and tired now.

Other Meds: Vitamin D, Estradiol, Zyrtec, Montelukast, Citalopram and Adderall

Current Illness: None

ID: 1007781
Sex: F
Age: 21
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: biaxin

Symptom List: Rash, Urticaria

Symptoms: -firstly, i experienced immense soreness in my arm, to the point it was painful to lift my laptop. around 7 pm began noticing feeling very cold and onset of sickness took temp and it was only 98. about 1-2 hours later, my temp was 100.4 , was experiencing chills, and pain throughout my body.

Other Meds:

Current Illness:

ID: 1007782
Sex: F
Age: 34
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Rash on lower left arm appeared within 6 hours of injection Next morning awoke with 103 fever that persisted for 26 hours

Other Meds: Lo Estrine

Current Illness: None

ID: 1007783
Sex: M
Age: 58
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: Coconut

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

Symptoms: Severe injection site pain. Generalized body aches. Loss of appetite. Head ache. Nausea. Fatigue. Chills without fever. Started a few hours after injection with arm pain. Next day all symptoms kept me from working. Following day symptoms seem to be fading.

Other Meds: Aspirin. Lisinopril. Metoprolol ER. Metformin. Jardiance. Lipitor. Basaglar. Trulicity.

Current Illness: Adverse reaction to first moderns Covid shot.

ID: 1007784
Sex: F
Age: 68
State: PA

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Left arm now has big red welt that is very itchy.

Other Meds: Mucinex, Clariton Zioptan Eye Drops , Atorvastatin

Current Illness: Bells Palsy

ID: 1007785
Sex: F
Age: 31
State: MA

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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: Doxycycline

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

Symptoms: I woke up on 06-Feb-2021 and noticed that there are two large welts on my left arm where I received my vaccination on 01-Jan-2021.

Other Meds: Women's One A Day Prenatal, Legendairy Milk- Liquid Gold

Current Illness: N/A

ID: 1007786
Sex: F
Age: 50
State: IN

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: Cipro

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

Symptoms: Body aches, chills, heart racing, anxiety, fidgety-took Aleve lasted 2 days

Other Meds: Paxil, propranolol, Wellbutrin, CBD oil,

Current Illness: None

ID: 1007787
Sex: F
Age: 23
State: MN

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/06/2021
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: Ever since the first dose of the vaccine I have had a weird smell in my nose that won?t go away. I also have noticed that I am not able to taste some feeds as strongly as before. I haven?t lost those senses but they have changed slightly. Nothing too impactful or serious though. My second dose is coming up on 2/8.

Other Meds: None

Current Illness: None

ID: 1007788
Sex: F
Age: 61
State: CO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa allergy

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Immediate soreness in arm after shot. Some light headedness. Took 2 tylenol after and then again before bed. Felt fine until waking at 2am to muscle soreness. At 4:30am chills and horrible headache, horrible flatulence. 8:30am stomach cramps, almost passed out. More chills, sweats and body shakes. Diarrhea and staved off vomiting. Could not eat most of the day until evening. Drank tons of fluids and Gatorade. Slept most of the day. Woke at 2am the morning of Feb 6th with continued muscle ache. Took more Tylenol. 9:15am as I write, I am feeling better, just exhausted.

Other Meds: Floxetine, Zyrtec, Vitamin C

Current Illness: None

ID: 1007789
Sex: F
Age: 36
State: HI

Vax Date: 01/21/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillins-childhood

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

Symptoms: On the 8th day after receiving the injection in my left arm I?ve noticed a large red area on my outer arm that is hot to the touch, vaguely achy, and itchy. It does appear to have some swelling in the area as well. Today, 9 days after the injection, the area appears just slightly larger than yesterday.

Other Meds: Ibuprofen prn, prenatal vitamin daily, fiber supplement daily

Current Illness: None.

ID: 1007790
Sex: F
Age: 67
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Penicilin

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

Symptoms: Fever of 100, chills, muscle and joint aches and a headache began about 2:00 am, throughout the day on Friday the aches increased. Slept quite a lot. Took Tylenol and Advil, alternating them and then at bedtime took 1 of each. Joint aches have decreased on Saturday, but the fever and chills are still coming and going.

Other Meds: Valsartan, Lisinopril, Carvedilol, Rosuvastatin, daily asprin, Cetirizine, Nasacort nasal spray

Current Illness: None

ID: 1007791
Sex: F
Age: 68
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Meds.: ampicillin; erythromycin; keflex; darvocet; ibuprofen Contrast dye metals to skin nail glue

Symptom List: Unevaluable event

Symptoms: Low grade temp. 100.2 All over body aches tired/no energy I took 1250mg. Tylenol, 2x's on 2/5/2021 and slept most of the day. Today, 2/6/2021 I feel fine. No further symptoms and no further need for Tylenol.

Other Meds: Atorvastatin 20mg. every other day; Osphena 60mg. dly.; Propranolol ER 80mg. dly.; Aspirin 81mg. dly.; Citrical petities +D3 dly.; CoQ10 100mg. dly.; Nexium 24hr. 1 cap. dly.; Vit. D 1000 IU dly.; Vita Fusion Womens vit. 2 chews. dly.

Current Illness: none

ID: 1007792
Sex: F
Age: 57
State: UT

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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: I had a strong dull ache in my RT deltoid into my neck. Followed by numbness into my RT jaw maxillary sinus and rt and eye. I went to urgent care and my symptoms were consistent with bells palsy. All these symptoms happened within a 45 minute perid directly following my shot. I was seen by MD. The observation nurse at Hospital where I recieved my injection was RN

Other Meds: none

Current Illness: none

ID: 1007793
Sex: F
Age: 65
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/06/2021
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: Possible penecillan allergy

Symptom List: Injection site pain, Pain

Symptoms: Fatigue, slight nausea, slight dizziness, generally under the weather Started several hours after injection, lasted about 2 days, particularly fatigue I typically feel "under the weather" for a day or 2 after most vaccines, including flu, shingles, pneumonia

Other Meds: Rosuvastatin 5 mg, Alive Women 50+ multivitamin, Calcium + Vit D, Magnesium, Citrucel fiber tablets

Current Illness: None

ID: 1007794
Sex: F
Age: 67
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: Next day after vaccine - Very sleepy all day, could not get to a point where I could stay awake except for short periods of time. From 6:00 am lasting until 11:30pm When I went to bed. 02-06-20201 - Felt normal self after one day of sleepiness.

Other Meds: Levothyroxine;Losartin; Mybetrx;solicifinan;rouvisatin

Current Illness:

ID: 1007795
Sex: F
Age: 47
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/06/2021
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: Amoxicillin Imitrex Erythromyocin

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

Symptoms: Became lightheaded and developed a funny taste in mouth within 15 -20 mins, as day progressed raw sore feeling in mouth like I burnt my tongue and roof of mouth but did not burn it. Next day woke up with a severe headache and low grade fever which lasted until following day. Raw feeling in my mouth went away by mid day Monday. Developed severely dry lips that weekend which lasted for 3 weeks. Developed mouth and lip sores the within week after and lasted for 2-3weeks.

Other Meds: Lexapro

Current Illness: Sorbitol intolerance Small intestinal Bacterial Overgrowth

ID: 1007796
Sex: F
Age: 44
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Pcn

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache, fever, body ache, fatigue,diarrhea

Other Meds: Prozac Protonix

Current Illness: Na

ID: 1007797
Sex: M
Age: 72
State: TX

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: morphine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt began experiencing dizziness 2 days after vaccination. It has been getting progressively worse since that time. He is currently being evaluated in the ER for dizziness

Other Meds: losartan, tramadol

Current Illness: none

ID: 1007798
Sex: F
Age: 25
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache, fatigue, body aches, chills about 24 hours after injection. Took acetaminophen. Side effects only lasted for about 12 hours.

Other Meds:

Current Illness:

ID: 1007799
Sex: M
Age: 56
State: IL

Vax Date: 01/12/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Left facial palsy

Other Meds: none

Current Illness: Hypertension Diabetes Hyperlipidemia

ID: 1007800
Sex: F
Age: 67
State: GA

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain

Symptoms: Covid arm rash and itch at injection site

Other Meds: Multivitamin, Nasones Dozolomide timolol Parozetine

Current Illness:

ID: 1007801
Sex: F
Age: 48
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: After shot one ( left arm) on 01/08/2021 I had severe joint and muscle pain, fevers, chills, exhaustion, nausea and shooting pain down my left arm and up to my neck and back of skull from afternoon of injection on Friday to Sunday night. I slept all weekend. After shot two (right arm) on 02/05/21 I had all of those same reactions by early Friday afternoon. I woke up at 10:00 pm with the need to vomit. While sitting on the edge of my bath tub waiting to vomit, I fainted and fell backwards into the bathtub, hitting me head and wrenching my neck as I was wedged into the tub sideways. My son found me and roused me. I then urinated all over myself, had extreme diarrhea and vomiting x 2 rounds. I fainted a second time while sitting on the toilet with diarrhea and vomited 2x more into my bathtub.

Other Meds: Lexipro 10 mg, Multi Vit, B complex, Vit D and K, Calcium, Folic Acid

Current Illness: None

ID: 1007802
Sex: F
Age: 35
State: FL

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 02/06/2021
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: none

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

Symptoms: 8 days after injection, developed large red rash with itching and swelling. No redness overlying injection site but directly below site. Also developed similar rash to opposite arm after second injection 12 hours after injection. Again, no redness overlying at injection site but was directly below the injected area. + large red rash with itching and swelling.

Other Meds: none

Current Illness: none

ID: 1007803
Sex: F
Age: 36
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Augmentin, biaxin, doxycycline, latex, contrast iodine,

Symptom List: Tremor

Symptoms: Chills, nausea, fever, body aches, hard, warm lump around injection site, and extreme fatigue. Started about 21 hours after second vaccination.

Other Meds: Wellbutrin XL 300mg, buspar 7.5mg, Dexilant 30mg, naproxen 500mg, Vit D, biotin, hair skin and nail vitamins

Current Illness: No

ID: 1007804
Sex: F
Age: 65
State: VA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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: NKA

Symptom List: Erythema, Pruritus

Symptoms: Became diaphoretic @ 0855. b/p was 135/95. Emt's reported that she recovered, b/p 110/86. Refused ambulance and any further care. Stated that she "felt fine."

Other Meds: unknown

Current Illness: none

ID: 1007805
Sex: F
Age: 76
State: GA

Vax Date: 01/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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 allergies

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

Symptoms: Covid arm with swelling, redness, slight pain

Other Meds: Synthoid Metoprolol Escitalopram Simvastatin 81mg aspirin Caltrate Omega 3

Current Illness: None

ID: 1007806
Sex: F
Age: 68
State: PA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: penicillin, morphine and all pain killers, predesone, all muscle relaxers, benadryl - any over the counter drugs all antibiotics - I can take Bactrim (3) doses only - I can take tylenol - I break out eating watermelon, berries, apples - grass, trees, molds - cats

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

Symptoms: tiredness, headache ( as soon as it was injected) joint pain, nausea, feeling unwell, left arm swollen chest pressure, swelling of my face, eyes - watering - difficult focus, throat - dizziness and weakness

Other Meds: apple cider vinegar gummies

Current Illness: nothing - seasonal allergies

ID: 1007807
Sex: F
Age: 73
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/06/2021
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: IBUPROPHEN, EPINEPHRINE, CODEINE, PROTEIN PUMP INHIBITORS

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Approximately 4 hours after vaccine shot developed itch all over body. No rash, but constant itch. Following morning extreme headache and body ache. On Saturday night, 1/30/21, I started to feel neurological issues. All the nerves in my body felt like they were exploding. Body was shaking and felt weakness in legs and arms. This constant feeling of all my nerves running up and down the body lasted for 6 days. I contacted both my physician and the pharmacist at Quality Care Pharmacy and reported what I was experiencing. Both felt that my body had an extreme reaction to the first shot and thought that I probably should not get the second shot and advised against it. I am scheduled for the second shot on 2/24/21. Ultimately, it would be my decision, but based on my adverse reaction days after the 1st shot, I am afraid to get the 2nd one.

Other Meds: NONE AT TIME OF MEDICATION

Current Illness: CHRONIC KIDNEY DISEASE, PRE-DIABETIC

ID: 1007808
Sex: M
Age: 54
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Achy at site of injection, stiff neck, fever ranging from 100-103.6. Diarrhea and abdominal cramping, Symptoms still evident at this time, almost 24 hours. Fever responds to Acetaminophen/Ibuprofen.

Other Meds: Metformin Tamsulosin Metoprolol Pantoprazole

Current Illness: None

ID: 1007809
Sex: M
Age: 29
State: CO

Vax Date: 12/04/2020
Onset Date: 12/06/2020
Rec V Date: 02/06/2021
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 I'm aware of

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

Symptoms: My left shoulder hurts if I raise/move my left arm up to and above my shoulder line.

Other Meds: None

Current Illness: None

ID: 1007810
Sex: M
Age: 60
State: VA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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: Fever -- 100 Backache, weak, minor headache. Pain in knee joints

Other Meds: 150 mg. Armodafinil Crestor 81 mg. aspirin

Current Illness: None

ID: 1007811
Sex: F
Age: 51
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Body aches Chills Headache Diarrhea Lethargy

Other Meds: Protonix

Current Illness: None

ID: 1007812
Sex: F
Age: 71
State: DE

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: mild sulfa allergy. mild allergy to wasp stings

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

Symptoms: On the 8th day after my vaccine, my arm started to swell just below the site of the shot. These is a round shaped red rash, and the area is warm. I had no initial serious response to the vaccine.

Other Meds: Amlodipine, levodopa multivitamin,calcium,vitammin B-12

Current Illness: none

ID: 1007813
Sex: F
Age: 49
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: Sulfa

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

Symptoms: Fatigue. Out of body (not thinking clearly). Muscle and joint aching.

Other Meds: Vitamins, probiotics

Current Illness: None

ID: 1007814
Sex: F
Age: 77
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: No

Symptom List: Vomiting

Symptoms: Swelling and hardness at injection site

Other Meds: Fluoxetine hydrochloride 20 mg Meloxicam 15 mg Pravastatin sodium 40 mg

Current Illness: None

ID: 1007815
Sex: M
Age: 51
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Amoxicillian

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 1650 patient reports symptoms: lightheadedness, blurry vision, dry and thick throat, thickened tongue, left arm weakness and numbness in left hand. 1705 Center chest pain, chin and throat numbness. Twitching in corner of right mouth. Unable to puff out right cheek

Other Meds: vitamins prilosec

Current Illness: none

ID: 1007816
Sex: F
Age: 54
State: VA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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: No

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

Symptoms: I got vaccinated at 11:03 a.m. and left the site 15 minutes later I had no adverse reactions at first my first reaction was at 4:15 in the afternoon which was a really bad headache by the time I got off from work that evening my head was hurting really bad. I got real bad chills to the point where my teeth were chattering I was very cold I was nauseous I had pain all over my body. My left arm was hurting really bad the pain would not go away. I call not sleep because my tongue was swelling overnight so I stayed awake to make sure that my throat would not close up and I had diarrhea really bad.

Other Meds: No.

Current Illness: None

ID: 1007817
Sex: F
Age: 37
State: IL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/06/2021
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: IV Dye, Iodine, Penicillins

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 10 minutes after injection I felt a flushing feeling through my entire body. I felt my heart pounding and the rate increase. My heart rate went up to 130-140bpm for 10 minutes. It slowly returned to normal over the next several hours. I felt jittery the entire evening.

Other Meds: Multivitamin, vitamin d3, elderberry gummy

Current Illness: None

ID: 1007818
Sex: F
Age: 50
State: OR

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Erythromycin

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

Symptoms: Facial swelling began in lower right lip and has spread to right nasal labial sucus and red blotchy rash on neck and upper chest.

Other Meds: Wellbutrin Estrogen Levothyroxine

Current Illness: None

ID: 1007819
Sex: F
Age: 81
State: HI

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

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

Symptoms: Chills, slight fever, intense headache, nausea - vomiting and dry heaves Nausea treatment = pedialite freezer pops Nausea = 12 hours/ fever = 24 hours/ headache & chills = 36 hours

Other Meds: Atorvastatin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm