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: 1025432
Sex: F
Age: 74
State: IN

Vax Date: 01/22/2021
Onset Date: 02/02/2021
Rec V Date: 02/12/2021
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: Red patch about 4 inches long and 3 inches wide, swollen and hard, render to touch, and itchy. No fever. Noticed on about the 12th day after shot and it cleared up in about 7 days after the symptoms appeared.

Other Meds: Prescriptions: Losartan/HCTZ, Ezetimibe, Myrbetriq, Cephalexin, Ozempic, Premarin. OTC - Low dose aspirin - 81mg, Women's 55+ multivitamin

Current Illness: None

ID: 1025434
Sex: F
Age: 33
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/12/2021
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: Cats and Sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient reported syncopal episode at 2AM on 01/28/21. Per patient, she woke up feeling naseaus went to bathroom became faint when she turned on the light and passed out. Per patient she believes she hit her head on the bathroom since. 1x1.5 inch bruised are noted to left forehead. Per patient she was seeing a bright spot and blurry vision to left eye for 45 minutes following the fall. At time of assessment patient experiencing mild headache and fatigue. Patient took 600mg ibuprofen at 4AM.

Other Meds: Birth Control Pills

Current Illness: None

ID: 1025435
Sex: M
Age: 66
State: MN

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/12/2021
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: Cozaar Hydrocodone Bitartrate Lisinopril

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

Symptoms: Facial swelling noted approximately 24 hours after the first injection was administered. Oral Benadryl administered upon onset of symptoms. Prescribed medication treatment resolved the adverse reaction.

Other Meds: Nasal Spray; Dilacor-XR 240 mg once a day; Lasix 40 mg twice a day; Nasonex twice a day

Current Illness: Hypertension

ID: 1025436
Sex: F
Age: 76
State: PA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The day after receiving the vaccine the patient stated she developed a rash. The rash progressively became worse causing her to call her family doctor. The physician prescribed pepcid and zyrtec. Today 2/12/2021 the patient contacted the pharmacy to ask if she should get the second dose. She was instructed no.

Other Meds:

Current Illness:

ID: 1025437
Sex: F
Age: 48
State: MI

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: ASA ibuprofen

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

Symptoms: facial and neck swelling 4 days after vaccine administration , seen Private physician who treated it with Benadryl.

Other Meds: Norvasc, hydrochlorothiazide, cozzar, vit b complex

Current Illness: none

ID: 1025438
Sex: F
Age: 56
State: NE

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/12/2021
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: Levaquin

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

Symptoms: After I got the vaccine, I walked back to the nurse's station and had a pressure feeling in my neck and face on the same side that the vaccine was given. The pressure turned into a pain in my neck and face, but not my head. I continued to have that pain the whole time and 2 weeks after the vaccine. 12 hours after the vaccine, I became fatigued, ran a temperature of 101.0, and nausea and diarrhea. That went away after 2 days. I had night sweats for 2 weeks after the vaccine. Not during the day, just at night.

Other Meds: Lamictal, Keppra, Prozac, Cytomel, Multivitamin

Current Illness: Sinus infection

ID: 1025439
Sex: F
Age: 37
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Joint Ache, Body Ache, Fever 101.5, Headache

Other Meds: none

Current Illness: none

ID: 1025441
Sex: F
Age: 37
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Food sensitivities to Soy, Gluten, Corn, Dairy

Symptom List: Pharyngeal swelling

Symptoms: Received 2nd does of Moderna vaccine via IM injection upper left arm 8 am 2/10/21. The next day 2/11/21 around 10 am, I developed a rash about 3 1/2 inches below the injection site (not at the injection site itself), about midway between elbow and shoulder. The affected area is red, tender, firm, itchy and warm with muscle soreness in that area. The affected area is approx 2 1/2 inches x 3 1/2 inches wide. Today is 2/12/21 and the rash is still present.

Other Meds: Lo Loestrin Birth Control, Alive Women's gummy vitamins

Current Illness: None

ID: 1025442
Sex: F
Age: 56
State: MN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Fever extreme pain in joints exhaustion

Other Meds:

Current Illness:

ID: 1025443
Sex: F
Age: 27
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Sulfameth

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I started to feel physically drained about a few hours after receiving the shot. My arm became severely sore, I had a headache on and off most of the day, I had a fever and chills later on at night which resulted in night sweats, I felt nauseous and felt like I was going to vomit but did not actually do so, and I had body aches. I was severely tired and slept for 12 hours. I took ibuprofen for the headache which helped it to go away. The exhaustion lasted about 2 days, the nausea was about a day, the headache was 2 days, body aches were about a day and a half, and the sore arm is still sore but getting better.

Other Meds: Sertraline, Gabapentin, Famotidine, daily women?s vitamin

Current Illness: None

ID: 1025444
Sex: F
Age: 67
State: MS

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: codeine, penicillin

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

Symptoms: As soon as I got the shot I had a medal taste in my mouth. Then a few minutes later my mouth felt tight but wasn't swollen. The facility had me stay for about 40 minutes. Nothing got worse. Last night I discovered 2 ulcers in my mouth and was very tired. This morning I have diarrhea and its a yellow color. Ulcers are still in my mouth and occasionally I taste a medal taste.

Other Meds: zytec, flonase, pevicid, synthyroid, ativan, vitamin D3, zinc, cranberry tablet,

Current Illness: none

ID: 1025445
Sex: F
Age: 56
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/12/2021
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:

Symptom List: Rash, Urticaria

Symptoms: I received my second Pfizer Covid vaccine on 2/1/2021 in the morning at about 8:30 am. About 12 hours later I developed a headache and chills and body aches and a slight fever of about 99.5 which lasted until about 36 hours later and then resolved.

Other Meds:

Current Illness:

ID: 1025448
Sex: F
Age: 41
State: GA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: 2/4/21-chills, fever, abdominal pain, body aches, sore arm; 2/8/21-asthma flare up, chest pain and tightness, rash on legs, bruised injection site.

Other Meds: Symbicort, Singulair, Zyrtec

Current Illness: None

ID: 1025449
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/12/2021
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: 6:00 pm 2-10-21- Left arm extremely sore, redness and inflammation. 11:00 pm 2-10-21 Difficulty sleeping, yet exhausted. 5:00 am 2-11,21 -. Fever 101.7. Intense throbbing headache. Nauseated. Body aches more intense than my fibromyalgia pain. 2:30 am 2-12-21 Fever broke. 7:00 am 2-12-21 Headache has reduced but still throbbing. Fever gone. Lightheaded. Tired and achy.

Other Meds:

Current Illness:

ID: 1025450
Sex: F
Age: 87
State: MN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Acute Non-intractable vomiting with nausea

Other Meds: acetaminophen, ASA, Atorvastatin, citalopram, diclofenac, losartan, naproxen, pantoprazole, vitamin D

Current Illness:

ID: 1025451
Sex: F
Age: 68
State: TN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Fast heartbeat, dizziness weakness, pain, swelling rash and hardness at site, complete fatigue, headache, muscles feel like being torn apart, joint ache, chills, nausea and vomiting. I was so sick for over a week. I had stomach contents keep coming up and causing burning in my esophagus. Started to feel better on day 8 after shot.

Other Meds: Budesonide, nifedipine, chlorthalidone, fluoxetine, losartan, mirtazapine, Vit E, curcumin, vit &Mineral Sup, omega 3, coQ10, calcium supp.

Current Illness:

ID: 1025452
Sex: M
Age: 80
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Chills, slight fever (100.1) loss of appetite,

Other Meds:

Current Illness:

ID: 1025453
Sex: F
Age: 78
State: MA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I started having a headache and felt listless and tired. body aches. lack of appetite. fever of 100. took a tylenol. I woke up at 5am the 10th and I was shaking and having chills and I was hot and cold... I was dizzy and my eyes hurt. My arm was hurting. I took another tylenol. at 6am I called my NP daughter for advice and she told her it was a reaction of the vaccine. my fever was 102.5. I was advised to take more tylenol and to rest. the fever broke later that morning but I was still experiencing those side effects. 3 days later I'm still not 100%.

Other Meds: elmiron spironolactone Vicodin fluoxetine lorazepam mbncr gabapentin floconosan Vagisin Vaginal Tablet Vit D Probiotic (Align) Tums

Current Illness: No

ID: 1025454
Sex: F
Age: 25
State: WI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Large, red, hot, itchy and hard at injection site that continues to spread. Full body aches

Other Meds: Dextroamphetamine 10mg, Nortrel

Current Illness: NONE

ID: 1025456
Sex: M
Age: 29
State: NY

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Peanuts - severe (anaphylaxis)

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

Symptoms: ~12 hours post injection I woke up sweaty in bed with chills (05:00 1/26/22); Awoke around 11:00AM 1/26/21 with a fever of 103.2F, verified twice by two thermometers. Other symptoms included a very sore arm, and extensive body aches. At 20:00 1/26/21, fever remained at 102.8F, still body aches. I awoke at 0800 the following day 1/27/21 to a fever of 101.4F, body aches maintained. Fever maintained a range of 101.4-100.1 for the remainder of the day, body aches lessened, but still present. Awoke 1/28/21 feeling well. No fever no aches.

Other Meds: Vyvanse 30mg daily

Current Illness: None

ID: 1025457
Sex: F
Age: 44
State:

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/12/2021
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:

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

Symptoms: polyarthralgia

Other Meds:

Current Illness:

ID: 1025458
Sex: F
Age: 27
State: ME

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Unevaluable event

Symptoms: Please note, vaccine was not administered at doctors office. Not clear what was being asked in previous page for address - of doctor or vaccination site. I had vaccine at 730-740am and by 430pm, I had heavy onset symptoms of body aches, chills, fever etc. I took 1000mg of Tylenol and began feeling better. Still exhausted so I went to bed around 630pm but because I was pushing so much fluid, I kept getting up to pee. I was still freezing. Around 940pm, I woke up to pee and again freezing still. I sat on the toilet and started having full body convulsions and the next thing I remember is waking up on the floor. My husband found me passed out, face first on the tile floor with my pants still down. I hit the left side of my face very hard. My husband helped me to bed where I took more ibuprofen and tremored for the next hour before I fell asleep. I woke up completely drenched and sweat and with a headache.

Other Meds: None. Tylenol extra strength taken after x 2 tabs (1000mg)

Current Illness: None

ID: 1025459
Sex: F
Age: 37
State: MA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
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: Erythromycin Effexor Sulfa Adhesive Eggplant

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

Symptoms: Acute depression/suicidality, resolved after 3 days

Other Meds: Lamictal Adderall Prenatal Vitamin B12 Vitamin D Magnesium Melatonin Nifedipine Enalipril

Current Illness: Strep Throat Flu B Shingles

ID: 1025460
Sex: M
Age: 72
State: CA

Vax Date: 01/19/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
Hospital: Y

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

Lab Data:

Allergies: no

Symptom List: Injection site pain, Pain

Symptoms: Patient went to bed totally fine and woke up saying he could not see in one eye. I rushed him to the emergency hospital they ran cat scans, MRI, heart tests etc. He stayed overnight while they checked. The next day we went to eye doctor who told him he had a eye stroke. He would regain some of his site not all of it. Something to do with blood clot or loss of blood to the eye. I was not satisfied with that so made another drs appointment for the next day with a different eye doctor. The first eye doctor gave us some blood test to do so we did it then. Later that evening we got an emergency call form the first eye doctor to get back to the hospital right away he could lose sight in the other eye.. They found some high c-reactive protein. Normal is 8 his was over 40. They put him on heavy steroids and did biopsy on both temples of his eyes. This started last Wednesday morning. He was released from the hospital Monday Morning to see his regular doctor that afternoon. Test results for the eye would be Tuesday and all other vital tests came back fine thank goodness. On Tuesday the biopsy tests also came back negative so they are stopping steroids. I think they were looking for auto immune issues. Today we are going to Rheumatologist

Other Meds: Atenolol 50 MG, Hydrochlorothiazide 25 MG/half daily, Lisinopril 20MG, Metformin ER 500MG, Simvastatin 10mg, asprin 8.1 mg, One touch Verio test strip, Onetouch Delica Plus 30g Lancets. Vitamins Super B complex, VitaminC, D3, E, Mature mul

Current Illness: None

ID: 1025461
Sex: F
Age: 79
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: wheat, morphine, raglan

Symptom List: Injection site pain, Menorrhagia

Symptoms: guy put the needle in and the man pushed when he put the needle in and i think he hit the bone and i cant lift my arm today., I don't have fever but i have chills, and body aches, i have tightness in my chest.

Other Meds: Primidone, Inderal, Lipitor

Current Illness: gastric problems

ID: 1025463
Sex: F
Age: 67
State: PA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Diarrhea, vomiting, rash, mild hives, chills, episode of delirium

Other Meds:

Current Illness:

ID: 1025464
Sex: F
Age: 46
State: UT

Vax Date: 12/18/2020
Onset Date: 12/21/2020
Rec V Date: 02/12/2021
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: Sulfa Keflex Nickel

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: First Dose: On Monday the 21st I started getting a Fever and not feeling good. I found out that day my boss was home with Covid. I did a Saliva test (covid test), while waiting for my test above my collar bone was swollen. I was generally not feeling well. I got my results on the 25th and it was negative. On the 30th I got heart fluttering, feelin racy. It went away. On the 1st, I felt so wiped out and heart was going nuts, and I went to get a EKG that was normal but my BP was high140/high 80. On the 4th I went back to work again and still felt horrible, dizzy and they sent me to the ER and had High BP and two normal EKG', and the hooked me up to a heart monitor for a week. With both shots I had insomnia of the walls. Second Dose: it was much better than 1st dose. The Monday after the 2nd dose I got a really bad headache. I drank some Pedialyte and took a 12 hour nap and felt great after.

Other Meds: Birth Control Vitamin D Mutli vitamin

Current Illness:

ID: 1025465
Sex: F
Age: 34
State: TX

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Imipenem

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Cough, chills, fever, body aches, headache, nasal congestion

Other Meds:

Current Illness:

ID: 1025466
Sex: F
Age: 28
State: AK

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Awful illness following second dose. Headache, fever, nausea, soreness, dizziness.

Other Meds: None

Current Illness: None

ID: 1025467
Sex: F
Age: 68
State: FL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
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

Symptom List: Nausea

Symptoms: Pain in upper left arm and shoulder, limited mobility in left arm secondary to pain since day of injection. 15 days at this time. No improvement since initial onset

Other Meds: Lisinopril, Levothyroxine, Venlafaxin, Pravastatin, Omeprazole, multivitamin

Current Illness: None

ID: 1025469
Sex: F
Age: 27
State: CT

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Minor allergies: bananas, honeydew, cantaloupe; Other allergies: ragweed, pollen, pet dander, etc.

Symptom List: Injection site pain

Symptoms: Fever and chills (lasted roughly 5 or 6 hours); Pain at injection site and the surrounding area (lasted roughly 14 hours); Fatigue and headache (lasted roughly 28 to 30 hours).

Other Meds: None

Current Illness: None

ID: 1025470
Sex: F
Age: 60
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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, latex, Bee Venum

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

Symptoms: 2nd shot- severe headache, fever, body aches, right arm pain and swelling. Back ache around shoulders and neck. Lasted 2 days so far.

Other Meds: Synthroid,

Current Illness: N/A

ID: 1025471
Sex: F
Age: 64
State: MN

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
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: Possibly acetaminophen

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

Symptoms: During the night I began to itch the site of injection and noticed redness around the site as well.

Other Meds: Lisinopril; Super B Complec, multivitamin, calcium, fish oil

Current Illness: Vomiting on 01/31/2021

ID: 1025473
Sex: F
Age: 54
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: 15 minutes after receiving vaccine, felt flushed, about an hour later felt short of breathe and chest tightness

Other Meds:

Current Illness:

ID: 1025474
Sex: F
Age: 67
State: LA

Vax Date: 02/01/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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 reported.

Symptom List: Erythema, Pruritus

Symptoms: Patient experienced shortness of breath with ineffective breathing. A blood pressure reading was 220/90, HR 95. RR over 20. There was no stridor or wheezing, but short, ineffective breaths. The patient did NOT lose consciousness.

Other Meds: None recorded

Current Illness: Hypertension.

ID: 1025475
Sex: M
Age: 40
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: NA

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

Symptoms: Fever, body aches

Other Meds: Lisinopril, Amlodipine, Wellbutrin, Allegra

Current Illness: NA

ID: 1025476
Sex: M
Age: 35
State: PA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/12/2021
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: Within a few days of first shot, I developed a sort of numbness/tingling/cold feeling in my 2nd and 3rd toes on my right foot. Over time the symptoms have spread and I developed small sores on my feet. I also am feeling some slight tingling and cold feelings in my hands/fingertips but no blisters at this time.

Other Meds: Clotrimazole

Current Illness: Inner ear fungal infection

ID: 1025477
Sex: F
Age: 36
State: OH

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: I don't have allergies.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Shot scheduled time was 8:35 AM. I had symptoms of swelling in my throat and lymph nodes, only on the left side, after the Pfizer vaccination was given. It occurred 5 minutes after injection. At 7 minutes after my vaccination, I approached EMS to report my symptoms to EMS. EMS did an exam and said my lymnode on my left side was a little swollen. Pharmacist took my name and number for contact information. Benadryl (25 mg) was given to me from the Giant Eagle Pharmacist after seeing EMS at 8:55 AM. Waited an additional 30 minutes with EMS to monitor symptoms. Symptoms decreased in severity after Benadryl (25 mg) was given. ?Pfizer-BioNTech COVID-19 Vaccine EUA"

Other Meds: Benadryl was given to me from the Giant Eagle Pharmacist after seeing EMS when had symptoms of swelling in my throat and lymph nodes after the Pfizer vaccination was given.

Current Illness: No other illnesses at this time.

ID: 1025478
Sex: F
Age: 68
State: GA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/12/2021
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: I got my COVID Vaccine shot on Friday, January 29th at 2:00 pm. By Sunday,January 31st at 5:00 pm I had a reaction to my Right Eye. On Monday, February 1st I went to my Eye Doctor thinking I had something in my eye that I couldn't get out on my own. It turned out I had developed an eye ulcer. I have NEVER had any problems with my eyes before. I was put on 2 medicated eye drops (Durezol 2x daily for a week and Gatifoxacin 4x daily). I had a follow up appointment one week later, February 9th and it was determined that the infection had deminished, but my eye was still dry and I needed to put drops (Refresh Tears) in daily for and additional week. I would like to report that this may have been a side effect from the shot.

Other Meds: Furosemide 20mg tab, Lisinopril 40mg tab, Spironolactone 2t5mg tab, Atenolol 50mg tab

Current Illness: NONE

ID: 1025479
Sex: F
Age: 29
State: PA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: N/A

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

Symptoms: I had a pretty high fever of 102. I?m also experiencing a headache, chills, injection site pain, nausea and vomiting.

Other Meds: N/A

Current Illness: N/A

ID: 1025480
Sex: F
Age: 82
State: OH

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Nexium and codeine

Symptom List: Pain in extremity

Symptoms: COVID-19 Vaccine EUA; I and 1/2 days after shot came down with flu like symptoms, nausea and couldn't stay up, had to lay down. No fever and passed after 24 hrs. A week later shot area swelled and had an itchy rash which went away after 24 hrs.

Other Meds: latanoprost, probiotic and vitamin D3

Current Illness: none

ID: 1025481
Sex: M
Age: 73
State: WV

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
Hospital: Y

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: After receiving the vaccination her husband met with his son. He reported that his dad did not know anything. His wife told the son to bring him to Hospital. They brought him to the hospital and got there and his son said that he had called the daughter and he did not know the day, month, his grandson's name, like he wasn't there. He had a funny look on his face that he was "out of it". Asked simple questions about pet at home, favorite and could not remember the name of the cat. He then came out and said that he was fine. They ran tests for a mini-stroke, CT scan, blood work. They had a consult with Neurology, virtual. The neurologist did some questioning, and by 3:00 they felt that it was like a mini-stroke, and she said that she felt it was from the vaccination as it occurred right after the vaccine. She took him home, and told him to take a nap. By 4:30 PM she woke him up and said that they were going to eat, she was getting things ready. He was sitting on the couch about 5:00 PM and had that blank stare again. He went walking through the house walking aimlessly and started fumbling through papers . She called 9-1-1 and within 10 minutes they took him to the ER. It took her an hour to get to the hospital, his daughter met them at the ER. He told them that he was fine, and they knew that he was not. By 7:00 PM they were going to do an MRI and wanted to admit him to the hospital. All of a sudden at 9:00 he was having another episode. She got the nurse and they watched him and decided that he was having a seizure, (agitation, not making sense.). The entire episode lasts for about 30 minutes. They did an MRI and an EEG, which she does not have the results of. On 2/11/21 she talked to the neurologist who insisted it was due to the vaccine. He has now settled down and has not had another seizure since 9:00 PM the night before. He was discharged yesterday at around 1:00 PM, he slept, got up and is fine this morning. He was diagnosed with seizures, and to FU with Dr. in Epilepsy clinic, and prescribed Keppra, which he has not taken as he feels it was due to the vaccination.. He does not remember the events that took place.

Other Meds: Baby aspirin, Plavix, Atacand, Cardizem CD, Tricor, Lasix, Neurontin, Metformin, Lopressor, Crestor.

Current Illness: None.

ID: 1025482
Sex: M
Age: 71
State:

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Reports waking up at 3 AM on 2/9/21 dry heaving, nauseated, extremely weak. Complains of excruciating headaches and pain in the cheek bones. Reports going to the ER on 02/11/2021 due to extreme nausea and headaches. Was prescribed Zofran and given an IV of fluids for being dehydrated.

Other Meds:

Current Illness:

ID: 1025483
Sex: F
Age: 78
State: PA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/12/2021
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: BETA BLOCKERS, EMBRIL, HUMIRA PINEAPPLE

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

Symptoms: TINGLING IN TONGUE & GUMS ADVANCED TO BURNING & NUMBNESS- TONGUE FEELING OF THICKNESS WITH RAPID HEART RATE. TREATED WITH BENADRYL & PREDNISONE 20MG 1 DAILY FOR 5 DAYS STILL FEEL AFFECTS 02/05/2021

Other Meds: BARICITINIB; LEVOTHYROXIN; BUMETANIDE; OMEPRAZOLE DR; PREDNISONE; ASPIRIN; TYLENOL/ARTHRITIS; ATANOPROST OPHTH; DORZOLAMIDE HCL; COMBIGAN; VITAMIN B-12; VITAMIN D-3; FERREX 150

Current Illness: RA

ID: 1025484
Sex: M
Age: 23
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
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: Only side effect I had was a sore arm for the next 2 days. No other symptoms.

Other Meds: Was supplementing with vitamin C and vitamin D

Current Illness: None

ID: 1025485
Sex: F
Age: 63
State: NH

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/12/2021
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: Watercress Arugula Neosporin Contrast Dye

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Rapid heart rate. Increased pulse and blood pressure. Lasted about a half hour.

Other Meds: Amlodipine

Current Illness:

ID: 1025486
Sex: M
Age: 39
State: NY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chills, fever, aches, throbbing pain in injection site

Other Meds:

Current Illness: Positive for cover-19 1/30/2021

ID: 1025487
Sex: M
Age: 62
State: PA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: Compazine, shellfish, strawberries

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Nose bleed

Other Meds: NA

Current Illness: none

ID: 1025488
Sex: F
Age: 69
State: FL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/12/2021
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 Allergies

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

Symptoms: Patient experienced dizziness and a burning sensation in chest and throat within minutes of this injection, that initially resolved only to reoccur later that afternoon in conjunction with chills, body aches, headache. Patient was feeling so bad with confusion and dizziness the next morning such that she was unable to get out of bed and had call in sick to work. Patient symptoms continued for the next week and she was unable to return until 19 January (but still symptomatic and short of breath on exertion). Patient was tested for COVID-19 infection on 19 January which was negative. Patient then followed up with her primary care doctor the following and retested for COVID-19 (also negative again). Primary care provider performed basic labs without revealing any abnormalities. Patient does not feel back to normal at this time - she continues to have intermittent chills and the headaches only stopped in the past 7 days.

Other Meds: Amlodipine 5mg, Aspirin 81mg, Vitamin D-3,

Current Illness: None known

ID: 1025489
Sex: F
Age: 84
State: CT

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
Hospital: Y

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

Lab Data:

Allergies: Levemir, sitagliptin

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

Symptoms: Patient received 1st dose of vaccine on 2/6/21. That afternoon, developed malaise and fever/chills over the next few days. On the evening on 2/9/21, began to have left-sided chest pain (severe, pleuritic, radiating to left arm) leading her to seek medical care. Was determined to have viral pericarditis and admitted to the hospital for several days

Other Meds: Carvedilol, Humalog, Iron tablets, levothyroxine, metformin, omeprazole, pravastatin, Toujeo, valsartan/HCTZ

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm