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: 0917567
Sex: F
Age: 51
State: CA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/02/2021
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: Lots of dizziness and nausea. Even after a long nights rest, the dizziness does not go away. The dizziness began the day of vaccine around 8pm and has not subsided.

Other Meds: Nortriptyline

Current Illness: None

ID: 0917568
Sex: M
Age: 33
State: MA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
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: Shellfish

Symptom List: Anxiety, Dyspnoea

Symptoms: Left side of face swelling in cheeks and gums. I wasn?t experiencing this pain or issue before shot.

Other Meds: None

Current Illness: None

ID: 0917569
Sex: M
Age: 58
State: IA

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
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: none

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

Symptoms: Developed hives over my body about 14 hour after injection and still present at this time. Using benadryl every 4 hours.

Other Meds: Paxil, multivitamin

Current Illness: none

ID: 0917570
Sex: F
Age: 46
State: WI

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: Patient receives allergy immunotherapy injections for allergies to dust, molds, ragweed, grass, trees, grass, cats. She had received her injections on 12-29-20 at 1:15pm

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Acute onset of reactogenicity reaction as patient was leaving grocery store. Almost crashed car driving due to violent rigors. Single episode explosive diarrhea upon arrival home. Patient incapacitated on couch for 3.5 hours due to shaking chills, dizziness, headache, profound weakness, near syncope when attempting to get up. Patient unable to reach phone to summon help for over an hour. (phone was only 2 feet from patient).

Other Meds: None

Current Illness: None

ID: 0917571
Sex: F
Age: 38
State: CA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline monohydrate Plan b

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

Symptoms: Pain and itching at injection site after about 2-4 hours lasted to the next day approximately 24 hrs Face flushing started about 2-4 hours after vaccine and lasted only about 4 hours. Nausea started about 6 hours after vaccine and lasted about 10 hours

Other Meds: None

Current Illness: None

ID: 0917572
Sex: F
Age: 24
State: OH

Vax Date: 12/25/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
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: Nubain, sulfa, morphine, fluticazolone, azithromycin,latex, nutmeg

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

Symptoms: 3 days of muscle pain and fatigue. Day 6 had severe collarbone area pain and found a hard inflamed lymph node same side as vaccine. Now day 9 continuing lymph node pain plus a large hot, red, painful swelling 3 1/2 inches in diameter located 2-3 inches below the injection site. My entire arm is a dull ache

Other Meds: Amitriptyline, stelara, birth control, probiotic

Current Illness:

ID: 0917573
Sex: F
Age: 36
State: OR

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/02/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Patient become light headed within minutes of vaccination. BP 12/83, HR 88. Resolved on its own. CG left in stable condition.

Other Meds:

Current Illness:

ID: 0917574
Sex: F
Age: 32
State: CT

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Red, hard, hot area at injection site 7 days after injection. Area was normal until 7 days.

Other Meds: None

Current Illness: None

ID: 0917575
Sex: M
Age: 47
State: CA

Vax Date: 12/07/2020
Onset Date: 12/17/2020
Rec V Date: 01/02/2021
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: Dec 17: Red Bumps, severe itching, arms, legs, shoulders, forearms, wrist, back. and hands. Headached, and tiredness. Jan 1st, Episode, fast heart beat, feeling faint, unbalanced, and dizziness.

Other Meds: None

Current Illness: None

ID: 0917576
Sex: F
Age: 51
State: MD

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/02/2021
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: Anaphylaxis with Compazine, angioedema with lisinopril

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Upper lip numbness and tingling that started within first 30 minutes after injection, and difficulty initiating a swallow with sensation of mild swelling in posterior oropharynx with onset approximately 45 minutes after injection.

Other Meds: metoprolol, Vyvanse

Current Illness:

ID: 0917578
Sex: F
Age: 31
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: A few hours after receiving the vaccine I noticed typical arm soreness associated with vaccines. However, this time I also noticed there was a cold tingling feeling in my arm, leg, and toes on the left side of my body (injection side). It happened on and off and lasted for a few minutes at a time. It was not bothersome and resolved within 24 hours. Soreness the next day was worse than with any vaccine received prior (including tetanus shot) and limited range of motion but did not interfere with activities of daily living.

Other Meds: Elmiron 100mg 1 QAM, 2 QHS; fexofenadine 180mg QD; Camrese birth control QD; Multivitamin QD; pantoprazole 40mg QAM

Current Illness:

ID: 0917579
Sex: M
Age: 49
State: NY

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/02/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: At 12.15 I went into atrial fibrillation for 6 hours. I took an extra digoxin. The following Wednesday I had fever and continue to have fever 3 days later.

Other Meds: baby aspirin, digoxin, b complex vitamins

Current Illness: none

ID: 0917580
Sex: F
Age: 41
State: CA

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

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

Lab Data:

Allergies: NKA

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

Symptoms: Heart palpitations and tachycardia. BPM 102. Lasted for at least 30 minutes. Drank 8 ounces of water, practiced deep breathing and went back to bed lying on left side. Eventually was able to fall asleep so unsure of total duration.

Other Meds: Multivitamin, Vit D, Zinc, Vit C, Melatonin

Current Illness: None

ID: 0917581
Sex: M
Age: 43
State: NY

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
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: N/A

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

Symptoms: Hives and urticaria at injection site eight days after dosage, followed by breakouts on other parts of the body.

Other Meds: Rosuvastatin Aspirin 81mg Melatonin 5mg CoQ10: BabyCoQ10 aspirin 81mg/day Omega-3 w/: Ortho Multi: K2-7 + D3:

Current Illness: N/A

ID: 0917582
Sex: F
Age: 43
State: WA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
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: Arm extremely sore and hard by injection site 3days long All joints stiff and sore-day after Tiredness-day after Nausea(no vomiting)-day after

Other Meds: Multi vit,vit b,fish oil

Current Illness: None

ID: 0917583
Sex: F
Age: 51
State: NH

Vax Date: 12/22/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
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: No known allergies

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

Symptoms: Woke up day 9 post vaccination with pain, redness and swelling at site of injection , worsened day 10 and 11, today day 12 it?s improving

Other Meds: Bariatric fusion multivitamin

Current Illness: None

ID: 0917584
Sex: F
Age: 29
State: VA

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/02/2021
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: Percocet

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Site pain, nausea, fatigue, feeling unwell, headache

Other Meds: Multivitamin, Zyrtec, Vitamin C, Lexapro

Current Illness: N/A

ID: 0917585
Sex: F
Age: 25
State: IN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Moderate muscle aches, fatigue, headache. Swellings did redness at injection site

Other Meds: No prescriptions or medications

Current Illness: No illnesses

ID: 0917586
Sex: F
Age: 35
State: GA

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: NKDA, Allergic to Cats and Dust Mites

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Bilateral Lymphadenopathy, Decreased Appetite

Other Meds: Pre-Natal Vitamin, Famotidine 20 mg, Cetirizine HCI 10mg

Current Illness: Asthma Exacerbation 12/02/2020. COVID Neg x2, Flu Neg. CXR Neg. Resolved with Albuterol Inhaler & Steroid Pack

ID: 0917587
Sex: M
Age: 52
State: OR

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

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

Lab Data:

Allergies:

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

Symptoms: Patient received his vaccine at 1600 and began feeling lightheaded with transient palpitations @ 1615, B/P 154/103 HR 64. 1630 still with lightheadedness B/P 162/106 HR 87 rapid response called. 1700 still lightheaded 175/113 HR 73 O2 99%. Pt. said he still felt dizzy but just wanted to sit for a while longer and did not want to go to ED at that time. 1705 Pt. did end up electing to go to ED because he said he wasn't comfortable going home. Pt. escorted via wheelchair to ED- no further signs of lightheadedness.

Other Meds:

Current Illness:

ID: 0917588
Sex: M
Age: 26
State: IL

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 01/02/2021
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: N/A

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

Symptoms: Starting 2-3 days after the day I got the Pfizer vaccine, I had itchiness on my upper chest as well as my neck and upper back. On December, 26th, I looked in a mirror and realized I had red dots on my upper chest, upper back, and neck. Over the next two days (the 27th and 28th) the red dots extended to my stomach, lower back, and shoulders. Up until today, the dots have extended to my upper arms, forearms, hands, and legs. I went to employee health to speak to two nurses who agreed I should report this as a potential allergy to Pfizer's vaccine. I am nervous about taking the second dose but am planning on doing so. I have taken Benadryl and applied hydrocortisone cream on the affected areas. I have a medrol dose pack prescription that I will fill if my symptoms get worse. I do not have trouble breathing, but I am constantly itchy each day.

Other Meds: N/A

Current Illness: N/A

ID: 0917589
Sex: F
Age: 0
State: PA

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

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

Lab Data:

Allergies: NKDA

Symptom List: Unevaluable event

Symptoms: Lightheaded for about 20 minutes post injection. Did not alert staff , waited it out. Onset of lightheadedness was quick .

Other Meds: mibelas 24 fe

Current Illness: None

ID: 0917590
Sex: F
Age: 28
State:

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

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

Symptoms: Employee reported feeling slight/mild dizziness while sitting car. She stated it's probably from heat in car. she was brought in the clinic, sat down, drank water, and started to feel better. she was observed/monitored for 30 minutes and reported feeling well and no symptoms.

Other Meds:

Current Illness:

ID: 0917591
Sex: M
Age: 49
State: GA

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
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: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Shortness of breath, tachycardia, chills, minor muscle aches, nausea, head ache

Other Meds: Lipitor 10mg PO QD

Current Illness: none

ID: 0917592
Sex: F
Age: 33
State: VA

Vax Date: 10/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Headache in afternoon. Chills and severe headache at 2 am (1/1/2021). Severe headache continued and nausea around noon.

Other Meds: None

Current Illness: None known

ID: 0917593
Sex: F
Age: 79
State: MI

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/02/2021
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: codeine

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

Symptoms: Vomiting, not feeling good, malaise, muscle pain, +fever, vomiting 99-100-99; incr BP 184/79, 136/76, 157/82 feeling better after 24 hours. Given Tylenol. Had refused medications while feeling ill after vaccination, medications taken next day with no problem.

Other Meds: metoprolol tartrate 100mg BID, Lipitor 10 mg daily, sennosides-docusate sodium tablet 8.6/50mg BID, aspirin 81 mg daily, amlodipine besylate 5mg daily, Tylenol prn

Current Illness: none

ID: 0917594
Sex: F
Age: 52
State: TN

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
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: Penicillin, Sulfa, Erythromycin, Dicyclomine, Levaquin, Statins, dust, mold, dog, insects, trees

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 12/29/2020 (date of injection) soreness at injection site, Headache & increased Heart Rate. 12/30/2020 Headache, Chills, Body Aches, Fatigue. 12/31/2020 Headache, increased Chills, increased Body Aches, increased Fatigue, feeling Feverish (not able to do ADL's). 1/1/2021 Headache, increased Chills, increased Body Aches, increased Fatigue, feeling Feverish (not able to do ADL's). 1/2/2021 All symptoms are getting better, still slightly there.

Other Meds: Zoloft, Modafinil, Zyzal, Wellbutrin, Vitamin D, Aspirin, Amlodipine, Klonazepam, Latuda, Omeprazole

Current Illness: None

ID: 0917595
Sex: F
Age: 31
State: RI

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I was about 6 weeks pregnant when I received the vaccine on 12/26/20. I had a miscarriage on 1/1/21. I have a pregnancy history of one prior healthy full term pregnancy in 2019.

Other Meds: Pre-natal vitamin

Current Illness: None

ID: 0917596
Sex: F
Age: 57
State: TN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
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: PCN, Sulfa, narcotics, erythromycin, seasonal allergies

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

Symptoms: Day 1- 1.5 x 1.5cm redness, swollen hard, warm to touch,painful to touch Day- 3x3cm red area, warm to touch, hard center, painful to touch

Other Meds: None

Current Illness: None

ID: 0917597
Sex: F
Age: 39
State: NH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: Tramadol

Symptom List: Nausea

Symptoms: About 10 minutes after vaccine, throat became tight feeling, chest tightness, blood pressure 170s/100s, light headed and blurry vision. Ambulance called, brought to the ER administered IV solumedrol, IV Benadryl and monitored for 4 hours

Other Meds: Buspirone 10mg, citalopram 20mg

Current Illness: Light headed, dizzy, headaches

ID: 0917598
Sex: M
Age: 25
State: NY

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Sharp throbbing pain in the left arm pit. Dull nerve pain shooting down left arm from shoulder to wrist. Pain started the morning after vaccination. Swollen and tender shoulder noted with limited mobility and range of motion. Had no other health condition or disability prior to this.

Other Meds: None

Current Illness: None

ID: 0917599
Sex: F
Age: 44
State: AL

Vax Date: 12/22/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
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: Injection site reaction. The reaction is an ~4-inch diameter, red, slightly swollen area that is warm to the touch.

Other Meds: Methimazole

Current Illness: none

ID: 0917600
Sex: M
Age: 49
State: MI

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/02/2021
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: PCN

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

Symptoms: noted increased BP for 36 hours after vaccine. 162/86, 161/84, 152/79.

Other Meds: acetaminophen prn, trazodone bedtime, methadone 5mg, aspirin 81 mg, hydromorphone 4 mg, ondansetron hcl prn

Current Illness: none

ID: 0917601
Sex: M
Age: 50
State: TX

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/02/2021
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: Bactrim

Symptom List: Tremor

Symptoms: Pain at injection site for 3 days, on second day had achy joints, poor energy, sweating for about 45 minutes, 3rd day just lack of motivation, poor energy

Other Meds: Metformin atorvastatin lisinoptil nadolol ursodiol Benadryl (otc) melatonin (otc) multivitamin (otc) omeprazope (otc) vitamin d (otc) symbicort inhaler venlafaxine insulin

Current Illness: Diabetes type 2 insulin dependent

ID: 0917602
Sex: F
Age: 26
State: KS

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
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: PCN

Symptom List: Erythema, Pruritus

Symptoms: Injection site pain began about 5 hours after getting vaccine and progressively worsened. Unable to lift arm above shoulder without significant pain at about 12 hours post injection. About 13-14 hours post vaccine, began having myalgias, chills. Took ibuprofen with some improvement of symptoms, but unable to sleep due to the combination of arm pain, chills and aches. Body aches and chills were gone by the morning but the arm pain lingered, less than the night before and improving each day, still there today, but much more tolerable.

Other Meds: Novolog insulin, Liletta IUD

Current Illness: None

ID: 0917603
Sex: F
Age: 39
State: CA

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

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

Symptoms: Vasovagal symptoms developed about 5 min after receiving vaccination.

Other Meds: None

Current Illness: None

ID: 0917604
Sex: F
Age: 66
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/02/2021
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

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

Symptoms: PVCs about 45 minutes after injection. Although I have had them before, it?s been at least a month since they have occurred. They don?t usually happen in the morning without any activity. Also felt a bit weak later in the day but not sure this was from vaccine. I was fine the next day.

Other Meds: Eliquis. Levothyroxine , Prilosec, metoprolol, aspirin, Vit D

Current Illness:

ID: 0917605
Sex: F
Age: 52
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: At 9:59AM (9 minutes after vaccination) I suddenly felt dizzy and like I was going to pass out. My body was tingling from head to toe. My chest felt heavy but I think that may have been slight anxiety because it was a scary feeling and I did not want to be the person who needed EMS assistance. I rolled down my window, took off my mask and took deep breaths of fresh air. I slowly started to feel better. At 30 minutes I felt much better and after an hour I was back to my normal self.

Other Meds: Synthroid, Folic Acid, Vitamin D

Current Illness: None

ID: 0917606
Sex: M
Age: 48
State: CA

Vax Date: 12/27/2020
Onset Date: 12/28/2020
Rec V Date: 01/02/2021
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: Head ache first day with weakness and chills. Next day I went to work and since I can?t put weight on, trouble sleeping, minimal appetite, I have a hoarse voice and it starts to go out.

Other Meds: Ramipril 5mg Rosuvastatin 5mg Men?s multivitamin

Current Illness: COVID-19

ID: 0917607
Sex: F
Age: 44
State: WA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/02/2021
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: Alieve

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

Symptoms: Woke up next day very fatigued, left work after 1/2 day and slept 20hrs Two days after injection lymph nodes very sore and swollen in armpit (pain with applying deodorant) Four days after injection bruising with about 3x3 cm area of redness/swelling present at injection site Daily headaches managed with ibuprofen Not anything too concerning but not comfortable. I have never reacted to a vaccine prior

Other Meds: Birth control Albuterol prn Advil prn

Current Illness: NA

ID: 0917608
Sex: F
Age: 43
State: CO

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/02/2021
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: Red around injection site. Has not gone away.

Other Meds: Alive multivitamin Probiotics Thyroid supplement Cosamin Ds

Current Illness: None

ID: 0917609
Sex: F
Age: 56
State: HI

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

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

Lab Data:

Allergies: fragrance, latex, nickel, perfumes

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

Symptoms: advised to wait 30 min post shot for monitoring d/t latex allergy. completed without s/s. returned approx 20 min c/o itching to arm at injection site, stated, throat had been internally itchy for about 10 min after leaving vaccination area but that passed on its own. advised to use cold compress on arm and monitor self. let vaccination center without questions, concerns.

Other Meds: NO

Current Illness: NO

ID: 0917610
Sex: F
Age: 32
State: CO

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
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: NKDA

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

Symptoms: Reported at 6:29 sat on toilet with right arm pain of 7-8 out of 10. Reached for her cell phone on sink and had a syncopal episode 1 day post vaccine. reports history of vasovagal and hyperglycemia. A provider she works with was called and she was given juice, crackers, and two Advil. Pain resolved, no other symptoms reported. Is being followed up by her PCP for workup. No other syncopal episodes reported therafeter.

Other Meds: unknown

Current Illness: None

ID: 0917611
Sex: F
Age: 31
State:

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/02/2021
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: Clindamycin Sulfa

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

Symptoms: 12 hours - swollen and sore arm 24-36 hours - fever up to 103.4, chills, sweats

Other Meds: Vitamin D Ibuprofen

Current Illness: Orthopedic surgery two weeks prior

ID: 0917612
Sex: F
Age: 47
State: HI

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/02/2021
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: flu vaccine

Symptom List: Vomiting

Symptoms: rec'd shot 1405, monitored for 30 min d/t flu vaccine allergy in past as recommended by physician on call. 35 min in c/o itching to face and neck. monitored for 15 more min, declined cold compress, advised to monitor symptoms

Other Meds: HCTZ nexplanon restasis

Current Illness: NO

ID: 0917613
Sex: F
Age: 31
State: AK

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/02/2021
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: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fatigue, chills, pain at injection site radiating down left arm. Took Advil as needed and Benadryl after 24 hours of unresolved symptoms.

Other Meds: Breo, singulair, adderall, Zyrtec, vitamin d, hair skin and nails vitamin

Current Illness: None

ID: 0917614
Sex: F
Age: 26
State: TX

Vax Date: 01/01/2021
Onset Date: 01/02/2021
Rec V Date: 01/02/2021
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: Moderna COVID-19 Vaccine EUA Lots of pain and soreness in vaccination site. Low fever(99.9F), chills, body ache, joint paint started 01/02/2021 at 4:30pm Treatment: slept and took 2 Tylenol?s. Outcome: fever down to 99.2 an hour later, body still aching

Other Meds:

Current Illness:

ID: 0917615
Sex: F
Age: 42
State: IN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/02/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I had chills, headache, and was nauseous all day but around 630 I passed out and smacked my face when getting out of the shower.

Other Meds: Lexapro

Current Illness: None

ID: 0917616
Sex: M
Age: 58
State: CA

Vax Date: 12/15/2020
Onset Date: 12/20/2020
Rec V Date: 01/02/2021
Hospital:

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

Lab Data:

Allergies: tomatoes

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

Symptoms: Injection site pain and tiredeness day after injection. Severe left sided low back pain centered in sacroiliac joint, next day radiating into left leg and left thorax on Sunday, five days after injection. Severe disruption in all ADLs necessitating narcotic pain medication and an emergent visit with chiropracter. This pain is somewhat better but still persists today 14 days after onset!! This is absolutely miserable. I think I'd rather have COVID

Other Meds: Garden of life mens 50 plus multivitamin daily Zinc 100 mg daily Vital reds one scoop daily Vit D 10,000 units daily pregnenolone 30 mg daily DHEA 15 mg daily Iodine 15 mg daily

Current Illness: None- I'm in excellent health

ID: 0917617
Sex: F
Age: 38
State: MO

Vax Date: 12/17/2020
Onset Date: 12/21/2020
Rec V Date: 01/02/2021
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: I broke out in a face rash. It started at my chin and went up my jaw lines. Was dry and itchy. No lotion or creams I tried work. It finally went away on its own in about a week.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm