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: 1029139
Sex: M
Age: 81
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient started feeling very dizzy, sick like, and weak starting about 24 hours after getting the vaccine. He was taken by ambulance to the local hospital and treated with fluids I believe. After regaining strength, he went home and was given meclizine for nausea and dizziness. He was told to keep up fluids and rest.

Other Meds:

Current Illness:

ID: 1029140
Sex: F
Age: 65
State: TX

Vax Date: 01/29/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
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 known

Symptom List: Anxiety, Dyspnoea

Symptoms: Red rash on arm around injection site that I first noticed on 2-10-21, about 12 days after the 1st Moderna vaccine. It has spread to a larger area each day since I first noticed it It feels warmer than the surrounding skin, and started itching on 2-12-21. I started taking Benadryl on the evening of 2-13-21.

Other Meds: Daily multivitamin

Current Illness: None known

ID: 1029141
Sex: M
Age: 64
State: KY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: sulfa

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

Symptoms: Received injection 2/11/21. 2/12/21 in the evening began to experience mild tremors throughout my body. 2/13/21 tremors became more intense primarily in me chest. As the tremors increased, it affected my speech and I began to stutter when trying to speak. This continued until the morning of 2/14/21. The tremors started to reduce intensity, but while teaching my chest began to tremble and I felt my stutter returning. That has since subsided

Other Meds: escitalopram 20mg atorvastatin - 10 metoprolol - 50mg lisinopril 40mg dicyclomine - 10mg

Current Illness: n/a

ID: 1029142
Sex: F
Age: 67
State: IN

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Received Covid Moderna vaccine on 02/03/2021 & no adverse events until I noticed a rash near injection site on Friday, . The rash spread & I sought medical attention on Saturday. I was prescribed a steroid to be filled if adverse event worsened.

Other Meds: Excedrin Migraine, rescue inhaler

Current Illness: None

ID: 1029143
Sex: M
Age: 78
State: FL

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

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

Lab Data:

Allergies: none

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

Symptoms: chill, frontal headache, slightly dizzy

Other Meds:

Current Illness: frontal headache, chill, slightly dizzy

ID: 1029144
Sex: F
Age: 76
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
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:

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

Symptoms: I was vaccinated with Moderna in the right arm. Immediately afterwards, I felt a searing pain in my right index and middle fingers. This pain last several minutes, and has recurred several times over the last 3 days.

Other Meds:

Current Illness:

ID: 1029145
Sex: F
Age: 54
State: MI

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Moderna COVID-19 Vaccine 7 days after the injection - redness, soreness, swelling and hot to the touch near the vaccination site. The redness spread over night to cover a large area on my upper arm.

Other Meds: Tamoxifen

Current Illness: none

ID: 1029146
Sex: M
Age: 61
State: MI

Vax Date: 02/08/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: vioxx, and sulfa based meds

Symptom List: Pharyngeal swelling

Symptoms: large red bright red bumps on forehead and top of skull that is painful/irritation to touch, off and on nausea , intermittent headache

Other Meds: Lorsartan 100mg, Potassium Cl Er 10 MEQ Micro Tab, Labetalal 200 mg, Jardiance 10mg, Metformin 100mg, Glipizide 5mg, Isosorbide Mononit Er 30mg, Clopoidogrel 75mg, Amlodipine 10mg Atrorvastatin 20mg, Divalproex 250mg ER, Trazodone 100mg, M

Current Illness: None

ID: 1029147
Sex: F
Age: 32
State: MI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
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: I got "COVID Arm" starting the day after my second vaccine. It started in a circle just below my injection site and seemed to spread and get larger. By today (2/14) it has gotten less red and less hot. Also today is the first day it hasn't grown. It has been red, hot to the touch, hard and swollen. Also it's itchy but tolerable.

Other Meds: Motrin 800

Current Illness: None

ID: 1029148
Sex: U
Age: 65
State: FL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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 listed

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient called the next day after the vaccine and reported severe nausea, vomitting, sweating and dizziness

Other Meds: montelukast, hydroxyzine, levothyroxine, pravastatin, citalopram,

Current Illness:

ID: 1029149
Sex: F
Age: 73
State: GA

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

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

Symptoms: Flu like symptoms - headache, slight nausea, achy and very weak

Other Meds: Atorvastatin 20 mg

Current Illness: none

ID: 1029150
Sex: F
Age: 68
State:

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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: Patient feeling itchy all over and hot. Vital signs taken BP 181/95, T98, P71, SPO2 98%ra . Given 25 mg Benadryl IM

Other Meds:

Current Illness:

ID: 1029151
Sex: F
Age: 65
State: GA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Tetanus

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

Symptoms: 7 day post administration right arm become red, painful and swollen. Treated with Advil, Zyrtec, and topical hydrocortisone cream. At time of report the redness is less, but still present. The swelling has resolved

Other Meds: Advil Centrum Silver

Current Illness: None

ID: 1029152
Sex: F
Age: 38
State: MN

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
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: Body aches, Headache

Other Meds:

Current Illness:

ID: 1029153
Sex: M
Age: 37
State: NE

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Headache, muscle aches, mild fever (99F)

Other Meds: None

Current Illness: None

ID: 1029154
Sex: M
Age: 74
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: 6 pm 2/10 I started experiencing severe chest pain. I went to the ER for the pain (no cardiac history). They did all the cardiac tests which were negative and administered morphine for the pain (not effective) and then fentanyl which was effective. I was admitted overnight and discharged at 2pm the following day (2/11). The attending cardiologist could find no explanation other than the vaccine. Although I felt fairly good in the morning (the pain had subsided after the fentanyl administration the previous night) I was tired and went to bed when I got home. Almost immediately severe chills started with violent shaking for several hours, followed by vomiting large amounts three or four times. About 7pm when I attempted to get out of bed to use the bathroom, I fell on the floor as I could not support myself. I was unable to get myself up due to extreme muscle weakness. My wife had to call my stepson to come over to help get me back into bed. A couple of hours later I tried to get out of bed very carefully and at that point I was able to stand with no problem. There then were no further symptoms other than headache. The following day (2/12) I felt much better but spent the day in bed. 2/13 I was up much of the day but still felt somewhat weak and tired. 2/14 (today) I am still much better but somewhat tired with slight malaise.

Other Meds: Myrbetriq 50 mg qd, Crestor 5mg qd, Lexapro 10mg qd, prilosec 20mg,qd, Aspirin 81mg qd

Current Illness: None

ID: 1029155
Sex: F
Age: 51
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: None

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

Symptoms: Developed a symmetrical, raised rash on each breast, each hip, and each inner thigh. They were itchy and hive-like raised bumps. They came on suddenly around 6pm. and were gone when I woke up the next morning at 8am.

Other Meds: None

Current Illness: None

ID: 1029156
Sex: F
Age: 94
State: CO

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: rubber

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 32 hours post vaccine 8 hours of severe body ache, unsteady walking, sleeplessness 2 aspirin taken 4 hours apart symptoms reduced significantly at 8 hour mark

Other Meds: asprin x 2

Current Illness: none

ID: 1029157
Sex: F
Age: 50
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Allergic to surgical bandages.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Throat was a little swollen by the first nite. Second day had bump and red swollen rash on left arm size if silver dollar and by third day it had become a little larger and was itchy.

Other Meds: None

Current Illness: None

ID: 1029158
Sex: M
Age: 65
State: NC

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Moderna COVID-19 Vaccine EUA. First dose. Soreness in the arm that continued for 48 hours. Low grade fever for about 4-6 hours with occasional chills. Most significant adverse reaction was sleeplessness. It was like I was on a caffeine high. Did not even feel close to sleepy until 3:30 AM, about 12 hours after the shot. Normal bedtime is 10:30 pm.

Other Meds: Metaprolol, MetFormin, Farxiga, Tribenzor, Clonidine, Glimepiride, Trulicity, Rosuvastatin

Current Illness: None

ID: 1029159
Sex: F
Age: 30
State:

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 02/14/2021
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: Almond

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

Symptoms: Muscle twitching throughout body. Ongoing since dose 1. Followed up with provider who stated to increase water intake and stated it may be vaccine related. Have scheduled an upcoming appointment with a neurologist.

Other Meds: Metoprolol, metformin, hydrochlorothiazide, nifedipine, and ozempic for weight loss. I am also taking vitamin D and a postnatal vitamin.

Current Illness: N/a

ID: 1029160
Sex: F
Age: 24
State: CO

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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: 15 minutes after getting the vaccine, I felt dizzy for about 30 minutes following the vaccine. About 5 hours after the vaccine, I started getting side effects of a fever, chills, body aches, and a headache. On 2/14/21, I noticed a rash at the vaccination site. It does not itch, but appears to be spreading on the same arm of the vaccination.

Other Meds: Vitamin D and C

Current Illness: None

ID: 1029161
Sex: F
Age: 67
State: KS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
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: SUFLUR

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

Symptoms: FIRST FEW DAYS JUST SORE ON SHOULDER WORK ALL THE WAY DOWN ARM BY THE 8 TH. AFEVER AT SHOT LOCATION STARTED ON THE 11TH MORE ON THE 12TH ON THE 13TH A HASH THAT ITCHED STARTED THIS IS THE 14TH INJECTION SITE IS HOT, SWOLLEN ITCHES WITH HASH ALONG WITH A HEAD ACH

Other Meds: ALPRAZOLAM ACYCLOVIR

Current Illness: NONE

ID: 1029162
Sex: M
Age: 60
State: MN

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Body aches, chills

Other Meds:

Current Illness:

ID: 1029163
Sex: M
Age: 42
State: MA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Injection site pain, Menorrhagia

Symptoms: Symptoms started about 6 hours after the shot with Aches and pains in the joints of my knees, Had a fever of 101F for about 8 hours, and nausea. In about 36 hours after the shot all symptoms went away

Other Meds: n/a

Current Illness: n/a

ID: 1029164
Sex: F
Age: 31
State: IL

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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: Augmentin- rash

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

Symptoms: Painful red rash on left arm near injection site

Other Meds: Multivitamin, birth control pill, Retin-A, azelaic acid, ketoconazole shampoo

Current Illness: None

ID: 1029165
Sex: F
Age: 41
State: NC

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 02/14/2021
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: Unclear. Multiple sensitivities and issues with mast cells as it relates to my underlying dysautonomia

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Mild to moderate flu like symptoms first 3-4 days, dryness, metallic taste in mouth. Thought I was in the clear but day 7 I started with periodic PVCs that progressively got worse and more frequent. By day 14 I was having series of PVCs every 5-10 minutes along with changes in bowels and chills (ie autonomic dysfunction) since I have dysautonomia I made an appointment with my cardiologist and an NAET acupuncture appointment. Acupuncture eliminated the autonomic issues and reduced the PVCs by 90%. I still followed up with cardiologist who was ble to confirm PVCs via auscultation and EKG. He advised me since acupuncture helped to proceed with second dose and if PVCs worsened again he would do a echo and halter monitor.

Other Meds: Zyrtec, vit c, d,e, zinc, magnesium, salt stick, MV, fish oil, quercerin

Current Illness: Dysautonomia, upper cervical instability

ID: 1029166
Sex: F
Age: 33
State: OH

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: No allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Migraine with aura/visual disturbance, have history of this condition but haven't had an event in over a year. Onset during 2nd pregnancy in 2017. This is only the 3rd event ever. Aura consisted of flashing colorful triangles in an s-curve pattern on right side only. Started at the far right and migrated inward to exact center. Ended after about 30 minutes in the form of temporary inability to see entire right peripheral area. After visual effects ended, had headache pain for the remainder of the day. Treated with rest, hydration, caffeine, and little physical activity. Following day all pain and effects subsided.

Other Meds: Levothyroxine

Current Illness: None

ID: 1029167
Sex: F
Age: 52
State: MI

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Morphine makes me itchy

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

Symptoms: Left arm itches at injection site and a little red

Other Meds: Magnesium, B complex, D3, probiotics, prebiotic, Osteo Bi Flex

Current Illness: Had a staghorn calculus removed on the 8th of January was taking antibiotics for 2 weeks after

ID: 1029168
Sex: F
Age: 68
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Pounding headache Feeling like my jaw and throat were locking up Heart pounding and increased heart rate Tremors worse than normal Chills Swelling at site of shot

Other Meds: Atorvastatin Enalapril Hydrochoruazide Tramadol Alprazolam Vitam D Multi vitamin CBD oil

Current Illness:

ID: 1029169
Sex: F
Age: 35
State: MI

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Codiene, Roses, Walnuts, Banana, Peanuts

Symptom List: Injection site pain

Symptoms: Starting about 8 minutes after injection a rush of light-headedness, right side of body felt heavy and tingly, tongue felt tingly, dry mouth, brain fog, mild trouble focusing, sluggish feeling; all lasting for about 10 minutes before subsiding, then came back in waves every few minutes. Dry mouth and tongue tingling stayed consistently for several hours, other symptoms subsided and came back in waves every few minutes, decreasing in frequency over a two hour period in which I was not allowed to leave the Health Department. Blood pressure and heart rate remained normal and consistent, irregular heartbeat noted at about 10 per minute with heart rate of 74-82 bpm (history of frequent PVCs, roughly 8% of heartbeats irregular previously) Symptoms improved significantly over 2 hour period and I was allowed to leave as long as someone else could drive me home, not allowed to return to work for the day.

Other Meds: Bupropion XL 150mg, Amitriptyline 10mg, Aspirin 81mg, Atorvastatin 40mg, Bisoprolol 5mg, Spironolactone 50mg, Cetirizine 10mg, Probiotic/Prebiotic supplement, Daily Multivitamin, Magnesium 400mg

Current Illness: None

ID: 1029170
Sex: F
Age: 61
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
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: 11 hours after injection I woke up (2/11/2021 @ 1:45 AM) with severe chills. Shaking uncontolably -legs and head. Than came body aches, especially my arthritic hand and ankle. Weakness, fatigue, SOB just walking to the bathroom. My temperature during the chills was 99.2, and after the chills subsided, about 3 hours, my temperature went up to 100.6 but never got higher than that. Taking 650MG Tylenol helped ease the discomfort. Was not hungry nor thirsty , did not watch TV, all I could do was lay in bed. Symptoms completely subsided by 8:00AM 2/12/2021.

Other Meds: Vitamin E, fish oil, zinc, calcium, vitamin D

Current Illness: None

ID: 1029171
Sex: M
Age: 32
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Chills, body aches

Other Meds:

Current Illness:

ID: 1029172
Sex: F
Age: 67
State: NC

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: PCN Sulfa drugs

Symptom List: Tremor

Symptoms: Large red, raised itchy rash at injection. Rash appeared approximately eight days after getting injection.

Other Meds: Levothyroxine Simvastatin Tamoxifen

Current Illness: None

ID: 1029173
Sex: F
Age: 69
State: NC

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Penicillin, mushrooms

Symptom List: Erythema, Pruritus

Symptoms: Circular arm rash around injection site

Other Meds: Valsartan HCTZ, Omeprazole

Current Illness: None

ID: 1029174
Sex: F
Age: 79
State: FL

Vax Date: 01/06/2021
Onset Date: 01/10/2021
Rec V Date: 02/14/2021
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: codeine

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

Symptoms: Awoke on 1/10/2021 with severe arm pain in left arm. Unable to lift arm. Thought odd that it hurt in arm opposite injection site. on 1/12/2021 pain extended to right arm, next, down towards elbows. Acitivities of daily living difficult. Pain severe in morning, better throughout day, but still painful. Unable to lift arms, pick up items. Hips begain hurting within a week. Started prednisone 2/2/2021 with very significant relief of pain. Weaned every 3 days until 20 mg - continue to take 20 mg until seen by rhuematologist. Continues to have morning bilateral arm and shoulder pain, improving throughout day, although not always complete relief. In addition, vertigo started on 1/8/2021 and continues.

Other Meds: simvastatin, metoprolol tartrate, vitamin, B, D, probiotics, gas x, benadryl

Current Illness: allergies

ID: 1029175
Sex: F
Age: 46
State: PA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Sulfur

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

Symptoms: Arm soreness at location of injection Chills Fever Achy muscles Swollen neck area, maybe swollen lymph node No appetite

Other Meds:

Current Illness:

ID: 1029176
Sex: F
Age: 73
State: TN

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Woke up at 3:30 am with neck hurting badly and headache. Could not go back to sleep. Got up used heating on my neck got better. Throughout day I had chills, low grade fever, body and bone aches, no appetite , no energy. No reaction to shot site. Just sore.Stayed in bed mostly. During night I had 2 sweats that I had to get up and change clothes. Sunday morning still slugglish and no appetite. Drinking plenty and took tylenol and advil

Other Meds: Rosuvastatin, Famotidine, Celexa, Levothyroxin, Provera, Estradiol, Ativan, Sucralfate, Tylenol

Current Illness: none

ID: 1029177
Sex: F
Age: 37
State: NY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
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: Ciproflaxin

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

Symptoms: I am due September 12, 2021. At the time of the first dose, I was five weeks and three days pregnant. I had no noticeable side effect other than a sore arm which went away within 24 hours. At the time of the second dose, I was nine weeks and three days pregnant. I went to bed early that night (7:30 pm) but attributed it to pregnancy. I awoke at 3:00 am on 2/11/2021 with a headache, fever, nausea and pain and swelling at the injection site. My temperature was 100.4. I ate some crackers and went back to bed until 6:00 am. At 6:00 am, I still had a slight fever (100.4) and the nausea was still there. I had some toast. At 7:20, I vomited. I went back to bed around 9:00 am and slept until noon. When I awoke at noon, my fever had broken (99.6) but I had an intense headache centering around my left eye and upper neck/base of my head on the left side. This headache has been continuous up to the time of writing this (4 days post second dose 2/14/2021). Additionally, I have had an increase in nausea and vomiting. On Friday, 2/12, nausea was constant throughout the day, and I vomited 7 times (5 of them happening in the morning between 5:00 am - 10:30 am). On Saturday 2/13, the nausea subsided slightly and I vomited only twice. Now, Sunday, 2/14, there is still nausea (vomiting once) and the headache. My injection site is no longer swollen, but is still slightly red and has some bruising.

Other Meds: Pre-natal vitamins

Current Illness: None

ID: 1029178
Sex: F
Age: 57
State: CO

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

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

Lab Data:

Allergies: none

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

Symptoms: Swelling at the injection site along with pain. Site is warm to the touch. No fever ~ temp is 97.5. Side effect was noticeable roughly 8 hours after injection.

Other Meds: atenolol and triamterene for high blood pressure

Current Illness: none

ID: 1029179
Sex: F
Age: 71
State: NV

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Cortisone. Methotrexate. Phenegren Cipro

Symptom List: Pain in extremity

Symptoms: Rash on arms, chest, back

Other Meds: Remicade Sulfasalazine. Hydroxychloroquin Topiprimate Synthroid. Sucralfate. Nifedipine Premarin

Current Illness: Rheumatoid Arthritis. Scleroderma. Reynauds. Bursitis

ID: 1029180
Sex: F
Age: 76
State: MI

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
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: Ethanol, losinopril, premarin

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

Symptoms: Bilateral lung emboli Acute cor pulmonary

Other Meds: Synthroid,Prozac, vit b 12, vit D, Tylenol,

Current Illness:

ID: 1029181
Sex: F
Age: 41
State: OR

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Approximately 1 week after receiving the vaccine, I developed swelling and a large circular red rash at the injection site. The large red lesion around the injection site was initially itchy and is now tender to touch. There is also swelling and a slight hardness under the red lesion.

Other Meds: Lexapro

Current Illness: None

ID: 1029182
Sex: F
Age: 68
State: WI

Vax Date: 09/20/2020
Onset Date: 09/21/2020
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Blister formed the days following vaccination. Blister fell off but area remained scabbed over, inflamed and painful. Patient reported adverse event to pharmacy 4.5 months after vaccine and the area is still painful and inflamed. Patient believes that it may be infected.

Other Meds: None

Current Illness: Chronic cough

ID: 1029183
Sex: F
Age: 67
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Within an hour post injection most of my joints were swollen, stiff and painful. This lasted 24 hours. Extreme exhaustion that continues 48 hours later. Low fever, chills, weakness, loss of appetite, brain fog continues 48 later.

Other Meds: none

Current Illness: none

ID: 1029184
Sex: F
Age: 23
State: MN

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Body aches, chills

Other Meds:

Current Illness:

ID: 1029185
Sex: F
Age: 74
State: FL

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Gluten, Zithromax

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

Symptoms: Severe itch at injection site starting 5 days after the injection. No rash but some painful swelling.

Other Meds: Armour Thyroid, Simvastatin, Lisinopril, Avastin, Zoloft, Vit D, Vit B12, CoQ10, Multivitamin,

Current Illness: none

ID: 1029187
Sex: F
Age: 69
State: GA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Sulfa, Neomycin, Streptomycin, Ciprofloxacin (do not tolerate), Clindamycin, (do not tolerate)

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 104.5 degree fever, rigors, hallucinations, severe joint pain, headache, muscle weakness

Other Meds: Cytomel, Synthroid, Celexa, Trazodone, Protonix, Claritin, Benadryl, CoQ10, multiple vitamin, vitamin D, krill Oil

Current Illness: ME/CFS, depression, GERD, secondary hypothyroidism, migraine

ID: 1029188
Sex: F
Age: 38
State: OH

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Herpes Zoster across anterior right T4 dermatome, accompanied by fatigue, mildly stiff neck.

Other Meds: None

Current Illness: None

ID: 1029189
Sex: F
Age: 69
State: GA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Severe sore throat, sinus congestion, non-productive cough

Other Meds: Spironolactone, one a day, calcium, fish oil

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm