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: 1042913
Sex: F
Age: 33
State: MA

Vax Date: 12/29/2020
Onset Date: 02/11/2021
Rec V Date: 02/20/2021
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: Penicillin- rash only

Symptom List: Dysphagia, Epiglottitis

Symptoms: Could be completely unrelated but I had a miscarriage following COVID-19 vaccination.

Other Meds: Prenatal vitamins

Current Illness: N/a

ID: 1042914
Sex: F
Age: 46
State: MI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient experienced dizziness, clammy, nausea, tingling in hands & feet 8-10 minutes after vaccination. Onsite EMS was called vitals were taken BP 102/70 100% O2 room air HR 80. No previous reactions to vaccines in the past. Last flu vaccine 8 years ago. Symptoms subsided. Patient stated she was a little anxious prior to receiving the vaccine.

Other Meds: Spronolactore

Current Illness:

ID: 1042915
Sex: M
Age: 52
State: FL

Vax Date: 01/25/2021
Onset Date: 02/10/2021
Rec V Date: 02/20/2021
Hospital: Y

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: PCN

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

Symptoms: Guillain-Barr? syndrome. So far hospitalized =X 7 days, on day 3 of IV IG with ICC line, then planned 3 days of high dose soleumedrol, then plasmapheresis Auto-immune hepatitis

Other Meds: Valtrex 500 BID, Benicar 40 QD, 81 ASAS QD, Vitamin Ds 15000U daily

Current Illness: None

ID: 1042916
Sex: F
Age: 42
State:

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 02/20/2021
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: Lymph node swelling in left armpit, fatigue, injection site pain, redness and swelling

Other Meds:

Current Illness:

ID: 1042917
Sex: F
Age: 61
State: VA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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 (other than yeast infections as an adolescent on Erythromycin)

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

Symptoms: Awoke next morning extremely fatigued. In bed for 24 hours (flu-like symptoms). Within 36 hours, I'd regained my energy. I marked this up to the fact that I'm undergoing chemo. Last infusion was February 9th. Next infusion is March 2nd. Scheduled for Dose #2 of the vaccine on March 10th.

Other Meds: Seroquel XR 50 mg daily; Seroquel 25 mg daily; Lamictal 50 mg daily; Potassium; Zoloft 150 mg daily; Welbutrin; Advil 600 mg 3x daily (for arthritis); Odansetron (anti-nausea) PRN.

Current Illness: Ovarian Cancer.

ID: 1042918
Sex: F
Age: 32
State: PR

Vax Date: 01/13/2021
Onset Date: 02/03/2021
Rec V Date: 02/20/2021
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: No

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

Symptoms: Days before administration, I had a positive pregnancy test. Two weeks after administration, they found an anembryonic pregnancy. Since there are no studies on pregnant persons, I think it would be important to report this case in case it happened to other persons after administration, or for future studies.

Other Meds: Levothyroxine 88mcg

Current Illness: No

ID: 1042919
Sex: F
Age: 38
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
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: Gluten, macrobid

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Arm pain: approx. 30 hours Diarrhea and gas: 12 hours Fatigue: 24 hours

Other Meds: Tirosint, zzzquil

Current Illness:

ID: 1042920
Sex: F
Age: 82
State: AL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
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

Symptom List: Pharyngeal swelling

Symptoms: new muscle pain and increased old pain. neck pain. flu-like systems. fever chills, tired for two days.

Other Meds: naproxen. losartin hctz, flecainide, centrum silver,vitamin C and D, vitamin B*complex, biotin slo FE

Current Illness:

ID: 1042921
Sex: F
Age: 66
State: FL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Injection site swelling the size of a base ball. From injection site to top of elbow. Red, hot, pain. Ongoing

Other Meds: diovan, indelar LA caps, Rosuvastin, vagifem, biotin, vitamin D, vitamin C, B12 complex, pro/pre biotics, co Q10

Current Illness: NA

ID: 1042922
Sex: M
Age: 45
State: IN

Vax Date: 01/28/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Zoloft

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 1st Vaccine 1/9/21; 2nd Vaccine 1/28/21; symptomatic 2/18/21 with sore throat, mild SOA, and diarrhea ; seen at Facility 2/19/21 for symptoms and tested COVID + ; >14 days post 2nd vaccine

Other Meds:

Current Illness:

ID: 1042923
Sex: F
Age: 58
State: TN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Cipro,sulfa drugs, macrobid,latex

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

Symptoms: I have pictures. Arm within 3 hours became red, hot, swollen, itching,extremely painful. Can't stand anything touching it. Not even sleeve on shirt. In less than 24 hours developed cellulitis on arm at site. Terrible headache and nauseated. First vaccine arm hurt, red, swollen but not this bad and lasted 2 days and went away. Also had headache with first shot.

Other Meds: Omeprazole,premarin,metoprolol,levothyroxine,colcrys,perdiem,dutesteride, stool softener

Current Illness:

ID: 1042924
Sex: F
Age: 28
State: TX

Vax Date: 01/14/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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: Chills, upset stomach, fatigue, headache

Other Meds:

Current Illness:

ID: 1042925
Sex: F
Age: 77
State: MD

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

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

Symptoms: low grade fever, nausea, headache, brain fog, fatigue for most of two days, diarrhea and slowness day 3 still tired Loss of appetite still an issue day 4...hard to stay hydrated but know I'm better than day 1 and 2.

Other Meds: Vitamin D, Elderberry extract 500 mg, claritin D

Current Illness: none

ID: 1042926
Sex: M
Age: 69
State: FL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: none

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

Symptoms: Patient experienced rapid heart beat overnight and possible Afib.

Other Meds: Lisinopril, amlodipine, atorvastatin

Current Illness:

ID: 1042927
Sex: M
Age: 38
State:

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Headache started a couple hours after injection and lasted 48 hours. Joint pain started approximately 6 hours following injection and lasted 48 hours.

Other Meds:

Current Illness:

ID: 1042928
Sex: F
Age: 50
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
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

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

Symptoms: Nausea, tired, fever, sore arm, rolling chills, headache the arm was sore after about two hours the fever and tired started about 3:30 and the chills, fever and headache were all night long, the next day I was tired and still had a fever but had take Tylenol to help with symptoms. By Friday morning I was feeling better from the above symptoms but had a weird numbness in my fingers on Friday afternoon that is still there today.

Other Meds: Multi vitamin and airborne

Current Illness: No

ID: 1042929
Sex: F
Age: 28
State: DC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
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: After my first dose of the vaccine, I got a fever the next day along with fatigue, weakness, headache, racing heart, shortness of breath and an extremely sore arm. The fever went away that night but I still felt very fatigued for the next 3 days. By Wednesday, I was feeling better but still had some heart palpatations/racing heart. But Thursday, I was feeling good enough to go for a short run/walk, but Friday I woke up feeling fatigue, nausea and headache again. My body does not feel strong enough to do simple things like walks outside. This morning i woke up with slight headache and a feeling that is hard to describe, but mainly fatigue and slight nausea.

Other Meds: 30 mg of citalopram daily

Current Illness: None

ID: 1042930
Sex: F
Age: 42
State:

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: For 3+ days post injection: Significant lymph node swelling in left armpit, severe swelling and redness at injection site ( walnut sized), 1 day only post injection: mild fever, chills, muscle and joint pain, fatigue

Other Meds:

Current Illness:

ID: 1042931
Sex: F
Age: 24
State: MI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Lips started feeling really tight and itchy on the drive home from the vaccination site. When I looked in the mirror I had a really bad rash all over my face and my lips were swollen like I was stung by a bee. It was also burning, and it spread all over my torso, arms, back, and neck extremely quickly. I took three benadryl and it went away within two hours.

Other Meds: 50 mg Zoloft Lo Estrin Fe birth control

Current Illness:

ID: 1042932
Sex: F
Age: 57
State: GA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Photo / light sensitivity, blurry vision .

Other Meds: Atorvastatin, Spironolactone, Levothyroxine and probiotics.

Current Illness: None

ID: 1042933
Sex: F
Age: 58
State: NM

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Iodine

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

Symptoms: Slight soreness at injection site, but not as bad as 1st dose; some fatigue on day 2, breakout in hives on evening of day 2 on back, neck arms and scalp that went away a couple hours after taking one benadryl pill.

Other Meds: Synthroid, metopropol succ er, vitamins B12 and D

Current Illness: None

ID: 1042934
Sex: F
Age: 74
State: NY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: The left arm was much sorer with the 2nd shoot than with the first. about 24 hours after the 2nd shot I got chills and a fever. My temp which is usually 97. 3 to 7 went to 100.0. I took 2 Aleve about 2pm . I also had muscle aches. I was very tired. I fell asleep on the couch about 7:45pm. about 11pm I started to fell a little bit better. This morning I was fine. I never got a cough or runny nose. Today 2/20 my arm is still painful to the touch.

Other Meds: Rosuvastatin Calcium 5mg, Amlodipine Besylate 5mg, Biotin 5000 mcg, Omega 3-6-9 800 mg, Bioflex, diclofenac sodium.

Current Illness: none

ID: 1042935
Sex: M
Age: 87
State: WI

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/20/2021
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: Clindamycin, Penicillin, Sulfa, Zantac, Codeine, Valtrex

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

Symptoms: The morning after the vaccination I was extremely dizzy from the time I got up at 7 Am until about 12 Pm. After Noon, I did not have any other adverse reactions.

Other Meds: Allopurinol, Aspirin, Atorvastatin, Carvedilol, Glimepiride, Lisinopril, Metformin, Pantoprazole, Mature Multi-Vitamin, B12, D3, Sennosides Laxative

Current Illness: Heart Disease, Type 2 Diabetes

ID: 1042936
Sex: M
Age: 65
State: WI

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: STARTING ON 16 FEB 2021 Through today (20 Feb). Bad flu symptoms. Headaches - from low to severe. Body aches from low to severe. Joint aches from low to severe. Severe chills. Severe sweating - soaking the bed nightly. Fever - Tends to be lower in AM - 99.0. During afternoon and night 102.5. Unable to perform any normal daily work or activities.

Other Meds: Lisinopril, Atorvastatin, Co-Q10, Vitamin D, Advair Discus, Fluticasone

Current Illness: None

ID: 1042937
Sex: F
Age: 78
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Headache, fatigue

Other Meds:

Current Illness:

ID: 1042938
Sex: F
Age: 63
State: CA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Covid Arm Redness, swelling and pain at site, headache, chills, fatigue, nausea Symptoms lasted for 72 hours

Other Meds: Gabapentin 300mg Exemestane 25mg Fluoxetine 20mg Zolpidem 12.5mg Krill Oil

Current Illness: None

ID: 1042939
Sex: F
Age: 42
State: WI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Itchy face with hives about 5 hours after administration. Took 2 Benadryl and was fine.

Other Meds: Metropolol, Singulair, simethicone, multivitamin, L-thianine, turmeric

Current Illness:

ID: 1042940
Sex: F
Age: 66
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/20/2021
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: Had very bad headache, severe chills and arm pain which started night of vaccine. On Saturday I was extremely tired and slept most of the day. Started to feel much better on Sunday afternoon. The arm pain lasted 10 days, the first 5 days the pain was bad and then it started to subside. I took 1000mg of Tylenol for the headache. I was able to endure the side effects.

Other Meds: None

Current Illness: None

ID: 1042942
Sex: F
Age: 58
State: NC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/20/2021
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: Tachycardia that started about 40 minutes after vaccine that lasted for 8.5 hrs Consulted with my primary card doctor . EKG was done . Treated by hydrating and resting in bed Resolved after about 81/2 hrs

Other Meds: Synthroid Vitamin c Vitamin d Omega 3 B cplx

Current Illness: None

ID: 1042943
Sex: F
Age: 77
State: MS

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/20/2021
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 known

Symptom List: Nausea

Symptoms: 11:00pm, Monday, 2/8/2021 began 3 hours of chills (no fever). Next day I stayed in bed entire day with extremely sore joints (ankles, knees, wrists, fingers, shoulders), sore muscles (everywhere), headache (all day and into Tuesday night ), extreme fatigue. Mostly in and out of sleep. Third day, Wednesday, symptoms mostly gone except for fatigue and headache which lasted for a couple of days longer. No fever or nausea at all. No treatment. Took Advil for headache Wednesday morning.

Other Meds: Atorvastatin 20mg, Losartan 100mg, Celecoxib 200mg, Omeprazole 20mg, Gabapentin 300mg (1at bed time) Osteo Bi-Flex (joint supplement), Women's Centrum vitamin, Caltrate +D, Aspirin 81mg

Current Illness: None

ID: 1042944
Sex: F
Age: 62
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa and yellow jacket stings

Symptom List: Injection site pain

Symptoms: Red elevated welt about 4 inches in diameter, like a bee sting. Remained elevated for about 3-4 days and red for 14 days. On day 10 became very itchy.

Other Meds: Vit D

Current Illness: none

ID: 1042945
Sex: F
Age: 68
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache, chills, fatigue

Other Meds:

Current Illness:

ID: 1042946
Sex: F
Age: 61
State: MA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: chills, headache, tiredness, nauseous upon standing

Other Meds: Trulicity Lisynopril Esitalapram

Current Illness:

ID: 1042947
Sex: M
Age: 56
State: KY

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Fever 101.6; Severe body aches; Pressure in joints, head, eyes; Tylenol every 4 hours

Other Meds: Sertraline 50 mg. Naproxen 500 mg Diclofenac Sod Dr 75 mg

Current Illness:

ID: 1042948
Sex: F
Age: 38
State: FL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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 drugs

Symptom List: Erythema, Pruritus

Symptoms: Fever, chills, muscle aches, headache, nausea

Other Meds: None

Current Illness: None

ID: 1042949
Sex: F
Age: 54
State: MI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: Penicillin

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

Symptoms: Patient experienced feeling of throat closing. Felt like something was in her throat when swallowing. 10 minutes after vacination. Onsite EMS was called vitals were taken BP 150/91 HR 74. Patient has not suffered any past reactions to vaccines.Stated she gets flu vaccine every year. Has asthma and uses Albuterol Inhaler prn but did not have with her. Symptoms subsided. She drank some water and the feeling of "rubbing together" in her throat was gone.

Other Meds: Amiloride/HCZ, Albuterol inhaler

Current Illness:

ID: 1042950
Sex: M
Age: 39
State: TX

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/20/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Moderna COVID?19 Vaccine Swollen lymph node in the neck, right side, size of a pea, no pain or discomfort

Other Meds: None

Current Illness:

ID: 1042951
Sex: F
Age: 63
State: VA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Tightness in throat, seen by EMT, waited15 min,unchanged, left 9:05 am

Other Meds:

Current Illness:

ID: 1042952
Sex: F
Age: 44
State: IL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/20/2021
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: Trees and Dust mites

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

Symptoms: Headache,body Ache,Nausea,SOB,Chest pain,Chills,Sore Throat,Swollen lymph nodes

Other Meds: Vitamin C and D3

Current Illness: none

ID: 1042953
Sex: U
Age: 31
State: RI

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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: Sulfa, Reglan, lamotridine, latex,

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

Symptoms: Dizzy

Other Meds: Omeprazole, clonazepam

Current Illness:

ID: 1042954
Sex: F
Age: 56
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/20/2021
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: raised red area, sore to the touch at injection site

Other Meds: Atorvastatin 10 mg tablet once a day

Current Illness: none

ID: 1042955
Sex: M
Age: 56
State: OH

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I experienced some of the typical side effects, including muscle pain, joint pain and chills. The one unusual side effect I experienced about 18 hours after the shot was a coughing episode that lasted for two hours and then suddenly disappeared as quickly as the onset. As I write this I am 27 hours post receiving the shot and now I am just dealing with the lingering muscle and joint pain.

Other Meds: tamsolosin, lisinopril, and rosuvastatin

Current Illness: None

ID: 1042956
Sex: F
Age: 61
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
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: Body Aches, Soreness at the injection site, low-grade fever (101), fatigue, headache

Other Meds: Calcium supplement, Vitamin D supplement, Remicade infusions every 8 weeks

Current Illness: none

ID: 1042957
Sex: M
Age: 74
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
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: Fatigue, muscle ache, tiredness

Other Meds: None

Current Illness: None

ID: 1042958
Sex: F
Age: 82
State: OH

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Diphtheria toxoid-rash

Symptom List: Vomiting

Symptoms: Swelling, pain, redness, left neck to ear. Temperature 99.0 F. Pain increased with eating. symptoms wax and wane. Primary physician not in office but nurse advised me to see Dentist.

Other Meds: Armour Thyroid 60mg daily Fosomax 70 mg q week

Current Illness: none

ID: 1042959
Sex: M
Age: 82
State: NC

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Demerol Codeine Latex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 2/18/21 about 2:30 pm started to not feel well. By 3:30pm had extreme chills, aching all over, headache, loss of appetite but no fever temp was 98.5. By 7:30pm was feeling much better. 2/19/21 Just felt tired all day until 6pm when he started to feel very unwell, weak, aching and loss of appetite. This lasted a few hours. 2/20/21 Felt well until he got up at 7:30am, then felt weak, sick in his stomach, some chills and generally not feeling well. We are assuming these are all just normal reactions to his 2nd shot. We expect them to subside completely in a few days

Other Meds: amlodipine 2.5mg, aspirin 81mg, Empagliflozin 10mg, Fenofibrate 134mg, Flomax 0.4mg, Lantus 60mg, HumaLOG - as needed, Loratadine - as needed, Saccharomyces Boulardi 250mg- 2Xdaily, Vitamin C 500mg, Omega 3-6-9 Complex, Ketaconazole Cream-

Current Illness: None

ID: 1042960
Sex: M
Age: 68
State: AL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Pain at injection site, upper left arm Fever, chills, slight headache, and loss of taste and appetite Joint pain throughout body, exhaustion.

Other Meds: None

Current Illness: None

ID: 1042961
Sex: F
Age: 56
State: TN

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/20/2021
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: fever 100.2, chills, aches, fatigue

Other Meds: Atorvastatin 10 mg tablet by mouth once a day

Current Illness: none

ID: 1042962
Sex: F
Age: 89
State: MI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Moderna COVID-190 Vaccine EUA

Other Meds:

Current Illness:

ID: 1042963
Sex: F
Age: 69
State: KS

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/20/2021
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: mushrooms

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

Symptoms: 1st day joint pain and fatigue, nausea 3rd day ears increase tinnitus 4th, 5th 6th day clogged ears, pain in ears, and sinus headache 7th day sharp increase in tinnitus, burning throat, stomach "growling", headache, something in ear is throbbing or fluttering

Other Meds: gabapentin 100 mg 1/day areds 2 eye vitamins calcium 1000mg /day magnesium 400 mg/day vitamin d3 b 12 multiple b vitamins

Current Illness: na

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm