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: 1047370
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/22/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: RED RASH TO BOTHARMS FLEXOR ASPECT AND ABDOMEN TREATED WITH HYDROCORTISONE AND BENDRYL

Other Meds:

Current Illness:

ID: 1047371
Sex: F
Age: 28
State: CA

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: I had arm soreness the day of the vaccine (2/11/21). The following day I noticed an erythematous round lesion that was very tender and when palpated felt like a lump. The pain went away 2-3 days after the vaccine and the erythema/lump went away on 2/21/21. On 2/19/21 my left internal arm felt sore. I thought I pulled a muscle perhaps. On 2/21/21 the arm pain was worse and didn't feel like typical soreness that would come from exercise or sleeping in the wrong position. It was painful when I pulled my arm close to my body, as if something were being compressed. I palpated in the armpit and found a large lump slightly smaller than a golf ball. It was extremely tender and sent me into a panic. Someone pointed out it was the same arm as my vaccination, so I looked it up and learned about this side effect. Today (2/22/21), the pain is gone and the lump is smaller (feel like a typical enlarged lymph node).

Other Meds: None

Current Illness: None

ID: 1047372
Sex: U
Age:
State:

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/22/2021
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...although some adverse effects

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

Symptoms: 3 weeks after second dose...still extreme malaise, headache and muscle aches I have had the flu shot, and have not been around other individuals that were not also vaccinated

Other Meds: none

Current Illness: type 1 diabetes

ID: 1047373
Sex: F
Age: 54
State: MD

Vax Date: 02/06/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Milk, Sulfa, Erythromycin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Hot red rash first appeared behind knees, then on elbows, the on knees and shins, then by sitting bones and then ankles over the course of a week. Prednisone was prescribed and helped.

Other Meds: Claritin, Multivitamin, Vitamin C, Calcium

Current Illness: none

ID: 1047374
Sex: F
Age: 57
State: PA

Vax Date: 02/13/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Swelling and itching at injection site. Seemed to subside but then reemerged a week after vaccination.

Other Meds: Atorvastatin Muliti Vitamin Vitamin D3 Omega Oil Magnesium

Current Illness:

ID: 1047375
Sex: F
Age: 61
State: OR

Vax Date: 02/06/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
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: Septra

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

Symptoms: Not until 2 weeks later I got a very red somewhat itchy and painful arm at injection site

Other Meds: Aripiprazole, Levothyroxine, Bupropion , Propranolol, Montelukast, Vitamin D3, Lamotrigine, Trazaodone, Lorazepam, Omeprazole, Pseudoephedrine, Allertec, Ketacanozole shampoo, Pulmicort , & Stool softener

Current Illness: None

ID: 1047377
Sex: M
Age: 22
State: NJ

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
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: Severe chills at night for over 2 to 3 hours. High fever. Woke up next morning and went to get a glass of water, felt dizzy and could not walk. Then vomited water out. Severe congestion.

Other Meds: Insulin

Current Illness:

ID: 1047378
Sex: F
Age: 90
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS (NON-STEROIDAL ANTI-INFLAMMATORY DRUG) PENICILLINS ROFECOXIB FOSAMAX BACTRIM LATEX TIDE

Symptom List: Pharyngeal swelling

Symptoms: HIVES ON BILATERAL UPPER AND LOWER EXTREMITIES, CHEST, AND BACK

Other Meds:

Current Illness:

ID: 1047379
Sex: M
Age: 69
State: CA

Vax Date: 02/02/2021
Onset Date:
Rec V Date: 02/22/2021
Hospital: Y

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

Lab Data:

Allergies: NO NONE ALLEGERGIES

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 8 Feb 2021 - blurry vision occurred 9 Feb 2021 - blurry vision and then double vision. Double vision has been 24/7 since the evening of 9 Feb 2021

Other Meds: ALLOPURINOL , EZETIMIBE, GEMFIBROZIL

Current Illness: GOUT & HIGH CLOLESTROAL,

ID: 1047380
Sex: M
Age: 63
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/22/2021
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: Achrocidin is a medication I am allergic to, but they no longer make it.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Heart palpitations, they lasted from 3 hours after vaccine until the following afternoon, around 26 hours.

Other Meds: I began to have heart palpitations which lasted on and off all evening and into the next morning. When I woke up, I still had them somewhat. Heart rate dropping to 45 bpm and going to 75 (normal resting is 54). After about 10:00 or 11:00

Current Illness: Asthma

ID: 1047381
Sex: F
Age: 68
State: WI

Vax Date: 02/09/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital: Y

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: Patient was diagnosed with Immune Thrombocytopenic Purpura on 2/21/2021. -petechial rash, bruising -Platelets 4 thousand at hospital admission -Patient is receiving prednisone and IVIG with improvements in platelet count currently

Other Meds: calcium-vitamin D 600 mg-200 u oral tablet: 1 tab(s) PO (oral) qDay ibuprofen 200 mg tab: 2 tab(s) PO q4hr PRN for pain levothyroxine 50 mcg (0.05 mg) oral tablet: 1 tab(s) PO (oral) AsDirected Duration 90 day(s) Take 2 tabs on Mon, Wed,

Current Illness: none

ID: 1047382
Sex: F
Age: 24
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/22/2021
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: NKDFA

Symptom List: Rash, Urticaria

Symptoms: Some nausea 3 hours after injection, resolved after 4 hours. Sudden severe nausea and vomiting begging 01/27/2021 at 12am (14 hours after vaccination), 2 am, and 4 am. Fever of 101.7 F at 6 am with chills, body aches, and headache, without nausea or vomiting. Treated with 2 x 325mg Tylenol. Fever broke around 12pm 01/27/2021.

Other Meds: Amitriptyline 50mg Spironolactone 100mg Sprintec - norgestimate-ethinyl estradiol One-a-day women's multivitamin Fish oil - 1200mg x2

Current Illness: None

ID: 1047383
Sex: F
Age: 59
State: MD

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Two days after I got mouth sores that hurt, inside front lip and on tongue (I believe it was two or three sores, and they lasted about 5 or 6 days.) I share this because I got my second dose 2/17/21 batch EL9266 in left arm and again two days out got sores on my lip and tongue (total of 2 sores that hurt). The one on my tongue has made it hard to swallow, because it is far back on my tongue. I have used a peroxide product to lesson the pain. I am 5 days out from my second vaccine, and the sores are not getting worse and I hope they lesson and go away as the first batch did after about 6 days.

Other Meds: Airbourne supplement and multi vitamin

Current Illness: none

ID: 1047384
Sex: F
Age: 52
State: CA

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/22/2021
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: PCN( rash), Sulfa( severe rash, itching,), Codeine( tachycardia), Latex( rash), Adhesives from bandages( rash, blisters, tearing of the skin) Lisinopril (rash, itching)

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

Symptoms: Headaches off and on since vaccine on Feb 2, 2021 with increase in severity since vaccine. This is the first vaccination. Second vaccine is schedule for March 2, 2021

Other Meds: Klonopin 1-3 mg daily PRN, Vitamin D-10,000 iu, Vit. C-1000mg, Zinc- 50mg, Glucosamine,

Current Illness: None

ID: 1047385
Sex: F
Age: 65
State: TX

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: light headache, shoulder sore, fever, joints aching, sickening headache

Other Meds: tylenol

Current Illness: n/a

ID: 1047386
Sex: M
Age: 71
State: LA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/22/2021
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: NKDA

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

Symptoms: At 11 hours post dose: Oral temp 99.6F. Took Ibuprophen, and temperature returned to normal. At 24 hours post dose: Temperature normal, but sinus drainage and coughing began (similar to seasonal allergies). No medication taken. At 72 hours post dose: Urticaria appeared over one hour on the inside of both arms and legs and scalp. My scalp itched moderately. I took Benedryl 25mg po q6h x 2, then Loratidine 10mg po before bed (No further medication was taken). Coughing and sinus drainage resolved after beginning the antihistamines. The urticaria had resolved on my arms and legs by 96 hours post dose. The scalp itching was resolved in another 24 hours.

Other Meds: Atorvastatin 40mg po qd, multivitamin capsule po qd

Current Illness: None

ID: 1047388
Sex: F
Age: 44
State: UT

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
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: body aches COVID arm (sore, red, swollen area beneath the injection site)

Other Meds: none

Current Illness: none

ID: 1047389
Sex: U
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 02/22/2021
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: Sharp pain in neck, fatigue, chills and pain on right side

Other Meds:

Current Illness:

ID: 1047390
Sex: F
Age: 58
State: NY

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, salmon

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Swelling, hardness, itching, rash, sore

Other Meds: Claritin

Current Illness:

ID: 1047391
Sex: F
Age: 32
State: NY

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
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: Lightheaded. Skin was clammy, convulsions started, Epi pen administered, she had tongue swelling, came around then eyes rolled back in head, nausea, blood pressure high.

Other Meds:

Current Illness:

ID: 1047392
Sex: F
Age: 34
State: VA

Vax Date: 01/07/2021
Onset Date: 01/09/2021
Rec V Date: 02/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Pain at injection arm really sore "like I was punched in the arm" then 2 days later started having numbness down arm into the middle and ring Finger of left hand. Constant, notes that in some positions the tingling will go away.

Other Meds: None

Current Illness: None

ID: 1047393
Sex: F
Age: 87
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
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, ipratropium, sulfamethoxazole-trimethoprim, clarithromycin, fluticasone, cefaclor, ciprofloxacin, etidronate, alendronate, iodinated contrast media, peanut, penicillin, trovafloxacin, azithromycin

Symptom List: Unevaluable event

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: soon after receiving vaccination patient reported headache and numbness in both feet and right hand. Twenty minutes after vaccination reported nasal congestion, worsening headache, and not feeling well. Initial vitals within normal ranges except blood pressure 159/85 mm Hg, repeated 15 minutes later at 144/80 mmHg. Medical evaluation team arrived and allergy provider contacted: patient administered oral diphenhydramine. Patient discharged to home from vaccination clinic improved and stable. On scheduled follow-up encounter with primary care provider three days later patient did not report any symptoms from vaccination.

Other Meds: ketotifen ophthalmic, albuterol, MAALOX, vitamin C, aspirin, budesonide, calcium carbonate, carboxymethylcellulose ophthalmic, cholecalciferol, conjugated estrogens, diclofenac gel, diphenhydramine, erythromycin ophthalmic, famotidine, guai

Current Illness: weakness, protein-calroie malnutrition

ID: 1047394
Sex: F
Age: 71
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
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: Sulphonamides

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

Symptoms: 8 days after receiving the first dose of the Moderna vaccine, patient developed itching & subsequent red raised rash approximately the diameter of a baseball @ the left upper arm injection site. Rash & itching lasted 3-5 days.

Other Meds: multivitamins Prevagen

Current Illness: Osteoporosis

ID: 1047395
Sex: F
Age: 51
State: MS

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
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: Client was in parking lot being monitored after injection. Reported to attendant that she felt her throat was tightening. RN's x 2 arrived to assess. At 3:30 BP was 106/62, HR 78. Was administered Benadryl 50 mg po at 3:35 pm. At 3:45 pm BP was 100/78 and HR 72. After approx. 10 more minutes pt reported she no longer felt sensation of throat tightening. RN's continued to stand by. After 10-15 more minutes pt stated she felt fine, did not have far to drive to her home. Was instructed to continue to monitor symptoms. If began to experience throat tightening again, or any other symptoms to seek medical attention immediately; call 911. Client voiced understanding.

Other Meds: unknown

Current Illness: unknown

ID: 1047396
Sex: F
Age: 51
State: CA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa, Iodine, Moxifloxacin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Received her 1st covid vaccine at noon on 2/19/21. Woke later that night in middle of the night with bleeding from right nostril and severe right ear pain

Other Meds: Benadryl

Current Illness: None

ID: 1047397
Sex: M
Age: 43
State: KY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/22/2021
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: PCN/Cephalosporins

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

Symptoms: Around 60 seconds after injection my left arm became heavy and tingly/numb, this then occurred in my right thumb as well. I had a heavy sensation on my chest and my heart rate increased rapidly to over 120. This would then resolve slowly and then the tachycardia would recur with the odd sensation over my whole body every ten-15 minutes. EMS was called to take vitals and monitor me. Very odd feeling. I was monitored over the course of 2 hours and when I finally stood up my legs felt heavy and weak as well. After going home and resting things seemed to resolve and I was even able to go out to dinner that evening. The following week I didn't notice much of anything but new symptoms arose around 6 days later on Friday. I would feel strange feeling in my legs and a heaviness. I had a strange dizziness but not vertigo. I felt like I was in slow motion at times. This worsened and I had weakness/fatigue that reached its peak on 1/20/21 and 1/21/21. I was unable to operate on Wednesday as an orthopedic surgeon and had to cancel cases due to this weakness. I saw my doctor that day and had a battery of tests run. CMP, TSH, T4, T3, COVID, COVID IgG, Epstein Barr, Brain MRI, Neruo Consult, ANA, CK, Flu A/B, Vit B12 level, ESR, CRP, Vit D level, EKG, CXR. The following day when I awoke in the morning I felt extremely lethargic and had to cancel clinic. Over the following weeks things have gradually improved but I occasionally get some dizzy/lightheaded moments.

Other Meds: Synthroid 200mcg daily

Current Illness: NA

ID: 1047398
Sex: F
Age: 38
State: IN

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/22/2021
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: Milk, chlorhexidine, sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Swollen lymph nodes the size of a golf ball near the breast underarm of the vaccination arm. (Right arm). I called my doctor office and the staff said it can be a side effect but to report it.

Other Meds: Tylenol, vitamin d3, multivitamin

Current Illness: None

ID: 1047399
Sex: M
Age: 66
State: NY

Vax Date: 02/11/2021
Onset Date:
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Late onset (9 days later) rash at the injection site (still present) and (possibly) severe pain at right-sided mid back that lasted one day.

Other Meds: B-12 & Chlorophyll

Current Illness: None.

ID: 1047400
Sex: F
Age: 24
State: MI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: No known allergies.

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

Symptoms: I had the following symptoms following my first shot of the COVID-19 vaccination: loss of appetite (lasted for about a week), fever, migraine, extreme fatigue and weakness, body aches, and chills. My left arm also felt very sore for a few days.

Other Meds: Synthroid, Xulane birth control patch, Topamax.

Current Illness: None.

ID: 1047401
Sex: F
Age: 56
State: FL

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline, codeine, environmental allergies (3 shots/once a month)

Symptom List: Nausea

Symptoms: Moderna Day 2 & 3 - extreme arm pain, headache, body aches Day 4 - headache, nausea, vomiting, diarrhea, abdominal cramps, body aches Day 5 -7 headache, nausea, abdominal cramps

Other Meds: Dilacor XR, Glipizide XR, ozempic, Triltellix, aspirin, loratadine, vitamin d3, levoxyl, levothyronine, red yeast rice, coq10, montelukast, iron, dhea,

Current Illness: Hypertension, hypo-thyroidism, diabetes II, copd/sleep apnea, depression/anxiety,

ID: 1047402
Sex: F
Age: 70
State: IL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
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: it felt like the reaction i generally have had with steroid injections for my spine. I was wide awake all night. By the following afternoon I was exhausted and no longer feeling that effect. Nothing was done since it did not last. It was suggested that I report it since it is not mentioned as a side effect in the list of information.

Other Meds: metoprolol 25mg 2x Hydrochlorhiazide 2mg 1x losartan 25 mg 1x omeprazole 20 mg 1x atorvastatin 20 mg 1x Baby aspirin 81 mg 1x Gabapentin 400 mg 3x Hydrocortisone cream 2.5% 2x vitamin D3 2000 iu

Current Illness: none

ID: 1047404
Sex: F
Age: 44
State: SD

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: 2nd dose of Moderna given today (2/22/2021) 2 weeks early. Patient had no signs or symptoms of adverse reaction following vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1047405
Sex: F
Age: 74
State: CA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
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: no

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

Symptoms: Chills, lasting for 2 days, fatigue lasting for 2 days, very sore arm 4 days

Other Meds: no

Current Illness: none

ID: 1047406
Sex: M
Age: 81
State: MI

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine

Symptom List: Tremor

Symptoms: My father was given dose 1 and dose 2 of the covid 19 vaccine on 2/17/2021 against the POA's wishes. He was incoherent, looking up at the ceiling like he was close to death, he couldn't move his mouth, his arms are stiff and his body is still, he couldn't blink, he is not like himself. now his food is pureed and he can't chew, he's in a diaper full time now. to an adverse event report of parents received both doses of the vaccines on 2/17/21 and father is now bedridden an in diapers. He looks like he's had a major stroke

Other Meds: Cilexia 10mg, Aricept 10mg, Haldol .5mg, Synthroid 150mcg, Toprol EX 25mg, Exelon 4.5mg, Detrol LA 4mg and Vit D 50,000 units, maybe given Heprin after hospitalization

Current Illness: no

ID: 1047407
Sex: F
Age: 65
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/22/2021
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: Only seasonal allergies

Symptom List: Erythema, Pruritus

Symptoms: Feeling achy all over body (flu-like) about 8 hours after shot and continued for about 3 days, even soles of feet. Difficulty sleeping that night. Could not sleep on left side for about 3 days. Knees ached, difficulty walking.

Other Meds: Valsartan, levothyroxine, generic zyrtec

Current Illness:

ID: 1047408
Sex: U
Age:
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
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: N/A

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

Symptoms: C/o dizziness

Other Meds: Suboxone 12-3mg Sublingual Film docusate 100 mg

Current Illness: under SUD program

ID: 1047409
Sex: M
Age: 69
State: FL

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
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 known

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

Symptoms: Moderna Covid-19 Vaccine EUA After 3 days, upon scratching an itch on my back, I felt bumps on my back and found my back covered with reddish bumps. The itch was slight and increase when scratched. On day 4, upon further examination, I found the same bumps an my front torso and shoulders. All the bumps are prone to mild to moderate itching (not intense).

Other Meds: Prescriptions: Valsartan, Labetolol, Clopidegrel, Indapamide, Atoravastatin, Tamsolosin and Aspirin Allergy meds: Cetirizine hydrochloride, Loratadine Supplements: Omeprazole, Fish Oil, Magnesium, Vitamin D3, Vitamin A, Acidophalus probi

Current Illness: Heart desease

ID: 1047410
Sex: M
Age: 77
State: CA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital: Y

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: Acute stroke 2 days after receiving vaccine. Second stroke 7 days after that despite being started on aspirin and statin

Other Meds:

Current Illness:

ID: 1047411
Sex: U
Age: 33
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
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: ingested aloe vera

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

Symptoms: Within minutes of vaccination lips tingling, blurred vision, dizziness/vertigo, sweating. Was able to walk to a chair. Vertigo persisted less than 1 hour. Patient reported vaginal spotting after urinating. Was able to ambulate out of clinic.

Other Meds: None

Current Illness: None

ID: 1047412
Sex: F
Age: 57
State: MO

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
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:

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

Symptoms: Developed Shingles, approx 7 days after 2nd dose after 2nd dose

Other Meds:

Current Illness:

ID: 1047413
Sex: F
Age: 23
State: SC

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
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: Pain in extremity

Symptoms: Chills, fever, body aches, back pain, headache, swollen left axillary lymph node

Other Meds: Sprintec and Fluvoxemine

Current Illness: N/A

ID: 1047414
Sex: F
Age: 39
State: CO

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Atorvastatin

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

Symptoms: The day after receiving the vaccine the patient experienced swelling from the site of the injection upward into her neck and face. Patient took Benadryl which relieved some of the swelling but slight neck edema and anterior cervical lymphadenopathy remains.

Other Meds: Labetalol Alodipine Omeprazole Cardura Zofran Reglan Promethazine Melatonin

Current Illness:

ID: 1047415
Sex: F
Age: 51
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/22/2021
Hospital: Y

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

Lab Data:

Allergies: Ibuprofen - anaphylaxis Viox - anaphylaxis Indicin - hives Provenicin - hive Ulrica - hives Colchicine - hives Alopurinol - hives

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

Symptoms: Ten minutes after, I had sharp pain on my left temporal and they took my vitals. BP was elevated. They asked me what are my allergies and medical history. I couldn't remember - so had brain fog at that time. My left ear, face, and neck (left side of head) is numb at that time. The symptoms were the same for two hours. Memory remained fogged. An hour or so after the incident - I called the advice nurse from medical clinic and I did remember the doctor's name. Pain on head and numbness remained for days. My auto-immune system was stimulated my doctor said. Everything kept cascading down - now I'm on post surgery 9 days and I'm on disability. I went to ER on January 18, I was complaining of left sided numbness, vomiting, headaches. Facial numbness (left), mild headaches. Left sided headache progressed to (similar to prior migraine headaches) migraine like. January 29, I emailed my physicians (in between the 17th and 29th). On the 29th, I went to see the doctor - joints - really swollen and painful and I cannot walk. I was given steroid shots. February 2, - appt with neurologist. February - with Dr. - for painful swollen feet; Feb 10 - appt with Rheumotologist - Feb 10 with Dr - a Specialist - , as well. Right foot is swollen as well as the left foot at this time. Dr. - axperatated the right ankle -he said it was infected. February 11, Dr said I have infected joints and need surgery. They did surgery on February 13th. Dr. the surgeon . Had surgery at medical facility for infected ankle. February 15 - discharged home. Appt with surgeon on the 16th. Appt with Primary on the 19th. Appt with my Rheumotologist today. Discharged - with Home Health care; Physical and Occupational therapist and nursing. I have been on bedrest since discharge. I need maximum care. Tomorrow I have a appt with surgeon to hopefully remove cast and sutures on surgical site.

Other Meds: I have 16 - metoprolol- 50 mg bid; Losartin- 50 mg daily; Furosemide 20 mg bid; K-dur - 20 maq - daily; Prilosec 40 BID; cetirizine - 10 mg daily; aspirin 81 mg BID; Singulair 10 mg daily; Flonase - each nostril daily; Metformin 400 mg 2

Current Illness: no

ID: 1047416
Sex: M
Age: 73
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
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:

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

Symptoms: Numbess in left arm, wrist and hand

Other Meds:

Current Illness:

ID: 1047417
Sex: M
Age: 69
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: no

Symptom List: Vomiting

Symptoms: A bit lightheaded at 1PM and facial itch and rash where I had shved 12 hours prior to vaccine. Arm pain at site at 3PM. Light chills and upper right back stabbing pain 5 PM. EXTREME CHILLS and BODY TREMORS at 11 PM lasting 10 minutes then chills and night sweats till next morning. Occasional upper right back stabbing pain, light chills, headache, facial itch and continued arm pain all next day followed by gastrointestinal purge at 10PM 02/19/2021.

Other Meds: Levothyroxine 1.5 mcg

Current Illness:

ID: 1047419
Sex: F
Age: 69
State: ID

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
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: extreme fatigue

Other Meds:

Current Illness:

ID: 1047420
Sex: F
Age: 42
State: OH

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
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: Sulfa Drugs

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

Symptoms: Soreness in my arm the day and night of the vaccine that continued for a couple of days. Then, a week and a day after I received the vaccine, I developed "Covid Arm" with the red itchy rash, hot to the touch on the arm where I received the injection. The Covid Arm has faded tremendously but is still itchy and lasted at least 9 days.

Other Meds: Blood pressure meds (Spironolactone and Amlodipine), birth control pills, and Claritin D 12 hour.

Current Illness: None

ID: 1047421
Sex: M
Age: 80
State: WA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital: Y

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: Bactrim sulfa, Lisinopril, plavix, chlorothiazide hydrochlorothiazide, other?

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Muscle aches and pains, fever 100.4 few hours later atrial fib low blood pressure, fall, admit to ED then admit to hospital. Care continuing in hospital at this point.

Other Meds: Coumadin, Breo, duloxetine, vitamin multi, flomax, calcium with vitamin d, bupropion, metoprol, preserVision, colace, atorvastatin, vitamin B12, trazodone, Tylenol.

Current Illness: Afib Hypertension Anxiety Copd Sleep apnea Headaches migraine

ID: 1047422
Sex: F
Age: 56
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
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: Severe headache and light sensitivity which is not on the common list. This lasted 24 hours as severe, then lessened each day. Today I still have a slight headache and light sensitivity. Coworkers had the same experience. This should be on the side effect listing .

Other Meds: None

Current Illness: None

ID: 1047423
Sex: F
Age: 63
State: WA

Vax Date: 01/22/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
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: Sulfa

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

Symptoms: AdVerse Reporting for FIRST DOSE Moderna Vaccine recieved 1/22/21: 1-2 days after usual sore arm. However 13th day after receiving injection I developed severe fatigue, fevers as high as 101.9, shaking, nausea, severe itching. overall feeling of sick. 3 days later it passed. Due to my preexisting conditions I have isolated myself for almost 1 year, followed all protocols, and very rarely out in public. I also recieved flu vaccine. So doubt the symptoms I had could be contributed to flu bug. So since it seemed very odd I am reporting this to CDC. Note: I had 2nd dose 02/19/21. So far only reaction is sore injection site. Should I develop symptoms after several days like the ones I reported after 1st dose, I will report these to this site.

Other Meds: Eliquis, metformin, corgard, wellbutrin, occasional peptobismal, Rolaids, flexerill, percocet

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm