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: 1060491
Sex: F
Age: 73
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Seasonal allergies Sulfa drugs

Symptom List: Dysphagia, Epiglottitis

Symptoms: Redness , itching at site one week later

Other Meds: Ravicti, amlodopine, citrulline, Singular

Current Illness: Mone

ID: 1060492
Sex: F
Age: 49
State: TX

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 02/28/2021
Hospital: Y

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: Lower abdomen pain, leading to high fever, eventually leading to diagnosis of ruptured appendix

Other Meds: Sotalol Atenolol D3 B12 baby asprin Zyrtek Omega/Fish Oil Calcium/D3

Current Illness: none

ID: 1060493
Sex: F
Age: 35
State: MN

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/28/2021
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:

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

Symptoms: Lightheaded, nausea, Tingling throughout body.

Other Meds:

Current Illness:

ID: 1060494
Sex: M
Age: 65
State: FL

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Motrin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Seizure. Loss of consciousness. 911. Ambulance to ER. Stabilization and release.

Other Meds: Depakote; Acetaminophen; Mobic; Protonix; Zoloft; Pravachol

Current Illness:

ID: 1060495
Sex: M
Age: 82
State: PA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: From around midnight the day of the shot until 6 pm the following day: Gallbladder spasms Heartburn Headache Fatigue

Other Meds: Meloxicam Imipramine Zocor Baby Aspirin

Current Illness: None

ID: 1060496
Sex: F
Age: 33
State: MI

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/28/2021
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: None

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

Symptoms: Vaccine received at 4pm on 1/31. Nausea, headache, fatigue, marked arm soreness, and injection site lump started the following morning. Normal temperature. All symptoms, including arm soreness and lump, resolved in 48 hours. 7 days post vaccine, on 2/7, Injection site lump returned, and became larger than initial reaction. Area around lump (~6in in diameter) was red and extremely itchy. Area was painful, but much less so than initial reaction. Resolved on own within 3 days.

Other Meds: Metformin, NAC, Prenatal Vitamins, Fish Oil, Folbic, Vitamin D, Low Dose Aspirin, Milk Thistle, Inositol

Current Illness: None

ID: 1060497
Sex: F
Age: 26
State: WV

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: N/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Extreme fatigue, body aches, chills, sweating, passed out while showering the next day

Other Meds: Birth control, Prozac

Current Illness:

ID: 1060498
Sex: M
Age: 73
State: CA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: 10 hours after second dose I started feeling fever, chills, shivering, having to get up to pee every 45 minutes. Symptoms got worse all night, additionally with nausea and vomiting. Twice while sitting on the toilet holding barf bowl, I fainted, waking up finding myself lying on the floor. Symptoms subsided 14 hours after they started.

Other Meds: Terazosin

Current Illness: none

ID: 1060499
Sex: F
Age: 71
State: AZ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/28/2021
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: extreme nausea for 24 hrs., low grade fever for 48 hrs.

Other Meds: Rosuvastitin, montelukast, emzebebe, omega 3, vit d3, Vit B12 , multi vit./ mineral

Current Illness: Urinary tract infection, yeast infection

ID: 1060500
Sex: F
Age: 67
State: IL

Vax Date: 02/18/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Rash at injection site, severe itching, mild pain, swelling of arm and hard round area within muscle

Other Meds: Calcium, Estradiol, Fish Oil, Mag Glycinate, Vit. C & D

Current Illness: no

ID: 1060501
Sex: F
Age: 26
State: CO

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Nickel

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

Symptoms: I felt fine until 6 the following morning, 2/24. I woke up with a sore arm and arm pit. At 9:30 2/24, I started experiencing severe back pain. I talked to a physician at a clinic my mother works at and they told me to take 800mg ibuprofen and apply heat. By the evening, my back pain subsided. My arm pit however, was still having a lot of pain. I continued taking the ibuprofen to help pain management. I noticed some soreness in my throat as well. I now know that my lymph nodes were swelling a lot and causing the pain. The right arm pit was so swollen I had a lump in it. Today 2/28, the swelling has gone down but I am still experiencing a little pain. Nothing compared to where it was.

Other Meds: None

Current Illness: None

ID: 1060502
Sex: F
Age: 33
State: MI

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/28/2021
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: Vaccine received at 4pm on 2/21. Nausea started the next morning, followed later by fever (highest at 101.8), body aches, chills, headache, and mild arm soreness. All symptoms resolved within 24 hours, except mild arm soreness. Arm soreness continued for 5 days, and a red, itchy, and painful area was noted approximately 2 inches away from injection site during this time. All symptoms resolved on own.

Other Meds: Metformin, NAC, Prenatal Vitamins, Fish Oil, Vitamin D, Low Dose Aspirin, Inositol, Folbic

Current Illness:

ID: 1060503
Sex: M
Age: 72
State: AR

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Sinus congestion, achy joints,

Other Meds: Enalapril, glipizide

Current Illness:

ID: 1060504
Sex: F
Age: 68
State: NC

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/28/2021
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: I received my 2nd Moderna vaccine at 10:00 am on 02/19/21, that night I just had chills. I woke up on 02/20/21 with body aches over my entire body. On 02/21/21 I woke up at 7:30 am felt ok and ate a bowl cereal. By 10:30 I started with stomach pains and diarrhea. I remained in bed all day 02/21/21 with severe chills and stomach pain. woke up 02/22/21 still having diarrhea and stomach pain. By tuesday 02/23/21 I felt a little better. This last until 02/26/2021. I finally felt much better and had a normal bowl movement by Sat 02/27/2021.

Other Meds: NONE

Current Illness: NONE

ID: 1060505
Sex: F
Age: 62
State: AL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/28/2021
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: Left upper arm was painful for 1-2 days. Applied ice pack to upper arm and took Acetaminophen. Symptoms were gone by Day 3.

Other Meds: Omeprazole, Dicyclomine, Lutein, Cetirizine, Acetaminophen, Clonidine, Alprazolam, Adderall, Immodium, Duloxetine, Aripiprazole, Ibuprofen, Multivitamin/Mineral Supplement, Flonase, Advair, Melatonin, Ambien, Montelukast, Macrobid, Benadryl

Current Illness: None

ID: 1060507
Sex: F
Age: 66
State: AZ

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/28/2021
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: psuedoephedrine

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

Symptoms: 1st and 2nd night after vaccine had sleeplessness (I do not normally have sleeplessness). 3rd night ok (slept 5 hours before waking). 4th night - worst sleepless thus far: Slept 2 hours and woke up. Went back to sleep, but woke up about every hour for the next 3 hours. Could not get back to sleep after 5 hours.

Other Meds: magnesium, B12, citrical, benadryl

Current Illness: None

ID: 1060508
Sex: F
Age: 17
State: NY

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/28/2021
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: NKA

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

Symptoms: Underage health care worker eligible received vaccine. RN screener failed to identify age as contraindication to receiving dose. Patient had no adverse reactions as per conversation with her father on 2/24/2021.

Other Meds: unknown

Current Illness: unknown

ID: 1060509
Sex: F
Age: 50
State: IL

Vax Date: 02/18/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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: Red, itchy rash after 10 days

Other Meds:

Current Illness:

ID: 1060510
Sex: M
Age: 73
State: MD

Vax Date: 02/01/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Left foot below ankle swollen and red

Other Meds: Lipitor, zetia, aspirin, Zoloft, prilosec

Current Illness: None

ID: 1060511
Sex: F
Age: 66
State: AZ

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Headache Fatigue-minor Sore arm

Other Meds: Fluoxetine Omeprazole Melatonin

Current Illness: Total knee replacement

ID: 1060512
Sex: F
Age: 82
State: FL

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/28/2021
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: none

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

Symptoms: The next day I had fatigue, headache, sore arm. The following day I felt ok but my left eye. Same side as shot became red an d swollen. Emer Room diagnosis is Chemosis of left conjunctiva

Other Meds: Metformin 500mg Lisinopril10mg Zetia 10mg Levothroxine0.o25 Garcinia Cambogia Citrical Fisf oil Cinnamon Tab Turmeric Advil PM. Lo dose ASA Melatonin. AT HS Latanaprost 0.005 1 got each eye hs

Current Illness: none

ID: 1060513
Sex: F
Age: 44
State: VA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Body aches and stiffens arm has rash on it and is swollen keep getting a fever headache chills

Other Meds: Anor inhaler. Metoprolol 100mg. Omeprazole20mg . Hydroxyzine 50mg. Ibuprofen 800mg

Current Illness: None

ID: 1060514
Sex: M
Age: 41
State: GA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Friday approx 12 hrs after vaccination adverse reaction began. Shaking and extremely cold, three blankets couldn?t warm me up. Oral temp did not register a fever. Severe body aches and muscle tightness especially lower back pain 5/10. Headache equivalent to migraine. 5/10 Saturday: headache persisted all day 4/10, muscle aches eased off late afternoon approx 4pm. Approx 120oz of fluids consumed during the day. Night time cold sweats, had to change clothes twice. No fever recorded. Sunday: no body aches, no headache

Other Meds: Daily multivitamin, fish oil

Current Illness: None

ID: 1060515
Sex: M
Age: 66
State: CT

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/28/2021
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: No

Symptom List: Injection site pain, Pain

Symptoms: I had very severe cf starting in 1996. It remained severe for approximately 5 years after which it was semi acute for another 5 years. After that i would have periodic relapses several times a year for varying lengths of time. For the last 10 years irt has been much better with occasional symptoms. However i received my second dose of the Moderna vaccine on february 23, 2021 and had a strong flu like response. I am now experiencing a mild to moderate relapse of my cf. brain fog, difficulty tracking with my vision, chills, etc. when i had severe cf i had this symptom where my scalp would feellike it was in a spasm. That has returned. I have dealt with tcf long enough to know when it occurs and this is definitely a response to the covid vaccine.

Other Meds: I had very severe cf starting in 1996. It remained severe for approximately 5 years after which it was semi acute for another 5 years. After that i would have periodic relapses several times a year for varying lengths of time. For the

Current Illness: No

ID: 1060516
Sex: M
Age: 37
State: PA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Wellbutrin is the only thing I every had a reaction from

Symptom List: Injection site pain, Menorrhagia

Symptoms: Severe headaches still happening Severe joint pain still happening Chills still happening 3rd day and not going away

Other Meds: None I was supposed to start taking Mexiletine 150mg but at my own discretion wanted to make sure that I could distinguish any side effects of either the 2nd vaccine or the Mexiletine

Current Illness: Raynauds is the only thing I have ever been diagnosed with

ID: 1060517
Sex: F
Age: 81
State: NJ

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/28/2021
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:

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

Symptoms: After second shot after moderne shot. Itchy rash red ness around site location

Other Meds: Prednisone 1 MG, Omperazole 20 MG, nitrofurantoin Macro 50 MG

Current Illness: Arteritis

ID: 1060518
Sex: F
Age: 38
State: MA

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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: Normal symptoms developed within 12 hours - fever, chills, headache, fatigue. But about 36 hours after the vaccine I woke up with an extremely swollen face, accompanied by redness and hives.

Other Meds: Junel birth control

Current Illness:

ID: 1060519
Sex: F
Age: 50
State: NY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I received my 1st dose at 5:30 PM. I woke up around 2 AM feeling chilled and achy with an excruciating headache. By 4 AM I had a 102.4 fever. My left arm was sore as expected. This felt worse than when I had covid!

Other Meds: Synthroid (200 mcg) daily; Multi vitamin; Probiotic

Current Illness: Covid Positive on 1/29/21

ID: 1060530
Sex: M
Age: 59
State: NC

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/28/2021
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: allergic reaction red, swollen and itchy hands and face. swollen tongue ,hard to talk

Other Meds: none

Current Illness: none

ID: 1060531
Sex: F
Age: 43
State: NY

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: I?ve had a rash with some antibiotics years ago.

Symptom List: Nausea

Symptoms: Substantial pain in jaw on my right side. Pain radiates to ear. Hurts to open my mouth and chew. My jaw was clicking yesterday. Pain is way worse today Vs yesterday. I?ve never had this hurt so bad.

Other Meds: Symbicort Famotidine

Current Illness:

ID: 1060532
Sex: M
Age: 85
State: IL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Fever, weakness

Other Meds:

Current Illness:

ID: 1060533
Sex: M
Age: 88
State: VA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin-rash

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

Symptoms: 22 hours after injection, woke up with generalized moderate to severe weakness, mild confusion and temperature elevation with sweats.

Other Meds: Eliquis, Gabapentin, Rosuvastatin, Requip, Finasteride, Omeprozale,

Current Illness:

ID: 1060534
Sex: F
Age: 34
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 02/28/2021
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: I am allergic to seasonal outdoor allergens, and some foods bananas and watermelon.

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

Symptoms: Adverse event: Shingles Treatment- Antivirals (valcyclovir) topical steroids (TAC), NSAID. Time course: Still have rash and pain currently as reporting. Signs and symptoms: Dermatomal rash to the left chest, upper back, and arm with grouped vesicles and erythema. Hypersensitivity to the left side and down the arm. Intermittent fevers and lethargy. I previously had chicken pox as a child.

Other Meds: None

Current Illness: None

ID: 1060535
Sex: F
Age: 33
State: IL

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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: Tremor

Symptoms: Same-day Pain and hardness at injection site followed by redness, then a splotchy rash at the injection site noticed the morning after the injection

Other Meds: HCTZ 25 mg

Current Illness: None

ID: 1060536
Sex: F
Age: 58
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/28/2021
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: Erythema, Pruritus

Symptoms: Nausea, vomiting, high fever, horrible headache

Other Meds:

Current Illness:

ID: 1060537
Sex: F
Age: 84
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/28/2021
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:

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

Symptoms: Fever

Other Meds:

Current Illness:

ID: 1060538
Sex: F
Age: 89
State: FL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/28/2021
Hospital: Y

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

Symptoms: severe vomiting for 36 hours that led to dehydration; loss of sodium and potassium; lack of mobility and hospitalization

Other Meds: clopidogrel; listinopril; lasix; atorvasdtatin; amlodipine; carvedilol

Current Illness: none known

ID: 1060539
Sex: F
Age: 35
State: WI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: metal

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pain at injection site, joint pain, overall muscle pain, low grade fever peaking at 99.5 lasting 15 hours, fatigue, and headache.

Other Meds: Synthroid, prenatal vitamin

Current Illness: None

ID: 1060540
Sex: F
Age: 66
State: NY

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Sulfa drugs

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

Symptoms: Left arm red swollen at the site of injection. Reaction started 6 to 7 days after first injection.

Other Meds: Osphena, zinc, Vit D, Vit C, biotin, calcium/magnesium, flaxseed oil

Current Illness: None

ID: 1060541
Sex: F
Age: 62
State: AL

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: 1. General malaise the day of the vaccination, 2. Local reaction at injection site: Redness, Swelling, and Pain. Took Acetaminophen and applied ice pack to injection site. Malaise improved by Day 2, but local reaction still active on Day 3.

Other Meds: Omeprazole, Dicyclomine, Lutein, Cetirizine, Acetaminophen, Clonidine, Alprazolam, Adderall, Immodium, Duloxetine, Aripiprazole, Ibuprofen, MTV/Mineral Supp., Flonase, Advair, Melatonin, Ambien, Singulair, Macrobid, Benadryl

Current Illness: None

ID: 1060542
Sex: M
Age: 65
State: OK

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Anaphylaxis. Severe Rash, throat closing up, low blood pressure

Other Meds: Crestor (Rosuvastatin) Calcium 20 mg 1 at Bedtime Allopurinal 100 mg 1 Daily Folbee Plus (Virt Vite Plus) 1 Daily Aspirin Low Dose 2 X 81 mg 162mg 1 Daily Occuvite Adult 50+ 1 Daily Levothyroxine (Synthroi

Current Illness: None

ID: 1060543
Sex: F
Age: 76
State: GA

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/28/2021
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: Penicillin, Compazine, Azythramycin

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

Symptoms: Began walking on treadmill at 5:30 a.m. and left foot felt heavy and dragging, L hand tingling, and facial/neck numbness. Arrived at hospital at 8:15. Vitals, EKG, CT scan, and MRI conducted. MRI showed an acute mild stroke on R side of brain. Over-night stay was recommended. Echocardiogram was performed the following day and nothing was abnormal. I am now on a heart monitor for 30 days. Upon departure of hospital the symptoms in L leg and arm have nearly resolved but face is still numb/decreased sensation. Plan to contact PCP tomorrow.

Other Meds: Calcium, Vitamin D3, Fish oil, B12 injection monthly, Prolia twice per year

Current Illness: None

ID: 1060544
Sex: F
Age: 49
State: MN

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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: Fever 100, chills, hot flashes, nausea, splitting headache, low ringing in ears, upset stomach

Other Meds: Multi vitamin, fish oil

Current Illness: None

ID: 1060545
Sex: F
Age: 61
State: MA

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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 levaquin

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

Symptoms: Day of vaccine: sore arm tired Day after: sore arm, felt great 2 days after: fatigue, headache, muscle aches, chills, decreased appetite: temp low 96.7 3 days after: low grade fever: 99. 5

Other Meds: Losartan Metropolol Zoloft Amlodopine Melatonin

Current Illness: none

ID: 1060546
Sex: F
Age: 61
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: ramipril

Symptom List: Vomiting

Symptoms: my tongue got very swollen, my throat burned and my ears hurt. Took benedryl and it cleared up my tongue issue in 15 minutes. My throat and ears felt better when I woke up on the 2/28/2021

Other Meds: rosuvastatin, amlodipine, bupropion xl, zyrtec , calcium, mid-nite, b-complex, d3, curcumin, glucosamine chondroitin, centrum multi vitamin, folic acid , calcium

Current Illness: no

ID: 1060547
Sex: F
Age: 67
State: OH

Vax Date: 02/18/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Erythromycin Metaprolol

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On Day 8 after vaccine noticed area approximately 2 inches circumference of Redness, swelling, itching at injection site.

Other Meds: Cosentyx Prolia HCTZ Lexapro Multivitamin Niacin Calcium Vitamin D Aspirin

Current Illness: Sinusitis

ID: 1060548
Sex: F
Age: 23
State: NY

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Chills, fever, headache, body aches from 8:00 PM Friday till Sunday 9:00 AM Tylenol was taken every 4-6 hours. Chills and fever stopped Saturday night. Body aches continue to Sunday morning

Other Meds: Tri-lo- sprintex, vitamin D12, mucinex D, topamax

Current Illness: None

ID: 1060549
Sex: F
Age: 31
State: CA

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Itchyness, firmness, and redness at the site where the injection occurred.

Other Meds: None

Current Illness: None

ID: 1060551
Sex: F
Age: 60
State: VA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/28/2021
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: headache in the back of the head since the vaccine. I do not get headaches

Other Meds: Arimidex, BAclofen, Nexium, Famotidine, Gabapentin, Levothyroine, Sucralfate, Vitamin D, Bcomplex, B6, Calcium, Zinc, Calcium

Current Illness: none

ID: 1060552
Sex: F
Age: 91
State: PA

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Different pain meds

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

Symptoms: Sore throat ,body aches to point of believing dieing, severe fatigue, headache on 1st dose ,2nd dose severe body aches and fatigue no fevers

Other Meds: Furosemide,eliquis,exemestane,metoprolol, oxybutin,pantoprazole, daily vitamins

Current Illness: Had side effect from first dose shot from 01/22/2021. on 2/5-2/8. Body aches thought dieing sore throat etc..

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm