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: 1078570
Sex: M
Age: 40
State: MD

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: High moderate myalgia, fatigue, fever

Other Meds:

Current Illness:

ID: 1078571
Sex: F
Age: 73
State: IL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/06/2021
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: compozine, ibroprfen

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever. Sick for 5 days. Sore arm for a week.

Other Meds: Too many to list! Dates!

Current Illness: none I am in recovery.

ID: 1078572
Sex: F
Age: 31
State: IL

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: 2 days later after the first dose of Pfizer I started feeling tingling in my head. The tingling would move around and not stay in one spot. Sometimes it is severe, it would sometimes be accompanied with a headache. I have been taking Tylenol every 6 hours and resting.

Other Meds: Vitamin c Vitamin d3 Birth control Acne medication Multi-vitamin

Current Illness: None

ID: 1078573
Sex: F
Age: 63
State: GA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe chills, overall muscle pain, nausea, vomiting. That lasted about 24 hours. Arm pain and swelling for about 2 weeks. Lack of energy and weakness for one week. GI pain for 1 week. Treated with anti-emetics, rest, liquid diet, bland diet.

Other Meds: Vitamins only: Calcium, Glucosamine, Vit D, Tumeric, Omega 3

Current Illness: none

ID: 1078574
Sex: F
Age: 22
State: NY

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Red, raised rash at injection site appearing 6 days after vaccination

Other Meds:

Current Illness:

ID: 1078576
Sex: F
Age: 21
State: CO

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Fever, chills, headache, vomiting, cramps

Other Meds: Birth control

Current Illness: UTI

ID: 1078577
Sex: F
Age: 56
State: IN

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Muscle Spasms, twitches around mouth, muscles feel tight

Other Meds: Metoprolol, maxide, vitamin c

Current Illness: None

ID: 1078578
Sex: F
Age: 60
State: CA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Dairy, and various pollens. I used to get allergy shots every week as a child. Then a doctor told me I didn't have allergies but rather I had Chronic Perennial Rhinitis.

Symptom List: Pharyngeal swelling

Symptoms: About 3 hours getting the shot, I started having tightness in the chest along with a stabbing pain in my left shoulder blade. It was severe at times then it would subside a little. I chewed on a aspirin to make the tightness go away and it seemed to help but then the pain would return. This continued for around 48 hours then subsided. I was seriously considering going to the ER, but I didn't want to risk exposure to Covid by going to the ER. I do have high blood pressure but I have NEVER felt anything like this. I thought I was having a heart attack. Other side effects were ones I read about but usually after the 2nd shot. This was my FIRST shot. I had a temperature of 100.6 although I was FREEZING. My feet were cold to the touch and yet the thermometer read over 100. Pain at the injection site ( it hurt like hell when the bedsheet touched my arm! Alternated between burning up and freezing.

Other Meds: None

Current Illness: None

ID: 1078579
Sex: F
Age: 30
State: CA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: tightness in the throat

Other Meds:

Current Illness:

ID: 1078580
Sex: M
Age: 55
State: CT

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
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: Percocet

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Moderna COVID-19 Vaccine EUA: Rash on right side of stomach ~5 inches in diameter, started about 2 days after first shot, on 6th day after shot still present.

Other Meds: Clonazepam

Current Illness:

ID: 1078581
Sex: F
Age: 47
State: CA

Vax Date: 02/04/2021
Onset Date: 02/20/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Severe vertigo for 1/2 day with nausea. Vertigo continued for 4 more days in the morning, accompanied with weakness. After 2 weeks, dizziness and weakness disappeared. I only think it is from the vaccine, for my husband, who got the vaccine the same day I did, had an onset of extreme vertigo while he was driving. His symptons came the one day after my vertigo attack.

Other Meds: melixocam, lexapro, multivitamin, citracal calcium

Current Illness: none

ID: 1078582
Sex: M
Age: 71
State: TX

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Chills Fever Max Recorded 101.4 Heart Rate Max 122 average 111-115 bpm at rest Nausea Extreme Fatigue Slept 16 hours the first day Lack of appetite 2 days NO TREATMENT OTHER THAN DR OFFICE RECOMMENDED TYLENOL

Other Meds: Gabapentin Clonazepam Rosuvastatin Xanax PRN Pramipexole Finasteride Famotidine Omeprazole Nadolol B23 Magnesium Citrate Melatonin Tramadol

Current Illness: None

ID: 1078583
Sex: F
Age: 60
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/06/2021
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, Keflex, Erythromyacin

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

Symptoms: Body aches and pains, began the next morning after my dose about 24 hours later, I felt like I was coming down with the flu. I also had pain and redness at injection site. I increased fluids and took Tylenol and symptoms lasted 10 to 12 hours and subsided completely.

Other Meds: Levothyroxine 175 mcg, Pantoprazole 10mg, Naproxen 500mg, Lisinopril 40mg, Rosuvastatin 10mg, Montelukast 10mg, Hydrochlorothiazide 25 mg

Current Illness: None

ID: 1078584
Sex: F
Age: 46
State: CA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Penicillin

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

Symptoms: After waiting the 15 minute observation period, I left. While driving home my eyes started itching and my face felt strange. When I got home I looked in the mirror ni didn?t see a rash or any swelling in my face but then felt my tongue was swollen. I took a Benadryl and called the on call doctor from primary care physicians office and was directed to go to the ER since it was a potentially life threatening reaction.

Other Meds: Lexapro, Wellbutrin, Advair, Astelin Nasal Spray, Magnesium, Zyrtec, Ibuprofen

Current Illness: None

ID: 1078585
Sex: F
Age: 36
State: MA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/06/2021
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: Juniper berry

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Night of shot I had severe arm pain and itchy skin. Next night I broke out in hives. Since vaccine I?ve non stop itchy skin and hives that come and go. Mostly large rash on chest that looks like a sunburn/scratched skin. Very painful . Was told to take Zyrtec. No relief yet

Other Meds: Levothyroxine, vitamin b complex , vitamin D

Current Illness:

ID: 1078586
Sex: F
Age: 78
State: OH

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: codine, Sulfa, phenegran, latex

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

Symptoms: Fatigue,Nausea, headache, chills for 26 hours

Other Meds: flonase , azesteline, lorazepam, tylenol, claritin, pepcid AC. multi-vitamin

Current Illness: Long haul covid. Peristent throat clearing sometimes referred to a cough, but to me it was throat clearing

ID: 1078587
Sex: F
Age: 32
State: TX

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: No

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

Symptoms: Fever, muscle pain, fatigue, redness in face, metallic taste in mouth, soreness

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1078588
Sex: F
Age: 50
State: CO

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Headache, nausea, chills, fever, hives, (within 5 hours) facial swelling ( right side) itching (1 day later)

Other Meds: Low Does Naltrexone Wellbutrin Prozac

Current Illness:

ID: 1078589
Sex: M
Age: 54
State: CA

Vax Date: 03/01/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Beginning about 16hours after the shot (the next morning) my stomach began to bother me a little, within half an hour or so I began to feel a little tingle from the top left arm (shot area) down to my stomach including my sternum area. It got progressively worse. By about hour 17 I was beginning to get cold sweats and stomach bothering me more. By hour 18 I was cold, sweating, nauseous, vomiting, hard tight pain in stomach /and sternum/chest. Stomach / chest pain persisted badly for about 30- 45 minutes then began to subside. By hour 19 most of the sever pain subsided. for the rest of the day (@and still 25 hours later) I still have a lingering miserable stomach and slight headache. I slept most of the afternoon without any medication.

Other Meds: None

Current Illness: None

ID: 1078590
Sex: F
Age: 65
State: MO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Sulfa, E-mycin, and tetracycline. Also allergic to the adhesive on bandages.

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

Symptoms: Exactly twelve hours after getting the second dose of the Pfizer vaccine, I experienced severe chills for three gruesome hours that rattles my teeth, plus fever, fatigue, & joint pain (especially in my elbows, fingers, shoulder, knees, and back) and headache. My fever ranged from 100 degrees F to 102 degrees F for 36 hours. After consultation with my doctor at the 16 hour mark past vaccination, I took Tylenol every 6 hours to reduce my fever, which helped tremendously. These side effects lasted 36 hours almost to the minute then were gone.

Other Meds: No prescriptions. No over the counter medications. Dietary supplements -- Vitamin D and Biotin

Current Illness: No illnesses at all. I am a very healthy 65 year old person,

ID: 1078591
Sex: F
Age: 26
State: MI

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 03/06/2021
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: On Sunday morning (02/14/2021) I woke up with red rashes on the stomach and back. The rashes were itchy. In the next few days, more rashes appeared on my stomach, back, and upper arms. A few appeared on my upper thighs. About 14 days later, I noticed the initial big rashes flattened and seemed to disappear. However, a lot of smaller red rashes appeared all over my upper body, the entire arms, and neck. I went to see my primary care physician on 02/22/2021 to have it checked and was referred to dermatology. I visited the dermatologist, on 03/03/2021 and was diagnosed with pityriasis rosea. I have never had this disease before and I am very worried that it was triggered by the vaccine. As of today 03/06/2021, I still have the rashes.

Other Meds: One A Day Women's Multivitamin

Current Illness: none

ID: 1078592
Sex: F
Age: 25
State: IL

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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

Symptom List: Unevaluable event

Symptoms: Violent muscle aches that were not settled by medication, far beyond normal muscle aches from illness. Began exactly 6 hours following vaccine and continued for approximately 12 hours. Fever for 24 hours. Fatigue, black outs.

Other Meds: Lamictal Ortho Tri Cyclen Lo

Current Illness: None

ID: 1078593
Sex: M
Age: 71
State: FL

Vax Date: 02/19/2021
Onset Date: 03/02/2021
Rec V Date: 03/06/2021
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: None known

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

Symptoms: - After the first dose: just a sore shoulder; nothing major. - After the second dose: about 10 hours after, I felt chills, lower back pain, pain on the back of the lower legs, fatigue, increasing fever reaching 101 , exhaustion and a bit of diarrhea, and dry cough. The symptoms lasted about 12 hours, but decreasing gradually after 8 hours. - Eleven days after the second dose: While the dry cough has not gone away, in the evening of this 11th day, I began to experience 100.9 degree fever, extreme lower back and back-of-the leg pain, mild diarrhea, mild headaches, a red rash that started on the left torso and, over the course of 12 hours, kept spreading, eventually covering the entire body from head to toe.

Other Meds: Losartan Potassium 50 mg; Montelukast Sodium 10 mg;

Current Illness: None

ID: 1078594
Sex: F
Age: 39
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/06/2021
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: Yes, I have several food allergies (shrimp, honeydew melon, figs, kiwi) and others ( pet fur, pollen, dust, etc).

Symptom List: Injection site pain, Pain

Symptoms: The shot was given well and I waited for 30 minutes after at the facility. No issues at that time. About 2.5 hours later I got a red rash on both arms and hands ( looks and feels like sunburn but it?s not). Rash persists off and on since ( even today). I?ve had a temperature of about 99 off and on for several days. Only my head and face are flushed and hot, but rest of me cold. I have soreness in both breasts. My left shoulder and breast had small sores ( looks like small scrape but no injury occurred). Those areas sting internally with some pain and redness. Feels like bruise but nothing visible. I?ve had fatigue almost every day. I have brain fog ( can?t spell simple words, forgetting words, lack of focus).

Other Meds: Asthma medication, seasonal allergy medication, multivitamin

Current Illness: No

ID: 1078595
Sex: F
Age: 71
State: MA

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: Area red (rash-like) and itching

Other Meds: Asthma, thyroid, anxiety

Current Illness:

ID: 1078596
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/06/2021
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: The day after the injection, fever 2F, chills, fatigue, generalized body aches and fatigue. Sunday through Wednesday HA. Tuesday and Wednesday severe enough to take Tylenol and ibuprofen with no relief of symptoms. Wednesday, was also fatigued to the point I had to take a nap, unusual for me. By Thursday, symptoms had resolved.

Other Meds:

Current Illness:

ID: 1078597
Sex: F
Age: 38
State: VA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/06/2021
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: acetaminophen

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Got the shot Tuesday evening. Arm pain started at 10:00 p.m. - much more severe than the first shot. Pain began shooting down my arm through my fingertips. Nausea and vomiting started at 2:00 a.m. followed by fever, chills, body aches (pretty bad - couldn't move at all without shooting pain through my body), and headache (bad, but not awful). Nausea and vomiting lasted until 7:00 a.m. Fever, chills, body aches, and headache began to subside around 4:00 p.m. They didn't fully go away until Thursday morning.

Other Meds: welbutrin, zoloft, vitamin e, singulair, clairitin

Current Illness: none

ID: 1078598
Sex: F
Age: 39
State: MN

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Allergy to penicillin, pollen, and various lotions

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Rash, hives, and itchy rash on core body. Spread from neck down all the way to lower back. On both sides of core and front and back. Did not extend to arms or legs. Hives lasted 72 hours despite taking Benadryl and Claritin.

Other Meds: None

Current Illness: Sinus infection

ID: 1078599
Sex: F
Age: 36
State: CO

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Large Red oval on arm near over and expanding from where vaccine was given. The entire area is sensitive to the touch. Also had chills, hot flashes and sweats 10-20 hours after the injection, and a severe headache.

Other Meds: Multivitamin

Current Illness: None

ID: 1078600
Sex: F
Age: 40
State: MA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Celiac disease

Symptom List: Nausea

Symptoms: Fevers ranging from 99-103 daily for 3 weeks now, headache x 3 weeks, body aches, nauseous x 3 weeks, facial rash/flushing daily the past week 2 weeks from last dose. Severe fatigue unable to do my daily activities, missed work and sought care by pcp. Trying to see immunology at where vaccine was administered and Getting the run around by everyone.

Other Meds:

Current Illness: None

ID: 1078601
Sex: F
Age: 28
State: WA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin (mild)

Symptom List: Injection site pain

Symptoms: No initial pain after injection. Body aches, headache and muscle soreness around midnight. Woke up around 4-5a.m. to neck/head pain, tense muscles on head/neck and notable pains in the jugular region. Very sensitive skin and muscle aches at this time. getting up to grab ibuprofen caused initial worsening of head pains that quickly subsided as blood pressure issue(?) symptoms came on (blotchy vision, lightheadedness, notably diminished hearing). took around 20 minutes to realize head/neck pain seemed to be caused by stiffness from an unusual amount of intense teeth grinding in my sleep. Waited around an hour and a half while drinking plenty of water and taking a single dose of ibuprofen along with a second dose of clonazepam before feeling comfortable/safe enough to go back to sleep.

Other Meds: - Amphetamine-Dextroamphetamine 15mg x 3/day (Teva) - zyrtec (Northstar) - Fluticasone Propionate Nasal Spray (West-Ward) - clonazepam .5 1x/d at night for RLS/PLMD (Accord) - Clonidine 0.1mg 1x/d before bed

Current Illness: none.

ID: 1078602
Sex: F
Age:
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Chills Fever/flush Periods of being cold then being incredibly hot Weakness/soreness of muscles Dizziness Headache/sinus pressure

Other Meds: Fluoxetine HCl Birth Control

Current Illness: None

ID: 1078603
Sex: F
Age: 74
State: PA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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 of which I'm aware.

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

Symptoms: COVID Arm.! Some redness, itching but lessened as the day went on.

Other Meds: Levothyroxine, Diltiazem, Multivitamin, Vit C, D, Probiotic, Glucosamine, Turmeric, Fish Oil Omega 3

Current Illness: None

ID: 1078604
Sex: F
Age: 33
State:

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Headache, dizziness, nausea, feeling faint when standing up

Other Meds:

Current Illness:

ID: 1078605
Sex: M
Age: 27
State: OR

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/06/2021
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: significant urticaria started shortly after. had with first but resolved quickly. was evaluated and treated for ongoing rash/urticaria on 3/5

Other Meds:

Current Illness:

ID: 1078606
Sex: F
Age: 56
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Avelox, tetracycline

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

Symptoms: Two separate incidents of nose bleeding 2 days after vaccination on 3/6/2021 which was unusual as I had not have any nose bleeding in many years. My husband did an organ harvest on a patient who died of extensive internal bleeding following his 2nd dose of Pfizer COVID-19 vaccine. a few days ago. This made me connect my unusual nose bleeding to my recent vaccination. Besides this, I experienced ?usual? side effects of fever on the night of vaccination (3/4/21) and chills/fatigue all day next day (3/5/21).

Other Meds: Prednisone

Current Illness: None

ID: 1078607
Sex: F
Age: 74
State: IN

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/06/2021
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: No

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

Symptoms: At 7 PM left arm became very sore ( could not move it front or back without pain.) At 10 PM got the chills. The next morning had a low grade fever most of the day and stayed in bed all day. The next day was better and was up all day and my arm was still sore but not as bad and was able to move it in all directions.

Other Meds: Hydrocortisone, Metoprolol, Actos, Atorvastatin, Glipizide, 81 mg aspirin, Vivactin, B-12, Melatonin, allergy pills

Current Illness: None

ID: 1078608
Sex: F
Age: 31
State: CA

Vax Date: 02/25/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Septra

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Redness, swelling, and itching.

Other Meds: Lamictal, Adderal, Microgestin, Spirolactalone

Current Illness:

ID: 1078609
Sex: F
Age: 64
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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:

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

Symptoms: Needle was missing from syringe. Not sure if it retracted back into syringe or in patients arm

Other Meds:

Current Illness:

ID: 1078610
Sex: F
Age: 72
State: CO

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 03/06/2021
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: Erythromycin Pork

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

Symptoms: Fever, achy arms and legs, extreme fatigue. Fever and aches lasted 3 days, fatigue lasted for a week.

Other Meds: Estrogen Patch .0375

Current Illness: None

ID: 1078611
Sex: F
Age: 57
State: NM

Vax Date: 02/24/2021
Onset Date: 02/28/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Latex, nickel

Symptom List: Pain in extremity

Symptoms: Diagnosed with shingles on 3/4/2021. Had gone to urgent care on 3/2/2021, but at that time the diagnosis was neuromuscular. Pain increased severely by 3/4/2021 so I returned to urgent care (ibuprofen 600 was not addressing the pain after 2 hours). Had a classic shingles rash on the back of my neck (mostly right side, small bit just left of center) into my scalp wrapping around to right side, plus very faint rash on right cheek and inside part of right eye, and right ear is swollen. Ironically, I had postponed my Shingrix vaccine March 2020; was planning to get this a few weeks after the Pfizer vaccine second dose, once it was recommended to do so.

Other Meds: levothyroxine 0.125, multi-vitamin one a day for women over 50

Current Illness: sinus infection

ID: 1078612
Sex: M
Age: 63
State: NC

Vax Date: 03/03/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Rash in mid-abdomen around the sides and lower back.

Other Meds: Esomeprazole 40mg 1x Multivitamin 1x AM Vitamin E 400iu 2x Magnesium 500iu x2 Rosuvastatin 10mg 1x PM Fenofibric Acid 135mg 1x Aspirin 85mg 1x PM Carvedeilol 25mg 2x Spironolactone 12.5 mg 1x AM Entresto 24/mg/26mg 2x Testosterone CYP 2000/

Current Illness: None

ID: 1078613
Sex: F
Age: 51
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 03/06/2021
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: Walnuts. Scented/chemical smelling products.

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

Symptoms: 11:17am Tightness around chest, as if bra band was suddenly two sizes too small, but no problem breathing. Lasted five minutes. 11:20am Slight tightness in throat. Lasted five minutes. 5:00pm Injection site pain, intermittent for two weeks.

Other Meds: Multivitamin, mineral supplement, and turmeric.

Current Illness: None.

ID: 1078614
Sex: F
Age: 56
State: MA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/06/2021
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: Severe headache for 5 days. Day 4 was the worse, vomiting

Other Meds: Enalapril maleate 10 mg -1daily Metoprolol Succ ER 50mg -1 daily Albuterol Sulfate HFA inhaler Advair HFA inhaler Aller-Tec 10 mg -1 daily Osteo Bi-Flex -1 daily

Current Illness:

ID: 1078615
Sex: M
Age: 67
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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:

Symptom List: Vomiting

Symptoms: Flushing/sweating, neck stiffness. BP 178/94 (pulse 94). F/u BP 147/80.

Other Meds:

Current Illness:

ID: 1078616
Sex: F
Age: 39
State: CA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I began feeling tingling sensation in my face and then it started going numb moving slowly from injection site up the shoulder to the inner ear across the face then the nose and scalp. It?s been 2.5 hrs since my injection and it is almost to my left ear and has made my tongue and lips numb as well. No major swelling or full dental work type numbness just mild numbness. That?s the only side affect I?ve had so far that is abnormal for me and how I react to vaccines or flu shots.

Other Meds: None

Current Illness: None

ID: 1078617
Sex: F
Age: 67
State: IN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Morphine, Compazine, latex, Darvon, Wellbutrin, PPA, Latex

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

Symptoms: High fever, stomach upset, bone pain, weak legs which progressed to not able to walk, delirious (partner was not able to understand what I was talking about, said I did not make sense).

Other Meds: Prolia, Methotrexate injections wkly, Nadolol, Atorvastatin, Gabapentin, Lisinopril, Oxybutynin, Symbicort, Omeprozole, Amlodipine, Nasonex, Citracal calcium slow release 1200, Folic acid, 81 mg aspirin, Vitamin D-3, Claritan

Current Illness: Heart murmer, COPD

Date Died: 02/07/2021

ID: 1078618
Sex: F
Age: 84
State: CT

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 03/06/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: She was week, fell, wouldn't eat, drink or get out of bed. Died after being sent to hospital 3 times and ended up on hospice

Other Meds:

Current Illness:

ID: 1078619
Sex: F
Age: 65
State: CO

Vax Date: 02/27/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, ceclor, sulfa, statins, ciproflaxion and drugs in that family.

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

Symptoms: Large, red, hot, itchy welt. Started 6 days after vaccination. COVID arm.

Other Meds: Metformin, Glimperid, Losartan, baby aspirin, sertraline, vitamin D, melatonin, zyrtec.

Current Illness: Sudden knee pain.

ID: 1078620
Sex: F
Age: 66
State: ID

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/06/2021
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: black fly, insect...

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

Symptoms: Vaccine in arm 2/15/2021. Still pain at vaccination site 3/6/21. Injection site red dot (deep scab) for2.53 weeks. No rash, redness or swelling. Just feels like a deep very localized bruise at injection site... Like vaccine didn't move and is just sitting there like a lump. No other adverse effects. Plan to get 2nd shot ontime... but in other arm.

Other Meds: Tums

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm