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: 1097689
Sex: F
Age: 69
State: IL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/13/2021
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: Sulfa and gentamicin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Altered mental status, moderate dehydration, nausea and vomiting; Addison?s crisis

Other Meds: Hydrocortisone, Fludrocortisone, Levothyroxine, Allegra, Calcium+D, coq10, fish oil

Current Illness:

ID: 1097690
Sex: F
Age: 67
State: WA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: No

Symptom List: Anxiety, Dyspnoea

Symptoms: Chills, fever, headache

Other Meds: Vit.d, multivitamins, zinc, glucosamine

Current Illness: None

ID: 1097691
Sex: M
Age: 31
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: No

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

Symptoms: Flu like. Cold, chills, low fever, cold sweats, headaches and body aches.

Other Meds: No

Current Illness: No

ID: 1097692
Sex: F
Age: 28
State: NC

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Numbess and tingling in pinky finger and ring finger of left hand (shot was given in left arm)

Other Meds: Prenatal vitamin, thyroid supplements (thyro-CNV & thyro-zyme), adaptocrine, fish oil

Current Illness: N/A

ID: 1097693
Sex: F
Age: 33
State: IL

Vax Date: 03/05/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Allergic to apples

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

Symptoms: The injection site is swollen and red after feeling fine for four days after my initial vaccine symptoms subsided. This has lasted for 22 hours already, and the diameter of the swollen and red area is about two inches across with the injection site in the middle of the red circle. The swollen area is tender and painful to touch, and it feels as though there is an elongated flat-ish hard lump under the skin where the injection went in. It does not itch. I regularly take claritin for my allergies, which I continued to take as I read that may help with this.

Other Meds: Claritin

Current Illness: None

ID: 1097694
Sex: M
Age: 53
State:

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Hand tremors 9 hours after injection lasting for one hour. Fever starting approx. 12 hours after injection. Possible contribution to fainting event approx. 15 hours after injection. Muscular aches in neck and shoulders starting approx. 17 hours after injection.

Other Meds:

Current Illness:

ID: 1097695
Sex: M
Age: 69
State: FL

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt developed hematoma at point of vaccine administration, upon removing the needle patient bled more than usual for a vaccine and developed a hematoma. Pt was monitored for approximately one hour, hematoma did not worsen. Pt was advised on care and to seek medical attention should the hematoma worsen. Pt did not complain of pain or any other side effects/symptoms.

Other Meds: Unknown

Current Illness: NA

ID: 1097696
Sex: F
Age: 82
State: CO

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: ciprofloxacin, cephalexin, penicillin, gadolinium-based contrast, iodine, tomato

Symptom List: Pharyngeal swelling

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: patient reports within four hours of vaccination development of rash on trunk, headache, and feeling "spacey" and fatigued. Also reports rash with first vaccine dose. Does not report and respiratory, neurologic, or respiratory symptoms. Symptoms resolved with diphenhydramine.

Other Meds: acetaminophen, amitriptyline, aspirin, atorvastatin, bimatoprost, estradiol, hydrocortisone, liothyronine, lisinopril, lorazepam, miconazole, ondansetron, oxycodone, senna, triamcinolone

Current Illness: foot pain

ID: 1097697
Sex: F
Age: 38
State: TN

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Nausea and vomitting

Other Meds: None

Current Illness: None

ID: 1097698
Sex: F
Age: 55
State: IN

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 03/13/2021
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: Sulfa drugs Food allergies Seasonal allergies

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Hard painful lump on arm Hurts to raise arm to heart level 5 days Noticeable loss of hair 2 + days later Nasal drainage2 days Throat clearing 2 days Tiredness 2 days

Other Meds: Diabetes meds Allergy meds Asthma meds Psych meds Lisinopril Dyazide Levothyroxine Multi-vitamin Calcium And recently new meds: Actose Biotin Collagen

Current Illness: COVID-19 in December/Jan 2021

ID: 1097699
Sex: F
Age: 51
State: IL

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Immediate numbness in my left hand (pinky and ring finger). Slight numbness in left elbow region that is sporatic.

Other Meds:

Current Illness:

ID: 1097700
Sex: F
Age: 35
State: PA

Vax Date: 03/06/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Rocephin

Symptom List: Rash, Urticaria

Symptoms: Armpit pain, swollen lymph nodes in armpit

Other Meds: Lexapro

Current Illness: NA

ID: 1097701
Sex: M
Age: 32
State: CA

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/13/2021
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: Patient had expected discomfort at injection site for 1-2 days. Started feeling tired about 3-5 days after injection but continue to function well. However, he has had progressive weakness, tiredness and falling asleep just couple hours after sleeping all night and it is at a point as of today where he cannot do his usual work. He also has headache and very cloudy mental status with inability to concentrate and loses his trend of thought. He is highly accomplished individual. He is a compulsive mask wearer and follows strict isolation guidelines. Please advise as we are becoming increasingly concerned.

Other Meds: None

Current Illness: None

ID: 1097702
Sex: M
Age: 59
State: OH

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Temperature peaked at 101.7, chills, little confusion, but the temperature is coming down due to vinegar and water on head.

Other Meds: Lantus insulin (44mg injection) NovoLog (insulin aspart injection) 12 mg Losartan (100 MG) Albuterol (90MCG) CFC-F 200D Floticasone Prop 50mcg 120D Nasial Inhl Cholecalciferol 'VIT-D3' (3000mg) Duloxetine HCL 'Cymbalta' (30mg) Gabapenti

Current Illness: none

ID: 1097703
Sex: F
Age: 42
State: VT

Vax Date: 03/04/2021
Onset Date: 03/09/2021
Rec V Date: 03/13/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Covid arm rash which went away, but now..... non stop heart palpitations from 5-8pm. Very scary. These started a few days after the injection. Never had one in my life before this shot.

Other Meds: Xanax .5mg

Current Illness: No

ID: 1097704
Sex: F
Age: 17
State: CA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Patient under the age of 18 at time of administration

Other Meds:

Current Illness:

ID: 1097705
Sex: M
Age: 69
State: IN

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Approximately 3 hours after second shot I experienced mild flue like symptoms," chills, fatigue and sore arm" for approximately 36 hours afterwards. Next day I felt fine.

Other Meds: tamsulosin

Current Illness: none

ID: 1097706
Sex: F
Age: 90
State: FL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: None known, codeine sensitive

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Left lower leg and calf: severe nerve pain; skin sensitive to touch; sharp stabbing pain with slightest touch.

Other Meds: Xepenex, Spiriva

Current Illness:

ID: 1097707
Sex: F
Age: 66
State: CA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: eggs

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: shaking, shooting pain, sick, throwing up, fever lasting 1 day

Other Meds:

Current Illness: 0

ID: 1097708
Sex: F
Age: 57
State: VA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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, doxycycline

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

Symptoms: I feel very achy all over, hot and cold all over. Very uncomfortable and feel awful. I have been taking acetaminophen and ibuprofen.

Other Meds: sertraline, lisinporil, rosuvastatin, fish oil, baclofen, trazodone

Current Illness: tested positive for Covid Feb. 11, 2021

ID: 1097709
Sex: F
Age: 51
State:

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: Erythromycin, strawberries

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

Symptoms: 24 hours fever, 48 hours ?Covid arm?, fatigue, headache, body aches, significant knee pain

Other Meds: Losartan hctz, fluoxetine, omeprazole, metoprolol, zinc, vitamin c, vitamin d.

Current Illness: Covid related reactive arthritis

ID: 1097710
Sex: F
Age: 33
State: OR

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Patient felt extremely dizzy after receiving. Had to lay down on the floor to prevent passing out.

Other Meds: N/A

Current Illness: None

ID: 1097711
Sex: M
Age: 50
State: FL

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/13/2021
Hospital: Y

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

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

Symptoms: Kidney stone that was already present for 2 years moved and passed. Started moving 48 hours after the vaccination.

Other Meds: Atorvastatin Lisinopril Jardiance Daily probiotic Vit B12 Vit D

Current Illness: None

ID: 1097712
Sex: F
Age: 74
State: GA

Vax Date: 02/17/2021
Onset Date: 02/27/2021
Rec V Date: 03/13/2021
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: iodine testing, food allergies none severe

Symptom List: Injection site pain, Pain

Symptoms: ten days after vaccine I got itchy rash, swelling and large red oval patch on arm

Other Meds: vitamin D, vitamin C, vitamin B Lorsartan, bisoprolol HCTZ , famotidine or pantoprazole

Current Illness: none

ID: 1097713
Sex: M
Age: 26
State:

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: 2 generalized Tonic Clonic seizures, 6 absence seizure

Other Meds: Lamotrigine 800mg, Zonisamide 700mg, Epidiolex 4ml

Current Illness:

ID: 1097714
Sex: F
Age: 99
State: HI

Vax Date: 01/27/2021
Onset Date: 02/12/2021
Rec V Date: 03/13/2021
Hospital: Y

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: shortness of breath. CHF

Other Meds:

Current Illness:

ID: 1097715
Sex: F
Age: 73
State: IA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/13/2021
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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills, shakes, fever followed by liver failure & ascites. Liver Mets were negligible in 2/8/21 PET scan, yet 2.5 yes of chemo resulted in Pre-existing cirrhosis of the liver. ER visit on 3/3 with CT Scan and subsequent ER on 3/6. Paracinthesis scheduled for 3/15.

Other Meds: Lonsurf chemo, avastin

Current Illness: Colorectal cancer met liver, lungs, lymph nodes

ID: 1097716
Sex: F
Age: 54
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Allergic to oenecillan

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Day one 3/12: starting at about 4 pm: 102 fever, chills, muscle aches, headache. Was able to keep fever down with Tylenol and Advil. Day two 3/13: low grade fever, chills, weakness, muscle aches, body pain

Other Meds: N/A

Current Illness: N/A

ID: 1097717
Sex: F
Age: 35
State: AK

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Allergic to nuts

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

Symptoms: Bilateral Flushing/swelling of hands, redness on face, hives on neck and back, ears red, no itching. Gave Benadryl 25mg @4:10 at 4:20 stated she was feeling better and redness had diminished at 4:30 patient described feeling jittery dosed another Benadryl 25mg at 4:35 After no improvement sent her with her husband to the ER

Other Meds: Zyrtec that morning of 3-13-2021

Current Illness: None reported

ID: 1097718
Sex: F
Age: 57
State: NJ

Vax Date: 02/28/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: None known. Once I reacted to five days of antibiotics with red blotches on my thighs.

Symptom List: Nausea

Symptoms: Lump and soreness under the arm vaccinated a week after vaccine. Big red warm itchy circular blotch on arm vaccinated AND smaller circles on the left side and center of chest two weeks after vaccination.

Other Meds: High blood pressure medicines; garlic; ginger; beet juice

Current Illness: None

ID: 1097719
Sex: F
Age: 51
State: GA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: ibuprofen

Symptom List: Injection site pain

Symptoms: March 12, 2021. 5:15 pm. began chills. By 8:00 pm fever of 102, body aches, severe headache, joint pain, pulse ox dropped to 92, sore arm (could not lie on it), severe fatigue, nausea Continued through March 13, 2021 until 8:00 pm when fever dropped to 99.2 and all left was somewhat fatigue and slight headache

Other Meds: exemestane; metoprolol; hydrocodone autamin; relistor; estradiol; cyclobenzaprine; zolpidem; vitamin D3; famotidine; multivitamin; omega 3; vitamin C; glucosomine chondroitin; probiotic; melatonin; calcium; magnesium; zinc; cranberry extrac

Current Illness: sinus infection

ID: 1097720
Sex: F
Age: 26
State: WI

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Local adverse reaction to flu vaccine - swelling/hives at injection site

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

Symptoms: Patient had a minor reaction - reported feeling flush and hives. Patient developed symptoms at 30 min waiting period. She was given 50mg of diphenhydramine and observed for additional time. Patient reported feeling better after receiving diphenhydramine.

Other Meds: unknown

Current Illness: unknown

ID: 1097721
Sex: M
Age: 42
State: OK

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Achy, red rash all over chest and back, chills, very tired

Other Meds:

Current Illness:

ID: 1097722
Sex: F
Age: 29
State: TN

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Sulfa drugs, zpacks

Symptom List: Tremor

Symptoms: Red injection site 8 days after vaccination. Hot to the touch, slightly itchy.

Other Meds: Mirilax, Ventolin

Current Illness: N/A

ID: 1097723
Sex: F
Age: 34
State: CO

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/13/2021
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: azithromycin, sulfonamides

Symptom List: Erythema, Pruritus

Symptoms: Moderna COVID- 19 Vaccine EUA: patient reports heachache, neck pain, and dizziness since vaccination six days ago. Also reports chills and myalgias starting the day after vaccination- those symptoms resolved. Headache with without aura and pain is near frontal sinus and temples and is improving with acetaminophen. Patient able to manage symptoms at home.

Other Meds: None reported

Current Illness: cough, post-nasal drip (COVID-19 illness three months ago)

ID: 1097724
Sex: F
Age: 58
State: MN

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/13/2021
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: Allergic to Synthroid or have a reaction to it. Allergic to gluten and dairy products.

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

Symptoms: I had the vaccine on a Tuesday afternoon at 3:30. At 3:30 in the morning of Wednesday, I was awoken by a feeling of a substance moving through my lymph nodes and a feeling of severe foreboding. This lasted 20 minutes. I didn't have any other symptoms. The next day I felt chills and a slight temp and lots of achiness. By that evening (Wed) I had a severe headache. I missed half the work day. The severe headache continue all the way till Friday evening and I missed two more days of work. I felt very nauseas and almost went to the ER. I do get migraines but it has been awhile. It was fairly severe and I just avoided the ER. My arm swelled up on Wednesday and was very swollen and red along with my lymph nodes. The migraine ended on Friday of that week but it has taken me the whole month to feel okay. I have continued to feel woozy and feel headachy sometimes. Just now feeling like myself.

Other Meds: Multi-vitamins, Zinc, D, probiotics, vitamin C

Current Illness: None

ID: 1097725
Sex: M
Age: 53
State: AZ

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: I have a sudden loss of hearing on my left ear. It feels like it is full of water. I am also experiencing mild dizziness and off balance while walking.

Other Meds: Synthroid, Flonase, Claritin, Zyrtec

Current Illness: None

ID: 1097726
Sex: F
Age: 41
State: OH

Vax Date: 01/20/2021
Onset Date: 03/01/2021
Rec V Date: 03/13/2021
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: Sulfa, penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: All symptoms after 2nd dose. Aches in joints for one week, muscular neck/shoulder/thigh aches 26 hours after for 4 hours, sore arm muscle at injection site 4 days, 26 hours after for 3 days swollen/painful lymph nodes under left armpit, hair loss has been occurring since 2nd dose and continues.

Other Meds: Adderall xr 15mg, seasonique birth control, b12 gummies, vitamin d3

Current Illness: No

ID: 1097727
Sex: F
Age: 64
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/13/2021
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: fever, diarrhea, profound fatigue, muscle pains

Other Meds:

Current Illness:

ID: 1097729
Sex: F
Age: 69
State: FL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 03/13/2021
Hospital: Y

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: codeine

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

Symptoms: Patient received her first Pfizer COVID vaccination and subsequently experienced profound fatigue coupled with LUE/LLE weakness that persisted and was ultimately diagnosed with an acute CVA.

Other Meds: hydroxyurea hctz amlodipine atorvastatin xarelto

Current Illness: none

ID: 1097730
Sex: F
Age: 63
State: CA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, Iodine/Betadine, Flexeril, Welbutrin

Symptom List: Pain in extremity

Symptoms: Starting at 0100 on 03/11/2021. Awoke with symptoms of fever with chills, headache, neck and back pain (moderate to severe), pain in what seemed the bones of the skull and mandible (moderate to severe), nausea and vomiting, unable to take fluids, unable to sleep besides 60 mins. 24 hrs post vaccine. Vomiting lasting 12 hours and nausea continued without ability to take fluids. Dr. prescribed Zolfan and after the first dosage, fluids were tolerated. Fever lasting less than 48 hours, muscle soreness was mild by 48 hrs and continues as mild at this point, 78 hrs hrs post vaccine.

Other Meds: Lyrica, Trintellix, Baclofen, Vit B12, Colase, Pepsid

Current Illness: none

ID: 1097731
Sex: F
Age: 91
State: HI

Vax Date: 02/11/2021
Onset Date: 03/03/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 3/3/2021 CHF, hearing loss

Other Meds:

Current Illness: none

ID: 1097732
Sex: M
Age: 63
State: IN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/13/2021
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: Flu like symptoms, shortness of breath, cough, aches, pains for about 24 hours

Other Meds: Lotrel Synthroid Diclofinac Alpuronall Baby asprin Fish oil Probiotic

Current Illness: None

ID: 1097733
Sex: M
Age: 40
State: NY

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Flare up of atopic dermatitis. Became very painful and red the day after receiving the vaccine. Occurrence of severe joint pain in left foot big toe (perhaps gouty arthritis).

Other Meds: Vyvanse, chlorthalodine, lorsatan, citalopram.

Current Illness: None

ID: 1097734
Sex: M
Age: 36
State: CA

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Sesame seed and derivatives of nuts or peanuts

Symptom List: Vomiting

Symptoms: Bell's palsy left side. Medicine: Prednisone20mg 1 tablet a day for 5 days Acyclovir 800mg 1 tablet 4 times a day for 10 days Ibuprofen 600mg 1 tablet every 6 hours

Other Meds: None

Current Illness: None

ID: 1097735
Sex: F
Age: 20
State: CT

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Zithromax

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Upset Stomach. Diarrhea. Left side of nose started to hurt and burn (same side of vaccine) immediately after vaccination for 10 minutes following.

Other Meds: n/a

Current Illness: n/a

ID: 1097736
Sex: F
Age: 70
State: AZ

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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:

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

Symptoms: Fever and chills began about 5 hrs after vaccination. Slight body aches and slight headache. Low-grade fever from 99.2 up to 101.7. Severe chills the first night . Used heating pad and several layers of quilts and could not warm up. Fever and milder chills continued 2 day and night until about 2 am the third day. Woke from sweating but felt much better and fever was gone. Changed pajamas, went back to sleep and woke in the morning back to normal.

Other Meds: felodipine, hydrochlorothiazide, potassium, synthroid, citracal/D3, Daily Vitamin

Current Illness:

ID: 1097737
Sex: F
Age: 72
State: AZ

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Redness in the shot given area (small red area -somewhat hard to the touch) acey body, low grade fever, chills and diarrhea.

Other Meds: Triamterene 75 MG Daily Lovastatin 20 MG Daily Lansoprazole 30 MG Daily Potassium

Current Illness: None

ID: 1097738
Sex: F
Age: 62
State: PA

Vax Date: 02/27/2021
Onset Date: 03/06/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: Initial soreness to bilateral arms at elbows. Progressionn beginning Wednesday, March 10 to moderate to severe pain to same areas and currently.

Other Meds: Hydrocodone, motrin

Current Illness:

ID: 1097739
Sex: F
Age: 29
State: FL

Vax Date: 03/05/2020
Onset Date: 03/11/2020
Rec V Date: 03/13/2021
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:

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

Symptoms: Red spot a week after injection with swelling, tenderness, and itch

Other Meds: Adderall

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm