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: 1104063
Sex: M
Age: 68
State: OH

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/16/2021
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: erythromyecin, any squash (pickles, cucumber, pumpkin, etc.)

Symptom List: Dysphagia, Epiglottitis

Symptoms: Slight headache about 30 minutes after receiving shot at 11 AM, Saturday, 3/6/2021. About 5 hours after shot I started feeling like I was coming down with something, like I had a mild fever and headache was a little more pronounced, but still mild. By 8pm I had fever of 102F, headache was now uncomfortable, so took 2 Tylenol and went to bed. Fever broke about 3-4AM, but still retained a very mild fever of 99F with very mild headache, muscle aches and joint stiffness/pain for the following day and the day after. By Tuesday 3/9, head was starting to clear and feeling like I had mild fever was gone. Headache was no longer. Each day thereafter, my head seemed to be more cognitive/clearer and looking back, I could tell I was not thinking clearly, with difficulty remembering things. Since I was not working, fogginess had zero impact on my lifestyle. I should note the first shot, received on 2/13/2021, I had no effects at all. Nothing. Since I was not feeling very well during this time, I tended towards comfort foods which elevated my blood sugar, but that returned to normal levels by 3/9/2021.

Other Meds: 1.)metformin-145mg 2 tabs, taken once daily; 2.)pregabalen-50mg, 2 caps twice daily; 3.)Farxiga-10mg, once daily; 4.)Lovastatin, 20mg once daily,; 5.) Glipizide, 10 mg once daily; 6.) atenolol 25mg, once daily,; 7.) montelukast(singulair) 1

Current Illness: Sinus infection; 2 teeth pulled due to bad crowns

ID: 1104064
Sex: F
Age: 79
State: KY

Vax Date: 03/06/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: n/a

Symptom List: Anxiety, Dyspnoea

Symptoms: 5 days later reports extreme dizziness/fatigue. No other symptoms noted. Reviewed severe side effects and what to do including calling 911, call doctor.

Other Meds: n/a

Current Illness: n/a

ID: 1104065
Sex: F
Age: 49
State: MI

Vax Date: 01/11/2021
Onset Date: 03/01/2021
Rec V Date: 03/16/2021
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: received 2nd dose of Pfizer COVID vaccine 1/11/2021. On 3/1/2021 developed body aches, headache, cough, sore throat, rhinorrhea, loss of taste/smell, nausea / emesis

Other Meds: none

Current Illness: none

ID: 1104066
Sex: F
Age: 82
State: OH

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/16/2021
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: 3-9-21 1PM PT C/O 'LIGHT BURNING IN STOMACH & MILD HEADACHE' A/O, PINK, W/D, RESP REG WITH EASE. NO SOB, NO NAUSEA, NO DIAPHORESIS. 1:05PM 'FEELS BETTER NOW'. NO ACUTE OR OBVIOUS DISTRESS. 1:10PM AMBULATORY TO EXIT- GAIT STEADY. NO DISTRESS NOTED. 3-10-21 9:30AM PT STATES'FEELS BETTER- SYMPTOMS RESOLVED'.

Other Meds:

Current Illness:

ID: 1104067
Sex: F
Age: 81
State: MA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/16/2021
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

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

Symptoms: Severe chills started on Saturday, March 6 at11 pm, lasted thru night. Headache, body aches. In morning 6:30 am weak, nausea, dry heaves, sweating, lethargic till Sunday morning at 9:30 am. Able to eat toast and tea, most symptoms abated, just extremely tired rest of day. By 12 noon on Monday back to normal routine.

Other Meds: Simvastatin, Levothyroxine, Zyrtex, Calcium, Vitamin D3

Current Illness: Root Canal treatment, antibiotic therapy for12 days, completed 10 days prior to second Moderna Covid 19 vaccine EUA shot

ID: 1104068
Sex: F
Age: 74
State: CT

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 03/16/2021
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: Severe headache, body ache, elevated fever beginning around 11:30pm day of vaccine. Tylenol taken on morning of 2/17/2021 helped reduce fever and headache. Fatigue a factor the remainder of the day. 24 hrs. later (2/18) all symptoms were gone and normal activities resumed.

Other Meds: Tylenol, Claritan, B12, D3, Daily multi-vitamin

Current Illness: none

ID: 1104069
Sex: F
Age: 79
State: MA

Vax Date: 02/01/2021
Onset Date: 02/13/2021
Rec V Date: 03/16/2021
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: Plavix

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Moderna COVID-19 Vaccine EUA About 1-1/2 wks after the first vaccination, every muscle/joint in my body started aching. It is now over 2 weeks after the second shot, and it only gets worse. I have a hard time getting out of a chair without assistance, much less off the toilet.

Other Meds: Metoprolol Levothyroxine Rosuvastatin Baby aspirin Fish oil CoQ10 Magnesium Vitamin D

Current Illness:

ID: 1104070
Sex: U
Age:
State: MI

Vax Date:
Onset Date:
Rec V Date: 03/16/2021
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: Pharyngeal swelling

Symptoms: Shortness of breath, large raised welt oni injection site, painful breathing, pinprick pain all over body, slight headache,,lasting 2day ,starting 10 days after injection.

Other Meds:

Current Illness:

ID: 1104071
Sex: M
Age: 72
State: GA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient with known history of ventricular arrhythmia s/p AICD placement. Per patient, no defibrillations in past 5 years. Received second dose of Pfizer COVID vaccine on 3/11 and started to feel ill that night into the following morning. States he felt like someone punched him. AICD monitoring program called patient to notify of defibrillation and sent to ED on 3/12. ED evaluated, wrote for amiodarone, and discharged home. Patient had two additional defibrillations at home and returned for admission 3/13. Patient has had repeat bouts of pulsatile ventricular tachycardia while inpatient. Placed on amiodarone infusion, AICD evaluated and adjusted per cardiology. Remains inpatient as of 3/16 when submitting this report.

Other Meds: atorvastatin 40 mg PO HS #90 tablet carvedilol 3.125 mg PO BIDBB #60 tablet doxycycline hyclate 100 mg PO BIDCC #14 tablet.dr folic acid 1 mg PO DAILY furosemide 40 mg PO DAILY PRN #14 tablet PRN Reason: WEIGHT GAIN furo

Current Illness:

ID: 1104072
Sex: F
Age: 70
State: FL

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 3 inches below injection site, swelling, pain, redness 4 inches long by 3 inches tall, skin hot to touch Symptoms faded without treatment

Other Meds: N/A

Current Illness: N/A

ID: 1104073
Sex: M
Age: 41
State: NY

Vax Date: 02/06/2021
Onset Date: 02/09/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, certain high blood pressure medicines

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

Symptoms: I have a skin rash spread on the back of my scalp, neck, shoulders, chest, cheek. I have received medical assistance and medicine however the rash remains or comes back. It is quite irritating to the skin and Mars to troublesome to get sleep.

Other Meds: Metformin, zinc, vitamin C, multi vitamin, atorvastatin, valsartan, pioglitizaone

Current Illness: Diabetes, elevated blood pressure

ID: 1104074
Sex: F
Age: 69
State: AZ

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
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: Ampicillin is the only known allergy I have. Had NO reaction to first vaccine.

Symptom List: Rash, Urticaria

Symptoms: Rash, about 3" in diameter around injection site. Slight itching.

Other Meds: Noticed a rash, slightly itchy, in addition to soreness at injection site. Rash is a 3" area, basically entire upper arm. Was at dermatologist yesterday for another issue and had her look at the area. She prescribed a steroid ointment to

Current Illness: None

ID: 1104075
Sex: F
Age: 46
State: TX

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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, CEPHALOSPORINS, PINEAPPLES, AVACODOS

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

Symptoms: HEADACHE, SORE ARM, NAUSEA, DIZZINESS, JOINT PAIN, FEVER, AND TIRENESS

Other Meds: MINIVELLE ATCH 0.1MG TWICE WEEKLY, PORTONIX 40MG QD, BOTOX SQ 3Q MONTHS, BREO 200/25MCG 1 PUFF QD, SINGULAR 10MG QD, TRINTELLIX 20MG QD, CELEBREX 200MG QD, DIGESTIVE ENZYMES, PROBIOTIC, CALCIUM1200MG/VIT D25MCG, VIT D3

Current Illness: N/A

ID: 1104076
Sex: F
Age: 77
State: NH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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's, Sulfur, Environmental: trees, plants, dust

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

Symptoms: Patient stated that she got redness in her arm from her elbow up, pain and itchiness. It lasted a few days and is now not presenting with symptoms

Other Meds: Vitamin C, Vitamin D3 + K2, Qubrectin with bromelian, atenalol, irbesartan, tumeric

Current Illness: No

ID: 1104077
Sex: F
Age: 64
State: NC

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
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: Septra

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

Symptoms: Received vaccine 1:20 pm on 3/14/2021, That night experienced chills, headache, fever and nausea. Chills and headache throughout following day. Fever broke after taking Tylenol. Not allowed back to work for 48 hrs after shot due to adverse effects,

Other Meds: Hormone replacements, vitamins

Current Illness: None

ID: 1104078
Sex: F
Age: 85
State: FL

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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: Eleven days after the first shot, I developed shingles. The day after the second shot, I developed fever, severe headache, vomitine, diarrhea which has lasted four days. I could neither eat nor sleep. It felt like I had been poisoned. This is not a small reaction!

Other Meds: PREDNISONE ADVAIR CARBMAZETINE MIRALAX LEVOCETRIZINE DULOXIDINE COQ10 PRESERVSION

Current Illness: FACIAL NEURALGIA SCIATICA

ID: 1104079
Sex: F
Age: 23
State: PA

Vax Date: 02/02/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
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 known allergies

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

Symptoms: Abdominal pain, nausea, vomiting, low grade fever, headache, body-aches, fatigue, joint pain, jaw pain, sharp chest pain when breathing and swallowing, etc. Was seen in hospital ED on 3/14/2021. Covid-19 tested negative on 3/14/2021. Missed work two days.

Other Meds: BC pills and multivitamins

Current Illness: None

Date Died: 03/15/2021

ID: 1104080
Sex: F
Age: 73
State:

Vax Date: 02/06/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
Hospital: Y

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: death

Other Meds:

Current Illness:

ID: 1104081
Sex: F
Age: 58
State: FL

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

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

Lab Data:

Allergies: Penicillin, Keflex

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fatigue, soreness at site

Other Meds: Tarceva,Sulindac, Robaxin, Gabapentin, Morphine, Famotatine

Current Illness: Familial Adenomatous Polyposis

ID: 1104082
Sex: M
Age: 75
State: TX

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Fell twice and had to call son-in-law to get me from floor both times. Extreme weakness. Felt like stroke. Taken to hospital and treated for de-hydration.

Other Meds: atorvastatin, glipizide, lisinopril, metformin, amlodipine, small dose aspirin, persarvision vitamin, vitamin b complex with c, vitamin d,

Current Illness: none

ID: 1104083
Sex: M
Age: 27
State: IN

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient was vaccinated on 14MAR21 at 2000. At 2230, the patient returned to the vaccine room complaining of fatigue and nausea. He was evaluated and monitored by one of our registered nurses for 30 minutes before going home. He had a friend drive him home. He will follow-up with our onsite nurse as needed.

Other Meds:

Current Illness:

ID: 1104084
Sex: F
Age: 64
State: TN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 03/16/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine

Symptom List: Unevaluable event

Symptoms: Admitted to hospital- Acute severe progressive hypoxic respiratory failure- intubated, trach placed, COVID-19 pneumonia, Afib Patient treated at primary care office 01/13/2021 for respiratory illness (tested negative for COVID at this time), had vaccine 01/20/2021, developed headache and tested positive COVID-19 the following day 01/21/2021. Symptoms worsened with nausea and shortness of breath. Patient admitted 01/29/2021, condition progressed- intubated 02/07/2021, trach placed 02/25/2021.Discharged to specialty hospital 03/12/2021 for continued respiratory support and rehabilitation

Other Meds: Metformin, Folic Acid, Ambien, Hydrocodone, Lipitor, Buspirone, Gabapentin, Effexor, Lisinopril, Pantoprazole, Synthroid, Baclofen, Diclofenac

Current Illness: treated by PCP office on 01/13/2021 for cough, shortness of breath and sore throat

ID: 1104085
Sex: F
Age: 62
State: PA

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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: Cefaclor

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

Symptoms: Rash around Deltoid/Bicep of left arm. Circular pattern around injection site with itching. Symptoms have began resolving themselves with no intervention or treatment.

Other Meds: none

Current Illness: none

ID: 1104086
Sex: F
Age: 54
State: AZ

Vax Date: 02/23/2021
Onset Date: 03/01/2021
Rec V Date: 03/16/2021
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: Lamasil Minocycline

Symptom List: Injection site pain, Pain

Symptoms: Chills, fever, headache, fatigue, cough,

Other Meds: Vitamin B complex Probiotic Estrovera

Current Illness: None

ID: 1104088
Sex: M
Age: 72
State: ME

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/16/2021
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: Injection site pain, Menorrhagia

Symptoms: Severe diarrheia. 4 - 6 episodes day and night. Lasted for 4 1/2 weeks

Other Meds: Latanoprost, Advair

Current Illness: moderate high BP

ID: 1104089
Sex: F
Age: 75
State: TX

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Since second shot March 1 I have had extreme tiredness and aching joints. Next day March 2nd, was very bad and got worse as the day went along. Next morning March 3rd things were better but still tire easily, I can?t do what I usually do. Hip joints are painful when I try to get out of a chair or bend even going up stairs is hard.

Other Meds: Levothyroxine 50mm

Current Illness: None

ID: 1104091
Sex: M
Age: 48
State: NJ

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
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: Corn, Tomatoes, Fish, Shellfish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Primary Adverse Event: Tinnitus in right ear, slight loss of hearing in right ear. First noticed 3/14 at approximately 3:00pm (28 hours after vaccination) and has continued through time of this report. Additional side effects: Fever and chills started approximately 10 hours after vaccination and persisted for approximately 7 hours. Fatigue began approximately 4 hours after vaccination and has gradually become less as of the timing of this report.

Other Meds: Metformin, Bydureon, Lisinopril, Nexium, Crestor, Lexapro, Multi-Vitamin

Current Illness: n/a

ID: 1104092
Sex: F
Age: 18
State: FL

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient explained tachycardia in the early morning that came and went following the vaccination. She stated she was going to urgent care for treatment.

Other Meds: N/A

Current Illness: N/A

ID: 1104093
Sex: M
Age: 51
State: IN

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: sore shoulder - ongoing, headache - 2 days, fatigue - ongoing

Other Meds: alprazolam, propranolol, gabapentin, quetiapine, lamotragine, aspirin, omega 3-6-9 fish oil, magnesium, chromium gtp, vitamin d, solaray multivitamin, zinc, amphetamine salts, lithium, amlodipine besylate

Current Illness: Bipolar I, Generalized Anxiety, PTSD

ID: 1104094
Sex: M
Age: 68
State: OR

Vax Date: 03/08/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
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: Nausea

Symptoms: left Facial paralysis, left eye tearing - dispatch to ED to R/O stroke. Pt was diagnosed with Bells Palsy and discharged home with prednisone and valacyclovir.

Other Meds: lisinopril, metformin,hydrocholorothiazide, L-thyroxine, atorv

Current Illness: None

ID: 1104095
Sex: F
Age: 64
State: MO

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain

Symptoms: Muscle aches, headache, nausea, fatigue and dizziness.

Other Meds: None

Current Illness: None

ID: 1104096
Sex: M
Age: 21
State: ME

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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, latex, oranges

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

Symptoms: After 11 hours of getting the vaccine I believe I experienced a sleep seizure. I woke up abruptly, shaking uncontrollably with absolutely no control over myself. Since then I've only experienced the normal side effects, muscle fatigue, headaches etc.

Other Meds: None

Current Illness: None

ID: 1104097
Sex: F
Age: 39
State: NC

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

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

Symptoms: Large red circle at injection site appeared yesterday. The area itches and is warm/tender to the touch.

Other Meds: Multivitamin, elderberry syrup

Current Illness: No illnesses

ID: 1104098
Sex: F
Age: 28
State:

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/16/2021
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: Tinnitus- very loud ringing in ears

Other Meds: Vitamin D, L-Thelanine, GABA

Current Illness:

ID: 1104099
Sex: F
Age: 61
State: UT

Vax Date: 01/27/2021
Onset Date: 03/05/2021
Rec V Date: 03/16/2021
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

Symptom List: Erythema, Pruritus

Symptoms: Bi-lateral breast pain. I have not had much breast pain with my fibrocystic disease as I have gotten older but for 6 weeks after the second dose it felt as bad as it ever has. It kept me up at night and I had to take OTC pain relievers.

Other Meds: tamoxifen, simvastatin, Calcium, Vitamin D, Magnesium

Current Illness: None

ID: 1104100
Sex: F
Age: 43
State: OK

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: nka

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

Symptoms: 10 minutes after the vaccine was given patient reported nausea. Said she had an overnight shift, then CPR class. So hadn't slept and hadn't ate since 3am. Gave her some peanut butter crackers and water. At the end of 30 minutes post vaccine she felt better and left to get food and sleep.

Other Meds:

Current Illness:

ID: 1104101
Sex: M
Age: 65
State: CO

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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: Ultracet Lisinopril

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

Symptoms: Bad headache and Nausea from 4:00am until 5:00pm.

Other Meds: Metoprolol Succinate ER 25mg, Allopurinol 300mg Tamsulosin HC10.4mg

Current Illness:

ID: 1104102
Sex: F
Age: 28
State: IN

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Around 12:00 a.m. on Monday, March 15, 2021 (which was 12 hours after receiving the vaccination) I started to experience cold chills so severe I thought I was having a seizure. My husband stacked 10+ blankets on top of me trying to get me to warm up. I was running a fever of 103, and my heart rate was at 104 all night long. My fever didn't break until shortly before 8:00 a.m. on Monday, March 15, 2021 but my heart rate stayed between 95 - 102 most of the day. The body aches weren't too terrible, but I did have those. I have bruising, puffiness, and swelling at the injection site.

Other Meds: I take a birth control (Lo Estrin Fe), and after the vaccination I took Tylenol to try to help.

Current Illness: N/A

ID: 1104103
Sex: F
Age: 36
State: VA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/16/2021
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: IV Contrast

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

Symptoms: The morning after the shot, I noticed vaginal bleeding/light spotting. I thought maybe it was just a slight reaction. By the evening, it had become heavier. By the following day, it was heavy and clotting was starting to develop. The Tuesday and Wednesday following the vaccine I had extremely heavy vaginal bleeding and clotting - going through a super plus tampon every hour and a half to two hours. By Thursday it had subsided a bit. By Friday it had lightened tremendously and by the following Saturday it was gone. But then Saturday evening the spotting picked up again. Sunday (3/14) the flow picked up again and by Monday (3/15) it was heavier with small clotting. Today (3/16) it is heavier with clotting again. My gynecologist did an exam and advised that I double my birth control for a few days to see if that will control it. She also took blood work (results not in yet).

Other Meds: Advair and Albuterol for asthma; Balziva birth control

Current Illness: None

ID: 1104104
Sex: F
Age: 47
State: KY

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: 2 areas of rash/hives near injection site

Other Meds:

Current Illness:

ID: 1104105
Sex: M
Age: 69
State: OH

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
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: DAY 1 (3/11/2021) - injection site mild soreness DAY 2 - fever of 99.2, achiness, flu-like symptoms DAY 3 - normal temperature, fatigue, sleeping 14 hours, some dizziness DAY 4 - maintaining normal temperature with mild fatigue, 2 isolation incidences of short term memory loss, some dizziness DAY 5 - maintaining normal temperature no fatigue, 3 more isolation incidences of short term memory loss

Other Meds: Multi-Vitamin tablet

Current Illness: none

ID: 1104106
Sex: M
Age: 59
State: IN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/16/2021
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: Fever (reached 102.3) Fatigue Headache nausea Symptoms started about 8pm (7 hours after vaccine) and were in full force by 10pm. The fever and associated shivering kept me awake until about 4am. Woke up about 9am the next morning feeling much better. Fever was down to lower 99. Aside from being tired I was felling fine by noon.

Other Meds: none

Current Illness: none

ID: 1104107
Sex: F
Age: 61
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/16/2021
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: 3-10-21 7:15PM PT 'FEELING ANXIOUS, NUMB, DIZZY - IS DIETING AND IS TAKING ADIPEX. ONLY ATE TOAST TODAY AND 2 BITES OF CANDIES'. GIVEN JUICE AND CRACKERS. 7:25PM 'FEELS BETTER'. AMBULATORY TO EXIT WITHOUT DISTRESS. 3-11-21 9:30AM PT STATES 'FEELS 100% BETTER NOW'.

Other Meds:

Current Illness:

ID: 1104108
Sex: F
Age: 44
State: GA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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: After receiving the J&J covid vaccine, I experienced fatigue, muscle aches, headache, and chills.

Other Meds: Women's multivitamin Claritin Nuvaring

Current Illness: Seasonal allergies

ID: 1104109
Sex: F
Age: 82
State: WI

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: Latex, Opioid Analgesics, Anastrozole

Symptom List: Vomiting

Symptoms: After about 1 week my arm started swelling, getting red and itching tremendously and mild pain.

Other Meds: baby aspirin, atorvastatin, CoQ 10, Cranberry PO, Losartan,Magnesium PO, Metformin, Metoprolol, Pantoprazoli, Xarelto,Sotalol, Vitamin B12, Vitamin D POL

Current Illness:

ID: 1104110
Sex: F
Age: 41
State: CA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/16/2021
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: Ibuprofen

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Injection site is hot to the touch and a different temperature than the rest of my arm and body. My mensuration cycle was delayed by a week.

Other Meds: None

Current Illness: None

ID: 1104111
Sex: F
Age: 71
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: Rapid heart rate that lasted through the night subsided in the morning, severe muscle aches and chills

Other Meds: Cranberry , vitamin D, fish oil

Current Illness: None

ID: 1104112
Sex: F
Age: 67
State:

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 03/16/2021
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: Penicillin and Climdamyacin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Rash around face, night sweats.

Other Meds: Armour Thyroid, Once-a-Day daily vitamin, Hyaluronic Acid, Calcium, Iron,

Current Illness: none

ID: 1104113
Sex: F
Age: 36
State: PA

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: Low fever, chills, body aches, tiredness

Other Meds: Multi vitamin Polymyxin B Sulfate and Trimethoprim eye drop

Current Illness: None

ID: 1104114
Sex: F
Age: 19
State: VA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/16/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: 3 Seizures on 3/10 8 Seizures on 3/12 Placed on Ventilaor 3/12 Removed on 3/13 5 seizures on 3/13 Placed back on vent 3/13 Removed from vent 3/15 Seizure on 3/15

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm