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: 1106465
Sex: M
Age: 71
State: OK

Vax Date: 02/19/2021
Onset Date: 02/22/2021
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: Sinus before first covid shot.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Swollen left arm. Sinuses inflamed with heavy mucus. Throat infamed. I was afraid the mucus would travel into my lungs. Went to health facility the 25th of February to phyician`s assistant for medical care.

Other Meds: Zyrtec pills. 4 days before first covid shot

Current Illness: None

ID: 1106466
Sex: F
Age: 43
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: HTN Rx side effects

Symptom List: Anxiety, Dyspnoea

Symptoms: After 2nd moderna vaccine I experienced severe headache x 5 days with increased intracranial pressure x 2 days, pressure in the facial area, unable to walk due or pass stool due to head pressure x 2d. Chills and fever of 102 F x 2 days. Headache so severe I thought I could get a stroke but with rest and taking tylenol and advil it started to resolve.

Other Meds: Tekturna 150 mg qd for HTN after the vaccine

Current Illness: None

ID: 1106467
Sex: M
Age: 32
State: OR

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: Quetiapine, Aspirin, Hydrocodone, Morphine, Tramadol, Vicodin, Gabapentin, Penicillin, Ibuprofen, Depakote, Clindamycin, Carbamazepine = Hives

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

Symptoms: Lightheadedness, nausea, SOB, seizure-like activity - stiffening, arching back, rapid eye mvmt, not following commands.

Other Meds: Unknown

Current Illness: None reported

ID: 1106468
Sex: M
Age: 41
State: TX

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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 known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 4:30pm- vaccine given. 4:40pm- client reported having a 'weird sensation' in the back of his throat to EMT. 4:45pm- 25mg PO benadryl given. In stable condition. Declined SOB, itching, hives. No angioedema noted. 5:00pm- client states no worsening or improvement of 'weird sensation' to the back of his throat. Another 25 PO benadryl given. 5:15pm- client reports all symptoms resolved. Monitored and left at 5:25pm. Declined any further medical care during time in public health vaccine clinic.

Other Meds: Escitalopram, testosterone

Current Illness: None

ID: 1106469
Sex: F
Age: 51
State: CT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
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: Medications ,wheat

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

Symptoms: Dry mouth and difficulty swallowing felt like my throat swelled up . palpitations and sob ..within 5 -10 minutes resolved . Weakness within 20 minutes and dizziness later that night into next day . Itchy injection site at night .

Other Meds: none

Current Illness:

ID: 1106470
Sex: M
Age: 39
State: PA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: penicillin, lisinopril

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

Symptoms: Pt developed urticaria on arm where he received vaccination (L arm) about 3 hours after vaccination. Also with itching of whole body. No wheezing, shortness of breath, or other symptoms.

Other Meds: amlodipine, aspirin, flexeril, insulin, atrovent,

Current Illness:

ID: 1106471
Sex: F
Age: 79
State: PA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: Shellfish, and Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The patient stated that she gets paralyzed after getting vaccines. I asked her if she had someone in the pharmacy to help her. She said she came alone. I told her I would have her wait 30mins after dose to make sure there were no issues. After I gave her the shot, she looked at me and said that didn't hurt at all. Then she looked and said my neck hurts. So I had her take deep breaths with me to get her to calm down as she appeared anxious. She was doing great then she went limp. I held her head up and asked her is she was ok. She said she was, but then her breathing become shallow. She was un responsive at this time with her tongue pushing her mask off her mouth. So I lowered her mask and her tongue appeared to be enlarged. I had my technician call 911 and I gave her a dose of epinephrine 0.3 mg. She was unresponsive, but breathing on her own. The paramedics came and got her vitals, placed her on stretcher, and put in a medicine line to give her medications if need be. She left somewhat unresponsive. They said she should be fine and took her to ER.

Other Meds: Taken from patient profile at our sister pharmacy. Restasis, Donepezil, Potassium, and Furosemide

Current Illness: unknown at this time

ID: 1106472
Sex: F
Age: 35
State: CA

Vax Date: 03/16/2021
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: LA

Lab Data:

Allergies: Nkda

Symptom List: Pharyngeal swelling

Symptoms: Patient c/o swollen tongue. Vss. Patient is aox4. 50mg benedryl given IM. 5 mins later, VSS. Patient stated symptoms have not improved. Patient noted itchy throat and itchy tongue. 0.5mg IM epi given. Paramedics called. Patient is aox4. NAD noted.

Other Meds:

Current Illness: Fibroids removal

ID: 1106473
Sex: F
Age: 62
State: WA

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: right side of face numb

Other Meds:

Current Illness:

ID: 1106474
Sex: F
Age: 68
State: OH

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: Bactrim

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I woke up the next morning after my vaccination with severe vertigo. On my 6th day of Vertigo I started physical therapy. I had it on both sides. It took numerous treatments (Epley maneuver ) and 2 weeks to get rid of it. I had my 2nd vaccine 3/10/21 and woke up dizzy and nauseous and ended up with Vertigo again. I start physical therapy again on 3/18/21. Two vaccinations and two bouts of vertigo.

Other Meds: Emgality injection Acid reducer Stool softener

Current Illness: None

ID: 1106475
Sex: F
Age: 60
State: CA

Vax Date: 03/16/2021
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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: At approximate 1435- this RN at patient?s side. Speaking with patient, patient c/o feeling hot. Patient verbalizing, state not feeling well. RN called to bedside for assistance. Pulse ox 96% HR 46. Patient attempting to drink some water, states not feeling well. Patient noted to be slightly pale. ? Adm team notified- RN (Lead RN in post recovery) and site lead ? Adm team at bed- and RN ? Patient became pale, states feeling funny, assisting to lie down, syncope episode for approximately 10 seconds noted ? Patient laid down on floor with assistance by RN and RN ? no trauma ? Legs elevated ? 1435 Hr 46, B24 BP 139/90, pulse ox 96% ? 1436-Legs remain elevated, patient verbalizing giving history ? 1437- patient denies allergies, states has never received any type of vaccine before ? 1438- patients states prior history of MI in Dec/2019. On medications- Benazepril, Asa, Lipitor ? Patient denies pain, states feeling better, refusing 911 ? 1443 BP 160/100, P63, R-20 Pulse ox 94%. Patient states feeling better refusing 911. Skin color improving, remains verbalizing ? 1450- patient refusing 911, requesting husband ? 1451- skin color improved, perfused, assistance to chair, calling husband ? 1453- husband at bedside ? 1454 patient remains awake, alert, oriented x4. Skin color perfused, warm and dry to touch. Husband remains at bedside, patient states ?feels fine? states at baseline. ? 1458 vital signs updated- BP 130/90, Hr 61, R 16 pulse ox 96 percent. Patient laughing, states feel fine, RN remains at bedside, speaking and educating patient. ? 1459 Patient signing for refusal of transport. Patient educated by this RN and RN any changes in status to call 911. Patient and husband stated understanding. ? Patient signed for refusal of further observation and refusal of transport. Patient ambulatory on leaving with strong, steady gait.

Other Meds: Benzepril, lipitor, ASA

Current Illness: none

ID: 1106476
Sex: F
Age: 52
State: CA

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Shot received at 4pm 3/12. Sore arm evening of shot, very tired next 2 days and sore arm. Only slight soreness in arm on 15th & 16th

Other Meds: Pradaxa, atorvastatin,furosemide,losartan,metoprolol succinate,flecainide

Current Illness:

ID: 1106477
Sex: F
Age: 61
State: AZ

Vax Date: 01/12/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Chills on the night of vaccination. I felt sluggish the next day and had a sore throat. It was like laryngitis. I used a telehealth service. I had a white spot on my throat. I was prescribed Amoxicillin and took Theraflu which seemed to work. I was also tested for Covid-19 three days after the Vaccine and tested positive. Second dose received with no problems. Second dose 030M20A

Other Meds:

Current Illness: Possible Covid-19 at time of vaccination.

ID: 1106478
Sex: F
Age: 31
State: TX

Vax Date: 03/08/2021
Onset Date: 03/16/2021
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: SSRIs

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

Symptoms: circular red rash at the injection site; slightly painful when touched

Other Meds: Pristiq, Yaz, Vitamin B12, Vitamin D3, Allegra, Flonase

Current Illness:

ID: 1106479
Sex: M
Age: 49
State: CO

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: Levaquin, Senna

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

Symptoms: Patient called in with numbness to tongue and tingling lips approximately 30 minutes post vaccination.

Other Meds:

Current Illness:

ID: 1106480
Sex: F
Age: 71
State:

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: About 45 minutes after vaccination (shot 1) pt developed large left knee effusion. No trauma, no history of similar, no history of joint disease. Large effusion appreciable on exam. transferred from vaccination clinic to hospital via 911

Other Meds:

Current Illness:

ID: 1106481
Sex: M
Age: 79
State: RI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
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: erythromycin, adhesive tape, latex, pencillin, seafood

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

Symptoms: Patient reports continued pain at L shoulder joint after receiving first Moderna vaccine. This was reported when coming to receive his second dose from writer today. pain started resolving 1-2 days ago in the L shoulder and pt believes it is slowly getting better.

Other Meds:

Current Illness:

ID: 1106482
Sex: F
Age: 16
State: IL

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/16/2021
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: First dose of Moderna Covid-19 Vaccine was administered to person under the recommended age under the EUA . No adverse outcome for this patient. 2nd dose not given.

Other Meds:

Current Illness:

ID: 1106484
Sex: F
Age: 34
State: IL

Vax Date: 03/05/2021
Onset Date: 03/08/2021
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Rash at injection site, very itchy and red. Rash stopped 1-2 days after 3/8 Hard lump at injection site 3/15 Itchiness has continued since rash, but no rash present.

Other Meds:

Current Illness:

ID: 1106485
Sex: F
Age: 54
State: MO

Vax Date: 01/11/2021
Onset Date: 01/13/2021
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: Sulfa Asper Cain Sugar substitute Glue on back of Band-Aid Latex - questionable

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

Symptoms: Initially, my arm was sore and I had extreme nausea. That lasted for about 2 weeks. My doctor told me to take Prilosec.

Other Meds: HCTZ 25mg Estradiol 2mg once a day Allegra D 24hr once a day Levothyroxine 125microgram Xanax .25mg

Current Illness:

ID: 1106486
Sex: F
Age: 72
State: IL

Vax Date: 03/08/2021
Onset Date: 03/16/2021
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: none

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

Symptoms: Site of injection has red rash and is hot, swollen and my arm is sore.

Other Meds: Lisinopril 5mg simvastatin 20mg Prevacid synthroid

Current Illness: none

ID: 1106487
Sex: F
Age: 60
State: MI

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Bee sting causes anaphylaxis

Symptom List: Unevaluable event

Symptoms: My arm immediately swelled up at injection site probably a little smaller than a golf ball. Applied ice pack immediately. After about 15 minutes I became lightheaded, nauseous and severely diaphoretic, lasted about 45 minutes. I was laid down on a mat snd monitored by several nurses. Taking my blood pressure, monitoring my oxygen and heart rate. Applied ice packs to neck and forehead. I felt better when I left but kind of out of it and fatigued for a few days. The healthcare professionals were great!

Other Meds: Warfarin, hydrochlorothiazide, Norvasc, Zyrtec, Pepcid, calcium

Current Illness: None

ID: 1106489
Sex: F
Age: 34
State: FL

Vax Date: 03/08/2021
Onset Date: 03/16/2021
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: nkda

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

Symptoms: patient experienced symptoms of "covid arm", redness, swelling, and itching at the injection site which ocurred 7 days after the injection

Other Meds: unknown

Current Illness: unknown

ID: 1106490
Sex: M
Age: 44
State: OH

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: NKDA

Symptom List: Injection site pain, Pain

Symptoms: Sweating Headache

Other Meds: Atenolol

Current Illness: None

ID: 1106491
Sex: F
Age: 68
State: ID

Vax Date: 03/06/2021
Onset Date: 03/08/2021
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: Generalized fatigue, aches and pains especially in major joints

Other Meds: Metformin, sertraline, omeprazole, victoza

Current Illness: Covid arm

ID: 1106492
Sex: F
Age: 60
State: LA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
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: I had a fairly severe case of Covid, diagnosed on December 28, 2020. I would estimate that symptoms lasted for 3-4 weeks. I received my first Covid vaccine on March 13. I awakened in the middle of the night after the shot with fever of 102, chills, nausea, and a headache. My arm was swollen and throbbing with a large red circle where the shot had been administered. These symptoms continued until Monday at around noon, for over 24 hours. I am writing to you because I think the CDC must study whether or not people who have had Covid should be taking these shots, certainly not both shots. I will NOT be taking the second shot.

Other Meds: None

Current Illness: None

ID: 1106493
Sex: F
Age: 35
State: FL

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: LA

Lab Data:

Allergies: Zantac

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: About 6 afters after receiving the shot I started to feel body aches, which was followed by chills and then a fever of 102 and headache. I was mostly back to normal by the next morning, with just a minor headache and some fatigue. The next day I was back to normal.

Other Meds:

Current Illness:

ID: 1106494
Sex: F
Age: 75
State: VT

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: Aspirin, mold, pet dander

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: At 3 PM (6 hours after injection) my right hip became incredibly painful (12 on a scale of 1-10) and my right leg was not able to bear weight (it would "give" when attempting to walk). During the night, it felt like my hip was "on fire". 1000 mg of Tylenol Rapid Release helped. The pain was greatly diminished and my leg was able to bear weight by by 8 AM on the following day.

Other Meds: Taken daily, including morning of vaccine: 25 mg Losartan Potassium, 100 mg vit C with Citrus bioflavinoids, 50 mg CoQ10, 2 tablets of Bio-B complex, Vit D Emulsion Forte (d as cholecalciferol, sesame seed oil, gum arabic), 100 calcium/m

Current Illness: none

ID: 1106495
Sex: F
Age: 56
State: MO

Vax Date: 03/11/2021
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: Penicillin Demedex Kiwi food allergy

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

Symptoms: Injection pain within 1st hr ( actually had a zing in palm of my right hand when given shot); some redness & swelling about the size of a half dollar later in the evening, plus the site was hot. about 25 hours later the swelling was the size of a baseball, with redness and site was hot. I did have a temp of 99.9, temp taken about 30 hours after shot. I took Tylenol and put an ice pack on it. I did have a headache, but wasn't sure if that was sinus/allergy or from this, still painful. Five days later most of swelling has gone done, but still red and warm to touch.

Other Meds: Levothyroxin, & OTC allergy and Vitamin D

Current Illness: none

ID: 1106496
Sex: F
Age: 56
State: NY

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: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Fever of 102. Body aches chills and headache

Other Meds: None

Current Illness: None

ID: 1106497
Sex: M
Age: 58
State: IN

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: LA

Lab Data:

Allergies: NA

Symptom List: Injection site pain

Symptoms: Very Dizzy, buzzing sound, lost balance unable to walk or stand. For short period of time. Chills, ear ache, leg muscle fatigue, headache, upset stomach.

Other Meds: Tylenol, benazepril, finasteride. Ampicillin

Current Illness: NA

ID: 1106498
Sex: F
Age: 72
State: AZ

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: codeine only. No food allergies

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

Symptoms: My upper left arm has been itchy since the second or third day after receiving vaccine. Grew progressively worse, and my scratching broke the skin. It is almost healed, and itching has gone away. The skin on my chest and neck and back has developed small bumps, a few of them "itchy". I have rather sensitive skin, due to exposure when a late-teenager working as a lifeguard. I do not stay in the sun for "tanning". I've heard the second shot is more problematic, so I'm afraid of a "body breakout" when I get the second shot.

Other Meds: Levothryoxin

Current Illness: none

ID: 1106499
Sex: F
Age: 81
State: CA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: None

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

Symptoms: Immediately started seeing blurry and then eyes burned for 24 hours to the point that you couldn?t see. had to go to the optometrist for eyedrops

Other Meds: Unknown

Current Illness: Fibromyalgia

ID: 1106500
Sex: F
Age: 68
State: IN

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Moderna COVID-19 Vaccine Symptons / side effects began approximately 18 hours after injection and lasted approximately 24 hours, They included injection site tenderness and redness, fatigue, headache, chills and fever (100.6).

Other Meds: Prolia PFS 60 MG/ML every 6 months Calcium 600mg D3 1000IU Centrum Silver Women 50+

Current Illness: None

ID: 1106501
Sex: F
Age: 31
State:

Vax Date: 03/09/2021
Onset Date: 03/15/2021
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: Erythema, Pruritus

Symptoms: I?ve had severe joint pain, fatigue, muscle pain that were delayed 6 days after my shot. I have also experienced anxiety since my first shot and panic attacks. Weakness as well in my arms and legs for a month since the first shot.

Other Meds: Plaquenil

Current Illness:

ID: 1106502
Sex: F
Age: 42
State: PA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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:

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

Symptoms: Immediate large local reaction, 4" area induration/erythema/swelling/tenderness/warmth, no systemic sx

Other Meds:

Current Illness:

ID: 1106503
Sex: F
Age: 20
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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:

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

Symptoms: Dizzyness

Other Meds:

Current Illness:

ID: 1106504
Sex: M
Age: 47
State: VA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Vomiting, nausea, diarrhea, chills, fatigue

Other Meds: Lovastatin 20mg Metformin 1500mg Benazepril 40mg Amlodipine Besylate 5mg Bisoprolol Fumarate 10mg

Current Illness: None

ID: 1106505
Sex: F
Age: 74
State: MI

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/16/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfur Drugs, egg based products

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

Symptoms: Ocular stroke. A black curtain dropped down over right eye. Went to ER on the 28th, and was admitted. Had a blood clot in the right eye. Carotid artery right side did not have stenosis, they do not know why she had a stroke. Doctor can't say that it was caused by the vaccine. She now has a permanent blind spot in right eye.

Other Meds: Rosuvastatin 5mg, Levothyroxine 1mg, Baby Aspirin, CoQ10, D3, Tumeric

Current Illness: no

ID: 1106506
Sex: F
Age: 60
State: TX

Vax Date: 01/11/2021
Onset Date: 01/16/2021
Rec V Date: 03/16/2021
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: no

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

Symptoms: experienced chills and body pain on the 3rd day after receiving the 2nd dose vaccine . chills and body pain lasted for 2 days . on the fifth day felt like black curtain in front of my eyes and felt dizzy. checked my blood pressure was 170/90. Blood pressure went up to 200/100 . went to the hospital emergency and was admitted for observation overnight. CT, MRI , blood work done. BP controlled with medication Nefidefine 60mg. discharge home next day. was still having very light headedness and BP will shoot up to 190/90. physician had to change the medications couple of time. felt very exhausted . could not go to work almost 3 weeks because of the symptoms like lightheadedness. lasted at least 4 weeks to get back to work normal. never experienced this before. I was taking Olmasartan 5mg for blood pressure and my Bp always stated 130/80s

Other Meds: Glucophage, crestor, olmasartan ,MVT

Current Illness: none

ID: 1106507
Sex: F
Age: 37
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: no

Symptom List: Pain in extremity

Symptoms: Two hours you noticed swelling but I didn't think much of it. I started feeling a little weird and pain in the arm. About 01:00, I woke up and I was in a lot of pain. I had hives all over me. Hives were spreading all over my body: hair; arm with the injection; we called 9-1-1 I went to the hospital. They gave me some meds through IV. By that time, I had taken Bendryl and I was there about 4 hours with IV. I felt better but hives didn't subside. That Sunday afternoon they started getting worse again and I went back to the hospital (16th)and they gave me rounds of something through IV. On 17th, I went back to hospital - they gave me another shot for the hives. I worked on the 18th - but was they said I should go home because I didn't look well. My lip started swelling that night. On the 19th, I went to my doctor and the Dr, used an epi-pen on me and gave me a shot of something for the welts still on my body. They still didn't go away. Symptoms have calmed down - but I still have spots on me. I am on Prilosec and anti-itch - Atarax and some others.

Other Meds: no

Current Illness: no

ID: 1106509
Sex: M
Age: 70
State: GA

Vax Date: 01/26/2021
Onset Date: 02/16/2021
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: NKDA no reported current ill

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

Symptoms: Pain/swelling in left arm. Sent for venous duplex doppler. Results show: DVT in LUE

Other Meds: Atorvastatin, Lexapro, famotidine, omeprazole, losartan potassium, carvedilol, folic acid, Nasacort, vitamin B12, ferrous sulfate, vitamin C

Current Illness: No reported recent illnesses

ID: 1106510
Sex: F
Age: 72
State: FL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Extreme dizziness, nausea still Lasting after more than a month, though lessening

Other Meds: Levoxyl Premique

Current Illness: No

ID: 1106511
Sex: F
Age: 29
State: PA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Could not hear out of left ear for three days after vaccine.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1106512
Sex: F
Age: 49
State: WA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
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: sulfa, Iodine, Tetanus and diphtheria toxoids, Trimethoprim

Symptom List: Vomiting

Symptoms: sore red hot arm, that appeared 24 hours for 3 days, went away then reappeared 7 days later that increased in size with itching and hot to the touch, painful that kept growing in size. Went to UR care and instructed to place heat on and off. went away about 2 weeks later

Other Meds: losartan, metoprolol, spironolactone, pantoprazole, buspirone, cetirizine,

Current Illness: none

ID: 1106513
Sex: U
Age: 63
State: NY

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Shortly after receiving her vaccine, I was notified that patient had onset of SOB, chest pain, lightheadedness, and severe headaches. No lip/tongue/throat swelling noted. Initial BP 78/40, repeat 109/80. O2 sat and HR WNL. Pt taken to ER for further evaluation.

Other Meds:

Current Illness:

ID: 1106514
Sex: F
Age: 60
State: OH

Vax Date: 03/15/2021
Onset Date: 03/16/2021
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: Neomycin

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

Symptoms: Sharp, stabbing pain in middle of chest with every breath. The deeper the breath, the sharper the pain. Pain was severe in morning, first noticed around 4 a.m. and continued to be severe throughout the morning but very gradually eased up to moderate pain by afternoon. Now at 7 p.m., the pain is very slight, barely noticeable. I will call my doctor tomorrow to get it checked since I'm concerned about my heart, or it may or may not be related.

Other Meds: armodafinil, astelin, wellbutrin xl, Adderall, flonase, lasix, gabapentin, lamictal, synthroid, ativan, latuda, protonix, pravastatin, potassium chloride, L-methylfolate, multi vitamin, vitamin C, REMfresh.

Current Illness: None

ID: 1106515
Sex: M
Age: 39
State: UT

Vax Date: 02/02/2021
Onset Date: 02/21/2021
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: None known

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe middle back pain beginning February 21. Initially thought it was a kidney stone, but a visit to a urologist on February 25, determined it wasn't a kidney stone. The urologist ordered some blood work and that indicated that I most likely had blood clots. Went to the ER on the 25th and had further tests that determined that I indeed did have blood clots in my lungs.

Other Meds: None

Current Illness: None

ID: 1106516
Sex: M
Age: 78
State: PA

Vax Date: 03/16/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Chest pain rad to LUE about 5 min after vaccine admin assoc w nausea No SOB, swelling, itching, rash

Other Meds:

Current Illness:

ID: 1106517
Sex: M
Age: 69
State: FL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
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: RA

Lab Data:

Allergies: sulfa, codeine, and latex

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

Symptoms: arm swelling and a large bump at the injection site with pain

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm