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: 1109436
Sex: F
Age: 22
State: KY

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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: N/A

Symptom List: Dysphagia, Epiglottitis

Symptoms: Headache, Fatigue, Dizziness, Loss of Appetite, Shortness of breath

Other Meds: Wellbutrin, Lamictal, Tizanidine

Current Illness: N/A

ID: 1109437
Sex: M
Age: 43
State: IL

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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: lymph node enlargement

Symptom List: Anxiety, Dyspnoea

Symptoms: lymph node enlargement

Other Meds: None

Current Illness: None

ID: 1109438
Sex: F
Age: 43
State: VA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: N/A

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

Symptoms: On 3/16, around 8:55a, I received the vaccination. Around 3p, my arm started getting sore. I felt fine all day until around 10 something that night. I got really tired and had a slight headache. About 15 minutes later, I had chills. I checked my temperature and it was 99.8. I took Tylenol and went to sleep. I woke up in the middle of the night to use the restroom and my whole body was aching. I went back to sleep. I got up at 6am to get ready for work. My whole body was still aching and I was nauseated, had a pounding headache and really bad chills. I took my temperature and it was 102.9. I immediately took some Tylenol and laid back down for about an hour. I took my temperature again and it was 102.4. I have been taking Tylenol around the clock and drinking water and powerade because I do not have an appetite. The lowest my temperature has been is 101.9. My temperature keeps fluctuating. I have also broken out in a whole body sweat 3 times.

Other Meds: Allegra 180mg tablet, Omeprazole 40mg capsule and Bupropion 150mg XL

Current Illness: Covid and pneumonia

ID: 1109439
Sex: F
Age: 72
State: TX

Vax Date: 03/02/2021
Onset Date: 03/10/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Aspirin Nsaids

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Day 8 a hard, red spot approximately 1? in diameter. The area worsened and became very hot and itchy. Day 15 spot is about 6? x 5?

Other Meds: Metoprolol 25 mg Pravastatin 20 mg Senior multivitamin 2000 units D3

Current Illness: None

ID: 1109440
Sex: F
Age: 73
State: WA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Fever, Chills, Vomiting, Weakness, Tired, Rapid Heartrate

Other Meds: Pravachol, Gemfibrozol, omerazole, mybetrig, fish oil, vit D3

Current Illness: None

ID: 1109441
Sex: F
Age: 54
State: CA

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
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: Nausea, indigestion and fatigue

Other Meds: Vit D3-25mg/1000 IU Probiotics

Current Illness: none

ID: 1109442
Sex: F
Age: 47
State: AZ

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

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

Lab Data:

Allergies: N/A

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Bell's Palsy

Other Meds: N/A

Current Illness: Diabetes , Hypertension, RA

ID: 1109443
Sex: F
Age: 22
State: TX

Vax Date: 03/09/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Pharyngeal swelling

Symptoms: Redness, itchiness, swelling, soreness all around injection site.

Other Meds: Loryna birth control Setraline 150mg

Current Illness: Salmonella poisoning (minor)

ID: 1109444
Sex: F
Age: 36
State: MN

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

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

Lab Data:

Allergies: Topical antiseptic C-clor

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Flu like symptoms Fever for 24 hours - top measured at 101? Chills & body aches

Other Meds: Multi-vitamins

Current Illness: None.

ID: 1109445
Sex: M
Age: 70
State: CA

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 03/17/2021
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: Claritin, Erythromycin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Severe rashes occurred within one week of having the first vaccination. This lasted for two weeks before slightly subsiding. When I got the second vaccination, I was told to take Benedryl for the rash, and this helped, but there were many nights when it was impossible to sleep because of severe itching, large patches of dry skin, etc.

Other Meds: furosemide, tamulosin, atorvastatin, dilTIAZem, gabapentin, irbesartan, fexofenadine (Allegra)

Current Illness: none

ID: 1109446
Sex: F
Age: 62
State: IN

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: injection site pain, severe body aches, fever, chills unbalanced

Other Meds: none

Current Illness: none

ID: 1109447
Sex: F
Age: 73
State: IL

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Clarythromycin Doxycycline Lisinopril Cephaclor Hydrochlorothyazide

Symptom List: Rash, Urticaria

Symptoms: Migratory pain in all joints and muscles for approx 8 hrs followed by exhaustion and muscle pain for 24 hrs. Pain on day 2 , 3/16 was greater in lower back and hips. Residual muscle soreness and weakness on 3/17. Initial pain jumped from joint to joint . Intense enough to prevent any sleep. Out of commission for 36 hrs.

Other Meds: Metroprol Amlodopine FLuoxetene losartin

Current Illness: None

ID: 1109449
Sex: F
Age: 41
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/17/2021
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 known

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

Symptoms: Swelling of joints and muscle pain in lower body, hips/knees/ankles within hours of vaccination. Bedridden for the next week. Movement and walking is extremely painful and must be assisted with either a wheelchair or cane.

Other Meds: metoprolol; Tylenol 3; losartan; Daily multivitamin; diclofenac; Ambien; Paxil

Current Illness: None

ID: 1109450
Sex: F
Age: 45
State: MO

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/17/2021
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: Foods: Tree nuts (specifically pecans and walnuts) Medications: Sulfa

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

Symptoms: Around 8pm the evening of my injection I began experiencing chills and fever. Around 11pm I began feeling extremely nauseous and continued with the fever and chills. By 1 am I began throwing up. I had about 3 episodes of throwing up/dry heaves. By this time, I also had body aches and the fever continued throughout the night. I would guess I got several 2 hour naps between being sick, but by 5am the nausea finally subsided. The next day the fever and chills continued throughout the day. I couldn?t eat much, so I wasn?t able to take anything for the fever. I did get some water down throughout the day, but I was dehydrated by the end of the day. I would say the worst of the symptoms lasted about 12 hours. The next 24 hours were manageable: minor soreness at injection site, body aches, headache, low fever. I needed to take a day off from work.

Other Meds: Trintellix 10mg 1x day at night Cetrizine Hydrochloride 10mg 1x day at night Viactiv Calcium plus D 1 chew daily at night

Current Illness: No illness

ID: 1109451
Sex: M
Age: 52
State: CA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Swelling and pain at the injection site... Lethargic, dizziness, headache

Other Meds:

Current Illness:

ID: 1109452
Sex: F
Age: 53
State: CO

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/17/2021
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: Penicillin, Flonase, NSAIDS, and garlic

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

Symptoms: Approximately 3 hours after shot I became nauseous, intestinal cramps with diarrhea. Approximately 1 day later began having breathing issues. Not like an asthma attack. Just could not catch my breath, coughing trying to get air. I could not speak on the phone or in person without coughing to get air in my lungs. I started using an inhaler but it was not helping. I began using a Nebulizer; this helped slightly at first. On Feb 20th (I got a new box of meds for the nebulizer) since then I have gotten another box of nebulizer meds on March 3rd. I have used half of this box now. Also, on March 3rd, my doctor called in for a new inhaler, which started with 200 sprays and as of today I have 15 left. This has been going on for over a month! I have been using the nebulizer every morning and at night but still would wake up 4-5 times during the night to use my inhaler. I have difficulty feeding my horse without almost collapsing from lack of air.

Other Meds: Birth control, and Lysine powder

Current Illness: None

ID: 1109453
Sex: M
Age: 50
State: NC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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: Syncope, clammy/sweaty/grey skin, loss of bodily function and non-responsive for 1 minute, with O2 sat dropped to 91% after event. Onset approximately 2 minutes following injection.

Other Meds: None

Current Illness: Hyperdynamic left ventricle

ID: 1109454
Sex: F
Age: 46
State: UT

Vax Date: 03/02/2021
Onset Date: 03/04/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Pennicillin Aspirin Cinnamon oil

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Rapid heart rate, tachycardia and possible Atrial fibrillation detected (on a single lead EKG), dizziness and lightheaded. Heart rate went from the high 70s to the 140s. It has since slowed down to the low 100s, but it's still very high.

Other Meds: Multivitamin Vitamin C Black Cohosh Calcium Glucosamine Condroitin Rosuvastatin Fleccanide Metoprolol Eliquis Metformin Venlafaxine Buspirone

Current Illness: N/A

ID: 1109455
Sex: F
Age: 69
State: IN

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: egg yolks, latex, Prednisone, Bernadine, sulfa, Lyrica.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Severe headaches, fever, dizziness, joint aches,sleepy all the time, confusion, generally weak feeling, coughing. All continuous for 5 days after injection.

Other Meds: None

Current Illness: runny nose

ID: 1109456
Sex: F
Age: 0
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: No reported allergies on consent form

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

Symptoms: Patient consent form shows no allergies to medications or vaccines and was given Pfizer covid shot. She was not on any medications, and no known allergies to food. After roughly 10 mins she said she felt tired, her head was feeling heavy, her heart rate increased. Patient stated she was able to breath fine, alert of surroundings. Alert x 4. Felt cold and shivering. Heart rate was 110, came down to 90, and then increased to 99. 02 level was 99. Temp 97.3. BP 134/72. Ambulance was called out of caution and patient transported to hospital.

Other Meds: Unknown

Current Illness: None reported on consent form

ID: 1109457
Sex: F
Age: 69
State: NY

Vax Date: 02/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital: Y

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: Today, 03/17/2021, at 530 pm: light-headed, dizzy, nausea - so dizzy I can not walk. I have eaten and am hydrated. And the symptoms persist. I have felt bouts of light-headedness, dizzyness, and tinges of nausea that are mild since I got the 1st shot, but not prior to that. Six hours after the first shot, i felt dizzy, nauseous =and it dissipated by an hour and disappeared entirely by late the next morning (1/22/2021). After the second shot, I had no side effects. However, as i described above, I have felt slight nausea and lightheadedness during the past month or so. But this is very serious. And I am scared to walk.

Other Meds: Daily: red yeast rice (prescribed by my PCP for elevated cholesterol) , multi-vitamin for women over 65, curamin, vitamin D3 (2000 iu), vitamin C 1000 mg

Current Illness: none

ID: 1109458
Sex: M
Age: 87
State: WI

Vax Date: 03/09/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
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: Unevaluable event

Symptoms: On 3/15/21, patient called the pharmacy and stated he was short of breath and possibly had a rash. Recommended patient to be seen by a doctor. On 3/17/21, patient informed us that he did go to the ER, but they were unable to diagnose him with a cause for the SOB and were unsure if it was related to the vaccine or not.

Other Meds:

Current Illness:

ID: 1109459
Sex: F
Age: 68
State: NY

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Patient called the day after her 1st Covid vaccine, stating she had developed a itchy rash at the injection site.

Other Meds: Itchy rash at injection site.

Current Illness: None

ID: 1109460
Sex: M
Age: 37
State: NH

Vax Date: 03/12/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Headache Five days Elevated Troponin Myocarditis

Other Meds: depo Testosterone straterra biagra

Current Illness: none

ID: 1109461
Sex: F
Age: 16
State:

Vax Date: 03/17/2020
Onset Date: 03/17/2020
Rec V Date: 03/17/2021
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: Patient was only 17 at the time of dosing. Patient is a grocery store worker and is in the eligible phase. However, the age was not caught in the computer system or the pharmacy checking system. We will follow up with patient for the next 3 weeks.

Other Meds:

Current Illness:

ID: 1109462
Sex: F
Age: 23
State: CA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Severe chills. Teeth chattering. Vomiting. Extreme discomfort and flu like symptoms for 2 days. Teeth chattering

Other Meds:

Current Illness:

ID: 1109463
Sex: F
Age: 70
State: AR

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 03/17/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 1st vaccine resulted in A Red round circle size of a half $ coin. Itched intensely for 2 weeks. 2nd vaccine produced cold chills 12 hours after vaccine & lasted all night. Next day I felt like I had the flu & stayed in bed all day, took extra strength tylenol every 6 hours. Next day I felt better but rested a lot. Next day felt like nothing had ever happened to me.

Other Meds: Calcium600 mg x2; Estradiol tabs 2 mg; Synthroid 88; Spiriva 4 gm 2.5

Current Illness: None

ID: 1109464
Sex: M
Age: 35
State: VA

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

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

Lab Data:

Allergies: No

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever, chills, headache, tiredness, and muscle soreness.

Other Meds: Levothyroxin

Current Illness: No

ID: 1109465
Sex: F
Age: 49
State: AZ

Vax Date: 01/16/2021
Onset Date: 01/18/2021
Rec V Date: 03/17/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: On 1/18/2021 I started having very swollen lymph nodes they were very painful it lasted about 2 months to go completely away.

Other Meds:

Current Illness:

ID: 1109466
Sex: F
Age: 41
State: MS

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Nausea

Symptoms: Pain in the site of the injection started immediately. During the course of the evening, pain worsened and I began to feel fatigued. The next morning I woke around 5:30 am with pain in my back. I tried to get back to sleep and it was very difficult to rest. Finally, I got out of the bed around 7:30 am with a pounding headache and body aches along with back pain and my arm (at the site of the injection) is too sore to touch. There is also a red ring around the injection site (similar to the look of ringworm). The symptoms continued to get worse. I checked my temperature and it was 101.3 so I took some Tylenol. After several hours, the body aches had not subsided, so I took my temperature again and it was 100.5. At that time I took another dose of Tylenol. After about thirty minutes after the second dose of Tylenol, my temperature dropped to 99.1. The current time is 6:41 pm on March 17, 2021. This is what has occurred today (1 day after the vaccine).

Other Meds: Estradiol 1mg Ambien 10mg

Current Illness: N/A

ID: 1109467
Sex: F
Age: 43
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Palpitations, hard to swallow. Patient has history of anxiety. BP 126/72. Resolved

Other Meds: None

Current Illness:

ID: 1109469
Sex: F
Age: 61
State: OH

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient had swelling in face after administration

Other Meds:

Current Illness:

ID: 1109470
Sex: F
Age: 33
State: CA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/17/2021
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: Chills, fever, headache, body ache, nausea, diarrhea

Other Meds:

Current Illness:

ID: 1109471
Sex: F
Age: 29
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/17/2021
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: Na

Symptom List: Tremor

Symptoms: Gradual increase in fever (started at 99 and went up to 101.8 within 36 hours) Severe leg cramps Chills Fatigue but couldn?t sleep

Other Meds: Na

Current Illness: Na

ID: 1109472
Sex: F
Age: 16
State: UT

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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: Vancomycin

Symptom List: Erythema, Pruritus

Symptoms: Vaccine admin at 04:15pm on 03/17/2021. Patient began to have difficulty breathing and cold sweats at 04:20pm. Paramedics were alerted and arrived at 04:31 pm. They treated her for high CO2 level with oxygen and let her go.

Other Meds: None

Current Illness: N/A

ID: 1109473
Sex: F
Age: 28
State: PR

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: None

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

Symptoms: I had an rheumatoid Arthritis flare up along with a 101.7 fever that lasted from 10 PM on March 16th to 7AM March 17th. I still have flare up pain but not as bad. My hands were also somewhat swollen in the morning but went down during the day. I Took Tylenol 1000mg at 10PM and 1000mg at 5AM.

Other Meds: Imuran, sulfasalazine

Current Illness: None

ID: 1109474
Sex: F
Age: 26
State: KY

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: NKA

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

Symptoms: Vasovagal Syncope-patient began to faint.

Other Meds: NA

Current Illness: NA

ID: 1109475
Sex: M
Age: 33
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Passed out 5-10 seconds after injection. Passed out a 2nd time after waking up the first time. Blood pressure & heart rate dropped.

Other Meds: INSULIN

Current Illness: NONE

ID: 1109476
Sex: F
Age: 59
State: NC

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
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: No

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

Symptoms: Fever spike 101 degrees, chills, body aches, headache

Other Meds: Lexapro 5mg

Current Illness: No

ID: 1109477
Sex: F
Age: 62
State: CO

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/17/2021
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: sulfa

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

Symptoms: diarrhea, vomiting 2 hours after vaccine, headache,

Other Meds:

Current Illness:

ID: 1109478
Sex: F
Age: 69
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/17/2021
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:

Symptom List: Pain in extremity

Symptoms: 2/25 woke up at 7:30 a.m. with fever, chills, and severe body aches all day 2/26 same as previous day plus lethargy 2/27 woke up at 3:30 a.m. with SEVERE headache and partial loss of vision Went to ER and they diagnosed me with a moderate stroke and mild cognitive issues with right hemisphere vison loss in both eyes.

Other Meds:

Current Illness:

ID: 1109479
Sex: F
Age: 67
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 03/17/2021
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: Swelling in upper arm around injections site. Pain severe enough to limit movement in left arm.

Other Meds:

Current Illness:

ID: 1109480
Sex: F
Age: 21
State: MA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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: Penicillin family

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

Symptoms: Headache starting at wake up today, intensified around 5:00pm could be from screen time. I got very tired though more so than usual little energy

Other Meds: Melatonin 1mg

Current Illness:

ID: 1109481
Sex: F
Age: 61
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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: Syncope, hypotension

Other Meds: Vicodin, Codeine

Current Illness: NoneH

ID: 1109482
Sex: F
Age: 41
State: TX

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
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: NKDA

Symptom List: Vomiting

Symptoms: 3/13/2021 11pm chills, body aches 3/14/2021 fever, sweats, shaking chills 3/15/2021 midnight : swelling of face and eyes, chest pressure, shortenss of breath 3/15/2021 3am : swelling of tongue 3/16/2021 11am EMS called : symptoms had improved per patient but face was still puffy; Patient notes SpO2 98%. She refused EMS transport to ER. 3/16/2021 6:45pm : I had a virtual visit for the patient's workman's comp case. She continues to have some chest pressure but noted improvement. I advised her to seek in-person evaluation and treatment for her continued symptoms. 3/17/21 I spoke with patient. She feels better but did not seek in-person treatment. Symptoms resolved.

Other Meds: ibuprofen 1000mg as needed for fever

Current Illness:

ID: 1109483
Sex: F
Age: 76
State: ND

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The patient was accidently administered the Pfizer vaccine instead of the Moderna vaccine for her second dose. The last I spoke with the patient she had not experienced any side effects from the accidently switch

Other Meds: AMLODIPINE, LEVEMIR, BENAZEPRIL/HCTZ, NOVOLOG

Current Illness:

ID: 1109484
Sex: F
Age: 57
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Morphine Not Specified Hives "blindness" Sulfa (sulfonamide Antibiotics) Not Specified Hives Topamax [topiramate] Not Specified tingling Vicodin [hydrocodone-acetaminophen

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

Symptoms: allergic reaction lip swelling SOB and chest tightness

Other Meds: Omeprazole (PriLOSEC) 20 mg Oral CPDR SR Cap Venlafaxine (EFFEXOR XR) 37.5 mg Oral 24hr SR Cap Omega-3-DHA-EPA-Fish Oil (FISH OIL) 300-1,000 mg Oral Cap Ketotifen (ALAWAY) 0.025 % (0.035 %) Opht Drop Glucosamine-Chondroitin-Vit C-M

Current Illness: unknown

ID: 1109485
Sex: F
Age: 53
State: CA

Vax Date: 01/02/2021
Onset Date: 01/13/2021
Rec V Date: 03/17/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I was fine until the morning of 1/13/21. I felt a node. I called my doctor and she set up an appt at the breast care clinic. I saw a NP and she was concerned, so she ordered the ultrasound with the Dr. The biopsy was done on 1/20. I got my results on 1/26, which said it was a reactive node. On 2/17, I had to go back to follow up to see if they were getting smaller. All of the other nodes were gone and the biggest had reduced in size. I have to go back in 6 months to make sure it is completely gone.

Other Meds: BP Meds

Current Illness:

ID: 1109486
Sex: F
Age: 68
State:

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/17/2021
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: Muscle and joint pain that limited activities. Fatigue.

Other Meds:

Current Illness:

ID: 1109487
Sex: F
Age: 16
State: LA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/17/2021
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: None

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

Symptoms: Moderna is currently indicated for 18 years and older. The patient is 16 years old.

Other Meds: Unkown

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm