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: 1109644
Sex: F
Age: 77
State: VA

Vax Date: 02/13/2021
Onset Date: 02/17/2021
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: dust, cats, perfumes

Symptom List: Dysphagia, Epiglottitis

Symptoms: felt OK til 3 days later...very very tired.....and dizzy

Other Meds: multi vitamin, Vit D, Iron, Berberine, Cranberry, Atacand blood pressure med

Current Illness: diabetes

ID: 1109645
Sex: F
Age: 66
State: OR

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: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Blood sugar was over 200 the morning after the shot

Other Meds: none

Current Illness: Type 1 Diabetes

ID: 1109647
Sex: M
Age: 37
State:

Vax Date: 02/24/2021
Onset Date: 02/25/2021
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:

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

Symptoms: Woke up day after 1st shot with eye irritation. Diagnosed and Uveitis.

Other Meds:

Current Illness:

ID: 1109648
Sex: F
Age: 32
State: GA

Vax Date: 03/08/2021
Onset Date: 03/17/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Itchy and slightly red around vaccination site

Other Meds: Birth control. Apri

Current Illness:

ID: 1109649
Sex: F
Age: 44
State: MT

Vax Date: 01/26/2021
Onset Date: 01/27/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Adverse events included Injection Site Pain, Fatigue, Headache, Achy Joints (mostly knees), Chills, Nausea, and Swollen lymph nodes in armpit nearest injection site. Only treatments were rest and acetaminophen. Symptoms started approximately 12 hours after vaccine administration and lasted approximately 24 hours.

Other Meds: none

Current Illness: none

ID: 1109650
Sex: F
Age: 38
State: TX

Vax Date: 03/10/2021
Onset Date: 03/17/2021
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: Plant sterols as an ingredient in nutritional supplements

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

Symptoms: Raised, red skin splotches of different sizes and shapes, covering an area of 3 1/2? x 2? (inches) at and around the injection site (upper right arm). The soreness has returned to the tissue and muscles directly under this area and is similar to the soreness felt two days after the injection was given.

Other Meds: None

Current Illness: None

ID: 1109651
Sex: F
Age: 60
State: NC

Vax Date: 03/01/2021
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: Bactrim/septra

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Left arm Ulner nerve neuropathy... dull ache

Other Meds: Lamictal, luvox, lisinopril

Current Illness: None

ID: 1109652
Sex: F
Age: 41
State: KS

Vax Date: 02/25/2021
Onset Date: 02/25/2021
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: Desipramine

Symptom List: Pharyngeal swelling

Symptoms: Sore arm, tiredness, foggy, fever, nausea, racing heart, pulpultations, diarrhea

Other Meds:

Current Illness:

ID: 1109653
Sex: F
Age: 24
State: FL

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: Allergic to red meat

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Leaving the vaccination site I felt fatigued. About 4.5 hours following the vaccine, I experienced extreme nausea and vomiting, dizziness, cough and stuffy nose.

Other Meds: Generic lexapro and Wellbutrin, Garden of Life women?s care daily probiotic

Current Illness: Osteoarthritis

ID: 1109654
Sex: M
Age: 67
State: FL

Vax Date: 03/01/2021
Onset Date: 03/10/2021
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: Doxocycline

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Rash on arm muscle and side of forearm where injection given (left arm) Felt like glass shavings in arm with raised blisters.

Other Meds: Lisinopril, Janumet XR, Vitamin C, Zinc, Calcium, Fish Oil, Vitamin D, Baby Aspirin, Multi-Vitamin

Current Illness: NA

ID: 1109655
Sex: F
Age: 65
State: ND

Vax Date: 03/10/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Larger red area at site of injection; it divided into two smaller areas. looks like two welts with a bump that looks like a mosquito bite

Other Meds: Levothyroxine. Supplements: Ester-C; B-50 complex; Cal/Mag/Zinc complex; Vitamin D3; Women?s Probiotic

Current Illness: None

ID: 1109656
Sex: F
Age: 24
State: NJ

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

Symptom List: Rash, Urticaria

Symptoms: Large round red spot at injection site. Very warm to the touch.

Other Meds:

Current Illness:

ID: 1109657
Sex: F
Age: 62
State: FL

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: Penicillin

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

Symptoms: Person administering hit a vein and blood was dripping down. Sore arm, lump and dark bruise 1.5? across at injection site. Fatigue and body aches beginning 4 days after vaccination.

Other Meds: Fluoxetine, Vit D, Vit C, psyllium

Current Illness: None

ID: 1109658
Sex: F
Age: 44
State: GA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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: None

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

Symptoms: Stomach upset, virus, and diarrhea. My right arm has a sharp pain from my neck down to my fingertips on a daily basis.

Other Meds: Blood Pressure Meds and Eloquis (Blood thinner)

Current Illness: None

ID: 1109659
Sex: F
Age: 17
State: WA

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: IM
Vax Site: LA

Lab Data:

Allergies: unknown

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

Symptoms: Patient was under the minimum age of 18 at the time of vaccine by 2 months. Patient experienced mild dizziness after vaccination and called a family member to drive her home

Other Meds: Sertraline 100mg daily

Current Illness: none

ID: 1109660
Sex: F
Age: 68
State: PA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: amoxicilin

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

Symptoms: Five minutes after the shot I felt lightheaded and funny. Then my heart started to beat hard. It didn't last too long and by the time I told the nurse she checked my pulse and said it was strong but normal. They watched me for 30 min. I felt better, but ever since then I have had flutterings of the heart. I called my doctor who said it was nerves and to take the second shot. About ten days later I went to Urgent care who did a electrocardiogram and said it was normal, they didn't catch the flutterings. They told me it was nerves and to take the second shot. 14 days after the shot I took Claritin D which seemed to calm the heart. I am taking it every day now, until I'm sure the flutterings are gone. I'm pretty sure I had an allergic reaction and I will not be taking the second shot unless you can assure me I should. I called my doctor again and was told they weren't seeing sick people, go to a heart specialist, although they didn't recommend one.

Other Meds: D3, probiotic, multi vitamin

Current Illness: slight aches a few days before

ID: 1109661
Sex: M
Age: 27
State: NY

Vax Date: 03/07/2021
Onset Date: 03/07/2021
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: By 10 am I felt like I was hung over, by noon I had muscle aches and chills. 8am the next day I felt 70% better still back headache 2 days later 100% better

Other Meds: None

Current Illness: None

ID: 1109662
Sex: F
Age: 67
State: MI

Vax Date: 02/19/2021
Onset Date: 02/20/2021
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: Sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: My entire upper left arm and shoulder/neck radiate with pain. I am unable to rotate or flex my arm without severe and radiant pain. My arm is weak and cannot raise, lift or rotate it above the elbow. Very difficult to maintain sleep with a throbbing arm. I have been taking Alleve and it helps but the pain is still there just milder. Muscles are not sore but something is aching deep in bone/joints. I went to the Kinesiologist who told me the rotor cuff is the issue. He did an pressure point "adjustment" and the pain subsided for a day or two and now I'm back to being in pain during any level of movement again. I believe that my injection was given too high in my shoulder and caused SIRVA. I even took a picture of where the injection site was given. If needed I can provide it to you.

Other Meds: Alendronate, Cetirizine, Buspirone, Vit D3, Hair, Skin and Nails supp

Current Illness: none

ID: 1109663
Sex: F
Age: 49
State:

Vax Date: 03/05/2021
Onset Date: 03/12/2021
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: Sulfa drugs, cillins, shellfish, bananas, peanut butter, tomatoes, strawberries

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Upper arm became itchy, red and hot to touch 1 week post injection. Heat subsided within about 2 days. Itching has been very minimal. Redness has continued.

Other Meds: Strattera and vitamin D

Current Illness:

ID: 1109664
Sex: F
Age: 65
State: CA

Vax Date: 03/16/2021
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: None

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

Symptoms: Injection at 1:15 P.M. Awakened at 12:30 A.M. by muscle aches, fever and pounding heart. Checked heart rate and is was 130 plus, oxygen saturation level was 91. Tachycardia and low oxygen persisted for several hours, down to 105 bpm by 7:00 A.M. Heart rate dropped to high 90s by approx 10:00 A.M. By 24 hours after injection (approx 1:00 P.M.) high heart rate and low oxygen completely resolved. Please note: no reaction at all to first dose on 2/16/21.

Other Meds: Insulin, Reglan, synthroid, liothyrine, livalo

Current Illness: None

ID: 1109665
Sex: F
Age: 19
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Peanut allergies

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

Symptoms: Patient reported feeling lightheaded then became pallor, slumped over in chair, and lost consciousness for approx. 30 sec. Given known peanut allergy, administered 0.3mg epi immediately and placed in supine position with legs on chair. Upon regaining consciousness was alert and oriented, BP 101/59, HR 62, T 36.2, SPO2 99%. Reports no difficulty breathing or respiratory compromise. Called 911 and remained with patient until EMS arrive. Patient felt well and at baseline and did not want to pursue going to hospital. Friend will drive her home today. Agreed to see PCP prior to next dose of vaccine.

Other Meds: None

Current Illness: None

ID: 1109666
Sex: F
Age: 70
State: OR

Vax Date: 03/07/2021
Onset Date: 03/09/2021
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: sulfa

Symptom List: Unevaluable event

Symptoms: Shingles outbreak involving dermatomes T10-12 on right side. Began two days after vaccination with deep pain and hives initially, resulting in typical herpes zoster rash about 6 days later. On the third day of the rash, began Valacyclovir 1gm PO TID. Is still symptomatic; rash has not yet resolved.

Other Meds: vitamin D, synthroid

Current Illness: none

ID: 1109667
Sex: F
Age: 73
State: WA

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

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

Lab Data:

Allergies: none prior

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

Symptoms: The day after the vaccine the patient had facial swelling and rash. Two days after the vaccine she awoke with aphasia. MRI of the brain was negative for stroke or obvious encephalitis. Then lumbar puncture was done which showed an eosinophilic pleocytosis

Other Meds: ibuprofen had just stopped amoxicillin day prior oral estrogen levothyroxine

Current Illness: back pain some mild headaches

ID: 1109668
Sex: F
Age: 70
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Have alot of allergies, to many medications as I reported, as well as seasonal allergies.

Symptom List: Injection site pain, Pain

Symptoms: Rash all over body that started approximately 1 hour after shot. I called a advice nurse and she said to take a claritin. She is going to have the doctor call me, but haven't had a call from the doctor yet.

Other Meds: Imdur blood pressure med at 6 am

Current Illness: none-- just bad allergies to pollen, etc

ID: 1109669
Sex: M
Age: 54
State: NY

Vax Date: 02/25/2021
Onset Date: 03/07/2021
Rec V Date: 03/17/2021
Hospital: Y

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

Lab Data:

Allergies: lisinopril

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pt presented to the er on 3/12/2021 with c/o 5 days of worsening chest pain and sob. found to have a inferior STEMI and transported to different hospital for urgent angiogram. acute lateral MI found on angio resulting in placement of drug eluding stent

Other Meds: None

Current Illness: None

ID: 1109670
Sex: F
Age: 74
State:

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: none

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

Symptoms: Hives, local

Other Meds: none

Current Illness: none

ID: 1109671
Sex: F
Age: 34
State: MN

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: Penecillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Extreme nausea and vomiting about 9 hours after injection. Lasted about 5-6 hours

Other Meds: Cryselle (oral contraceptive)

Current Illness: None

ID: 1109672
Sex: F
Age: 56
State: FL

Vax Date: 03/12/2021
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: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Diffuse pruritic papular rash that spread over back, arms, legs, neck, etc

Other Meds: None

Current Illness: None

ID: 1109673
Sex: F
Age: 30
State: NY

Vax Date: 03/08/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

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

Symptoms: woke up at 4:45 am with severe chills and a low fever (100.5). Throughout the next day was extremely tired, fever rose to 101 and chills were on and off throughout the day. GI accidents of inability to control bowel movements for two days after. Fever and chills lasted 24 hours.

Other Meds: Stelara, Vancomycin, Augmentum, Birth Control

Current Illness: N/A

ID: 1109674
Sex: F
Age: 27
State: MO

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: IM
Vax Site: RA

Lab Data:

Allergies: Gluten allergy - Celiac Disease

Symptom List: Nausea

Symptoms: Headache, nausea, fever, chills, aches, swelling and redness at injection sight

Other Meds: N/A

Current Illness: N/A

ID: 1109675
Sex: F
Age: 43
State: IN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Surgical tape

Symptom List: Injection site pain

Symptoms: First 20 minutes fine. Next hour-extreme energy/adrenaline. More than ever experienced. Next 3-4 hours- Severe brain fog, confusion, lack of concentration and mental dysfunction. Lack of clarity, rational thinking and precise understanding. Felt like an inability to talk, make sound decisions or focus. Also feelings of eyes bulging and short temporary numb bottom lip. Feelings of brain abnormality and being drugged. Hour to two after-Feelings of coming down from days of an extreme caffeine high with no sleep. Worried, is mildly putting my reaction to the vaccine reaction/side effects. It was terrifying. I thought, I may not return from the negative adverse effects I was having. Something was certainly not right. It is something, I?m not sure I can go through again. Especially, with the second shot being stronger than the first. I was incapable of doing anything!

Other Meds: Daily Vitamins + A & C Wixela -1 inhalation am Clindamycin & benzoyl peroxide (topical)

Current Illness:

ID: 1109676
Sex: M
Age: 35
State: AZ

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: No

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

Symptoms: Syncope - Pale face and hands, Shortness of breath, dizziness

Other Meds: No

Current Illness: No

ID: 1109677
Sex: F
Age: 76
State: MD

Vax Date: 02/22/2021
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: Hogweed reaction in 2015: Hemolysis, thrombocytopenia, urticaria, ICU stay, transfusions

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

Symptoms: Approximately a week after vaccination, developed vision problems with blue lights in right eye, followed by deteriorating vision 7 to 10 days after vaccination. 03/09/2021 was diagnosed with central retinal vein occlusion.

Other Meds: Aspirin 325 mg twice weekly Vitamin D3 1000 iu daily Glucosamine/chondroiten Vitamin B12 Sublingual

Current Illness: None

ID: 1109678
Sex: F
Age: 82
State: CA

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: SBP 188

Other Meds:

Current Illness:

ID: 1109679
Sex: F
Age: 37
State: MA

Vax Date: 03/15/2021
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: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: Bright red, hard bump at injection site

Other Meds: None, though I did take a bubble bath with eucalyptus and noticed it after that.

Current Illness: None

ID: 1109680
Sex: M
Age: 72
State: CA

Vax Date: 03/10/2021
Onset Date: 03/17/2021
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: No allergies

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

Symptoms: Small, red dots on chest, abdomen

Other Meds: Dilt-XR 120 mg and Pradaxa 150 mg

Current Illness: None

ID: 1109681
Sex: M
Age: 36
State: HI

Vax Date: 03/01/2021
Onset Date: 03/13/2021
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:

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

Symptoms: I developed a red colored rash on the arm the shot was administered. It started off itchy, red, and slightly raised, and warm. It remained warm for 2-3 days but the itchiness went away after the first day. On the fourth day the redness and bumpiness and warmth is gone.

Other Meds:

Current Illness:

ID: 1109682
Sex: F
Age: 41
State: OH

Vax Date: 02/24/2021
Onset Date: 02/25/2021
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: Possibly sulfa as small child, reaction unknown.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Rigors, diaphoresis (requiring frequent change of clothes), dizziness (needed assistance to stand, had to get a ride home from work), migraine, vomiting, bone /joint pain, severe sleepiness (I do not remember most of the day).

Other Meds: Levothyroxine, Wellbutrin, Zyrtec, Junel

Current Illness: None

ID: 1109683
Sex: M
Age: 42
State: MN

Vax Date: 02/18/2021
Onset Date: 02/24/2021
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: none

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

Symptoms: Bell's palsy symptoms developed a few days after the vaccine. Received the vaccine on 2/18, started having facial droop on the night of 2/23, was seen in the emergency department on 2/24 with left facial droop, had a stroke code activation, imaging was negative, was treated with valacyclovir and prednisone x7 days. Was seen on 3/5 by neurology for follow up. Then was seen 3/11 in the ED again for severe headache and facial pain behind the left ear related to the Bell's palsy. His Bell's palsy symptoms have somewhat improved since the original onset but have not resolved. He continues to have facial weakness, facial droop, auditory changes due to the Bell's palsy. He was most recently seen on 3/16 in primary care to follow up on his symptoms after being seen in the emergency department. He did recently have COVID in October of last year. No other recent illness or vaccinations.

Other Meds: metformin 1000mg bid, aspirin 81mg daily

Current Illness: None

ID: 1109684
Sex: M
Age: 51
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Unknown

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

Symptoms: 51 y/o male sitting in car, observation area post vaccination. Witnessed syncopal by RN, lasted 1 minute, no complaints. Fully recovered upon EMS arrival. States has history of syncopal reactions to injections. Fully alert and oriented. Refused transport.

Other Meds: Unknown

Current Illness: Hx of syncopal reactions

ID: 1109685
Sex: F
Age: 68
State: LA

Vax Date: 02/11/2021
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: no known allergies

Symptom List: Pain in extremity

Symptoms: Patient came in on 2/21/21 to show us her arm and she had a red circle 2"x3" large around the injection site. It did not feel hot. She did say it had itched some and she had used hydrocortisone cream and took Benadryl. She was worried that after 10 days of first shot, it was a red circle. It was not raised. We instructed her to watch it and let us know if got worse to decide about getting second dose.

Other Meds: unknown

Current Illness: none

ID: 1109686
Sex: M
Age: 26
State: AZ

Vax Date: 03/04/2021
Onset Date: 03/08/2021
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: SULFA AND AMOXICILLIN RASH FOR BOTH

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

Symptoms: c/o sob, stomach upset, lightheadedness, diarrhea and fatigue, onset 3/8/21. dose 1 Pfizer Covid vaccine given at a medical center 3/4/21, denies any anaphylactic type reactions immediately post vaccination. Reports the fatigue was so severe that he almost fell asleep while driving and "almost had an accident". He had a negative covid-19 test at the medical center on 3/10/21, however his sx persisted especially the feeling of sob and lightheadedness so he presented to ED for eval on 3/15/21 where he had another negative covid test. He received fluids and a CXray was done and negative. His home O2 sat has been 94% and HR 75. Hedneis any ahx of asthma or lung disease. The fatigue has subsided today but can be intermittent and random, yesterday he had 3 episodes of sob intermittently w/o wheezing or chest pain. he denies loss of taste or smell, the lightheadedness has subsided today.

Other Meds: NONE KNOWN

Current Illness: none known

ID: 1109687
Sex: F
Age: 77
State: FL

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

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

Symptoms: Redness at site of vaccine. In days 1-4. Stopped. Reappeared day 7, to-date. Hot to the touch.

Other Meds:

Current Illness:

ID: 1109688
Sex: F
Age: 67
State: CA

Vax Date: 02/28/2021
Onset Date: 03/10/2021
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:

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

Symptoms: Tinnitus worsened tremendously. Afraid to get second shot now. The tinnitus is intolerable.

Other Meds:

Current Illness:

ID: 1109689
Sex: F
Age: 52
State: AZ

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NONE

Symptom List: Vomiting

Symptoms: 15 MINUTES AFTER VACCINATION, PATIENT HAS A SKIN RASH ON HER FOREARMS AND FEELS LITTLE ITCHING. SHE TAKES ONE DOSE OS 2 TABLETS OF DIPHENHYDRAMINE 25MG. AFTER 6 HOURS LATER, HER SKIN RASH DIMINISHES AND SHE DOES NOT ITCHING ANYMORE. SHE DOES NOT NEED TO USE THE SECOND DOSE OF DIPHENHYDRAMINE. ON DAY 2, SHE ONLY FEELS SORENESS AND TENDERNESS AT STITE OF INJECTION. ON DAY 3, SHE FEELS SORENESS BUT WITH MUCH LESS EXTENT.

Other Meds: NONE

Current Illness: NONE

ID: 1109690
Sex: M
Age: 80
State: NY

Vax Date: 01/21/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Routine bloodwork on March 10 indicated thrombocytopenia - platelets - 58.

Other Meds: Enalapril, Amlodipine, Rosuvastatin, Eliquis, Metroprolol

Current Illness: None

ID: 1109691
Sex: F
Age: 56
State: SC

Vax Date: 03/09/2021
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: None

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

Symptoms: Arm and shoulder were sore an hour after vaccine for 2 days. 8 days following 1st dose, a raised itchy area arose around injection site which has gotten more defined and warm over the course of approximately 4 hours and is also becoming painful.

Other Meds: Rosuvastatin 5mg; Sertraline 50mg; Estradiol.5mg; Levothyroxine .5mg; aspirin 81mg; vit D3 50mcg; vit E 800iu; vit B complex

Current Illness: None

ID: 1109692
Sex: M
Age: 27
State: WI

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: fever, chills, aches pains, shivering uncontrollable, dizziness

Other Meds: none

Current Illness: possible covid 19. diagnosed on January 3.

ID: 1109693
Sex: F
Age: 65
State: MD

Vax Date: 03/12/2021
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: RA

Lab Data:

Allergies: penincillin

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

Symptoms: muscle joint stiffness lower back and legs, loss of appetite, cramping in back thigh muscles

Other Meds: none

Current Illness: none

ID: 1109694
Sex: F
Age: 38
State: CA

Vax Date: 03/04/2021
Onset Date: 03/16/2021
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: No known allergies

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

Symptoms: Nystagmus for less than a minute at onset. Syncope, cold sweats for about 5 hours after onset. Lightheadedness and dizziness for about 30 hours (and counting) after onset.

Other Meds: Adderall XR 20 mg, lessina 0.1-20 mg/mcg, ferrous sulfate 325 mg, Zyrtec 10 mg, vitamin B complex with vitamin C

Current Illness: Migraine (1 episode), seasonal allergies

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm