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: 1117897
Sex: F
Age: 51
State: CA

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Red hot rash at injection site

Other Meds: Lysinapril Amlodapine

Current Illness:

ID: 1117898
Sex: M
Age: 43
State: GA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever increased to 102 from Friday evening and finally broke Sunday around noon (rotated Tylenol and Ibruprofen). Muscle and joint pain that is still ongoing. Not near as painful as the first 72 hours after vaccine, but still ache all over. Chills Headache - Different than cluster headaches and migraines. Began a few hours after receiving vaccine.

Other Meds: Mydayis 37.5mg, Nurtec 75mg, Amitriptyline 50mg, Propanolol 60mg, Ramipril 10mg, Duloxetine 60mg, Zonisamide 100mg, Aimovig 70mg

Current Illness: N/A

ID: 1117899
Sex: F
Age: 51
State: CT

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Suprax

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

Symptoms: Large red, itchy, hard welt on left arm near the injection site 8 days after the vaccine was given.

Other Meds:

Current Illness:

ID: 1117900
Sex: F
Age: 60
State: MO

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: The 3rd day after shot, the pain in my arm worsened and I can't lift my arm without severe pain. It hurts even when I'm not moving it.

Other Meds:

Current Illness:

ID: 1117901
Sex: M
Age: 29
State:

Vax Date: 02/17/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Increased bruising approximately 4 weeks after 1st Covid vaccine, on 3/16/2021. CBC with severe thrombocytopenia, platelet count 11k. Started on dexamethasone 40mg by mouth daily x 4 days with Prilosec 20mg.

Other Meds: None

Current Illness: None

ID: 1117902
Sex: F
Age: 60
State: WA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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: Latex, percoset

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

Symptoms: Arm swollen, red and tender below the injection site and down the arm for several inches.

Other Meds: Gabapentin, Torsemide, levothyroxin, D3,

Current Illness:

ID: 1117903
Sex: M
Age: 58
State: PA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: tetracycline

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: vaccine 12:30 PM 8:30PM felt very cold. Soaked in hot bath for awhile, went to bed. Sometime later very had high fever that lasted for hours and was accompanied by high heart rate and aches. After I had cooled a bit I took my temperature--103. Heart rate over 100, maybe up to 120 my resting pulse is typically in the l 50s )Suspect fever at peak was over 104. Fever and elevated heart rate lasted for hours. . At 2:30 AM took 3 ibuprofen, returned to bed and drifted off. An hour or two later woke up completely drenched and dripping with sweat but no longer feverish. Drifted back to sleep. By 9 AM felt almost normal, but (not surprisingly) a bit wrung out.

Other Meds: NONE

Current Illness: NONE

ID: 1117904
Sex: M
Age: 30
State: PA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Fever, chills, aches, pains, stomach cramping, fatigue The chills, aches, and stomach cramping were the worst of it. Side effects lasted for 48 hours

Other Meds: Pantoprazole 40mg

Current Illness: None

ID: 1117905
Sex: F
Age: 22
State: NC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever and body aches 7 hours after vaccine administered

Other Meds: Birth control

Current Illness: None

ID: 1117906
Sex: M
Age: 68
State: IN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Slight chills overnight, head ache during next day.

Other Meds: Multi vitamin

Current Illness: none

ID: 1117907
Sex: F
Age: 64
State: NY

Vax Date: 03/04/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: amoxycillin

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

Symptoms: Rash and swelling at injection site. It's more irritated today and kind of itchy. It started two days ago and two full weeks after getting the vaccine.

Other Meds: Vitamin D estradiol

Current Illness: none

ID: 1117908
Sex: F
Age: 54
State: MD

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/20/2021
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: Penicillin

Symptom List: Rash, Urticaria

Symptoms: Muscle aches, fatigue, headache began within 24 hours of receiving vaccine and lasted about 48 hours. I felt like I had a moderately severe case of the flu. Treated with rest, fluids, and Ibuprofen.

Other Meds: Ozempic, Metformin, Crestor, Benecar, Spironolactone, Enablex, Lexapro, Lopressor, Celebrex

Current Illness: n/a

ID: 1117909
Sex: F
Age: 59
State: IN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Lactose intolerant, allergy to sulfa drugs, erythromycin, iodine by IV

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

Symptoms: Woke up Day #2 with joint pain and neck pain. Subsided after about 12 hours.

Other Meds: Vitamins:b complex, zinc, b12, c , d

Current Illness: Common cold, tested negative for Covid.

ID: 1117910
Sex: F
Age: 35
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Nausea/upset stomach Sore arm at site of injection

Other Meds: Pristiq, buspar, vitamin d, multivitamin

Current Illness: None

ID: 1117911
Sex: F
Age: 38
State: NC

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: Sulfamethoxazole

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

Symptoms: Severe swelling of arm & torso. Arm swollen from mid forearm all the way to shoulder & axilla. Upper left back and torso down to lower ribs also swollen. All of the swollen area painful. Upper arm from elbow to shoulder mildly red. Bullseye-like rash at injection site, about 5cm in diameter. Peak swelling & redness from 24-36 hours after injection. Still reducing but very slowly.

Other Meds: Nexplanon, nexium, valacyclovir, pyridostigmine, atenolol, norco, tramadol, trazodone, adderall

Current Illness: Urinary tract infection

ID: 1117912
Sex: F
Age: 73
State: IN

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Started with chills and upset stomach. After about 30 minutes felt sick to my stomach, still chills and felt weak. Went to bed with normal covers, spread and an extra quilt. Temperature was 101.0. stayed in bed until noon then went to the couch. Still felt weak and extremely tired. Temp down to 99 but developed a bad headache. Took Tylenol and laid on the couch all day - did not eat still felt queasy. Went to bed around 8:00pm. Got up about 10:00 on Friday and felt almost back to normal and got better as the day went on. I also noticed quite a bruise at the site.

Other Meds: Pramipexole Synthroid Torsemide Pantoprazole Hydroxycloroquine Sulfate Potassium Chloride Trelegy Inhaler Clonazepam Duloxetine DR Vitamin C Magnesium Folic Acid Vitamin B12

Current Illness: None

ID: 1117913
Sex: M
Age: 59
State: OH

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: no

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

Symptoms: 24 hours after getting the Moderna shot. had extreme fatigue, a pounding headache and boyd aches

Other Meds: Meloxican

Current Illness: no

ID: 1117914
Sex: F
Age: 72
State: MI

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillian Sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever 101..1, chills, aches and headache - taking advil and resting

Other Meds: omeprazole DR 20 mg Simvastatin 40 mg Lisinopril hctz 20 - 12.5 mg Vitamin D 4000 iu Vitamin B12 2500 mcg

Current Illness: none

ID: 1117915
Sex: M
Age: 37
State: UT

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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: Significant pain and tenderness at injection sight entire day after injection

Other Meds:

Current Illness:

ID: 1117916
Sex: F
Age: 67
State: ID

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Possible Pityriasis Rosea. Hd a "herald patch" first on left upper arm. First rash was on legs, which disappeared the following day. Currenlty have red measle like rash on torso, back, and belly. Slightly itchy, Have used hydrocortisone on it and taken Benedryl. See dermatologist on April 13th.

Other Meds:

Current Illness:

ID: 1117917
Sex: F
Age: 74
State: MA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Initial extreme dizziness two days after the injection. Now lightheadedness much of the time, sense of being on a boat.

Other Meds: Restasis, Allegra, Vitamin D

Current Illness:

ID: 1117918
Sex: M
Age: 55
State: IN

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: roughly 24 hours after the shot I had a mild fever followed by a mild headache in the morning. Nothing too serious but notable since I rarely get headaches.

Other Meds: Losartin 100 MG

Current Illness: none

ID: 1117919
Sex: M
Age: 17
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: N/A

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

Symptoms: No Adverse event - Pt is doing completely fine and talk to mother at 9.30am 3/20/21

Other Meds: N/A

Current Illness: N/A

ID: 1117920
Sex: F
Age: 63
State: NE

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/20/2021
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: aspirin, codeine based pills, melons, coconut, feathers, celery

Symptom List: Injection site pain, Pain

Symptoms: hours after the vaccine was given I started to experience tiredness throughout my whole body. I went to sleep ususal time, slept poorly tossing and turning, then spent the entire next day in bed. I was lethargic and was zapped of any energy.

Other Meds: Amitriptyline collegen/biotin Estradil concentrated fruits & vegetable tablet Atenolo hair, skin, nail tablet At

Current Illness: none

ID: 1117921
Sex: M
Age: 61
State: WI

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: doxycycline caused facial swelling and rash.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Facial swelling and slight lip swelling and redness to skin which began about 90 minutes after the vaccination. He was seen in an emergency room and treated with diphenhydramine, famotidine and prednisone and discharged on the same. He improved in the ER but reports that he had recurrent facial swelling over the next few days when antihistamine wore off. Resolved after a few days. Seen in the office on 3/18/21 and doing fine off medication.

Other Meds: vitamin C, aspirin, carvedilol, vitamin D, clopidogrel, lisinopril, metformin, multivitamin, omega-3 fatty acids, rosuvastatin, trazodone as needed.

Current Illness: none

ID: 1117922
Sex: F
Age: 69
State: ID

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/20/2021
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: Sulfa, penicillin

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

Symptoms: Itchy round spot on the skin of my left arm (where I received the injection), about the size of a quarter and near the site of the injection. The spot came and went for about a week and a half. If I didn't scratch it, it didn't flare very much. It eventually faded away.

Other Meds: Multi vitamin, vitamin D, Calcium

Current Illness: NA

ID: 1117923
Sex: F
Age: 31
State: MN

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/20/2021
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: n/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I got my vaccine on a Friday and I began to feel really tired around 1pm. I went home from work an hour early and slept most of the evening. Saturday and Sunday I felt fine. Monday and Tuesday I had a severe headache that I could not get rid of (caffeine, water, or tylonol did not help).

Other Meds: generic wellbutrin xl 150mp prenatal baby aspirin magnesium 250mg vitamin d 2,000mg

Current Illness: none

ID: 1117924
Sex: F
Age: 70
State: NY

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfites, bee stings, black fly bites

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: This was 2nd dose. Starting before I sat down in the observation area: Pressure and pain at back of neck, dizziness, difficulty swallowing. This persisted until 3/17. I had a similar reaction to the first dose. 3/15: Rash on face and neck. 3/16 Rash spread to chest and upper arms. 3/17 face swollen; headache, scratchy throat. 3/18: Symptoms subside by end of day, although skin still a little blotchy. I did tell the person who gave me the injection about my reaction to the first dose and she looked for the rapid response team to watch me, but she didn't find them. I suggest a sign in the waiting area indicating which symptoms are of concern (hard to distinguish immune response from allergy and/or anxiety attack.

Other Meds: Levothyroxine 75 mcg, calcium supplement (New Chapter bone strength), Advil 200 mg

Current Illness: None

ID: 1117926
Sex: M
Age: 74
State: KY

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: 18 hours after vaccine shot became very dizzy

Other Meds: Metformin hcl, jardiance, omeprazole dr, glimepiride 2mg, atorvastatin, lisinopril, metoprolol, nitroglycerin, low dose aspirin, COQ10, magnesium, multivitamin

Current Illness: Double hernia surgery 03/11/2021

ID: 1117927
Sex: M
Age: 77
State: CO

Vax Date: 01/30/2021
Onset Date: 02/03/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Nausea

Symptoms: Blood clot running from ankle to groin; entire leg swollen; still swollen after 6 weeks; received shot of heparin and put on Xarelto; blood clot was just short of where it could break off and go to heart or lungs.

Other Meds: Doxazosin: simvastatin; mesalamine

Current Illness: None

ID: 1117928
Sex: M
Age: 82
State: IN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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: Nausea. Lasted about 4 hours and I took care of it with two cups of tea. Minor problem; minor inconvenience.

Other Meds:

Current Illness:

ID: 1117929
Sex: F
Age: 39
State: CO

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Two days after receiving the vaccine, I developed a large rash on my left arm just below the injection site. The rash caused no discomfort and was left untreated to heal on its own.

Other Meds:

Current Illness: None

ID: 1117930
Sex: F
Age: 71
State: MI

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: Demerol

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

Symptoms: Swollen and very tender lymph node in left armpit midday 3/19. Increased as day progressed moving down to include elbow. Elbow tenderness, not swelling. Morning 3/20, Swelling spread to include inside upper arm. Tenderness increased from armpit to further toward back.

Other Meds: atorvastatin calcium carbonate escitalopram oxalate levothyroxine metoprolol succinate vitamin D

Current Illness:

ID: 1117931
Sex: M
Age: 52
State: AZ

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
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: Initial symptoms began with pain at the injection site and generalized fatigue. This developed into soft tissue pain in proximity of the large and small joints which could be elicited further on palpation. I had eye pain (left more severe than the right) which could be further elicited on palpation, headache, dizziness, chills, and an inability to feel warm. There was also significant skin sensitivity over the trunk, scalp, and upper extremities and more in the left arm than the right. The symptoms persisted over the second day albeit at less severity. Presently on the third day, I am experiencing continued eye pain, mainly in the left eye and mild dizziness.

Other Meds:

Current Illness:

ID: 1117932
Sex: F
Age: 62
State: IN

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Swollen lymph glands under armpits

Other Meds:

Current Illness:

ID: 1117933
Sex: F
Age: 57
State: IN

Vax Date: 03/16/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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

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

Symptoms: Chills headaches,fever,muscle pain,swelling, redness, pain,itching,nausea shortness of breath, mild chest pain,fatigue rapid heart beats at times joint pain lightheaded.

Other Meds: None

Current Illness: Diagnosed positive for covid virus Jan 13th

ID: 1117934
Sex: F
Age: 44
State: FL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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: Penicillin, ibuprofen, benzoyl peroxide, bananas, shellfish

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

Symptoms: Approximately 3 hours after the shot, I got a horrible headache - the same one I had with COVID. I also felt tired and body aches. The next day I was exhausted, could hardly keep my eyes open and could not get enough water. My arm began to hurt, I had chills/fever, and my shoulders/back of my head hurt a LOT. I also was congested, coughing and sneezing, and my chest felt tight. My knuckles and toes hurt as well. Tylenol, day-quil, aspirin, - none of these worked. I had COVID back in June/July 2020 and the symptoms are all the same ones I had.

Other Meds: Mirena IUD, cetirizine, montelukast, amlodipine besylate, omeprazole, advair 230/21, spiriva, albuterol (as needed), daily vitamin

Current Illness: n/a

ID: 1117935
Sex: F
Age: 45
State: WA

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, clindamycin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Some light fever and headache immediately after shot. 2 days later developed swelling of face, tongue, rash, hives and extream itching. Continuing for up to 10 days post immunization and going.

Other Meds: None

Current Illness: None

ID: 1117936
Sex: F
Age: 41
State: TX

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Red swollen rash near injection site on day 7 and day 8 size has tripled

Other Meds: Tylenol

Current Illness:

ID: 1117937
Sex: F
Age: 60
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: none

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

Symptoms: Body aches, headache, fatugue, sore throat, sore arm

Other Meds: Prempro

Current Illness: seasonal allergies

ID: 1117939
Sex: F
Age: 60
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Almonds Cucumbers Green beans

Symptom List: Pain in extremity

Symptoms: Fever, headache, cough, aches, and drainage lasting 24 hours.

Other Meds: Losartan Potassium Flonase Zyrtec Simvastatin

Current Illness:

ID: 1117940
Sex: F
Age: 48
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Certain medications, none anaphylactic. Never had a vaccine reaction before

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

Symptoms: 10 minutes after vaccine pt complained of throat tingling and lip tingling. No swelling present, no trouble breathing, no drooling and no trouble speaking. Pt states with her previous allergic reactions this has happened and she needed a steroid shot or a shot of bennadryl (pt couldnt remember which one). Pt had no derm reactions and denied pruritis. We added 15 minutes to her observation time. Symptoms did not progress and they improved a little. She went home and was advised to take an oral benadryl when she got home if symptoms persisted. Pt in agreement with plan.

Other Meds: None

Current Illness: None

ID: 1117941
Sex: F
Age: 47
State: CA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/20/2021
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: Aspirin

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

Symptoms: Besides having a strong reaction, and feeling as if I had COVID for two days after the first shot, I began to have extreme pain in my left breast, in my left underarm, on the left side of my body near my breast, and in my left shoulder blade. Then, nine days after the first dose I began getting sores on my left breast, left shoulder blade, and under my left arm, on my torso. These sores are itchy, and very painful. The left side of my body affected by these sores is also tender to the touch, and there also is an pain that will not go away.

Other Meds: None

Current Illness: Cold

ID: 1117942
Sex: F
Age: 70
State: MI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/20/2021
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: Yes - medications: Morphine, Codeine, Bentyl, Keflex, Citralopram, Valsartan, Sertraline, Allegra

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

Symptoms: Immediately upon injection I felt totally dizzy as though I was drunk, slight pain at base of tongue left side. The dizziness somewhat passed within 40 minutes but not totally, same with slight pain at base of tongue left side. Went to bed as normal but awoke to having great difficulty breathing as soft tissue around entire neck was swollen as were lymph glands around neck area, that was pressing against my airway making it seem like I was suffocating slowly, being strangled by all the swelling. Hospital injected me with mega dose cocktail of large amount of steroids, Benadryl. Symptoms subsided quite a bit at hospital only to keep continuing for nearly 2 weeks after. Because of this on Tues March 2, 2021 I had an appointment with my family doctor because the swelling was still quite intense. She put me on a 3-5 day dose of Prednisone. I still have some swelling going on in my neck area from it today 3/20/21. On item 21 I clicked Permanent damage as I'm unsure if this swelling will be permanent and continue to come and go at this time or totally subside eventually. It's unknown at this time.

Other Meds: Metformin, Pravastatin, Glipizide, Buspar, baby aspirin, Chlorthalidone, Omeprazole, OVAR Inhaler, ProAir inhaler

Current Illness: None

ID: 1117943
Sex: F
Age: 53
State: NC

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 03/20/2021
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: N/a

Symptom List: Vomiting

Symptoms: Tinnitus

Other Meds: Multi vitamin, ashwagandha, fish oil, resveratrol

Current Illness: N/a

ID: 1117944
Sex: F
Age: 45
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: Macrobid- sulfa drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Shot did not hurt at all, but the soreness the following morning was shocking. I?m a tough girl, but it felt like I had a Cramp horse in my shoulder and still extremely sore today. It?s not a huge issue, as I am able to use my arm, but I was definitely caught off guard and feel it should be noted. I?m sure many are experiencing the same thing if not all. My friend experienced the same thing.

Other Meds: Rosuvastatin, monolucast, fluticasone, low dose aspirin, herb

Current Illness: No

ID: 1117945
Sex: F
Age: 38
State: VA

Vax Date: 03/07/2021
Onset Date: 03/15/2021
Rec V Date: 03/20/2021
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: Woke up marble size knot on my shoulder blade that hurt and a stopped up ear that won?t pop open. All on the left side of my body.

Other Meds: Elderberry, liquid centrum, vitamin D3

Current Illness: None

ID: 1117946
Sex: F
Age: 30
State: CA

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
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: Menstrual spotting and flow after 2 days of vaccination. Not suppose to occur until 2 weeks from this date.

Other Meds: Blisovi fe

Current Illness:

ID: 1117947
Sex: F
Age: 43
State: TX

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient felt like daining

Other Meds: Patient complaint of felt like fainting

Current Illness: None

ID: 1117948
Sex: F
Age: 42
State: IL

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

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

Lab Data:

Allergies: nkda

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

Symptoms: Patient had calf swelling and then more after Covid Vaccine. Patient then had SOB. Patients primary obtained dopplers and CT chest, which showed DVT's and PE. Patient had shoulder surgery 3 months ago, is more sedentary than had been.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm