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: 1118259
Sex: F
Age: 68
State: TN

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: Bee stings, iodine, erythromycin,

Symptom List: Dysphagia, Epiglottitis

Symptoms: Arm started to swell several hours after shot until it was twice it's normal size could not move because of pain, after 3 days started itching then started benadryl slowly swelling started going doing and itching stopped after two days. Arm continued to have sharp pains for the next week

Other Meds: Benadryl, aspirin,montelukast,symbicort,spiriva

Current Illness: Copd,

ID: 1118260
Sex: F
Age: 70
State: OH

Vax Date: 02/07/2021
Onset Date: 03/08/2021
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: Most drugs (heart, SSRI, and others) breaking down through CYP

Symptom List: Anxiety, Dyspnoea

Symptoms: First shot given 2/7/2021; no side effects out side of a sore arm. Second shot given 3/7/2021; within 24hrs developed advanced memory loss, cognition, conceptualization, relativistic reasoning, spatial disorientation, and recognition issues with family member/s primarily in the evening. The symptoms of NPH, but amplified, now with Alzheimer (DAT) like symptoms accompanying it previously not significantly present. She's lived in this house with us for 33 years (doesn't know where we are and it is no longer familiar to her) and has been married to my father who she failed to recognize in the evening on multiple occasions since.

Other Meds: Losartan 10mg, (OTC) 2500mg Vitamin D, (OTC) Vitamin E

Current Illness: None.

ID: 1118261
Sex: F
Age: 62
State: PA

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: 6 hours after the shot I spiked a fever to 103.6. It stayed elevated for 12 an additional 8 hours. My normal temp is 97.6. 24 hours later it is at 99.5. I have had a crushing headache for 17 hours.

Other Meds: None

Current Illness: None

ID: 1118262
Sex: F
Age: 80
State: CA

Vax Date: 03/11/2021
Onset Date: 03/16/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Arm itches at injection site still after 9 days

Other Meds: Atenolol Amlodipine Calcium/magnesium supplement Baby aspirin Vitamin D3 w/K

Current Illness: None

ID: 1118263
Sex: F
Age: 25
State: NJ

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

Lab Data:

Allergies:

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

Symptoms: headache, some chills, body soreness day after receiving the vaccine.

Other Meds:

Current Illness:

ID: 1118264
Sex: F
Age: 87
State: GA

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

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

Symptoms: No adverse affects occurred after the first vaccine was given on 02/24/2021. After this dose, the vaccination site became red, swollen, warm, and painful approximately 18 hours afterwards. Began placing a cold compress to the area.

Other Meds: Oxygen therapy: 4 liters on portable unit, 3 liters on home concentrator goal: pulse oximetry reading ? 90 Nightly C-Pap therapy with additional 3 liters of oxygen connected from concentrator Levothyroxine 175 mcg once daily in a.m.

Current Illness: None

ID: 1118265
Sex: F
Age: 23
State: NY

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: Polymyxin B SUL-TRIMETHOPRIM Eye Drops, Latex, Peanuts, Bees

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Swelling of the throat and difficulty breathing - 5 minutes after shot, used epipen and benadyrl, did not seek medical attention. Rash on face but not on injection site 1 day later - notified my doctor and took benadyrl, will also be seeing an allergist soon. Blurry vision - notified my doctor and will be seeing an ophthalmologist soon.

Other Meds: Lexapro - 10MG, Lamotrigine - 100MG, Adderal SA 10MG

Current Illness:

ID: 1118266
Sex: F
Age: 73
State: MO

Vax Date: 03/08/2021
Onset Date: 03/20/2021
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: BENZODIAZEPINES, SULFA, TRIMETHOPRIM, PABA, NSAIDS

Symptom List: Pharyngeal swelling

Symptoms: SWOLLEN NECK, FACE, EYES, MIGRAINE

Other Meds: QUINIPRIL/HCTZ

Current Illness:

ID: 1118267
Sex: M
Age: 25
State: NY

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

Lab Data:

Allergies: Soy Protein, Peniciline

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Had a sore left arm where the injection site was, after about an hour later i began to have a mild headache and became tired (i took 2 aleve liquid gel pain killers and that didn't do much). The next day the pain in my arm got about 50% better, and the head ache was gone right when I woke up. I still felt tired throughout the 2nd day and my left under eye lid began to start twitching for about a minute long every 30 minutes. On the 3rd day, I was no longer tired and my arm no longer hurt but the under eye lid twitch is still occurring and at the same frequency.

Other Meds: Zyretc, Omprozole, Hyscainmine, Truvada (prep)

Current Illness: n/a

ID: 1118268
Sex: M
Age: 66
State: WA

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Have a large red area 6" x 3" where I got the shot just noticed it last night when I took a shower. Arms was a little sore previously and still is sore.

Other Meds: Previstan , calcium, fish oil, baby asprin

Current Illness: none

ID: 1118269
Sex: F
Age: 28
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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:

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

Symptoms: elevated heart rate, drank some water, symptoms resolved, cleared.

Other Meds:

Current Illness:

ID: 1118270
Sex: F
Age: 66
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Fever, severe chills, diarrhea, body aches, headache

Other Meds: Vitamins

Current Illness: None

ID: 1118271
Sex: M
Age: 16
State: IL

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: LA

Lab Data:

Allergies:

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

Symptoms: Patient age 16 received moderna

Other Meds:

Current Illness:

ID: 1118272
Sex: F
Age: 39
State: MI

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: 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: Cough, fatigue, muscle aches, fever of 101.1, headache, sore throat

Other Meds: Women's one a day multivitamin, 1000 UI vitamin D, Zyrtec, biotin 1000mcg, Montelukast sod 10mg, ASMANEX TWISTHALER inhaler 100mcg 2 puffs twice a day

Current Illness: None

ID: 1118273
Sex: F
Age: 64
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Swelling left armpit

Other Meds: Synthroid. Meloxicam. Glucosamine.

Current Illness: None

ID: 1118274
Sex: F
Age: 70
State: FL

Vax Date: 03/05/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Ear infection. Just on the right ear. Thought it was unrelated, but now I am not so sure. Went to outpatient clinic and was told it was ear wax. NO! I took drops in ear and it just got so much worse! Went back a week later with excruciating pain! Ear was draining and I could feel the heat and knew it was infection. Got Cipro which helped with inflammation and also took prednisone for 6 days. Dr said the infection was behind the eardrum and that is why drops did not work. I am usually a ball of energy. tennis, hot yoga, personal trainer at gym. I am now weak as a kitten and my hearing is almost gone in my right ear.

Other Meds: None

Current Illness: None

ID: 1118275
Sex: F
Age: 37
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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:

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

Symptoms: pulsating pain, lower back, numbness of hands/legs, diaphoretic, waited 15 minutes, resolved.

Other Meds:

Current Illness:

ID: 1118276
Sex: F
Age: 40
State: PA

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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Numbness, Tingling and nerve spasms in fingers of the same arm and hand that injection was given.

Other Meds: Zoloft Protonix

Current Illness: None

ID: 1118277
Sex: M
Age: 38
State: AK

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 24hrs after receiving the vaccine I had fatigue and sortness of breath, 72hrs after severe flu symptoms with a fever of 101.5 lasted 3 days, severe diarrhea and mild to moderate cramping in the stomach and just below for the last 4 days.

Other Meds: None

Current Illness: None

ID: 1118278
Sex: M
Age: 17
State:

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: 17 year old received Moderna

Other Meds:

Current Illness:

ID: 1118279
Sex: F
Age: 41
State: NJ

Vax Date: 03/01/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Hazelnuts

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

Symptoms: Dry mouth and thirst

Other Meds: Carvedilol 6.25 mg, Xyzal 5mg

Current Illness: Peri partum cardio myopathy

ID: 1118280
Sex: M
Age: 44
State: GA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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: nka

Symptom List: Unevaluable event

Symptoms: Patient was given shot and asked to wait in pharmacy area at least 15 minutes. Within about 5-10 minutes his girlfriend comes to the pharmacy window and tells me he's feeling bad. By the time I get to his chair he is very lethargic and slumped over. I sit him up in the chair and his head rolls back and his eyes have rolled back in his head. I place him on the floor and instructed my staff to call 911. The patient presented with sweats and was unresponsive for about 10-20 seconds. When he came to he asked how he got on the floor. The patient never had any trouble breathing heart rate was steady the entire time. When EMS arrived they checked him out and was fine. He refused transport to the hospital. He walked out of the store after about 30 minutes from the point of his passing out.

Other Meds: unknown

Current Illness: n/a

ID: 1118281
Sex: F
Age: 65
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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: Cats Trees Grass Ragweed Pollen Eucalyptus

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

Symptoms: Chills Fever Headache Nausea Muscle Pain Joint Pain

Other Meds: Tramadol Valsartan Amlodipine Vitamin D Vitamin C Melatonin AZO Bladder Support

Current Illness: None

ID: 1118282
Sex: M
Age: 61
State: IL

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: flu like symptoms body ache fatigue mild fever felt like my nerve endings on my arm were sensitive ,,chills.....its been 48 hours seems to have gotten better just a little worn out

Other Meds: levothyroxine, meloxicam ,lisiniprol, amlodipine

Current Illness: none

ID: 1118283
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: SYR
Vax Site: LA

Lab Data:

Allergies: Bactrim, Morphine, Egg Based Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: At approximately 2:00 AM I woke up with body aches, a very bad headache, and chills. These symptoms continued for the next twelve (12) hours and disrupted my ability to function normally.

Other Meds: Benadryl, Famotidine, Trazodone

Current Illness: None

ID: 1118284
Sex: F
Age: 72
State: GA

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

Lab Data:

Allergies: none

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

Symptoms: Itch, red and swollen area 5inches x 4.5 inches

Other Meds: Centrum Silver, Ocuvite Adult 50+,Omeprazole 20 mg, Asprin 81mg, Bupropion XL 150 mg,Atorvastatin $0 Mg, Members Mark 10 Strain Probiotic Supplement

Current Illness: none

ID: 1118285
Sex: M
Age: 43
State: CA

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Body aches, fever (+/- 101?), back ache, chills, severe headache, slightly elevated heart rate, fatigue. Symptoms lasted approximately 24+ hours. Moderate to severe arm soreness at site of vaccination for >36 hours and continuing

Other Meds:

Current Illness:

ID: 1118286
Sex: F
Age: 29
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: tingling all over body, high heart rate, waited 15 minutes, resolved.

Other Meds:

Current Illness:

ID: 1118287
Sex: F
Age: 42
State: NY

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

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

Symptoms: Body aches, sore arm, covid arm symptoms - raised itchy red patch in around injection site that is warm to the touch. Body aches subsided by Friday (2 dqys) . Covid arm symptoms still present.

Other Meds: Yes. Zoloft, Metformin, blood pressure med, vitamins

Current Illness:

ID: 1118288
Sex: F
Age: 38
State: TX

Vax Date: 03/05/2021
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: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: rash started. ring around injection site. body, upper thighs. Warm, red, slightly swollen, itchy. a little sore. No wheezing, shortness of breath, tongue or throat swelling. No fever, cough, runny nose or sore throat. Did not use any new medications or products. No sick contact. Tried hydrocortisone cream.

Other Meds:

Current Illness:

ID: 1118289
Sex: F
Age: 54
State: CA

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin and onions

Symptom List: Injection site pain

Symptoms: Last night around 8 PM my eyes began to itch and swell. They are swollen and red today. They also pitch. Haven't heard of this symptoms, but they are a definite reaction to the vaccine.

Other Meds: None

Current Illness: ALS

ID: 1118290
Sex: F
Age: 31
State:

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

Lab Data:

Allergies: N/A

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

Symptoms: Approx 3 hours after injection, I began to feel these symptoms: 1. Headache (minor and then progressively worse, lasted for 24 hours) 2. Body chills (lasted for 10 hours) 3. Muscle aches (lasted for 24 hours, off and on)

Other Meds: B12, vitamin C supplements, CBD

Current Illness: N/A

ID: 1118291
Sex: U
Age: 58
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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:

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

Symptoms: weak all over, waited 15 minutes, resolved.

Other Meds:

Current Illness:

ID: 1118292
Sex: F
Age: 61
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Keflex and Cleocin (rash) Shellfish (face swelling and chocking sensation) Nuts (choking sensation) Latex (rash)

Symptom List: Tremor

Symptoms: I woke up at 2:30am morning of March 19, 2021 with fever, chills, severe headache, throbbing arm pain in left arm from shoulder to elbow (injection was in left arm), and nausea. Got up to try to get Tylenol tablets, but returned to bed because I was unsteady on my feet & didn't feel like I should try to go downstairs to get the Tylenol or a thermometer to take my temperature. But my husband said I was warm to touch when he brought me extra blankets to help mitigate persistent chills I was having t/o the night. Symptoms continued until morning of March 20, 2021 and gradually lessened by evening. Stayed in bed all of March 19th and took Tylenol 650mg every 6 hours to lessen bad headache. Ate a few saltine crackers to lessen nausea symptoms & drank ice water. Had a small nosebleed evening of Mar 19th that resolved with pressure to the bridge of my nose. Today (Mar 20th), I have residual light headache that goes away with Tylenol, but no fever, chills, nosebleeds or arm pain.

Other Meds: Synthroid 100 once daily Lexapro 10mg once daily ASA 81mg once daily Adult MVI once daily

Current Illness: Not applicable

ID: 1118293
Sex: U
Age: 58
State:

Vax Date: 03/20/2021
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: weak all over, waited 15 minutes, resolved.

Other Meds:

Current Illness:

ID: 1118294
Sex: M
Age: 22
State: CT

Vax Date: 03/17/2021
Onset Date: 03/18/2021
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: None

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

Symptoms: Swollen, painful lymph node in neck area.

Other Meds: Multi-vitamin

Current Illness:

ID: 1118295
Sex: F
Age: 41
State: ME

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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: Previous reaction to Retuxin

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

Symptoms: 10:54 Throat thick, report feeling "funny"/ strange. BP 110/60 10:57 EPI administered, BP 110/80 Throat feels better. Shaky. 11:02 Transported

Other Meds:

Current Illness:

ID: 1118296
Sex: F
Age: 49
State: CA

Vax Date: 03/13/2021
Onset Date: 03/20/2021
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: Mefloquine, shellfish

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Sore arm became much worse one week after shot. Swollen, painful, difficult to lift, swollen painful lymph node underarm

Other Meds: Swollen, painful arm. Difficult to lift.

Current Illness: None

ID: 1118297
Sex: M
Age: 71
State: CO

Vax Date: 02/08/2021
Onset Date: 03/01/2021
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: none

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

Symptoms: I went from my body being 99.7% clear of psoriasis, to a body of 80% plus psoriasis coverage. This occurred approximately 4 to 5 weeks following my 2nd dose of Moderna. Scheduled to see a dermatologist on April 1, 2021.

Other Meds: Metformin 1000mg, Glimepiride1mg, Amlodipine 10mg, Rosuvastatin 10mg, Irbesartan/HCTZ 300-12.5MG CENTRUM SILVER. D3 5000IU, Zinc 12 mg, B12

Current Illness: none

ID: 1118298
Sex: F
Age: 23
State: MO

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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: N/A

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

Symptoms: Started feeling lethargic around 7. At 8 pm I started feeling nauseous. At 8::30 I started getting chills, and by 9pm I had a fever. I was achy, nauseous, and have chills/ a fever until the next day around 11am. I took aspirin and Advil in intervals during this time. After my fever broke my appetite came back for a little bit. After 11am on Thursday I have had a headache and I?m extremely fatigue. I?ve been none stop sleeping for the past two days. Today I am feeling better but I?m still extremely tired even after restarting my adderall.

Other Meds: Adderall and Birth control

Current Illness: N/A

ID: 1118299
Sex: F
Age: 58
State: AZ

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: Pain in extremity

Symptoms: Fever 102.7, chills, swollen face, feeling unwell, muscle pain, headache, pain

Other Meds: none

Current Illness: none

ID: 1118300
Sex: F
Age: 66
State: NC

Vax Date: 03/05/2021
Onset Date: 03/16/2021
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: none

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

Symptoms: Moderna COVID-19 Vaccine EUA Mild itch at injection site at night. The following morning noted very red circular area on skin around the injection site ( about 3 inches). This progressed to larger area until most of outer upper arm was involved over next 2 days. This was unexpected since it has been 11 days since receiving vaccine. As of today the redness is less pronounced and will hopefully go away.

Other Meds: Levothyroxin; Vitamin D3; Fish Oil Supplement

Current Illness: none

ID: 1118301
Sex: M
Age: 31
State: KY

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

Lab Data:

Allergies: NKA

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

Symptoms: Red, itchy, raised (hive-like) patches on torso and some on arms.

Other Meds: N/A

Current Illness: N/A

ID: 1118302
Sex: F
Age: 77
State: AL

Vax Date: 03/20/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Patient experienced high blood pressure, paleness, numbness and unawareness

Other Meds:

Current Illness:

ID: 1118303
Sex: M
Age: 41
State: OH

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Felt tired at 2:15pm, stayed awake a bit longer than napped for a couple hours. At about 10:30pm I started feeling sick, fever of 99.6, muscle and joint pain, chills, dizziness, weakness. Left arm where I got injected also felt like it was falling asleep at some point when it shouldn't have been based on how I was positioned. I finally took an ibuprofen so I could sleep around 2:30am, and felt better a couple hours later or so. Today so far I feel fine but my resting heart rate is about 30 beats higher than normal so I'm still responding to vaccine. I think overall my symptoms aren't out of the ordinary, just way stronger than I was expecting. I felt miserable.

Other Meds:

Current Illness:

ID: 1118304
Sex: F
Age: 47
State: NC

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pain at injection site immediately after injection that lasted for about 30 minutes. Slight headache that started around an hour after injection and lasted approximately 24 hours. Next morning felt muscle aches, fatigue and runny nose. Felt like coming down with an illness. These symptoms lasted approx. 24 hours after injections. Felt completely back to normal again by 48 hours.

Other Meds: Megafood's Women Multi-vitamin

Current Illness:

ID: 1118305
Sex: F
Age: 68
State: IL

Vax Date: 03/20/2021
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: NKDA

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

Symptoms: 2/10 headache, patient feels like a sinus pressure headache. No other c/o pain or symptoms.

Other Meds: Unknown

Current Illness: None

ID: 1118306
Sex: F
Age: 64
State: CA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
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: 2/18/2021 Developed fatigue, low grade fever and chills. 2/19/2021 Around 5:00PM noted new sudden onset of blurriness of vision on the left eye. 2/20/2021 Opthalmologist evaluation noted cataract like changes on posterior lens capsule of left eye; no treatment recommended.

Other Meds:

Current Illness:

ID: 1118307
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies: Ciproflaxin, Sulfa drugs, MRI Dye

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

Symptoms: Feeling of impending doom for about 20 minutes, loss of consciousness, vomiting and diarrhea, fever/chills and shaking. It resolved after 1 hour total. Didn't get worse after loss of consciousness or I would have gone to the ER.

Other Meds: Cyanocobalumin (injectable)

Current Illness: No

ID: 1118308
Sex: F
Age: 71
State: PA

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: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin

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

Symptoms: Had injection at 5:30 pm 3/18/21. 7:00 pm 3/19/21 had chills and was extremely lethargic. Went to bed. Slept 14 hours. Body aches. 1;45 pm 2/20/21, feeling back to normal. Perhaps these adverse reactions due to the fact I had Covid-19 November, 2020?

Other Meds: N/A

Current Illness: N/A

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm