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: 1140429
Sex: F
Age: 29
State: PA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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: Shellfish allergy

Symptom List: Dysphagia, Epiglottitis

Symptoms: I thought I was imagining my tongue swelling while waiting post vaccine, I drove home where it only became worse and my blood pressure was in hyper tension. I called my doctors office who advised me to go straight to the hospital where I was admitted right away and given benadryl, apinephrine, famotidine, methylprednisolne, and racepinephrine around noon. I was release around four only to have swelling in my face tongue and arms, around 11pm when I went back to the hospital for more of the same treatments and was again released around 6 am on Wednesday the 24th. I have been suffering with headaches, dizziness tiredness and pain in the bottoms of my feet for the last four days.

Other Meds: birth control

Current Illness: none

ID: 1140430
Sex: F
Age: 44
State: OH

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: My arm became very hot later in the night and then my face got really hot and when I woke up my face was swollen like I had a mild reaction

Other Meds: Iron pills, vitamin supplements

Current Illness: Seasonal allergies

ID: 1140431
Sex: F
Age: 69
State: GA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/27/2021
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: Adhesive Tape, Antibiotic creme, because if CKD

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

Symptoms: Arm swelled, itched, became red, hot -- scratched so much it made places. This persisted fir about a week.

Other Meds: Verapamil, Glipizide, Allopurinol, Fluoxetine, Loratadine, Victoza, Gabapentin, Atorvastatin, Calcium, Aspirin. Vitamin E, Vitamin B12, Ropinirole, Estradiol, Famotidine, Tizanidine

Current Illness:

ID: 1140432
Sex: F
Age: 74
State: AL

Vax Date: 03/12/2021
Onset Date: 03/22/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient's husband showed me a picture of his wife's arm today, 03/27/21. It is red from the deltoid muscle going almost all the way down her arm. I called the patient. She said it started around Monday, 03/22/21 and vaccine given 03/12/21. She said it itches slightly and has a little soreness. Her rash is still present.

Other Meds: atenolol/chlorthalidone, warfarin, valtrex

Current Illness: none

ID: 1140433
Sex: F
Age: 31
State: VA

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

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

Lab Data:

Allergies: asa, PCN

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

Symptoms: ITCHING. REC'D BENADRYL. LATER STATED SHE GETS ITCHY WITH ALMOST EVERY MED SHE TAKES, LIKE PSYCHOGENIC URTICARIA

Other Meds: unkown

Current Illness: UNKNOWN

ID: 1140434
Sex: F
Age: 65
State: PR

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: ASPIRIN

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

Symptoms: After giving the vaccine, patient felt dizzy, nausea, and shaking (arms and legs). After 30 mins she felt good.

Other Meds: N/A

Current Illness: N/A

ID: 1140435
Sex: F
Age: 90
State: CA

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/27/2021
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: no known allergies.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Approximately 2 days after receiving her vaccine, she began to develop swelling and tender spots on both legs, mostly around the knees. These spots continued to grow in size, swelling and got more red in color. She developed more around the ankles. Edema of both legs worsened. approximately 20 days after receiving the vaccination she developed a similar spot over the right thumb. She also complained of scratchy throat, especially when lying down at night although she is noted to have chronic allergies. On March 25, she was re-evaluated. Given that her symptoms were worsening, and lab tests were abnormal she was treated with prednisone.

Other Meds: azelastine, diclofenac gel, flonase nose spray, amlodipine, benazepril, vitamin C, biotin, naproxen, calcium, vitamin D

Current Illness: None

ID: 1140436
Sex: F
Age: 54
State: MN

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 03/27/2021
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: Pharyngeal swelling

Symptoms: Everything smells like rotting meat, ringing in my ears, body pains all the time.

Other Meds: None

Current Illness:

ID: 1140437
Sex: F
Age: 27
State: WV

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Extreme body chills, slight fever, body aches, dry heaving, extreme headache, tired, pain in chest when inhaling. These symptoms lasted 2 days, then I started having vision problems went to eye doctor on 03/26/2021 and got diagnosed with asteroid hylaosis.

Other Meds: Wellbutrin, Lamictal, Ativan, Buspar, Biotin, Prenatal gummy vitamins.

Current Illness:

ID: 1140438
Sex: F
Age: 49
State: AZ

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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: Penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Muscle soreness down left arm from injection site to elbow over first 36 hours. Then the soreness decreased into the next 12 hours. 49 hours post-injection, soreness was gone.

Other Meds: Seroquel Ibuprofen Vitamin - Daily Xanax

Current Illness: None

ID: 1140439
Sex: M
Age: 22
State: TX

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: Reports he felt dizzy and bilateral hands tingling few minutes after the vaccine injection Patient got out of his car and fell s/p dizziness. Bruises on arms and redness at the back of head. No hematoma Alert and Oriented x 4 BP: 108/87 HR; 99 Sp02: 96% Fingerstick: 95 Seen and transferred to ER for evalualution

Other Meds:

Current Illness:

ID: 1140440
Sex: F
Age: 43
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Sulpha allergy

Symptom List: Rash, Urticaria

Symptoms: Severe redness and swelling at injection site. Roughly 3? in diameter. Extreme soreness, very painful to any contact

Other Meds: None

Current Illness: None

ID: 1140441
Sex: F
Age: 16
State: SD

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: came in for a Moderna Shot. We screened her for sickness , allergies and eligiblity except for age. She received the Moderna shot that is approved for 18 and older. She is 16 years old.

Other Meds:

Current Illness:

ID: 1140442
Sex: F
Age: 71
State: AS

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/27/2021
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: PCN, sulfa, cipro, flagyll

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

Symptoms: On day one-slt sore arm. On day two-generalized fatigue, sore arm On day three-swollen arm-entire circum. about 30 % larger (pictures available) On day four-large-3 x 3 inch raised very red area on arm (picture available) On day five-area only slt red with dime size area as like a small pox vaccination with small area raised where injection (target like area) picture available. Day six-resolved. Lupus flared slightly and has mostly resolved in two weeks.

Other Meds: Vitamin D, B12, Nexium, Fish oil, prerevision, ca++, mag/

Current Illness: Systemic lupus, asthma, gastro intestional

ID: 1140443
Sex: F
Age: 41
State: IL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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 antibiotics, TB test, codeine

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

Symptoms: About 30 min after - felty very drowsy About six hours later - Chills fatigue fever body aches About four hour later - heart palpitations and facial numbness About ten hours later - abdominal pain

Other Meds: Immitrex

Current Illness: Chronic daily migraine

ID: 1140444
Sex: M
Age: 26
State: MA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Peanuts (anaphylaxis), Almonds (anaphylaxis), Cashews (anaphylaxis), Chickpeas (mild allergy), Soybeans (mild allergy)

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

Symptoms: This was my second dose of the Pfizer/BioNTech COVID-19 vaccine. I took some notes during my waiting time following my injection similar to my first dose. Information from my last report can be found using Temporary VAERS E-Report No: 334845. Of note, I did prepare for my second dose by taking Benadryl 50 mg and Airborne Immune-Boost supplements the night before my second dose, so my symptoms were not as severe as last time. 6 minutes: Mild tingling around tongue. This time all around the edges of my tongue, but a lot less bothersome than the first dose. 8 minutes: Weird. Slight itchiness under left half of tongue. Still very mild but less concerning than first dose itchiness on the left and right sides of my tongue. 18 minutes: Itchy on right side slightly, only side noticeable. 20 minutes: Mild warm feeling on left side of top of my throat. Less bothersome than time. 26 minutes: Left throat warm ness resolved, but transitioned to right side of top of my throat. 31 minute: Throat warmness overall resolved, but slightly itchy on edge of right side of my tongue. 37 minutes: Top of throat on right feels weird but not itchy. Warm maybe? 39 minutes: Weird feeling on right side of throat resolved. Symptoms more or less resolved the rest of the day, especially after second dose of Flonase @ 9:00 am. 14 hours later: About to go to bed. Feeling fatigued, similar to my first dose after working out. Took airborne and two Benadryl (25 mg each) before sleeping. 24 hours later: 03/27/2021, feeling more fatigued, groggy, mild headache (mostly at back of my head), and muscle aches around my body. 25 hours later: Groggy feeling and fatigue resolved. Possibly due to Benadryl or vaccine? 32 hours later: Majority of muscle aches resolved. Headache also resolved. Feeling mostly soreness at this point. Drank Airborne @ 10:00 am and 4:00 pm. In between drank plenty of fluids (water, cranberry juice, apple juice, milk). No fever or chills.

Other Meds: -Airborne x2 effervescent tablet (first @ 11:00 pm on 03/25/2021 and second @ 7:00 am on 03/26/2021) -Benadryl (took 2 tablets of 25 mg tablets @ 11:00 pm on 03/25/2021) -Flonase (took spray in both nostrils @ 7:00 am)

Current Illness: Asthma, Eczema, ? Allergic rhinitis

ID: 1140445
Sex: F
Age: 37
State: CA

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: Penicillin, latex

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

Symptoms: Fullness in left ear followed by tinnitus

Other Meds: Synthroid

Current Illness: None

ID: 1140446
Sex: F
Age: 75
State: NJ

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Latec, Linsinopril

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pain, soreness, tiredness, headache, muscle pain, chills, sweating, joint pain, nausea,

Other Meds: Omega3, Rosuvastan Calcium, Montelukast, Flonase Sensimist, Generic Xyrtec, Chromium, Biotin, Calcium, Move Free Ultra

Current Illness: None

ID: 1140447
Sex: M
Age: 74
State: MI

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 03/27/2021
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: mild joint pain, headache, fatigue, unable to sleep. No treatment - told to wait it out Went away about a week later

Other Meds: Atenalol; Simvastatin; multi vitamin; vitamin D

Current Illness: None

ID: 1140448
Sex: M
Age: 66
State: OH

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: spotty bumps in patches, not confined to 1 area. no pain just irritating itch.

Other Meds: n/a

Current Illness: n/a

ID: 1140449
Sex: F
Age: 51
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital: Y

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

Lab Data:

Allergies: So many antibiotics Codein, ceftin, rabbits, oxy, hydo

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

Symptoms: Turned red/ had hives/ itching, throat itched

Other Meds: Tirazidine muscle relaxer night before

Current Illness:

ID: 1140450
Sex: M
Age: 47
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/27/2021
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: After 2 minutes felt wave of flush, heart rate accelerated from 55 to 90, blood pressure rose to 150/100. Experienced light headedness. BP and HR returned to normal after 30 minutes. Light headedness remained for 2 hours. After 20 minutes heart started squeezing feeling and remained for two days. After 2 hours, began feeling sharp pains in heart and palpitations, continued for 5 days. After 12 hours began feeling mild aches and chills and fatigue. Continued for 3 days.

Other Meds: None

Current Illness: None

ID: 1140451
Sex: F
Age: 55
State: VA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: SULFA, POLYSORBATE

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

Symptoms: POSSIBLE ANAPHYLAXIS, DIFFICULTY SWALLOWING, BREATHING, THEN SPEAKING. 911 CALLED. TRANSPORTED VIA EMS

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1140452
Sex: F
Age: 59
State: KY

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Janssen COVID-19 Vaccine EUA very deep headache and fatigue Started about 20 hours after vaccination. Lasted about 16 hours then reduced in severity for the next 12 hours. Over the counter meds did nothing to relieve symptoms.

Other Meds:

Current Illness:

ID: 1140453
Sex: F
Age: 63
State: OH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Inhalant allergies, pollen, mold, dust. Petrochemical allergies, strawberries, peanuts. Codeine, Indomethicin

Symptom List: Injection site pain, Menorrhagia

Symptoms: within a couple hours of the shot I felt a nervous feeling inside. this continued to grow in me a couple of days along with an increasing headache. I started breaking out in a rash mostly on my head, around my right eye, chest and back, on about the third or forth day. I also developed diarrhea. I went to Urgent care on 03/17/21. the doctor there gave me a shot of prednisone and things quickly cleared up.

Other Meds: Amlodipine Besylate 5 mg. Pantoprazole 40 mg. Zyrtech, Mega Red, Caltrate

Current Illness:

ID: 1140454
Sex: F
Age: 71
State: HI

Vax Date: 03/16/2021
Onset Date: 03/21/2021
Rec V Date: 03/27/2021
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: NKA

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

Symptoms: Moderna Lot #001B21A. Given 3/16/2021 Pain & bruising at site Within 5 days felt weird, low blood sugar, Headache Unwell, joint aches, pain, muscle pain, weak, Wednesday 24th during the night nauseated, vomited several times came in waves hot sweaty fainted for a few seconds x 2 March 27th still feel weak, joint pains fuzzy in the head, gradually getting better but not well yet. Yellow fading bruise at site. I emailed Dr to notify him just in case it was related to the vaccine

Other Meds: Meloxicam Multivitamin Vitamin C Bioastin Calcium Fish Oil

Current Illness: None that I am aware of

ID: 1140455
Sex: F
Age: 63
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fever 100.1 degrees Severe headache Malaise

Other Meds: None

Current Illness: None

ID: 1140456
Sex: M
Age: 75
State: CA

Vax Date: 03/03/2021
Onset Date: 03/09/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Shell fish

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Asthmatic attack

Other Meds: Metformin Crestor

Current Illness: n/a

ID: 1140457
Sex: F
Age: 67
State: WV

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Tetracycline

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

Symptoms: Metallic taste

Other Meds: Verapamil, Ramipril

Current Illness: None

ID: 1140458
Sex: F
Age: 36
State: TN

Vax Date: 01/28/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea

Symptoms: Individual received first dose of the Moderna vaccine on December 28,2020 and second dose of Moderna on January 28, 2021. Individual did not receive vaccines at, vaccines were administered through City. Individual tested positive for SARS-CoV-2 on today.

Other Meds: N/A

Current Illness: N/A

ID: 1140459
Sex: M
Age: 63
State: TX

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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: Had shot Tuesday, Woke up Wednesday felt ok until about 10:00 A - got worse throughout the day, got home from work with 101 fever. and severe chills. Arm felt like it was beat with a baseball bat. 102 fever thru the night and severe body aches. Felt like I had Covid all over again. Sick all day Thursday with the same symptoms, Friday morning was better and fever again Friday night. Today has been somewhat better. Still not much strength.

Other Meds: singular, prevacid, mesalamine, lipitor, flonase, azelastine, mutivitamin, coQ10 , vitamin E

Current Illness:

ID: 1140460
Sex: F
Age: 64
State: MT

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/27/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Fever, sore swollen arm, aches/pains, chills, cough, headache, fatigue, lethargic, stomachache, sharp pains in arm. Feeling better on third day, fever continues, sore arm. Day 4, pain in arm, lethargic, upset stomach, fever, asthmatic. Day 5, same symptoms. Today is day 12, I'm continuing to spike fevers, low grade up to 100, but I run a low body temp, usually 96-97. General feeling of being ill, upset stomach continues, fatigue. Been staying down as much as possible last few days, still not feeling well along with fever.

Other Meds: clonazepam .5mg, omeprazole dr 20mg, metoprolol er 50mg, gabapentin 200mg,

Current Illness:

ID: 1140461
Sex: M
Age: 48
State: IN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None that I am aware of.

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

Symptoms: On 3/24/2021 about 1 hour, after I received the shot I started to have lower stomach cramps, they got more server as the night progressed. I could not sleep with the pain. Then on 3/25/2021 at about 2 am in the morning I started getting a headache while still having stomach cramps. At about 7:00 am I had a fever of about 99.5 degrees then at about 11:00 am I had a fever of about 100.2 degrees and the stomach cramps were still there. I drank lots of water and Pedialyte to stay hydrated but had a very difficult time urinating. it was very little. At about 10 pm the cramps started to subsided but were still lightly present. my appetite went to almost nothing but soup for 2 days, I have had leg and arm cramps off and on during this process as well. I did not want to eat. today 3/27/2021 is the first day I have started to feel normal.

Other Meds: Losartan 100 Mg Levothyroxine 112mg Low dose Aspirin 81mg

Current Illness: None

ID: 1140462
Sex: F
Age: 64
State: IL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Nitrofurantoin, rash Codine, nausea Levaquin, nausea

Symptom List: Tremor

Symptoms: About 45 minutes after receiving vaccine in right arm the right side of my face became tingly and numb. Starting with my chin and going to the forehead and across to the right ear. That feeling started to dissappear around 2 pm and I was left with a headache, mild nausea, and an uncomfortable feeling in my right eye. The next day I had a slight headache and the right eye still feels uncomfortable.

Other Meds: Claritin Propranolol Linsopril Armour thyroid

Current Illness: No

ID: 1140463
Sex: F
Age: 68
State: NJ

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/27/2021
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: Floxin

Symptom List: Erythema, Pruritus

Symptoms: Increase in tinnitus

Other Meds: Lisonoprolhctz,synthroid,calcium,vit c

Current Illness:

ID: 1140464
Sex: F
Age: 32
State: NH

Vax Date: 03/27/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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: Augmentin, minocycline, doxycycline

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

Symptoms: Person administering second vaccine gave me Pfizer instead of Moderna. So I have now had Moderna 1 and Pfizer as my 2nd.

Other Meds: Prenatal vitamin, progestin only oral contraceptive

Current Illness: N/A

ID: 1140465
Sex: F
Age: 40
State: TX

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: None

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

Symptoms: After 2nd Dose: 1st Day- 5pm onset: Markedly increased heart rate while sitting at rest. Fever, fatigue, intense muscle weakness & achiness, felt like weights in my veins. Sleep overnight was disrupted often. Intense strange dreams, perhaps lucid. 2nd Day- 9am: Fever & weakness subsided, muscles remained achy particularly with increased activity. Tiredness. 3pm: Fever returned. 5pm: Strong heart palpatations. Achy muscles. 8pm: Tiredness. Strange dreams, still lucid. 3rd Day- Still slight achiness. 3pm: Intense heart palpatations, pre-menstrual cramping (11 days early, my cycle is extremely regular). 5pm: Heart palpatations, muscles felt almost an electric pulsivity. 6pm: Tooth pain for about two hours. 8pm: Vaginal discharge (clear lubricant), lasted till 3am. 4am: Urine had extremely sour smell. *3rd day indicated to me that my hormones/hypothalamus may have been affected? Very strange, out-of-cycle behaviors. I have been sexually inactive for over 6 months.

Other Meds: Over-the-counter Vitamins taken once daily: Nature Made Prenatal Multi + DHA (200mg DHA), Kirkland Signature Vitamin C (1000 mg), Kirkland Signature Glucosamine HCI (1500 mg) with MSM (1500 mg) - (2 tablets), Nature's Bounty Hair, Skin & N

Current Illness: None

ID: 1140466
Sex: F
Age: 66
State: OH

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/27/2021
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: ceclor Epinephrine Inhalant sensitivities (dust, molds, seasonal)

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Moderna COVID-19 Vaccine EUA About 2 days after vaccine injection I noticed redness and swelling approximately 2 inches below the injection site. It was not hot. It was tender to the touch. It was approximately 2 inches in diameter. It was faded/cleared by 9th day after injection

Other Meds: Raloxifene, Armour thyroid, Pantoprazole, Aspirin 81 mg, Fluticasone, MVI, Calcium with D3 and minerals, vitamin D3, glucosamine and Chondroitin, Fish oil, stool softener, valerian root, loatadine, viracid (supplement)

Current Illness: none

ID: 1140467
Sex: F
Age: 74
State: UT

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: 21 hours after my 2nd shot I woke up and had Headache, achy all over, tired, a weird stabbing pain in my left ear and left side of neck. that continued all day. Woke up this morning (03/27/2021) and I felt fine, all side effects gone. No treatment

Other Meds: Atorvastatin 20mg, Estadiol0.5mg, medroxyprogesterone 2.5 mg, montelukast 10 mg, Aspirin 81mg, vit D3 5000U, tylenol PM

Current Illness: None

ID: 1140468
Sex: M
Age: 64
State: OK

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/27/2021
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: Next morning I had a static or whooshing noice in my left ear only. Sometimes it is worse than others.I thought it wasn?t cell phone problem and went to repair outlet. It wasn?t that . The sound / ringing in left ear is bad enough that I can?t have a conversation. My right ear is fine.

Other Meds: None

Current Illness: None

ID: 1140469
Sex: M
Age: 74
State: MI

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 03/27/2021
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: Extremely severe joint pain, particularly in my hands but also in knees, shoulder, elbows. Very bad headaches. Severe fatigue by mid-day. Unable to sleep.

Other Meds: Atenalol; Simvistatin; multi vitamin; vitamin, Tylenol, omeprazol

Current Illness: None

ID: 1140470
Sex: F
Age: 17
State: OH

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: We administered the vaccine to the patient and she is only 17 years old. She will be 18 in 2 months. She has currently not reported any adverse side effects

Other Meds: No

Current Illness: No

ID: 1140471
Sex: M
Age: 51
State: OH

Vax Date: 03/18/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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

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

Symptoms: Swelling and itching at injection site. Colloquially referred to in media reports at "COVID Arm."

Other Meds: Isotretinoin; Fish Oil

Current Illness:

ID: 1140472
Sex: M
Age: 50
State: NM

Vax Date: 02/01/2021
Onset Date: 02/27/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Auditory issues: ringing in both ears. Sometimes louder in one or the other. Ringing is day and night.

Other Meds: Pregabelin

Current Illness: None

ID: 1140473
Sex: M
Age: 39
State: OH

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: Two minutes after receiving his vaccination, he reported feeling lightheaded. He had a brief episode of syncope for proximately 20 seconds. He was taken to a private section of the arena in monitoring. His initial vitals showed

Other Meds: None

Current Illness: None

ID: 1140474
Sex: F
Age: 67
State: VA

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/27/2021
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: my eyes are red and irritated and eye lids are puffy

Other Meds:

Current Illness:

ID: 1140698
Sex: M
Age: 20
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/27/2021
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: nka

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

Symptoms: EXPERIENCED A TONIC CLONIC SEIZURE AT APPROXIMATELY 08:45PM THAT LASTED FOR JUST ABOUT 5 MINUTES

Other Meds: depakote 250 mg bid folic acid calcium plus d3

Current Illness: n/a

ID: 1140699
Sex: F
Age: 31
State: IN

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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: Almonds, Walnuts, and Flaxseed

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The next day my left arm was very sore, which is to be expected. Even though the soreness went away, I noticed a large welp on my arm at the injection site that was red, inflamed, and hot to the touch. The welp stayed on my arm for about a week then disappeared, but the area is still warmer than the rest of my arm.

Other Meds: Methylphenidate Chlorthalidone Lisinopril Montelukast Citalopram Vitamin D3 (2000IU) Valarian Allegra Nasacort

Current Illness:

ID: 1140700
Sex: F
Age: 42
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Dander, grass and tree pollen

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

Symptoms: COVID arm. Red inflamed area above injection site with extreme muscle ache. Rash not itchy but warm to touch.

Other Meds: N/a

Current Illness: None

ID: 1140702
Sex: M
Age: 38
State: CO

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Soreness

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm