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: 1140804
Sex: F
Age: 59
State: UT

Vax Date: 02/01/2021
Onset Date: 02/24/2021
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: Bee sting

Symptom List: Dysphagia, Epiglottitis

Symptoms: Swollen, sore,itchy rash with bunps.sweating. very tired. Dizzy. Pain in back rib cage on the right side. Fever headaches.

Other Meds: Hypothyroidism, BP, estrogen, diabetes

Current Illness: N/A

ID: 1140805
Sex: M
Age: 44
State: PA

Vax Date: 03/12/2021
Onset Date: 03/23/2021
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: Penicillian

Symptom List: Anxiety, Dyspnoea

Symptoms: Ringing in ears that won't go away - tinnitus

Other Meds: N/A

Current Illness: N/A

ID: 1140806
Sex: M
Age: 21
State: MO

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

Lab Data:

Allergies:

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

Symptoms: Patient received his vaccine shortly after 5pm and was transitioned to the observation area in front of the pharmacy. Shortly after he sat down in the observation chair another employee noticed that he started having a reaction and became unconscious. 2 individuals came over to help Pt. When they arrived, he was sliding down the chair and became conscious but was not talking. lowered patient to floor and administered an Epi Pen at 5:07.called 911. After patient regained consciousness, he seemed stable and did not recall knowing what happened and did not display any additional signs of an adverse reaction. EMS arrived and checked his vitals and Pt was given the option to go to the hospital or go home. Pt refused to go to hospital and was given a ride home.

Other Meds:

Current Illness:

ID: 1140807
Sex: F
Age: 21
State: CA

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: septra

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: fullness to throat, resolved with epipen

Other Meds: famotidine, fluoxetine, ativan, amlodipine

Current Illness: none

ID: 1140808
Sex: F
Age: 62
State: IL

Vax Date: 03/17/2021
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: Sulfa drugs - Bactrim

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

Symptoms: Rash on upper left arm near/at the injection site. Mild itching. Slightly raised, Red. This was the first injection.

Other Meds: Levothyroxine, Raloxifene, Calcium, Vitamin D & K, Vitamin B, Omega 3, Zinc, Zeathenine,

Current Illness: None

ID: 1140809
Sex: F
Age: 60
State: IL

Vax Date: 03/20/2021
Onset Date: 03/22/2021
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:

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

Symptoms: left arm pain radiating down to wrist from shoulder shoulder pain back shoulder pain

Other Meds: Allegra D Carvedilol Spironolactone Lisinopril Effexor XR

Current Illness:

ID: 1140810
Sex: F
Age: 53
State: NY

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, Sulfa, Morphine, Demerol

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 03/23/21 Redness of face, neck, anxiety, rapid heart rate. 03/24/21 Vomiting, red dots on my face especially around my eyes and slight swelling of my eyes, weakness.

Other Meds: Buspar 7.5 mg once a day.

Current Illness: None

ID: 1140811
Sex: M
Age: 62
State: NY

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: 15 hours after vaccination had chills, fever 0f 100 F. 16 hours post vac. had nausea and vomiting (dry heaving) for 6 hours.

Other Meds:

Current Illness:

ID: 1140812
Sex: F
Age: 52
State: AZ

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Latex Tetracycline Statin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Day 1 felt like my arm was in extreme pain, resolved a little over 24 hours. Day 2 I woke feeling like someone attacked the left back of my head with a hammer. It's now day 4 and my head still feels like a watermelon, about to explode. Tried migraine meds no help, heat send to be the only partial relief available.

Other Meds: Levothyroxine Vitamin d Niacin

Current Illness: Hashimotos

ID: 1140813
Sex: M
Age: 30
State: NC

Vax Date: 03/13/2021
Onset Date: 03/16/2021
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: Aspirin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Red hives on legs and arms

Other Meds: Xyzal, Advil

Current Illness:

ID: 1140814
Sex: M
Age: 40
State: NY

Vax Date: 03/21/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Fever, aches, cough

Other Meds:

Current Illness:

ID: 1140815
Sex: F
Age: 40
State: TN

Vax Date: 03/19/2021
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: SYR
Vax Site: RA

Lab Data:

Allergies: Allergic to shellfish

Symptom List: Rash, Urticaria

Symptoms: 2? diameter hard, raised welt. Itchy and feels hot.

Other Meds: Singular, zyrtec, Flonase, melatonin, vitamin d3, vitamin b6 & b12, women?s daily vitamin, albuterol sulfate inhaler, CBD

Current Illness: None

ID: 1140817
Sex: M
Age: 55
State: IN

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

Lab Data:

Allergies: Only allergic to albuterol inhaler. That?s all I know of.

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

Symptoms: Morning after receiving first dose I woke up with severe flu like symptoms. Bad headache, sore all over. Loss of appetite. Etc. Got worse as day went along. Was running slight fever. Was so sick I came home and went straight to bed. Today, the 27th, was feeling a little better for a bit then it came on again same as yesterday. Fever, chilling, loss of appetite, bad headache arm throbbing. Pain all over body. Still feeling pretty bad this evening.

Other Meds: Sertraline, 50 mg. Once per day

Current Illness: I have arthritis pretty bad. Take Tylenol as needed if real bad. I had 2 kidney stone surgeries last year then contacted covid as well as the pneumonia all at the same time about a month after kidney stone surgeries. Have never gotten over symptoms from covid. Been a full year.

ID: 1140818
Sex: M
Age: 68
State: FL

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Bydurin

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

Symptoms: Moderna COVID-19 Vaccine EUA Standard aches and pain + temp of ~100-degrees (F), however I'd like to report two additional side affects that may warrant further warnings to professional fine skill workers (e.g. airline pilot or surgeon): 1) between 4- to 42-hrs post injection, I experienced vertigo (loss of balance) whenever I tilted my head to extremes, but compensated by holding onto a chair/table; and 2) between 4- to 36-hrs post injection, I experienced 5- to 6-time reality "jump" for ~10-second duration each, i.e. my best way to describe this is watching an old 8-mm film with worn holes (sprockets) with the resulting movie flicker. I had 1 to 2 episodes while driving, but the reality discontinuity were only 10th-of-Secs, so no impairment.

Other Meds: 1) Metformin, 850-mg 1 in AM and 1 in PM; 2) Simvastatin, 20-mg 1 before bed; 3) Levoxyl, 112-ug 1 at wakeup; 4) Glipizide XL, 2.5-mg 1 in AM; 5) Victoza, 1.8-mg at night.

Current Illness: Diabetes Type 2

ID: 1140819
Sex: M
Age: 44
State: TN

Vax Date: 03/18/2021
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: Penicillin

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

Symptoms: Covid arm. Swelling, redness, pain, irritation. Beginning 9 days after initial dose.

Other Meds: Allegra. Windmill Comparables Daily One for Men.

Current Illness: None

ID: 1140820
Sex: F
Age: 56
State: AZ

Vax Date: 03/07/2021
Onset Date: 03/07/2021
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 known

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

Symptoms: Temperature became elevated (99.5) starting at 18:00 hours. was 99.9 by 19:15 hours and 101.6 at 23:30 hours. Next morning temp 100.2 at 06:00, down to 98.8 at 09:15 started going back up through the morning 99.2 to 100.4 until 16:30 when it returned to normal.

Other Meds: none

Current Illness: none

ID: 1140821
Sex: M
Age: 65
State: CA

Vax Date: 03/27/2021
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: none

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

Symptoms: Vaccine Pfizer was given to the vaccinator. The vial of Pfizer had not been reconstituted. Pt was administered 0.3ml of Pfizer that had not been reconstituted.

Other Meds:

Current Illness: none

ID: 1140822
Sex: F
Age: 31
State: MI

Vax Date: 03/27/2021
Onset Date: 03/27/2021
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: Septra, methotrexate, cephalexin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Sore arm about 2 hours after shot..

Other Meds: Prednisone, levothyroxine, prenatal vitamins

Current Illness:

ID: 1140823
Sex: F
Age: 54
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: PNC AND ORANGE OIL

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: DIZZINESS, NAUSEA, DIFFICULTY BREATHING, HIGH BLOOD PRESSURE (165/96), 11:20AM - 11:40AM, PT WAS CONCIOUS AND DISORIENTED, WE CALLED AMBULANCE WHEN SHE STATED DIFFICULTY BREATHING.

Other Meds: N/A

Current Illness: N/A

ID: 1140824
Sex: F
Age: 53
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: None

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

Symptoms: After 12 hours, lost consciousness for approx 2 min, body had spasms. Had no weakness prior to the episode, arm wasn?t sore either.

Other Meds: None

Current Illness: None

ID: 1140825
Sex: F
Age: 60
State: FL

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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: Iodine Penicillin Avalox Depo Provera All sea food shellfish or fish

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

Symptoms: 1-After 5 minutes of taking the vaccine I started to sneeze few minutes later it pass. At about 12midnight My arm was sore and in pain and very warm to the touch 2- on Tuesday morning I was very cold and very tired . 3- Around none or so I notice my self cleaning my mouth the left side , it feel like you just where out of the Dentist , like went you anesthesia from the dentist is running out. I have feeling but it almost feel like my drooling like my saliva is out of my mouth and also my left eye felt heavy and at first very watery and the dry . My left side of my mouse feel different and I?m connately cleaning my mouth.

Other Meds: Atrovastatin 20 mg Benadryl Aspirin one a bay Xanax 1mg went need it Vitamin D3 once a week Vitamin b Coq10 Bisoprololo 5mg every day Nebulizer Abluterol

Current Illness: Irregular heart beat Left over side effects from Covid

ID: 1140826
Sex: F
Age: 59
State: MI

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: shellfish and bleach exposure

Symptom List: Unevaluable event

Symptoms: palpitations, tingling over lips, rash

Other Meds: allegra in the morning

Current Illness: none

ID: 1140827
Sex: F
Age: 33
State: NJ

Vax Date: 03/25/2021
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: LA

Lab Data:

Allergies: No known

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

Symptoms: A few hours after injection, I felt some pain and soreness in my arm. My arm has a large red area that is warm and painful to the touch. It has continued to grow in size over the last two days. I also experienced fatigue, decrease then increase in body temperature, dizziness, and headache.

Other Meds: None

Current Illness: None

ID: 1140828
Sex: M
Age: 34
State: NY

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Pain

Symptoms: Burning stomach sensation. 9 out 10 in term of strength followed by diarrhea. Took OTC Tums and GasX. In 45min, symptons reduced and 2h no more signs of side effect

Other Meds: N/A

Current Illness: No

ID: 1140829
Sex: F
Age: 40
State: IN

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: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: First 24 hours: Large red raised hot-to-touch bump at injection site (applied ice pack) Severe pain from site up back of neck and down to fingers Low grade temperature 99.9? Next 24 hours: Still have large raised red hot-to-touch bump at injection site but now site is very itchy (applied ice pack) Pain has dulled but still present Fever gone Sore throat and slightly swollen tonsils

Other Meds: Metformin HCI ER 24hr 500mg tabs x 4 QD Lisinopril 20mg tab QD Invokana 100mg tab QD Synthroid 137mcg tab QD Lantus 80U QHS Humalog sliding scale 5Ux15g Carbs Xyzal 5mg QAM Venlafaxine 25mg QHS Vitamin D 50,000 U Q Monday Morning

Current Illness:

ID: 1140830
Sex: F
Age: 38
State: KY

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

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

Symptoms: Pt developed headache and nausea 24 hours after getting the vaccine.

Other Meds: UKN

Current Illness: UKN

ID: 1140831
Sex: F
Age: 48
State: MD

Vax Date: 03/09/2021
Onset Date: 03/10/2021
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: Mango

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Loud tinnitus in both ears but especially the left. Can?t cancel out the sound - it is a constant high pitched and loud ring.

Other Meds: Synthroid 75

Current Illness: None

ID: 1140832
Sex: M
Age: 65
State: NV

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Initial slight pain at injection site and during arm movement (Upper right arm) on day of injection (Tuesday). Follwing days (Wed, Thursday & Friday); increased pain at injection and during arm movement, lump at injection sight swelling in surrounding area, upper arm warm to touch and redness in same area. Saturday; reduced pain during arm movement, lump still present at injection area but decreasing, minimal pain when touched, no longer any apparant redness, swelling or warmth.

Other Meds: Shiff condroiten/glucosime

Current Illness: none

ID: 1140833
Sex: F
Age: 37
State: MN

Vax Date: 02/27/2021
Onset Date: 03/02/2021
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: Pennecilin

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

Symptoms: I was breastfeeding at the time and my milk production drastically decreased a day after the injection and has been slowly lessening since.

Other Meds:

Current Illness: Breastfeeding

ID: 1140834
Sex: F
Age: 60
State: TX

Vax Date: 03/08/2021
Onset Date: 03/13/2021
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: penicillin

Symptom List: Nausea

Symptoms: Worst headache ever - intense pain when walking or moving head, nausea. Dr told me to take 4 ibuprofen 3 times per day. I took 2 3 times per day. The headache and nausea lasted 4 days. Headache is milder but still present, especially with head movements. Ringing in ears, moderate tinnitus from the day I got the shot and it still remains.

Other Meds: multivitamin

Current Illness: none

ID: 1140836
Sex: F
Age: 61
State: SC

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Very sore arm, diarrhea on day of vaccine. Next day dizziness (vertigo) that got worse throughout the day, headache, diarrhea several times despite taking Kaopectate, nausea by afternoon. My husband got the vaccine at the same time. His arm is worse than mine, and he had diarrhea first day. Next day, feeling worse as day progressed with headache and feeling feverish.

Other Meds: Arturostatin (Simvastatin), Desvenlafexine (Pristiq), Levothyroxine, Namenda XR, low dosage aspirin, 1 tsp of Milk of Magnesia and a lot of vitamins that I take daily: Xanthomax; Nature's Bounty Hair, Skin and Nails; Occuvite; Airborne; Sa

Current Illness:

ID: 1140837
Sex: M
Age: 48
State: CA

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: NO KNOWN DRUG OR FOOD ALLERGIES

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

Symptoms: COMPLETED OBSERVATION TIME OF 15 MINUTES POST VACCINATION, WENT TO CAR AND FELT DIZZY AND SWEATY. MEDICAL PERSONNEL RESPONDED WITH GURNEY AND TRANSPORTED PATIENT TO TRIAGE 1. ECG COMPLETED BY EMT WITH PHYSICIAN AT BEDSIDE AND 2 RNS. RESPONDED TO WATER, ICE PACK TO BACK OF NECK. NORMAL PALLOR RETURNED. REMAINED TRIAGE 1 UNTIL 17:05. PATIENT CALLED FRIEND TO PICK HIM UP AND DRIVE HIM HOME. SAT, THEN STOOD THEN WALKED TO INSURE SYMPTOMS RESOLVED PRIOR TO DISCHARGE.

Other Meds: NO MEDS

Current Illness: NONE REPORTED

ID: 1140838
Sex: M
Age: 58
State: MA

Vax Date: 02/11/2021
Onset Date: 02/18/1921
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

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

Symptoms: Approx a week after I got second (final) vaccine my left eye began twitching. I paid no attention to it. On March 5th I woke up with double vision. It went away within an hour and I worked a full 8 hour day. By the time I got home it was full blown double vision. I attended urgent care who diagnosed me "Cranial Nerve 4 palsy." I was recommended to see an opthomologist who confirmed this. I wasn't comfortable with this and asked to see a neurologist who also said cranial nerve 4 palsy. I asked for a brain MRI as I felt something more was going on. The MRI shown no abnormal findings (done 3/11/2021). On 3/16/2021 I woke up with a drooping eyelid of left eye. I immediately called opthomologist who suggested a diagnosis of Myesthenia Gravis. This was confirmed by neurologist on 3/23/2021. I am now on Prednisone and Mestinon. My next plan is to see a MG Specialist at A referral has been sent to them by my neurologist.

Other Meds: Adair Fiber supplement Melatonin Lisinopril

Current Illness: None

ID: 1140839
Sex: F
Age: 47
State: CO

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Metallic taste in mouth a few minutes after the first dose. About 3.5 hours later it?s still there less than the original taste, not as strong, but still preset at 7pm

Other Meds: Vitamin b complex, oral birth control, glucosamine hyaluronic acid

Current Illness: None aware of

ID: 1140840
Sex: F
Age: 28
State: IN

Vax Date: 03/19/2021
Onset Date: 03/27/2021
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: Sulfa drugs

Symptom List: Erythema, Pruritus

Symptoms: 8 days after first injection a rash appeared on injection site (upper arm) The rash was red, with hives, and it was warm to the touch. Rash was the size of a deck of cards.

Other Meds:

Current Illness:

ID: 1140841
Sex: M
Age: 68
State: NH

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: none

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

Symptoms: Fever at 24 hours, lethargy

Other Meds: none

Current Illness: none

ID: 1140842
Sex: M
Age: 79
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
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:

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

Symptoms: I had several visual hallucinations over the next two months

Other Meds:

Current Illness:

ID: 1140843
Sex: F
Age: 29
State: MD

Vax Date: 03/22/2021
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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Extreme lethargy and headache within ~2 hours Rash appeared almost six days to the hour at the injection site

Other Meds: Lamotrogine

Current Illness: None

ID: 1140844
Sex: M
Age: 37
State: TX

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: 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: Flu like symptoms, indigestion, body pain, fever

Other Meds:

Current Illness:

ID: 1140845
Sex: M
Age: 44
State:

Vax Date: 03/22/2021
Onset Date: 03/22/2021
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: Penicillin

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

Symptoms: Diarrhea about 9 times a couple of hours after I got home til midnight...36 hours later woke up with fever and sweaty at 2 a.m. but felt better by 10 am. Sore arm for 3 days.

Other Meds: Finasteride, doxycycline

Current Illness:

ID: 1140846
Sex: F
Age: 61
State: KS

Vax Date: 03/23/2021
Onset Date: 03/26/2021
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: Latex

Symptom List: Pain in extremity

Symptoms: 3/23 mild headache 3/24 mild headache 3/25 mild headache 3/26 rash started, in patches, right arm, trunk, under hair on head, and partially down back of neck.Severe itchiness. Took OTC benadryl, two tablets, no relief. 3/27 rash continues, itches more in evening

Other Meds: Effexor 150 mg Tramidol 20mg Trazadone 200 mh

Current Illness: None

ID: 1140847
Sex: F
Age: 18
State: MN

Vax Date: 03/26/2021
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: None

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

Symptoms: Fatigue, puking, diarrhea, slight fever, abdominal pain

Other Meds: Midol for period cramps

Current Illness: None

ID: 1140848
Sex: F
Age: 67
State: WA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
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: Aspirin; Penicillin; Sulfur; Gabapentin; Procardia; Oxcarbazepine; Clindamycine; Levofloxacine; Lamotrigine; Lyrica; Memantine; Adhesive

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

Symptoms: ?Moderna COVID-19 Vaccine

Other Meds: Estradiol; lunesta; B-12; Vitamin D; Fish Oil; Magnesium; Rosuvastatin

Current Illness: Trigeminal Neuralgia

ID: 1140849
Sex: F
Age: 54
State: MD

Vax Date: 01/27/2021
Onset Date: 01/29/2021
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: no

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

Symptoms: Three teeth and gums on right side of mouth hurt for 24 hours a few days following the 1st vaccine. I had rapid heartbeat for 2 1/2 weeks after the first dose and almost did not return for the 2nd dose because of this.

Other Meds: hydrochlothiaziade

Current Illness: no

ID: 1140850
Sex: F
Age: 54
State: NY

Vax Date: 03/23/2021
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: PENICILLIN BACTRIM CIPRO KEFLEX LATEX

Symptom List: Vomiting

Symptoms: Woke up from sound sleep at approximately 3:30AM on 3/ 27 /221 due to severe scalp burning and itching. Symptoms continued throughout the day. At 7pm n same day seen by Urgent Care practioner previously noted.

Other Meds: COSENTYX SQ Q 4 WKS EZETIMBE 10 MG PO QD DULLOXETINE 30 G POQD FIBER CAPS PO QD MULTI VIT POQD HAIR AND NAIL GUMMIE POWD

Current Illness: NONE

ID: 1140851
Sex: F
Age: 22
State: CA

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

Lab Data:

Allergies: SULFA DRUGS - RASH

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: ABOUT 5 MINUTES POST VACCINE, PATIENT REPORTED FEELING "ZONED OUT", DESCRIBES "LIGHT HEADED, HOT, NAUSEATED. SHE THEN HAD SYNCOPAL EVENT FOR 5-10 SECONDS WAS CAUGHT BY PA WHO WAS AT HER SIDE. IMMEDIATELY RESPONSIVE, ALERT AND ORIENTED AFTER. BROUGHT TO TRIAGE 1 BY WHEELCHAIR WITH PA AT HER SIDE AND ASSISTED TO GUERNEY. SYMPTOMS SLOWLY ABATED, PALLOR IMPROVED. BP 104/50 THEN 101/49 P 68, SPO2 96% ROOM AIR, BLOOD GLUCOSE 99. RELEASED VIA WHEELCHAIR AFTER SITTING AND STANDING AT 5:23. EMT AND NP PASSED HER AND TRANSPORTATION ATTENDANT AT 5:27 AND PATIENT WAS RETURNED TO TRIAGE ARE DUE TO NAUSEA. PHYSICIAN AGAIN EVALUATED AND ORDERED ZOFRAN. WHICH WAS ADMINISTERED AT 5:30.

Other Meds: ZOLOFT 25 MG BY MOUTH AS NEEDED FOR ANXIETY ORAL CONTRACEPTIVES

Current Illness: NONE

ID: 1140852
Sex: F
Age: 36
State: WA

Vax Date: 03/18/2021
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:

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

Symptoms: Left arm redness, itching, swelling, discomfort, welts. Treated with ice and ibuprofen.

Other Meds: Bupropion HCL XL, Vitamin D

Current Illness:

ID: 1140853
Sex: F
Age: 67
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, Beta blockers, codeine, iodine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: After vaccination throat became itchy, ears itchy, and itchy palms.

Other Meds: aspirin, HTN and Thyroid medications

Current Illness: None

ID: 1140854
Sex: F
Age: 27
State: MN

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: RA

Lab Data:

Allergies:

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

Symptoms: Low grade fever Muscle aches Chills Headache

Other Meds: Junel birth control

Current Illness:

ID: 1140855
Sex: F
Age: 73
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/10/2021
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: Penicillin

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

Symptoms: Hallucinations

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm