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: 1141376
Sex: F
Age: 65
State: NM

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Joint pain on arm where I received the vaccine from the shoulder to the wrist started 2 days after the vaccine. Then 4 days after the vaccine, I had headaches from the back of my head/neck up to my eyes.. Took Ibuprofen for the joint pain and extra strength Tylenol, fir the headaches, which lessened the pain.

Other Meds: Allegra, Lisinopril, Amlodipine, Baby Aspirin, Metformin, Fish Oil, Biotin, D3

Current Illness: None

ID: 1141377
Sex: F
Age: 60
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Body/muscle pain and stiffness, headache, chills

Other Meds: vitamins D3 25 mcg, b-6 100 mg, B12 1000 mcg

Current Illness: none

ID: 1141378
Sex: M
Age: 58
State: TN

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: Penicillin

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

Symptoms: Dizziness, shortness of breath, cold sweats, fatigue, unsteady on feet, feeling of heart racing, severe vomiting, total exhaustion. These symptoms were severe, much worse than when I had the virus in December. I thought I was having a stroke and was minutes away from dialing 911.

Other Meds: Losortan, vitamin D, Fish Oil, Phillips Colon Health, omeprozol

Current Illness: None

ID: 1141379
Sex: F
Age: 71
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Recd. 1st vaccine at 9:15 am, by 4:00 pm was not feeling well, went to bed. for the following 3 days I had body aches, extreme chills, night sweats and nightmares, explosive diarrhia, extreme fatigue (slept 23 hours a day). Each following day I slept a little less, but the night sweats and fatigue lasted for 17 days. My temperature remained around 95.7. This is the sickest I have ever felt, even sicker than the Flu I had approximately 30 years ago! No reaction to 2nd vaccine!

Other Meds: Losartan, 100 mg; Pravastain, 40 mg; Align probiotic, Calcium + D3

Current Illness: no

ID: 1141380
Sex: F
Age: 62
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient received first does of Moderna on left arm at 0900 on 03/27/21 in her vehicle. Soon after she felt dizziness, nausea, upset stomach and felty syncope coming on. Patient received medical attention and all vital signs were within normal range. Patient refused to go to hospital. Patient was with her daughter who assumed driving responsibility and would drive the patient home. Patient advised to stay additional time to monitor her.

Other Meds: unknown

Current Illness: n/a

ID: 1141381
Sex: F
Age: 40
State: CO

Vax Date: 03/20/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: None

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

Symptoms: Large oval red rash appeared two days ago, started out about the size of a quarter, now it?s oval shaped and about 3 inches by 2 inches. Moderate itch started 2 days ago even though it had never itched before. Other side effects that went away after three days were severe dehydration, soreness at injection site, and fatigue, but those all went away a few days after the shot. Only this growing rash remains.

Other Meds: Vitamin D

Current Illness: None

ID: 1141382
Sex: M
Age: 78
State: CA

Vax Date: 02/26/2021
Onset Date: 03/11/2021
Rec V Date: 03/28/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Shingle s Left Side of face and on scalp

Other Meds: None

Current Illness: None

ID: 1141383
Sex: F
Age: 73
State: MD

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Pharyngeal swelling

Symptoms: Proximately 3 or 4 AM the next morning I started getting diarrhea after laying in bed for several hours with cramps. Proximately 6 AM I took Gas-X and about seven I took Pepto-Bismol for diarrhea. And the cramping I had was severe. I felt nauseous but nothing came of it.Then I got uncontrollable shakes. My husband put about 4 to 5 blankets on me and set me next to the open fire place. The shakes would not go away. Got back in bed my husband placed all the blankets on top of me and got in bed with me, Tried to wrap his body around me to get me warm. My teeth were chattering arms legs entire body. After two or three hours of this shivering finally went away. The entire day I was so drained I hardly could get out of bed. Slept most of the day. During the chills my husband wanted to call 911 twice I begged him not to and he didn't. We never took my temperature my husband said my head was cold.

Other Meds: after shot levothyroxine aspirin 81 super omega3 zinc D3 500 IU airborne

Current Illness: nothing

ID: 1141384
Sex: F
Age: 40
State: IL

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

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

Lab Data:

Allergies: cats, fresh apples, cherries, peaches, apricots, almonds

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Nausea, vomiting , and dry heaving every 20-40 min- this only happened w/ 2nd shot Moderna Arm after 1st shot (started 7 days after shot and lasted 6 days or so)

Other Meds: Sprintec, Advair 125/25

Current Illness: none

ID: 1141385
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 03/28/2021
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: STRAWBERRIES, MOTRIN,CODEINE,MOTRIN NONE OF THESE ITEMS ARE AEVER TAKEN AND CERTAINLY NOT TAKEN DURING PERIOD FOLLOWING VACCINE

Symptom List: Diarrhoea, Nasal congestion

Symptoms: MEGA LACK OF FATIGUE, DIZZINESS, NAUSEA,REGRESSION RELATED TO IMPAIRED MOBILITY

Other Meds: MANY PRESCRIPTIONS TAKEN ON A REGULAR BASIS TOO NUMEROUS TO LIST HAVING DIFFICULTY ENTERING INFO REQUESTED DATE OF 2ND SHOT 02/25/21 DATE OF REACTION: 02/28/21

Current Illness: HEART CONDITION,/IDIOPATHIC NEUROPATHY /HIGH BLOOD PRESSURE /LYMPHEDEMA

ID: 1141386
Sex: F
Age: 70
State: TX

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Septra

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

Symptoms: Day 1 Chills, malaise, headache. Overnight low grade fever (<100), body ache, headache. Day 2 low grade fever, extreme lethargy, body ache, mild headache Overnight body ache, low grade fever, mild headache

Other Meds: Lisinopril, metoprolol, Centrum 50 vitamin for women

Current Illness: None

ID: 1141387
Sex: M
Age: 64
State: NY

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: Pennicillan

Symptom List: Rash, Urticaria

Symptoms: Moderna Covid-19 Vaccine EUA Was vaccinated Thursday morning 9am or so and awoke Friday morning with muscle ache, joint pain, cramping muscles, chill, sweats etc, These lasted 24 - 36 hours and then I had a severe allergic reaction on my tongue which swelled up worryingly, this was about 5pm on Saturday. I took 4 Benadryl over 3 hours and slept until Sunday morning. I awoke Sunday morning with quite a lot of muscle pain, like after a workout. I took 2 Motrin and felt fine after about 30 minutes. I do have pictures of how swollen my tongue got on the Saturday evening

Other Meds: Amlodipine 10mg Metoprolol 50mg Chlorthalidone 25mg Xanax .5mg Motrin for headache

Current Illness: Aneurism - just discovered daily headaches

ID: 1141388
Sex: M
Age: 51
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Very Lethargic late in the night. Went to bed and had really bad chills, shakes, and ultimately night sweats. This lasted essentially through the night, into the late morning, and early afternoon. Started to fell normal late afternoon, 24-26 hours after the shot.

Other Meds: Tolertodine, Valacyclovir

Current Illness: none

ID: 1141389
Sex: M
Age: 56
State: IN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: Body aches, tiredness, headache, chills

Other Meds: Lipitor, metapropolol, baby aspirin

Current Illness: None

ID: 1141390
Sex: F
Age: 27
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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 severe allergies

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

Symptoms: Patient has encephalopathy and severe scoliosis and has no muscle tone in her arms. Patient mother requested vaccination in her thigh as that is where patient receives other vaccines. Notification and approval made to Dr. per texting application and via phone call. Patient received first dose of covid vaccine in right thigh. Vaccine administered by LVN with proper instruction from PharmD.

Other Meds: Multiple

Current Illness: n/a

ID: 1141391
Sex: F
Age: 52
State: FL

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/28/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Day after vaccine I was extremely tired - it lasted 1 day. Starting 5 days after vaccine, where I was injected with the vaccine, I had itching at the site and raised red circle about 1.5 inches in diameter around the side. It is day 9 after being vaccinated and the itching and redness persists.

Other Meds: none

Current Illness: none

ID: 1141392
Sex: F
Age: 64
State: IN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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

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

Symptoms: low grade fever (100), chills, nausea, fatigue, sweating

Other Meds: Rosuvastatin Vitamin D3

Current Illness:

ID: 1141393
Sex: F
Age: 53
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Site pain, Woke up at 3am so cold, I was shivering. Next dau ran a fever of 101-102 and was completely exhausted. Couldn't stay awake for more than 20 mins at a time. Did not start feeling better until 7pm on 3/27/21. All symptoms gone when I woke up on 3/28/21

Other Meds: Valerian Root, magnesium, Amlodipine Besylate, Hydrochlorothiazide, Olmesartan Medoxomil

Current Illness: none

ID: 1141394
Sex: F
Age: 60
State: PA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: Fever and chills began around 3 am following vaccination at 6:45 PM. Upon arising around 7 am, fainted in bathroom and was dizzy when upright for about thirty minutes. Bruised ribs secondary to falling.

Other Meds: Centrum silver multi vitamin Calcium with Vitamin D

Current Illness: None

ID: 1141395
Sex: F
Age: 69
State: TX

Vax Date: 03/10/2021
Onset Date: 03/20/2021
Rec V Date: 03/28/2021
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 known, do have tendency to have reactions to new meds

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

Symptoms: Noticed a "full" feeling in head about a week after vaccine but nothing major. Not a headache sufferer, so felt like getting a cold or maybe sinus issue. Ears feel like a "roaring" at times, no ache or anything else, just noise (started days after head) Intermittent not being able to taste food (noticed last week) Smelling is noticeably off (noticed last week) Had just passed it off as generally thinking I was getting a cold, but today made French toast with cinnamon, and could not taste that it even had cinnamon in it. I usually have an acute sense of smell & taste

Other Meds: Levothyroxine 75MCG Losartan Potassium 100 MG (each, 1 daily)

Current Illness: None

ID: 1141396
Sex: F
Age: 41
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: None

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

Symptoms: Started with stomach pain and generally not feeling well. I thought maybe it was indigestion from lunch and took pesto bismol. About 20 min later, stomach felt worse amd i vomited. Stomach did not feel better. Started to get severe stomach cramping that got worse and got chills. Took my temperature when the stomach cramps let me move, but temp was 97.9. So just wrapped up in a blanket. Cramps amd chills subsided about 6 oclock. Was able to eat a light dinner about 6:30.

Other Meds: Spironolactone, Zyrtec, AirDuo, Omeprazole, Multivitamin, Vit D, and garlic supplement

Current Illness: None

ID: 1141397
Sex: M
Age: 21
State: TX

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
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: Sudden fever.

Other Meds: None

Current Illness: None

ID: 1141398
Sex: F
Age: 61
State: AZ

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/28/2021
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: Penicillin

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

Symptoms: 3/11-3/12/21 - heart palpitations, start of flu symptoms 3/13-3/18/21 - heart palpitations and high heart rate, blood pressure high and low, chills, weak, diarrhea, nausea, headache 3/19-3/23/21 - heart issues better, still had flu symptoms Propanolol and Alprazolam for heart palpitations. ER visit 3/16 - recv IV's, all labs normal. PCP visit 3/23.

Other Meds: Letrozole NP Thyroid

Current Illness: No

ID: 1141399
Sex: F
Age: 67
State: IN

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: At site of injection large hive /rash appx. 7 inches in diameter covering about 85% of the top and inner part of bicep on left arm. The majority of the hive is below the injection site. The swelled area was very sensitive to touch and very hot and itchy on and around. It occurred between 7-8 days after receiving the vaccination. EmuaidMAX was the treatment used. It has only relieved the symptoms slightly and temporarily.

Other Meds: Immune assist (Aloha Medicinals), One daily Multivitamin 50 plus (GNC Women?s), Vitamin D3 made with coconut oil ( SR), Collagen Capsules ( Left Coast Performance), Apple Cider Vinegar (Now)

Current Illness: No.

ID: 1141400
Sex: F
Age: 46
State: NY

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Percodan, percoset, shellfish, eggplant, rubber, latex, nickel, sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: For about a week after the shot, I felt like my mouth was filled with cat fur. Not cotton mouth, not thrush, but specifically cat fur. It would disappate if I drank a lot of water, but would come back in a few hours. Lasted about a week.

Other Meds: Vitamin D, Vitamin B12, Lysine

Current Illness: None

ID: 1141401
Sex: F
Age: 26
State: NC

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

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

Symptoms: About 7 hours after second covid vaccine, I felt feverish and aches. It continued getting worse throughout the evening until I finally had to take Tylenol at about 10:30pm. The fever went away by 11:30pm. I woke up next morning around 10am and fever is gone but still feel very achy with achy joints and skin. But better than previous night. Left arm where injection occurred is also very sore.

Other Meds:

Current Illness:

Date Died: 02/19/2021

ID: 1141402
Sex: M
Age: 77
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/28/2021
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: Dad had a heart attack either on February 19th or 20th. He was found dead on the morning of February 20th.

Other Meds: Assorted, but do not have copies at this time.

Current Illness:

ID: 1141403
Sex: F
Age: 27
State: TX

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

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

Lab Data:

Allergies: Latex, bactrim , topomax

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Brain fog, extremely lethargic, slurred speech, dizziness, loss of balance and coordination,

Other Meds: Adderall

Current Illness: None

ID: 1141404
Sex: F
Age: 53
State: SC

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: penicillin

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

Symptoms: Extreme exhaustion and fatigue, nausea and abdominal pain, chills, low grade fever and my arm is red from the injection site down to my elbow. As of 3/28, all symptoms are improving except the red arm. I was not able to get out of bed for two full days.

Other Meds: Amlodipine Besylate 5MG once daily

Current Illness: None

ID: 1141405
Sex: M
Age: 64
State: TX

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Nausea

Symptoms: Extreme dizziness. Felt a bit clouded in the first 24 hours after the second shot of Moderna's Covid vaccine. The morning of the second day I woke up extremely dizzy. Hard to get up. Still experiencing dizziness. By dizziness I mean "Disequilibrium relates to a feeling of unsteadiness or impending fall. " Again, this is after the second shot Lot information above is for second shot Lot # for first shot was 012A21A

Other Meds: Levothyroxine 150 mmg

Current Illness: None

ID: 1141406
Sex: M
Age: 43
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Fever, chills, fatigue, muscle pain, aches, arm that shot was given in was very painful the day after getting the vaccine. Going on the second day after injection, fever broke and other symptoms are still present but beginning to resolve.

Other Meds: None

Current Illness:

ID: 1141407
Sex: F
Age: 51
State: FL

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

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

Lab Data:

Allergies: None

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

Symptoms: SEVERE head ache and SEVERE body aches, with chills and low grade fever. I was also tired, nauseous, and felt malaise. My injection arm hurt from my fingers to my shoulder. I could not lift or even use that arm at all. The pain from the vaccine was equal if not worse than actually having Covid. I got side effects right away. I came home from the vaccine on Thursday and took a nap, I wasnt able to function again until today, Sunday. I?m still getting sharp stabbing pain in my back, have a mild head ache and am still fatigued; but am far better than I was yesterday. I did call a telehealth doctor on Friday to see what I could take to help with the pain, and the doctor recommended Tylenol and Ibuprofen. I did take Tylenol but after reading what I could online I decided against the Ibuprofen.

Other Meds: None

Current Illness: None

ID: 1141408
Sex: F
Age: 76
State: OK

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: No

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

Symptoms: After 2nd shot, started from day 3, I have muscles aches.

Other Meds: None

Current Illness:

ID: 1141409
Sex: F
Age: 27
State: IN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Became very sore the evening of shot. Still as sore or worse the next day. Became hot and fevered at shot site the next evening with a lump. Blood sugar was very high and couldn?t get insulin to make it come down.

Other Meds: Humalog insulin

Current Illness:

ID: 1141410
Sex: F
Age: 58
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Patient had 30 minute observation period and departed. Returned approximately 15 minutes later (45 minutes after vaccine) c/o rash on back, chest and legs. No angioedema, lungs cear 16:15BP 194/116 P101 R 19 O2 100% Benedryl 50mg Transfer to EMS, to ED.

Other Meds:

Current Illness:

ID: 1141411
Sex: F
Age: 50
State: CT

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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:

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

Symptoms: Itchiness on arm where vaccine was administered. Slightly swollen.

Other Meds:

Current Illness:

ID: 1141412
Sex: M
Age: 64
State: ID

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: NKA

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

Symptoms: Patient received first dose of moderna then was given pfizer as a second dose in error.

Other Meds: unknown

Current Illness: none

ID: 1141413
Sex: F
Age: 36
State: ME

Vax Date: 03/16/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Na

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Red rash on arm at injection site

Other Meds: Seasonale birth control

Current Illness: Na

ID: 1141414
Sex: F
Age: 63
State: NY

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Darvon, Bentyl, Levaquin, Pyridium, Eletone Cream, and severe sensitivity to Garamycin, Neomycin, Polymixin B, Clindamycin.

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

Symptoms: No reaction until Day 8 at which time developed itching first followed by heat, swelling and red rash around the injection site.

Other Meds: Famotdine 20mg/day, Potassium Citrate ER 15 MEQ /day, Vitamin D3 1000 Units/day.

Current Illness: Severe seasonal allergies with mild shortness of breath.

ID: 1141415
Sex: F
Age: 48
State: CA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: unknown

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

Symptoms: Patient reported anxiety and felt shaky and nauseous. Medical attention was administered. Patient vital signs within normal range.

Other Meds: Unknown

Current Illness: unknown

ID: 1141416
Sex: M
Age: 51
State: PA

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
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: Several days following 2nd dose, middle/upper back rash size of a softball, with several pimples (?) and muscle pain in that area developed suddenly. Smaller size of quarter rash with no pimples on lower edge of front right rib cage with similar pain and sensitivity. OTC tylenol and 1% hydrocortisone used. Day 5 presently since rash appeared, seems getting better although still tender but redness has subsided. Temperature normal.

Other Meds: Lipitor 20mg

Current Illness: none

ID: 1141417
Sex: F
Age: 51
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Fever chills diarrhea body aches red bump where shot was given.

Other Meds: Lisinopril 10mg, Atorvastatin 20mg, jardiance 25mg, aspirin 81mg.

Current Illness: None

ID: 1141418
Sex: F
Age: 74
State: FL

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/28/2021
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: Mild reaction to Penicillin

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

Symptoms: Sever pain starting an hour or so after shot getting increasing worse hour by hour , that night I was not able to sleep at all. The pain level on a scale of 1-10 on the pain scale was 10+ . It was so bad that at times I was afraid I might lose conciousness. It was excrutiating. X-ray showed possible impingment of my rotator cuff. Expecting to get MRI 4/7/41. as of today I am in constant pain. It increases some and decreases some during the day but at night, I am unable to sleep. If I sleep in a chair sitting up I get a little sleep.

Other Meds: Fluoxetine 20 mg Meloxicam 7.5mg Raloxifene 60 mg Quietipinen 25mg B12 D3

Current Illness: No illness

ID: 1141419
Sex: F
Age: 57
State: NC

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: Prior reaction (1972) to tetanus vaccine Tobacco allergy Erythromycin stomache ache

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

Symptoms: One week after vacination ( after initial symptoms of arm soreness, swelling, achiness and flu like symptoms - all expected, if not necesssarily on 1st shot) had a second reaction that seemed unusual First arm swelled a second time, while becoming painful, red, and itchy Then bullseye rash developed over injection site Then arthritis flare ( have spondylarthritis) - joints got sore, overall flulike weakness - difficult to stand up from chair, use stairs Then asthma flare - twice in one day. Unusually severe (for me) responded to relief inhaler+ steroid inhaler Then rash spread to face - spots on face. Underarms got sore So now achy, sore, wheezing, spotted face, bullseye rash on swollen arm & itchy- all more than a week after vaccination...

Other Meds: Cholestyramin, tylenol, inhaler as needed

Current Illness: None known

ID: 1141420
Sex: M
Age: 41
State: MI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: Allergic to Keflex and Toradol

Symptom List: Vomiting

Symptoms: Sore arm

Other Meds: General multivitamin

Current Illness: Kidney Stone removed on 3/10/21

ID: 1141421
Sex: F
Age: 57
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Cold chills, extreme fatigue, headache, nausea, body aches

Other Meds: Propranolol Zoloft

Current Illness: Kidney stone

ID: 1141422
Sex: F
Age: 35
State: PA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/28/2021
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: Tree nuts; Duracef

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

Symptoms: It did not manifest in a normal way- I started coughing and needed my inhaler, proceeded to feel as if my legs were covered in fire ant bites and swollen, the skin all over my body itched to the point that I broke the skin, my face became bright red and hivey, and my throat began to tighten as if someone were choking me. The only reason I did not use my Epipen was the fact that I could still breathe through this, even if it was a bit labored. I should add that my reaction began 1.5 hours after I was vaccinated. I?ve been managing having life threatening allergies since I was a child, but this reaction resembled nothing I?ve ever experienced. After using 50 mg of Benadryl, my symptoms were manageable. The pain at the injection site lasted for five days and caused intermittent numbness to my pinky finger and up my neck.

Other Meds: Vyvanse; Lisinopril; Hydrochlorothiazide

Current Illness: Alopecia Universalis

ID: 1141423
Sex: F
Age: 55
State: NY

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: Latex

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Left arm Severe pain, aches days1-3 after shot Pain subsided then returned days 8-9 Pain feels like it?s in shoulder joint & shoots down arm

Other Meds: Estrogen Levothyroxine Atorvastatin Hydrochlorothiazid Amlodipine Olmesartan

Current Illness: None

ID: 1141424
Sex: F
Age: 65
State: IN

Vax Date: 03/26/2021
Onset Date:
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Chocolate, aspirin, codeine.

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

Symptoms: Terrible pain in injection shot with very large lump and red, it itched alot. Breathing a little harder like a chest cold. Ached all over and felt quizze. This all started during the night after shot. Felt fine when had shot at facility.

Other Meds: Lipitor, esitalopram oxalate, synthroid, buspirone, vitimin B6, multivitimines.

Current Illness: No

ID: 1141425
Sex: F
Age: 60
State: MD

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/28/2021
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: NONE

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

Symptoms: RED RASH BEGAN THEN GRADUALLY SPREAD OVER ENTIRE BODY, STILL COVERED IN HOT ITCHY RED RASH 9 DAYS LATER. SAW PCP ON 3/25. USED BENEDRYL ORAL AND TOPICAL, HYDROCORTISONE PRIOR TO VISIT. PCP PRESCRIBED ATARAX AND EPI PEN

Other Meds: MULTI VITAMIN, D3, HYDOXYCHLOROQUINE 300MG (RA)

Current Illness: NONE

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm