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: 1142451
Sex: F
Age: 43
State: FL

Vax Date: 03/14/2021
Onset Date: 03/18/2021
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: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Red rash on both arms, chest, and face. Red eye.

Other Meds: Zoloft, Wellbutrin

Current Illness: No

ID: 1142452
Sex: F
Age: 32
State: NJ

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Red circle a several inches in diameter appeared around my injection site a full week after my first Moderna dose. Yes he itching came first then woke up next day with same muscle soreness as day 1, and noticing the red circle. No red circle immediately after shot.

Other Meds: Pre and post workout drinks?

Current Illness: None

ID: 1142453
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: None

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

Symptoms: Chills, low fever for 8 hours after onset of symptoms. Nausea, lack of appetite, tiredness, muscle aches for 48 hours after onset. Joint pain, especially in hips, lower back, knees, and feet for 36 hours after onset. Hot, painful, swollen arm at injection site from immediately after injection lasting for 72 hours

Other Meds: Celexa, Prilosec, Zyrtec, triamterine

Current Illness: None

ID: 1142454
Sex: F
Age: 50
State: MO

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: tinnitus in both ears: high pitched, constant hissing in both ears developed about 1 week after vaccine. Tinnitus preventing sleep

Other Meds: Restasis, Toprol, calcium

Current Illness: none

ID: 1142455
Sex: M
Age: 68
State: CA

Vax Date: 03/03/2021
Onset Date: 03/05/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Cough, pressure in the head, almost exploding when coughing, pain of muscles joints and head; congested throat trouble breathing, nasal congestion, phlegm and mucus. Duration of 16 days, HAS REMAINED AN ANNOYING DRY COUGH, WITHOUT SPUTUM ... MILD TIREDNESS.

Other Meds: NONE

Current Illness: NONE

ID: 1142456
Sex: F
Age: 37
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
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: An excruciating headache. Worst headache of patient?s life. Combined with moderate nausea and sensitivity to light. Patient does not have a history of migraines.

Other Meds: None

Current Illness: None

ID: 1142457
Sex: F
Age: 58
State: CA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: penicillin sulfa codeine

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: near syncopal episode and new onset of rapid atrial fibrillation

Other Meds: omeprazole atovastatin coreg prednisone tylenol colace renvela

Current Illness: congestive heart failure ovarian cancer hypertension malignant ascites

ID: 1142458
Sex: F
Age: 32
State: OH

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: lipoatrophy in arm surrounding injection site with no other symptoms.

Other Meds: None

Current Illness: None

ID: 1142459
Sex: F
Age: 66
State: NY

Vax Date: 03/23/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Attack of hives in the middle of the night - 5 days after 2nd dose vaccine - burning and itchy - pronounced on inner thighs, buttocks, hips, elbows and lower arms, somewhat on face and ears. Went to Urgent Care Facility on Sunday morning and received 1-MG shot of Decadron and follow up prescription for Prednisone to take 2 days after in case of repeat inflammation. Am monitoring. I have only EVER had hives one other time in my life. This seems more than a coincidence in relationship t o the vaccine.

Other Meds: None

Current Illness: None

ID: 1142460
Sex: F
Age: 60
State: CA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: lamisil

Symptom List: Diarrhoea, Nasal congestion

Symptoms: IN NOVEMBER 2020, PATIENT WAS IN THE HOSPITAL DOUBLE BLIND CLINICAL TRIAL OF THE JOHNSON AND JOHNSON COVID-19 VACCINE AND WAS TOLD THAT SHE RECEIVED THE ACTUAL VACCINE AFTER THE TRIAL. DR WHO WAS RESPONSIBLE FOR THE TRIAL TOLD THE PATIENT THAT SHE COULD GET THE MODERNA VACCINE IF SHE WISHES SINCE THE JOHNSON AND JOHNSON VACCINE IS ABOUT 75% EFFECTIVE. THE PATIENT FELT STRONGLY ABOUT GETTING THE MODERNA VACCINE BECAUSE SHE HAS DIABETES AND OVERWEIGHT AND WANTED THE MOST PROTECTION. BASED ON THE INFORMATION GIVEN, I DECIDED TO VACCINATE THE PATIENT. SHE DID NOT EXPERIENCE ANY SIDE EFFECTS AT THE TIME OF VACCINATION

Other Meds: none

Current Illness: non

ID: 1142461
Sex: M
Age: 57
State: ID

Vax Date: 03/14/2021
Onset Date: 03/21/2021
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: Sulfa

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

Symptoms: One week after the vaccine the arm was very red and looked infected. He went to the doctor and was given Amoxicillin. But two days later he was feeling so ill he was in bed all day and had a horrible headache. He went back to the doctor 3-26. The doctor cut his arm open, drained it, flushed it and gave him an antibiotic shot in the rear end. He also prescribed Doxycycline and Linezolid because he believes its a MRSA infection. He did swab it but we don't have the results back yet. The wound is not as red today and my husband is feeling better. Should he get the second vaccine? the doctor said this was the second patient he saw that day with the same infection at the vaccine site. I received my vaccine the same time and had zero issues. The doctor thought maybe his arm was not sufficiently alcohol swabbed but I know he was swabbed as was I as we were in the same room. He has severe asthma so we wanted the protection from the Covid vaccine but want to know if it is safe to get the second vaccine? I have taken photos each day so I can share what his arm has looked like

Other Meds: Breo, Amlodipine Besylate 5 mg, losartan/HCTZ 100/25 mg

Current Illness: none

ID: 1142462
Sex: F
Age: 69
State: CA

Vax Date: 03/14/2021
Onset Date: 03/17/2021
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: Macrodantin

Symptom List: Rash, Urticaria

Symptoms: Very painful after second vaccine, large lump that itched at site. Swelling and at site itching relieved on day 3. On day 4 following second vaccination, I began to itch, severely, all over my body. I had no rash. Intense itching with small welts continued for ten days before subsiding. I now have slight, sporadic itching on arms and around my waist area but it is much improved. I can?t say, with any evidence, that this is a direct result of the vaccine but I cannot think of any other possible cause.

Other Meds: None

Current Illness: None

ID: 1142463
Sex: F
Age: 81
State: IL

Vax Date: 03/08/2021
Onset Date: 03/17/2021
Rec V Date: 03/28/2021
Hospital: Y

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: Came to the emergency room. she woke up from the sleep, she was noticing increased secretions, she was short of breath and was wheezing. She called EMS, when EMS came her pulse ox was 56%, she was placed on CPAP and oxygen, pulse ox went up to 82%. Patient was placed on BiPAP in the emergency room Severe mitral regurgitation, class IV CHF symptoms despite medical therapy for her volume overload. Was transferred to larger hospital due to severity

Other Meds: aspirin, Plavix, vitamin b-12, Lasix, insulin, levothyroxine, lisinopril, metformin, metoprolol, oxycodone, simvastatin

Current Illness: No acute illnesses

ID: 1142464
Sex: F
Age: 57
State: AL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: ?

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

Symptoms: PATIENT STATES HAS RACING HEART. VITALS ARE BP 126/67 , HR 72, 100 RESP. SYMPTOMS RESOLVED. PATIENT OBSERVED FOR 15 ADDITIONAL MINS .

Other Meds: ?

Current Illness: ?

ID: 1142465
Sex: M
Age: 50
State: AZ

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Paresthesia In injection arm and face

Other Meds: None

Current Illness: None

ID: 1142466
Sex: M
Age: 26
State: WI

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

Lab Data:

Allergies: None

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

Symptoms: Janssen COVID-19 Vaccine EUA Muscle pain from lower back down. Lasted 24 hours. Started 7-8 hours after shot. Hurt to walk and sit. Chills. Started 7-8 hours after shot. Lasted 3 hours. Headache. Started 7-8 hours after shot. Headache still going strong 3 days later. Arm pain. Started right away and is still painful after 3 days. Tiredness. Started 7-8 hours after shot. Lasted 2 days.

Other Meds: Paroxetine

Current Illness: None

ID: 1142467
Sex: F
Age: 50
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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, Sulfa sensitivities (hives) Seasonal allergies Cantalope, avocado, cilantro, mango allergic

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

Symptoms: Within two hours: slight nausea, some aches and chills. Within 5 hours severe aches, sore and loose joints, headache, eye lashes hurt (weird, I know), low fever, side of lungs felt heavy and had a hard time breathing deeply. Inability to sleep for more than 15-30 minutes because it felt like the blood was congealing in place if I stayed in one position (again, weird and not reality, but that's what it felt like). Above severe symptoms lasted 24 hours. Most of the next day and night I slept. After 48 hours feeling very much improved, but napped multiple times that day. Third day out just fine, only minor aches.

Other Meds: Otezla Singulair Trelogy inhaler Fasenra Metaprolol Tartet Durozol eye drops Magnesium 250 mg Vitamin D 2000 mg Vitamin B

Current Illness: None

ID: 1142468
Sex: F
Age: 31
State: NY

Vax Date: 03/25/2021
Onset Date: 03/26/2021
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: Codine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, sweats, headache, body soreness, fatigue

Other Meds: Birth control

Current Illness: No

ID: 1142469
Sex: F
Age: 39
State: PA

Vax Date: 03/17/2021
Onset Date: 03/28/2021
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: Red ring on skin around injection site

Other Meds: Vitamin C, Vitamin D, magnesium, multivitamin, flexeril, gabapentin and birth control pill

Current Illness: None

ID: 1142470
Sex: M
Age: 15
State: CA

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

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

Symptoms: On 3/26/21, patient and guardian came in and received the Pfizer COVID-19 vaccine. Patient/guardian stated on consent form that patient is 16 years old, but he doesn't turn 16 until 4/2/2021

Other Meds:

Current Illness:

ID: 1142471
Sex: F
Age: 44
State: FL

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: 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: Welt around injection site that extends out almost to AC

Other Meds: None

Current Illness: None

ID: 1142472
Sex: F
Age: 61
State: TX

Vax Date: 01/27/2021
Onset Date: 02/01/2021
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: Latex Dilaudid Percodan Banana Peach Shrimp

Symptom List: Unevaluable event

Symptoms: Tinnitus both ears Referred to ENT

Other Meds: Multi vitamins Calcium, Magnesium, Vitamin D, Vitamin C, Omega 3, Probiotics, Zyrtec,

Current Illness:

ID: 1142473
Sex: F
Age: 48
State: AL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: PATIENT STATES HEART IS RACING. VITAL OBTAINED WITH BP OF 120/74, HR 91, O2 OF 100%. PATIENT OBSERVED ADDITIONAL 15 MINS WITH SYMPTOMS RESOLVING.

Other Meds: ?

Current Illness: ?

ID: 1142474
Sex: F
Age: 31
State: OH

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: headache present 3/27-3/28 Exhaustion 3/27-3/28 Cough 3/28 Sinus pressure 3/28

Other Meds: fluxotine Amitriptyline Busporon

Current Illness: none

ID: 1142475
Sex: F
Age: 36
State:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Redness, swelling, itching aka "COVID arm". Symptom appear approximately 7 days after first dose of Moderna COVID vaccine.

Other Meds: None

Current Illness: None

ID: 1142476
Sex: M
Age: 32
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
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: Sulfa, Gentamicin, premaquin

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

Symptoms: Metal taste in mouth, severely swollen lymph nodes in L armpit, nausea, and severe testicular pain/sensitivity. Unable to walk or sit without discomfort. Events lasted 2 days.

Other Meds: Rifampin, fluoxetine, symbicort, buproprion, vitamin d, multivitamin,

Current Illness: Latent Tuberculosis infection

ID: 1142477
Sex: F
Age: 27
State: FL

Vax Date: 03/25/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa and Penicilin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Stomach pains, Nausea, Extreme tiredness, Headache, and Diarhea

Other Meds: Pantroprazole, Sertraline, Levonor estrad, Hydroxyzine

Current Illness: none

ID: 1142478
Sex: M
Age: 62
State: AL

Vax Date: 03/28/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: ?

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: PATIENT STATES HAS LIGHT HEADNESS. PATIENTS VITAS ARE BP 138/82, HR 83, O2 SAT OF 98%. PATIENT SYMPTOMS RESOLVED AND PATIENT RELEASED.

Other Meds: ?

Current Illness: ?

ID: 1142479
Sex: F
Age: 69
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: Hard to handle Epps solfataras drugs

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

Symptoms: Feeling of passing out rapid heart rate and feeling drunk for 2 days not able to drive

Other Meds: None

Current Illness: None

ID: 1142480
Sex: F
Age: 53
State: DC

Vax Date: 03/07/2021
Onset Date: 03/13/2021
Rec V Date: 03/28/2021
Hospital: Y

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

Lab Data:

Allergies: nka

Symptom List: Nausea

Symptoms: Acute appendicitis. Urgent care for diagnosis. Appendectomy 3/14, 7:45 pm.

Other Meds: Bupropion 300 mg/daily

Current Illness: none

ID: 1142481
Sex: F
Age: 39
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
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: Stations, codeine, peppermint (topically), pork

Symptom List: Injection site pain

Symptoms: 1st dose fever constant 24hr/day headache joint and muscle pain for 3 weeks. Treated at home with naproxen BID. Did telehealth appointment through insurance company on 21st (2 weeks in) to see if I needed to be concerned they sent me for covid test said if negative it was just still vaccine reaction and to let it run its course. Covid results were negative. Fever included feeling like I had a fever with hot flashes waking up covered in sweat and cold chills where I was so cold nothing helped me warm up. Then it all went away as suddenly as it came on and I had less than a week before the 2nd dose. Saw my rheumatologist during this time he said it was probably my MCAS causing the reaction but ok me getting the second shot. Second dose almost exactly at 24 hour mark started feeling round down and sickly took temp at hour 25 and had fever again. We are at 2.5 weeks post 2nd dose. So far I had fever and much milder joint and muscle pain this time but no headache. Again treated at home with naproxen BID. Sometimes tramadol for joint pain too. I havent felt feverish for over 24 hours now so I think it's gone this time which makes this event 2.5 weeks.

Other Meds: Cetirizine, Famotidine, eszopiclone, montelukast, trokendi xr, sertraline, tizanidine, fluticasone, vitamin d, cromolyn, tramadol, salt stick vitassium,

Current Illness:

ID: 1142482
Sex: F
Age: 36
State: NY

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: Allergic to shellfish Allergic to Lexapro

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

Symptoms: Puffed/swollen and itchy left eyelid at 11:06pm and swelling of the throat. Symptoms did not get significantly worse by 2am so I went to sleep and did not seek medical attention. Did not take any medication as didn?t have any Benadryl or anything available

Other Meds: Ortho tri cyclen lo (generic)

Current Illness:

ID: 1142483
Sex: F
Age: 48
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: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Raised, itchy rash directly underneath injection spot. Started applying hydrocortisone.

Other Meds: None

Current Illness: None

ID: 1142484
Sex: F
Age: 69
State: CO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Dust, grasses, Smoke, Cigarette smoke

Symptom List: Tremor

Symptoms: arm pain, painful hand numbness. This has been going on for 6 weeks. Most feel that a nerve was hit when I got the vaccine. However, it got worse after the second vaccine and I know they did not hit a nerve the second time. I have been in pain ever since I got the vaccine. I have also hear other people have had the same issue. Surprisingly Clariton D helps with the symptoms

Other Meds: None

Current Illness: none

ID: 1142485
Sex: F
Age: 72
State: AZ

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

Lab Data:

Allergies: no

Symptom List: Erythema, Pruritus

Symptoms: severe flu like symptoms (fever, chills, muscle aches) for two days; redness, swelling, pain, over lg area of injection site since getting injection; meds taken were benadryl, tylenol, ibuprofen

Other Meds: Eliquis, metoprolol, flecainide, nexium, crestor, colace, senna, calcium, cranberry

Current Illness: none

ID: 1142486
Sex: F
Age: 34
State: PA

Vax Date: 03/17/2021
Onset Date:
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: Benadryl, Vistaryl, Immitrex, Methergine, Shellfish

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

Symptoms: Medium sized red, warm, sore, itchy rash at injection site appearing 12 days after the shot.

Other Meds: Acarbose, Adderall, Calcium, Clobetasol, Dihydroergotamine Mesylate, Emgality, Ketamine Nasal Spray, Kyleena, Linzess, Meclazine, Multivitamin, Namenda, Protonix, Provigil, Rexulti, Synthroid, Tizanidine, Trintellix, Tylenol Extra Strength,

Current Illness: None

ID: 1142487
Sex: F
Age: 40
State: LA

Vax Date: 03/18/2021
Onset Date: 03/20/2021
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: Seasonal allergies

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

Symptoms: Arm where injection was given stayed swollen for 7 days, to the point where I could not use my hand. They swelling continued into chest and neck which resulted in a trip to the ER. I was given steroids and told to alternate Vistaril, Pepcid, and Allegra every two hours.

Other Meds: Vistaril

Current Illness:

ID: 1142488
Sex: M
Age: 65
State: AL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: PATIENT STATES HAS NAUSEA AND FLUSH FEELING. PATIENT DENIES SHORTNESS OF BREATH, DIZZINESS OR WEAKNESS. BP IS 143/79, HEART RATE IS 61, O2 SAT IS 99 %. PATIENTS SYMPTOMS RESOLVED AND PATIENT RELEASED.

Other Meds: ?

Current Illness: ?

ID: 1142489
Sex: F
Age: 34
State: TN

Vax Date: 03/19/2021
Onset Date: 03/28/2021
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:

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

Symptoms: Redness, itching and swelling around injection site. Theses symptoms began 3/28/21 at 5am.

Other Meds:

Current Illness:

ID: 1142490
Sex: M
Age: 59
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Shellfish

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

Symptoms: Sweats, chills, fatigue and nausea

Other Meds: Usual blood pressure, diabetes stuff

Current Illness: None

ID: 1142491
Sex: M
Age: 33
State: IN

Vax Date: 03/22/2021
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: Pain in extremity

Symptoms: Red area around injection site about 3 inches, not swollen, not itchy, tender to touch

Other Meds: Multivitamin, rhinocort

Current Illness: None

ID: 1142492
Sex: F
Age: 55
State: AZ

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: bees

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

Symptoms: After 24 hours I began to feel a slight headache and mild body aches. It felt exactly like the day I first noticed my covid symptoms back in November. However, it continued to progress rapidly and I was unable to enter a nursing home because my temp had gone up to 101. I ended up very achy and confined to bed for the next 24 hours. While not as lengthy as my covid infection, the symptoms were much worse.

Other Meds: thyroid, estrogen, progesterone

Current Illness: none

ID: 1142493
Sex: F
Age: 35
State: IN

Vax Date: 03/18/2021
Onset Date: 03/25/2021
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: Sulfa

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

Symptoms: Injection site was raised, red and hard, beginning one week after the 1st dose. The redness and hard bump were about the size of a half dollar and the spot itched, but wasn't uncomfortable. All symptoms have primarily gone away now, about 72 hours after it was first noticed. The spot is only very slightly red now.

Other Meds: Junel

Current Illness: Sinus Infection

ID: 1142494
Sex: F
Age: 57
State: FL

Vax Date: 02/27/2021
Onset Date: 03/01/2021
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: Pecillan and sulfides

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

Symptoms: 1st one flu like systoms was sick 2days sme as 2nd 2nd one at first ok later had dry heaves,slight fever body aches and fatigue

Other Meds: Trsmadol, gabapentin, lisinpril, metform

Current Illness: None

ID: 1142495
Sex: F
Age: 26
State: NC

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Swelling, itching, pain at the injection site. Fever, chills, severe headache, nausea and dizziness.

Other Meds:

Current Illness:

ID: 1142496
Sex: F
Age: 46
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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fatigue, fever, soreness at injection site

Other Meds: Levoxyl, iron supplement

Current Illness: None

ID: 1142497
Sex: F
Age: 71
State: WA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: Peanuts

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

Symptoms: About 13 hours post-vaccination, extreme chills, shivering, body aches and headache commenced. I ran a temperature of 101 degrees for about 24 hours. The headaches/neck aches were so extreme that no food, noise, or light could be tolerated. Hot pads were applied. Only sips of water were tolerated for the first 48 hours. After 24 hours additional pain occurred in lower back and right hand knuckles (sites of previous injuries). Headaches occurred from the sides, radiating up from neck to top of head, and behind eyes at various times, dulled slightly by ibuprofen. On day three small amounts of simple food were tolerated, Ibuprofen was continued. At about 72 hours post-vaccination, all symptoms disappeared, as if there were an "off" switch.

Other Meds: None.

Current Illness: None

ID: 1142498
Sex: F
Age: 48
State: WA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Cold sore in mouth day after injection

Other Meds: Lisinapril, lexapro, Lipitor

Current Illness: No

ID: 1142499
Sex: M
Age: 58
State: NY

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: RA

Lab Data:

Allergies: None

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

Symptoms: Immediately after the injection, I felt a flush from head to toe, dizziness, weakness in legs & tingling. Subsequent from theses symptoms, I felt anxiety and experienced an anxiety attack that I have experienced in the past.

Other Meds: Citalopram - 40 mg

Current Illness: None

ID: 1142500
Sex: M
Age: 54
State: MI

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: Chills, fever, muscle aches all over the body, headache, watery left eye, upset stomach, night sweats

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm