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: 1146960
Sex: F
Age: 32
State: NY

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
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: Facial dermal fillers (Allergan Voluma and Volbella) in cheeks and under eye area performed in August 2020 (Voluma in cheeks) and December 2018 (Volbella in under eyes) became swollen and tender to touch the morning of 3/27/21 36-48 hours after receiving 2nd Pfizer Covid vaccine. I took Prednisone 20 mg, one dose of Xyzal, and Benadryl 50 mg and swelling stayed stable (did not worsen but did not improve much) and tenderness persistent over the day. There was no redness or sign of infection to the area and no other symptoms associated. The next morning, 3/28/21, tenderness resolved completely and very minimal swelling was present which resolved over the day. By 3/29/21 there was no sign of any swelling.

Other Meds: Yaz

Current Illness: None

ID: 1146961
Sex: M
Age: 19
State: IL

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
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: Palpitations and elevated heart rate began evening of 3/29/2021. At 10:30 pm experiencing chills and took tylenol. By 3:30 am on 3/30/2021, weakness, chills with fever of 102-103 and heart rate of 132. Given fluids. At 6:30 am, fever still up and heart rate still high(120+). Took tylenol and went to ER.

Other Meds: none

Current Illness: none

ID: 1146962
Sex: M
Age: 40
State: CA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/30/2021
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: NKA

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

Symptoms: Bell's Palsy

Other Meds: Atorvastatin 10mg, Lisinopril 20mg Vit D3 125mcg, triamcinolone 0.1% cream prn

Current Illness:

ID: 1146963
Sex: F
Age: 36
State: TX

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: penicillin, ibuprofen

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 20 minutes after shot, right side of face started to tingle and went numb Numbness wore off somewhat after about an hour, but it is still there a little bit

Other Meds: colace, pre natal vitamins

Current Illness: none

ID: 1146965
Sex: F
Age: 43
State: PR

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
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: After injection, felt mild to modeate pain on the arm. By the next day, I started to feel pain in my shoulder up to the neck area and stiffness. The pain has caused difficulty with my sleep. Used acetaminophen the next day, then changed to ibuprophen since the third day. Used ice on shoulder/neck and massage area with pain ointments since the third day. The symptoms have not yet resolved.

Other Meds: Multivitamins, Vitamin C, diuretic and Alli (weight loss).

Current Illness: None.

ID: 1146966
Sex: F
Age: 21
State: AR

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
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: Patient states she is having chest pain, sob, and dizziness. Did not resolve after 30 min wait. Transported to ED. Provider notified.

Other Meds:

Current Illness:

ID: 1146967
Sex: F
Age: 64
State: CA

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
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: Tylenol

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever 103, achy, chills

Other Meds: Premarin, simvastatin, Singulair, Travistan vitamin d, vitamin e, Prevacid.

Current Illness: None

ID: 1146968
Sex: F
Age: 51
State: CA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pharyngeal swelling

Symptoms: My arm was sore after about 6 hours. Later in the evening I started to experience body aches. This morning when I woke up: my arm still hurts, body aches, headache. I feel feverish but my temp is normal. I wool ibuprofen and it has helped.

Other Meds: Lipitor, lisinopril, hydrochlorothiazide, metformin, Zyrtec

Current Illness: None

ID: 1146969
Sex: F
Age: 35
State: CA

Vax Date: 03/22/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Seafood, penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Woke up and injection site had a hard, itchy, red lump

Other Meds: None

Current Illness: None

ID: 1146970
Sex: F
Age: 64
State: MO

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: at 142pm reports moderate dizziness, left arm numbness and headache. BP=125/82, P=96, o2 sat = 98% water and cookie given at 1;50pm BS=112, . reports that she hasn't' eaten since 0700and got tired out from standing in line. Denies left arm numbness. reports that the headache is gone, the dizziness is decreased and that she has bilateral le weakness. 205pmunsteady on feet, swaying back and forth and closing eyes when standing Instructed patient to try to keep her eyes open when she is standing. Reports moderate dizziness. At 230pm standing BP 139/86 p=96, T=98.2, 240pm remains unsteady on feet and states that her legs are weak bilaterally. reports that her left arm numbness has returned. Lives with handicapped son who is not able to help if needed. Instructed patient on the need to try to get a family member to drive her home. frequently seen holding her head in her hands. reiterated with the patient on the need to keep her eyes open when standing. reports that she has a hart time drinking any fluids. instructed patient on the need to push fluids and to discuss her dizzy spells with her MD, discharged to the care of her son.

Other Meds: Astrovastatin, Metformin. Lisinopril, Tylenol

Current Illness: none

ID: 1146971
Sex: F
Age: 24
State: IL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Allergic to cats. Seasonal allergies.

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

Symptoms: headache - not bad enough to need pain medication with my activity set for that day, but with a different activity set I would have taken an OTC pain reliever - headache lasted throughout the first evening and got worse the next day. After about 36 hours it had resolved itself. strange feeling that I can best describe as "trippy" - lasted from about two hours after the vaccine until I went to bed that night - The cheese I ate with dinner tasted abnormally strong, I kept feeling like everything around me was moving even though it wasn't (felt like the floor / walls were moving - similar to when I'm super tired and / or severely jet lagged), and somehow colors seemed a little off. When I woke up the next morning this "trippy" feeling was gone.

Other Meds: None

Current Illness: None

ID: 1146972
Sex: F
Age: 38
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/30/2021
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: Iodine

Symptom List: Rash, Urticaria

Symptoms: Brain fog, severe headache, blurred vision, constant urination, fatigue , leg cramps, trouble breathing and irregular heart beat. that have lasted since day of vaccine. Still suffering from some symptoms

Other Meds: None

Current Illness: None

ID: 1146973
Sex: F
Age: 62
State: NC

Vax Date: 03/17/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Some gluten and sucrose sensitivity

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

Symptoms: I developed ?COVID arm?. I have some pain and swelling of about 3 inches in diameter at the injection site. This started 12 days after the injection

Other Meds: Premarin

Current Illness: None

ID: 1146974
Sex: M
Age: 36
State: TX

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
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: No e

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

Symptoms: Woke up to severe muscle spasms, swollen tongue, swollen neck, resting heartbeat over 150bmp. Could barely walk or talk due to shaking and chills. This lasted 45 minutes but was nearly gone by the time I reached the ER. Doctors gave me a IV with Pepcid, Benadryl and steroids.

Other Meds: None

Current Illness: None

ID: 1146975
Sex: M
Age: 60
State: MO

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
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: Joint and muscle pain Low grade fever Chills

Other Meds: Metoprolol succer Losartan gabapentin Prednisone aleve, Men's multivitamin stelara leflunomide Symbicort Zinc Calcium

Current Illness: None

ID: 1146976
Sex: F
Age: 66
State: PA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
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: Ceftin Nexium

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

Symptoms: Felt like heart was racing about 30 minutes after vaccination. BP 165/82 HR 101 and sats 99%. Stated a little higher but not unusual. Felt okay to go home. Observed for 30 minutes.

Other Meds: unknown

Current Illness: unknown

ID: 1146977
Sex: F
Age: 48
State: SC

Vax Date: 02/02/2021
Onset Date: 03/13/2021
Rec V Date: 03/30/2021
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: no known

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

Symptoms: Initial-arm soreness at injection site followed by lymph node in same arm swelling-duration 2 weeks. 2weeks after 1st dose tension headaches began moderate to severe, began menstrual cycle 2 weeks early along with other pms symptoms (fatigue, headaches, breast swollen and tender, fluid retention. Have continued on menstrual cycle for about 2 weeks, bleeding has lessened and headache still present. After 2nd dose, arm began slight swelling and tender, 2 hours after 2nd dose brief double vision, the night of 2nd dose fever, chills, body aches, nausea lasting 24 hours, now at 48 hour and slight chills, some body aches, no fever, arm tender, mild headache, extreme fatigue

Other Meds: B12 2 x per week, ibuprofen pm 2 every night before bed, omega 3 2x per week,

Current Illness: none

ID: 1146978
Sex: F
Age: 31
State: MS

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: PNC; Methotrexate

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Weakness in arms & legs ; Normal breathing; Heart Palpations; No rash. States feels better @ discharge

Other Meds: ASA 81; Lynetta 20; Protonex

Current Illness: Cardiac Arrythmias

ID: 1146979
Sex: M
Age: 53
State: GA

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: Phenergan, Codine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Low fever, nausea, fatigue, headache, night sweat, chills, loss of appetite

Other Meds: Quetiapine Fumarate, Gabapentin, Amantadine HCL, Melatonin, Thiamine, Atorvastatin Calcium, Pantoprazole NA, Duloxetine Bupropion HCL, Amlodipine Besylate, Propranolol HCL, Lisinopril, Lantus, Novolin

Current Illness:

ID: 1146981
Sex: F
Age: 58
State: IL

Vax Date: 03/19/2021
Onset Date: 03/22/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Ringing in ears started 3 days after injection and is ongoing Hives and itching started 3 days after injection and has almost subsided.

Other Meds: Multi-vitamin B complex, D, selenium, magnesium

Current Illness:

ID: 1146982
Sex: F
Age: 66
State: FL

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/30/2021
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: Fish, to the ambient like pollen, dust etc. Bacitracin,

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

Symptoms: I start to have a rash in my thorax the late afternoon after vaccination (3/9/21). I though it was a mosquito bits and didn't pay attention. The next day appear more in my thorax and legs. The third day I have more and start having an enantema in all of my body. the itch was incredible. I started to take cortisone 10 mgr. once a day, Claritin and Benadryl al night. the itch start to demised but not the rash. I took cortisone for 5 days and continue with Claritin in the day and Benadryl at night. Yesterday, started with itch in my thorax and today I found more rash. I don't know what to do?

Other Meds: this was 3 hours before vaccination: Claritin, multi vitamins, Synthroid, propafenone, digoxin, Dialtezen, Fenofibrate, Januvia.

Current Illness: I have asthma a month prior to the injection that was treated with cortisone

ID: 1146983
Sex: F
Age: 51
State: NY

Vax Date: 03/15/2021
Onset Date: 03/18/2021
Rec V Date: 03/30/2021
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: Ongoing nausea - started two days after vaccine. Similar to "morning sickness" - starts the moment I rise in the morning (4:30 / 5:00am) and continues to approximately 11:00 am each day. Some days are worse than others. Enough of a feeling of queasiness to keep a small vial of peppermint oil with me at all times to quell the nausea (oil placed under nose helps). I need to pace myself , a banana will take me over an hour to finish. I did NOT have this prior to receiving vaccine and pray this will eventually go away. It has been 2 weeks since vaccine.

Other Meds: Tirosint (125 mcg) Losartin (25 mcg) Liothyronine (Cytomel) 5mcg / 2x day

Current Illness: None

ID: 1146984
Sex: F
Age: 65
State: VA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/30/2021
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 allergies

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

Symptoms: 4 a.m. on 3/12 - woke with severe headache (pain level 10). Took 2 aspirin (regular strength) 3/12 - present (3/30) daily mild headache - treating with aspirin as needed 1-2x day. Headaches are very unusual for me. 3/12 around 3 p.m. to 3/16 - fever up to 101.5, sweats, chills, absolutely no energy. Drinking 10 glasses of water/day. 3/18 to present (3/30) - severe itching on both of my arms and thighs. Usually starts mid-afternoon and lasts for several hours. I have just been drinking extra water. It's the worst itch I've had - no obvious signs of any rash though.

Other Meds: Advair, Prilosec, Albuterol inhaler, Singulair, Metformin, Phentermine, Levothyroxine, Vitamins D3, Zinc, C, E, B complex, Multivitamin, Salmon oil, CoQ10, Collagen, Glucosamin Chondroitin MSM,

Current Illness: Covid 19 diagnosis on 2/15/2021. Symptoms clear by 2/22/2021

ID: 1146985
Sex: M
Age: 64
State: TN

Vax Date: 03/12/2021
Onset Date: 03/23/2021
Rec V Date: 03/30/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillins, soap (From BETADINE), povidone-iodine (From BETADINE), adhesive

Symptom List: Injection site pain, Pain

Symptoms: dry cough, chills, and at that time he tested positive to COVID-19. symptoms have progressively worsened with diarrhea, fever with T-max of 101?, loss of taste and smell sensations

Other Meds: Methotrexate 20mg weekly, provigil 200mg QAM, Hyzaar 100/25mg bid, Metformin 1g BID, Lofibra 134mg daily, Zocor 20mg daily, Norvasc 10mg daily, Celexa 20mg daily, Flexeril 10mg daily, Amaryl 4mg daily, Flomax 0.4mg daily, Gabapentin 300mg T

Current Illness: nothing acute, just comorbidities

ID: 1146986
Sex: F
Age: 65
State: WA

Vax Date: 03/14/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List: Injection site pain, Menorrhagia

Symptoms: I had gone to see my Dermatologist and showed her the injection site where it spread. The Dr. told me they have seen a lot of these, and stated it was an allergic reaction to the vaccine. She have me steroid cream to put on it, also told me it would take about 6 weeks to heal. It's still read and very itchy.

Other Meds:

Current Illness:

ID: 1146987
Sex: F
Age: 26
State: SC

Vax Date: 03/22/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
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: Codeine.

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

Symptoms: Red, raised bump at injection site. Warm to the touch and itchy. No pain, though injection site was achy for a few days post-injection.

Other Meds: Sulfasalazine, hydroxychloroquine, tri-previfem, cyclobenzaprine

Current Illness: None.

ID: 1146988
Sex: F
Age: 39
State: CA

Vax Date: 03/22/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 2 inch red spot on arm at site of injection. WRm to touch and tender. Some itching.

Other Meds: Birth control pill

Current Illness: None

ID: 1146989
Sex: F
Age: 42
State: WI

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: aspirin, codeine, morphine, polymycin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Felt immediate dizziness when I was finished with the shot. This lasted for about a half hour. No symptoms the following day. March 25th felt tired and had back headache but have been having on and off dizziness and nausea for the last week. it comes in spurts where i will feel fine but then it comes back. Head feels heavy.

Other Meds: nortadine (birth control), zyrtec, vitamin c, vitamin b12, zinc, magnesium, calcium, probiotic/prebiotic , vitamin d, collagen

Current Illness:

ID: 1146990
Sex: M
Age: 27
State: CO

Vax Date: 03/18/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Delayed reaction to the shot redness and itch at site of injection. Appeared about a week later.

Other Meds:

Current Illness:

ID: 1146992
Sex: F
Age: 65
State: IL

Vax Date: 03/26/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: SULFA-RASH

Symptom List: Nausea

Symptoms: PT CALLED STATING BRUISING AT INJECTION SITE .

Other Meds: UNKOWN

Current Illness: N/A

ID: 1146993
Sex: F
Age: 41
State: VA

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain

Symptoms: I received the vaccine on Friday March 19. I started to have flu like symptoms and intense fatigue the same day lasting until Sunday. Sunday I started to feel better. On Wednesday I started to feel fatigued and experience brain fog. On Thursday morning, I woke up with extreme pain in my arm pit and swollen lymph nodes. Since Friday I have been bed bound with debilitating fatigue and headache. Today is day 12 post vaccine and I still cant get out of bed, I have a headache, my arm pit aches and the site of injection is still sore.

Other Meds: N/A

Current Illness: N/A

ID: 1146994
Sex: F
Age: 38
State: TX

Vax Date: 03/21/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
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: Arm has a raised red hardened lump in the shape of an oval. It is warm to the touch.

Other Meds: Hydroxychloroquine, calcium, vitamin D, fish oil, probiotics

Current Illness: None

ID: 1146995
Sex: F
Age: 38
State: MO

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
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: Demerol

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

Symptoms: I was fine after the shot. About 10pm, I woke up from a nap and my arm hurt so bad. I was very dizzy feeling like vertigo and nauseous. I took off work. The next day about 3 pm my arm felt so bad like it was broken and ribs starting hurting and down my back. I took Tylenol, at 12-1am my arm kept hurting until I starting feeling around and noticed under my armpit was so swollen. I couldn?t close my arm and to try and do so hurt so bad! I was crying. I stayed in bed and took some Advil Thursday, fell asleep and the swelling went down somewhat but it still was in excruciating pain. Went to E.R., they done and EKG on me, gave me steroids and sent me home with a prescription for Prednisone.

Other Meds: Advil and Tylenol.

Current Illness: Had real bad pain on left lower abdomen. Went to hospital in the beginning of March, had to stay for observation. After Covid shot, left armpit was so swollen I couldn?t lower my arm to walk normal. Went to E.R. And was prescribed steriod

ID: 1146996
Sex: F
Age: 42
State: OH

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
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: no

Symptom List: Tremor

Symptoms: pt c/o dizzy and itching on R side of face.

Other Meds: unknown

Current Illness: no

ID: 1146997
Sex: F
Age: 26
State: NC

Vax Date: 02/05/2021
Onset Date: 02/16/2021
Rec V Date: 03/30/2021
Hospital: Y

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: Erythema, Pruritus

Symptoms: Crohn's flare - Feb 16th experienced abdominal bloating and distention, overnight Feb 17th vomited all night due to obstruction. Treated with oral steroids with no improvement, hospitalized March 17-21 for IV steroids with some improvement. Currently undergoing oral steroid taper, might need surgery.

Other Meds: Cimzia, florastor, Phillip's colon health probiotic

Current Illness:

ID: 1146998
Sex: F
Age: 25
State: MA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
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: No

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

Symptoms: Symptoms of diaphoresis, lightheadedness, and dizzy. No difficulty swallowing or breathing. Observation extended to 30 minutes in the presence of EMT's. Patient's symptoms resolved within that timeframe. There was no need for hospital transfer.

Other Meds: only on birth control

Current Illness: No

ID: 1146999
Sex: M
Age: 67
State: IN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: - Sore left arm for about 48 hours; took Tylenol; seemed to help a little. - About 13 hours after vaccine was administered came down with severe chills and body aches; lasted about 6 hours; unable to sleep most of the night; exhausted that morning; groggy, achy, and hard to focus during the day; took a nap and got extra sleep that night; felt a little tired the following day but other than that, felt 100% (even got in a workout at the gym).

Other Meds: Co-Q 10, Centrum Silver, D-3, Magnesium, Glucosamine, Omega-3, Turmeric Curcumin

Current Illness: None

ID: 1147000
Sex: F
Age: 34
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
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 ibuprofen Metamizole shellfish

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: After about 3 hours of having taken the vaccine, my face started to swallow. I took allergy medicine (cetirizine hydrochloride tablets, 10mg/antihistamine) and got much better. After about 24 hours my face was back to normal. The reaction, treatment and recovery was very similar to what happens when I take aspirin, ibuprofen, or metamizole.

Other Meds: mefenamic acid 500mg folic acid 400mcg vitamin D - D3 25 mcg

Current Illness: menstrual cramps

ID: 1147001
Sex: F
Age: 72
State:

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/30/2021
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: ephedrine, pseudoephedrine, sulfa abx

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

Symptoms: received vaccine on 3/18. has had a red spot that at site that has been getting bigger. today called hotline 3/30

Other Meds: unsure

Current Illness:

ID: 1147002
Sex: F
Age: 43
State: CA

Vax Date: 03/22/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
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: Hot, itchy arm at injection site a week after injection. Reporting date is one day after start if reaction, effects still active.

Other Meds: Bupropion Levothyroxine Caltrate 5-HTP Sam-e Turmeric Circurim B Complex (sublingual) Benefiber

Current Illness: None

ID: 1147003
Sex: F
Age: 51
State:

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Patient experiencing tingling lips, lump in throat, and left arm numbness. Reports worsening over wait period. Provider notified. Escorted to ER.

Other Meds:

Current Illness:

ID: 1147004
Sex: F
Age: 40
State:

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
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 reported

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

Symptoms: Two days after vaccination patient developed new onset itchy, raised rash over the left arm, chest, face and neck. Clinical signs consistent with eczema/contact dermatitis/atopic dermatitis, but patient does not have a history of these disorders. No shortness of breath, diarrhea, fever, vomiting or other signs of anaphylaxis.

Other Meds: atenolol, insulin, furosemide, diltiazem, metformin

Current Illness:

ID: 1147005
Sex: F
Age: 52
State: DE

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
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: Ampicillin

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

Symptoms: Headache, fever, nausea, tiredness, muscle aches, diarrhea

Other Meds:

Current Illness:

ID: 1147006
Sex: M
Age: 78
State: SC

Vax Date: 03/18/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
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 allergies to medication or food

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

Symptoms: SKIN RASH

Other Meds: AMIODADRINE, ELIQUIS, DOXYCYCINE, FUROSIMIDE, FINISTERIDE, AMLODPINE, ASPRIN

Current Illness: no illinesses

ID: 1147007
Sex: F
Age: 30
State: CO

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: I have experienced severe episodes of nausea with some vomiting and feelings of near syncope. The near syncope resolved when lying down but returns when standing up. The nausea seems to be intermittent and also improved when lying down. Earlier this morning at approximately 3 a.m. I woke with chills and nausea which lasted an hour. When the chills resolved I began to feel very warm as if I had a fever but I did not get up to check my temperature.

Other Meds: Celexa Progesterone only pill

Current Illness:

ID: 1147008
Sex: F
Age: 16
State: TX

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/30/2021
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: NA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: gave the COVID Moderna vaccine to client under the age of 18 years

Other Meds: NA

Current Illness: NA

ID: 1147009
Sex: F
Age: 56
State: OH

Vax Date: 03/17/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
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: None

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

Symptoms: Pain at site of injection with redness, itchiness all over my body, lump at site of injection, tiredness, achy body. No fever.

Other Meds: Vitamins D, E Biotin Citracal

Current Illness: None

ID: 1147010
Sex: F
Age: 54
State: FL

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/30/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Very high fever ranging from 102-106 for about 48 hours, followed by fever ranging from 99.5-102.5 for another 48 hours. Alternated Tylenol and Advil at appropriate max doses, placed iced towels on head and under armpits. Sever headache that could not be relieved for about 60 hours. Had to keep eyes closed a lot of the time. Chills and shivering during times of high fever Severe muscle and joint aches and sensitivity to touch Extreme fatigue These are the same exact side effects I had when I had covid the end of October 2020, but then I had these symptoms for 12 days versus 4 days. I had an appointment to receive the second dose on April 6 2021, but after consulting g with my healthcare provider, she recommended that I wait until June and test my antibody levels first, due to the severe side effects from when I had covid and the the first dose of the Vaccine.

Other Meds: Effexor 150 mg NP Thyroid 60 mg Tamoxifen 20 mg Candesartan HCTZ 16/12.5 Modafinil 100 mg Vitamin D 3 B 12

Current Illness: None

ID: 1147011
Sex: F
Age: 35
State: TX

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: 03/07/2021 16:20 pm patient complained of feeling faint and light headed after 10 minutes in the observation. Observed sweating on the patient sit additional 15 minutes fer close observations. Gave water and had lay down fer 5 minutes and sit up with legs crossed 5 minutes. 16:30 pm V/S. BP 115/75. HR 60. At 16:41 pm patient said he felt good to leave.

Other Meds: N/A

Current Illness: N/A

ID: 1147012
Sex: F
Age: 62
State: FL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/30/2021
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: Severe Headache, Redness and swelling All lasting 3 days

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm