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: 1155370
Sex: F
Age: 34
State: OK

Vax Date: 03/23/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Started on thurs, it was a rash, started on both arms, then spread to legs and hands. now spreading to neck today.

Other Meds: Nexplanon

Current Illness:

ID: 1155371
Sex: F
Age: 65
State: IN

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Fatigue, body stiffness and joint pain

Other Meds: Brillenta 60 mg Levothyroxne Calcium, Magnesium, Zinc

Current Illness: None

ID: 1155372
Sex: F
Age: 57
State: WA

Vax Date: 03/16/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Got Shingles

Other Meds: B12, vit. D. vit. C and multivitamin

Current Illness:

ID: 1155373
Sex: F
Age: 64
State: NC

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: At work suddenly became dizzy drunk feeling with I went on FLMA. nausea. Unsteady on my feet. felt as if my heart was vibrating. I am sure later I had a TIA. Was unable to communicate. I knew what I wanted to say but I could not get the words out. March 1/2021 I went on FLMA. It never dawned on me the vaccine could have affected my already stressed heart. I am still experiencing these symptoms. I just thought of this this week. I still have extreme fatigue, increased palpitations, and increased SOB. I do not feel able to work right now.

Other Meds: tylenol vascepa tricor restoril premarin coreg corlanor

Current Illness: Dilated cardiomyopthy Chronic pancreatitis hypertriglycirides

ID: 1155374
Sex: M
Age: 56
State: IN

Vax Date: 03/08/2021
Onset Date: 03/18/2021
Rec V Date: 04/01/2021
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: Swelling, redness and itching in a 3? diameter around injection site starting on Day 10 after injection. Area subsided on Day 13. No other issues.

Other Meds: None

Current Illness: None

ID: 1155375
Sex: M
Age: 67
State: MN

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 04/01/2021
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: High fructose corn syrup

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

Symptoms: I was diagnosed with diplopia; sixth nerve palsy

Other Meds: Amlodpine 10 mg Lossrtan 25mg Benadryl 10mg

Current Illness: None

ID: 1155376
Sex: F
Age: 23
State: DC

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/01/2021
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: carrots, pears, apples, rifaximin, cherries, peanuts, celery

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: hives on both side of neck. Itching and swelling on both sides of neck.

Other Meds: Albuterol Flonase Advair

Current Illness: asthma

ID: 1155377
Sex: F
Age: 60
State: TN

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Eggs, Chicken, Dairy, Rice Wheat, Oats, Corn,Blue Cheese Sulfa,Cipro,Proposal, Some adhesive, Dust,Trees,Weeds, Grasses,Ragweed giant & small

Symptom List: Pharyngeal swelling

Symptoms: Very tiny red spot at injection site,warm to touch ,bump at site - started on the third day. Soreness at site started the next day. Uncertain if related but have a small bump on scalp right side itched like crazy started 3/31/21 on 4/1/21 noticed rt side base of head very sore area and can feel slightly enlarged gland also got very tired on 3/30/21 then 3/31/21 I was so tired that I had to take a nap slept 4 hours slept very deep and hard

Other Meds: Premerine,Triamterne, Levothyroxine,Diltiazem ER,Creator, Flexeril,Tramadol

Current Illness: UTI/ Kidney infection, Sinus infection

ID: 1155378
Sex: F
Age: 62
State: OK

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa cause extreme nausea

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Following 2nd Moderna vaccine on 3/30/2021, she developed swelling of her gum and tissue under her tongue within an hour of her injection. Her tongue did not swell. She and a family member looked in her mouth. The gums were inflamed, swollen, and painful. Under her tongue she had raised bumps, some with fluid (blisters) and 2 grey patches. On 3/31/2021 mouth remained swollen and painful, she was fatigued, and dev fever, chills, headache and muscle aches. She had a knee that felt inflamed and painful. She took Tylenol twice. At the time of this report her gums are somewhat better in some areas, but not in other areas. She reports difficulty eating due to the discomfort. Under her tongue remains unchanged.

Other Meds: Metoprol suc 25 mg daily Pantoprazole 40 mg daily

Current Illness: None

ID: 1155379
Sex: F
Age: 56
State: CA

Vax Date: 03/22/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
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: Codeine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Red circle rash at the point of the vaccine shot.

Other Meds: Skin, Hair, and Nails gummy vitamins Pantoprazole

Current Illness:

ID: 1155380
Sex: F
Age: 41
State: NE

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
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: Moderna COVID-19 Vaccine EUA Deep bruise around the injections site (upper right arm), the bruise has remained as of today 4/1/21. Bruising started immediately after vaccination given 3/25/21. (currently one week)

Other Meds:

Current Illness: Head Cold a week prior to vaccination

ID: 1155381
Sex: F
Age: 54
State: NY

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
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: none known

Symptom List: Rash, Urticaria

Symptoms: felt dizzy and faint, became pale and sweaty, brought to cot to lay down, felt better and left on own, VSS

Other Meds: none

Current Illness: none

ID: 1155382
Sex: F
Age: 70
State: NY

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 04/01/2021
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: Muscle pain joint pain worst headache ever muscles in neck froze up diapers vomiting rash fever pain in side

Other Meds: None

Current Illness: None

ID: 1155383
Sex: F
Age: 69
State: NJ

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 04/01/2021
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 known

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

Symptoms: The day following receiving second vaccine, I woke with a headache. I had eaten little the day before and attributed it to hunger. I went to kitchen to prepare breakfast. Before eating anything, my body felt very strange. I began moaning/screaming for my sister who was upstairs and tried to make my way to my bed. My legs did not seem to go where I wanted them to go. For example, if I wanted my right leg to go right, it went left. i felt like a pinball bouncing off my walls. I made it to the foot of my bed and realized I was going to pass out. I allowed my self to drop to the floor which I thought would be a safer fall. I landed with a thud. I could not get myself up with ut assisstance. I needed the bathroom. I felt like I would vomit. I did not. I did have diarrhea. I spent the rest of the day in bed either shivering or sweating. I ate light, tea, toast, etc. At one point I took temperature . it was 99.6. My bottom was bruised for about 15 days. I had no further complications.

Other Meds: 1. Atorvastatin 10 mg - once daily 2. Metoprolol ER succinate 50 mg - once daily 3. Desvenlafaxine Er Succinate 50 mg - once daily 4. Latanoprost 0.005% Opth Soln 2.5 ml

Current Illness: None

ID: 1155384
Sex: M
Age: 49
State: AL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Pt received vaccine between 830 - 845 am. He went to restroom and felt like he was going to pass out. He was sweating and laid on floor. Vital signs 98/68 HR 58 Oxygen 98%. He was awake alert and oriented. Refused oxygen. Voiced no other complaints. EMS called as precautionary measures.

Other Meds: None

Current Illness: None

ID: 1155385
Sex: F
Age: 61
State: AZ

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Immediate strong metallic taste that has not gone away. High fevers 103, chills and shaking, fatigue, muscle aches and nausea.

Other Meds: Nome

Current Illness: None

ID: 1155387
Sex: M
Age: 53
State: CO

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
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: Sulfa drugs

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

Symptoms: Shortly after shot began to experience shoulder and elbow pain in left arm. Shoulder pain went away after 48 hours but the elbow pain has persisted for almost a week. The pain in on the back side of my elbow at the crux.

Other Meds: High Blood pressure medicine

Current Illness: none

ID: 1155388
Sex: F
Age: 27
State: NC

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/01/2021
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: After administration, area below injection site was a little pink and hot. Patient waited for 15 minutes in store and area did not appear to be concerning. After she returned home, site began to increase in redness and diameter. After 8 days, angry red, hot area below site of injection had increased to 4 inches in diameter. Patient had not reported any adverse reaction until April 1st, when she returned to pharmacy and showed her arm to pharmacist. Patient was told to contact her primary care physician (she had access to telemedicine) and to get advice on management/treatment.

Other Meds: none

Current Illness: none

ID: 1155389
Sex: F
Age: 56
State: LA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, prednisone, red and blue dye, nickel plated things, strawberries, rag weed, some different trees and grasses

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Itching on arms, legs, neck, chest and back. I itch so much and so bad that I had red looking blood like red spots on my arms and legs. Also bruises on my arms and legs from scratching so much. I had to take benadryl at night and use benadryl cream during the day while at work. This started the evening I received the COVID Vaccine and I didn't stop itching until March 29th.

Other Meds: Synthroid, Benicar, Baby Aspirin, Adderall, Vitamin D, Zrytec, and Flonase nose spray

Current Illness: NONE

ID: 1155390
Sex: F
Age: 31
State: IL

Vax Date: 03/16/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient received her first Pfizer covid vaccine two weeks prior to presenting to her OB office with complaints of decreased fetal movement. Patient was taken to emergency C-section due to decreased fetal heart tones. Baby had apgars of 0 at delivery and ultimately fetal demise. Patient was G3P2002, 34 weeks pregnant. Baby birth weight: 2490 grams. Previously uncomplicated pregnancy.

Other Meds:

Current Illness: None

ID: 1155391
Sex: F
Age: 28
State: NC

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
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: Chills, headache, body ache, fever. Recovered in 1 day.

Other Meds: None

Current Illness: None

ID: 1155392
Sex: M
Age: 30
State: CO

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Unevaluable event

Symptoms: Pt fainted about 5 minutes after receiving vaccine. He was seated and fell to the ground facedown. We turned him over onto his back and he slowly regained consciousness. Paramedics arrived shortly afterwards.

Other Meds:

Current Illness:

ID: 1155393
Sex: F
Age: 20
State: WI

Vax Date: 03/23/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Sunscreen

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

Symptoms: Red swollen rash on arm. Painful but not itchy. Appeared long after shot

Other Meds: Birth control

Current Illness: No

ID: 1155394
Sex: F
Age: 56
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Patient was getting her first dose. More than half the vaccine leaked out of the syringe. Patient dose was readministered per protocol. No adverse reactions

Other Meds: None

Current Illness: None

ID: 1155396
Sex: F
Age: 62
State: MD

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Remicade

Symptom List: Injection site pain, Menorrhagia

Symptoms: Dizzy, nasal congestion

Other Meds: nasal spray

Current Illness:

ID: 1155398
Sex: F
Age: 42
State: IN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/01/2021
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: Amoxicillin

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

Symptoms: Starting a few hours after the vaccination, and continuing over the next 72 hours, fever reached 100.9. Arm pain was intense for two days, so I could barely move it. Eight days after the vaccination, the injection site suddenly became itchy, with a quarter-sized red and swollen spot.

Other Meds: Spironolactone; norethindrone; montelukast; Allegra

Current Illness:

ID: 1155399
Sex: F
Age: 75
State: IA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 04/01/2021
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 Drugs(rash), Calcium pills (rash)

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Day after first reaction, person has symptoms of fatigue. After second dose (lot # ep6955) on 3-25-21 Started feeling bad right away, but did not tell anyone. Went home arm was very sore, next day pt had trouble breathing. She talked to Doctor a few days later and she has continued to feel bad and continues to feel bad.

Other Meds: Tylenol 2 x daily, Bisoprolol 5-6.25,ASA 81mg, Omeprazole 40-BID

Current Illness: Acid reflux, HTN

ID: 1155400
Sex: F
Age: 71
State: PA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Dizziness & shakiness after the vaccination. No diaphoresis, nausea, tunnel vision, SOB, CP. Initial BP was 162/76, Pulse 66, )2 sat 98%. BP progressively improved to 149/81. Pulse & O2 sat remained normal. No orthostasis. Symptoms resolved complelely on their own with 20 minute observation.

Other Meds:

Current Illness:

ID: 1155401
Sex: F
Age: 59
State: UT

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 04/01/2021
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: Phenergan

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

Symptoms: After my first dose, I experienced tachycardia which lasted one day. I rested for a couple of hours. Then a few weeks later or on about 01-13-2021, I had an episode where I blacked out, as per my husband I suffered an amnesia. I had brain fog and could not remember what I had done the previous days. I went to the ER where they did a CT scan of my brain, which was negative. The CT scan showed no evidence of stroke. I also saw a neurologist who could not find anything wrong with me and the tests that were performed also came back negative. He recommended for me to be off work. I have not been working for two months.

Other Meds: Amodipen/ Denazopril 2.5/10mg OD, Vitamin D, Ginko Biloba, Cranberry pills, Fish oil pills, Iron pills, Glucosamine Chondroitin

Current Illness:

ID: 1155402
Sex: M
Age: 15
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Nausea

Symptoms: ASYMPTOMIC

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1155403
Sex: F
Age: 24
State: ID

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 04/01/2021
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; seasonal allergies ; no food allergies

Symptom List: Injection site pain

Symptoms: About 24 hours after injection had onset of ocular swelling, progress to tongue swelling (Obvious swelling), shortness of breath, diffuse flushing and hives Went to ER, given Epinephrine

Other Meds: No prescriptions, allegra as needed, and a multivitamin

Current Illness: None - in the whole month

ID: 1155405
Sex: M
Age: 28
State: WI

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin and Azithromycin

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

Symptoms: Patient indicates he was feeling very anxious before receiving the shot. Reports that he is overall healthy but had a blood pressure reading of 133/86 at a wellness fair and had an appoint with a doctor to evaluate his blood pressure on 04/01/2021. Denies any known illnesses or health conditions. Reports that about one minute after receiving the vaccine he became very light-headed, dizzy and sweaty. Denies any SOB, throat swelling. The next thing the patient remembers is" waking up with a bunch of people looking at him. An ambulance on-site assessed the patient and felt he should be transported to a local emergency room to assess. The ambulance staff had blood pressure readings of 90/50 and 80/51 . The patient reports he felt "much better" after arriving to hospital. Indicates he was hydrated with fluids and had an EKG while in the ER. His blood pressure reading at the ER was 133/86. Patient reports that the ER doctor indicates that he most likely had a "Vaso vagal syncope episode.". The patient indicates that he did not receive any medications and was told to follow-up and keep his appt. on 04/01/2021 in regards to his high blood pressure. reading.

Other Meds: None

Current Illness: No

ID: 1155406
Sex: F
Age: 24
State: IA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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:

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

Symptoms: I ran a 103.5 fever for over two hours. I am still running a 100 fever. I have maxed out on my dosage of ibuprofen and tylenol.

Other Meds:

Current Illness:

ID: 1155407
Sex: F
Age: 74
State: MN

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 04/01/2021
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: pt complained of having neurological symptoms the day of the vaccine and the next day. States she was having pain and tingling on her left side along with vertigo and just feeling off.

Other Meds:

Current Illness:

ID: 1155408
Sex: F
Age: 66
State: NY

Vax Date: 03/18/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: NKA

Symptom List: Erythema, Pruritus

Symptoms: Severe itching to Left Arm with hives and redness closer to a hand.

Other Meds: HCTZ 25,. Losartin, Norvasc

Current Illness: None

ID: 1155410
Sex: F
Age: 63
State: IN

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: none known

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

Symptoms: Severe chilling with shakes began approximately 13 hours after injection and lasted approximately 5-7 hours. Then I experienced some sweating. During all of this I kept checking my temperature and it varied between 96.8 and 97.6 degrees. When these symptoms stopped I was then extremely fatigued and lost any form of appetite although I kept drinking water throughout the day. By early evening, around 7pm, all symptoms were gone except the fatigue but when I woke up the next morning everything felt normal.

Other Meds: Hydrochlorothiazide, Amlodipine Besylate, Losartan, Levothyroxine, and Xiidra eye drops, Vitamin D3, Multi-Vitamin

Current Illness: None

ID: 1155411
Sex: F
Age: 64
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/01/2021
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: Buspirone, Citalopram, Codeine, Egg, Hydrocodone, Hydrocodone-acetaminophen, Methocarbamol, Nitrofurantoin, Sulfamethoxazole-trimethoprim, Venlafaxine

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

Symptoms: Pt states that a couple hours after receiving the vaccine she felt lethargic/tired, headache, nausea, chills, fever, muscle pain, and sore arm. She also states that there was a red circle around the injection site and some swelling. Symptoms persisted for a few days and she developed nasal congestion, ear aches, and loss of sense of taste and smell. Also had numbness in shoulder down to her pinky for a short period of time.

Other Meds: Ativan, Apple Cider Vinegar, Lutein, mecobalamin, aleve, elavil, cholecalciferol

Current Illness: n/a

ID: 1155412
Sex: F
Age: 63
State: IL

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/01/2021
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: Severe allergy to crustaceans e.g., lobster/shrimp/crab Mild allergy pet dander Mild environmental allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Saturday after shot: felt fine afterwards; no soreness in arm, no other effects. Sunday after shot: started feeling lightheaded/dizzy in the evening; headache Monday -- Friday: fatigue, muscle ache, lots of congestion (nose/lungs) and deep bronchial cough, intermittent headache, intermittent low grade fever -- unable to work. Saturday-today after shot: still fatigue but better; congestion better as well--still congested but cough is relieved (saline nasal rinse helped a lot); no headache; no fever

Other Meds: Daily: 1. Atorvastatin 40 MG 2. Sertraline 50 MG 3. Losartan 50 MG As needed: 1. Fluticasone-Umeclidin-Vilant 100-62.5-25 MCG/INH AEPB 2. albuterol 108 (90 Base) MCG/ACT inhaler 3. temazepam 15 MG

Current Illness: none

ID: 1155413
Sex: F
Age: 48
State: WA

Vax Date: 03/20/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
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: Codine, latex, dairy and tomato intolerance

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

Symptoms: Red, itchy rash on arm where vaccine was administered. Noticed red mark on arm on Monday 03/29. It has been slowly getting bigger and more red. It is extremely itchy. I have tried antihistamine and spray benadryl to help with the itch but neither one has helped so far. Oral benadryl makes me sleepy so I havent tried using. I moved on 02/01/2021 so I do not have a doctor yet.

Other Meds: Multi-vitamin, Vitrex, ZzzQuil

Current Illness:

ID: 1155414
Sex: M
Age: 35
State: TX

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Unable to read text at regular ranges other than up close. Text appears to be in another script such as . Outcome as of yet unknown.

Other Meds: None

Current Illness: None

ID: 1155415
Sex: F
Age: 40
State: OR

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: tingling in face and arms, runny nose, achey joints especially limbs

Other Meds: levothyroxine

Current Illness:

ID: 1155416
Sex: M
Age: 51
State: IN

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Codeine, tree nuts

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

Symptoms: Fever, chills, body aches - over the course of 36 hours

Other Meds:

Current Illness: None

ID: 1155417
Sex: F
Age: 19
State: NY

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: felt nausea,became diaphoretic, very pale, taken to cot to lay down,VSS, O2 saturations 97 to 99 %, felt better but call friend to pick her up from clinic

Other Meds: lamictal

Current Illness: bipolar disorder

ID: 1155418
Sex: F
Age: 69
State: FL

Vax Date: 03/20/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: On day 9 felt both sides of neck tender under ear by jaw line. Upon palpation both sides painful however left side more. Paid no attention to it except on day 10 because pain still felt with left side more painful. No lump or bump felt just very sensitive and painful upon palpation. Left side more painful when palpated. It seems to be going away slowly. Did not put this on my daily report because I chalked this up to being maybe a cold or something coming on. After thinking about this symptom I realized it is slowly going away and as an R.N. contributed to it now as a side effect. Below I put "No" regarding recovery because the pain is still there however not as bad. It seems to be going away slowly. Hoping it will be gone in a few more days.

Other Meds: None

Current Illness: None

ID: 1155419
Sex: F
Age: 64
State: NJ

Vax Date: 03/22/2021
Onset Date: 03/28/2021
Rec V Date: 04/01/2021
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 known

Symptom List: Vomiting

Symptoms: several days after receiving the shot I developed cellulitis at the injection site. The area has been increasing and is now approximately the size of a credit card. Pink, warm, hard and slightly itchy. I have not treated it.

Other Meds: Levothyroxine Sodium 112 mcg, Red Yeast Rice, D3, Centrum Silver, AZO, Kirkland joint health, Natrol 5-HTP Plus

Current Illness: none

ID: 1155420
Sex: F
Age: 16
State: OH

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: One minute after receiving the vaccination, she developed ringing in both ears. She was monitored for 20 minutes. Her symptoms resolved within several minutes.

Other Meds: Melatonin

Current Illness: None

ID: 1155421
Sex: F
Age: 43
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Food and environmental allergens

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

Symptoms: Develops cold feeling throughout body ad tingling sensation in throat. Denies SOB or trouble swallowing. Given benadryl 25mg PO x 1. Discharged home with family under stable condition. SPO2 97% RA HR 95 RR 14 even and unlabored

Other Meds: Flonase, Zyrtec, citalopram

Current Illness:

ID: 1155422
Sex: M
Age: 58
State: MN

Vax Date: 02/17/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin; Carbamazepine; Cephalosporin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The patient received both of their Moderna vaccines. The first was on 1/20/21 and the second was on 2/17/21. The patient was asymptomatic for COVID-19 symptoms but was tested on 3/29/21 as others on the unit had tested positive. On 3/31/21 test results came back as positive for COVID-19.

Other Meds: Toprol XL; Miralax; Flomas; Emla; Prilosec; Senna; Aricept; Hectorol; Colace; Phoslo; Vitamin C; Cogentin; Zoloft; Remeron; Haldol; Cogentin; Vistaril; Seroquel; Tylenol; Depakote ER; Clozaril; Ativan; Zofran; Nephro-Caps, Renal Caps;

Current Illness:

ID: 1155423
Sex: F
Age: 49
State: OH

Vax Date: 03/22/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Current rash on arm at injection site.

Other Meds: Pantoprazole, Flonase.

Current Illness: NA.

ID: 1155424
Sex: F
Age: 58
State: WA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
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: EXTREME tinnitus-I cannot sleep, concentrate, or function! I have cut out alcohol and caffeine, and will be trying "maskers" (hearing aids) to try and help. This is absolutely the worst thing I have been through!

Other Meds: Amlodipine, daily vitamin, vitamin C, Fish oil, Prevagen

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm