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: 1158127
Sex: F
Age: 69
State: TX

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Low grade fever; sore arm; red swelling at sight; hot at injection shot. Lasted 12 hours

Other Meds: Losartan Activella Hydrochloride

Current Illness: None

ID: 1158128
Sex: F
Age: 66
State: NV

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Sore left arm, chills, sore joints, cough, 102F fever, stomach, diarrhea, lost of appetite, needed to stay in bed for 3 days. Sore left eye. Symptoms subside by the 3rd day. Currently I only have sore left eye.

Other Meds: None

Current Illness: None

ID: 1158129
Sex: F
Age: 33
State: NV

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

Lab Data:

Allergies: Seasonal allergies

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

Symptoms: Light headedness began at 1pm Soreness in thighs began at 1:30pm Symptoms worsen by 2-2:30pm Body aches in back, neck, shoulder by 3:30pm Feeling nauseous, headache and fatigued by 4:30pm 100 degree Fever by 5pm Body aches, headache and runny nose still persists by 7:30pm

Other Meds: Advil

Current Illness: No

ID: 1158130
Sex: F
Age: 55
State: FL

Vax Date: 03/03/2021
Onset Date: 03/29/2021
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: Iodine Dyes, Compezene, MSG

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Ringing in the ears. No treatment as of yet. I started to notice it a couple of days after the vaccine and it has continued till today, a total of 5 days.

Other Meds: NP Thyroid, Bupropion XL, Fluoxetine

Current Illness:

ID: 1158131
Sex: F
Age: 77
State: CA

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Demerol

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

Symptoms: Worst was nausea, vomiting and diarrhea for several hours; also tiredness, aches, chills and brain fog for several days

Other Meds: Multivitamin, Ca, Fish oil, D, Glucosamine-Chondroitin, Digestive Enzymes,

Current Illness: Lymphocytic Colitis

ID: 1158132
Sex: F
Age: 29
State: DE

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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: Celexa, Lamictal

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

Symptoms: Fever, chills, severe body aches, sore throat, swollen glands in the neck, skin hypersensitivity to touch

Other Meds:

Current Illness: None

ID: 1158133
Sex: F
Age: 58
State: AZ

Vax Date: 03/16/2021
Onset Date: 03/20/2021
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: No known allergies.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: All was well initially after receiving the injection on 03/15/21. At 3:30 A.M. on 03/20/21, I was awakened from sleep by persistent itching. I discovered light hives running along the inside of my right arm and along the right side of my torso, from the side of my right breast to my waistline. I immediately took two (2) Benadryl capsules that we had in the house. I also washed the hives with soap and water in case this was from an external source. I had immediate relief from the itching and the hives immediately began to disappear, so I returned to bed and slept. When I awoke in the morning at my normal time, I did not have any additional itching and there were no hives present anywhere on my body. I went about my day and was at an appointment outside of the home when itching returned at approximately 1:00 P.M. on 03/20/21. This time it started on the outer side of my right breast and spread completely across the torso beneath both breasts within 45 minutes. Also at 1:45 P.M., I felt a couple of episodes of light chills and "goose bumps." When I arrived home by 2:00 P.M., I discovered that there were hives not only beneath my breasts, but also across the torso from one side to the other underneath the waistband of my jeans, as well as in a couple of random spots on my stomach. I immediately took two (2) Benadryl capsules and took my temperature as well, which indicated a low-grade fever of about 100 degrees even. I called at 24-hour Nurse Hotline, described my situation (including that the Benadryl I had just taken was immediately working on the new set of hives and itching), and was told to continue taking the Benadryl for a complete 24-hour cycle, as well as given information about what to watch for regarding the hives and instructed to obtain further medical help if the hives worsened despite taking the Benadryl. Over the next several hours, the hives continued to recur (as well as the itching) and to spread throughout my torso and onto my back and arms. I ended up in the Emergency Room after midnight when the Benadryl no longer did anything and the hives continued to worsen in both color and size. I received an IV treatment of Benadryl, Prednisone, and Pepcid, and got immediate relief. My heart rate reached 105 for a bit in the ER, but lowered to 95. I had to continue taking these meds over the next several days at home, during which my hives eventually left some areas but spread down my legs to the tops of my feet before disappearing completely by 03/25/21.

Other Meds: No prescriptions. Daily multi-vitamin.

Current Illness: None.

ID: 1158134
Sex: F
Age: 43
State: NJ

Vax Date: 03/23/2021
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: LA

Lab Data:

Allergies: Penacillin

Symptom List: Pharyngeal swelling

Symptoms: Redness and rash at injection site. Itchy, tightness, and dull pain.

Other Meds: Tenovir

Current Illness: None

ID: 1158135
Sex: M
Age: 39
State: TX

Vax Date: 03/17/2021
Onset Date: 03/20/2021
Rec V Date: 04/01/2021
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: Penicillin - my dad told in childhood but don't know how it impacts the body

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Got a sudden heart attack after developing chest pain/discomfort while walking outside on 3/20 afternoon time. Went to ER and shifted to hospital. Treated with 2 stents in heart. Arteries were found blocked and blood clot was removed.

Other Meds: Fenofibrate 160 my Atorvostatin 40 mg

Current Illness:

ID: 1158136
Sex: F
Age: 49
State: AZ

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Day after: nausea, sore arm, joint pain, tired, HEART STRAIN Days later: hot flashes day and night, heart palpitations, anxiety, diarrhea, stomach aches No period since first shot.

Other Meds: VitC, E,D, fish oil

Current Illness: None

ID: 1158137
Sex: M
Age: 34
State: OH

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: 3/31/21 4:30pm - received vaccine - got a sore arm quickly after 11:00ishPM- started getting the chills and shakes and couldn?t get warm. 4/1/21 3:00am- fever spiked to 104.5 -Chills, severe body aches and nausea began and stayed all day 5:00pm- fever returned of 101 9:00pm- vomiting began for 10 minutes Chills, shakes, body aches and nausea still remain.

Other Meds: None

Current Illness: Sinus congestion a week before

ID: 1158138
Sex: F
Age: 50
State: TX

Vax Date: 03/28/2021
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: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Headache- 48 hours Chills- 48 hours Fever- 12 hours Underarm pain (right side)- continuing- today is day 5, I believe it is swollen lymph nodes. If not better I will go to Dr next week

Other Meds: None

Current Illness: None

ID: 1158139
Sex: F
Age: 28
State: IL

Vax Date: 03/25/2021
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: Cinnamon flavored toothpaste/mouthwash/gum

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

Symptoms: Half hour after vaccine had feeling akin to being drunk, took a nap, woke up feeling lethargc, with vaccination site swollen. Took 3hr naps the next few days. Swelling decreased. I am now a week out, vaccine forgotten about, and rubbed my arm because it was itchy. An hour later I find the vaccination site swollen up to about half a golf ball.

Other Meds: CBD

Current Illness: None

ID: 1158140
Sex: M
Age: 18
State: AK

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: 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 passed out a few minutes after recieving his second moderna dose, he recovered quickly but opted to be transported via ambulance to hospital and released with a diagnosis of syncope.

Other Meds:

Current Illness:

ID: 1158141
Sex: F
Age: 39
State: TN

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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: No

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

Symptoms: 1 year and 5 months ago I applied a facial filler with hyaluronic acid in the area of ??dark circles on my face, I received the modern covid vaccine (031A21A) on March 17, 2021 at 9:00 am. Apparently everything was going well during that day, only my arm hurt but nothing alarming, but at 9:00 pm I began to feel a little discomfort in the area of ??dark circles in my eyes, I did not care and I fell asleep, next day I woke up with a LOT of INFLAMMATION IN THE EYE AREA. I called my facial doctor and he told me that he will take LORATADINE every 12 hours. This inflammation lasted 4 days. I want to know if I can wear the 2nd. Dose. I already have the appointment scheduled for the second dose on April 14, 2021. Please help me know why I had that allergic reaction.

Other Meds: Only vitamin C

Current Illness: No

ID: 1158142
Sex: F
Age: 42
State: VA

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

Lab Data:

Allergies: sulfites, pollen, pet dander (none are severe)

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

Symptoms: about eight hours after receiving the injection, I started to feel strong aching in my muscles and joints (most strongly felt in neck, hands, jaw, inner ear, but also including legs and feet). I also felt chills. My temperature was 98.8 F. Over the course of the next three or four hours, I have felt strong sensations of aching and throbbing in my chest, back, hands, inner ears, and neck. I also felt pins and needles all over but most strongly in chest, back, hands, inner ears, and sides of my neck.

Other Meds: Olanzapine, spironolactone, levothyroxine, liothyronine, fluoxetine, vitamin D, metformin, lorazepam, ibuprofen

Current Illness: depression, Hashimoto's thyroiditis, anxiety, migraines, PMDD

ID: 1158143
Sex: F
Age: 61
State:

Vax Date: 03/19/2021
Onset Date: 03/23/2021
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:

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

Symptoms: 03/23/2021 - large red patch at injection site;; 03/27/2021 - extreme under eye inflammation (have photos)

Other Meds:

Current Illness:

ID: 1158144
Sex: F
Age: 49
State: HI

Vax Date: 03/15/2021
Onset Date: 03/17/2021
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: Ciprofloxacin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Rash started in middle of chest 2nd day after vaccination. Has spread daily to now cover entire body within 2 weeks. Itchy and red. Taking allergy meds to help alleviate. Working slightly. Seeing doctor tomorrow for more information.

Other Meds: Stelara Azathioprine Vitamin D/Calcium/Phosphorus Vitamin B12

Current Illness:

ID: 1158145
Sex: M
Age: 34
State: IN

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

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

Lab Data:

Allergies: No Allergies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Tremendous pain in the left arms where the vaccine injection was given. Terrible (unbearable) headache with a high fever. Burning sensation on eyes. So, I require immediate medical assistance for my health.

Other Meds: No Medication

Current Illness: No illnesses

ID: 1158146
Sex: F
Age: 25
State: UT

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

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

Lab Data:

Allergies: Allergy to capsaicin

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

Symptoms: Can not lift left arm after getting vaccine. High pain in shoulder when moving arm up, rotating arm, and when sleeping. Throbbing and sharp pains. Can not lift arm above head. The shot was administered higher than usual on my arm.

Other Meds: Birth control, spironolactone

Current Illness: None

ID: 1158147
Sex: F
Age: 57
State: NM

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

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

Symptoms: Broke out in hives on chest. Hives lasted 7 days. Treated with Benadryl and topical Caladryl. This is the same reaction I have when I take steriods, either oral pills or injected in joints.

Other Meds: Climara .075 mg patch

Current Illness: None

ID: 1158148
Sex: M
Age: 56
State: TX

Vax Date: 03/27/2021
Onset Date: 03/28/2021
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: Pollen

Symptom List: Unevaluable event

Symptoms: Vomiting, chills, metallic taste in mouth, diarrhea, loss of appetite, coughing, soreness, difficulty sleeping, tiredness

Other Meds: None

Current Illness: None

ID: 1158149
Sex: F
Age: 35
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
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: penicillin, sulfur, ceclore

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

Symptoms: Headache, chills, slight nausea and body aches. Headache went away after 12 hours. Chills after 8 hours. Body aches ended exactly 24 hours from onset (the following night at 9pm).

Other Meds: Multi vitamin, magnesium, Claritin, stool softener

Current Illness: None

ID: 1158150
Sex: F
Age: 18
State: CA

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Minutes after I got the vaccine I started to lose hearing in my left ear (it sounded like I was under water) which slowly spread to my right ear as well. My hands and feet went numb and I started sweating all over. I felt sick to my stomach and I felt like I was above the whole situation-- I could hear the people talking but I felt like I was somewhere else. After resting my head on the table for about 10 minutes I felt better and was able to move to a cot where I rested for another 20 minutes or so until I felt pretty much back to normal. I was treated by the medical team at the site who cleared me to go home.

Other Meds:

Current Illness:

ID: 1158151
Sex: F
Age: 55
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Cephalosin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Worse headache ever..felt like head was going to explode..light sensitive...blurred vision...horrible muscle cramps all over body...swollen legs arms face eye area...freezing cold for 24 hours straight - had on 2 swestshirts, 2 shirts, 3 blankets and heater at 75 with no relief...could barely get out of bed to use bathroom - had to crawl...horrible arm pain, couldn't move arm at all, hot to the touch, extremely sore..that was all in the first 24 hours...

Other Meds: Robaxin, hydrocodone, lisinopril, zofran, omeprazole

Current Illness: None

ID: 1158152
Sex: M
Age: 51
State: TX

Vax Date: 01/22/2021
Onset Date: 02/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Rotator cuff soreness, pain and limited range of motion. Five sessions at physical therapist.

Other Meds: None

Current Illness: None

ID: 1158153
Sex: F
Age: 48
State: VA

Vax Date: 03/09/2021
Onset Date: 03/14/2021
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: Cherries, Naprosyn

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Shingles

Other Meds: Omneprazole, Prozac, carisoprodol, aimovig

Current Illness: None

ID: 1158154
Sex: F
Age: 43
State: CA

Vax Date: 03/13/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa, Benadryl, latex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Slight bumpy, itchy rash 2 inches below injection site. No redness. Lasted 3 or 4 days. Periodic itching/bumps 3 weeks after first shot. No treatment.

Other Meds: Probiotic

Current Illness: None

ID: 1158155
Sex: F
Age: 36
State: IN

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

Lab Data:

Allergies: None

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

Symptoms: Fatigue Injection site paim

Other Meds: Na

Current Illness: None

ID: 1158156
Sex: M
Age: 45
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: stated no allergies on consent form

Symptom List: Nausea

Symptoms: A few minutes after shot administered pt slumped in seat was unconscious for a short time. he came too was embarrassed said he felt fine but a few minutes after he stated he was not feeling well at all. pt became pale, extreme sweating, and low blood pressure/pulse with BP machine. at that time paramedics was called and arrived when patient was beginning to feel better. Paramedics offer to take to hospital but pt declined and could walk with not feelin dizzy. followed up with patient this evening and he is feeling much better. Patient contact his MD and discussed with him. His MD advised him to receive shot lying down for second shot.

Other Meds: unknown first visit to pharmacy

Current Illness: unknown , patient answered all no on consent form

ID: 1158157
Sex: M
Age: 37
State: IN

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Injection site pain, lasted 36 hours. Fatigue, lasted 36 hours

Other Meds:

Current Illness:

ID: 1158158
Sex: F
Age: 54
State: CA

Vax Date: 03/18/2021
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: sulfa drug allergy; shellfish allergy

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

Symptoms: Thursday, March 18, 2021, 11:00 pm Around 12 hours after the vaccine, I started having stomach cramps and began having diarrhea. About an hour later (around midnight), I fainted while seated on the toilet and fell face first into the tiled floor. My forehead and mouth/teeth apparently broke my fall and I realized when I came to, I had chipped my two front teeth. There was a good amount of blood and soon after my house mates came to find me, they got me up to lean over the toilet as then I began getting sick and throwing up. They called the paramedics as I kept throwing up. The paramedics tended to me and after two does of an anti-nausea pill, I was able to at least keep a bit of water down. ....

Other Meds: Hydrochlorothiazide 50 mg; Ventolin; Singular; Benzonatate; Zy

Current Illness: sinus infection 2 weeks prior and took doxycycline for it

ID: 1158159
Sex: F
Age: 36
State: MN

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Codeine

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

Symptoms: Headache, swollen injection site. Very red and large around the injection site.

Other Meds: NA

Current Illness: NA

ID: 1158160
Sex: F
Age: 58
State: PR

Vax Date: 03/26/2021
Onset Date: 04/01/2021
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: Tetracycline

Symptom List: Tremor

Symptoms: I've been feeling super good since I got vaccinated. I haven't even had to take a Tylenol. I have made my life normal. However, on Thursday, April 1, 2021, around 9:00 p.m., I began to feel tenderness in the area where the vaccine was administered. I have a wide red branch in all that area, it is hot ', I feel a little itchy and it is a little swollen. I feel like little pinpricks in the vaccine area. Nothing had happened to me before.

Other Meds: Indapamide 1.25 mg

Current Illness: None

ID: 1158161
Sex: F
Age: 45
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
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:

Symptom List: Erythema, Pruritus

Symptoms: Fatigue, headache, achy joints and muscle pain, upset stomach, chills and then sweats. All side effects ran a course of 24 hours and then nothing.

Other Meds: Thyroid medicine

Current Illness:

ID: 1158162
Sex: M
Age: 74
State: SC

Vax Date: 03/07/2021
Onset Date: 03/09/2021
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

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

Symptoms: Extreme fatigue, widespread muscle aches, heavy sinus drainage, Headache, hard to get to sleep, hard to wake up, brain fog, lightheaded, diarrhea, lack of appetite, heavy weight loss

Other Meds: Adderall, Oxycodone, Nefedipine, Metoprolol, Fluoxetine, Levothyroxine, Dicyclomine

Current Illness: see below

ID: 1158163
Sex: F
Age: 44
State: MI

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Headache, fever, chills, body aches, joint pain, sweating, fatigue, vivid dreams

Other Meds: Sertraline

Current Illness: None

ID: 1158164
Sex: F
Age: 40
State: FL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: 103 fever, swollen lymph nodes in breast and under arms for about 4 weeks.

Other Meds: None

Current Illness: None

ID: 1158165
Sex: F
Age: 46
State: WA

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

Lab Data:

Allergies: ketorolac erythromycin shellfish Topamax sumatriptan methylprednisolone erythromycin carbamazepine gabapentin glucosamine meclofenamate pantoprazole sulfa

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

Symptoms: sob chest tightness throat closure

Other Meds: albuterol astelin baclofen Subutex creon acetaminophen-butalbital bentyl Advair Pepcid levsin Claritin coumadin ambien trazodone

Current Illness: unknown

ID: 1158166
Sex: F
Age: 42
State: KS

Vax Date: 03/24/2021
Onset Date: 03/25/2021
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: Grass, trees, mold, dust

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

Symptoms: Extreme fatigue, nausea, upset stomach, brain fog for 7 days

Other Meds: Synthroid, Setraline, multivitamin, Zyrtec

Current Illness: None

ID: 1158167
Sex: M
Age: 38
State: WI

Vax Date: 03/22/2021
Onset Date: 03/23/2021
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: Suspected allergy to soy

Symptom List: Pain in extremity

Symptoms: 12 hours after the vaccine around 3:30am I got up to us the bathroom and was a bit unsteady but after peeing I was walking back to my bed I grabbed the door and my wife woke up and helped me Collapse to the sitting position, about 3 minutes later completely passed out. I was out for 30-40 seconds then startled awake. I laid in the floor for about 10 minutes and my wife helped me get back to bed. The rest of the week I was kind of dizzy and off balance On Saturday 27th I almost passed out again and again on Tuesday March 30th.

Other Meds: None

Current Illness: A cold in February

ID: 1158168
Sex: F
Age: 56
State: MI

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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: None

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

Symptoms: Body aches, flu like symptoms, headache

Other Meds: Levothyroxine Lexapro Vitamin D Digestive enzymes Probiotic

Current Illness: None

ID: 1158169
Sex: M
Age: 67
State: AK

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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 known

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

Symptoms: Woke up this morning feeling achy took some reg strength tylenol which seemed to help temp was 97.3 later after an eye doctor appointment i was starting to get achy again and had the chills. When I got home I took my temp about 3 hours after my eye appointment and it has been consistently 100 now. I have taken 2 more tylenol just now and temp is 99.7 at this time

Other Meds: allopurinol 300mg armour thyroid 60mg vit c 1000mg vit d 5000 Centrum senior daily vit fishoil 1200 mg omega3 720 mg COQ10 100 mg baby aspirin 81 mg varitonin Allegra

Current Illness: hay fever/allergy

ID: 1158170
Sex: M
Age: 45
State: UT

Vax Date: 03/17/2021
Onset Date: 03/23/2021
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: Tinnitus

Other Meds: Losartan, metformin, trulicity

Current Illness:

ID: 1158171
Sex: F
Age: 23
State: CA

Vax Date: 03/28/2021
Onset Date: 03/29/2021
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

Symptom List: Vomiting

Symptoms: Chills, fever, headache, nausea

Other Meds: Birth control pills

Current Illness: None

ID: 1158172
Sex: F
Age: 73
State: FL

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: PC N Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Severely cold feet, nausea, headache, fatigue, pain at injection site

Other Meds: None

Current Illness: None

ID: 1158173
Sex: M
Age: 55
State: OK

Vax Date: 02/24/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Peanut, Trazadone

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

Symptoms: Right supraclavicular lymph node swelled to the approx size of an emu egg. Currently twice the size of a large egg. Shot was in the left arm

Other Meds:

Current Illness:

ID: 1158174
Sex: F
Age: 28
State: CO

Vax Date: 03/24/2021
Onset Date: 04/01/2021
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: Trazodone.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Eight days following vaccination, raised red rash on arm just below injection site appeared. Rash is about 2 inch by 2 inch.

Other Meds: None.

Current Illness: None.

ID: 1158175
Sex: M
Age: 53
State: SC

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: None

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

Symptoms: Fever started around 6:30 pm and progressed to chills and shaking. Took two tylenol, which helped with the chills and shaking. Experienced aches and flu-type sweats throughout the night, with sleep disrupted many times. Recovery staryed the next morning, but took day off of work due to slight headache and lingering slight fever.

Other Meds: None

Current Illness: None

ID: 1158176
Sex: F
Age: 49
State: NC

Vax Date: 03/05/2021
Onset Date: 03/08/2021
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: Codeine, Sulfa

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

Symptoms: Moderna COVID-19 Vaccine EUA Constipation even though I had taken Linzess on schedule. Constipation was also not relieved via MagO7, Miralax, Magnesium Citrate, and fleece enama. Relief only occurred after a trip to the emergency room.

Other Meds: Linzess

Current Illness: NA

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm