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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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

Date Died: 03/28/2021

ID: 1158955
Sex: F
Age: 71
State: PA

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
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: Penicillin Bactrim

Symptom List: Dysphagia, Epiglottitis

Symptoms: Deceased

Other Meds: Glucontrol 5mg Lopressor 50mg Motrel

Current Illness: Diabetes, hypertension, chronic renal disease

ID: 1158956
Sex: F
Age: 61
State:

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: Low grade fever, body aches, chills, slight shooting pains in head. Resolved with Tylenol.

Other Meds: Levothyroxine, estrogen, progesterone, bupropion, vitamins

Current Illness: None

ID: 1158957
Sex: F
Age: 51
State: PA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/02/2021
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: No known allergies to any medications Allergic to pine

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

Symptoms: I had the first shot on March 1st. My arm was a little swollen and sore for two days, and I was extremely tired, but other than that no adverse reaction. I received my second shot on March 19th, my arm again swollen and sore, and I could barely keep my eyes open the rest of the day. On 3/20/21, I woke at 8:30, feeling like I had hardly slept at all even though I had slept for 9 hours. I woke up wheezing, which led to me coughing and chills but no fever. The exhaustion I had felt after the first shot, was nothing compared to this. I thought it would go away, but it didn't. I also noticed a lot for fluid retention in my lower legs and stomach area. When I got on the scale, in the 20 days from the 1st shot til the day after the second shot I had gained 20 pounds of fluid. I was stunned. I could barely do a simple task, then I would have to sit down to rest for a minute, and would immediately fall asleep for 2 to 3 hours. I went to my doctor's on 3/22/21. They did a covid test, it was negative. The doctor said I was definitely wheezing and gave me the only sample inhaler that they had in stock Anorro to try to open up my airways. After a week, I was still having the issues, went back to doctor on 3/29/21 This time they perscribed 12 days of taper steroids. I am on day 4. I also received a referral to see a pulmonary specialist. I am still dealing with the exhaustion, wheezing and cough.

Other Meds: Hydrochlorothiazide 25 mg Lisinopril 10 mg Rosuvastatin calcium 5 mg

Current Illness: None

ID: 1158958
Sex: F
Age: 60
State: KY

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

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

Lab Data:

Allergies: Trazodone (post nasal drip) Wellbutrin [Bupropion] (post nasal drip) Hydrocodone (Itching)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient is a 60-year-old female with a past medical history of of restrictive lung disease, Poland syndrome right side of the chest, 50% lung capacity at birth s/p multiple surgeries, left breast cancer in 2018 s/p lumpectomy/chemo/radiation, neuropathy presented to the ED with complaints of chest tightness and shortness of breath which started yesterday morning. She reports that she uses oxygen 3 L nasal cannula as needed at bedtime, her O2 sat was 93%, yesterday she was using the oxygen. She received her second dose of Covid vaccine yesterday, the symptoms worsened after that. She received DuoNeb, magnesium sulfate 2 g, Solu-Medrol 125 mg from ED. ED provider planned her discharge, patient states she has to come back after calling EMS since she is hard to breathe. Patient wants to currently she is resting in bed without any distress, O2 sat 96% on room air at the monitor. Her second EKG showed ventricular bigeminy. Troponin 0.012, 0.012. 2 D echo done on 4/29/2019 shows EF 58%, mild concentric LVH. Her BP was high while at ED, states usually normal.

Other Meds: anastrozole (ARIMIDEX) 1 MG tablet ARIPiprazole (ABILIFY) 5 MG tablet gabapentin (NEURONTIN) 600 MG tablet levothyroxine (SYNTHROID) 50 MCG tablet oxyCODONE-acetaminophen (PERCOCET) 5-325 MG rizatriptan (MAXALT) 10 MG tablet SUMAtriptan (IM

Current Illness: Malignant neoplasm of lower-outer quadrant of left breast of female, estrogen receptor positive (CMS/HCC) Metastatic breast cancer

ID: 1158959
Sex: F
Age: 48
State: CT

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: amoxicylin

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

Symptoms: chills, fever, vomiting, headache, body ache, fatigue

Other Meds: Nexium, propananol, iron vitamin, multi vitamin, vitamin D, vitamin C

Current Illness:

ID: 1158960
Sex: M
Age: 68
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 04/02/2021
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: Sulfa drugs

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

Symptoms: Severe chills, mild headache, extreme lethargy, body ache. Lasted 24 hours.

Other Meds: Simvastatin, Levothyroxine, Famotidin

Current Illness:

ID: 1158961
Sex: F
Age: 60
State: FL

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Shingles on my scalp

Other Meds: None

Current Illness: None

ID: 1158962
Sex: F
Age: 39
State: TX

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: 10 hours after vaccination, at approximately 9:00 PM, I developed pronounced chills, body aches, joint aches, and headache. I was very uncomfortable all night due to shivering, teeth chattering, and general discomfort. At 2:00 AM, I experienced nausea and vomiting. The following day, 3/31/21, I had headache, fever of 100.5 F, mild nausea, and fatigue, and spent most of the day in bed. I felt markedly better by that evening. The next day, 4/1/21, I was more improved but still had a headache. I did not eat much this entire time due to having very little appetite. Today, 4/2/21, I woke with a headache, but otherwise am feeling well.

Other Meds: none

Current Illness: none

ID: 1158963
Sex: M
Age: 45
State: AR

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: sore arm, brain fog, headache, swollen lymph nodes, pain in brain stem, sore neck, lethargy, diarrhea, bowel discomfort, arthritis flare-up

Other Meds: Azathioprine (immunosuppressant, generic form of Imuran)

Current Illness: I had a slight cough and a runny nose at the time of vaccination

ID: 1158964
Sex: M
Age: 71
State: MD

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient presented and was admitted through ED for tachycardia. Patient was noticed to be fatigued and weak during stress test at outside cardiology clinic and he was noticed to be in A. fib RVR tachycardia. Patient has medical history significant for hypertension, diabetes mellitus type 2, aortic stenosis, coronary artery disease, chronic atrial fibrillation, history of Hodgkin's lymphoma. Per the EUA, hospitalizations to be reported irrespective of attribution to vaccine.

Other Meds:

Current Illness:

ID: 1158965
Sex: F
Age: 57
State: IN

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

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

Lab Data:

Allergies: No

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

Symptoms: Slight soreness in arm. 4:00AM next day when i awoke, i had an upset stomach, slight chills, faint feeling. Immediately, took 1 Aleve, and by 5:30, i was already feeling better. All symptoms went away, INCLUDING the soreness in my arm. I really didn't feel good at all. I never miss work, but i was very close to calling in sick.

Other Meds: Doxycycline propranolol

Current Illness: No

ID: 1158966
Sex: F
Age: 28
State: GA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: not reported

Symptom List: Rash, Urticaria

Symptoms: syncope related to needle stick

Other Meds: oral contraceptive

Current Illness: n/a

ID: 1158967
Sex: F
Age: 46
State: WV

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Aspirin and sporadic reactions to Acetaminophen

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

Symptoms: Raised welt at injection site. Rash is raised (above and beneath the skin) itchy, red and warm to the touch.

Other Meds: Protonix, Plexus Bioclense, Plexus ProBio5, Plexus XFactor Plus

Current Illness: Environmental allergies

ID: 1158968
Sex: M
Age: 63
State: TX

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: headache, fever, chills, nausea, body aches, for 2 nights and 1 day

Other Meds: testosterone cypionate, nature throid

Current Illness: none

ID: 1158969
Sex: M
Age: 61
State: MA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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: CHILLS, BODY ACHES, HEADACHE, STIFF NECK, LOW FEVER, UNCONTROLLED SHIVERING. SUBSIDED AFTER 24 HOURS.

Other Meds: NONE

Current Illness: NONE

ID: 1158970
Sex: F
Age: 43
State: GA

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 04/02/2021
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: adhesive and latex

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

Symptoms: 7 Days after injection, at the injection area my arm became very red and itchy. within 24 hours the area was swollen, sensitive to touch, very itch, the area was hot and about 3 inches in diameter.--after 7 more days, still slightly itchy but no longer red or sensitive.

Other Meds: lexapro, trazadone, bone boost, evening primrose, iron supplement,

Current Illness: none

ID: 1158971
Sex: F
Age: 42
State: IA

Vax Date: 03/23/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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: none

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

Symptoms: The day of the injection, my left arm started to hurt, it started out just feeling like a bruise and gradually got worse by that night that it hurt to move it and to touch it. The next day it gradually stopped hurting and by the afternoon, it was like an ache, and later it didn't hurt. On 4/1/2021 it was hurting, to touch it it felt like there was a bruise and gradually got worse by 11 pm that night, and hurts to touch and move on 4/2/2021. My arm to look at has appeared normal looking, no bruises, no rash, no redness.

Other Meds: none

Current Illness: none

ID: 1158972
Sex: F
Age: 22
State: IN

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

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

Lab Data:

Allergies: Azithromycin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 101 degree fever shakes and shivers Sweats Dizziness Fatigue Vomiting Headache The tiredness hit at 11am the day of the vaccine, the rest of the systems started occurring around 10pm that night. Symptoms continued until the next morning when primary health gate provider was contacted and ibuprofen regimen was started. Ibuprofen lightened all of the systems except the tiredness and nausea.

Other Meds: None

Current Illness: None

ID: 1158973
Sex: M
Age: 36
State: IN

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I?ve had soreness for the last two day in my upper left arm at the injection site. Pain feels like someone punched me and left a bruise. No visible bruise. Dull headache as well. I?ve been taking over the counter medication for the headache.

Other Meds: 10 mg Lexapro, 20 mg Lisinopril

Current Illness: None

ID: 1158974
Sex: M
Age: 70
State: FL

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Low grade fever, muscle and joint pain, chills, loss of appetite

Other Meds: Diltiazem

Current Illness: None

ID: 1158975
Sex: M
Age: 74
State: PA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/02/2021
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 known

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

Symptoms: legs felt weak, hat to sit while trying to walk to car

Other Meds: Eloquis

Current Illness: AFIB

ID: 1158976
Sex: F
Age: 73
State: FL

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/02/2021
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: C/o redness, pain and swelling at injection site. Extreme sweating, swelling in arm, mouth sores, swollen glands, body aches, loss of appetite, fatigue & fever. Symptoms started 3/26/2021 the next day around noon. Took tramadol and tylenol and anti-nausea medicine. Feeling better today, still has site injection pain, everything else has resolved. COVID + March 2020. -

Other Meds:

Current Illness:

ID: 1158977
Sex: F
Age: 38
State: PA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/02/2021
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: latex, shellfish, iodine, levofloxacin

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

Symptoms: At the time of the injection, there was a slight burning sensation, which resolved within a day. Day 2, bruising began. Today, the 8th day, I woke up with a large red rash in the area of the injection. The rash is approximately 3-5 inches in diameter

Other Meds: northindrone

Current Illness:

ID: 1158978
Sex: M
Age: 62
State: KS

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: I began shaking violently and severe cold chills. I began hallucinating and felt like I was turning inside out. I blacked out and woke 2 hours later with severe flu like pain in my entire body and a severe headache. I do not do drugs and I had no alcohol in the 3 days before I wa vaccinated. It is now 47 hours after the vaccination and I have moderate flu like symptoms.

Other Meds: Turmeric, glucosamine and multi vitamin

Current Illness: none I am aware of

ID: 1158979
Sex: F
Age: 61
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Peanuts, nearly all trees in Indiana, nearly all grasses in Indiana.

Symptom List: Injection site pain, Menorrhagia

Symptoms: 11 hours after?intense shivering shuddering 22 hours after, awoke to?shivering, sweating, dizziness, lightheadedness, inability to get out of bed, dry heaves 23 hours after?attempted to get out of bed, fell/collapsed/fainted sustained many bruises

Other Meds: Xyxal, Flonase, Levothyroxine, Escitilopram, Aspirin 88 mg, calcium, vitamin D, CBD oil

Current Illness: Seasonal allergies

ID: 1158980
Sex: M
Age: 49
State: NC

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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: Pcn, Leviquin, sulfa drugs

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

Symptoms: Started having mild fever and body shaking chills late last night for ~30 minutes. Headache this morning and general fatigue. I attribute this to the vaccine and hopefully I'll feel better in another 24 hrs.

Other Meds: Janumet, Insulin, Pravistatin, Amlodipine

Current Illness: seasonal allergies

ID: 1158981
Sex: F
Age: 56
State: IN

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills, slight fever of 99, achiness and general soreness

Other Meds:

Current Illness:

ID: 1158982
Sex: F
Age: 66
State: ME

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

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

Lab Data:

Allergies: Non-specific

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Felt extremely fatigue, discomfort, fever, nauseous, unable to sleep but no energy to stay awake and sit up for first twenty-four hours. It felt like my whole body had been turned inside out. The second day was similar but half strength. By the third day I was doing ok except for the lack of sleep from the previous two days. Interestingly, my left arm tingled from the injection site down through my hand immediately after receiving the vaccine and that continued throughout the first day.

Other Meds: Vitamin D, psyllium, vitamin, baby aspirin, glucosamine, fish oil

Current Illness: None

ID: 1158983
Sex: M
Age: 16
State: WV

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: NKA

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

Symptoms: PT CAME TO VACCINATION CLINIC WITH HIS FATHER WHO SIGNED PREVACCINATION CHECK SHEET. THE CLINIC WAS HELD AT WHERE THE PATIENT WORKS. PATIENT IS 16 AND RECEIVED JOHNSON AND JOHNSON VACCINE IN ERROR DUE TO THE FACT HE IS NOT 18. WE HAVE CHECKED IN WITH PATIENT AND HIS FATHER 4/1/2021 BOTH HAD BODY ACHES, HEADACHE AND CHILLS. I CHECKED IN WITH BOTH THIS AM 4/2/2021 NEITHER ONE HAS ANY SYMPTOMS TODAY.

Other Meds: NONE

Current Illness: NONE

ID: 1158984
Sex: F
Age: 63
State: OH

Vax Date: 03/19/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Kiwi and Naproxin

Symptom List: Nausea

Symptoms: Severe itching from scalp to top of legs on 14 th day after injection, preceded by itching of injection site on 7th day after injectin

Other Meds: Metoprolol Potassium Hydrochlorothyzide Pravistatin

Current Illness: None

ID: 1158985
Sex: M
Age: 27
State: SC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/02/2021
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: Patient had received Covid vaccination and was seated in monitoring area. Patient was being monitored by nurse. She states patient complained of feeling lightheaded. Took off coat and drank some water. She checked his pulse at that time, and reports 60. She reported to other staff in area. Patient explained that he has done this in the past with injections, but not always. He was sipping water, diaphoretic. At 0918 patient became was extremely diaphoretic, lips blue, eyes rolled back, and patient was unconscious, No pulse detected. I lowered him to floor from chair. EMT checked again for carotid pulse and I placed hands in position to start compressions. Faint pulse noted, and did not begin compressions. Nurse practitioner came over assisted by raising lower extremities onto chair. 0919 patient oxygen sats 91-93 percent. Ambulance en route. Patient color improving, responding appropriately, alert and oriented. heart rate 51. blood pressure 112/59. 0921. EMS on site, patient still pale, and slightly diaphoretic, much improved though, b/p 119/62. hr 61 pulse ox 91 percent. EMS assumed care.

Other Meds:

Current Illness:

ID: 1158986
Sex: F
Age: 57
State: IN

Vax Date: 03/29/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: Got the vaccine, had a burning sensation at the injection site and still has that feeling, serious stinging. She could not raise her arm initially (dead arm), could not hold a cup in it or anything. She took off the Band-Aide and put another one on it and then when she removed that she had blood on it, but did not when she first took off the first one. She woke up, was able to lift her arm, but the rash was red, blotchy, bumpy rash that is not hot, just a little red but it itchy. She has been taking Benadryl for this reaction.

Other Meds: Buspirone

Current Illness: None.

ID: 1158987
Sex: F
Age: 52
State:

Vax Date: 01/01/2021
Onset Date: 01/05/2021
Rec V Date: 04/02/2021
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: sore arm

Other Meds:

Current Illness:

ID: 1158988
Sex: F
Age: 37
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: Swelling of the injection site, three days later big painful lump on the Left auxiliary , swollen lymph node, the size of the about an inch in diameter.

Other Meds: Vitamins

Current Illness: NO

ID: 1158989
Sex: F
Age: 51
State: FL

Vax Date: 03/25/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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: Penicillin, sulfa

Symptom List: Erythema, Pruritus

Symptoms: Rash at injection site, approximately an inch in diameter.

Other Meds: Escitalopram 10mg

Current Illness:

ID: 1158990
Sex: M
Age: 41
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: 03/31/21 10:31 am 1 minute after the first dose, metal taste in my mouth (like a mouthful of nickels) that lasted about 5 hours. 04/02/21 08:00 am small headache when I woke up and whistling in ears feels like a small hangover but i haven't been drinking anything for weeks

Other Meds: none

Current Illness: none

ID: 1158991
Sex: F
Age: 65
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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, chills, fever and body aches that started around 2 pm on vaccination day (3/31/21) and lasted until 11:30 pm the next day (4/1/21)

Other Meds: None

Current Illness: None

ID: 1158992
Sex: F
Age: 77
State: FL

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 3/30-Adverse events experienced and are they still occurring now: C/o heat, redness and swelling in arm at injection site & extreme fatigue after 1st shot; 11 days after 1st shot developed large lump on at injections site. Today developed red hives/lumps on chest area & trunk area. Using benadryl cream as needed, not taking any other medications. Advised tylenol or ibuprofen as well as PO benadryl, advised to f/u with PCP or urgent care due to worsening symptoms.

Other Meds:

Current Illness:

ID: 1158993
Sex: F
Age: 63
State: CA

Vax Date: 03/24/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
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: Cipro

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

Symptoms: ?COVID Arm? Raised bump at injection site about 3.5? diameter, hard large lump, itchy and skin numb at site for 6 days, lessening in density, itchiness and size thereafter.

Other Meds: .50 mg nefazodone 1x day

Current Illness: None

ID: 1158994
Sex: M
Age: 66
State: MA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
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: Localized soreness at 5PM Chills at 10PM Feverish at 1AM Aches at 1AM Diarrhea at 8AM

Other Meds: ducocet 50 mg QD One A Day MVI 1 tab QD

Current Illness: NONE

ID: 1158995
Sex: F
Age: 40
State: MI

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

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

Lab Data:

Allergies: N/a

Symptom List: Pain in extremity

Symptoms: Within about 7 hours my body temperature felt like it dropped (almost like hypothermia symptoms) and I had uncontrollable cold/shivering shakes for about 1-2 hrs. I tried taking a warm bath, but it felt cold. Once I bundled up and got into bed, the chills wore off and transitioned almost immediately to a fever spike, which reached 103.8 at its peak at around 9-9:30p. The fever stayed at that level for about 4-5 hrs, before it started to subside, at around 3a. By 10a on April 4, my fever was down to 99.5 or so, with a headache. Today, April 2, I have no fever and only a mild headache.

Other Meds: None

Current Illness: N/a

ID: 1158996
Sex: F
Age: 54
State: NY

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Swollen arm and arm pit area with burning sensation intermittent. Still feel pain off and on after 5 days in my armpit/breast area

Other Meds: Cymbalta Fish oil Zinc B complex Probiotic Vitamin D

Current Illness:

ID: 1158997
Sex: F
Age: 24
State: WI

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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: Shellfish allergy

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

Symptoms: I developed a red welt/hive at the injection site within a few hours of receiving the shot. It is currently two-three inches in diameter, hard to touch, and hot to touch. It is a little painful just like a sore arm after other vaccinations. It itches a little bit. I?ve treated with an antihistamine and switching between acetaminophen and Ibuprofen since it?s development. These have not effected it much.

Other Meds: Hormonal IUD

Current Illness: None

ID: 1158998
Sex: M
Age: 39
State: GA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/02/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Primary side effects started day after injection: pain at injection site, body aches, chills, fatigue. Primary side effects went away after one day except for injection site pain which lasted two days from onset. Minor side effects started day after injection: mild nausea and intermittent headache. The nausea subsided a few hours after onset, while the headache would occur a couple of occasions over a 24 hour period. Episodes were usually only a couple of minutes in length.

Other Meds: Lisinopril, levothyroxine, sertraline, pregabalin, methocarbomol

Current Illness:

ID: 1158999
Sex: F
Age: 38
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Vomiting last night Today my heart is racing

Other Meds:

Current Illness:

ID: 1159000
Sex: F
Age: 34
State: FL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: no known

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: From 11:00 PM on 03/31/2021 until 8:00 AM on 04/02/2021 - Fever of 102 uncontrolled by around the clock acetaminophen, severe fatigue and lethargy, nausea, and headache, chills, lack of appetite

Other Meds: Prenatal Vitamins

Current Illness: none

ID: 1159001
Sex: F
Age: 34
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: Headache, fever 101, chills, night sweats, soreness at injection site, sore body

Other Meds: None

Current Illness: None

ID: 1159002
Sex: F
Age: 57
State: MA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/02/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache 24 hours from onset Body aches 24 hours from onset Fever 100:2 24 hours from onset Chills sporadic 24 hours from onset Fatigue 36 hours from onset

Other Meds: Metropol Succinate ER 25mg mornings Pravastatin Sodium 10mg evenings

Current Illness:

ID: 1159003
Sex: F
Age: 40
State: MN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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: Typically symptoms plus those out of the ordinary: numb lips and face to cheeks, extreme ear pain, headache, dizziness, light headed, difficultly swollen for short periods of time.

Other Meds: Snythroid 125mcg

Current Illness: None

ID: 1159004
Sex: F
Age: 35
State: NY

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
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:

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

Symptoms: Red rash formed on day 8 4/28 rash is now bigger warm and itchy

Other Meds: Phentermine, Mirena and excedrin as needed

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm