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: 1159306
Sex: F
Age: 39
State: MS

Vax Date: 03/30/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: allergic to prescription pain medications such as codeine, hydrocodone, lortab, dilaudid, etc.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Approximately 10 hours after receiving the vaccine, severe aches and pains and headache occurred to the point of it hurting to touch skin, from head to toe. Eyelids hurt, soles of feet hurt. This lasted about 36 hours. Could not move without severe pain.

Other Meds: effexor, bystolec diovan prilosec tegretol atorvastatin

Current Illness: NA

ID: 1159307
Sex: M
Age: 34
State: IL

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Bananas

Symptom List: Anxiety, Dyspnoea

Symptoms: Soreness and bruise on arm, low grade fever (101.5 F), achiness, chills. In response I took 1,000mg of Tylenol every 6 hours for 30 hours. Aside from bruise, all symptoms were gone after 36 hours.

Other Meds: None

Current Illness: None

ID: 1159308
Sex: F
Age: 23
State: KY

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

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

Symptoms: Contracted COVID post vaccination and immunity date.

Other Meds:

Current Illness:

ID: 1159309
Sex: M
Age: 36
State: AZ

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Diarrhea, headache, light headed, tight chest abdominal pain, fatigue since 3/28

Other Meds: Multi vitamin

Current Illness: None

ID: 1159310
Sex: F
Age: 69
State: AL

Vax Date: 03/08/2021
Onset Date: 03/11/2021
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: Cipro (rash), macrobid, tramadol (nausea), pravastatin (myalgias)

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

Symptoms: Patient started having dizziness, light-headedness and headache 3 days after receiving the second dose of Moderna COVID-19 vaccine. She thought it was vertigo and self medicated with meclizine which did not help. She presented to my office 3 weeks (3/29/2021) later because the dizziness was not improving and she also reported other symptoms that had been occurring including nausea, blurred vision, one episode of double vision, pressure in her ears and headache. An MRI of the brain was ordered which revealed a subacute infarction in the right frontoperiventricular white matter.

Other Meds: Nexium, Amlodipine, Symbicort, Ventolin, Azelastine NS, Xyzal

Current Illness:

ID: 1159311
Sex: F
Age: 66
State: TN

Vax Date: 02/01/2021
Onset Date: 03/01/2021
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: No

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

Symptoms: The only immediate reaction to the vaccine was soreness in my arm. On March 11, I woke at 3:30 AM and had almost total hearing loss in my right ear along with some unsteadiness. I have also experienced unusual neurological symptoms like burning, tingling and numbness in my right foot, leg, hand and face. My second vaccine was delayed because I was taking steroids to help with hearing loss. I had my second shot on March 31 with no side effects to date.

Other Meds: Otezla Pantrprazole

Current Illness: None

ID: 1159313
Sex: M
Age: 40
State: IL

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: Pyrexia, White blood cell count decreased

Symptoms: I started to feel really tired around 7:30pm and got a head ache so I went to bed early. I couldn't sleep well because I got the chills and a fever. I went to use the bathroom around 3am. All of a sudden I got really nauseous, the room spun, everything went black and I fainted in the middle of my bathroom. My wife woke up and helped me back to bed. The next day I was very weak and tired. The chills and fever faded the next afternoon.

Other Meds: None

Current Illness: None

ID: 1159314
Sex: F
Age: 67
State: KS

Vax Date: 03/23/2021
Onset Date: 03/24/2021
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: Pfizer-BioNTech COVID 19 Vaccine EUA Dizziness, feeling like I would faint, chills/sweats/fever for 48 hours, soft ball size swelling, redness and heat at injection site, diarrhea, rash on arm at site of injection, aching all over. Feeling unwell lasted three days, swelling and injection site related symptoms are still present but fading.

Other Meds: Bupropion XL 150 mg. one time daily

Current Illness: none

ID: 1159315
Sex: F
Age: 67
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient received the second Moderna vaccine on 3/31. She reports that last night she noticed the injection site was red, and woke up this morning with it still red and warm to the touch, also slightly itchy. She denies fever or pain, states the area is the size of a baseball and has not increased in size. She was advised that is seems to be a common localized injection reaction and should resolve on its own within 24-26 hours. She is going to use ice and Tylenol and will call her PCP if she develops worsening symptoms or a fever, or if the rash does not go away over the weekend.

Other Meds: Aciphex 20 mg tablet,delayed release TAKE 1 TABLET BY MOUTH TWICE A DAY ALPRAZolam 0.25 mg tablet TAKE 1 TABLET BY MOUTH EVERY DAY AS NEEDED Anoro Ellipta 62.5 mcg-25 mcg/actuation powder for inhalation INHALE 1 PUFF BY MOUTH DAILY FOR

Current Illness: unknown

ID: 1159316
Sex: F
Age: 58
State: TX

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Dog hair Seasonal All shellfishes

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Rash in the injection location, lasted for a couple of minutes Slight headache, no medication taken

Other Meds: Neocell Super Collagen Type 1 & 3 Neocell Collagen Type 2 Joint Bursts Fish Oil 1000 mg Calcium with Vitamin D3 600 mg Super B-Complex with Electrolytes Healthy Hair Gummy Vitamins with Biotin

Current Illness: None

ID: 1159317
Sex: F
Age: 90
State: MO

Vax Date: 03/23/2021
Onset Date: 03/26/2021
Rec V Date: 04/02/2021
Hospital: Y

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

Lab Data:

Allergies: morphine, penicillin

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

Symptoms: Patient presented to the ED with CC of weakness. N/V, fever and SOB requiring oxygen. Mild left shift of total WBC, SARS-Cov-2 swab positive, CXR noted mild pulmonary vascular congestion and small bilateral pleural effusions. elevated troponins with no chest pain. diuresis was given and patient had improvement of symptoms of SOB. Patient was discharged to maintain isolation.

Other Meds: acetaminophen 500mg q8h prn pain amlodipine 5mg daily atorvastatin 10mg at bedtime azelastine 0.1% nasal spray BID prn bumetanide 0.5mg daily cholecalciferol 50,000 units every 7 days citalopram 20mg daily cranberry extract once daily

Current Illness:

ID: 1159318
Sex: F
Age: 62
State: MN

Vax Date: 01/26/2021
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: SYR
Vax Site: RA

Lab Data:

Allergies: No known allergies

Symptom List: Rash, Urticaria

Symptoms: Client tested positive for COVID 4/1/21. Completed COVID vaccine series 1/26/21. Asymptomatic. Tested post travel. Traveled from one state to the next by car 3/25/21 through 3/29/21.

Other Meds:

Current Illness:

ID: 1159319
Sex: M
Age: 58
State: CA

Vax Date: 03/25/2021
Onset Date: 03/28/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Loud ear ringing left ear

Other Meds: Lisinopril

Current Illness:

ID: 1159320
Sex: F
Age: 65
State: NC

Vax Date: 03/08/2021
Onset Date: 03/22/2021
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: Tegratol

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

Symptoms: First nausea and diarrhea then swelling in my parotid gland. I had COVID, I believe, in January 2020. Severe respiratory symptoms with loss of taste. Exhibited swelling of glands on the right side of neck at that time.

Other Meds: Gaia Sleep Sound Flexeril

Current Illness: None

ID: 1159321
Sex: M
Age: 62
State: NY

Vax Date: 03/19/2021
Onset Date: 03/20/2021
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 known

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

Symptoms: Fairly severe nausea ? lasted about 8 days. Constantly felt like I was going to vomit, although I never did.

Other Meds: Amlodipine besylate 5mg Atorvastatin calcium 40mg Lisinopril 5mg Aspirin 81 Vitamin d3 50 mcg Montelukast sodium 10mg Gabapentin 400mg Fluticasone propionate 50 mcg Meloxicam 15mg Omeprazole 40mg

Current Illness: None

ID: 1159322
Sex: F
Age: 69
State: IL

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: None

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

Symptoms: Tired, achy, nausea. Laid on couch. Next day all was normal.

Other Meds: Methimazole

Current Illness: None

ID: 1159323
Sex: M
Age: 58
State: KS

Vax Date: 03/12/2021
Onset Date: 03/17/2021
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: Seasonal allergies

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

Symptoms: Noted upon awakening that hearing decreased in left ear - progressed to total hearing loss over course of the day. OTC remedies attempted - ear cleaning, peroxide in ear. Some hearing resolved after several days, pt still describes feeling such as water in hear re: decreased hearing.

Other Meds: Spiriva, Symbicort

Current Illness: None

ID: 1159324
Sex: F
Age: 38
State: MN

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Shellfish

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Right knee pain, very terrible joint pain to the point where I couldn't sleep. Ibuprofen didn't help.

Other Meds: Prenatal vitamins, phyto hair vitamins, multivitamins

Current Illness: none

ID: 1159325
Sex: F
Age: 33
State: NC

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Medications: Penicillin, Sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Symptom/time of onset/duration/treatment/outcome Fatigue/April 1st,1:00pm/11 hours/rest/recovery Fever (up to 104.2 F)/April 1st, 2:00pm/ongoing/single ibuprofen dose at 8pm April 1st to lower temp/current temp 99-100 Chills/April 1st, 2:00pm/3 hours/rest/recovery Body aches/April 1st, 3:00pm/ongoing/none/ongoing NUMBNESS IN LEFT HAND: Started at about 3:00 pm with the onset of fever and chills and continued on and off for the rest of April 1st. Affected the left side of the left hand including the leftmost 2-3 fingers. Called doctor, ADVISED urgent care but I waited it out; no treatment for this symptom. Has not returned April 2nd.

Other Meds: Escitalopram, 10mg tablet 1x daily Fluticasone Propionate Nasal Spray, 50 mcg

Current Illness: Sciatica Seasonal allergies

ID: 1159326
Sex: M
Age: 71
State: NY

Vax Date: 03/17/2021
Onset Date: 03/21/2021
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:

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

Symptoms: PATIENT RECEIVED THE 2ND DOSE OF THE MODERNA VACCINE ON 3/17/21.THE NEXT MORNING HE BOARDED A PLANE. THREE DAYS AFTER HIS STAY, HE BEGAN TO EXPERIENCE SHORTNESS OF BREATH AND CHEST PAIN THAT LASTED ABOUT 30 MINUTES AND WERE NEVER REPEATED. HE DID NOT GO TO THE HOSPITAL OR SEEK MEDICAL ATTENTION. UPON HIS RETURN HOME, HE CONTACTED THE PHARMACY TO REPORT THESE SYMPTOMS . WE ADVISED THE PATIENT TO CONTACT HIS MEDICAL DOCTOR FOR OBSERVATION/CARE AND TO SELF REPORT .

Other Meds:

Current Illness: DIABETES/BLOOD PRESSURE/SHINGLES/ASTHMA/OBESITY

ID: 1159327
Sex: F
Age: 26
State: NJ

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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

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

Symptoms: Muscle pain, headache, body chills, shaking, fatigue, fever, fainting

Other Meds: None

Current Illness: Covid

ID: 1159328
Sex: F
Age: 74
State: FL

Vax Date: 03/26/2021
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: Pencillin

Symptom List: Unevaluable event

Symptoms: Day of: Soreness in arm, redness/swelling at injection site, headache Next Day: Fatigue, chills, headache, body ache, 100.4 fever, redness/swelling at injection site 2nd Day Post Shot: headache, injection site redness/ swelling less severe

Other Meds: Daily: Omeprazole, Flovent, crestor, lisinopril Day of shot: Tylenol (500mg)1 hour prior to shot, Eylea shot (wet macular degeneration) 3.5 hours post Moderna shot

Current Illness:

ID: 1159329
Sex: M
Age: 47
State: PR

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: None

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

Symptoms: On the afternoon of 4/1/2021 soreness started on the injection site. Is ongoing. Only felt when moving the arm. On the morning of 4/2/2021 a mild nausea -and dizziness.

Other Meds: Panadol 500

Current Illness: None

ID: 1159330
Sex: F
Age: 82
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: no

Symptom List: Injection site pain, Pain

Symptoms: redness and pain on left arm below vaccination site

Other Meds: Cholestoff; MultiVitamin

Current Illness: No

ID: 1159331
Sex: F
Age: 21
State: TX

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: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: SYMPTOMS OCCURED DAY AFTER INJECTION (4/1/2021). PATIENT PRESENT TO THE PHARMACY 4/2/2021 922AM- LEFT ARM AT AREA OF INJECTION- RED, SWOLLEN, AREA WARM TO TOUCH, NO ITCHNINESS, AND SORE ARM. PATIENT ADVISED TO TAKE 2 BENADRYL TABLETS ONCE SHE GETS OFF WORK AT 2PM. PHARMACIST WILL REACH OUT TO PATIENT THIS EVENING TO FOLLOW UP.

Other Meds: NONE

Current Illness:

ID: 1159332
Sex: M
Age: 40
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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: NA

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

Symptoms: Soreness at injection site for 3 days. Nausea for 3 hours.

Other Meds: NA

Current Illness: Na

ID: 1159333
Sex: F
Age: 43
State: MN

Vax Date: 03/22/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Allergic to penicillin, molds, and some perfumes

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: This was my first vaccine. Initial reaction at time of injection was minimal - the standard sore arm, and a little bit tired. A few days ago (about 10 days after my vaccine) I developed redness on my arm and some swelling around the injection site, followed by a ring of light bruising, and the area is warm to the touch and sometimes itches. It is not negatively impacting my daily activities, but it is odd to see a reaction like this 10 days after receiving the vaccine. I've been advised by my doctor to take Advil if needed for soreness and inflammation, and take Benadryl (one 25 mg tablet) as needed for the reaction.

Other Meds: Claritin, spironolactone, birth control, daily vitamins

Current Illness: None

ID: 1159334
Sex: F
Age: 36
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Morphine Latex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe muscle aches Nausea Migraine

Other Meds: Propranolol Lexapro Cymbalta Vitamin d Calcium

Current Illness: None

ID: 1159335
Sex: M
Age: 60
State: NH

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: RA

Lab Data:

Allergies:

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

Symptoms: Fever, chills, nausea

Other Meds: Simvistatin, Losartin, Gemfibrozil

Current Illness:

ID: 1159336
Sex: F
Age: 53
State: WI

Vax Date: 03/24/2021
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: RA

Lab Data:

Allergies: no

Symptom List: Nausea

Symptoms: Covid Arm - woke up with an itchy arm - swollen area around shot location and red.

Other Meds: none

Current Illness: no

ID: 1159337
Sex: F
Age: 69
State: CA

Vax Date: 02/24/2021
Onset Date: 02/26/2021
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: Injection site pain

Symptoms: Joint, muscle and bone pain for over 5 weeks now. My feet and hands are suffering the most.

Other Meds: None

Current Illness: None

ID: 1159338
Sex: F
Age: 49
State: GA

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:
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: Very tired, headache, horrible muscle aches, fever

Other Meds: Zoloft, Wellbutrin, B12

Current Illness: none

ID: 1159339
Sex: F
Age: 47
State: NM

Vax Date: 03/15/2021
Onset Date: 03/16/2021
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: Shingles pain beginning on upper back, lower neck. Started a day or so after the vaccine. Just as an itch and irritation and now has moved from left shoulder to a larger area and become painful. Looks very red like I have scratched it when I do not touch it.

Other Meds: Valacyclovir, losartan, montelukast, topiramate

Current Illness:

ID: 1159340
Sex: F
Age: 74
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Patient began to feel confused and dizzy after receiving the vaccine and had gait ataxia. Patient states that she saw her dog run out the door of her home and she attempted to get him and fell down 6 flights of steps. Patient states that she landed on her back and hit her head on the ground yesterday. Patient was able to crawl into her house. Patient also c/o: headache, bilateral knee pain( L>R). acute HA, rhabdomyolysis

Other Meds:

Current Illness:

ID: 1159341
Sex: M
Age: 61
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Arm soreness, mild body aches and fatigue

Other Meds: None

Current Illness: None

ID: 1159342
Sex: F
Age: 78
State: MN

Vax Date: 01/29/2021
Onset Date: 02/23/2021
Rec V Date: 04/02/2021
Hospital: Y

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:

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

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1159343
Sex: F
Age: 20
State: CO

Vax Date: 03/09/2021
Onset Date: 03/10/2021
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: n/a

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

Symptoms: 101-102 degree fever, shivers, full body aches, pain in arm at injection site, very painful headache for 2-3 days on and off, nauseous around 5am after receiving injection.

Other Meds: Omeprazol for acid reflux/heartburn, calcium supplements, depoprovera birth control injection taken every three months.

Current Illness: n/a

ID: 1159344
Sex: F
Age: 22
State: MN

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: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: pt received the IMZ at 11:59am. instructed wait time 12:15pm in the designated chair provided. at 12:08pm she came up to the counter. As i came around the corner, I saw she was pale. she then fainted and I ran out the door. a male customer caught her and eased her to the floor. i knelt beside her checking pulse and respirations. both WNL. after 10 seconds she came to with extreme sweating. i removed BOTH masks and pull her long hair away from her face to cool her off. got a cool wet paper towel and put on her forehead. i had her raise her legs against the wall to elevate. her mom came in and said as a kid she fainted often due to a vasovagal overstimulation. her mom helped her to the chair and sat for a few more minutes. leaving at 12:20pm with her mom.

Other Meds: none

Current Illness: none

ID: 1159345
Sex: F
Age: 48
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
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: penicillin

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

Symptoms: 1st vaccine: pain to immediate area that lasted approx 4 days; headache. 2nd vaccine: severe headache within a couple of hours, chills all night (about 14 hours after vaccination); pain to area (not as bad as 1st time); golf size protrusion next to armpit, swelling under arm pit, pain to armpit area and sensitivity; tired first 2 days and then exhausted day 5 and 6; rash next to armpit of other arm.

Other Meds: none

Current Illness: none

ID: 1159346
Sex: F
Age: 48
State: GA

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

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

Symptoms: patient called the day after vaccine of 2nd dose stating their arm was swollen and the had fever and body aches. pt instructed to use ice pack and tylenol and motrin /rest and fluids/ to call dr if it got worse.

Other Meds: unknown

Current Illness: unknown

ID: 1159347
Sex: F
Age: 56
State: AZ

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

Lab Data:

Allergies: don't know

Symptom List: Pain in extremity

Symptoms: Sore and swelling throat

Other Meds: none

Current Illness: none

ID: 1159348
Sex: F
Age: 58
State: PA

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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Penacylin, aspirin, indocine, codeine

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

Symptoms: At 11pm began to feel achy By 1am headache and body aches By 10am complete body shake for 2 hours, then fever of 101 Continued thru the 31st By 4/1 no fever, slight headache and lethargy thru 4/2 am. Then perfectly fine.

Other Meds: Zyrtec

Current Illness:

ID: 1159349
Sex: M
Age: 78
State: PA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Syringe leaked at the hub between the needle and syringe, another dose given to vaccine recipient

Other Meds:

Current Illness:

ID: 1159350
Sex: F
Age: 44
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, Ceclor

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

Symptoms: Within 4 minutes of vaccination patient began to experience cough, scratchy throat, racing heart, nausea, and a metallic taste in mouth. Patient experienced no swelling of face, tongue, or throat. Additionally, she did not have any shortness of breath or difficulty breathing. No epinephrine was administered to the patient. 911 was called to the facility to examine the patient. Ultimately, the patient's vital signs where stable and thus she was escorted to the ambulance for fluids, rest, and additional time for recovery while a family member/friend came to pick her up.

Other Meds:

Current Illness:

ID: 1159351
Sex: F
Age: 24
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: 2nd dose was wrong manufacter. Patient is aware vaccine series is complete.

Other Meds:

Current Illness:

ID: 1159352
Sex: U
Age: 55
State:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: reported vague c/o "heavy feeling" in head 5 mins. post vaccination - denied any other symptoms whatsoever & stated, "I'm really fine, just wanted to let someone know.' does report anxiety R/T "all the hype being said in the media about the possible side effects of the vaccines.' Drove off lot after total 25 mins. wait time.

Other Meds:

Current Illness:

ID: 1159353
Sex: F
Age: 65
State: IN

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

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

Symptoms: Chills, fever, exhaustion, no appetite, body aches

Other Meds: Venlafaxine, pantprazole, pramipexole, vitamin D, Calcium, fiber well.

Current Illness:

ID: 1159354
Sex: F
Age: 0
State: IA

Vax Date: 04/01/1967
Onset Date: 05/01/1967
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The vaccines were created in a substrate of raw egg embryos. The shots created a life-long IgG allergy to eggs--egg whites, yolks, ovalbumin and ovalmuccoid. The allergy expresses as atopic dermatitis in the creases of my arms, legs, ears and eyes whenever I eat anything with eggs. The rash first appeared after the first two vccinations for DpTDT and Polio at age 2 months (1966) and 6 months (1967). I broke out in that rash the first time my mother introduced eggs into my diet. She called the doctor and he said it was normal but she should remove eggs for a year to see if I "outgrew" the allergy. In 2007 and 2016 I was tested for IgG allergies and discovered that I am 100% allergic to eggs.

Other Meds: None

Current Illness: None

ID: 1159355
Sex: F
Age: 51
State: NY

Vax Date: 02/02/2021
Onset Date: 02/03/2021
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: N/A

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

Symptoms: SWOLLEN LYMPH NODE UNDER ARM OF INJECTION SITE. SEVERE PAIN ON INJECTION SITE. HEADACHE. BODY ACHES. SOME CURRENT RESIDUAL SWELLING AND SORENESS OF LYMPH NODE.

Other Meds: MULTIVITAMIN, D3, B12

Current Illness: N/A

ID: 1159356
Sex: F
Age: 41
State: PA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
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: sulfa, citrus

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

Symptoms: 1/8/2021 vaccination 1/15 I started to notice a rash on my R arm, 2" below injection site; size of a quarter. Became bigger, red and itchy, warm to the touch. I went to urgent care to have checked to r/o infection. They ended up giving me a topical steroid. The symptoms lasted for about 5 days after using the steroid cream.

Other Meds: escitalopram 20 mg; bupropion 150 mg; omeprazole 40mg; Allegra

Current Illness: n/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm