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

ID: 1159459
Sex: M
Age: 42
State: PA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Injected with empty syringe/needle, another syringe/needle used to administer vaccine.

Other Meds:

Current Illness:

ID: 1159460
Sex: F
Age: 25
State: WI

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: Shrimp

Symptom List: Anxiety, Dyspnoea

Symptoms: These were symptoms after 2nd shot. I started with a mild headache and sore arm. Then things got worse. At night on Wednesday, 24th, I got a severe headache that was at the back of my neck and could feel in the back of my head. Then I became so achy. My bones and joints hurt so much. It hurt to sit or lay down. All I could feel is the pain in my joints. I became so weak and so achy that I could barely get up and walk to the restroom. I could it stand for more than 2 minutes due to the pain. The subsided slightly on Thursday night, 25th, at 6pm. But then returned in another way. I became very nauseous and dizzy. My muscles instead of my bones began to hurt extremely. I could barely move. I broke down crying a couple of times due to the pain being so intense. Throughout this time, I did try to eat or snack and continue to drink water and Gatorade. Then finally the pain just all of a sudden went away on Friday, 26th, at 1:00pm. I felt like a different person. The pain was gone. The only lingering effect was when I would get up from sitting down, I would be dizzy and my head would throb for a few seconds. That went away on Saturday night, 27th. I will say if that type of pain had continued on much longer, I might have had my husband take me to the Emergency Room.

Other Meds: Birth Control Pill

Current Illness: No

ID: 1159461
Sex: F
Age: 97
State: TN

Vax Date: 03/26/2021
Onset Date: 03/29/2021
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: None

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

Symptoms: Severe neck pain and headache. Muscle weakness and collapse. Appetite suppression

Other Meds: Women's multi vitamin

Current Illness: none

ID: 1159462
Sex: F
Age: 72
State: CA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Headache (1 hour after treatment - applied motrin) Fatigue (gone after good night's sleep 25 hours) Soar arm at injection site (went away in 3 days)

Other Meds: None

Current Illness: None

ID: 1159463
Sex: M
Age: 66
State: VA

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

Symptoms: None with the first shot. With the second shot, I experienced chills, achy joints and muscles for about 2 days.

Other Meds: Doxycyclin

Current Illness: None

ID: 1159464
Sex: M
Age: 65
State: NJ

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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: Guanabana ? Tropical Fruit Niaspan ? Rx Niacin

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

Symptoms: Relapse of Cellulitis, I have had Cellulitis twice before in the same leg, left. Hospitalized the first time, second time a course of Linezolid 600mg 10 days. On a course again finishing 02 Apr 2021

Other Meds: Potassium 10 MEQ 1X Furosemide 40mg 1X Isosorbide 30mg 1X Edarbyclor 40/25mg 1X Amlodipine 10mg 1X Hydralazine Hcl 100mg 2X Labetalol 300mg 2X Simvastatin 40mg 1X Finasteride 5mg 1X Zolpidem 10mg - bedtime CPAP Tramadol 50mg as needed Aspir

Current Illness:

ID: 1159465
Sex: F
Age: 30
State: TN

Vax Date: 03/26/2021
Onset Date: 03/30/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Rapid back and forth eye movements causing vertigo like symptoms. Feeling unbalanced and dizzy at times. I feel better when I lay down. I am not sure if it is caused by the vaccine, but it is the only change in my life currently.

Other Meds: None

Current Illness: None

ID: 1159466
Sex: F
Age: 70
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: artificial fragrances, codeine, povidone

Symptom List: Pharyngeal swelling

Symptoms: Momentary headache (temple area, alternating left/right, fairly strong but lasting only fraction of a second. Repeated about 5-6 times.

Other Meds: Breo Elllipta 100/25, Move Free, ibuprofen 200mg, guaifenisen

Current Illness:

ID: 1159467
Sex: F
Age: 56
State: NJ

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: IM
Vax Site: LA

Lab Data:

Allergies: tetracycline, dust, fragrances, cinnamon, nickel, ginger, seasonal allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 45 minutes after shot: flushed, itchiness beginning neck/hands/feet then spread to whole body. One hour after lower lip swelling and tongue swelling with slight numbness in both; slight tingling on palms and bottom of feet. Immediately took Benadryl and the swelling/tingling subsided. Itchiness continued for almost 48 hours.

Other Meds: Due to slight allergic reaction to Covid shot 1, the doctor suggested Zyrtec to be taken 3 days before shot 2 and prescribed an epi pen. Azelastin-Flutic 137 -50 mcg spray, Zyrtec, Nitrofuran 50mg, Montelukast 10 mg, Melatonin 3mg.

Current Illness: none

ID: 1159468
Sex: F
Age: 35
State: DC

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: - Moderate arm tenderness beginning about four hours after injection and last for about 48 hours. - Extreme fatigue beginning about four hours after injection and lasting about 24 hours before decreasing to moderate fatigue for another 24 hours. - Metallic taste in mouth beginning about half an hour after the vaccine and lasting about two hours. - Skin striations on the arm that received the injection beginning about 4 hours after the injection and lasting about 3 hours.

Other Meds: None

Current Illness: No

ID: 1159469
Sex: M
Age: 39
State: VA

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Patient states that he started having lower back pain after getting 2nd shot of COvid vaccine. Patient states that the back pain is still the same or little worse even after 4 days. Patient has been taking advil and old oxycodone prescription for management.

Other Meds: Pantaprazole

Current Illness: None

ID: 1159470
Sex: F
Age: 47
State: VA

Vax Date: 03/23/2021
Onset Date: 03/25/2021
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: sulfa, wellbutrin, shellfish, nickel

Symptom List: Rash, Urticaria

Symptoms: extreme fatigue followed by a sudden onset of diarrhea which cleared up within a few hours. No treatment was required though I did avoid eating for a few hours

Other Meds: Amlodipene, multi-vitamin, iron pill, b complex pill

Current Illness:

ID: 1159471
Sex: F
Age: 46
State: MI

Vax Date: 01/20/2021
Onset Date: 03/22/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Received 2nd dose of COVID vaccine on 1/20/2021. On 3/22/2021 developed cough, headache, rhinorrhea, and sore throat. Tested positive for COVID. Received 1st dose of Pfizer vaccine 12/30/2021 and 2nd dose 1/20/2021.

Other Meds: zaleplon, propranolol, fluorouracil, yasmin, pepcid, librax

Current Illness: none

ID: 1159472
Sex: M
Age: 58
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
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: Left arm muscle soreness about 1000am on 3/14/2021. Lasted 2 days until 3/16/2021 Mild headache about 1000am on 3/14/2021. Lasted that day. Took to Advil OTC.

Other Meds: Vitamin D, Ashwagandha, Beta Sitosterol

Current Illness: None

ID: 1159473
Sex: F
Age: 32
State: PA

Vax Date: 03/25/2021
Onset Date: 04/02/2021
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: Amoxicillin

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

Symptoms: Covid arm symptoms appeared at injection site around 4:00am just over a week after injection. Currently have two small-medium sized welts on left arm at injection site (typing this 7 hours after symptoms started)

Other Meds: Microgen-Fe 1/20 Loratadine

Current Illness: N/A

ID: 1159474
Sex: F
Age: 55
State: CT

Vax Date: 03/09/2021
Onset Date: 03/11/2021
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: 03/11/21 - High fever (102.6). Chills, Fatigue. Drank lots of water and took 600 mg of ibuprofen every 3 hours. Fever was reduced when taking ibuprofen although it would rise again after 3 hours. Fever lasted all day. Better the next morning but was fatigued still the next day. 03/17/21 - Fever (101.3), Red Lump about 1" in diameter appeared on arm at the vaccine site. It was itchy. Lots of water. 600 mg of Ibuprofen every 3 hours again to keep the fever down. Fever lasted through the day. The lump was there for 4 days and gradually shrunk.

Other Meds: Vitamin C, Vitamin D, Zinc, Multi Vitamin B, Zinc, Ibuprofen

Current Illness: none

ID: 1159475
Sex: M
Age: 52
State: MN

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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: Feverish chills and vomiting on day 1. On 4/1/21 at 1:00 am patient fainted and had incoherent speech and then went ?lights out? for less than a minute. He was taken to ER. They gave him fluids anti nausea medicine and ran many blood tests. Patient still feeling dizzy and groggy on day 2

Other Meds: None

Current Illness: None

ID: 1159476
Sex: F
Age: 92
State: MN

Vax Date: 01/25/2021
Onset Date: 02/16/2021
Rec V Date: 04/02/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1159477
Sex: F
Age: 72
State: MN

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: Sulpha, mold, mildew, p450-2d6 deficiency

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Severe Headache, general not feeling well, tired, very sore arm Ibuprofen helped

Other Meds: Lisinopril, rosuvastatin, pristiq, allopurinol, omeprazole

Current Illness:

ID: 1159478
Sex: F
Age: 37
State: AL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: Mild rash to left arm No airway compromise Treatment observe for 30 minutes Symptoms did not get worse No meds were given

Other Meds:

Current Illness:

ID: 1159479
Sex: F
Age: 37
State: MI

Vax Date: 03/31/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Food allergy

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

Symptoms: Patient experienced sweating and felt faint about 2 minutes after injection. Look like she was going to faint. She was given some water and patient recovered and went home.

Other Meds:

Current Illness:

ID: 1159480
Sex: F
Age: 47
State: WI

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Around 3:00 am the next morning, fatigue, nausea, body aches, and chills. Extreme fatigue the next day, slept about 18 of the next 24 hours. Had no energy to walk or sit up. Turned into throbbing headache and developed a 101.8 fever by noon. The fever broke around 6:00 the following morning. The next day was better with a dull headache and mild fatigue.

Other Meds:

Current Illness:

ID: 1159481
Sex: F
Age: 34
State: DC

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

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

Symptoms: Headache began 6 hours after vaccine; headache became worse and fever onset. Fever was 101F at 12 hours post-vaccine. Chills, sweating, severe fatigue, and headache persisted for 2 days post-vaccine.

Other Meds: None

Current Illness: None

ID: 1159482
Sex: M
Age: 34
State: GA

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

Lab Data:

Allergies: Beta Blockers

Symptom List: Injection site pain, Pain

Symptoms: Rapid heart rate 138bpm- 3:20 am. Stayed elevated all night Uncontrollable shacking- 12:30 am. Lasted 10-15 mins

Other Meds: Lisinopril 10mg

Current Illness:

ID: 1159484
Sex: F
Age: 62
State: MD

Vax Date: 02/22/2021
Onset Date: 02/27/2021
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: None reported

Symptom List: Injection site pain, Menorrhagia

Symptoms: Client reports painful, white sores in her mouth and on her tongue, beginning on 2/27 and lasting for about "10 days after." She did not take her Orencia for RA on 2/27 due to these symptoms and reports that by 3/3/21 (Wednesday), "I was having a full blown flare of my RA with joint pain and fatigue; I noticed the worst symptoms in my wrists and hands." This prompted patient to take her Orencia on 3/3 that week. Due to the mouth sores, she increased her acyclovir (Zovirax) to 400mg BID. Client reports that after her 2nd dose on 3/24, she developed a "severe headache" the next day with worsening of "just feeling really bad" noting that mouth sores returned on 3/27/21 and that on 3/28/21, "I woke up with something that felt like a bug bite on my left side" described as in the area of her lateral trunk region. She states, "I saw my RA doctor on 3/29 and was diagnosed with Shingles. She has prescribed Valtrex 1g TID on 3/29 and I still have the rash."

Other Meds: Orencia 125mg injection weekly on Saturday, acyclovir 400mg BID, Fluoxetine 10mg PO daily, Meloxicam 15mg daily, Vitamin B12, Folic Acid, Vitamin C, Biotin, Magic Mouthwash PRN

Current Illness: None reported

ID: 1159485
Sex: M
Age: 82
State: TX

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

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

Symptoms: Inflamation at site and progressively down the arm over three days with simptons of swelling and itching as well as some pain and stiffness. Took some pain killer - one ibuprofen per night. And when itching severe enough used Sarna lotion sometimes twice over the night

Other Meds: Metroptopolol Succ 100mg Lisinopril HCTZ20 - 12.5 mg Multivitamins Flax Oil 1200 mg Gabapentin 300 mg Generic antihistimine

Current Illness: Genital infection - taking anti bacterial ointment

ID: 1159486
Sex: F
Age: 35
State: MA

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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient received her vaccine and began complaining of a headache and C/O pressure in the back of her neck. Stated has hypertension and did not take her medications. Also she had weakness in lower legs after walking to observation area. Participant asked to be transported to the hospital.

Other Meds: hypertension medications

Current Illness:

ID: 1159487
Sex: M
Age: 52
State: MI

Vax Date: 03/24/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillins

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Swollen lymph nodes in the neck ongoing still since 3/29 after 12pm through today.

Other Meds: psyllium

Current Illness: None

ID: 1159488
Sex: F
Age: 55
State: VA

Vax Date: 03/25/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: One week after the shot, woke with upper arm pain, very swollen wheal, warm to the touch with red skin

Other Meds:

Current Illness:

ID: 1159489
Sex: F
Age: 53
State: FL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
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: ace inhibitors

Symptom List: Nausea

Symptoms: Developed myalgia from injection within 6 hrs. However, after 2 weeks, myalgia is still present in left arm and right arm. I also have arthralgia in left/right shoulder, right elbow, right wrist, and right knuckles. I do not have arthritis. Or, I didn't have it before vaccine. I mean heck, I'm 53 so maybe this just popped up after the vaccinations. But the muscle weakness in my arms is really different. If symptoms do not go away by may, I will goto the clinic to get evaluated.

Other Meds: tacrolimus, sirolimus, labetalol, acetaminophen, famotidine

Current Illness:

ID: 1159490
Sex: F
Age: 34
State: TX

Vax Date: 03/21/2021
Onset Date: 03/21/2021
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: Approximately 10 hours after receiving vaccine, experienced nausea, headache, fatigue, chills, and fever (100*F) for the next 8 hours.

Other Meds:

Current Illness:

ID: 1159491
Sex: F
Age: 36
State: MD

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

Lab Data:

Allergies: several allergies to medication, bee stings

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

Symptoms: Administered 1st dose of Moderna at 10:06 , Within 5 minutes after receiving the vaccine she developed hives, SOB and vomiting. Administered 0.5ml of Epi at 10:12. Within 3 minutes of administering epi, Pt self reported she was starting to feel better. Ambulance called and transported to local ER for further evaluation.

Other Meds: none

Current Illness: none

ID: 1159492
Sex: M
Age: 60
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Fever chills (felt very cold, shivering). Muscle aches from sole of feet to scalp. Symptoms lasted until 03:00 AM (4 hours duration). Symptoms faded in intensity over next hour until gone.

Other Meds:

Current Illness:

ID: 1159493
Sex: M
Age: 97
State: TN

Vax Date: 03/26/2021
Onset Date: 03/29/2021
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: Tremor

Symptoms: Severe Arthritic pains in hands and fingers. Just came on after the second shot.

Other Meds: Multi vitamins Blood pressure medicine as needed but mostly daily

Current Illness: none

ID: 1159494
Sex: F
Age: 17
State: OK

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: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: 17 y/o inadvertently received 1st dose of Moderna 4 weeks ago. Per CDC guidelies, 2nd dose given per recommended interval

Other Meds: none

Current Illness: none

ID: 1159495
Sex: M
Age: 68
State: OH

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

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

Symptoms: Moderna COVID-19 Vaccine EUA Left upper arm became sore later in the afternoon. The pain increased during the night, despite taking ibuprofen. Pain became intense and made it difficult to sleep. By 7 a.m., bad pain had subsided but arm remains sore. Difficult to lift it above shoulder height.

Other Meds:

Current Illness:

ID: 1159496
Sex: F
Age: 42
State: MD

Vax Date: 01/15/2021
Onset Date: 01/22/2021
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: Neosporin - rash

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

Symptoms: On Friday, 1/22/2021, I woke up with pain in my left arm. I thought I maybe had slept wrong until I looked down and saw that my axillary lymph nodes were completely swollen. I had a lump there the size of an orange/small grapefruit. It was very painful to the touch and uncomfortable to move my arm. I contacted medical services (I work at a medical research center) and they asked me to come on-site to be evaluated. I was seen by Nurse Practitioner sometime in the early afternoon. By the time I got there, the swelling had gone down significantly but the injection site was bright red, extremely itchy, and I was running a slight fever. The itching at the site of injection lasted for another 24 hours after that and I was very tired and lethargic. Prior to this, I had only felt what I would best describe as a bee sting at the injection site?. Very localized pain. NP warned me that since I had reacted to the first dose, that I would probably have a stronger reaction to the second. I received my second dose on Tuesday, 2/16/2021, at approximately 11:30 AM on my right arm (Moderna Lot#: 004M20A). By 7:30 PM that evening I had the chills and my fever spiked at 102.3 F. My fever ranged from 101-102 for almost 48 hours along with chills, body aches, and extreme fatigue/lethargy. By Friday, 2/19/2021 I felt back to normal.

Other Meds: Tirosint 75 mcg/day Aspirin 81 mg/day Vitamin D2 1.25 mg/week

Current Illness: None

ID: 1159497
Sex: F
Age: 72
State: NH

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: benzylconium chloride preservative in eye medications

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Left upper arm soreness/swelling x 1 week; fatigue x 1 week; headache x 1week;

Other Meds: losarton, metoporol cymbalta

Current Illness: none

ID: 1159498
Sex: F
Age: 72
State: OH

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: No

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

Symptoms: Chills, fever, rash, heart racing for hours, headache, neck ache, joint ache

Other Meds: Clonazepam Metoprolol Omeprazole Atorvastatin Calcium

Current Illness: No

ID: 1159499
Sex: F
Age: 20
State: NY

Vax Date: 03/17/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: itching and rash all over body that hasn't gone away after two weeks

Other Meds: iron supplements

Current Illness:

ID: 1159501
Sex: F
Age: 54
State: CA

Vax Date: 03/30/2021
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: Compazine, sulpha

Symptom List: Pain in extremity

Symptoms: The day after shot I just had mild symptoms , bad headache and very tired. The next day I woke up with a severe rash all over my chest, neck, stomach, back and arms. It was very bumpy, red and lumpy. It did not itch and I don't think I had a fever. I actually felt better this day than the day before. I've heard of rashes just localized on your arm where the injection site was but not all over. That night I took a benyadryl and it helped a lot. It's almost gone. Thought it was a strange reaction and just wanted to report it because I haven't heard of this before.

Other Meds: HRT, multi-vitamin, lysine, co-q10, fish oil, magnesium, collagen.

Current Illness: None

ID: 1159502
Sex: M
Age: 47
State: IN

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Severe Chills, Fever 102.2 on Tylenol, Body Aches, Headache, Arm soreness. Began about 10 hours after shot. Next day, fever down to 99 on Tylenol, still body aches. During severe chills was having hallucinations (I'm sure related to the fever).

Other Meds: Enalipril, Metoprolol, Coumadin

Current Illness: None

ID: 1159503
Sex: F
Age: 35
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: NA

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

Symptoms: extreme fatigue, 103 degrees+fever, muscle/body aches

Other Meds: NA

Current Illness: NA

ID: 1159504
Sex: F
Age: 26
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/13/2021
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: Sulfa drugs

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

Symptoms: A few days after the vaccine I noticed an red, firm, raised itchy rash had developed along the joint area and in the palmar portion of my hand. I was prescribed an topical steroid cream but only applied it once and the rash went away a week later.

Other Meds: prenatal vitamin

Current Illness: no

ID: 1159505
Sex: F
Age: 69
State: OR

Vax Date: 03/05/2021
Onset Date: 03/12/2021
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: None

Symptom List: Vomiting

Symptoms: I had normal soreness, redness and slight swelling for a couple days after my first dose. One week after my first vaccine, my (left) arm became very red, itchy and rashy, with swelling, spreading to an area about 4 inches in diameter. This lasted for 4-5 days.

Other Meds: None

Current Illness: None

ID: 1159506
Sex: F
Age: 61
State: IN

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: Bactrim, Dilaudid

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Rash on face and upper body

Other Meds: Lipitor, Caltrate, Celexa, Arnuity Ellipta, Dexilant, Synthroid, Lovaza, lisinopril, Ditropan, coumadin, multivitamin

Current Illness:

ID: 1159507
Sex: M
Age: 51
State: TN

Vax Date: 02/05/2021
Onset Date: 02/11/2021
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: About 3-4 days after the shot I was walking in food city and my left foot felt like it was asleep like it wouldn?t wake up later that day it kept getting stiffer and stiffer and eventually went all the way up the whole left side of my body went kind of numb it The next day I woke up it was completely stiff hard to walk so I went to my doctor he thought it was something to do with the spinal cord I told him it could possibly be from the shot I thought maybe went through many thousands of dollars of tests they tested me for MRIs I?ll kinds of stuff they have yet to find anything wrong with me I?ve been in and out of the doctors I still have left sided numbness at times left side of my head feels numb left chest left but area and all way down to my toes At this point after going to the neurologist only thing they?re all just could find was I was low on vitamin B 12 I have started injections on vitamin B 12 I still have no notice no change

Other Meds: Losartan 100mg Metoprolol 50 mg Ibuprofen. On occasion Tylenol on occasion

Current Illness:

ID: 1159508
Sex: F
Age: 61
State: MI

Vax Date: 03/17/2021
Onset Date: 03/29/2021
Rec V Date: 04/02/2021
Hospital: Y

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: lostartan, hydralazine, ace inhibitors, metformin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient developed COVID symptoms on 3/29/2021. Diagnosed COVID + on 4/1/2021

Other Meds: neurontin, zyrtec, lofribra, catapress, lopressor, norvasc, lantus, humalog, synthroid, vitamin c &d, zinc, magnesium, lovenox

Current Illness: n/a

ID: 1159509
Sex: F
Age: 74
State: MN

Vax Date: 02/02/2021
Onset Date: 02/21/2021
Rec V Date: 04/02/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1159510
Sex: F
Age: 37
State: CA

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

Lab Data:

Allergies: Lidocaine injections and antibiotics containing sulfur.

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

Symptoms: Strong fatigue, much dizziness, legs feel very heavy. Symptoms have persisted ever since injection day.

Other Meds: Thyroid medicine

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm