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: 1163620
Sex: F
Age: 21
State: IN

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/03/2021
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: N/a

Symptom List: Dysphagia, Epiglottitis

Symptoms: Began feeling lethargic and had a bad headache at 6pm on April 1st. I took ibuprofen to tame it. Began having cold chills 10pm. Took more ibuprofen to tame. Went to bed around midnight. Woke up at 10:30am feeling miserable. Very bad cold chills, painful headache, and body aches. I took Dayquil and covered up with lots of blankets and went back to sleep. Did not sleep well and sweated off the blankets. Woke up at 1:30pm feeling slightly better. The rest of the day I experienced mild headaches and slight chills in the evening.

Other Meds: N/a

Current Illness: N/a

ID: 1163621
Sex: F
Age: 61
State: VT

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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: Barbituates, Metformin and Z-Pack. Milk Protein, Bananas, Kiwi.

Symptom List: Anxiety, Dyspnoea

Symptoms: 1:50 pm: chest pressure, a bit of breathing difficulty tingling in mouth and odd taste in mouth. Tingling in mouth stopped within an hour or so. Chest issue and breathing problem lasted about 3-4 hours. Early evening, about 20 minutes of constant diarrhea. Late evening, inside bottom lip a bit swollen and outside bottom lip a bit itchy around the edges.

Other Meds: Calcium 600 plus vitamin D-3, One A Day Adult, Propranolol, Simvastatin, Omeprazole and Letrozole.

Current Illness:

ID: 1163622
Sex: F
Age: 31
State: KS

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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: At 7:00pm on 4-2-21 (11 hours after vaccine) I started experiencing hot flashes, goosebumps, and nausea. I then began having severe chills, fever of 101, muscle soreness all over my body, and vomiting. I vomited 7 times between 8:00pm and 6:00am on 4-3-21 and could not keep any food or liquids down. My fever and chills were gone at 9:00am and I was no longer vomiting but still feeling nauseous.

Other Meds: Gemmily Birth Control, Women?s One A Day Multivitamin

Current Illness: None

ID: 1163623
Sex: F
Age: 66
State: OR

Vax Date: 03/03/2021
Onset Date: 03/12/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Four inch circular raise, itchy, warm to touch red rash that was present for eight days.

Other Meds: None

Current Illness: None

ID: 1163624
Sex: M
Age: 59
State: FL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/03/2021
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: Fever, chills, total body aches, headache

Other Meds: Atorvastatin, multi-vitamins, B12, Fish oil, Turmeric

Current Illness: None

ID: 1163625
Sex: M
Age: 38
State:

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

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

Symptoms: Patient experienced post-vaccination syncope and fell out of chair. Patient denies any pain and/or injuries. EMS was called. BP was within normal limits before EMS arrival. Patient declined juice and crackers and walked to medical tent with EMS. Patient was sent home with spouse.

Other Meds:

Current Illness:

ID: 1163626
Sex: F
Age: 44
State: TX

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

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: On 4/2/21, arm pain, body aches, bad headache, chills, fatigue, redness at injection site. At about 7:30 pm, I started feeling bruising under my right eye. At about 9:30 pm, I had a small bump under my left eye. On 4/3/21, I woke up with facial swelling. I was swollen underneath my eyes, cheeks were swollen, and lip was swollen. Headache, slight back ache, redness at injection site and sore injection area continue. Took 2 Benadryl at 9:00 am to reduce swelling.

Other Meds:

Current Illness:

ID: 1163627
Sex: F
Age: 59
State: AZ

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

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

Lab Data:

Allergies: nsaids,aspirin,sulfa,clarythromycin

Symptom List: Pharyngeal swelling

Symptoms: April 1st am,very itchy and large red area near injection area,a little swollen,4/2 pm fever,4/3 am fever gone ,intense itch and red still the same

Other Meds: zyrtec 5mg,lorazapam 1mg 1/2

Current Illness: treating hives for approx 2yrs

ID: 1163628
Sex: M
Age: 72
State: NY

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: allergic to Orudis, an aspirin substitute.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I awakened with a T-shirt soaking wet from perspiration. I took no further medicines.

Other Meds: multivitamin, lysine, vitamin D3, vitamin C, psyllium, melatonin, SleepThru, valerian, and Atenolol 25 mg for dysrhythmia

Current Illness:

ID: 1163629
Sex: M
Age: 64
State: FL

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First, my right arm was sore for four days. That was okay. Second, I have been experiencing constant discomfort on my right arm where the vaccine was injected. Third, I have been experiencing numbness all over my right side when I lay on it. I need guidance before taking the second dose. Please help!

Other Meds: None

Current Illness: None

ID: 1163630
Sex: F
Age: 60
State: WI

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

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

Lab Data:

Allergies:

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

Symptoms: Shaking chills. Achy body. Fever 100.5. Slight headache and nausea. Exhaustion. Sore arm. I received the vaccine at 3:40 p.m. Sore arm within 2 hours. I began to feel effects (tiredness) around 9:00 p.m. Fever, chills, body aches became intense about midnight April 3 and lasted until 8:00 a.m. April 3 As of submission I am no longer achy nor do I have chills, but am tired and a little brain fog. Also, slightly congested in nasal passages.

Other Meds: Synthroid.

Current Illness:

ID: 1163631
Sex: M
Age: 34
State: FL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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: Shellfish

Symptom List: Rash, Urticaria

Symptoms: Metallic taste in mouth. Today is been 24 hrs since vaccination and it comes and goes constantly.

Other Meds: Complera

Current Illness: No illnesses

ID: 1163632
Sex: F
Age: 66
State: MA

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

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

Lab Data:

Allergies: Droperidol

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

Symptoms: None stated.

Other Meds: None

Current Illness: None

ID: 1163633
Sex: F
Age: 64
State: NC

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

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

Symptoms: fatigue, chills, and headache lasing approximately 36 hours; rash near injection site - rash is red, hot to the touch, and approximately 3" in diameter still present on 4/3/2021

Other Meds: Levothyroxine Lisinopril Glucosamine Chondoitin Caltrate

Current Illness: none

ID: 1163634
Sex: F
Age: 73
State: IL

Vax Date: 03/09/2021
Onset Date: 03/15/2021
Rec V Date: 04/03/2021
Hospital: Y

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

Lab Data:

Allergies: tylenol, penicillin

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

Symptoms: patient with abdominal pain, diarrhea, and PORTAL vein thrombosis

Other Meds: carvedilol 6.25 MG Oral Tab 1 ordered Dose, Route, Frequency: 6.25 mg, Oral, 2 times daily with meals Start: 12/19/2019 Ordered on: 12/19/2019 Authorized by: Summary: Take 1 tablet (6.25 mg total) by mouth 2 (two) times daily

Current Illness: none

ID: 1163635
Sex: F
Age: 17
State: MO

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 04/03/2021
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: unknown

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

Symptoms: Patient received first dose of Moderna at age 17. Vaccine only indicated for ages 18 and older. Per CDC recommendations, patient completed vaccination series with Moderna on 4/2/21. No adverse effects reported to vaccine clinic staff.

Other Meds: unknown

Current Illness: unknown

ID: 1163636
Sex: M
Age: 55
State: IN

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

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: After 1 hour I started Serious AFIB issues. I had not had serious AFIB since March 2020 That was the time I had surgery to correct it. The time of the shot and the AFIB is NOT a coincidence. I suffered through this attack until Wednesday March 24. On advice through Dr.'s nurse I went to the emergency room at the hospital. After 3 hours and IV's to reduce my heart rate I was okay to go home. This is still happening periodically since the ER visit where it was EXTREMELY rare before. I have decided NOT to get the 2nd dose as I am worried I will have to go to the ER again. Will one dose be enough to combat the virus? Please e-mail an answer if possible.

Other Meds:

Current Illness:

ID: 1163637
Sex: F
Age: 65
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/03/2021
Hospital:

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

Lab Data:

Allergies: penicillan

Symptom List: Ear pain, Hypoaesthesia

Symptoms: felt hot probably had a fever but our thermometer didn't work. chills, aches, felt like the flu. lasted about 24 hours

Other Meds:

Current Illness:

ID: 1163638
Sex: M
Age: 68
State: IL

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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: morning after both dose 1 and dose 2 I had a brief nose bleed when I blew my nose after waking up. It stopped immediately both times.

Other Meds: simvastatin

Current Illness: npne

ID: 1163639
Sex: F
Age: 57
State: FL

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

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

Lab Data:

Allergies: not allergies but cannot have: gluten, dairy, sulfites, olive oil, inulin and food additives such as fumaric acid and aspartame. EES, flagyl, compazine, valium, ultram

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

Symptoms: Severe headache, severe joint pain, unable to walk (legs give out ), 100.8 fever, chills.

Other Meds: calcium, vitamin d3, multivitamin, chondroitin/glucosamine, bright eye.

Current Illness: none

ID: 1163640
Sex: M
Age: 39
State: OH

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

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

Symptoms: lump appeared the following day at injection site that was warm to the touch. The lump has reached the max size three days later (28th of March roughly), but is still there. The lump is 3 inch x 3inch x 0.5-0.75 inches (L x W x H).

Other Meds: Buproprion 300mg 1/day vitamin d3 50 mcg (2000 IU) 1/day levocetirizine dihydrochloride 5 mg 1/day montelukast sodium 10 mg 1/day flucticasone proprionate (50 mcg) 2 spray each nostril 1/day, Testosterone topical compound 6% multivitamin

Current Illness: None

ID: 1163641
Sex: F
Age: 30
State: KY

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

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

Lab Data:

Allergies: codeine, avocados

Symptom List: Unevaluable event

Symptoms: Within 6 hours, I had localized pain in my arm around the injection site (resolved within 48 hours) and a severe migraine headache with nausea. I continued to have migraines on and off for the next several days along with moderate fatigue.

Other Meds:

Current Illness: Within the past month prior to the vaccination, I had a cold with sore throat, runny nose, sneezing, and congestion. I tested negative for covid-19 and all symptoms had resolved 10 days before receiving the vaccination.

ID: 1163642
Sex: M
Age: 72
State: NY

Vax Date: 03/23/2021
Onset Date: 03/27/2021
Rec V Date: 04/03/2021
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: vision has decreased. Started within a week of the 2nd shot. Actually had an eye exam 2/22/21 and received a new prescription and new glasses. First it was distance but it starting to effect close up.

Other Meds: Lisinopril, multi vitamin. probiotic, vitamin D. krill oil, magnesium

Current Illness: none

ID: 1163644
Sex: F
Age: 30
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/03/2021
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. Only seasonal

Symptom List: Injection site pain, Pain

Symptoms: 4/1/2021 in the morning: nauseous, dizziness, sore throat. In the afternoon: chills and hot flashes alternating . All day extremely painful arm 4/2/2021 morning nauseous. All day hot flashes. Pain injection site. 4/3/2021 all day hot flashes, loss of smell. Mild pain injection site. No fever any of those days

Other Meds: Birth control pills, certrizine, fomatidine, zoloft,

Current Illness: None

ID: 1163645
Sex: F
Age: 52
State: LA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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: Injection site pain, Menorrhagia

Symptoms: High fever for 2 days (101) and red and swollen on arm

Other Meds: Welbutrin Tamoxifen Synthroid

Current Illness: None

ID: 1163646
Sex: F
Age: 37
State:

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

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

Symptoms: Light headed and fatigue

Other Meds: Acetazolamide 500 mg

Current Illness:

ID: 1163647
Sex: M
Age: 62
State: TX

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: I have tenitus and after a half hour my ears started ringing about 50% louder.

Other Meds: Xanax

Current Illness: None

ID: 1163648
Sex: F
Age: 66
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/03/2021
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: body aches, Severe headache, sore throat, ear ache, was awaken in the night with what seemed like a convulsion, severe shakes, all my joints hurt so bad I couldn't walk, hard time breathing. 2 days later i still feel fatigue and have a headache

Other Meds: synthroid, blood pressure, celebrex, vitamin D, multi vitamin

Current Illness: none

ID: 1163649
Sex: M
Age: 55
State: IN

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/03/2021
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: No

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

Symptoms: Headache, flu-like symptoms

Other Meds: Losartan

Current Illness: None

ID: 1163650
Sex: F
Age: 64
State: IL

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

Symptom List: Nausea

Symptoms: Redness and tenderness on the tip of my tongue ( it looks like a strawberry) it developed enlarged white bumps that hurt/burned when touched. It would also burn with toothpaste, spicy food and salty food. It is still there 4/3/21) although the redness has lessened

Other Meds: Amlodipine besylate 5mg, hydrochlorothiazide 12.5mg, pantoprazole 40mg, bisoprolol/hctz 5mg/6.25mg, levothyroxine 0.125mg, atorvastatin 20mg

Current Illness:

ID: 1163651
Sex: F
Age: 55
State: MA

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/03/2021
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: Caller states she had her second dose of the Moderna vaccine on yesterday. Now with tingling in legs and face. Denies swelling or other discomforts, speaking in clear long sentences and appears in no distress. Encouraged to increase fluids, and rest and if symptoms worsen or continue to seek care at ED.

Other Meds:

Current Illness:

ID: 1163652
Sex: F
Age: 56
State: CA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/03/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Nausea, chills, BP 141/90 (pulse 79). Water given.

Other Meds:

Current Illness:

ID: 1163653
Sex: F
Age: 63
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/03/2021
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: Augmentin

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

Symptoms: Soreness in arm, extreme chills, headache, body aches, dizziness and fatigue for 3 days. This is day 4 and most symptoms have passed except for dizziness and fatigue. It was like covid all over again. Hope shot number 2 is less severe.

Other Meds: Tylenol, Vitamin D, levothyroxine, loratadine, simvastatin, lisinopril, hydrochlorothiazide

Current Illness: none

ID: 1163654
Sex: M
Age: 23
State: MA

Vax Date: 03/09/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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 tested positive for COVID with no symptoms. Patient went to the ER for appendicitis and was tested before having an appendectomy.

Other Meds:

Current Illness:

ID: 1163655
Sex: M
Age: 65
State: CO

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/03/2021
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: Fever, headache, chills, body aches and muscle cramps

Other Meds: aspirin 81mg olmesartan 40mg chlorhaliddone 25mg rosuvastatin 10mg

Current Illness: none

ID: 1163656
Sex: F
Age: 15
State: MI

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/03/2021
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: Birthdate provided by parent was incorrect, patient was only 15 at time of administration

Other Meds:

Current Illness:

ID: 1163657
Sex: M
Age: 72
State: PA

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 04/03/2021
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: Penicillin from a young age

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

Symptoms: Vaccine administered on 3/23/2021 at 2:55 PM. Felt a little tired a few hours later but that is not unusual on any given day. On 3/24/2021 at around 1 PM, I felt a little chilly but had no fever. Around 3 PM, I left my desk and took 1 Aleve and reclined on recliner with blanket over me and fell asleep for about 2 hours. Upon awakening, the tops of my feet (wearing sneakers) and tops of my hands were extremely itchy. No rash visible on either. I applied lotion to tops of both feet and hands and left uncovered. I applied some additional later. By the morning of 3/25/2021, the itchy feeling was gone. No other effects since this condition.

Other Meds: Lisinopril 30mg 1x daily New Chapter 55+ Multi Vitamin 1x New Chapter Fish Oil 1x

Current Illness: None

ID: 1163658
Sex: F
Age: 62
State: MN

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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: Migraine, site soreness and ache up the neck on the same side.

Other Meds: 125mg Synthroid, D3, Full spectrum Ashwagandha, Curcumin from Turmeric Root

Current Illness: none

ID: 1163659
Sex: F
Age: 28
State: TX

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 04/03/2021
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: Sulfa

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

Symptoms: Chills and fever throughout the night. Pain all over body. Fatigue. Severe headache the following day. Swelling and severe pain in left arm. Nausea.

Other Meds: Pepcid

Current Illness:

ID: 1163660
Sex: F
Age: 29
State: OK

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 04/03/2021
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: Red circle around injection site and itching.

Other Meds: Pre-natal vitamin daily.

Current Illness: None

ID: 1163661
Sex: F
Age: 70
State: IN

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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: Sore arm at injection site bruised,chills,upset stomach,headache very tired stayed in bed took tylenol

Other Meds: Metaprolol50ml baby aspirin

Current Illness: Very sore arm bruise at injection site,headache,upset stomach,chills and very tired stayed in bed

ID: 1163662
Sex: F
Age: 41
State: FL

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/03/2021
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: Both inner thighs have been itching since about a week after first shot. 6 days after the second shot both inside thighs have softball size red, swollen patches that itcha and burn.

Other Meds: Dr. immunosheild (it's a multivitamin)

Current Illness:

ID: 1163663
Sex: F
Age: 49
State: CT

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

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

Lab Data:

Allergies: none

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

Symptoms: started with back pain. skin hurt to touch. then bad chills. bad fatigue. fever. stayed in bed for almost 24 hours straight. very weak.

Other Meds: none

Current Illness: none

ID: 1163664
Sex: F
Age: 60
State: NJ

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/03/2021
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: Latex

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

Symptoms: I feel that I was not given the vaccine correctly and no medicine was administered

Other Meds: Clonidine HCL, Losartan, Levetiracetam, Oxcarbazepine, Qvar, Ventolin, Ipratropium Bromide and Albuterol

Current Illness: Asthma, nodules on my lungs, BRAC 2, High blood pressure

ID: 1163665
Sex: F
Age: 52
State: NY

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

Symptom List: Vomiting

Symptoms: Swelling, hot, red circular rash, itching

Other Meds: Welbutrin XL

Current Illness: None

ID: 1163666
Sex: F
Age: 40
State: WA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fatigue, body aches all over, very sore arm where injection received, alternating body temp hot and cold, nausea, headache. All started 9 hours post vaccine. Still going after 14 hrs of reactions.

Other Meds: Sertraline, glucosamine, allertec, vitamin C, diclofenac sodium

Current Illness: None

ID: 1163667
Sex: F
Age: 46
State: WI

Vax Date: 03/24/2021
Onset Date: 03/30/2021
Rec V Date: 04/03/2021
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: NSAID

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

Symptoms: * Vaccinated on 3/24/21 * Suddenly suffered tinnitus and hearing loss at my left ear on 3/30/21 * Tinnitus and hearing loss got better on 4/2/21 * Took Methy1PREDNISolone treatment starting 4/2/21 after seeing ENT doctor * As of 4/3/2021, the tinnitus at my left ear went away but still experiencing a small degree of hearing loss.

Other Meds: None

Current Illness: None

ID: 1163668
Sex: F
Age: 50
State: NY

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/03/2021
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: High fever( 103 )body aches headache for over 24 hours Tylenol only brought fever down to 100.9 This lasted from 3:30 am on 4/2 until 9:00 am on 4/3 I currently still have a low grade fever of 99.7 but my headache and body ache are feeling better now

Other Meds: Losartan 50 mg 1Xday Meloxicam 15mg 1xday

Current Illness: none

ID: 1163669
Sex: F
Age: 51
State:

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

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

Lab Data:

Allergies:

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

Symptoms: 4/3/2021 Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, she experienced an adverse reaction with the following symptoms: dizziness. Assessment : Time of assessment 09am Alert and oriented. Complains of dizziness, Actions taken: VS taken- BP- 117/64, P- 80, O2- 100 %, 0915- BP-127/73, P- 77, 0917 juice and crackers given, 0932- BP- took while standing- 124/68, P- 81, 0949- 117/68, P- 77 Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 60 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system. RN called person at 1110 , and patient voiced that her lips feel funny and that the patient took benadryl once she arrived home. RN instructed patient to call 911 if symptoms increase. Immunizations Administered Name Date Dose VIS Date Route Moderna COVID-19 Vaccine 4/3/2021 8:37 AM 0.5 mL 12/1/2020 Intramuscular Manufacturer: Moderna Lot: 008821-2A Moderna COVID-19 Vaccine 4/3/2021 8:30 AM 0.5 mL 12/1/2020 Intramuscular Manufacturer: Moderna Lot: 008821-2A

Other Meds:

Current Illness:

ID: 1163670
Sex: F
Age: 45
State: WY

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: Red itchy skin around face, neck, and chest - similar to a sun rash.

Other Meds: Synthroid (Levothyroxine)

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm