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: 1163721
Sex: F
Age: 61
State: KS

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: Contact allergy to the metal nickel, also contact allergies to preservitives such as parabens.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Over the initial 48-72 hrs following the injection I experienced soreness, swelling and redness of injection site, and soreness of the arm, and slight swelling of the general deltoid muscle. The injection site swelling and redness was about the size of a half dollar, raised resembling a hive, and had heat. All these symptoms cleared after approximately 72 hours, but then the injection site redness, swelling and heat along with upper arm mild ache returned on 04/02/21 about 6-7 days after the injection. Again, the redness is a raised areally about the size of a half dollar.

Other Meds: None

Current Illness: None

ID: 1163722
Sex: F
Age: 52
State: VA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: Formaldehyde

Symptom List: Anxiety, Dyspnoea

Symptoms: Bells Palsey left side face, numbness, slight paralysis- took Benadryl when I got home.

Other Meds: None

Current Illness: None

ID: 1163723
Sex: F
Age: 61
State: WA

Vax Date: 03/25/2021
Onset Date: 03/31/2021
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: I was fine until developing a rash on my arm, just beneath the injection site 6 days post injection

Other Meds: Diltizem Vit D Calcium

Current Illness: none

ID: 1163724
Sex: F
Age: 48
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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: Nothing

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Very sleepy ,body aches and fever(99.9 degrees) for 3 days. Body is still sore especially on right side of body.

Other Meds: Nothing

Current Illness:

ID: 1163725
Sex: F
Age: 72
State: PA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
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: I have had a mild tinnitus for approx last 8 years and after the 2nd shot and within 24 hours, the ringing has increased substantially. The sound of TV no longer obscures it. I despair that it will not dissipate and is permanent. I reported this to the pharmacy and Dr.

Other Meds: Atorvastatin, Vit. D, CoQ10, Tumeric.

Current Illness: None

ID: 1163726
Sex: F
Age: 66
State: FL

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 04/03/2021
Hospital: Y

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: meds: morphine, naproxen food: [intolerance = multi-day headache] barley, rye

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

Symptoms: Vestibular neuritis, diagnosed Feb 12, 2021

Other Meds: Daily: topical estrogen 1/2 mL BID, iron 26 mg [food-form] (1), krill oil (1), Vit D3 100mcg, Lutein & Zeaxanthin (1), "Flex Now" [Hi triterpene shea nut extract] (2), CoQ10 (1), berberine (1), turmeric (1), "Cinsulin" [water-extract cinnam

Current Illness: no

ID: 1163727
Sex: F
Age: 59
State: CT

Vax Date: 03/10/2021
Onset Date: 03/15/2021
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: Bees, Mold, Bextra, Celebrex, Skelaxin, BCP, PPIs, Singulair, Lyrica, Vit. D, Magnesium, Amoxicillan

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pain and swelling in lower legs (anterior compartment syndrome) which began on 3/15/21, 5 days after vaccination. Pain and swelling continue without abating after 2 weeks of rest, compression, ice, elevation. Stye in left eye - possibly due to inflammation in eyes. Treating with moist heat.

Other Meds: Calcium - 150 mg, QD; Hydrolyzed Collagen - 12gm, QD; Vit D - 1000 IU - Buccal Spray, QD

Current Illness: Sleep Apnea, Heart Disease, Osteoporosis

ID: 1163728
Sex: F
Age: 80
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Headache, chest pressure (3/10), tongue tingling. BPs 139/75 (pulse 63), 129/64 (pulse 64). O2 sats 96%. Taken to the ED.

Other Meds:

Current Illness:

ID: 1163729
Sex: F
Age: 84
State: TX

Vax Date: 02/25/2021
Onset Date: 03/18/2021
Rec V Date: 04/03/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: My Mom had a stroke 3 weeks to the day she got her second shot

Other Meds:

Current Illness:

ID: 1163730
Sex: F
Age: 67
State: MO

Vax Date: 04/01/2021
Onset Date: 04/03/2021
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: I awakened this morning with significantly compromised vision in my right eye. It has improved slightly since awakening, but only slightly in the approximately 4 hours.

Other Meds: Vitamins, baby aspirin,diltiazem ER 180, rosuvastatin calcium 40, losartin potassium 25

Current Illness: None

ID: 1163731
Sex: F
Age: 49
State: IL

Vax Date: 03/27/2021
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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Burning in left eye when sleeping at night Pressure in left eye during the day Constant cigarette smoke smell all the time

Other Meds: Gabapentin 100mg once a day Vit B12 Vit D

Current Illness:

ID: 1163732
Sex: F
Age: 54
State: AL

Vax Date: 03/25/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Vaccine arm- painful, tender, slightly swollen, slightly red and slightly warm at injection site

Other Meds: Every morning- 1 Sudafed 2 Tylenol extra strength 2 Cosamin ASU for joints 2 ACES+zinc (vitamin A, C, E, Selenium, & zinc) 1 Vitamin D

Current Illness: None (spring allergies, stupid pollen)

ID: 1163733
Sex: F
Age: 60
State: FL

Vax Date: 03/26/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Red, warm rash under site of injection that appeared the morning of 3-31 that appears to be worsening. No overall fever or chills. rash is sensitive to the touch.

Other Meds:

Current Illness:

ID: 1163734
Sex: F
Age: 32
State: MD

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: 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: Weakness in legs and feeling of warm that started from the injection site and spread across the body couple of minutes after the injection. Lasted for about 15 min. Once I went outside in the cool air, it started to get better. I was able to leave about 20 minutes after the vaccination. I was already feeling a little weird in the morning due to the start of menstruation.

Other Meds: Multivitamin Lozingen

Current Illness: Tickly throat, soar neck, menstruation

ID: 1163735
Sex: F
Age: 33
State: NJ

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Swollen left lymph nodes under my left armpit

Other Meds: Loestrin FE, Sertraline, Claritin, Probiotics, Arnuity, Ventolin

Current Illness:

ID: 1163736
Sex: M
Age: 61
State: WI

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: 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: Numbness, tingling, entire body. Neuropathy, extreme exacerbation. Face, tongue, hands, painful numbness. Very weak, exhausted, and very dizzy. Also, increased blood pressure and increase of heart PVC's. Symptoms ebb and return. It's been 8 days and still dizzy, weak, and neuropathy is so bad that it feels like I'm slightly paralyzed on the left side of my body.

Other Meds: gabapentin buprenorphine clonidine trazadone

Current Illness:

ID: 1163737
Sex: M
Age: 58
State: MI

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

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

Symptoms: Started feeling tired, developed chills to the point teeth were chattering even under covers, chills ended after about 8 hours, tiredness ended by about 36 hours after shot - perfectly good 48 hours after shot given (felt great)

Other Meds: Multi-vitamin Baby aspirin Vitamin D Atoravstatin Ibersartan Tamsulosin

Current Illness: None

ID: 1163738
Sex: F
Age: 49
State: IN

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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, headache, body aches, chills treated with Ibuprofen and sleep; 48 hours

Other Meds:

Current Illness:

ID: 1163739
Sex: F
Age: 42
State: KY

Vax Date: 01/06/2021
Onset Date: 01/21/2021
Rec V Date: 04/03/2021
Hospital: Y

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

Lab Data:

Allergies: Atropine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: done on infant in uterine showed for the first time: Liver calcification noted measuring 5.9 x 4.2 x 1.7 mm. I git pregnant post ablation done in November 2019. The pregnancy was pretty normal. I have been considered hi risk due to my age, having an ablation and the throbophilia. At that point I had an done every 4 weeks since I was 18 weeks pregnant. Due date is 08/05/2021. The calcification of the liver has been seen in every since. I was scheduled to see a Neurologist on 03/18. On 03/16 baby stopped moving. Went to ER. Heart rate of fetuses was declining. An emergent C-Section was done. When baby came out she was in DIC due to acute hepatic failure. She received multiple different blood products along with Antibiotics, IVIG, IV Dopamine drip, IV lasix, and TPN. She was on the ventilator, had a central line, art line, multiple IV?s and NG tube. Birth weight was 1770 grams.

Other Meds: S/C Levonox 40 mcg daily Tab Folic Acid 5mg daily Tab Prenatal Vitamin 1 tab daily Tab baby aspirin 81mg daily Tab Colace 1 tab daily

Current Illness: None

ID: 1163740
Sex: F
Age: 67
State: MA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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: sulfa

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

Symptoms: I am still feeling the effects from the shot. I had my second on 3/30/2021. My arm has a very large red, painful area where the shot was given. It is still very red and painful today and I feel light headed and not back to my normal. I thought the side effects only lasted a few days. I still have a headache off and on.

Other Meds: enalipril, 80mg aspirin, omeprazole

Current Illness: none

ID: 1163741
Sex: F
Age: 70
State: MO

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfur. Sensitivity to onions. Rash occurs when near weed killer, bug spray.

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

Symptoms: After shot was received went to have breakfast and then to grocery store. Came home and put a few things away and began to feel nauseous and a little dizzy so laid down. Needed to use bathroom so went into bathroom and became very dizzy. Attempted to make it back to bed and called for husband. Husband heard me yell and when he came to bedroom I was laying in floor passed out. He called paramedics and they came immediately. When I came to I had a feeling of extreme heat over my entire body and then broke out into a bad sweat (I was still lying in floor). After that I had a feeling of extreme heat (like fire) in my feet that rushed up to my calves. Paramedics checked me out and during that time I had I believe 2 more episodes of the heat and sweat. Paramedics stayed for maybe 20 minutes and I seemed to be okay. I did not go to ER. Remainder of Thursday I was dizzy when I got out of bed. Dizziness improved on Friday and was better by Friday evening. Still some dizziness today (Saturday 4/3) when I move around but not bad. Blood pressure has sometimes been a little low (105/68) but sometimes more normal (118/70).

Other Meds: None

Current Illness: None

ID: 1163742
Sex: F
Age: 43
State: LA

Vax Date: 03/26/2021
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: LA

Lab Data:

Allergies: Latex

Symptom List: Unevaluable event

Symptoms: Red rash around injection site

Other Meds: Sulfasalazine,zyrtex

Current Illness:

ID: 1163743
Sex: F
Age: 68
State: OK

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

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

Symptoms: Chills, headache, fever of 102, fatigue. Symptoms lasted until 03/25/21 in the morning. Took acetaminophen.

Other Meds: Simvastatin olmesartan, metformin, basaglar insulin, levocetirizine, estradiol tab, toviaz, esomeprazole, melatonin, nitrofurantion, trulicity, Januvia, vitamin

Current Illness:

ID: 1163744
Sex: F
Age: 36
State: LA

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

Symptom List: Injection site pain, Pain

Symptoms: Initial fatigue the afternoon I received the second dose. Slight soreness in arm and itchiness around the injection site. On 04/03/2021, approximately 9:30AM, I began having sharp, stabbing chest pains in my left chest. I have experienced these pains before, typically following recovering from an illness. Likely pericarditis.

Other Meds: None

Current Illness: None

ID: 1163745
Sex: F
Age: 35
State:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Immediately experienced light headedness, hot, slight nausea, low blood pressure, feeling like I was going to pass out which lasted for the remainder of the day only slightly diminishing throughout the day. First day after felt slightly better, still tired and slightly light headed. Second day symptoms worsened, feeling like I was going to pass out/faint, hot/cold chills, clammy, no fever, shortness of breath, culminating in numbness and tingling in arms, legs, then chest and then hands freezing up which resulted in a panic attack. Have never had a panic attack before. Emergency services called and after checking gave a sedative and went to the ER.

Other Meds:

Current Illness:

ID: 1163746
Sex: F
Age: 63
State: MI

Vax Date: 03/18/2021
Onset Date: 03/26/2021
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: No

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

Symptoms: Injection site turned bright red swelled up and was hot...about the size of a apple. Eight days after first shot.

Other Meds: Vitamin C, Vitamin D Levothyroxin Estradiol Medroxypr

Current Illness: No

ID: 1163747
Sex: M
Age: 63
State: RI

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

Lab Data:

Allergies: Erythromycin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe body muscular aches, joint pain, mild fever

Other Meds: None

Current Illness: Several NEGATIVE Covid19 tests First Pfizer dose on March 12, 2021 Complaint about general congestion and headaches but nothing identified.

ID: 1163748
Sex: F
Age: 62
State: IN

Vax Date: 03/16/2021
Onset Date: 03/19/2021
Rec V Date: 04/03/2021
Hospital: Y

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

Lab Data:

Allergies: Wellbutrin, penicillin's

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Progressive symptoms highly consistent with guillian barre syndrome

Other Meds: albuterol, atorvastatin, breo ellipta, Bevespi aerosphere, levothyroxine, lisinopril, melatonin, metoprolol succinate, pramipexole, sertraline, trazodone

Current Illness:

ID: 1163749
Sex: F
Age: 58
State: IN

Vax Date: 04/01/2021
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:
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: Rash, Slight swelling of arm

Other Meds:

Current Illness:

ID: 1163750
Sex: F
Age: 58
State: NJ

Vax Date: 02/25/2021
Onset Date: 03/01/2021
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: RA

Lab Data:

Allergies: Ampicillin

Symptom List: Nausea

Symptoms: 3 weeks after second dose, March 20 2021 started with severe hives all over the body, including scalp and face, swelling. Presently on: Prednisone, Levocetirizin-E, Pepcid, Triamcinolone cream.

Other Meds: None

Current Illness: None

ID: 1163751
Sex: F
Age: 47
State: GA

Vax Date: 04/01/2021
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: Sulfa and codeine

Symptom List: Injection site pain

Symptoms: Body aches and chills in the first 24 hours. Body aches the second day. Woke up with rash on body and a low grade fever

Other Meds: birth control pill, Vitamin D

Current Illness: None

ID: 1163752
Sex: F
Age: 34
State: NC

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: IM
Vax Site: LA

Lab Data:

Allergies: No known allergies

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

Symptoms: Patient arrived for Covid-19 vaccine. Had questions since she has POTS syndrome. Patient stated her cardiologist said it was okay to receive vaccine. Nurse conferred with Dr., who concurs that it would be okay to receive vaccine. Moderna vaccine administered at 1:11pm. A few minutes later, patient stated "rt arm feels heavy, funny taste in mouth, and senses a burning odor." Alert and oriented x3; At 1:20: BP 104/76, pulse 140's (sitting up); At 1:40 BP 118/82, pulse 120's; At 1:58 BP 138/84, pulse 110's. Patient still "rt arm feels heavy, senses funny taste in mouth & burning odor". Has been awake, alert & oriented x3 at all times. Dr. in to assess. Patient asked for EMT. EMT arrived 2:05pm, did initial assessment. Helped patient walk from exam table to stretcher.

Other Meds: Diazepam 5 mg Epinephrine 0.3 mg Propranolol 20 mg

Current Illness: Migraines, Generalized anxiety disorder, GERD, PCOS, exercise-induced asthma, POTS syndrome,

ID: 1163753
Sex: F
Age: 66
State: IN

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

Lab Data:

Allergies:

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

Symptoms: received care of pt at 955. C/o of both lower extrem feeling weak. 02sat 100% 135/87 HR82 RR NML. 0958 18778 HR112 Sat 100% seems to be feeling improved. Now we have an interp on the phone and pt states her usual BP is in the 160s. 1002 Moved to cart, Transferred fine. Confirms feeling weak but denies any new symptoms. 1004 192/84 HR87 1007 193 HR89 1008 states feeling some CP just over heart, no diaphoresis or other symptoms. No arm or jaw pain. 1009 Interp at bedside, EMS called. 1011 199/99, HR 99 sat 100 1014 EMS here 201/93, 107, bloodsugar 135, still feeling CP and enroute with EMS>

Other Meds: Insulin HTN meds

Current Illness: Denies current illness

ID: 1163754
Sex: F
Age: 52
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Severe chills, fever (101.3 degrees) from 9pm -4 am. Took 1advil at 1:45am. Diarrhea. Headache. Sinus Congestion. Took another Advil at 3:45am. Fever broke around 5am. At 9:00am, feel fine-/just extremely exhausted with slight lingering headache. I haven?t had a headache in years.

Other Meds: Synthroid Cytomel Multi vitamin DIM Fish oil supplement

Current Illness: None

ID: 1163755
Sex: F
Age: 52
State: NY

Vax Date: 04/01/2021
Onset Date: 04/03/2021
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: amoxicillin, sulfa, gluten sensitivity, and lactose intolerance (problem with soy).

Symptom List: Erythema, Pruritus

Symptoms: Moderna COVID -19 Vaccine EUA, had 2nd dose on April 2nd, a few hours later began having bad flu like symptoms with body aches in legs, arms, hands feet (joints & muscles) and severe headache pain. Submitted a report E-Report #402023. On Saturday morning (2 days later), I woke up with a bad rash all over my chest and stomach. It's itchy and burns. This is a new symptom.

Other Meds: Levoxyl, flonase, probiotics, multi vitamin

Current Illness:

ID: 1163756
Sex: F
Age: 61
State: IN

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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: Sulfa. Seasonal: dust mites, cats, rabbits, horses, molds, certain trees

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

Symptoms: Temp 102, large swelling at injection site and axilla of same side, swollen lymph nodes, HA, SEVERE WIDESPREAD BODY PAIN

Other Meds: Simponi, Methotrexate, Lisinopril, Jardiance, humalog, gabapentin, pramipexole, magnesium, folic acid, cymbalta, phenergan, montelukast, maxalt

Current Illness: None

ID: 1163757
Sex: M
Age: 30
State: TX

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

Lab Data:

Allergies: Sulfa Antibiotics

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

Symptoms: pain throughout right arm lethargy/exhaustion for 2 days mild fever insomnia headache

Other Meds: pantoprazole metoprolol multivitamin singulair

Current Illness:

ID: 1163758
Sex: F
Age: 40
State: WI

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Client reported 5 minutes after vaccination ears tingling, facial flushing, mouth swelling, high anxiety, chest tightness. Client had communicated with allergist and took cromolyn 8 ampules and hydroxy HCL 50 mgx2 on her own. At this point paramedic was consulted and they evaluated and recommended continued monitoring for the rest of 30 minutes. At end of monitoring period, client symptoms had resolved and client was driven home by father.

Other Meds:

Current Illness:

ID: 1163759
Sex: F
Age: 59
State: NY

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Erythromycin, bacitracin, propylene glycol, benzyl alcohol (balsam of Peru); lanolin

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

Symptoms: Got the shot around 6:40PM on 3/26. Woke up with severe headache at 6:30AM on 3/26. By 9:30AM had a temperature of 101 which increased to over 102 within an hour or two. Experienced nausea and fatigue. On 3/27, headache continued, fever was over 101. Arm had redness around injection area and became swollen. Arm slightly sore, but not bad. 3/28 had low grade temperature in the morning, but it went up to 101 at night. 3/29-present have had a low grade temperature which sometimes went up over 100, but most of the time was around 99.9. Arm redness worsened on 3/28 (spread over larger area) and continued to get worse over next few days, including becoming very swollen and itching a bit (very mild itch). Swelling started going down on 3/30 and by 4/1 was mostly gone, as was redness. Arm more or less normal by 4/2, though slight blotchiness around injection shot. Fatigue and headache, sometimes severe, ongoing. I am prone to migraines, so possibly that this is a migraine that may or may not be related to the injection. Have experienced mild vertigo from about 3/30 through the present. Sensation of pressure on head (weigh on top of head or squeezing), accompanied by feeling of motion coming to an abrupt stop when I turn my head (like slamming on the brakes in a speeding car). I used cold compress and exercise for arm, when it was painful the first few days (much less painful than with first shot, fairly mild), and cold compress on head for the headache. Still experiencing fatigue. Tempreature today is down to 99.3.

Other Meds: Migrelief; Vitamin D3 (2000); Calcium

Current Illness: None

ID: 1163760
Sex: F
Age: 45
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codiene

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

Symptoms: Chills started about 9:30 pm not of vaccine. Woke up about 1 am with pounding headache chills, fever, body aches. Took ibuprofen 1:00 am. Symptoms still there tossed snd turned Until about 4:30 am. Chills started again about 9am. Then super fatigued headache. More ibuprofen - slept all day. Woke up middle of night totally drenched at 3:00 am Dull headache chills gone. Still fatigued

Other Meds: Probiotic. Iron Vitamin D Allergy medication Fish oil

Current Illness: N/a

ID: 1163761
Sex: F
Age: 38
State: NY

Vax Date: 04/01/2021
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: LA

Lab Data:

Allergies: NA

Symptom List: Pain in extremity

Symptoms: headache, body aches, chills, fever next day. Two days later fatigued and rash under both armpits and sides.

Other Meds: NA

Current Illness: NA

ID: 1163763
Sex: F
Age: 61
State: CA

Vax Date: 03/30/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Complaining of headache, nausea. BPs 124/76 (pulse 109), 153/97 (pulse 101). O2 sat 99%. Taken to the ED.

Other Meds:

Current Illness:

ID: 1163764
Sex: F
Age: 60
State: PA

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa penicillan many other medications cause stomach upset

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

Symptoms: Left shoulder is swollen and very painful/ injection site is raised.

Other Meds: morphine oxycodone alprazolam mirtazapine lisinopril hctz baclofin lansoprazole gabapentin buspar vitamin b vitamin d calcium probiotics

Current Illness:

ID: 1163765
Sex: F
Age: 52
State: MO

Vax Date: 03/30/2021
Onset Date: 03/31/2021
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: Strong Seasonal Allergies Penicillin Percocet IV Contrast Dye

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

Symptoms: Almost exactly 24 hrs after shot/vaccine, I started feeling sick to my stomach and then I need to go to restroom - I had a runny/watery stool. At almost the exact time, my head was pounding w/ headache SO badly and felt like I could throw up . I had Zofran and took one. By 3 pm I was running fever, my entire body was sore from head to toe. I had multiple stools of diarrhea and thought my head could explode at my neck & top. And I had insistent itching on the backside of my wrists and inside of my ankles. I took Tylenol & Advil. I had chills, fever, painful soreness in all muscles, zero energy and total brain fog. Slept restlessly for 24 hrs. Thought I was on the mend, ate a little and started feeling completely sick again. It all occurred agin over the next 24-36 hrs.

Other Meds: Zoloft 50 mg daily Lisinopril 10 mg daily Flexeril 10 mg 2x daily Zytec daily Singular daily Nasacort 2 squirts each nostril daily

Current Illness: Seasonal Allergies

ID: 1163766
Sex: F
Age: 38
State: WA

Vax Date: 03/26/2021
Onset Date: 04/03/2021
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: Hay fever, dust, mold, walnuts, & hazelnuts

Symptom List: Vomiting

Symptoms: Around injection site red spot 3" x 2", warm to touch and itches

Other Meds: Vitamin C, B, D and calcium Sertraline Aller-tec Melatonin Flonase

Current Illness: None

ID: 1163767
Sex: M
Age: 44
State: NY

Vax Date: 03/24/2021
Onset Date: 03/26/2021
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: Increased tinnitus in left ear. Noticeable new tinnitus in right ear.

Other Meds: Sertraline 50mg

Current Illness: None

ID: 1163768
Sex: F
Age: 57
State: FL

Vax Date: 03/25/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: My arm became a little itchy for several days prior to the bumps or rash starting (last night 4/2/21) Today I noticed the area to be hard under the skin also. It feels warm to the touch yet feels cool when not touching it? It doesn?t hurt. As of yet.

Other Meds:

Current Illness:

ID: 1163769
Sex: F
Age: 40
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: First, it feels like I was punched in the arm (at the site), but without a bruise to show for it. Second, my equilibrium is off, not like I can't get up walk around my apartment. No, this more like if I'm walking it will feel like the ground has moved not me. So, I need up walking sideways or hitting a walk. If, I'm standing I have to grab on to something because I feel like I'm going to fall down if I don't. It lasts for a few minutes m, about 5 minutes is the longest.

Other Meds: None

Current Illness: None

ID: 1163770
Sex: M
Age: 29
State: IL

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: IM
Vax Site: RA

Lab Data:

Allergies: Nkda

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

Symptoms: Patient fainted approximately three minutes after his vaccination. He regained consciousness immediately and we moved him to the floor with his feet elevated. We asked him a series of questions to assess his health. He was pale and sweaty but his blood pressure and pulse were stable. We monitored him for roughly 20 minutes after the incident while continuously checking his pulse and blood pressure. He denied any further intervention/assistance and insisted that he felt fine. He left on his own accord.

Other Meds: Unknown

Current Illness: Not specified

ID: 1163771
Sex: M
Age: 66
State: VA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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: NKA

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

Symptoms: About 1 day following the injection my husband complained of vertigo or a general feeling of instability. This was disturbing for 2 or 3 days and slowly subsided until it was no longer noticeable by about Wednesday, 3/17/2021. No other side effects were experienced.

Other Meds: Multivitamin, Vit D3, Omega-3, ProstAvan (Saw Palmetto Berry, Pumpkin Seed & Lycopene), provexCV (Grape Seed, Resveratrol, Green Tea, Quercetin & enzymes)

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm