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: 1163924
Sex: M
Age: 58
State: OR

Vax Date: 03/01/2021
Onset Date: 03/07/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: I have had mild tinnitus for years. After the vaccine first shot it became much louder and constant. I also developed some vertigo symptoms that have persisted since the shot.

Other Meds: Sporadic Advil

Current Illness:

ID: 1163925
Sex: F
Age: 59
State:

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:

Symptom List: Anxiety, Dyspnoea

Symptoms: chills and very sore all over the body reported. Started the evening after receiving vaccine.

Other Meds:

Current Illness:

ID: 1163926
Sex: F
Age: 21
State: TX

Vax Date: 03/31/2021
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: no food allergies, is allergic to cats

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

Symptoms: 12 hours after injection there was increase swelling around the injection site and spreading into the Lt shoulder and upper back. Nausea, tightness in left neck and left upper back with swelling. Went to bed with ibuprofen and ice on swelling. Woke up 18 hours (5am) feeling sweating, difficult breathing, chest was tight with more swelling in left arm and left upper back. Got up to ask for help and fainted. Called father, mother we checked blood pressure was low (98/40), and was heart rate was low (46). Got her sitting up and blow pressure and heart rate returned to normal.

Other Meds: Zoloft .25mg 1 time a day

Current Illness: None

ID: 1163927
Sex: M
Age: 37
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe flu-like symptoms. Bed ridden.

Other Meds: CBD

Current Illness:

ID: 1163928
Sex: M
Age: 22
State: SC

Vax Date: 03/29/2021
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: Chicken, tuna

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

Symptoms: Flu symptoms, fever, chills, malaise, muscle fatigue

Other Meds: Suboxone 4mg/1mg, Lamictal 100mg

Current Illness:

ID: 1163929
Sex: M
Age: 72
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/19/2021
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: none

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

Symptoms: My resting sugar which had been between 120-140 went to 170 - 200 and has stayed there still today (4/3/21) even as I have tried to cut down any carbs to lower it.

Other Meds: metformin, glipzide, trajenta, crestor

Current Illness: none

ID: 1163930
Sex: F
Age: 64
State: TX

Vax Date: 03/22/2021
Onset Date: 03/26/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Complete Lost hearing on left hear. steroid injection and taking Prednisone for 5 days. Head Still cannot hear on left ear.

Other Meds: Nonethyroid

Current Illness: None

ID: 1163931
Sex: F
Age: 44
State: TX

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Patient felt dizzy and nauseous. Patient's Pulse, Oxygen level and Blood pressure were checked. Patient Blood pressure was 208/119. Patient was transported to Emergency Room, where her high blood pressure was treated and brought under control. Patient was then discharged from the ER to home on 4/2/2021.

Other Meds:

Current Illness: None

ID: 1163932
Sex: F
Age: 41
State: FL

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Pcn

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 2nd dose after 30 mins- dizziness after 3 hours- extreme fatigue after 8 hours for next 3 nights- severe headache, vivid dreams, hallucinations, out of body experience, panic, nausea

Other Meds: Levothyroxine

Current Illness:

ID: 1163933
Sex: M
Age: 35
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Sore body and tired on day 2. Day 3 rash all over and itchy.

Other Meds: None

Current Illness: None

ID: 1163934
Sex: F
Age: 63
State: TX

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

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

Lab Data:

Allergies: None before this event

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

Symptoms: Redness at shot spot, with minor itchiness lasting 11 days so far Increase in chest pain and palpitations also lasting 11 days so far

Other Meds: Etodolac 400 mg Lorazepam 0.5 mg Venalfaxine ER 75 mg Unisom 50 mg

Current Illness: None

ID: 1163935
Sex: F
Age: 66
State: NY

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: Sulfa

Symptom List: Rash, Urticaria

Symptoms: Patient reports that she felt numbness and tingling in her left arm as soon as she got the injection. She said she flinched during the injection, something she normally doesn't do. She felt the tingling go all the way to her pinky finger and also down to her toes. In a follow up phone call today (4/3/2021) she reports that this tingling is not unusual for her, due to her fibromyalgia. She states she has a sore arm at the injection site, but other than the tingling, she is fine.

Other Meds: cymbalta, irbesartan

Current Illness:

ID: 1163936
Sex: M
Age: 58
State: PA

Vax Date: 03/29/2021
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: latex, Tamiflu, MSG

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

Symptoms: Patient called to report that last evening (4/2/21) he began to develop hives on the same arm as administration of vaccine as well as on trunk and back. He did not need to use an Epi Pen or go to the emergency room. He asked if he could use antihistamines to relieve itching and swelling of hives and he contacted his PCP who also recommended antihistamine use.

Other Meds: gabapentin, fish oil , baby aspirin

Current Illness: none

ID: 1163938
Sex: F
Age: 61
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: 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: Temporal temperature 101.5, body aches, headaches and general lethargy

Other Meds: Synthroid, Metoprolol, Meloxicam, Vitamin D, Red Yeast Rice, Flaxseed oil

Current Illness: None

ID: 1163939
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: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Fluouroquinolones, doxyxycline

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

Symptoms: gastrointestinal symptoms to include severe abdominal pain, nausea, vomiting that lasted four hours with a headache and body mylagia. Stomach pain persisted for 24 hours

Other Meds: None

Current Illness: none

ID: 1163940
Sex: F
Age: 43
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No known allergies

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

Symptoms: Fever Headache Chills Body aches Dizziness Weakness

Other Meds: Armour thyroid Phentermine

Current Illness: None

ID: 1163941
Sex: F
Age: 41
State: WA

Vax Date: 03/23/2021
Onset Date: 03/27/2021
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: Nobe

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

Symptoms: Miscarriage

Other Meds: Synthroid, Liothyronine, Prenatal vitamins

Current Illness: None

ID: 1163942
Sex: F
Age: 70
State: IN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 101.8 fever chills body aches

Other Meds: Ramipril

Current Illness: None

ID: 1163943
Sex: F
Age: 38
State: IN

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Headache, disorientation, brain fog, exhaustion, nausea, body aches on left side

Other Meds: Zyrtec, Advil, Advaire

Current Illness:

ID: 1163944
Sex: M
Age: 30
State: OH

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

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

Symptoms: April 1: Started to shiver between 6:00 and 7:00PM. Temperature rapidly increased from 99.2 to above 101. Peaked at 102.9 around 8:15PM, then hovered between 102.0-102.7 until 2:30AM. Starting at 7:45PM, I took acetaminophen and kept a washcloth with cold shower water on my neck. I also drank a lot of water and some Powerade and orange juice. April 2: I continued to take acetaminophen every 6 hours. Temperature stayed between 100 and 102 until noon, then between 98.9 and 99.5 until evening.

Other Meds:

Current Illness:

ID: 1163945
Sex: F
Age: 35
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa Codiene

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

Symptoms: Severe headache Leg cramps Arm shooting pains Fatigue

Other Meds: Atenolol Metformin Esomeprazole Prenatal Claritin

Current Illness: No

ID: 1163946
Sex: F
Age: 27
State: KS

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Amoxicillin

Symptom List: Unevaluable event

Symptoms: Fever of 100.2-101, headache, sweats/ chills, fatigue, swelling in arm. Muscle sore

Other Meds:

Current Illness:

ID: 1163947
Sex: F
Age: 62
State: TX

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: LA

Lab Data:

Allergies: None

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

Symptoms: low grade fever, severe body aches, stomach, severe headaches.

Other Meds: Multivitamin,D3,lorstan,ATorvastarin,Amolodipine, Vitamin c, Metformin, Calcium, Zinc

Current Illness: Tested POSTIVE December 23, 2020

ID: 1163948
Sex: M
Age: 24
State: MA

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Vasovagal. Fainted, hit head. Small head laceration

Other Meds: None

Current Illness: None

ID: 1163949
Sex: F
Age: 59
State: NY

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: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: High fever, chills, muscle aches, nausea, headache

Other Meds: Daily multi-vitamin, vitamin D, Biotin, vitamin B12.

Current Illness: N/A

ID: 1163950
Sex: M
Age: 36
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Syncope, apple juice, observation, VSS, home care

Other Meds:

Current Illness:

ID: 1163951
Sex: M
Age: 69
State: MD

Vax Date: 03/31/2021
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: N/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Loss of taste, bad taste.

Other Meds: Lisinopril, rosuvastatin, ezetimibe, omeprazol

Current Illness: N/a

ID: 1163952
Sex: F
Age: 27
State: NY

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever, chills, joint pain, headache, shortness of breath, body aches

Other Meds: Bupropion 500mg, Ritalin LA 30mg, norgestimate-ethinyl estradiol, vitamin D 2000IU

Current Illness: None

ID: 1163953
Sex: M
Age: 50
State: MI

Vax Date: 03/23/2021
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: RA

Lab Data:

Allergies: n/a

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

Symptoms: 2" X 2" rash, approximately square and regular in shape appeared on my right shoulder just below the injection site. Mildly red in color, and slightly "thicker" feel to the touch. Rash is not bumpy or itchy. Color is uniform across the rash . It appeared sometime after midnight on the morning of 4/3/21. I thought it was just a mark from my pillow while sleeping, but did not go away.

Other Meds: Metformin, Januvia, Prozac, Bupropion , Cozaar

Current Illness: I had surgery to repair a torn rotator cuff on 3/17/21

ID: 1163954
Sex: F
Age: 65
State: PA

Vax Date: 03/01/2021
Onset Date: 03/20/2021
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: None

Symptom List: Nausea

Symptoms: Onset from administration of Pfizer-BioNTech COVID 19 Vaccine EUA. Body aches, eye soreness, fatigue, headache, dry cough off and on. Onset was the first night that I received the vaccine, continued on and off the first week for a few days and then occurred and stayed continually most of the second week.

Other Meds: One a day vitamins, vitamin D

Current Illness: None

ID: 1163955
Sex: F
Age: 42
State: OK

Vax Date: 03/12/2021
Onset Date: 03/19/2021
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: Penicillin

Symptom List: Injection site pain

Symptoms: 3/19/21 - left underarm lymph node became very swollen and tender 3/21/21 - left arm became swollen and sore. Small red area near injection site and injection site itches like mosquito bite. 3/22/21 - same symptoms and red area became larger and fevered. Red area was size of dollar coin. 3/23/21 - same symptoms. Red area increased in size. Became more irregular in shape similar to shape of running down length wise. Covering the length of a dollar bill. 3/24/21 to 3/26/21 - no change in symptoms.

Other Meds: Loestrin fe 1/20 Cetririzine10mg

Current Illness: None

ID: 1163956
Sex: F
Age: 47
State: TX

Vax Date: 03/05/2021
Onset Date: 03/11/2021
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 known. Seem to have minor reaction to chickpeas and some skin care products occasionally

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

Symptoms: 6 days after receiving vaccine, my arm at location of injection started hurting again. It also became very red and hot and felt slightly raised on the edges. It was very uncomfortable and a little itchy. This lasted about 10 days with varying degrees of pain and redness. I am supposed to get my second dose in two days and strangely when I am in the hot/warm shower my arm still feels slightly sore when I rub it making me a little nervous to get second dose.

Other Meds: Multivitamin, b6, melatonin, tryptophan, magnesium

Current Illness:

ID: 1163957
Sex: M
Age: 57
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Tetnus

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

Symptoms: Headache started within 30 min of first shot, lasted about 36 hours. Took Tylenol. Second shot 21 days apart. Headache started within 30 min a lot worse after second dose. Lasted a couple of days.

Other Meds: Plavix, Wellbutrin, metropole low dose aspein

Current Illness:

ID: 1163958
Sex: F
Age: 52
State: MN

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

Lab Data:

Allergies: Contrast dye - anaphylaxis Benedryl - anaphylaxis Zithromax (z-pack) - anaphylaxis Environmental unknown - anaphylaxis Nickel - hives Latex - rash, hives Morphine - itching Flu + shingles #1 vaccine same time same arm - flushing (upper body), short of breath, arm swelling huge, arm red and hot). Scratchy throat

Symptom List: Tremor

Symptoms: Time of vaccine: face flushing, warm face and throat Day 2 post vaccine; worst headache since I had a spinal fluid leak. Immobilized in dark room, no sound. Wrapped head in ice packs for 24 hours. Nausea. 5 through 10 days post vaccine: severe dizziness, nausea, full body muscle aches, extreme fatigue. Walking from room to room exhausts me. Dizziness all the time.

Other Meds: Zonisamide, bupropion

Current Illness: None

ID: 1163959
Sex: M
Age: 39
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Migraine - resolved by 9PM Chills - intermittent for 1.5 days Low fever - intermittent for 1 day Aches - 2 days Mild injection site soreness - 3 days

Other Meds: Vitamin D/Calcium/Magnesium

Current Illness: None

ID: 1163960
Sex: F
Age: 61
State: FL

Vax Date: 03/31/2021
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 and many narcotics

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

Symptoms: Massive headache, so bad I could not get out of bed. Fever of 102 that was gone the next day. Sore, tired, cranky. I still have a headache only I can function. It is a 4 today on a pain scale of 1 to 10. On April 1st it was so bad I could not get out of bed. I felt like my head was a giant toothache. I am not too sure about getting the second dose. I was truly frightened. I don't think I have ever felt that bad. Having kids was easier.

Other Meds: Monteleukast 10 mg daily

Current Illness: None

ID: 1163961
Sex: F
Age: 59
State: PA

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: PENECILLIN

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

Symptoms: SLEEP

Other Meds: NONE

Current Illness: NONE

ID: 1163962
Sex: F
Age: 73
State: SC

Vax Date: 03/29/2021
Onset Date: 03/29/2021
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: Codeine Latex

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Began with an excruciating headache, then chills, then a fever. Soreness around injection site. Muscle & joint aches & pains. A feeling of heaviness through out my body. No energy, extremely tired. The headache, chills & fever occurred again Tuesday night (2nd nite after shot). The other symptoms lasted thru Thursday. Friday I was able to sleep thru the night and woke up feeling fine.

Other Meds: Multi Vit Vitamin C 500mg Vitamin D3 50 mcg

Current Illness: None

ID: 1163963
Sex: F
Age: 53
State: CO

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: SYR
Vax Site: LA

Lab Data:

Allergies: AUGMENTIN

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

Symptoms: DAY 1 POST-VACCINATION (4/1): NOTICED RINGING IN BOTH EARS WHEN I WOKE UP IN THE MORNING. ACCOMPANIED BY SINUS CONGESTION ALL DAY (NOSE, EARS). FEELS LIKE WHEN YOU HAVE WATER IN YOUR EARS AND YOU WANT TO HOLD YOUR NOSE TO TRY AND BLOW IT OUT. DAY 2 POST-VACCINATION (4/2): EXPERIENCED MILDER RINGING IN BOTH EARS MORNING TO EVENING. NO SINUS CONGESTION. RINGING SHIFTED PREDOMINANTLY TO LEFT EAR. BY END OF DAY. PERSISTED AT BED TIME. DAY 3 POST-VACCINATION (4/3): WOKE UP TO HIGHER INTENSITY RINGING IN LEFT EAR. INTENSITY INCREASED MID-MORNING AND SHIFTED TO LEFT EAR. NO SINUS CONGESTION, BUT LEFT EAR WHERE RINGING HAS INTENSIFIED FEELS LIKE IT IS PLUGGED UP LIKE WHEN YOU HAVE WATER IN YOUR EAR AND WANT TO HOLD YOUR NOSE TO TRY AND BLOW IT OUT.

Other Meds: DAILY RX: ESCITALOPRAM 20 MG (MORNING) DAILY SUPPLEMENTS: FOOD BASED CALCIUM 500 MG (3 X DAY), VITAMIN D3 5000 IU (1 X DAY) FOLIC ACID 800 MCG (2 X DAY), BIOASTIN VEGAN HAWAIIAN ASTAXANTHIN 12 MG (1 X DAY, EVENING), ORGANIC EMU OIL 2.25 M

Current Illness: NONE

ID: 1163964
Sex: F
Age: 26
State: CO

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: acetaminophen, tetracycline, gluten

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

Symptoms: Pt begin feeling dizzy about 3 minutes after dose. She was sitting down, I encouraged her to drink some water and sat with her. Her dizziness became worse and I got the Epi Pen ready. A few minutes later, she asked to lie down due to her dizziness. I assisted her and had my tech call 911. She had no trouble breathing but did develop tingling in her hands and a blotchy red rash on her chest. The paramedics arrived and checked her vitals which they said were fine. They took her out to the ambulance as a precaution.

Other Meds: unknown

Current Illness: none

ID: 1163965
Sex: F
Age: 93
State: NY

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: PCN

Symptom List: Pain in extremity

Symptoms: Pt reports feeling shaky after receiving this injection of vaccine. EMT stayed with patient and spoke with her, offered her a cookie and some juice and patient reported feeling better, no concerns. Was sent home with her friend, who drove her to the clinic.

Other Meds:

Current Illness:

ID: 1163966
Sex: F
Age: 24
State: VA

Vax Date: 03/31/2021
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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: I started to feel out of it around 10pm the same day, and developed a fever. I felt dizzy and hot/cold. The next day I had bad nausea, stomach pain, and diarrhea. I wasn?t able to keep food in my stomach, and kept having to use the bathroom. I was very tired and went to sleep around 4pm. I woke up about 30 mins later and had a fever of 103. I was shaky and out of it. I had diarrhea throughout the night, and still do today. I still feel shaky, but the fever has come down though I think it?s a low grade one still.

Other Meds: Birth control pills only

Current Illness: None

Date Died: 03/31/2021

ID: 1163967
Sex: F
Age: 73
State: MA

Vax Date: 03/26/2021
Onset Date: 03/30/2021
Rec V Date: 04/03/2021
Hospital: Y

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: Felt crummy on day one and two better on day three and on day four developed four blood clots on Coumadin with an INR of 4.5 and died the next day on 3/31/2021.

Other Meds: Coumadin

Current Illness:

ID: 1163968
Sex: F
Age: 63
State: TX

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient was vaccinated with Pfizer #1 on 3/09/2021 (lot EN6205). She received a second invitation for vaccine in error, signed up, and was vaccinated a second time with Moderna on 4/2/2021. No adverse outcomes or symptoms reported; counseled by RN that this is not preferred but is acceptable and he will not need additional vaccine. Troubleshooting: This was missed in screening and the vaccinator did not ask for shot card.

Other Meds:

Current Illness:

ID: 1163969
Sex: M
Age: 34
State: VA

Vax Date: 03/28/2021
Onset Date: 03/29/2021
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: Penicillin and related medicines

Symptom List: Vomiting

Symptoms: 24 hours fatigue, fever, and muscular pain

Other Meds: None

Current Illness: None

ID: 1163970
Sex: M
Age: 54
State: PA

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

Lab Data:

Allergies: NKDA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Lightheaded immediately after receiving IM injection of Moderna vaccine in L deltoid. Resolved within 5 minutes. No loss of consciousness.

Other Meds: Amlodipine, vitamins, escitalopram,

Current Illness:

ID: 1163971
Sex: M
Age: 20
State: CA

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: RA

Lab Data:

Allergies:

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

Symptoms: Numbness in arms and hands, headache, high heart rate, slight fever, red welts on chest and back.

Other Meds:

Current Illness:

ID: 1163972
Sex: F
Age: 62
State: NJ

Vax Date: 03/25/2021
Onset Date: 03/29/2021
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: tropical fruits & latex

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Erythematic and warm rash to injection site measuring 10cm x 14cm. Mild tenderness on palpation

Other Meds: Effexor

Current Illness: n/a

ID: 1163973
Sex: F
Age: 39
State:

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: RA

Lab Data:

Allergies:

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

Symptoms: Headache chills extreme lethargy

Other Meds:

Current Illness:

ID: 1163974
Sex: F
Age: 61
State: NJ

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

Lab Data:

Allergies: Grapefruit, Lemon, Latex, Lisinopril

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

Symptoms: Headache, Chills, Muscle Aches, Fatigue, Dizziness, Nausea No Treatment except for bed rest and water Lasted about 18 hours

Other Meds: Triamterene Hydrochlorothiazide, Hormone Replacement Therapy, Losartan, Montelukast Sodium, Multivitamin, Lutein, Milk Thistle, Zyrtec

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm