VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1164542
Sex: M
Age: 57
State: WA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: none known

Symptom List: Dysphagia, Epiglottitis

Symptoms: Dizziness. Seems to be BPPV or very similar. Noticed this when getting out of bed the second morning after the shot. That was 3 days ago and am still experiencing same symptoms. Most noticeable when rolling over in bed but also when bending over with certain head movements.

Other Meds: mesalamine

Current Illness: none

ID: 1164543
Sex: M
Age: 24
State: OH

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: He said while sitting in a chair waiting during the 15minutes post vaccination he started feeling queasy and wanted some water to drink. After standing up he felt dizziness that persisted While walking towards the pharmacy he fell forward flat on the floor . He said his hearing had gone out and it was muffled. He was assisted up into a chair . He was given water and crackers. After drinking water and eating the crackers he felt okay enough to leave after 30 minutes. He was walked to the foot where his ride was waiting in the parking lot. He had dinner but had not had his breakfast as at the vaccination time.

Other Meds:

Current Illness:

ID: 1164544
Sex: F
Age: 56
State: CT

Vax Date: 03/20/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: One reaction to a sulphur based anitbiotic

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

Symptoms: Day 6 and 7 after Dose 1: mild chills, aches,headache Day 8: red circle at injection site with swelling and hot to the touch, mild chills, aches,headache Day 9-12: symptom improvement Day 13-14: moderate chills, aches, low grade temp

Other Meds: Multivitamin

Current Illness: None

ID: 1164545
Sex: M
Age: 74
State: AZ

Vax Date: 03/21/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 11 days after 1sr shot, ....chills, fatigue, muscle soreness, loss of appetite, 2 days

Other Meds: Atorvastatin10mg Tamsulosin .4mg

Current Illness: None

ID: 1164546
Sex: F
Age: 67
State: GA

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: NONE

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

Symptoms: PATIENT STATED SHE STARTING TO HAVE SEVERE ITCHING DAY AFTER VACCINE AND ALSO NOTICED A LUMP ON HER ARM. THE EFFECTS WERE GETTER WORSE DAILY .

Other Meds: N/A

Current Illness: NONE

ID: 1164547
Sex: F
Age: 72
State: FL

Vax Date: 03/17/2021
Onset Date: 03/18/2021
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: Next morning I could not look over right shoulder. Stiff painful neck. During the day gradually worsened to severe brachial neuritis pain from neck to shoulder blade to shoulder to armpit to entire arm. Worst pain to right of vertebrae at neck and upper back, armpit, shoulder and elbow. By evening I was screaming. Today it is now the eighteenth day. Worse every day and during the night. I scream in pain. I take Ibuprophen. Now I'm up to 600 mg every four hours. I did not have a GP. I found one. My first visit will be April 6. I am exhausted and afraid to take the second dose April 14. Note: When the person injected me, it was a hard jab with about half teaspoon of blood pouring down my arm. I am so out of my mind with this. I loved the fact that I was getting a vaccine. I was a healthy vibrant person, never sick, no medications, never needing a doctor. I fear my body is permanently changed now.

Other Meds:

Current Illness:

ID: 1164548
Sex: M
Age: 34
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none known

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The patient was sweaty, feeling very tired and nauseous and he vomited

Other Meds: none known

Current Illness: none known

ID: 1164549
Sex: F
Age: 74
State: MD

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: peniicillin

Symptom List: Pharyngeal swelling

Symptoms: continuous itching at injection site as well at imside elbow area

Other Meds: Atenolol and simvastatin

Current Illness:

ID: 1164550
Sex: F
Age: 55
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: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Member compliant of feeling hot, nausea. Radial pulse 120

Other Meds:

Current Illness:

ID: 1164551
Sex: F
Age: 67
State: NH

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

Lab Data:

Allergies: percocet shellfish

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pt received her 1st dose of Pfizer on 3/6/21 and got sick with COVID several days later. She received monoclonal antibodies (Bamlanivimab) on March 13, 2021. She was mistakenly given her second dose of Pfizer today within the 90 day window. Medication error was realized after the vaccination was given. Pt was informed to follow up with her PCP for further instructions.

Other Meds: statin, prevacid, singulair, aspirin

Current Illness: Covid + and treated with monoclonal antibodies on 3/13/21

ID: 1164552
Sex: M
Age: 70
State: VA

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: SYR
Vax Site: LA

Lab Data:

Allergies: unknown

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

Symptoms: 2nd Dose given on day 14 (<21 day)

Other Meds: unknown

Current Illness:

ID: 1164553
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: dizzy, syncopal episide, EMS evaluated, patient refused transport.

Other Meds:

Current Illness:

ID: 1164554
Sex: M
Age: 36
State: MN

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:

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

Symptoms: Some normal widely reported side effects like fatigue, lightheadedness. A short time after injection felt mild soreness in the penis. As early as the morning after injection experienced difficulty with erection and ejaculated, and continued mild soreness. Report submitted day after injection, still experiencing symptoms.

Other Meds:

Current Illness:

ID: 1164555
Sex: F
Age: 33
State: IL

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:

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

Symptoms: About 5 to 10 minutes after my shot I started to feel flushed and warm, a tingling sensation all over, dizziness and lightheadedness. It came over almost like a wave and passed after about a minute. I did not report it at the clinic initially because it passed so quickly and caught me off guard. I stayed for 20 minutes and then left to go home. I started having these same symptoms listed above, which would come and go in waves about 30 minutes after the vaccine. I took 25mg of benadryl and 20mg of famodidine and symptoms completely resolved.

Other Meds: Women's multivitamin Cetirizine Hydrochloride 10mg Vital proteins collagen peptides Nail, skin, hair vitamins

Current Illness:

ID: 1164556
Sex: M
Age: 53
State: CT

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

Lab Data:

Allergies: None

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

Symptoms: chills, strong shivering, fever that night Next day, fever, body aches, headache, fatigue, took tylenol through day Night, symptoms reduced and give by next morning

Other Meds: Vitamin D3 x 1000

Current Illness: None

ID: 1164557
Sex: M
Age: 60
State: GA

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: IM
Vax Site: LA

Lab Data:

Allergies: no known allergies

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

Symptoms: Pt got vaccine at pharmacy off site clinic - this is notes from clinic staff "summary - pt was unable to speak and became somewhat unresponsive 15 minutes after 2nd Pfizer covid dose. family informed clinic staff after he had returned to the car. history of hypertension/diabetes/kidney transplant. Insulin was administered this morning. 911 was immediately called, taken to er. current condition unknown. blood glucose was 500+ when paramedics checked"

Other Meds: insulin and blood pressure meds (exact meds unknown)

Current Illness: none

ID: 1164558
Sex: M
Age: 32
State: NY

Vax Date: 04/03/2021
Onset Date: 04/03/2021
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: N/A

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

Symptoms: Patient felt anxious about the vaccination and afterwards felt dizzy/faint, and warm. We had him sit down put an ice pack on his neck, and had him drink some juice. After about 10 minutes he felt much better.

Other Meds: N/A

Current Illness: N/A

ID: 1164559
Sex: F
Age: 36
State:

Vax Date: 04/03/2021
Onset Date: 04/03/2021
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: nausea, lightheaded, patient left

Other Meds:

Current Illness:

ID: 1164560
Sex: F
Age: 36
State: MA

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt had syncopal episode; upon waking: BP 102/88, P 64, EKG unremarkable. Had a 2nd syncopal episode, about 12 seconds with right leg extended and arms jerking briefly Then awoke fully alert without complaints of dyspnea headache, uricaria etc 4:15 97/56, HR 66 PM 4:26 PM 111/71 Encouraged to go to ER due to possible seizure activity but signed consent refusing EMS care

Other Meds:

Current Illness:

ID: 1164561
Sex: M
Age: 48
State: MD

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

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

Symptoms: patient self reported tetracycline allergy that resulted in difficulty breathing and hives. Reaction happened many years ago. I asked patient to wait an additional 10 minutes for a total of 25 minutes so we could keep him under observation. After his 25 minutes patient reported that his fingers felt swollen and he had taken his wedding ring off to show me. Patient also reported that his lips felt "tingly". I observed the patient and noted no flushing, no sweating, no rapid pulse. I took the patients blood pressure and it was 121/80. I gave the patient Benadryl and asked him to wait for another 15 minutes so I could observe him. After the 15 minutes I observed the patient again and he still had no flushing or swelling and he reported that he no longer felt "tingly" and felt fine.

Other Meds: unknown

Current Illness: unknown

ID: 1164562
Sex: M
Age: 57
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: None or bee stings

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

Symptoms: Severe stomach pain on left side where cancer is. Pain was so bad, I had to take a morphine pill. Hadn't had to take one for over a year due to cancer. Fever of 102 and bad headache and aches and pains. Slept for about 2 days. This was my first shot so i am not risking taking the second shot. Already had covid.

Other Meds: Keytruda, azor

Current Illness: Cholangiocarcenoma

ID: 1164563
Sex: M
Age: 28
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: LA

Lab Data:

Allergies: none known

Symptom List: Unevaluable event

Symptoms: patient was very nauseous and threw up within 10 minutes of the shot

Other Meds: none known

Current Illness: none known

ID: 1164564
Sex: F
Age: 28
State:

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:

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

Symptoms: Pt reported being "Anxious about Janssen". Water provided , pt felt better and reported she wanted to go home.

Other Meds:

Current Illness:

ID: 1164565
Sex: F
Age: 54
State: CA

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

Lab Data:

Allergies: Client reported allergy to latex, bees, citrus, ciprofloxacin

Symptom List: Injection site pain, Pain

Symptoms: 25 minutes into a 30 minute observation following 1st dose Pfizer client reported feeling a progressive hoarseness in her throat and tingling in her fingers, she stated she had a transient bout of dizziness that lasted less than a minute. Vitals were taken and client denied any other symptoms. Her symptoms improved and she stated after an additional 30 minute observation that her hoarseness in throat was resolved and fingertip numbness/tingling was resolving. Client left facility on her own accord with a steady gait.

Other Meds: None stated

Current Illness: None stated

ID: 1164566
Sex: M
Age: 31
State: IA

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: SYR
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient was talking to a friend about five minutes after receiving the vaccine and suddenly passed out and fell to the floor. He was awake again in about a minute. The patient was sweating, pale and a little disoriented for a couple minutes but started improving steadily until he was feeling his normal self again. The EMS was called but the patient declined being taken to the hospital as he felt much better by the time they arrived.

Other Meds: None

Current Illness: None

ID: 1164567
Sex: F
Age: 47
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Itching from head to toe starting day after vaccine given (4/1/21).

Other Meds: None

Current Illness: None

ID: 1164568
Sex: F
Age: 57
State: OH

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: n/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient presented today for her second COVID-19 vaccination. Before processing her dose, she expressed concerns over a reaction she had to her first dose. After her first dose, she had nausea/vomiting and generalized hives and presented to the ER. Her treatment included IV benadryl followed by oral benadryl ATC until her hives subsided. She was hesitant to receive her second dose, but we encouraged her to go ahead and that we were prepared with benadryl if she needed it again and asked that she wait an extended 30 minutes post vaccination. Patient received her vaccine at 3:15pm and sat down. After about 10 minutes she started getting hot and nauseous. She did vomit twice but said she was feeling better than she did after her first dose. However, at 3:30 she started feeling itchy and could feel hives forming. I gave her 25mg of benadryl and we sat her by a fan. at 3:48 she was still feeling a little itchy so I gave her another dose of 25mg of benadryl. At 4:00 she insisted she was "feeling ok and wanted to go home because her daughter was there to pick her up and she was just so embarrassed about her reaction". I allowed her to leave because this was how she presented after her first vaccine and was treated with benadryl. I instructed her to continue taking benadryl 25mg ATC until her hives subside. She expressed understanding and was walked her to the back door where her daughter was waiting for her.

Other Meds: n/a

Current Illness: pt had n/v and hives during first dose of same vaccine

ID: 1164569
Sex: F
Age: 48
State: LA

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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: By midnight I was experiencing minor arm soreness like I did with first dose. By early next morning shot location was red, swollen, raised somewhat, hot to the touch, and had spread up my arm to armpit/lymphnodes, very painful. Felt a sensation as though the allergic reaction was spreading across my chest - but no visible signs of that. Im almost 3 days out and still have swelling from injection site underarm. Separate from this, I had a constant headache that started a couple of hours after shot and is finally gone today. I had mild fever the first two days but that seems to have subsided. Was nauseous the first day. Woke up with terrible stomachache this morning followed by diarrhea. All over body aches and pains - were at their worst the first two days, today still there but less so.

Other Meds: Venlafaxine Adderall Multivitamin Metformin

Current Illness: None

ID: 1164570
Sex: F
Age: 55
State: GA

Vax Date: 03/30/2021
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: NA

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

Symptoms: My tongue has painful swollen ulcers on the right side.

Other Meds: NA

Current Illness: NA

ID: 1164571
Sex: M
Age: 64
State: OH

Vax Date: 03/18/2021
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: RA

Lab Data:

Allergies: Codeine

Symptom List: Nausea

Symptoms: Patient displayed about a 4 inch red area on the arm he received his shot. It is itchy. He first noticed it on 4/1/2021 and still has it today 4/3/2021. Patient received the shot 3/18/2021.

Other Meds: Ozempic, Atorvastatin, Metformin, Fenofibrate, Vitamin D3, Jardiance, Lisinopril, Tizanidine, Aspirin, Norco

Current Illness: none

ID: 1164572
Sex: M
Age: 43
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: cogentin

Symptom List: Injection site pain

Symptoms: lightheadedness, dizziness, felt like i was high on drugs.

Other Meds: adderall, abilify, vitamin b, c, d, e, tumeric, fish oil.

Current Illness: none

ID: 1164573
Sex: M
Age: 65
State: NH

Vax Date: 03/23/2021
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: sulfasalazine

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

Symptoms: No reaction to first dose. Second dose no immediate reaction. 3 days after 2nd shot swelling in the both wrists, at the time I thought it was tendentious. 4-5 Days after, stuffy nose and cold symptoms. 7 days, asthma symptoms began to get worse. Day 9-12 asthma attacks became severe leading to lung congestion, heavy mucus production and intense wheezing and coughing attacks. Treatment during the attacks was FloVent 110 2 puff 12 hours apart. As attacks grew worse, use of Ventolin rescue inhaler had to be used to control severe bronchial constriction and build up of thin mucus causing breathing congestion and more coughing. The coughing and difficulty breathing meant using the Ventolin every hours. The

Other Meds: Flovent 120mg, HCTZ 25 mg, AmLodipine 10mg, Valsartan 320mg

Current Illness:

ID: 1164574
Sex: M
Age: 57
State: CA

Vax Date: 01/20/2021
Onset Date: 02/27/2021
Rec V Date: 04/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Mefloquine causes hives

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

Symptoms: Brachial neuritis (neuralgic amyotrophy) began subtly with right Scapular pain on Saturday 2/27/2021 that progressed slightly over the next few days and then on Tuesday February 30 at around two in the morning they were severe eight Dash 9/10 throbbing aching and sharp pain in the right proximal arm scapula and shoulder. Cervical and arm imaging ruled out a structural problem or a cervical etiology.The distribution of focal distribution weakness over the next week confirmed the diagnosis of brachial neuritis.

Other Meds: Losartan, clopidogrel, Zyrtec, ezetimibe, rosuvastatin, vitamin D, omeprazole.

Current Illness: None

ID: 1164575
Sex: F
Age: 32
State: NJ

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: Apples, peaches, pears, plums, almonds, seasonal, potentially penicillin

Symptom List: Tremor

Symptoms: High fever (101.8 and rising stopped by medication) and chills lasting 12 hours) headache, extreme fatigue lasting several days (5+ And not resolved yet), diarrhea lasting 2 days, sore arm Ibuprofen helped fever

Other Meds: Loratadine 10mg Famotidine 20mg Multivitamin Vitamin D Magnesium

Current Illness: None

ID: 1164576
Sex: F
Age: 50
State: IN

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

Lab Data:

Allergies: N/A

Symptom List: Erythema, Pruritus

Symptoms: After five minutes of taking my shot. My heart started beating very fast. The pharmacist took my blood presure that was 143/99 and my pulse was 99. They called the paramedics and after maybe 15 minutes my blood presure was 140/100. They asked me several questions but because my heart beating so fast I was not able to speak clearly to them. I was getting out of breath. I told them to take me to the ER. On our way there my blood presure slowly started lowering. During that time my hands were extremely cold I was shaky I felt a tingling all over my hands and it was moving up to my arms. When I got the the ER my heat felt better they told me my blood presure was 140/73. The shaky and cold last 1hr

Other Meds: Biotin Dietary Supplement,Vitamon D3,Vital Proteins Beef Gelat

Current Illness: Shingles

ID: 1164578
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: 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: None

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

Symptoms: Severe chills, fever, vomiting, body aches

Other Meds: Verzenio, arimidex, Xanax, ambien, xgeva, ginkgo biloba, one a day vitamin, calcium

Current Illness: None

ID: 1164579
Sex: F
Age: 67
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Dizziness Headache occipital

Other Meds: none

Current Illness: no

ID: 1164580
Sex: F
Age: 49
State: SC

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: Asthenia, Chills, Headache, Myalgia

Symptoms: Almost 1 hour exactly after the vaccination I felt numbness in my right cheek that lasted for maybe 30-60 seconds. About 2 minutes later I felt a flush and odd overall/dizzy feeling with some trouble swallowing. This lasted about 40-60 seconds. Over the next few hours I had additional brief episodes where my throat felt like it was closing up. All was well by about 3 hours after, and today (the day after the vaccination)I have had no additional numbness or dizziness/trouble swallowing type symptoms. My only symptoms today are mild pain at the injection sight and slight tiredness.

Other Meds: Levothyroxine, Junel, daily multivitamin, turmeric

Current Illness: None

ID: 1164581
Sex: F
Age: 54
State:

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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:

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

Symptoms: Mild ache at site of injection around 8 hours after vaccine. Ache becoming more severe overnight, expanding past injection site (to torso and legs) and lasting throughout the next day. All symptoms had stopped by about 28 hours post vaccine. (nothing was awful, I was told I should report so that you have for data on how common reactions to the shot are. I took a couple naps and by 5pm the next day was fine)

Other Meds:

Current Illness:

ID: 1164582
Sex: F
Age: 47
State:

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:

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

Symptoms: The patient felt lightheaded and nausea and had trouble catching breath. The patient was observed for 15 minutes and released on own accord after symptoms resolved.

Other Meds:

Current Illness:

ID: 1164583
Sex: M
Age: 43
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: Food or medicines none Silicone yes

Symptom List: Pain in extremity

Symptoms: After a few hours of getting the second shot some fever minor headaches and a stuffy nose feel with no mu us present, pain and swollen area of shot and also all my left side from head to toe started to hurt significantly to the point that a walk to the bathtroom was difficult. A few of the symptoms fade away after a few days but the left side swollen area on my leg still an issue not letting me continue my workouts, went to my doctor got a sonogram doppler no clots were found and they sent me home. Told me to rest and elevate my legs been doing that nothing has changed and a few minor headaches have made a comeback.

Other Meds: Lisinopril 40 Mg 1 a day Hidrochlorotiazide 40 Mg 1 a day Vitamin C 1000 Mg 1 daily Vitamin D 1.25 Mg 1 weekly

Current Illness: None

ID: 1164584
Sex: M
Age: 27
State: NJ

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: unknown

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

Symptoms: Numbness in left facial cheek and down left side of neck.

Other Meds: unknown

Current Illness: unknown

ID: 1164585
Sex: F
Age: 47
State: MI

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

Lab Data:

Allergies:

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

Symptoms: 2" round, red, raised area on skin around injection site

Other Meds: vitamin-d, Osteo Bi-flex, butterbur extract

Current Illness:

ID: 1164586
Sex: F
Age: 39
State: CO

Vax Date: 03/06/2021
Onset Date: 03/08/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Patient stated they had red raised bumps that appeared 2 days after the vaccination. The bumps scabbed over and as of yesterday are finally disappearing.

Other Meds: Unknown

Current Illness: Unknown

ID: 1164587
Sex: M
Age: 46
State: AZ

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Severe body aches, fever, tachycardia, leukocytosis resulting in admission for observation on 4/3/2021. Patient just admitted inpatient at the time of report.

Other Meds: None

Current Illness: None

ID: 1164588
Sex: F
Age: 78
State: MN

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

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

Lab Data:

Allergies: penicillins

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: April 3rd:Anemia, hgb 3.7 Recieved blood transfusion. Hypoxic: oxygen saturations mid 80's when presenting to ER. Put on Nasal cannula. Being admitted to Hospital

Other Meds: Ascorbic Acid , CALCIUM CITRATE, dexAMETHasone, dorzolamide, ergocalciferol, furosemide, Glutamine, LORazepam, MAGNESIUM GLUCONATE, megestroL, OLANZapine, ondansetron, potassium chloride, prochlorperazine maleate, sucralfate, and is undergo

Current Illness: breast cancer

ID: 1164589
Sex: F
Age: 32
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: ranitidine

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

Symptoms: chills, fatigue, severe body achs, dizziness, rash on forearms accompanied by itching, nausea, all over body weakness.

Other Meds:

Current Illness: ear infection

ID: 1164590
Sex: F
Age: 47
State: TN

Vax Date: 03/25/2021
Onset Date: 03/28/2021
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: Extreme joint knee pain

Other Meds: None

Current Illness: None

ID: 1164591
Sex: F
Age: 46
State: IN

Vax Date: 03/17/2021
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: RA

Lab Data:

Allergies: Sulfates

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

Symptoms: Day 5-lymph nodes in neck/behind collar bone on injection side swelled and became sensitive. Still slightly swollen on day 17 but sensitivity had faded by day 14; day 7-2?x3? reddened area appeared at injection site; no itching or sensitivity; faded by day 11.

Other Meds: OTC iron, vitamin C, and biotin

Current Illness: None

ID: 1164592
Sex: F
Age: 71
State: ME

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: IM
Vax Site: RA

Lab Data:

Allergies: NKDA previously

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

Symptoms: Facial flushing, tongue tingling No hives or hypotension, no respiratory distress , laryngospasm or wheezing

Other Meds: Atenolol, Atorvastatin, Lisinopril

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm