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: 1167100
Sex: F
Age: 25
State: ID

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/04/2021
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: After vaccination the patient looked to be doing well, good color in the face and communicating freely. After providing the same immunization to her spouse she lost color in her face, began sweating, and became faint. She did not lose consciousness but was drowsy, diaphoretic, pale and stated she lost hearing for a couple minutes. I kept her awake and asked her questions to assess for alertness. She was aware of date, location, name, year. She was not improving after 5 minutes so paramedics were called to evaluate her. She was cared for by the paramedic team and recovered after 40 minutes. She was diagnosed with vasovagal syncope due to the vaccine. She refused transport to the ER and left of her own accord.

Other Meds:

Current Illness:

ID: 1167101
Sex: F
Age: 40
State: IN

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/04/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Large red area around injection site.

Other Meds: Synthroid, iron supplement, omega 3, probiotic, vegan multi vitamin

Current Illness: None

ID: 1167102
Sex: F
Age: 16
State:

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/04/2021
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: Patient received Pfizer vaccine at 2pm, went to coffee shop, and then went out to car to wait. Became dizzy 5 minutes after coffee shop order. Patient fainted approximately 15 minutes after receiving pfizer vaccine on 4/4/21. Mom came into store to alert courtesy clerk, alerted pharmacy who brought E-kit out to car, brought patient into store to take blood pressure. Took patients blood pressure. ~83/63 mmHg pulse 109. EMTs were called and arrived within 5 minutes. EMTs arrived and stated vitals were normal but recommended mother take patient to be checked out by a doctor at a nearby hospital. Patient saw Dr who determined she can get the second dose, but must remain seated for 15 minutes after vaccination

Other Meds: NONE

Current Illness: NONE

ID: 1167103
Sex: F
Age: 18
State: NC

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

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

Lab Data:

Allergies: None known.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: My daughter had intense sweating and felt like she was going to pass out. This started a few minutes after receiving the vaccine. The reaction after the shot only lasted for roughly 5 minutes, but her clothing was completely soaked from sweat. After 5 minutes, it passed and she felt much better. Medical personnel gave her water and had her sit another 30 minutes. She seemed fine after that, but they told to report the reaction.

Other Meds: None.

Current Illness: None.

ID: 1167104
Sex: F
Age: 19
State: WI

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

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

Lab Data:

Allergies:

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

Symptoms: Urinary pain, Fever, Chills, insomnia

Other Meds:

Current Illness:

ID: 1167105
Sex: F
Age: 37
State: WA

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

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

Symptoms: Swelling, painful, itchy, and red at injection sight.

Other Meds: Prenatal Vitamin

Current Illness:

ID: 1167106
Sex: F
Age: 47
State: MA

Vax Date: 03/04/2021
Onset Date: 03/16/2021
Rec V Date: 04/04/2021
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: Adhesive tape

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Warm red rash on right bicep 12 days after 1st shot. Warm red rash at elbow and underside of arm 2 days after 2nd shot.

Other Meds: Enbrel, cryselle,methotrexate,omeprazole Magnesium and riboflavin

Current Illness:

ID: 1167107
Sex: F
Age: 24
State: WY

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

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

Lab Data:

Allergies: N/A

Symptom List: Pharyngeal swelling

Symptoms: Immediate menstrual irregularities; bleeding more often than not, most of the month with only a few days in between long weeks of what seems like a light to normal menstrual period. In addition, there are constant uterine cramps that are worse in frequency and duration than normal. This has been the case for over 2 months now, since my first dose.

Other Meds: Nexplanon implant (had for a year and a half already) Lamotrigine 200 mg

Current Illness: N/A

ID: 1167108
Sex: F
Age: 61
State: OR

Vax Date: 03/22/2021
Onset Date: 03/31/2021
Rec V Date: 04/04/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Noticed my left arm felt funny and rubbed it a little. When I took off my shirt it was a large, raised lump, red and oval shaped at the site of the injection. I took 2 Benadryl and slept for a couple hours. It wasn't any better so I went to Dr just so he could see it. He prescribed a Z pack and Medrol pack. I used an ice pack which seemed to help. I didn't pick up Rx until the next day; by then the swelling had gone down and wasn't as itchy. I didn't use the antibiotic or the steroid. By Friday 4/2 it was no longer swollen at at but still a bit red but didn't bother me. Was gone by Sunday.

Other Meds: Lorazepam 2MG; Lisinop/HCTZ 20-25 MG; Preser Vision AREDS2 1/day; Quercetin 800 mg/Bromelain165 mg; Collagen Peptides 11g

Current Illness:

ID: 1167109
Sex: F
Age: 40
State:

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient reported throat/lip tingling and headache within 10 minutes of receiving vaccine. Patient was given benadryl and observed. Condition improved.

Other Meds:

Current Illness:

ID: 1167110
Sex: M
Age: 70
State: NJ

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/04/2021
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 that I knew of.

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

Symptoms: about 4 hours after injection, palms were becoming ichy. Later a red Hive was present around my wrists, legs, and torso. I took Benadryl every 4-6 hours and the red hive did start to calm down.

Other Meds: Trelegy Inhaler, Carvedilol 6.25mg 2X, Montelukast Sodium 10mg 1X, Lisinopril 5mg 1X ,Pradaxa 150mg 2X

Current Illness: Released from hospital 4/23/2021 was treated for Covid.

ID: 1167111
Sex: F
Age: 40
State: PA

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

Symptom List: Rash, Urticaria

Symptoms: large red spot around injection site. slightly raised. slightly itchy

Other Meds:

Current Illness:

ID: 1167112
Sex: F
Age: 59
State: MA

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

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

Lab Data:

Allergies: Ceclor

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

Symptoms: Within 5 minutes of receiving both vaccines I had indigestion and gas in my chest requiring me to burp frequently to expel the pressure. This sensation lasted about an hour. Sore arm and difficult to lift arm higher than shoulder- lasted 2 days

Other Meds: Zyrtec, Flonase, vitamins C and D3, zinc.

Current Illness: None

ID: 1167113
Sex: M
Age: 58
State: CT

Vax Date: 02/08/2021
Onset Date: 03/09/2021
Rec V Date: 04/04/2021
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: ringing in the ears. started in early march has become more and more intense

Other Meds: sertraline,gabapentin,losartan,tramadol,inderal la,prilosec,

Current Illness: migraine headaches

ID: 1167114
Sex: F
Age: 37
State: NJ

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/04/2021
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: Fish, tree nuts, peanuts, environmental indoor/outdoor allergies, pet dander

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

Symptoms: After a few minutes, I started to feel chest pains which started to intensify, then my breathing started to get shallow. Next, I was feeling tingling in my extremities. Then like the flick of a switch, I went into anaphylactic shock. I couldn't breathe and struggled to get the words out to get an epi pen. I was then injected with 3 epi pens while the ambulance was called. I also felt tingling in my tongue and mouth. The following day at home, I had another reaction. It started with tingling in my throat then the shallow breathing again. Chest pains again, then anaphylactic shock again. The next day, allergy symptoms came back, but not anaphylactic shock. This time, the addition of burning in my biceps on both sides, which traveled down to my forearms. Later on, the burning traveled down my torso to my legs. There is also some burning in my ears and scalp. My breathing is shallow, and it seems like when the allergy meds start to wear off, the symptoms keep coming back. They're happening now as I write this

Other Meds: Prednisone, zyrtec, adderall, Tobradex, albuterol

Current Illness: Rheumatoid Arthritis, Chronic dry eye syndrome, asthma, ADHD

ID: 1167115
Sex: M
Age: 61
State: FL

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/04/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Small pimples surrounding vaccine site, increasing in number every day

Other Meds:

Current Illness:

ID: 1167116
Sex: F
Age: 69
State: MN

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Developed flu-like symptoms: 101 degree fever, mild nausea, aches, pains, and light headedness for about 24 to 30 hours. I gradually felt better.

Other Meds: Multi Vitamin, Vitamin C, Fish Oil, Calcium and Magnesium Thyroid Glandular

Current Illness: None

ID: 1167117
Sex: F
Age: 72
State: AL

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

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

Lab Data:

Allergies: Sulfur drugs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Next day - Dizzy feeling of faint Red rash covering full body and still lingers 4 days later Day 5 slight nose bleed Non of these have been serious enough to see a Doctor But rash is itchy and annoying

Other Meds: Centrum Silver ; Calcium 500 MG; Collagen Peptides hydrolyzed type l & lll

Current Illness: None

ID: 1167118
Sex: F
Age: 73
State: TN

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

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

Lab Data:

Allergies: PCN, Sulfa, Codiene, morphine, zirthromycin, macrobid, prediso

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: new onset of Hypertenion started 04/03/2021. severe Headache no history of any BP issues

Other Meds: Xanax 0.5mg TID, Remeron 15mg HS, carafate 1gm QID, Protonix 4

Current Illness: gastritis

ID: 1167119
Sex: F
Age: 17
State:

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/04/2021
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: Patient presents with a fear of needles. Post vaccination, patient felt nauseous. Patient vomited and nausea dissipated. Patient was given crackers and juice in observation tent and reported improved symptoms.

Other Meds:

Current Illness:

ID: 1167120
Sex: M
Age: 67
State: OH

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

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

Symptoms: Headache, full body joint pain, fever 101.9

Other Meds: Gabapentin, Buprion, Meloxicam, Alfuzosin, Mirtazapine, Finasteride, baby aspirin, multivitamin.

Current Illness: None

ID: 1167121
Sex: F
Age: 23
State: OK

Vax Date: 03/24/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Unevaluable event

Symptoms: pt developed a rash with swelling at injection site on 4/2/21, but hives continue to pop up in different places on her arm with burning and stinging periodically on arm, back, chest and neck

Other Meds: none

Current Illness: ibs

ID: 1167122
Sex: F
Age: 45
State: TX

Vax Date: 03/08/2021
Onset Date: 03/12/2021
Rec V Date: 04/04/2021
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: I have developed burning of the skin on my ears, nose, lips and chest. My skin peels creating sores with the burning sensation.

Other Meds: none

Current Illness: none

ID: 1167123
Sex: F
Age: 55
State: MI

Vax Date: 03/24/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
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: Hot raised, super red itchy, burning rash. Using Benadryl and Motrin. Im 3 days into the rash and it has doubled in size.

Other Meds: Vitamin C, Fish oil, D. Xanax, Lisinopril.

Current Illness: none

ID: 1167124
Sex: F
Age: 33
State: CA

Vax Date: 03/26/2021
Onset Date: 03/29/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Mouth sores covering the roof of my mouth and cold sores on my lip lasting for 7 days.

Other Meds: Vitamin D and C

Current Illness: None

ID: 1167125
Sex: F
Age: 54
State: NC

Vax Date: 03/29/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
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: Amoxicillan: fire ants

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

Symptoms: Hives on both arms, right seems worse. Gets itchy as day progresses. Taking Benedryl and using benedryl cream for itchiness

Other Meds: Buproprion: meloxicam: tramadol : vitamin D: cyclobenzaprine hcl: duloxetine; ampheta/dextrose combo

Current Illness:

ID: 1167126
Sex: F
Age: 24
State: VA

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/04/2021
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: Fever of 100.4 degrees F., Chills, Muscle Pain, whole body Body Aches, Tiredness, Swollen Lymph Nodes on Left Armpit, Excessive Muscle pain & Body ache on Lower portion of Neck, Left Shoulder, Entirety of Left Arm (including upper arm, lower arm, wrist, upper hand & palm, and fingers).

Other Meds: One a Day gummy Prenatal (2 once a day), Nature's Bounty Zinc gummy (2 once a day), Buspar-as needed (not taken in 1 month, Wellbutrin-as needed (not taken in 1 month).

Current Illness: N/A

ID: 1167127
Sex: F
Age: 79
State: MI

Vax Date: 03/06/2021
Onset Date: 03/13/2021
Rec V Date: 04/04/2021
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: I had a delayed response to Covid 19 vaccine by one week, March 13th 2021. I had a bright red rash on hand, thighs, buttocks, with small blisters in between fingers and inside upper and lower lips. Also, had hives, welts, and swelling of these areas. Severe itching that did not subside. On March 14th I went to urgent care, by Tuesday March 16th it was worse, went to see Doctor and she increased Pepcid and prednisone dosage that I was given at urgent care. She increased my Zyrtec that I was taking from home and added Singulair. She did labs at this time. I was much better the week of March 21st and advised to see an allergist. Saw him on March 23rd, and he advised no more vaccines until her could test me. So far, April 1st there is no Pfizer vaccine available for test. I'm making another virtual appointment for April 20th.

Other Meds: Metformin, Synthroid, Ellura, Zyrtec, Vitamin D3.

Current Illness: None

ID: 1167128
Sex: F
Age: 61
State: TX

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/04/2021
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: None

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

Symptoms: Vaccination was at 1pm. At 2am I got a horrible headache- stabbing pains in the back upper right ?corner? of my head. Couldn?t sleep. I would test the frequency every once and a while. I had 1-4 sharp pains every minute. I talked to my doctor at 2pm that day. She said I could take 800mg Ibuprofen/8 hrs. That worked. Had to do this for 2 days after my shot. I was very tired. I was fine after that.

Other Meds: Thyroid NP 90mg Progesterone 200mg

Current Illness: None

ID: 1167129
Sex: M
Age: 30
State: UT

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/04/2021
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: Tinnitus, Vertigo

Other Meds: Glucosamine chondroitin, multivitamin, taurine, potassium, tribulus terrestris.

Current Illness: None

ID: 1167130
Sex: F
Age: 39
State: MN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/04/2021
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: Injection site pain

Symptoms: Fever 104.1, chills, sweats, headache starting at 7:00am on the day following the shot and lasting until around 3:00am, then fatigue the rest of the 2nd day following the shot.

Other Meds: none

Current Illness: none

ID: 1167131
Sex: M
Age: 31
State: FL

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

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

Lab Data:

Allergies: Morphine

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

Symptoms: Passed out, low blood pressure, extreme sweating

Other Meds: Vivance and adderall

Current Illness:

ID: 1167132
Sex: M
Age: 37
State: PA

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

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

Symptoms: Fever Body aches Headache Trouble sleeping Chills Joint pain All lasted around 24hrs

Other Meds: Venlafaxine Multivitamin Creatine

Current Illness: None

ID: 1167133
Sex: M
Age: 36
State: TN

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/04/2021
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: Ran fever up to 101 and had night sweats for first 48 hours. Also had stiff and sore joints for about 2 weeks before going away.. Developed ringing in both ears. This has persisted for 3 weeks now and is continuing. Saw a doctor on demand and she diagnosed me with tinnitus and referred me to see an ENT. Saw ENT listed in form and the diagnosed me with the same. Ringing of the ears are constant and not gone away.

Other Meds: None

Current Illness: None

ID: 1167134
Sex: F
Age: 32
State: NY

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: Experiencing a fever of 100 degrees, dizziness, fatigue, and headache. Events have been ongoing for two days. I am approximately 8 weeks pregnant. Treating symptoms with Tylenol and ginger tea.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1167135
Sex: M
Age: 55
State: NC

Vax Date: 03/24/2021
Onset Date: 03/30/2021
Rec V Date: 04/04/2021
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: Aspirin (rash), codeine (rash), sulfa (rash)

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

Symptoms: 6 days after injection I experienced an increase in fluid in my right eye, similar to central serous retinopathy events I had many years before. This resulted in a gray circular disc in my field of vision and distortion in vision that remains to this day. I followed up with my retina specialist, in office images show an increase in fluid from images taken two months prior.

Other Meds: Eplerenone 25mg, Vibryd 15mg, Atovastatin 20mg, Prednisolone 1%, B-complex 5mg, D3 1500mg, E 180mg, Fish oil 1200mg

Current Illness: None

ID: 1167136
Sex: F
Age: 22
State: MN

Vax Date: 03/31/2021
Onset Date: 04/04/2021
Rec V Date: 04/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: I randomly got my period after just having it. So - I had my period, went through a cycle, did not have my period for 5 days, then randomly got it again. I also have a kyleena IUD and my cycles are usually very regular.

Other Meds: Women?s Daily vitamin, hair/nails vitamin, iron supplement, vitamin D supplement

Current Illness: Sore throat

ID: 1167137
Sex: M
Age: 29
State: OH

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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Swelling and itchiness (no pain) on injection site

Other Meds: None

Current Illness:

ID: 1167138
Sex: F
Age: 64
State: AL

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

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

Symptoms: Felt bad like I was coming down with something. Got cold just wanted to lay down and cover up. At 11:30 P.M. I got very cold and I began to shake. I had a fever of 100.1 so I took 2 tylenol and went to bed. I dont know if my fever would have gone higher but didnt want to find out so I took the tylenol. I felt bad all day April 1, 2021. I didnt go to work and slept off and on all day. I felt a little sick to my stomach but no throwing up . I finally felt myself late the evening of April 1. What was strange to me was the sudden shaking.

Other Meds: none

Current Illness: none

ID: 1167139
Sex: F
Age: 58
State: OH

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/04/2021
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: Nka

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

Symptoms: Muscles aches Upset stomach Extreme fatigue Chest discomfort and heaviness Sore throat Sinus infection Went to Urgent care on 3-25-2021 and put on antibiotic

Other Meds: Pristiq 50mg Metoprolol succinate ER 25mg Atorvastatin 10mg Estradiol 1mg Baby Aspirin every other day Usana vitamins Glucosamine

Current Illness: None

ID: 1167140
Sex: F
Age: 51
State: CO

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: Pain in extremity

Symptoms: Arm is swollen, red and hot to the touch. Also have a painful lump at the base of my neck on left side. Have a painful lump on top of my collarbone left side. Neck and collar bone lumps are also red, and hot.

Other Meds: Relizen, vitamin-D, magnesium and potassium

Current Illness: None

ID: 1167141
Sex: M
Age: 31
State: IL

Vax Date: 03/19/2021
Onset Date: 03/25/2021
Rec V Date: 04/04/2021
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 known

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

Symptoms: Hives all over body. Saw primary care doctor and was told to take Zyrtec and Pepcid to treat histamine 1 and 2. Symptoms resolved within 36 hours. Recurring small flare ups continue for a week.

Other Meds: None

Current Illness: None

ID: 1167142
Sex: F
Age: 22
State: OH

Vax Date: 03/27/2021
Onset Date: 04/04/2021
Rec V Date: 04/04/2021
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: Penicillin, mango, sunflower seeds/oil

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

Symptoms: Large red circle around injection site. Hard and swollen

Other Meds: Birth control, naproxen, aspirin

Current Illness:

ID: 1167143
Sex: F
Age: 56
State: WI

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/04/2021
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: Contrast Media

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

Symptoms: Within about 10 minutes of receiving the vaccine, I had increased heart rate (lasting less than 5 minutes) and a feeling of weakness on all of the left side of my body. This weakness lasted about 2 days. I also felt an internal itching in various parts of my body. It has been almost three weeks and I still feel itching throughout my body. There was never a rash anywhere, just this internal itching.

Other Meds: Metoprolol Vitamin D Multi vitamin

Current Illness: none

ID: 1167144
Sex: F
Age: 22
State: OH

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

Symptom List: Vomiting

Symptoms: Hot red lesion on the area of the shot after 8 days

Other Meds: Tri-Lo Marzia (birth control)

Current Illness:

ID: 1167145
Sex: F
Age: 40
State: CA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/04/2021
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: Went to bed with chills, body aches, sweating and headache. Woke up a few hours later with heart palpitations with 128 bmp that kept climbing, dizziness and shortness of breath. Went to ER and was monitored for several hours. Had an EKG, temperature check and was given Tylenol. Headache pain increased but heart rate started to come down enough to be discharged, heart rate was down to around 80 bmp.

Other Meds: None

Current Illness: None

ID: 1167146
Sex: F
Age: 66
State: CA

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

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

Symptoms: Itching rash on chest and neck about 5 hours after vaccination. I took a Benadryl and rash and itching went away.

Other Meds: Vita-fusion Organic Woman's Multi-vitamin, Vita-fusion Triple Immune Power , Plexus Bio-Cleanse, Plexus Pro -Bio 5, Vitamin D3 (50mcg B-Complex, Calcium 600mg+D3,

Current Illness: None

ID: 1167147
Sex: F
Age: 64
State: ID

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/04/2021
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: Penicillin and cyclovir.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, bone chilling chills, nauseas, fever, muscle joint pain, including eyesockets jaw and cheek bones. Skin on body sensitive to touch in places. Nerves in left leg firing sharp pains. Arm injection site bruised and painful.

Other Meds: Lisinopryl, multi vitamin, vit c, vitamin d, magnesium/calcium. Tylenol.

Current Illness: 1st shot effects of chills and vertigo 3.5 weeks before this round.

ID: 1167148
Sex: M
Age: 64
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/27/2021
Rec V Date: 04/04/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: 1 week after dose 1 of Pfizer Covid-1 vaccine, I developed a case of shingles. I had chicken pox when I was young, but had not experienced any symptoms of it as an adult until after the Pfizer shot.

Other Meds: Lansoprazole Silodosin Vitamin d, E, Fishoil

Current Illness: Sinus allergies

ID: 1167149
Sex: M
Age: 58
State: UT

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

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

Lab Data:

Allergies: None

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

Symptoms: Terrible migraine

Other Meds: Metropolol, zertec

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm