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: 1170452
Sex: M
Age: 68
State: PA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/05/2021
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: Possible fish/seafood

Symptom List: Dysphagia, Epiglottitis

Symptoms: After receiving the vaccine injection, I began to feel hot. After 15-20 minutes I told this to a site nurse. She found my temperature to be normal, but my blood pressure to be elevated at 145/105 (I am normally about 110/70). A few minutes later she took my blood pressure again and found it higher. A few minutes later she took it again, found it has risen to 165/120 and said I should go to the ER. After waiting in the ER for about half an hour, they saw me and took my blood pressure, which was down to 145/105, at which point I decided my blood pressure was coming back down, and left the hospital. I have had no known adverse effects since.

Other Meds: Astorvastatin, Metformin, Many supplements: Acai Acetyl-L-Carnitine Alpha Lipoic Acid Aspirin (low dose) Astaxanthin Chaga Chinese Chlorella Cinnamon Extract DHEA Flaxseed Oil Gamma-Aminobutyric Acid (GABA) Gamma-Linolenic acid (from Eveni

Current Illness: None

ID: 1170453
Sex: F
Age: 51
State: IN

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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: Fever, body aches and pain, headache, extreme fatigue

Other Meds: Multivitamin, vitamin c, B12, D3,calcium,zinc Wellbutrin xl 300mg

Current Illness: Reaction to first dose of vaccine

ID: 1170454
Sex: F
Age: 29
State: MI

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/05/2021
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: Gluten

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

Symptoms: Swelling and rash at injection 48 hours after receiving first dose. Rash disappeared six days after first reactions. Swelling is still apparent. Swollen lymph nodes in the left arm pit of the left arm that received the first dose. Swelling of lymph nodes appeared 5 days after first dose

Other Meds: Prenatal vitamins

Current Illness:

ID: 1170455
Sex: F
Age: 37
State: WI

Vax Date: 03/17/2021
Onset Date: 03/22/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Bee venom (anaphylactic), sulfa (rashes)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: developed painful adenopathy in my neck and armpit at 5 days post vaccine (same side as shot) and a large local reaction at injection site at 7 days.

Other Meds: Zyrtec, sertraline, birth control (oral)

Current Illness: None

ID: 1170456
Sex: F
Age: 56
State: MI

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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: Symptoms began about 5 hours after the application of the vaccine and consisted on: fatigue, headaches and high resting hearth palpitations. During the night and the day after (Friday 04/02) symptoms worsened especially heart palpitations being all day above 120 up to 135 per minute. At moments it was difficult to breath and talk. By the end of the day I also experienced chest pain and signs of low oxygen (blue lips and pale colors) as well as mild fever. After calling paramedics, I was transported to the ER where blood, urine and Covid test were performed. I was told that some values of the blood test could suggest a blood clot so a CTscan was also performed with negative results. After a few hours in observation with infusion of fluids, potassium and magnesium I was sent home. Saturday and Sunday (days 3 and 4 after the vaccine) symptoms improved however heart palpitations were higher than normal and I still experience mild fever (98-99F). Insomnia and fatigue persisted for two more nights. Finally today Monday April 5, I could say that I feel back to normal.

Other Meds: none

Current Illness: none

ID: 1170457
Sex: M
Age: 36
State: OR

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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: pain at site muscle aches very tired (resolved within 48 hours)

Other Meds: Citalopram Quetiapine Alprazolam Diphenhydrine Omeprazole Calcium Carbonate Aspirin Melatonin

Current Illness: chronic insomnia vitiligo myopia seasonal allergies

ID: 1170458
Sex: F
Age: 38
State: NY

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/05/2021
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: Severe joint pain in ankles, knees and hips started at 3:15am the evening after my shot accompanied by headache and muscle pain. This lasted for 3 days. Left armpit was severely swollen and painful to touch. This lasted for approximately 5 days

Other Meds: None

Current Illness: None

ID: 1170459
Sex: F
Age: 49
State: CA

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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 known

Symptom List: Pharyngeal swelling

Symptoms: Woke up before 6am on 4/1 to severe itching from what felt like a hundred bug bites, it was a systemic allergic reaction beginning from my scalp to my feet. These continued to grow into massive, red, itchy welts that covered most of my body all over. Throat became restricted, felt harder to swallow but not impossible. Chest pains started evening of 4/1 with every swallow. Took two Benadryl and slept on 4/1. Woke up on 4/2 with left eye swollen shut, lip swollen, and hives had settled into large, flat welts all over but less itchy. Went to Emergency Dept around 7:50am on 4/2 where I was given prednisone (60mg?) and Zyrtec. Observed for about 1 hr, 45 mins, and released feeling okay but still swollen with a few welts left. Have taken Benadryl every evening through tonight, 4/5. Welts disappeared on 4/4 and itchiness stopped then, too.

Other Meds: Levoxyl, Cytomel, Vitamin D, Fish Oil, Vitamin/Mineral supplement

Current Illness: Hypothyroidism, Lyme disease, anemia, Alpha Thalassemia

ID: 1170460
Sex: F
Age: 66
State: PA

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

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

Lab Data:

Allergies: SULPHA (HIVES)

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: CRUSHING HEADACHE @ TEMPLES, HEAVY HEAD AS IN EXTREMELY TIRED, MILD CHILLS. STAYED UNDER BLANKET & WATCHED TV, WENT TO BED AND FELT FINE.

Other Meds: QUINAPRIL, ATENOLOL, SERTRALINE, LEVOTHYROXINE

Current Illness: NONE

ID: 1170461
Sex: F
Age: 53
State: CT

Vax Date: 03/20/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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: Rash at injection site 10 days after dose

Other Meds:

Current Illness:

Date Died: 04/05/2021

ID: 1170462
Sex: M
Age: 56
State: NV

Vax Date: 03/31/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: IBU, clindamycin, Bactrim, ASA, Robaxin,

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

Symptoms: Presented with rash and malaise "since I got my COVID shot". Rash red raised macular t/o body

Other Meds: Naprosyn, Atenolol, Nitroglycerine, Tamsulosin, omeprazole, KCL, finesteride

Current Illness: Stasis dermatitis, GERD, HTN, chronic LBP.

ID: 1170463
Sex: F
Age: 54
State: WA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/05/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Penicillins

Symptom List: Rash, Urticaria

Symptoms: The next day after the vaccine I had chest pains and severe headaches. After a week of this I went to Urgent Care and they send me to the ER with Chest Pain and High Heart Rate. They were not able to get my heart rate down in the ER so they decided to admit me to hospital and run some tests on me. Several hundreds of dollars later they have no diagnosis. I am now on blood pressure medicine for a month to see if this helps my blood pressure.

Other Meds: Venlafaxine

Current Illness: None

ID: 1170464
Sex: F
Age: 66
State: PA

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: No known food allergy, BENZOCAINE

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

Symptoms: Blisters on nose (inside some and all around nostrils on outside), sores on roof of mouth, tongue, and on some gums. Very thick post nasal drip, yet dry parts when blow nose, with some blood. Using Abreva and saline spray.

Other Meds: Fish oil, glucosamine chondroitin, calcium with 3, magnesium, CoQ10, super vitamin B-complex, Bee Propolis, zinc picolinate

Current Illness: None

ID: 1170465
Sex: F
Age: 63
State: CA

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

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

Symptoms: 2 days post vaccine, woke up with a rash to bilateral palms and arms that stop at the shoulder. small maculopap bumbsular from palms to shoulder, skin is sensitive to hot and cold, rash is "itchy and painful," denies skin peeling, took zytrtec with no relief, also complains of low energy/fatigue, appetite is ok, denies fever, approximately 12 hours later noticed rash to abdominal region, same maculopapular bumbs across bilateral upper abdoment, denies shortness of breath

Other Meds: HCTZ: 25 mg poqd Levothyroxine: .0125 mcg poqd

Current Illness: none

ID: 1170466
Sex: F
Age: 48
State: IL

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa hydrochlorithizade

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

Symptoms: Hoarseness

Other Meds: Zyrtec allegra

Current Illness: Regular allergies

ID: 1170467
Sex: F
Age: 43
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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: patient reported chest pain, lightheadedness and difficulty breathing 15 minutes after vaccine was given. chest pain was like pressure rated 9/10. she said she had a history of asthma and that she hadn't needed to use an inhaler in years. resp 26, pulse 113 and O2 98%

Other Meds:

Current Illness:

ID: 1170468
Sex: F
Age: 46
State: WI

Vax Date: 04/04/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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: Fish

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

Symptoms: Rash at injection site

Other Meds: Wellbutrin, abilify, Xanax, liothyronine, lamotrigine , fluticazone, vitamin D

Current Illness: No

ID: 1170469
Sex: M
Age: 34
State: FL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Aspirin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient received vaccine and five minutes after injection he began to see dots, slowly progressed to the floor and passed out. Patient reports hitting his head. After recovering patient states he woke up with healthcare personnel making sure he was ok. He describes his experience as taking deep breaths, he felt chills, sweats and nausated. He refused further treatment.

Other Meds: Bentyl

Current Illness: None

ID: 1170470
Sex: F
Age: 22
State: IA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin, cats

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever and body aches stared 08:00 am the following day after receiving vaccine Vomitting and diarrhea began at 03:00 2 days following vaccine administration and continued for 7 hours Severe RLQ pain and lower back musculoskeletal pain hours following diarrhea and vomitting, ended up hospitalized during the night due to pain

Other Meds: Dasetta 28 day birth control

Current Illness: none

ID: 1170471
Sex: M
Age: 57
State: WI

Vax Date: 03/12/2021
Onset Date: 03/27/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: About two weeks after the first injection I experienced significant dizziness/motion sickness when I got out of bed. It felt like I was on a ship in heavy seas. I don't think I could have driven a car. I laid down around noon and slept for about 90 minutes. Upon waking the symptoms had lessened. I had another occurance (about the same severity as my post-nap symptoms from previous incident) on April 4th.

Other Meds: Metformin, Jardiance, statin

Current Illness: None

ID: 1170472
Sex: M
Age: 43
State: FL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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:

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

Symptoms: Very fast heartbeat. Sweating hands And a light dizziness

Other Meds:

Current Illness:

ID: 1170473
Sex: F
Age: 61
State: NY

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 04/05/2021
Hospital: Y

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

Lab Data:

Allergies: NONE

Symptom List: Unevaluable event

Symptoms: 26 HOURS AFTER RECEIVING THE VACCINE, MY VISION WITH THE LEFT EYE STARTED TO DETERIORATE. THE DOCTOR ON CALL SUSPECTED RETINA DETACHEMENT AND ARRANGED FOR A RETINA SPECIALIST VISIT NEXT MORNING. THE RETINA SPECIALIST DOCTOR CONFIRMED THE RETINA DETACHEMENT AND PERFORMED SURGERY TO REPAIR IT THE SAME EVENING. EMERGENCY SURGERY WAS PERFORMED. I AM STILL RECOVERING (RECOVERY IS ESTIMATED TO TAKE 6 MONTHS), WITH DISTORTED IMAGING FROM LEFT EYE AND DOUBLE VISION.

Other Meds:

Current Illness: PRE DIABETES

ID: 1170474
Sex: F
Age: 55
State: CA

Vax Date: 12/30/2020
Onset Date: 03/03/2021
Rec V Date: 04/05/2021
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: Delayed hypersensitivity to many medicines, including antibiotics. Allergy to eggs/chicken after adverse event to flu vaccine in 2017 (vaccine received annually for the previous 15 years). Currently receiving egg free flu vaccine.

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

Symptoms: 3 episodes of abrupt and transient hypertension (max measured 218/113) with fever (38.1 C), marked headache and dyspnea on March 3, 4 and 7, requiring visits at Emergency Department (ED) on March 4 and 7. Episode on March 3 and 4 lasted few hours and self-resolved (2 liters iv saline on 3/4 at ED). Episode on March 7 required use of iv Atenolol at ED and oral Atenolol for the next 5 days. Starting March 5, flashes and floaters (?oily? spot in the right eye). All symptoms disappeared after March 12, except for the floaters in the right eye.

Other Meds: TIROSINT SOL 75microg/day

Current Illness: Hashimoto disease

ID: 1170475
Sex: F
Age: 54
State: CA

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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: Chest pain, not radiating, difficulty moving. Got checked out at a local ER and ruled out major events.

Other Meds: Levoxyl Cytomel Pristiq Gabapentin

Current Illness: None

ID: 1170476
Sex: F
Age: 41
State: WV

Vax Date: 03/27/2021
Onset Date: 04/04/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Doxycycline, Zithromax, Lucinipril

Symptom List: Injection site pain, Menorrhagia

Symptoms: The evening is the vaccine I was very fatigued. On Day eight I started having itching at the injection site and worsened today. There is a large hive and its red. It?s sore to touch and is achy.

Other Meds: Nexium, Metoprolol, HCTZ, Multivitamin, Estradol

Current Illness: None

ID: 1170477
Sex: F
Age: 25
State: VA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/05/2021
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: N/A

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

Symptoms: I am a 25 year old female with no underlying/otherwise known health conditions. I received the vaccine Saturday, March 27th at ~1:30pm. No initial side effects, barely any arm pain, and I felt completely normal and fine for about 8 hours post vaccination. After ~8 hours, I began to develop body aches and tiredness, and within an hour of this onset I got severe chills. A few hours later (this is the middle of the night going into Sunday March 28th) I developed a fever that lasted into the next day. I was not able to take my temperature in the middle of the night but the next morning it had come down to 99.6F (still a slight fever). I had fatigue and tiredness the entire next day. I did not take any medication/fever reducer. To sum up, I had no side effects upon initially receiving the vaccine, side effects set in ~8 hours post-vaccination and overall lasted about 24 hours. I have had no additional side effects other than those reported and have felt well since those subsided.

Other Meds: Vitamin D3 (5000 IU), UROCIT-K

Current Illness: About a week before I received the vaccine I had a cold (that was not COVID-19) that consisted of runny nose, sore throat, and cough. No fever or anything else.

ID: 1170478
Sex: F
Age: 32
State:

Vax Date: 01/06/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: tested covid positive 4/4/21 after receiving both doses of covid vaccine

Other Meds:

Current Illness:

ID: 1170479
Sex: F
Age: 39
State: NC

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Nose bleeding twice the second day (04/04/2021) and twice the third day (04/05/2021) after the injection.

Other Meds: NA

Current Illness: NA

ID: 1170480
Sex: M
Age:
State: CT

Vax Date:
Onset Date:
Rec V Date: 04/05/2021
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: Ativan, Hydrocodone, Oxycodone

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

Symptoms: After 2 days, fever began at 100.4, ranged up to 102.8 for 5 days, headache, dizziness. Followed fever protocol for secondary adrenal insufficiency, and increased hydrocortisone to 30mg

Other Meds: Solucortef 15mg, Xanax XR 1.5mg, losartan potassium 50mg, lexapro 30mg, allopurinol 300mg, zyprexa 2.5mg, seroquel 100mg, depo-testosterone 0.6mg, finesteride 100mg, hydromorphone 12mg, clonidine 0.2mg

Current Illness:

ID: 1170481
Sex: F
Age: 42
State: CA

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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: Nausea

Symptoms: I had the first dose of the Pfizer COVID Vaccine on Friday, April 2nd. I had a headache a few hours after, which still hasn't subsided. I woke up at 4 am on the 5th itching all over, hives all over my abdomen, calves and arms. Nausea followed soon after. I went to my doctor today and was given steroids, allegra and Zofran for the nausea.

Other Meds: Metroprolol, Nuvaring, Oxybuteron, pantoprazole, zoloft, losartan

Current Illness:

ID: 1170482
Sex: F
Age: 55
State: GA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
Hospital:

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

Lab Data:

Allergies: erythamyicin amoxicillin Augmentin

Symptom List: Injection site pain

Symptoms: Heart palpitations severe headache shortness of breath lasted about 15 minutes after I left the site once I stood up. Had headache and shortness of breath and dizziness for 2 days after but not as severe took aleve drunk lots of floods and rested for 3 days

Other Meds: carvediloL 25 MG tablet hydroCHLOROthiazide 25 MG tablet olmesartan 40 MG tablet

Current Illness:

ID: 1170483
Sex: F
Age: 61
State: WA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 04/05/2021
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, PCN (rash)

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

Symptoms: Tinnitus, dizziness

Other Meds: None

Current Illness: None

ID: 1170484
Sex: M
Age: 38
State: NY

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/05/2021
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: Penicillin , pollens, not a fan of dairy (not necessarily an allergy)

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

Symptoms: Swelling 1-3 days, fatigued all week with interspersed bouts of lots of energy (that could just be me); sore all over ( L arm / L neck / back - but again that could just be me and caused by carrying around a toddler); the injection site was sore last night, a little itchy this morning (3/5) and now I have a red bumpy rash (possibly in part from scratching). Also, bouts of diarrhea all week (not too unusually, hence possible dairy allergy referenced above).

Other Meds: Levothyroxine

Current Illness: None

ID: 1170485
Sex: F
Age: 38
State: CO

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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: Benadryl, penicillin

Symptom List: Tremor

Symptoms: 101.5 fever, six hours after Extreme lower back pain, five-six hours later Nausea, about six hours later I feel like I?ve been hit by a truck. Feels like the flu. Can only lay down with blankets.

Other Meds:

Current Illness:

ID: 1170486
Sex: F
Age: 60
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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: Levaquin

Symptom List: Erythema, Pruritus

Symptoms: Fever (100.6), Headache, Body Aches. Duration 24 hours.

Other Meds: Estradiol, progesterone, testosterone

Current Illness: None

ID: 1170487
Sex: F
Age: 68
State: CA

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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: NKDA

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

Symptoms: Patient was seen in the urgent care for rash all over body. Vaccine was not given by us.

Other Meds: omeprazole

Current Illness:

ID: 1170488
Sex: F
Age: 43
State: PA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 04/05/2021
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: Tinnitus of left ear

Other Meds: None

Current Illness: None

ID: 1170489
Sex: F
Age: 23
State: IL

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/05/2021
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: -Lactose Intolerant

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: -Fever, chills/feeling of being cold, fatigue, soreness of arm -Treated via taking Tylenol and Advil

Other Meds: -Metformin -Junel Fe -Armodafinil -Rexulti -Viibryd

Current Illness:

ID: 1170490
Sex: F
Age: 24
State: IN

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

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

Symptoms: At around 9:15 PM I started to feel nauseous and got out of bed to go to the bathroom. While using the bathroom I felt a very strong chill come over my whole body and started shivering and got directly back into bed and wrapped myself up in a thick blanket. For 45 minutes I laid wrapped up and was shivering constantly. At 10 pm I was brought extra blankets and a heating pad but moving to get situated caused dizziness. It was about 10:30 when the shivering stopped. I was able to sleep but got up to go got the bathroom around midnight and my entire body was drained of energy and I felt that I could barely stand and walk on my own. I was dizzy and my head hurt as well. I could barely hold my arms up to look at my phone briefly. Between 11 PM and 2 AM I had 5 or 6 high heart rate alerts (over 120) according to my Apple Watch but I did not wake up to them. In the morning (Sunday 4/4/21) around 9-10 am my head still hurt and my body was very achy and I felt very hungover. All day I continued to feel achy almost with a bad cold or a minor flu. Today has been better but I have still felt pretty drained. I?ve had continuous arm soreness in the arm I got the injection - but nothing too severe. 15 minutes after my vaccine on Saturday 4/3/21 I took 600 mg of ibuprofen and around midnight of that night I took 2 of pain relief PM acetaminophen (1000 mg of acetaminophen total snd 50 mg of diphenhydramine HCI total)

Other Meds: Ashlyna 20 mg dicyclomine once a day

Current Illness: N/A

ID: 1170491
Sex: F
Age: 63
State: CT

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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: Compazine, Reglan, doxycycline, peanuts, cats

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

Symptoms: Shingles. I'm not sure if the shot contributed to the breakout or expedited it but it was a very large breakout on Thursday on my left side causing me to go to my gynecologist. I thought I may have been getting a rash from my bra. I was advised by a family to report to vaers to see if the shot was related. I do not want to report any false information just wanted make you aware.

Other Meds: Crestor 20 mg 3 x week. Naproxen. Cyclobenzaprine 10 mg. Vitamins B6, C, D, Fish oil, One a Day women's vitamin.

Current Illness: Pulled muscle in back

ID: 1170492
Sex: F
Age: 52
State: MD

Vax Date: 03/31/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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 Percussets Oxycodone-Acetaminophen Lisinopril

Symptom List: Pain in extremity

Symptoms: I feel pain and weakness on my whole left side. Nausea Intermittent deafness on the left side Ears popping at times Numbness at times Headache Fatigue Sleeping Napping Lost trains of thought Lightheadedness

Other Meds: Losartan 100 mg - hydrochlorothiazide 25 mg tablet (all in one) Claritin 24 - Over the counter Biotin - 10,000 mg

Current Illness:

ID: 1170493
Sex: M
Age: 63
State: KY

Vax Date: 03/30/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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: Had first COVID vaccine dose in right deltoid 3/30/21. On 4/2/21 started having soreness in his back and right breast. Was seen in urgent care 4/3/21 after noticing some bumps, and was diagnosed with shingles (noted to be located in right shoulderblade area).

Other Meds: Metformin XR, gabapentin, atorvastatin, testosterone cypionate

Current Illness: None

ID: 1170494
Sex: F
Age: 41
State: NY

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/05/2021
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: NO

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

Symptoms: left arm muscle pain. lower fever, a litter headache.

Other Meds: NO

Current Illness: NO

ID: 1170495
Sex: F
Age: 19
State: FL

Vax Date: 03/17/2021
Onset Date: 04/01/2021
Rec V Date: 04/05/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Late period

Other Meds: Kyleena IUD

Current Illness: None

ID: 1170496
Sex: F
Age: 39
State: AZ

Vax Date: 03/29/2021
Onset Date: 04/05/2021
Rec V Date: 04/05/2021
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: Codeine

Symptom List: Vomiting

Symptoms: Itchy lump under the skin at injection site. Painful and tender when touched.

Other Meds: Omeprazole

Current Illness: Eczema

ID: 1170497
Sex: F
Age: 45
State: CO

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/05/2021
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: Citric acid

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Itchy tongue and throat. Hot flashes. Raised heart rate and blood pressure

Other Meds: Lisinopril

Current Illness: High blood pressure; SVT

ID: 1170498
Sex: F
Age: 65
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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: penisiline, peanuts

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

Symptoms: Second dose: Fever: 105 F. for 14 hours Headached 14 hours Sore, swaloow, stiff and red arm

Other Meds: high blood preasure cholesterol

Current Illness: none

ID: 1170499
Sex: F
Age: 58
State: LA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/05/2021
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: Aluminum when used as a preservative in an injection

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Approximately 18 hours after receiving the second Pfizer COVID-19 injection, I experienced chills, fever, extreme tiredness, and nausea. Approximately 24 hours after receiving the injection, I experienced swelling, extreme tenderness and slight pain under my left armpit. After about two days, I didn't experience symptoms any longer.

Other Meds: Vit B12, Vit D, Fiber

Current Illness: None

ID: 1170500
Sex: F
Age: 59
State: MI

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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: Terrible headache, body aches, slight fever, exhaustion for 2-3 days. kicked in about 20mhours after the vaccine shot. I had no problem with the first shot I received 3 weeks earlier but this one was difficult.

Other Meds: Paxil 10mg

Current Illness: None

ID: 1170501
Sex: F
Age: 36
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/05/2021
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: No

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

Symptoms: Started with slight nausea and loss of appetite. Within an hour turned into chills that became so violent I was shaking. Then fever (101.6) and body aches and headache. Fever and chills broke about 8 hours after symptoms started. Could not get out of bed due to aches and fatigue for 21 hours.

Other Meds: N/A

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm