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: 1178706
Sex: F
Age: 57
State: AZ

Vax Date: 03/29/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
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

Symptom List: Dysphagia, Epiglottitis

Symptoms: Large painful and itching rash on arm.

Other Meds: None

Current Illness: Nine

ID: 1178707
Sex: F
Age: 69
State: CA

Vax Date: 02/25/2021
Onset Date: 02/28/2021
Rec V Date: 04/07/2021
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 known

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe ringing and buzzing in the ears, nausea, headache, lightheaded, diarrhea, insomnia.

Other Meds: Irbesartan 150mg, Amlodipine 10mg, Atorvastatin 10mg, Rabrepazole 20mg (as needed) caltrate calcium supplements, vitamiD3 2000UI,

Current Illness: None

ID: 1178709
Sex: F
Age: 42
State: FL

Vax Date: 03/29/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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: Penicillin

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

Symptoms: Large, red, oval discoloration below injection site in arm. Hot, itchy, raised, can feel large lump under site. Day two, lump has gone down, itching has subsided, redness remains.

Other Meds: None

Current Illness: None

ID: 1178710
Sex: F
Age: 35
State: VA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Latex, gluten, dairy, rocephin, doxycycline, methylisothiazolinone, compazine, antihistamines, dilaudid, topamax, plavix, dapsone

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: STRONG metallic taste in mouth that began shortly after receiving the shot and has still not ceased 9 hours later. Confusion and general malaise.

Other Meds: Concerta, iron supplement, Sam-e, methylfolate, Botox for migraines, b12

Current Illness:

ID: 1178711
Sex: M
Age: 33
State: TN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Tylenol

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

Symptoms: Patient received a Janssen vaccine on 3-26-2021 and received a second Janssen vaccine today (4-7-2021).

Other Meds: Abilify 5mg qhs; Benadryl 100mg qhs; Celexa 40mg qhs

Current Illness:

ID: 1178712
Sex: M
Age: 59
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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: NKA

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

Symptoms: 1 vial of undiluted Pfizer-BioNTech Covid-19 Vaccine was administered to the patient. Patient was assess 30 minutes later, denies allergic reaction. A follow up call an hour later, to inform the patient of 1 vial undiluted vaccine given to the patient, denies pain or allergic reaction, Patient was told to go to the Hospital if not feeling well. Another follow up call 2x in the afternoon and patient denies allergic reaction. Another follow up call 4/7/21 AM and PM, patient still denies allergic reaction to the Covid vaccine but sour to the injected site.

Other Meds: Aspirin 81 mg, Atorvastatin 10 mg, Cyclobenzaprine 10 mg, Furosemide 80 mg, Hydralazine 50mg, Nifedipine 60 mg, Novolin R 10 units.

Current Illness: None

ID: 1178713
Sex: M
Age: 25
State: IL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever of 101.1 gradually developing over the evening, chills, headache.

Other Meds: Biotin supplement

Current Illness:

ID: 1178714
Sex: F
Age: 73
State: NM

Vax Date: 03/26/2021
Onset Date: 04/04/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Pharyngeal swelling

Symptoms: Red raised itchycrash 3" in diameter on injection site

Other Meds: None

Current Illness: None

ID: 1178715
Sex: F
Age: 60
State: IN

Vax Date: 03/16/2021
Onset Date: 03/31/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Na

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: On 3/31/21 woke with severe skin pain on entire left thigh. On 4/4/21 the pain continued and then there was a rash all around my thigh. The pain is still present and the rash has gotten worse. I went to my doctor on 4/6/21 and he says the event is caused by the vaccine. He said the symptoms resemble shingles but also varies from shingles.

Other Meds: Adderall, and antidepressant

Current Illness: None

ID: 1178716
Sex: F
Age: 27
State: TX

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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: Sharp breast pain and heavy chest pain. Rapid heart rate causing heavy breathing.

Other Meds:

Current Illness:

ID: 1178717
Sex: F
Age: 18
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfonamide

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

Symptoms: Pt had 2nd dose of covid vaccine moderna 1725. At 1735 pt complain of Dizziness and a little numbness on the right side. VS done BP 136/86, RR 16, HR 86, O2 sat 99% at RA. At 0540 Rash appeared on pt chest , PA notified, PA assess pt And rash begin to appear on pt neck and face, Verbal order of Benadryl 50 mg IM ordered by PA. Verbal orders from PA conveyed through department-approved policies and procedures. Given 50 mg Benadryl IM on pt right deltoid. Pt tolerated it well. 911 activated at 1740. PT BP 122/95, HR, 116, RR 16, O2 sat of 98 %. . 1745 911 on scene BP of 140/89 , HR 94, RR 17, O2 sat 98% at 2lpm via nasal canula. At 1750 Ambulance came and pt left with stable condition , rash getting better pt is alert oriented x4. Left clinic at 1750 with rig pt will go to ER. BP of 143/102, HR 83, RR 16 O2 sat 98% .

Other Meds: none

Current Illness: GENERALIZED ANXIETY DISORDER MIGRAINE EXERCISE INDUCED ASTHMA POSTTRAUMATIC STRESS DISORDER SUSPECTED CHILD ABUSE BMI PEDS 85-94.9 PERCENTILE FHX OF EARLY MI DYSMENORRHEA ATOPIC DERMATITIS FIBROCYSTIC CHANGE OF BILAT BREASTS NONCONTRACEPTIVE BIRTH CONTROL PILL FOR THERAPEUTIC EFFECT, SURVEILLANCE SYNCOPE ORTHOSTATIC HYPOTENSION IRON DEFICIENCY WO ANEMIA POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME GENERALIZED ANXIETY DISORDER MIGRAINE EXERCISE INDUCED ASTHMA POSTTRAUMATIC STRESS DISORDER SUSPECTED CHILD ABUSE BMI PEDS 85-94.9 PERCENTILE FHX OF EARLY MI DYSMENORRHEA ATOPIC DERMATITIS FIBROCYSTIC CHANGE OF BILAT BREASTS NONCONTRACEPTIVE BIRTH CONTROL PILL FOR THERAPEUTIC EFFECT, SURVEILLANCE SYNCOPE ORTHOSTATIC HYPOTENSION IRON DEFICIENCY WO ANEMIA POSTURAL ORTHOSTATIC TACHYCARDIA SYNDROME

ID: 1178718
Sex: M
Age: 48
State: GA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Experience headache and severe muscle/body aches

Other Meds: Adderal

Current Illness: None

ID: 1178719
Sex: F
Age: 35
State: MA

Vax Date: 03/20/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril

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

Symptoms: Extreme high blood pressure, uncontrolled by regular medications, continuing for many days

Other Meds: Hydrochlorothiazide, labetalol

Current Illness:

ID: 1178720
Sex: F
Age: 30
State: NC

Vax Date: 03/25/2021
Onset Date: 03/30/2021
Rec V Date: 04/07/2021
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 known

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

Symptoms: The injection site area was immediately swollen and stiff within hours of receiving the vaccine. That went away, but about 4-5 days after the vaccine, upper left arm became extremely hot, itchy, red, and swollen for about one week. Still is itchy despite swelling and redness going away. Also was very tired roughly in hours 36-48 hours after dose 1.

Other Meds: Iron supplement

Current Illness: None

ID: 1178721
Sex: F
Age: 43
State: OH

Vax Date: 01/20/2021
Onset Date: 02/05/2021
Rec V Date: 04/07/2021
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: Rash starting with both hands, spread to elbows knees ears. And progressed throughout entire body including arms legs abdomen, neck, back, feet. At 10 weeks after symptoms started, rash continues to persist

Other Meds: Coconut oil, collagen powder, keto powder

Current Illness: None

ID: 1178722
Sex: M
Age: 37
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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: Felt dizzy after 2 minutes of receiving the vaccine. I was sitting on a chair and I thought I'm gonna pass out. Felt better after 5 mins and completely normal after 10 mins.

Other Meds:

Current Illness:

ID: 1178723
Sex: F
Age: 45
State: MN

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 04/07/2021
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: quinolones, polysorbates, thyroid hormone, morphine

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

Symptoms: Patient had rapid heart rate and difficulty breathing.

Other Meds: Clindamycin gel 1%, Tretinoin 0.05% cream, spironolactone 50mg, Adderall xr 25mg,

Current Illness: none

ID: 1178724
Sex: F
Age: 73
State: AL

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/07/2021
Hospital: Y

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

Lab Data:

Allergies: Chlorhexidine oral rinse Erythromycin Augmentin Amoxicillin Clavulanic Acid Abreva

Symptom List: Ear pain, Hypoaesthesia

Symptoms: She received the shot the morning of 3/16/2021 at 830am. Starting about 9pm on 3/16/2021 her face started tingling. By 3am her face had started swelling on the left side. She took benadryl. By 9am on 3/17/2021 the left side of her face neck and lips was severely swollen from the cheekbone down to her throat. I took her to the emergency room. In the emergency room of on 3/17/2021 she was given benadryl, a steroid and pepcid through an IV. By the time we had been in the ER for an hour her tongue began to swell on the same side. The hospital admitted her overnight for observation because of concerns about the swelling in her tongue and throat. She was released from the hospital the next day and was prescribed a steroid and an antibiotic (doxycycline).

Other Meds: Chlorthalidone 25mg Esomeprazole 40mg Citalopram 10mg L-Thyroxine 88mcg Diltiazem 180mg Eliquis 5mg Rosuvastatin 20mg Metoprolol Succinate ER 25mg Benadryl

Current Illness: Reaction to Abreva 2 weeks prior to vaccine (swelling of lips) treated with antibiotics (doxycycline) and steroids.

ID: 1178725
Sex: F
Age: 68
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I was very cold but no fever, my hands and arms started shaking.. my body would tense up during these shakes then stop for about a minute and begin again... this lasted about 45minutes to an hour, even after I went to bed and was under several blankets. My arm at injection site is very sore.

Other Meds: Nothing

Current Illness: None

ID: 1178726
Sex: F
Age: 75
State: SC

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: ASA (rash), Tacrolimus (PRES), Latex (rash)

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

Symptoms: Right arm doubled in size. Red, edematous but not pitting edema.

Other Meds: AML meds: Acyclovir, zoloft, protonix, bactrim, Other meds lipitor, plavix, norvasc, toprol XL, folic acid,

Current Illness: No acute illnesses at the time of the vaccine

ID: 1178727
Sex: F
Age: 54
State: FL

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa Compazine

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

Symptoms: Had vaccine at 4:30 on on 3/29/21 and the next morning I noticed that I could not lift my head up off of the pillow to sit up. I had to roll to the side to get up. Also, I noticed that I could not lay down from a sitting position without my head flopping backward. My symptoms began to resolve on the eighth day post vaccine. I went to a neurologist and had an MRI which was normal. He ordered bloodwork which I have not done yet.

Other Meds: Plaquenil Myrbetriq Paxil Ativan (only at night) Amethia Lo Magnesium

Current Illness: None

ID: 1178728
Sex: M
Age: 61
State: TN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: Patient received a Janssen vaccine on 3-26-2021 and took another Janssen vaccine today (4-7-2021).

Other Meds: HCTZ 12.5mg qd; Paxil 20mg qhs; Remeron 30mg qhs

Current Illness:

ID: 1178729
Sex: F
Age: 57
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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: Passed out, threw up myself while passed out went into convulsions. Ambulance/EMTs were called.

Other Meds: bupropion hcl 150mg desvenlafaxin 100 mg pantoprazole 40 mg

Current Illness: stomach ulcers

ID: 1178730
Sex: F
Age: 19
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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: Pineapple

Symptom List: Injection site pain, Pain

Symptoms: Entire left half of body went numb 20 min after injection has continued to stay numb now 4 hours after injection

Other Meds: Bupropion XL 450 mg, Montelukast 10 mg, Spironolactone 50 mg, januvia 50 mg, topiramate 50 mg , nurtec 75 mg

Current Illness:

ID: 1178731
Sex: F
Age: 34
State: IL

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: seasonal

Symptom List: Injection site pain, Menorrhagia

Symptoms: I got tinnitus. My ears started ringing shortly after the shot. 4 days later my left ear rings 3-4 times an hour loudly, otherwise it is low level ringing. I got mild vertigo and dizziness for a few days. I feel okay but I don't see this side effect listed anywhere so I thought I would report it.

Other Meds: propranolol lamictal zyrtec cranberry

Current Illness:

ID: 1178732
Sex: F
Age: 42
State: AZ

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 04/07/2021
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: At 9pm on 3/6 felt fatigued and went to bed. Awoke at 11 pm with nausea, severe muscle pains, inability to breathe. Crawled back to bed and had fatigue until night of 3/7. Had a temp off 100.7 in the morning of 3/7 that was gone within 2 hours. On 3/8, started waking up to neuralgia in both hands with hands burning and inability to grasp objects. Since 3/8 (continues to this day) this has continued almost nightly and now occurs during the day along with major muscle aches and pain and stiffness in neck all the way down to the back.

Other Meds: Flo vitamins

Current Illness: None

ID: 1178733
Sex: F
Age: 33
State: CA

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/07/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: pt was vaccinated with covid 19 vaccine (Janssen brand) at 04:52p.m given intramuscular at left arm administered by CP. At 04:54pm pt reported being nauseous and light headed and sweaty. RN assisted pt and checked vital signs BP 80/ 50 mmhg, PR 62,, RR 20, T 97.2 Oxygen saturation is 100% at room air. EoA on sight assessed pt, no SOB noted. No Chest pain. Pt is alert oriented to self, time, location and date. Initial interventions done. Pt was assisted im a laying position safely with legs elevated. Every 15 minutes vitals check done and recorded. Pt verbalized that she gets anxious with needles and haven't eaten anything for lunch yet. Pt refused to call 911. Pt BP was. Checked at 05:13pm and it was 110/70mmhg PR 74bpm, RR 16, t 97.2 and Oxygen saturation of 100%. Pt was gradually placed in a sitting positioned and reported feeling way better. NO more complai nts of dizziness or nausea. Pt was given health teaching about expected side effects and when to call advise nurse or 911. Pt is discharged with no complaints. Stated she appreciated us for our immediate care for her. Pt was assisted to the car with 2 friends driving her home. Incident was reported to nurse provider. RN.

Other Meds: none

Current Illness: none

ID: 1178734
Sex: F
Age: 56
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Milk protein

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Throat and chest tightness and respiratory distress within 10 minutes after vaccine while sitting in car after vaccine. Nurse and EMT evaluated patient who could not talk. IM Epinephrine 0.3 mg administered in thigh. patient monitored on site for 1 hour, symptoms resolved, and patient drove home. She called Dr office later in the day- patient's allergist. Another Dr was covering her Dr's messages this week while her Dr is away.

Other Meds: Medications; Aspirin 81mg Tab; Lorazepam (ATIVAN) 0.5mg Tab; sertraline (ZOLOFT) 100mg Tab; albuterol (PROAIR HFA, PROVENTIL HFA, VENTOLIN HFA) 108 (90 Base) MCG/ACT Oral Inhaler; mometasone/formoterol (DULERA) 200mcg/5mcg Oral Inhaler; Mo

Current Illness: None

ID: 1178735
Sex: F
Age: 36
State: VA

Vax Date: 03/27/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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: Swelling, itcing, rash and redness in the exact spot of vaccination, and the whole arm hurts and feels very heavy

Other Meds: None

Current Illness: None

ID: 1178736
Sex: F
Age: 42
State: TX

Vax Date: 04/04/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
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: Fever -102, chills, weakness, tired, headache

Other Meds:

Current Illness:

ID: 1178737
Sex: F
Age: 64
State: PR

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain

Symptoms: Headaches; swelling of the face, hands , ankles. Swelling of the veins , veins sprouted

Other Meds: Levothyroxine, Lisonopril

Current Illness:

ID: 1178739
Sex: F
Age: 27
State: NC

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: NSAIDs

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

Symptoms: Moderna arm- rash, redness and itching near site of injection, Fatigue and bodyache, Swollen and painful lymph nodes in armpit

Other Meds: Vitamin D or B complex

Current Illness: N/A

ID: 1178740
Sex: F
Age: 37
State: NY

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
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: No allergies

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

Symptoms: Site injection pain, low grade fever, chills, headache, chest pain

Other Meds: None

Current Illness: Ear pain

ID: 1178741
Sex: F
Age: 29
State: MO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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, MORPHINE

Symptom List: Tremor

Symptoms: HIVES - BENADRYL (LIQUID SUSPENSION) 5O MG - HIVES GONE WITHIN 2 HOURS

Other Meds: VITAMIN D, PRENATAL VITAMINS

Current Illness: PREGNANCY (MISCARRIAGE ON 3/22)

ID: 1178742
Sex: F
Age: 58
State: DC

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/07/2021
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: Erythema, Pruritus

Symptoms: rash on my arms, chest, breasts, stomach and lower back.

Other Meds: symbicort, montekulast, ventolin

Current Illness:

ID: 1178743
Sex: F
Age: 38
State: MO

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 04/07/2021
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:

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

Symptoms: Woke up day after vaccination with very dry lips. Over a 3 day period they became severely chapped, dry, cracking, peeling, itchy, soreness. Medicated lip bam caused very uncomfortable stinging and itching. I used a non medicated, natural lip lip balm constantly up until about 3/10/2021, when they started to feel a bit better. Received 2nd dose of Pfizer/BioNTech vaccine, same location, same appt time, Lot #EN6207 on 3/13/2021. The next day, 3/14/2021, my lips started to rapidly become very chapped, dry and irritated again. This time I had swelling and broken skin. I continued using the same lip balm consistently until 4/6/2021, when they started to feel better again. Today, 4/7/2021, my lips are almost back to normal. I have never experienced an issue like this in my life, that I can recall. Just a major discomfort and inconvenience, and I haven?t heard of this anywhere.

Other Meds:

Current Illness:

ID: 1178744
Sex: F
Age: 86
State: FL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 04/07/2021
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: NKA

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

Symptoms: Patient reports experiencing the muscle soreness in the L deltoid muscle along with some general fatigue. She also informs you that she had ?loss of vision in her right eye? that developed 1-2 days after she received the injection, but her vision returned to normal in about 24 hours

Other Meds: brinzolamide 1% ophthalmic - instill 1 drop OU TID atorvastatin 40 mg tab - 1 PO qHS furosemide 40 mg tab - 1 PO qAM lisinopril/HCTZ 20/12.5 mg tab - 1 PO qAM

Current Illness: NA

ID: 1178745
Sex: F
Age: 24
State: KY

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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: Tinnitus that developed in both ears, stuffy sensation in right ear, also mild stinging pain in back of throat that developed a few hours after dose

Other Meds: Loratadine, midol, ibuprofen

Current Illness: Seasonal allergies, note: this does not normally cause tinnitus

ID: 1178746
Sex: F
Age: 32
State: WY

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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: N/A

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

Symptoms: Starting 16 hours after injection: body/joint aches, nausea, dehydration, headache, hot and cold flashes, mental slowness/fog and the injection site pain got much worse. These lasted for another 12 hours and then started getting better. 17 hours after symptoms started, all that remains is mild body and joint aches. I have taken ibuprofen for pain control every 4 hours.

Other Meds: TriNessa - birth control Claritin - Allergies/Hay fever

Current Illness: None

ID: 1178747
Sex: F
Age: 51
State: CA

Vax Date: 03/17/2021
Onset Date: 03/23/2021
Rec V Date: 04/07/2021
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 and penicillin

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

Symptoms: Swollen and painful lymph nodes on side of vaccine was administered.

Other Meds: Ibrance, Letrozole, Morphine

Current Illness:

ID: 1178748
Sex: M
Age: 50
State: PA

Vax Date: 03/20/2021
Onset Date: 03/24/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List: Pain in extremity

Symptoms: Tinnitus, vertigo

Other Meds: Colestipol, b12, vitamin d, multivitamin, Zyrtec

Current Illness:

ID: 1178749
Sex: F
Age: 64
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Patient was given Pfizer first time, stated he got Moderna, and was given Moderna for 2nd dose.

Other Meds:

Current Illness:

ID: 1178750
Sex: M
Age: 50
State: OH

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/07/2021
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: NKDA

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

Symptoms: Patient received his Dose 1 vaccine, while sitting during the post-vaccine monitoring period, patient started to become dizzy. This led to him falling out of the chair he was waiting in. All happened within ~5 minutes after getting the immunization.

Other Meds: Unknown

Current Illness: Unknown

ID: 1178751
Sex: F
Age: 65
State: TN

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 04/07/2021
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: Penicillin

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

Symptoms: on the morning of the 9th (3:00 am approx.) I woke up with the back of my left elbow itching and there were welts there. It spread to my other elbow and to the inside of my knees. I went to Urgent Care in and was given a steroid shot and prescribed a round of steroid pills. Took as directed. However, by the 13th (Saturday), I was much worse as the hives had spread to my stomach and up and down both legs and arms. Received a second steroid shot and completed the steroid pills. Was off all medication and supplements beginning March 18th due to a scheduled colonoscopy on the 25th. Prior to my second COVID shot on the 21st, the hives began to abate. However, on the same day as the second COVID shot, the hives worsened. I was unable to take any medication because of the colonoscopy and had scheduled an appointment with the allergist. I only used oatmeal soap, cortisone cream, and itch defense lotion to attempt to alleviate my symptoms. I am now taking Zyrtec in the morning and two doxepin 25MG each evening. That is working and the welts have abated. One interesting side effect of all this is I am no longer gluten intolerant - I'm not complaining.

Other Meds: Zyrtec, Flonase, calcium, magnesium, collagen, turmeric, biotin, fish oil

Current Illness: none

ID: 1178752
Sex: F
Age: 39
State: NJ

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Levaquin, Augmentin

Symptom List: Vomiting

Symptoms: Chills, fever, muscle and joint pain, pain at injection site, exhaustion, headache, nausea, feeling like going to pass out, hard to breathe, fluttery feeling in chest / palpitations

Other Meds: Plaquenil

Current Illness: None

ID: 1178753
Sex: F
Age: 46
State: OK

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
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: UNKNOWN - HOWEVER PATIENT REPORTED ALLERGIC REACTION TO "ALL VACCINATIONS" THAT HAVE BEEN ADMINISTERED

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: PATIENT DEVELOPED RED SPLOTCHES ON NECK AND FACE, COMPLAINED OF ITCHING, GIVEN 2 DOSES OF 25MG BENADRYL ORAL (50MG TOTAL), THEN REQUESTED TRANSPORT TO HOSPITAL VIA AMBULANCE

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1178754
Sex: M
Age: 30
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Patient became light headed and fainted for a few seconds about 8 minutes after receiving the vaccine.

Other Meds: clonazepam

Current Illness:

ID: 1178755
Sex: F
Age: 50
State: IL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/07/2021
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: Cipro and testosterone

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Soreness at site of injection, dizziness, nausea, fatigue

Other Meds: Vitamins

Current Illness: None

ID: 1178756
Sex: F
Age: 71
State: CA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa-rash

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

Symptoms: Neuropathy in arm after vaccination

Other Meds: Too many to write

Current Illness: history of covid-19, h/o pulmonary embolism, DM, HTN, hypothyoroidism, obesity, GERD, h/o alcohol dependence

ID: 1178757
Sex: M
Age: 36
State: CA

Vax Date: 03/11/2021
Onset Date: 03/20/2021
Rec V Date: 04/07/2021
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: Had an extremely sore arm the next day after the shot. Nine days after first shot, in the afternoon suddenly started feeling faint, dizzy/vertigo, fatigue, and heart palpitations strong enough to make me cough from the pressure drop.

Other Meds: None.

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm