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: 1182914
Sex: F
Age: 44
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: throat swelling, tongue swelling

Other Meds: N/A

Current Illness: NONE

ID: 1182915
Sex: M
Age: 39
State:

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Arm pain, elevated temperature 99.5, head ache, light sensitivity. I couldn?t work or sleep and had to stay in a dark room the entire day after

Other Meds: None

Current Illness: None

ID: 1182916
Sex: M
Age: 43
State: WI

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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-RASH

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

Symptoms: PATIENT RECIEVED VACCINE 9:49 AM, MOVED TO POST VACCINATION AREA. BECAME DIZZY AND FAINT, WAS MOVED TO FLOOR FROM CHAIR. PASSED OUT AT 9:50 AM. CAME AROUND 9:55AM WITH NAUSEA THAT DID NOT RESULT IN VOMITTING. PATIENT SAT FOR AN ADDITIONAL 30 MINUTES WITH WIFE UNTIL FELT FINE TO LEAVE POST VACCINATION AREA AROUND 10:30AM. NO INJURY RESULTED. PATIENT ADMITTED AFTER VACCINATION THAT THIS IS A COMMON REACTION TO VACCINATION AND NEEDLES IN GENERAL.

Other Meds:

Current Illness:

ID: 1182917
Sex: F
Age: 56
State: MO

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

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

Lab Data:

Allergies: Ibuprofen, Trazodone, Amoxicillin, Cephalosporins, Benadryl Oranges, Spinach

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Minutes after receiving the vaccine, the patient broke out in a rash. The rash spread throughout her body. She did not have any other symptoms. Baseline vitals were taken, all normal except for elevated BP. Patient seemed normal cognitively. Patient stayed around for 30 minutes but did not progress symptomatically. She was escorted home by her husband.

Other Meds: Levothyroxine 0.375mg, Sertraline 200mg, MVI, Calcium Citrate

Current Illness: n/a

ID: 1182918
Sex: M
Age: 31
State: TX

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: was diagnosed with high-frequency hearing loss and tinnitus BEFORE vaccine. My tinnitus was not bad the day of or had flared up before taking the vaccine. 1-2 days after having the first dosage of the vaccine I noticed my tinnitus was a lot worse, more noticeable, extremely high pitched, and unbearable for most of the time, on top of the "sickness" and "sore arm" symptoms. This lasted a couple of days (about 3-4 days) after the vaccine. This also happened for the second dose I received on 4/1/21. I did check in my symptoms on the v-check application (first dose only).

Other Meds: hCG injections anastrozole

Current Illness: low testosterone High-frequency hearing loss tinnitus

ID: 1182919
Sex: M
Age: 62
State: KY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
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: flu shot, and tetanus

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

Symptoms: Fever, muscle aches, weakness, injection site and right wrist hurt for 48 hours

Other Meds: no

Current Illness: Afib, tooth extraction,

ID: 1182920
Sex: M
Age: 62
State: MD

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/08/2021
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: sore arm to touch and move at injection site for 2 days

Other Meds: multiple vitamin, vitamin c 2000mg, vitamin d 2000iu, coenzyme q10 100mg, glucosamine and chondroiten sulfate 500mg, probiotic, metagenics phytoganics

Current Illness: none

ID: 1182921
Sex: M
Age: 28
State: NC

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

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

Lab Data:

Allergies: NO

Symptom List: Pharyngeal swelling

Symptoms: Initial symptoms included fatigue, chills, fever, mild aches (quad, hip flexor), and mild headache. Required additional clothing due to chills without improved symptoms. Fever progressed to highest at 104 degrees. Required additional effort for moving in bed and short household distances. Progressed to extreme fatigue, mild nausea, and extreme dyspnea ("very deliberate breathing" "I felt like if I didn't concentrate on my breathing I would just stop breathing"). Noticed increased restlessness and increased discomfort. Took 400 mg ibuprofen and after ~30 minutes there was a gradual decrease in symptoms, particularly fever and dyspnea. Symptoms resolved after taking ibuprofen. 24 hours following initial symptoms onset, noted to have fever (101 degrees), achiness return, face was flush, and transient chills/sweats.

Other Meds: NO

Current Illness: NO

ID: 1182922
Sex: F
Age: 39
State: WA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient received a Pfizer shot on 3/12/21 as her first COVID vaccination. on 4/8/21, she received Moderna as the 2nd shot in the series. Upon leaving the clinic, the patient had not experienced any reported adverse events.

Other Meds:

Current Illness:

ID: 1182923
Sex: M
Age: 43
State: RI

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Numbness on left side, mainly in lips, tongue, face and arm. No treatment sought. Seems to have resolved next day.

Other Meds: None

Current Illness: None

ID: 1182924
Sex: F
Age: 29
State: AL

Vax Date: 03/29/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Warmth and redness at injection site. Fatigue.

Other Meds: Birth control

Current Illness: None

ID: 1182925
Sex: F
Age: 39
State: KS

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: swollen red arm at the injection site. Aprox. 4 inches in diameter appeared on day 2 after receiving the vaccine. Achy, headache, tired, and thirsty aprox. 12-16 hours after injection. Symptoms subsided aprox. 24 hours after showing.

Other Meds: Vitamin D Zyrtec Allergy

Current Illness: None

ID: 1182926
Sex: F
Age: 61
State: MD

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

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

Lab Data:

Allergies: N/A

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

Symptoms: Pt. developed difficulty breathing and dizziness 10 min after receiving the vaccine. 1 dose of EpiPen 0.3mg auto-injector was administered by the pharmacist. 911 was called and pt. transferred to hospital for treatment. we checked on the pt. she was discharged from the hospital, she stated that she received IV antihistamine and steroids.

Other Meds: N/A

Current Illness: N/A

ID: 1182927
Sex: M
Age: 17
State: AK

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient arrived at Covid Vaccine Clinic for his 2nd dose of Covid Vaccine. It was discovered upon arrival that he was 17 and was presenting for his 2nd dose of Moderna. Chart review revealed he had received Moderna dose 1 on 3/10/21. Patient reported no issues with Moderna dose 1 and stated understanding of why we were reviewing appropriateness of dose 2 for him. Discussed case with Dr. Dr supported patient receiving dose 2 of Moderna and cited the CDC reference ?If age 16 to 17 years and a vaccine other than Pfizer-BioNTech was inadvertently administered: If Moderna vaccine administered as the first dose, may administer Moderna vaccine as the second dose (as off-label use, because Moderna vaccine is not authorized in this age group0

Other Meds:

Current Illness:

ID: 1182928
Sex: F
Age: 39
State: CA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: at 9 pm after getting J and J covid vaccine, started getting a fast heart rate aound 130bpm, some shortness of breath and tingling. seen by me in urgent care next day, EKG with juntional tachycardia, sent to ED

Other Meds: multivitamin

Current Illness: none

ID: 1182929
Sex: F
Age: 43
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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 provided information regarding history of asthma, previous allergic reations to animal, perfume, dust, pollen. Also, reported anxiety when she see needle or syringe. When staff asked patient whether she is comfortable to complete her vaccination, patient replied that as long as she do not see the procedure she will be fine. After vaccine administration patient reported discomfort in her throat. Dr. and EMT team were notified. Patient's vital signs were BP 116/72 HR 103 O2 98% RR 18. Patient was monitored for forty minutes, no medications were administered. Patient left in stable condition (vita signs BP 121/70, HR 95, O2 99% RR 18). No hospitalization required.

Other Meds:

Current Illness:

ID: 1182930
Sex: F
Age: 25
State: IL

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

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

Symptoms: PATIENT COMPLAINED OF TERRIBLE SORENESS IN ALL OF HER JOINTS

Other Meds:

Current Illness:

ID: 1182931
Sex: F
Age: 43
State: WA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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, Erthymiocin, Tegratol, Lamictal, bee stings

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Could feel that I went into AFIB about 10 minutes after shot administration. Nearly 5 hours later at time of submitting this report I am still in AFIB.

Other Meds: Oxycodone, Metoprolol, Levothyroxine, Buspirone, Bupropion, Clonidine, Simvastatin, Spironolactone, Quetiapine, Pantoprazole, K-Tab, Acyclovir, Gabapentin, Furosemide, Melatonin, multivitamin, Vitamin C, Calcium, Magnesium, Zinc

Current Illness:

ID: 1182932
Sex: F
Age: 33
State: LA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
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: Hives/welps/open wounds about 30 mins after shot. Still today have hives that itch on neck and face with blistering welps (4/8/21). Covid arm very painful still today.

Other Meds: None

Current Illness: None

ID: 1182933
Sex: F
Age: 59
State: VA

Vax Date: 01/04/2021
Onset Date: 01/28/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: No known allergies to medication, food or other substances.

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

Symptoms: Fever and chills, night sweats, and myalgias / arthralgias following both Moderna vaccines (within weeks) and lasting more than a week each time. Also nausea, diarrhea, and one episode of vomiting.

Other Meds: calcium, vitamin D, glucosamine, multivitamin

Current Illness: First Moderna injection 01/04/21. Symptoms started 24 days later and lasted 38 days. Second Moderna injection 02/11/21. Symptoms started 11 days later and lasted 4 days. Had 20 days symptom free , then started again and lasted 8 days.

ID: 1182934
Sex: M
Age: 20
State: WA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Headaches,Back Pain, Chills down my body, Dizziness

Other Meds: none

Current Illness: none

ID: 1182935
Sex: M
Age: 40
State:

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Unevaluable event

Symptoms: bump on tip of tongue. unsure of it was there before. no numb, no tingle, no angioedema, no sob, no stridor. no acute distress. declined further assistance and ER.

Other Meds:

Current Illness:

ID: 1182936
Sex: F
Age: 62
State: OH

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Fever (1.5 to 3.5 degrees fever) for at least 24 hours following the 2nd dose of vaccine, muscular body aches, joints aching, headache, inability to work or conduct normal activities

Other Meds: Estradiol, calcium, vitamin D, vitamin C

Current Illness: None

ID: 1182937
Sex: M
Age: 36
State: IN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/08/2021
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: 103.5 temp for first 4 days. Coughing and chest congestion. Blood with coughing. Urgent Care administered XRay, and listened to lungs, was told unusual sounds coming from bottom of left lung. Temp stayed 102-102.5 even after taking 600 mg ibuprofen for every 6 hours. It has been almost 2 weeks, temp is now 99.4-100.

Other Meds: None

Current Illness: None

ID: 1182938
Sex: F
Age: 22
State: NC

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Blueberries

Symptom List: Injection site pain, Menorrhagia

Symptoms: Severe nausea and vomiting for 12 hours. Extreme fatigue that lasted 24 hours. High fever (over 100) that's lasted about 36 hours.

Other Meds: Birth Control

Current Illness: None

ID: 1182939
Sex: F
Age: 34
State: WI

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Only to environmental factors such as grass, trees, pets

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

Symptoms: Fever, chills, nausea, worst headache I have ever had, body aches, fatigue

Other Meds: Oral birth control, fluoxetine

Current Illness: None

ID: 1182940
Sex: F
Age: 57
State: TN

Vax Date: 03/30/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Mango, Mold, Feathers, Codeine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: April 8, 2021 (9 days after 1st dose of Moderna Covid-19 vaccine), I saw a large, red rash/discoloration at the site of my vaccine injections. Discoloration is oval in shape, longer vertically than horizontally, and around 3 inches by 2 inches. The rash/discoloration is hard to the touch, slightly painful, but does not itch or hurt in any signicant way.

Other Meds: Claritin, Benedryl, Women's Multi-Vitamin, Fish Oil supplement, Liver supplement

Current Illness: None.

ID: 1182941
Sex: M
Age: 47
State: PR

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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 Declared

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient stated he was feeling "heavy", dizzy, nauseated and feeling chills prior to fainting. Once he was attended to, he was evaluated and taken to the local SEARHC ER. He was released a few hours later when his symptoms resolved. This patient had worked over two weeks straight with Herring as a seafood processor with little sleep and exhaustion.

Other Meds: None Declared

Current Illness: None Declared

ID: 1182942
Sex: M
Age: 27
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Pollen

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

Symptoms: Dizziness, fatigue, light-headedness, aches, dull pains throughout body, and difficulty composing thoughts

Other Meds: None

Current Illness: None

ID: 1182943
Sex: F
Age: 22
State: FL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Complained of throat swelling and discomfort. Benadryl 50 mg given IM. Placed on 2L of O2. Symptoms improved with Benadryl. Patient transported via ambulance to Medical Center.

Other Meds:

Current Illness:

ID: 1182944
Sex: F
Age: 38
State: MD

Vax Date: 03/28/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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: Injection site pain

Symptoms: Red, itchy bumps on palms like hand foot and mouth, but no fever. Then some around toes and on feet. Woke up next morning with pox on both thighs, but no itching there. Rash has spread to backs of hands, further up feet. Thighs still don't itch. Bumps on hands and feet are painful now.

Other Meds: none

Current Illness: maybe some seasonal allergies

ID: 1182945
Sex: F
Age: 46
State: NY

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Massive nose bleed with a huge blood clot to follow. Went to urgent care but it had stopped by then so they sent me home and told me if it happened again to go to ER. I haven?t had a nosebleed in years so it was scary to get it the day after my vaccine. The nose bleed lasted about 10 minutes and was very strong once the clot came through it slowed down and then stopped and did not return again.

Other Meds: Collagen peptides, organic barley juice, maca powder, kelp, chia powder, spirulina,nutramin gummies, up4 probiotic, hair skin nails gummies, vegan b12 gummies

Current Illness:

ID: 1182946
Sex: F
Age: 28
State: SC

Vax Date: 03/16/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: None known

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

Symptoms: Tinnitus (ringing in left ear)

Other Meds: Unknown

Current Illness:

ID: 1182947
Sex: M
Age: 62
State: FL

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/08/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: After receiving the first Moderna vaccination in my Left arm, I started feeling pain in the area of the vaccination site on the evening of 03/22/21. As time progressed I started to realize I was losing all motion in my arm and weakness on my entire left side of my body, but assumed this was a side-effect of the vaccination . I was not concerned until my wife alarmed me in the morning when she looked at me and noticed the left side of my face drooped and had that I had difficulty standing, no balance, little use of my left leg and no use of my left arm and hand. At that point, 7:00am 03/23/21, my wife drove me to the ER. I was admitted and an inpatient for 15 days including PT/OT/ST therapies at the hospital for Stroke.

Other Meds: Metformin, Chlorthalidone, Amlodipine, Ezetimibe, Glimiperide, Metoprolol, Clopidogrel,Ramipril,Bayer Low Dose, Vitamin D3

Current Illness: None

ID: 1182948
Sex: F
Age: 34
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Erythema, Pruritus

Symptoms: Diarrhea, start 4/6/2021 at 10pm stop: 04/07/2021 at 12AM Fatigue start: 04/07/2021 at 09AM; stop: 04/07/2021 at 2PM

Other Meds: Nifedipine Escitalopram Metformin

Current Illness: N/A

ID: 1182949
Sex: M
Age: 22
State: TX

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Peanuts, sulfites

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

Symptoms: I began to have tremors throughout my whole body after getting the vaccine both times, the first time it lasted for probably about 2-3 weeks. At one point it got so bad that I visited the ER but got no results.

Other Meds: Zyrtec, singular, sertraline, advair, flonase, hydroxyzine

Current Illness:

ID: 1182951
Sex: F
Age: 44
State:

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Brain fog, forgetfulness

Other Meds:

Current Illness:

ID: 1182952
Sex: F
Age: 35
State: ND

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
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: Sesame

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever, chills, sweating, fatigue, headache -48 hrs Muscle aches, fatigue, brain fog - still happening since

Other Meds: Hydroxychloroquine, sulfasalasine, sertraline

Current Illness: Possible Sinus infection

ID: 1182953
Sex: F
Age: 38
State: PA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sleeplessness, severe headache and body aches, pain at the site of injection, fatigue/lethargy, muscle soreness, sweats/chills

Other Meds:

Current Illness:

ID: 1182954
Sex: F
Age: 37
State: TN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Latex

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

Symptoms: Swollen lip, intense muscle and joint pain

Other Meds: Allegra, vitamin d, multi vitamin

Current Illness:

ID: 1182955
Sex: F
Age: 65
State: SC

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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, Sulphur drugs

Symptom List: Pain in extremity

Symptoms: Itching, skin, scalp, ears, flushed skin

Other Meds: D3, B12. Garlic. Allegra D

Current Illness: None

ID: 1182956
Sex: M
Age: 56
State: NM

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

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

Lab Data:

Allergies: denied all

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

Symptoms: Pt had a syncopal or near syncopal episode after vaccine, which he stated was normal after any needle. But this time he had chest pain with the syncopal episode which he stated has never happened. Pt was assessed by ems cew and transport via ambulance

Other Meds: lisinopril and a "statin"

Current Illness: denied

ID: 1182957
Sex: F
Age: 37
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Percocet

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

Symptoms: Janssen COVID-19 Vaccine EUA - headache- lasted for 10 hours; comes and goes still. *Taking Tylenol - nausea- lasted for 1-2 hours (no vomiting) -racing heartbeat- lasted 15-20 minutes around 3pm -Numbness, tingling, "feeling of freezing" finger tips and toes- lasted for 1-2 hours - Body chills- still on-going - feeling dehydrated- on-going still. *Drinking Liquid IV and lots of Water - 102 temperature at 9:30pm on 4/7- lasted for 1 hour. *Took Tylenol -Feeling of vertigo/cloudy head- happens occasionally

Other Meds: Lexapro

Current Illness:

ID: 1182958
Sex: M
Age: 17
State: OR

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: patient will turn 18 in june 2021 but was given the moderna vaccine

Other Meds:

Current Illness:

ID: 1182959
Sex: F
Age: 62
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: None

Symptom List: Vomiting

Symptoms: About 4-6 minutes after receiving the vaccine my mouth got watery, after another minute I started to dry heeve for about 5 minutes.

Other Meds: Too many to list in the time frame given

Current Illness: No

ID: 1182960
Sex: F
Age: 68
State: SC

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
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: Sulfa Losartan Adhesive Glue

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Muscle aches, fever to 103 degrees, flu like symptoms, headache, chills, night sweats, pain at injection site with bruising, redness,itching, raised swelling right upper arm, tightness and warmth at redness,unable to raise arm to shoulder height without discomfort at arm; some soreness at axillary lymph nodes bilateral arms

Other Meds: Calquence, Synthroid, BystolicAmlodipine Estradiol AREDS II

Current Illness: Chronic lymphocytic leukemia, Hypothyroidism, Hypertension

ID: 1182961
Sex: M
Age: 68
State: CA

Vax Date: 04/01/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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: Penicillin Aspirin

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

Symptoms: Low grade fever, body aches, lethargy, chills and chest cough. Fever and chills are gone, but cough and muscle ache below and around right shoulder blade still persist. Some lethargy also continues.

Other Meds: Finestride Tramadol Omeprazole Vitamin E Vitamin D3

Current Illness: Erythrocytes is Hepatocellular Carcinoma Cancer (Liver) NAFLD

ID: 1182962
Sex: M
Age: 31
State: MI

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Extremely lethargic, sore throat, chills, achiness, nausea, dizziness, congestion, runny nose, burning sensation in lungs, coughing, asthma attack, swollen lymph node under arm with injection

Other Meds: None

Current Illness: None

ID: 1182963
Sex: F
Age: 22
State: CA

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

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

Lab Data:

Allergies: No known allergies

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

Symptoms: About 5 minutes after receiving vaccine, patient experienced diffuse hives on upper torso (chest & back) and bilateral upper arms (more pronounced on injection site arm). Patient did not have any signs of increased work of breathing, swelling, or respiratory distress. MD was called to assess patient. Per MD, 50mg Benadryl PO was administered. About 30 minutes after Benadryl was given, hives had improved and patient also verbalized that she felt better. In total, patient was monitored for close to an hour after Benadryl was given. Vitals were stable, and patient was cleared by MD to leave. Patient was instructed not to drive home, so her mother picked her up.

Other Meds: Birth control

Current Illness:

ID: 1182964
Sex: F
Age: 38
State: LA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
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: Wellbutrin

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

Symptoms: Injection site; pain, redness, swelling, rash, itching, rash intensified over three days after vaccine.

Other Meds: Midodrine Metaprolol tartrate Prozac

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm