VAERS 2021 Database www.vaers.hhs.gov

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






Manufacturers

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

Incidents per State

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

Date Died: 04/03/2021

ID: 1197398
Sex: M
Age: 74
State:

Vax Date: 02/19/2021
Onset Date: 04/03/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Death Narrative: Patient with h/o metastatic lung CA-he was already on hospice at time of 1st and second COVID-19 vaccines.

Other Meds:

Current Illness:

Date Died: 03/20/2021

ID: 1197556
Sex: M
Age: 75
State:

Vax Date: 02/14/2021
Onset Date: 03/20/2021
Rec V Date: 04/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: cardiac arrest Narrative: Patient received dose 2 series of Moderna COVID-19 vaccine. First dose was received on 1/17/21 and second dose received 2/14/21. After both doses patient was observed for 15 minutes and did not have any adverse reaction per administering RN. No data in database or database as to any other adverse events occurring 15 minutes post-vaccination. On 3/20/21, EMS was called to patient's home who was discovered on the floor with an unknown breathing status and pulse. AED was attached to the patient. A very weak pulse was found and patient had agonal respirations. Cardiac monitor was attached to patient with a HR of 32. 1mg of atropine was administered and patient's rhythm changed to PEA with no respirations or pulse. Per patient's wife and son, he was a DNR, therefore all resuscitation attempts were stopped (patient was never admitted to the hospital). Patient was never known to be previously positive to COVID. PMH that may have predisposed patient to this adverse event leading to death include h/o DVT on chronic anticoagulation, COPD, and abdominal aortic aneurysm. There is insufficient information to determine the exact cause of death or what led to the cardiac arrest given that the time from last vaccination to the adverse event was almost a month apart.

Other Meds:

Current Illness:

Date Died: 03/25/2021

ID: 1197557
Sex: M
Age: 80
State:

Vax Date: 01/28/2021
Onset Date: 03/25/2021
Rec V Date: 04/09/2021
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:

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

Symptoms: Death Narrative: already reported VAER for hospitalization on 3/3; the patient subsequently died once transferred to SNF

Other Meds:

Current Illness:

ID: 1300073
Sex: F
Age: 57
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: tongue paresthesia Narrative: Immediately following administration of first dose of Pfizer COVID19 vaccine, patient reported pruritus, bumps on sides of R then L neck, and tingling/stinging sensation of the R side of her tongue without swelling of tongue/lips elsewhere. Patient took personal supply of diphenhydramine 50mg and was transported to ED for further evaluation. Upon arrival to ED, no additional symptoms reported. She denied any areas of urticaria/hives at that time and stated the neck is the only area of rash she noted, and she currently has pruritus only around the neck area and still notes small bumps. Her tongue felt improved but not normal and she denied any tongue/oral swelling, wheezing, dyspnea, chest pain, syncope, LH, palpitations, confusion, n/v/d/abd pain HA, focal neurological complaints, seizures, or any other acute symptoms. Patient had an extensive history of multiple other allergies. Diagnosis included early angioedema and second dose not recommended by ED provider. Methylprednisolone and famotidine administered in ED. Patient discharged from ED with prednisone and famotidine. Previously prescribed epinephrine for anaphylactic seafood allergy.

Other Meds:

Current Illness:

ID: 1342726
Sex: M
Age: 75
State: LA

Vax Date: 03/20/2021
Onset Date:
Rec V Date: 04/09/2021
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:

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

Symptoms: Patient presented to Medical Center ED on 4/1/2021 with complaint of 2 day history of bilateral upper and lower extremity weakness that is increasing. Patient had received Covid vaccine 12 days ago and had a self-limited 3 day diarrheal illness 1 week ago. Admitted to hospital, diagnosed with Guillain-Barre, and has undergone plasmapheresis. As of 4/8/2021, patient is showing signs of improvement with movement of his lower extremities.

Other Meds:

Current Illness:

ID: 1381470
Sex: M
Age: 36
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/09/2021
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: shrimp, beer, ibuprofen, tetracyclin

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

Symptoms: Before I gave the vaccine to patient, I asked if he had why allergy or allergic reaction to any vaccine , and his was "No". I asked if he has any health condition that we should be aware off, his answer is "No". patient did not mention that he passed out (fainted) before after his blood drawn 10 years ago until after the incident. (after receiving covid vaccine). Patient refused us to call ambulance or medical help. Patient was told to sit down and was offered some water to drink. I asked if patient was OK, he said he was ok. I told patient to let his family member know to pick him up in case he cannot drive home.

Other Meds:

Current Illness: N/A

ID: 1188425
Sex: M
Age: 20
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: No

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Started with headache, full body aches, then chills, nausea, loss of appetite, then 101.1?F fever (after taking 300mg Tylenol). Generally fatigue, depressed mood & irritation

Other Meds: Vitamin C, D3, and multivitamins

Current Illness: No

ID: 1188426
Sex: M
Age: 44
State: KY

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: High grade fever that lasted for 32 hours total and peaked at 103.5. Severe cold chills that led to involuntary convulsions. Body aches that last for three days. Extreme fatigue.

Other Meds: None

Current Illness: None

ID: 1188427
Sex: M
Age: 75
State: CA

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Thimerosal

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Approximately 48 hours after receiving the vaccine, I developed a full body rash, some hives and itching. It covered arms, legs and torso with the worst discomfort in the groin area. (Wife described area affected as a map of the lymph system.) Rash continued for three days at which time I contacted my doctor who told me during a video office visit it would probably go away in a few days and it did without treatment of any kind.

Other Meds: Metoprolol, Olmesartan (Benicar), Omeprazole, Multivitamins

Current Illness:

ID: 1188428
Sex: F
Age: 22
State: IL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever, chills, sweating, nausea, headache, pain at injection site, fatigue. Symptoms started a few hours after the injection and have continued for at least 24 hours. I still have symptoms at the time I'm filling this out.

Other Meds: Sertraline and citrizine

Current Illness: None

ID: 1188429
Sex: M
Age: 64
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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 known.

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

Symptoms: Developed fever 10 hours after injection that peaked at 103.0 about 15 hours after injection accompanied by sore left arm, body aches and chills. No nausea. Mitigated fever with Acetaminophen. Fever gradually reduced to normal at about 45 hours after injection.

Other Meds: Latanoprost eye drops. Over-the-counter multi-vitamin. Over the counter B-complex. Over the counter Niacin. Over the counter fiber.

Current Illness: None.

ID: 1188430
Sex: F
Age: 57
State: IN

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/10/2021
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: Swelling and pain in my upper left arm the next day after the first shot received. Also some redness, and itching. Today is 8 days later and there?s still a small lump under the skin, with itching.

Other Meds: Fish oil capsules twice per day, Xiidra eye drops twice per day, Pataway allergy eye drops twice per day, vitamin D, Multivitamin for women over 50, Zyrtec allergy medication one per day.

Current Illness: None

ID: 1188431
Sex: F
Age: 38
State: MN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Tired, sore joints, headache, dizzy, started period one week AFTER finishing my last cycle.

Other Meds: Iron supplement, prolisec, zoloft

Current Illness: None

ID: 1188432
Sex: F
Age: 39
State: PR

Vax Date: 03/09/2021
Onset Date: 04/05/2021
Rec V Date: 04/10/2021
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: no

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

Symptoms: Headache on the right side of the head, tingling on the right side of the face, facial paralysis, loss of sense of taste,

Other Meds: no

Current Illness: no

ID: 1188433
Sex: F
Age: 23
State: MO

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Severe shaking and chills at 9:30pm. Very quick onset, and transient episodes. Fever related with chills.

Other Meds: Birth control pill

Current Illness: None

ID: 1188434
Sex: M
Age: 25
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Mild diarrhea.

Other Meds: None this day

Current Illness: None

ID: 1188435
Sex: F
Age: 36
State:

Vax Date: 01/07/2021
Onset Date: 03/05/2021
Rec V Date: 04/10/2021
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: Shellfish

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

Symptoms: Moving severe joint pain. Has been occurring almost daily and requiring ibuprofen to reduce pain. It moves to a new site every couple days, seems random or occasionally if that area is overworked.

Other Meds: None

Current Illness: None

ID: 1188436
Sex: F
Age: 30
State: FL

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Hand went numb. Fingers felt like they were asleep. Now my ring and pinky fingers feel tingly and/or numb depending on how much movement of my hand I do.

Other Meds: Loseasonique 25 mg Sertraline

Current Illness:

ID: 1188437
Sex: M
Age: 30
State: CA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Vomiting several times Fever for 48 hours Severe Body aches Chills I was taking Tylenol every 6 hours round the clock but was miserable for roughly 36-48 hours

Other Meds: Prednisone: 3 milligrams

Current Illness:

ID: 1188438
Sex: F
Age: 60
State: NY

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/10/2021
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: Arm became swollen and red. It had a large hard area that was approx. 4" by 4" in size. It was hot and itchy.

Other Meds: Luvox, Advil

Current Illness: none

ID: 1188439
Sex: F
Age: 48
State: MD

Vax Date: 04/03/2021
Onset Date: 04/04/2021
Rec V Date: 04/10/2021
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: Allergic to Codeine.

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

Symptoms: Nausea, tiredness, chills, muscle aches, dizziness, frequent shooting pains, mild diarrhea, headaches, injection site pain, and my skin would hurt intensely if someone touched it. The latter, and the shooting pains were a shock. The symptoms were so severe that, if they were much worse, I really think I would need hospitalization. My heart hurt a little, I guess because it is a muscle, and I was experiencing muscle pain.

Other Meds: Cetirizine 10 mg, Protonix 40 mg, L-Carnitine, Vitamin B-12, Vitamin B-2, Vitamin B-6, Biotin, Centrum multivitamin, Fish Oil 2400 mg, Vitamin D3 Gummies, 100mcg, Acetyl L-Carnitine 400 mg, Alpha Lipoic Acid 200 mg, Potassium Gluconate 90mg

Current Illness: None.

ID: 1188441
Sex: F
Age: 43
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/10/2021
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: Severe headache and earache

Other Meds: Hypertensive medsNKDA

Current Illness: Hypertension

ID: 1188442
Sex: F
Age: 20
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: Jansen COVID-19 Vaccine EUA

Other Meds:

Current Illness:

ID: 1188443
Sex: F
Age: 23
State: MO

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: N/A

Symptom List: Injection site pain, Pain

Symptoms: I was perfectly fine after I got my shot (yay)! But then, I started around 9:30 PM when I was talking to my husband getting severe shaking/chills to the point where everything was shaking uncontrollably. I am also very weak, feel very cold, and have a headache. Pulse according to watch is 104 bpm. It is 11:00 pm now and I still have these symptoms. Warm blankets help.

Other Meds: Multivitamin, spironolactone 100mg for acne

Current Illness: N/A

ID: 1188444
Sex: F
Age: 35
State: UT

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

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Severe headache started almost immediately after injection, followed by numbness down arm of injection and nausea and lack of appetite. Several hours after injection body aches and extreme fatigue. 12 hours after injection restlessness, chills, sweats, body shaking that lasted for an hour. Severe headache and pain at injection site lasted over 48 hours. Started with 800mg ibuprofen almost immediately after injection and onset of headache, and then continued to alternate 1000mg acetaminophen and 800mg ibuprofen for 48 hours after injection.

Other Meds: None

Current Illness: None

ID: 1188445
Sex: M
Age: 27
State: CA

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/10/2021
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:

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

Symptoms: On 04/04/21, around 11 AM, the customer walked in for his COVID vaccine appointment. After registering for the vaccine , the patient sat in the designated area and one of our immunizing technicians administered the vaccine while I was observing and I left the immunization area while my technician was finishing up cleaning. When the patient asked the immunizing technician a question about side effects, she offered him to talk to the pharmacist at the consultation window. While I was assisting the next customer, I heard a loud sound and saw the customer collapsing on the floor. I ran outside and checked his pulse, and asked to call 911. He was conscious and breathing. I went inside the pharmacy to get EpiPen and informed the customer that I will be administering EpiPen, but he denied it. In the meantime, the immunizing technician was already on hold with 911 and informed that they are on the way. The customers in the waiting area also kept him engaged and were watching him if he is alert. The store manager on duty was also in the pharmacy area. I came inside the pharmacy and offered the patient a chair to sit in. Paramedics arrived in a few minutes to transport him to the hospital. The patient came back to the pharmacy around 2:30PM to collect his immunization card and when I inquired about how he is doing, the patient informed me that he is feeling more better and the ER determined that there was no allergic reaction to the vaccine but the patient most likely stood up too quickly after the vaccine was administered.

Other Meds:

Current Illness:

ID: 1188446
Sex: F
Age: 37
State: FL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Amoxicillin, cashews

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 9am- dizziness and nauseous 10:30am-12:00pm- vomiting, dizziness, fatigue 12:00pm-5:00pm- fatigue, dizziness, nausea 5:00pm-5:00am- fever ranging from 101.5-102, body aches, dizziness, fatigue

Other Meds: Vitamin D, women?s multivitamin, tumeric, and medical marijuana

Current Illness: None

ID: 1188447
Sex: F
Age: 46
State: FL

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Skin Rash very immflammed & itchy- Cortisone 10

Other Meds: Losartan potassium 50mg tab Sumatriptan Succ 100 mg

Current Illness: None

ID: 1188448
Sex: M
Age: 54
State: OH

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Within an hour started feeling weird. over the course of the next 36 hours, my reaction to the vaccine is awful. Worse than my covid. At least I know my body is doing what it is supposed to be doing. But it is just miserable. Massive headache, soreness, weird shooting pains in my leg, sweats and chills and nausea, and now the racing heart and shortness of breath.

Other Meds: Valsartan, Cleritin

Current Illness: none

ID: 1188449
Sex: F
Age: 35
State: CA

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

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

Lab Data:

Allergies: Gluten

Symptom List: Nausea

Symptoms: Immediately after I felt this rush come all over my body. Followed by shortness of breath, dizziness, cold hand and sweaty plams I felt like I was going to faint. It stayed like that for over an hour, it kept coming in waves of dizziness, shortness of breath, low blood pressure and a racing heart 120

Other Meds: Valerian for sleep Various herbal teas and remedies in the lead up to the vaccine

Current Illness: Was held at gunpoint so started having panic attacks

ID: 1188450
Sex: F
Age: 20
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Jansen COVID-19 Vaccine EUA was given to me on 04/09/21 and later in the evening of 04/09/21 I started to feel sore in my arms and legs and did feel tired but not very tired but I don?t know if it?s from the vaccine because I came back from a walk when it started to happen.

Other Meds:

Current Illness:

ID: 1188451
Sex: M
Age: 30
State: WI

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Red rash on left arm at the location where the vaccine was delivered. Noticed it about a week after receiving my first vaccine.

Other Meds:

Current Illness:

ID: 1188452
Sex: F
Age: 37
State: CA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Pollen

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

Symptoms: Breakthrough bleeding - similar to period

Other Meds: Birth control

Current Illness:

ID: 1188453
Sex: M
Age: 62
State: IN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Fever, nausea, headache, light headed

Other Meds: None

Current Illness: None

ID: 1188454
Sex: F
Age: 48
State: NJ

Vax Date: 01/12/2021
Onset Date: 03/29/2021
Rec V Date: 04/10/2021
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: Mobic

Symptom List: Erythema, Pruritus

Symptoms: Increase in my ANA titer... will be following up with a rheumatologist . No new symptoms. ANA has never been this high so thinking it is vaccine related.

Other Meds: None

Current Illness: None

ID: 1188455
Sex: F
Age: 55
State: AK

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/10/2021
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: Shellfish, both consumed and inhaled vapors resulting in Anaphylaxis Naltrexone Hydrocodone Penicillin

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

Symptoms: Severe headache onset one minute after vaccine administered-reported to nurse. Lasted 8 hours, by 1 week daily but less severe. Nausea and dizziness began 15 minutes after dosage and has lasted seven days so far. Passed out and needed help standing twice during week. Low blood pressures 88/62, HR 42. Symptoms continue presently.

Other Meds: Trazodone, Lyrica, Methadone, Lorazepam, Naproxen Sodium, Vitamin B-12 via injection, Vitamin D, Advil Dual Action

Current Illness: None

ID: 1188456
Sex: F
Age: 31
State: NV

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

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

Symptoms: Soreness at injection site (days 1~3), redness at injection site (Covid Arm) (starting 4/9)

Other Meds: Seroquel, Wellbutrin, Hydroxyzine, Aleve

Current Illness:

ID: 1188457
Sex: F
Age: 21
State: IN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Day 1- sore arm within 1 hr....8 hrs-vomiting and fever 9hrs through rest of night-vomiting Day 2-vomiting all day Day 3- fine all day until 11 PM-vomiting continues

Other Meds: Birth control

Current Illness: None

ID: 1188458
Sex: F
Age: 45
State: NY

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: metronidazole - anaphylaxis

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

Symptoms: myalgias, fever to 101, and fatigue approx 6 hours after administration. Abdominal pain throughout the night. The next day around 3pm the patient developed severe, diffuse crippling abdominal pain, 10/10, while walking in the park. EMS was alerted by her husband because she was unable to get up or move from the spot due to pain. He gave her Pecid AC and by the time EMS arrived she was doing much better.

Other Meds: seroquel 50mg QHS, rifaximin (completing a 2-week course), methylfolate 400mg daily, Pepcid AC prn

Current Illness:

ID: 1188459
Sex: F
Age: 44
State: CA

Vax Date: 03/29/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Na

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

Symptoms: Large red raised rash on left arm. Warm and painful to the touch.

Other Meds: Lexapro Briviact Metformin

Current Illness: No

ID: 1188460
Sex: M
Age: 57
State: CA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pain in extremity

Symptoms: Chills, muscle and joint pain, headache, dizziness/fainted, headache, light nausea

Other Meds: Wellbutrin Ambien Clonazepam Alfusozin Muliti-vitamin

Current Illness: None

ID: 1188461
Sex: M
Age: 23
State: GA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: I got a few blood spots in my inner elbow region soon after and I wasn't sure if it was related. Also, I normally don't bruise easily but I got a bruise on my right top part of thigh 2 days after.

Other Meds: None

Current Illness: None

ID: 1188462
Sex: F
Age: 75
State: UT

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 04/10/2021
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: sulfa

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

Symptoms: Woke up on the 4th day after the shot and all the muscles hurt every where even in the jaw. The following days it left the jaw area and went to extreme muscle ache in arms, shoulders, back of legs, and bottom of the feet. Feeling cold and chills also started on the 4th day after the shot, all of it is still continuing. Dr, has put me on Celebrex 200mg twice a day. (so far no relief).

Other Meds: vitamin D 50000 units, lotensin 40ml, synthroid .125 mcg

Current Illness: none

ID: 1188463
Sex: M
Age: 26
State: NY

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Terrible chills, fever of 101, extreme fatigue, significant joint pain, splitting headache and nausea and inability to sleep peacefully for 36 hours

Other Meds: None

Current Illness: None

ID: 1188464
Sex: F
Age: 50
State: NC

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/10/2021
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: I am sensitive to many medications in the antidepressant class and mood stabilizers I take the Flu vaccine every year and I react within minutes with hot swollen arm but passes within days

Symptom List: Vomiting

Symptoms: Arm vaccine given swollen and red and hot, had fever 100-102 within hours for 5 days, joints hurt, shakes to point of not able to pick up glass of water, headache, extreme thirst, extreme tiredness and sleepy. I had vaccine on Wed. and had all of these symptoms until I stopped my Lithium Sunday and by Wed. I was feeling better. I drank as much water as I could and restarted my Lithium due to the side effects I had from stopping and I no vaccine issues today 4/9/2021 my issues from medication is starting to settle down. I only stopped the Lithium which is 600mg a day - I take 4 pills that are 150mg each.

Other Meds: Wellbutrin, Lithium, Synthroid, Zebata, Ativan, Valium

Current Illness: none

ID: 1188465
Sex: F
Age: 52
State: WI

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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: When I woke up the next morning after my second does of Moderna, I got my period. I haven?t gotten it in two years due to menopause. Very odd that I got it after so long, and the day after my vaccine. Just more FYI for your public records.

Other Meds: Multi vitamin, calcium, vitamin C, Vitamin D, melatonin 15 mg, citalopram 20mg

Current Illness:

ID: 1188466
Sex: F
Age: 27
State: MO

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: N/A

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

Symptoms: Extremely cold and uncontrollable shaking. Lasted around 30 minutes.

Other Meds: N/A

Current Illness: N/A

ID: 1188467
Sex: M
Age: 18
State: IN

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

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

Lab Data:

Allergies: Penicillin, Omoxacillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: High Fever, chills, aches, nausea, lack of stability

Other Meds: Minocyline, Tretinoin, Clydaminicin

Current Illness: Sinus drainage from allergies

ID: 1188468
Sex: M
Age: 26
State: OR

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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, Cephalosporin

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

Symptoms: Rash/Hives on body

Other Meds: Vitamin D, Vitamin C

Current Illness: None

ID: 1188469
Sex: M
Age: 61
State: AZ

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 04/10/2021
Hospital: Y

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: March 26, 2021: One week to the day after receiving my second dose of the Pfizer COVID19 vaccine, my right eye suddenly had double vision and facial pain behind the right eye and all around the right eye (forehead, right temple, around to under the right eye on the cheek). The right eye would not move correctly. March 27, 2021: I went to see Optometrist. He performed an eye exam with dilation and stated that the right eye was slow to track, and that the nerve behind the right eye was inflamed. He recommended blood work, CT scan, and an MRI. March 27, 2021 ? March 28, 2021: We went to ER at 9:00pm. After waiting six hours, I finally was able to see an ER doctor. No medical history was taken. No bloodwork was done. ER Dr performed a CT scan as Dr requested. CT scan w/o contrast showed no masses or hemorrhages. ER suggested to follow-up with Nuerology. March 29, 2021: Went to Neurologist and he examined me. He called in another Dr for a second opinion. They stated that it may be a possible cranial nerve palsy and ordered multiple MRIs. March 29, 2021: The earliest MRI appointment available was April 7, 2021. Scheduled the MRI. April 1, 2021: Had blood drawn at lab as Dr requested. April 2, 2021: Two weeks from the day of COVID19 vaccine #2, my right eyelid would not open at all and the pain was getting worse. April 5, 2021: Went to ER at 4:30am. Triage nurse sent me straight to an ER room and within minutes an ER doctor was there. Within 15 minutes after seeing the ER doctor, a Neurologist was examining me. The nuero doctor was very thorough. While waiting for the MRI, other neurologists and residents also examined me. MRI scans with and without contrast were performed. MRI images were clear ? no tumors, no aneurisms, and no stroke. They concluded that it was a micro-vascular injury to cranial nerve #3. (Similar to the Bells Palsy that I had in 2015.) They prescribed gabapentin to help calm the nerve pain. Follow-up will be with nuero-ophthalmologist.

Other Meds: Lisinopril 20 mg

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm