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: 1190084
Sex: M
Age: 17
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: PATIENT IS 17 YEARS OLD. RECEIVED MODERNA COVID 19 VACCIN 1ST DOSE ON 03/01/2021 AND SECOND DOSE 04/09/2021. PATIENT NONVERBAL WITH CONGENITAL HEART DIAGNOSES AND RISPROAROTY DIAGONSES. PATIENT DISABLED AND QUALIFIES FOR CATEGORY 1B. FOLLOWED UP WITH MOTHER, PATINET HASNOT HAD ANY ADVERSE REACTIONS TO EITHER DOSE. MOTHER STATES SHE WILL CONTINUE TO MONITOR AND CONTACT HIS DOCTOR IF THERE ARE ANY CONCERNS.

Other Meds:

Current Illness:

ID: 1190085
Sex: M
Age: 35
State: NY

Vax Date: 03/06/2021
Onset Date: 03/29/2021
Rec V Date: 04/10/2021
Hospital: Y

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

Lab Data:

Allergies: Ct contrast

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe fever. Chills. Nausea. Dizzy. Confusion. Weak fever high of 105.3, stiff neck and super high liver blood count.

Other Meds:

Current Illness:

ID: 1190086
Sex: F
Age: 19
State: CA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: About 4 hours after injection, I had strong chills that lasted 1-2 hours, a strong headache, full body aching/pain particularly in low back, legs, shoulders, and a 100 F fever. All symptoms except chills lasted throughout the night until now (8:15 AM). Currently have strong lower back pain, weakness in legs, headache, and a sore injection arm.

Other Meds: Iron, Vitamin B12

Current Illness: None

ID: 1190087
Sex: F
Age: 66
State: PA

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

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

Lab Data:

Allergies: Aspirin, ibuprofen, sulfa, flagyl

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swelling of neck from chin down the middle of neck. About 1 1/2 inches wide. Both sides of jaw muscles got tight from each ear to the chin.

Other Meds: Amlodipine, metoprol, loratadine, vitamin d, probiotic

Current Illness: None

ID: 1190088
Sex: M
Age: 33
State: MN

Vax Date: 03/30/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, sulfonamide, caseine, lactose intolerance

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

Symptoms: First three days (Tuesday night to Friday evening): Chills, fever, nausea, headache, pain in left arm First five days: night sweats, sore left arm, slight redness around previous BCG injection site 10 days after injection: slight redness around BCG injection site returned, and area is somewhat itchy, swollen and sensitive

Other Meds: Seretide, Ventolin

Current Illness:

ID: 1190089
Sex: F
Age: 44
State: DE

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

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

Symptoms: Extreme dizziness, virtigo, chills, body aches, headache

Other Meds: Levothyroxine

Current Illness: Na

ID: 1190090
Sex: F
Age: 48
State: GA

Vax Date: 04/01/2021
Onset Date: 04/10/2021
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: Honey bees, Acetaminophen

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: On day 10, I woke up with a heated red patch 2 /38? x 2? that was not previously there.

Other Meds: Magnesium

Current Illness:

ID: 1190091
Sex: F
Age: 49
State: NY

Vax Date: 04/08/2021
Onset Date: 04/10/2021
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: Flat, red rash across chest. Not itchy or painful. Low fever, myalgia, headache, fatigue also experienced the day after vaccination.

Other Meds: Probiotic and evening primrose oil (1300 mg) daily

Current Illness: None

ID: 1190092
Sex: F
Age: 59
State: SC

Vax Date: 03/23/2021
Onset Date: 03/24/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Immediate sore arm, shortly there after some swelling and redness. 20 hours later chills, fatigue and fever of 102 degrees. Took pain reliever and fever reducer, and within 6 hours fever and chills were gone. Fatigues subsided shortly there after. Soreness of arm and swelling gravited 6? below injection site and lasted 5 days.

Other Meds: None

Current Illness: None

ID: 1190093
Sex: F
Age: 39
State:

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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 4/10/2021 Patient was observed post Covid-19 immunization for 15 minutes . During the observation period, she experienced an adverse reaction with the following symptoms: dizziness. Assessment : Time of assessment 1005. Alert and oriented and Anxious. Actions taken: Vitals sign taken VAERS form obtained and completed by RN. VS 1005a- BP-143/114 P- 104, O2- 100% jiuce given as patient reports that she has had only apple, recheck VS - BP- 137/103, patient reports that she has HTN and has not taken her meds today. Medications administered: No medication administered. Disposition: Reports no further symptoms of adverse reaction after observation for 30 minutes. Discharged home. The Patient was provided with Vaccine Information Sheet and instruction to access the V-Safe system. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 4/10/2021 9:54 AM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: EW0162 NDC: 59267-1000-2

Other Meds:

Current Illness:

ID: 1190094
Sex: F
Age: 72
State: AL

Vax Date: 03/02/2021
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: Severe aching pain near injection area. Pain is so severe I can?t tell if it?s in my shoulder joint or if it?s the muscle just below there m

Other Meds: Pravastatin, atenolol, Tresiba, azathioprene, potassium chloride, olmesartin (amlodipine, HCTZ combo), celecoxib, zinc, B12,

Current Illness: None

ID: 1190095
Sex: F
Age: 25
State: MD

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Patient received vaccine. Approximately 10 minutes later, fainted. She fell out of her chair in the waiting area and hit her head on the ground. Ambulance was called and she was transported to hospital.

Other Meds:

Current Illness:

ID: 1190096
Sex: F
Age: 31
State: NY

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: Reglan, Penicillin, Vancomycin, Erythromycin, Opioids

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

Symptoms: Client was vaccinated next to EMT ambulance due to prior allergic reactions and medical history. Approximately 3 minutes after vaccination, client reported onset of throat tightening and proceeded to progress to a full anaphylactic reaction, with stridor and respiratory distress. At one minute after onset of symptoms, patient was administered 0.3 mL epinephrine IM in the left deltoid, and was transferred to a gurney and then into the rig, where oxygen was applied via non-rebreather mask at 12L/min, and vital signs were taken with a HR of 96 and BP of 146/113. Respirations were stridorous and approximately 40-60. SaO2 after oxygen was high 90's. Within the next 3-5 minutes, stridor lessened and client appeared more comfortable and gave a "thumbs up sign". IM Benadryl was given at approximately 8 minutes post onset. A second transport ambulance from Medical Center was requested at onset of symptoms and arrived shortly after the dose of Benadryl. Stridor was minimal and vital signs were HR 95, BP 123/78, with improved respirations, minimal stridor, no accessory muscle use and good air entry. SaO2 was 100% on oxygen. IV attempt was unsuccessful by local EMT and patient was transferred to the second team for further care and transport to the Medical Center.

Other Meds: Lamotrigine and a second anti-seizure medication

Current Illness: None

ID: 1190097
Sex: F
Age: 65
State: SC

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Codeine..Compazine.. Demerol...Dilaudid..Prednisone..Ibuprofen..Diovan..Amoxicillin...Phenergan

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

Symptoms: Fever 100.3..red..swollen arm..area size 6x5.raised..dark appearance..painful to move

Other Meds: Toprolol 50 mg PO q d Lasix 20 mg PO q d Tylenol 500 mg PO prn

Current Illness: SOB

ID: 1190099
Sex: F
Age: 78
State: TN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
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: codeine, wheat, egg white, coconut, barley, green tea, peanuts, cashews, pistachios, hazelnuts

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

Symptoms: Extremely sick with vertigo, nausea, headache, runny nose, mild fever. Sicker than I've ever been in my life. Couldn't even stand up.

Other Meds: atenolol, amlodipine-besylate, simvastatin, flunsisolide, tizandine, loratatdine, biotin, bilberry, fish oil, pseudoephedrine, it. B12, Vit. D3, Multi vitamin,

Current Illness:

ID: 1190100
Sex: F
Age: 73
State: KY

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: swelling, red, itching for 4 days

Other Meds: Levothyroxine

Current Illness:

ID: 1190101
Sex: F
Age: 33
State:

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

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

Symptoms: Sore arm, chills, muscle aches, back pain, fatigue all within 1 day after shot. Metallic taste in mouth immediately following injection and still lingering 3 days later.

Other Meds:

Current Illness:

ID: 1190102
Sex: F
Age: 57
State: MI

Vax Date: 04/07/2021
Onset Date: 04/08/2021
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: Tree nuts, peanuts, argon oil, lidocaine, Benadryl, levaquin, neomycin, bacitracin, trumped, proses fat, xantac

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills, nausea, fever, headache, body aches: resolved in 24 hours Arm rash in vaccinated arm, not resolved as of today

Other Meds: Allegra, Flonase, alvesco, simethicone, docusate sodium, vitamin D

Current Illness:

ID: 1190103
Sex: F
Age: 40
State: NC

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fever, chills, and general flu like symptoms for 48 hours For fist 24 hours, severe muscle cramps throughout body

Other Meds: Lexapro Addrrall

Current Illness: None

ID: 1190104
Sex: F
Age: 40
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: PCN, Levaquin

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

Symptoms: 1/5/21: coughing, hoarse voice 1/6/21: increased anxiety, nausea, episode of dizziness, coughing, later in the day itching . Severe itching in the evening. 1/7/21: Redness on skin / hives, increased anxiety, tightness in throat, coughing - went to ER 1/8/21: Previous symptoms continued, along with tongue swelling. Went back to the ER. 1/9/21 + days symptoms continued.

Other Meds: N/A

Current Illness: N/A

ID: 1190105
Sex: F
Age: 48
State: OR

Vax Date: 04/02/2021
Onset Date: 04/03/2021
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: None

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

Symptoms: Tinnitus in both ears began the following morning after my first dose of the Pfizer vaccination.

Other Meds: None

Current Illness: None

ID: 1190106
Sex: F
Age: 53
State: IN

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: LA

Lab Data:

Allergies: No

Symptom List: Unevaluable event

Symptoms: Very weak and tired. Slept for over 24 hours. Pain all over body

Other Meds: Yes

Current Illness: No

ID: 1190107
Sex: F
Age: 40
State: GA

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: LA

Lab Data:

Allergies: N.A.

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

Symptoms: 2 hours after injection I had blurred vision, which led to a migraine. Prior to the vaccine, I haven't had a migraine in over 10 years. While having blurred vision, sat down with tea and lost my sense of taste and could not taste anything until my vision got back to normal. (approximately an hour later.) I took Ibuprofen as soon as blurred vision started. Next morning I woke up to mouth sores all over the inside of my mouth.

Other Meds: Vitamin D

Current Illness: N.A.

ID: 1190108
Sex: F
Age: 39
State: VA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
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: Allergt to Vicodin

Symptom List: Injection site pain, Pain

Symptoms: Sudden fatigue, chills, severe body aches, neck stiffness, shakiness, sweating, dizziness, nausea, weakness, pale in color. Subsided in approximately 24 hours.

Other Meds: Metformin, Zyrtec, Omeprazole, Vitamin D3, Iron, Hair/skin/nails vitamin, Calcium/magnesium/zinc vitamin, Turmeric

Current Illness: None

ID: 1190109
Sex: F
Age: 49
State: IL

Vax Date: 03/27/2021
Onset Date: 04/08/2021
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: Shellfish Seasonal allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: It has been 2 weeks and the area where I received the shot is still painful, red, hard and hot to the touch.

Other Meds: Januvia Metformin Lipitor Lisinopril Armour thyroid

Current Illness: None

ID: 1190110
Sex: M
Age: 62
State: FL

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: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: joint ache all over, headache and the following morning I woke conjested and coughing

Other Meds: One a day multi-vitamin Glucosamine/Chondroitin 1500mg/1200mg

Current Illness: none

ID: 1190112
Sex: F
Age: 36
State: CO

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: Dairy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Fever of 3+ degrees F, body aches, 10lbs+ water weight gained in one day, severe left arm pain to the point of tears if arm needed to be moved (carried in a sling for 24 hours). Extreme fatigue, unable to attempt normal ADLs, dizziness, brain fog, joint pain (worst in wrists, ankles, knees, hips and neck).

Other Meds: Strattera 80mg daily, Cymbalta 60mg daily, Vit D3 5000 IU daily

Current Illness: n/a

ID: 1190113
Sex: F
Age: 44
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: Seasonal allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Dizziness

Other Meds: None

Current Illness: None

ID: 1190114
Sex: F
Age: 46
State: GA

Vax Date: 03/30/2021
Onset Date: 04/01/2021
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: Vicadin reaction 15 years ago

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

Symptoms: I started an off cycle period that has never happened before and it lasted longer than usual

Other Meds: None

Current Illness: None

ID: 1190115
Sex: F
Age: 19
State: IN

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:

Symptom List: Nausea

Symptoms: Patient fainted immediately after vaccination.

Other Meds:

Current Illness:

ID: 1190116
Sex: F
Age: 63
State: VA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: Nuts, morphine, demoral & losartin

Symptom List: Injection site pain

Symptoms: Blood glucose 158 mg/dL; Blood pressure 177/102 mmHg; Heart rate 92 bpm, Sp02 98%; Per spouse her head, arms, and chest hurt; arms have itching and tingling. Client's spouse reports she had a similar reaction and it is "less than last time" and was recommended by her PCP to receive a dose of Janssen instead of a second dose of the Moderna (received 1st dose on 01/16/21 Moderna 013L20A).

Other Meds: Metformin, glomeric, HCTZ, coreg, potassium, norvasc

Current Illness:

ID: 1190117
Sex: F
Age: 64
State:

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: bell peppers, all sweet peppers, celery

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

Symptoms: yesterday had the second dose of the pfizer vaccine, 22 days after the first. i had no reaction to the first other than slight discomfort at the injection site the next day, like any other vaccination. This morning i awoke feeling fine, other than a similar discomfort as to the first dose. However I saw on my left arm, in which i rec'd the injection, that nowhave an odd, streaky deep purple rash or bruise about 9cm at the longest point, 2.5cm width. It is not sore to the touch but have never had anything like it.

Other Meds: levothyroxine

Current Illness: none

ID: 1190118
Sex: F
Age: 61
State: OH

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Seasonal allergies to dust and tree pollen.

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

Symptoms: 24 hours of intense chills/fever, headache, sore muscles, shaking, dizzy, nausea, fatigue that I could not get out of bed, shaking so bad I thought about going to ER. After all that subsided, fatigue, headache, sore arm, overall muscle fatigue/soreness. Sore arm for 4 days. I will not do this again.

Other Meds: Claritin or Zyrtec, but not taken the day of vaccination.

Current Illness: None

ID: 1190119
Sex: F
Age: 50
State: NM

Vax Date: 03/31/2021
Onset Date: 04/10/2021
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: Amoxicillin, penicillin, sulfa, tree nuts,

Symptom List: Tremor

Symptoms: Right arm where vaccine was given is red

Other Meds: Omeprazole, bone-up, turmeric, echinacea, b-12, collagen peptides

Current Illness:

ID: 1190120
Sex: F
Age: 44
State: IL

Vax Date: 01/21/2021
Onset Date: 01/22/2021
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: Erythema, Pruritus

Symptoms: 103.5 fever, chills, sweats for 36 hours; not back to normal for 48-72 hours

Other Meds: none

Current Illness: none

ID: 1190121
Sex: M
Age: 33
State: KS

Vax Date: 03/14/2021
Onset Date: 03/14/2021
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: No known allergies

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

Symptoms: 1. Fever, approximately 100 to 101 degrees F, starting about 8 hours after injection and lasting at least 12 hours. Treated with multiple doses of OTC pain killers. 2. Body aches, starting approximately 8 hours after receiving vaccine and lasting approximately 24 hours. 3. Insomnia. Inability to sleep and/or stay asleep for 2 nights following vaccine. On day two I woke up at 3:30 AM feeling a normal energy level and never fell back to sleep, compared to a normal wake up time of 6:30 AM. 4. Mild arm soreness lasting about 1 week.

Other Meds: Vyvanse, 30mg daily

Current Illness: None

ID: 1190122
Sex: M
Age: 45
State: NC

Vax Date: 03/07/2021
Onset Date: 03/21/2021
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: NA

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

Symptoms: 3/21 - Felt like a sinus infection/Ear infection. Swollen lymph nodes. No congestion. 3/27 - Went to urgent care. Was given antibiotic/steroid to combat sinus/ear infection type symptoms. Tested neg. for strep. 3/29 - Went to PCP for continues pain in head and starting to have pain in lower back and down both legs. Some pain in arms too. 3/31 - Went to PCP for increased pain, weakness and numbness in legs and arms. Took blood for tests. COvid test 4/3 - Went to ER with intense pain/numbness/weakness/ restlessness in legs and some in arms/hands. Head still hurts too. More blood work, given Hydrocodone/Ibuprofin to help manage pain. 4/5 - Returned to PCP. Was given Gabapentin to help with the pain. Was referred to neurologist. 4/8 - Initial exam at neurologist. Plan to complete MRI and Nerve Conduction studies. 4/9 - Had MRI completed of brain and upper spinal cord.

Other Meds: NA

Current Illness: NA

ID: 1190123
Sex: M
Age: 23
State: DC

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: awful headaches, fever, vomitting 4 plus times throughout the night, full body soreness, nauseous

Other Meds: Lexapro and welbutrin

Current Illness: None

ID: 1190124
Sex: F
Age: 63
State: FL

Vax Date: 04/05/2021
Onset Date: 04/10/2021
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: erythromycin

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

Symptoms: ON SECOND DOSE 2 DAYS LATER WIDER SORENESS AND BLOCTHY RASH WHICH WAS SORE ON 04/10/2021 AND STILL BLOCTHY ARM STILL SOMEWHAT SORE . HAD CHILLS SWEATING BUT STARTED THE NEXT DAY AFTER SECOND DOSE CHILLS BUT WENT AWAY WITH IN 48 HOURS

Other Meds:

Current Illness:

ID: 1190125
Sex: F
Age: 22
State: NE

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Day After Injection: fever, chills, nausea, dizziness, light sensitivity, migraine, muscle aches, itchiness by injection Day two: swollen injection site, severe itchiness, muscle ache, dizziness Day three: 04/10/21 severe itchiness, redness size of golfball

Other Meds:

Current Illness:

ID: 1190126
Sex: F
Age: 64
State: CA

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin and Benadryl

Symptom List: Pain in extremity

Symptoms: Syncope

Other Meds: Asthma medication Ventolin

Current Illness: None

ID: 1190127
Sex: F
Age: 63
State: VA

Vax Date: 03/10/2021
Onset Date: 03/23/2021
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: Rash on stomach that I originally thought might be poison oak or ivy breaking out due to yard work I had done around this same time, but it didn't blister up like that or spread. Nor was it itchy or painful. I asked Dr. about it during a regular blood pressure/cholesterol visit. She looked at it and compared it to some pictures. Her thought is that it is an ulticaria rash and she was suspicious that it might be due to the COVID vaccine because she also had another patient same day with this same type of rash who had also had their COVID shot during roughly the same time. I received my 2nd dose the day before this doctor visit and noticed today that the rash is covering a slightly larger area with more eruptions that previously noticed. There is still not itching or pain.

Other Meds: Simvastitin, Lisinopril; multi-vitamin; Vitamins C, B12, E, D3, Super B-Complex; Calcium; Ocuvite; Melatonin; Acetaminophen

Current Illness: None

ID: 1190128
Sex: F
Age: 28
State: CA

Vax Date: 04/06/2021
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:

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

Symptoms: Started menstrual bleeding off my normal cycle 2 days after the vaccine.

Other Meds:

Current Illness:

ID: 1190129
Sex: M
Age: 52
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: PCN and amoxicillin

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

Symptoms: palpitations, hypotension

Other Meds: unknown

Current Illness:

ID: 1190130
Sex: M
Age: 36
State: OH

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: Penicillin

Symptom List: Vomiting

Symptoms: Headache with vomitting

Other Meds:

Current Illness: None

ID: 1190131
Sex: F
Age: 31
State: LA

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: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Got my shot at 10 am. Then about 4 am the next morning I woke up with my arm swollen, about the size of credit card, hard and hot. Then I guess it was about 11 am I started to feel week. Then by 12 noon, I started aching all over. As the day went on the aches got worse and I started developing chills. By 4 pm I had a fever of 102. The fever is still with me and it is currently 1030 am on Saturday April 10. I am very dizzy and not feeling myself. I woke up in a lake of sweat sometime throughout the night and had to change sheets and shower. The chills and body ache are still here, and my arm is still sore and red and hot.

Other Meds: 125 Mccg levothyroxine 5 mg lexipro

Current Illness: No

ID: 1190132
Sex: F
Age: 36
State: CO

Vax Date: 04/06/2021
Onset Date: 04/06/2021
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: Dairy

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

Symptoms: Fever of 4+ degrees F, body aches, 10lbs+ water weight gained in one day, severe left arm pain to the point of tears if arm needed to be moved (carried in a sling for 24 hours). Extreme fatigue, unable to attempt normal ADLs, dizziness, brain fog, joint pain (worst in wrists, ankles, knees, hips and neck). 2nd shot was more severe, hit harder and more quickly, was unable to do anything by lie still with eyes closed for nearly 24 hours. 2 hours of sleep, woke up covered in sweat, mild shaking, dizziness, nausea, difficulty eating, migraine headache (with light/smell/sound sensitivity, but no aura). Symptoms lasted for 48 hours round two.

Other Meds: Strattera 80mg daily, Cymbalta 60mg daily, Vit D3 5000 IU daily

Current Illness: No illness, only similar side effects to Moderna shot #1 on 3-9-21

ID: 1190133
Sex: M
Age: 31
State: PA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: When the needle entered my arm, that felt normal. But I felt extreme pressure and immediate pain as soon as the plunger got depressed. After the needle was removed, I continued to feel pain within my shoulder, not at the injection site. On my ride home, the pain started to worsen and was very painful when I got home, throughout my shoulder joint. I took Advil when I got home, and have taken it very 6 hours since, along with lots of water. I have used a heating pad with some immediate relief but no improvement in the pain. I am trying to stretch and move the arm, but am requiring assistance with even that because of how much pain is involved with simple movements. It does not seem nerve related as it does not radiate down my arm. The pain is isolated to my shoulder joint.

Other Meds: None.

Current Illness: None.

ID: 1190134
Sex: M
Age: 66
State: GA

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: About 14 hours after receiving my second shot of the vaccine, I awoke being very cold and began to shiver and shake almost violently after getting out of bed to urinate. Also my back, hips and knee joint were aching when I moved about any at all. I was able to fall back to sleep and in the few time I awoke during the rest of the night, I didn't experience the shaking, however, with the aching and feeling cold, it was reminiscent of times when I had a fever. Unfortunately, I do not have a working thermometer, so I could not check this, but I suspect I did have a fever. I was also experiencing a sort of mental brain fog of confusion and lack of full consciousness (felt like I could not bring myself awake enough to do much of anything). The following morning, I was barely able to become awake enough and clear headed enough to send an email to my boss about having to miss work. Except to get out of bed for a short time to use the bathroom or get something to drink, I slept most of Friday until late afternoon. Then I was slightly more coherent and was able to get more to drink and eat. But still sleepy and went back to sleep. I awoke in a sweat (not experienced before this time) and felt a little clearer in my mind and not as achy. Slept again later through the night, but continued to wake up in a sweat during the night. Finally this morning when I awoke, I felt more normal again.

Other Meds: Tamsulosin 0.4 mg Atorvastatin 20 mg Escitalopram 20mg Buspirone 15mg Aspirin 81mg Aripiprazole 5mg Senior mulitvitamin

Current Illness: Started the Aripiprazole 5mg 2 weeks before this second shot

ID: 1190135
Sex: M
Age: 50
State: MI

Vax Date: 03/26/2021
Onset Date: 03/29/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Mild ringing in my right ear, first noticed a few days after shot. Most noticeable in the morning when there is no other background noise, but it is persistent. It does not appear to be getting better or worse, just continues at the same severity. It has been 2 weeks since shot.

Other Meds: Warfarin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm