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

ID: 1190495
Sex: F
Age: 60
State: CA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none reported

Symptom List: Dysphagia, Epiglottitis

Symptoms: pt c/o tingling hands and arms, chest pain 6/10 described as tightness and pressure; pt self medicated with Nitrogycerin SL 1 tab 0.6mg; advised by on site physician to go to the hospital, pt did not want to and sign AMA

Other Meds: plaquinil, gabapentin

Current Illness: hx of cardiac and dysrthymia

ID: 1190496
Sex: M
Age: 66
State: CA

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: PCN

Symptom List: Anxiety, Dyspnoea

Symptoms: Substantial lower back pain making mobility difficult. No prior hx of back issues or injuries. Started 2nd day after vaccination.

Other Meds: None

Current Illness: None

ID: 1190497
Sex: F
Age: 57
State: VA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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: No

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

Symptoms: 17 minutes after injection, I experienced Nausea, Sweats, Dizziness, Lightheadness, and Fainting occurred. BP dropped to 80/39 per EMT arriving at Pharmacy site. Did EKG, Sugar Level, and administered fluids. EMTs took me to the hospital for treatment. ER staff noted vitals and bloodwork were alright and could not determine if Anaphylaxis reaction. ER Doctor ruled it a Vaso Vagal Syncope suspected response to vaccine as body saw it as foreign substance that rejected and severe reaction response occurred after 15 minutes.

Other Meds: Multi-Vitamins, Fish Oil, Flovent 44mg, Nasacort AQ, Bi-Weekly Allergy Injections

Current Illness: Environmental Allergies Intrinsic Asthma

ID: 1190498
Sex: M
Age: 67
State: IN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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: no

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swelling of arm, irritation within the entire body

Other Meds: Ibuprofen

Current Illness: covid virus 2 months prior

ID: 1190499
Sex: F
Age: 62
State: IN

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: None

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

Symptoms: Tan a fever and had body aches and headache

Other Meds: Tylenol

Current Illness: None

ID: 1190500
Sex: F
Age: 33
State: UT

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

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

Symptoms: Fever, Chills, Nausea, Diarrhea, Lightheadedness, headache, body aches, chest pain.

Other Meds: none

Current Illness: none

ID: 1190501
Sex: F
Age: 69
State:

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: allergy to sulfa medication

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 24 hours after the 2nd shot I got tired, dull headache, low grade fever, and neck & shoulders were achy. Eyes felt like I was sick. I rested all afternoon and evening and was fine the next morning. None of the reaction was severe just uncomfortable. It was worth it if the shot works.

Other Meds: Blood Pressure Medicine

Current Illness:

ID: 1190502
Sex: F
Age: 42
State: VA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: After the first shot I had tinnitus or ringing in my left ear for approximately two weeks. After the second shot i developed a fever of 101 for 24 hours, severe headache and body aches and again tinnitus only in my left ear. I am four days post second dose and still have left ear tinnitus. I have not gone to my primary care doctor about this yet but plan to if the symptoms do not go away within two weeks.

Other Meds: Eliquis

Current Illness: Cerebral Veinous Thrombus

ID: 1190503
Sex: F
Age: 42
State: CA

Vax Date: 04/02/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: After a week- daily headache, arm numbness/tingling accept at injection spot. Injection spot is red, bumpy, itchy, painful to touch, and the rash grows daily. I feel fatigued and my joints are weak.

Other Meds: loloestro

Current Illness: None

ID: 1190504
Sex: M
Age: 72
State: MO

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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: Chills, mild headache, muscle soreness, fatigue, malaise, pain at injection site, low grade fever (101 degrees), mostly lasting no more than 24 hours. Fatigue and pain at injection site lasted three days. Treated during first day only with aspirin and naproxin sodium.

Other Meds: HYDROCHLOROTHIAZIDE METOPROLOL TARTRATE ATORVASTATIN CALCIUM HYDROXYZINE HCL FINASTERIDE TAMSULOSIN HCL LEVOTHYROXINE SODIUM LISINOPRIL Gabapentin Co-Q10 Naproxin Sodium Magnesium oxide

Current Illness: None

ID: 1190505
Sex: F
Age: 48
State: CO

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/10/2021
Hospital: Y

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

Lab Data:

Allergies: gluten, milk, soy, hydrocodone

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

Symptoms: 3 minutes - racing heart, then dry mouth 7 minutes dizziness and legs weak with low BP, 15 minutes headache and photophobia, 12 hours worsening weakness moving into arms, following day diarrhea, blurred vision, by the 2nd day constipation dysuria, worsening ataxia by day 3, 1 week after unable to move R leg, admitted to hospital 4/1 and discharged next day. Readmitted 4/6 unable to move arms and move bowels/urine.

Other Meds: multivitamin, vitamin d, probiotics

Current Illness: no

ID: 1190506
Sex: M
Age: 54
State: IN

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

Lab Data:

Allergies: No

Symptom List: Rash, Urticaria

Symptoms: Mental and physical fatigue, headache, stomachache and vomiting.

Other Meds: No

Current Illness: No

ID: 1190507
Sex: M
Age: 19
State: OK

Vax Date: 04/02/2021
Onset Date: 04/03/2021
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: -Extreme fatigue -Fever over 100 degrees -Body aches -Chills

Other Meds:

Current Illness:

ID: 1190508
Sex: F
Age: 32
State: KY

Vax Date: 03/29/2021
Onset Date: 03/29/2021
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: Environmental only

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

Symptoms: Flushing, immediately Dizziness, fainting, fever of 104F, confusion, nausea, fatigue; began 10-12 hours after vaccine, lasted 48 hrs Injection site pain- immediately, lasted 48 hrs Injection site bruising- started 24 hrs after vaccine, still bruised 2 weeks after

Other Meds: Fexofenadine, lamotrigine, citalopram, trazodone, crestor, synthroid

Current Illness: Asthma, fibromyalgia, chronic fatigue syndrome, chronic intractable migraine, bipolar disorder II

ID: 1190509
Sex: F
Age: 59
State: MN

Vax Date: 03/27/2021
Onset Date: 03/30/2021
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: Broke out in hives all over my torso and my upper arms

Other Meds: Synthroid, Flonase, clobetasol, estrace, B12

Current Illness: None

ID: 1190510
Sex: M
Age: 36
State: MI

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

Lab Data:

Allergies: NKDA

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

Symptoms: About a minute after the injection patient rolled his eyes up and fainted, woke him up after 30 seconds and stayed with him until emergency crew came and took him to hospital. according to emergency crew his Blood Pressure was very low.

Other Meds: Don't Know

Current Illness: None Reported

ID: 1190511
Sex: M
Age: 58
State:

Vax Date: 04/01/2021
Onset Date: 04/09/2021
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: In the morning eight days after receiving the first vaccination, I had a rash around and mostly below the injection site about 3 inches in diameter. (A Google search said that this was a rare but harmless reaction to the vaccine.) The paperwork I received at the time of injection said to report any reaction.

Other Meds:

Current Illness:

ID: 1190512
Sex: F
Age: 56
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: lightheaded, dizzy, chest pain, pain near injection site, pt recovered

Other Meds:

Current Illness:

ID: 1190513
Sex: F
Age: 62
State: NC

Vax Date: 04/04/2021
Onset Date: 04/04/2021
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: Fever , diarrhea, chills

Other Meds:

Current Illness:

ID: 1190514
Sex: F
Age: 62
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: EAR RINGING TINNITUS BOTH EARS STRONGER IN LEFT

Other Meds: none

Current Illness: none

ID: 1190515
Sex: F
Age: 23
State:

Vax Date: 04/10/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: post vaccine syncope, upper arm tingling, pt recovered and sent home

Other Meds:

Current Illness:

ID: 1190516
Sex: M
Age: 56
State: IA

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: none

Symptom List: Unevaluable event

Symptoms: Heavy Vomiting headache being very weak next day very weak no energy very weak slight headache arm is very very sore swollen for injection was injected

Other Meds: Ip600

Current Illness: none

ID: 1190517
Sex: M
Age: 28
State: IL

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

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 (rash)

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

Symptoms: Janssen COVID-19 Vaccine EUA

Other Meds: Synthroid 137 mcg daily

Current Illness: None

ID: 1190518
Sex: F
Age: 70
State: VA

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

Symptom List: Injection site pain, Pain

Symptoms: I'm feeling itchy on my left arm since day three of the shot....I feel like a mosquito bit me and I just want to continue scrating. This has be going on and still haven't stop. I'm trying not to scratch hard.....Please what can I do?

Other Meds: Advil for pain in arm

Current Illness: N/A

ID: 1190519
Sex: F
Age: 31
State: NY

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: SYR
Vax Site: LA

Lab Data:

Allergies: None known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Re: Janssen COVID-19 Vaccine EUA Received vaccine at about 10:21am. Developed possible adverse effects at about 4:00pm. Initially I noticed weakness and feeling "out of it". I was grocery-shopping at the time, and pushing the cart, standing upright, etc. was becoming difficult. Sometime between 4:00pm and 5:00pm I became delirious and also was no longer able to stand or sit upright. In my altered state I believed that my muscles, especially those in my legs, were turning into goo and then turning into normal muscles again. I experienced fever dreams. I had hot flashes and chills. I had the worst pain that I have experienced in recent memory. I think that I may have had a migraine episode in addition to, and triggered by, these experiences. I had nausea (no vomiting). Most of these events lasted until about between 12:30am to 1:00am, which was when I fell asleep. When I woke up the following morning (today as I am reporting), I still had a mild headache and exhaustion but the other events had resolved.

Other Meds: Vitamin D-3 Softgels 100mcg QD

Current Illness: None

ID: 1190520
Sex: F
Age: 35
State: NJ

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: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: The morning after (8 April) the vaccine I had sever muscle aches that started from the arms, shoulders, back and legs. It seemed to be getting better but today (10 April) I felt dizzy and had symptoms of almost fainting. I did go running this morning, had breakfast, and then around 12:00, I had the dizzy spell.

Other Meds: Hay fever medications

Current Illness: N/A

ID: 1190521
Sex: F
Age: 26
State:

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Syncope

Other Meds: None

Current Illness:

ID: 1190522
Sex: F
Age: 41
State: KY

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: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Nausea, sore arm at injection site, fever, muscle aches, headache

Other Meds: CBD oil

Current Illness:

ID: 1190523
Sex: F
Age: 42
State: IN

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:

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

Symptoms: Headache on left side of head within an hour of shot Full headache 3 hours after injection Nausea 7 hours after injection Aches & chills 12 hours after injection Headache and nausea through 48 hours after injection

Other Meds: Fish oil Birth control Biotin Multi-vitamin Vitamin D Zyrtec

Current Illness: None

ID: 1190524
Sex: F
Age: 36
State: OH

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: yes, penicillin

Symptom List: Nausea

Symptoms: Dizziness, shakes, blurred vision, heart palpitations, high blood pressure, fatigue, nausea, headaches

Other Meds: no

Current Illness: no

ID: 1190525
Sex: F
Age: 28
State: MI

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: Chills, followed by fever (103.7 F) and severe sinus-like headaches for about 12 hours

Other Meds:

Current Illness:

ID: 1190526
Sex: M
Age: 55
State: MN

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:

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

Symptoms: Headache longer than 24 hours, minimally responsive to acetaminophen Mild nausea 12 hours Fatigue 18 hours Joint stiffness 18 hours

Other Meds: Lisinopril 40mg once daily

Current Illness:

ID: 1190527
Sex: F
Age: 44
State: GA

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: RA

Lab Data:

Allergies: Allergies to latex and demerol.

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

Symptoms: We had a member come back for her second dose of the Moderna vaccine. It was administered and she was given a timer to wait her 15 minutes. She turned in her timer at the end of the 15 minutes and told us she was leaving. A few minutes later she came back and stated that she was not feeling well. I told her to have a seat and went to check on her. She stated that she was having pain down her arm where she was given the vaccine and down her left side. Then she stated she was itching. I could see her starting to turn red with hives/rash on her left arm where we administered the vaccine. stayed with the patient in front of the pharmacy while I ran into the pharmacy and got the blood pressure machine, Benadryl, EpiPen, adverse reaction chart, and cold pack. I asked to grab pen and paper and take notes as we ran back out. Her itching was becoming more severe, and she stated she was feeling lightheaded. We immediately began checking her blood pressure (which was extremely high at 187/120) and administered 50 mg of Benadryl. We applied a cold pack to her neck as it appeared she was sweating and then applied a cold pack to the injection site. She continued to progress with the itching moving to other sites on her body. I asked one of the technicians to get the other pharmacist to call 911 and a code white was called. She was in a chair without arms, and I needed to have her lay down. I also had five more people waiting for vaccine administration, so we moved her to the break room. We continued to monitor her blood pressure, which was dropping, and watch for signs of anaphylaxis. She stated she was feeling really tired and began closing her eyes. We continued to have her talk with us and not go to sleep. We had EpiPen's ready for administration if needed. The EMS arrived as we were checking her BP once again and they took over. She was placed on a stretcher and taken into the ambulance. Assistant had a curbside delivery a little while after the incident, at this point the EMS decided that her blood pressure had normalized, and the Benadryl was enough to control her allergic reaction and she was released to go home.

Other Meds: Gabapentin 300mg, Ubrelvy 50mg, Alprazolam 0.25mg, Buspar 15mg, Pristiq 50mg, Depakote ER 500mg, Lamotrigine 100mg

Current Illness:

ID: 1190528
Sex: M
Age: 41
State: ID

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: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: headache, severe fever, sever chills. severe muscle pain in the hips

Other Meds: none

Current Illness: none

ID: 1190529
Sex: M
Age: 18
State: NY

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Very quickly had a headache and got very tired. Eventually an extremely sore arm and clogged sinuses developed.

Other Meds:

Current Illness:

ID: 1190530
Sex: F
Age: 57
State: MD

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

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

Symptoms: Patient felt the hives on her face that she already had upon presentation appeared worse. Her face felt warmer noting her upper lip felt the most warm. This occurred soon after injection was given. No lip or tongue swelling, no SOB, chest pain, palpitations or other symptoms noted.

Other Meds: Medication for psoriatic arthritis (name unknown)

Current Illness: Patient repots having hives on her face that she noticed the day prior to vaccination

ID: 1190531
Sex: F
Age: 64
State: IN

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Migraine headache.

Other Meds: Acetaminophen 500mg tablet (Tylenol or Excedrin) 2 tablets as needed Amlodopine Besylate 5mg tablet (Norvasc) 2 tablet by mouth daily Apixaban 5mg tablets (Eliquis) 1 tablet by mouth 2x daily Aripiprazole 5mg tablet (Abilify) 1 ta

Current Illness: none

ID: 1190532
Sex: M
Age: 27
State: CA

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: This vaccine is extremely illegal. Terroristic. I have been having such an extreme headache. Bluryness, to the point where I have blindnesss. I am unable to think. My speech is completely off. I try to say something, but what I say is not what I was thinking. Don't you dare say I have something wrong with me, in regards to unable to articulate what I want to say, and what Is actually being said. I understand what is happening to me with this reality. Which is why this vaccine is terroristic. Im going to make it my life endeavored goal to resolve this in legal entities. For that. This is not helping anyone. Causing more pain. And. Allowing the government to lie even more. I hate this Country!

Other Meds:

Current Illness:

ID: 1190533
Sex: F
Age: 61
State: FL

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Itchy on left arm and around mouth. Assessed and stood by with epi pen. Symptoms eased and patient returned to normal and released

Other Meds:

Current Illness:

ID: 1190534
Sex: F
Age: 59
State: MA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
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: Bactrim Methimazole

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

Symptoms: Tinnitus. It began the morning after and has been constant since. I have had previous bouts of it, about 1 per month that would last 2-4 hrs. This has been constant.

Other Meds: levothyroxine 112 MCG tablet VITAMIN D3 25mcg Calcium 500 mg

Current Illness:

ID: 1190535
Sex: F
Age: 63
State: OR

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Only previous is Demerol rash reaction about 50 yrs ago when I was 13. Unknown if any continuing problems with it. None other known

Symptom List: Pain in extremity

Symptoms: Swelling and hardening of large arge area of upper arm. Probably 5" in approximate diameter around injection site, some itching about a week later, only generated by touching area. Soreness. Slowly reduced in size. Hard area about nickle size on 4/7/2021. And today about bb. Barely feel but area still has some soreness when touched. Not bad or bothersome, only if touched some slight sensitivity. While sleeping one night in first 48 hours, had a weird fairly painful sensation on inner left leg close to knee joint. It last about 15 minutes and was gone. I had never felt anything like that before. Brief moment of some discomfort in thighs, not really painful, just odd minor discomfort. Lasted about 4 hrs or so. Didn't keep me from doing anything. Nothing else. I do have a question whether I should get the 2nd dose in my other arm, instead of the one I hot the first shot in.

Other Meds: levothyroxine, vit d3, zinc, gen vitamin, melatonin

Current Illness:

ID: 1190536
Sex: F
Age: 63
State: IL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Doxycycline (Hives) Imitrex (Hives) Formalin

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

Symptoms: 3/25/21 8:00pm- sore arm 3/26/2021 3:10am Extreme Arm Pain-couldn't even lift it. 6:45am Migraine Headache with Aura, 10:00am-Fever (101.7), chills, generalized joint pain, exhaustion, dizziness (all day) 3/27/21 joint pain, headache, exhaustion, fever (100) arm pain better-just sore, light headed, dizzy 3/28/21 symptoms remain- fever reduced to 99. 3/29/21-no change 3/30/21 headache, tired, light headed 4/1/21 Symptoms gone

Other Meds: Multi-Vitamin, Fish-oil, Allegra, Nasonex, Vitamin-D

Current Illness: None

ID: 1190537
Sex: F
Age: 24
State: IN

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: IM
Vax Site: LA

Lab Data:

Allergies: Unknown

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

Symptoms: 5 minutes after while seated in waiting area, I slowly became dizzy, started to lose sight and hearing. I alerted a nurse, who took held my head and helped me regulate breathing as I started to pass out. She held an ice pack to my neck and got me water. She and another nurse tried to move towards an open door for fresh air and wanted to lay me down on a gurney, but I couldn't stand so they carried me to a wheelchair, where I stayed for about 35 minutes more until I had recovered. I don't think I fully lost consciousness, but almost completely lost sight and hearing. I was not consciously anxious about getting the vaccine or needles.

Other Meds: N/A

Current Illness: N/A

ID: 1190538
Sex: F
Age: 50
State: IN

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

Lab Data:

Allergies: Sulfa and sulfa based.

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

Symptoms: Extreme fatigue, chills, low fever, all over body aches, headache, numbness in all extremities, muscle spasms throughout my body.

Other Meds: Ultram, MOTEGRITY, colace, tizadine.

Current Illness: Ulnar release surgery on right arm March 12,2021. No illnesses.

ID: 1190539
Sex: M
Age: 17
State: PA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Given to 17 year old

Other Meds:

Current Illness:

ID: 1190540
Sex: F
Age: 55
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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Violent chill/cold sweats, constant vomiting, body aches. Lasted about 16 hours.. then on to body aches, sluggishness, still nausiated when I try to eat....

Other Meds: None

Current Illness: None

Date Died: 02/07/2021

ID: 1190541
Sex: F
Age: 76
State: MA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: RA

Lab Data:

Allergies: ace inhibitors - cough, avapro, amiodarone, benicar, bystolic, coreg, cozaar, dilaudid, diovan, hydralazine, lasix, methyldopa - hydrochlorothiazide, methyldopate, terazosin.

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

Symptoms: RECEIVED VACCINE ON 2/5/21 AND WAS FOUND DEAD MORNING OF 2/7/21. SHE HAD NO SIDE EFFECTS OTHER THAN SLIGHTLY SORE ARM UP TO THAT POINT. ED MD FELT SHE HAD SIGNIFICANT CARDIAC HISTORY AND LIKELY HAD MI. MEDICAL EXAMINER DID NOT ORDER AN AUTOPSY AND SHE WAS CREMATED. I FELT THAT I SHOULD JUST REPORT IT SINCE IT WAS SO CLOSE TO RECIVING THE VACCINE.

Other Meds: amlodipine, atenolol, atorvastatin, hydrochlorothiazide, eliquis.

Current Illness: recurrent atrial fib - PVI ablation 12/21/20 back to sinus rhythm, CAD, CHF, left bundle branch block. ITP.

ID: 1190542
Sex: F
Age: 69
State: TX

Vax Date: 03/29/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Redness, swelling, itchng, fever in a 6inch patch around and including the injection site.

Other Meds:

Current Illness:

ID: 1190543
Sex: F
Age: 22
State: IN

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: Shellfish

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

Symptoms: Fever (100.8 degrees), body aches (in back), chest tightness - treated with Tylenol and sleep - symptoms started around 10 pm and were resolved by morning

Other Meds: Birth control - lo loestrin fe Allegra Montelukast

Current Illness: Covid - tested positive 3/11/2021

ID: 1190544
Sex: M
Age: 51
State: PR

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: About 2 and a half hours after the vaccination, I started to have pain in the body, I was shaking, headache, tired, chills. During the course of about 4-5 hours after the vaccination, I had other symptoms such as an urge to urinate, accompanied by pain and burning. Pain in the ribs, back, left arm, diarrhea, felt like inflamed lungs and shortness of breath. Today and 3 days later I still have diarrhea, headache, fatigue and pain when urinating.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm