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: 1191609
Sex: M
Age: 42
State: OH

Vax Date: 02/06/2021
Onset Date: 03/07/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Approximately one week after my second dose my right leg began swelling. For three weeks after the swelling began it would get better than get worse. On Tuesday, March 30, 2021 my entire leg swelled to twice its normal size at which time I went to the emergency room and a blood clot was diagnosed in my right leg. I completed a multitude of tests and bloodwork with a hematologist and there are no factors or reasons they can identify as to why I developed a blood clot.

Other Meds: None

Current Illness: None

ID: 1191610
Sex: M
Age: 27
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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Side effects started at 630pm same day of vaccine Started with muscle aches, then severe chills and fever of 101?F. At 5am the following day a fainting spell occured after awakening in severe hot flash with fever of 100?F. Lost consciousness for about a minute. Continued with chills and fever for about another 3 hours. Awoke next day with headache for about 2 hours then felt better and continued on normal. Treated with tylenol

Other Meds: None

Current Illness: None

ID: 1191611
Sex: F
Age: 62
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: 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: Arm pain still after 2 days. The evening of the 8th and early morning of the 9th. Both legs hurt all night long. I spent more time awake than sleeping. The day and early evening of the 9th leg pain in right leg back of thigh.

Other Meds: Lisinopril

Current Illness: None

ID: 1191612
Sex: M
Age: 55
State: FL

Vax Date: 04/05/2021
Onset Date: 04/07/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe Rash

Other Meds: None

Current Illness: None

ID: 1191613
Sex: M
Age: 51
State: NC

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

Lab Data:

Allergies: CT Contrast dye

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

Symptoms: Numbness in right side of face. Watery right eye.

Other Meds: Xarelto 20mg, Crestor 20mg, Losarton 50mg, Asacol 1800mg, Metoprolol Succinate 25mg, aspirin 81mg

Current Illness: None

ID: 1191614
Sex: F
Age: 49
State: IN

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: None

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

Symptoms: 30 min after shot my lips and fingers began to tingle. After 5-10 min there was a bitter taste in my mouth. Lips and mouth then felt numb and I had difficulty swallowing. At 10 hours post shot body aches, EXTREME headache, ringing in ears, blurred vision, dizziness, heart beat seemed fast and some times irregular, chills then sweating. 24 hours after shot the headache and body aches are mild. I am fatigued.

Other Meds: Trulicity farxiga. Atorvastatin lisinopril. Sertraline

Current Illness: None

ID: 1191615
Sex: M
Age: 52
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: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Swollen fingers in arm of injection Stabbing pains in neck Pain in rotator cuff

Other Meds:

Current Illness:

ID: 1191617
Sex: F
Age: 80
State: CA

Vax Date: 03/06/2021
Onset Date: 03/21/2021
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: Various -- I have multiple allergies to medications & chemicals, foods and pollens

Symptom List: Pharyngeal swelling

Symptoms: March 21 was supposed to be the "end" of the final period after my 2nd shot -- On March 21st I started developing aching muscles, joints and neck and waves of nausea along with intermittent muscle wekness & extreme fatigue. It became worse on the 22nd & 23rd so for safety on the 24th I had a "nasal Covid-19 test" done at a Urgent Care facility to determine if I had possibly contracted the Covid-19 virus. The test came back 'negative' -- I did not have an active case of Covid. The symptoms I was experiencing finally calmed down about Friday - the 26th and by Sunday, they were over. It was almost like a further delayed adverse reaction to my final March 6th 2nd dosage shot although the muscle & joint aches and fatigue were worse than just after the 2nd shot?

Other Meds: Only my daily Glaucoma Eye drops

Current Illness: None other than glaucoma and my seasonal pollen allergies

ID: 1191618
Sex: M
Age: 20
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: felt weird, about to pass out. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1191619
Sex: F
Age: 33
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Beef

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Following 15 minute observation period the patient stood up and complained of ?heaviness of the head and numbness of the lower extremities? from the knees down. The patient denies SOB, CP, palpitations, hyperhidrosis. PMH includes hyperthyroidism and anemia. The patient was sat down, given water and orange juice to drink. Vitals checked - normal. Normal gait. PERRLA. Even smile, no tongue deviation. Upper extremity strength testing 5/5. 4/5 weakness on flexion of the BIL hips, knees and ankles. Following observation for an hour her symptoms were improving but did not resolve. She was able to ambulate without assistance. I recommended she visit the ED as her symptoms persist, which she did not want to do. Told her to follow up with a PCP then. She went home with her husband who drove her.

Other Meds: Levothyroxine Ferrous gluconate

Current Illness:

ID: 1191620
Sex: F
Age: 37
State: NC

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: As the vaccine was being administered into my left deltoid, the vaccine hurt at the injection site and I immediately felt very strange and felt a rushing sensation to my head and throughout my body, with a concentration in my upper body. It felt like an out of body experience: I fainted, hitting my head on the adjacent wall and fell to the ground, where the impact caused a bruise to my shoulder and back. It was reported to me that I lost consciousness for about 10 seconds. I felt disoriented, but lucid when I came to. I was not exactly sure what happened, but I could feel that I hit my head on the right side and asked if I fainted since I was disoriented and on the floor. With assistance, I was able to sit back on the bench, but felt extremely dizzy, light headed, fuzzy/strange type of blurry vision, and intense sweating. I did not feel well and knew I would have an unsteady gait if I attempted to stand. After about 15 minutes, I felt well enough to return home.

Other Meds: None

Current Illness: None

ID: 1191621
Sex: F
Age: 18
State: NC

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: Fragrances (lavender, eucalyptus) and red food coloring

Symptom List: Rash, Urticaria

Symptoms: After about 4 hours of having the shot, I got extremely light headed and nauseous. About the same time I got really bad chills and was shaking aggressively from the cold and got very bad pain in my joints, back, neck and injection site. My skin felt very sensitive and hurt to touch. I took medication and felt a little better but was unable to eat due to the nausea. A few hours later I still had very sensitive skin and nausea but I was very hot and couldn?t cool off. The following morning at about 8am on April 9 I woke up with hives on my ears, back of my neck up to the top of my head and the center of my chest. I still had severe body pains and my hives spread throughout the day to my face, inflating my forehead, nose and lips. I was still unable to eat because of the nausea and I was still taking ibuprofen which usually eliminates my hives. My body pain, nausea and hives stayed consistent the entire day despite taking the proper medication precautions. At about 12:30am on April 10 I checked my temperature at 100.3 degrees. At 2:30am it dropped to 98.9 degrees. The first meal I was able to eat was at about 7:30am on April 10 while take over the counter anti-nausea medication. It?s currently about 5:15pm on April 10 and most of my hives have reduced to redness, my body pain and injection site pain is still consistent and my nausea has barely reduced.

Other Meds:

Current Illness:

ID: 1191622
Sex: M
Age: 36
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: unknown

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

Symptoms: Client c/o feeling lightheaded and "feverish." Appeared diaphoretic and pallor. Client led to zero gravity chair. V/S @ 10:25am BP 140/80, HR 59, O2 100. V/S @ 10:30 BP 118/76, HR 69, O2 99, RR 14. Client report 5/10 light-headed and "cooling down." Client offered and accepted water. V/S @ 10:40 BP 122/78, HR 66, O2 99, RR 12 and client statement "back to normal temp." at 10:55am, client left observation area unassisted and with a steady gait.

Other Meds: patient denies

Current Illness: unknown

ID: 1191623
Sex: F
Age: 40
State: OH

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: None

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

Symptoms: High fever (103.5) approximately 8 hours after shot, persisting for 3 days at over 101 with Tylenol every 4-6 hours Body aches and chills lasting for 24 hours Nausea and vomiting for 72 hours after injection Diarrhea for 72 hours after injection Bitter taste in mouth and all food tastes bitter ? still persisting as of 4/10/21 Patches of dry skin on left side of face that burn and itch and are flaky. Areas are swollen and hot to the touch? appeared on 4/7/21 and as of 4/10/21 still there.

Other Meds: None

Current Illness: None

ID: 1191624
Sex: F
Age: 61
State: NC

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

Lab Data:

Allergies: Penicillian, IV Morphin, mushrooms

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

Symptoms: RA flare started the morning after I received the vaccine. I had been in remission for a while but the day after I received the vaccine I noticed a lot of pain in several joints especially, my back, right elbow and both hands a fingers. I also noticed a lot of fatigue which usually accompanies my RA flares. I will be seeing my Ruematologist on Monday, April 12, 2021 to discuss what to do to get the flare under control.

Other Meds: Losartan 50mg Take 1 daily Folic Acid 1mg 1 daily Celebrex 200mg 1 capsule 2 X day Zanaflex 4mg 2 x day Trazadone Hcl 50mg 1 tablet at bedtime Atrovastatin 10mg 1 tablet daily Methotrexate 2.5mg Take 8 tablets once a week Norco 10-32

Current Illness: 1 UTI in January 2021, 2 UTIs in February 2021, 1 UTI and kidney effection March 17, 2021 last once cleared March 29, 2021.

ID: 1191625
Sex: M
Age: 34
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Shellfish

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

Symptoms: Symptoms Fever, chills, headache, joint pain, muscle pain, fatigue, nausea Lasting almost 3 days

Other Meds: Genvoya

Current Illness: None

ID: 1191626
Sex: M
Age: 32
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: Transient hypotension that resolved.

Other Meds:

Current Illness:

ID: 1191627
Sex: F
Age: 63
State: MI

Vax Date: 03/25/2021
Onset Date: 04/04/2021
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: Ceclor, Tetracyclin, Diflucan, Gluten

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Rash or hives covering abdomen, chest and inner arms. Started around waistline and spread from there. I took Benedryl, Zyrtec and did Colloidal Oatmeal baths. Rash inflammed 4/4, 4/5, 4/6 and beginning to be less so on 4/8, 4/9 but bumps still present.

Other Meds: Temazepam, Vitamins D, C, Tumeric, Bcomplex, Multi, Magnesium

Current Illness: none

ID: 1191628
Sex: F
Age: 44
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: Patient got lightheaded/dizzy, BP dropped as low as 66/33 P50. Placed supine with legs elevated. Given oral fluids total of 4 bottles (240mL) and 1 bottle (500mL), BP improved to 107/81 P55. Only drank milk in AM and no breakfast. Felt chills, given ASA 650mg PO. Given additional 500mL bottle of water, discharged in stable condition

Other Meds:

Current Illness:

ID: 1191629
Sex: F
Age: 46
State: MO

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Cycline antibiotics such as Doxycycline and Tetracycline.

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

Symptoms: This is a follow up to Temporary VAERS E-Report No: 399923 submitted 4/1/21 - Symptoms of extreme dizziness, nausea, headache, fatigue, vertigo, and cold sweats are continuing DAILY. It has been 15 days since receiving the vaccine and these symptoms have not stopped.

Other Meds: N/A

Current Illness: N/A

ID: 1191630
Sex: M
Age: 39
State: NC

Vax Date: 04/01/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: pennicillin, erythromycin base

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

Symptoms: Rash, itching, sensitivity

Other Meds: none except tums antacid

Current Illness: none

ID: 1191631
Sex: M
Age: 30
State: CA

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: Lactose intolerant

Symptom List: Unevaluable event

Symptoms: At 3pm i woke up very cold. I started to shiver. I added five blankets, put on a beanie, warm socks, turned on heater in my room and was still freezing. About an hour after that started to get muscle weakness. This was my second shot. Whats weird is that inhad covid in late January but i still had these side effects the second shot. First shot, no symptoms

Other Meds:

Current Illness:

ID: 1191632
Sex: F
Age: 53
State: NY

Vax Date: 03/22/2021
Onset Date: 03/31/2021
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: Penicillin, Lamictal, Prozac, Topamax, Beta-Blockers, Zanaflex, Toradol.

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

Symptoms: Ongoing migraines ended with ER visit which included IV in my left hand on 3/31/2021. Had nerve blocks in opticular nerves the next day. The bruise from the IV remains 1.5 weeks later.

Other Meds: Medical marijuana, Valium, zomig, zofran, reglan, Tylenol #3, benedryl, mucinex. Only took medical marijuana on day of vaccine.

Current Illness: Migraines, fibromyalgia

ID: 1191633
Sex: F
Age: 36
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No known allergies

Symptom List: Injection site pain, Pain

Symptoms: In less than 15 minutes after receiving vaccine patient felt hot and dizzy. Patient then fell out of chair she was sitting in onto the floor. Patient was responsive after I shook her arm. Called paramedics to evaluate patient. After being provided water and sitting in chair patient left pharmacy on her own per paramedic guidance.

Other Meds: Unknown

Current Illness: Unknown

ID: 1191634
Sex: F
Age: 75
State: KY

Vax Date: 03/10/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Two days past after reciveing the COVID vaccination she devepoled herpes zoster on the right side of her mouth and face. They then spread into her right ear canal. She states on the next Friday she awoke with her face drawn. She had developed Bell Palsy.

Other Meds:

Current Illness:

ID: 1191635
Sex: F
Age: 71
State: FL

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

Lab Data:

Allergies: No meds. chocolate, caffiene and some food additives like yellow dye give me palpitations.

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

Symptoms: Fever of 102.5 within 3 hrs of injection, and very swollen and painful arm. Headache becoming more intense over next 5-6 hours. 5 a.m. (14 hours post injection) woke with nausea, vomiting, much more severe headache, and runny nose. Ate something and took 1/2 Norco and 2 Advil. Headache 10 on scale of 10 painwise. Slept but woke 3 hours later with same level of headache, nausea, and temp steady at 102.5. 24 hours post injection, still severe headache (10/10), no more nausea but no appetite. Took 1/4 Norco after drinking smoothie and Pepto, slept 3 more hours. Woke 8 pm to same headache, temp still 102.5. Just gutted it out until about 2 a.m. was able to take another 1/2 Norco and 2 Advil and slept until 8 a.m., nearly 48 hours post shot. No more drugs, and headache was somewhat abated, 5/10. Appetite came back slightly, enough to eat and take two more Advil. Now 74 hrs post shot am symptom free other than persistent but slight headache.Did not contact doctor as I did not think there was anything he would have been able to do for me.

Other Meds: Lorsartan 25 mg; resuvastatin 40 mg; triamterene 24.5/37 mg; omeprazole 40 mg; B complex; Flonase; Qunol; Megared; All one a day.

Current Illness: Finished 4 weeks of radiation therapy for breast cancer on 3;31.

ID: 1191636
Sex: M
Age: 31
State: GA

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: No

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Weakness, Dizziness, server headache, chest pain, Blood pressure went down to 90/52 . I'm going to see primary care physician Monday.

Other Meds: I haven't taken any medication at the time of vaccination. I took the vaccine in the morning and at night my blood pressure was down and I had sever headache. I check the blood pressure and it was 90/52. Still it down then my normal BP bef

Current Illness: No

ID: 1191637
Sex: F
Age: 54
State: CO

Vax Date: 03/11/2021
Onset Date: 03/14/2021
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: Seizure

Other Meds: Lamictal

Current Illness: None

ID: 1191638
Sex: M
Age: 49
State: CO

Vax Date: 03/12/2021
Onset Date: 04/02/2021
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: RA

Lab Data:

Allergies: NKDA

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

Symptoms: COVID19 infection, ongoing treatment

Other Meds: amlodipine, adderall, ocrelizumab, valacyclovir

Current Illness: Unknown

ID: 1191639
Sex: F
Age: 18
State: OH

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: RA

Lab Data:

Allergies: n/a

Symptom List: Nausea

Symptoms: fainting, followed by seizure like involuntary movement for 15 secs. patient regained consciousnees and left with family to healthcare providers.

Other Meds: sertraline

Current Illness: n/a

ID: 1191640
Sex: F
Age: 63
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: cefzil, steroids, prednisone, sugar substitutes

Symptom List: Injection site pain

Symptoms: Pt reports feeling "whoozy" after receiving vaccine. Denies LOC. Pt had heart loop recorder implant placed in hospital yesterday following stress test. Pt confirms she ate late breakfast, but not lunch PTA. Reports she took her scheduled/prescribed medications PTA. Pt spouse at bedside. VS at 1455: BP 175/79, HR 68, RR 18, O2 sat 97% on RA. VS at 1505: BP 171/84, HR 71, RR 18, O2 sat 98% on RA. VS at 1510: BP 169/81, HR 65, RR 18, O2 sat 97% on RA. VSS at time of d/c to home. Pt escorted to restroom via wheelchair, but refused w/c to exit, stating she preferred to walk the rest of the way. No s/s of distress noted.

Other Meds: betapace, lipitor, pepcid, fioricet, lasix, coumadin, elavil, Vit D, Vit B6, MVI

Current Illness: Pt had heart loop recorder surgically placed yesterday in hospital, following stress test, per pt report.

ID: 1191641
Sex: F
Age: 28
State: TN

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

Lab Data:

Allergies: None known

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

Symptoms: Janssen COVID-19 Vaccine EUA Approximately 9 hours after vaccine administration side effects of fever (101F) and severe muscle and body aches began and lasted approximately 24 hours.

Other Meds: Vitamins C, D3, and Calcium

Current Illness: None

ID: 1191642
Sex: M
Age: 19
State: FL

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

Lab Data:

Allergies: None

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

Symptoms: 3 hours after receiving my Pfizer vaccine my arm broke out in rashes and some started to bleed.

Other Meds: N/A

Current Illness: None

ID: 1191643
Sex: M
Age: 25
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: NONE

Symptom List: Tremor

Symptoms: Pt felt faint brought to triage 1 12:15 BP 102/50, HR 68, 02 98% RA 12:29: BP 106/69, HR 61 02 97% RA

Other Meds: NONE

Current Illness: NONE

ID: 1191644
Sex: M
Age: 21
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: nausea, "feels like going to pass out". Evaluated by EMS-Refusal to transport.

Other Meds:

Current Illness:

ID: 1191645
Sex: F
Age: 31
State:

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:

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

Symptoms: Metal taste after vaccine;Headache and chills, fogginess

Other Meds: Tylenol

Current Illness:

ID: 1191646
Sex: F
Age: 60
State: OH

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

Lab Data:

Allergies:

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

Symptoms: Patient reports experiencing chills starting 12 hours later and continuing all night, back pain, body aches and fainted next day at 3pm after experiencing dizziness. Said she was unconscious for about 15 seconds. Feeling better now at time of reporting 4/10/21. Patient did not seek medical treatment for the incident.

Other Meds:

Current Illness:

ID: 1191647
Sex: F
Age: 60
State: MD

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

Lab Data:

Allergies: PCN

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 1) I hour after 2nd dose was dizzy 2) 2 hours after had vertigo, hands felt like vibrating for 2-3 minutes, nauseous, vomiting, diarrhea, elevated tinnitus 3) taken to ER at Hospital and sat there with no treatment for several hours. Symptoms were resolving on own. Given an IV and Benadryl. 4) started again (similar to after 1st dose) on Meclizine 5) after light exercises this morning got dizzy, vertigo and nauseous- lasted for over 4 hours!!

Other Meds: Vitamin C, Vitamin D Restasis

Current Illness: Had similar side effects from first vaccine

ID: 1191648
Sex: F
Age: 55
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: 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: Tired, headache, high fever 104.6 Arm sore back sore, coughing labored breathing

Other Meds:

Current Illness:

ID: 1191649
Sex: F
Age: 57
State: AZ

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

Lab Data:

Allergies: Percocet, Dilaudid

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

Symptoms: Slight nausea, dizziness a few minutes after injection. Profoundly tired one hour afterward, with joint pain, primarily in the shoulders and elbows. Hydrated, went to bed. Woke up at 3 a.m. with fever, chills, body aches. Vomited several times. Wrapped up in blankets but was still cold. Took one fever-reducer pills, went back to bed. Woke up at 10 a.m., ate light breakfast. Upper right shoulder (vaccination site) sore. Went back to bed. Woke up again at 2 p.m. with more body aches, and fever is increasing (100 degrees.) Not a bad reaction, but definitely stronger than my first dose.

Other Meds: Keppra XR, Lamictal, Trileptal, mirtazapine, Vitamin D.

Current Illness: None

ID: 1191650
Sex: M
Age: 40
State: MD

Vax Date: 03/22/2021
Onset Date: 03/29/2021
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: Shellfish

Symptom List: Pain in extremity

Symptoms: bilateral tinnitus

Other Meds: multivitamin

Current Illness: none

ID: 1191651
Sex: F
Age: 44
State: IN

Vax Date: 03/31/2021
Onset Date: 03/31/2021
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: From about 4:30 -8 pm that evening my head felt confused. When I would look at a list it appeared out of order but when I looked at it later it was in order. It felt like I didn?t have control of what was going on in my head.

Other Meds: None

Current Illness: Seasonal allergies

ID: 1191652
Sex: M
Age: 70
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: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: I received my shot at 10 in the morning on April 8th the I felt pretty good when I got home just a little soreness in my arm but at 3 in the morning I awakened to chills 101.3 fever and feelings of nauseous in this and very thirsty I laid in bed. I am a dialysis patient I had dialysis schedule for 10 the next morning but I didn't feel well enough to go so they gave me a time later on in the day which by that time I felt good. I was able to drive there and I was good so when I got done with dialysis I could not walk I was too weak to do anyting I had to have my daughter come and get me and drive me home. That had to be a reaction between the injection and the diabetes treatment when does dialysis treatment I'm sorry but yeah then I felt bad the whole rest of the day and I didn't feel good again until the next morning which is now.

Other Meds: Metoprol Furosemide Famotidine Finesteride Clopidegral Amlodipine Atorvastatine Vit D Folic acid Eloquis Insulin

Current Illness:

ID: 1191653
Sex: F
Age: 66
State: NM

Vax Date: 04/02/2021
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: NSAIDS, iodine

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

Symptoms: Eight days after the injection, my left arm began to itch in the evening in the area of the injection site. On the ninth day post-injection, the area was red and itchier. Not severe, merely annoying. I was already aware that this occasionally happens after the Moderna vaccine, more often after the first shot, and that it's not cause for concern. I'm reporting it so you can have the data. I'm also reporting it before it resolves, but I expect it will do so soon. I have a faint bruise-like discoloration on the same arm, several inches below the injection site, and that showed up the day I got the shot and has never cleared up. It's below the part of the muscle that was sore for 2 days after the shot, and was never painful.

Other Meds: multi-vitamin, calcium magnesium supplement, stinging nettle, eyebright, hyssop

Current Illness: None

ID: 1191654
Sex: M
Age: 37
State:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Patient had syncope, dizziness, ringing of ears, chills. BP 144/92 P73 RR17. Given water and recovered, discharged home in stable condition

Other Meds:

Current Illness:

ID: 1191655
Sex: M
Age: 49
State: IL

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: LATEX

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: AFTER ADMINISTRATION OF THE VACCINE, WITHIN 45 SECONDS, THE PATIENT FELL UNCONSIOUS AND I WAS NOT ABLE TO WAKE HIM UP. THE PATIENT SEEMED TO BE HAVING A LITTLE BIT OF LABORED BREATHING AND PERFUSEOULY SWEATING. ADMINISTERED ONE DOSE OF 0.3MG EPINEPHRINE INTO THE PATIENT'S RIGHT MEDIAL THIGH. PATIENT SLIGHTLY REGAINED CONSIOUSNESS. AT THE SAME TIME, EMERGENCY SERVICES WERE CALLED AND THEY ARRIVED PROMPTELY TO THE PHARMACY AND TOOK THE PATIENT TO THE NEAREST HOSPITAL.

Other Meds: UNKOWN

Current Illness: NONE

ID: 1191656
Sex: M
Age: 68
State: IN

Vax Date: 04/04/2021
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: nka

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

Symptoms: After 5 days patient came down with Chills and aches and pains all over his body. By 5pm on 4/10/21 Patient reported feeling better

Other Meds: took aleve at onset of illness

Current Illness: no

ID: 1191657
Sex: M
Age: 56
State: OK

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

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: chills fever. headaches

Other Meds:

Current Illness: none

ID: 1191658
Sex: F
Age: 51
State: KS

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: seasonal allergies, cat allergy

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

Symptoms: L arm hurt within a few hours. By midnight felt like I had 10 tetanus shots. At that time could not get warm but didn't have chills yet. By 2 am had chills and all bones and joints hurt head to toe so I took acetaminophen. Was able to get a little bit of sleep but pain and malaise increased overnight. By 10 am chills an low grade fever (101.8). By 12:30 pm, nausea and higher fever (102.7). Pain became excruciating so I took one 200 mg advil around 2 pm (>24 h post vaccination; figured immune repsponse already had ample time to kick in). Within an hour fever reduced back to around 101. Felt some reprieve by 4 pm, enough to get out of bed but still pain, malaise, low fever. Return of symptoms/signs by 9 pm (low grade fever, more malaise and body/joint pain, piercing headache - new symptom: seeing some blurry spots in field of vision). Took one more advil (200 mg) some time before bed (before 11) so I could sleep. On 4/10 - random body pains and soreness. Teeth sensitivity and pain. Either rash or beginning of pitting edema on L arm near injection site. Very drained and tired physically but functional mentally.

Other Meds: cetrizine, quercetin, vitamin D, gingko

Current Illness: none

ID: 1191659
Sex: F
Age: 29
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Transient hypotension that resolved.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm