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: 1192891
Sex: F
Age: 41
State:

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
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: BP 104/84, HR 86, PO2 96%. dizziness and nausea. Given water and bar. Pt is back to baseline , walked 10-15 , denies dizziness.

Other Meds:

Current Illness:

ID: 1192892
Sex: M
Age: 19
State: FL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Additional Details: Pt feeling dizzy and fainted after 3 mins of adminitration. Pt was sitting with his legs elevated on chair. BP 100/52 HR 54, Pt was pale in color and neasous. EMS was called but parents refused to leave pt w EMS. After 30 mins of resting, pt feel better and left with his parents. I called him to follow up, no one pick up left msg.

Other Meds:

Current Illness:

ID: 1192893
Sex: M
Age: 19
State: OK

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
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: Pt sts shortly after receiving the vaccine she became lightheaded. She passed out before she knew she was going to and as a result she fell out of her chair hitting her head. She has a minor abrasion approx 8mm in diameter to the L forehead. Swelling is minor as well, there does appear to be a light contusion as well. Pt sts she has not passed out with needles or injections before. VS: HR 110, BP 122/58, RR 14, Sats 98%. PMSx4, skin signs normal. Pt went to first aid area and allowed vitals. She does have tenderness to the site of her abrasion on her forehead. Her lightheadedness resolves and she denies all further complaints. She does not complain of headache and does not want further treatment. She declines further assessment, including a second set of vitals. Risks of refusal given. Pt notified that VAERS will be completed. Pt instructed to follow up with her doctor.

Other Meds: None

Current Illness: None

ID: 1192894
Sex: F
Age: 60
State: TX

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Medium, Additional Details: Thirty minutes after shot, patient passed out and urinated on herself. Plus, had what she discribed as a seizure.

Other Meds:

Current Illness:

ID: 1192895
Sex: M
Age: 28
State:

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Dizziness, hot, light headed, no SOB, no hives, no throat tightness, similar symptoms when blood drawn, PB 131/70, HR 60, PO2 95%. Allowed to rest, cool cloth to forehead. snack/drink denied.

Other Meds:

Current Illness:

ID: 1192896
Sex: F
Age: 42
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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:

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

Symptoms: Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: bilateral lower leg edema-Mild, Additional Details: Hx of asthma, previously diagnosed with COVID > 2 weeks ago, pt complained of bilateral lower leg edema 12 minuts after vaccine was given, pt given benadryl, 3 minutes later complained of throat tightening and tongue swelling, pharmacist administered epinephrine and called 911, EMS evaluated but pt refused transport

Other Meds:

Current Illness:

ID: 1192897
Sex: F
Age: 36
State: IN

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Rapid onset sore neck and shoulder on left side (same as injection side). Lasted for 5 hours. Took Tylenol.

Other Meds:

Current Illness:

ID: 1192898
Sex: M
Age: 59
State: NC

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Seasonal (grasses, trees)

Symptom List: Pharyngeal swelling

Symptoms: Moderna COVID?19 Vaccine EUA. Soreness as injection site, then chills, 102.7 degree fever approximately 16 hours after the injection. Lethargy and moderate body aches through the night and into morning.

Other Meds:

Current Illness:

ID: 1192899
Sex: F
Age: 58
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Systemic: Allergic: Itch (specify: facial area, extremeties)-Mild, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Hypertension-Mild, Additional Details: pt states heart rate increased, inside of lips swell, exhausted, tip of tongue tingling, taste of chemicals in mouth. it is subsiding now. we were monitoring her for 30 minutes. may need follow up

Other Meds:

Current Illness:

ID: 1192900
Sex: F
Age: 30
State: NY

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 04/11/2021
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: Seasonal

Symptom List: Diarrhoea, Nasal congestion

Symptoms: None! If pressed on my arm that evening and the following day I felt very mild discomfort but that is all. I was pregnant at the time, only a few weeks and was unaware that I was pregnant at that time. Due date is September 26, 2021.

Other Meds: Zyrtec, albuterol, Nasonex, prenatal vitamins, simbacort, zoloft

Current Illness: None

ID: 1192901
Sex: M
Age: 35
State:

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: sweaty, pale, dizzy. PB 117/75, PO2 97%, HR 86. After laying down, drinking water, felt better (so symptoms)

Other Meds:

Current Illness:

ID: 1192902
Sex: F
Age: 40
State: OH

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 04/11/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: The vaccine was not administered intramuscularly. I did not realize this until I was sitting in the post vaccine waiting area. I contacted the health department and left a message about my experience. I requested a call back but still have yet to hear from the health department. I am concerned about vaccine efficacy. How will this affect immunity of my vaccine and should I receive a third dose?

Other Meds: Zoloft; Prenatal vitamin

Current Illness: NA

ID: 1192903
Sex: F
Age: 43
State: WI

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: 0

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

Symptoms: Woke up the day after vaccine feeling fine so I got ready & headed for work. On the way to work I started feeling a little off & nauseous. Ended up leaving work a little over 2 hours after I started. I was feeling nausea, achy, chills, fatigue, dizziness/lightheaded, sore arm. Went home and to bed. Still fatigued, sore arm and a little achy the next day. Now on day 4 since vaccine and am still experiencing a sore arm & fatigue(improving but not back to my normal energy level). On a positive note my ongoing sinus symptoms(since June 2020) have improved. They are not gone but noticeably improved. I'm thankful for that and hoping it lasts!!!!

Other Meds: Sudafed, Flonase, loratadine, mucinex, saline rinse & spray, multivitamin, vitamin d3 & folic acid

Current Illness: On going sinus issues since June 2020. Symptoms have improved(not gone) since vaccine!

ID: 1192904
Sex: F
Age: 31
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Additional Details: Pt felt lightheaded after receiving vaccine. Instructed to sit for a few minutes before heading to the post vaccination area. Pt fainted within 10 secs onto the immunizer (me). Asked for help to move pt to a lying down position. Upon lifting pt up, her body/arms seized up. Asked someone to call 911 and I went to grab an epipen just incase. Within 5 secs, patient woke up, so did not admin epi. Pt was alert but did not know what happened. Pt refused ambulance, left after 30 min, was feeling ok.

Other Meds:

Current Illness:

ID: 1192905
Sex: M
Age: 68
State: SC

Vax Date: 03/12/2021
Onset Date: 03/21/2021
Rec V Date: 04/11/2021
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: First 24 hours had low grade fever, chills, headache, then those symptoms went away. About 7 days later I had a body rash develop that was present on my arms (left arm worse than right arm), the front of both thighs, around upper button, and worst area was behind knees. The rash was distinct with no pimple like features, just red blotchy appearance with some itching (photos available). The rash lasted a full week.

Other Meds: None

Current Illness: None

ID: 1192906
Sex: F
Age: 40
State: MI

Vax Date: 04/01/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa antibiotics

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

Symptoms: 9 days post Moderna Vaccine #1, I woke up with redness and itching at the injection site. Skin is warm to touch and raised up with hard lump underneath. Within another 24 hours the injection site is more red and painful, arm is sore at injection site.

Other Meds: Prilosec 20mg, Vitamin B complex, Vitamin D 5000iu, Levothyroxine 25 mcg, Estarylla .25 mg

Current Illness: None

ID: 1192907
Sex: F
Age: 31
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Additional Details: Pt felt lightheaded upon admin and fainted on immunizer after 10 sec. Asked others to help move pt to lying position. Upon moving pt, her body/arms seized up. Instructed others to call 911. Went to grab epipen. Within 5 secs of seizing, pt woke up, so epipen was no admin. Pt was alert, but did not know what occured. After 30 min of resting, pt was ok and left pharmacy.

Other Meds:

Current Illness:

ID: 1192908
Sex: F
Age: 52
State: IN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 3 minutes after the shot I had a tingly and at times itchy sensation in my left hand, 16 minutes after the shot I started coughing (I had not coughed prior to the shot). About 2 hours later I started feeling blah (you know How sometimes you feel just blah) and tired but I was able to continue work. This I took a nap around 2pm and felt better when I woke up. Around 7pm started feeling blah and tired again so I went to bed. Woke up Saturday and I felt fine. However during the day i would alternate between blah and fine. However I was still able to continue with Norman activities. Woke up today, Sunday, feeling great.

Other Meds: High blood pressure medicine. Amlodipine

Current Illness: NA

ID: 1192909
Sex: F
Age: 27
State: PA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: No known allergies to medications, hives & redness if drink wine, beer, or hard ciders but not hard liquors was told it has to do with preservatives.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Hives, swelling and pain in left arm

Other Meds: None

Current Illness: None

ID: 1192910
Sex: F
Age: 44
State: MA

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Beta-blocker -drug induced lupus; gadavax-hives

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

Symptoms: BP raised 04/06 SYS:150-160 DIA: 100. Continued with high BP through 04/07 early AN at which point BP began to lower throughout the day. Experienced Tachycardia -> 150 bmp lying down accompanied by chill on 04/07 early am hours. Also experienced tingling in feet and legs that began 04/06

Other Meds: None

Current Illness: None

ID: 1192911
Sex: M
Age: 19
State: IN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Additional Details: Patient was feeling light headed when his girlfriend called me over. The patient explained that he was dizzy and may pass out. He lost conciousness for approvimately 10 seconds. He came to and we laid him on the floor where the Pharmacist monitored him. He felt better and leftm here feeling fine.

Other Meds:

Current Illness:

ID: 1192912
Sex: M
Age: 72
State: FL

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Unevaluable event

Symptoms: Swollen right eye, Blurred impaired vision. Pressure behind the eye. Headaches

Other Meds: Esomeprazole, Rosuvastatin, Losartan, Amlodipine, Montelukast

Current Illness: no

ID: 1192913
Sex: M
Age: 24
State: WA

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Left greater saphenous vein superficial thrombophlebitis

Other Meds:

Current Illness:

ID: 1192914
Sex: M
Age: 29
State:

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Passed out for approximately 10-15 sec, this has happened in the past with vaccine/blood draw. Stayed seated in chair, snack provided, feeling better. PB 84/50, PO2 95%, HR 77.

Other Meds:

Current Illness:

ID: 1192915
Sex: M
Age: 33
State: IN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Mild, Additional Details: The patient did not lose conciousness. Was just light headed and dizzy. We monitored him. He left feeling fine.

Other Meds:

Current Illness:

ID: 1192916
Sex: F
Age: 52
State: NC

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
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: sulfa

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

Symptoms: Thursday, 7 hours after the vaccine: nausea, headache, fever, chills through the night. I felt my heart feel like it was occasionally fluttering (overall felt this about 4 times). Restlessness through the night. I took two Tylenol at 10pm, one Tylenol at 4 am and one Tylenol at 6am. The Tylenol helped but I could tell when it was leaving my system Friday, the following day: fever of 101.6, acute nausea. Took Tylenol every 4 hours which did help. Saturday, felt much better but had sweating most of the day. The sweating subsided at night Sunday morning, still sweating. I also had weird vivid dreams since taking the vaccine. Could be unrelated but I usually don't have dreams like that

Other Meds: Fish Oil Amlodipine 5 mg daily Pantoprazole Sodium 40 mg daily

Current Illness: n/a

ID: 1192917
Sex: F
Age: 31
State: NY

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 04/11/2021
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: Seasonal

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I was tired that evening and around 8PM began having mild muscle aches and felt cold (no fever). At the time I found out I was pregnant 2 weeks before receiving the shot. My doctor advised to get it. I am due September 26, 2021.

Other Meds: Zyrtec, albuterol, Nasonex, prenatal vitamins, simbacort, zoloft

Current Illness: None

ID: 1192918
Sex: F
Age: 33
State: MN

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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 known of

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Morning: 2 super D vitamins, ningxia, 1 sulfurzyme Shot at 10:15 10:30 done sitting Walk back, feeling hot, sweaty. 10:45 feeling a slight headache but ok 11:45 slight headache but still ok Next morning 7am Arm is sore Body is sore Bent down around 2pm and felt really sore. Muscles and joints hurt. Couldn?t bend down without joints hurting. Saturday evening/Sunday morning. Joints/muscles pretty sore. Not much sleep

Other Meds: Vitamin D, Sulfurzyme,

Current Illness: No

ID: 1192919
Sex: F
Age: 38
State: MA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Around 8:30 pm on April 9th I started to feel tired and my muscles were staring to hurt so i went to bed at 9:00 pm. i woke up several times with muscle aches, head ache, chills and sweating. I got up at 1:30 am to go to the bathroom. I then went down stairs to take my temperature. I took it 2 times. It was 99.9 and 100.00. I went to the kitchen to get a drink because I was going to take some Tylenol. When I opened the refrigerator, I got lightheaded and my vision started to change. With in 2 seconds, I put the Lemonade on the counter and I got tunnel vision and i started to sweat. The next thing I remember was being on the floor. I could hear my husband calling my name but he sounded very far away. I felt like I couldn't respond to him. It took me about 30 seconds to become conscious but I didn't know where I was at first. I fell straight on my face and was bleeding from lacerations to my nose and forehead. My neck, which I already have an injury to was re-injured. I was taking to the Emergency Room. My lacerations were glued and was in concossion protolcal

Other Meds: Multi-Vitamin, Gabapentin, Flexural

Current Illness: None

ID: 1192920
Sex: F
Age: 58
State: IL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: Red arm, swollen with a lump

Other Meds: Advil Mucinex Gabapentin Synthesis Leviqion - antibiotic

Current Illness: Sinus infection

ID: 1192921
Sex: F
Age: 18
State: IN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: Headache-Medium, Additional Details: The patient has had issues with other vaccines. She felt light headed and sweaty. She had a head ache onthe onset. She left here feeling fine after we monitored her for a while.

Other Meds:

Current Illness:

ID: 1192922
Sex: F
Age: 59
State: MD

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Tapazole, penacillin, Keppra, Zyprexa, Lunesta

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

Symptoms: I began vomiting around 5:30 a.m. on April 10. I continued vomiting over and over and over again throughout the day until I was able to take a small sip of water around 8:00 p.m. I also had fever, chills, muscle aches, headache, nausea and diarrhea. Nowhere did I see vomiting listed as a possible side effect of the vaccine. I lost seven pounds in 24 hours.

Other Meds: Levothyroxine, multi vitamin, vitamin D supplement, fish oil supplement

Current Illness: None

ID: 1192923
Sex: M
Age: 16
State: NY

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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:

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

Symptoms: Post vaccine, patient vomited, felt dizzy & was pale. Empress EMS checked out. PT transported to Medical Center.

Other Meds:

Current Illness:

ID: 1192924
Sex: F
Age: 54
State: MA

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/11/2021
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: Penicillin

Symptom List: Tremor

Symptoms: Site was slightly itchy and notice 2.5 inch diameter light pink rash near vaccine site lasting about 3 days

Other Meds: Melatonin, Horse Chestnut

Current Illness: Seasonal allergies

ID: 1192925
Sex: M
Age: 35
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Systemic: Weakness-Medium

Other Meds:

Current Illness:

ID: 1192926
Sex: M
Age: 24
State:

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/11/2021
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: PB 140/98, PO2 98%, HR 77. Nausea, gagging, no swelling in throat/face. Feeling better.

Other Meds:

Current Illness:

ID: 1192927
Sex: F
Age: 62
State: FL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Cilantro; Sulfa Antibiotics; Bee Stings

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

Symptoms: Severe muscle aches, and fever of 101..8, headache and extreme pain at injection site 24 hours.

Other Meds: Doxepin; Melatonin; Linzess

Current Illness: None

ID: 1192928
Sex: F
Age: 36
State: IL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
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: Site: Pain at Injection Site-Mild, Systemic: Allergic: Anaphylaxis-Mild, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Mild

Other Meds:

Current Illness:

ID: 1192929
Sex: F
Age: 65
State: OH

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
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: Almost all antibiotics especially Pennicillian,benzole peroxide,darvon,methergine,anspore,bactrum,sinus meds,red food dye,mold,dust

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

Symptoms: Covid arm. Swelling,redness,rash,soreness going down the outside and inside of left arm. Not at injection site. About 3 inches down and to the right.

Other Meds: Lisinopril,slow iron capsules; Acetaminophen

Current Illness: None

Date Died: 04/07/2021

ID: 1192930
Sex: F
Age: 83
State: TX

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 04/11/2021
Hospital: Y

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: none

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

Symptoms: Patient developed generalized weakness with peripheral neuropathy four days after getting second injection. Patient had a right MCA distribution infarct on 3/24/21. Last injection was on 2/25/21. Patient died on 4/7/21 from consequences of infarct.

Other Meds: Aricept, Neurontin, Zoloft

Current Illness: none

ID: 1192931
Sex: F
Age: 51
State: CT

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
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 environmental allergies to dogs, cats, dust mites and cockroaches

Symptom List: Pain in extremity

Symptoms: Arm soreness, moderate fatigue, achy muscles and/ or joints, headache, skin sensitive and a little sore to the touch- all over body, not just injection site.

Other Meds: Pataday eye drops Diazaosm 5mg Fish oil Curcumin Vitamin b12 Vitamin d

Current Illness:

ID: 1192932
Sex: F
Age: 21
State: NY

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Medium

Other Meds:

Current Illness:

ID: 1192933
Sex: F
Age: 24
State: NY

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
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: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: sweating-Mild, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Systemic: Weakness-Severe

Other Meds:

Current Illness:

ID: 1192934
Sex: F
Age: 50
State: NY

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Light headiness-Medium, Additional Details: PThad a syncope evenet after vaccination with the J and J vaccine but after lying down recovered but was observed for 30 minutes. Pt has a history of sycope while receiving shots

Other Meds:

Current Illness:

ID: 1192937
Sex: U
Age:
State: VA

Vax Date:
Onset Date: 04/03/2021
Rec V Date: 04/11/2021
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: TONGUE SWELLING; THROAT SWELLING; HEADACHE; FEVER; FLU LIKE SYMPTOMS; This spontaneous report received from a patient concerned a patient of unspecified age and sex. The patient's height, and weight were not reported. The patient's concurrent conditions included alcohol user, non-smoker, and seasonal allergy, and other pre-existing medical conditions included patient had no drug abuse or illicit drug usage. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: Unknown) dose was not reported, administered on 03-APR-2021 in left deltoid for prophylactic vaccination. The batch number is not reported. The company is unable to perform follow up to request batch/lot number. No concomitant medications were reported. On 03-APR-2021, the subject experienced flu like symptoms. On 03-APR-2021, the subject experienced throat swelling. On 03-APR-2021, the subject experienced headache. On 03-APR-2021, the subject experienced fever. On 04-APR-2021, the subject experienced tongue swelling. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from flu like symptoms, headache, and fever, and was recovering from tongue swelling, and throat swelling. This report was non-serious.

Other Meds:

Current Illness: Alcohol use; Non-smoker; Seasonal allergy

ID: 1192938
Sex: M
Age:
State: NC

Vax Date:
Onset Date: 04/04/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: SORENESS AT INJECTION SITE; This spontaneous report received from a parent concerned a 32 year old White male. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 043A21A, and expiry: UNKNOWN) dose was not reported, administered on 04-APR-2021 on left deltoid for prophylactic vaccination. No concomitant medications were reported. On 04-APR-2021, the patient experienced soreness at injection site. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from soreness at injection site. This report was non-serious.

Other Meds:

Current Illness:

ID: 1192939
Sex: F
Age: 61
State: MI

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: At 4 AM the following day I woke up with a severe headache and fever. I attempted to take 2 extra strength Tylenol which seemed to trigger cyclic vomiting every 15-20 minutes for approximately 4 hours. After this, I vomited once an hour for another 4 hours. I was finally able to sip water and sleep after this. I also took my first temperature once feeling better and it was 99.9F. My normal temp is in the 97s and I?m sure it was much higher during the vomiting. My fever broke approximately 12 hours after the first symptoms. Headache lasted approximately 36 hours and resolved the next day, although a milder one did come back off and on for a couple more days. I did not have much pain in the arm I received the injection in.

Other Meds: Levothyroxine, liothyronine, venlafaxine, Orphenadrine, losartan, vit C, vit B complex, calcium, fish oil

Current Illness: None

ID: 1192940
Sex: F
Age: 42
State: MN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/11/2021
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: Clarithromycin,Doxycline,Asprin, Retinoids,Oxycodone,Carbamazepine,Naproxen,Ultracet, Hydromorphone,Neomycin-Polymyxin-Hc,Barbituates,Carbamazepine, Tramadol, Clarithromycin, Codeine, Naproxen, Bacitra-Neomycin-Polymyxin-Hc,Tretinoin, Lactose intolerant

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Within 2 minutes of getting the vaccine I got the cold chill, light headed and dizziness,some trouble breathing, chest felt little tight and some chest pains not too bad, throat felt little constricted but not severe, cold chills lasted 2-3 days and head dizziness and chest for like 3-4 days

Other Meds: None

Current Illness: None really

ID: 1192941
Sex: F
Age: 34
State: MA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
Hospital:

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

Lab Data:

Allergies: Fentanyl, Benadrly, Reglan

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

Symptoms: Migraine immediately after vaccine, along with nausea and site pain. Extreme muscle pain, fatigue, and nausea starting approximately 10 hours after injections and lasting for about 24 hours. 46 hours after vaccine, very light headed and tingling in hands. Site pain has continued for 48 hours.

Other Meds: Pristiq, hydralazine, Vitamin D, B6, B12 Folate, Iodine

Current Illness: None

ID: 1192942
Sex: M
Age: 53
State: FL

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
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: Systemic: Dizziness / Lightheadness-Mild

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm