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: 1193608
Sex: M
Age: 45
State: GA

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: On initial assessment, client found sliding downwards from the chair, skin pale, diaphoretic, cool to touch, speech slurred. Client aroused to verbal stimuli. Client transferred to cot after ~ 15 seconds. Able to ambulate to observation with assistance.

Other Meds: None

Current Illness: None

ID: 1193609
Sex: F
Age: 64
State: NY

Vax Date: 04/06/2021
Onset Date: 04/07/2021
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: Mosquito bites

Symptom List: Anxiety, Dyspnoea

Symptoms: Arm was sore night of vaccine. Next day a rash started around injection are as large as lemon. The next 5 days the rash moved lower and got larger everyday (was wrapped around the upper arm). Started getting lower back pain on right side (did nothing heavy or strenuous to get this, very odd).

Other Meds: 1 a day multi vitamin, probiotic, vitamin D3, atorvastatin .

Current Illness: None

ID: 1193610
Sex: F
Age: 63
State: PA

Vax Date: 03/23/2021
Onset Date: 03/24/2021
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: Penicillin Levaquin

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

Symptoms: 12:20 pm face felt "hot"/burning. Face turned very red. symptoms were on the face, top of ears and under chin. No other symptoms 12:25 pm took 25 mg Benedryl 12:50 pm - burning started to subside. Redness subsided by about 3pm Notified Primary Care MD a few days later - stated ok to get second shot

Other Meds: Amlodipine Valsartan/HCTZ Vitamin D Repatha Boniva Occasional OTC Tylenol or Aleve

Current Illness: none

ID: 1193611
Sex: F
Age: 48
State: PA

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: Penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Rash on outside of right breast

Other Meds: Wellbutrin, Effexor, Gabapentin, Cyclobenzaprine, Rosuvastatin

Current Illness: None

ID: 1193612
Sex: F
Age: 73
State: MI

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: Pencillian Shell fish

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

Symptoms: severe chills Headsche Diarrhea fever over102 Body ache joint pain

Other Meds: Quinapril 40mg 2 times daily Nefedipine er 30mg 1 aday Simvastatin 20mg once a day6 Omeprazole 20mg once a day

Current Illness: none

ID: 1193613
Sex: F
Age: 46
State: CA

Vax Date: 04/09/2021
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: I took a thyroid medication called Synthyroid which I never have a problem with in the 9 months taking it. I take it in the morning after I get up. My vaccine was Friday, slept ok, took thyroid meds Saturday morning and within minutes my heart was racing, i was VERY hot, trembling, tingly feeling in my hands and feet and EXTREMELY scared. I was about to call 911 when the horrible feeling went away. I was in bed for the rest of the day with chills, fever and body aches. I am sooooooo scared to take my thyroid medication again. I am writing this to make your company aware that I do not regret the dosage, but I want the company to know I had a horrible side effect that I honestly thought I was going to have a heart attack.

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

Symptoms: sore arm, achey, fever

Other Meds: Synthyroid, prozac, vitamins, tylenol, lipitor

Current Illness:

ID: 1193614
Sex: F
Age: 27
State: MA

Vax Date: 01/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Amoxicillin, Cephalosporin's

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 4/8/21 Sxs of Congestion and runny nose. No hospitalization, No medications needed, Employee sxs resolving.

Other Meds: none

Current Illness: none

ID: 1193615
Sex: F
Age: 41
State: MI

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

Lab Data:

Allergies: Amoxicillin Biaxin Kflex

Symptom List: Pharyngeal swelling

Symptoms: 4/8 At 7pm that evening I started having skin irriation with a rash on both arms, chest and neck. I also had hives on both arms about 4 on each arm. Also had fatigue and lightheadedness all afternoon and evening it would come and go. 4/9 The next day, I had a itching but hives were still there just not as intense of an itch. Also had fatigue and and chills all day. Felt like I had the flu. 4/10 I had a faster heart beat when standing during the day, felt a little better and rash was almost gone. Just fatigued all day. That night at 2:00am I woke up with swollen hands and toes that felt like they were on fire and very itchy. Ankels were not swollen just toes. Lasted for about an hour then went away. 4/11 hands still swollen and toes this morning and all day so far. When I woke up my body was itchy all over, hands, feet, face, neck, chest, arms, torso, legs. Feels like the same reaction I have had to medicines I am allergic to and get a rash from. Hives are still on my arms and one is now on the back of my left thigh, very itchy.

Other Meds: Multivitamin 1 daily Metoprolol Succ 12.5mg

Current Illness: Sinus cold

ID: 1193616
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: After about an hour after shot, light headed. 12 hours later, dizziness, rapid heartbeat and pain or ache in isolated spot in upper left thigh. Discovered 2 days later, a red spotty area on upper left thigh where the ache was.

Other Meds: None

Current Illness: None

ID: 1193617
Sex: F
Age: 76
State: FL

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: demerol ct contrast

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 8 hours later bad chills then fever of 101. It was over within 12 hours Three days later had a strange like feeling of flittering near heart area...has happened 3 times since Blood pressure has increased at least 20 points or more since vaccine Swelling in fingers and toes

Other Meds: lisinoprel 40 stool softeners

Current Illness: none

ID: 1193618
Sex: F
Age: 22
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Soreness at injection site, fatigue, headache, body aches. All lasting for about 48 hours post injection.

Other Meds:

Current Illness:

ID: 1193619
Sex: F
Age: 48
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: ciprofloxacin

Symptom List: Rash, Urticaria

Symptoms: Janssen COVID-19 Vaccine EUA Headache, fever, chills, fatigue

Other Meds: none

Current Illness: none

ID: 1193620
Sex: F
Age: 59
State: CO

Vax Date: 04/01/2021
Onset Date: 04/05/2021
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: sulfa-based drugs and penicillin

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

Symptoms: Three -four days after receiving shot, the injection site started itching and became painful again. At the same time I experienced acute and chronic diarrhea that lasted for 6 days. The last instance was after lunch yesterday (April 10th).

Other Meds: Melaleuca Multi vitamin pack, Metholated B complex

Current Illness: none

ID: 1193621
Sex: M
Age: 20
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Very sore and swollen lymph node in right armpit, general body aches, exhaustion without ability to fall asleep (restlessness during day and at night)

Other Meds:

Current Illness:

ID: 1193622
Sex: M
Age: 40
State: PA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
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: Atropine

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

Symptoms: - Day following the shot: headaches and dizziness. Difficulty to focus. - Whole week following the shot: cold feet and hands, Mild blood circulation problems (legs and arms slightly painful)

Other Meds: Pseudoephedrine, azelastine, etodolac, levocetirizine, zyrtec

Current Illness: None

ID: 1193623
Sex: F
Age: 41
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Soy

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

Symptoms: Sore arm, chills, sweating, feeling hot

Other Meds: Vitamins

Current Illness: None

ID: 1193625
Sex: M
Age: 50
State: NY

Vax Date: 04/11/2021
Onset Date: 04/11/2021
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: nkda

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

Symptoms: Patient presented to pharmacy feeling anxious, drank energy drink prior to vaccine, and had not slept the night before. He said he had a lot going on at home. After the vaccine he felt dizzy. Patient stayed in pharmacy admin area and then in the waiting area for over 20 minutes to see how he felt. he felt much better after waiting some time. We provided a gatorade to keep him hydrated.

Other Meds:

Current Illness:

ID: 1193626
Sex: F
Age: 34
State: TX

Vax Date: 03/29/2021
Onset Date: 04/01/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe Diarrhea and leg cramps occurred 3 days after vaccine

Other Meds: Women's daily vitamins

Current Illness: UTI

ID: 1193627
Sex: F
Age: 39
State: NJ

Vax Date: 04/08/2021
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: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: The night after my vaccination, my arm became extremely sore which was expected. I woke up on Saturday morning (two days after injection) and my entire body was covered in a blotchy rash that was warm to touch. No fever, no shortness of breath. Today Day 4 of vaccination my skin is less red but is still itchy and warm to touch and hurts to touch it.

Other Meds: none

Current Illness: none

ID: 1193628
Sex: F
Age: 23
State: IN

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

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

Symptoms: Symptoms of a fever (full body ache, sensitive skin, headache) started around 5:30pm on 4/9. (No temp taken.) 600mg of Ibuprofen was taken around 8:30, by 10:30 fever symptoms were reduced and only a strong headache remained. 4/10 3:30am-- woke up in extreme pain associated with a fever (actual temp 99.6 F). 600mg of Ibuprofen was taken at that time. 7:30am--600mg of Ibuprofen was taken 1:30pm--fever symptoms started to return, 600mg of Ibuprofen was taken. 8:30pm--fever symptoms were returning but not at strong. 600mg of Ibuprofen was taken 4/11--no more fever symptoms, general arm soreness at site of injection. 400mg of Ibuprofen taken at 8am

Other Meds: None

Current Illness: None

ID: 1193629
Sex: F
Age: 24
State: MI

Vax Date: 04/11/2021
Onset Date: 04/11/2021
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: Almost immediately after COVID 19 vaccine administration, patient began experiencing warmth ,dizziness and faint, variable breathing shallow, deep etc. Cool compress applied to patient. Patient began to slump, tremors, and appeared to be passing out, eyes began to roll back. EPIPEN was administered and 911 was called. The 911 medics arrived and patient was transported to emergency room .

Other Meds:

Current Illness:

ID: 1193630
Sex: M
Age: 22
State: GA

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

Symptom List: Unevaluable event

Symptoms: Two days after COVID vaccination I began feeling nauseous, with feelings of panic attacks and impending doom., brain fog and physical weakness. It is now 8 days after my shot and the symptoms have not eased. I have never experienced anything like this feeling.

Other Meds: None

Current Illness: None

ID: 1193631
Sex: F
Age: 44
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
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: Medication allergies- penicillin, amoxicillin, Sulpha , Trimethoprim,, sulphasalazine

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

Symptoms: Dose 1 - redness, itching , burning throughout the body - lasted almost till second dose Dose 2 - redness, itching , burning, skin hypersensitivity, nerve issues in whole body ( tingling, burning), numbness in hands and feet - took 10 days of Benadryl on the schedule per doctor?s advice, now on steroid treatment since all dose 2 reactions are ongoing even after 3 weeks after the vaccine.

Other Meds: Vitamin supplements, vitamin b12 1000 mcg

Current Illness: None

ID: 1193632
Sex: M
Age: 42
State: MN

Vax Date: 03/05/2021
Onset Date: 03/06/2021
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: None.

Symptom List: Injection site pain, Pain

Symptoms: Within 1 day of administration of vaccine, I (patient) developed join pain and limited range of motion in in the shoulder of the arm where the vaccine was injected. Shooting/acute joint pain not constant, but is dependent on arm position and use. After five weeks, condition has not improved or changed.

Other Meds: None.

Current Illness: None.

ID: 1193633
Sex: F
Age: 19
State: MN

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: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: By 9:15 pm I developed a splitting headache, I could not look at any light. I tried wearing sunglasses but that didn't help. I was dizzy. I had taken Advil at 8:30 and my temperature was still 100.5. (I kept taking Advil and my temp remained at 100.5.) The pain in my head was the worst I had ever felt and was intense and stabbing .I had waves of nausea, and had extreme chills. I had severe hot and cold flashes. I also had a stomach ache. I tried to watch TV but it was too painful. I was really scared and I did not think the night would end.

Other Meds: Levothyroxin

Current Illness: common cold

ID: 1193634
Sex: M
Age: 0
State: MD

Vax Date: 03/29/2021
Onset Date: 04/09/2021
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: Wheat, pollen

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

Symptoms: after 9 days from shot # 2 - headache, fatigue and muscle stiffness and aches

Other Meds: Buproprion, clonidine, trazodone, tramadol, fish oil, multi vitamin and magnesium

Current Illness: none

ID: 1193635
Sex: F
Age: 64
State: NH

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Low Grade Fever (100.4), Burning Eyes, Headache, Body Aches, Lack of Energy

Other Meds: Multi-Vitamin/Mineral Supplement, Probiotic Dietary Supplement, Elderberry/Zinc/Vitamin C

Current Illness: None

ID: 1193636
Sex: F
Age: 46
State: CA

Vax Date: 04/03/2021
Onset Date: 04/05/2021
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: Allergic to chocolate and crustaceans

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Lump, swelling, redness itching, soreness and burning in the upper arm surrounding the injection site.

Other Meds: None

Current Illness: Diabetes, asthma, Gerd, sleep apnea, obesity

ID: 1193637
Sex: F
Age: 44
State: IL

Vax Date: 04/01/2021
Onset Date: 04/06/2021
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: Nauseated, aches, fever of 104.5, mouth sores, debilitating headache, neck and shoulder pain, sharp shooting pains throughout body, fatigue, dizziness. High fever lasted for 24 hours. Other symptoms lasted 5 days.

Other Meds:

Current Illness: None

ID: 1193638
Sex: F
Age: 25
State: IL

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: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: I received my shot at approximately 8:40 a.m. I had pain at the injection site immediately, but it wasn?t super severe pain. At approximately 3:30 p.m. that same day of the shot that I received, I started experiencing flu like symptoms such as severe aches throughout my body and hot flashes. My body was also significantly shaking as I would randomly become very cold and achy when I wasn?t having hot flashes. I also had a severe headache. Slight pain on the injection site, but not horrible. The day after the shot, I feel weak and nauseous.

Other Meds: None

Current Illness: None

ID: 1193639
Sex: F
Age: 47
State: VA

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Round raised itchy rash at injection site nine days after injection (covid arm)

Other Meds:

Current Illness:

ID: 1193640
Sex: F
Age: 46
State: TX

Vax Date: 04/05/2021
Onset Date: 04/06/2021
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: NONE

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

Symptoms: FEVER; CHILLS; BODY ACHES; HA; SYNCOPE

Other Meds: BENADRYL

Current Illness: NONE

ID: 1193641
Sex: F
Age: 51
State: MI

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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: Bentyl

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

Symptoms: Had tinnitus before but it much louder after dose #2. Difficulty falling asleep and unable to distract myself from the sound as I had been able to previously.

Other Meds: Eliquis, Flecainide, metoprol suc, hyoscyamine, iron, vitamin d, CoQ10, fish oil, probiotic

Current Illness: N/A

ID: 1193642
Sex: F
Age: 18
State: OH

Vax Date: 03/22/2021
Onset Date: 03/22/2021
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: NSAIDs

Symptom List: Tremor

Symptoms: Allergic reaction. Felt throat swelling. Lightheaded

Other Meds: Prednisone, Zyflo, advair, pepsid

Current Illness:

ID: 1193643
Sex: F
Age: 60
State: PA

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

Lab Data:

Allergies: none

Symptom List: Erythema, Pruritus

Symptoms: Severe flu like symptoms for several hours

Other Meds: Losartan 50mg, Hydrochlorothiazide 12.5mg, Multi vitamins, neuriva

Current Illness: none

ID: 1193644
Sex: M
Age: 55
State: GA

Vax Date: 04/11/2021
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: None

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

Symptoms: Client vaccinated in left deltoid and experienced immediate pain shooting up to the shoulder and neck/head region. Patient applied ice pack to the left deltoid and felt better.

Other Meds: None

Current Illness: None

ID: 1193645
Sex: F
Age: 55
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: 24 hours after injection, experienced fever (100.8), body aches, and fatigue. Symptoms lasted about 24 hours.

Other Meds:

Current Illness:

ID: 1193646
Sex: M
Age: 28
State: MI

Vax Date: 04/06/2021
Onset Date: 04/06/2021
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: after receiving second dose of moderna almost immediately became red from neck/chest up through head, scratchy throat, lightheaded, nauseated, and told observation staff had hives after first vaccine. Recieved epinephrine and oxygen, ems activated and transported to the ER for evaluation

Other Meds:

Current Illness:

ID: 1193647
Sex: F
Age: 57
State:

Vax Date: 12/28/2020
Onset Date: 01/14/2021
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: Clavulanic Acid - Anaphylaxis Neurontin - Anaphylaxis

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

Symptoms: Beginning January 15, 2021, I began experiencing symptoms of transverse myelitis: Pain in the lower back, sharp shooting pain down the legs, numbness, tingling, burning sensation in legs and feet, increased sensitivity to touch, cold and heat; weakness in the lower limbs, bladder and bowel problems. The symptoms were crippling and nothing helped control them. Finally on March 23, 2021, the symptoms began to subside.

Other Meds: Metoprolol, Elavil

Current Illness: None

ID: 1193648
Sex: F
Age: 29
State: MO

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/11/2021
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: Cechlor/cephachlor

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

Symptoms: Extreme dizziness and Weak legs on Day 2. Lightheadedness and weak legs persisted till day 5 with gradual decline of symptoms every day. Weakness in legs persist on day 5, although to a lesser extent. Do not feel 100% on Day 5 yet.

Other Meds:

Current Illness:

ID: 1193649
Sex: F
Age: 66
State: AZ

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: chicken, lemon, asprin, most antidepressants, and some others

Symptom List: Pain in extremity

Symptoms: Feels like flu. Dizzy, room spinning, ears hurt, throwing up, tummy ache and Migraine.. Hard to see

Other Meds: Victors 1.8

Current Illness: Diabetes

ID: 1193650
Sex: F
Age: 24
State: NC

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: Tylenol, no other known allergies

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

Symptoms: After getting the shot, felt lightheaded, pulse raced, sweating, flushing of face. Since getting the shot I have developed allergies to everything including smells, sunlight, foods previously tolerated, heat, etc. I have now been diagnosed by a specialist with MCAS.

Other Meds: Sprintec, Florinef, Pantoprazole

Current Illness: POTS

ID: 1193651
Sex: F
Age: 41
State: TX

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Pins and needles in mouth and tongue 1 day following vaccine. Continued worsening until going to ER April 10th, pins and needles and burning all over body for a full day period. Continuing to get worse. Have been referred to rheumatologist and neurologist, but no one knows what is going on or how to treat. Only tell me ?I am not the only one?. Feels like arthritis in hands. Pain mostly in mouth, tongue, spine, feet, legs.

Other Meds: None

Current Illness: None

ID: 1193652
Sex: U
Age:
State: MO

Vax Date:
Onset Date:
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: Besides the expected exhaustion and sore arm, I got a red, warm, itchy spot next to injection site that started small and has gotten larger. Not sure if it's still getting larger, but per recommendation, I'm about to take benedryl, so... yeah. I did NOT have that with the first shot

Other Meds:

Current Illness:

ID: 1193653
Sex: M
Age: 29
State: PA

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

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: 7 hours after the shot I experienced headache and a weird skin discomfort feeling, I took Tylenol. 12am I woke up with violent shaking and clenching with no fever. Took Tylenol again. 2am woke up without the shakes but severe body pain. 7am another headache bad body aches took more Tylenol. Everyone i feel like I?m getting better I feel worse again. I feel like everything is coming back again.

Other Meds: Nothing

Current Illness: None

ID: 1193654
Sex: M
Age: 27
State: PA

Vax Date: 04/11/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient has the vaccine and then got dizzy and started to put self on floor, passed out and hit face on the floor. Patient has a red bruise on his forehead and nose. Patient was advise that he should go to ER to get checked out because he passed out and hit his head. Patient refused and went home with girlfriend. They were advised as to what signs to look out for and then if the patient gets these symptoms to take him to the ER to get evaluated

Other Meds: no

Current Illness: no

ID: 1193655
Sex: M
Age: 65
State: NC

Vax Date: 01/22/2021
Onset Date: 02/24/2021
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:

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

Symptoms: Severe ringing of the ears. Can?t concentrate. No sleep Nervousness

Other Meds: Lisinopril. Symbicort. Atorvastatin. Diltiszem. Hydrochlovothiazide.

Current Illness:

ID: 1193656
Sex: M
Age: 53
State: MI

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever (+2 degrees above normal); very strong headache, body aches, chills, fatigue, hot flashes, some chest congestion, could not sleep due to aforementioned. Symptoms began about 12 hours after second dose. Symptoms subsided about 24 hours after second dose.

Other Meds: Multi-vitamin, vitamin c, vitamin d, fish oil, garlic, magnesium, digestive enzyme, probiotic

Current Illness: None

ID: 1193657
Sex: F
Age: 62
State: NJ

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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: Pollen, dust, dogs, dust mites, soy, and slight allergy to milk, eggs and wheat. In recovery, intense sleepy send depressive reactions to addictive type drugs including alcohol.

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

Symptoms: Extreme fatigue, dizziness, hot flashes, chills, Low level nausea but constant, sore throat, sore skin, (skin hurts-this is one of my very typical fibromyalgia symptoms). Symptoms lasting at least four days as it continues through today, Sunday, April 11.

Other Meds: Curcumin, omega fish oil, vitamin D, vitamin C, multivitamin

Current Illness: Fibromyalgia, chronic fatigue syndrome (aka SEIDS), Very bad allergies to everything springtime

ID: 1193658
Sex: F
Age: 71
State: VA

Vax Date: 04/01/2021
Onset Date: 04/03/2021
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: Adhesive/paper tape (severe rash) Cipro (ruptured tendons) Codeine (itching) Erythromycin (Abdominal cramps) Mepergan Fortis (mental instability) NSAIDS (makes face swell) Penicillin (Rash around eyes) Skelaxin (makes face swell) Surgical Adhesive Gel (severe rash) Toprol XL (Headache)

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine : symptoms started with rash and swelling at injection site. Rash and itching progressed till it covers front and back of the trunk. The rash appears and disappears but the itching is constant. Treatment has been with over the counter antihistamine (Zrytec once daily, Claritin two times a day, Benadryl 50mg every 4-6 hours depending on how bad it itches). We have also been applying OTC creams (Benadryl 2% and Hydrocortisone 1%).

Other Meds: Albuterol HFA 90 MCG 2 Puffs @ 4 hrs as need Enbrel 25mg. twice wkly injection Hydrocodon (Lortabs) 10/325mg one at 6 hours Leflunomide (Arava) 20 mg. daily Montelukast Sod (Singular) 10 mg Daily Morphine Sulfate ER (MS Cotin) 30 mg 2X dly

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm