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: 1195720
Sex: F
Age: 33
State: PA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Mild, Additional Details: Patient felt dizzy for 5 minutes after getting the vaccine, she got on her knees, and then passed completely out. Her body was rigid and was unresponsive for about 30 secs. The patient woke back up and thought she has urinated. We took her vitals and her BP came up 141/131 Pulse 88. The paramedics arrive ad when they took her BP it was 137/82. She refused transport to the hospital. When she left the store she was feeling normal.

Other Meds:

Current Illness:

ID: 1195721
Sex: F
Age: 37
State: MD

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/12/2021
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: The next morning I woke up with a feeling of clogged ears. It was hard to hear. Feeling for better over the last few days but now on the 7th day I can barely hear out of my right ear. Have been trying to ?pop? my ears to relieve pressure. Nothing helps. Slight ringing in my right ear as well.

Other Meds: Prozac Januvia Protonix Micardis Aspirin 81mg Topamax Glipizide

Current Illness: None

ID: 1195722
Sex: M
Age: 34
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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: Sensitivity to egg and dairy, allergic to amoxicillin, all sulfa drugs, Cefaclor and keflex

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

Symptoms: Muscle aches and severe shaking due to chills reported 8 hours after injection, fever of 102 and mild nausea reported 12 hours after injection, continued fever and muscle aches from 12 hours - 30 hours after injection, ocular pain and tenderness reported 30 hours after injection along with continued muscle aches

Other Meds: Vitamin D, Multivitamin

Current Illness:

ID: 1195723
Sex: M
Age: 72
State:

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: aspirin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chills for approximately 4 hours

Other Meds: none

Current Illness: none

ID: 1195724
Sex: F
Age: 18
State: CO

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/12/2021
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: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe

Other Meds:

Current Illness:

ID: 1195725
Sex: F
Age: 55
State: IN

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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 that have been diagnosed. Maybe wheat. Definitely cats.

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

Symptoms: Fever between 101-102.1 for about 18 hours starting about 12-13 hours after the vaccination. I think I was given information about VAERS because I reported my symptoms to the v-check site. If this is not a real adverse event, please forgive my filling our this form.

Other Meds: Tamoxifen

Current Illness: None

ID: 1195726
Sex: F
Age: 56
State: AZ

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1195727
Sex: M
Age: 66
State: HI

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: Penecillin

Symptom List: Pharyngeal swelling

Symptoms: Fever at onset of symptoms 100.5 F, rose to 102.4 F 12 hours later, remained above 100.0 F for more than 48 hours. Nausea and aches for first 24 hours, dizziness and exhaustion for more than 48 hours.

Other Meds: None

Current Illness: None

ID: 1195728
Sex: F
Age: 57
State: MO

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: First night of vaccine, excessive chills and tired, with periods of fever. 2nd day, achy, tired, and after going to bed two episodes of waking in a full sweat.

Other Meds: Atorvastatin, Eva Mist, Extradiol, Duloxetine Multivitamin, D and Zinc, magnesium

Current Illness: N/A

ID: 1195729
Sex: F
Age: 16
State: IL

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Medium

Other Meds:

Current Illness:

ID: 1195730
Sex: M
Age: 33
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: Allergy to Penicillin.

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

Symptoms: Nausea, vomiting, diarrhea, body aches. Lasted 2 days.

Other Meds: None

Current Illness: None

ID: 1195731
Sex: F
Age: 25
State: MI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
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: Patient got an ocular migraine almost immediately after the injection. Her mother had to come pick her from work up due to vision being distorted.

Other Meds: N/A

Current Illness: N/A

ID: 1195732
Sex: F
Age: 63
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Severe headache, nausea, weakness, fever and chills. Only headache remains 2 days later.

Other Meds: Synthroid

Current Illness:

ID: 1195733
Sex: F
Age: 24
State: SC

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Fainting / Unresponsive-Severe, Additional Details: While resting after injection, patient fainted and fell out of chair and hit head on the ground. Paramedics responded and patient did not want to go with the as she felt better. WE gave ice and water and monitored until patient left under her own power.

Other Meds:

Current Illness:

ID: 1195734
Sex: F
Age: 19
State: CT

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Medium, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Visual Changes/Disturbances-Medium

Other Meds:

Current Illness:

ID: 1195735
Sex: F
Age: 59
State: VA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/12/2021
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: Codeine causes nausea

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

Symptoms: Symptoms presented 14 hours after injection. Muscle aches, chills, fever, nausea, headache. Symptoms cleared within 24 hours of onset.

Other Meds: Metoprolol Succinate ER 50 mg Atenolol Asprin 80 mg

Current Illness: None

ID: 1195736
Sex: F
Age: 40
State: CT

Vax Date: 04/03/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: NA

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

Symptoms: Extreme arm pain after shot that went away within 48-72 hours (could not even lift arm over head). Arm pain went completely away and then came back 8 days later - same pain, same location, tender to the touch but no rash.

Other Meds: NA

Current Illness: NA

ID: 1195737
Sex: M
Age: 29
State: NH

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Fever if 104.2 the morning of April 12. Full body aches and sharp pains.

Other Meds: None

Current Illness: None

ID: 1195738
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/12/2021
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: Headache within 2 hrs of vaccine, tylenol taken 4hrs post vaccination with relief

Other Meds:

Current Illness:

ID: 1195739
Sex: F
Age: 53
State: SC

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: food sensitivities - all food groups

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

Symptoms: Janssen COVID-19 Vaccine EUA Flu like symptoms: no sleep from low grade fever, bone and joint pain, nausea and headache - lasted 24 hours

Other Meds: Hydroxychloroquine 200mg 2x per day D-3 B-12 Zinc Vit C Digestive Enzyme

Current Illness:

ID: 1195740
Sex: F
Age: 16
State: FL

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Flushed / Sweating-Medium, Systemic: Seizure-Medium, Additional Details: was laid down and legs elavated once calmed down, ems were called and further treated by them

Other Meds:

Current Illness:

ID: 1195741
Sex: F
Age: 53
State: TX

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Unevaluable event

Symptoms: Sence the 2nd Madonna vaccination I have been experiencing lightheadedness and dizziness And has affected slightly my day to day activities

Other Meds: Can give later

Current Illness: No

ID: 1195742
Sex: M
Age: 18
State: WI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Patient was administered a Janssen COVID vaccine lot # 043A21A at approximately 10:33 on 4/10/2021. Patient expressed no history of difficulty with shots or vaccinations. Patient gave no indication he was not feeling well or any indication he was experiencing difficulties. Shortly after administration of the vaccine, approximately 3 minutes and while handing Patient his paperwork, he became unresponsive. Patient was lowered to the floor where he exhibited what could be described as minor convulsions that were very short lived. His feet were elevated and he regained consciousness after approximately 2-3 minutes. His vitals were taken and recorded. Patient reported that he has no remarkable medical.

Other Meds: none

Current Illness: none

ID: 1195744
Sex: F
Age: 38
State: CT

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 04/12/2021
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: Penicillin and Amoxycillin

Symptom List: Injection site pain, Pain

Symptoms: Pain in arm pit, swollen lymph node. No treatment, lasted about 5 days

Other Meds: Birth control Daily vitamins Claritin

Current Illness:

ID: 1195745
Sex: F
Age: 61
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 04/12/2021
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: High fever (103 F), aches, and chills began within 3 hours and lasted about 36 hours. Following the shot, the pain in the left arm muscle has continued to be significant, for two months at the time of this report.

Other Meds:

Current Illness:

ID: 1195746
Sex: F
Age: 52
State: OH

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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:

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

Symptoms: Error: Diluent Administered Instead of Vaccine

Other Meds:

Current Illness:

ID: 1195747
Sex: F
Age: 43
State: MI

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/12/2021
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: Sumatriptan tablets

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: The next day she became flushed and had a headache. She was sent home from work.

Other Meds: N/A

Current Illness: N/A

ID: 1195748
Sex: M
Age: 41
State: IN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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: Became violently sick to my stomach. High fever, throwing up, poring sweat but freezing cold, lasted about four hours. Next day I felt extremely sore and very drained with diarrhea.

Other Meds: Clonidine, cymbalta, ability, suboxone

Current Illness: None

ID: 1195749
Sex: F
Age: 52
State: NJ

Vax Date: 02/24/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
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: PCN

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

Symptoms: Rash - started as warm raised area on right shoulder just above scapula near neck, mild itchiness, burning, aching. Developed low grade fever, swollen/hard lymph nodes in my neck, rash resembled ringworm at first, now has scabbed areas where blisters would be, painful. I have never had chickenpox, was vaccinated as a child and titers show positive for immunity. I was diagnosed as having shingles at urgent care, and currently taking PO valacyclovir. I received the 2 nd dose of pfizer vaccination on 2/24/2021 and developed first sx approximately 4/6/21

Other Meds: none

Current Illness: none

ID: 1195750
Sex: F
Age: 48
State: OH

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: latex, leather

Symptom List: Nausea

Symptoms: Saturday April 10 - Immediately after receiving injection in left arm I had great pain and felt the warm sensation moving up my shoulder, I remained at the facility for 15 minutes and took 2 Tylenol before leaving the parking lot and driving the hour back home. At 5:00pm I took two more Tylenol, at 8:00pm the fever began, along with feeling very achy, rapid heartbeat and breathing slightly heavy. The rapid heartbeat lasted for about 11 hours. At one point my heart rate was 102 beats per minute. The fever Sunday April 11 stayed at 101.1-101.4, At tines I felt of balance, my throat is very sore and I had a stuffy nose, Could barely keep my eyes open. Monday April 12, fever has broke but now I have a rash on my face and other areas of my body. I did not go to the ER or doctor

Other Meds: none

Current Illness: none

ID: 1195751
Sex: F
Age: 41
State: OH

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: First day usual symptoms, headache , body aches, fever,chills, nausea, sweating. Second day, body aches, headache, heart palpitations . Until day 11 extreme body aches concentrated on lower back sacrum and thighs. Day 13 still having body aches but they have lessened slightly .

Other Meds: Synthoid 50 mcg

Current Illness: None

ID: 1195752
Sex: F
Age: 56
State: MI

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/12/2021
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: Vaccine very painful-burning when injected Arm sore and tender for full week following injection Approx 15 hours following injection was woke from sleep with full body aches, chills, fever (100-101) - this continued for approx. 24-48 hours

Other Meds: Isoniazid 300MG tab and B6 50mg

Current Illness: none

ID: 1195753
Sex: F
Age: 49
State: NC

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
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: was told as a child I was allergic to penicillin, but have had it later in life with no adverse reactions.

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

Symptoms: Received the shot at 4:45 pm. A little after 11 pm that night, I had mild fever (did not take temp) and severe chills that lasted about 2 hours. I had a very severe headache and felt very nauseous. I was not able to sleep well during the night. The next day, between 7 am and 5 pm, I stayed in bed with the most severe headache I have ever had, severe nausea and extreme fatigue, and sometimes felt hot and/or had mild chills. I was not able to go to work, as I could not get out of bed. I was finally able to get up around 5 pm (24 hours after shot) and eat a little something as the nausea had finally subsided. I was still very fatigued and had a less severe headache. I was able to sleep well that night, and woke the next day (about 36-37 hours after shot) with only a slight headache, which went away with a few hours.

Other Meds: none

Current Illness: none

ID: 1195754
Sex: F
Age: 41
State: MO

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Tremor

Symptoms: Error: Wrong Route (SC, IM, etc.)

Other Meds:

Current Illness:

ID: 1195755
Sex: F
Age: 57
State: FL

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/12/2021
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: Codeine Any Drug that ends in "INE"

Symptom List: Erythema, Pruritus

Symptoms: Hot Red Spot Sore Started the Size of a Dime now 10 days later size of baseball redness traveling to under my are near my muscle .

Other Meds: Lisinopril (BP) and Levothyroxine (Thyroid)

Current Illness: None

ID: 1195756
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/12/2021
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: None stated.

Other Meds:

Current Illness:

ID: 1195757
Sex: M
Age: 62
State: OH

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Augmentin, Codeine, Vicodin, MRI Contrast Dye

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

Symptoms: 0835 Injection, 0930 Blurry Vision driving home / 150-200 feet before I could read road signs. 1000 hours chicken noodle vegetable soup. Lie down / chills them "hot" off and on PM / rest of the day / no discernible fever by forehead touch / mild headache. 0700 4-11-2021 no headache, but brain "felt sore"; best I can describe it. 1030 hours 1000mg Tylenol, repeat at 1900 hours / repeat at 0400 hours 4-12-2021. 0800 hours 4-12-2021 "brain soreness" mostly gone. Many bowls of chicken noodle vegetable soup 4-10 / 11- 2021. Muscle / joint pain 4-10 / 11 / 2021 but I expected that. Some joints surprised me. Blurry Vision / brain soreness was a total surprise.

Other Meds: None

Current Illness: Hypertension

ID: 1195758
Sex: F
Age: 38
State: CT

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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 & Amoxycillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever started afternoon of 4/10 and lasted until morning of 4/11. Took ibuprofen every 4-6 hours Large red and swollen welt at injection site, watm and painful to touch. Started 4/10, still have it as of 4/12. Taking ibuprofen for pain.

Other Meds: Birth control Daily vitamins Claritin

Current Illness:

ID: 1195759
Sex: F
Age: 26
State: MO

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/12/2021
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: Beef

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

Symptoms: Hives on left arm 4:40 p.m. Disappeared by 9 p.m. Abdominal cramping (severe) and bloating noticed Sunday, 4/04/2021, roughly 8 a.m. Symptoms consistent with allergic reaction to red meat (alpha gal syndrome).

Other Meds: Xyzal

Current Illness:

ID: 1195760
Sex: M
Age: 27
State: MA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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:

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

Symptoms: Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Severe, Additional Details: Patient felt light headness, gave patient water, he ate sour patch kids then he said hes ok but will sit for 30 minutes, but he lost consciouness for about 20 seconds, woke up then started vomitting, we called 911 and Paramedic came took his vital signs bp 117/91 seems ok but patient refuse to go to emergency room, patient stayed for another 30 mins, his family came and picked him up. Patient said he will call his PCP if still nausea problem, patient said he fainted with injections before but never violently vomt

Other Meds:

Current Illness:

ID: 1195761
Sex: F
Age: 38
State: IL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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: Pain in extremity

Symptoms: Fever, headache, nausea, muscle pain, fatigue, pain at injection site, arm soreness

Other Meds: None

Current Illness: None

ID: 1195762
Sex: F
Age: 42
State: MN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies: Erythromicen

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

Symptoms: 1st 24 hours: Sleeplessness, headache, all body aches 24 hours: Left side of torso - skin was sensitive 24-48 hours: initial blister rash appears on torso, skin continues to be sensitive and painful on the left side 48- hours: Diagnosed with shingles/herpes zoster, put on Acyclovir, rash spreading on left side back and front; is itchy, painful and blistering

Other Meds: Flonase, Claritin, Zaditor, Kyleena

Current Illness: None

ID: 1195763
Sex: F
Age: 24
State: OH

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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: Joint and bone pain in legs, right shoulder 12 hours after vaccine. Decreased pain, increased fatigue 24 hours after vaccine. Mild pain at site of injection.

Other Meds:

Current Illness: None

ID: 1195764
Sex: M
Age: 27
State: MO

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
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: Error: Wrong Route (SC, IM, etc.)

Other Meds:

Current Illness:

ID: 1195765
Sex: M
Age: 62
State: IL

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
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: Tinnitus in both ears onset 48 hours post second shot.

Other Meds: Amlodipine 10 mg,Losartan potassium 100 mg,levothyroxine100 mg,clonazepam .5mg

Current Illness: None

ID: 1195766
Sex: F
Age: 54
State: WV

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/12/2021
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: Severe allergy to peanuts, tree nut, coconuts and bivalve seafoods (clams, mussel, etc) Also allergic to sulfa drugs and tramadol

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Mottled rash 2 inches in diameter at vaccination site

Other Meds: Xyzal, Zyrtec, Singular, prednisone, Pepcid and benadryl. Dr. Pretreated me for a reaction with prednisone, Pepcid and Benadryl

Current Illness: None

ID: 1195767
Sex: F
Age: 55
State: GA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/12/2021
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: Systemic: Chills-Severe, Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Severe, Systemic: Weakness-Severe

Other Meds:

Current Illness:

ID: 1195768
Sex: F
Age: 48
State: FL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Sore arm day of shot. 4/10 6:30am woke with low fever felt sluggish and nauseous throughout day. 4/11 felt normal

Other Meds:

Current Illness:

ID: 1195769
Sex: M
Age: 23
State: PA

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Systemic: small red dots on inside of right elbow-Mild, Additional Details: Patient has not sought medical attention at this time, but has a small red petichial rash on the inside of his right elbow. He thinks this may be signs of capillary leakage that have been reported with the vaccine. I advised he seek medical attention if required. No injection site issues or reactions in left arm.

Other Meds:

Current Illness:

ID: 1195770
Sex: F
Age: 66
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/12/2021
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: NKDA

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

Symptoms: Non-painful, nonerythematous, edematous rash on L arm (same as vaccination site), with axillary spread

Other Meds: HCTZ, Atenolol, MVI

Current Illness: HTN

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm