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: 1196138
Sex: F
Age: 51
State: VA

Vax Date: 04/12/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Diarrhea, started about 5 hours after shot, mild, only had it for about 2 hours.

Other Meds: None

Current Illness: None

ID: 1196139
Sex: F
Age: 53
State: NC

Vax Date: 03/01/2021
Onset Date: 04/01/2021
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: MRI Contrast, Codeine

Symptom List: Anxiety, Dyspnoea

Symptoms: I received the shot on a Friday on my lunch hour and had arm pain for about an hour. That night started developing some tiredness and body aches and a slight fever. Saturday I could not get out of bed. Chills, muscle aches and fever, ran a fever so high 104 plus I was delirious and could not get warm. Sunday fever was down to 101. Monday had a full blown head cold that lasted for 24 hrs. About 2 weeks later I developed this right ear ringing. It never stops and it is getting louder. 24 hours a day.

Other Meds: Lexapro, Xanax

Current Illness: None

ID: 1196140
Sex: M
Age: 17
State: IA

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: unk

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

Symptoms: Patient was underage at the time of vaccination administration.

Other Meds: unk

Current Illness: unk

ID: 1196141
Sex: F
Age: 20
State:

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: Celiac disease

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Weakness/heaviness of the right side of the body, headache only on the right side of the head - lasted ~30 mins. Flulike symptoms, fever, general headache - lasted 24 hours. Extreme fatigue - lasted 4 days.

Other Meds: Lexapro 5mg, loloestrin birth control, iron and vitamin d supplements

Current Illness:

ID: 1196142
Sex: F
Age: 52
State: TN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
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: PENICILLIN, ASPIRIN

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

Symptoms: HEADACHE, COLD SWEATS, BODY ACHES. SYMPTOMS STARTED OVERNIGHT THE FOLLOWING MORNING OF INJECTION (04/07/21) AND SUBSIDED SOMETIME FRIDAY 04/09/2021. PATIENT STATES SHE STAYED IN BED. NO ADDITIONAL MEDICATION WAS TAKEN. SHE WASNT SURE IF IT WAS DUE TO THE VACCINE OR HER ALLERGIES FLARING UP.

Other Meds: OXYCODONE-APAP 7.5/325MG, CARISOPRODOL 350MG, METFORMIN 500MG, GABAPENTIN 400MG, LOVASTATIN40MG, MELOXICAM 7.5MG, LISINOPRIL 20MG, VENTOLIN INHALER

Current Illness: ALLERGY SYMPTOMS-SINUS DRAINAGE, STOPPED UP HEAD

ID: 1196143
Sex: F
Age: 18
State: MN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
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: eggs, peanuts

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

Symptoms: fainted/fell, BP 117/71, pulse 80. Resolved within minutes following monitoring

Other Meds: Differin, Biotin, Pulmicort, Cleocin, Decadron, Ferrous Gluconate, Diflucan, Prozac, Ibuprofen, MILI Singulair, MVI, Ortho-Cyclen, Deltasone, Qvar

Current Illness: Asthma, Dysautonomia

ID: 1196144
Sex: F
Age: 17
State: IA

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Received the vaccine by attending the clinic and altering DOB to make it appear she was 18 y/o, when entering into the state immunization reporting system discovered she was not 18, patient called and she insisted DOB was correct, asked for photo ID to confirm DOB, none was provided, called number in the state system and spoke with patients mother that verifies she is only 17, she says she was aware she getting a vaccine she thought she had found Pfizer. Spoke with mother about options for booster and we will wait until patient is 18 y/o to administer the booster.

Other Meds:

Current Illness:

ID: 1196145
Sex: F
Age: 59
State: MI

Vax Date: 03/25/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulphur Drug Allergy

Symptom List: Pharyngeal swelling

Symptoms: Ringing in both ears

Other Meds: Levothyroxine 88mcg daily Aspirin 81 mg daily

Current Illness: None

ID: 1196146
Sex: F
Age: 54
State: CA

Vax Date: 03/28/2021
Onset Date: 04/04/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: On day 7 I felt horrible! My fever was 101.8 (normal for me is 96.1 so it was a bigger difference for me than average person), headache, swollen glands larger than I have ever had, sore throat, fever persistent. I had to get in cool tub as tylenol was not enough to get it down. I am worried about taking second dose, not sure I will.

Other Meds: Norco 10mg, xanax . 5mg

Current Illness: None

ID: 1196147
Sex: M
Age: 71
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/29/2021
Rec V Date: 04/12/2021
Hospital: Y

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: Presents to hospital with c/o significant weakness since receiving first Moderna Covid vaccination on 3/26. Pt notes weakness started on 3/29.

Other Meds: allopurinol, amLODIPine, apixaban, aspirin, atorvastatin, carvedilol, clopidogrel, entresto, famotidine, folic acid, multivitamin, omega-3

Current Illness: PMH HTN, CHF, AICD (2015 ), CVA (2007) with residual left sided weakness, CAD s/p CABG x 3 (2004), MI, Syncope +Vfib s/p AICD activation s/p EPS s/p NIPS testing s/p cardiac cath (2017), A fib (TEE mobile density visualized and ablation aborted 2017), GIB, colectomy for GIB s/p colostomy, gout who presents to hospital with c/o significant weakness since receiving first Moderna Covid vaccination on 3/26. Pt notes weakness started on 3/29. Pt normally ambulates independently with a cane, but has had increased difficulty ambulating. Also notes decreased appetite and decreased u/o, but normal stool o/p via colostomy. + non-productive cough, hypoxia requiring NC 3L. Admitted 4/10/21 for NSTEMI and AKI. COVID negative.

ID: 1196148
Sex: M
Age: 21
State: WI

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: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Client had received the vaccination and was sitting in the observation area for 15 minutes of post-vaccination monitoring. He was overheard by this RN saying "I feel light-headed" or "I'm feeling dizzy". He was able to walk and was escorted to a private area for monitoring. He lay down on a cot and was given some water to drink. He denied any numbness or tingling around his lips or mouth, any difficulty breathing, or any other sx. At 11:12 am, his BP was 132/78, pulse 85, O2 sat 98%. Client continued to rest and was able to carry on normal conversation. At 11:25 am, vitals again monitored- BP 138/86, pulse 86, O2 sat 99%. Reported dizziness lessened, no new sx. Continued to converse.Sat up on edge of cot for a few minutes, then felt as though he could return to a seat in the observation area. He remained there for approximately 15 more minutes. PHN checked on him one additional time and he reported feeling fine and comfortable leaving on his own.

Other Meds: N/A

Current Illness: N/A

ID: 1196149
Sex: F
Age: 33
State: RI

Vax Date: 04/06/2021
Onset Date: 04/07/2021
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: NA

Symptom List: Rash, Urticaria

Symptoms: Extreme feeling of hotness for first two days Extreme tightness in trachea on day after- re-emerging two days after Puffy feeling in ears - with whooshing feeling

Other Meds: Apri 28

Current Illness: NA

ID: 1196150
Sex: F
Age: 60
State: PA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: First night: headache, Body/joint aches. Day 9 Hives & swelling entire body

Other Meds: Synthroid, Calcium/vit. D

Current Illness: None

ID: 1196151
Sex: F
Age: 59
State: IA

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

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: Vancomycin HCL, Penicillin's

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

Symptoms: Received vaccine #2 04/08/2021. Fell at home 04/09/2021 and was transferred to ER and they admitted her to hospital for Urinary Sepsos.

Other Meds: ARIPiprazole 10 MG Every Day Oral MORNING (Take 1/2 tablet to make 5 mg) 6/29/2018 3 ARIPiprazole 20 MG Every Day Oral MORNING (to be taken with 5 mg for a total daily dose of 25 mg. 6/29/2018 6 Clopidogrel 75 MG Every Day Oral

Current Illness: 11.0 Hypertensive heart disease with heart failure I50.22 Chronic systolic (congestive) heart failure E11.42 Type 2 diabetes mellitus with diabetic polyneuropathy M47.816 Spondylosis w/o myelopathy or radiculopathy, lumbar region M47.812 Spondylosis w/o myelopathy or radiculopathy, cervical region G89.29 Other chronic pain I42.8 Other cardiomyopathies R30.0 Dysuria G47.33 Obstructive sleep apnea (adult) (pediatric) K58.9 Irritable bowel syndrome without diarrhea E66.9 Obesity, unspecified Charcot foot

ID: 1196152
Sex: M
Age: 59
State: AZ

Vax Date: 03/29/2021
Onset Date: 04/08/2021
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: N/A

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

Symptoms: Developed hearing loss and tinnitus. Symptoms are worse on right side.

Other Meds: Cialis, allopuronol, levoxyl, simvistatin, metfromin, linsinoprol

Current Illness: none

ID: 1196153
Sex: F
Age: 59
State: OK

Vax Date: 03/29/2021
Onset Date: 03/29/2021
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: Tetracyclin

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

Symptoms: Injection site was sore after the injection. The site continued to increase pain and is swollen and warm to the touch. stiff to move

Other Meds: potassium chloride 10 mEq CR capsule Commonly known as: MICRO-K Learn more Take 4 capsules by mouth once daily Prescription Details PrescribedMarch 15, 2021 Approved byChristen Greuel, DO Prescription number0575803 Refill Details Quantity12

Current Illness: none

ID: 1196154
Sex: F
Age: 86
State: NE

Vax Date: 03/20/2021
Onset Date: 03/23/2021
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: Sulfa

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

Symptoms: Shingles outbreak

Other Meds: Armour thyroid, candesartan, furosemide, Quetiapine, risperidone, terbinafine, sinemet, aspirin, famotidine, metformin, metoprolol, acetaminophen, potassium chloride, atorvastatin calcium, vitamin d

Current Illness: None

ID: 1196155
Sex: F
Age: 34
State: KY

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: Bee venom and doxycyline

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe bone pain, nausea, vision changes

Other Meds: Zytec

Current Illness:

ID: 1196156
Sex: F
Age: 42
State: MN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: Darvocet, Percocet and sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Started with feeling a brick on my chest. Them my ribs hurt. Every breath hurt and I couldn?t take a deep breath. The pain spread all across my ribs and up my chest. It hurt to the touch.

Other Meds: Trazidone

Current Illness:

ID: 1196157
Sex: M
Age: 35
State: IN

Vax Date: 04/10/2021
Onset Date: 04/11/2021
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: None

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

Symptoms: Fever over 100, headache, took Tylenol and rest for 24 hours

Other Meds: 20mg Omeprozole 1x daily

Current Illness: None

ID: 1196158
Sex: F
Age: 45
State: CA

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: lightheadedness, dizziness BP: 113/65 97% pulse ox pulse:65

Other Meds: none

Current Illness: none

ID: 1196159
Sex: F
Age: 22
State: CT

Vax Date: 03/03/2021
Onset Date: 03/13/2021
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: Allergy to penicillin

Symptom List: Unevaluable event

Symptoms: Hives on arms and legs started 10 days after vaccine and lasted more than a month, still there. Extremely itchy. Also had red circle around the vaccination area.

Other Meds: Linzess, Myrbetriq, Oxybutin

Current Illness:

ID: 1196160
Sex: F
Age: 24
State: FL

Vax Date: 04/04/2021
Onset Date: 04/05/2021
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: Migraines and trouble sleeping

Other Meds: Magnesium malate, glycinate & citrate, nigella sativa, krill oil.

Current Illness: None

ID: 1196161
Sex: F
Age: 18
State: TX

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NA

Symptom List: Injection site pain, Pain

Symptoms: High Temp 101, signs of nausea/vomiting

Other Meds: NA

Current Illness: NA

ID: 1196162
Sex: F
Age: 0
State: KY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
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: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: States she has had left arm pain since her first does of the vaccine. she is able to lift arm however describes it as stiff.

Other Meds: none

Current Illness: none

ID: 1196163
Sex: F
Age: 40
State: AZ

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

Lab Data:

Allergies: NSAIDS- gastric bypass, methotrexate- reaction ICU stay 2017

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

Symptoms: fever between 104 and 99.9, body aches, chills, night sweats, migrains

Other Meds: tizanadine, mystique, clonoidine, clonazpam, tumeric, arnica

Current Illness: migraines

ID: 1196164
Sex: F
Age: 50
State: TX

Vax Date: 03/10/2021
Onset Date: 03/24/2021
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: NA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Additional to previous form filled out. Approx 2 weeks after the 2nd dose, lymph nodes under right arm were painful. Vaccine was administered in LEFT arm. Have never had this type of pain before, found it odd that it was on the opposite side of the body where shot was given and so late after the date of vaccination. Have mammogram scheduled for today.

Other Meds: Lipitor Lexapro

Current Illness: NA

ID: 1196165
Sex: F
Age: 37
State: GA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
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: Imuran, Cellcept, Methotrexate

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Shortness of breathe Racing heart beat Cough/congestion in chest

Other Meds: N/A

Current Illness: N/A

ID: 1196166
Sex: M
Age: 25
State: TX

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: RA

Lab Data:

Allergies: None

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

Symptoms: Fever, Weakness, Chills, strong headache, heavily breathing

Other Meds: Ramipril (ACE Inhibitor)

Current Illness: None

ID: 1196167
Sex: F
Age: 41
State: NJ

Vax Date: 04/06/2021
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: RA

Lab Data:

Allergies: azithromycin

Symptom List: Nausea

Symptoms: Moderna COVID-19 Vaccine EUA: After receiving the 2nd dose at 7:07 AM, , vaccine recipient experienced headache, lightheadedness, dizziness, and vomiting at 7:10 AM..Vaccine recipient was taken to the emergency department . The patient received ondansetron, metoclopramide, and fluids. They felt much better upon reevaluation. They were discharged at 10:36 AM to home.

Other Meds: synthroid

Current Illness: thyroid cancer

ID: 1196168
Sex: F
Age: 49
State: AR

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: LA

Lab Data:

Allergies: Wool Shellfish

Symptom List: Injection site pain

Symptoms: 4/10/2021- 102 temp by 10 pm. Aching in all joints especially ankles and wrist. 103 temp by 12am. 04/11/2021 severe headache.. light sensitivity.. fever 101-103 until 5pm. Nausea and diarrhea. 04/12/2021 temp and aching has subsided.. Major headache and nausea and diarrhea still on-going. Taking Tylenol 325x2 every 8 hours.

Other Meds: Benicar/hctz 40/25 Asa 81

Current Illness: None

ID: 1196169
Sex: M
Age: 68
State: MD

Vax Date: 04/09/2021
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: LA

Lab Data:

Allergies: None

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

Symptoms: Severe rash (bright red welts) spreading around shoulder area (top of arm to neck) Left side, where vaccine was administered.

Other Meds: None

Current Illness: None

ID: 1196170
Sex: M
Age: 20
State: WI

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

Lab Data:

Allergies:

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

Symptoms: Client was provided with Pfizer vaccine as 2nd dose of Moderna vaccine series. Client declined any adverse signs or symptoms.

Other Meds:

Current Illness:

ID: 1196171
Sex: M
Age: 34
State: WI

Vax Date: 03/31/2021
Onset Date: 04/05/2021
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: Codeine

Symptom List: Tremor

Symptoms: Blood clots ( DVT in right leg and three pulmonary embolisms in right lung), symptoms appeared around 4/5/2021 and diagnosed on 4/9 and 4/10. Also started experiencing diarrhea during the same time period. Being treated with Xarelto and Azithromycin.

Other Meds:

Current Illness:

ID: 1196172
Sex: F
Age: 72
State: NY

Vax Date: 02/26/2012
Onset Date: 03/17/2021
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: Erythema, Pruritus

Symptoms: Increase ringing in right ear. Ringing started in left ear. Headaches & Dizziness. Cold like symptoms--some coughing, sneezing, runny nose. Shortness of breath.

Other Meds:

Current Illness:

ID: 1196173
Sex: M
Age: 58
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: None Known

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

Symptoms: Strong flu like symptoms starting early in the morning and progressing until mid-afternoon then slowing feeling better. Just weak two days afterwards and fine the third day.

Other Meds: Lisinopril 10mg Atorvastatin 40mg Aspirin 81mg

Current Illness: None

ID: 1196174
Sex: M
Age: 55
State: NV

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

Lab Data:

Allergies: none

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

Symptoms: I did a multi video play by play over the following hours with updates and changes, See: (link removed)

Other Meds: none

Current Illness: none. perfect health

ID: 1196175
Sex: F
Age: 36
State: IL

Vax Date: 04/02/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Two hours after the shot I became very sick. After 3 days it subsided. My arm was still swollen at the injection site, hot to the touch, and tender. Was told it was normal so I put it off. Around 3 am on the 4/10/2021 I woke to pain in my arm pit. My lymph nodes were swollen. I went to the ER and they placed me on an antibiotic and said to call my doctor for an appt if it became worse. On 4/11/2021 I woke again around 3 am because my whole left arm was itching and it really hurt. That's when I seen that it was all swollen from my shoulder into my hand. I called my doctor on 4/12/2021 because the 11th was a Sunday and they told me to call your 1-800 number and wouldn't schedule me an appointment. Said they didn't have anything to do with vaccine symptoms. My arm isn't getting better. Now the whole left side from my neck to my waste itches also.

Other Meds: Ibuprofen Tylenol Prenatal vitamin Methadone

Current Illness: None

ID: 1196176
Sex: M
Age: 47
State: KY

Vax Date: 03/29/2021
Onset Date: 04/02/2021
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: none

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

Symptoms: tinnitus, blurred vision

Other Meds: vitamin.

Current Illness: none

ID: 1196177
Sex: M
Age: 69
State: VA

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

Lab Data:

Allergies: No, Possibly eggs

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

Symptoms: Broke out in a partial rash. Face and neck was red like a sunburn. Some areas of arms and torso looked like a medium sunburn. Was a little better day 3, and a little more each day after that. The rash did NOT itch. otherwise only a little fatigue. I did not take any medication for the rash.

Other Meds: Colcrys, Atorvastatin, Clopidogrel Bisulfate, Lisinopril, Baby Aspirin, Potassium Gluconate, Vitamin D3, Replenex (Glucosamin, Chondroitin Joint supplement) by Melaleuca, Tylenol

Current Illness: None

ID: 1196178
Sex: M
Age: 47
State: CO

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Shot at 1:50pm Saturday. Woke with headache at 2:45am Sunday. By 5:00am Sunday had bad stomach pain and fever of 100.9F. Headache varied, got worse, got better, got worse, etc. Bad stomach pain lasted straight through until about 1:00am Monday. It's now 8am Monday, a little bit of stomach pain but far less than what it was.

Other Meds:

Current Illness:

ID: 1196179
Sex: F
Age: 18
State: TX

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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: na

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

Symptoms: High Temp 101, signs of nausea/vomiting

Other Meds: na

Current Illness: na

ID: 1196180
Sex: F
Age: 39
State: MI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
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:

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

Symptoms: Patient experinced hypotension. Onsite EMS was called vitals BP 72/46 99% O2 HR 84 BG 110. Patient treated and transported to the hospital.

Other Meds: Benazepril, Amlodipine

Current Illness:

ID: 1196181
Sex: F
Age: 39
State: NC

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

Lab Data:

Allergies: Levoquin

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

Symptoms: Janssen COVID-19Vaccine EUA Between 8 pm the 10th and 4 am the 11th, experienced increased heart rate averaging around 120-140 with a couple of episodes that felt like heart attacks when heart rate jumped to 140 (palpitations, nausea, cold sweats, stomach pain, lightheaded, weak). Collapsed on the floor due to symptoms.

Other Meds: Phentermine, Nuva Ring

Current Illness: None

ID: 1196182
Sex: F
Age: 21
State: NY

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

Lab Data:

Allergies: Allergic to Dairy, Eggs, Peanuts, Tree nuts, Sesame, Penicillin

Symptom List: Vomiting

Symptoms: Aches, low grade fever throughout the day; Nausea and vomiting would occur sporadically throughout the day, only after my system removed everything it could from the third time vomiting did the nausea subside;

Other Meds: Quvar, Claritin, Lexapro

Current Illness:

ID: 1196183
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: lightheaded and dizzy BP: 120/78 pulse 60 Pulse ox 100

Other Meds: none

Current Illness: none

ID: 1196184
Sex: M
Age: 52
State: KS

Vax Date: 04/09/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: 41 hours after injection given the injection site had a 2 inch diameter welt, red, raised, inflamed, warm to touch, and soreness at the site. Tylenol 1 gm given every 8 hours & an ice pack to site for 20 minutes twice day done the day of the findings and the day after. No change in the welt & it continues to be sore & feverish. The symptoms are local at the injection site currently. As of today while reporting the finding no change in the injection site it continues to be a 2 inch diameter, red, raised, very warm to touch, and sore welt.

Other Meds: levothyroxine 50 mcg / daily osteobiofex daily melatonin 3mg at bedtime Currently taking tylenol 1000 mg every 8 hours to keep the fever down in the welt.

Current Illness: None

ID: 1196185
Sex: M
Age: 33
State: NC

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: After administration of Janssen vaccine 0.5mL, pt reported arm was hurting and he began moving arm. CMA noticed that continued to shake arm after 5 minutes but patient was alert and oriented x 3. CMA thought the way he was shaking his arm seemed irregular so she advised pt he would be taken to an observation area for further observation. Half way to the observation area, pt reported to CMA that he was seeing spots and felt like he was going to get sick. CMA called for help. Patient experienced a syncopal event just as he made it to the chair. Several staff was helping to support patient. Legs were lifted to another chair. Patient was not responsive for a short time, very diaphoretic, breathing regular and unlabored. Patients eyes then rolled upward toward the ceiling and patient's entire body began shaking uncontrollably while staff managed to keep patient from falling to floor from the chair. Once patient was conscious, he was able to state his name but reported he was very confused and could not think clearly. He was able to sit upright. In the meantime while patient was shaking uncontrollably, staff sought urgent care provider to come and see patient. Patient was then taken over to the urgent care side of the building to evaluate and treat patient.

Other Meds: None

Current Illness: None

ID: 1196186
Sex: F
Age: 46
State: IN

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

Lab Data:

Allergies: None

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

Symptoms: Fever body acky 12 hours .. tylenol advil rest hydration

Other Meds: Tylonal zertec

Current Illness: No

ID: 1196187
Sex: F
Age: 57
State: ND

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

Lab Data:

Allergies: Bactrim

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

Symptoms: 48h post vaccination: Headache now, pain rated as a 5 Took 1000mg of tylenol an hour ago, pain has not decreased Nausea only after eating Client had severe headache for 7 days after first covid vaccine dose.

Other Meds: protonix 40 mg daily

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm