VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1201255
Sex: F
Age: 31
State: NJ

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/13/2021
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: Pain in site of injection from the moment of injection. Pain/soreness in arm decreased with time, but was still able to feel a small amount of soreness up until 2-3 weeks. Vaccine was taken at 6:15pm, later that night after I had gone to bed I woke up with chills. In the morning, I tried to eat breakfast but immediately felt nauseous and began feeling really hot. I stood up to change into cooler clothes but the heat/nausea got worse and I began to lose my vision. I was about to faint, but felt immediately better once I lay down and elevated my legs. I had a temperature of 99F. Fever lasted a few hours (I took ibuprofen). I got a headache at around 11AM, but slept it off with a nap. By the end of the afternoon I was feeling much better, with the arm pain/soreness as my only remaining symptom.

Other Meds: florastor probiotics culturelle probiotics

Current Illness: not diagnosed yet - frequent urination

ID: 1201256
Sex: F
Age: 65
State: FL

Vax Date: 02/18/2021
Onset Date: 03/06/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: Cipro

Symptom List: Anxiety, Dyspnoea

Symptoms: Stroke 13 days after 2nd injection

Other Meds: Wellbutrin

Current Illness: None

ID: 1201257
Sex: F
Age: 34
State: PA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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: Ceclor (hives)

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

Symptoms: Severe pain in arm from about a few hours after injection, eased up some after 24-36 hrs. Lifting arm was more painful than I?ve remembered any other shot or vaccine being. Starting the next day (if not sooner), I also experienced an acute depressive episode that has lasted since vaccine almost continuously. Have had symptoms each day at least once, but most days throughout most of day that included crying, extreme sadness, and some suicidal ideation. The things I?m feeling upset about don?t feel rational. Different from normal depressive episodes for me and feels very much like something is happening chemically and that I don?t have control over emotions. Also have experienced headaches each day from 4/11 through today. Waking up with headaches and lasting throughout most of day. I did experience exacerbated migraines when I was suffering from Covid-19 symptoms.

Other Meds: Prozac 80mg qd, Wellbutrin xl 300mg qd, metformin xr 1000mg bid, lisinopril 40mg qd, hctz 25mg qd, propranolol 40mg bid, Pepcid 20mg bid

Current Illness: 3/8/21- tested positive for Covid-19

ID: 1201258
Sex: M
Age: 37
State: AZ

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Low body temperature after physical exertion. Measured at 94.6 degrees when symptoms first appeared. Other symptoms include profusive sweating, joint pain, chills, fatigue, and tremors. Similar sensations as a fever. Increasing my body temperature via heaters, hot showers, and warm drinks temporarily alleviated these symptoms, but they returned with any moderate physical exertion. This lasted for 4 days.

Other Meds: Ibuprofen

Current Illness: none

ID: 1201259
Sex: F
Age: 53
State: NJ

Vax Date: 03/30/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Insect bites, latex, penicilin, unknown during pregnancy

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

Symptoms: First dizziness and light nausea, next day headache, chills, light fever, swelling of tongue and jaws for a day, continuous fatigue, exactly 14 days after vaccination headaches persist.

Other Meds: N/A

Current Illness: N/A

ID: 1201260
Sex: F
Age: 51
State: CA

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 04/13/2021
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 I am aware of

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

Symptoms: I have leg cramps and stiff calves after about a month of the vaccination. I initially had body ache which lasted only 1 day after the vaccination however I continue to experience leg cramps. I have no previous history of leg cramps.

Other Meds: Levothyroxine, Claritin, Advil for leg pain

Current Illness: None

ID: 1201261
Sex: F
Age: 38
State: MS

Vax Date: 04/01/2021
Onset Date:
Rec V Date: 04/13/2021
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: NRA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt c/o SOB. Asked pt to remove mask to take some deep breaths. Called Dr. @ 1047; pt stated she had a Humira shot 2-3 wks ago and is feeling SOB after 1st shot. . Pt encouraged to wait add 15 minutes. pt should get clearance from primary MD take 25mg Benadryl before 2nd shot

Other Meds: Humira 92wks

Current Illness: Rheumatoid arthritis

ID: 1201262
Sex: F
Age: 17
State: OK

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/13/2021
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: Pharyngeal swelling

Symptoms: No adverse event noted. 17 yr old Client was administered Moderna for her second dose, she had received Pfizer for her first dose in the series.

Other Meds:

Current Illness:

ID: 1201264
Sex: F
Age: 57
State: NY

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: The patient received a second dose of COVID Vaccine 9 days earlier than what is recommended by the manufacturer guidleines

Other Meds: Unknown

Current Illness: Unknown

ID: 1201265
Sex: F
Age: 35
State: TX

Vax Date: 03/05/2021
Onset Date: 03/29/2021
Rec V Date: 04/13/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Issues with poor circulation, arms and legs easily go numb with short periods of compression. No treatment pursued.

Other Meds: Pristiq, Zyrtec, Buspar, Adderall XR, Lilletta IUD, Trazodone

Current Illness: N/A

ID: 1201268
Sex: M
Age: 46
State: NC

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Janssen COVID-19 Vaccine EUA I did not feel well within a minute or so of receiving the shot - not an allergic reaction per se. The nurses took my blood pressure and it was 200+/100+ and HR was 108. They continued to monitor and it slowly went down over the course of the 45 minutes I was there. Upon departure, BP reading was at about 160/90. I monitored that evening and Sunday and was normal most of the time. I did have a similar feeling Sunday afternoon and Monday afternoon, and when I checked my BP it was about 150/90 and HR was elevated (between 100-115bpm). Eventually I felt better, excluding expected side effects I've had - fever, aches, and fatigue. As of Tuesday (today as of writing), I am feeling better than yesterday, less fatigue and no fever thus far. I am hoping no more episodes with the elevated BP and HR occur today or in the near future. I did notify my physician about this and he asked me to monitor my BP for the next week, stay hydrated, and report back if no improvement in BP readings.

Other Meds:

Current Illness:

ID: 1201269
Sex: F
Age: 37
State: FL

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 04/13/2021
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: Severe headache, mild fever (101). Started 6-8 hours after vaccine and lasted 24 hours after vaccination.

Other Meds: Sertraline 37mg/day

Current Illness: NA

ID: 1201270
Sex: F
Age: 66
State: MA

Vax Date: 03/19/2021
Onset Date: 03/24/2021
Rec V Date: 04/13/2021
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 ? Antibiotic

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

Symptoms: Blood clot on middle joint of right hand pinky finger. Pressure bandage, heat, Advil. Decreasing in size after 18 days.

Other Meds: Omeprazole dr 20 mg Atorvastatin 10 mg IC Bupropion hack xl 150 mg D3 125 mcg Centrum daily vitamin

Current Illness: None

ID: 1201271
Sex: F
Age: 78
State: SC

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Arm started hurting the next day. Hard to lift arm above shoulder. Did not get better. After a month I called the dr. and was told to take 2 naproxen twice a day to relive swelling. T his helped, but when I stopped the pain came back. Does not hurt just sitting, only when I try to lift something. Think injection was given in a muscle. Hurts when I left arm above shoulder.

Other Meds: lisinopril, atvorstation, fenofibrate. vitamin D

Current Illness: none

ID: 1201272
Sex: F
Age: 41
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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: About 5-10 minutes after receiving the vaccination, I felt like I was going to pass out. I put my head between my legs and then drank a lot of water. I became extremely cold and shaky for over an hour. My hands were visibly shaking and my lips and teeth were chattering uncontrollably. I could not stand without feeling like I was going to pass out. I drank more water, ate popcorn and then ate three fruit bars and began feeling better after about and hour and 15 minutes. I remained shaky most of the day and experiences more dizzy spells for the following 72 hours

Other Meds:

Current Illness:

ID: 1201273
Sex: M
Age: 47
State: CA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
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: NKA

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

Symptoms: Headache, fogginess, malaise. These have mostly resolved as of 07:31 on 4/13/2021. Ringing in both ears and slight pressure in ears(pressure was mildly painful 4/11-4/12. Ringing and pressure still present as of 07:31 on 4:/13/2021.

Other Meds: Ramipril 10mg 1x daily Allopurinol 300mg 1x daily Rosuvastatin 5mg 1x/48hrs

Current Illness: None

ID: 1201274
Sex: M
Age: 54
State: SC

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/13/2021
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: Seafood - bivalve allergy

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

Symptoms: Low grade fever, extreme fatigue that lasted for 3 days, unable to sleep more than 6hrs a night for 2 weeks average was 5hrs, feeling "spacey" for 2 days

Other Meds: None

Current Illness: None

ID: 1201275
Sex: F
Age: 31
State: CA

Vax Date: 04/01/2021
Onset Date: 04/06/2021
Rec V Date: 04/13/2021
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: i have been experiencing chest pain, chills and 101-102fever since april 6. my arm joint are warm to touch. crqamping on my stomach. still experiencing it today April 13th

Other Meds: multivitamins

Current Illness: none

ID: 1201276
Sex: M
Age: 45
State: NC

Vax Date: 03/20/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
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: Difficulty Breathing: on and off since injection

Other Meds: Omega Mints

Current Illness: None

Date Died: 04/12/2021

ID: 1201277
Sex: M
Age: 79
State:

Vax Date: 02/16/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Death

Other Meds:

Current Illness:

ID: 1201278
Sex: F
Age: 56
State: MA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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: gluten

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

Symptoms: shortness of breath< heavy tight chest, dry cough, occasional; fluttering/ arrhythmia

Other Meds: synthroid50mcg, Vit D 2000IU

Current Illness: none

ID: 1201279
Sex: M
Age: 36
State: MD

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies, pet allergies

Symptom List: Unevaluable event

Symptoms: Tinnitus that has continued since the day after the vaccine

Other Meds: Escitalopram, Pantoprazole, Allopurinol, Loratadine, fish oil, calcium w/vitamin D

Current Illness: None

ID: 1201280
Sex: F
Age: 57
State: CO

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
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: NKA

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

Symptoms: Self Reporting: 4/8/21 - Metallic taste in mouth within 20 minutes of vaccination, within 1 hour fatigue and nausea. Later feeling worse with muscle aches, afebrile. 4/9/21 - Awakened with fatigue, Temp 99.8 at 1630 with chills. Tylenol 1000mg PO taken. 4/10/21 - Evening temp 99.4 with chills:Tylenol 1000mg PO taken. 4/11/21 - Fatigue continued. No chills or temp. 4/12/21 - Evening temp 99.0 with chills.

Other Meds: Prempro, Cabergoline

Current Illness: None, Pituitary Adenoma controlled for years prior to vaccination.

ID: 1201281
Sex: F
Age: 67
State: PA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/13/2021
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, clindamycin

Symptom List: Injection site pain, Pain

Symptoms: Fatigue, headache, fever, chills, brain fog, loss of appetite, nausea, altered taste of certain foods . Duration as of April 13, 2021 is 17 days. Prednisone prescribed April 8, for 15 days 20 mg daily.

Other Meds: Cymbalta, Wellbutrin, Crestor,, Benicar, methylphenidate, Centrum silver

Current Illness: None

ID: 1201282
Sex: F
Age: 32
State:

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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: Sore muscles around left shoulder starting 7hrs after vaccination and persisting for 4-5 days. Pain in left armpit starting 24hrs after vaccine and persisting for 6-7 days. Migraine 1 day after vaccine. Incapacitated. Migraine 2 days after vaccine. Incapacitated.

Other Meds:

Current Illness:

Date Died: 04/12/2021

ID: 1201283
Sex: M
Age: 89
State: FL

Vax Date: 03/29/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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: None

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

Symptoms: Had a fatal heart attack

Other Meds: Carvedilol, Atorvastarin, baby aspirin

Current Illness: None

ID: 1201284
Sex: F
Age: 48
State: MO

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/13/2021
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: UNKNOWN

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe swelling at injection site with skin turning purple. Loss of sensation of arm below injection site. headache. Injection site painful to touch.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1201285
Sex: F
Age: 44
State: MO

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/13/2021
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: Shingles rash developed 24 hr after vaccine received on posterior left shoulder

Other Meds: Fluoxetine 40mg qd Fluoxetine 20mg qd NP thyroid 60mcg qd Vitamin D 5000u every other day Allergy injections weekly

Current Illness: None

ID: 1201286
Sex: M
Age: 52
State: KY

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, any seafood, iodine

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

Symptoms: Severe headache that will not go away. Have tried Sinus pressure OTC, tylenol, etc.

Other Meds: Allegra, Lisinopril, tylenol

Current Illness: None

ID: 1201287
Sex: M
Age: 50
State: OH

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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 until I received my second dose of the Pfizer vaccine,

Symptom List: Nausea

Symptoms: Roughly 30 mins (10:30am) after I received my 2nd Pfizer vaccine shot, I was about 5 mins from my home and began to feel tingling/numbing in my mouth and tongue. I got in my house and told my wife I was not feeling right and started to notice a dizziness coming on. I was to call the pharmacy to find out what I should do, but noticed my heart rate was up, I looked at my Apple watch monitor and my BPM was 164. I felt flush and told my wife to call 911. Ambulance arrived and took my vitals and ( I do not recall the blood pressure, but it was high for me) when they put me into the ambulance I began to shake uncontrollably and then began to sweat profusely. They took me to the emergency room, but did not administer any drugs. The Dr. came in and said he did not think it was related to the vaccine, but my personal Dr. agreed with me based on my medical history that it had to be related to the vaccine. My resting heart rate (I monitor this daily) is between 45 - 60 and my last blood pressure reading at my yearly physical on April 2nd, 2021 was 100/70.

Other Meds: None

Current Illness: None

ID: 1201288
Sex: M
Age: 60
State: KS

Vax Date: 03/27/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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: Severe tinnitus

Other Meds: Atorvastatin, doxycycline, tamsulosin

Current Illness: None

ID: 1201289
Sex: M
Age: 66
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: About 2 hours after administration of the vaccine, veteran reported feeling throat tightness and chest tightness with difficulty breathing. He called 911 and taken to Hospital for acute treatment. He was kept in ED for several hours and discharged with epi pen and script for pepcid

Other Meds: folic aid, gabapentin, lasix, aldactone, sildenefil, ascorbic acid, etodolac, allopurinol

Current Illness: chronic stable

ID: 1201290
Sex: M
Age: 56
State: MA

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/13/2021
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: Penicillin

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

Symptoms: Developed chills, body aches and low grade fever starting at 5pm on 3/30 (more than 24 hrs after receiving vaccine), fever topped out at 101.7 degrees, fever remained overnight, broke by 10am next day, chills remained for about another 24 hours. Likely unrelated, developed right knee, calf and foot pain and had numbness in 2 left foot inner toes, off and on for 3-4 days after fever broke. Took 2 Advil, pain completely disappeared by 2 days later. I have arthritis and have had 2 right/1 left knee surgeries, and the temperature rose right about the time the pain disappeared, but the cold has returned and no pain. Just odd, almost like a side effect of producing anti-bodies was excessive inflammation in parts of my body prone to inflammation. I get the flu vaccine every year, and I have flu-like symptoms (chills, aches, low-grade fever) for several days within 24 hrs every year.

Other Meds: Lisinopril 20mg

Current Illness: None

ID: 1201291
Sex: F
Age: 34
State: NY

Vax Date: 03/09/2021
Onset Date: 03/18/2021
Rec V Date: 04/13/2021
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: NKDA

Symptom List: Tremor

Symptoms: Arm is swollen and it itches. site of the vaccine is hard and its inflamed large hard nodule at injection site. warm, painful, bruised

Other Meds: Calcium 500+D 500 mg-400 intl units tablet, chewable 1 tab(s) chewed 2 times a day Depo-Provera 400 mg/mL suspension as directed intramuscularly once naproxen 500 mg tablet 1 tab(s) orally 2 times a day Diclofenac Sodium Topical 1%

Current Illness:

ID: 1201292
Sex: M
Age: 57
State: IL

Vax Date: 03/17/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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: Sulpha

Symptom List: Erythema, Pruritus

Symptoms: Hearing lose Left Ear, 3 Wks. after 1st dose. (Shot in left arm) Have had for one week now. Also chills for about 2 weeks. (cleared now) The hearing is why I am reporting.

Other Meds: Humira, Atorvastatin, Lorazepam, Allegra, Mucinex, vitamins

Current Illness: None

ID: 1201293
Sex: F
Age: 65
State: IN

Vax Date: 03/16/2021
Onset Date: 03/20/2021
Rec V Date: 04/13/2021
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: Penicillin, Tetracycline, most antibiotics

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

Symptoms: 03/16/21 - 1st Pfizer Vaccine 03/20/21 - Trouble with floaters in left eye 03/22/21 - Appointment with Optometrist - Floaters in both eyes & lens implant in right eye had slipped. Scheduled appointment with Dr. (Opthamologist) 03/29/21 - Appointment with Dr. - Confirmed floaters in both eyes and the lens in the right eye had slipped. Scheduled surgery for right eye on 04/20/21. 04/06/21 - 2nd COVID vaccination 04/10/21 - When I woke up, the floaters in my left eye were worse - eyesight in left eye was very poor 04/12/21 - Called Dr. office to report, but have not received a call back. 04/12/21 - Early evening, there was only a bit of light getting through to my left eye, so I went to bed. Ultimately, I am unable to see at all out of left eye.

Other Meds: Sertraline, Losartan, Acyclovir, Fiber capsules, Levothyroxine, Esomeprazole

Current Illness: N/A

ID: 1201294
Sex: F
Age: 40
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Extremely heavy (abnormal) menstrual bleeding, muscle aches, fatigue

Other Meds: N/A

Current Illness: N/A

ID: 1201295
Sex: F
Age: 60
State: NV

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
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: iodine

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Very bad sometimes extreme pain in my left breast area that radiates into my chest area. Hurts to touch my left breast area and the pain is a shooting pain that is constant and feels like a stabbing pain. Hurts to move my left arm. I've been taking 3 Advil at a time and the pain subsides for a couple of hours but comes back. It doesn't matter if I'm sitting up or lying down the pain is always there. I sometimes feel like I've had the wind knocked out of me when the pain radiates to the front of my chest area. There is no longer any pain at the injection site.

Other Meds: Metformin and glipizide

Current Illness: None

ID: 1201296
Sex: M
Age: 56
State: MO

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
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: Shellfish

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

Symptoms: Development of severe tinnitus right ear that remains persistent.

Other Meds: None

Current Illness: None

ID: 1201297
Sex: F
Age: 26
State: OH

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/13/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: n/a

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

Symptoms: Severe abdominal pain, headache, supposed seizures, labored breathing

Other Meds: Wellbutrin 300mg

Current Illness: n/a

ID: 1201298
Sex: F
Age: 19
State: TN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Pain in extremity

Symptoms: Fever, chills, severe headache (between eyes). Severe pain with moving eyes. Symptoms lasted approximately 8 hours. Symptoms returned 10 hours after they diminished for another 8 hours.

Other Meds: none

Current Illness: none

ID: 1201299
Sex: M
Age: 44
State: NY

Vax Date: 04/07/2021
Onset Date: 04/09/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: I had difficulty to think all friday afternoon(2 days after injection). After going to bed around 9:30 PM and therefore lying down I suddenly started to cough. It last for about 10 minutes, I could not stop. I also started to sweat. At this time I believed I got COVID-19 at the vaccination site and moved to another room to avoid to expose furthermore my wife. I did not cough anymore since then. Today after reading the news and symptoms of blood clot in the lung, I prefer to report this incident.

Other Meds: none

Current Illness: none

ID: 1201300
Sex: F
Age: 36
State: PA

Vax Date: 03/24/2021
Onset Date: 03/28/2021
Rec V Date: 04/13/2021
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: After getting vaccinated on 3/3/21 and 3/24/21, I missed a menstrual period. I had my doctor complete a whole bunch of tests and nothing came back to explain the missed menstrual cycle. I am not pregnant, my blood and urine samples confirmed. There is no other changes to my health that would affect my menstrual cycle.

Other Meds: None

Current Illness: None

ID: 1201301
Sex: F
Age: 43
State: KS

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 04/13/2021
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

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

Symptoms: Pt's symptoms started 01/01/2021. Started with LUQ pain. Her symptoms progressed 01/04/2021. Developed SOB,. fatigue, aches. She went to the LMH ER that day. Imaging showed pneumonia and PE. Started on Elliquis, referred to Hematology.

Other Meds: Mirena- IUD, Hydroxyzine pomate 25mg, Melatonin 10mg

Current Illness: none

ID: 1201302
Sex: M
Age: 39
State:

Vax Date: 04/04/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
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: seizure one week after second dose

Other Meds: flonase advil PRN

Current Illness: none

ID: 1201303
Sex: M
Age: 71
State: NC

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 04/13/2021
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: Several Days after the first Moderna vaccination an old fatty cyst site on my back flared up and became infected. The cyst had be drained, treated with antibiotics and tested positive for staph infection two years earlier and was dormant prior to the covid shot. I am being treated with antibiotics by my dermatologist, have received the second Covid shot and the cyst site is still active. I do have a history of getting staph infections. When I was in high school, I had severe mat burns from wrestling, accompanied by swelling of the lymph glands in my armpits and groins. I have had a few recurrences of staph triggerd by events like insect bites and minor cuts.

Other Meds: prinizide COQ10 toprol Preservision norvasc atorvastatin Magnesium

Current Illness: Hypertention

ID: 1201304
Sex: F
Age: 43
State: PA

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 04/13/2021
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: All symptoms started 12 hours after the 2nd shot of the Pfizer Vaccine. TACHYCARDIA- pulse was very high, remained at 125-144 BPM for 11 hours consistently Dizzyness and feeling Faint- occurred twice FEVER- between 101 and 102.5 after taking Advil. Severe Body ache last 3 days. Lower Back pain continued for several days and 2 weeks after vaccine

Other Meds: Vitamins- Biotin (Natrol brand), Multi-vitamin

Current Illness: None

ID: 1201305
Sex: F
Age: 42
State: MN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/13/2021
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: Shot received on 4/5 at 9:30am. On 4/6 at 7:45am (approximately 22 hours later), I fainted, injuring myself. I also vomited and experienced chills, fever, and fatigue.

Other Meds: Probiotics.

Current Illness: None.

ID: 1201306
Sex: F
Age: 47
State:

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
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: slight fever swollen lymphnode nausea lightheadedness

Other Meds: none

Current Illness: none

ID: 1201307
Sex: M
Age: 25
State: NY

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever, Extreme chills, shaking, vomiting, nausea

Other Meds: Tylenol, pepto bismol

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm