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: 1201358
Sex: F
Age: 58
State: NY

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: There was blistering around the injection site that continued down my arm for days Still present as I report this

Other Meds: Vitamins C,B12,E,D3,iron

Current Illness:

ID: 1201359
Sex: F
Age: 20
State: TX

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: April 7th 6pm - April 8th 10am: nausea and fever (reached 103.5?), did not go down with acetaminophen and lowered slightly with ibuprofen April 7th - April 11th: sore arm

Other Meds: Junel Fe 1/20

Current Illness:

ID: 1201360
Sex: F
Age: 18
State: TN

Vax Date: 04/13/2021
Onset Date: 04/13/2021
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: UNKNOWN

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

Symptoms: 20 MINUTES POST DOSE 1, PATIENT WENT TO RESTROOM, BECAME DIZZY AND FELL ON FLOOR.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

Date Died: 03/01/2021

ID: 1201361
Sex: F
Age: 70
State: VA

Vax Date: 03/06/2021
Onset Date: 03/30/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient passed away between 3/30/21 and 4/1/21 at home.

Other Meds: Atenolol 100 MG, Atorvastatin 20 mg, Oxycodone Acetaminophen 10-325, Amlodipine Besylate 10 mg, Oxybuynin CL ER 10 mg, Prednisone 10 MG, Glipizide er 5 mg, Potassium CL ER 20 meq, Xeljanz XR 11 mg, Captopril 50 mg, Hydrochlorothiazide 25 mg

Current Illness: Cancer of the lung, trachea and bronchus that had metastasized to the liver and adrenal gland.

ID: 1201362
Sex: F
Age: 37
State: KY

Vax Date: 01/29/2021
Onset Date: 02/12/2021
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: None

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

Symptoms: Developed DVT

Other Meds: Blood Pressure Medication Thyroid Medication Birth Control

Current Illness: None

ID: 1201363
Sex: M
Age: 50
State: CT

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

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

Symptoms: 20 - 25 Mins after shot, Left side of face from ear down to jaw and chin started to go numb and tingly. tingling continued down on left side of neck from ear to adams apple. Felt consistent with novocaine wearing off and my ear/jaw was numb. Went to ER @ the Hospital, I had an EKG done and they checked physically for stroke. I was in Hospital for approx. 1.25 hours and the feeling started to go away.

Other Meds: Fenofibrate 145mg, Pravastatin 20mg, Metformin HCL 500mg x2, Metoprolol 25mg, Cetirizine Hydrochloride 10mg, Vitamin D3, Vitamin B12

Current Illness:

ID: 1201364
Sex: F
Age: 26
State: GA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies: COMPAZINE

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: *Fever above 102 degrees and as high as 103.2 - utilized acetominophen, ice packs and could get it down to 100 degrees *Sweating *Intense spells of extreme cold with shivers *Extreme fatigue *Sleepiness *Muscle aches *Generalized pain *Vomiting TREATMENT: Acetominophen; Heating pad for aches and to warm self up; cold cloth for sweating; ice pack for fever; Slept alot; had mother (nurse) taking care of me - pushing fluids, BRAT diet and constant supervision for need to go to ER or PCP. Since mother is a RN we handled my symptoms at home. Symptoms continued for 3 days (I missed 2 days of work). Fever subsided on Day 3; other symptoms were milder day 4-10.

Other Meds: none

Current Illness: none

ID: 1201365
Sex: M
Age: 38
State: WI

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

Lab Data:

Allergies: unknown

Symptom List: Pharyngeal swelling

Symptoms: Patient received vaccine through drive through clinic. Patient was driving his truck and seemed to veer off, a vaccinator noticed and ran to truck, writer then followed. Initial person told patient to park the truck. Patient appeared to be snoring and un responsive but did put truck in park. Sternal rub was preformed and patient began to come to, seemingly disoriented. Patient was evaluated by EMS in ambulance but no transfer happened. Patient was incontinent as well. Patient states this happens after he gets injections or lab work done but did not disclose this to the vaccinators at time of vaccine administration.

Other Meds: unknown

Current Illness:

ID: 1201366
Sex: M
Age: 67
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Increased tinnitus in both ears since 2nd vaccine dose.

Other Meds:

Current Illness:

ID: 1201367
Sex: F
Age: 33
State: SC

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Possibly Penicillan

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I was approximately 6-weeks pregnant and suffered a miscarriage which began the following day after receiving the vaccine. Symptoms presented as fever (100.4), severe cramping, diarrhea, bleeding, body aches & chills, which lasted Saturday & Sunday following the vaccine (received on Friday).

Other Meds: None

Current Illness: None

ID: 1201369
Sex: F
Age: 90
State: MI

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: None

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

Symptoms: On Day 1 of second dose, immediately developed Covid arm. On Day 2, developed a red rash (no papules or discomfort) on ankle tops & shins. Day 3 it spread out on leg tops. Day 4 the spots seemed to get larger and blend together, continued to move up legs into thighs. Day 5 more blending of spots on ankles, legs as there are now large red areas. Rash began to develop on arms. Day 6, rash spread behind legs and under the arms. She only had mild itching at the injection site. Out of concern due to my mother's age I called her physician to report this on Day 3. Dr. advised her to take Zyrtec during day and Benadryl at night for itching as needed but did not see my mother. My mother has not taken these meds. She did not take any Zyrtec or Benadryl because she has no itching, just this awful looking rash that doesn't hurt or itch. Occasionally she gets a prickle of an itch but not much. She takes Tylenol for any aches of arthritis, too. I have pictures of each day of this if it is helpful to you. Today is Day 7 and her leg tops are beginning to look a little better but the backs of the legs and arms are now affected with the large almost melted rash into several big areas of red. She also has minimal spots on her buttocks but nothing like legs and arms. Interesting it is only in her extremities (we are so glad!!) and we are hoping it will resolve completely. She wanted you to know her reaction to help you. Due to her age, I will be taking her calls for her.

Other Meds: Coumadin, Atenolol 25 mg, Hydrochlorothiazide 25 mg, Warfarin, Valsartan 80 mg.

Current Illness: Had a UTI and had just finished Nitrofurontin 100mg round. This was her third UTI in the last few months, is the only additional information I can provide.

ID: 1201370
Sex: M
Age: 76
State: FL

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: nka

Symptom List: Rash, Urticaria

Symptoms: Client c/o tightness to the chest. Client seen and assessed by EMT. No signs or symptoms of distress noted. Client observed talking without difficulty. V.S. are: BP 122/79, HR 64, O2Sat 100%. Client denies any other symptoms and cleared to go by EMT. Client also advised to seek medical attention if symptom worsen.

Other Meds: Fluoroquinolones

Current Illness: none

ID: 1201371
Sex: F
Age: 62
State: SC

Vax Date: 04/07/2021
Onset Date: 04/11/2021
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: Macrobid

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

Symptoms: Next morning after 2nd dose vaccination I had a headache, fever, chills, fatigue, covid arm and muscle aches. 4 days after the injection I had covid toes on my right foot on the pinky toe and top of foot turned purple. Still is purple as of the date of this writing. seeing Primary Care doctor today 4-13-21.

Other Meds: Mercaptopurine 50mg Mesalamine DR TBEC 1.2 GM

Current Illness:

ID: 1201372
Sex: F
Age: 92
State: KY

Vax Date: 04/01/2021
Onset Date: 04/07/2021
Rec V Date: 04/13/2021
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: Lidocaine, morphine, penicillins, sulfa

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

Symptoms: Resident c/o L arm pain on 4/7/2021 approx 2300. Resident transferred to ED for evaluation, CT abnormalities, transfer to higher level of care, clot manually removed on 4/8/2021, resident returned to nursing facility on 4/12/2021 without complications

Other Meds: lipitor 20mg, colace 100mg, effexor xr 100mg, lasix 20mg, toprol xl 50mg, protonix 40mg, oscal 500/200 D-3, ativan 0.5mg, mucinex XR 12hr 600mg, nitrostat Sublingual, nystatin powder, milk of magnesia suspension

Current Illness: hypertension, dilation & curettage (March 2021)

ID: 1201373
Sex: F
Age: 61
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
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: None

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

Symptoms: Chills, severe headache, fatigue, dizziness, lack of appetite, nausea, anxiety. On 4/9/2021, I started to feel a pulsating feeling on my upper head and felt anxiety. It felt like I could not reduce my stress by taking deep breaths and letting it out slowly which was unusual because this usually works.

Other Meds: No vitamins or acetaminophen taken on date of vaccine.

Current Illness: Irritable bowel syndrome

ID: 1201374
Sex: F
Age: 53
State: GA

Vax Date: 03/16/2021
Onset Date: 04/03/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

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

Symptoms: On 4/3/21 the patient presented with a 1 week history of slowly progressive shortness of breath and 3 day history of left upper quadrant pain. CT revealed bilateral segmental and subsegmental pulmonary emboli, moderate splenic enlargement, and small volume perisplenic hemorrhage. Continuous infusion heparin was started for the bilateral PE. On 4/4 an inferior vena cava filter was placed and patient was vaccinated with Acthib, Bexsero, and Prevnar vaccines in anticipation of splenectomy. On 4/7 a laparoscopic splenectomy was performed. The spleen was evaluated by pathology which reported "Organizing blood clot on surface, consistent with rupture. No evidence of malignancy." The patient remains inpatient while recovering from surgery. On 4/12 she was transitioned to rivaroxaban for therapeutic anticoagulation. Please note as of 4/13 the patient remains hospitalized.

Other Meds: Centrum MultiGummies for Women (1 gummy daily)

Current Illness:

ID: 1201375
Sex: F
Age: 48
State: WV

Vax Date: 04/05/2021
Onset Date: 04/06/2021
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: Codeine, mycins

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

Symptoms: Went to bed at 11 pm, woke up with severe headache, chills, fever and leg pain. Pain in legs became increasingly worse throughout the early morning, from the waist down. Became nauseated, chilled and fevered with severe headache and leg pain until 04.07.2021. I took an 800 MG ibuprofen on 04.07.2021 which seemed to help decrease the deep cramping leg pain and eased the headache. I did not seek any treatment because I figured there would be some side effects from the vaccination. I am still experiencing slight chills, leg pain, tiredness, mild joint pain and moderate chest and head congestion.

Other Meds: Omeprszole 200mg 1x daily

Current Illness: Sinus in inner ear

ID: 1201376
Sex: M
Age: 55
State: CA

Vax Date: 03/19/2021
Onset Date: 03/22/2021
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: blood clot formed in left leg in surface vein, at intersection with deep vein.

Other Meds: Anastrozole; Testosterone

Current Illness: none

ID: 1201377
Sex: M
Age: 61
State: TX

Vax Date: 02/12/2021
Onset Date: 04/01/2021
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: n/a

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Received second Moderna vaccine on 3/12/21, and on 4/1 awoken with intense pressure in ears. Contacted physician who prescribed antibiotics, and hydrocortisone ear drops on 4/2.. The pain intensified along with constant loud ringing in the ears. Unable to sleep and with pain in both ears along with sensitivity to sounds increased. Finally went to ER on 4/5. Was diagnosed with Tinnitus. This problem with the intense and constant ringing in both ears has occurred after the second dose of the Modera vaccine.

Other Meds: Lamotrigine (25mg 2x per day), Synthroid 88mcg - 2/day), Vitamin D3 and K.

Current Illness: n/a

ID: 1201378
Sex: F
Age: 46
State: CA

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: Amoxicillin Flexeril

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

Symptoms: Approximately three days after vaccine, I experienced a blood clot. This caused an acute ischemic stroke in my left frontal lobe, resulting in muscle weakness and partial loss of use in my right leg.

Other Meds: Vitamin D Ashwaganda Vitamin C Iron Multi-Vitamin

Current Illness: None

ID: 1201379
Sex: F
Age: 41
State: MI

Vax Date: 04/06/2021
Onset Date: 04/11/2021
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: Morphine

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

Symptoms: 4/6/21 @ 6pm - Severe chills and body aches. Lasted until 4/8/21 4/11/21 afternoon - hives started. By 4/12/21 hives covered both thighs. From 4/12/21 to current time hives have continued on both arms, legs, hands and feet. Treatment includes benadyl and hydrocorisone cream. Benadryl helped on 4/12, but currently taking up to 50mg at a time and is not helping today.

Other Meds: Hydrochlorathizide - 12.5mg daily

Current Illness: None

ID: 1201380
Sex: M
Age: 28
State: IL

Vax Date: 04/06/2021
Onset Date: 04/11/2021
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: None.

Symptom List: Unevaluable event

Symptoms: Extreme fever 6 hours following the shot. Fatigue lasted roughly 48 hours. Then Sunday 4/11, 5 days after receiving the shot, I've experienced shortness of breath. It felt like someone was sitting on my chest. This restriction has loosened since but still causes discomfort.

Other Meds: 50mg Vyvanse

Current Illness: None.

ID: 1201381
Sex: M
Age: 21
State: TN

Vax Date: 03/29/2021
Onset Date: 04/03/2021
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: Penicillin, eggs, chocolate

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

Symptoms: Recieved Jannsen vaccine at 11:15 AM on March 23rd. Rash on hands, arms, feet, and legs appeared at 5:00 PM on May 3rd. It itched and burned and was difficult to sleep. No medication was taken, but by morning the rash was nearly gone and by midday it seemed to be gone. Around 5:00 PM, it started back again. I took Diphenhydramine because it appeared to be an allergic reaction. This helped me get to sleep. It was gone in the morning again, but started back in the evening again. This happened repeatedly for a total of 5 days.

Other Meds:

Current Illness:

ID: 1201382
Sex: M
Age: 37
State: TX

Vax Date: 04/05/2021
Onset Date: 04/11/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Starting on April 12th I had severe upper abdomen pain. this is roughly 1 week after the vaccine. I thought it was gas, but I never altered my diet and it is 4/13 at 10am and the pain is still there.

Other Meds:

Current Illness:

ID: 1201383
Sex: F
Age: 22
State: SC

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: SYR
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: PT WAS FINE IMMEDIATELY AFTER VACCINATION. PT GOT UP AND WALKED TOWARD THE SEATING AREA WHILE WAITING FOR HER HUSBAND AND SAT DOWN. WITHIN 2 MINUTES, SHE PASSED OUT AND FELL INTO THE FLOOR. RPHS IMMEDIATELY ATTENDED TO PT AND SHE STARTED TO COME TO. BP WAS NOT DETECTABLE AND PULSE WAS 54. RESPIRATIONS WERE 40. EMS ARRIVED AND BP WAS 80/60, HR 80 AND RESPIRATIONS 20. THEY STRONGLY ENCROURAGED HER TO GO TO THE ED TO GET CHECKED OUT AND SHE AGREED. NO MEDS NEEDED OR ADMINISTERED. PT RETURNED TO CLINIC FROM ED AT 4:40 PM TO SET UP 2ND APPOINTMENT AND STATED THE ED TOLD HER IT WAS JUST A REACTION TO THE NEEDLE STICK.

Other Meds: NONE

Current Illness: NONE

ID: 1201384
Sex: F
Age: 60
State: MI

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 04/13/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: DVT of the right Leg

Other Meds:

Current Illness:

ID: 1201385
Sex: F
Age: 50
State: IL

Vax Date: 04/10/2021
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: LA

Lab Data:

Allergies: Iodine, Ibuprofen Shellfish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Exactly six hours post dose (8pm), joint aches, fatigue, slight chills and lite headache began. Took 2 Tylenol went to bed. Approx 1 hour later(9pm), severe, body shaking chills and low back pain began and lasted many hours. Tylenol, additional clothes, blanket and heating pad for low back added. All symptoms continued with headache now with pounding and pressure that required 50mg of Sumatripan. Fever began at this time, mid grade. Additional Tylenol and sweating began fever reduced to low grade. Slept. Woke once again to the same pressure and pounding headache, severe chills. Took temperature and it was an astounding 107.7. I had experienced a high 106 as a teen, so the "feeling" was familiar. To be sure and calibrate, we took my temp x3, changed batteries, checked my girlfriend's and then rechecked mine. 107.7. At this time, took a cool shower, applied a cool compress and weighted down with blankets. Temperature broke within an hour and maintained til Monday morning when it returned at 103.6. Tylenol , fluid and rest. Today (Tuesday). I feel " off" but have no fever or other symptoms with exception of site soreness.

Other Meds: Below taken @7:00am Rx: Omeprazol and Adderall Supplements: Black Elderberry/Echenaca, Super B12, Plexus BioCleanse and Metaburn

Current Illness: Ntd

ID: 1201386
Sex: M
Age: 50
State: PR

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: developed a rare disorder involving blood clots within about two weeks of vaccination.

Other Meds:

Current Illness:

ID: 1201387
Sex: F
Age: 70
State: DC

Vax Date: 04/13/2021
Onset Date: 04/13/2021
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: Atorvastatin, cyclobenzaprine

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

Symptoms: Called to obs area due to complaint of right arm pain after injection, radiating down to right hand, specifically 5th finger, same side as injection. First injection, no history of adverse reactions to immunizations. No ShOB, CP, N/V, diaphoresis. AOx4, normal speech, HRRR no murmur, CTAB, RUE NVI. Spoke to patient and monitored for greater than 5 minutes, she states she feels like it is subsiding at this point. Recommend heat/ice to the area as preferred/tolerated. Patient observation time extended by 15 minutes in total and had no further issues.

Other Meds:

Current Illness:

ID: 1201388
Sex: F
Age: 72
State: IL

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

Lab Data:

Allergies: Asprin

Symptom List: Nausea

Symptoms: Day after vaccine a red rash about 4 inches long and 3 inches wide appear around the injection site. Itchy was warm to touch. Vaccine given on Friday - today is Tuesday rash still present.

Other Meds: Metoprolol Succinate ER 25 Vitamin C 1000 Multi Vitamin Zinc Picolinate 50 MG

Current Illness:

ID: 1201389
Sex: F
Age: 27
State: CO

Vax Date: 04/12/2021
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: Injection site pain

Symptoms: Believe I may have passed a blood clot through urine or vagina early this morning. It appeared to be quarter sized. Non painful, one time event. Also have intense back pain and leg aching. Still feverish and have mild headache as well.

Other Meds: Liquid Advil gel capsules

Current Illness:

ID: 1201390
Sex: F
Age: 45
State: IN

Vax Date: 04/05/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Torecan, Amos-Clav

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

Symptoms: I submitted a report on Saturday but I can?t remember if I had mentioned that I have had some leg pains. I am not sure if it is just muscle pain or a pain to be concerned about. I am going to contact my doctor to have her advise me what to do or watch for.

Other Meds: N/a

Current Illness:

ID: 1201391
Sex: M
Age: 34
State: TX

Vax Date: 03/19/2021
Onset Date: 03/26/2021
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: None

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

Symptoms: I have had tinnitus in my left ear for several weeks now. Thinking it was due to wax buildup, I went to an ENT office to get my ears cleaned, to no avail. The ringing has lessened, but has not stopped. I don't know if it will go away.

Other Meds: None

Current Illness: None

ID: 1201392
Sex: M
Age: 20
State: NY

Vax Date: 03/05/2021
Onset Date: 03/26/2021
Rec V Date: 04/13/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Tremor

Symptoms: Patient was found to have increase in Creatinine from 0.82 on 2/12/21 to 1.31 on 3/26/21 noted on a blood draw done for routine labs only. He is currently being treated for likely glomerulonephritis ( pending w/up and biopsy) but is very sick in the ICU. His Cr increased all the way to 4. He has needed steroids for GN tx and this is all new for him.

Other Meds: 1. chlorhexidine 0.12 % Solution solution Take 15 ml by mouth 2 Times a Day. Indications: Oral Hygiene 2. enalapril 2.5 Mg Tablet Take 1 tablet by mouth 2 Times a Day. 3. Acetaminophen (acetaminophen Extra Strength) 167 Mg/5ml Liquid Take

Current Illness:

ID: 1201393
Sex: F
Age: 50
State: OH

Vax Date: 04/07/2021
Onset Date: 04/08/2021
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: Allergy to tree nuts, insect stings

Symptom List: Erythema, Pruritus

Symptoms: Left hand ring finger and pinky swelling, bruising on pinky finger noted 7pm EST 4/8. Administered 75mg Benadryl liquid, applied ice that evening 4/8, Administered 20mg loratidine and 1000mg Tylenol 4/9 am. Swelling resolved by 4/10, bruising resolved by 4/11. Restless leg 4/8 at bedtime. Left knee pain 4/9.

Other Meds: lisinopril 20mg QD, simvastatin 40mg QD, Vitamin D QD, Fiber QD, Zetia QD

Current Illness: None

ID: 1201394
Sex: F
Age: 56
State: MN

Vax Date: 04/01/2021
Onset Date: 04/02/2021
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: pollen

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

Symptoms: Patient is having myalgias, intermittent fevers, headaches, arthralgias, and chills still at 12 days after the vaccine

Other Meds: none

Current Illness: none

ID: 1201395
Sex: F
Age: 32
State:

Vax Date: 03/08/2021
Onset Date: 03/12/2021
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: Beef

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

Symptoms: 2 days after first shot had sore arm, fatigue, headache - nothing unexpected. 3 days after felt perfect, 4 days after hit hard with allergies, partly in time with spring, but more severe than I have ever experience, constant nose drainage that led to intense coughing. Lasted for a month, some improvement after 4 weeks.

Other Meds: Zyrtec, Omeprozole, Doxycycline, Vitamin D, Albuterol

Current Illness:

ID: 1201396
Sex: F
Age: 54
State: MI

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Bactrim, codeine, possibly penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Moderna COVID-19 Vaccine EUA: nausea, fatigue, muscle and joint pain especially in shoulder and neck on side of injection, fever, headache, diarrhea, dizziness, swollen and painful lymph nodes under arm on side of injection. Persistent dizziness and nausea.

Other Meds: Vitamin BCD, magnesium, Zyrtec, birth control, omeprazole, venlafaxine, smybicort, fluticasone, azelastine.

Current Illness:

ID: 1201397
Sex: F
Age: 37
State:

Vax Date: 04/13/2021
Onset Date: 04/20/2021
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: N/A

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

Symptoms: Dizziness, shortness of breath, chest pain

Other Meds: Patient doesn't recall names

Current Illness:

ID: 1201398
Sex: F
Age: 26
State: OH

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

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

Symptoms: Numbness/tingly/ticklish along the left side of my body (I.e. foot, ankle, calf, hip, pinky, wrist, and face).

Other Meds: Birth control pills

Current Illness: N/A

ID: 1201399
Sex: F
Age: 54
State: LA

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

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

Lab Data:

Allergies: No Known Documented Allergies

Symptom List: Pain in extremity

Symptoms: The patient receive dose 2 of the Moderna vaccine on March 31 at approximately 9:30am. Began having symptoms of low grade fever, severe malaise, nausea with vomiting, and body aches about 5:30 that evening. The patient presents to the Emergency room on 04/01/2021 at about 3:30pm with skin redness, back pain, nausea,vomiting, low blood pressure and tachycardia.

Other Meds: Atorvastatin 10mg daily Duloxetine 30mg daily Biotin daily Cholecalciferol 2000 intl units Montelukast 10mg daily

Current Illness: Eczema Kidney Stone Pseudotumor Tobacco User

ID: 1201400
Sex: F
Age: 16
State:

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: No adverse event. Medication administration error. The Moderna vaccine is licensed for ages 18 years and older. This patient is only 16 years old.

Other Meds: n/a

Current Illness: none

ID: 1201401
Sex: F
Age: 39
State: FL

Vax Date: 04/01/2021
Onset Date: 04/06/2021
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: gluten and shellfish amoxicillin

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

Symptoms: Severe muscle pain Severe joint swelling and pain Tingling fingers and toes Flashing sweats and chills Advil/Aleve/Tylenol do not help the pain go away

Other Meds: Lexapro 10mg Synthroid 50 mcg Cyotmel 10 mcg all have been taken for years

Current Illness: none

ID: 1201402
Sex: F
Age: 82
State:

Vax Date: 03/06/2021
Onset Date: 03/20/2021
Rec V Date: 04/13/2021
Hospital: Y

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: Patient received J and J vaccine . 2 weeks later had vision loss in both eyes. No light perception in the right and counting fingers in the left. Diagnosis is central retinal artery occlusion in both eyes. Work up for other causes are negative

Other Meds:

Current Illness:

ID: 1201404
Sex: F
Age: 46
State: IL

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

Lab Data:

Allergies: Codine

Symptom List: Vomiting

Symptoms: Injection was administered very high on shoulder next to what feels like a bone. As injection was being administered I felt pain on inside upper arm down to wrist. Pain subsided. Day progressed. I used my arm to grocery shop. About 6:30 -7:00pm I noticed stiffness and inability to lift arm with extreme pain in attempts to lift arm. During the night had restless sleep. Had to use other hand to move arm into resting positions. No comfortable position. Saw general practitioner on 4/12/2021. Received a paper with physical therapy exercises. Today, 4/13/2021, Still extreme pain to stretch arm to side and in front. If raising arm overhead with help in range of motion exercises (abduction) cannot lower arm without severe excruciating pain in inner shoulder area. New symptom includes numbness in wrist and forearm.

Other Meds: Sertraline 100mg Norethindrone acet/eth 1/20 tb 21?s

Current Illness: None

ID: 1201405
Sex: F
Age: 45
State: TX

Vax Date: 04/05/2021
Onset Date: 04/05/2021
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: N/A

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I received my COVID Vaccine Johnson & Johnson on April 5, 2021 about 3:45 p.m at Walgreens location listed above. Immediate dizziness and pain on my left arm after receiving vaccine. Next day woke up sick as if I had the flu. Third day I was ok but I have numbness on the left side of my body and felt very nauseous. I have been taking Dramamine to help. I can feel it from my head to my toes as far as the numbness is concern. The left side of my face is still numb. I have been very lightheaded and on Thursday 8, 2021 I had lunch with co workers and felt like fainting. Today is April 13, 2021 I am still lightheaded, and my face and left side of my body still numb and shaky. I feel is has been affecting my thinking. I have not gone to ER, been tolerating it with Dramamine and rest.

Other Meds: N/A

Current Illness: N/A

ID: 1201406
Sex: M
Age: 19
State: NY

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: RA

Lab Data:

Allergies: Tree nuts, Apples, Pears, Peaches, Plums

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

Symptoms: Light fever, diarrhea, body aches, back pain, chest pain, headache, chills, vivid dreams, Lasted for 48 hours

Other Meds: Fluoxetine, Bupropion, Desmopressin, Oxybutynin, Clonazepam, Flonase, Zaditor, Claretin

Current Illness:

ID: 1201407
Sex: F
Age: 60
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: Crustaceans

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe Pain in left shoulder and Arm. Beginning about an hour after the shot. Increasing to include entire left arm. There is limited movement in the arm without severe pain. There has been no significant decrease in the months since vaccination.

Other Meds: Spironolactone, Claritin-d, Estroven

Current Illness:

ID: 1201409
Sex: F
Age: 41
State: TN

Vax Date: 12/21/2020
Onset Date: 02/22/2021
Rec V Date: 04/13/2021
Hospital: Y

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

Lab Data:

Allergies: Neosporin

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

Symptoms: Delivered preterm infant (stillbirth) at 24 weeks on March 9, 2021. Infant had IUGR noted at 19 weeks. Placenta showed 2 blood clots restricting blood flow at delivery. Mother with no known clotting disorders. 2 prior healthy infants.

Other Meds: Phenergan, dicylegis

Current Illness: No

ID: 1201410
Sex: F
Age: 54
State: IN

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: no known allergies

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

Symptoms: April 1st she received Johnson and Johnson vaccine Lot # 043A21A 10:20am Left arm 0.5mg -----------side effects started around 5pm 103 fever Shaking Terrible headache. Worst of her life. Not able to sleep at all that night. Next morning was better. Slept all day the next day 24 hour mark was feeling better. Did not seek treatment, did not take anything over the counter.

Other Meds: multivitamin

Current Illness: n/a; none noted

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm