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: 1205881
Sex: F
Age: 62
State: TX

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

Lab Data:

Allergies: Phenergan, Benadryl, Paxil, Lovenox Injection. Kiwi, Avocado. Diet drinks, Mango, Latex

Symptom List: Dysphagia, Epiglottitis

Symptoms: Moderate Fatigue, Headache, Indigestion. Rash on my left arm where got the shot with moderate pain

Other Meds: Gabapentin 300mg , Acetaminophen With Codeine, Metoprolol Tartrate, Tizanidine, Pantoprazole, Doxepin. Dramamine. Zoran

Current Illness: None

ID: 1205882
Sex: F
Age: 67
State: OR

Vax Date: 04/02/2021
Onset Date: 04/03/2021
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: Statins, Sulfa, amoxicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: On 2nd day: Very bad headache, almost fainted, took Tylenol (6/day of 500mg), drank fluids, blood pressure low. Better on day3, only slight headache. On 9th day: felt soreness in right calf muscle, no swelling or redness. Thought it was due to low physical activity. No stamina. Tire very easily and get sweaty upon little extertion On 10th day: felt sharp jabbing pain in chest when taking deep breath or yawning. No actual shortness of breath. On 11th day (today): decided to start taking full strength aspirin in case it is a blood clot. Took 1 in a.m. 1 in p.m.

Other Meds: Centrum Silver multivitamin, Vitamin D3 25mcg

Current Illness: none

ID: 1205883
Sex: F
Age: 20
State: CA

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 04/13/2021
Hospital: Y

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: None

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

Symptoms: Stomach pain, nausea, loss appetite on 8/10. Next day, localized lower right quadrant pain. At ER on night of 8/11, was diagnosed with appendicitis. Had an appendectomy on 8/12. Am recovered now.

Other Meds: None

Current Illness: None

ID: 1205884
Sex: F
Age: 60
State: TX

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Symptoms: Loss of Short Term Memory for 7 hours Event: Ischemic stroke on right parietal superior cortex 1.2cm Treatment: aspirin 325 mg 1 daily; atorvastatin 40 mg 1 daily Outcome: hospital stay, 2 days. Sent home for recovery. Follow up with Primary Care Physician in 1 week

Other Meds: Synthroid 100 mcg Pantoprazole 40 mg

Current Illness: GERD

ID: 1205885
Sex: M
Age: 32
State: FL

Vax Date: 04/11/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: First night began with a slow rising fever. Next day had severe fever of at least 101 or 102 with chills and sweats. Dizziness and extreme temperature swings

Other Meds: None

Current Illness: None

ID: 1205886
Sex: F
Age: 32
State: NY

Vax Date: 04/07/2021
Onset Date: 04/08/2021
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: Paracetamol, allergy medication

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

Symptoms: Janssen COVID-19 Vaccine EUA Recurring muscle pains, chills, and fatigue in the early morning after injection, gone the following day (within 48 hours). Eye pain (only when moving them) from early morning after injection and lasted for ~48 hours.

Other Meds: Vitamin D, magnesium or multivitamins

Current Illness:

ID: 1205887
Sex: F
Age: 18
State: OH

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I experienced 4 syncopes in a span of 5 minutes. I was taken to the E.R. and given fluids before they sent me home.

Other Meds: Gemmily

Current Illness:

ID: 1205889
Sex: M
Age: 53
State: CA

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Pharyngeal swelling

Symptoms: Headache, Body Ache. Raise in Blood Pressure. Sore legs

Other Meds: Loaartan-Hotz 50-12.5

Current Illness:

ID: 1205890
Sex: F
Age: 61
State: NC

Vax Date: 03/24/2021
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: severe allergic response to Morphine and ALL it's derivatives latex bandages

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Tasted the vaccine in my mouth - 2 hours smelled the vaccine in my nasal passages - 2 hours Felt odd just strange euphoric/weird - 6 hours Jitters - 2 days face felt swollen and puffy - 1 1/2 hours throat swelled but not closed I could still swallow but it was tight - 1 1/2 hours racing heartbeat - 3 hours off balance - vertigo - 6 hours

Other Meds: Women 55+ One a day vitamin, 500mg vitamin C (both taken in mornings) D-Mannose supplement to prevent UTI's - 2 capsules at bedtime

Current Illness: None

ID: 1205891
Sex: M
Age: 49
State: TX

Vax Date: 04/07/2021
Onset Date: 04/09/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache, coughing, sneezing, leg pain

Other Meds: None

Current Illness: None

ID: 1205892
Sex: F
Age: 64
State: OH

Vax Date: 03/11/2021
Onset Date: 03/25/2021
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: peanuts

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

Symptoms: 2 weeks post inoculation developed burning sensation/tingling /pain from armpit to thumb; some tingling in thumb - sensation more like nerve pain vs muscle pain. After two days gradually improved. Muscle strength not affected, but movement in most directions elicited sharp pain coursing down arm. Gradually improving to pain over the deltoid near injection site; as of 19 days since initial pain motility much improved but still periodically throbs and sensitive to pressure and certain movements. No treatment except restricting use of arm and time. 10 hrs post inoculation developed chills, myalgia and headache. Chills and myalgia resolved in a few hours; an aspirin the next day resolved the headache. This reaction was not unexpected. Did not have pain at injection site until 2 weeks post injection.

Other Meds: none

Current Illness: none

ID: 1205893
Sex: F
Age: 42
State:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Tiredness after 10 minutes, letharty reduced after vitals taken. BP 133/81 HR80, RR18. Resolved within 30 minutes

Other Meds:

Current Illness:

ID: 1205894
Sex: F
Age: 19
State: TX

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Patient reported light headedness, shortness of breath, and itchy throat about 15 min after vaccine. Patient took 50 mg diphenhydramine PO, remained on site for about an hour, reported improvement in symptoms at that time and left.

Other Meds: unknown

Current Illness: unkown

ID: 1205895
Sex: M
Age: 31
State: KY

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: UNKNOWN

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

Symptoms: PT CALLED INTO STORER AND SPOKE TO PERSON AND SHE CALLED US SINCE PT GOT VACCINE AT THATLOCATION. PT TOLD PERSON HE HAD NUMBNESS IN HIS THIGH AND CHEST. SHE TOLD PT TO CALL HIS MD

Other Meds: UNKNOWN. PT CALLED INTO AND SPOKE TO PERSON AND SHE CALLED US SINCE PT GOT VACCINE AT THAT LOCATION

Current Illness: UNKNOWN

ID: 1205896
Sex: F
Age: 31
State: WA

Vax Date: 04/07/2021
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: Pennecilin- anaphylaxis

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

Symptoms: Rash at injection site. Red and raised itchy and burns

Other Meds: Omeprazole, potassium and venlafaxine

Current Illness: None

ID: 1205897
Sex: F
Age: 39
State: VA

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: unknown

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

Symptoms: swelling arms, leg, neck, started the next morning, was seen at hospital

Other Meds: unknown

Current Illness:

ID: 1205898
Sex: M
Age: 30
State: CA

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

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

Symptoms: Starting to feel ill, no current fever, right shoulder (injection site) is tender and starting to swell

Other Meds:

Current Illness:

ID: 1205899
Sex: M
Age: 60
State: CA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
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: amoxillin bactrim

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Gradually worsening tinnitus (ears ringing) that began the day after and continues to get worse.

Other Meds: levothyroxine 125 mg tadalafil 5mg zinc magnesium d3 quercetin fish oil vitamin c

Current Illness: none

ID: 1205900
Sex: M
Age: 51
State: CO

Vax Date: 03/08/2021
Onset Date: 03/26/2021
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: Sulfa ingredient

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On March 26, 2021 the right side of my head felt like I had chills. The sensation grew to the right side of my face where it felt like splinters were under the skin. By Sunday night, March 28,, 2021 bumps appeared on my face and scalp. On March 29, 2021 the doctor diagnosed me with Herpes zoster without complication.

Other Meds: Advair, Allegra D, One-A-Day multi vitamin, red yeast rice, fish oil, Macuhealth

Current Illness: None

ID: 1205901
Sex: F
Age: 52
State: NJ

Vax Date: 04/10/2021
Onset Date: 04/10/2021
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: Alcohol

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

Symptoms: Blood in stool Saturday afternoon Blood in Stool Sunday Morning Cramps Bad Headache Chills Night sweats Stomach Ache Left Foot pain

Other Meds: None

Current Illness:

ID: 1205902
Sex: M
Age: 20
State: SC

Vax Date: 04/09/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: glutens, nuts, latex

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

Symptoms: N/V/D Shortness of breath Palpitations

Other Meds:

Current Illness:

ID: 1205903
Sex: F
Age: 70
State: CA

Vax Date: 03/12/2021
Onset Date: 03/14/2021
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: Unevaluable event

Symptoms: What appeared to be blood clots on both forearms.

Other Meds:

Current Illness:

ID: 1205904
Sex: F
Age: 27
State: MD

Vax Date: 04/05/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Gluten and dairy sensitivities

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

Symptoms: Two days after vaccine - severe bloody nose. Clots of blood came out.

Other Meds: Fluvoxamine 150 mg Bupropion XL 150 mg

Current Illness:

ID: 1205905
Sex: F
Age: 87
State: WI

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Started to have stomach cramps. Had black diarrhea due to blood in stool.

Other Meds: Blood thinner

Current Illness: None

ID: 1205906
Sex: F
Age: 34
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: Became tired around 8pm, followed by chills, fever 101.8, sweats(taken around 12:30am), weakness, joint pain, and nausea. The fever and chills lasted around 5 hours. The following day I was weak in my hands and joints were sore. I am a breastfeeding mom and my son broke out in a rash the following day. He was brought to the doctor. No data to show a correlation though.

Other Meds: Prenatal vitamins

Current Illness: N/A

ID: 1205907
Sex: F
Age: 40
State: MO

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Fever 100.9, swelling of left axillary lymph. 300 mg ibuprofen every 5 hours

Other Meds: Centrum women's one a day, vitamin d supplement, famotidine

Current Illness: None

ID: 1205908
Sex: M
Age: 40
State: CA

Vax Date: 04/11/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Head ache body ache fatigue physical pain stress and anxiety. Lack of sleep.

Other Meds:

Current Illness:

ID: 1205909
Sex: F
Age: 57
State: FL

Vax Date: 03/22/2021
Onset Date: 03/22/2021
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: No

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe leg pain, I could barely walk for 3 days. Pain was about a number 8 on a scale of 1 to 10. It started about 3 hours after the vaccine. I also had extreme fatigue and weakness.

Other Meds: Myrbetriq. Montelukast. bupropion.

Current Illness: No

ID: 1205910
Sex: F
Age: 45
State: MO

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Started with tingling in face appox 30 minutes after shot. That went away after about 45 min. By afternoon, I was extremely cold and unable to warm up. It was 70 degrees outside and I was inside in fleece pajamas, 2 paors of fuzzy socks, slippers, and 4 blankets! EXTREMELY SEVERE headache kicked in and lasted for approx 2-3 days. Ran fever of 101.3 overnight. Next morning, vomiting occurred, I belive due to the excessive pain caused by headache. Was extremely nauseous and tired on day following vaccine. Fever dropped, but headache and nausea persisted until about day 4 following vaccine.

Other Meds: None

Current Illness: None

ID: 1205911
Sex: F
Age: 63
State:

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:

Symptom List: Nausea

Symptoms: Tightness in throat, headache, dizziness, numb in arm, tingling in throat. BP 145/76, HR 84. Recovered and released in stable condition

Other Meds:

Current Illness:

ID: 1205912
Sex: M
Age: 30
State: TX

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: N/A

Symptom List: Injection site pain

Symptoms: Pt. became pale, with eyes glazed over; sweating, dizzy, and lightheaded. Felt like going to pass out. Pt. did not eat anything this morning. BS: 120, BP: 184/46, P:70, O2: 96 2nd BP: 105/71; P:82

Other Meds: Protein supplements

Current Illness: N/A

ID: 1205913
Sex: M
Age: 57
State: OH

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

Lab Data:

Allergies: Seasonal outdoor allergies

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

Symptoms: I had my first Covid vaccine (Pfizer - Lot ER2613) on March 17. No issues other than a soar arm the next day. In fact, I went on a hard 7 mile run the next day as part of my normal training routine (currently training for a half Marathon.) This past Thursday, April 8, at 6:00 pm EST, I had my 2nd shot (Lot EW0161). For about the next 18 hours, I was fine other than the arm being a little sore in the morning. Late in the morning I noticed my back was getting very stiff and a bit sore when I moved around. I have a desk job and spend a lot of time in front of the computer, but I normally stretch and move throughout most days, so I don?t have many back issues. This was a bit worse than normal. Usually, when I feel something like this, my go to remedy is an easy run. I had a 5 mile easy run planned for that day, so later in the afternoon, after some dynamic stretching, I went for a run. As I started, I felt some of the worse back pain I could remember and stopped running after about 50 yards. I stretched a little more, questioning if I should continue, but decided that movement would be better than doing nothing. I started running again and although the first mile was much more uncomfortable and painful than normal, I continued on for the 5 miles with everything eventually loosening up as the blood starting flowing. I felt pretty good the rest of the day and into the evening. In the middle of the night, I awoke numerous times with a bad ache in my back, which is very unusual for me. I tossed and turned all night from side to side, from front to back but could not stop the burn and pain in my lower back. I took 2 Advil, but that did little to help. I got out of bed about an hour earlier than normal and after a little light stretching, my back felt fine again. I went for my weekly long 14 mile run an hour later and everything was good again and for the rest of the day. The next 3 days / nights have been similar. I continue waking each night with a burning and aching in my lower back and it continues all night long. Once I stand up, get out of bed and start moving around, the pain and burning go away almost immediately. I?ve never felt anything like this before. I?m 57, male, am very healthy and fit (aiming for a 1:30 half marathon in 10 days.) Never had issues with sleeping before this and haven?t experienced any back pain in a very long time. I can?t think of anything I?ve done recently to trigger this other than the coincidence of the 2nd Pfizer vaccine shot.

Other Meds: Calcium Fish Oil One a Day vitamin (male over 50)

Current Illness: None

ID: 1205914
Sex: F
Age: 55
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: Prolonged joint/muscular pain in the left deltoid region, pain shifts around to right arm as well as the leg region . Planning to visit doctor's office soon.

Other Meds: None

Current Illness: None

ID: 1205915
Sex: F
Age: 38
State:

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

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

Lab Data:

Allergies: Amoxicillin, cephalexin, erythromycin

Symptom List: Tremor

Symptoms: Today, 7 days after the first shot, I woke up with the injection site red, very itchy, slightly swollen and hard.

Other Meds:

Current Illness:

ID: 1205916
Sex: F
Age: 40
State: MA

Vax Date: 04/03/2021
Onset Date: 04/04/2021
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: Penicillin, sulfa drugs

Symptom List: Erythema, Pruritus

Symptoms: Severe chills, fever, headache, sore arm

Other Meds: Levothyroxine, Mirena, Escotalipram

Current Illness: None

ID: 1205917
Sex: M
Age: 63
State: VA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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: None

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

Symptoms: Had covid systems on Feb. 2nd 2021, Got tested Feb 3rd, Received call Feb 4th positive. Recovered on Feb. 15th. First vaccine shot Mar.31 at 12:30pm. Apr 1st at 4:20am, woke up and felt like sitting in a tub of ice. Severe chills lasted 1 hour, Had terrible aches and chills, that lasted for about 30 hours. Stayed in bed the whole time, only got up to pee & get water hurt so bad to move. Ran a temp about 100. till Fri morn. Fri. morn about 3:00am, woke up and had flashes going off in the eyes, like looking at a strobe light, with eyes closed and open. That stopped after about 20 min. Finally got out of bed Fri. 9:00am. Still felt out of it for a day. This was worse that the whole 13 days of covid. During covid no temperture

Other Meds: Lorsatin 100 mg Amlodipine 10mg Paroetine 12.5mg Atorvastatin 220mg

Current Illness: 5 weeks prior, had Covid February 1 thru February 15

ID: 1205918
Sex: F
Age: 33
State: PA

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

Lab Data:

Allergies: Pertussis Vaccine Penicillin

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

Symptoms: days 1-3 the expected fever (101), headache, dizziness, extremely sore arm and body aches, tiredness, difficulty falling asleep Day 4 swelling in left armpit about half a golf ball size with pain and soreness into left upper chest, called family drs office they said it?s a listed possible effect of the vaccine Day 7 vomiting, diarrhea, stomach pain, dizziness, flu-like symptoms. Urgent care visit - test for covid came back negative, given medication help keep fluids down. Severe symptoms lasted for 3 days. Diarrhea persisted for 8 days. Followed up with family dr. Continuing to feel unwell - tired, occasional dizzy/lightheaded spells, lesser stomach pains, soreness under left arm into chest area, difficulty sleeping, tightness and darkening of veins in arms especially forearms

Other Meds: Estarylla (birth control) Hydroxyzine

Current Illness: None

ID: 1205919
Sex: M
Age: 23
State:

Vax Date: 01/04/2021
Onset Date: 01/12/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Approximately 7-10 days or so after receiving the first dose of the pfizer Covid vaccine I started to develop this red, nodule-like, painful "rash" on both of my forearms. Not only the left arm where the vaccine was administered. This did not go away after a couple of days, and I was instructed by a physician to being taking Benadryl. This appeared to alleviate the symptoms (no visible red nodules anymore) 4-5 days prior to my second dose, so I stopped the medication and presumed it was done. Then, within 4-5 hours of receiving my second Pfizer covid vaccine, I broke out into the same red, painful, nodule-like "rash" along both of my forearms. This time was worse than the previous reaction. I was instructed to take Allegra at the time by a physician, which I did for approximately 4 weeks. This seemed to get rid of the symptoms I was experiencing, and I could not visualize the nodules on my forearms anymore. However, after approximately 2 weeks, I noticed a painful and swollen vein in my right forearm, opposite arm to the one I received the vaccine in. I did not think much of it at the time, since I had no other associated symptoms. Then, over the next couple of weeks, it appeared to become more swollen and painful. Also, I saw another swollen vein near my knee. On April 6, I had labs drawn and CBC, CMP, TSH, and ESR came back normal, but the CRP was elevated. Thus, I was instructed to begin aspirin 325mg, which I took for 4 days beginning April 8th and ending April 12th. On April 13th, an official ultrasound confirmed a DVT in my right popliteal vein, a superficial thrombus in my proximal great saphenous vein, and a superficial thrombus in my right forearm where the pain originated from weeks prior. The initial presumption at this time is that the clots are vaccine-related, but could be linked to an underlying blood disorder that was triggered by the vaccine. Blood hyper coagulation labs have not yet come back. I was initiated on Eliquis starting April 12th for the DVT.

Other Meds: None

Current Illness: None

ID: 1205920
Sex: F
Age: 33
State: MD

Vax Date: 04/02/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: allergic to the powder in latex gloves.

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

Symptoms: Severe headache for 5 days continuously. I took a Rizatriptan 2 times and i took several doses of ibuprofen or Excedrin over the 5 days. The pain of the headache caused nausea and vomiting. I treated myself and did not see a doctor.

Other Meds: Aimovig 140/mg, venlafaxine 150 mg , buPROPion 150 MG 24 hr tablet, montelukast 10 mg tablet

Current Illness: upper respiratory infection 2 weeks prior

ID: 1205921
Sex: F
Age: 18
State: NC

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

Lab Data:

Allergies: none

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

Symptoms: joint aches initially and then severe headache with a slight fever that lasted at lest 4 hours. Patient took an ibuprofen around 10 pm and finally fell asleep around 1 am. During the next day she had intermittent headaches and had sore joints.

Other Meds: fluoxetine

Current Illness: none

ID: 1205922
Sex: F
Age: 51
State: MA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Gentamicin

Symptom List: Pain in extremity

Symptoms: About 10 to minutes after vaccine I had a strange wave warm sensation running through my body and tingling. I got this sensation about 4 times that day. Twice at vaccine facility and 2 more times at home that same day. Then in the past couple of weeks I?ve had numbness in the right side of my face, arm/hand and leg/foot. Sharp pains in my head, PVC, eye pressure, vision issues, shortness of breath, electric shock sensations through my body, head tingling. Not sure the cause of these symptoms but the only different/new thing was the vaccine.

Other Meds: levothyroxine, vitamin D, multivitamin

Current Illness:

ID: 1205923
Sex: F
Age: 23
State: TX

Vax Date: 04/10/2021
Onset Date: 04/12/2021
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: Hives covering body that last multiple days (have not left) ease with Benadryl but return. shortness of breath (wheezing).

Other Meds: None

Current Illness: None

ID: 1205924
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: None known

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

Symptoms: This afternoon I developed a cough when I breath in, or speak for a period of time.

Other Meds: Tylenol, vitamin d, zinc, elderberry

Current Illness: None

ID: 1205925
Sex: F
Age: 53
State: NV

Vax Date: 04/01/2021
Onset Date: 04/02/2021
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: No

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

Symptoms: Day one: 104?temperature, headache, chills, body aches. Day two: 104? TEMPERATURE, headache. Chills , whole body aches and discomfort. Day 3: back to normal, all symptoms were gone.

Other Meds: Lisinopril, metoprolol, Rosuvastatin

Current Illness: No

ID: 1205926
Sex: F
Age: 40
State: FL

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

Symptom List: Vomiting

Symptoms: At time event started I was throwing up, dizzy, and had a burning sensation at the top of my throat. I laid down after being sick and had the chills. I spent the rest of the day and the next day sleeping or laying in bed. By the 3rd day, I was less nauseous at night and was able to eat some dry Cheerios. The 4th day, I became nauseous and dry heaving again, sleep until the early evening. By the 5th day I was a little better that I could work from home. Did not feel completely like myself until the following Tuesday.

Other Meds: Escilopram 5 mg once daily

Current Illness: None

ID: 1205927
Sex: M
Age: 33
State: PR

Vax Date: 03/30/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Nosebleed, headache.

Other Meds: None

Current Illness:

ID: 1205928
Sex: M
Age: 16
State:

Vax Date: 04/12/2021
Onset Date: 04/12/2021
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:

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

Symptoms: Syncope and dizziness, BP 125/75, HR73, RR16. Patient experienced syncope and fell to floor from chair. Regained consciousness after ~3 seconds. Vital signs stable, released in stable condition

Other Meds:

Current Illness:

ID: 1205929
Sex: F
Age: 52
State: CA

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

Lab Data:

Allergies: Codeine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Extreme fatigue and muscle soreness, my body has been very stiff continuing through today 4/13/21, yesterday 4/12/21 being the worst. Energy levels are Zero. My arm continues to hurt at the injection site and have headaches and sore neck at times.

Other Meds: Fluoxetine HCL 40 mg/day, Amlodipine Besyltate 5 mg/day, Hydrochlorothiazide 25 mg/day, Vitamin D, Probiotics

Current Illness: none

ID: 1205930
Sex: F
Age: 51
State: SC

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

Lab Data:

Allergies: Flu Shot

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

Symptoms: Extreme itching all over for a day or so. After 2 days a hive like rash broke out and was especially itchy for 4-5 days on my jawline, ears, shoulders & chest, especially my left shoulder & upper arm. I had a reaction to the flu shot in the past, so I had purchased benadryl and took 2-4 pills daily for 7 days. As itching was getting better, I had a scaly rash where the hive like rash had been. Today is day 8 and I am almost back to normal.

Other Meds: Allegra-D

Current Illness:

ID: 1205931
Sex: F
Age: 39
State: NY

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

Lab Data:

Allergies: Penicillin allergy

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

Symptoms: Fever, rigors, fatigue, injection site pain following morning after vaccine administration. 2 days after administration injection site pain, redness, pruritis, and angioedema, headache, and fatigue.

Other Meds: Olopatadine, levocetirizine, fluticasone, align probiotic, multi-vitamin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm