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: 1206087
Sex: F
Age: 40
State: HI

Vax Date: 03/18/2021
Onset Date: 03/18/2021
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: ibuprofen

Symptom List: Dysphagia, Epiglottitis

Symptoms: Received 2nd Pfizer vaccination at 8:57am, at around 9:15am was checked on by observation RN. At this time patient requested to stay a little longer, states her throat was feeling "dry and itchy." Few minutes later states lip started swelling. Throat checked, no edema. Patient still able to talk without difficulty. NO complaints of difficulty breathing. 911 called at 9:17am. Patient given 25mg/10mL oral Benadryl liquid at around 9:20am. Fire department arrived around 9:25am. Patient states her lips feeling less swollen, still talking without difficulty. EMS arrived at 9:33am. Assessed patient. BP: 141/95Pulse: 72SpO2: 100%Patient left with EMS at 9:40am.

Other Meds: unknown

Current Illness: unknown

ID: 1206088
Sex: F
Age: 74
State: OR

Vax Date: 03/31/2021
Onset Date: 04/13/2021
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: Sulfa, Macrodantin

Symptom List: Anxiety, Dyspnoea

Symptoms: Round deep red mark at site of vaccination almost 1/2" in diameter, and slight itching off and on there. This is one day short of the two week mark after dose 2.

Other Meds: Multi vitamin, calcium, Vitamin C

Current Illness: None

ID: 1206089
Sex: F
Age: 32
State: VA

Vax Date: 04/06/2021
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: 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: COVID arm

Other Meds: IUD (mirena), omega3, multivitamin

Current Illness: None

ID: 1206090
Sex: M
Age: 70
State: CA

Vax Date: 02/13/2021
Onset Date: 02/20/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Lost my vision and felt very weak. Doctor concluded I had a mild stroke(TIA), also they found a DVT in my right leg and DVT in my left leg. My vision returned in about 1 hour. Was given 2 shots a day of Lovonox for 13 days and was immediately put on Warfarin

Other Meds: Plavix,fluoxetine, clonazepam, metformin, atorvastatin, levothyroxine. Various vitamins

Current Illness: Diabetes, lichten plantus, rem sleep disorder, 2 strokes

ID: 1206091
Sex: F
Age: 42
State: SC

Vax Date: 03/19/2021
Onset Date: 04/03/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: headache, right neck pain, numbness and pain behind right ear

Other Meds:

Current Illness:

ID: 1206092
Sex: F
Age: 36
State: MI

Vax Date: 04/06/2021
Onset Date: 04/13/2021
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: Penicillin

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

Symptoms: ?COVID? arm. Red, raised itchy lump at injection site showed up one week after injection.

Other Meds: Prenatal vitamins, DHA, probiotics, thyroid meds

Current Illness: None

ID: 1206093
Sex: F
Age: 36
State: MO

Vax Date: 03/25/2021
Onset Date: 03/29/2021
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: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Headaches off and on for 4 days

Other Meds: Prenatal vitamins

Current Illness:

ID: 1206094
Sex: M
Age: 52
State: TX

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: 101 Fever Severe Chills Body Aches Very similar to the symptoms of Covid from June 2020. Shorter lasting. Did not have fatigue or cough. Fever was lower than when I had Covid, but the body aches were siimilar. Symptoms were treated with OTC Extra Strength Tylenol

Other Meds: Atorvastatin

Current Illness: none

ID: 1206095
Sex: M
Age: 65
State: AZ

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: Abdominal pain, Chills, Sleep disorder

Symptoms: patient had swelling at the injection site. patient was given ice pack. The patient swelling went down. Patient left smiling. Patient wanted second covid vaccination.

Other Meds: unknown

Current Illness: none

ID: 1206096
Sex: F
Age: 57
State: LA

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Allergic to Bactrim

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Nausea & vomiting Headache Low-grade fever Cough Shakes/Chills

Other Meds: Lisinipril 10 mg 1x/day

Current Illness: none

ID: 1206097
Sex: F
Age: 59
State: WA

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Initial symptoms within 6 hours were headache and body ache. Within 24 hours had fever 102 degrees Fahrenheit with chills and nausea. Fever lasted for approximately 6 hours. Body aches and headache lasted approximately 36 hours.

Other Meds:

Current Illness:

ID: 1206098
Sex: M
Age: 59
State: CA

Vax Date: 03/09/2021
Onset Date: 03/11/2021
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: n/a

Symptom List: Rash, Urticaria

Symptoms: On the 4th day after the injection I start feeling the extreme weakness and extensive heartbeat which forced me to spend a few days in the bed. Right after that, even if the condition in general got improved, I?m still experiencing extensive heartbeat and occasional pain within the heart area. Also, I got new symptoms for the sciatic nerve related pain.

Other Meds: n/a

Current Illness: Sciatica

ID: 1206099
Sex: F
Age: 17
State: PA

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: None

Other Meds: None

Current Illness: None

ID: 1206100
Sex: F
Age: 25
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: D1 to D2: Nausea, Fever (High: 102.9F), Stomach Pain, Diarrhea, Headache D3 to D7: Stomach Pain, Nausea

Other Meds: Women's Probiotic + Cranberry,

Current Illness: N/A

ID: 1206101
Sex: M
Age: 22
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: 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: Around 6:15 PM the day of the vaccine, began to experience chills and a headache. I also became very dehydrated quickly and started to rest. I woke up around 8:30PM the same day with a fever of 102.7F, but no longer had chills. The headache had gotten worse and I took Ibuprofen to help the fever and headache. I feel back asleep until 11:30PM the same day when I was feeling better and had come down from my fever. I slept the rest of the night and woke up feeling dehydrated still and tired. When looking at my Apple Watch, my heart rate jumped to 90-120 BPM when the symptoms started and stayed around there until when I woke up the next day. The symptoms ran their course and I did not have any other events until April 13th, 3 days after the vaccine when I developed a dry cough.

Other Meds: None

Current Illness: None

ID: 1206102
Sex: M
Age: 31
State: MD

Vax Date: 04/01/2021
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:

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

Symptoms: Head ache, tiredness, always sleepy

Other Meds:

Current Illness:

ID: 1206103
Sex: F
Age: 54
State: TX

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

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

Symptoms: I started feeling pain, burning, in my left arm pit the night of the vaccination. The pain decreased next couple of nights until last night when it woke me up with severe intensity and burning pain. I have been struggling with this all day long.

Other Meds: Flecainide 100mg tablet. Metoprolol SUCC 50 mg tablet. (for atrial fibrillation)

Current Illness: None

ID: 1206104
Sex: F
Age: 50
State: PA

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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills, low-grade fever, body aches that lasted about 15 hours; headache that continued 10 days; some abdominal pain that continues on and off

Other Meds: Synthroid, multivitamin

Current Illness: Presumed Covid Infection - symptoms began March 13, mild symptoms continued for 11 days, household positive cases

ID: 1206105
Sex: M
Age: 32
State: UT

Vax Date: 04/12/2021
Onset Date: 04/12/2021
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: Light headache started around 5pm progressed over the next several hours to be a debilitating severe headache that lasted until about 11am the next day april 13th. I took ibuprofen around 11pm on april 12th.

Other Meds:

Current Illness:

ID: 1206106
Sex: F
Age: 38
State: MO

Vax Date: 03/29/2021
Onset Date: 04/09/2021
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: Codeine

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

Symptoms: Shoulder pain that moved up to clavicle area then resulted in a rapidly growing lump possibly the virchows node, waiting for an appointment

Other Meds: Quetiapine, levothyroxin, liothyronin, methylphenidate, vitamins c, d, b and multi

Current Illness: RUQ pain

ID: 1206107
Sex: F
Age: 46
State:

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

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

Symptoms: A large part of the upper left arm was slightly swollen and became very itchy for 12+ days.

Other Meds: no

Current Illness: no

ID: 1206108
Sex: F
Age: 32
State: TX

Vax Date: 03/31/2021
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: N/A

Symptom List: Unevaluable event

Symptoms: COVID arm. A small ring started at the injection site nine days after receiving the vaccine. It has gotten a littler bigger and itchier each day since it appeared.

Other Meds: Zoloft, buspirone, vitamin D, Claritin, sumatriptan

Current Illness: N/A

ID: 1206109
Sex: F
Age: 28
State: IL

Vax Date: 04/10/2021
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: None

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

Symptoms: left arm has bump on Injection site it?s also very warm and tender to the touch headaches left side very tired fevers nausea lost of appetite

Other Meds: Bayer and Tylenol

Current Illness: None

ID: 1206110
Sex: F
Age: 27
State: UT

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Patient had nausea and light headedness after immunization.

Other Meds:

Current Illness:

ID: 1206111
Sex: F
Age: 56
State: NY

Vax Date: 04/10/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: I have a swooshing sound in my left ear since two days after my first dose of Moderna.

Other Meds: lexipro - 10 mg Atorvastatin - 10mg

Current Illness: None

ID: 1206112
Sex: F
Age: 40
State: NY

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: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa and penicillins

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

Symptoms: Flu like symptoms, body aches, fever, loss of appetite, severe stomach & back pains, chills with extreme sweats, period 3 times since first dose this is most concerning

Other Meds: None

Current Illness: Hyperthyroidism

ID: 1206113
Sex: F
Age: 35
State: FL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: Eggs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache, fever, body aches, and chills for 48 hours.

Other Meds: None

Current Illness: None

ID: 1206114
Sex: F
Age:
State: FL

Vax Date:
Onset Date:
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: I got hit with paralysis from the waste down. It lasted about 12Hrs. Started about 6pm that evening. Lost feeling and use of both of my legs. Was bed bound. Next morning, was able to lift and use my legs. I?m already disabled with MS so if made it way worse

Other Meds: Ocrevus Oxybutin

Current Illness: None

ID: 1206115
Sex: F
Age: 61
State: OR

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

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

Symptoms: SEVERE pain left arm, nerve root symptomatology, unable to use left arm for three days. Initially unable to bear the weight of the arm without severe excruciating pain. Nerve root pain down distribution from T1 to C6, radiating down left arm. Severe pain lasted four days, then gradually decreased in intensity, and lasted a total of five weeks. No relief with medication, ice, or other palliative measures.

Other Meds: None

Current Illness: None

ID: 1206116
Sex: M
Age: 35
State: NC

Vax Date: 03/09/2021
Onset Date: 03/10/2021
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: Penicillin, Doxycycline Aloe

Symptom List: Nausea

Symptoms: Upon waking up the morning after vaccination (about 15 hours after), I felt tired and the arm I recieved the injection in ached. The tired feeling and ache in my arm continued throughout the entire day. The following day (03/11/2021) I woke up (around 5:00am) with body aches and a headache that intensified until about 2:00pm, when body aches and headache subsided quickly. I felt tired the rest of the day. 03/12/2021 while not diagnosed by a doctor, I also recieved a penile yeast infection after having intercourse with my girlfriend. It cleared up within a week using a 2% miconazole nitrate cream. Not sure if this is related to the vaccine, but a similar thing happened after my second dose (will be reported in an additional report).

Other Meds: None

Current Illness: None

ID: 1206117
Sex: F
Age: 49
State: TX

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Weird, bad feeling at first followed by bad aching , joint pain, headache, shoulder pain, neck pain , back pain.

Other Meds: Norco, Celexa, Allegra

Current Illness: None

ID: 1206118
Sex: M
Age: 38
State: NY

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

Lab Data:

Allergies:

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

Symptoms: Fever Bones ache Headache

Other Meds:

Current Illness:

ID: 1206119
Sex: F
Age: 45
State: CA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
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: no

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

Symptoms: Fever 101 F onset approximately 12 hours post vaccination; Concurrent Chills - Duration 5 hours thereafter Fever dropped to 99 and resolved with increased fluid intake Onset 1Hr post vaccine: Inflammation and Regional Pain Left Axial Lymph nodes; difficulty raising and extrnding left arm (heavy feeling) not due to soreness - Resolved 36 hours

Other Meds: Levothyroxine Liiothyronine

Current Illness:

ID: 1206120
Sex: F
Age: 55
State: RI

Vax Date: 03/31/2021
Onset Date: 04/07/2021
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: seasonal allergies

Symptom List: Tremor

Symptoms: Starting approximately one week post vaccination, I began to experience pronounced breast swelling and tenderness in both breasts. These symptoms are still present today (two weeks post vaccination).

Other Meds: Multivitamin, Zyrtec and Natural Calm Magnesium supplement

Current Illness: none

ID: 1206121
Sex: F
Age: 35
State: VT

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: IM
Vax Site: LA

Lab Data:

Allergies: Cefaclor

Symptom List: Erythema, Pruritus

Symptoms: Menstrual period with heavy bleeding and moderate to severe cramping began less than 24 hours after injection, despite Mirena IUD with active hormones that has stopped my regular monthly periods since 2016.

Other Meds: Vyvanse 50mg, Lexapro 10mg, Mirena IUD, lorazepam 1mg, Ajovy 225mg/1.5ml, trazodone 25mg

Current Illness: chronic migraine

ID: 1206122
Sex: F
Age: 45
State: UT

Vax Date: 04/13/2021
Onset Date: 04/13/2021
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: No allergies indicated

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

Symptoms: Patient began to feel light headed after vaccine administration and then began to slur speech and show diminished cognitive function. Patient the stopped responding and breathing continued to diminish with lips starting to change color within 5 minutes. 911 was called. Patient was given Epinephrine 0.3 mg in left upper leg. Patient started to respond and regained consciousness. Patient continued to talk and EMT showed up 3-5 minutes later. Blood pressure was taken by them and was reported as low to patient. Was told she needed to go to hospital. They wanted to drive themselves. Patient took a bendaryl that was given to her by husband. Patient left for hospital per husband. Patient had reported fasting for the entire day. Water was given with a glucose tablet.

Other Meds: Not gathered`

Current Illness: None at the moment but previous history not known

ID: 1206123
Sex: M
Age: 35
State: MN

Vax Date: 03/17/2021
Onset Date: 03/24/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Large red and itchy mosquito bite bump appeared at injection site. Swelling lasted for 24-hrs, then subsided into red circle, then a red ring, then disappeared.

Other Meds:

Current Illness:

ID: 1206124
Sex: M
Age: 32
State: TX

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

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

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient developed Guilain Barre Syndrome GBS as confirmed by hospital neurologist. Dr felt the Covid 19 vaccination was the likely cause.

Other Meds: none

Current Illness: none

ID: 1206125
Sex: M
Age: 46
State: IL

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

Lab Data:

Allergies: Dairy

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

Symptoms: 15 hours after receiving J&J vaccine, I had heart fluttering, chills, and headache.

Other Meds: Nasal allergy med

Current Illness: None

ID: 1206126
Sex: M
Age: 38
State: PR

Vax Date: 03/31/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Allergy to Crustaceans

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

Symptoms: Fever Muscle pain Hematoma

Other Meds: NA

Current Illness: NA

ID: 1206127
Sex: F
Age: 41
State: CO

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: Allergic to raw spinach.

Symptom List: Pain in extremity

Symptoms: Reaction started with dizziness and weakness in the shower, followed by intense shivering and chills for 1.5 hours. Then I developed a fever of 100.8, which lasted 2 hours. During this time, I experienced nausea and vomiting, along with muscle pains and body aches, particularly in my back and legs. The nausea lasted 5 hours. The muscle pains lasted 8 hours. I also experienced headache and thirst that lasted 10 hours.

Other Meds: 1) Zyrtec 2) Lamictal

Current Illness: None.

ID: 1206128
Sex: F
Age: 57
State: CA

Vax Date: 03/28/2021
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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: A red rash developed on my arm where the shot was given. I first noticed the rash on the 8th day after the first shot of the vaccine. The rash was about 2.5" wide by 5" long. My arm was swelling at the site of the rash, which felt very firm to the touch. It was very itchy for 3 days. The symptoms gradually disappeared over about 7-8 days from the first day that the rash appeared.

Other Meds:

Current Illness:

ID: 1206129
Sex: F
Age: 24
State: NY

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

Lab Data:

Allergies: non

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

Symptoms: Chills, fever, headache.

Other Meds: Citalopram 20 mg

Current Illness:

ID: 1206130
Sex: M
Age: 22
State: OH

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

Lab Data:

Allergies: None

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

Symptoms: Sores in mouth starting about 36 hours after the vaccine. Some sores lasted a few hours. Others, especially those towards the back of the throat have persisted and caused pain.

Other Meds: None

Current Illness: None

ID: 1206131
Sex: F
Age: 49
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Excruciating headache- different than any other headache I've had. Body aches and fever. Waited as long as I could before taking Tylenol at 2am. Helped, but didn't make it go away. Took the edge off. Continued with Tylenol as often as I could the next day because headache was still strong. Within 24 hours, I felt much better...mainly just tired. Have had a slight headache off and on since then. A little tightness in chest when breathing, but all mild.

Other Meds: Magnesium oxide 400mg every evening Occasional Vit D and calcium (took it day off vaccination) Flonase (not on vaccination day. Started again a couple days after)

Current Illness:

ID: 1206132
Sex: F
Age: 45
State: MI

Vax Date: 03/15/2021
Onset Date: 03/26/2021
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: Amoxicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Injection site arms feeling heavy & painful for approx 45min. Fast heart beat & palpitation more than 1 hr. Redness of my face last for approx hour & half. Feeling tired for two days. On my second week, having pain in my lower left abdomen. Severely painful 1st of April check in to ER Chet pain & elevated high blood pressure Check in Urgent care

Other Meds: METOPROLOL SUC TAB 25MG ER and NORTRIPTYLIN CAP 10MG

Current Illness: NONE

ID: 1206133
Sex: F
Age: 24
State: OH

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: Sulfa

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

Symptoms: Nausea Headache Chills Fever Body aches Loss of appetite

Other Meds: Prozac Singular Xyzol

Current Illness:

ID: 1206134
Sex: F
Age: 49
State: CA

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe headache Chills Fatigue

Other Meds:

Current Illness:

ID: 1206135
Sex: F
Age: 60
State: NV

Vax Date: 03/27/2021
Onset Date: 03/28/2021
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: Lexapro

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

Symptoms: Painful, swollen lump in left armpit.

Other Meds: None

Current Illness: None

ID: 1206136
Sex: F
Age: 43
State: NY

Vax Date: 04/01/2021
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: IM
Vax Site: RA

Lab Data:

Allergies: Latex

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

Symptoms: I felt dizzy for several days and four days later my blood pressure was low. I only started to feel better on the sixth day after getting the second dose.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm