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: 1208126
Sex: F
Age: 51
State: FL

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/14/2021
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: I have had an adverse reaction to one vaccine in and I had hives for 3 months after the vaccine whenever clothing items would touch my skin. At the time of the vaccine a giant hive came up at the injection site, 7 inches by 3 inches raised 7mm. I am allergic to fish, pollen, sulfa and one unknown ingredient which gave me an anaphylactic reaction (it was a preservative used on a buffet bar 1990)

Symptom List: Dysphagia, Epiglottitis

Symptoms: First, I had a tight throat and I blamed it on the pollen, next at home potato chips got stuck in my throat, and I was just like 'I am eating too quickly', then at boy scout meeting that evening I couldn't breath and blamed it on my mask (we have to wear masks outside), came home took an expired Benadryl and thought, I will call allergist in the morning for an appointment. Next day woke up, felt fine then around 1pm I was on the toilet and I felt a drop like hitting the bottom on the elevator and I thought I won't be able to get off the toilet, I felt super dizzy and nauseous and I thought I would fall. I seriously don't think I have ever felt worse. Yelled to husband got on sofa and started calling 'ask a nurse' which was stupid, called 911 and they told me to take epi-pen which I should have known to give myself the whole time! EMT came and I went to ER. Felt better almost immediately with epic-pen and drip with steroids and Benadryl. Next day went to allergist and felt like I was having another reaction, she gave me some additional meds. I started on Zyrtec and I didn't like how drowsy I was feeling so on 4/5 I didn't take Zyrtec that night and Tuesday I woke up fine and then around 1pm I thought I was going to die, I called the allergist, they said you should continue taking Zyrtec every night and take one then. I felt like I was having another allergy attack. I felt so dizzy I couldn't move, I felt like I was going to fall, I threw up. I was still too dizzy to move, called ER, went to ER and started feeling better due to the Zyrtec now in my system.

Other Meds: none

Current Illness:

ID: 1208127
Sex: F
Age: 34
State: KY

Vax Date: 04/01/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: I have never had side effects to a vaccination before so it was completely unexpected but it had been approximately 9 to 10 hours (which I had a hard time entering on the page prior where it asked me the times.i couldn't get it to okay how I had the time) but I had felt completely fine and normal directly after and that evening, but close to around 9 or 10 hours later I developed such a high fever so fast when I took it, it was 103.7 and i could barely stand up to get the thermometer i was SO weak and my whole body ached so bad. I couldn't stop crying I was so miserable and had to have my ex boyfriend come take care of me because I didnt have anyone else to, but it got so bad I was strongly considering going to the emergency room...I tried to sleep but my body was so restless. I took ibuprofen and it broke my fever but today I still feel achey and weak. I definitely wasn't expecting that because the guy that did mine said it's rare and if they do happen they are mild...I would consider my symptoms higher than mild. There was nothing else that could caused it..everything was the same and the only different factor was the vaccine so I'm 100% sure that it was the cause.

Other Meds: None

Current Illness: None

ID: 1208128
Sex: F
Age: 56
State: NE

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/14/2021
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:

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

Symptoms: Contacted by this patient that she had received her first dose of Moderna. On day two post vaccination red rash started at elbow and then began to work its way up her arm and across her chest. Rash was itchy. She notified her Oncologist when the rash began. No urgent medical treatment given.

Other Meds: I V chemo medications

Current Illness: Pancreatic cancer

ID: 1208129
Sex: F
Age: 64
State: MO

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
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: Client began to feel dizzy around 10:55am. At 11:05am a nurse observed client appeared pale and brought her an ice pack and crackers. Around 11:14am the client stated that she felt less dizzy and was ok to drive. Nurse educated client on what to do if she became dizzy again and released her to client's personal car.

Other Meds:

Current Illness:

ID: 1208130
Sex: F
Age: 76
State: KS

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
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:

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

Symptoms: Patient received the vaccine on 4-9-2021, on 4-10-21 patient felt "blah," on 4-11-21 patient got up and around and was ok, on 4-13-21 patient was not feeling real great, but was tolerable, on 4-14-21, patient was feeling worse with blurred vision, throwing up, aches, doesn't want to eat, dizziness. Recommended that patient contact their primary care doctor for further treatment. On 4-13-21 pt went to ER and was admitted for one night, on 4-14-21 pt was dismissed from hospital, and is feeling improved.

Other Meds:

Current Illness:

ID: 1208131
Sex: M
Age: 29
State:

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Diarrhea

Other Meds: none

Current Illness: none

ID: 1208132
Sex: M
Age: 66
State: NC

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
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: amlodipine, metoprolol, atorvastatin, plavix, flonase, keppra, synthroid

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient received 2nd Pfizer Vaccine approximately 11:10 am. Patient reported burning sensation in chest and lightheadedness and feeling warm. Taken to medic room. Initial vitals: BP: 144/94, P: 83, O2: 98%. Approximately 11:43 am: Patient reported left arm numbness and numbness in bilateral legs. Also reported blurry vision. Patient with of CVA, MI, Pulmonary Emboli, Seizure disorder. He did stop Protonix 2 months ago per patient and Keppra discontinued by PCP 2 weeks ago. On exam: grip bilaterally intact, sensation intact, oral mucosa intact, Heart regular rate and rhythm, Lungs CTAB. No rash noted. No oral swelling. Alert and oriented x3. Recheck vitals: 145/97, HR: 80, O2 saturation 97%. Continued numbness on left side and lower extremities. Burning sensation/reflux in chest still ongoing. EMS was called for further evaluation.

Other Meds:

Current Illness:

ID: 1208133
Sex: F
Age: 36
State: KY

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: Neosporin

Symptom List: Pharyngeal swelling

Symptoms: I got the shot around 2 in the afternoon. By supper time, I was feeling really nauseous and having pain in my stomach. By bedtime I was doubled over in pain. That lasted for several hours before my husband took me to the ER. They found that my appendix was going to rupture and took me to emergency surgery. I never had a problem with my appendix before then and have never had another major surgery (only other surgery was ear tubes as a child).

Other Meds: None

Current Illness: I did not feel well after 1st vaccine for around 10 days. I got tested and it came back negative so my doctor said was a severe reaction to the 1st vaccine.

ID: 1208134
Sex: F
Age: 15
State: RI

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: None

Other Meds: None

Current Illness: None

ID: 1208135
Sex: F
Age: 33
State: IN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Red bump in shot area, sore arm, fatigue. Took Tylenol for symptoms

Other Meds: Buspirone, metroprpaol

Current Illness:

ID: 1208136
Sex: F
Age: 65
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: shrimp

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

Symptoms: Legs and knees started hurting during the night. Developed fever 102.2, body aches, headache, dizziness, cough, lethargy. Blood sugar 176 which is high for me. These symptoms lasted 2 days. Mostly laid around and slept. took tylenol for fever. cough drops for cough. 6 days after the injection developed sinus symptoms. Headache, sinus drainage, increased coughing. no fever. Taking tylenol sinus.

Other Meds: Meds taken before injection: Losartan/hct, omperazole, pregabalin, vitamin D3, bupropion HCL XL,metformin HCL, methocarbamol, amlodipine.

Current Illness: none

ID: 1208137
Sex: M
Age: 32
State: MA

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/14/2021
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: Trazodone Allergy

Symptom List: Rash, Urticaria

Symptoms: On day 2 after my second shot i had severe joint and back pain. Knees, ancles, wrists of both hands and lower left shoulder. The pain in my knees and ancles seems to have gone away. Still have some light pain on right wrist and currently still continues daily pain on the left wrist and left shoulder.

Other Meds: Doxycyline

Current Illness: None

ID: 1208138
Sex: F
Age: 62
State: OK

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: 1st Covid vax 3/12/21; pt. had severe headache x 2 days helped w/Tylenol. 2nd vax 4/5/21; pt. had fatigue, body aches, muscle cramps in legs and lower back, improved in 1 week with increased water intake; also had vertigo lasting a week. She also is experiencing sweating day and night. States her hot flashes were under control until she had the 2nd vaccine. She called her PCP who advised Tylenol for aches and to increase water intake; also has taken AlkaSeltzer Plus Cold for 8 days with improvement of h/a and bodyache but pain returns when it wears off. States she still "doesn't feel well" and may go to urgent care for variant testing soon and was urged to seek care as she feels the need.

Other Meds: Levothyroxine 75 mcg. and Armor 75mg, Amlodipine, vit/minerals

Current Illness: Seasonal allergies.

ID: 1208139
Sex: F
Age: 44
State: AR

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 04/14/2021
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: Codiene, Compazine, Sulfa drugs Eggs, kiwi, bananas, nuts expect pistachios

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

Symptoms: 2 weeks after the first dose, I had arrhythmia attacks that got so bad I went to the ER. This continued for 2 months and then stopped. The first dose, I was tired and had a REALLY sore arm. 2nd dose was so severe, I almost went to the ER. I was convulsing and couldn't hold any objects or barely walk. I had a 101.4 temp but was cold to the touch. This lasted 3 days. I had "Covid Arm" and couldn't move my arm for 5 days and was a swollen bullseye for a week.

Other Meds: Allegra, Vitamin D, Emergen-C, Calcium/Magnesium, B 12, Potassium

Current Illness: None

ID: 1208140
Sex: F
Age: 27
State: MN

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: big round swelling and tenderness below where shot was. warm to touch, slightly raised. happened 2 days after vaccine was given.

Other Meds:

Current Illness:

ID: 1208141
Sex: M
Age: 28
State: CA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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: Lamotrigine

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

Symptoms: Seizure

Other Meds: Onfi 20mg BID; Trileptal 300mg BID

Current Illness:

ID: 1208142
Sex: F
Age: 63
State: VT

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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: Clams

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

Symptoms: Head rush and heart palpitations approximately 10 minutes after injection, and nausea. Assisted by EMTs to monitor heart rate, blood pressure , and blood oxygen level. Went into atrial fibrillation and blood pressure steadily rose. 165/99 was one reading I heard them call out.

Other Meds: Lysine Vitamin D3 Zinc

Current Illness: None

ID: 1208143
Sex: M
Age: 65
State: WA

Vax Date: 03/29/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
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: ten days after the second moderna shot I had a TIA event and was hospitalized. I am in general very healthy and since both JJ and astro- vaccines have had reports of clotting, I thought it appropriate to enter my event into the statistical analysis

Other Meds: none

Current Illness: none

ID: 1208144
Sex: F
Age: 50
State: CA

Vax Date: 03/16/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
Hospital: Y

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: latex

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: pulmonary embolisms headaches fever and chills

Other Meds:

Current Illness: had covid and and double pneumonia in december 2020

ID: 1208145
Sex: F
Age: 50
State: PA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever of 101.2 F for ten hours, bad headache, severe exhaustion and muscle pains for 12 hours, vomiting for 12 hours, weakness for two days.

Other Meds: None

Current Illness: None

ID: 1208146
Sex: F
Age: 37
State: MI

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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:

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

Symptoms: Patient was given Pfizer on 4-12-21 2nd dose but her 1st dose was Moderna on 3-12-21

Other Meds:

Current Illness:

ID: 1208147
Sex: F
Age: 57
State:

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
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: unexplained bruising with hematoma RUE

Other Meds:

Current Illness:

ID: 1208148
Sex: M
Age: 28
State: TX

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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: teszil

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

Symptoms: nausea, chills, hot, diarrhea, fatigue, loss of appetite

Other Meds:

Current Illness:

ID: 1208149
Sex: M
Age: 45
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: none

Symptom List: Injection site pain, Pain

Symptoms: 5 minutes after receiving the injection, my husband passed out, starting sweating profusely, and was out cold for a minute. EMS were called and he was seen in ER due to low heart rate and sweating to rule out any heart conditions. He had 2 EKGs - one in the ambulance and one in the ER. He also had to have a CT for falling and bumping his head to rule out that injury. The DX was listed as a vagal response, but we are not so sure we agree given that he is 45 years old, has no priory history or anxiety about shots.

Other Meds: none

Current Illness: none

ID: 1208150
Sex: F
Age: 32
State: TX

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever and chills 12 hours afterward Severe Headache since injection Fever up to 101 since injection, Tylenol and IBprofin to keep fever reduced

Other Meds: Tylenol 500mg

Current Illness: NA

ID: 1208151
Sex: F
Age: 36
State: NM

Vax Date: 03/12/2021
Onset Date: 03/30/2021
Rec V Date: 04/14/2021
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: Penicillin, Gabapentin, Vancomycin

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

Symptoms: I am currently 24 weeks pregnant . I received my first dose at 14 weeks and my second dose at 19 weeks. I went to see my OBGYN because I had trouble breathing, asthma and I am also pregnant. My doctor started prescribe me asthma inhaler. Baby is doing good. I am still using inhalers for my asthma and being monitored by my OBGYN.

Other Meds: Pre-natal vitamins, Baby aspirin

Current Illness:

ID: 1208152
Sex: M
Age: 25
State: IN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: I had chills and muscle aches which lasted about 24 hours starting about 9 hours after receiving the vaccine. I just rested the next day and wore more layers to feel warm. No additional medication aside from my prescription of 3mg of melatonin at bedtime was taken. Symptoms were gone after awakening from a full night sleep, roughly 43 hours after vaccination.

Other Meds: Melatonin 3mg at bedtime

Current Illness: None

ID: 1208153
Sex: F
Age: 22
State: NE

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/14/2021
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: Right after the nurse administrated the vaccine to my daughter, she complained about having numbness on her feet, flurry eyes, was not able to hear very well, dizziness and fainted for a short time.

Other Meds: none

Current Illness: none

ID: 1208154
Sex: F
Age: 17
State: IA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: valid birthdate upon research in vaccine registry is (unlisted), all childhood immunizations are for the (unlisted) birthdate, form was filled out by recipient stating birthdate was (unlisted) therefore would be 18 years of age.

Other Meds:

Current Illness:

ID: 1208155
Sex: F
Age: 47
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Nausea

Symptoms: Patient reports pain/swelling at injection site (right deltoid) down right arm to elbow and wrist. Patient states it's hard for her to move her arm. Patient also reports swollen lymph node in neck, fatigue, muscle pain, joint pain, and fever.

Other Meds:

Current Illness:

ID: 1208156
Sex: F
Age: 27
State: KY

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Mangos

Symptom List: Injection site pain

Symptoms: Exactly one week after the first shot, I woke up with a nickel size rash over the injection site. It was swollen, red, slightly itchy, and hot to the touch. Over the next few days, several red blotches would bloom slightly below the site, forming a roughly fist size patch that fluctuated in shape. As of the morning of 04/14/21, it?s faded into a faintly pink area that is barely visibility and does not itch or appear swollen. As recently as 24 hours ago, it was still very rashy. I chose not to seek care as the CDC listed ?covid arm? as a rare but harmless complication, and the rash was not other lay bothersome.

Other Meds: Birth control, armor thyroid, escitalopram, Prilosec, fexofenadine

Current Illness: None

ID: 1208157
Sex: F
Age: 22
State: MA

Vax Date: 12/24/2020
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: Covid positive test 4/12/21 with mild symptoms

Other Meds:

Current Illness:

ID: 1208158
Sex: F
Age: 56
State: TX

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Developed a mass on the outside outer edge of each wrist.

Other Meds:

Current Illness:

ID: 1208159
Sex: F
Age: 51
State: FL

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: I have on of a headache , dizziness, chest pain, problems breathing, feeling tired , leg pain

Other Meds:

Current Illness:

ID: 1208160
Sex: M
Age: 53
State: CT

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 04/14/2021
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: Seasonal

Symptom List: Erythema, Pruritus

Symptoms: Developed an eye floater and blurred vision next day

Other Meds: Claritin D 24

Current Illness:

ID: 1208161
Sex: F
Age: 51
State: CO

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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: morphine

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

Symptoms: I have developed a rash all over my body

Other Meds: metformin and Levothyroxine

Current Illness: I had a bladder infections and was on antibiotics for 5 days - started on Monday April 5th and completed them by Friday April 9. I don't know what type of antibiotics (or brand) they were.

ID: 1208162
Sex: F
Age: 55
State: IL

Vax Date: 03/11/2021
Onset Date: 03/25/2021
Rec V Date: 04/14/2021
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: Blood Clot in right calf. deep arterial thrombosis

Other Meds: Cymbalta

Current Illness:

ID: 1208163
Sex: F
Age: 31
State: FL

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 102 fever, body chills, body aches for 12 hours starting 11pm on Sunday, April 11th (about 8 hours after vaccination). Continued pain in sight of injection and body aches for third day now.

Other Meds:

Current Illness: N/A

ID: 1208164
Sex: F
Age: 29
State:

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Constant tinnitus (high pitched ringing in both ears), not responding to any OTC antihistamine or anti-inflammatory treatments

Other Meds: Lo-Loestrin Fe Levothyroxine Fish oil B complex vitamin

Current Illness: None

ID: 1208165
Sex: F
Age: 20
State: MA

Vax Date: 03/27/2021
Onset Date: 04/03/2021
Rec V Date: 04/14/2021
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:

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

Symptoms: Painful sinus headache, dizziness, vomiting

Other Meds:

Current Illness:

ID: 1208166
Sex: M
Age: 36
State: GA

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: minutes after receiving the vaccine, I began feeling very light headed, my breathing became heavy, my hands and feet began to tingle, became ice cold and and then went numb. felt like I was about to lose consciousness. I had to lay down for about 5 minutes before I started feeling any sort of normal. Just about everyday since the Shot I have had a a high pitched ringing that comes and goes and a sever migraine that does not change if I take any medication (Advil). the only way to feel better is to sleep. yesterday was the worst yet. when I contacted my pharmacist that administered the vaccine they informed me that they did not report my initial side effects and only after I called today were they going to report them.

Other Meds: vitamin D3,

Current Illness:

ID: 1208167
Sex: F
Age: 61
State: CO

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: I have not heard of any side effects like this, so I thought I should report. On the first shot I just had a sore arm for about a week. On the second shot at about 5:00 all of a sudden my stomach started cramping really bad! I couldn't lay down! I was walking back in forth in my house pacing as laying down, or sitting wasn't helping. I also felt like I was going to throw up. I was talking on the phone with a friend, as I thought I might have to go to the emergency room. I have never felt pain like that before! Then all of a sudden after about 45 minutes it stopped! Then on Friday night and Saturday night I could not sleep my head was just racing! I have felt tires since then and yesterday for the first time I felt like a heartbeat in my left ear that I have never had before. It happened this morning also.

Other Meds: Symbicort

Current Illness: None

ID: 1208168
Sex: F
Age: 45
State: CA

Vax Date: 04/04/2021
Onset Date: 04/07/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Red hot rash at injection site more than 1 week after injection.

Other Meds:

Current Illness:

ID: 1208169
Sex: F
Age: 49
State: FL

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/14/2021
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: Demerol, plastic sensitivity (earrings with plastic backings make ears swell & blister over time), adhesive sensitivity.

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

Symptoms: Severely sore shoulder at injection site, sore arm, causing so sever and concerning total arm immobility, red rash below injection site approximately 2" wide x 4" long. Fever 100.9, chills, severe headache (migraine strength), body & joint aches, nausea, dizziness, tachy-heart, constant arrhythmias. Naturally, I have a few a month but these were frequent throughout the day(s). Arrhythmias are now more chronic, much stronger and longer duration. Have joint pain in left wrist & joints of fingers, much like arthritis and inflammation of the entire left hand, which is same side as injection arm. Also on same left side of body was left foot and ankle inflammation, causing moderate discomfort.

Other Meds: Vitamins: Women's daily multi-vitamin, also: A, B-12, C, D-3, Flax Seed, Omega 3 6 9, Estroven-Women's Menopause Relief & Weight, Magnesium

Current Illness: Heart arrhythmias

ID: 1208170
Sex: F
Age: 63
State: CA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/14/2021
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: Chocolate, Grapes, Walnuts cause herpes in nose No allergies to medicines

Symptom List: Vomiting

Symptoms: Vise like headache lasting 6 hours Fatigue lasting 4 days

Other Meds: 40 mg/day celexa 8th day of sugar detox Calcium Lysine Vit D Rovustatin 5 mg 4x week COQ10. 100 mg

Current Illness:

ID: 1208171
Sex: M
Age: 63
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient was administered 0.3ml of the Pfizer vaccine that had been compounded in the pharmacy. After administering a dose to another patient, the nurse recongized that the volume of the vaccine was low. Normally, each vial is enough for 6 vaccines, but not in this case. The vaccine was returned to the pharmacy where it was discovered that the vial was diluted with 0.8ml of normal saline, instead of 1.8ml. Based on the concentration in the vial, the patient received two times the normal dose of the vaccine. Patient was observed and sent home without signs of an adverse reaction.

Other Meds:

Current Illness:

ID: 1208172
Sex: F
Age: 18
State: SC

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient received Moderna Covid-19 vaccine. Just a minute after receiving, pt's eyes rolled in the back of her head and she went limp and was unconscious, but still breathing. Patient's mom was yelling her name and holding her up. We brought a mat out and laid pt down. She came to about a minute or two after being laid down. EMS was called. Patient was ok and conscious when they arrived. She said she felt ok. EMS checked her out and said she was ok. Patient left the store with her mother.

Other Meds: Unknown

Current Illness: None

ID: 1208173
Sex: F
Age: 59
State: TN

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Starting around 11 am the next day (4/10) after receiving the vaccine, pt. states noticed left upper arm pain, redness, bruising and warm to touch. Pt. states also started 'feeling bad' and complained of nausea, body aches, fever, chills and headache. Pt. called to report symptoms to nurse on 4/13 - states was feeling better but that her arm was still red and warm to touch.

Other Meds: Losartan PO daily, Zyrtec PO daily, Allergy shots once weekly

Current Illness: None

ID: 1208174
Sex: F
Age: 28
State: AL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Vomiting for 48 hours, nausea, headache, chills, fever 102 for two days; period started and bleeding increases daily. Vaginal bleeding still heavy with dime size clots.

Other Meds: Adderall XR 3g

Current Illness: N/A

ID: 1208175
Sex: F
Age: 60
State: CA

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
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: None

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

Symptoms: Sudden wave of heat/warmth and felt like I was going to pass out and was nauseous . This happen about 12 minutes after the shot. It continued to happen off and on through out the day until about 5:00pm. The shot was at 10:00am on Monday Today is Wed and I still feel nauseous and dizzy. Other symptoms have been bad headache with neck muscle pain. Injection site is swollen, red and sore.

Other Meds: Vitamin B

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm