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: 1210651
Sex: F
Age: 59
State: ID

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

Lab Data:

Allergies: Penicillin, amoxicillin, compozine, shell fish

Symptom List: Dysphagia, Epiglottitis

Symptoms: 40 minutes following my second dose of Moderna, I felt like I was having a very mild allergic reaction similar to what I?ve experienced with shellfish - Difficulty completing the swallowing process, but no difficulty breathing difficulty completing the swallowing process, but no difficulty breathing . Very noticeable heart palpitations 18 hours after both the first and second dose of the vaccine. After the first dose, palpitations continued off and on for approximately a week. Following my second dose, palpitations are continuing off and on today. Following the second dose I?ve also experienced a Fever (102.1), Bodyaches and dizziness approximately 20 hours after vaccination. Additionally, sore and swollen lymph node at right clavicle bone noticed approximately 36 hours after vaccination.

Other Meds: Levothyroxine 100mcg/day Fluoxetine 10mg/day Occasional multivitamin, calcium, vitamin D supplements

Current Illness: None

ID: 1210652
Sex: F
Age: 64
State: MI

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: After severe body aches on the friday after the shot, I thought everything was better. Then on Sunday morning, 72 hours after the shot I started to have severe stomach pains yet hadnt really eaten much of anything. Stomach pains became more severe after noon. Pain continued throughout the night, followed by chills and fever. Lower back was on fire. Then began vomiting at 2 a.m. Have had a flu shot but this was unlike anything I had ever experienced before

Other Meds: OTC Prilosec, 100 mcg B12, and Nevaton Forte supplement

Current Illness: None

ID: 1210653
Sex: F
Age: 32
State: GA

Vax Date: 04/11/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: COVID arm. Red, swollen rash around injection site approximately 3 inches in diameter.

Other Meds:

Current Illness:

ID: 1210654
Sex: F
Age: 58
State: MI

Vax Date: 02/12/2021
Onset Date: 02/17/2021
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: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: After my 1st vaccine I developed a rash on my arms. My pap prescribed an ointment that didn't help with the itching. After my second vaccine, on March 12, (Moderna, 002B21A) the rash got worse, I had a biopsy and was diagnosed with Lichen Planus. I have a rash that continues to spread over both arms, my stomach, back, legs. I am now taking Prednisone. I have immense itching and a red rash that is unsightly!

Other Meds: Synthroid, Valsartan HCTZ

Current Illness: none

ID: 1210655
Sex: F
Age: 48
State: PA

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

Lab Data:

Allergies: Demerol

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

Symptoms: Severe muscle aches thru whole body

Other Meds: Cymbalta Valstaren

Current Illness: None

ID: 1210656
Sex: F
Age: 50
State: LA

Vax Date: 03/11/2021
Onset Date: 03/30/2021
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: Sulfa

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

Symptoms: I begun experiencing leg and chest pain about three weeks after receiving the vaccination. On April 13, 2021 I contacted my PCP nurse triage; at which time I was instructed to dial 911 or go to the ER due to listed symptoms; thereafter my husband transported me to ER. I was examined by an ER physician who ordered an ultrasound of both legs; results were no concerns. I was instructed to take OTC Advil/Tylenol for pain along with an OTC acid reducer for chest pain and to follow up with my PCP as needed.

Other Meds: D3 Vitamin, Women one a day Vitamin, Vitamin C, Garlic Vitamin, Cranberry Vitamin, Probiotic Vitamins and Goli Apple Cider Vinegar Vitamin

Current Illness: None

ID: 1210657
Sex: M
Age: 30
State: MN

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: NA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever to 101F Chills Aches Headache 1 episode vomit

Other Meds: C4 cellucor preworkout supplement, whey protein supplement, glutamine supplement, creatine mono hydrate supplement, vitamin D, fish oil

Current Illness: NA

ID: 1210658
Sex: F
Age: 25
State: NY

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: 10 minutes after the injection I felt my blood pressure rise up. When I got home it was 134/94, machine told me I had mild hypertension. When I measured a few hours later it was at 137/90. It remained like that until the evening when it lowered back down to 120/87. Later that evening, I had a fever and took Tylenol to help. My headache got worse in the evening as well. Arm was sore. This morning (day after my 1st dose) my BP was at 108/79, fever creeped up as the day went on, body aches, arm was hurting more, headache continued, pressure on chest made it a bit hard to breathe, dizziness, some nausea, brain fog.

Other Meds: Combination oral birth control

Current Illness: None

ID: 1210659
Sex: F
Age: 53
State: TN

Vax Date: 03/22/2021
Onset Date: 03/23/2021
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: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: severe headache, chills, fever of 102 from 2:30 am on 3/23/21 until 5:30 pm on 3/24/21. Fatigue from 8 am on 3/23/21 through 4pm on 3/25/21

Other Meds: triamterene, amlodipine, adderall, ambien, progesterone, vitamin D, estrogen, testosterone

Current Illness: none

ID: 1210660
Sex: F
Age: 47
State: TN

Vax Date: 01/08/2021
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: Tested COVID positive after 2 doses of Pfizer. Patient has been managed outpatient for COVID at this time.

Other Meds:

Current Illness:

ID: 1210661
Sex: F
Age: 73
State: TX

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: acetaminophen, bromfenac, cipro, diphenhydramine, doxycycline, erythromycin, fexofenadine, gatifloxacin, hydrocodone, montelukast, penicillin, prednisolone, sulfanilamide

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

Symptoms: Patient had the vaccine on March 26, 2021, she started having reactions on March 28th. She states started out with chills and fever and progressed into allergy like symptoms and gradually got worse. She has pain from her neck to her toes. Loss of appetite and generalized weakness causing it hard for her to ambulate.

Other Meds: Chlorthalidone, diltiazem, epipen, flecainide, flonase, klonopin, aspirin, potassium, valacyclovir, xalatan

Current Illness: None Noted

ID: 1210662
Sex: F
Age: 18
State: TX

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Chills, fever, headache, soreness, fatigue, nausea.

Other Meds:

Current Illness:

ID: 1210663
Sex: F
Age: 69
State: MI

Vax Date: 03/10/2021
Onset Date: 03/10/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: The needle hit a nerve in my arm causing severe pain. After leaving and getting in my card my arm and legs went weak amd left side of face became prickly. Since the.n I?ve had many episodes of weakness and trembling, I also developed ?Covid arm? on day eight after vaccine. Which was redness, swelling, burning pain. Redness went away in 10 days, but the burning pain developed into burning pain from my waist down to my toes, both arms, and my back. Still have prickly sensation in face. The vaccine site has constant pain. Other areas come and go. In general I am weaker , especially my lower torso and legs, but there are times when my whole body goes weak and lasts 1.5 to 2.5 hours at its peak. Spine dr said it is my body reacting to vaccine. Neurologist said the same but he has no explanation for it. At times my upper left arm is so painful I cannot stand it. Then if I have a weakness spell, the burning subsides and only the injection site hurts. Some nights I cannot get to sleep because of the burning pain in my legs . I also get heart fluttering during the weakness episodes

Other Meds:

Current Illness:

ID: 1210664
Sex: F
Age: 87
State: VA

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

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

Lab Data:

Allergies:

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

Symptoms: severe headache, vomiting, diarrhea requiring ambulance transport to ER and hospitalization

Other Meds:

Current Illness:

ID: 1210666
Sex: F
Age: 64
State: MN

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: Milk penicillin

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

Symptoms: Tight, full chest; rapid heart rate for 2.1 weeks. Arms and legs falling asleep.

Other Meds: Bayer back body black cohosh

Current Illness: Adverse tooth treatment

ID: 1210667
Sex: F
Age: 15
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: No adverse effect reported; Patient was too young for administration (15 years old) at time of vaccination according to FDA/manufacturer guidelines.

Other Meds:

Current Illness:

ID: 1210668
Sex: M
Age: 40
State: TX

Vax Date: 03/01/2021
Onset Date: 03/09/2021
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: None

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

Symptoms: 104 fever. Chills. Extreme body pain. Pain and numbness in lower legs for weeks after.

Other Meds: None

Current Illness: None

ID: 1210669
Sex: F
Age: 19
State: CO

Vax Date: 04/13/2021
Onset Date: 04/14/2021
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: I woke up the day after my second shot completely weak and felt very feverish. I got out of bed and tried to eat yogurt, but felt nauseous and got lightheaded so I had to sit down. I drank some tea and water and went back to bed for 4 hours. I woke up again and still felt terrible and could not even walk short distances without getting very pale, sweaty, and my vision having spots. I feel chills, a headache, and have been lying down all day. I am most concerned about passing out and becoming unconscious. I called the Wellness Center and they said to just lie down and stay hydrated

Other Meds: Advil

Current Illness: None

ID: 1210670
Sex: M
Age: 63
State: MA

Vax Date: 03/03/2021
Onset Date: 03/08/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I have developed tinnitus in both of my ears. I have never experienced this before. I have received second dose and the tinnitus has continued.

Other Meds: losartan 25mg avorastatin 40 mg aspirin 81mg

Current Illness: none

ID: 1210671
Sex: M
Age: 22
State: TX

Vax Date: 03/06/2021
Onset Date: 03/29/2021
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:

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

Symptoms: Lower leg pain at night

Other Meds:

Current Illness:

ID: 1210672
Sex: F
Age: 37
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Multiple Food Allergies/Environmental Allergies and allergy to metformin

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

Symptoms: 37 yo obese dependent female with severe vasovagal reaction after a 30 minute wait time someone walking by noticed patient was not looking well and informed the observation staff. Nurse called for assistance and began talking with the patient. Provider arrived and patient was pale, slumped in chair but conversive. Upon assisting patient to the floor she became unconscious and we laid her down. EMS was requested. Over the next few minutes had 3 episodes of LOC with brief ~5 seconds of breathing cessation and seizure like activity with significant head shaking sometimes involving upper torso followed by coughing and retching without actual vomiting. Due to this she was placed in left lateral recumbent position with the first episode. Each time she awoke she appeared confused but was able to answer questions. Oxygen was applied with pulse oximetry but unable to obtain BP during this time. After the third episode she suddenly asked what happened and mentation returned to normal. Upon Fire/EMS arrival was conversing normally on the floor on her left side. Reported multiple food/environmental allergies and metformin allergy. History of suspected seizure but nothing proven. Reported before her vaccine that last time she experienced a brief LOC hours ~12 hours after her first vaccine. She had arranged for someone to stay with her tonight in case she felt faint again.

Other Meds:

Current Illness:

Date Died: 04/03/2021

ID: 1210673
Sex: M
Age: 71
State: MO

Vax Date: 02/12/2021
Onset Date: 04/02/2021
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: Sulfa, Norco, oxycodone, percocet

Symptom List: Unevaluable event

Symptoms: patient experienced a massive brain stem stroke on the morning of Friday, April 2, 2021. He was found minimally responsive on the floor at home and rushed to Medical Center which has a comprehensive stroke center. Imaging and testing determined there was no chance of recovery that would restore meaningful quality of life. The family removed life support on Saturday, April 3, 2021. Of note ,Patients sister, also, similarly suffered mild stroke shortly after receiving her 2nd Pfizer COVID-19 vaccine. Her recovery is ongoing and her family has been encourage to also report to VAERS.

Other Meds: Atorvastatin - 40 mg (bedtime); Sertraline - 100 mg; Oxybutynin - 10 mg; Magnesium - 250 ,mg (afternoon); complete multivitamin; omeprazole - 20 mg; vitamin B6; aspirin 81 mg; Iron 65 mg; Lortadine - 10 mg; glucosamine chondroitin; methyloc

Current Illness: Cold - sore throat, stuffy nose, temp. 99.7 degrees

ID: 1210674
Sex: F
Age: 34
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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: No

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

Symptoms: Approximately 2 minutes after receiving my 2nd dose of the Pfizer COVID vaccine, I felt a flash of heat in my chest that migrated to the back of my throat. I was given benadryl and observed for 30 minutes, after which I went to work. The heat in my chest dissipated to a mild chest tightness and mild shortness of breath that lasted approximately 2 weeks. I was monitored by Health department and was told by a NP to seek care in the ED after my chest tightness and SOB hadn't dissipated after a few days (I declined and continued to monitor my symptoms). Benadryl, ibuprofen, nothing improved my symptoms, which impacted my daily life. Siblings that are physicians said it sounded like I had an allergic reaction that turned into a pulmonary inflammatory reaction. After 2 weeks, my symptoms subsided and I have no sequelae.

Other Meds:

Current Illness:

ID: 1210675
Sex: F
Age: 56
State: NC

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: codeine

Symptom List: Injection site pain, Pain

Symptoms: Dr. reports: Asked to evaluate patient after she received J and J vaccine at the vaccine site. Pt. Given vaccine at 2:59 PM in right Deltoid. Approximately 10 minutes later, pt. Noted redness of right lower arm. Pt. Denied itching no airway issues no SOB. No wheezing. Pt. Taken to Medic area for further eval. VSS at 3:20 PM wit BP 122/78, P89, R 12, O2 Sat 99% on RA. Pt. Felt well. Monitored. Rash gradually subsided, and did not occur anywhere else. No airway swelling. Lungs clear to auscultation. Pt. Did not develop any other symptoms or signs. Warning signs and symptoms discussed with pt. And pt. Knows if these occur, she will contact PCP emergently or call 911. Pt. Observed until 3:42. Pt. Related felt well, and rash nearly gone. Pt. Desired to leave, and is going to be drive home by her husband.

Other Meds: amitriptyline, estradiol, famotidine, naproxen, protonix, plaquenil, polytrim

Current Illness:

ID: 1210676
Sex: F
Age: 72
State: CA

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: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: Low grade fever for 24 hours; Achy joints 3 days; lack of energy 5 days; gastrointestinal symptons, first 24 hrs extreme diarrhea & gas; 2 days later after eating extreme diarrhea gas & severe stomach cramps lasting 12 hours; 5 days later loose stools and slight nausea with some gas after eating meal. This is day 5 feeling better but not 100% yet. Additional Information: April 14, 2021 At 5 pm on day 5 again started watery diarrhea and stomach cramps. Bowel movement was water just like a colon prep clean out for colonoscopy. Day 6 diarrhea stopped but stomach still queasy and mild cramping. This is day 8 and still stomach issues after eating. Queasy and mild cramping.

Other Meds: ProbioMax DF; Zinc 30; BosWellia-Turmeric; Mondaurin; D3; ALAmaz; Digestive Enzymes; MAGBLue; B Activ; low dose aspirin; Ultra Dry eye w/lutein & D3; l-Glutamine; collagen Peptides

Current Illness: N/A

ID: 1210677
Sex: F
Age: 30
State: NY

Vax Date: 03/26/2021
Onset Date: 04/01/2021
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: None

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

Symptoms: Shortness of breath. Have a hard time breathing after any activity.

Other Meds: Microgestin tablet for birth control

Current Illness: None

ID: 1210678
Sex: F
Age: 57
State: NY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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: Corn, Wheat, Sulfa, Lidocaine; codeine (family of including Demerol)

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Joint aches and neuralgia. Took Ibuprofen every 6hpurs for 24 hours, starting at 9am the morning after vaccination. Symptoms vanished 36 hours after on set.

Other Meds: Levothyroxine 100mcgs; Vitamin C 1000; Vitamin D 4000.

Current Illness: None

ID: 1210679
Sex: F
Age: 56
State: OH

Vax Date: 03/17/2021
Onset Date: 03/20/2021
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: Metformin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Within 4 mins throat was feeling like it was swelling. Then it resolved. 24 hours later started with fever of 103. Then 3 days later started with facial rash similar to shingles, arms and legs blistered. Day 4 rash on your abdomen under breasts. Patient reports still having rash. Doctor originally dx as poison ivy. Reseen patient and changed dx to covid-19 reaction to vaccine. Patient was placed on steriods and is on second round of steriods.

Other Meds: Glipizide, synthroid, MVI, omega -3, vit D

Current Illness: none

ID: 1210680
Sex: M
Age: 58
State: MI

Vax Date: 03/30/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: red patch, 3" in diameter. slight itching. not uncomfortable.

Other Meds: omneprazole, lisinopril,montelukast,tamsilosin,atorvastatin,dutasteride

Current Illness:

ID: 1210681
Sex: F
Age: 35
State: VA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: NA

Symptom List: Nausea

Symptoms: PT STATED SHE WAS VERY HOT, STARTED SHAKING, HAD CHEST PAIN WHEN BREATHING. WE GAVE PT WATER AND COLD PACK AND OBSERVED FOR 30 MINUTES AT WHICH TIME THE PATIENT SAID SHE FELT SHE NEEDED TO GO TO THE ER. PARAMEDICS WERE CALLED AND EKG/BLOOD PRESSURE TAKEN. PARAMEDICS ADVISED PT TO BE EVALUATED AT HOSPITAL.

Other Meds: NA

Current Illness: NA

ID: 1210682
Sex: M
Age: 38
State: AZ

Vax Date: 04/06/2021
Onset Date: 04/13/2021
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: None

Symptom List: Injection site pain

Symptoms: A couple days after the injection all arm soreness had done away. One week after the injection the injection site became red and itchy with a hard lump under the skin roughly the diameter of a golf ball. I am not sure if it is infected or if I have "COVID Arm".

Other Meds: None

Current Illness: None

ID: 1210683
Sex: F
Age: 40
State: SC

Vax Date: 03/03/2021
Onset Date: 03/31/2021
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: Penicillin, sulfur

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

Symptoms: On April 11 my injection site became hot and feverish and red. I woke up the next morning and on my entire left arm from shoulder to wrist all my skin was shedding on similar to a horrible sunburn and no I had not been in the sun.

Other Meds: Paxil, levothyroxin, welbutrin, lisinopril, trazadone

Current Illness: None

ID: 1210684
Sex: F
Age: 54
State: IA

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: RA

Lab Data:

Allergies: Artificial sweeteners, Veltassa

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

Symptoms: No reaction, MD aware of incident.

Other Meds:

Current Illness:

ID: 1210685
Sex: F
Age: 51
State: MI

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

Lab Data:

Allergies: Sulfa

Symptom List: Tremor

Symptoms: Approximately 3:00am I woke up with severe chills & severe headache. After not being able to fall back to sleep due to headache I decided to take medication for headache. Walked to kitchen for water and before I could take medication I passed out and fell to the floor hitting head on cupboard door. After realizing I passed out and fell I got up to take meds and passed out again. I woke up on the floor some time later and was able to get to the couch.

Other Meds: Warfarin Doxycyclin

Current Illness: none

ID: 1210686
Sex: F
Age: 20
State:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: The patient felt dizzy when after the vaccine was administered and then fainted. The patient was given crackers and juice and recovered on their own.

Other Meds:

Current Illness:

ID: 1210687
Sex: F
Age: 46
State: TX

Vax Date: 04/07/2021
Onset Date: 04/12/2021
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: N/a

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

Symptoms: Head cold now moved to chest cold

Other Meds: Synthroid, omega, vitamin d

Current Illness: None

ID: 1210688
Sex: M
Age: 56
State: TN

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

Lab Data:

Allergies: PCN

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

Symptoms: On the evening of the injection, he had fever of greater than 104 degrees with shaking chills. He called the Health Dept. because he feels that the shot was given into the shoulder joint. He describes pain in the shoulder joint at a level of 2-3 on a 10 point scale. By yesterday, his fever was down to ~99degrees. Today, he is feeling better, but his arm is still tender and he increased tenderness when he raises his elbow.

Other Meds: thyroid medication

Current Illness: none

ID: 1210689
Sex: M
Age: 65
State: VA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
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: no known

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: johnson and jonson vaccine. He received on 4/1 through the state. that night got chills. ha, n/v. the next day just tired. 2 days later got two pink bumps on his R elbow then enlarged. then developed more on other areas on his body. some have been present in one spot for a week. NO sob or rep sx. no pain. He carries an epipen for insect allergy. on 4/9 he developed sensation of throuat closingand administred an epi pen with relief and went to er. At the er he was given iv prednisone, benedryl and pepcid. He was dischared on a medrol dose pack 7 day. taper (3 days left) and refilled epipen. told to take benedryl. no sob. rash is now stable, no new areas x 2 days, larger areas are much improved..

Other Meds:

Current Illness: none

ID: 1210690
Sex: F
Age: 23
State: TX

Vax Date: 03/10/2021
Onset Date: 03/13/2021
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:

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

Symptoms: Reaction on the skin started 12th March 2021 until the end of March. I had pain, itching and rash. I had blisters all over my body.

Other Meds:

Current Illness:

ID: 1210691
Sex: F
Age: 42
State: PR

Vax Date: 03/23/2021
Onset Date: 03/31/2021
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: Medications- Cipro, Augmentin, Metronidazole Food- none

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

Symptoms: next day- Dizziness, tiredness, pain in the arm, diarrhea next week- skin hives and red swelling on skin

Other Meds: None

Current Illness: No

ID: 1210692
Sex: F
Age: 70
State: MN

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: LIPITOR LACTOSE INTOLERANT

Symptom List: Pain in extremity

Symptoms: I woke up at 3:30 a.m. lightheaded. I went to the bathroom and on the way back to the bedroom I fainted. I regained consciousness and realized that I was on my knees on the bedroom floor. I felt as though the room was whirling and fainted again. I woke up to find that I was laying down on the bedroom floor. At that point, I heard my husband asking me what happened. I felt him pick me up and put me back in bed. He didn't sleep the rest of the night listening to me to make sure I was breathing, I woke up in the morning feeling fine, no more symptoms. While my episode was going on, I never thought to call for help from my husband. Very unusual for me not to do that. I just didn't think about talking, strange for me.

Other Meds: SPIRONOLACTONE ROSUVASTATIN CALCIUM CALCIUM WITH VITAMIN D PRESERVISION, AREDS 2 FISH OIL VITAMIN D

Current Illness: NONE

ID: 1210693
Sex: M
Age: 26
State: FL

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

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

Symptoms: Arm pain immediately after the shot. 3:45 PM. Headache, eye soreness, sinus pain - 11:30 PM. Chills and shakes - 2:30 AM. Sweats - 4 AM. Continued tiredness throughout the day.

Other Meds: Adderall XR 15 MG, Levothyroxine 75 MCG

Current Illness:

ID: 1210694
Sex: F
Age: 32
State:

Vax Date: 03/30/2021
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: Beer

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

Symptoms: Fatigue for 2 days after shot. Headache starting 8 days post vaccination. Lasted 2-3 days (4/7-4/9/21) Dizziness, blurred vision, almost fainted on 4/9/21

Other Meds:

Current Illness:

ID: 1210695
Sex: F
Age: 19
State: UT

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: Advil

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

Symptoms: pt experienced weakness, nausea, and near syncopal episodes within 10 minutes of receiving vaccine. Symptoms resolved within minutes, pt was monitored in clinic for an additional 30 minutes with stable vitals and no further episodes. Pt left clinic in good condition, brother drover her home.

Other Meds: oral contraceptives (ortho cyclen)

Current Illness: none

ID: 1210696
Sex: F
Age: 31
State: WY

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

Lab Data:

Allergies: no known

Symptom List: Vomiting

Symptoms: 12 hours after the vaccine I had chills and body aches. The next 24 hours I had a mild fever, chills, body aches, and was mildly dizzy. I was very sore and lethargic. There was no treatment pursued other than rest at home and fluids. I did not see a doctor. I felt normal the next morning.

Other Meds: Lexapro 20 mg Once a day

Current Illness: no known

ID: 1210697
Sex: M
Age: 76
State: CT

Vax Date: 03/03/2021
Onset Date: 03/10/2021
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: Penicillin (reaction-hives)

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: During my annual physical scheduled on 03/10/2021 at approx 11:00AM, my Primary Care Physician, listened to my heart and commented that it was irregular. He had his nurse take an ECG and after his review he said that I had new onset Atrial Fibrillation. He prescribed the blood thinner, Eliquis 5mg twice daily, and recommended that I schedule an appointment with my Cardiologist. I had an appointment with cardiologist on 03/17/2021 and he confirmed my Atrial Fibrillation. He scheduled me for a Transthoracic Echo (TTE) Complete with PRN definity on 04/08/2021 which was completed. It must be noted that annual visits to my three doctors over a past period of 5 years, never showed that I had an irregular heartbeat or Atrial Fibrillation prior to its first discovery by PCP on 03/10/2021, exactly one week after my second Pfizer Covid 19 vaccination.

Other Meds: Atorvastatin 80mg daily, Metoprolol succinate 25mg twice dail Lisinopril 10mg daily, Centrum Silver Multivitamin/Multimineral, Vitamin C 500mg, Vitamin D3 2000IU, Vitamin K2 45mcg,

Current Illness: 1. Coronary artery disease due to lipid rich plaque. (Triple (Triple Coronary Bypass Surgery June 24, 2016). 2.Essential Hypertension. 3.Hypercholesterolemia. 4.Gilberts Syndrome

ID: 1210698
Sex: F
Age: 30
State: OR

Vax Date: 04/01/2021
Onset Date: 04/08/2021
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: No

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

Symptoms: 8:30 on 4/8/21 got a temp of 102, weak, tired, nausea, shaking, lost my breat milk and dried up

Other Meds: Prenatal vitamin

Current Illness: Nausea , headache , temperature of 102 light head weak tired, couldn't produce brest milk

ID: 1210699
Sex: M
Age: 56
State: GA

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 known.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Facial numbness.

Other Meds: terbinafine HCl oral tablet / d

Current Illness: None.

ID: 1210700
Sex: M
Age: 21
State: CO

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: RA

Lab Data:

Allergies: None known.

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

Symptoms: The adverse events that occurred after this vaccination include the following: Severe headache, vision issues (i.e., loss of clarity, focus), muscle aches/cramps, chills, stomach/abdominal discomfort, upset stomach, loss of taste, loss of smell, sore throat, swelling of lymph nodes (underarms, groin region, and behind the ears), tiredness / loss of energy, and nasal congestion. The most adverse event, a headache, led to some dizziness, loss of clarity/focus (vision), and pain behind the eyes. The only treatment taken to lessen the severity of these events were acetaminophen and ibuprofen. The adverse events still occurring today are (as of now 04/14) include: stomach discomfort, muscle aches/pains, and discomfort under the arms (armpit area) near lymph nodes.

Other Meds: Men?s Daily Multivitamin.

Current Illness: Seasonal allergies.

ID: 1210701
Sex: F
Age: 62
State: NY

Vax Date: 03/05/2021
Onset Date: 03/08/2021
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:

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

Symptoms: After thee days of vaccination, experiencing severe tinnitus in both ears. Has not gone away as of today, 4/14/21. never had ringing in her ears in her life. We are very worried this will be permanent.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm