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: 1212712
Sex: F
Age: 52
State: CA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/15/2021
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: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: right medial subconjunctival hemorrhage ~12 hours after both Moderna vaccines without any other possible illiciting event. pt reports the hemorrhage continued to come and go for two weeks after the first Moderna dose.

Other Meds: none

Current Illness: none

ID: 1212713
Sex: F
Age: 43
State: OR

Vax Date: 03/30/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
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

Symptom List: Anxiety, Dyspnoea

Symptoms: Ocular migrane, tingling in left arm, chills, nausea, exhaustion, headache for two days, diarrhea.

Other Meds:

Current Illness:

ID: 1212714
Sex: F
Age: 57
State: CA

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/15/2021
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: Codeine And Opiate Derivatives,Penicillins Class,Sulfa (Sulfonamide Antibiotics),Ibuprofen,Bacitracin Zinc + Polymyxin B Sulfate,Gluten,Nitrofurantoin

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

Symptoms: Continued Vertigo since second shot. Not requiring medical attention but bothersome and effects daily tasks

Other Meds: Azelastine 137 mcg (0.1 %) Aero spray,Montelukast 10 mg Tab,traZODone 50 mg Tab,ESTRACE

Current Illness: None

ID: 1212715
Sex: M
Age: 38
State: MD

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
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: Developed pain in right calf and hamstring. No improvement over the next few days. Went to Vein specialist and they performed an ultrasound. A blood clot was found in my right calf.

Other Meds: Vitamin-D, Biotin

Current Illness: None

ID: 1212716
Sex: F
Age: 16
State: AZ

Vax Date: 04/03/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
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: None

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

Symptoms: Admitted to hospital on 4/10 with 2 day history of mydriasis, diplopia with blurry vision, dizziness and balance difficulty. Found to have enhancement of 6th and 3rd CNs on MRI. Patient continued to have blurry and double vision during her stay and mild gait instability. She developed mild frontal headache managed with Tylenol. Her exam was remarkable for mydriasis, mild lateral gaze limitation R>L, mild dysmetria, dizziness and unsteady gait without notable ataxia. No papilledema. Her reflexes were 2+ in her BL UE and LEs. Pediatric Neurology and ophthalmology consulted and followed patient. Eye exam remarkable for bilateral cranial nerve 6 palsy but no other element of CN3 palsy and bilateral dilated but unreactive pupils. Patient treated with IVIG 1mg/kg/day x2 days for likely miller fisher syndrome variant of Guillain-Barre.

Other Meds: None

Current Illness: 4 day gastrointestinal illness including vomiting, diarrhea, and fever 2 to 3 weeks prior to symptom onset

ID: 1212717
Sex: F
Age: 53
State: MA

Vax Date: 04/11/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
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: NKDA

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

Symptoms: Patient reports that she received the Johnson & Johnson vaccine on Sunday 4/11/21. She reports feeling no symptoms until Tuesday 4/13/21. She is experiencing tenderness under her left armpit and feels that her breathing is tighter than normal (COPD, emphysema, smoker).

Other Meds: ADDERALL 10 mg tab LINZESS 290 mcg cap lorazepam (ATIVAN) 1 MG tablet rosuvastatin (CRESTOR) 10 MG tablet SPIRIVA RESPIMAT 2.5 mcg/actuation mist traZODone (DESYREL) 50 MG tablet VIIBRYD 20 mg tab

Current Illness: None

ID: 1212718
Sex: F
Age: 50
State: MD

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: Peanut allergy

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Rash of small bumps has appeared on both shoulders this morning (2 days after vax).

Other Meds: 200 mg sertraline Biotin Zyrtec

Current Illness: None

ID: 1212719
Sex: M
Age: 58
State: PA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Pharyngeal swelling

Symptoms: 36 hours after injection I started having headaches. Then nausea, regurgitation extreme chills with muscle pain. 6 days later 4/15/21 I still have nausea with lower stomach pain.

Other Meds: N/A

Current Illness: N/A

ID: 1212720
Sex: F
Age: 51
State: FL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: citrus, strawberries

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 12 hours after shot, I had chills & aches & fever but starting 24 hours after I've just had continued fever & headaches. I've continued to hold a fever of at least 99.5 and a continual headache for 6 days now. The only relief is taking ibuprofen and tylenol together. I contacted my Dr who is out of office and the Dr on call suggested rest, increased fluids & continued OTC meds. After contacting pharmacy today because of continued fever, she suggested I contact VAERS. I thought maybe this would tell me if I need to go have lab work done or if there is anything else that will bring relief.

Other Meds: amitriptylin tab 25mg citalopram tab 20mg lisinopril tab 5mg (2x/day) levocetirizine (xzyal) tab dhcl 5mg

Current Illness: none

ID: 1212721
Sex: F
Age: 33
State: FL

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: Nons

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Injection site has become large, red, hard, itchy bump. Roughly the size of a quarter

Other Meds: Vitamin B complex, magnesium, gabapentin, clonazepam, mirtazipine, venlafaxine, prazosin, ziprasidone.

Current Illness: None

ID: 1212722
Sex: F
Age: 62
State: MO

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: sulfa, keflex, ampicillin, phenobarb, oxycodone, morphine sulfate, mastisol

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

Symptoms: tender and sore injection site, unable to use injection arm. Severe diarrhea, vomiting, body and muscle aches, migraines, nausea from approximately 9 am following day throughout post injection day 5

Other Meds: Lantus, pantaprazole, humalog, warfarin, hydrocodone 10/325, zoloft, mircera

Current Illness: Type 2 Diabetes, dialysis,

ID: 1212723
Sex: M
Age: 28
State: IN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Hot flashes, fatigue(lasting 24 hours), drowsiness (slept for 18 hours the next day), lower back pain,

Other Meds: None

Current Illness: None

ID: 1212724
Sex: F
Age: 32
State: UT

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: Pain and soreness at the base of my left armpit. It started around 1am and I just happened to be awake still. Went to bed with it aching and waking up this morning it?s still painful. I can feel something swollen inside - assuming lymph nodes.

Other Meds:

Current Illness:

ID: 1212725
Sex: F
Age: 39
State: MO

Vax Date: 04/13/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: Penicillin, sulfa/bactrim, shellfish

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

Symptoms: Tinnitus/loud ringing in ears

Other Meds: Vitamin D, Tylenol, probiotic

Current Illness:

ID: 1212726
Sex: M
Age: 62
State: OH

Vax Date: 03/06/2021
Onset Date: 03/23/2021
Rec V Date: 04/15/2021
Hospital: Y

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

Symptoms: Received vaccine 3/6/21, had Right Hip replacement surgery on 3/23/21 and had arterial blood clot post surgery with revascularization. Surgery performed by Dr. at a Medical Center

Other Meds:

Current Illness: Right Hip Replacement surgery on 3/23/21

ID: 1212727
Sex: M
Age: 42
State: DE

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: As described by the patient: Patient (driver) was feeling anxious, received the shot and almost immediately started to see white spots and was dizzy. The patient asked to be directed out of the vaccine lane (prior to proceeding to the post administration area) to just get some air. The patient got out of the car, felt dizzy and fainted. Patient fell to the ground in a sitting position. Patient was assessed by BLS and refused transport. Patient switched positions and allowed his passenger to drive off scene.

Other Meds: No

Current Illness: No

ID: 1212728
Sex: F
Age: 34
State: WI

Vax Date: 04/07/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
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: penicillin

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

Symptoms: developed hives while sleeping, woke up and took a Benadryl. Hives came back twice as bad later in the day. Hives were on every extremity of my body. Multiple Benadryl doses have subdued the hives.

Other Meds:

Current Illness:

ID: 1212729
Sex: F
Age: 43
State: OH

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I have a very swollen lymph node under my arm, I have had fevers of 100.0 since Tuesday. Today I am also feeling very dizzy and I have a general feeling of malaise.

Other Meds: None

Current Illness: None

ID: 1212730
Sex: M
Age: 66
State:

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/15/2021
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: chills, nausea, headache. Chills lasted several hours, nausea and headache over 24hrs

Other Meds:

Current Illness:

ID: 1212731
Sex: F
Age: 52
State: MI

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/15/2021
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: Her husband translated for us. He said she was anxious before receiving this vaccine but then lightheaded after. On-site EMS responded. She vomited 10 minutes after EMS show up approximately 11:58 am. On-site physician said her heart rate was within normal limits, but no number was stated and her watch didn't detect anything. Note she did not have any problems with the first dose. She was released to home.

Other Meds:

Current Illness:

ID: 1212732
Sex: M
Age: 20
State: MI

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
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: light headed/dizzy after injection when he bent over to pick up his vaccine card.

Other Meds:

Current Illness:

ID: 1212733
Sex: F
Age: 37
State: MI

Vax Date: 04/15/2021
Onset Date: 04/01/2021
Rec V Date: 04/15/2021
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: Heavy/severe menstruation that began early. (Expected menses 4/20-4/25, arrived 4/12) Excessive blood loss especialy on 4/13 in the late afternono (4pm - 5:30pm)

Other Meds: N/A

Current Illness:

ID: 1212734
Sex: F
Age: 43
State:

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Swollen lymph node in left armpit (Shot received in left arm). Slight pain in the area

Other Meds:

Current Illness:

ID: 1212735
Sex: F
Age: 36
State: CA

Vax Date: 03/05/2021
Onset Date: 03/29/2021
Rec V Date: 04/15/2021
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: Na

Symptom List: Injection site pain, Pain

Symptoms: After I received my second dose on 3/26, my baby quit growing two days later at 8 weeks. One week later and her heartbeat became irregular and she had not grown from the 8 week mark. Within two days, her heart stopped beating. I had to have a d&c under anesthesia which has cost us a minimum of $1,200. Still waiting on the final bill.

Other Meds: Prenatal, progesterone, estrogen to sustain an IVF pregnancy

Current Illness: Na

ID: 1212736
Sex: F
Age: 73
State: IL

Vax Date: 03/09/2021
Onset Date: 04/07/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: no allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: None stated.

Other Meds: Tyleno

Current Illness: waist down hurts on legs and numbness on the muscles on both legs. can walk after taking the tylenol but after that she can't walk normal

ID: 1212737
Sex: F
Age: 61
State: MN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/15/2021
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: Chills, body aches, nausea, headache, tired beginning 7 hours after the vaccination and last 30 hours. I did not seek treatment. After 30 hours the symptoms had largely subsided other than a minor headache. Within 48 hours the headache was also gone.

Other Meds: none

Current Illness: none

ID: 1212738
Sex: F
Age: 47
State: SC

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, cipro

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Just a follow up on 4/12/21

Other Meds:

Current Illness: Joint pain and swelling Severe headache 2 days

ID: 1212740
Sex: F
Age: 55
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: antiobiotics (biaxin, penicillin, tetracycline, etc.), medicine in 'patch' form, vanceril, cleaning chemicals (bleach, ammonia, etc.), molds, fragrances, etc.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I received the vaccine 3/12 around 3:00 p.m. On 3/13 around 4:00 a.m., I woke up with a sharp, localized pain in my right, lateral thigh area. Within a 15 minute period of time the localized pain moved down my thigh, past my outer knee area, and to my calf. After approximately 15 minutes the sharpness of the pain subsided. As far as I know I have had no lasting side effects from this. I have CRPS/RSD in that leg, specifically in that region, so at the time and with the fever I had, I didn't think too much of this. REACTION AFTER VACCINE INJECTION: As an aside, I had some unusual reactions to the vaccine immediately after the injections. Within 5 minutes of getting the vaccine, I developed numbness in my lips, tongue, and palate and a 'lump' in my throat that made it hard to swallow. It took approximately 2 hours fpr these reactions to resolve. I have had these reactions before when I accidentally ingested sugar substitutes. Also, at approximately 15 minutes post injection, both my ears felt internal pressure (as if I had submerged in deep water) and I could not hear well. I have never had this reaction before. This took about 1 hour to resolve leaving me with a moderate headache for 3 days.

Other Meds: Women's Multi-Vitamin, D-3 5000 IU, Armour Thyroid 60/90 mg

Current Illness: None

ID: 1212741
Sex: F
Age: 55
State: NY

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 04/15/2021
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: penicillin

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

Symptoms: pressure in my temples, this happen almost immediately after getting the injection

Other Meds: Meloxicam 15 mg/day, zoloft 100 mg, vitamin b and d

Current Illness: none

ID: 1212742
Sex: F
Age: 37
State: TX

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Metallic taste in mouth, left hand is very numb ( which is same side as injection site), but right hand is numb some too

Other Meds:

Current Illness:

ID: 1212743
Sex: M
Age: 44
State: IL

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain

Symptoms: Slight fever (with aches and fatigue) for the 2 days after the injection day.

Other Meds: No

Current Illness: No

ID: 1212745
Sex: F
Age: 40
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa and honeydew melon

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

Symptoms: Insomnia after 12am, 2/26 Exhaustion full day 2/26 Body aches after 4am, 2/26 Fever exceeding 102F 5am-3pm, 2/26 Migraine 11am-4pm 2/26

Other Meds: multi vitamin

Current Illness: cold

ID: 1212746
Sex: F
Age: 49
State: KS

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: hay fever

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

Symptoms: Fever started in middle of the the night. 101.8 by 7.30am. Headache, lethargic, and lack of appetite throughout the day of 4/14/21. Treated with 500mg acetaminophen every 4 hours. Discounted after 3 doses. Fever down to 100.1 at 8pm and other symptoms were gone. Sore arm started 5 hours after injection and continued for 48 hours - no treatment needed.

Other Meds: Insulin (Fiasp, Tresicba, Ozempic), Crestor, Bencar, aspirin, fish oil

Current Illness:

ID: 1212748
Sex: M
Age: 69
State: MA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Light flashes in right eye

Other Meds: Imipramine, terazosin, lisinopril, metaxalone, azelastine,omeprazole

Current Illness: None

ID: 1212749
Sex: F
Age: 61
State: IN

Vax Date: 02/22/2021
Onset Date: 03/09/2021
Rec V Date: 04/15/2021
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: Erythema, Pruritus

Symptoms: Not sure exactly when this problem began, but definitely after vaccination. Both hands feel very arthritic. Most proximal knuckle of left long finger is visibly enlarged and painful to any pressure. That finger is very uncomfortable almost all the time. Neither heat nor Ibuprofen decrease pain. No specific finger on the right hand is more affected, but that hand is frequently painful and stiff. Again, neither heat nor Ibuprofen have any effect on the pain. I had not noticed these symptoms prior to Covid-19 vaccination.

Other Meds: Metformin, Metoprolol, Rosuvastatin, HCTZ, Omeprazol

Current Illness: none

ID: 1212750
Sex: F
Age: 52
State: MN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/15/2021
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: lidocaine

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

Symptoms: All symptoms last for about 1.5 hours. Lightheaded, foggy vision and weakness in the legs: felt like going to faint.=> washed face and hands with cold water and these feelings disappeared. Then periodic palpitations started, each serious was weaker until they disappeared after about an hour. During the palpitations, felt weakness/ numbness in the low jaw and low lip with difficulties to talk but it lasted only for number of seconds. The last symptom during that 1.5 hour was some warm feeling in the inner part of the leg (thigh and calf) and the outer side of the legs filled just as normal. I di have some tightness in the chest with difficulties to have a deep breath but it was't significant while I was driving home

Other Meds: none

Current Illness: none

ID: 1212751
Sex: F
Age: 57
State: TX

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 04/15/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: headache, vomiting, diarrhea, fever, joint pain, lethargy, body aches, tinnitus, chills, blueness in fingers and toes, cheeks flush, brain fog. onset of all symptoms other than fever, vomiting and diarrhea began 3/8/12. additional symptoms began 3/15/21 (lasted 3 days) all symptoms have subsided with the exception of tinnitus, cheeks flush, headache. They continue, are constant, not helped with ibuprofen or tylenol, have not changed in severity.

Other Meds: Vitamin B complex, Vitamin C, Vitamin D, Zinc, Probiotic, Magnesium Aspartate, Ashwagandha

Current Illness: none

ID: 1212752
Sex: F
Age: 72
State:

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/15/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: presents originally for loss of appetite and nausea vomiting times eight X 1 day after getting her Johnson & Johnson vaccine. Since she came into the emergency room last night her vomiting has subsided,4L of LR given, pain has been controlled, however she remain tachycardic after negative infectious work up, negative CT scan

Other Meds:

Current Illness:

ID: 1212753
Sex: F
Age: 31
State:

Vax Date: 03/28/2021
Onset Date: 04/05/2021
Rec V Date: 04/15/2021
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: About 6 days after I have a circular rash (almost looks like dry skin or a burn) on my inner right thigh. It has grown slightly each day. I have not sought medical attention. Lotions have not cleared the rash. I have never had a rash like this on my legs before.

Other Meds: Zyrtec, Fluoxetine

Current Illness: None

ID: 1212754
Sex: M
Age: 33
State: KS

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none recorded

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

Symptoms: Approximately 30 minutes post injection patient had numbness in vaccinated arm which over the course of time moved to the left leg and eventually the right leg as well. Pharmacy was made aware of this problem at second vaccine appointment. Patient was instructed to contact Dr before receiving second dose.

Other Meds: none recorded

Current Illness: none recorded

ID: 1212755
Sex: M
Age: 35
State: IN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: Typical sore arm couple hours after, then around 13 hours after 1st vaccine experienced very bad chills, then fever and disorientation/restlessness for around 4 hours.

Other Meds: Acyclovir, levothyroxine

Current Illness: None, had Covid-19 back in December of 2020.

ID: 1212756
Sex: F
Age: 36
State: NY

Vax Date: 04/03/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Period started, normal cycle length. Extremely heavy flow. Approx 120 ml in first 24 hours.

Other Meds: None

Current Illness: None

ID: 1212757
Sex: F
Age: 35
State: MN

Vax Date: 01/19/2021
Onset Date: 04/08/2021
Rec V Date: 04/15/2021
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: unknown

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

Symptoms: tested positive for covid on 4/8/2021. Fully vaccinated with 2 Pfizer doses given 12/29/2020 and 1/19/2021. Members of her household tested positive first and then she tested positive asymptomatically on 4/8. She developed headache on 4/9 and is currently remaining in isolation.

Other Meds: unknown

Current Illness: unknown

ID: 1212758
Sex: F
Age: 53
State: CA

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
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: Erythromycin

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

Symptoms: 104 degree temperature, significant body aches, rash around neck, torso and back.

Other Meds: None

Current Illness: None

ID: 1212759
Sex: F
Age: 26
State: IN

Vax Date: 04/06/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: none

Symptom List: Vomiting

Symptoms: I woke up on the morning of April 14, 2021, eight days after my first dose of the Moderna vaccine, with a small red, swollen rash on my left arm around the injection site. Over the course of the last 26 hours it's gotten larger and redder. It's hot to the touch, itchy, and my arm aches. I believe it's delayed cutaneous hypersensitivity (covid arm). Prior to this event I had not experienced any vaccine side effects since April 8, 2021 (the general sore, stiff arm everyone gets).

Other Meds: none

Current Illness: none

ID: 1212760
Sex: M
Age: 36
State: LA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
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: IODINE

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: COMPLAINED OH HIVES AND ITCHING OFF AND ON SINCE 4/13/21 @ 10:00PM. ON 4/15/21 AM IS WAS NOT GOING AWAY. HE MADE AN EMERGANCY SICK CALL. RED HIVES SCATTERED FROM WASTE UP INCLUDING ARMS, NECK AND FACE THAT WERE ITCHING. ON CALL PROVIDER CALLED AND ORDERS WERE RECEIVED. BENADRYL 50MG PO BID PRN X 3 DAYS FOR RASH AND ITCHING, SOLUMEDROL 125MG IM NOW. WITHIN ABOUT 1 HOUR SYMPTOMS STARTED TO SUBSIDE. HE WAS ASSESSED AT 10:15 AM ON 4/15/21 AND HE AMBULATED WITHOUT ANY DIFFICULITIES AND DENIES ANY HIVES, REDNESS OR ITCHING AND REPORTS FEELING FINE.

Other Meds: NONE

Current Illness: NONE

ID: 1212761
Sex: F
Age: 43
State: IL

Vax Date: 04/08/2021
Onset Date: 04/12/2021
Rec V Date: 04/15/2021
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: NKDA

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

Symptoms: The patient developed a generalized rash with itching.

Other Meds: N/A

Current Illness: None

ID: 1212762
Sex: F
Age: 39
State: WI

Vax Date: 04/08/2021
Onset Date: 04/14/2021
Rec V Date: 04/15/2021
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: My menstrual cycle came about one week earlier than expected.

Other Meds: none

Current Illness: Week prior-cold (was tested for COVID-19 and test was negative).

ID: 1212763
Sex: F
Age: 52
State:

Vax Date: 04/05/2021
Onset Date: 04/01/2021
Rec V Date: 04/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Redness and soreness on shot area, itching, swollen and hot. She also stated she had a headache.

Other Meds:

Current Illness:

ID: 1212764
Sex: M
Age: 51
State: VA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/15/2021
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: Erythromycin, Lactose intolerant

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

Symptoms: s/p 15 minutes after vaccination, patient began experiencing blurry vision, seeing "halos", dizziness, bradycardia and diaphoresis. Symptoms worsened when sitting up or standing. BP 110/72 when symptoms first began. Pt placed in supine position with cold compress to back of neck. Given water to drink and stated he ate breakfast prior to his appt. Pt reports no h/o adverse reactions to other vaccines. No improvement in symptoms after 30 minutes, pt reported worsening "halos", so patient taken to ER via EMS.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm