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: 1212817
Sex: M
Age: 35
State: IN

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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chills, body aches, fatigue, injection site pain, and heart palpitations

Other Meds: None

Current Illness: None

ID: 1212818
Sex: F
Age: 38
State: OK

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

Symptom List: Anxiety, Dyspnoea

Symptoms: About 2 hours after vaccine administration, my entire body began shaking. There were no fever or chills present, just uncontrollable shaking. This lasted for about 4 hours and then ceased. After the shaking subsided I was extremely tired, but no other symptoms (other then injection site pain) were present.

Other Meds: Estradiol

Current Illness: None

ID: 1212819
Sex: F
Age: 38
State: GA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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: i have allergies, but I think they are only seasonal

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

Symptoms: thirty minutes after the shot was administered on Wednesday my arm began to itch. I hadn't been outside in a while due to quarantining so I assumed it was my allergies as the pollen is awful right now. That same evening my arm began to heat up and the pain began to set in. It hurt to even type. I had difficulty lifting my arm. Also, it felt like it was on fire. I thought it was an internal thing, but it was also hot to the touch. The following day (Thurs) I developed a bruise - small bluish purplish bruise a few inches down from where the shot was administered. Later that day, a big red, raised circle developed as well. So, on Thursday, I still had the horrible itching, i could barely move arm because of the pain, my arm was hot, i had a bruise and a raised red circle, none of this at the injection site, but a few inches down from it. I was also tired. All of these symptoms continued and worsened through Saturday. By Sunday, i still had the same symptoms, but they stopped getting worse. On Monday, i only had a small bruise and a little redness, some fatigue, but not much. Everything else was gone. However, today, Thursday, April 15th, I woke up to itching again. This time at the injection site. A rash is developing where the shot was administered and my arm is heating up again. The rash itches as if I rolled around in grass, it feels like one of my allergic reaction rashes or similar to hives. It doesn't look like hives, it looks like a rash, but the itching feels like hives.

Other Meds: I took benadryl for my allergies 2 days before appointment

Current Illness: none

Date Died: 04/13/2021

ID: 1212820
Sex: M
Age: 31
State: CA

Vax Date: 04/10/2021
Onset Date: 04/13/2021
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 known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Unexpected death 3 days after vaccination

Other Meds: None known

Current Illness: COVID

ID: 1212821
Sex: F
Age: 44
State: OK

Vax Date: 01/29/2021
Onset Date: 02/05/1921
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Inflammatory bowel symptoms such as severe pain and bloating on 2 occasions lasting for 3-5 days

Other Meds:

Current Illness:

ID: 1212822
Sex: M
Age: 47
State: SC

Vax Date: 04/14/2021
Onset Date: 04/14/2021
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: None

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

Symptoms: Patient received Moderna vaccine dose 1 at approximately 2:30 pm on 4/14/21. After about 10 minutes, the patient had a syncopal event. 2 pharmacists quickly rushed over and aided in laying him on the floor. His feet were lifted off the floor and leaned against a chair. He was sweating profusely and his face was red. He has no prior history of fainting. He stated he only had a power bar to eat all day and has severe anxiety from receiving vaccines. After the patient started to feel better, he sat up on his own on the ground. He given a granola bar, chips, a soda, and some candy. After finishing the snacks, the patient sat in the chair and was advised to stay for at least an additional 15 minutes.

Other Meds: None

Current Illness: None

ID: 1212823
Sex: M
Age: 67
State: CA

Vax Date: 02/21/2021
Onset Date: 03/25/2021
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: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: New onset A-fib

Other Meds: Nucynta, gabapentin

Current Illness: none

ID: 1212824
Sex: M
Age: 80
State: AL

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: penicillin, sulfur

Symptom List: Pharyngeal swelling

Symptoms: Chills/ Shaking 5 minutes mild fever 1 day visual distortion 2 days weakness 2 days

Other Meds: aspirin, atorvastatin, lisinopril, glipizide, acetaminopmen, silodosin, prevagen

Current Illness:

ID: 1212825
Sex: F
Age: 50
State: MI

Vax Date: 03/16/2021
Onset Date: 03/22/2021
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: unknown

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Per patient, 6 days after she received the Janssen vaccine she developed a rash on her feet and legs. Initially she thought it was fleas, so she thoroughly cleaned everything but the rash started to spread and on one else in the house was having a problem. She said the rash is extremely itchy and she is miserable. She went and saw PA , at the Walk-In Clinic on Sunday, 4/11/21. She said she started Prednisone that day, now day 4 of taking it she said her rash may be a little better, but not sure. She said it's still extremely itchy and she's miserable.

Other Meds: unknown

Current Illness: She had a surgery done on 3/12/21.

ID: 1212826
Sex: F
Age: 65
State: IA

Vax Date: 03/05/2021
Onset Date: 03/28/2021
Rec V Date: 04/15/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: PCN, sulfa (yeast infection to both)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 3/28/2021 at 6:00 a.m. patient reported chest pain to a family member. He arrived at her home at 6:15 and found her slumped to the right in her chair, unresponsive. Patient was taken to our facility via EMS. On arrival, patient could open her eyes but could not talk or move her extremities. She was treated with alteplase 100 mg and flown to a trauma center. She was released on 4/2 and is currently receiving rehabilitation services in our facility; she is expected to return home in 4-5 days.

Other Meds: aspirin EC 81 mg QD, rosuvastatin 20 mg QD, multivitamin, lisinopril 10 mg QD, escitalopram 10 mg QD, vitamin D 1000 QD, vitamin B-12 100 mcg QD, vitamin E 100 units QD

Current Illness:

ID: 1212827
Sex: M
Age: 67
State: CA

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 04/15/2021
Hospital: Y

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

Lab Data:

Allergies: PENICILLINS, LISINOPRIL

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

Symptoms: THREE DAYS AFTER GETTING HIS 2ND DOSE OF MODERNA THE PATIENT DEVELOPED SOB AND WAS FOUND TOP HAVE BILATERAL PULMONARY EMBOLISM AND DVT

Other Meds: DULERA, LEVOTHYROXINE

Current Illness:

ID: 1212828
Sex: F
Age:
State: WA

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

Lab Data:

Allergies: hypersensitive to all narcotics, prescriptions, food additives like nitrates & sulfites, pollen allergies

Symptom List: Rash, Urticaria

Symptoms: Head Pain Chest Pain Severe weakness dizzy leg pain nausea

Other Meds: Levothyroxine

Current Illness:

ID: 1212829
Sex: M
Age: 58
State: MN

Vax Date: 12/22/2020
Onset Date: 12/26/2020
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: None

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

Symptoms: DVT behind the right knee that developed 3-4 days after the vaccination. I then developed a pulmonary embolism on 01/01/2021.

Other Meds: Finasteride 1 mg daily

Current Illness: None

ID: 1212830
Sex: F
Age: 30
State: KY

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

Lab Data:

Allergies:

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

Symptoms: Headache, body aches, about a day; nausea and diarrhea, about a day

Other Meds:

Current Illness:

ID: 1212831
Sex: M
Age: 96
State: IL

Vax Date: 03/30/2021
Onset Date: 04/06/2021
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:

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

Symptoms: STroke April 6 at hospital I am PCP, not admitting doctor I wanted to be sure you were aware of thromboembolic event

Other Meds: atorvastatin HCTZ toprol allopurinol

Current Illness: stroke Jan 29 2021

ID: 1212832
Sex: M
Age: 35
State: MN

Vax Date: 04/03/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Bells Palsey

Other Meds:

Current Illness:

ID: 1212833
Sex: M
Age: 39
State: IN

Vax Date: 04/13/2021
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: None

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

Symptoms: At 1730 same day of vaccine, patient began feeling itching in bottom of feet. Spread to itching arms. At 3am next morning, patient noticed wrists/hands/fingers swelling. 4/14/21 afternoon, reported pain in heels, ball of feet. 4/15/21 reports increased swelling wrists/hands/fingers as well as swelling in forearms, ankle, bottom of feet.

Other Meds: fluoxetine 40mg daily

Current Illness: None

ID: 1212834
Sex: F
Age: 53
State: WA

Vax Date: 03/31/2021
Onset Date: 04/15/2021
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: Amoxicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Redish ring around the injection site. Not painful or itchy at this point in time. About a 2" x 3-4" oval

Other Meds: Metoprolol Tartrate 50 MG, Potassium Chloride ER M-10 MEQ, HCTZ 25 MG, Pravastatin Sodium 20 MG, Mirena IUD

Current Illness: None

ID: 1212835
Sex: F
Age: 59
State: AL

Vax Date: 04/09/2021
Onset Date: 04/11/2021
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: NUTS, SEASPONAL ALLERGIES, GREENS

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: PATIENT EXPERIENCED PAIN/SWELLING AT STARTING ON SUNDAY APRIL,11 2 DAYS AFTER INJECTION, MORE PAIN THAN WITH OTHER VACCINES. MONDAY MORE PAIN HAD DEVELOPED AND EXTENDED DOWN THE REST OF HER ARM. I SPOKE WITH PT ON APRIL 10, TALKED ABOUT POSSIBLE REMEDIES BUT EXPRESSED THAT SHE MIGHT WANT TO CONSIDER GOING TO THE DR JUST IN CASE THERE WAS INFECTION AND TO RULE OUT ANYTHING ELSE. PATIENT WENT TO ER AFTER PHONE CALL, THEY GAVE HER A ROCEPHIN AND STEROID SHOT, A PRESCRIPTION OF KEFLEX AND INSTRUCTIONS TO FOLLOW UP IF NOT BETTER AFTER 72 HOURS

Other Meds: HYDROCODONE, MELOXICAM, VIT D, PANTOPRAZOLE

Current Illness: POSSIBLE KIDNEY STONES/ KIDNEY INFECTION

ID: 1212836
Sex: F
Age: 46
State: MA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
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: sulfa

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

Symptoms: itching of tongue and mouth, dizzy

Other Meds: etonogestrel (NEXPLANON) 68 mg Impl ibuprofen (ADVIL,MOTRIN) 600 MG tablet levothyroxine (SYNTHROID, LEVOTHROID) 175 MCG tablet liothyronine (CYTOMEL) 25 MCG tablet

Current Illness: Seasonal allergic rhinitis Postablative hypothyroidism Obesity (BMI 30-39.9) Irritable bowel syndrome Atypical squamous cells of undetermined significance (ASCUS) on Papanicolaou smear of cervix Cyst of left breast Anxiety disorder History of Graves' disease

ID: 1212837
Sex: M
Age: 75
State: ID

Vax Date: 03/06/2021
Onset Date: 03/16/2021
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: None

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

Symptoms: He had a TURP surgery 10 days after this vaccination. We didn?t make the association at the time but since hearing that this vaccine was put on hold because of blood clotting we thought we should report this. He had bleeding after the surgery along with massive blood clotting. He had to have a second emergency surgery that night because the clots were so severe and were causing problems with drainage from the bladder. Several days after he came home we had to rush him back to the doctor because blood clots again were blocking the drainage tube. He had to have his bladder flushed out and there were many blood clots. After that the clots seemed to clear up although some bleeding still persists.

Other Meds: Bisoprolol, fish oil, vitamin C vitamin E, multi-vitamin, turmeric, CoQ10, one low dose aspirin.

Current Illness: None

ID: 1212838
Sex: M
Age: 73
State: MT

Vax Date: 02/18/2021
Onset Date: 03/12/2021
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: NKDA

Symptom List: Unevaluable event

Symptoms: Attack of spinal cord inflammation/transverse myelitis following 1st Pfizer vaccine. Attack was on 03/12/21. He was in his usual state of health on March 11 2021. That day he went skiing and did not have any issues. He was feeling well at 10 PM when he went to bed.. When he woke up at 3 AM on 3/12/2021 to go to the restroom he noticed his right leg felt weak. He stumbled to the restroom. Then he went back to sleep. When he woke up again at 7 or 8 AM his right leg felt weaker. He noticed balance issues, gait issues and bladder urgency more than usual. He walked with difficulty using a cane and went to the ER. He realized in the hospital that he had difficulty with writing due to coordination issues in the right upper extremity with some weakness. He was having a lot of right leg spasms.

Other Meds: pravastatin 40 mg qday, HYDROCHLOROTHIAZIDE-triamterene 37.5-25 mg 1/2 tab qday, gabapentin 400 mg qday, cyclobenzaprine 5 mg - 1 tab q 8 hrs PRN, aspirin 81 mg - 1 tab qday

Current Illness: None.

ID: 1212839
Sex: F
Age: 56
State: CO

Vax Date: 03/11/2021
Onset Date: 03/01/2021
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: NKDA

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

Symptoms: After my J&J vaccine and after a few days I experienced ongoing headaches in the frontal sinus region that was 24/7 for three weeks. I still have the headaches and I have stop taking non steroidal inflammatory medication and gave me a prescription for tramadol 50mg with instructions to take one tablet every six hours.

Other Meds: Ambien, Acyclovir

Current Illness:

ID: 1212840
Sex: M
Age: 38
State: KY

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Pain

Symptoms: Moderna Covid 19 EAU. Patient presented with right arm soreness and a "goose egg" on top of shoulder measuring 3" x 4". Nontender and no redness, soft to palpation. Good pulses in arm. Patient states he saw a provider at healthcare facility and she said to just monitor site. Patient is going to massage area and report if any soreness or redness occurs. Patient to call on 4/19/21 to let me know if problem is resolved

Other Meds: N/A

Current Illness: N/A

ID: 1212841
Sex: F
Age: 29
State: PA

Vax Date: 04/15/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: nka

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pre vaccine pt reports being anxious. Post vaccine pt developed nausea, dizziness, and became sweaty. Pt transferred to meds obs at 0939 via wc, accompanied by significant other. Vitals obtained and monitored. Symptoms resolved. Per on site physician pt experienced classic non syncopal vasovagal reaction - resolved. Pt released home with significant other at 1007. Vitals as follows: 0940 Lying BP 106/71 HR 67 RR 16 SPO2 100 0948 Sitting BP 102/71 HR 64 RR 18 SPO2 100 0956 Standing BP 96/56 HR 79 RR 18 SPO2 98 (asymptomatic)

Other Meds: adderall, klonopin

Current Illness: n/a

ID: 1212842
Sex: M
Age: 62
State:

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

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: left retinal necrosis started 1 hour after getting covid vaccine. now admitted to the hospital trying to sort out other viral causes of same.

Other Meds:

Current Illness:

ID: 1212843
Sex: M
Age: 21
State: GA

Vax Date: 04/14/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 21yo male reports with adverse effects of 1st dose Moderna covid-19 vaccine. Endorses decreased energy, sore arm, photophobia. VSS and WNL. Lungs CTAB. CV RRR no MGR. - reported in VAERS - tylenol 1000mg q8 hours - 24 hours quarters

Other Meds:

Current Illness: None

ID: 1212844
Sex: M
Age: 62
State: NH

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fatigue, Fevers, Painful Itchy Rash, Muscle aches and pains, Chest "stitch"

Other Meds:

Current Illness: Sinus infection 6 weeks prior to vaccination, treated with Augmentin x 10 days (course completed weeks prior to vaccination)

ID: 1212845
Sex: F
Age: 89
State: CA

Vax Date: 03/06/2021
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, adhesive

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

Symptoms: Very itchy red rash on my back on thr right. Beginning to ease up after 6 weeks

Other Meds: Lasix, Eliquis, Propafenone, Advair, Albuterol, Zyrtec, Ducosate sodium, Diltiazem, Travatan Z, Dozorlamide, Synthroid, Centrum Silvrer, Vitamin D, Feosol, Potassium, Metoprolol, Keppra

Current Illness:

ID: 1212846
Sex: F
Age: 23
State: SD

Vax Date: 04/01/2021
Onset Date: 04/05/2021
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: Started having breast tenderness within 1-2 days of vaccine, menstrual cramps within the next week. Some period spotting even though I have not had a period or cramps in a year since my IUD was placed. Still having cramps 2 weeks later. I have an IUD and took a pregnancy test which was negative.

Other Meds: Spironolactone, citalopram, Mirena IUD

Current Illness:

ID: 1212847
Sex: M
Age: 59
State: IN

Vax Date: 04/14/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none known

Symptom List: Injection site pain

Symptoms: Like with my first shot, I woke up at 11:30 p.m. with extreme chills (shaking because of being cold) but I'm sure I had a fever also. After 2 hours the chills stopped. I did not sleep much because of this. I was awake 4 hours, then slept 1 hour, then got up to let my dog out. I have been in bed much of this next day. I still feel like I have a temp. Also headache and I felt a little nauseous this time.

Other Meds: blood pressure, cholesterol and keppra

Current Illness: none

ID: 1212849
Sex: F
Age: 67
State: MI

Vax Date: 04/06/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: METALS-NICKEL

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

Symptoms: HEADACHE, FATIGUE COUGHING BREATHING TROUBLE SHORTNESS OF BREATH ACHES

Other Meds: CRESTOR VITAMIN C VITAMIN D ZINC

Current Illness: NONE

ID: 1212850
Sex: M
Age: 28
State: CA

Vax Date: 04/14/2021
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: Unknown

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

Symptoms: Syncopal Episode, Monitor Patient

Other Meds: Unknown

Current Illness: Unknown

ID: 1212851
Sex: F
Age: 53
State: FL

Vax Date: 04/14/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Bactrum

Symptom List: Tremor

Symptoms: 6 hours after shot. Arm became extremely sore. Very hard to move. About 8 hours after body started to become tired and achy. At 12 hours after started a fever. 102.5. Lasted through the night. Chills. Body aches. Took Motrin at 6am the next morning and Tylenol at 11am. Feeling better but achy

Other Meds: Plexus Megaburn. Bio Cleanse. ProBio5

Current Illness: None

ID: 1212852
Sex: F
Age: 66
State: GA

Vax Date: 03/30/2021
Onset Date: 04/02/2021
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: Sulfa drugs

Symptom List: Erythema, Pruritus

Symptoms: Woke up at 6 a.m., Friday April 2, feeling buzzing feeling in right arm, right leg, and feeling of swelling on right side of throat, rapid heart rate. Duration of feelings lasted for approx. 1 1/2 hours. In general felt strange. On April 13, developed bothersome headache, had to take tylenol to alleviate. On April 14, developed bothersone headache, had to take tylenol to alleviate. On April 15, developed bothersome headache, had to take tylenol to alleviate.

Other Meds: Metaprolol, Losarting, Lo Dose Activella, zinc, vitamin c, d

Current Illness: None

ID: 1212853
Sex: F
Age: 58
State: AZ

Vax Date: 03/11/2021
Onset Date: 04/09/2021
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: Brazil nuts Heparin

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

Symptoms: I had been experiencing slight intestinal/abdominal discomfort for a week, continuing to increase during the few days prior to the acute event. In the middle of the night, while trying to sleep, I was woken by intense and painful intestinal pain and cramping, followed by severe diarrhea and nausea and vomiting, I also had a temperature of 100.5. My chest and torso broke out in a red rash. The temperature subsided after a day, and the severe diarrhea and vomiting subsided; yet the diarrhea continued. The red rash continued for three days. I had not eaten any different foods, nor had I gone anywhere out of my house , and did not have any visitors, since I had the J&J vaccine.

Other Meds: Atenolol 12 mg

Current Illness: Seasonal allergies

ID: 1212854
Sex: M
Age: 62
State: OH

Vax Date: 03/19/2021
Onset Date: 03/30/2021
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:

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

Symptoms: BODY ACHES,CHILLS ,FATIGUE,SEVERE HEADACHE

Other Meds: humera,omeprazole,naproxen

Current Illness:

ID: 1212855
Sex: F
Age: 64
State: WI

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Metallic taste in mouth 30 minutes after receiving vaccine. I have had a lot of stress (significant other diagnosed with Stage 4 inoperable NSCLC ) and had been attributing the often present headache to that, but they were also accompanied by a butterfly pattern red flush across my nose. Acid reflux which I was attributing to stress or alendronate. Woke in the night 4/12 to severe acid reflux, nausea, headache, flush, thought maybe I was having a heart attack (I have no cardiac/BP issues); then last night, 4/14 about 6 PM, weird numbness tingling in right arm from center of my chest passed in about 5 minutes. Significant Other said I had the pattern flush on face at time of attack which faded as I began to feel better. I have not consistently felt at 100% since vaccination, but I have a lot going on and attributed it to that.

Other Meds: Alendronate 70mg/weekly, Amour Thyroid 120 mg daily, D3 5000 IU, boron, melatonin, Magnesium, Zinc, Collagen, K2

Current Illness: Stress-related

ID: 1212856
Sex: M
Age: 35
State: KY

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: 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: EXTREMEM FATIGUE, RED RASH ON BODY (LASTED FOR ABOUT 10 HOURS), NAUSEA, EXTREMEM HEADACHE, CHILLS, SWEATING

Other Meds: ALLEGRA

Current Illness: NONE

ID: 1212858
Sex: F
Age: 57
State: IN

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

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

Symptoms: Extremely All over body pain and exhaustion. Arm In which vaccine received extremely painful and cannot lift al the way up. When lifting pain radiates up the arm to the neck.

Other Meds: Ozempic Gabapentin

Current Illness: None

ID: 1212859
Sex: F
Age: 34
State: MI

Vax Date: 04/14/2021
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: PATIENT FELT LIGHTHEADED AFTER GETTING VACCINATED. SHE HAD STATED SHE HAS ANXIETY. ON SITE EMS RESPONDED. VITAL BELOW. SHE WAS GIVEN WATER AND RECLINED HER CAR SEAT TO LOWER HER HEAD. AFTER BEING MONITORED HER BP CAME UP TO 134/85 AND SHE WAS RELEASED TO HOME.

Other Meds:

Current Illness:

ID: 1212860
Sex: F
Age: 67
State: CA

Vax Date: 02/26/2021
Onset Date: 03/01/2021
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: Many food sensitivities

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

Symptoms: Horrific cyclical bladder nerve pain

Other Meds: Vitamin D, K2, Sam E

Current Illness: UTI E coli

ID: 1212861
Sex: M
Age: 87
State: NH

Vax Date: 04/08/2021
Onset Date: 04/12/2021
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: citalopram, penicillin, sulfa

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

Symptoms: Patient developed confusion four days after receipt of vaccine. At presentation to the hospital was confused, dehydrated. Neuroimaging negative, LP showed aseptic meningitis with 30 neutrophils, normal protein and glucose. Numerous tests for bacterial and viral pathogens were negative. Patient improved, and was discharged after a three day stay.

Other Meds: levothyroxine, Brimonidine Tartrate-Timolol (COMBIGAN) 0.2-0.5 % Ophthalmic Solution, ascorbic acid 500 MG , cholecalciferol 25 MCG (1000 UT) Oral Tab, flunisolide (NASALIDE) 25 MCG/ACT (0.025%) Nasal Solution, hydrochlorothiazide (HYDRODI

Current Illness: None

ID: 1212862
Sex: F
Age: 37
State: GA

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: Codeine and zithromax

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

Symptoms: Chills, sweats, muscle aches, fatigue Later, rash on legs and arms.

Other Meds: Birth control, Zyrtec, benadryl

Current Illness: Covid positive on March 17, 2021. 5 days after first dose of Moderna vaccine on March 12

ID: 1212863
Sex: F
Age: 38
State: ME

Vax Date: 04/07/2021
Onset Date: 04/07/2021
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 that I know of

Symptom List: Vomiting

Symptoms: Later the same evening of April 7, experienced chills (worst I have had) and body soreness. As the evening went on I didn't have an appetite and over night experienced more severe chills/fever most of the night. Woke up April 8, still very sore, low fever. Hard to do anything, not much appetite. Friday, April 9, I felt better, Saturday, April 10 experienced some soreness and tiredness but after that each day after I felt better and better.

Other Meds: Symbicort Birth control pill regular multi-vitamin

Current Illness: None

ID: 1212864
Sex: F
Age: 32
State: PA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient experienced numbness in 3 fingers on her left hand after getting the first dose of the vaccines about 10 minutes after the shot. The numbness started to subside the longer she sat there.

Other Meds:

Current Illness:

ID: 1212865
Sex: F
Age: 38
State: ID

Vax Date: 04/13/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Iodine, shellfish, fish, ct scan contrast dye

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

Symptoms: Vertigo, cognitive confusion, dizziness, diarrhea and vomiting

Other Meds: N/a

Current Illness: N/a

ID: 1212866
Sex: M
Age: 56
State: CA

Vax Date: 04/15/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 0751:pt c/o itching on left arm where injection site was within 10 mins of observation. pt denied of itching or tingling in the throat. redness spots noted on pt's left arm and around abdomen. unlabored breathing. VS 165/96 HR 85 O2 99. called Dr. and received verbal ordered for Benadryl 25mg PO and per md to observed pt for 30 mins and advised pt to get a driver to drive him home. 0816: BP 155/94 HR 74 O2 98%. pt stated itchiness has subsided; no redness spots noted on pt's abdomen and left arm. unlabored breathing 0823: confirmed with another two RNs advised pt to take Benadryl at home if itchiness continue also advised pt to contact his PCP for following up. pt verbalized understanding. pt's wife is here to pick up pt to go home.

Other Meds: unknown

Current Illness: none

ID: 1212867
Sex: F
Age: 36
State: TX

Vax Date: 03/30/2021
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: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: I had the symptoms that they mention dizziness that same night I took it and tired. The next day (31st) back pain. Then the following days nothing. But then by Tuesday (4/6) of the next week I started feeling pain in my right arm and then sometimes I would get the sensation of it falling asleep. I havent felt that sensation anymore since Sunday (4/11). By Friday (4/9) I started feeling pressure in my chest in the mornings. I have been having these two discomforts till today. Yesterday was the worst feeling it was morning and then all of a sudden everything went white and I was about to faint then my heart started racing so fast. I have never experienced any of these symptoms in my life. I am not a person that gets sick or is sick of something.

Other Meds: none

Current Illness: none

ID: 1212868
Sex: F
Age: 60
State:

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

Lab Data:

Allergies:

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

Symptoms: Swelling right arm pit, very large size of a lemon, severe pain, resolving with warm compresses after 4 days.As of 4/15/2021 slight persistent swelling. Severe chills, no fever 4/8/2021 thru 4/9/2021, diminishing over time. Severe headaches, starting 4/9/2021, lasting for 6-8 hours, refractive to acetomenaphin, ibuprophen. Continuing through 4/14/2021. Suspected gallbladder involvement.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm