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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1218873
Sex: M
Age: 60
State: CO

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/16/2021
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: morphine, oxycodone, pcn, hydrocodone, tramadol

Symptom List: Dysphagia, Epiglottitis

Symptoms: muscle tightness, Onset: 3 weeks ago. The problem has worsened. The frequency of pain is constant. Location of pain is bilateral anterior neck, bilateral lateral neck and right shoulder. Associated symptoms include difficulty sleeping and muscle spasm. Pertinent negatives include numbness. Additional information: Pt here alone. Pt reports that 3-4 weeks ago he awoke with neck, right shoulder and arm pain. States he can't turn his head, raise his right arm due to pain. Taking 800mg of ibuprofen and it is not helping. States "it just dawned on me, I had the J/J vaccine 3days prior" Per pt and it was given in. right arm. Not sleeping well. Feels it is triggering his reflex sympathetic dystrophy.

Other Meds: bupropion HCl SR 150 mg tablet,12 hr sustained-release Abilify 5 mg tablet DULOXETINE HCL DR 60 MG CAP pentazocine 50 mg-naloxone 0.5 mg tablet

Current Illness:

ID: 1218874
Sex: F
Age: 70
State: AZ

Vax Date: 04/03/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
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: Contrast Dye

Symptom List: Anxiety, Dyspnoea

Symptoms: Moderna vaccine #2 administered on 4/3/21 Patient developed painful "knot" in her left calf on approximately 4/8/21 Presented to clinic for evaluation on 4/14/21 ven duplex ordered and performed on 4/14/21results: Small thrombus present in left distal superficial femoral vein (+DVT) Patient started on warfarin 5mg PO QD 4/14/21

Other Meds: Crestor, Prilosec, Tylenol

Current Illness: none

ID: 1218875
Sex: F
Age: 37
State: TN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none known

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

Symptoms: Patient woke up intensely nauseous around 11:30 PM, walked to the bathroom, felt sudden full-body stiffness and then passed out. Patient woke up on the floor about 5 minutes later, where she remained for 10 more minutes until the muscle stiffness subsided enough for her to return to bed. Nausea subsided enough after an hour for her to return to sleep.

Other Meds: 2 cups of caffeinated tea around 7:00 AM the morning of the vaccine

Current Illness: none

ID: 1218876
Sex: F
Age: 62
State: MI

Vax Date: 03/18/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt developed swollen tender lymph nodes in the neck area within 3 weeks after injection

Other Meds: folic acid, duloxetine, Montelukast, methotrexate, tizanidine

Current Illness:

ID: 1218877
Sex: M
Age: 58
State: MI

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Only sore arm the day of the shot, 13 Apr. The following day, 14 Apr, I had headaches; dizziness; achy sore in almost all muscles (not just the injection site); injection site was more painful as the day wore on; all my joints hurt; and the night of the 14th I had a fever, chills, and ringing in my ears (both).

Other Meds: Melixocam; Alfuzosin; 50+ daily vitamin; Glucosamine Chondroitin; Saw Palmetto

Current Illness: None

ID: 1218878
Sex: F
Age: 37
State: MD

Vax Date: 04/04/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
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: Penecillin, shellfish

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

Symptoms: Stomach pain, heartburn feeling, shoulder pain

Other Meds: Levothyroxine, Pre-natal vitamin OTC

Current Illness: None

ID: 1218879
Sex: M
Age: 21
State: MI

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Syncope/Anxiety

Other Meds: None

Current Illness: None

ID: 1218880
Sex: M
Age: 29
State: CA

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: I started having constant headache with slight breathlessness 5 days later. The breathlessness is better now but the headache is still there on the 8th day after vaccination.

Other Meds:

Current Illness:

ID: 1218881
Sex: M
Age: 64
State: NY

Vax Date: 01/24/2021
Onset Date: 02/04/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 01/24/2021 - Dose 1 Moderna vaccine 02/04/2021 - Tested positive for Covid 19 04/10/2021 - Zero antibodies detected

Other Meds:

Current Illness:

ID: 1218882
Sex: F
Age: 36
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Sore arm near and around injection site. almost immediately after shot. Paint went away after about 36 hours later. Sever diarrhea starting about 2 hours after Injection, lasting about 36 hours. Back and shoulder aches and pains, still in pain 36+ hours after injection. Chills, sensation of cold but skin is warm, no fever. Lasted about 24 hours after injection.

Other Meds: Nexplanon, birth control implant B12, vitamin D and iron

Current Illness: None

ID: 1218883
Sex: F
Age: 33
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Cinnamon

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

Symptoms: I had a rash on my stomach and my back. I did not notice it until about 30 hours after the shot. It may have came earlier, but I didn't notice it. It was a small patch on my stomach and my entire back (hundreds of dots). It didn't itch or bother me at all. The next day it pretty much went away (without taking anything), but my back did itch a little bit the next day.

Other Meds: Tylenol

Current Illness:

ID: 1218884
Sex: F
Age: 40
State: SC

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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: allergic to shellfish

Symptom List: Rash, Urticaria

Symptoms: I believe I had an allergic reaction on the injection sights from where I had previously received the Juvederm. I had swelling and a rash on the cheeks.

Other Meds: RX taken are: Lorazepam, Zolpidiem, Citalopram, Adderrall, on 04/08/2021 received injection of juvederm lyft into cheeks.

Current Illness: n/a

ID: 1218885
Sex: M
Age: 44
State: MO

Vax Date: 03/30/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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: naproxen, sulfamethoxazole-trimethoprim

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

Symptoms: The patient claims to have received the J and J vaccine on 3/30. He also claims it was his "second shot". He says he has felt ill since this shot, had an admission to the hospital and discharge for CHF. On 4/15, admitted again with Bilateral pulmonary emboli. He says the only thing he has done differently is vaccine.

Other Meds: aspirin, metoprolol, furosemide, Aldactone, lisinopril, trazodone, trintillex

Current Illness: Congestive Heart Failure

ID: 1218886
Sex: M
Age: 79
State: TX

Vax Date: 03/31/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
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: reported rash with penicillin but tolerated augmentin

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

Symptoms: Bilateral arm swelling: 1. Occlusive thrombus is present within the right cephalic vein extending from the upper arm to the elbow. 2. Nonocclusive thrombus is present within the left basilic vein in the mid and distal arm. also developed acute appendicitis 04/06/2021 and underwent lap appendectomy.

Other Meds: lotrel, lasix, cresetor, flomax, testosterone inj weekly

Current Illness:

ID: 1218887
Sex: M
Age: 67
State: OR

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: General muscle ache, mild fever, vomiting, profound fatigue for 3 days. One week after the vaccine supraventricular tachycardia with low blood pressure.

Other Meds: atorvastatin abiraterone prednasone

Current Illness: None

ID: 1218888
Sex: F
Age: 56
State: TN

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
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: PT STATED THAT SHE HAD GOOSE-EGG SWELLING AROUND INJECTION SITE THAT HAS NOW TURNED INTO A BRUISE THAT IS ITCHY AND HOT. PT TOLD TO USE COLD COMPRESS, APPLY ANTI-ITCH CREAM IF NEEDED AND USE AN ANTIHISTAMINE.

Other Meds:

Current Illness:

ID: 1218889
Sex: F
Age: 35
State: SC

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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: Amoxicillin ciprofloxacin sulfafuritan tizanadine diluted doxycycline tomatoes

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

Symptoms: Itchiness, puffy lips, puffy face, rash, itchy tounge tongue lips. Given benadryl took more on the way home and taken steroid to help lessen rash and swelling

Other Meds: None at time of vaccine except they gave me benadryl

Current Illness:

ID: 1218890
Sex: M
Age: 19
State: CO

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: headache and dizzy following vaccine

Other Meds: medical marijuana use

Current Illness:

ID: 1218891
Sex: F
Age: 18
State: PA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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: dizzy after a few minutes of receiving vaccine lowered onto ground with assist of staff stood by self and repositioned onto stretcher taken to OBS 1, pt feeling better once laying down on floor pt given apple juice in obs area, pt feeling better vs monitored as noted. pt feeling better and denies further symptoms after repositioned to sitting, dangling and standing okay to leave obs amublated to exit by self without difficulty at 1121 vs 1104 bp 127/83 hr 77 rr 18 o2 100 1109 bp 129/82 hr 76 rr 18 o2 100 sitting up, 1115 dangling bp121/77 hr 76 rr 18 o2 100 1120 standing bp137/69 hr 82 rr 18 o2 100

Other Meds: synthroid

Current Illness: na

ID: 1218892
Sex: F
Age: 50
State: FL

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/16/2021
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: large 4 inch raised welt on the arm at injection site 4/15-contacted the patient , tried the Benadryl cream , didnt really help as of yet .

Other Meds: zerelto

Current Illness:

ID: 1218893
Sex: F
Age: 57
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient reported stiff neck, head hurting and general unwell feeling that started the day of her second pfizer vaccination.

Other Meds:

Current Illness:

ID: 1218894
Sex: M
Age: 60
State: NM

Vax Date: 03/03/2021
Onset Date: 03/22/2021
Rec V Date: 04/16/2021
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 known

Symptom List: Unevaluable event

Symptoms: (First of all, I'm not sure the COVID Vaccine caused this) Approximately 2 1/2 weeks after receiving the J&J single dose vaccine (around 22Jan21) I started to experience light itching on my lower back. Within a few days the itching spread to my entire back. By 30Jan21 i saw my primary care physician and a light rash was presenting on my back and chest. I was prescribed some cetirizine for itching. By Saturday 3Apr i had a full blown body rash on my chest, back, down my arms and down to my thighs. My doctor described it as angry red and indicated it appeared to potentially be some type of allergic reaction to a drug. On this date 13Apr, the rash has subsided but some itching continues. We are in the process o

Other Meds: Tamsulosin, NORVASC, CRESTOR, Omeprazole, Montelukast. VItamin

Current Illness: None

ID: 1218895
Sex: M
Age: 35
State: MD

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: the evening after the vaccination felt generally poorly, then developed fever allegedly up to 104.0 associated with mental status change; felt better in AM, afebrile, and back to baseline state

Other Meds: aspirin, mobic, albuterol inhaler, duoneb, zofran,

Current Illness: none

ID: 1218896
Sex: M
Age: 35
State:

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: About 12 hours after injection, I had diarrhea (middle of the night) and also felt very tired. This lasted for about 6 hours and then I felt fine.

Other Meds:

Current Illness:

ID: 1218897
Sex: F
Age: 51
State:

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodone-Vomiting

Symptom List: Injection site pain, Menorrhagia

Symptoms: Clammy, tingling in bilat hands, anxiety. Pt stated she fainted before - feels cold, clammy beforehand. She felt this way w/ bilat tingling & called for nurse. A&O x4. Vitals stable. Gave water - hasn't drank since 10 AM. After drinking water, pt stated she is feeling better. Offered w/c for exit, declined. Vitals still stable. Pt left Yahoo in stable condition. BP 123/63; HR 72; RR 18, SpO2 97%

Other Meds:

Current Illness:

ID: 1218898
Sex: F
Age: 55
State: MI

Vax Date: 04/07/2021
Onset Date: 04/16/2021
Rec V Date: 04/16/2021
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: Patient vaccinated on 4/7/21. On 4/16/21 noted area of redness about 2 inches distal to the injection site. Area of concern is red in color. Slight swelling, tender to touch, slight itching. No clinical concern for cellulitis at time of exam. Area is 3.5 cm x 4.5 cm. Blanchable. Unclear etiology, but given proximity to injection site reporting as reaction. Patient will continue to monitor at home, and notify PCP if worsening or not resolving.

Other Meds: mometasone nasal spray, sumatriptan

Current Illness: NA

ID: 1218899
Sex: F
Age: 66
State: OH

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/16/2021
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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: fever, chills, body aches, herpes

Other Meds: diltiazem

Current Illness:

ID: 1218900
Sex: F
Age: 50
State: TX

Vax Date: 03/25/2021
Onset Date: 04/03/2021
Rec V Date: 04/16/2021
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: large red rash around injection site, spot warm to the touch, itching

Other Meds: Losartan, rosuvastatin, fenofibrate, progesterone, estradiol

Current Illness: None

ID: 1218901
Sex: M
Age: 48
State: CA

Vax Date: 03/22/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Outbreak of shingles

Other Meds: Amlodopine, Lipitor

Current Illness: none

ID: 1218902
Sex: F
Age: 37
State: WA

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Cephalexin

Symptom List: Nausea

Symptoms: ?Moderna arm?-swelling, itchiness, rash, and redness next to/at injection site. Redness, swelling, and rash lasted 6 days. Itchiness has lessened, but still there. Additionally, breast soreness, tenderness, and swelling in both breast but that extended only into the left armpit.

Other Meds: Vitamin C, Vitamin D

Current Illness:

ID: 1218903
Sex: F
Age: 41
State:

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: bacterim and sulpha

Symptom List: Injection site pain

Symptoms: fever, chills, nauseous, diarrhea and headache

Other Meds: tylenol

Current Illness: none

ID: 1218904
Sex: F
Age: 82
State: TX

Vax Date: 01/09/2021
Onset Date: 02/20/2021
Rec V Date: 04/16/2021
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 or food

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

Symptoms: Patient developed diffuse arthralgias and myalgias associated with left arm weakness starting 2-3 weeks after but becoming unbearable at 4 weeks from 2nd dose. pain was resistant to NSAIDs.

Other Meds: Hydrochlorothiazide 12.5mg daily Metoprolol SUccinate 100mg daily

Current Illness: Cervical stenosis, degenerative disc

ID: 1218905
Sex: M
Age: 20
State: WI

Vax Date: 04/15/2021
Onset Date: 04/01/2021
Rec V Date: 04/16/2021
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: Client stated no on record and screening form

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

Symptoms: Upon administration of the vaccine to the left arm, the vaccinator inserted the needle and emptied the content from the syringe. Vaccinator noticed vaccine was leaking out from the side of the syringe/needle. Upon investigation, vaccinator realized that the certain syringe had two luer locks which the vaccine leaked out of the luer lock closest to the needle. Vaccinator was confident that 50% or all of the vaccine leaked out. Vaccinator checked with manager and policy guidelines to ensure the next step. A vaccine was then injected properly to the right arm.

Other Meds: Unknown

Current Illness: Unknown

ID: 1218906
Sex: F
Age: 47
State: CA

Vax Date: 03/20/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
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: codeine and penicillin

Symptom List: Tremor

Symptoms: HEADACHE AND DIZZINESS IMMEDIATELY AFTER SEVERE RASH ON ARM AS OF 4 DAYS AGO

Other Meds: nothing taken within 36 hours of taking vaccine

Current Illness: none

ID: 1218907
Sex: F
Age: 37
State: MN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/16/2021
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

Symptom List: Erythema, Pruritus

Symptoms: About four hours after I received my shot, I started to feel severe arm pain in the arm/shoulder that received the vaccine. The arm/shoulder continued to be extremely sore and immobile the following two days, with a combination of constant aching, throbbing, and stabbing pain. On Friday, I began to regain some movement in my arm and it began to hurt only when moving it rather than a constant pain during the day. I am now 10 days out from my vaccine, and it continues to give me significant pain at night that impedes my ability to sleep. I also have not regained the ability to complete weight-bearing activities such as push-ups. While being vaccinated, I thought my injection seemed too high on my arm. The injection site was just one finger width below my shoulder bone. I sought medical care through my local urgent care 48 hours after my vaccine, and the doctor who saw me agreed that the injection placement seemed odd. I have not yet sought additional medical care, but I fear I will need to soon if the pain continues at the current level at night and continues to hinder my ability to exercise. After doing some reading, I'm afraid the vaccine may have been placed in the bursa rather than the deltoid muscle, causing a vaccine injury that is causing my current pain despite being 10 days beyond my vaccination.

Other Meds: birth control pill

Current Illness: none

ID: 1218908
Sex: F
Age: 30
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/16/2021
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: None

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

Symptoms: The same day of vaccination, about 8 hours later, soreness at injection site, fever above 100.4 - reaching 101.8 at the highest. Headache also started around the same time, the same day of vaccination. The next day, experienced full-body muscle soreness, continued fever and headache.

Other Meds: Effexor XR 150mg q.d., Doxycycline 100mg b.i.d., Simpesse (levonorgestrel and ethinyl estradiol tablets USP 0.15mg) q.d.

Current Illness: None

ID: 1218909
Sex: M
Age: 61
State: CO

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/16/2021
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: headache and dizziness following vaccine reported, reported medical marijuana use

Other Meds: lisinopril

Current Illness:

ID: 1218910
Sex: F
Age: 58
State: MD

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
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: Yellow food color Number 5 (triggers Asthma symptoms) Metformin Januvia Seasonal allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Immediately feeling hot and flushed. Face turned red and felt hot. After about 40 minutes and using the AC in the car, started feeling better. After getting home, approximately 1 hour after receiving the vaccine, having chills and a slight headache (not severe enough to take anything). About two hours later, arm started feeling slightly sore. At this point, chills had stopped and no more headache. The next day, no symptoms or discomfort, not even soreness in arm.

Other Meds: Levothyroxine, Flonase, Vitamin B12, D3, A, Zinc, Omega 3, Kombucha

Current Illness: N/A

ID: 1218911
Sex: F
Age: 35
State: CA

Vax Date: 02/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
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: I started to have feelings of dizziness two days after the vaccine. I developed a rash under my right breast for two weeks which scarred. The rash started four weeks after the first dose. It came and went during the day. I felt very weak and a little weird. It kept repeating over the next three weeks. It got worse one day and I had a burning feeling and it felt like a wave that went through my body. I went to the ER because it did not go away all day. I felt very weak. It slowly subsided after three weeks and I got the second dose eight weeks after the first. I feel better now, and it is only happening every few days. I have seen a Neurologist twice.

Other Meds: Subcutaneous Birth Control

Current Illness:

ID: 1218912
Sex: M
Age: 40
State: WA

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/16/2021
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

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

Symptoms: Injection administered on a Wednesday, by Saturday severe pain and inflammation on forearm below injection location. Not at injection- but on same arm. Forearm stayed swollen and stay in severe pain with no ability to grip. Feels like internal grinding at joints, muscle and wrist. Resting has minimized pain, but has not improved much since Saturday.

Other Meds: none

Current Illness: none

ID: 1218913
Sex: M
Age: 53
State: IN

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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: Pain in extremity

Symptoms: Sour throat then swollen glands in my neck. Hurts to touch

Other Meds: None

Current Illness: None

ID: 1218914
Sex: F
Age: 59
State: UT

Vax Date: 03/25/2021
Onset Date: 04/04/2021
Rec V Date: 04/16/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

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

Symptoms: After taking the first Pfizer shot there was nothing remarkable that followed. Following the 2d dose on 25 Mar, patient was feeling tired, and described mental capacity as being foggy. Lost apatite and wanted to sleep. Described vision as blurry and couldn't focus.

Other Meds: Metformin 500 mg , Lipitor 20 mg, Klonopin .5 mg, Trulicity 1.5 mg

Current Illness: None

ID: 1218915
Sex: F
Age: 56
State: NY

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/16/2021
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: Nuts ( not peanuts) apples peaches plums cats dust Codene, sulfa

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

Symptoms: Constant post nasal drip and cough.

Other Meds: Vitamin d, vitamin c,

Current Illness: N/a

ID: 1218916
Sex: F
Age: 55
State: IN

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 04/16/2021
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: morphine; and seasonal

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

Symptoms: 2 days after the first vaccine my opposite forearm had a rash - medium size round almost "hive" looking. There were not many until about two weeks later when I noticed on that same arm there was a rash that seemed consistent with poison ivy. One week later that same prickly, itchy rash was on both arms and my stomach. By Monday April 5th I had it all over and wasn't sure if I needed to get the second shot the following day. My regular doctor was out so the nurse asked one of his colleagues who had me get Hydrocortisone cream and take a zytec twice a day immediately and to still get the 2nd vaccine. I caked myself in the cream and reapplied it multiple times a day and took the medicine and I was in terrible pain and and the rash continued to get worse. It burned and was now all over my legs, my back, stomach, breast, all over my arms and by bottom. I tried using calamine lotion and took soothing oatmeal baths. Both of those items helped but only for a short time. By that Friday the 8th I knew I needed a steroid shot because I have had to get two of those in my lifetime when I broke out with a terrible case of poison ivy. Again, my doctors office could not see me so I was instructed to go to their sister hospital that offered an Urgent Care. I was seen by the doctor on duty and she took one look at me and said I need a steroid shot that would be combined to give me instant relieve as well as long term. By that evening I wasn't in as much discomfort but I could see and still do to this day that the rash is still on my body - it's faded but every so often a new one rises. My backside has not cleared up as much as my front. I have been putting Gold Bond extra strength lotion on multiple times a day and it seems to help. But several times a day - I just get a terrible shot through my body that itches like crazy.

Other Meds: 75 mg Levothyroxine; 37.5 mg Phentermine; Allegra - 1 daily; aleve every morning;

Current Illness: none

ID: 1218917
Sex: F
Age: 40
State: NY

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
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

Symptom List: Vomiting

Symptoms: Loss of taste, chills, achy, tired, feverish

Other Meds: Birth control. Zoloft.

Current Illness: No

ID: 1218918
Sex: M
Age: 47
State: IN

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/16/2021
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: Fever 102, achey muscles, chills, night sweats.

Other Meds:

Current Illness:

ID: 1218919
Sex: M
Age: 85
State: IL

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa causes hives

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

Symptoms: Left side of lip swollen and hard. Swelling extends to approximately the midcheek region

Other Meds: Ocuvite, Calcium, Vitamin D3, Azathioprine, Fish Oil, Omega 3, Saline Nasal Spray, Enalapril, ASA, Loratadine, Glipizide, Pantoprazole, Metformin and Amlodipine

Current Illness: None that I am aware of

ID: 1218920
Sex: M
Age: 45
State: FL

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: PATIENT REPORTS HAVING HEADACHE AND FEVER ONSET 4/9/21; APPROXIMATELY 48 HOURS AFTER VACCINE. HE TOOK APAP FOR SYMPTOMATIC RELIEF. HE BEGIN FEELING BILATERAL KNEE PAIN AND PROGRESSED TO DIFFICULTY WALKING 4/10/21 - WENT TO URGENT CARE DUE TO DIFFICULTY WALKING/BILATERAL KNEE PAIN. 4/11/21 - WENT TO MEDICAL CENTER AND IS CURRENTLY BEING TREATED FOR "TWO SWOLLEN KNEES" -- LEFT KNEE WAS DRAINED OF FLUID. 4/10/21 - WENT TO URGENT CARE DUE TO DIFFICULTY WALKING/BILATERAL KNEE PAIN. 4/11/21 - WENT TO MEDICAL CENTER AND IS CURRENTLY BEING TREATED FOR "TWO SWOLLEN KNEES" -- LEFT KNEE WAS DRAINED OF FLUID.

Other Meds: unknown

Current Illness:

ID: 1218921
Sex: F
Age: 37
State:

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/16/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, triclosan

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

Symptoms: Body aches, chills, headache, stinging eyes, nausea, vomiting, loss of appetite, fatigue. Vomiting and stinging eyes ended after first night. Chills ended next day. Body aches ended after 24-48 hours. Fatigue, headache, and loss of appetite lasted into 4/16.

Other Meds: Chryselle (birth control pills), vitamin B complex, vitamin D, Allegra, magnesium glycinate, fish oil

Current Illness: None

ID: 1218922
Sex: F
Age: 50
State: GA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/16/2021
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: Head & Shoulders Shampoo

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

Symptoms: I got the vaccine on Saturday and Sunday evening 11pm I started running a fever 104 and I was taking meds to break the fever, and Monday I started getting a rash, started having a rash all over, mouth, throat, hands, arms and eyes. on the 15th I went to the hospital to get it checked out. They did a strep test and it was negative, they gave me a shot of steroids, the prescription for Triamcinolone .1% topical ointment, Magical Mouthwash.

Other Meds: Gabapentin, Lortab, Mobic, Forsega, Diazepam, Metformin, Meloxicam , Lisinopril

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm