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: 1222869
Sex: F
Age: 47
State: IN

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/17/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Arm pain (5 days) Fever (3 days) Fatigue (3 days) Malaise (3 days) Chills (3 days) Headache (4 days)

Other Meds:

Current Illness: Asthma

ID: 1222870
Sex: F
Age: 61
State: TX

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: Fever 100.4?, body ache, fatigue

Other Meds: None

Current Illness: None

ID: 1222871
Sex: F
Age: 34
State: CA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
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: Dust mites

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

Symptoms: Initial muscle soreness within 3 hours that progressed to sharp, tendinitis-like pain and decreased strength and mobility in left arm over the course of 6 hrs after receiving vaccination. Muscle soreness in the deltoid is relatively mild, but sharp pain and decreased use persists in the anterior portion of my shoulder - has not improved in the 48 hrs post-vaccination.

Other Meds: Odactra, fluticasone, montelukast, olapatidine, women?s 1-a-day, lysine, cosequin, culturelle probiotic

Current Illness: None

ID: 1222872
Sex: F
Age: 65
State: LA

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swollen lymph node on the left side of neck/throat. Upon visiting urgent care facility, it was discovered that pulse rate was low and advised to seek further medical treatment at emergency room or cardiologist. Upon meeting with cardiologist, holter monitor was ordered on April 1, 2021 to be worn for 24 hours. The outcome was confirmation of low pulse rate.

Other Meds: Lisinopril 40 MG, Amlodipine Besylate 5 MG, Hydralazine 50 MG, Triamterene-HCTZ 37.5-25 MG

Current Illness: N/A

ID: 1222873
Sex: F
Age: 51
State: MO

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: PATIENT HAD CHILLS AND REPORTED CHEST PAIN. WHEN I ASKED IF HEART OR LUNG, THE PATIENT WASN'T SURE. SAID STARTED AT STERNUM AND WENT TO BACK AND SHOULDER. PATIENT REPORTED COULD BE ANXIETY, BUT REPORTING JUST IN CASE PER PATIENT.

Other Meds:

Current Illness:

ID: 1222874
Sex: F
Age: 35
State:

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
Hospital: Y

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: Approximately two days after receiving first dose of Moderna, patient developed diarrhea and worsening R sided lower abdominal pain. As her symptoms persisted and made it hard for her to stay hydrated, she presented to the hospital ER on 13 Apr 2021. A CT scan showed terminal ileitis.

Other Meds: Wellbutrin XL 150mg daily Prozac 40mg daily

Current Illness: None

ID: 1222875
Sex: F
Age: 62
State: MI

Vax Date: 04/04/2021
Onset Date: 04/12/2021
Rec V Date: 04/17/2021
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: COVID arm. An oval shaped swelling at the vaccine site. Pinkish and itchy.

Other Meds: None

Current Illness: None

ID: 1222876
Sex: F
Age: 34
State: VA

Vax Date: 04/08/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: eggs, steroids

Symptom List: Pharyngeal swelling

Symptoms: patient with what appears to be shingles and muscle spasms 9 days after uneventful vaccine

Other Meds:

Current Illness:

ID: 1222877
Sex: M
Age: 49
State: IN

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Environmental allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Moderna COVID-19 vaccine. Severe Vertigo and Nausea - started at ~ 5am 4/17/21 - at the time of this report - continuous uncontrolled vertigo and nausea for over 5 hours.

Other Meds: N/A

Current Illness: Sinus congestion, post-nasal drainage,

ID: 1222878
Sex: F
Age: 58
State: ID

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 04/17/2021
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: Lactose and peanut intolerant. Allergic to sulfas and some antibiotics. (penicillin)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Nausea, vomiting, fever. ***Then on 3/21/2021 I had severe vertigo than began suddenly. It was severe for about a week. Moderate the next week and is now mild, but still present.

Other Meds: hydrochlorothiazide, Lisinopril, potassium,

Current Illness: High blood pressure that was under control with meds,

ID: 1222879
Sex: F
Age: 20
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin, clarithromycin

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

Symptoms: Left arm swollen and itchy at injection site, very fatigued, horrible headache, sick to stomach

Other Meds: Buspirone, lexapro, medroxyprogesterone, omeprazole, elderberry

Current Illness: Tonsillitis

ID: 1222880
Sex: F
Age: 52
State: MA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/17/2021
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: Bacitracin

Symptom List: Rash, Urticaria

Symptoms: Chills and Hot Flashes, 24 hours/day. Variable times and durations.

Other Meds:

Current Illness:

ID: 1222881
Sex: F
Age: 52
State: IL

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: Injection site is hard & warm to touch. There is slight redness & arm is achy. Symptoms showed up a week after the injection.

Other Meds: Zoloft, omneprazole, vitamin D, lipitor, probiotics, allegra, nasacort, testosterone/progesterone cream

Current Illness:

ID: 1222882
Sex: M
Age: 58
State: MA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/17/2021
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: None that I know of.

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

Symptoms: Exhaustion / Fatigue - significant exhaustion at about 5:30 PM. It came as a wave while standing up talking to someone. I fell back against wall. I went home and fell asleep at about 8:30pm for 13 hours. Felt tired the entire next day and went home and fell asleep at about 8:30 pm and slept for 14 hours. Felt tired most of the day. Felt exhausted and went to bed at 9:30 on Saturday night (the 3rd night) and slept for about 12 hours. This is very unlike me because I normally stay up and watch a movie with my wife on a Saturday night. This pattern of feeling exhausted by 6:00pm continues and we are now at about 3 weeks after the vaccine. It?s improving a bit but it?s still outside the normal pattern for me. I?m still feeling quite tired early in the evening and going to be much earlier than Normal. Additionally, I feel like I?m not myself. At times, my brain feels a bit foggy in that I?m not as aware or clear in my thinking as I normally would be.

Other Meds: 1. Co-Q-10 (250mg)* 2. Biotin (8mg) 3. Omega 3 (1200mg) 2x/day* 4. Magnesium Glycerinate Plus (?) 1x/day 5. Aspirin (81 mg) 7. Immune support - MycoShield spray PM: 1. Rosuvastatin (Crestor 20 mg) 1x/day 2. Lisinopril (10mg) (blood pre

Current Illness: None.

ID: 1222884
Sex: F
Age: 52
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: Penicillin, Sulfa, leviquin and imitrex

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

Symptoms: Body aches, fever, extreme fatigue and shortness of breath

Other Meds: Lisinopril, Omeprazole, Topiramate, Effexor

Current Illness: Surgery on 4/1/2021 for removal of screw in foot and removing bone spurs in foot.

ID: 1222885
Sex: F
Age: 56
State: GA

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 04/17/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Chest and back burning with elevated blood pressure. I never had high blood pressure, always low blood pressure. Burning continued daily does almost 2 weeks and the worst in the evening. On March 14th at about 8pm the burning was so bad, I was sweating all over and my clothes were soaked. Blood pressure was high. I almost thought I will die and was needing to go to the hospital.

Other Meds: None

Current Illness: None

Date Died: 04/15/2021

ID: 1222886
Sex: M
Age: 56
State: MD

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
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: N/A

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

Symptoms: Massive aneurysm - deceased 04-15-2021

Other Meds: ODEFSEY 25 MG

Current Illness:

ID: 1222887
Sex: F
Age: 55
State: VA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I started to feel dizzy and nauseated. Then my throat started to swell at the back of my mouth. My heart rate went way up and I believe so did my pulse. I was shaking and getting chilled. I was given an EPI shot and a shot of Benadryl. My symptoms did not get better so they shot me again with an EPI. Paramedics took me to the hospital for observation. After a few hours, I was feeling better. The hospital gave me another dose of Benadryl and anti-nausea meds.

Other Meds: D-3 Unisom

Current Illness:

ID: 1222888
Sex: F
Age: 60
State: KS

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/17/2021
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: Janssen COVID-19 Vaccine EUA Chills, fever and headache for approx 40 hours. Controlled with Tylenol. Fine after that.

Other Meds: none

Current Illness: none

ID: 1222889
Sex: F
Age: 49
State: IN

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Arm pain, exhaustion, headache, irritability

Other Meds: Paxel, ashwagandha, aller-Zyr, probiotic. Low dose aspirin

Current Illness: None

ID: 1222890
Sex: M
Age: 41
State: OH

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: Symptoms: Fatigue, headache, nausea, joint pain, elevated temp 100.4F, chills, sweating, difficulty breathing. Treatment: Tylenol, water, anti-nausea, sleep. Duration: 18hrs

Other Meds: Vitamins; C,D, cumin/turmeric, quercetin

Current Illness: None

ID: 1222891
Sex: F
Age: 67
State: SC

Vax Date: 03/31/2021
Onset Date: 04/07/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Lamictal

Symptom List: Unevaluable event

Symptoms: Sensitivity to heat on skin and smell

Other Meds: Lisinopril 5mg, multi vitamins, b complex, beta carotene. Occasionally: melatonin, schizandra, rhodiola, iron, potassium, magnesium, ashwaghanda, vitamin d

Current Illness: None

ID: 1222892
Sex: F
Age: 56
State: CA

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/17/2021
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: N/A

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

Symptoms: Chills, fever, searing lower back pain, diarrhea

Other Meds: N/A

Current Illness: N/A

ID: 1222893
Sex: F
Age: 59
State: IN

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Codeine, keflex

Symptom List: Injection site pain, Pain

Symptoms: Muscle aches and low grade fever

Other Meds: Lisinpril 20 MG, vitamin D and omerparazole 10 mg

Current Illness:

ID: 1222894
Sex: M
Age: 67
State: PA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: got shot at 10:30 AM. Felt fine , left 15 minutes later. That night we went to bed at 11pm. At around midnight I told my wife I can't sleep and don't feel right, hot. She turned on the light and i was bright red. took my temperature, it was 101.2. Took Advil to quell fever, .After 5 hours it was back up and I was still red as hell. Was urinating a full bladder every 1/2 hour. Was drinking water, but not that much. Also had a headache from hell, hurt to blink. While Advil was working I was able to get an hour or so of sleep. At about 5am that morning, I woke up soaked from sweating. Fever down to 100.1 to 99.8. Kept up with Advil all day .Fever normal by noon. Headaches persisited until next evening. REALLY bad feeling for 12 hours or so. Day two I still do not feel 100%, but ok. In the midst of all this I got a half hour of moderate chills

Other Meds: Vitamin D3, 3000IU 325mg aspirin 10mg atorvastatin 25mg metropolol

Current Illness: none

ID: 1222895
Sex: F
Age: 43
State: KY

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/17/2021
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: I do not know of any allergies to medications. Slightly lactose intolerant

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

Symptoms: At first only arm pain. A couple of days after shot I started having a constant low-grade headache, then serious depression, suicidal thoughts, and difficulty functioning. The side effects subsided on Friday 16, about 8 days after injection with first shot and my head went back to normal.

Other Meds: nuva ring (birth control) general supplement for women (MegaFood brand)

Current Illness: None

ID: 1222896
Sex: F
Age: 42
State: TX

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient was given second dose 14 days early. She indicated on her form that she hasn't had any vaccine in past 28 days but her card showed it had only been 14 days.

Other Meds: citalopram, dicyclomine, ondansetron, rosuvastatin, bupropion, Adderall, metformin, mirtazapine, diazepam

Current Illness: diabetes

ID: 1222897
Sex: F
Age: 29
State: MD

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Got my vaccine on Monday in my right arm. On Thursday morning I had blurry spots in my eyes that lasted a couple of hours. It almost felt like i had something in my eyes. I kept rubbing and checking them. I called my primary care doctor and the office told me he would call me back. An hour later the blurs went away but the right side of my face down my neck had a numbing sensation. My right ear also felt like it need to be ?popped? like when on a plane that wouldn?t go away. Wasn?t completely numb but felt numb. When my doctor called me back i told him my symptoms and he told me to go to the emergency room. They ran blood work and did a CT and saw nothing abnormal beside my iron was a little low but I?m pregnant so that wasn?t surprising. I left not really knowing why I?m feeling this in my face. It still has that numbing feeling. And Friday i had a 10 minute nose bleed on my right side where I?m feeling the numbness.

Other Meds: Prenatal and sometimes medicine for seasonal allergies

Current Illness:

ID: 1222898
Sex: F
Age: 46
State: NY

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/17/2021
Hospital: Y

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: PCN and macrodantin

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

Symptoms: Transverse myelitis Numbness and tingling to trunk and legs. Difficulty walking

Other Meds: Lisinopril 20mg Meclizine 25mg

Current Illness: None

ID: 1222899
Sex: M
Age: 41
State: OR

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: Nausea

Symptoms: Approximately 10 hours after receiving the vaccine I started to feel extremely dizzy and light headed like I needed water really bad, but 10 fold more intense. I began to sweat profusely from my entire body and I began to get the trembles. I sat down and waited it out. The episode lasted 10-12 minutes. I felt drained physically afterwards, like I had just exercised intensely.

Other Meds: None

Current Illness: None

ID: 1222900
Sex: F
Age: 38
State: UT

Vax Date: 04/10/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Wine

Symptom List: Injection site pain

Symptoms: Small blisters/rash over entire body, but more prominent on upper arms and chest- site near injection itches with multiple blisters present

Other Meds: Ibuprofen for a muscle injury

Current Illness: Hip flexor injury

Date Died: 03/19/2021

ID: 1222901
Sex: M
Age: 90
State: NY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/17/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient had started peritoneal dialysis at home with me, his wife, 8 days before the second shot. All was going well. We got his second shot on the morig of March 18. His only reaction seemed to be soreness at injection site. At 11 pm we started dialysis as usual, with the cycler. At 12 pm he was having trouble breathing after just having been filled with 1500 ml of dialysate. This was the first time this happened. I gave hi nitro glycerine and had the cycler take out the 1500 ml of dialysate, and stopped the therapy for the night. He then felt better, and apologized for waking me up. In the morning he was dead. I believe it is possible that the vaccine tipped the balance of patients already taxed system. As I know that people who have serious diseases and are older are encouraged to take the vaccine, this outcome should be known to the CDC.

Other Meds: Crestor, Levoxyl, Isosorbide mononitrate, Finasteride, Calcitriol, Aspirin, Alfuzosin, Aranesp, Carvidilol, Eliquis, Breo Ellipta

Current Illness: Coronary artery disease, End Stage Renal Disease, COPD

ID: 1222902
Sex: M
Age: 28
State: NY

Vax Date: 04/08/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: NONE

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

Symptoms: Diffuse pruritic rash on face, upper back, chest, and arms. Patient woke up with the rash, which seemed to get better as the day went by, but then the next night woke up with significant itchiness due to flare-up of rash again. At time of appointment (within 48 hours of initial rash), diffuse patchy erythematous blanching noted.

Other Meds: NONE

Current Illness: NONE

ID: 1222903
Sex: F
Age: 43
State:

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Tremor

Symptoms: Numbness in face, tongue, and fingers Severe headache Nausea

Other Meds: Singular, vitamin B, levothyroxine

Current Illness: None

ID: 1222904
Sex: F
Age: 62
State: MO

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: flagyl

Symptom List: Erythema, Pruritus

Symptoms: First shot had no reaction, second shot had chills, fever of 101.4 and started taking tylenol, body aches and pains, headache, soreness in left arm joint pain nausea and just felt unwell.

Other Meds: omeprazole baby aspirin atenolol amlodopine effexor pravastatin

Current Illness: none

ID: 1222905
Sex: F
Age: 43
State: CT

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
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: mild upset stomach for sulfur.

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

Symptoms: Bruising under right eye by tear duct. Have photos. Happened overnight I believe, as I don't remember it from bedtime on the same day.

Other Meds: None - Went off birth control (which I'd only taken 1 month) 3 weeks ago.

Current Illness: None

ID: 1222906
Sex: F
Age: 52
State: MI

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/17/2021
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: Denies

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

Symptoms: Flush & Light Headed

Other Meds: Fetanyl, oxycodone, methocarbamol

Current Illness: Not disclosed

ID: 1222907
Sex: F
Age: 19
State: IL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 2:00 am I woke up with diarrhea and vomiting. I vomited again at 4:00 am. I vomited again at 5:00 am. I had diarrhea again at 8:00 am. I was not able to eat anything all day. Very ache and weak all day. Slight headache. Slept most of the day. Hardly able to stand in shower. Woke up the next day (4/17/2021) feeling only a slight headache.

Other Meds: Birth control

Current Illness: N/A

ID: 1222908
Sex: M
Age: 59
State: MO

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/17/2021
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: Itching on L eyelid and L forehead with red bumps diagnosed as Contact Dermatitis and treated with antiviral for Shingles as well a contact dermatitis.

Other Meds: Nasacort Joint Health Glucosamine Sulfate MSM Tylenol Arthritis Vitamin B complex Vitamin C Vitamin D3 Xyzal Lotramin Ultra

Current Illness: None

ID: 1222909
Sex: F
Age: 53
State: NC

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/17/2021
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: Skin products containing cocoa butter cause a rash that burns, blisters and peels on my skin. I am not allergic to chocolate that I am aware of so this may be a chemical they are using to extract the cocoa butter from the cocoa bean that is not listed on labels. Not sure.

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

Symptoms: I had the same reaction to first dose, but more severe with second shot. Rash with first dose did not occur until day 7. Second dose: Within 2 hours: Rash at injection site that continued for 4 days; swollen, painful, fevered injection site for 5 days; Within 12 hours: Stress response from body, headache, neck ache, nausea, Intermittent heart pain, eye pain, unable to sleep, chills

Other Meds: Vitamin D, Turmeric, Vitamin C, collagen

Current Illness: None

ID: 1222910
Sex: M
Age: 55
State:

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/17/2021
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: From 4/11/2021 to 4/14/2021 experienced the following symptoms: sore throat, coughing, fatigue, and low fever.

Other Meds: Daily multi-vitamin

Current Illness:

ID: 1222911
Sex: F
Age: 58
State: MA

Vax Date: 04/14/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash on the stomach occurred today April 17th 3 days after getting the vaccine on April 14th. She had fever the past 3 days, once going up to 103.1F The fever broke last night April 16th but this morning she woke up with he rash on her stomach

Other Meds: Paxil, lisinopril

Current Illness:

ID: 1222912
Sex: F
Age: 37
State: CO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 04/17/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Since the vaccine, I have had considerable pain and swelling in my joints on right side of body (right knee, right foot, right hand/fingers). This is off and on. Starting this week around 4/14/21, the fingers on right hand have been considerably more swollen and painful. The pain/swelling is unrelieved by elevation, NSAIDs, anything. Performing ADLs with right hand is more difficult. The pain in joints started the night after the vaccine 2/9/21 and has come and gone but it significant worse now.

Other Meds: None

Current Illness: None known

ID: 1222913
Sex: M
Age: 56
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Headache, fatigue, low grade fever, chills, body aches.

Other Meds:

Current Illness:

ID: 1222914
Sex: M
Age: 69
State: WA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: fatigue, diarrhea

Other Meds: Amlodipine 5mg/day, multi-vitamin, magnesium potassuim aspartate 1200mg/day, B2 400mg/day, D3 125mg/day

Current Illness: none

ID: 1222915
Sex: M
Age: 41
State: CA

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/17/2021
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 100F, chills, body pain from 11pm till 6 pm the next day. Vaccin was administered the same day at 10:30am

Other Meds:

Current Illness:

ID: 1222916
Sex: F
Age: 39
State: MD

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1222917
Sex: F
Age: 17
State: PA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/17/2021
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: Tinnitus. Loud ringing in ears started 9 hours after vaccination. It has not fully subsided yet.

Other Meds: None

Current Illness: None

ID: 1222918
Sex: M
Age: 46
State: CA

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/17/2021
Hospital:

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

Lab Data:

Allergies: Acetaminophen, Vicodin, Chantix, Wellbutrin

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

Symptoms: Day after 2nd shot, after waking up, had headache and high fever. Took 600 of Advil so suppress fever. Headache disappeared fast. Whole body was in pain, very sensitive to touch. Very painful when touched. Took another 400mg of Advil before going to bed. Constipated, could not move bowel. Day 2. Still feel sensitivity all over body when being touched. Developed fever again at nighttime. Still constipated with no bowel movement. Day 3. Severe, stabbing, tingling pain develops around shoulder blades, had bruises (light green) around it. Pain was a 10 out of 10. Felt like there was a hand under my skin pinching, pressing, trying to take my organs out of my body. Day 4. Developed red rash from breast bone to the back, only on left side of my body. Extremely painful, stabbing, crushing pain. Day 5, 6, 7, 8. Red rash becoming bigger and pain is still 10 out of 10. Took prescription for Shingles night of Day 8. Applied Floucinonide around affected area. Day 9. Took 2nd pill of Valtrex and applied Floucinonide ointment again around affected area.

Other Meds: Estradiol, Spirinolactone, Trazodone, Paroxetine, Aspirin 81, Atarax, Clobetasol ointment and liquid, Tremfya (was not due to be taken until April 16?2 months after 2nd dose)

Current Illness: Psoriasis Depression

ID: 1222919
Sex: F
Age: 29
State: NC

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/17/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: RPH received phone call from mom today, 04/17/21, stating daugheter still has injection site pain after gettingr covid-19 vaccine on 4/2/21.

Other Meds: Lo Loestrin fe 1-10; acetaminophen 500mg

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm