VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 1262494
Sex: M
Age: 29
State: MN

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: Brain MRI taken on 4/15/21

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Diagnosed with optic neuritis

Other Meds: None

Current Illness: None

ID: 1262495
Sex: F
Age: 48
State: MD

Vax Date: 04/08/2021
Onset Date: 04/20/2021
Rec V Date: 04/27/2021
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: Developed Shingles.

Other Meds: Vitamin D, multi vitamin

Current Illness: None

ID: 1262496
Sex: M
Age: 35
State: FL

Vax Date: 04/10/2021
Onset Date: 04/01/2021
Rec V Date: 04/27/2021
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: none

Allergies: none

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

Symptoms: Shoulder joint pain when lifting arm above my chest. It is too painful to continue lifting my arm above my head. Pain is persisting after 2 weeks.

Other Meds: none

Current Illness: none

ID: 1262497
Sex: M
Age: 22
State: HI

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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: Systemic: Fainting / Unresponsive-Mild, Systemic: Seizure-Mild, Additional Details: Less than 5 mins after injection, patient blacked out and fainted to the ground and hit his head in the process. patient experienced mild seizure/movement after fall and regained consciousness after about 10-15 seconds later after pharmacist rolled patient to his side. patient reported similar events after having his blood drawn. ambulance was called and EMT team came to check out patient. patient reportedly felt fine, but after advise from EMT, patient drove himself to ER to get checked out.

Other Meds:

Current Illness:

ID: 1262498
Sex: F
Age: 33
State: PA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: None

Allergies: Penicillin

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

Symptoms: Immediate symptom post vaccination included soreness at the injection site and throughout arm (left). Headache, chills, body aches, extreme fatigue was experienced beginning approximately 10 hours from dose administration, lasting until 8 am the following day (27Apr2021). Patient continued to hydrate with water throughout the duration of the day on 26Apr2021, consuming approximately 1 gallon of water. Additionally, patient took 1 tablet of Motrin 200mg at 9:30am 26Apr2021 and another at 7:30 pm same day. Patient took an Aleve at 7am 27Apr2021.

Other Meds: Motrin 200mg, Mirena IUD

Current Illness: None

ID: 1262499
Sex: F
Age: 52
State: AL

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

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

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: pt had gotten her vaccine and started feeling light headed like she was going to pass out. we got her a fan and a drink. she said she may have had low blood sugar and was nervous about shot

Other Meds:

Current Illness:

ID: 1262500
Sex: M
Age: 48
State: CT

Vax Date: 03/11/2021
Onset Date: 03/17/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: Comprehensive metabolic panel- normal Rheumatoid factor-normal Tick borne illness- not detected CBC-normal CCP AB- normal ESR-normal CRP-normal LDH normal Uric acid-high---7.4 mg/dl Blood parasites-none detected

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Joint pain in the left foot and ankle, and both wrists. Started about 3 to 4 days after first Moderna vaccine. Progressively worsened over the next week until I had sever pain-8 out of 10 in joints of both shoulders, elbows, wrists, hips, knees, and the left foot/ankle. Pain became debilitating and went to local medical clinic. Ran blood tests. A week later pain worsened and went to ER. Could barely get out of bed, walk. ER doc put me on a tapering course of Prednisone for 12 days. Almost complete relief of joint pain within 4 hours. Once down to 10 mg per day the pain returned. Had a GP telemed appointment and doc put me back on prednisone-30mg per day. Not complete relief of pain but certainly better than nothing.

Other Meds: lexapro, lipitor, lisinopril, bupropion, claritin, acid reducer-CVS brand, Ropinerole Juice Plus capsules-berry, fruit vegetable blends

Current Illness: none

ID: 1262501
Sex: F
Age: 40
State: NY

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Pharyngeal swelling

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Day 1 Arm sore at injection site. Day 2 Chills and fever overnight, with intense body aches and soreness. Fever and aches all day. Managed with ibuprofen. Fever and chills again at night. Day 3 Still very sore and tired but better than the day before. Bruise at injection site, and rectangle under it on left arm - a red rectangle that felt warm and hurt like a bruise. Broke out in an itchy rash that evening, in my back and neck. Red small itchy bumps. Did have chills and fever in the night, but not as bad as the first two nights. But after the fever broke got a SPLITTING headache in the night. Day 4 Not as sore during the day. Took a shower in the afternoon and the rash spread all over neck, chest, and back, down towards waistline all around. Called doctor. Said to take benadryl, and come into the office if rash continues/spreads. Go to ED if tongue or throat swell. Day 5 Still tired and sore, but much better. Green bruise at injection site, and red rectangle that is warm and sore under it. Rash is less red or itchy, but small bumps still present. Red rectangle on arm started to itch around 7 and got bumpy. Took benadryl to manage the itchy rash again.

Other Meds: Valacyclovir

Current Illness: None

ID: 1262502
Sex: F
Age: 44
State: MT

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: None

Allergies: Mosquitoes

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Metallic taste in mouth 2 days Fatigue ongoing Very sore arm 3 days

Other Meds: Trazadone Melatonin

Current Illness: None

ID: 1262503
Sex: F
Age: 59
State: VA

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/27/2021
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: codeine, erythymican, latex

Symptom List: Diarrhoea, Nasal congestion

Symptoms: pt says she when she woke up she was dry heaving and severe headache. She had chills, diarhea, nausea, skin was slightly red and peeling. She had vertigo, sore throat, dry mouth, loss of taste, fatigue, muscle aches and pains. Her right arm hurt more than the left arm where she had the arm that was injected. She had major hair loss and trouble focusing and feels like she has a sinus infection. Patient is taking cold and flu meds. She does feel some better but still has a headache and feels like she has a cold.

Other Meds:

Current Illness:

ID: 1262504
Sex: F
Age: 50
State: ME

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: sore arm from injection time through 4/27, swelling near injection site, sore to the touch with redness

Other Meds: birth control pill, vitamin D

Current Illness: no

ID: 1262505
Sex: F
Age: 60
State:

Vax Date: 02/10/2021
Onset Date: 04/18/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Positive for COVID after vaccination. Received 2nd dose of Moderna COVID vaccine on 2/10/21. On 4/18/21 became symptomatic. On 4/21/21 tested positive for COVID.

Other Meds:

Current Illness:

ID: 1262506
Sex: M
Age: 21
State: CA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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: Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Patient states difficulty breathing and SpO2 using pulse oximeter was at 91. Epipen given due to patient stating hardness of breathing and low BP.

Other Meds:

Current Illness:

ID: 1262507
Sex: F
Age: 33
State: IN

Vax Date: 03/22/2021
Onset Date: 04/21/2021
Rec V Date: 04/27/2021
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: My first period since having the 2nd shot was very heavy. I usually bleed very lightly, and I have consistently since having the Mirena IUD inserted 3 years ago. This past period (began 4/21 and still bleeding) started last Wednesday and was very heavy from the start. I bled through 3 normal tampons in the span of an hour; I even bled through onto my clothes. This never happens for me. I was also passing large clots, some of them were around the diameter of a golf ball. I also had stronger cramps than normal, and when I would cramp I would feel nauseous, which is also different.

Other Meds: Trintellix Advair Albuterol Claritin-D

Current Illness:

ID: 1262508
Sex: F
Age: 42
State: CT

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: None were administered.

Allergies: Zithromax

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

Symptoms: Shortly after receiving the vaccine I experienced what I could only describe as what felt like being bitten by horse flies in my limbs. This happened 5-6 over the course of a couple hours. I then woke up with my right upper thigh completely numb on the surface. As the day went on I then proceeded to have the same bite like sensation in my thigh even though it was numb. I made a doctors appointment. When I saw my doctor, she stated she had seen this sort of thing before with the vaccine, but could not guide me as to when it would resolve. It's is now 13 days later, with no resolution. The biting pain wakes me in the night. I've never felt anything like this before.

Other Meds: Effexor XR, Topamax

Current Illness:

ID: 1262509
Sex: F
Age: 0
State: VA

Vax Date: 04/25/1974
Onset Date: 04/14/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: Patient seen in office 4/26/21 for symptoms. Albuterol and chest x-ray ordered.

Allergies: Flexeril

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

Symptoms: Since receiving vaccine on 4/14/21 patient reports she has been having shortness of breath. States she cannot lie flat and feels like she cannot get good air flow.

Other Meds: Taking Janumet XR 1000 mg-100 mg tablet, extended release 1 tab(s) orally once a day (in the evening), Taking One Touch Ultra Machine one touch verio stript use fingerstick once a day, Taking One Touch Ultra Lancets lancets lancets use fing

Current Illness: Diabetes, Hypertension, GERD, Hyperlipidemia, Allergic Rhinitis, Hypokalemia, Degenerative Disk Disease, Osteoarthritis

ID: 1262510
Sex: F
Age: 24
State:

Vax Date: 04/18/2021
Onset Date: 04/25/2021
Rec V Date: 04/27/2021
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: Tree nuts, avocados, beta blockers, blood pressure meds, other unknown sensitivities

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

Symptoms: A week after I got my vaccine, I am having what I found online to be called ?COVID arm?. Redness, swelling, itching and slight pain at the area of vaccination on my left arm. I had all of these when I got the vaccine, they started to die down and then came back around a week after the vaccine was administered. I had no other adverse reactions or signs of allergic reaction to the vaccine.

Other Meds: Lexapro 5mg, norethindrone 0.35mg

Current Illness:

ID: 1262511
Sex: M
Age: 58
State: NY

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: ambulance people took blood pressure..respiration..

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: At about 1030 patient had a seizure..

Other Meds: Wellbutrin..vitamin c..folic acid

Current Illness: Restless leg syndrom

ID: 1262513
Sex: F
Age: 37
State: NY

Vax Date: 03/18/2021
Onset Date: 04/06/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: NA

Allergies: no

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Shingles- rash to abdomen began tuesday evening- went to urgent care wednesday morning and started 7 day course of antiviral (3 times a day). Postponed second shot- currently awaiting scheduler to return call to set up second vaccine

Other Meds: Topomax, lexapro, vitamin D, omeperazole, methylphenidate, melatonin?s, women?s one a day vitamin

Current Illness: no

ID: 1262514
Sex: F
Age: 30
State: WA

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

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

Lab Data: None

Allergies: None

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

Symptoms: Sternum pain & right side chest pain High fever of 100.2 Tingling of fingers Dazed feeling

Other Meds: None

Current Illness: None

ID: 1262515
Sex: M
Age: 36
State: IN

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
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: No

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

Symptoms: Fatigue.. Joint pain

Other Meds: No

Current Illness: None

ID: 1262516
Sex: F
Age: 24
State:

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
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: Unevaluable event

Symptoms: Dizzy and passed out. Amonia applied,feet up and head supported. Ambulance called and patient transported in stretcher. Five mins later patient awake and stable . Patient discharge home with significant other.

Other Meds:

Current Illness:

ID: 1262517
Sex: F
Age: 46
State: MN

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/27/2021
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: None. Did not call doctor.

Allergies: Ceclor- rash as a kid

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

Symptoms: Moderna COVID-19 Vaccine EUA I had a rash on upper back and neck (hives) that were itchy and red that lasted 1 week starting the day after vaccine. I also had a few canker sores develop beginning 2 days after vaccine that last about 5 days. It's typical for me to develop canker sores when ill or under stress so that may have been a normal response my body had to vaccine.

Other Meds: Venafexaline and Trazadone Rx Gummy multi vitamin from Costco

Current Illness: none

ID: 1262518
Sex: F
Age: 22
State: OH

Vax Date: 02/18/2021
Onset Date: 03/11/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: No significance in lab data taken 03/31/21

Allergies: Lactose intolerant

Symptom List: Injection site pain, Pain

Symptoms: I ended up with petechiae since the beginning of March on my shoulders, under my armpits, and in between my elbow on both arms. They also seem to ache and come with any type of pressure or lifting of heavy objects. They come and go and have occurred for almost 2 months now.

Other Meds: Zofran as needed. Kyleena IUD

Current Illness: History of migraines

ID: 1262519
Sex: F
Age: 43
State: CA

Vax Date: 04/01/2021
Onset Date: 04/13/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Tinnitus for 3 days No treatment Went away with time

Other Meds:

Current Illness:

ID: 1262520
Sex: F
Age: 53
State: MD

Vax Date: 04/15/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
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:

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

Symptoms: I have not had my period since February 2020. 24-48 hours after I received my first dose of Pfizer vaccine I started feeling cramps and PMS type symptoms. I thought it was stress related and disregarded. This morning I woke up to find I had started my period overnight. I've seen there have been reports of post-menopausal women bleeding after receiving vaccine.

Other Meds:

Current Illness:

ID: 1262521
Sex: M
Age: 79
State:

Vax Date: 03/05/2021
Onset Date: 04/14/2021
Rec V Date: 04/27/2021
Hospital: Y

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: Pulmonary embolism

Other Meds:

Current Illness:

ID: 1262522
Sex: F
Age: 27
State: NE

Vax Date: 04/02/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: Confirmed by urgent care provider on 4/25/2021

Allergies: sulfa drugs

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Onset of shingles 2 weeks post-vaccine

Other Meds: Fluoxetine, Plegridy, vitamin D supplement, birth control

Current Illness: Wisdom tooth extraction surgery

ID: 1262523
Sex: F
Age: 56
State: GA

Vax Date: 03/30/2021
Onset Date: 04/03/2021
Rec V Date: 04/27/2021
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: none

Allergies:

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

Symptoms: Patient said she developed a headache about 4 days after the vaccine and she still has the headache today, 28 days later

Other Meds:

Current Illness:

ID: 1262524
Sex: F
Age: 28
State: NY

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/27/2021
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: Painful menstruation cycle directly after (4days earlier than I should?ve received it), longer than usual menstruation cycle (8 days instead of 4 days), and different texture (thicker and sticky)

Other Meds: Junel birth control

Current Illness:

ID: 1262525
Sex: M
Age: 59
State: TX

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: headache, brain fog, stomach craps, lack of concentration (symptoms of POTS)

Other Meds: Fluvastatin, L-thyroxine, Lorazepam, Amlodipine, Vitamin D

Current Illness: none

ID: 1262526
Sex: F
Age: 76
State: KS

Vax Date: 03/01/2021
Onset Date: 04/16/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: chocolate, rice, mold, dust

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

Symptoms: Facial and eye Shingles began (4/16/21) three weeks after second shot. Saw PA of Dermatology and received Valacyclovir. Saw Dr. OD and received Prednisolone. Saw of Wellness Center and received more Valacyclovir.

Other Meds: multi-vitamin baby aspirin vitamin D3

Current Illness: none

ID: 1262527
Sex: M
Age: 42
State: MI

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: while in te hospital i was tested for allot of things i dont remember to know for what i wqas not told

Allergies: sea food metformin penicillin

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

Symptoms: on the 2nd i had the shot in the left upper arm .. two days later i woke up to violently upchucking pure water after that i when to hospital and was admited i was told after a ekg that i was haveing a heart attack after that have no recolectiom of anything i wake up to a doc telling ,e it was a bad heart attack and had delovped about 5 blod clots in left lung and microcaditis i have been trying since then for a doc to talk to me but so far i been avoided

Other Meds: 70/30 Humalog atenolol lisinopril bupropion clopidogrel

Current Illness: none

ID: 1262528
Sex: F
Age: 32
State: OH

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: At 4 am Tuesday morning 4/27/2021, EMS was called to be taken to the hospital. Resulting in CT scan, chest xray, EKG. Staff at the hospital said they were not responsible for reporting adverse reactions of the vaccine.

Allergies: Sufla and clindamycin

Symptom List: Tremor

Symptoms: Within a couple hours of dose, I was feeling really awful as if I had the flu with a pounding headache, all of my body hurt, naseau as if I was going to vomit, and my arm was really hurting. It progressively got worse throughout the day with feeling hot and cold so I took an Extra Strength Tylenol in case of fever. I went to bed around 10 pm and woke up out of a dead sleep around 2 am feeling like I was having trouble breathing. All of my body hurt, I was freezing cold and shaking with chills, and really dizzy and my head was still pounding. My arm where the injection site was also felt like it was burning. I thought I would take a hot bath to ease the chills and go back to sleep, but when I got out my naseau was even worse, my head was really hurting, and I began getting really dizzy sitting on the floor. I called my roommate in and said, "I think something's wrong. I'm going to vomit or black out" and that's the last thing I remember. I did black out and my roommate said I had what looked like three seizures and he called 911. I was shaking for several hours after that at the hospital. It is now the same day, 4.27.2021, 9 am and I am home from the hospital. I still feel weak, dizzy and nauseaous and my entire body hurts.

Other Meds: Birth control, Extra Strength Tylenol at 2 pm, 1/2 of muscle relaxer at 8 pm

Current Illness: None

ID: 1262529
Sex: M
Age: 37
State: TX

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: Primary care doctor April 6th, recommended neurology. Neurology doctor seen April OK. CBC April 12th from primary care doctor, results came back ok. No explanation given at this point.

Allergies: Rocephin

Symptom List: Erythema, Pruritus

Symptoms: Day 1-2, dizzy, muscle weakness, shaky hands, heart rate up and down all day, palpitations, cold hands and feet, injection site pain, pain in both arms and hands Day 3-4, muscle weakness, shaky hands, glands in neck swollen, cold hands, extreme muscle fatigue, tingles in feet. Day 5-30, muscle fatigue, hard to drive or type without getting tired muscles, shaky hands, pins and needles randomly in body, ache in joints, tight muscles, weakness right side body.

Other Meds: Allegra allergy

Current Illness:

ID: 1262530
Sex: F
Age: 53
State: MI

Vax Date: 01/27/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
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: An endometrial biopsy is scheduled for 5/6/21

Allergies: Bactrim - Hives

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

Symptoms: On 4/22 I experienced a heavy post-menopausal period that lasted 4 days

Other Meds: Estradiol, Escitalopram, MVI, Biotin, Vit D

Current Illness: none

ID: 1262531
Sex: M
Age: 30
State: IN

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Extreme lower back pain with no physical labor or triggering event other than the vaccine.

Other Meds: Nasonex, Symbicort

Current Illness: None

ID: 1262532
Sex: F
Age: 33
State: PA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/27/2021
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: Tree nuts, passion fruit, dust mites

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Gradually increasing pain in right deltoid and upper arm area starting 1 hour after injection. By the time I went to sleep, I couldn't put any pressure on my arm, or move it away from my body much at all. The pain was so bad I hardly slept that night. I took 2 Aleve the next morning (and more in the following days), and eventually the pain began to subside, lasting for a total of ~3 days before feeling back to normal.

Other Meds: Vitamin D3, fiber supplement

Current Illness:

ID: 1262533
Sex: F
Age: 40
State: VA

Vax Date: 04/26/2021
Onset Date: 04/27/2021
Rec V Date: 04/27/2021
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: Allergies to Penicillin/Amoxicillin (hives over entire body), Sulfa drugs (hives over entire body/visibly enlarged lymph nodes in throat), Azythromicin (elevated liver enzymes and severe vomiting)

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

Symptoms: Received the vaccine at 9:30 am. Originally felt fine with mild soreness in the arm. Woke up around 2:15 am to use the restroom, and got extremely dizzy... started to feel weird, and felt like there was a rush all over. My head started to feel like it was closing in and there was a static, crackling, speaker-like sound along with tinnitus in my ears making it feel like I was in a tunnel. I sat on the floor and waited several minutes until the feeling passed and was able to get back into bed. I waited several more minutes until I felt "normal" again. Was able to get back to sleep, and feel better this morning, with no dizziness, but will continue to monitor any additional symptoms closely.

Other Meds: none

Current Illness: none

ID: 1262534
Sex: F
Age: 56
State: OH

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/27/2021
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: Bee Stings and Mango

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

Symptoms: Prior to administering vaccine, nurse discussed anaphylactic reactions to mango and bee stings. Not a component in vaccine but will monitor for 30 minutes after. discussed risk vs benefit. Answered pt questions and administered vaccine. 11:23am pt reported to nurse tingling sensation around mouth and lump in back of throat. breathing WNL. Administered benadryl at 11:23am with consent of pt. Continued to monitor. 11:45am pulse 85, BP 168/98, respirations 16. Denies SOB. Pt feels sensation in back of neck going up to head. Tightness in throat and compares it to her previous anaphylactic reactions. Notices vision changes. 11:50am pulse 82, strong and steady, BP 158/90. respirations WNL. Discussed epinephrine with pt. pt agreed. administered 0.3 mg 11:52am, called EMS. Continued to monitor pt. 11:59am pulse 88, BP 160/100, respirations WNL denies SOB. Normal pallor. Responding appropriately. Pt stated feeling tired and wants to just close her eyes, "feeling my body react". Continues to complain of lump in throat, itchy eyes. 12:03pm discussed, consented and administered second dose of Epinephrine 0.3mg. EMS arrived, pt still responding appropriately. Pt left via stretcher to ER.

Other Meds: Unknown

Current Illness: unknown, felt well at appointment. No recent illness.

ID: 1262535
Sex: F
Age: 37
State: IA

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: n/a

Allergies: n/a

Symptom List: Pain in extremity

Symptoms: Swollen and sore lymph nodes in left arm pit for about a week. Red itchy rash on left arm at injection site for about 3 days. Both of these symptoms started about a week after the vaccine.

Other Meds: valACYclovir 500 MG tablet magnesium oxide 400 MG tablet Ritual multi-vitamin for women

Current Illness: n/a

ID: 1262536
Sex: F
Age: 79
State:

Vax Date: 01/21/2021
Onset Date: 02/04/2021
Rec V Date: 04/27/2021
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:

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

Symptoms: Patient presented to the ED on 2/4/21 with NSTEMI and was subsequently hospitalized. She also presented to the ED and was subsequently hospitalized on 2/24/21. These visit were within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1262537
Sex: M
Age: 56
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Redness and swelling soreness

Other Meds:

Current Illness:

ID: 1262538
Sex: F
Age: 56
State: MN

Vax Date: 03/19/2021
Onset Date: 03/23/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: Covid Test-throat, not nasal swab

Allergies: SULFA, AUGMENTIN, LATEX/RUBBER

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

Symptoms: Day 4: woke up with headache and sore throat. As the day progressed I developed: weakness, tiredness, joint and body aches, chills and nausea. Was told by nurse to come in and have a Covid test. Was tested for Covid at 2:00 p.m. the day symptoms developed. Test came back negative. Symptoms last for 8 days however sore throat went away after one day. Headache, chills and nausea lasted the entire time. Body/muscle aches were more pronounced early a.m. and late p.m..

Other Meds: OMEPRAZOLE 40MG CAPSULES, SIMVASTATIN 10MG TABLETS, CENTRUM SILVER MULTIVITAMIN/MULTIMINERAL SUPPLEMENT FOR WOMEN 50+

Current Illness: NONE

ID: 1262539
Sex: F
Age: 46
State: CA

Vax Date: 03/30/2021
Onset Date: 04/13/2021
Rec V Date: 04/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: I was told by PCP to go to ER. I chose not to because I'm done being a science experiment. I have zero trust in modern medicine after getting poisoned by a vaccine.

Allergies:

Symptom List: Vomiting

Symptoms: Within first few days of Johnson andJohnson vaccine....swollen lymph nodes, lymphedema. 2 weeks after vaccine...leg pain, bruising on legs (with no injury), peticiae rash on legs. Now after nearly a month...still having random bruising and pain on my body (without injury), still feel very unwell, having feelings of pressure and visible swelling in neck that comes and goes, still having pain. Yesterday a new bruise appeared on wrist with swelling, pressure, and pain.

Other Meds:

Current Illness:

ID: 1262540
Sex: F
Age: 55
State: VA

Vax Date: 03/07/2021
Onset Date: 03/19/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: None

Allergies: Sulfur drugs, azo standard, bee stings, honey

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: blood clot in my left eye, swelling of the eye and under the eye. headaches at the base of my skull so bad nothing helped. Joint pain so bad I couldn't walk for 2 days.

Other Meds: Zoloft, Otezla, allergy pill, ginko biloba; Cholest-off; Vit D

Current Illness: None

ID: 1262541
Sex: F
Age: 31
State: MI

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 04/27/2021
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: I went to the emergency room and followed up with doctor

Allergies: None

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

Symptoms: I was diagnosed with oral shingles on april 17th, symptoms started on April 13th

Other Meds: None

Current Illness: None

ID: 1262542
Sex: M
Age: 64
State: IL

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/27/2021
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: Strong chest pain that lasted several days. One day was so intense I had to sleep upright. I would get winded walking up a flight of stairs. Normally I run 3-4 miles for workouts. I had pericarditis in my 30s and it felt very similar.

Other Meds: None

Current Illness: None

ID: 1262543
Sex: M
Age: 52
State: NY

Vax Date: 03/30/2021
Onset Date: 04/01/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: N/A

Allergies: None

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

Symptoms: Major outbreak of psoriasis.

Other Meds: Lidex

Current Illness: None

ID: 1262544
Sex: F
Age: 33
State: MD

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/27/2021
Hospital:

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

Lab Data: None

Allergies: None

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

Symptoms: Within half an hour to 45 minutes I experienced an aura (episode prior to a seizure). I have been seizure free for 7 years; controlled via medication. Later that evening I had a fever, chills and severe body aches, along with extreme fatigue. This continued for 2 days. Felt better by the evening of Friday, April 9th. I missed 2 days of work due to the reactions.

Other Meds: Lamotrigine, folic acid, multivitamin, vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am