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: 1224207
Sex: F
Age: 21
State:

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Swollen lymph nodes on same side of injection next day, slight swelling of face on left side, night sweats, chills.

Other Meds: Cetrizine

Current Illness:

ID: 1224208
Sex: M
Age: 57
State: FL

Vax Date: 02/04/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
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: Tamiflu

Symptom List: Anxiety, Dyspnoea

Symptoms: Got my 2nd Moderna Shot on 2/4/2021 my 1st one was on 1/7/2021 so 2 months after getting my 2nd shot my primary doctor and I decided to run the Covid 19 Antibodies test on me to make sure I am protected since I am Immunocompromised and at high risk. My test results came back the next day from Quest and said I was Negative for the Antibodies, Any input on this please?

Other Meds: Lots - Contact for more info

Current Illness: Lots - Contact for more info

ID: 1224209
Sex: M
Age: 24
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/18/2021
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: Rocephin

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

Symptoms: I received the J&J COVID-19 vaccine, within minutes, I passed out. While unconscious, I hit my head on the pavement, resulting in a laceration across my right eye-brow requiring 10 stitches.

Other Meds: N/A

Current Illness: N/A

ID: 1224210
Sex: F
Age: 47
State: WV

Vax Date: 04/09/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Theodore amplifon Quibron demeriol suffer taxatere

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever chills diarrhea Red hot rash on arm a week after injection

Other Meds:

Current Illness:

ID: 1224211
Sex: M
Age: 19
State: MN

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: NKDA

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

Symptoms: admitted to hospital with chest pain, elevated troponin with clinical exam consistent with myocarditis/pericarditis. No known past medical history, no recent upper respiratory / GI illness preceding admission

Other Meds: None

Current Illness: None

ID: 1224212
Sex: F
Age: 52
State: CA

Vax Date: 03/23/2021
Onset Date: 04/04/2021
Rec V Date: 04/18/2021
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: Iodine

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

Symptoms: I woke up with my face swollen on right side. Lip was also swollen. Numbness on right side of face. Similar to Bells Palsy symptoms but no problem with eye closure. Next day the swelling went down but continued to have numbness and some nerve pain on face for about 10 more days.

Other Meds: Blood Pressure medicine.

Current Illness: None

ID: 1224213
Sex: F
Age: 46
State: TN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/18/2021
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 - Anaphylactic, Keflex; Multiple food allergies/sensitivities; Environmental sensitivities Mold allergy.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Respiratory swelling: asthma attack was stopped by albuterol inhaler. It lasted about 12 hours.

Other Meds: Multiple medications and vitamins for chronic health issues

Current Illness: Allergies

ID: 1224214
Sex: F
Age:
State: CA

Vax Date: 03/03/2021
Onset Date: 03/01/2021
Rec V Date: 04/18/2021
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: 3 days ago, there was a coloring on her toenail like a blood vessel rupture; facial numbness; Immediate numbness/numbness in left leg/numbness in left arm; tingling; sharp pain like poked with a pin; left big toe is really painful; This is a spontaneous report from a contactable consumer, the patient, received from a program. A female patient of an unspecified age received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration on 03Mar2021 as a single dose for COVID-19 immunisation. Medical history included chemical sensitivity. The patient's concomitant medications were not reported. In Mar2021, the patient experienced immediate numbness, tingling and sharp pain like being poked with a pin. She had numbness of her left leg and left arm. She reported her left big toe was painful. On 07Mar2021, the left side of her face was numb which lasted for 2 hours. On 22Mar2021, there was a coloring on her toenail like a blood vessel rupture. The clinical outcome of the facial numbness was recovered on 07Mar2021, while the outcomes of the numbness, tingling, sharp pain, big toe painful, and coloring of her toenail were unknown. No follow-up attempts are possible; information about lot number cannot be obtained.

Other Meds:

Current Illness:

ID: 1224215
Sex: F
Age: 37
State: IN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/18/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Menstrual cycle began the morning after my vaccine (a week early), which isn?t typical for me. Cycle was extremely heavy and I called my OB for medicine to help with the amount of blood loss.

Other Meds: Anxiety med, Apple Cider Vinegar Gummies

Current Illness: None

ID: 1224216
Sex: F
Age: 30
State: CA

Vax Date: 02/22/2021
Onset Date: 02/28/2021
Rec V Date: 04/18/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Premature menstrual cycles/periods; Nipple Discharge.

Other Meds: None

Current Illness: None

ID: 1224217
Sex: F
Age: 40
State: CA

Vax Date: 03/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/18/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Mondor?s Disease in right breast

Other Meds: Advair

Current Illness: None

ID: 1224218
Sex: F
Age: 60
State: MN

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: Penicillin

Symptom List: Rash, Urticaria

Symptoms: Severe weakness in arms, especially upper arms, tingling, fatigue, queasiness.

Other Meds: 600 mg calcium, ibuprofen (3) for joint pain, once per day

Current Illness: None

ID: 1224219
Sex: F
Age: 40
State: CA

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

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Extreme head ache, irritability, dry mouth, numbness and tingling of my left arm, my tongue feels tingly. I feel like I drank about ten red bulls my heart feels like its racing!

Other Meds: None

Current Illness: None

ID: 1224220
Sex: F
Age: 73
State: OH

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 04/18/2021
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: Plants, animals dust dust mites

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

Symptoms: Red spots appeared on the lower arm left, few days later redder and numerous appeared on left leg the out side knee down. two weeks later spots appeared on right leg outside lower back of calf. 19 days later spots appeared on both tops of feet. second vaccine added more spots on inside of left leg, and also on right leg. 4/12/21 was second shot on 4/13/21 chilled all day.

Other Meds: Cetirizine, Qvar Redihaler

Current Illness:

ID: 1224221
Sex: M
Age:
State: PA

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 04/18/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Fever on set 36 hours post shot; headache; chills; sinus pressure; General soreness across body; Grogginess; This is a spontaneous report received from a contactable consumer (Patient) via Reference No. A 26 year old male reported for himself that he received the first dose of BNT162B2 (Pfizer-BioNTech COVID-19 Vaccine; Solution for injection; Lot number: ER8727; expiry date: unknown) via an unspecified route of administration in the left arm on 25-MAR-2021 at 4:00 as a single dose for COVID-19 immnunisation. The patient did not had any relevant medical history. Concomitant medications were not reported. On 27Mar2021, the patient experienced Fever on set 36 hours post shot, headache, chills, sinus pressure, general soreness across body. By 5th day, fever, chills, and soreness have subsided, all that remains is the headaches and grogginess. The patient did not have allergies to medications, food, or other products. The patient did not receive any treatment for the event. The patient did not receive any vaccine prior to vaccination. The outcome for the events headache, chills, para nasal discomfort were captured as recovering and the outcome for pyrexia and grogginess was captured as not recovered. Follow up closed. Information of lot/batch is available.

Other Meds:

Current Illness:

ID: 1224222
Sex: F
Age: 27
State: CO

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/18/2021
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: Allergic to passion fruit, mildly allergic to cats

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

Symptoms: Red & swollen arm, fever, chills, headache, body tremors, weak, muscle fatigue; started 5 hours after shot, got worse over night, was very painful in the morning to the point of sobbing and having to call into work sick, ended within 30 hours of getting vaccine; arm still a little soar 1 week after shot (felt like a bruise)

Other Meds: Kyleena IUD

Current Illness: None

ID: 1224223
Sex: F
Age: 21
State: NY

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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:

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

Symptoms: I developed arm pain and headache/nausea at about 11pm after the shot (at 1:30pm). I was nauseous, had body aches, severe arm pain, and a head ache all night and did not sleep well. Then I woke up at 1pm the next day with less arm pain, no nausea, less body aches, and a slight headache. This continued through the day, and then at 7:00pm I started to get a severe headache and arm pain again.

Other Meds: 60 mg Duloxetine once a day

Current Illness:

ID: 1224224
Sex: M
Age: 38
State: WA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I've noticed since my vaccine a noticeable level of tinnitus. I've never had this problem before. Do not know if its related to my vaccine, but seems coincidental. I've not sought medical treatment or testing, just reporting this observation.

Other Meds: NA

Current Illness: NA

ID: 1224225
Sex: F
Age: 52
State:

Vax Date: 03/23/2021
Onset Date: 03/30/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 7 days after first shot, left arm had a rash, was hot and swollen. Rash lasted 3 days.

Other Meds:

Current Illness:

ID: 1224226
Sex: F
Age: 40
State: TX

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Codine

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

Symptoms: The very next day after receiving the injection, I was extremely fatigued. On the following Tuesday 4/12 I woke up with a headache that persisit for 16 hours.

Other Meds: Xyzal; Women's multi-vitiamn; vitiamn E; Nasal Decongestant; excedrin

Current Illness: None

ID: 1224227
Sex: M
Age: 26
State: KS

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/18/2021
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: Peanut/tree nut allergy

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

Symptoms: Tinnitus and minor hearing loss in right ear, on and off, for last 2 days. No treatment taken so far.

Other Meds: None

Current Illness: None

ID: 1224228
Sex: F
Age:
State: MA

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 04/18/2021
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: Headache, Extreme tiredness, Stomach cramping and pain, Gassy, Diarrhea for 5-6 days.; Headache, Extreme tiredness, Stomach cramping and pain, Gassy, Diarrhea for 5-6 days.; Headache, Extreme tiredness, Stomach cramping and pain, Gassy, Diarrhea for 5-6 days.; Headache, Extreme tiredness, Stomach cramping and pain, Gassy, Diarrhea for 5-6 days.; Headache, Extreme tiredness, Stomach cramping and pain, Gassy, Diarrhea for 5-6 days.; This is a spontaneous report received from a contactable consumer (patient). A 41-years-old female patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: er2613), via an unspecified route of administration in arm left on 20Mar2021 10:30 AM as single dose for COVID-19 immunization. The patient was not pregnant. The patient medical history included POTS. The patient concomitant medications were not reported. The patient had allergies to Contrast Dye. Prior to the vaccination, the patient was not diagnosed with COVID-19. The patient received Xyzal, Spiralactone within 2 weeks of vaccination. No other vaccine in four weeks. On 21Mar2021 at 15:15 PM, the patient experienced headache, extreme tiredness, stomach cramping and pain, gassy, diarrhea for 5-6 days. The adverse event result in Doctor or other healthcare professional office/clinic visit.The patient did not receive any treatment for the events. The outcome of the events was recovered. Follow up closed. Information of lot/batch number was available.

Other Meds: XYZAL; SPIROLACTONE

Current Illness:

ID: 1224229
Sex: F
Age: 25
State: MI

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/18/2021
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: Nothing

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

Symptoms: Headache since second day after injection, along with muscle spasms, body soreness, dizziness, fatigue, stomach ache, and neck pain.

Other Meds: Nothing

Current Illness: Nothing

ID: 1224230
Sex: M
Age: 39
State: FL

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/18/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: April 6, Immediate muscle soreness at injection site. April 7 Morning chills. Soreness spreading. Body aches. Headache. Mild tinnitus. Cough. Chills gone by afternoon. April 8, No chills. Overnight sweat. Reduced body aches, headache, soreness. April 9, Reduced body aches, headache, soreness. All symptoms reducing over next few days. April 14, Symptoms gone. Slight tinnitus remains.

Other Meds: Vitamin D3 50mcg

Current Illness: None

ID: 1224231
Sex: F
Age: 35
State: CA

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/18/2021
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: Swelling in upper arm and armpit. Red, itchy rash on upper arm. Warm to the touch.

Other Meds: None

Current Illness:

ID: 1224232
Sex: M
Age: 68
State: KY

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/18/2021
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: Most foods and pollens, epinephrine, anti depressants, H2 blockers, many drugs that are contraindicated with Norpace

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

Symptoms: High Fever lasting more than a day, severe muscle skeletal pain.

Other Meds: Norpace, Tylenol, Rioxycodone, multiple vitamin, vitamin D, Eliquis

Current Illness: Cervical and Lumbar stenosis, atrial fibrillation

ID: 1224234
Sex: F
Age: 68
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Awoke with chills, severe leg cramps, painful muscles, severe frontal headache and nausea. Tried hot tub and massage. Able to tolerate but dependent on walker for toileting. Returned to bed. Perspired, chills, teeth chattering. Tried sips of water and vomited. Fatigue. Remained in bed until about 5:30 pm. Able to tolerate sips around 4 pm. Able to tolerate sips of water about 6pm. No appetite. Had chicken broth and water. Nausea lessened. Headache severe and unresolved with either asprin or Motrin. Returned to sleep about 11:30 pm and woke again around 4. Not chills or sweats. Mild headache. Injection site amd left deltoid painful to touch. Cannot sleep on side. Left side supra clavicular lymph nodes painful and swollen 10-25 mm .

Other Meds: Advair, spiriva, singular, aciphex, magnesium, vitamin D, mylanta, motirn, Zyrtec, pataday

Current Illness: None

ID: 1224235
Sex: F
Age: 26
State: CA

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

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Day1(4/8) I had a high fever (104 *F) and it hurt all over my body at 10.pm. Day2(4/9) I didn?t have that symptoms at the morning(about 8:00-11:30.am) But I was getting hurt all over my body at 12:00-19:00.pm. And I was getting head headache and had a high fever (104*F) at 8:00 pm Day3 I have had no symptoms.

Other Meds: I?ve usually taken pills but that day haven?t. Because that day was a drug holiday. So I haven?t been taken it now.

Current Illness: None

ID: 1224236
Sex: F
Age:
State:

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/18/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Site injection soreness; Site injection soreness, fatigue; This is a spontaneous report from a contactable consumer (Patient) or other non hcp. A 60-years-old female patient received bnt162b2 PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, Batch/Lot Number: EN8730) dose 1 via an unspecified route of administration, administered in arm Left on 29Mar2021 02:00 as single dose for covid-19 immunisation. Medical history included blood cholesterol increased. Concomitant medications included simvastatin (SIMVASTATIN), ergocalciferol (CALCIFEROL VIT D), omega-3 (OMEGA-3 NOS) taken for an unspecified indication, start and stop date were not reported. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. She experienced site injection soreness and fatigue. The patient did not receive treatment for the events. The outcome of the events were recovered. No follow-up attempts are needed. No further information is expected.

Other Meds: SIMVASTATIN; CALCIFEROL VIT D; OMEGA-3 NOS

Current Illness:

ID: 1224237
Sex: M
Age: 49
State: AK

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

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea

Symptoms: Moderate leg pain and cramps for 2 weeks.

Other Meds: amlpdipine-atrovastin 10-40mg

Current Illness:

ID: 1224238
Sex: F
Age: 35
State: CO

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
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: Left leg pain Mild Chest pain (resolved)

Other Meds: None

Current Illness: None

ID: 1224239
Sex: F
Age: 39
State: GA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Had blood clot in left leg. Blood in eyes. Sinus sore throat short breath congested headache vision problems. Tested positive for strep one month after receiving one vaccine been taking antibiotics for 6 days but I'm getting worse.

Other Meds: Aspirin, exactly 1 month 6 days today. I started taking amox-clav 875-125 mg 6 days ago because I tested positive for strep.

Current Illness: Broke both femurs and pulmonary embolism in left lung. January. Motorcycle wreck I had tested positive for covid some time in Aug 25 2020

ID: 1224240
Sex: F
Age: 73
State: WI

Vax Date: 03/25/2021
Onset Date: 04/03/2021
Rec V Date: 04/18/2021
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: reaction to statin cholesterol meds, penicillin, sulfa, probanthine, phenobarbital, fragrances, soaps, red dye, foods - watermelon, eggs, gluten sensitivity, soy, wool, seasonal allergies, dust mold, lilacs,

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

Symptoms: Initially I had joint and muscle soreness. On April 3, 2021 when I went to stand up after being seated my left knee made a grinding sound and I had pain shooting up the outside of my left leg to the hip area. I was able to bear weight on the left foot but the affected area was very painful. I treated myself with ice packs and additional Tylenol (I normally take 2000 mg daily but increased it to 4000mg for several days for break through pain) rest, and elevated my legs. Today is day 15 since my symptoms began and I still occasionally have pain in the left upper outer thigh which seems to be telated to positioning but am back to my usual dose of Tylenol.

Other Meds: Tylenol, Celebrex, Warfarin, Montelukast, Cholesterol med, Vitamin D, Zinc, Glucosamine chondroitin, Vitamin C, gingko biloba, multivitamin, Vitamin E, calcium, Lactaid

Current Illness: none

ID: 1224241
Sex: F
Age: 58
State: IL

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/18/2021
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: Strawberries Pineapple

Symptom List: Tremor

Symptoms: Shingles

Other Meds: Buspar Xanex Levothyroxine Lexapro

Current Illness:

ID: 1224242
Sex: M
Age:
State: TX

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/18/2021
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: Erythema, Pruritus

Symptoms: Chills; fever; muscle soreness; This is a spontaneous report from a contactable consumer (patient). A 48-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiration date were unknown), via an unspecified route of administration, in left arm on 29Mar2021 at 08:45 (at the age of 48-year-old) at single dose for COVID-19 immunization. Medical history included Epstein-Barr and diagnosis of COVID-19 prior to vaccination. The patient did not receive concomitant medications. The patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. Since the vaccination, patient hasn't been tested for COVID-19. The patient experienced chills, fever and muscle soreness the night after the vaccine on 29Mar2021 at 22:00. He woke up with the same. The patient didn't receive any treatment for the events. Outcome of the events was not resolved. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Other Meds:

Current Illness:

ID: 1224243
Sex: M
Age: 49
State: ND

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/18/2021
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: Penicillin, morphine, jalape?o

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

Symptoms: Headache, chills, fever, body headache, rigors, fatigue, malaise, through the vaccination night. Since vacation has continuous fatigue and headache. 4/12/21 right side neck/face pain and headache on right side.-worsening 4/16/21-went to walk in clinic. 4/17/21 headache/neck pain extreme went to ED. Continues to have neck/face and headache.

Other Meds: Nothing

Current Illness: None

ID: 1224244
Sex: F
Age: 32
State: CA

Vax Date: 04/10/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Usually significant reactions to mosquito bites (swelling).

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

Symptoms: Significant swelling of outer arm (close to injection site) a week after injection. Swelling appears hard, with reduced mobility in arm. Similar to a significant reaction to a mosquito bite.

Other Meds: None

Current Illness:

ID: 1224245
Sex: M
Age: 63
State: WA

Vax Date: 03/31/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Vancomycin; Penicillin; Sulfa Drugs

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Nausea and dizziness 4/14 - 4/17. Sudden hearing loss and tinnitus in right ear on 4/17 (no prior tinnitus and previously only mild hearing loss in both ears).

Other Meds: Atorvastatin 10mg; Pantoprazole 20mg

Current Illness: N/A

ID: 1224246
Sex: F
Age: 39
State: NV

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: 2 inch red circle around injection site that is warm to the touch. Hard lump under skin about the same size of the red spot that hurts when you put pressure on it.

Other Meds: none

Current Illness: none

ID: 1224247
Sex: F
Age: 41
State: FL

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/18/2021
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: IVP Dye Penicillin?

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

Symptoms: Soreness for 2 days, but then a red, swollen mark that the skin felt more hard in that area. Sometimes itchy but has lasted more than a week now. I don't want this to be permanent or happen in my other arm too as it says if you got the "covid rash" to get in opposite arm for 2nd vaccine

Other Meds: None

Current Illness: None

ID: 1224248
Sex: F
Age: 37
State: OR

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pain in extremity

Symptoms: Tender/swollen lymph nodes in armpit on side of injection. Slightly reddish bump , warm to the touch at injection site a week after 1st dose.

Other Meds: Lexapro

Current Illness: None

ID: 1224249
Sex: M
Age:
State: FL

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 04/18/2021
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: Headache; fever 103; muscle aches; This is a spontaneous report from a non-contactable consumer (Patient). A 64-year-old male patient received second dose of BNT162B2 (Covid shot, PFIZER-BIONTECH COVID-19 VACCINE, Solution for injection, Lot number: unknown), via an intramuscular route of administration at left arm on 23Mar2021 15:30 as single dose for COVID-19 immunization. Patient had historical vaccine (at 64-year-old) first dose of BNT162B2 at left arm on 02Mar2021 03:30 PM for COVID-19 immunization. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient's medical history included Cancer. Past drug event of patient was allergies with Penicillin. Concomitant medications included pembrolizumab (KEYTRUDA). On 24Mar2021 17:00, the patient experienced headache, fever 103, and muscle aches. Prior to vaccination, the patient was not diagnosed with COVID-19 and also not been tested for COVID-19 since the vaccination. The patient underwent lab tests and procedures which included fever was 103 on 24Mar2021. Treatment was not received for adverse event. The outcome of the events was recovered. No follow-up attempts are possible. No further information is expected.

Other Meds: KEYTRUDA

Current Illness:

ID: 1224250
Sex: M
Age: 45
State: TX

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/18/2021
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: Ringing in my ears, most likely tinnitus, and it has not gone away

Other Meds: Cyclosporine

Current Illness: None

ID: 1224251
Sex: F
Age: 32
State:

Vax Date: 04/10/2021
Onset Date: 04/17/2021
Rec V Date: 04/18/2021
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: Itchy bump

Other Meds: Birth control

Current Illness:

ID: 1224252
Sex: M
Age: 17
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/18/2021
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:

Symptom List: Vomiting

Symptoms: Severe vomiting and nausea

Other Meds:

Current Illness:

ID: 1224253
Sex: F
Age: 39
State: CA

Vax Date: 04/10/2021
Onset Date: 04/12/2021
Rec V Date: 04/18/2021
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: Cefalexin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Severe headache started second day after vaccination. Treated with OTC pain medication. Headache subsided on 6th day.

Other Meds:

Current Illness:

ID: 1224254
Sex: F
Age: 70
State: AZ

Vax Date: 03/06/2021
Onset Date: 03/11/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient came in with painful rash on R side of forehead on 3/24/21 exam and symptoms consistent with zoster. Treated and rash resolved but has persistent pain

Other Meds: vitamin D, levothyroxine, fosamax and simvastatin

Current Illness: None

ID: 1224255
Sex: F
Age: 23
State: CA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/18/2021
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: Nickel

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Persistent itchiness and redness at vaccination site. It started a 8-10 hours after injection and it still occurring 48 hours later.

Other Meds: None

Current Illness: None

ID: 1224256
Sex: F
Age: 48
State: CA

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/18/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Persistent headache for days, lightheadedness, blurred vision, heavy, almost vertigo-like. Fog

Other Meds: Zyrtec, Flonase

Current Illness:

ID: 1224257
Sex: F
Age: 60
State: WI

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

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

Lab Data:

Allergies: Erythromycin , hydrclotroizide , penicillin

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

Symptoms: I had the Covid 19 shot number 1. They cancelled shot number 2 it has been almost 60 days. I now have long term parethenesia. A main nerve condition that I never has before caused by the Covid 19 vaccine. In my quest of many doctors to find help, I have met many people along the way also suffering from long term nerve problems from this vaccine. No one know how to treat any of us. I have tried my main doctor, that was initially treated with prednisone pack. That lasted 10 days. It came back at2/3 less than it was, but it is still there. From the knees down, to my feet...pins needs, prickly feeling numbness. The same for my arms and hands from the elbow down and my cheeks. It has flared up my carpal tunnel nerve in both my hands and headaches.

Other Meds: No prescriptions taken within 12 hours

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm