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: 1225973
Sex: F
Age: 36
State: TX

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: This was my second shot - I woke up the day after the injection with the same Spine/back muscle pain as I had last time with the first shot. The first shot back / spine pain Lasted over 3 weeks it resolved just prior to getting the second shot. It felt as though I had injured my neck - back muscles even though I hadn?t. This second shot I woke up with the same pain from them base of my head to my lower back - felt sore and injured even though I hadn?t injured my back. NEW symptoms occurred as well - had breast bone pain at the same time. Brest bone pain lasted 1 day and resolved - back pain is ongoing but improved compared to last time NEW SYMPTOMS - with second shot two days after I woke up with a swollen puffy face - lips and hands - I can?t fit my rings on. These symptoms are ongoing and my lips are tingling as well - I have never ha d any lip injections or face injections a- I?ve actually never done any derm things to my face but ha e and do use a daily anti wrinkle topical cream

Other Meds: ADDERALL XR 50mg total QD (1 30mg Xr and 1 20mg XR) Reserveage Keratin Hair booster supplement (2 pills nightly )

Current Illness: None

ID: 1225974
Sex: F
Age: 62
State: OR

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: injection site inflamed, hot to touch, hard, tender to touch

Other Meds: none

Current Illness:

ID: 1225976
Sex: F
Age: 47
State: CA

Vax Date: 04/06/2021
Onset Date: 04/12/2021
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: Sulfa based meds, eggplant, garlic

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

Symptoms: 6 days later I started to feel lethargic and couldn't stay awake. The next day I became so weak and had low grade fever. The next day I thought I had covid because of the chills, sweating, weakness, dizziness, dry mouth, malaise, trouble staying awake. I had a covid test it was negative. The DR at the facility told me that I was having severe adverse reaction to the vaccine. It has been 6 days and i am still not well.

Other Meds: lamotrigine, tramadol

Current Illness: none, just seasonal allergies

ID: 1225977
Sex: F
Age: 55
State: WA

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

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

Lab Data:

Allergies: Nortriptyline, Dairy, Gluten

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Throat/tongue felt fat, dizzy, speech changed 20min after shit. Taken to ER for stroke protocol, 3 day hospital stay. No stroke. Speech still not good, Numbness/tingling/dizzy throughput whole body all day long like waves. Some confusion

Other Meds: Bupropion, Ibuprofen, multi vitamin, B supplement, Omega-3, Chlorpheniramine maleate

Current Illness: NA

ID: 1225978
Sex: F
Age: 69
State: PA

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: LA

Lab Data:

Allergies: Morphine

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

Symptoms: Dizzy, still dizzy

Other Meds:

Current Illness: No

ID: 1225979
Sex: F
Age: 39
State: TX

Vax Date: 04/11/2021
Onset Date: 04/01/2021
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: No

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

Symptoms: I don?t have a doctor at the moment but called health services and spoke to a nurse. There is still swelling at the injection site and it has a knot along with stinging and itching. It feels like an infected mosquito bite. Bruised with speckles on skin and warm to the touch. It is now 7 days and feels the same.

Other Meds: None

Current Illness: No

ID: 1225980
Sex: M
Age: 21
State: CO

Vax Date: 04/18/2021
Onset Date: 04/18/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Syncope: Patient became pale and was unable to answer questions roughly 2-3 minutes after receiving the vaccination. Shortly thereafter, his head rolled back and he slumped in the chair for ~10 seconds before regaining consciousness. After awaking, he regained his senses rapidly and was able to state his name and the date. I requested he remain in the area for an additional 30 minutes for his safety. He agreed.

Other Meds: None known

Current Illness: None

ID: 1225981
Sex: M
Age: 63
State: OH

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 04/18/2021
Hospital: Y

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: Pharyngeal swelling

Symptoms: Less than two days after the vaccine was administered, I developed difficulty urinating and a burning sensation while urinating. This occurred again after the second vaccine and required hospitalization.

Other Meds: Terbinafine; January 13 - April 10

Current Illness: Ampicillin; February 26 - March 7

ID: 1225982
Sex: M
Age: 74
State: CA

Vax Date: 03/20/2021
Onset Date: 04/10/2021
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: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 20 days after my second dose of Moderna vaccine I began to experience itching, redness, and hives widely dispersed on my body. Every day until I visited an urgent care center the symptoms became worse. The two days before seeking medical help the symptoms had begun to interfere with my sleep. The redness and hives were over most of my body. The least affected areas were my face and back. The worst were on over both legs, back and front.

Other Meds: lisinopril, metformin, omeprazole, ritalin, vitamins B12, D3, Cialis, cabergoline

Current Illness: Non3

ID: 1225983
Sex: M
Age: 66
State: IL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Evening day of injection: Fatigue, chills and muscle aches. Mild headache. Night: Muscle aches worse, very little sleep all night. Next day: Whole body aches, all muscles, bad headache, hot then cold chills off and on all day. Spent the entire day in bed. Slept better at night finally. Second day a little less severe and mostly gone by the third day.

Other Meds: 10mg Lisinopril daily

Current Illness: None

ID: 1225984
Sex: F
Age: 42
State: IN

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:
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: Chills, nausea, body soreness, headache 2:00 am-6:30pm 4/17/2021 Nausea headache 4/18/2021 all days

Other Meds: Bijuva, Prozac, vitamin e, evening primrose

Current Illness: No

ID: 1225985
Sex: M
Age: 29
State:

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

Symptom List: Rash, Urticaria

Symptoms: Dizziness. Patient presents with light HA, Hypotensive, no signs of resp distress, N, or V. Offered water and vitals taken. BP 102/47, HR 50, RR 18 -- > 109/66, 59. Pt stable and released from vaccination site.

Other Meds:

Current Illness:

ID: 1225986
Sex: F
Age: 47
State: MS

Vax Date: 04/08/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: remicade

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

Symptoms: four days after receiving the Moderna vaccine I began feeling painful lumps under my right armpit which is the arm that was vaccinated. I am currently experiencing these painful lumps under my arm pit, along pain breathing throughout the day.

Other Meds: tirosint 88mcg once daily atorvastatin 20mg once at night Seroquel 200mg once daily

Current Illness:

ID: 1225987
Sex: F
Age: 39
State: NY

Vax Date: 04/11/2021
Onset Date: 04/12/2021
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: None

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

Symptoms: Extreme fatigue began within 1st 24 hours after shot. Fatigue became worse after 24 hours an continued from 04/12/21 through 4/16/21. Fatigue was so severe it kept patient home from work 4/13/21 through 4/16/21. Patient took B complex vitamin supplements, but they had little to no effect. Patient also experienced chills with sweating on 4/12/21 through 4/14/21. Fatigue became less starting 4/17/21 but still continued on 4/18/21.

Other Meds: Pepcid ac, daily multivitamin, seasonal allergy medication over the counter

Current Illness: Seasonal allergies

ID: 1225988
Sex: F
Age: 83
State: CO

Vax Date: 03/01/2021
Onset Date: 03/15/2021
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: Sulfa, Clinda-Flagyl combo.

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

Symptoms: Extreme tremors making use of hands in any and all tasks handling dishes, using microwave, kitchen utensils, providing personal hygiene and everything one does throughout the day involving hands.

Other Meds: 80 mg aspirin, TravatanZ eyedrops, multi vit with minerals, BoneUp by Jarrow for bone health, all taken daily.

Current Illness: None

ID: 1225989
Sex: F
Age: 61
State: MO

Vax Date: 04/15/2021
Onset Date: 04/15/2021
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: Penicillin, Cecil or, keflex, cephalexin, sulfa

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

Symptoms: There were originally two specific lumps on the first day then merged into one large lump at the injection site after approximately 30 hours. The area of the lump is reddish in color and warm to the touch. The current size is approximately 1.5? x1?. It is now 76 hours after the shot.

Other Meds: Gabapentin, Zyrtec, Anacin

Current Illness: None

ID: 1225990
Sex: F
Age: 31
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: None

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

Symptoms: Started with chills at 8PM then quickly progressed to fever reaching 101.5 degrees. Fever remained from 11pm to 9am next morning. Other symptoms include extreme body aches (2 days), head ache (on and off for 2 Days), dizziness (second day), and possible vertigo (second day). Pain at injection site for 2 days. Extreme fatigue for 36 hours.

Other Meds: Eye drops: brimonidine

Current Illness: None

ID: 1225991
Sex: F
Age: 79
State: CA

Vax Date: 04/13/2021
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: None known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Raised skin bumps resembling measles on neck, back, arms, breast and "butt"....none lower. Itching. No fever. Very fatigued.

Other Meds: None

Current Illness: None

ID: 1225992
Sex: F
Age: 81
State: GA

Vax Date: 02/22/2021
Onset Date: 03/05/2021
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: NA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: developed Macular Endema

Other Meds: Vitimine D3 Aleve

Current Illness: Arthritis

ID: 1225993
Sex: M
Age: 62
State: CA

Vax Date: 04/12/2021
Onset Date: 04/14/2021
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: Penicillin

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

Symptoms: Herpes simplex outbreak on lower lip and filtrum, plus low grade fever continuing even after 6 days. Wife also got herpes simplex outbreak on her knee after taking second Pfizer shot.

Other Meds: Carvedilol, atorvastatin, hydrocodone

Current Illness: None

ID: 1225994
Sex: F
Age: 16
State: PA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
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: Soy, stone fruits

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

Symptoms: She developed involuntary movement of head and tongue. No previous hx of Tourette?s syndrome.

Other Meds: Lexapro, Claritin, and flonase

Current Illness: No illnesses

ID: 1225995
Sex: F
Age: 57
State: FL

Vax Date: 03/17/2021
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: Sulfa

Symptom List: Unevaluable event

Symptoms: Vertigo/dizziness, worsened Tinnitis

Other Meds: Valacyclovir, Lovastatin, Flonase, Calcium/D, Lovaza

Current Illness: some headaches

ID: 1225996
Sex: M
Age: 68
State: FL

Vax Date: 03/30/2021
Onset Date: 04/01/2021
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

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

Symptoms: developed shingles on day two following vaccine. Area involved includes left chest, underarm, left upper arm and upper back areas.

Other Meds: Amlodipine, losartan, clonidine, hydralazine, atorvastatin

Current Illness: TIA 3/28/2021, hospitalized overnight

ID: 1225997
Sex: M
Age: 68
State: CO

Vax Date: 03/30/2021
Onset Date: 04/07/2021
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: Ambien

Symptom List: Injection site pain, Pain

Symptoms: Tinnuitis. Started Apr 7, 2021, about 1 week after 2nd vaccine dose. Rt>Lt ear. Increased Sinus Pressure. ER Apr 8/9. CAT Scan positive for congested sinuses. Placed on Amoxicillin for 7 days + Pseudofed bid. No real relief. Saw Primary DR. Apr 13, 2021. Removed ear was rt ear-this helped a bit. Told to stop pseudfed and start Mucinex and continue with Amoxicillin for e additional days (total 10 days). Minimal relief. Still have buzzing in my ears. Plan to see an ENT DR. Will call4/19/2021. Unable to sleep!!!

Other Meds: Levothyroxine: 125mcg q d Lopressor: 100 mg bid Gaba Pentine: 300 mg bid 1 a day Vitamin Melatonin

Current Illness: None

ID: 1225998
Sex: F
Age: 51
State: CT

Vax Date: 03/22/2021
Onset Date: 03/23/2021
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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Tinnitus began after first dose of COVID Pfizer vaccine. It?s a mild high pitch buzzing in both ears that persists all day. So far it continues and hasn?t abated.

Other Meds: Vyvanse, ariprazole, alprazolam, lamotrigine, escitalopram

Current Illness: None

ID: 1225999
Sex: F
Age: 40
State: IL

Vax Date: 04/02/2021
Onset Date: 04/14/2021
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: None

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

Symptoms: Repeated, extreme nosebleed with large clots. I was unable to stop it and had to go to the ER on 4/16. They had to cauterize the site of the bleed. I do have a history of mild nosebleeds but this was unusual. I do not take any blood thinning medications. The silver nitrate did stop the bleeding. The ER ductus was not concerned that this was vaccine related but I thought it was unusual enough to report.

Other Meds: None

Current Illness: Seasonal allergies

ID: 1226000
Sex: F
Age: 58
State: MD

Vax Date: 04/13/2021
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: Penicillin, amoxicillin, and sulfonamides

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Itchy, red, blotchy rash that started most likely 3 days after the vaccination. Pt was scratching it and then the next day realized there is a large rash at the site of injection. She presented the pharmacy with a large (4in) blotchy, red rash, hot to the touch.

Other Meds: Zyrtec, allegra, warfarin, clonazepam, Xanax, spironolactone, Januvia, Symbicort, albuterol, paxil, pantoprazole, midodrine, and atorvastatin.

Current Illness: none

ID: 1226001
Sex: F
Age: 84
State: MI

Vax Date: 04/13/2021
Onset Date: 04/13/2021
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: codeine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Moderna vaccine. Nausea, and chills after two hours of injection. Nausea, light headed and dizzy lasting four days. On 4/18 feeling nausea is better still exhausted and weak.

Other Meds: lovastatin 40mg 1 x day, hydrochlorothiazide 12mg 1 x day, losartin 25mg 1x day, just start donepezil 5mg 1x day 3 days agod

Current Illness: none

ID: 1226002
Sex: F
Age: 38
State: FL

Vax Date: 04/07/2021
Onset Date: 04/10/2021
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: N/A

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

Symptoms: I have had a persistent low-grade fever and feel horrible since day 3 post-shot. Temperature won't come down from 99.5. Headache, brain fog, alternate between burning up/hot skin and chills. Racing heart. I felt 100% great before shot and now feel horrible :(

Other Meds: N/A

Current Illness: N/A

ID: 1226003
Sex: F
Age: 38
State: TX

Vax Date: 04/18/2021
Onset Date: 04/18/2021
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: None

Symptom List: Nausea

Symptoms: After about 5 minutes the patient began to have nausea and had to go throw up in the restroom. When patient was done she stated she had just eaten before getting the vaccine and felt better.

Other Meds: Fludrocortisone 1mg for low blood pressure

Current Illness: N/A

ID: 1226004
Sex: F
Age: 56
State: NC

Vax Date: 03/22/2021
Onset Date: 03/23/2021
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: Topical iodine, Naproxen, Darvon

Symptom List: Injection site pain

Symptoms: Fever 100.7, nausea, painful joints, no energy, headaches, mouth sores. Rash on arm and large swelling at injection. Symtoms started next day and lasted 2 to 3 days. Rash and swelling in arm started day 4 lasted 5 to 6 days.

Other Meds: Gabapentin, Verapamil, ajovy, ubrelvy,

Current Illness: None

ID: 1226005
Sex: F
Age: 78
State: CA

Vax Date: 04/15/2021
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: None

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

Symptoms: Chills, fatigue, muscle and body aches, sleepiness this lasted 36 hrs

Other Meds: aspirin 81mgs atorvastatin Alendronate Brilinta Carvedilol digoxin Levothyroxine Vasepa Trelegy Ellipta Ventolin Azelastine

Current Illness: NONE

ID: 1226006
Sex: M
Age: 49
State: NV

Vax Date: 04/17/2021
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: RA

Lab Data:

Allergies: None

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

Symptoms: Saturday woke up had 2 bouts of vomiting 5-6 times each and 4 bouts of diarrhea

Other Meds: Aspirin Multi vitamin Ginseng Vitamin E

Current Illness: None

ID: 1226007
Sex: F
Age: 37
State: MI

Vax Date: 04/14/2021
Onset Date: 04/14/2021
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: Tremor

Symptoms: Shortly after leaving the vaccination clinic my face felt hot and swollen and looked red across my nose. My throat felt swollen and itchy very quickly. I could breath fine so I did not seek medical attention. It lasted 15-20 minutes.

Other Meds: None

Current Illness: None

ID: 1226008
Sex: F
Age: 69
State: KY

Vax Date: 03/26/2021
Onset Date: 04/08/2021
Rec V Date: 04/18/2021
Hospital: Y

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

Lab Data:

Allergies: Statins

Symptom List: Erythema, Pruritus

Symptoms: A-Fib caused by thyroid issues, potassium too high and/or blood pressure being too high. Had never had thyroid issues or any problems with potassium. Had no blood pressure issue since on medication.

Other Meds: Singular 10mg Metoprolol Succinate 50mg Norvasc 2.5 mg Losartan 25mg Aspirin 81mg Claritin 10mg Calcium 1000mg Multi vitamin Co Q 10 Garlic 1000 mg CholestOff Plus Flonase as needed Meclizine 25 as needed

Current Illness:

ID: 1226009
Sex: F
Age: 67
State: HI

Vax Date: 03/23/2021
Onset Date: 04/12/2021
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: Azithromycin, Hepatitis B Vaccine, Metronidazole, Rivaroxaban.

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

Symptoms: Headache all day at the base of my skull, burning pain across my scalp, right ear and jaw. The following morning I awoke to find that I had right facial droop later diagnosed at the Emergency room as Bell's Palsy.

Other Meds: Amlodipine, Aspirin, Furosemide, Levothyroxin, Losartan Potassium, Montelucast, Potassium Chloride, Prolia, Azelastine, Baclofen, Metformin, Spiriva, Youvafem. OTC Zinc/Vit C/D3.

Current Illness: Hypothyroidism, pre-diabetic

ID: 1226010
Sex: F
Age: 46
State: WI

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: sulfa drugs

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

Symptoms: The first side effect was an extremely sore arm (not only at injection site, but a DEEP ache lasting three days--difficult to dress)--a few hours after the injection. Then, about 10 hours after, I began to feel run down and through the night, I felt feverish, and it was hard to sleep. I never had a fever through the entire length of my side effects. I also had a headache behind my eyes that was exacerbated upon moving my eyes. By day three, I had gastrointestinal symptoms and slight feeling of cough by day two. As the week progressed, I felt more and more fatigued and then I felt some mild shortness of breath. In total, the side effects lasted seven full days. I was sent for a COVID test by day six. I was negative. A few days later, I developed a mild rash (light-pink blotches on my torso--not itchy). I was prescribed a fluticasone cream to apply and they went away after about a week of application twice per day. I also took 12.5 mg of Benadryl for three nights during that time.

Other Meds: fiber, vitamins multi, C and D, iron, calcium, ashwaganda, oil of oregano, magnesium, probiotic

Current Illness: non

ID: 1226011
Sex: F
Age: 33
State: OH

Vax Date: 03/14/2021
Onset Date: 03/19/2021
Rec V Date: 04/18/2021
Hospital: Y

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

Lab Data:

Allergies: PCN

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Miscarriage at 25 weeks. No hx of pregnancy related issues. No hx of miscarriage. Reason for miscarriage not established/no clear reason for miscarriage.

Other Meds: Prenatal vitamin, Vit D

Current Illness: None

ID: 1226012
Sex: F
Age: 39
State:

Vax Date: 04/15/2021
Onset Date: 04/15/2021
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: Known environmental and fruit allergies

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

Symptoms: Known environmental and fruit allergies. Pt c/o Dizziness, flushing/sweating, nausea, "throat feels swollen" w/ concerns that it might close. VSS, no allergic reaction evident today. Given 50mg PO Benadryl. Patient stable and released from vaccination site.

Other Meds:

Current Illness:

ID: 1226013
Sex: F
Age: 50
State: NJ

Vax Date: 04/16/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: CT-contrast, Compazine, Tetracyclines, Sulfa

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

Symptoms: Fatigue, nausea, arm soreness, headache, achy Brain fog, dizziness, very vivid dreams

Other Meds: Lamictal (anti-seizure) dilaudid (CRPS), Pantoprazole (Gastritis)

Current Illness: N/A

ID: 1226015
Sex: F
Age: 69
State: IN

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

Lab Data:

Allergies: Morphine

Symptom List: Pain in extremity

Symptoms: Sore arm, stiff neck, diarrhea

Other Meds: Many

Current Illness: None

ID: 1226016
Sex: M
Age: 28
State: GA

Vax Date: 04/12/2021
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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: spots on the forearm

Other Meds: none

Current Illness: none

ID: 1226017
Sex: M
Age: 74
State: CO

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

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

Symptoms: very sore left arm aching unable to raise my left arm above my shoulder for two days

Other Meds: Finesteride 5mg; Tamsulosin .4mg; Atorvastatin 20mg; Glucosamine HCI 1500mg with MSM 1500mg; CoQ10 300mg soft gel tabs

Current Illness:

ID: 1226018
Sex: F
Age: 30
State: NY

Vax Date: 04/15/2021
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: At 2:15 am on 4/17/21, I woke up with nausea and stomach pain. Experienced fainting (twice), vomiting and diarrhea (twice).

Other Meds:

Current Illness:

ID: 1226019
Sex: F
Age: 51
State: MO

Vax Date: 04/17/2021
Onset Date: 04/17/2021
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: Sulfa Drugs

Symptom List: Vomiting

Symptoms: About 7 hours post injection, I started experiencing general increasing discomfort and almost unbearable heat at the injection site. In addition, I started feeling light-headed and had loud ringing in my ears. I was able to move to a chair and sit down, and a family member provided me with a cold pack to place on my arm. Eventually, the ringing in my ears subsided and I no longer felt like I was going to pass out. This episode lasted for about 20 - 30 minutes. I was chilled for the remainder of the evening on 4/17.2021. Today (4/18/2021), I have had periods of light-headedness, but not nearly as severe as yesterday.

Other Meds: Probiotic, B-complex, Magnesium, Vit D

Current Illness: N/A

ID: 1226020
Sex: F
Age: 20
State: FL

Vax Date: 04/14/2021
Onset Date: 04/16/2021
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: Dust allergy

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I took the vaccine on 14th April, at 1:30pm, on that night I started having vaginal spotting as well as cramping which felt like period cramps, on 15th night I started having my periods. My periods were supposed to be on 28th April, also it?s my third day of period and my period hasn?t been this heavy in a long time.

Other Meds: Vitamin-C, Fluoxetine.

Current Illness:

ID: 1226021
Sex: F
Age: 33
State: GA

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: None

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

Symptoms: Developed papular rash diffusely on face. Associated with mild pruritus. No redness, warmth, tenderness. Rashes been present for 6 days and is improving.

Other Meds: None

Current Illness: None

ID: 1226022
Sex: F
Age: 28
State: MT

Vax Date: 04/07/2021
Onset Date: 04/15/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Miscarriage diagnosed at 14 weeks 0 days. At the time of diagnosis, fetus was measuring 13 weeks 0 days. Fetus was viable with + fetal heart rate of 165 at 13 weeks 5 days at routine prenatal visit.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1226023
Sex: F
Age: 50
State: WI

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

Lab Data:

Allergies: NKDA

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

Symptoms: bilateral hand swelling, pain and erythema

Other Meds: Chlorthalidone 25mg/day, lisinopril 5mg/day, zyrtec QD, Prempro, magnesium, selenium

Current Illness: HTN, allergic rhinitis, premature menopause, hypothyroidism, autoimmue nephrotitis (? in past)

ID: 1226024
Sex: F
Age: 51
State: MO

Vax Date: 04/17/2021
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: RA

Lab Data:

Allergies: Levaquin, Cipro, Minicycoline

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

Symptoms: Rcvd injection at 10 am, 10:05 am rapid heartbeat, dizziness, weak. Sat down. 10:20 am heartbeat steadied, still a little disoriented but able to leave facility. 10:25am, left side of face swelled up. 10:30 am, in bed, slept for 3 hours, profuse sweating. Upon waking up, tired, swollen left side of face, headache, sore throat, injection site and other muscle pain. Back to bed 8pm, same symptoms. Sunday morning the 18th 8 am drenched with sweat, injection site pain, swollen left side of face. By noon, after taking daily medications and shower, cold compress on left side of face, swelling down, still feeling tired, but overall feeling better.

Other Meds: Valsartin, Citalopram, Pantoprazole, Levothyroxine, Pravastatin, Bupropion hcl, Alprazolam, Bayer low dose aspirin, Vitamin D, One a Day Vitamin, Allegra.

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm