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: 1227336
Sex: F
Age: 28
State: FL

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Heart racing, increased heart rate, fatigue My normal resting heart rate is approximately 66, but after getting the vaccine, it has been consistently around 90 all day.

Other Meds:

Current Illness:

ID: 1227337
Sex: F
Age: 58
State: NJ

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

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: SVT, PAC, heart rate at 180 sustained for hours. Surgery (Ablation ) required.

Other Meds:

Current Illness:

ID: 1227338
Sex: F
Age: 39
State: FL

Vax Date: 04/07/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: After vaccination, just soreness at the site and lasted about 1.5 to 2 days. Nothing after that, then I noticed two day agos, which would be 9 or 10days after vaccination, a quarter size red area at the site. It looked like the aftermath of a mosquito bite so didn't think much of it. Then tonight, I noticed that the rash got bigger...a slight tingling sensation, not severe and slightly itchy. Definitely not a bug bite. I did some research and read it could be "covid arm" or "vaccine arm." I'll monitor it for next few days since I read it'll go away and is harmless. I'll call my doctor if no improvement by end of the week.

Other Meds: I take these daily: Multivitamin, turmeric, potassium, magnesium, zinc, pre and probiotics

Current Illness: None

ID: 1227339
Sex: F
Age: 21
State: NC

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: RPH ADMINISTERED JANSSEN'S COVID-19 VACCINE AT 10 AM AND WITHIN A FEW MINUTES, PATIENT FAINTED AND SLIPPED OFF HER CHAIR TO THE FLOOR. PATIENT CAME TO WITHIN A MINUTE AND RPH HELPED HER TO THE CHAIR, OFFERED HER WATER AND A BANANA, AND THE PATIENT DID NOT SEEM HURT. RPH MONITORED THE PATIENT'S BLLOD PRESSURE AND COLORING/ SWEATING FOR 30 MINUTES BEFORE SHE LEFT THE PHARMACY AND HER FATHER DROVE HER HOME.

Other Meds: UNKNOWN

Current Illness: NONE KNOWN

ID: 1227340
Sex: F
Age: 59
State: OH

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

Lab Data:

Allergies: Dust mites, environmental

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

Symptoms: Immediately felt warm sensation flow from upper body to lower.I said something is happening. Felt jittery, flutter in chest and scared. Felt weak like I would pass out. Felt distant from Emt and nurse . Had difficulty getting words out. After about 7 minutes emt took me to his area ck bp it was 130/70. I know it would have been lower had he taken it sooner. I drank 3 waters stayed about an hour after injection.

Other Meds: Tramadol ER Metformin bupropion Lisinopril , baby aspirin Arthrotec Singulair, zyrtec Lyrica Dex Amphetamine tizanidine Centrum MVI, vitamin D3, calcium and b12

Current Illness:

ID: 1227341
Sex: F
Age: 48
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
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: None

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

Symptoms: Chilling, fever, headache, body aches, tiredness for about 20 hours. Diarrhea for the following 48 hours. Also some ear aches.

Other Meds: None

Current Illness: None, positive COVID test March 1st

ID: 1227342
Sex: F
Age: 28
State: FL

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Numbness & Tingling in Right Ankle/Foot and Right Hand/Wrist 20 minutes post vaccination. Sensation lasted approximately 30 minutes then stopped. Worried about second future dose complications.

Other Meds: None

Current Illness: None

ID: 1227343
Sex: F
Age: 48
State: MA

Vax Date: 03/22/2021
Onset Date: 03/25/2021
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: I had Covid in dec 2020 and lost my sense of taste and smell completely for a few weeks. It had returned partially, but not fully when I got my vaccine in March. I have had severe parosmia since I got my first shot-- after 4 days, everything I ate and drank began to taste and smell like burned rubber/trash combination - and I started to notice that the air I breathed smelled the same way. Worse, this seemed to intensify after my second shot and then I started to smell cigarette smoke with every breath, or a chemical odor-- like paint fumes and sharpie fumes mixed together. And I got a headache as if I was smelling fumes. I was not ever smelling fumes or smoke- I live with 3 kids and a husband and they assure me I'm crazy. I've googled it and learned the word phantosmia. I'm now 7 days after my second shot and panicking that this will never end. More importantly no one told me this could happen, and no one acknowledges that this has happened or could happen. And maybe it's a bizarre coincidence... but I'm reporting it in case others are experiencing it. It would be good to make this known so that people know what is happening and why...

Other Meds:

Current Illness:

ID: 1227344
Sex: F
Age: 45
State: TX

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Delayed cutaneous hypersensitivity: Two days after vaccination, developed large (5 inch by 2.5 inch) red patch on left upper arm which was slightly swollen, mildly itchy, and warm to the touch.

Other Meds: Zyrtec Vitamin D Vitamin B/C

Current Illness: None

ID: 1227345
Sex: F
Age: 40
State: IL

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Received the shot at 5:30pm on 4/16. Slept fine. Woke up at 6:00 feeling bad. Started with dizziness, nausea, and vomiting. Pain in head and body. Body aches. Bed ridden all day. More dizziness and vomiting in the late morning. Fever of 103. Body aches, dizziness , nausea. Body aches continued until about 9 pm.

Other Meds: Escitalopram

Current Illness: None

ID: 1227346
Sex: F
Age: 38
State: MA

Vax Date: 04/08/2021
Onset Date: 04/11/2021
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: Dairy - allergy Gluten - sensitivity

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

Symptoms: BRADYCARDIA Typical flu like reaction to vaccine day after injection [Fri, 4/9 - Day 1 post vax (aka PV)] with modest HR increase (as expected) (Background: typical resting heart rate (rhr) taking into account variables (i.e. hormonal variations, hydration status, altitude changes etc) = 63 rhr - I am NOT an elite athlete, but am fit and active) Beginning Saturday, 4/10 - DAY 2 PV heart rate began steadily decreasing by two average heart beats / minute for three days, which has never happened before. Monday 4/12, DAY 4 PV, rhr dropped to 57, which is the lowest is has been ever. Between 4/12 - 4/15, DAYS 4-7 rhr = 57/58 Friday, 4/16 DAY 8 rhr = 56 Saturday, 4/17 DAY 9 rhr = 56 Sunday, 4/18 DAY 10 rhr = 55 symptoms = increased fatigue, some weakness in hands, lightheadedness, decreased appetite

Other Meds: Tylenol - PRN Tirosint - .25mcg

Current Illness: n/a

ID: 1227347
Sex: M
Age: 49
State: SC

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Unknown

Symptom List: Rash, Urticaria

Symptoms: Cold and shivering Persisting High fever , over 18 hours Headache and facial/jaw ache Hyper tiredness

Other Meds: Liptor Aspirin

Current Illness: None

ID: 1227348
Sex: F
Age: 43
State: IL

Vax Date: 04/08/2021
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: Bactrim, amoxicillin, prednisone

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

Symptoms: Nausea, shortness of breath, body aches, headache, hives started on day 6

Other Meds: Motrin

Current Illness:

ID: 1227349
Sex: F
Age: 64
State: OH

Vax Date: 04/07/2021
Onset Date: 04/13/2021
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: Penicillin, tetracycline, sulfa drugs

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

Symptoms: Extreme vertigo, nausea, fatigue, so far lasting 5 days

Other Meds: Latanaprost drops, pravastatin, Prilosec, vitamin C, vitamin D, calcium, CoQ10, stool softener, magnesium, acidophilus

Current Illness: None

ID: 1227350
Sex: F
Age: 41
State: IN

Vax Date: 04/10/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Itchy red spot at injection site Hardness under skin by injection site.

Other Meds: Amlodipine

Current Illness: None

ID: 1227351
Sex: F
Age: 28
State: MO

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Lymph nodes in armpit have swelled with bruising on BOTH armpits. Rashes also appeared on BOTH armpits.

Other Meds:

Current Illness:

ID: 1227352
Sex: F
Age: 42
State: WI

Vax Date: 04/10/2021
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: Rash/hives- started 6 days from vaccine. Started in right arm. Took allergy medication and hydrocortisone cream to treat- would clear up. Hives would come back as meds wore off- different areas at different times over the last 3 days. Once I had hives covering me from the neck down to my feet. Took more meds and would go away.

Other Meds: None

Current Illness: Essential thrombocytosis

ID: 1227353
Sex: F
Age: 18
State: NY

Vax Date: 04/17/2021
Onset Date: 04/18/2021
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: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills Fatigue Nausea Pounding headache Extreme arm pain Crying

Other Meds: Tylenol

Current Illness: No

ID: 1227354
Sex: M
Age: 29
State: NC

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: MINUTES AFTER SHE ADMINISTERED JANSSEN'S COVID-19 VACCINE TO PATIENT. HE FAINTED AND FELL OFF HIS CHAIR. SHE SAID HE CAME TO ALMOST IMMEDIATELY AND SHE HELPED HIM BACK IN THE CHAIR, OFFERING HIM WATER AND A BANANA. HE STAYED SEATED WHILE SHE MONITORED HIS BLOOD PRESSURE, CHECKED FOR PALENESS, AND SWEATING FOR 30 MINUTES. THEN HIS GIRLFRIEND/FRIEND DROVE HIM HOME.

Other Meds: NONE KNOWN

Current Illness: NONE KNOWN

ID: 1227355
Sex: F
Age: 60
State: PR

Vax Date: 04/16/2021
Onset Date: 04/17/2021
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: seafood

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

Symptoms: Tiredness, headache, muscular pain, shaking chills, fever and a nodule on the left side of neck.

Other Meds: None

Current Illness: none

ID: 1227356
Sex: F
Age: 36
State: CO

Vax Date: 04/17/2021
Onset Date: 04/18/2021
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: Surgical glue

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

Symptoms: Sharp shooting & random joint paint, fatigue, aches

Other Meds:

Current Illness:

ID: 1227358
Sex: F
Age: 30
State: IL

Vax Date: 04/10/2021
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: Latex, bananas, kiwis, gold, z-pack

Symptom List: Unevaluable event

Symptoms: Nausea, vomiting, chills, slight spike in body temperature 99.4, extreme migraine, left arm pain/numbness, slight dry cough, extreme fatigue, and muscle aches. Symptoms lasted 3 days and started 6 days after getting the vaccine. Subsided after rest and asprin.

Other Meds: Metformin, L-lysine, Vitamin D3

Current Illness: Endometriosis & PCOS

ID: 1227359
Sex: F
Age: 20
State: AZ

Vax Date: 04/18/2021
Onset Date: 04/18/2021
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: Coconut

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

Symptoms: Flu like symptoms, feel like I?m going to faint, loss of appetite

Other Meds: Taytulla (birth control), Biotin 10,000mg, Women?s Daily Supplement

Current Illness: No

ID: 1227360
Sex: F
Age: 43
State: MD

Vax Date: 04/03/2021
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: Augmentin Bactrim Flagyl

Symptom List: Injection site pain, Pain

Symptoms: Lips tingling numbness left side face tongue, pin and needs hands feet

Other Meds: Phentermine 37.5

Current Illness:

ID: 1227361
Sex: F
Age: 36
State: CO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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: I have had repeated migraines and an increase in disrupted sleep to the point that this last migraine I cannot see straight or clearly my vision is really bad and I feel dizzy.

Other Meds: Armor thyroid, Wellbutrin, adderral, cymbalta, WOMENS multivitamin, vitamin d3, xarelto

Current Illness: None

ID: 1227362
Sex: M
Age: 55
State: TN

Vax Date: 03/10/2021
Onset Date: 03/31/2021
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:

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

Symptoms: Shingles

Other Meds:

Current Illness:

ID: 1227363
Sex: M
Age: 71
State: UT

Vax Date: 01/15/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: My husband is totally weak, he cannot walk or be out of bed longer than 15-30 minutes. ER said he probably had a virus.

Other Meds: Diabetes meds, cholesterol meds,

Current Illness: None

ID: 1227364
Sex: F
Age: 55
State: OK

Vax Date: 01/29/2021
Onset Date: 02/15/2021
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: Chloroquine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: My Ulcerative Colitis flared up 2 weeks after I got my second dose of the vaccine on January 29th, 2021. And I have had to re-start on medication after being in remission for 2 years. Then since April 12th, I have began to have daily spells of dizziness, numbness, tiredness and feeling like I'm having a stroke. I would feel better after I take a couple of aspirins and Tylenols two or three times day. I am getting ready to go to the ER after I turn in this report because I do not know if i will get better.

Other Meds: None

Current Illness: none

ID: 1227365
Sex: F
Age: 36
State: CA

Vax Date: 04/06/2021
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: RA

Lab Data:

Allergies: nothing known of

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

Symptoms: Since April 16th, have a headache(mostly left side seems to be paining more and crown area and forehead). Bad Ear ache (left ear) and feeling of nausea. Feel congested too Also feeling of fatigue

Other Meds: none

Current Illness: none

ID: 1227366
Sex: M
Age: 29
State: TN

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:

Symptom List: Nausea

Symptoms: Patient received shot and told us about 2 minutes later that he did not feel good. His eyes rolled back into his head and he lost consciousness. He started convulsing and seizing for about 20 seconds.

Other Meds:

Current Illness:

ID: 1227367
Sex: M
Age: 37
State: NY

Vax Date: 03/01/2021
Onset Date: 03/03/2021
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: I get the first dose on March 1st 2021. Within a day later I started experiencing muscle pains, being extremely weak, being light headed and chest pains. It?s been about a month and a half and I am still experiencing these symptoms

Other Meds: Vitamin C and one day for men

Current Illness: None

ID: 1227368
Sex: M
Age: 91
State:

Vax Date: 02/15/2021
Onset Date: 04/10/2021
Rec V Date: 04/18/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa Drugs (swelling)

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

Symptoms: bilateral pulmonary emboli. No identified trigger. 91YM with history of cerebrovascular disease and CVA, hypertension, hyperlipidemia, as well as remote history of provoked DVT after prolonged airplane travel, developed acute onset left-sided pleuritic chest pain, with worsening hypoxia, admitted with acute, large volume bilateral pulmonary emboli, unprovoked w/ history of DVT years ago - no evidence of right heart strain on EKG or CTA chest, with reassuring BNP Pro and troponin. Echocardiogram is pending - US: Left lower leg DVT in femoral vein to popliteal vein ? Right leg negative for DVT - Patient on unfractioneted heparin initially then transitioned to Eliquis. - continue bilateral thigh high elastic graded compression stockings with 30-40mmgH at the ankle to prevent postphlebitic syndrome, encourage daily use, replacement every 6 months, and use for 2 years. - Unprovoked DVT, PE due to cancer vs genetic thrombophilia. Prior prostate exam and colonoscopy negative CTA chest shows no masses hypercoagulable panel ordered in ED prior to initiation of anticoagulation, PCP to follow-up in outpatient

Other Meds:

Current Illness:

ID: 1227369
Sex: M
Age: 60
State: NJ

Vax Date: 03/31/2021
Onset Date: 04/06/2021
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: penicillin, cashew nuts

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

Symptoms: 2 lower- left leg Superficial blood clots; ~ a DVT Deep Vein Thrombosis per Ultrasound on 4/12/21, was diagnosis ; ER Dr. on 4/12/21 prescribed Eliquis 60 day Treatment.

Other Meds: Pantoprazole Sodium, Blood Pressure pills Carvedilol, Doxycycline, Advair Inhaler, Azelastine Hydrochloride & Fluticasone Propionate nasal spray

Current Illness: none

ID: 1227370
Sex: F
Age: 53
State: NY

Vax Date: 03/25/2021
Onset Date: 04/07/2021
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: n/a

Symptom List: Tremor

Symptoms: within a few minutes of vaccine was very light headed (as if drunk) for 24 hours - nauseous and very bad headache. 2 weeks from the date of the vaccine I began getting nerve pain in my left hand ad forearm - it travelled to my back. By the next day I had sores on my back - diagnosed with a very severe case of the shingles - by Saturday underarm, forearm left breast to cleavage along with spine to my shoulder blade and where it wraps around to my armpit was broken out in sores and terrible nerve pain

Other Meds: Alprazolam

Current Illness: n/a

ID: 1227371
Sex: M
Age: 44
State: AZ

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: Extreme fatigue for 48 hours post injection Low grade headache for 96 hours post injection

Other Meds: None

Current Illness: None

ID: 1227372
Sex: F
Age: 28
State: PA

Vax Date: 04/16/2021
Onset Date: 04/16/2021
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: Bactrim (sulfa drugs), ragweed, pollen, dogs, cats, lavender

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

Symptoms: 4pm (4.5 hours after vaccination) my arm became sore and stiff, fatigue set in. 6pm (6.5 hours after vaccination), the fatigue was more severe, severe muscle, joint and bone pain, chills, headache. About 6:30pm (7 hours after vaccination) I developed severe vertigo and nausea with dry heaving. 7pm my lips and face felt strange, tingling and dry mouth. I don't know when my lips became swollen, but a friend saw and pointed it out to me at about 11pm. They remained slightly swollen and tingling at least 3:30am when I fell asleep. When I woke the tingling and swollen lips were completely back to normal, but the vertigo and other symptoms lasted until about 10pm on 4/17/2021. I am still fatigued and experiencing joint and muscle pain and injection site soreness, but I'm aware those are normal, expected side effects from this vaccine.

Other Meds: Flonase, Azelastine, Zrytek, vitamin D3 (5000 IU), magnesium (400mg, twice a day)

Current Illness: Had a sinus infection that cleared up about 2 weeks before the vaccine.

ID: 1227373
Sex: M
Age: 86
State: CA

Vax Date: 01/26/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: immediate soreness at injection site and worsened as time went on. Pain severe on shoulder movements at times, arm feels asleep and a lump developed on the inner aspect of the elbow.

Other Meds: bilberry fruit extract ubiquinol

Current Illness: none

ID: 1227374
Sex: F
Age: 28
State: NY

Vax Date: 03/29/2021
Onset Date: 04/12/2021
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: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Rash on front left shoulder - same side as injection. Cluster of red bumps. Not itchy. Lasting several days. Swollen pea sized lymph node on left side of neck.

Other Meds: Oral contraceptive

Current Illness: N/A

ID: 1227375
Sex: F
Age: 36
State: FL

Vax Date: 04/07/2021
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: Sulfa

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

Symptoms: I have filler (Voluma) in my cheeks and Jevederm Ultra in my lips. My cheeks have been swollen for 3 days. They feel a bit numb and hurt when I smile. I started taking Benadryl yesterday and it has not done anything. My lips are slightly swollen but they are not bothersome. My cheeks are more swollen than when I had the procedure done in June 2020. I noticed the swelling on Friday 4/16/2021, a week and a half after my shot.

Other Meds: Benadryl 4/7- 4/14 Aimovig 3/18/2021

Current Illness: None.

ID: 1227376
Sex: F
Age: 46
State: TN

Vax Date: 03/15/2021
Onset Date: 03/25/2021
Rec V Date: 04/18/2021
Hospital: Y

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:

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

Symptoms: Shortness of breath, nausea, headache, incident of blurred vision in one eye. Had visit with PCP on March 26th with follow-up testing on March 30th and 31st. Condition worsened and went to emergency room on April 4th and was admitted to ICU. EKOS procedure performed on April 5th. Discharge diagnosis on April 7th: 1) Acute bilateral PE (Pulmonary Embolisms/Blood Clots) with significant right heart strain status EKOS cath directed thrombolytics on April 5th. 2) Extensive bilateral deep vein thrombosis. 3) Significant right heart strain confirmed on the echo 4) Mild anemia 5) Metabolic acidosis with mild hyponatremia 6) Hypercoagulable workup, most results pending at discharge 7) Acute hypoxic respiratory failure

Other Meds:

Current Illness:

ID: 1227377
Sex: M
Age: 30
State: TN

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:

Symptom List: Pain in extremity

Symptoms: Headache, nausea, malaise. Took Tylenol. Felt better by nighttime

Other Meds:

Current Illness:

ID: 1227378
Sex: F
Age: 31
State:

Vax Date: 04/01/2021
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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Red, hot, and itchy bump near injection site. Itchiness and red bumps along arms.

Other Meds:

Current Illness:

ID: 1227379
Sex: M
Age: 58
State: SC

Vax Date: 04/08/2021
Onset Date: 04/09/2021
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: No allergies but many foods and medicines make me feel bad especially prepared meals with chemical additives. Sensitivities including gluten

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

Symptoms: exhausted achey sluggish for 10 days plus

Other Meds: Buspar Lyrica

Current Illness: Fibromyalgia, anxiety.

ID: 1227380
Sex: F
Age: 47
State: CA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
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: None

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

Symptoms: I am suffering from severe tinnitus after the 2nd moderna shot. It came on about 6 hours after the shot. I really wish that these ear side effects would be shared by the FDA and the CDC. I have suffered from short bouts of tinnitus before, 2-5 minutes, but nothing like this. I have had constant and severe tinnitus since 6 hours after my 2nd moderna shot, and am very frightened that it will not go away. I would have been fine with just having the first shot, and do not understand why the FDA and the CDC are not advising women -- the ones who are affected by the vaccines -- to just go for one shot. I should not be receiving the same dosage as a 300 lb man.

Other Meds: None

Current Illness: None

ID: 1227381
Sex: F
Age: 35
State: IA

Vax Date: 04/02/2021
Onset Date: 04/09/2021
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: None

Symptom List: Vomiting

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA I noticed swelling of a lymph node above my left collar bone 7 days after receiving my first vaccine dose. It's now 16 days after my first dose, and the swelling persists. I am scheduled to get the second dose on 4/23.

Other Meds: Larin Fe birth control pills

Current Illness: None

ID: 1227383
Sex: F
Age: 57
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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red rash at injection site(2in diameter), swelling at injection site, pain at injection site, touch sensitivity at injection site, skin warm to touch at injection site, hard bump at injection site/ Treatment consists of ibuprofen, cold compresses, resting of arm/ Event still in progress(Day 3)

Other Meds: Tresiba, Ozempic, Losartan, Atorvastatin, Gabapentin, Multivitamin, Ibuprofen, B-12, Calcium, Vitamin C, Omega-3, Vitamin D3

Current Illness: None

ID: 1227384
Sex: F
Age: 54
State: IN

Vax Date: 04/10/2021
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: Reaction (hives) to Kenalog 40 Steroid injection in 2018

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

Symptoms: *5 hours after injection: 7:30 pm. extreme shivering/chills. Fever 101.4 major body aches and a moderate headache. I Took exedrin migraine 200 mg at 10 pm and 250 Ibuprohren tablet at midnight. Fever hovered around in 99.4 to 100 range, throughout night. Took another Ibuprohren 2:30am. Took another exedrin migraine tablet around 9am morning after injection. Frequent urination, throughout first night. I was up every hour to hour and half. 24 hours after injection. Temp back to normal. Fatigued. Butcher body aches and headache have abated. Loss of appetite, lasted several days after injection.

Other Meds: 88mcg levothyroxine once daily low dose baby aspirin one daily multivitamin once daily Vitamin D3 2000 mg once daily 20 mg simvastatin once at night 20 mg Famatodine (two tablets each evening) exedrin migraine 200 mg tablet (1 as need

Current Illness: N/A

ID: 1227385
Sex: M
Age: 68
State: PA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/18/2021
Hospital: Y

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

Lab Data:

Allergies: nka

Symptom List: Injection site swelling, Limb discomfort

Symptoms: increased respiratory difficulty beginning at 2pm on 4/7/2021. unable to improve or control respiratory distress overnite despite a change in meds and aggressive treatment at home. sent to emergency room at 0700 on 4/8/2021 at 0700 with acute respiratory distress and intubated. discharged to inpatient hospice on 4/12/2021, did have a prior intubation on 3/20/2021.

Other Meds: tylenol,albuterol inhaler,guiafenesin,lorazepam,morphine,oxycodone, synthroid, folic acid,lidocaine patch,omeprazole, sennakot

Current Illness: new diagnosis of metastatic lung ca on 3/14/2021. had 1st round of chemotherapy/immunotherapy on 4/5/2021

ID: 1227386
Sex: F
Age: 47
State:

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

Lab Data:

Allergies: Cipro

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

Symptoms: Headache. Body ache. Fatigue. Mild fever. Rash under injection side on arm. All but rash resolved but not worsening.

Other Meds: Claritin. Vit D

Current Illness: NA

ID: 1227387
Sex: M
Age: 44
State: NM

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

Lab Data:

Allergies: None

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

Symptoms: Approx 15mins after having the shot administered I sat in my car and felt the medication coming on by it clouding my vision then causing me to faint (and by description from my fianc?) I had what appeared to be a mild seizure. I was out for a minute or two and when I was conscious again my vision was blurry and I felt very drunk for the next 45mins - hour. I also felt like I could taste the chemicals from the vaccine when I became conscious again. The drunk/vertigo feeling subsided slowly over time but I was given a Benadryl from the pharmacist so I?m not sure when the dizziness stopped but I definitely could not drive home. My fainting was not due to any anxiety due to having a shot or anything, I was perfectly fine for approx 10-15 mins after the vaccine then I felt a cold feeling coming on from my right shoulder then up my neck then I got foggy and dizzy and passed out

Other Meds: Smoked cannabis

Current Illness: Possibly histamine reaction to my skin

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm