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: 1227388
Sex: F
Age: 48
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Latex and adhesives, penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Widespread muscle spasms, pain and weakness over about 1/2 hour. I had a similar, yet more severe reaction to chemo and neulasta.

Other Meds: Zyrtec, Zoloft, methyl folate, vitamin D with K, iron, magnesium, euthyrox, Pepcid, Benadryl

Current Illness: Chronic Epstein Barr

ID: 1227389
Sex: M
Age: 46
State: TX

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

Lab Data:

Allergies: No

Symptom List: Anxiety, Dyspnoea

Symptoms: I started my symptoms on third but only morning on the fourth I started to get bleeding through my nose I woke up and somebody was coming out from the liquid was coming out from my nose so I went to the bathroom and signed a glass of wine with the bleeding and then I cleaned it out I put some ice I took a Tylenol and then I?m gonna contact the city is the Pfizer . Pfizer customer service representative took down my details what happened and all the symptoms and he told me that one of their medical team will call me to discuss about it but nobody called me so afterwords I call the CDC and ask them if this is normal they told me that it is all listed on the list which they have of the side effects then I called the nurse helpline and she told me that I was the second third patient who?s complaining about a nose bleeding she asked me whether I had any allergies or in anything like that but I don?t have no allergies at this the first time it started and since then my nose is bleeding at least twice but rice a day deal dated and I?m off from work from there

Other Meds: Tylenol

Current Illness: Type 2 diabetes

ID: 1227390
Sex: F
Age: 46
State: WA

Vax Date: 04/16/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Vicodin, gluten, wool, lavender

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

Symptoms: Rage for about 30 minutes. This happens about 2 days following flu vaccines as well

Other Meds: Metformin, mono-linyah, terazosin, Adderral, Cymbalta, Propanolol, multi-vitamin, omega 3, alfalfa, vitassium, co-q10, l-lysine, b/c complex, probiotic, monolaurin, pyloricil, clearway cofactors, lotrimin cream, Tylenol

Current Illness: ME/CFS, POTS, MCAS, PCOS, PMDD, depression, anxiety

ID: 1227391
Sex: F
Age: 57
State: TX

Vax Date: 04/10/2021
Onset Date: 04/15/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 1st Day - 15 Apr 2021: Scratchy throat, sneezing 2nd Day - 16 Apr 2021: Sore throat (difficult to swallow), post-nasal drainage, nausea, fatigue, body aches, hard to get out of bed. 3rd Day - 17 Apr 2021: Same as day 2 plus chills, periods of sweating, stayed in bed most of day. 4th Day - 18 Apr 2021: Fatigue, nausea, slight cough, body aches.

Other Meds: Symbicort, Singular, Levothyroxine, Multi-Vitamins

Current Illness: None

ID: 1227392
Sex: F
Age: 65
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: Sulfa It now appears I may have been having an allergic reaction to Miralax

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

Symptoms: After I arrived home I started having swelling burning numbness on my tongue, extreme dry mouth 3 months later and after much tests and treatment it?s still ongoing. I also had dizziness and shortness of breath for about 3 weeks.

Other Meds: Miralax Hormone replacement therapy patch

Current Illness: None

ID: 1261984
Sex: M
Age: 53
State:

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 04/18/2021
Hospital: Y

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: VTE legs, large intestine, & lungs Narrative: Patient reports received his first COVID vaccine dose of Moderna on 2/17/21 and reports in the early morning of 2/23/21 he began feeling pain in his right side. Patient states he thought his appendix had burst and he went to get checked out. Patient states they ran test and could not determine what was wrong, so he was sent to hospital. Patient states they found clots in his legs, large intestine, and lungs. States he underwent surgery to remove the clot from his large intestine and he now on Eliquis. Patient states he was "perfectly healthy" before receiving the COVID vaccine. Active meds: Ibuprofen 800mg TID for pain, Lidocaine 5% patch; 1 patch daily for 12 hours, and Sodium fluoride 1.1% oral cream; apply to mouth 1-2 times daily when brushing teeth

Other Meds:

Current Illness:

ID: 1227393
Sex: F
Age: 36
State: OR

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
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

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 7 hours after shot, felt pain at injection site and slight weakness. 8 hours after shot, experienced significant muscle aches and pains in upper torso - both shoulders, upper and mid back, and neck. Shooting / pins and needle-like pains randomly down both legs and in hands. Pain in my big toe where I have a pin from a previous surgery. Day after (day 2) I woke up with all the pain gone, except for some minor injection site pain. Day 3, I started to feel dizzy, like I would fall over, in the late afternoon. That went away after about an hour, but then I continued to experience nausea and a slight feeling of swaying That persisted into Day 4 and Day 5. Also experienced a swollen lymph node in my neck on the opposite side of my body Day 4 and 5. On day 5 now.

Other Meds: Birth control pill, vitamin D

Current Illness:

ID: 1227394
Sex: F
Age: 43
State: IL

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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: Pharyngeal swelling

Symptoms: Pain , tenderness and small palpable bumps on left axilla & pain and tenderness on lateral side of left breast.

Other Meds: prescribed meds.

Current Illness: elevated BP

ID: 1227395
Sex: F
Age: 52
State: DC

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/19/2021
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: First 2 minutes-- heat and pressure lower right tailbone, then upper left side of neck. Lasted a couple minutes After 15 minutes -- lightheaded and dizzy - lasted 90 minutes Also after 15 minutes -- upper left quadrant of face and scalp (eye area to ear and back past scalp hairline) went numb and contracted, feeling of not being able to control my forehead muscles, a rush of sensation that made me feel unwillingly teary. This lasted a minute or two. Feeling returned to forehead but remained slightly numbed (like after drinking alcohol) for another 20 minutes or so.

Other Meds: Vivelle estrogen patch (hormone replacement therapy); Flonase

Current Illness: None but was bitten by a tick a week prior to vaccination

ID: 1227396
Sex: F
Age: 32
State: PR

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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: Seasonal allergies (dust, pollen, etc...)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: My arm began to develop strong pain and a small red area with swelling where the shot was administered. At around 10:35pm I began experiencing a strong headache and intense heart burn or acid reflux. At around 1am or 2am the acid reflux was so intense I begain feeling restless and could not sleep. In the morning I woke with maasive pain in my joints, a migraine that lasted all day, followed by liquid diahrreas and fever. I spent the entire day with a head and overall body ache. pain in joints, diahhrea and fever. The swelling and pain in my arm continued as did the size of the swelling and red bump on my arm. Today, almost 63 hours later the swelling and red bump is almost as big as my entire arm.

Other Meds: Ibuprophen

Current Illness: N/A

ID: 1227397
Sex: F
Age: 37
State: TN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 04/19/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Rash on lower back, itches .

Other Meds:

Current Illness: Hysterectomy March 11, 2021

ID: 1227398
Sex: F
Age: 60
State: NV

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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: sulfa

Symptom List: Rash, Urticaria

Symptoms: left side headache, left eye pain, severe vomiting, full body pain, neck pain, chills as of Sunday some had subsided but not all. tylenol of no use!

Other Meds: tylenol, nexium, statin

Current Illness:

ID: 1227399
Sex: M
Age: 35
State: FL

Vax Date: 04/07/2021
Onset Date: 04/10/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Lactose.

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

Symptoms: Headache, Tiredness, spontaneous bruises on skin, Bleeding gums, High blood pressure, Dizziness.

Other Meds: Melatonin, pau D'Arcy, ginkgo biloba.

Current Illness:

ID: 1227400
Sex: M
Age: 54
State: NC

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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: Fever (101.5), Body Aches, Headache, Fatigue

Other Meds: Daily Multi-Vitamin

Current Illness: None

ID: 1227401
Sex: F
Age: 61
State: GA

Vax Date: 04/01/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
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: Headache, nausea, no appetite, hot/cold flashes. 4days so far. Loss of energy n strength.

Other Meds:

Current Illness:

ID: 1227403
Sex: F
Age: 36
State: IN

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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: No

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

Symptoms: Swelling in all lymphnodes in neck, jaw and ear pain

Other Meds: Clonidine, Zyrtec, advair, albuteral, Prozac, singular, flonaise

Current Illness: None

ID: 1227404
Sex: M
Age: 52
State: IN

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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: Prednizone yeast

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

Symptoms: Fatigue, aches throughout body, chills.

Other Meds: clopodigril amlodipine valsartan chlorthalidon fenofibrate actor vista tin asprin

Current Illness:

ID: 1227405
Sex: F
Age: 64
State: TX

Vax Date: 04/02/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: Milk, bactrim, ciprofloxacin, feldene

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I had a few pains on my left side near bottom of breast , then an aching pain that went to my back. I have not had this symptom since Wednesday

Other Meds: No

Current Illness: No

ID: 1227406
Sex: M
Age: 25
State:

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
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: Patient complained of feeling anxious a few minutes after receiving the vaccine, while he was just about to walk up stairs to the observation area. . Stated, "I could not see, my eyes went black, and my fingers were tingling. I almost passed out". Clinician immediately sat patient on a chair and gave him water, which he drank. Medics were called to see patient. Vital signs were WNL. Once cleared by medics, patient was escorted to the ground level observation area. He soon reported that he was back to baseline. Medics cleared him as being medically stable. Patient reported that he no longer was light headed and had no visual disturbances. {Patient did say that he often gets anxious with needle injections.

Other Meds:

Current Illness:

ID: 1227407
Sex: F
Age: 58
State: TX

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Arm pain since shot was given

Other Meds: Atenolol

Current Illness: None

ID: 1227408
Sex: M
Age: 43
State: AZ

Vax Date: 04/17/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Intense flu like symptoms. Fever, body aches....enhancement of tinnitus.

Other Meds: Tylenol Extra Strength

Current Illness: None

ID: 1227409
Sex: F
Age: 65
State: HI

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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: Codeine, lisinopril

Symptom List: Unevaluable event

Symptoms: Altered mental status one hour after dose administered on 04/16/2021. Seen in ER for work-up. Stayed in Clinical Decision Unit for observation and discharged 04/17/2021. Dx: Transient Global Amnesia

Other Meds: Levothyroxine, carvedilol, atorvastatin CoQ10, turmeric, echinacea, vitamin D3

Current Illness: None

ID: 1227410
Sex: M
Age: 49
State: MI

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/19/2021
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

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

Symptoms: The evening of the shot my body basically turned on itself and began an all out mission to rid the vaccine. Of course, that couldn't happen, but my body was going to proceed until I was dead or recovering. I began having severe chills, roasting heat flashes, headache, and body ache. Every sweat gland turned on full blast and did not turn off. I began to vomit in outrageous fashion. As violent as I've ever experienced. I had "sessions" of vomiting at least thirty times from Thurs night to Monday afternoon. When I could get out of the bathroom, I would collapse back into my sweat soaked bed. I would have an awful time trying to catch my breath. It would be up to ten minutes of hyperventilating and racing pulse, until it would suddenly normalize. And then I'd be utterly exhausted and slip into some kind of semi-sleep coma. This would not last even an hour before I'd be racing to the bathroom again. This was the first sixty hours. Vomit. Hyperventilate. Wish for death. Sleep coma. Repeat. About 24 hrs in I added severe diarrhea that was a part of every bathroom journey from then on. Ate nothing. Couldn't take normal meds. Sipped some pedialite. Late Sunday I turned a corner and felt like I wouldn't die. Took a full seven days for me to get any energy back and feel human again.- Every single symptom besides headache, was the worst I've ever experienced.

Other Meds: Clopidogrel Lisinopril Metoprolol Glipizide Rosuvastatin Ranexa Sertraline Lorazepam COQ10 Fish Oil Aspirin

Current Illness: None

ID: 1227411
Sex: F
Age: 48
State: AK

Vax Date: 04/12/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
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: Shrimp, codeine, penecillin

Symptom List: Injection site pain, Pain

Symptoms: Vertigo - I have been unable to leave my bed without falling over.

Other Meds:

Current Illness:

ID: 1227412
Sex: F
Age: 56
State: AK

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: several: adhesive, amitryptiline, augmetin, clarithromycin, clindamycin, codeine, compazine, erythromycin, norco, isotretinoin, ketoroloac, metoclopramide, naproxen, zofran, paxil, premarin, pristiq, progesterone, ranitidine, tetracycline, tompamax, aspirin, penicliin, risperidone, ssri/s, sulfamethoxazole, tca's venlafaxine, macrolide antibiotics

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient spent an hour being monitored. At first she complained of an itchy site and being sweaty. About 15 minutes later she said that her fingers on that hand were numb and her pulse was racing. I gave her ice water (she took it with her numb hand) and offered to walk her to the emergency room (we are situated in Hospital just by the ER). Patient declined and stated she didn't want to be around sick people. She then asked me if it could be related to the heart problems she has been having lately and stated she is between various cardio tests. She continued to rest in a seated position and I continued to monitor her every 5 minutes. I offered her a benadryl unit dose 25mg. She accepted, opened the blister pack with both hands, and swallowed capsule and told me that she had a general unwell feeling. She swallowed benadryl at 5:04 pm. At 5:15 pm she said she was better and that benadryl had cured the numbness. I cam to check on her at 5:20 and she had left the premises.

Other Meds: unknown

Current Illness: Patient stated after the vaccine had been administered that she is in the middle of a cardiac workup. She had worn a vest to monitor her heart rate and was schedule in a week for a Cardiac stress test.

ID: 1227413
Sex: F
Age: 25
State:

Vax Date: 04/12/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
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: Hives just below injection site. Appeared approximately 1 week after the vaccine was received

Other Meds: None

Current Illness: None

ID: 1227414
Sex: F
Age: 69
State: HI

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 04/19/2021
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: Tetracycline, doxycycline, and related antibiotics in that group

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I noticed ringing in my ears several days after receiving my Moderna vaccine, but I thought it was due to earwax.

Other Meds: Qunol, Vitamin B-6, Krill Oil, Allertec (dust/mold allergies), Echinacea, Biotin, L-Lysine, Calcium w/Vitamin D3, Centrum Silver, Collagen +biotin, and Joint Health (liquid form).

Current Illness: Took routine allergy shots for six years to control reactions to dust and mold. Midway through treatment I also suffered from urticaria.

ID: 1227415
Sex: M
Age: 41
State: VA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
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: Diarrhea, throwing up, dizziness, tiredness, trouble breathing, fever,- flu like symptoms

Other Meds: None

Current Illness: None

ID: 1227416
Sex: F
Age: 62
State: NJ

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/19/2021
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: sulfa, penicillin, pepcid, prednisone. nuts, cinnamon, eggplant, shell fish

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

Symptoms: After the first dose within 10 minutes, I had itchy throat and mouth, heart palpitations, eyes felt like a fullness. After the second dose within 20 minutes, I had tightness in tongue and throat, upper eyelid swelling and redness and beet red flush like rash over cheeks. Next day swollen arm and small rash at injection site.

Other Meds: levothyroxine, rosuvastatin, restasis, oxazepam, montelukast, flovent, ezetimibe, azelastine, aciphex multi vitamin, vitamin C, Calcium/Mag, B12

Current Illness: none

ID: 1227417
Sex: F
Age: 36
State: CA

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea

Symptoms: Red and raised bump at injection site on left arm Circumference of affected area is about 3-4 inches. The site is also hard and warm to the touch. Also, pain under left armpit(possibly swollen lymph nodes). Both appeared on day 3.

Other Meds: Ibuprofen, vitamin d3

Current Illness: N/A

ID: 1227418
Sex: F
Age: 23
State: AK

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

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

Lab Data:

Allergies: nkda

Symptom List: Injection site pain

Symptoms: Patient was seated, given injection IM into right deltoid and immediately fainted and gave a jerk of the body. Immunizing pharmacist yelled out for Rapid Response from the ER. Emergency room staff was on scene within 1 minute. They measured patients pulse and BP and took her to the emergency room for monitoring. Patient was gone from immunizing area for 30 minutes. She came back to see us, looking much better and said that she faints all the time. She remarked she was glad she was seated because when she faints when she stands and hits her head she has a sore head for days. She proceeded to schedule her second vaccination utilizing the QR reader we had provided to all patients. Although she didn't tell us beforehand, afterward she told us she faints all the time, that it isn't unusual, and that she had deliberately eaten food and drank plenty of liquids before she came so that it wouldn't be a problem. Patient stated that she was fine and fit to drive and unconcerned about the reaction.

Other Meds: alprazolam, falmina birth control, lamotrigine, ketorolac, acyclovir, fluconazole,

Current Illness: no

ID: 1227419
Sex: F
Age: 72
State: MS

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies: I had a reaction to a typhoid shot when I was young.

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

Symptoms: Swelling appeared not only at the injection site, but my shoulder was swollen half way between my neck and my back. My left arm was swollen to the tip of my fingers. My left leg was swollen to my toes. The right side of my neck hurts when I turn my head to the right. I am using Tylenol and am slowly recovering from some of the swelling.

Other Meds: No.

Current Illness: No.

ID: 1227420
Sex: M
Age: 37
State: WA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/19/2021
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: Severe migraine for 3 days, migraine made me nauseous and stomach hurt. Day #2 severe lower back pain as well. Migraine so bad I had nights I couldn?t even sleep.

Other Meds: None

Current Illness: None

ID: 1227421
Sex: F
Age: 25
State: CA

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Extremely heavy period

Other Meds: Multivitamins

Current Illness:

ID: 1227422
Sex: M
Age: 44
State: CO

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 04/19/2021
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: Erythema, Pruritus

Symptoms: After 2nd dose patient has developed SOB that has continually gotten worse. More recently has also developed a cough as well. Very sensative to "pressure Changes" which results increase SOB.

Other Meds: None

Current Illness: None

ID: 1227423
Sex: F
Age: 28
State: TX

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
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: N/A

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

Symptoms: Once I received vaccine, I felt a little tension on my left arm. I waited the 15 minutes and did not have a reaction. The next day, I felt a little more tension in my arm; however I was able to move it and raise my arms at a normal level without resistance. The following day I felt no symptoms.

Other Meds: N/A

Current Illness: N/A

ID: 1227424
Sex: F
Age: 24
State:

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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

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

Symptoms: Injection site pain for one day after shot

Other Meds:

Current Illness:

ID: 1227425
Sex: F
Age: 19
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/19/2021
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: Pineapple

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: When I received the vaccine at 2:48 on the 7th of April after about 20 minutes the entire left half of my body went numb and after about a day and a half feeling returned but extreme weakness and what I thought was muscle pain but what I now know it?s nerve pain all through just the left side of my body after having an appointment with my neurologist I've been put on a strong round of steroids that I'm almost to the end of and haven't seemed to work the next step would be an MRI I'm about to be 12 days after the vaccine.

Other Meds: Bupropion XL 450 mg, Montelukast 10 mg, Spironolactone 50 mg, januvia 50 mg, topiramate 25 mg x2 night, nurtec 75 mg

Current Illness: None

ID: 1227426
Sex: M
Age: 44
State: NY

Vax Date: 03/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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: Shingles/Herpes Zoster (left chest, single dermatome)

Other Meds: None

Current Illness: None

ID: 1227427
Sex: F
Age: 61
State: WI

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
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: Strawberries, certain weeds, polling History of allergies as childer- allergy injections, outgrown most. Reactions include hives, skin blister, have had a few mild anaphylactic reactions

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

Symptoms: See previously listed, still have effects, but getting better.

Other Meds: Centrum Silver Daily vitamin Vit C 500mg Occasionally aspirin

Current Illness: Only with 1& 2nd dose vc.Only other was ?normal? reactions to 1st vc administered 03/35/2021- fever, sore arm- that one given in right arm & am right handed, headache & fatigue. This injection in left arm. Later in evening arm sore & headache. By 3am arm very sore, fever 100, headache. 04/16/2021 still fever after aspirin, arm injection site getting red & Painful. By 04/17 arm had hard bright red swollen reaction at injection site- very painful. Joint pain in left hand and hip. Still slight fever, very fatigue, no appetite, diarrhea. Cold pack arm not helping. 04/18 arm still red & sore with reaction site about 5? diameter bright red & swollen hard to the touch

ID: 1227428
Sex: F
Age: 27
State:

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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: Open sores in mouth. Sores on gums, roof of mouth and tongue. Hurts to eat. Blood when brushing teeth.

Other Meds:

Current Illness:

ID: 1227429
Sex: F
Age: 41
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/19/2021
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: Vasovagal syncope, 1 week later extremely swollen lymph nodes and unusual fatigue for approx. 2 weeks.

Other Meds: None

Current Illness: None

ID: 1227431
Sex: F
Age: 38
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: As vaccine was being administered my small muscles in my arm and shoulder started twitching (fasciculations). I had never felt such persistent twitching before, like bugs under my skin. I approached the nurse that was monitoring us and asked if this was normal. He said no and said I should talk to my doctor if it doesn?t go away. After 3 days the twitching continued and has spread to all parts of my body now over 3 months. I will get a twitch somewhere in my body every minute or so at random places. A week after my vaccine I also began having shooting nerve pain also all over my body. Similar frequency to the fasciculations. I am now seeing a neurologist for the first time in my life that confirms I have had a autoimmune reaction to the vaccine. It?s now over 3 months and is not going away. I would like more information on why this has happened to me.

Other Meds: Plaquenil

Current Illness: Mild auto-immune disorder

ID: 1227432
Sex: F
Age: 68
State: PA

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 04/19/2021
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: Experienced progressive and worsening pain on Left side of my body at base of skull, side of throat. shoulder, arm and back. Developed lumps under the skin on throat and shoulder. Developed pain with swallowing at the top of my mouth to esophagus. This lasted for 3 + weeks. I saw my PCP who diagnosed Shhingles. At present I now only have the lumps under my skin down the side of my throat, pain at the base of my skull and throat. Skin is sensitive to the touch. I suffered extreme exhaustion for 3 weeks. Treated with 7 days of acyclovir, lidocaine pain patches and Tramadol. Neither the Lidocaine or Tramadol helped.

Other Meds: Novolog Insulin, Effexor-225 mg, furosimide--40 mg, Plavix--75 mg Gabapentin--300 mg bid, Losartin--100 mg, Pantoprazole Sod DR - 40 mg, Rosuvastatin Calcium--20 mg, Metroprolol Tartrate- 50 mg bid.

Current Illness: Type 1 DM, Htn, High cholesterol, obesity, Moderate Depression,

ID: 1227433
Sex: M
Age: 26
State: AZ

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/19/2021
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: N/A

Symptom List: Vomiting

Symptoms: 3 inch long, 3 inch wide circular pink/red lesion at the injection site. Slightly itchy, but more painful and tender to the touch.

Other Meds: N/A

Current Illness: N/A

ID: 1227434
Sex: F
Age: 40
State: OK

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/19/2021
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: CODEINE; CEYLON CINNAMON

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Approximately 50 minutes after injection, having waited the 30 minutes for observation, while driving home my tongue started to feel wrong and the top started to tingle. Uncertain which direction this was going to go, I drove to the ER (which was near home, close to where I was at the time). I felt light-headed for a little bit just after getting a room and talking with the insurance & copay person. The doctor noticed I was flushed/red, which extended from my face down my chest and shoulders. The reaction didn't seem to progress further than that, thankfully. I was treated with Solumedrol, Famotidine, Benadryl.

Other Meds: LAMOTRIGINE (150MG/DAY); HYDROXYZINE (25MG PRN); IRON;

Current Illness: NO ACUTE ILLNESSES (SEE CHRONIC)

ID: 1227435
Sex: F
Age: 60
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache, chills, body aches, nausea, vomiting, diarrhea, fatigue, worsening of tinnitus. Symptoms stated on evening of injection (4/13/21) and lasted through 4/18/21.

Other Meds: Xyzal Omeprazole Venlafaxine Synthroyid

Current Illness: None

ID: 1227436
Sex: F
Age: 17
State: CA

Vax Date: 04/18/2021
Onset Date: 04/18/2021
Rec V Date: 04/19/2021
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: Possible overdose. Needle retracted into syringe while plunger was being depressed during injection. Healthcare tech pulled out a second syringe and injected a full dose. Tech wouldn't say whether any vaccine was injected during first attempt, however vaccine was spilling down the arm of the patient. This tech should not be injecting, shakes patient arms aggressively and then very aggressively plunges needle into arm. We've had 5 COVID injections among our family and haven't seen anything like this.

Other Meds: Possible overdose, quantity injected unknown. Syringe broke during injection, possible overdose with second full injection. Inattentive healthcare worker did not communicate whether any of first dose of vaccine was administered and then pr

Current Illness: None

ID: 1227437
Sex: F
Age: 41
State: CA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/19/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: In the middle of the night I passed out while walking from the bathroom. I broke my front tooth in half and smashed in 2 other front teeth. Also bruised cheek, lip, and knee. I had been feeling chills, aches, and flu-like symptoms throughout the night. It required a dental surgeon, dentist, and probably braces. The advice nurse advised going to the Emergency Room due to her concern about a head injury.

Other Meds: Lexapro, multivitamins

Current Illness: None

ID: 1227438
Sex: M
Age: 35
State: MA

Vax Date: 04/09/2021
Onset Date: 04/15/2021
Rec V Date: 04/19/2021
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: Large Itchy Swollen Rash with hives on injection site. I did some research online and it looked exactly like the examples of ?Covid Arm?. I took 2 Benadryl which was suggested in one of the articles.

Other Meds: None

Current Illness: Fainted about a week previously. Told had High Blood Pressure and Syncope

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm