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: 1231431
Sex: F
Age: 41
State: CA

Vax Date: 01/08/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Persistent tinnitus

Other Meds: Inflectra

Current Illness: None

ID: 1231432
Sex: F
Age: 26
State: HI

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Itchy rash on her chest a day after her first dose on 3-22-2021. Worse rash on her chest and lower back (small red rash with some raised wheal) after the second vaccine on 4-14-21.

Other Meds: None

Current Illness: None

ID: 1231433
Sex: F
Age: 21
State:

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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: Around 7 hours after injection, I noticed slight numbness in my ring and pinky fingers on my right hand. It is mild numbness, but since I noticed it, it has persisted for about 3 hours.

Other Meds: None

Current Illness: None

ID: 1231434
Sex: F
Age: 46
State: CA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Allergic to peas, bananas, grapes avocafo, strawberries, raw potatoes, tomatoes, almonds, grasses, mulberrt trees, pine, ragweed, mold

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Light headedness an hor after receiving. Fatigue in same time line. Premenopausal but had just completed typical light, short menses cycle 3 days prior to vaccine. The next night memses retumed and was very heavy , clotty and accompanied by cramps. I usually dont havr cramps, and i havent had a heavy period like that for seveal years. Still occurring on day 5 after vaccination. Typical periods are 3 days of minimal show.

Other Meds: Adderall

Current Illness: None

ID: 1231435
Sex: F
Age: 38
State: CA

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Numbness on Face , arms and legs mouth , neck. tingling sensation in many areas of the body ( Diagnosis) Paresthesia They prescrbed Methylprednisolone tablets USP 4MG.

Other Meds: cephalexin /

Current Illness: none

ID: 1231436
Sex: F
Age: 38
State: FL

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
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: Diarrhea and severe stomach cramping. Couldn?t keep anything in and still have a bit of a queasy stomach 5 days later.

Other Meds: Ajovy, excedrin

Current Illness: None

ID: 1231437
Sex: F
Age: 36
State: AZ

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/20/2021
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: N/A

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Constant Tinnitus began in left ear the night I received the Covid-19 Vaccine shot. After a couple of days more symptoms appeared, including: Left ear fullness/pressure/inflammation feeling, left ear numbness, left outer ear tightness, shooting nerve pain in into left ear (outside and inside ear), shooting nerve pain towards the scalp on left side, extreme cramping inside and outside left ear. The tinnitus alternates between loudness of 2-7, at worst its a high pitched ringing noise, at best its a hissing noise. Often also a whistling noise, crackling noise, sleigh bell noise, occasionally pulsatile. Also have increased anxiety due to the tinnitus. Audiologist confirmed unilateral hearing loss in left ear in the Ultra high frequency hearing range (35db at 10K Hz, 60 dB at 11.2K Hz, 50 dB at 12.5K Hz, 40 dB at 14K Hz, and 35 dB at 16K Hz). Audiologist recommended practicing Mindfulness and listening to classical music, so as to not be in quiet environment, where I might focus more on the ringing in my ear. Taking supplements including: Multi-Vitamin, Iron supplement, Vitamin D3, Vitamin B Complex, Alpha Lipoic Acid, Bio-Flavonoids, Systemic enzymes, Benfotiamine, Turmeric. Currently 3.5 weeks later, I still have tinnitus, but it is usually at a volume of 3 or 4. It more often is hissing noise with alternating high pitched ringing. The ear fullness, numbness and nerve pain is less, but still there. ENT PA prescribed Methylprednisolone 7 day tapered dose on 4/15/2021 to take if painful symptoms of nerve shooting continue or get worse. Nerve shooting pains improved slightly, so as of yet have not begun the methylprednisolone. Anxiety has improved with use of Classical Music and Mindfulness. Also found a Facebook Group of those suffering tinnitus after the Covid-19 vaccine, and have found support there to cope.

Other Meds: Claritin, Multi-Vitamin, Turmeric, Iron Supplement, Vitamin D3

Current Illness: Seasonal Allergies, root canal is upper left molar a week and a half before covid-19 vaccination.

ID: 1231438
Sex: M
Age: 30
State: AZ

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
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 started smelling smoke around 8:30 pm on the night of the 16th, but I assumed it was from local fields being burnt. Then I started smelling cigarette smoke, sometimes strongly, sometimes faint. Even when I am work, inside the office, and there is nobody around. Even now as I write this, it smells like I am in the same room as someone with a lit cigarette.

Other Meds: Ibuprofen for headaches

Current Illness:

ID: 1231439
Sex: F
Age: 30
State:

Vax Date: 04/12/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Welbutrin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: - Sore arm from 18hours after injection until ~2.5 days after injection - Delayed cutaneous hypersensitivity ("covid arm"): a firm red lesion around the injection site and soreness from up upper left arm down into my hand 7 days, 15 hours after injection (1 hour ago from inputting info here)

Other Meds: Escitalopram, 15mg daily Methylphenidate, 18mg daily Melatonin, 6mg daily Blisovi 24 Fe (birth control)

Current Illness:

ID: 1231440
Sex: M
Age: 60
State: CA

Vax Date: 04/08/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
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: Dizziness, imbalance, vertigo like symptoms - when changing position from sitting to standing or bending. Symptoms were intense on 4/15/2021 - one week after receiving the vaccination. Since then the symptoms have become milder and infrequent.

Other Meds: Multivitamin

Current Illness: None

ID: 1231441
Sex: F
Age: 37
State:

Vax Date: 04/17/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Environmental only: pollen, animal dander, dust mites, mold, hay fever

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

Symptoms: Covid arm (?) Swelling, rash, and warmth developing at the site of the injection beginning 3 days after vaccination number 2

Other Meds: Sertraline HCL, Cetirizine HCL, Methylphenidate, Valacyclovir,

Current Illness:

ID: 1231442
Sex: F
Age: 59
State: CA

Vax Date: 04/07/2021
Onset Date: 04/18/2021
Rec V Date: 04/20/2021
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: cod fish allergy, hypersensitivities to statin drug and amoxicillin.

Symptom List: Rash, Urticaria

Symptoms: On Day 11 (4/18/2021) after receiving the vaccine, mild itching skin rash first appeared around inguinal areas then covered neck and all extremities. As of Day 12 (today), the condition is still ongoing, I applied 2% Benadryl cream once daily before bedtime, the itchy seems to be under control. Therefore, I don't need to see my doctor yet. (I may send her an FYI email after this) The related cause may be the small piece of salmon fish I had on Day 9 (4/16/2021) at dinner. In my history, I had seafood allergy before my elementary age, but it was gone for many years until my peri-menopause years, there were a couple of occasions that I had severe itching hives after eating not freshly made cod fish dishes. However, I do eat Salmon on regular bases (3-5 times/month) and have never had salmon allergy in my adulthood.

Other Meds: Lisinopril, Metformin, Zetia, Baby Aspirin, Zinc, Calcium, Vitamin D3, Vitamin B12, Multivitamins

Current Illness: None.

ID: 1231443
Sex: F
Age: 29
State: IL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Chlorhexidine

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

Symptoms: Fever increase from 101.3 to 103.2 in 20 minute time span resulting in severe chills with shaking and worsening muscle aches. Pain between shoulder blades and up back of neck to base of head - severe, lasting 5 hours. Muscle aches lasting 24 hours. Headache - severe, lasting 12 hours.

Other Meds: Adderall, citalopram, albuterol, lamotrogine, clonidine

Current Illness:

ID: 1231444
Sex: F
Age: 39
State: CA

Vax Date: 04/10/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
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: N/A

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

Symptoms: On about 4/14/2021 I noticed what initially looked like a bug bite on my left hip. I came to the conclusion it is a case of Shingles. I additionally broke out with a Herpes 2 outbreak on 4/19/2020. I have had Herpes Simplex Virus 2 since November 2017. However, this is the first case of Shingles I have ever had.

Other Meds: Calcium supplements, Melotonin

Current Illness: None

ID: 1231445
Sex: F
Age: 54
State: CA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/20/2021
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: Arm swollen for 7 days with decreasing pain as it got smaller. This happened right away, and within a few hours increased in size and then remained very swollen for several days. Pain was tolerable. Sinuses are aggravated which is a usual immune response for my body. By 2nd day, experience sleep disruption in morning (jerking awake every hour) and then slept most of the afternoon. I also started getting a pain under my armpit, like a swollen lymph node that hurt., I put up with it for two days and then took an NSAID and the pain was faint by the next day until it faded out two days later. No other side effects were experienced.

Other Meds: Humira - received first dose two days before 1st vaccine shot. Waited a week after 2nd dose to take 2nd injection since I only take it once a month.

Current Illness: Gout

ID: 1231446
Sex: F
Age: 54
State: CA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Experienced flu like symptoms starting 24 hours after shot, including low grade fever, chills, fatigue, headache, nausea, and body aches. These all started to improve Sunday evening, 4/18,, and I was able to eat a meal. Around 9:00 pm on 4/18, I noticed a red area around the injection site on my arm. It felt warm to the touch. It didn?t seem too swollen, so I went to bed. I woke up around 2:00am on 4/19 and my upper arm had a large, hard swollen lump at injection site. It was still red and hot. I have been taking ibuprofen which is helping with the swelling. I still have some swelling, a red ?sunburned? area around the injection, and warm to the touch. I do not have pain or itching? at least at this point at 11:45pm on 4/19. I was surprised to have a new symptom almost 2.5 days after my shot.

Other Meds: Vitamins C and D3, hair and nail supplement, Allegra, and Flonase

Current Illness: None

ID: 1231447
Sex: M
Age: 72
State: CA

Vax Date: 04/14/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: Myocardial infarction

Other Meds:

Current Illness:

ID: 1231448
Sex: M
Age: 62
State: TN

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Chloromycetin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Ringing in ears started about 30 hrs after 2nd dose Pfizer Covid-19 vaccine. Also had slight fever, chills, nausea but they stopped by next day. Ringing in ears subsided for a few days but has now gotten pronounced all the time.

Other Meds: Losartan 100mg HCTZ 25mg Aspirin 81mg Alphagan P OP Sol 0.1% Fluticasone Propionate (Flonase) generic

Current Illness:

ID: 1231449
Sex: F
Age: 55
State: VA

Vax Date: 04/09/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Severe reactions to bug bites and stings no epipen needed as yet just Benadryl

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: ?Covid arm?. Injection site and about 1.5 inch around red and swollen hot and painful to touch Similar reaction to what I get with bug bites but a bit milder

Other Meds: Lexapro 20 mg 1 time a day

Current Illness: None

ID: 1231450
Sex: F
Age: 74
State: CA

Vax Date: 02/24/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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, ampicillin, sulfa

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

Symptoms: Patient last vaccine 02/24/21. Received Juvederm treatment 04/12/2021 for facial wrkinkling, dermatologist . Developed eye pain/ eye sensitivity (without visble conjunctivitis by husband reported who is MD) approximately 04/05/2021. Patient used Visine eye drops for irritated eyes. On 04/19/2021 developed redness and swlling nose bridge and forehead, went to see (dermatologist) thinking this to be from the Juvederm injections. In office diagnosed herpes/shingles, in meantime a pustule/herpetic lesion developed on forehead (picture available). Patient contacted Kaiser and went to Urgent Care, seen referred to dermatology prescribed Valtrex. see page 2Dermatology and seen: diagnosed with varicella zoster . Also referred to Ophthalmology and seen, diagnosed with Right Herpes Zoster Conjunctivitis. Prescribed Valtrex PO and Erythromycin opht ointment. Of concern is that patient received Zoster vaccine in 2009 (?Zostavax, and one dose Shingrix 2018. Has to her knowledge never had shingles or zoster. There is no other underlying morbidity specifically no autoimmune conditions such as rheumatoid arthritis or Sjogren disease. No known contact with persons with shingles or herpes zoster. The concern is development of zoster and herpetic conjunctivitis after recent COVID vaccination and Juvederm treatment, while having been vaccinated with Zoster vaccine and Shingrix, without known previous or apparent underlying autoimmune conditions.

Other Meds: Welbutrin, Vitamin D3/Calciumcarbonate. Juvederm . Visine.

Current Illness: none

ID: 1231451
Sex: M
Age: 28
State: CO

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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: KNDA

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

Symptoms: Short duration, while still seated, seizure event, patient recovered quickly, EMS called to site to assess patient even though patient had seemed to be fully recovered already.

Other Meds: Unknown

Current Illness: Unknown

ID: 1231452
Sex: F
Age: 21
State: KY

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/20/2021
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: Unevaluable event

Symptoms: Approximately half an hour after receiving the vaccination, the patient (me) became extremely dizzy while standing still and lost her balance. She nearly fell into a display case at the pharmacy location, and experienced extreme brain fog and balance issues following the vaccination and up until this day.

Other Meds: Citalopram (40 mg) Bupropion (150 mg) Spironolactone (100 mg)

Current Illness: None.

ID: 1231453
Sex: F
Age: 20
State: FL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
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: Small bumps/hives initially appearing only on the opposite arm of vaccine site where the arm bends. The bumps later appeared on the arm which received the vaccine and in small numbers on the chest. The raised bumps are red and itchy.

Other Meds: Mono-Linyah oral contraceptive

Current Illness: None

ID: 1231454
Sex: F
Age: 38
State: CA

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
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: zythromax

Symptom List: Injection site pain, Pain

Symptoms: After the first day, I had a large red swollen spot about an inch and a half or two up and to the left of my injection site. It was painful as if I receieved the shot directly into my upper shoulder bone. The injection spot did not feel tender at all. Additionally, under this red spot is a large, hard lump. The pain has subsided a bit but the lump is still there. It's very hard and I just cannot find any info online suggesting this specific issue. I don't know if it is in my mind but it also feels a bit numb surrounding the general area. It has been 104 hours and i still have pain, redness, swelling and a large lump. I am also itchy in general both at the arm and all over. I don't know if this is related or not.

Other Meds: Levothyroxine, vitamin d

Current Illness: none

ID: 1231455
Sex: F
Age: 37
State: PA

Vax Date: 04/18/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Nexium

Symptom List: Injection site pain, Menorrhagia

Symptoms: Painful swollen lymph nodes

Other Meds:

Current Illness:

ID: 1231456
Sex: F
Age: 40
State: CO

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/20/2021
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: nka

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

Symptoms: Headache starting 24 hours post vaccination for 48 hours+; intense rigors starting at 60 hours; after rigors decreased, felt very hot and temperature was 104 degrees; monitored temperature and it slowly decreased one degree at a time (so did not seek medical attention); three hours after rigors started, cycled between cold/hot and unable to sleep extended periods of time for an additional 3-4 hours (fell into deep sleep around 5-6am); extreme lethargy for two days following this ordeal; ok on day five post vaccine

Other Meds: Armodafinil; Allegra; Gabapentin; Valacyclovir

Current Illness: none

ID: 1231457
Sex: F
Age: 41
State: HI

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/20/2021
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: Victoza, bydureon, ASA, tramadol, dust mites, other pollen, "many other things".

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Developed wheezing, shortness of breath, hives starting a little over 30 minutes after vaccination and progressing to severe enough illness pt took her epipen and quickly get better, also took benadryl before vaccine. Within an hour after using her epinephrine, she felt back to normal.

Other Meds: Benadryl 25 mg po pre dose for history of allergies, metformin, allopurinol, mometasone nasal spray, ibuprofen, spironolactone.

Current Illness: Pre-diabetes, obesity, environmental allergies, asthma.

ID: 1231458
Sex: F
Age: 39
State: OK

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Zithromax, flu vaccine, unknown allergy with severe allergic reaction. Not sure what caused it in 2 different occasions

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: As soon as I got the shot my left hand started to tingle and I was light headed. About 30 minutes later my throat started to it. 2 hours later my head started to hurt and my neck started to hurt. Had trouble sleeping that night. The next day my throat hurt very bad 5 on the wong backer scale. All over body aches pain at about 5. My 3pm on april 15 I had 100.7 fever, body aches of about a 7. And developed a cold sore on my nose, Very tired: this lasted until April 16th had a phone call visit from the Covid clinic. Throat hurt for 5 days, trouble sleeping continues cough started on day 4. Throat started to feel better. Thick mucus. I have not felt good since getting the vaccine.

Other Meds:

Current Illness: None

ID: 1231459
Sex: F
Age: 57
State: CA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 04/20/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: moderate to severe axillary pain in vaccinated arm. Lasted for 3 days then diminished by 5th day.

Other Meds: Amlodipine besylate 10 mg

Current Illness: None

ID: 1231460
Sex: F
Age: 42
State: CA

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Nausea

Symptoms: Attention please investigate my wife recieved the Pfizer Covid 19 vaccine and I got sick after she recieved the vaccine so did my little son who is 7 yrs old. We both have huge headaches and my wife who received both doses showed signs if being sick from the vaccine. Is there currently any trials to determine if people who get the vaccine can transmit the attenuated virus? I believe that the Pfizer vaccine got me and my son sick after my wife got the 2nd shot. Please investigate and stop this vaccine before it causes more transmission of the virus.

Other Meds: NA

Current Illness: NA

ID: 1231475
Sex: F
Age: 55
State: CA

Vax Date: 04/06/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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: Injection site pain

Symptoms: Swelling, resness, soreness on vaccine site

Other Meds: Calcium, omega 3, women?s multi vitamin

Current Illness:

ID: 1231476
Sex: F
Age: 49
State: VA

Vax Date: 04/14/2021
Onset Date: 04/15/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies: Gluten, dairy, nuts, pepper, peaches, apples, plums, shellfish Morphine, codeine, aspirin, latex, Lidocaine

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

Symptoms: Lump in left armpit, same side as vaccine (second dose),, VERY painful and makes arm movement (up, above, back, and neutral) very uncomfortable and painful. Pressing on the bump causes a dripping feeling under the skin near the left breast. Have a doctor's appointment coming up. Lie bump (tonight ulcer), painful Severe back pain (had to visit spine specialist), need further testing

Other Meds: none

Current Illness: None

ID: 1231477
Sex: F
Age: 50
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/20/2021
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: sulfa drugs, penicillin, latex

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

Symptoms: Began feeling dizzy almost 15 minutes after the injection. Gradually also felt nauseous and foggy.

Other Meds: inderal, zyrtec, sudafed

Current Illness: none

ID: 1231478
Sex: M
Age: 58
State: WA

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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 knkwn

Symptom List: Tremor

Symptoms: Three (so far) episodes of VERY severe nosebleeds lasting up to 30 minutes. Not normal for me.

Other Meds: Gabapentin, Oxycodone, Acetaminophen

Current Illness: None

ID: 1231479
Sex: M
Age: 50
State: CA

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: had Covid in Jan, left ear jaw pain, slight tinnitus, tinnitus now significantly worse in both ears

Other Meds: CBD, gabapentin, Advil

Current Illness:

ID: 1231480
Sex: F
Age: 41
State: HI

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/20/2021
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: trulicity, victoza, bydureon, ASA, tramadol, PPD (purified protein derivative), influenza shots, ant bites, centipede bite, shellfish

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

Symptoms: shortness of breath and wheezing, headache, chest tightness

Other Meds: allopurinol, ibuprofen, metformin

Current Illness:

ID: 1231483
Sex: F
Age: 46
State: TN

Vax Date: 04/15/2021
Onset Date: 04/19/2021
Rec V Date: 04/20/2021
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: MSG, artificial sweeteners, cottonseed oil

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

Symptoms: Initially after the shot I just had a sore arm. Then Monday I started having fever and fatigue

Other Meds: Zyrtec D, Pylera, Losartin

Current Illness: None

ID: 1231515
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 04/20/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: got the shot /nowhave shingles / once there is an outbreak, it never goes away/suspected vaccination failure; got the shot /nowhave shingles / once there is an outbreak, it never goes away.; This case was reported by a consumer and described the occurrence of vaccination failure in a adult patient who received Herpes zoster (Shingles vaccine) for prophylaxis. On an unknown date, the patient received Shingles vaccine. On an unknown date, unknown after receiving Shingles vaccine, the patient experienced vaccination failure (serious criteria GSK medically significant) and shingles. On an unknown date, the outcome of the vaccination failure was unknown and the outcome of the shingles was not recovered/not resolved. It was unknown if the reporter considered the vaccination failure and shingles to be related to Shingles vaccine. Additional details were reported as follows: The case was reported by the patient. The age at vaccination was not reported. The age group was not reported but it was selected as an adult as per vaccine indication. The patient never had the shingles shot. The physician convinced patient to get the one and never had shingles before the shot. The patient got the shot and now had shingles. Once there was an outbreak, it never goes away. This case was considered as suspected vaccination failure as details regarding completion of primary vaccination schedule, event onset time and laboratory confirmation for shingles were unknown at the time of reporting. The information regarding consent to follow up was not reported. No further information available.

Other Meds:

Current Illness:

ID: 1231517
Sex: F
Age:
State: MN

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/20/2021
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:

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

Symptoms: SUSPECTED COVID-19 INFECTION WORSE; COULDN'T SLEEP; This spontaneous report received from a patient concerned a female of unspecified age. The patient's height, and weight were not reported. The patient's past medical history included covid. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: Unknown, and batch number: UNKNOWN expiry: UNKNOWN) .5 ml, administered on 06-MAR-2021 11:00 to Left Deltoid for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced suspected covid-19 infection worse. On MAR-2021, the subject experienced couldn't sleep. Laboratory data included: Body temperature (NR: not provided) 99.6 F, 100.9 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The outcome of the couldn't sleep and suspected covid-19 infection worse was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1231518
Sex: M
Age:
State: LA

Vax Date:
Onset Date: 03/08/2021
Rec V Date: 04/20/2021
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:

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

Symptoms: SWOLLEN UPPER LIP; SLIGHTLY NUMB UPPER LIP; This spontaneous report received from a patient concerned a male of unspecified age. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805018, and batch number: 1805018 expiry: 25-MAY-2021) .5 ml, administered on 08-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On 08-MAR-2021, the subject experienced swollen upper lip. On 08-MAR-2021, the subject experienced slightly numb upper lip. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from slightly numb upper lip on 08-MAR-2021, and was recovering from swollen upper lip. This report was non-serious.

Other Meds:

Current Illness:

ID: 1231519
Sex: F
Age:
State: NJ

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/20/2021
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: FEVER; LOWER BACK ACHE; FEELING UNWELL; CHILLS; ABDOMINAL PAIN RADIATING TO BACK; BODY ACHE; This spontaneous report received from a patient concerned a 25 year old female. The patient's height, and weight were not reported. The patient's pre-existing medical conditions included the patient has no known allergies.The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1802072, and batch number: 1802072 expiry: UNKNOWN) dose was not reported, administered on 08-MAR-2021 16:00:00 for prevention of covid-19. No concomitant medications were reported. On MAR-2021, the subject experienced body ache. On MAR-2021, the subject experienced abdominal pain radiating to back. Treatment medications included: paracetamol. On 08-MAR-2021, the subject experienced lower back ache. On 08-MAR-2021, the subject experienced feeling unwell. On 08-MAR-2021, the subject experienced chills. On 09-MAR-2021 02:00, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 102 degree F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from fever, lower back ache, and feeling unwell, and had not recovered from chills, body ache, and abdominal pain radiating to back. This report was non-serious.

Other Meds:

Current Illness:

ID: 1231520
Sex: F
Age:
State: IL

Vax Date:
Onset Date: 03/10/2021
Rec V Date: 04/20/2021
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: CHILLS FOR 4 HOURS; NOT FEELING WELL; FEVER OF 102 F; This spontaneous report received from a consumer concerned a female of unspecified age. Initial information was processed along with additional information received on 10-MAR-2021. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, and batch number: UNKNOWN expiry: UNKNOWN) .5 ml, administered on 10-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, Laboratory data included: Body temperature (NR: not provided) 102 F. On 10-MAR-2021, the subject experienced fever of 102 F. On 10-MAR-2021, the subject experienced chills for 4 hours. On 10-MAR-2021, the subject experienced not feeling well. Treatment medications (dates unspecified) included: paracetamol. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from fever of 102 F, and chills for 4 hours, and the outcome of not feeling well was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1231521
Sex: F
Age:
State: CA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/20/2021
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: PRESSURE ON CHEST; FORGETFUL; FEELING HEAT GOING THROUGH BODY; THROAT BEGAN TO CLOSE; DIZZINESS; TINGLING SENSATION; THROAT HURTS; FEVER; NOT FEELING WELL; This spontaneous report received from a patient concerned a 41 year old female. The patient's weight was 122 pounds, and height was 161 centimeters. The patient's concurrent conditions included penicillin allergy, abstains from alcohol, and non smoker, and other pre-existing medical conditions included no drug abuse/illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: UNKNOWN) dose was not reported, administered on 12-MAR-2021 14:55 for prophylactic vaccination. The batch number was not reported and has been requested. No concomitant medications were reported. On MAR-2021, the subject experienced not feeling well. On 12-MAR-2021, the subject experienced tingling sensation. On 12-MAR-2021, the subject experienced throat hurts. On 12-MAR-2021, the subject experienced feeling heat going through body. On 12-MAR-2021, the subject experienced throat began to close. On 12-MAR-2021, the subject experienced dizziness. On 12-MAR-2021, the subject experienced fever. On an unspecified date, the subject experienced pressure on chest, and forgetful. Treatment medications (dates unspecified) included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from pressure on chest, forgetful, and dizziness on 15-MAR-2021, and feeling heat going through body, throat began to close, and fever, had not recovered from tingling sensation, and throat hurts, and the outcome of not feeling well was not reported. This report was non-serious.

Other Meds:

Current Illness:

ID: 1231522
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/12/2021
Rec V Date: 04/20/2021
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: DIARRHEA; This spontaneous report received from a patient concerned a 62 year old female. The patient's weight was not reported and height was 157.48 centimeters. The patient's past medical history included surgery, and concurrent conditions included non alcohol user, and non smoker, and other pre-existing medical conditions included no known drug allergies and had no history of drug abuse. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: UNKNOWN) dose was not reported, administered on 12-MAR-2021 for prophylactic vaccination. The batch number was not reported and has been requested. Concomitant medications included sulfamethoxazole/trimethoprim for post surgery. On 12-MAR-2021, the subject experienced diarrhea. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from diarrhea on 15-MAR-2021. This report was non-serious.

Other Meds: BACTRIM

Current Illness: Abstains from alcohol; Non-smoker

ID: 1231523
Sex: M
Age:
State: IL

Vax Date:
Onset Date: 03/13/2021
Rec V Date: 04/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: FEVER; MILD HEADACHE; BODY ACHES; LOSS OF APPETITE; This spontaneous report received from a patient concerned a 67 year old male. The patient's weight was 150 pounds, and height was 167.6 centimeters. The patient's concurrent conditions included ace inhibitors allergy, heart problems, acid reflux, hypercholesterolemia, sleep problems, high blood pressure, back pain, non-alcohol user, and non-smoker, and other pre-existing medical conditions included the patient was no ill at the time of vaccination and had no past history of similar events. the patient had no pre-existing acute illness and no history of hospitalization in last 30 days prior to vaccination. the patient had family history of heart problems and diabetes. the patient had no history of drug abuse. The patient experienced arm soreness when treated with influenza vaccine for prophylactic vaccination, and drug allergy when treated with hydrocodone. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, and batch number: 1805025 expiry: 25-MAY-2021) dose was not reported, administered on 12-MAR-2021 14:00 for prophylactic vaccination. Concomitant medications included omeprazole for acid reflux, gabapentin for back pain, ergocalciferol for bone health, and to improve immunity, acetylsalicylic acid for heart health, bisoprolol fumarate/hydrochlorothiazide for high blood pressure, pravastatin for hypercholesterolemia, trazodone for sleep problems, and zolpidem for sleep problems. On 13-MAR-2021, the subject experienced body aches. On 13-MAR-2021, the subject experienced loss of appetite. On 13-MAR-2021, the subject experienced mild headache. Laboratory data included: Body temperature (NR: not provided) 100.9 F. Treatment medications included: paracetamol. On 13-MAR-2021 03:00, the subject experienced fever. Laboratory data included: Body temperature (NR: not provided) 100.2 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from body aches, loss of appetite, fever, and mild headache on MAR-2021. This report was non-serious.

Other Meds: BABY ASPIRIN; OMEPRAZOLE; PRAVASTATIN; ZOLPIDEM; BISOPROLOL/HYDROCHLOROTHIAZID; TRAZODONE; GABAPENTIN; VITAMIN D [ERGOCALCIFEROL]

Current Illness: Abstains from alcohol; Back pain; Blood pressure high; Drug allergy; Gastrooesophageal reflux disease; Heart disorder; Hypercholesterolemia; Non-smoker; Sleep disturbance

ID: 1231524
Sex: M
Age:
State: FL

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/20/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: BODY ACHES; TEMPERATURE; CHILLS; NAUSEA; MUSCLE ACHE; This spontaneous report received from a patient concerned a 75 year old male. The patient's height, and weight were not reported. The patient's concurrent conditions included high blood pressure, cholestrol, alcoholic, and non smoker, and other pre-existing medical conditions included no history of drug abuse, no allergies. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805029 and expiry: UNKNOWN) dose was not reported, administered on 16-MAR-2021 to Left Arm for prophylactic vaccination. Concomitant medications included atorvastatin non-company for cholesterol, lisinopril for high blood pressure, metoprolol for high blood pressure, minerals nos/vitamins nos for multivitamin, and ascorbic acid/betacarotene/cupric oxide/tocopheryl acetate/zinc oxide for vitamin supplement. On MAR-2021, the subject experienced muscle ache. On 16-MAR-2021, the subject experienced temperature. On 16-MAR-2021, the subject experienced chills. On 16-MAR-2021, the subject experienced nausea. On 17-MAR-2021, the subject experienced body aches. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from temperature, nausea, and muscle ache on MAR-2021, and chills on 17-MAR-2021, and was recovering from body aches. This report was non-serious.

Other Meds: LISINOPRIL; METOPROLOL; PRESERVISION; CENTRUM; ATORVASTATIN

Current Illness: Alcoholic (3 times a week); Blood pressure high; Cholesterol total abnormal NOS; Non-smoker

ID: 1231525
Sex: F
Age:
State: OK

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 04/20/2021
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: RAPID HEART RATE; SOME UNWANTED PALPITATION; FELT TINGLING ALL OVER THE FACE; STRONG MEDICINAL TASTE COMES IN MOUTH; SNEEZING OCCASIONALLY; EARS ITCHING; EAR RINGING; EYES WERE TWITCHING SOME; MUSCLE AND JOINT ACHES; HAD LOTS OF POST NASAL DRIP; TENDER ARM; ALLERGIC REACTION; OCCASIONAL HEADACHE; LEG CRAMPS; This spontaneous report received from a patient concerned a 65 year old female. The patient's weight was 210 pounds, and height was 68 inches. The patient's concurrent conditions included seasonal hay fever, non alcoholic, and non smoker, and other pre-existing medical conditions included patient has no known drug abuse. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1805020 expiry: UNKNOWN) dose was not reported, administered on 03-MAR-2021 for prophylactic vaccination. No concomitant medications were reported. On MAR-2021, the subject experienced leg cramps. On MAR-2021, the subject experienced occasional headache. On 03-MAR-2021, Laboratory data included: Heart rate (NR: not provided) Above 100, and Oxygen saturation (NR: not provided) Normal. On an unspecified date, the subject experienced rapid heart rate, some unwanted palpitation, felt tingling all over the face, strong medicinal taste comes in mouth, sneezing occasionally, ears itching, ear ringing, eyes were twitching some, muscle and joint aches, had lots of post nasal drip, tender arm, and allergic reaction. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient was recovering from leg cramps, and occasional headache, and the outcome of allergic reaction, muscle and joint aches, tender arm, felt tingling all over the face, strong medicinal taste comes in mouth, sneezing occasionally, ears itching, ear ringing, eyes were twitching some, rapid heart rate, some unwanted palpitation and had lots of post nasal drip was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Hay fever; Non-smoker

ID: 1231526
Sex: F
Age:
State: OH

Vax Date:
Onset Date: 03/19/2021
Rec V Date: 04/20/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: ROOF OF MOUTH ITCHED; FEELS LIKE FACE (JAW) HURTS; DIZZINESS WHEN GOT UP AT NIGHT; CHILLS; THROBBING HEADACHE; NAUSEA; FEVER; SHAKING FROM INSIDE; KEPT GETTING UP EVERY HOUR AT NIGHT; BURNED AT INJECTION SITE; HAVING DIFFICULTY FALLING BACK TO SLEEP WHEN WOKE UP AT NIGHT; This spontaneous report received from a patient. The patient's concurrent conditions included non hodgkin's lymphoma, non-smoker, and non alcohol user, and other pre-existing medical conditions included the patient had no known allergies and did not had any drug abuse or illicit drug use. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 1802068, and batch number: 1802068 expiry: UNKNOWN) dose was not reported, administered on 19-MAR-2021 13:30 for prophylactic vaccination. No concomitant medications were reported. On 19-MAR-2021, the subject experienced shaking from inside. On 19-MAR-2021, the subject experienced kept getting up every hour at night. On 19-MAR-2021, the subject experienced burned at injection site. On 19-MAR-2021, the subject experienced having difficulty falling back to sleep when woke up at night. On 19-MAR-2021, the subject experienced dizziness when got up at night. On 19-MAR-2021, the subject experienced chills. On 19-MAR-2021, the subject experienced throbbing headache. On 19-MAR-2021, the subject experienced nausea. On 19-MAR-2021, the subject experienced fever. On 19-MAR-2021 23:30, Laboratory data included: Body temperature (NR: not provided) 101.1 F. On 20-MAR-2021, the subject experienced feels like face (jaw) hurts. On 20-MAR-2021, the subject experienced roof of mouth itched. Laboratory data included: Body temperature (NR: not provided) 100.2 F. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from shaking from inside on 21-MAR-2021, kept getting up every hour at night, having difficulty falling back to sleep when woke up at night, feels like face (jaw) hurts, dizziness when got up at night, roof of mouth itched, throbbing headache, nausea, and fever on 21-MAR-2021 09:00, and chills on 20-MAR-2021, and the outcome of burned at injection site was not reported. This report was non-serious.

Other Meds:

Current Illness: Abstains from alcohol; Non-Hodgkin's lymphoma (iin 2004); Non-smoker

ID: 1231527
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 03/15/2021
Rec V Date: 04/20/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: ITCHING ALL OVER THE BODY/ ITCHY HANDS AND FEET; THROAT FELT WEIRD; CHILLS; TIRED; This spontaneous report received from a patient concerned a 57 year old female. The patient's weight was 159.8 pounds, and height was 162.56 centimeters. The patient's concurrent conditions included alcoholic, grass and trees allergy, dust allergy, and non smoker, and other pre-existing medical conditions included patient is allergic to outdoor grass, trees and dust since childhood. drinks alcohol sometimes or once a week. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, intramuscular, batch number: 1805029, and batch number: 1805029 expiry: 25/MAY/2021) dose was not reported, administered on 15-MAR-2021 14:40 for prophylactic vaccination. Concomitant medications included ascorbic acid/ergocalciferol/folic acid/nicotinamide/panthenol/retinol/riboflavin/thiamine hydrochloride. On 15-MAR-2021, the subject experienced chills. On 15-MAR-2021, the subject experienced tired. On 21-MAR-2021, the subject experienced itching all over the body/ itchy hands and feet. On 21-MAR-2021, the subject experienced throat felt weird. Treatment medications included: diphenhydramine hydrochloride. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient recovered from itching all over the body/ itchy hands and feet, and throat felt weird on 22-MAR-2021, and chills, and tired on 17-MAR-2021. This report was non-serious.

Other Meds: MULTIVITAMINS [ASCORBIC ACID;ERGOCALCIFEROL;FOLIC ACID;NICOTINAMIDE;PANTHENOL;RETINOL;RIBOFLAVIN;THI

Current Illness: Alcoholic; Dust allergy; Seasonal allergy

ID: 1231528
Sex: F
Age:
State: WA

Vax Date:
Onset Date: 04/01/2021
Rec V Date: 04/20/2021
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:

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

Symptoms: BLOOD IN URINE; TEMPERATURE WENT DOWN; This spontaneous report received from a patient concerned a 71 year old female. The patient's weight, height, and medical history were not reported. The patient received covid-19 vaccine ad26.cov2.s (suspension for injection, route of admin not reported, batch number: 841A21A, expiry: UNKNOWN) dose was not reported, administered on 02-APR-2021 for prophylactic vaccination. No concomitant medications were reported. On APR-2021, the subject experienced temperature went down. Laboratory data included: Body temperature (NR: not provided) 97.7 F, 96.4 F. On 03-APR-2021, the subject experienced blood in urine. The action taken with covid-19 vaccine ad26.cov2.s was not applicable. The patient had not recovered from blood in urine, and the outcome of temperature went down was not reported. This report was non-serious.; Sender's Comments: V0 Medical assessment comment not required as per standard operating procedure as the case assessed as non-serious.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm