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: 1236608
Sex: F
Age: 48
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever, fatigue, upper body aches, headache, injection site pain

Other Meds: none

Current Illness: none

ID: 1236609
Sex: M
Age: 65
State: SC

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 04/21/2021
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: On 03/02/2021 a day after the first dose I noticed my vision was a little off the next day. It seemed to get better and then on 04/7/2021 I noticed the sight in my right eye was again blurry. My second dose was on 03/22/2021. The sight in my right eye has been getting progressively worse each day. I am now experiencing double vision. I went to an ophthalmologist and got numerous tests performed. After they could find the cause I was sent for an MRI which did not find the cause.

Other Meds: Claritin, vitamin D and elderberry with zinc

Current Illness: none

ID: 1236610
Sex: M
Age: 45
State: MO

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/21/2021
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: ~2230 chest tightness/pain (unlike asthma) that radiated to neck and left arm with left arm numbness, anxiety He had taken 325mg of ASA 4x that day d/t right shoulder pain from previous injury

Other Meds: Aspirin 325 mg Singulair Zyrtec Albuterol Symbicort Advil Tylenol

Current Illness: None

ID: 1236611
Sex: M
Age: 50
State: FL

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I started having a pain in my chest and I noticed a rush which was very very itchy, painful in a circle right in the middle of my chest. I though it was shingles since I had ir before, I went to the doctor and he prescribed some mediction and a cream, I still have the circle and it still itches, looks better but today I am supposed to get the second Pfizer shot.

Other Meds: N/A

Current Illness: N/A

ID: 1236612
Sex: M
Age: 46
State: AR

Vax Date: 04/03/2021
Onset Date: 04/07/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: ABOUT 5 DAYS AFTER TAKING THE VACCINE BOTH OF MY EYE LIDS APPEARED BRUISED AND PURPLE

Other Meds: Oxycodone, Soma

Current Illness:

ID: 1236613
Sex: F
Age: 50
State: IA

Vax Date: 04/07/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
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: Moderna COVID-19 Vaccine EUA One week and one day after the above vaccine, I developed itching and a rash on my upper left arm. It is about 2 inches by 3 inches. Red, warm to touch and bumps in it. No pain or fever. Using cortisone cream on it.

Other Meds: Plaquenil, multi vitamin, Estroven, baby aspirin, vitamin d, probiotic

Current Illness: none

ID: 1236614
Sex: M
Age: 74
State: MI

Vax Date: 02/03/2021
Onset Date: 03/12/2021
Rec V Date: 04/21/2021
Hospital: Y

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: Pyrexia, White blood cell count decreased

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1236616
Sex: M
Age: 65
State: IL

Vax Date: 04/01/2021
Onset Date: 04/14/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Bilateral large pulmonary emboli

Other Meds: none

Current Illness: none

ID: 1236617
Sex: F
Age: 26
State:

Vax Date: 04/12/2021
Onset Date: 04/18/2021
Rec V Date: 04/21/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Caller states she received her first dose of the vaccine 8 days ago and two days ago she developed a swollen lymph node and a "hive like" itchy red area at the injection site. Caller denies that its spreading but states it is warm to touch. Advised caller to contact her PCP so he/she can evaluate and to draw a ring around the borders to assess if it is spreading.

Other Meds:

Current Illness:

ID: 1236619
Sex: F
Age: 49
State: CT

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/21/2021
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: Mild reactions to gluten and nuts

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Tinnitus occurred the following day and has been present ever since.

Other Meds: None - just vitamins

Current Illness: None

ID: 1236620
Sex: M
Age: 83
State: IN

Vax Date: 02/01/2021
Onset Date: 02/25/2021
Rec V Date: 04/21/2021
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: patient is currently on study for melanoma and has routine MRIs for monitoring. At his last MRI on 2/25 an asymptomatic cerebral venous thrombosis was incidentally found.

Other Meds: levocetirizine, levothyroxine, metoprolol, potassium chloride

Current Illness: metastatic melanoma with last treatment with ipilimumab and nivolumab in August of 2020

ID: 1236621
Sex: F
Age: 42
State:

Vax Date: 04/05/2021
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: all over outbreak on body and face of painful acne for over one week now, hsv1 had since birth but not active for years became painful and active on face for over one week now, extreme fatigue for 2 days following injection

Other Meds: Levothyroxine, prenatal vitamins, vitamin D

Current Illness:

ID: 1236622
Sex: M
Age: 44
State: FL

Vax Date: 02/19/2021
Onset Date: 03/03/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: almost 2 weeks post second dose, patient developed vestibular neuritis and significant positional vertigo.

Other Meds: Losartan, Metformin, Vitamin C, Vitamin D and Zinc

Current Illness: none

ID: 1236623
Sex: F
Age: 43
State: IN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
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: Hands and feet felt arthritic, nausea before eating, all over body & joint pain, then a debilitating migraine that lasted all day, sinus pressure in ears, around eyes, lethargy

Other Meds: Adderall ER 10 mg Zinc 30 mg Magnesium 400 mg D3 25 mcg Evening primrose 1300 mg B-6 100 mg Folic acid 800 mcg

Current Illness: Menstruating

ID: 1236624
Sex: F
Age: 31
State: NJ

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
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: Iodine-rash

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

Symptoms: Individual arrived to post vaccine area after receiving dose one of Pfizer COVID 19 vaccine. Individual reported feeling lightheaded and dizzy. After reporting feeling lightheaded individual had difficulty answering questions, would respond with one to two word responses slowly. Individual was lethargic and reported having episodes of difficulty responding. Vitals: BP 135/72 hr 84 O2 100%. Prior to vaccine individual was awake ambulatory and alert. Due to change in mental status EMS called for medical transport/emergency evaluation. Upon EMS arrival patient was awake, oriented x3, but still lethargic and slow to answer questions. No rash, denied, difficulty breathing, denied tongue swelling or throat complaint.

Other Meds:

Current Illness:

ID: 1236626
Sex: F
Age: 36
State: MA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
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: We asked patient she claims to have no allergies at time of vaccination

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

Symptoms: Patient first experienced and itch arm at the site of injection. She was given 25 mg of benedryl. She left and came back after saying she felt okay. She was now experiencing chest tightness which eased when sitting down. We watched for 15 minutes more. with no change in status. At this point I was going to call 911 but she did not want that. She called her mother who came down to the store. We were monitoring her for any changes. She did mention that her tongue felt tingly but for only a short time. Her mother came shortly and her mother took her to the hospital Patient was talking normally and having normal conversation with out stall.

Other Meds: there are none noted

Current Illness: None noted

ID: 1236627
Sex: F
Age: 39
State: OH

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Brain fog, fatigue, dizziness and slight confusion and soreness at the injection site 4 hours after- lasted until bed at 11:00 pm. Shot was on a Friday- everyday after had a symptom- headache on Saturday- mild muscle soreness- upset stomach/diarrhea- fatigue- Friday the following week felt fine, no symptoms until about 11:00pm. Right are started itching and by Saturday morning injection site was sore again, warm to the touch and an elevated rash developed around the injection site- rash lasted 24 hours- was still warm to the touch and tender on Monday 04/19/2021. Those symptoms disappeared by Tuesday morning.

Other Meds: Multi vitamin, zinc, essential oils, Zyrtec, Flonase

Current Illness: None

ID: 1236628
Sex: F
Age: 49
State:

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Ear pain, Hypoaesthesia

Symptoms: full body aches, throbbing joints, centralized headache for 48 hours. responsive to Advil.

Other Meds: paroxetine, protonix, hydrochlorothyzide, losartan

Current Illness: n/a

ID: 1236629
Sex: F
Age: 45
State: NC

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/21/2021
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: Vaccine was taken around 8:40 AM. Side effects started around 12:30 PM. On the day of vaccine nausea was experienced in the afternoon. Vomiting happened twice in the afternoon few hours after the shot was given. Nausea was severe that I could not eat anything because body was not holding it down. In addition, fever, chills, body aches, headache were experienced on the day of vaccine. I took a tylenol around 9 PM (12 hours after vaccine shot - Thursday). On Friday, nausea and vomiting had ceased, but fever, chills, body aches and headache continued. On Friday I took a tylenol in the morning, and again at bedtime. On Saturday side effects were still present but in much less intensity (lack of energy was still present so I spent another full day just lying down). Fever, chills and body aches had ceased by Saturday and only headache remained. I took tylenol twice that day. On Sunday I considered myself recovered from the side effects of the second shot of the Moderna vaccine, however, I felt some dizziness and headache in the afternoon and took tylenol again. I assume dizziness was experienced because I had little to eat during the prior 3 days due to the side effects.

Other Meds:

Current Illness:

ID: 1236630
Sex: F
Age: 17
State: MI

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Patient became dizzy and passed out after returning to her car. Guardian beeped horn and nurses evaluated patient. Patient aroused easily. Patient very pale. Patient vomited x 1. BP 88/50, P 53, R 14, Spo2 99%. 911 called, arrived within 15 minutes. Vitals and blood sugar stable. Patient denied any further dizziness and reported not eating prior to vaccination appointment. Patient also reported similar incident one other time after receiving a shot. Patient discharged home, no EMS transport. Follow up phone call revealed patient was feeling fine.

Other Meds: N/A

Current Illness: N/A

ID: 1236631
Sex: M
Age: 42
State: VA

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/21/2021
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: Chills, body aches, headache lasting approx. 9 hours the day after the injection.

Other Meds: None

Current Illness: None

ID: 1236632
Sex: F
Age: 41
State: IN

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
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: Headache, myalgia, arthralgia, fatigue, injection site soreness/swelling.

Other Meds: None

Current Illness: None

ID: 1236633
Sex: F
Age: 36
State: IN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
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: Shellfish

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

Symptoms: 12 hours post 2nd dose I experienced chills, muscle and joint pain

Other Meds: Armour Thyroid

Current Illness: No.

ID: 1236635
Sex: F
Age: 45
State:

Vax Date: 04/11/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: COVID arms - big red on the injected area. a little itchy too.

Other Meds: Labetalol Amlodepin

Current Illness:

ID: 1236636
Sex: F
Age: 50
State: NJ

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/21/2021
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 known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Vertigo and swollen glands in throat

Other Meds: Cymbalta 30 mg 1x day Seroquel 25 mg 1xday

Current Illness: None

ID: 1236637
Sex: F
Age: 44
State: DE

Vax Date: 04/10/2021
Onset Date: 04/17/2021
Rec V Date: 04/21/2021
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: Penicillin

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

Symptoms: 5 days after first vaccine my lymph node under my arm pit was swollen. It continues to be swollen a week later. 7 days later my arm was swollen, red, hot to the touch and itchy by the injection site.

Other Meds: Birth control Wellbutrin

Current Illness: None

ID: 1236638
Sex: M
Age: 40
State: FL

Vax Date: 03/28/2021
Onset Date: 04/12/2021
Rec V Date: 04/21/2021
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: N/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Shingles, skin burning sensation, skin rash.

Other Meds: Fish oil

Current Illness: N/a

ID: 1236639
Sex: F
Age: 52
State: NC

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pt became dizzy, sweaty and developed rapid heartbeat. ems called and responded. pt checked and cleared by ems.

Other Meds:

Current Illness:

ID: 1236640
Sex: F
Age: 55
State: MA

Vax Date: 04/08/2021
Onset Date: 04/16/2021
Rec V Date: 04/21/2021
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: No

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

Symptoms: Rash at injection site

Other Meds: Generic Zoloft and Wellbutrin

Current Illness: No

ID: 1236641
Sex: F
Age: 45
State: MD

Vax Date: 04/10/2021
Onset Date: 04/13/2021
Rec V Date: 04/21/2021
Hospital: Y

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

Lab Data:

Allergies: Compazine

Symptom List: Nausea

Symptoms: Approximately 3 days after receiving the vaccine she developed bilateral lower extremity paralysis.

Other Meds: Unknown

Current Illness: Unknown

ID: 1236642
Sex: M
Age: 47
State: IN

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
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: Low fever, chills, headache, eyes burn, body soreness, throat sore

Other Meds:

Current Illness:

ID: 1236644
Sex: M
Age: 25
State: OH

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever, Chills, Body Aches, Head Aches

Other Meds: None

Current Illness: None

ID: 1236647
Sex: M
Age: 38
State: MD

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 04/21/2021
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: Patient had severe pain at the injection site which he related to post surgical pain and continues to have pain with range of motion one month following the initial injection. Interestingly, he had the second moderna on the right arm and no significant side effects other than some mild soreness lasting 2 days on the right arm. Left shoulder/arm however remains quite painful.

Other Meds: none

Current Illness: none

ID: 1236648
Sex: F
Age: 72
State: ID

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 04/21/2021
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: unknown

Symptom List: Tremor

Symptoms: PT reported that the day after her 2nd shot (2/4/21) she experienced body wide joint aches that have persisted since 2/5/21. She saw her PCP who has since dx?d her with Rheumatoid Arthritis. She states she did not have RA previously (or at least had never been tested for it). This is currently being managed by her PCP who is unknown to this hospital.

Other Meds: unknow

Current Illness: unknown

ID: 1236649
Sex: F
Age: 20
State:

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/21/2021
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- minor hives

Symptom List: Erythema, Pruritus

Symptoms: EXTREME heart palpitations about 9 hours after vaccine, nose bleeding. Heart palpitations continue daily, abnormal EKG at doctors office weeks later when I had ZERO heart problems ever. Diagnosed with an arrhythmia.

Other Meds:

Current Illness:

ID: 1236650
Sex: F
Age: 52
State: MA

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 04/21/2021
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: None that I know of

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

Symptoms: I began having pain in my lower left leg later on Sunday (felt like a pulled muscle) but by Monday it was more painful. Since I had surgery (see above) my doctor sent me fir an ultrasound where a clot was found. Went to emergency room to further evaluate and get treated. Was given elequis and am taking for 3 months. Was told clot was likely related to immobility from injury, but wanted to report just for your consideration

Other Meds: Gabapentin for sleeplessness Tylenol

Current Illness: I fell on ice on Feb. 7 and had surgery on lower left leg. At time of vaccination, I was still no weight bearing on that leg. The blood clot I developed on March 8 was in my lower left leg

ID: 1236651
Sex: F
Age: 39
State: GA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/21/2021
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 that I?m aware of.

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

Symptoms: I got a rash that covered my face, ears, neck and upper back. Now the rash has moved to my lowered arms.

Other Meds: Zyrtec D

Current Illness: No

ID: 1236652
Sex: M
Age: 43
State: NY

Vax Date: 04/17/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
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: rash to buttocks, appearance similar to fat necrosis

Other Meds:

Current Illness:

ID: 1236653
Sex: M
Age: 41
State: IA

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
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: Body aches and debilitating headache. Lasted approximately 12-24 hours. Took 1000mg Tylenol twice to manage symptoms around hour 8 and 14.

Other Meds: Zoloft 50mg

Current Illness: None

ID: 1236654
Sex: F
Age: 48
State: PA

Vax Date: 02/02/2021
Onset Date: 04/15/2021
Rec V Date: 04/21/2021
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: None

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

Symptoms: Shingles

Other Meds: None

Current Illness: None

ID: 1236657
Sex: F
Age: 21
State: IN

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
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: Pain in extremity

Symptoms: Chills and a fever at the same time- tried wearing layers when cold but then I get hot 5 minutes later- I?m constantly sweating or having chills Headache that hasn?t gone away in 3 days- Tylenol- doesn?t help Dizziness- sitting down a lot- helps a lot Nausea- tried eating saltine crackers- doesn?t help at all

Other Meds: None

Current Illness: None

ID: 1236658
Sex: M
Age: 52
State: NC

Vax Date: 04/12/2021
Onset Date: 04/19/2021
Rec V Date: 04/21/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillium

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

Symptoms: - Pain in the left armpit which extends through the left of my forearm to the big vein in the middle of the arm - Fatigue/Tiredness - Light chills, but no fever

Other Meds: Lisinopril 5mg - 1 per day Sertraline 25mg 1 per day Multi-Vitamin - 1 per day Fish Oil 1200mg - 1 per day Vitamin D 4000IU - 1 per day Aspirin 81mg - 1 per day

Current Illness: Torn Rotator Cuff

ID: 1236659
Sex: F
Age: 52
State: NJ

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/21/2021
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: Left arm tingling

Other Meds:

Current Illness:

ID: 1236660
Sex: F
Age: 16
State: MI

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/21/2021
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 known. Digestive upset with amoxicillin.

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

Symptoms: 10 hours post vaccination, she felt tightness in chest and felt slightly wheezy. 16 hours post test she was wheezing, taking shallow breaths, and felt like her throat was constricted. Shallow breaths only. Symptoms slowly dissipated. She returned to normal over the next two days post reaction.

Other Meds: Lexapro 10 mg. Once daily.

Current Illness: None

ID: 1236662
Sex: M
Age: 45
State: GA

Vax Date: 04/15/2021
Onset Date: 04/18/2021
Rec V Date: 04/21/2021
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: Penicillin

Symptom List: Vomiting

Symptoms: Intense nausea, fatigue, right arm pain and rash on both forearms

Other Meds: None

Current Illness: None

ID: 1236663
Sex: M
Age: 63
State: DE

Vax Date: 04/16/2021
Onset Date: 04/21/2021
Rec V Date: 04/21/2021
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: Headache which started on 5th day after 2-shot vaccination. Typical side effects - fatigue, fever of 99-100, pain at injection site from 7 to 38 hrs post injection.

Other Meds: atenolol, nexium, atorvastatin

Current Illness:

ID: 1236664
Sex: F
Age: 39
State: PA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/21/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: As of 4/21/21 still getting daily headaches that started with my second Moderna dose. Contacted PCP. They stated 3-4 weeks is normal and would now like me to see neurolorgy.

Other Meds: birth control, cholesterol med, vitamins

Current Illness: none

ID: 1236665
Sex: F
Age: 27
State: FL

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/21/2021
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: Penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient arrived under vaccination tent shaking and stated she was nervous. Nurse explained to patient to try and calm down or vaccine may not be administered due to patient moving. Patient did calm down and relaxed arm as instructed. Prior to administering the vaccine nurse explained the procedure and post vaccine instructions. Patient verbalized understanding. While administering the vaccine nurse spoke to patient about hobbies and job to distract patient from the process of administering the vaccine. After administering the vaccine patient stated she felt like she was going to pass out. This nurse called out to staff for help. Patient then went unresponsive. RNs on staff took over taking patients vitals. EMS called. ARNP arrived to scene and assessed the patient. Vitals recorded as BP 105/68, o2 99%, p:74. EMS arrived at 1738. Patient was assessed by EMS staff but refused hospital transport. Patient had an episode of emesis and stated she felt much better. Patient departed at 1752.

Other Meds: Lexapro Zyrtec

Current Illness: None

ID: 1236666
Sex: F
Age: 61
State: MI

Vax Date: 04/01/2021
Onset Date: 04/17/2021
Rec V Date: 04/21/2021
Hospital: Y

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: Patient developed bilateral PE

Other Meds:

Current Illness:

ID: 1236667
Sex: F
Age: 63
State: NY

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 04/21/2021
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: sulfa, shellfish, cinnamon, theophylline

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

Symptoms: Later that evening I began having severe chills, nauseous, my body was achy and I was very tired. The skin of my upper body begin to itch and burn and got worse over the next couple day. It continued to get worse so I went back to the pharmacy on 15th but the pharmacist knew nothing regarding what I was experiencing and advised I used Aveno and swithch from Allegra to benedryl to help with the itching and if it didnt get any better to go to the dr. Within the next couple weeks I reached out to my PCP a couple times but all he could provide it that I continued to take the benedryl because topical ointments wouldnt work. Its still here but not as bad as it originally was. I have a dermatologist appt on May 6th. It had gotten better over the next few weeks but I am still experiencing the skin sensitivity.

Other Meds: Allegra

Current Illness: no

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm