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: 1241940
Sex: F
Age: 65
State: TX

Vax Date: 04/08/2021
Onset Date: 04/18/2021
Rec V Date: 04/22/2021
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: I currently have swelling in my hands, pain in my vaccinated arm, bone pain, a bump in my hand like thrombi, burning sensation in my stomach, taste of blood in my throat, leg and joint pain. After I was vaccinated.

Other Meds: Vitamin c, vitamin d, children's aspirin, meloxicam.

Current Illness: Poor circulation problems, varicose veins.

ID: 1241941
Sex: F
Age: 36
State: NY

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: Pollen, aspirin, metoclopramide

Symptom List: Anxiety, Dyspnoea

Symptoms: Chest pain followed by Hypotension

Other Meds: Calcium Vit C, biotin, cetirizine, acetaminophen

Current Illness: None

ID: 1241943
Sex: F
Age: 26
State: IN

Vax Date: 04/13/2021
Onset Date: 04/17/2021
Rec V Date: 04/22/2021
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: Heavy and irregular period. Heavy bleeding outside of normal cycle for 5+ days

Other Meds: Ibuprofen, citalopram, Claritin

Current Illness: None

ID: 1241944
Sex: F
Age: 31
State: CA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: NUTS

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: PATIENT HAD SCRATCHY THROAT WITHIN 30 MINUTES OF VACCINATION PATIENT GIVEN BENADRYL 50MG INTRAMUSCULARLY

Other Meds:

Current Illness:

ID: 1241945
Sex: M
Age: 30
State: TX

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/22/2021
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: Only major effects after dose 2. For 5 days terrible aches and chills. Fever and one of the worst migraines I?ve ever had. Have struggled with migraines most of my life (1/month on average). Also had diarrhea on Day 5.

Other Meds: Le capto, Qvar inhaler

Current Illness: Potential stomach bug but wasn?t diagnosed. Son (2 yo) had a stomach bug a week prior to my vaccination.

ID: 1241946
Sex: F
Age: 62
State: OH

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/22/2021
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: penicillin and sulfa = fever and rash

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

Symptoms: 3/26/2021 patient noticed large area of redness on right arm, grew to neck area over 24 hours; area of redness receded each day until 7 days after vaccination when symptoms resolved; injection site felt warm with knot, but not on arm or neck area where redness continued

Other Meds: levothyroxine 88 mcg one daily; omeprazole 20 mg one daily; Lexapro 20 mg one daily; simvastatin 40 mg one daily; calcium + vitamin d 600 one daily; vitamin d3 5000 one weekly

Current Illness: none

ID: 1241947
Sex: F
Age: 47
State: OH

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: For 60 hours after injection, symptoms included fatigue, nausea, headache, body aches, fever and chills. Treated at home without medical intervention. Menstrual cycle began 4 days after injection and lasted 21 days.

Other Meds: none

Current Illness: none

ID: 1241948
Sex: F
Age: 43
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Allergic to fragrance, animals, dust, trees, alcohol, smoke, insulation, wool. Medication reactions to Buspar and opiods - itching SSRIs - memory loss, word finding Gabapentin - euphoria Skin reaction to wisdom teeth removal, cause unknown.

Symptom List: Pharyngeal swelling

Symptoms: The night after I received the Johnson and Johnson vaccine I had 101.7 fever, chills, shaking. The next two days my hands got really dry and the skin peeled off them. 3 days later I fainted.

Other Meds: Gabapentin, Limictal, Vit D, Mirica, Vyvance, Inderall

Current Illness: 15-day migraine

ID: 1241949
Sex: F
Age: 40
State: MD

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/22/2021
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 and sulfas

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Sore throat, uncomfortable to swallow (reporting because this was not on the listed side effects) Other: fatigue, low grade fever, muscle aches, headache

Other Meds: Birth control

Current Illness:

ID: 1241950
Sex: F
Age: 40
State: IL

Vax Date: 04/14/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: Itching, red skin, lump at injection site

Other Meds: Mirena IUD Calcium Supplements Multivitamin Omega3 Supplements

Current Illness: None

ID: 1241951
Sex: F
Age: 61
State: IL

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: amoxacillon, statins

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

Symptoms: Tingling in my fingers within the first 15 minutes. Tired and headaches for two weeks. tingling and arm falling asleep quickly off and on.

Other Meds: vitamin c, d e, calcium, hair, nail and skin, multi-vitamin 50+ for women

Current Illness: none

ID: 1241952
Sex: F
Age: 68
State: CA

Vax Date: 02/26/2021
Onset Date: 03/04/2021
Rec V Date: 04/22/2021
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: Topical antibiotics, poison oak.

Symptom List: Rash, Urticaria

Symptoms: 7 days following 2nd Covid 19 vaccination, I had hives on the upper arm receiving the injection and spreading across the shoulders to the right upper arm. Hives were itchy for about a week, then went away after about 2 weeks. Only treatment was body lotion. 6 weeks and 1 day after 2nd vaccination experience near syncope. This occurred again 10 days later. Went to E.R. after 2nd occasssion. No clear reason found. Heart halter monitoring to follow, although vasovagal reflex a possibility.

Other Meds: Levothyroxine, Omerperazole, Fish Oil, AREDS, Citracal

Current Illness: None

ID: 1241953
Sex: F
Age: 56
State: AL

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Patient received pfizer vaccine at 2:25 pm. At 2:34 pm patient complained of headache and dizziness to EMT on site in observation holding area. Patient reported working with clorox prior to visit and already having headache. Blood pressure slightly elevated at 2:34 pm 148/97 Heart rate 79, O2 sat 98. At 2:41 blood pressure 147/100, heart rate 80 O2sat 100. At 2:54 Blood pressure 146/96 heart rate 79 O2 sat 98. EKG normal sinus rhythm. Patient requested transportation to hospital via ambulance due to feeling dizzy. Patient transported as requested via ambulance at 3:07 pm. Patient not in distress at time of Departure. I do not believe this was due to the vaccine.

Other Meds: Unknown

Current Illness: Unknown

ID: 1241954
Sex: F
Age: 39
State: WI

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
Hospital: Y

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: metocloprimide,

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

Symptoms: severe headache, neck pain, numbness and tingliness on right side , foggybrain, tremors

Other Meds: Vyvanse Topamax citalopram

Current Illness: none

ID: 1241955
Sex: M
Age: 41
State: FL

Vax Date: 04/14/2021
Onset Date: 04/19/2021
Rec V Date: 04/22/2021
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: Right side facial paralysis

Other Meds: None

Current Illness: None

ID: 1241956
Sex: M
Age: 16
State: MI

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/22/2021
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: NKA

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

Symptoms: No adverse event, but a medication error. This 16 year old should have received the Pfizer BioNTech vaccine due to his age. I informed his mother that he received the wrong vaccine. They both agree to receive the Moderna vaccine on May 12th, understanding that for the son, this is an off-label indication.

Other Meds: none

Current Illness: none

ID: 1241957
Sex: M
Age: 59
State: FL

Vax Date: 04/10/2021
Onset Date: 04/18/2021
Rec V Date: 04/22/2021
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: Thrombosed Hemorrhoid (blood clot). Rapid onset of initial pain. Still experiencing pain.

Other Meds: Airborne Multi Vitamin Vitamin D, Vitamin K, Vitamin B12, selenium

Current Illness: none

ID: 1241958
Sex: F
Age: 53
State: CO

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: After both my first and second shots I became incredibly thirsty. I needed to pee more than usual and could not stay hydrated. This morning I nearly fainted and think it was due to dehydration. I also ran a low fever, had chills, body aches and a very strong headache. But the thirst seems unusual.

Other Meds: Took a multi vitamin earlier that morning.

Current Illness: I have chronic migraines and had a mild one when I arrived for my appointment.

ID: 1241959
Sex: F
Age: 70
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Iodinated contrast dye (hives all over body), crab (anaphylactic shock).

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Within an hour I had a rash at the injection site, malaise, exhaustion, and headaches. At 6pm, 3 hours after injection, I was watching TV & suddenly couldn't see the faces on the screen & then saw a C-shaped zig-zag with an aura around it when eyes were open or closed. It went away after about 30 minutes. At 9PM, I developed teeth-chattering chills and flu-like symptoms, went to bed. All symptoms were gone in the morning with the exception of the malaise and exhaustion which lasted over a week. I let my primary care physician, optometrist, and ophthalmologist know of my symptoms. My opthalmologist asked me to come in and he gave me a dilated eye exam. My eyes were fine and he confirmed I had experienced an ocular migraine after the vaccine.

Other Meds: Various eye supplements for macular degeneration, levothyroxine, levothyroxine, acyclovir,

Current Illness: None

ID: 1241960
Sex: F
Age: 48
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: at 1335 pt received 2nd dose of pfizer vaccine and brought to observation area for 30mins to monitor by me, escorted by staff, pt already feeling dizzy & hands tingling & heart racing. place in triage chair, vitals measured, assessed, alert and oriented x 3, responds appropriately, clear bilateral equal lung sounds, mild distress with her feeling dizzy asking to lay down on a bed. ask another staff to grab gurney nearby as pt said her dizziness getting worse and eyelids appeared heavier and almost falling off chair while being observed, rapid response called at 1345. pt now on gurney laying supine, Several Vaccine clinic staff assisted me along with Rapid response team, vitals rechecked again at 1350, pt c/o of worsening dizziness and 5/10 headache with hands still tingling, heart still racing. After rapid response team evaluated pt, at 1352 plan to bring pt to ER for further evaluation.

Other Meds: did not ask at the time when inicident happened while i was the RN observer post-vaccination area, but none documented in chart while reviewing info

Current Illness: no illness but said after receiving the 1st pfizer dose, she felt dizzy and nausea and heart racing but today had more severity of same and more symptoms

ID: 1241961
Sex: F
Age: 74
State: WI

Vax Date: 03/20/2021
Onset Date: 04/06/2021
Rec V Date: 04/22/2021
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: Patient had bilateral pulmonary emboli and microcytic anemia

Other Meds: acetaminophen, ferrous sulfate, lantus

Current Illness:

ID: 1241962
Sex: M
Age: 58
State: TX

Vax Date: 04/06/2021
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Unevaluable event

Symptoms: After my J&J vaccine, about 2-3 days after I developed flu like symptoms, chills and headaches. On the 6th day after my vaccine, I developed a lump on the right side of my throat which progressively got worse. I also experienced diarrhea which lasted three days. I went to see my PCP, Dr. who ordered a CT scan of my neck. The CT scan demonstrated I had an ulcer in my throat located in my larynx box. MY PCP doctor then referred me to an ENT doctor, Dr. The ENT doctor gave me antibiotics and a shot in my arm. My throat kept getting worse and the ENT doctor have me reflux medicine and Prednisone and Bactrum medication. Today I woke up feeling much better although the pain and swelling to my left side of my throat and ear has gone down but I still have a sore throat and ulcer and is being treated with medicine.

Other Meds:

Current Illness:

ID: 1241963
Sex: M
Age: 28
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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:

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

Symptoms: A couple of minutes after getting his first dose of Moderna vaccine, patient almost had a syncope. He seemed about to faint. Blood pressure measured and it was 110/65. We called 911. His vital signs were OK. Paramedics arrived in a few minutes and patient was OK and came completely back to his senses. Paramedics left within few minutes.

Other Meds:

Current Illness:

ID: 1241964
Sex: F
Age: 25
State: VA

Vax Date: 03/23/2021
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
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: After my vaccine I experienced an abnormally long period cycle. Typically my menstruated cycle lasts 3-4 days and this time it lasted 7-9days.

Other Meds: birth control

Current Illness:

ID: 1241965
Sex: F
Age: 30
State: OH

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

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Throat itching. Rash on right arm-warm to touch. Cold pack given and water given. Later pt verbalizes that she is doing ok.

Other Meds: None

Current Illness: None

ID: 1241966
Sex: F
Age: 69
State: VA

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/22/2021
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: Chills, diarrhea, lower back pain, upset stomach--all continuing today! 21 days since the vaccine!

Other Meds: Etodolac

Current Illness: None

ID: 1241967
Sex: F
Age: 60
State: TX

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 04/22/2021
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 known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: About three weeks after receiving the vaccine, I began experiencing SEVERT headaches, nausea, and sometimes vomiting after eating a meal. After consulting the information on the side effects of the vaccine from the CDC website, I called doctor's office on 01/24/2021 @ 9:08 am to report my side effects and ask for any information to help with them. The young woman who answered my call stated that she was the doctor's assistant. I then proceeded to advise her of my extreme discomfort that included headaches, extreme nausea and sometimes vomiting. I could hear the Assistant asking my questions to the doctor, as well as the doctor's response that my symptoms were NOT vaccine side effects. I ended the call, very disappointed because I knew that I had NOT had ANY of these side effects PRIOR to taking the MODERNA vaccine. These symptoms have since become MORE heightened and frequent, post the 2nd round of the vaccine, and have yet to subside. I am extremely concerned about this because my quality of life has been greatly affected.

Other Meds: Metformin 1000mg (1 tab, 2x daily); Vitamins: Vitamin D-3 125mcg (1 tab, 1x daily); One-a-day Women's Multivitamin (1 tab daily); Sams Club Fish Oil (1200mg, 1x daily).

Current Illness: Diabetes

ID: 1241968
Sex: F
Age: 49
State: AZ

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Allergic to all on the southwest panel and nuts. Also have oral allergies.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: About 6 hours after vaccine my right ear started ringing (like a fluorescent light bulb). It continues today. It comes and goes as far as the volume of it. Seeing an ENT who says it's my eustachian tube and could take up to 3 months to clear. We shall see.

Other Meds: Allegra, Zyrtec, Flovent, Vitamin C

Current Illness: None.

ID: 1241969
Sex: F
Age: 74
State: IL

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
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: corn - in all forms, wheat, dairy products - all, eggs, chocolate, msg, nuts , soy, yeast, iodine, bananas, celery, shell fish - mold, feathers - penicillin, sulfa, codeine, coatings on tablets usually made with corn

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

Symptoms: joint pain so bad I could't move - 24 hours after injection - facial swelling and inside of mouth swelling - m2 days after injection - extreme headache almost immediately after injection

Other Meds: amlodypine, valsartin, ecotrin, levocitrizine

Current Illness: none

ID: 1241970
Sex: M
Age: 45
State: IL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Nausea

Symptoms: Patient experienced syncope and hypotension post vaccination, recovered and released

Other Meds: Unknown

Current Illness: Unknown

ID: 1241971
Sex: M
Age: 60
State: PA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain

Symptoms: Pt states about ten minutes after receiving vaccine, they began to feel dizzy, labored breathing, and a tight throat. Pt transferred to Med. Obs. via wheelchair and was transferred to bed in semi-fowler position. Pt given water and crackers. Pt was instructed to rest. Pt stated they began to feel better after resting. Pt was advised to take 25-50mg of Benadryl at home as a precaution and to call 911 if the symptoms reoccurred.

Other Meds: Lisinopril, Wellbutrin, Prevacid, Flomax, Claritin

Current Illness:

ID: 1241972
Sex: M
Age: 56
State: VA

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 04/22/2021
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 known

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

Symptoms: Besides pain at the injection site for about 4 days and chills on the third day after the shot, on the second day after my shot, my throat, tongue and lower part of my chin started to hurt fairly severely. From my research, this did not seem like a typical side effect. I had trouble sleeping, eating and swallowing without pain. This is now 8 days after my shot and I still have pain. I have taken motrin and this has helped, but only some. As of today, my pain is not as bad as it had developed over the past week. I reported this to my healthcare provider via a call first and all their only recommendation was to take motrin and not come in for a visit / investigation for 2 weeks which I did not agree with at all based on the severity. These symptoms that I am reporting do not seem common and based on the severity I really question if i plan to take the second dose. I really felt that this needed to be reported

Other Meds: Regular allergy immunotherapy injections every 4 to 5 weeks.

Current Illness: None known

ID: 1241973
Sex: F
Age: 23
State: MN

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: Swelling and large welt like lump in area of injection site. Appeared about 12 hours after injection and has been getting larger since.

Other Meds: None

Current Illness: None

ID: 1241974
Sex: F
Age: 41
State: CO

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: Hydoxizine

Symptom List: Tremor

Symptoms: 1500: pt received 2nd dose of Moderna vaccine. 1505: pt in car with caregiver in onsite observation lot, starts to feel "tightness in throat". 1515: caregiver notifies RN's in observation lot and pt assessed with worsening tightness in throat. 911 called by RN . RN's retrieve medical kit directly inside front door of building and bring to car side. Pt assessed again and continues to have increasing tightness in throat. 1518: 0.5mg Epinephrine given IM in right deltoid by RN. per written standing order for, medical director.

Other Meds: per caregiver: "takes multiple medications for asthma, migraines and GI issues." Also carries an Epi pen.

Current Illness: after 1st dose Moderna, had site redness, swelling and rash at site

ID: 1241975
Sex: M
Age: 22
State: PA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: Pt fainted in the waiting area and fell off his chair. He got right back up and sat back on the chair. The fall caused a cut on his chin and he was very lightheaded and thirsty. Symptoms did not progress. He waited a half hour and went home. His sister called and let us know he reached home.

Other Meds:

Current Illness:

ID: 1241976
Sex: F
Age: 35
State: FL

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
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: Cephalosporins Fluoroquinolones

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

Symptoms: Sore arm began 2.5 hours after vaccination. Migraine attack occurred 5.5 hours after vaccination. Sore arm dissipated on day 4-5. On day 8 the sore arm returned and I got another migraine attack. I normally get 0-2 migraines per week, and in the two weeks since I have gotten the first shot my attacks have more than tripled. In my entire life, I have never had such a dramatic increase of attacks.

Other Meds: Ubrogepant Multivitamin Magnesium Ubiquinol

Current Illness:

ID: 1241977
Sex: F
Age: 60
State: MI

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 04/22/2021
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: Seasonal Hay Fever

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

Symptoms: 3-12-21 5 minutes after eyes began to feel warm/hot latsted about a minute 3-13-21 Early afternoon neck and shoulders began to ache followed sharp pains to my right eye and right foot 3-14-21 Morning began to feel a tingling sensation throughout whole body.. Pins and needles. 3-17-21 Went to primary physician. No knowledge of this side effect left with no real information and or treatment. 4-22-21 Symptoms have subsided, but still very present and activates upon anxiousness do to condition of sensations.

Other Meds: Losartan Potassium 50 mg Metoprolol Tartrate 50 mg

Current Illness: None

ID: 1241978
Sex: M
Age: 24
State: DC

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Events: Tingling in left arm, lightheaded, nauseous, trouble breathing, sweating, temporary loss of vision, increased blood pressure. Treatment: immediate help, fanning, given water, asked state of mind questions, Outcome: vision returned, heart rate and blood pressure returned to norma, started shivering for a few minutes. Lingering feelings of anxiety/unease. Arm soreness.

Other Meds: Zyrtec, Benadryl, ibuprofen

Current Illness: None

ID: 1241979
Sex: F
Age: 54
State:

Vax Date: 03/10/2021
Onset Date: 03/15/2021
Rec V Date: 04/22/2021
Hospital: Y

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: Tingling in left arm, and into legs. Tingling has continued to this day since it began

Other Meds: 12.5 mg Hydrochlorothiazide

Current Illness: none

ID: 1241980
Sex: F
Age: 79
State: NY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/22/2021
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: covid vaccine (moderna)

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

Symptoms: After 4 hours of the vaccine dose, but within 6 hours; the patient experienced: patient reported lethargy, "blood spots" in the hand (possibly petechiae), itchiness all over body; bruises on arms; fever and chills; headache; muscle pain. Received the 1st dose vaccine on 3/1/21. Then, on 3/3/21, patient reported fainting, and hospitalized (duration of hospital stay was about 12 hours). After hospital discharge; patient reported that felt all symptoms were resolving.

Other Meds: aspirin; amlodipine; Trajenta; (loratadine - prescribed post covid vaccine.)

Current Illness: No

ID: 1241981
Sex: F
Age: 60
State: IA

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/22/2021
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: Developed fatigue and nausea two days after vaccine. Began to have skin irritation the same day. Developed a rash five days after vaccine and was diagnosed with shingles six days after vaccination. Took Enbrel and methotrexate two days after vaccination.

Other Meds: bupropion, Enbrel, methotrexate, celebrex, folic acid, fish oil, multi-vitamin, tylenol

Current Illness: none

ID: 1241982
Sex: F
Age: 36
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
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: Patient DOB 1/22/1985 was vaccinated on 4/1/2021 with 1st dose Pfizer, lot EW0150 expiration date 7/2021. Patient informed RN-BSN student that 4 hours after receiving the 1st dose, she felt weak and tired. Her symptoms progressed to pain and cramping. At 3 days post-injection, she developed nausea, vomiting, shortness of breath, and severe headache. She lost consciousness for an unknown amount of time, waking up in the morning after vomiting. Symptoms resolved at 6 dyas post-injection. Patient denied allergies or medications. Medical conditions include thyroid nodule, and prediabetes. Patient reported she did not go to the ER but did follow up with provider who approved 2nd dose of Pfizer.

Other Meds: none

Current Illness:

ID: 1241983
Sex: F
Age: 20
State: TX

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies: None

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

Symptoms: Patient called to report her reaction today to the county vaccination effort and ask for a copy of her consent. Patient stated that 4 hours after vaccine administration, she experienced headache, fever, chills, rapid heart rate, and shortness of breath. After 30 minutes of symptom onset, she presented at local emergency room and was admitted with sinus tachycardia. Patient was discharged the following morning. She states she followed up yesterday with her PCP, states she has some lingering hip and back pain, but original symptoms have resolved.

Other Meds:

Current Illness:

ID: 1241984
Sex: F
Age: 57
State: VA

Vax Date: 04/08/2021
Onset Date: 04/19/2021
Rec V Date: 04/22/2021
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: Approximately 11 days after being vaccinated I had a rash that 3 days later became very painful and proved to be shingles. Dr suggested I report it as a possible adverse reaction to the vaccine. I was given a prescription called Valacyclovir (generic for Valtrex) 1 gm to take 3 times a day for 7 days. I was also given patches called ZTlido to wear around the infected area for 12 hours on and 12 hours off for 7 days. The outcome is not yet known since I only just begun the medication. If all goes well, I won't have to go back to see the Dr. However, if the pain and rash has not cleared up in 7 days, I will have to go back.

Other Meds: None

Current Illness: None

ID: 1241985
Sex: F
Age: 49
State: GA

Vax Date: 03/26/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies: NONE

Symptom List: Vomiting

Symptoms: DRESS syndrome

Other Meds: NONE

Current Illness: NONE

ID: 1241986
Sex: F
Age: 50
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 04/22/2021
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: -Sulfa Antibiotics -Buspirone hcl -Tramdol hcl -Toradol -Promethazine hcl -iodinated diagnostic agents through IV -latex -hydromorphone

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I had 2 adverse reactions to the Janssen Covid-19 Vaccine EUA: AE #1) Roughly 15 minutes after receiving the vaccination, the lower half of my face went numb for approximately 3 hours. The people who administered the vaccine made me stay at the site for about an hour and a half to make sure that the reaction did not get worse. AE #2) 10 days after receiving the vaccination, the lower part of my left leg began to swell significantly. I went to the emergency room on 4/13/2021. When I was there, they did tests and confirmed that I have a blood clot behind my knee. To treat the blood clot, the emergency room doctor gave me lovenox 110mg and warfarin 5mg. Since then, I have followed up with my primary doctor who has me taking warfarin 10mg ( 1x daily) and lovenox (as needed).

Other Meds: -Baclofen 10mg (3x daily) -budesonide 180 mcg (as needed) -dextroamphetamine 24 hr-cr 15 mg (2x daily) -dextroamphetamine 10 mg (2x daily) -hydrocodone/acetaminophen 10mg/325mg (4x daily) -lorazepam 2mg (as needed) -morphine 12hr-cr 60mg (2

Current Illness: none

ID: 1241987
Sex: F
Age: 29
State: WA

Vax Date: 04/11/2021
Onset Date: 04/12/2021
Rec V Date: 04/22/2021
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: Shellfish

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

Symptoms: Body ache, headache, fever 12 hours after the vaccine. Had some sort of allergic reaction (facial swelling and red eyes)

Other Meds: None

Current Illness: None

ID: 1241988
Sex: U
Age:
State: MA

Vax Date:
Onset Date:
Rec V Date: 04/22/2021
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: Shingles On Tuesday 4/20 had bad headache on left side of head only in two spots. Then had a electrical like sensation down my neck to the top of my left shoulder. Later in evening my back hurt and I checked the spot and I had red swollen spot on left side under my armpit. Called Dr. office Wednesday 4/21 to get an appointment. Doctor away sa w np. He prescribed valcylovir and gababentin. On Sunday 4/18/2021 I had a severe reaction to the second dose. Could not drink or get out of bed.

Other Meds:

Current Illness:

ID: 1241989
Sex: F
Age: 60
State: MT

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: Severe migraine, heart palpitations and nausea lasting 24 hours

Other Meds: OTC omeprazole 20mg, Multivitamin

Current Illness: N/A

ID: 1241990
Sex: F
Age: 46
State: CA

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/22/2021
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: Latex allergy with rash

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

Symptoms: Red area/rash on left arm. Fatigue and malaise. Headache

Other Meds: Latuda Lithium Effexor Pepcid Seroquel Ditropan

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm