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: 1245961
Sex: F
Age: 63
State: MD

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
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: Altace Rice, lettuce and oats

Symptom List: Dysphagia, Epiglottitis

Symptoms: Dizzy, lightheaded, sweating, headache, nausea, body aches, exhaustion.

Other Meds: Bystolic Creator Aspirin

Current Illness: None

ID: 1245962
Sex: F
Age: 44
State: IN

Vax Date: 03/31/2021
Onset Date: 04/03/2021
Rec V Date: 04/23/2021
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: N/A

Symptom List: Anxiety, Dyspnoea

Symptoms: Shingles occurred three days after second shot. Now, 25 days later, my joints are swelling and fingers are getting rashes.

Other Meds: 12 mg Zoloft Multivitamin Magnesium glycinate

Current Illness: N/A

ID: 1245963
Sex: F
Age: 37
State: FL

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: NA

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

Symptoms: Inflamed lymph nodes under arms to breast, fever, nausea, diarrhea, extreme muscle pain

Other Meds: Birth control, synthroid, adderal

Current Illness: None

ID: 1245964
Sex: F
Age: 67
State: FL

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Numbness to right deltoid. B/P 126/72, HR 76, O2Sat 97%, BS 86.

Other Meds:

Current Illness:

ID: 1245965
Sex: F
Age: 29
State: MD

Vax Date: 03/25/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
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: My menstrual cycle came a lot heavier than it has ever been, including large blood clots. Additionally, my premenstrual symptoms were much more painful and intense

Other Meds: Seasonique, spironolactone, magnesium, fiber, multi vitamin, Claritin, biotin, b12

Current Illness: No

ID: 1245966
Sex: F
Age: 55
State: ME

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
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: Demerol causes nausea; allergies to perfumes, dust, mold

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

Symptoms: Whole body muscle aches and pains, chills, fever between 100- 101. These symptoms began within about 14 hours after the shot and lasted for about 15 hours. Then just tired for several hours

Other Meds: Vitamin D, Atorvastatin, Paroxetine, Buproprion

Current Illness: None

ID: 1245968
Sex: F
Age: 28
State: MA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/23/2021
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: I was 19 weeks pregnant at the start of my 2nd dose. My due date is September 8, 2021. The morning after getting the shot I began to have vaginal bleeding. I went to my OBGYN to have the baby checked. I was referred to a specialist for a level 2 ultrasound. Everything was found to be normal with the baby. The cause of the bleeding is still unknown by the timing aligns perfectly with my vaccine. The bleeding increased and has now began to slow.

Other Meds: None

Current Illness: None

ID: 1245969
Sex: F
Age: 46
State: IN

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Flu

Symptom List: Pharyngeal swelling

Symptoms: Headache and back pain, itching in the vaccine area, flu, bone and joint pain, temperature of 38.7

Other Meds: None

Current Illness: None

ID: 1245970
Sex: F
Age: 52
State: FL

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: Red, swollen injection arm that?s also hot to the touch. Noticed it the day after I received The injection. So far it?s lasted 2 days.

Other Meds: Red, swollen arm where vaccination was given. Arm is also hot.

Current Illness:

ID: 1245971
Sex: M
Age: 70
State: OH

Vax Date: 03/01/2021
Onset Date: 03/11/2021
Rec V Date: 04/23/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: contact for allergies

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pulmonary Embolism

Other Meds: contact for medical list

Current Illness: no acute illnesses

ID: 1245972
Sex: F
Age: 36
State: MN

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Janssen COVID-19 Vaccine EUA: Severe nausea, chills, fever, and headache from 8:30pm to 10:30 am (approximately 10 hours). Nausea, chills, and fever then halted abruptly and then headache could be treated with ibuprofen.

Other Meds: Vitamin D - 10k IU

Current Illness: N/A

ID: 1245973
Sex: F
Age: 52
State: NY

Vax Date: 04/19/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs, bee pollen, cayenne pepper

Symptom List: Rash, Urticaria

Symptoms: Began a very heavy and unexpected bleeding period with cramping and sore breasts 2 days after shot. I haven't had a period in 6 months. Far heavier than historic cycles beginning at age 13.

Other Meds: No prescriptions. Take Vitamin D, Zinc, Magnesium, DIM supplement to manage estrogen.

Current Illness: None

ID: 1245974
Sex: F
Age: 36
State: IL

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

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

Lab Data:

Allergies: PCN, macrobid, bactrim, restasis, watermelon

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

Symptoms: Diarrhea, cold sweats, achy, arm pain, nausea and exhaustion.

Other Meds: B12, BCAAs,

Current Illness: None

ID: 1245976
Sex: M
Age: 33
State: CA

Vax Date: 04/23/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
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: Triggered mental and psychology strain, was exhausted from weekend meta. Caused a panic attack; treatment was self-administered and this was the outcome.

Other Meds: None whatsoever

Current Illness: Gas lit 2-3 months+

ID: 1245977
Sex: M
Age: 33
State: WI

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

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

Lab Data:

Allergies:

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

Symptoms: Site: Redness at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Hyperventilation-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Medium, Systemic: Weakness-Mild

Other Meds:

Current Illness:

ID: 1245978
Sex: M
Age: 60
State: MI

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/23/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: April 7th cold chills lasted 20 min. April 14th a rash on both forearms and both thighs. Also had swelling of feet and hands with ankle and wrist joint soreness. April 16th started taking 4 Benadryl a day. 3 days later rash gone. Swelling and joint pain also gone.

Other Meds: none

Current Illness: none

ID: 1245979
Sex: F
Age: 36
State: MI

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: - Swollen injection site over 2 inches and growing, warm to the touch - Doctor prescribed an antibiotic - Outcome to be determined

Other Meds: Stellara Zoloft Vitamin D Prenatal supplements

Current Illness:

ID: 1245980
Sex: M
Age: 23
State: MO

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

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Site: Pain at Injection Site-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient recieved the vaccine (sitting) and was instructed to sit for 15 minutes post vaccination.After about 5 minutes, patient stated that he was feeling light headed. Patient was seated when he fainted and was out for about 12-15 seconds. Patient came back and was able to speak with us.We provided him some water and called the EMT's. EMT's looked after patient/checked vitals and everything was okay. Patient states he has a fear of needles. Called patient a few hours after the incident to check

Other Meds:

Current Illness:

ID: 1245981
Sex: M
Age: 46
State: FL

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: AFIB event confirmed via Smart Device.

Other Meds: Dilizatem ER 180

Current Illness: None

ID: 1245982
Sex: M
Age: 54
State: NY

Vax Date: 03/04/2021
Onset Date: 03/25/2021
Rec V Date: 04/23/2021
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: Dizziness, sinus pressure, tinnitus

Other Meds: omeprozole

Current Illness: none

ID: 1245983
Sex: F
Age: 28
State: CA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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:

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

Symptoms: Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild

Other Meds:

Current Illness:

ID: 1245984
Sex: F
Age: 17
State: CA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/23/2021
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: Unevaluable event

Symptoms: Error: Patient Too Young for Vaccine Administered

Other Meds:

Current Illness:

Date Died: 04/20/2021

ID: 1245985
Sex: M
Age: 80
State:

Vax Date: 04/08/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
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: This 80 year old white male received the Covid shot on 4/8/21 and died on 4/18/21. Please refer to the other details submitted within this report and contact the person who submitted this report via email for additional follow up details and investigation.

Other Meds:

Current Illness:

ID: 1245986
Sex: F
Age: 28
State: PA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Nausea-Medium, Additional Details: sweating

Other Meds:

Current Illness:

ID: 1246090
Sex: M
Age: 53
State: MI

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Injection site pain, Menorrhagia

Symptoms: about 8 am the day after shot, left eye had blurry periphery vision for about 15 minutes, slight headache in right hemisphere for about 15 minutes afterwards. blood pressure during this time was about 160/90 taken by nurse at work. Symptoms went away about 8:30 am

Other Meds: Lisinopril

Current Illness: none

ID: 1246091
Sex: F
Age: 26
State: NJ

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

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Additional Details: Pt fell face flat on her face within 5 minutes of her injection and scratched her left cheekbone. Look like she was having a seizure but she was already conscious when we flipped her over. She felt fatigue from working a night shift yesterday, and a morning shift today. She ate a couple hours before the appointment. FS associate, monitored her for an extra 15 minutes before she walked home. I followed up with her at 4:40pm and 7:30pm on 4/22. Recommended that she report this to her PCP.

Other Meds:

Current Illness:

ID: 1246092
Sex: F
Age: 34
State: CT

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild

Other Meds:

Current Illness:

ID: 1246093
Sex: F
Age: 65
State: GA

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe left ear tinnitus Left lower eyelid twitching Dizziness Continuing for 7 weeks now every day all day

Other Meds: Pravastatan 10mg daily Bisoprophol furmate 2 1/2mg daily Omeprazole 20mg daily Vivelle patch 0.05mg twice a week Baby aspirin daily

Current Illness: None

ID: 1246094
Sex: F
Age: 34
State: CT

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Systemic: Allergic: Difficulty Breathing-Mild, Systemic: Abdominal Pain-Mild, Systemic: Dizziness / Lightheadedness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Shakiness-Mild.

Other Meds:

Current Illness:

ID: 1246095
Sex: M
Age: 50
State: GA

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: The day following the injection, I experienced chills, lack of appetite, fever (101.4), and fatigue. That evening I sweated profusely during sleep. Two days after the injection, I had continued fatigue, lack of appetite, and unusual sweating with little to no activity. Third day, continued fatigue but no unusual sweating. Appetite is returning slowly

Other Meds: protonix 40 mg per day multivitamin

Current Illness: None

ID: 1246096
Sex: F
Age: 62
State: TN

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List: Injection site pain

Symptoms: Where I got my shot in right arm I have never recover from severe pain, it hurts to touch both my arms , can hardly lift the right arm. Noticed the night I got the shot the bottom of my feet were beet red and still are. Went to ER with breathing problems. Had a meeting with My lung specialist and we both decided no 2nd Moderna Vaccine. I have been to my family Doctor and she gave me prednisone and told me to take Tylenol for pain.

Other Meds: Thyroid Medication Pravastatin Women's over 50 multivitamin Potassium vitamin-C, D3, Zinc

Current Illness:

ID: 1246097
Sex: F
Age: 24
State: CA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: PATIENT HAD HISTORY OF VASOVAGAL SYNCOPE -Medium, Systemic: Nausea-Medium, Systemic: Weakness-Medium, Additional Details: PATIENT FAINTED AFTER RECIEVING HER 1ST DOSE OF MODERNA VACCINE. PATIENT'S MOTHER WAS WITH HER AND NOTIFIED US THAT PATIENT HAS A HISTORY OF VASOVAGAL EPISODES AFTER GETTING VACCINATION. PATIENT REFUSED FOR US TO CALL 911 AND AFTER LAYING ON THE FLOOR FOR 40 MIN LEFT THE PHARMACY WITH HER MOM. SHE WAS GIVEN WATER AND APPLE JUICE AND HER BLOOD PRESSURE WAS CHECKED 110/86.

Other Meds:

Current Illness:

ID: 1246098
Sex: F
Age: 60
State: MA

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: Allergic to peanuts, almonds, shellfish, thin-skinned fruit.

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

Symptoms: After a night of mostly not sleeping and shivering (feeling cold and hot), I got out of bed at 7:00 am and fainted twice on my way to the bathroom. I knocked out a front tooth, pulled a muscle in my shoulder, and cut my face in several places.

Other Meds: None

Current Illness: None

ID: 1246099
Sex: M
Age: 25
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Systemic: Allergic: Anaphylaxis-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium, Systemic: Weakness-Medium, Additional Details: immediately after first dose pt head started to lower, eyes closed, slid down in chair. respiratory rate decreased for several seconds then panic breathing occured thereafter. pt was sweating profusely and skin was cold and clammy. could not verbally respond for 30-45 seconds. after a minute pt could talk and answer question. blood pressure was taken 3 different times 5 minutes apart 75/43, 87/46, 93/52. Pt was feeling fine a half hour later and was called 4 hours later to follow up.

Other Meds:

Current Illness:

ID: 1246100
Sex: F
Age: 27
State: MO

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: -24 hours post vaccination began arm swelling, arm redness and severe arm tenderness. This has lasted almost 48 hours since onset and is beginning to subside. This pain included shoulder blade pain (shooting pains). -24 hours post vaccination began joint pain, specifically in the low back and legs and muscle pain in the back. This subsided 48 hours post vaccination. -24 hours post vaccination I had extreme fatigue, slept for 15 hours. -72 hours post vaccination began severe neck stiffness (can't turn head to the left and pain when turning to the right). I am currently almost 72 hours post vaccination and this symptom continues. The severe neck stiffness is accompanied by a severe headache. Have been taking Tylenol every 4-6 hours.

Other Meds: Prenatal vitamin (gave birth 1/9/21)

Current Illness: N/A

ID: 1246101
Sex: M
Age: 61
State: OH

Vax Date: 03/19/2021
Onset Date: 04/04/2021
Rec V Date: 04/23/2021
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: penicillin

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

Symptoms: Hematoma about 7" long and 3" wide after slightly bumping with piece of lumber. Never had anything like this before.

Other Meds: Lovastatin

Current Illness:

ID: 1246102
Sex: F
Age: 19
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Allergic: Itch Generalized-Medium, Systemic: Allergic: Rash Generalized-Medium, Systemic: Allergic: Swelling of Face/Eyes/Mouth/Tongue-Mild, Systemic: Chills-Mild, Systemic: Exhaustion/Lethargy-Mild, Systemic: Hypotension-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Mild, Systemic: Tingling (specify: facial area, extremities)-Medium, Additional Details: Patient had allergic reaction beginning around 10 minutes after Moderna vaccination. Patient has rash/hives on trunk, arms and legs. She stated she was lightheaded/dizzy, which lasted around 30 minutes. Her hands, arms, body had tremor and were shaky. She had blue/purple coloring of palms, which were cold and swollen. BP was 84/65 on my machine. HR was 110 bpm, minor lip swelling. Patient was given Benadryl oral 25 minutes post vaccine and EMS were called 35 minutes post vaccine due to concern.

Other Meds:

Current Illness:

ID: 1246103
Sex: F
Age: 26
State: NJ

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: I was dizzy leaving the hospital (4/21/2021), I woke up the next day (4/22/2021) with a rash all over my neck and it?s still itchy, red and hot (4/23/2021) I have a persistent headache and fluctuate between feeling hot and cold, Nausea on and off

Other Meds: None

Current Illness: None

ID: 1246104
Sex: M
Age: 29
State: CO

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Additional Details: Patient fainted while sitting in seat. He fell forward, resulting in \"rug burn\" type abrasions across side of face. Patient's nose was bleeding as well

Other Meds:

Current Illness:

ID: 1246105
Sex: F
Age: 35
State: IL

Vax Date: 03/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/23/2021
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: Severe intolerance to augmentin and cephalexin

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

Symptoms: I unfortunately have some concerns after getting the vaccine, and am hoping to hear both from someone who can disprove my concerns and any mamas to be with similar issues. I had a 14-week us and baby was measuring within a few days of my predicted due date. I got the first Pfizer shot at about 15 weeks. Sore arm and mild fever for two days, nbd. Second shot at 19 weeks. Mild fever for four days. Also no big deal. But I just had my 20 week us yesterday and am now measuring about three weeks behind. Had to follow up with maternal/fetal at the hospital for more analysis, and they confirmed I am measuring below 5th percentile for 20 weeks. Anatomically, everything looks okay, no defects, and they cannot find a source for the stunted growth, so this is good news. But I?m just to ?wait and see? for three weeks now how my growth trajectory looks. Given the ironic timeline of the growth delay with the timing of the vaccines I asked the doc today whether it?s pure coincidence or possibly related, and she assured me there?s no reason to believe it?s related, but she can understand my concern given the timeline. I understand my growth issue could be related to any number of things, but I can?t shake the coincidence of the vaccine timing with the growth slowing. I will be returning to Hospital in three weeks for a follow up on the IUGR issue and an updated growth projection.

Other Meds: Levothyroxine, 150 mcg Prenatal vitamin Vitamin d supplement Calcium supplement

Current Illness: Food poisoning incident from bagged Fresh Express cabbage lettuce mix on February 22.

ID: 1246106
Sex: M
Age: 35
State: NJ

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
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: On Day 1 of second dose 4/21 - Felt weakness and light-headed with slight muscle pain near the site On Day 2 - 4/22 - Severe muscle pain full-body, head ache and low energy On Day 3 0 4/23 - Reduced muscle pain through out body, Head ache consistent, and now developed swollen lymph node on right side with pain felt in right ear and throat when swallowing

Other Meds:

Current Illness:

ID: 1246107
Sex: M
Age: 41
State: VA

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
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: Day 1 after vaccination: Fever, chills, aches, headache, nausea; all day Day 2 after vaccination: None Day 3 after vaccination: Woke up in the middle of the night with dizziness, or head "swimming" sensation, and body aches. Managed to get back to sleep after about an hour, but woke up at normal time still feeling a "swimming" sensation in the head where it's not dizzy, but similar, and still minor body aches. Submitting this report while I'm still in Day 3

Other Meds: FISH OIL 1000MG (500MG DHA/EPA) CHOLECALCIF 1,250MCG (D3-50,000UNIT) CETIRIZINE HCL 10MG ATORVASTATIN CALCIUM 40MG TAB VITAMIN E 400 UNT CAP METOPROLOL TARTRATE 25MG TAB ASPIRIN 81MG EC TAB CLOPIDOGREL BISULFATE 75MG TAB

Current Illness: None

ID: 1246108
Sex: F
Age: 51
State: GA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
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: Shellfish Fish Aspirin Penicillin Some latex and bandage adhesives

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

Symptoms: Ringing ears Full body itching Tight chest All symptoms are still present at the time of submission

Other Meds: Effexor Multivitamin Advil/Acetaminophen combo tablet

Current Illness: None

ID: 1246109
Sex: F
Age: 49
State: CA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/23/2021
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: Site: Bruising at Injection Site-Medium, Site: Pain at Injection Site-Medium, Site: Swelling at Injection Site-Medium, Systemic: Joint Pain-Medium, Systemic: Tingling (specify: facial area, extemities)-Medium

Other Meds:

Current Illness:

Date Died: 04/23/2021

ID: 1246110
Sex: F
Age: 67
State: GA

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

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

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Lethargy, weakness, headache; ultimately pronounced on 4/3/2021 at 1310 hours

Other Meds: Xanax

Current Illness: Postmortem COVID-19 test positive

ID: 1246111
Sex: F
Age: 37
State: LA

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/23/2021
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: Systemic: Allergic: Anaphylaxis-Medium, Additional Details: Pt reports swelling of face that is getting worse. Does not indicate difficulty swallowing. At time of call pt hadn't taken anything. Advised to take Benadryl around the clock. If symptoms worsen, advised to see MD.

Other Meds:

Current Illness:

ID: 1246112
Sex: F
Age: 39
State: FL

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/23/2021
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: NA

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

Symptoms: Woke up with arm feeling like a brick, sore throat, wheezing, cough, unsteady on feet, cough and wheezing persisted, no voice. Headache developed within a day

Other Meds: Elderberry&zinc, Jardiance, toujeo, novolog, Singulair, Topamax, migrelief, magnesium, aspirin, norethindrone

Current Illness: NA

ID: 1246113
Sex: F
Age: 37
State: IN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Lower back aches, Hot/cold/chills, no energy, no appetite

Other Meds: Zyrtec, Lo-Ovral

Current Illness: None

ID: 1246114
Sex: F
Age: 50
State: TX

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 04/23/2021
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: Site: Itching at Injection Site-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Rash (specify: facial area, extremeties)-Medium

Other Meds:

Current Illness:

ID: 1246115
Sex: M
Age: 46
State: NJ

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/23/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Tetanus, migraine, weakness, fatigue, brain fog lasting 20+ days following dose

Other Meds: Crestor 10 mg

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm