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: 1251293
Sex: F
Age: 65
State: OH

Vax Date: 03/04/2021
Onset Date: 03/17/2021
Rec V Date: 04/24/2021
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: Sulpha

Symptom List: Dysphagia, Epiglottitis

Symptoms: Starting 3/14/21, Lightheaded, nausea, diarrhea, exhaustion, pain in back of head, no appetite, short of breath. These symptoms lasted two weeks. I still have periods of lightheadedness , pain in back of head and not much appetite.

Other Meds: Lamictal, Wellbutrin, Crestor, Protonix, Ursodiol, Prolia Shot, multiple supplements

Current Illness: None

ID: 1251294
Sex: F
Age: 43
State: MA

Vax Date: 04/10/2021
Onset Date: 04/18/2021
Rec V Date: 04/24/2021
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: Gluten and dairy sensitivity - no allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: On 4/10 I got the J&J shot at Medical Center at 8am. 12 hours later at 8pm I experienced the normal side effects - body aches, tired, arm pain. I slept it off and the next day felt better - took a nap, but no problems. 8 days later on Sunday (4/18) I started to get a headache, on the top of my head (where a hat would go) and the back of my head. It was on / off, but it's out of character as I don't normally get headaches. On Monday, it continued on/off so I wrote my doctor...on Tuesday it continued more "on" then off - she recommended I go get bloodwork for low platelets and I did (at medical center). They came back normal. On Wednesday (4/21), the headache became a migrane and was screaming at me - all day with no relief. I've never had a migrane in my life and needed to be in low light - screen time became hard to deal with. I did get a Covid Test to rule out that and it came back negative Thursday morning. Thursday morning - same....screaming headache. Friday, less screaming but still not great - I met with my doctor on telehealth and she recommended I go to the ER to get evaluated. I went to another hospital on Friday afternoon to get evaluated. Since my bloodwork from Tuesday was all clear - they believe the migrane was inflammation from my immune response to the vaccine - especially because i never had a migrane before. They gave me anti-inflammatory meds via IV to mellow out the pain. They said if the pain came back or if I had other symptoms in the coming week to check back and likely need imaging. Today is Saturday (4/24) - the anti-inflammatory meds have helped but not 100%. I do still have some throb on/off and had a few dizzy feelings earlier.

Other Meds: Multi-vitamin, Vitamin C and Vitamin D, no other meds

Current Illness: No

ID: 1251295
Sex: F
Age: 55
State: NY

Vax Date: 04/15/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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: sulfa drugs

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

Symptoms: itching near the injection site started late last night. there is also a bump under the skin.

Other Meds: Arjuna, aspirin, hawthorn

Current Illness:

ID: 1251296
Sex: F
Age: 52
State: GA

Vax Date: 04/21/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Locked jaw, swollen lymphatic gland under left arm. Very painful.

Other Meds: One a day multivitamin

Current Illness: None

ID: 1251297
Sex: F
Age: 54
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: C/C OF CHEST PAIN AND DIZZINESS CODE GREEN CALLED VSS PT STARTED TO FEEL BETTER EKG WNL REFUSED HOSPITAL SPOUSE DROVE HOME

Other Meds: DOES NOT KNOW MEDS

Current Illness:

ID: 1251298
Sex: F
Age: 54
State: CO

Vax Date: 03/26/2021
Onset Date: 04/10/2021
Rec V Date: 04/24/2021
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: sulpha

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

Symptoms: The day after the vaccine I had a little bit of a headache but it went away after four hours. My left leg - I started feeling some pressure behind my knee when I was walking. It happened two days in a row and then it happened a week later (April 22th). I called the doctor and they sent me to get an ultrasound done. I'm a carrier for Factor V Leiden which I knew.

Other Meds: Estroven OTC - menopause pill; Multi-Vitamin -Smarty pants for Women; Immune support antioxidant capsule 2 times a day; 50,000 IU of Vit D - was taking one per week (I was on my 9th week of that)

Current Illness: no

ID: 1251299
Sex: F
Age: 63
State: IN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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: Severe neck and headache. Started at shoulders and went to top of head. Lasted approximately 15 hrs. Hard to lift head. Experienced chills, sweats and nausea. Had muscle joint discomfort and all over body fatigue. Called Health Department and Dr. both said to take ibuprofen. I took the ibuprofen and headache and body ache subsided for several hours. When it started to come back I took ibuprofen again and the headache and body ache got better. The following day I felt foggy and dizzy.

Other Meds: None

Current Illness: None

ID: 1251300
Sex: F
Age: 30
State: IL

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: pineapple

Symptom List: Pharyngeal swelling

Symptoms: Lower back pain day 1 and up post vaccine. Leg cramping and weakness day 1 and up post vaccine. Nausea day of and up.

Other Meds: Sertraline 200mg Bupropion 150mg

Current Illness: yeast infection

ID: 1251301
Sex: M
Age: 53
State: KS

Vax Date: 03/27/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Allergies to sunflower seeds/oil and shell fish

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: In the late afternoon of April 23rd I started to experience the effects of Bell's Palsy. Droopiness in my lip, eyelid not closing, difficulty in drinking and eating. We went to our local minor emergency center around 4pm and confirmed it was an episode of Bell's Palsy. The Dr prescribed Prednisone and Valtrex. I took the first dose around 6pm. All week long I'd been experiencing a mild headache and had seen the dr the day before. The diagnosis was muscle tension with arthritis in the neck and was assigned to physical therapy.

Other Meds: Fish Oil Losartan HCTZ 100-12.5 mg Simvistatin 40mg Synjardy XR 25-1000mg Celecoxib 200mg Rybelsus 3mg

Current Illness: Off and on mild headaches from time to time.

ID: 1251302
Sex: M
Age: 34
State: LA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/24/2021
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: Janssen COVID-19 Vaccine EUA About six hours after receiving the vaccine, I felt a sudden lack of energy followed by uncontrollable shivering. I developed a low-grade fever that persisted for three days. I treated the symptoms with over-the-counter medications. I did not see a doctor. The symptoms went away on the fourth day after receiving the shot.

Other Meds: Cetirizine HCI tablets, 10 mg, for seasonal allergies

Current Illness: None

ID: 1251303
Sex: M
Age: 31
State: GA

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever and fatigue started the night after the shot and lasted through the next day. Fever broke in the afternoon and didn't return

Other Meds:

Current Illness:

ID: 1251304
Sex: F
Age: 46
State: IN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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: Celexa, penicillin, pork products

Symptom List: Rash, Urticaria

Symptoms: Headache, severe body aches, nausea, chills, extreme fatigue

Other Meds: Metformin, Prozac, diazide

Current Illness: None

ID: 1251305
Sex: F
Age: 37
State: MN

Vax Date: 02/17/2021
Onset Date: 03/03/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Allergic to penicillin, sulfa, and cipro drugs Seasonal allergies - pollen

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

Symptoms: Developed Shingles 1-2 weeks after 2nd dose. Began with painful sciata-like symptoms on right side of body. Approx 1 week later developed relatively minor rash sites on right thigh and buttock. Cleared up after 2-3 weeks. Was not seen. Self-diagnosed. Only made connection to vax administration after seeing an article citing Shingles as a rare side effect to the Moderna vaccine.

Other Meds: None

Current Illness: None

ID: 1251306
Sex: M
Age: 69
State: NY

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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: NKA

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

Symptoms: Patient arrived stating for his first COVID-19 vaccination dose. Patient assessed as per protocol. Vaccine dose administered. When attempting to acknowledge administration of vaccination, pop-up message appeared stating "patient has completed the series. Additional doses should not be given". Further investigation revealed patient has received previous vaccine doses 2/27/21 and 3/27/21. Incident reported to vaccine center supervisor.

Other Meds: n/a

Current Illness: n/a

ID: 1251307
Sex: F
Age: 51
State: MI

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/24/2021
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: Flaxseed

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

Symptoms: Moderna COVID-19 EUA Starting approximately 10 hours after injection, I began having injection site pain and significant chills. Throughout the night, I developed a fever, headache, and body aches, and the chills increased. All of these symptoms persisted through the next two days, along with extreme fatigue and some dizziness. Day three saw marked improvement in symptoms, with only the headache remaining.

Other Meds: Allegra Gabapentin 100mg 3X/day Amitriptyline 25mg 1x/day

Current Illness: Shingles

ID: 1251308
Sex: F
Age: 16
State: SC

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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: Patient presented to RN and was given 1st dose of Moderna vaccine. Upon review it was discovered that patient was 16yrs and 1 month old. Patient was observed for 15 minutes with no adverse reactions. Patient was educated and downloaded vsafe for further monitoring. Workers were notified. Patient was advised not to get 2nd dose.

Other Meds: None

Current Illness: None

ID: 1251309
Sex: F
Age: 17
State:

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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: 15 post vaccine administration patient reported feeling week and also having numbness in her legs as she tried to stand up to leave. Assessment performed and VS as follows at 0900: BP 114/63, HR 79, O2: 98% at 0905 BP 123/70, HR 88, O2: 99%. Pt observed for approximately 10 minutes and reported improvement in symptoms. Pt discharged home in stable condition accompanied by family member

Other Meds:

Current Illness:

ID: 1251310
Sex: F
Age: 23
State: AZ

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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: Fever, headache, body aches, chills, nausea- feels like when I had COVID (October,2019) but WORSE

Other Meds: Duloxetine, iron supplements

Current Illness: None

ID: 1251311
Sex: F
Age: 51
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: Unusual and debilitating physical weakness, chills. Lasted a day.

Other Meds: None

Current Illness: None

ID: 1251312
Sex: F
Age: 56
State: IL

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: nka

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

Symptoms: c/o chest pressure, tightness, dizziness 5 mins after vaccine. denies SOB , double vision, confusion. No redness or swelling no rash noted to vaccination site. 151/79, 90 O2 sat 99%. Refused transport.

Other Meds: Alprozalom

Current Illness: nka

ID: 1251313
Sex: F
Age: 59
State: MS

Vax Date: 03/31/2021
Onset Date: 04/12/2021
Rec V Date: 04/24/2021
Hospital: Y

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: surgical tape

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

Symptoms: On 04-12-2021 at night, I noticed blood in my urine. I saw my PCP on 04-13-2021. On 04-14-2021, I again had blood in my urine. I called my urologist and was seen on 04-14-2021. My blood platelets were extremely low. I was then referred to see a hematologist who sent me to the hospital. I was admitted at Hospital where they performed lab work, MRI's and CT scans. I stayed two days at the hospital. The hematologist who saw me said I have thrombocytopenia. Other tests were also performed and they checked me for stroke and I did not have a stroke. I am concerned due to my thrombocytopenia, if I get cut, I will bleed a lot and this is interfering with my job and to carry out my daily functions. I am still not recovered and my platelets are low. I still have to follow-up with my PCP and my hematologist has to check my bone marrow as the next step of treatment.

Other Meds:

Current Illness:

ID: 1251314
Sex: F
Age: 28
State: WI

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillins

Symptom List: Unevaluable event

Symptoms: Redness at vaccine site on 4/16/21. Redness started spreading on 4/18/21, with pruritic rash across chest. Today developed rash extending onto neck, tightness in throat, and mild swelling of the lips.

Other Meds: None

Current Illness: None

ID: 1251315
Sex: F
Age: 18
State: NE

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/24/2021
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: Zithromax

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

Symptoms: Jolting shocks through body randomly for two weeks now. Happens multiple times per day.

Other Meds:

Current Illness:

ID: 1251316
Sex: F
Age: 33
State: FL

Vax Date: 04/16/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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: Moderna COVID-19 Vaccine EUA Redness, swelling at the injection site, injection site hot to the touch. General side effects

Other Meds: Nexplanon, alprazolam, bupropion, cyclobenzaprine hydrochloride

Current Illness:

ID: 1251317
Sex: U
Age: 63
State: IN

Vax Date: 04/05/2021
Onset Date: 04/13/2021
Rec V Date: 04/24/2021
Hospital: Y

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

Lab Data:

Allergies: codeine haladol, gabapentin

Symptom List: Injection site pain, Menorrhagia

Symptoms: shortness of breath, ARDS event

Other Meds: many

Current Illness: none

ID: 1251318
Sex: M
Age: 29
State: TX

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 04/24/2021
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: on -03/25/21 I Injured my back doing an sitting dumbbell overhead press. The injury occurred while pulling the dumbbell from the ground into an overhead press position. The injury felt muscular in nature, there was no pain after the first few minutes, I was able to complete my workout without any pain. 03/26/21 - Received Moderna Vaccine first dose 03/27/21 - Worked out again with no pain, avoided aggravating the area just in case. 03/28/21 - Woke up with debilitating back pain, unable to fully stand, dull stabbing pain shooting from lower back into hip and then into knee. Following week I was unable to stand upright without intense pain, received Celebrex and muscle relaxers which did little to help with pain, Doctor then put me on 1 week of prednisone, an anti-inflammatory steroid which did not appear to do much. Four hours after starting steroid use I decided to stretch my psoas muscle, despite incredible pain I managed to get it stretched out, I could walk upright with reduced pain afterwards. For the next week the pain would gradually get better. 04/19/21 At this point pain had subsided to about 10% of pain at its worst point and has gradually gotten better, pain is almost non-existant at this point. I noticed that my right quadriceps muscle had atrophied in comparison to my left quadricep muscle. 04/22/21 Began self-administered rehabilitation, slight increase of pain during workouts. Noted that my right quadricep had gotten significantly weaker and had from visual inspection lost about 40% of it's muscle mass, left leg feels hard to the touch while flexed, right leg is mushy to the touch while flexed, one month prior I could do squats of 285x8, now my right quadricep could only complete 5 reps of 15lbs on single leg extensions, my left leg could still do 40+ reps without failure.

Other Meds: HCG Monotherapy

Current Illness: Muscle Tear in lower back

ID: 1251319
Sex: M
Age: 35
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Amoxicillin, Ceclor

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Swollen lymph nodes in neck/collarbone area on the left side

Other Meds: Omeprazole - 20mg, Zyrtec OTC

Current Illness:

ID: 1251320
Sex: F
Age: 73
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: Incorrect diluent volume was mixed (the vial contents were diluted with a diluent volume of 0.8 mL instead of 1.8 mL), but a 0.3 mL dose was administered. We have already talked to Pfizer-BioNtech. They told us that if the dose given in error is the first dose, a second dose should be administered at the recommended interval of 21 days. If the dose given in error is the second dose, the series is complete, and no additional doses are needed. We have already informed the patients of the potential for local and systemic adverse events.

Other Meds:

Current Illness:

ID: 1251321
Sex: F
Age: 56
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: Temp 102.5, major headache, unable to sleep, sick to stomach

Other Meds: Centrum Silver multi vitamin Vitamin C 1000mg Vitamin D3

Current Illness: No

ID: 1251322
Sex: F
Age: 29
State:

Vax Date: 04/15/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
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: Nausea

Symptoms: One week after vaccination, patient is experiencing a delayed allergic reaction at the site of injection (left arm). Swollen, red rash, tenderness. The size is about the size of a baseball. Patient had no allergy signs until about a week after vaccination. Benadryl, cold compress, and rx topical steriod perscriped. Photo documentation for tracking Monitor rash for changes

Other Meds:

Current Illness:

ID: 1251323
Sex: F
Age: 24
State: UT

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: Severe dairy and mild ibuprofen allergy.

Symptom List: Injection site pain

Symptoms: As soon as I left vaccination site, my ear began popping and has felt blocked since. I went to the Med Center and the doctor said my inner ear is very swollen but definitely not infected. My ear is still popping but not feeling less blocked. So far I have been using Sudafed, Allegra, Flonaze to help try and bring my hearing completely back and the swelling down.

Other Meds: Birth control, daily multivitamin

Current Illness: None

ID: 1251324
Sex: M
Age: 27
State: VA

Vax Date: 04/19/2021
Onset Date: 04/20/2021
Rec V Date: 04/24/2021
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: fever and body aches starting @ 1 am the next day, including pain in spine and minor headache, felt like shingles lite (without the itching) Then, 11:50 pm next day: itchy bumps began appearing over body, hands and feet itched profusely for 24 hours until benadryl administered, symptoms diminished consecutively each day,

Other Meds: Vyvanse 40 mg, zyrtec, vitamin D supplement, fish oil supplement, vitamin C supplement

Current Illness:

ID: 1251325
Sex: M
Age: 25
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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:

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

Symptoms: Incorrect diluent volume was mixed (the vial contents were diluted with a diluent volume of 0.8 mL instead of 1.8 mL), but a 0.3 mL dose was administered. We have already talked to Pfizer-BioNtech. They told us that if the dose given in error is the first dose, a second dose should be administered at the recommended interval of 21 days. If the dose given in error is the second dose, the series is complete, and no additional doses are needed. We have already informed the patients of the potential for local and systemic adverse events.

Other Meds:

Current Illness:

ID: 1251326
Sex: M
Age: 20
State: RI

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/24/2021
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: Tremor

Symptoms: Right Testicular Pain / difficulty urinating

Other Meds: One a day Men's Multivitamins, Vitamin D 2000 IU.

Current Illness: None

ID: 1251327
Sex: F
Age: 34
State:

Vax Date: 04/17/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Erythema, Pruritus

Symptoms: A week later after my left arm bruised up I now have a mild rash at the injection site about 3? in diameter. It?s not bothering me actively but I wanted it documented. After the first shot that I had a week ago I also had an upset stomach. I believe that the red itchy arm is already improving and will resolve in a few days.

Other Meds: N/A

Current Illness: No

ID: 1251328
Sex: F
Age:
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: N/A

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

Symptoms: Sore injection site, fatigue, body aches, sore joints, fever

Other Meds: Sertraline, Wellbutrin, Zyrtec D, Nasacort

Current Illness: N/A

ID: 1251329
Sex: F
Age: 55
State: TX

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: No known allergies

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

Symptoms: Salvage vaccine was given greater than 6 hours after reconstituted. The patient was contacted and will follow up with her doctor. Patient experienced sore arm and shoulder. She also experienced swelling of her hands

Other Meds:

Current Illness: Unknown

ID: 1251330
Sex: F
Age: 56
State: VT

Vax Date: 04/08/2021
Onset Date: 04/13/2021
Rec V Date: 04/24/2021
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: sulfa drugs

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: rash: forearms and front of abdomen; both sides,-not vesicular at this time 11 days duration-unresponsive to over the counter topical hydrocortisone and oral diphenhydramine

Other Meds: baby aspirin, melatonin, curcumin, vitamin C, fish oil, magnesium, probiotic

Current Illness: none

ID: 1251331
Sex: F
Age: 32
State: OK

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: About ten hours after vaccine I started feeling lightheaded, chills, fever, body aches and weakness. All through the the night I had flu like symptoms - chills, fever, aches. 24 hours after vaccine I am still feeling weak, fever, body aches.

Other Meds: Multi vitamin, Walzyr

Current Illness: None

ID: 1251332
Sex: F
Age: 32
State: IL

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
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: Diziness without weakness . Steady gait Alert x4

Other Meds: IUD , no meds

Current Illness: none

ID: 1251333
Sex: F
Age: 36
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: cedar pollen, ragweed pollen, sulfa related medicine

Symptom List: Pain in extremity

Symptoms: Sore arm for 48h; constant tired for a week after vaccination; After a week, the injection area started turning to red rash; After 13 days, the color gets darker red with a bit itchy. After 10 days of vaccination, I had severe abdominal pain when my period came.

Other Meds: omeprazole

Current Illness: sore arm for two days; tired for a week; started from the second week of vaccination, I have red skin around my injection area. After 13 days, the red color turns to darker red ( a bit purple), the skin is a bit itchy.

ID: 1251334
Sex: F
Age: 18
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Incorrect diluent volume was mixed (the vial contents were diluted with a diluent volume of 0.8 mL instead of 1.8 mL), but a 0.3 mL dose was administered. We have already talked to Pfizer-BioNtech. They told us that if the dose given in error is the first dose, a second dose should be administered at the recommended interval of 21 days. If the dose given in error is the second dose, the series is complete, and no additional doses are needed. We have already informed the patients of the potential for local and systemic adverse events.

Other Meds:

Current Illness:

ID: 1251335
Sex: M
Age: 43
State: IN

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Woke up next morning with 101 degree fever, aches, chills, headache, fatigue, weakness. Started around 3am day after dosage, recovery began around 3pm day after dosage. I still have a headache 46 hours after dosage, but no more fever.

Other Meds: Verapamil 180 MG Omeprazole 20 MG Multivitamin

Current Illness: None

ID: 1251336
Sex: F
Age: 59
State: CO

Vax Date: 03/27/2021
Onset Date: 04/03/2021
Rec V Date: 04/24/2021
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: Swollen arm around the site of injection (left arm) that occurred a week later. Arm was patchy red spots based on pictures and patient reported hardness and warm in this area. The reaction lasted 1-2 days

Other Meds:

Current Illness:

ID: 1251337
Sex: M
Age: 42
State: NJ

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: Both eyes are swollen and itchy

Other Meds: None

Current Illness: None

ID: 1251338
Sex: M
Age: 74
State: TN

Vax Date: 03/01/2021
Onset Date: 03/29/2021
Rec V Date: 04/24/2021
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: Erythromycin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Shingles

Other Meds: Atorvastatin 40mg, Eliquis 5mg 2X daily, Metformin 500mg 2X daily, Tamsulosin 4mg, Finasteride 5mg,Omeprazole 20mg, Aspirin 81mg, Metoprolol ER 25mg, men's Vitamin, Tylenol

Current Illness: None

ID: 1251339
Sex: M
Age: 17
State:

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1251340
Sex: F
Age: 36
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
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: apples, avocado, penicillin, naproxen, injectafer

Symptom List: Injection site swelling, Limb discomfort

Symptoms: chest pain shortness of breath within 15 minutes , s/p 3 doses of epi, admitted for drug reaction

Other Meds: maxalt, Carafate, imitrex, zanaflex, desyrel, Cymbalta, plaquenil, topamax

Current Illness:

ID: 1251341
Sex: M
Age: 47
State: AZ

Vax Date: 04/16/2021
Onset Date: 04/19/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 1. Injection site of second doese started to have pronounced discoloration after day 2 that looks like a bruise. The site had a little bleeding as the male nurse adminiter the dose. Redness faded but circular yellowish discoloration about 2 inches in diameter is still visible on left arm after 7th day. 2. Eyes started itching the first shot and left eye had itchy corner like dry skin or something. Itchiness faded then came back again after second shot. Same reaction, itchy eyes the next day and the left eye corner started itching and drying up. Applied 1% cortizone to relieve itchiness and dryness on 3rd day. Seem to have releived the itchiness and dryness but still monitoring it. Will report this reaction with my provider when I see them next week,

Other Meds: Rosuvastatin

Current Illness: None

ID: 1251342
Sex: F
Age: 23
State:

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Incorrect diluent volume was mixed (the vial contents were diluted with a diluent volume of 0.8 mL instead of 1.8 mL), but a 0.3 mL dose was administered. We have already talked to Pfizer-BioNtech. They told us that if the dose given in error is the first dose, a second dose should be administered at the recommended interval of 21 days. If the dose given in error is the second dose, the series is complete, and no additional doses are needed. We have already informed the patients of the potential for local and systemic adverse events.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm