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: 1256845
Sex: M
Age: 52
State: TX

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/25/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Side effects: light chills, strong headache (3 days, after now 9 days still coming back briefly), fever (37.8C), muscle pain, body joint pain for 3 days, left arm pain (3 days), sweating (2nd night), fatigue for ~2days, and most importantly: for over 9 days/nights swollen nymph knot under left arm, was as big as a full hand full (like a full bar of soap), has meanwhile improved daily, but I can still sense a small (wallnut size) under the arm now, 9 days after the shot. It's important to inform because the media and the doctors are not reporting how bad and lasting the side effects are and it is important to be transparent to patients what to expect, otherwise trust is eroded and people stop getting vaccinated.

Other Meds:

Current Illness:

ID: 1256846
Sex: M
Age: 31
State: WA

Vax Date: 03/26/2021
Onset Date: 04/13/2021
Rec V Date: 04/25/2021
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: Sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: Started with mild headaches about 14 days in. Noticed increase in tinnitus (already had tinnitus) around 17 days after. Tinnitus became debilitating with addition of second tone, resulting in repeated panic attacks at night and anxiety throughout the day. Severe impairment of daily activities with huge disruption of sleep and work. Saw ENT and then family doctor who had to prescribe anxiety medication to control anxiety.

Other Meds: Multivitamin + Omega supplement. Occasional ibuprofen for headache.

Current Illness:

ID: 1256847
Sex: F
Age: 53
State: NY

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: No

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

Symptoms: Fever of 102 degrees, backache so severe it brought her to tears, woke up at 3 in the morning, General malaise, pain at injection site

Other Meds: Levothyroxine, 125microgram Liothyronine, 10mcg

Current Illness: No

ID: 1256848
Sex: M
Age: 50
State: IN

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Bee stings

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Flu like , muscle ackes everywhere, no energy, and no hunger only for one day.

Other Meds: Moloxicam, stopped two months ago.

Current Illness: 0

ID: 1256849
Sex: F
Age: 44
State: TX

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, bactrim, tylenol, cipro

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

Symptoms: 4/21 at 12:40pm: Face felt tingly/numb. That went away after a few hours. 4/22 1AM Fever, chills, body aches. Stayed in bed for 30 hours 4/23 12PM I started feeling better and moving around but numbness and tingling in my right leg and foot which i thought was because i had been resting did not go away. 4/23 5PM I also noticed a blue spot on my right foot. I went to a stand alone ER and they check for blood clots and stroke and just sent me on my way and said to take Ibuprofen. 4/24 Same tingling and numbness in right foot/leg and now heavy and weak arms along with headache and nausea. 4/25 Leg feels back to normal and the numbness and tingling has moved to the left arm. The tingling and numbness can be felt running down the side of my arm into my pinky.

Other Meds: These were taken the day before vaccine: Complement, calcium, daily multi vitamin, probiotics

Current Illness: Bladder issue. Had a UTI but that cleared up and still having symptoms. Scheduled to see a urologist but they could not get me in before the vaccine

ID: 1256850
Sex: F
Age: 55
State: MD

Vax Date: 04/06/2021
Onset Date: 04/13/2021
Rec V Date: 04/25/2021
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: Benedryl Sulfa

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

Symptoms: 6 days after receiving the vaccination, my upper left arm muscles became quite painful. Pain increased each day to the point of limiting arm range of motion, especially abduction and internal rotation. Today is 4/25, I am still unable to internally rotate my arm, or reach behind myself due to the severity of the pain in the muscles. Pain also prevents me from sleeping on my left side which is my natural sleep position. I have tried OTC meds, stretching, hot/cold compresses and self massage none of which has worked to loosen up and reduce pain in my arm. Although the level of pain is no longer increasing each day, it is not decreasing at all.

Other Meds: Cymbalta. Multivitamin Estrotone Zyrtec Calcium/magnesium

Current Illness: None

ID: 1256851
Sex: F
Age: 46
State: VA

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 04/25/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Patient said she got vaccine on friday and started symptoms on thursday the following week. She had extreme dizziness and went to urgent care, they checked everything but everything seemed to be fine.

Other Meds:

Current Illness:

ID: 1256852
Sex: M
Age: 25
State: NV

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/25/2021
Hospital: Y

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

Lab Data:

Allergies: azithromycin

Symptom List: Pharyngeal swelling

Symptoms: Received second dose of the Moderna COVID-19 vaccine on 3/29/2021. On 3/31/2021, I was awoken at approximately 0230 am with severe chest pain. I went to the emergency room later that day and medical staff stated a blood test showed my heart was under stress. My systolic blood pressure also dropped into the low 80's. I was admitted to the hospital and stayed for two nights as multiple tests were conducted. I was discharged from the hospital on 4/2/2021 with the diagnosis of myocarditis and pericarditis. It was determined the only cause of this condition for me could be the COVID vaccine.

Other Meds: none

Current Illness: none

ID: 1256853
Sex: M
Age: 40
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: N/A. Previous reaction to meningitis or yellow fever (can't remember) vaccine (fainting shortly after injection without further complications)

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Temporary symptoms include headache (gone the next day), sore arm (lasted a few days), chills (the next day only), and tiredness (for a couple days). However, I have experienced tinnitus starting the evening of injection, and it hasn't disappeared or even dampened since.

Other Meds: N/A

Current Illness: N/A

ID: 1256854
Sex: M
Age: 56
State: NY

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/25/2021
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: anaphylactic reaction to aspirin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient was find during 30-minute post dose observation but upon getting home he was experiencing difficulty breathing, lips were blue, chills, pains in lower back and fever. Patient called EMT and was taking to Hospital and treated then released same day.

Other Meds: unknown

Current Illness: unknown

ID: 1256855
Sex: F
Age: 54
State: IN

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The day after receiving my second Pfizer dose I developed significant GI symptoms (nausea, vomiting, diarrhea) that lasted about 12 hours.

Other Meds: Levothyroxine, omeprazole, amitriptyline, Zyrtec

Current Illness: None

ID: 1256856
Sex: F
Age: 40
State: CA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/25/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: Patient received the first dose on 04/14/2021 at a vaccination site. The site was opened but covered. After 2-5 minutes, patient experienced difficulty swallowing. She was able to talk. Throat swallowing was intermittent; notes she was unable to swallow 2-3 times every few seconds. Able to drink water. After 30 minutes observation, she drove home. After 20 minutes, she arrived home. She experienced some throat itching after a total of 45 minutes since she received the vaccine. Visited Urgent Care same day, was recommended diphenhydramine 25 mg taken orally. Took diphenhydramine, slept through the night, and symptoms resolved the following day

Other Meds: Gabapentin

Current Illness: none

ID: 1256857
Sex: F
Age: 52
State: MN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Had a headache within an hour, felt slightly flu-ish.. Developed a rash on my face on about day three. It kept getting worse and painful (swollen and near the eye) so I saw the doctor on April 16th. He treated me for shingles. The rash and pain was on the left side of my face and neck and in my hair. I felt better on about April 20th except the headache is still there and I still have nerve pain in my hair and one spot on the left side of my head, near my temple. It comes and goes.

Other Meds: Effexor, Meloxicam, Estradiol, Medroxyproge, Vitamin D and B and fish oil.

Current Illness:

ID: 1256858
Sex: F
Age: 47
State: MA

Vax Date: 01/12/2021
Onset Date: 04/15/2021
Rec V Date: 04/25/2021
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: No

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

Symptoms: Diagnosed with shingles 4/16/2021.

Other Meds:

Current Illness: None

ID: 1256859
Sex: F
Age: 64
State: CT

Vax Date: 03/17/2021
Onset Date: 03/20/2021
Rec V Date: 04/25/2021
Hospital: Y

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

Lab Data:

Allergies: N/a

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

Symptoms: Within 3 days I was experiencing extreme night sweats, lack of energy, inability to wake up, occasional fever, exhaustion. After about 3 weeks with no improvement I went to urgent care to get a COVID test. The results were negative however the staff there urged me to go to the emergency room at Hospital based on the symptoms I had described. I had bloodwork done and with some abnormalities was sent home with an appointment to follow up with my general physician. By the time I arrived home there was a message from the hospital saying I had leukemia and requested I come back to the hospital for admittance and further testing. I have since been diagnosed with Acute Lymphonblastic Leukemia, had a pic line put in, ekgs, brain scans, lumbar punctures, marrow testing, platelet and blood transfusions, and my first round of chemo with a 12 day hospital stay. My oncologist urged that I report this as I had bloodwork done in late January with absolutely no abnormalities and as I don?t work and stay home mostly the only new exposure to my system was the Pfizer vaccine. Ahead of me I have countless hospital visits for bloodwork, chemotherapy, blood and platelet transfusions and so many more unknowns.

Other Meds: High blood pressure medication

Current Illness: N/a

ID: 1256860
Sex: M
Age: 69
State: MA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
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: Sore arm, body aches, feeling hot and cold and nausea. Took ibuprofen.

Other Meds: Lisinopril, for high blood pressure, multivitamin,

Current Illness: None

ID: 1256861
Sex: M
Age: 37
State: RI

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: N/A

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

Symptoms: Chills, fever, muscle ache, diarrhea, SHORTNESS OF BREATH & COUGH

Other Meds: N/A

Current Illness: Severe Eczema

ID: 1256862
Sex: F
Age: 67
State: LA

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

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

Lab Data:

Allergies: Peanuts, Penicillin, Sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient is known to have sensitivity/allergic reactions to other medications/food/injections. She had an EpiPen on hand at the time of the injection. She is a nurse and is knowledgeable of her on health situation and medicines. She had no problem with the first Moderna vaccine she had on 4/1/2021. She sat in a chair for about 10-15 minutes after vaccination with the second dose of Moderna Covid 19. She decided to get up and walk around the store and noticed after several minutes she started having breathing problems/heart rate increased. She returned to the pharmacy and was observed for 20 minutes. She did not want us to call 911. She wanted to try to get through the reaction herself. I offered to administer her EpiPen or told her I had Benadryl injectable too. She wanted a dose of Benadryl and I gave her 50mg IM. She continued to improve and walked out of the store at her own will. Breathing and Heart rate slowed down. I have reached out to her at home and she is doing much better.

Other Meds: Depo Estradiol 5mg/ml, Advair HFA 115/21, Prazosin 1mg, Cyclobenzaprine 10mg, Rabeprazole 20mg, Sertraline 100mg, Magnesium oxide 400mg, Montelukast 10mg, Synthroid 150mcg

Current Illness: unknown

ID: 1256863
Sex: F
Age: 37
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
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: Started with muscle aches and fatigue 5-6 hours after injection. Fever and chills started 10-12 hours after and continued for 36 hours. Experienced headaches and nausea the morning after as well.

Other Meds: None

Current Illness: None

ID: 1256864
Sex: F
Age: 16
State: TX

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: 3RD PARTY NURSE ADMINISTERED VACCINE TO MINOR. MONITORED FOR 20 MINUTES WITH NO SIGNS OF ADVERSE REACTION.

Other Meds: NONE

Current Illness: NONE

ID: 1256865
Sex: F
Age: 43
State: NY

Vax Date: 03/23/2021
Onset Date: 04/19/2021
Rec V Date: 04/25/2021
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: clindamycin

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

Symptoms: 43-year-old female with past medical history of breast cancer (on chemo), hypertension, GERD, and obesity, fully vaccinated for covid 19 as of 3/23/2021 who presented on 4/20/2021 with fever, chills, cough for 3 days and covid 19 pcr positive with CT chest with b/l pneumonia. Was diagnosed with breast cancer in January and was on week 3 of a 3-month cycle of chemotherapy with taxol. She required oxygen during her hospital course for hypoxia of 79% and was discharged home on it. she received remdesivir and decadron. she was not a candidate for regeneron or toci. Her hospital course was protracted due to pneumonia, refractory diarrhea, nausea, vomiting , fatigue, poor po and anemia. she needed 2 units of blood. She was discharged home 4/26 on oxygen. Further chemo on hold till she fully recovers.

Other Meds: Norvasc, buproprion, Lisinopril, senna, omeprazole, trazodone Taxol for chemo once a week

Current Illness: None on chemotherapy for breast cancer

ID: 1256866
Sex: F
Age: 78
State: WY

Vax Date: 02/25/2021
Onset Date: 03/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: I had tender areas on the inside of my left leg starting about mid or late March in the upper thigh region and some aching in the inner aspect of the calf portion of the leg. This became worse over the Easter weekend and I went to clinic on April 6, 2021. I had a superficial blood clot just above the knee on the inner aspect of my left leg. After that appointment the redness and soreness and very hard feeling of the veins extended up my leg 8 to 10 inches. I did not have a blood clots in the deep veins. I have had some varicose vein?s and surgery for such about five years ago. The clinic did not say the clot was due to the vaccine but I had no injuries, no recent surgeries and nothing unusual that would have caused the clot other than the vaccine

Other Meds: Levothyroxine, Budesonide, Dicyclomine, atovastati Multivitamin

Current Illness: IBS, Microscopic colitis

ID: 1256867
Sex: F
Age: 17
State: TX

Vax Date: 04/01/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: Allergies to amoxilina

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

Symptoms: One day after the second dose I felt tired, weak, cold, and with a sore arm. After, I took 3 Tylenol capsules to feel better. Today my left arm which I got the vaccine in, feels itchy and my hand is swollen and red. Now my left feet is starting to feel itchy and swollen-red.

Other Meds: None

Current Illness: One day after the second dose I felt tired, weak, cold, and with a sore arm. After, I took 3 Tylenol capsules to feel better. Today my left arm which I got the vaccine in, feels itchy and my hand is swollen and red. Now my left feet is starting to feel itchy and swollen-red.

ID: 1256868
Sex: F
Age: 61
State: IN

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/25/2021
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: Codeine; Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Fever, chills, body aches lasted for 6-7 hours the day after the shot , sore at injection site for 3 days.

Other Meds: Metformin, Metoprolol, Hydrochlorothiazide, Flonase, Advair, Zyrtec, Paxil, Simvastatin

Current Illness: None

ID: 1256869
Sex: F
Age: 45
State: AZ

Vax Date: 04/21/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
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: At about 10 pm I began loosing feeling in my left arm. It starts at the injection site and the numbness and tingling runs down into my hand and finger tips. It's now 3 pm the next day and it's only getting worse as I use it.

Other Meds: None

Current Illness: None

ID: 1256870
Sex: M
Age: 48
State: OH

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: Covid 19 Moderna 2nd shot. Body aches , chills and 104 fever

Other Meds: Airborne

Current Illness: None

ID: 1256871
Sex: M
Age: 29
State: PA

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: High Temperature (101), Vomiting, headache, shortness of breath, aches, chills

Other Meds: None

Current Illness: None

ID: 1256872
Sex: F
Age: 83
State: VA

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 04/25/2021
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: HTN exacerbation, discomforts within 2-3 days that lasted over a month and required multiple office visits and medication increases to control HTN.

Other Meds:

Current Illness: HTN

ID: 1256873
Sex: F
Age: 56
State: FL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/25/2021
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: Xylocaine, absorbable sutures don?t dissolve easily

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

Symptoms: Immediately after the injection, I experienced numbness and tingling down my entire left arm into my fingertips along with a heavy pressure sensation on my inner aspect of my wrist. My upper left arm felt incredibly sore and heavy for four weeks. It is over one month post injection, and my left thumb has lost 20% of its strength. My left hand constantly tingles, especially my thumb and pointer finger. I continue with random nerve impulses down my entire arm. It feels like spiders are crawling underneath my skin.

Other Meds: aspirin 81 mg

Current Illness: None

ID: 1256874
Sex: M
Age: 17
State: CA

Vax Date: 04/25/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: Tingly, Dizzy, nausea , fainted

Other Meds: none

Current Illness: none

ID: 1256875
Sex: F
Age: 64
State: NY

Vax Date: 03/30/2021
Onset Date: 04/07/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: shellfish

Symptom List: Injection site pain

Symptoms: 8 days after vaccine I had a shingle like reaction at the injection site that lasted 24 hours before becoming just a regular rash. I took a picture. Also some muscle pain in my left thigh & calf that lasted a few days.

Other Meds: none

Current Illness: none

ID: 1256876
Sex: F
Age: 29
State: NJ

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: Keflex, clindamycin, lactose intolerance.

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

Symptoms: Day 1 (1 hour after shot) - nausea, vomiting, fatigue, body shaking, general feeling unwell and needing to rest, injection site soreness. Day 2 (at night before bed) - some shortness of breath (not sure if due to anxiety), joint pains, muscle aches, injection site soreness, chills. Day 3 - abdominal spasming (contractions every couple of minutes) early morning to early evening 4pm, fatigue, waves of heat, throat closure sensation without issue eating/drinking/breathing, anxiety over symptoms. Day 4 - less symptoms during day, occasional feelings of not being able to take deep breath. Week and half after first vaccine - muscle twitching of legs only, achiness present before bed.

Other Meds: None -- Occasional stress relief gummy couple days prior to vaccine (ashwaghanda, l-thenine, GABA, lemon balm).

Current Illness: None

ID: 1256877
Sex: F
Age: 59
State: PA

Vax Date: 03/01/2021
Onset Date: 03/14/2021
Rec V Date: 04/25/2021
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: NKA

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

Symptoms: Headache. I have had a headache everyday since I got the vaccine. I have taken either Tylenol, Advil, Aleve or Excedrin every single day since March 14th. Nothing seems to help.

Other Meds:

Current Illness: NONE

ID: 1256878
Sex: F
Age: 25
State: MD

Vax Date: 03/30/2021
Onset Date: 04/12/2021
Rec V Date: 04/25/2021
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: I developed a right-sided Bell's Palsy approximately two weeks following the first injection. Symptoms began on Monday, April 12, 2021. I was seen in Hospital ER on April 13, 2021 and started on Prednisone. I was seen by my PCP on April 20, 2021, who provided referrals for Neurology and Physical Therapy. The palsy persists as of this reporting.

Other Meds: Sprintec oral contraception

Current Illness: none

ID: 1256879
Sex: M
Age: 37
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
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: Faint, possible seizure (jerking on groud for a few seconds). BPs 89/47 (pulse 56), 130/77 (pulse 75). Hit head - recommended getting CT scan.

Other Meds:

Current Illness:

ID: 1256880
Sex: F
Age: 64
State: MI

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 3-19-21 felt soreness in arm / shoulder after first vaccine. Pain continued and worsened over the next two weeks but I assumed it was a side effect. By 4-8-21 the pain was still unbearable but vaccine #2 was scheduled for the next day . ( 4-9-21). I went and asked nurse if it was still safe to have second vaccine and she said it was , vaccine done ( no side effects ) in the right arm. I made appt. with doctor as I was still in severe pain in left arm/ shoulder area, had little use and very limited mobility. Pain and soreness caused lack of sleep for two weeks. I was prescribed Prednisone and Norco. There was little improvement . Was prescribed Naproxen and had my first physical therapy appt. on Friday, 4-23-21. Everything is out of pocket for me but I need my injury fixed.

Other Meds: Desvenlafaxine, , Cyclobenzaprine, Tramadol, Celecoxib, Trazodone, Vitamins: Calcium with D, D3, B-12, Multivitamin, C, Probiotic Tylenol

Current Illness: Osteoarthritis in both knees

ID: 1256881
Sex: F
Age: 26
State: PA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Chills and low grade fever began at 8:00 pm ~ 12 hours after 2nd dose. Also experienced headache, muscle and joint pain, injection site pain, and nausea. On 4/25 experienced low grade fever in the morning, nausea, headache, tiredness, and feeling unwell throughout the day.

Other Meds: Ortho-tricyclen-lo

Current Illness: None

ID: 1256882
Sex: M
Age: 40
State: PR

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/25/2021
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: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: FEVER, BODY PAIN, FINGER PAIN, WHOLE BODY IN PAIN.

Other Meds: N/A

Current Illness: N/A

ID: 1256883
Sex: M
Age: 46
State: IN

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
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: N/A

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

Symptoms: Fever up to 102.3 degrees, severe chills, body aches, headache, loss of taste & smell, fatigue, dizziness. Most symptoms including fever lasting at least 36 hours. Still experiencing fever, fatigue, dizziness.

Other Meds: Cetirizine, Vit C, Vit D, Omega 3.

Current Illness: No.

ID: 1256884
Sex: F
Age: 72
State: MI

Vax Date: 04/22/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: Penicillin, Codeine

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

Symptoms: Woke up with extreme lower back pain. Could barely stand. At 10:30AM took Flexeril to relax muscles. No relief until 5:30 PM. Still hurts, but not as extreme.

Other Meds: Omeprazole, Naltrexone (low dose), Simbrinza OP eye drops, Prolenza OP eye drops, Prednisolone Acetate OP eye drops, multi-vitamin, calcium/magnesium tablets, vitamin D, and PreserVision.

Current Illness: None.

ID: 1256885
Sex: F
Age: 98
State: VA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 04/25/2021
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: Pt developed red, swelled, warm, painful RLE at lower leg/ankle/foot less than 24 hours, near 12-18 hours after 2nd dose.

Other Meds:

Current Illness: None

ID: 1256886
Sex: F
Age: 33
State: AZ

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/25/2021
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: Chest pain, shortness of breath

Other Meds: Seroquel & Wellbutrin

Current Illness: None

ID: 1256887
Sex: M
Age: 61
State:

Vax Date: 04/19/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
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: 5 days went by, no reaction, thought I was home clear. I woke up on the 6th day ON FIRE. Not one part of my body that wasn't screaming. I popped Acetaminophen like Tic Tacs for 2 days. Initially, I thought I was going to die, then I was afraid I wouldn't. Never been through anything like that. I don't think I'll get the second dose. I've heard the second is far worse than the first.

Other Meds: none

Current Illness: none

ID: 1256888
Sex: M
Age: 30
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
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: After 2nd dose, client reported feeling hot, dizzy, and light-headed. EMT assisted client into gravity chair. Client was sweating and warm-to-touch. Client drank water from personal water bottle. RN provided education on vaccine side-effects and advised to remain in-place for observation for 30 minutes. Vital signs were within normal limits. Client reported side-effects resolved 15-minutes later. Client was advised to seek emergency medical attention if side-effects return and/or worsen. Client was provided information on VSAFE and walked out of vaccine site unassisted with steady gait after an additional 15 minutes observation.

Other Meds: None.

Current Illness: None.

ID: 1256889
Sex: F
Age: 43
State: CA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Tingling in lips, requesting Benadryl. Vitals wnl. Benadryl PO given.

Other Meds:

Current Illness:

ID: 1256890
Sex: M
Age: 41
State: NY

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 04/25/2021
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: About 40 minutes after vaccination the patient complained of L sided chest pain radiating to axilla/ No other symptoms including sob. EKG normal. BP 129/89 P 71 RR 18 O2 97%

Other Meds:

Current Illness:

ID: 1256891
Sex: F
Age: 43
State: MN

Vax Date: 04/17/2021
Onset Date: 04/25/2021
Rec V Date: 04/25/2021
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: Penicillin, Topamax

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

Symptoms: Red circle rash that developed a week after the shot. It's red, warm, itchy and makes my whole arm sore and tired.

Other Meds: None

Current Illness: None

ID: 1256892
Sex: M
Age: 81
State: WA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/25/2021
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: Allergic to penicillin. Reaction: hives

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Very tired beginning about 10 hours after injection. Tired for about 24 hours (tired, as in sleepy, not physically exhausted) and then felt fine.

Other Meds: Verapamil, Pradaxa

Current Illness: None

ID: 1256893
Sex: M
Age: 81
State: VA

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 04/25/2021
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: Chest pain, L arm pain, HTN, mild shortness of breath

Other Meds:

Current Illness:

ID: 1256894
Sex: F
Age: 42
State: FL

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/25/2021
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: Unknown

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

Symptoms: Pt lost consciousness after receiving vaccine several times. She did not fall and was seated in a chair with armrests. She was revived with alcohol but continued to report poor vision, poor hearing and feeling warm. She was not returning to normal self so we contacted 911. They came, assessed her and she was cleared to go home. Her partner was with her and he drove her home

Other Meds: Unknown

Current Illness: Unknown

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm