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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1273228
Sex: F
Age: 26
State: NJ

Vax Date: 04/09/2021
Onset Date: 04/20/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: The first 2 days had awful headache and muscle aches, could not leave the bed. Then a week later, I got a horrible rash all of my body, worse at my hands and feet. The rash included many blisters. Loss of appetite and cannot sleep. I still have the rash now, and it is even getting worse in some parts, while other parts are better due to a steroid cream prescribed by my dermatologist. On April 26, I felt very dizzy and weak and went to urgent care. I have since recovered from those symptoms.

Other Meds: None

Current Illness: None

ID: 1273229
Sex: U
Age: 24
State: PA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NONE

Symptom List: Anxiety, Dyspnoea

Symptoms: FEW MINUTES POST VACCINE, PATIENT C/O THROAT TIGHTENING/SWELLING. DENIED SOB. BROUGHT TO OBS VIA WC, ASSISTED TO STRETCHER. VSS. PATIENT TOLERATING COLD WATER, AND DENIED WORSENING S/S; RESOLVED SPONTANEOUSLY AFTER A FEW MINUTES. ESCORTED TO EXIT WITH SIGNIFICANT OTHER WITH NO ISSUES AT 0830. INSTRUCTED TO SEEK FURTHER EVAL/TREATMENT FOR WORSENING/RECURRING S/S. 0820 BP 109/73 HR 78 RR 18 SATS 99% RA

Other Meds: NONE

Current Illness: NONE

ID: 1273230
Sex: M
Age: 40
State: KY

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Hydrocodone

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

Symptoms: Rash on inner aspect bilateral upper extremities and across the Chest C/o SOA , Hyperactivity

Other Meds: none

Current Illness: none

ID: 1273231
Sex: F
Age: 47
State: PA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Aleve aspirin chlordiazepoxide HCl grape iodine iodine latex Librium itching naproxen sodium Other reactions and severities: 'Swelling - Moderate'. orange peanut potato shellfish derived soy tomato Ultram warfarin wheat

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 4/20/21 1300 Pt got 1st dose of COVID vaccine today. Reporter went to check on pt and reports some feeling of itching all over her body. Did not appear to have any rash present anywhere on body. No rednesss to injection site or pain. Reported to reporter and she went to speak to pt about concenrn. Pt reported to reporter that she feels fine just has sensation of itching. Pt denied any throat swelling, difficulty breathing, or wheezing. Pt was advsied by reporter that we will monitor her for the next few minutes but if develops a rash or symptoms when she leaves the office to go to urgent care. spoke to pt before she left she states that she is doing ok was still with itching sensation but had no symptoms of anaphylactic reaction. Pt again made aware that if she goes home and develops any concerning symptoms to make sure to call office, go to urgent care, or if severe call 911 and get to ER. She understood. 4/30/21 0453 Triage call received from patient. She states she had the 1st dose of the COVID vaccination yesterday. She is itchy, has a rash, face is swollen, and difficulty breathing. Triage advised ER. Verbal understanding received. 4/30/21 0930Called patient to see how she is feeling, she states that she is still having itching and difficulty breathing. She states "I haven't had a chance to get the epi pen they ordered at the hospital". Advised patient to seek emergency care due to her having difficulty breathing. She stated "Ok, I will figure it out. I have a lot of stuff to do today". Again urged patient to seek emergency care ASAP. "Ok, I will"

Other Meds: Albuterol inhaler Sertraline 100mg Oxybutynin Chloride ER 10mg Hydroxyzine 50mg Risperidone 2mg Zyrtec Cyclobenzaprine 10mg Pantoprazole 40mg

Current Illness: Asthma

ID: 1273232
Sex: M
Age: 32
State: IL

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Injection site pain/swelling, body aches, chills, generalized fatigue. Symptoms began roughly 18 hours post vaccination. Subsided 40 hours post vaccination. Now in good health.

Other Meds: none

Current Illness: none

ID: 1273233
Sex: M
Age: 17
State:

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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:

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

Symptoms: Felt dizzy - patient laid down snack and juice given, felt better. Able to sit up then stand without difficulty, ready to leave. Informed to seek medical attention with any further problems.

Other Meds:

Current Illness:

ID: 1273234
Sex: M
Age: 36
State: PA

Vax Date: 04/18/2021
Onset Date: 04/20/2021
Rec V Date: 04/30/2021
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: I began experiencing severe tinnitus in my left ear about 24-48 hours following the shot. I did not have any exposure to loud noise at the time and have no history of tinnitus. It has been two weeks and the effect has not reduced at all.

Other Meds: Pantoprazole, Albuterol, Budesonide (Symbicort)

Current Illness:

ID: 1273235
Sex: F
Age: 56
State:

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Fever, headache, chills, felt lethargic

Other Meds:

Current Illness:

ID: 1273236
Sex: F
Age: 24
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Shakes, chills, hot flashes, extreme soreness throughout entire body, headaches,fever, muscle pain, lightheaded ness, increased anxiety,

Other Meds: None

Current Illness: None

ID: 1273238
Sex: F
Age: 66
State: WV

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 04/30/2021
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: She got her vaccine, was hot immediately. The next day had the itching and swelling of the arm. Then her leg started swelling. She went to the doctor last week as she doesn't like going. They wanted her to go to the ER as they felt it was a blood clot. The same day she was sent to get an US, and this was negative. Then she went back to her doctor and he wanted her to go back to the ER to have another US and she refused. She went to a vascular surgeon and he put her on a special machine and put her on Lasix and has taken that once, and it is still big, hard and swollen, as well as her foot. She has water blisters on the leg, bumps on the side.

Other Meds: Exforge, Carvedilol, Crestor.

Current Illness: None.

ID: 1273239
Sex: F
Age: 65
State: MD

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
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: Fever x 1 day Chillsx2 days Body aches x 4 days Malaise x 4 days Painful hand joints continues

Other Meds: Sotolol,Eliquis,

Current Illness: nine

ID: 1273240
Sex: M
Age: 47
State: NY

Vax Date: 04/25/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
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: Seasonal allergies, mostly spring pollen

Symptom List: Rash, Urticaria

Symptoms: Extreme dizziness on first night after receiving 2nd vaccine dose. Stumbled and then fainted, hitting head hard on sink and floor. Awoke to then vomit. Extreme dizziness and vertigo has continued throughout each day and night for 5 days. Additionally, each night I awake every hour having sweat in bed and soaked all sheets.

Other Meds: Zyrtek for seasonal allergies

Current Illness:

ID: 1273241
Sex: F
Age: 34
State: FL

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 04/30/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: My partner and I got the vaccine around 1 pm, we decided to go home immediately after in cause any of us developed side effects. During the first couple of hours, I felt a little nauseated, but that went away. Everything seemed ok until at around 9pm I started to develop pain on my left arm. I took Advil and relaxed, at around midnight, I was in excruciating pain, I lost complete movement of my arm. I wasn't able to sleep that night. The next day I tried 800mg of Aleve which helped very little. I couldn't move or do anything I normally do. That night I also developed fever and I sweat a lot soaking the sheets and the mattress. The extreme pain continued for the next 3 days, until on the forth day, it went away. Today marks 8 days since my injection, and I woke up last night with the same pain. I took Advil and it alleviated somewhat. I could describe the pain as an inflammatory pain that pulses in the bone and nerves. If I tried to forcefully move my arm, it felt like my arm was being ripped from my body. I was in tears for days.

Other Meds: None

Current Illness: None

ID: 1273242
Sex: F
Age: 45
State: PR

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/30/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Aspirin

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

Symptoms: During the night, I had a really strong headache, nausea, chills, pain in my left arm that reached my chest, and then a lot of sweating. Wednesday I did not work, Thursday I still worked with the pains. Friday I woke up around 5:00 am with severe chest pain and nausea. The pain was not normal, I went to the Hospital, to the emergency room.

Other Meds: None

Current Illness: None

ID: 1273243
Sex: F
Age: 52
State: AZ

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: Penicillin

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

Symptoms: High fever Dizziness/nausea Severe body aches Strong flu-like symptoms

Other Meds: Centrum Vitamin B12 Low-dose Bayer Aspirin Citamin D3 Caltrate

Current Illness:

ID: 1273244
Sex: F
Age: 22
State: WI

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Unknown

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

Symptoms: Patient vaccinated at 11:50am. Patient reported itchy throat at 12:10pm. Patient administered Benadryl 25mg. Also given juice and granola bar. Patient reported improvement 10 minutes later. Patient vitals remained within normal limits. Patient observed for 30 minutes. Patient released following reported symptoms diminished. Patient instructed to go to ED for further evaluation if throat swelling occurs after leaving clinic.

Other Meds: Unknown

Current Illness: Unknown

ID: 1273245
Sex: M
Age: 63
State: TX

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Approximately 12 hours after injection - head ache, body ache, fever (highest was 102.8) body shakes, night sweats. Continuing as I write this.

Other Meds: None

Current Illness: None

ID: 1273246
Sex: F
Age: 30
State: CO

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I got the shot at 4:45pm on Thursday and felt fine all evening. Around 6am Friday, I woke up feeling nauseated. I got out of bed, walked to the kitchen and passed out on the kitchen floor. My husband said that I was unconscious with dilated pupils. I was unresponsive to him holding my shoulders and calling my name. When I regained consciousness, I continued to feel nauseous for another hour (couldn't walk or stand without feeling lightheaded). 2.5 hours later, I continue to have tingling in my arms, legs, and feet.

Other Meds: None

Current Illness: None

ID: 1273247
Sex: M
Age: 59
State: NE

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Severe back and leg pain. Chills, migraine headache and low-grade temp.

Other Meds: Merformin, celexa, can?t remember right now not feeling well at all

Current Illness: None

ID: 1273248
Sex: F
Age: 19
State: MO

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: 4/28 @ 4 pm day of vaccine, lower back achy & stabbing pain, like laying on nails. 1 hour later progressed to include middle back, by 6 pm entire back to base of neck in pain & stabbing pain would focus on 3-4 spots and move around. Fever 99.8 @7:23 pm, 100.5 @ 7:46. Bad chills all evening. Advil taken. 4/29 back pain improved when fever decreased but worsened as fever increased. Advil & later tylenol. Hot & then cold throughout day. By 1 pm, back pain just middle & lower back, by 5 pm just lower back, woke on 4/30 and back pain gone. Arm pain at injection site began 2 hours after vaccine, couldn't raise arm more than 2 ft from legs, pain better but still persists.

Other Meds: Nortrel 1/35

Current Illness: Just reaction from 1st vaccine - severe stomach pain belly button to entire right side. Others concerned Appendix but it was removed few years ago, however would have sought ER next day if didn't resolve

ID: 1273249
Sex: F
Age: 20
State: IN

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Sore arm, headache, decreased appetite, body aches, hot and cold flashes with sweating

Other Meds: Klonopin, Vienva

Current Illness: None

ID: 1273250
Sex: F
Age: 32
State: AR

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: Shortness of breath, headache increased BP

Other Meds: Celexa

Current Illness: None known

ID: 1273251
Sex: F
Age: 53
State: NH

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/30/2021
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: I broke out in an itchy red rash with tiny bumpy blisters all over my torso ? mainly upper back and chest. The rash has dried up but the itching and discomfort continue one week later

Other Meds: Flovent

Current Illness: Bacterial pneumonia

ID: 1273252
Sex: F
Age: 61
State: UT

Vax Date: 04/01/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Headache, pain, sour throat, hot, chills, misery for 2 days. Now, 2 weeks later still have a persistent cough. Dry, constant.

Other Meds: Lexapro

Current Illness: None

ID: 1273253
Sex: F
Age: 49
State: MI

Vax Date: 04/22/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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 that I am aware of

Symptom List: Injection site pain, Menorrhagia

Symptoms: I received my first Covid 19 (Pfizer) vaccine on April 22 and by the next day, began to experience a marked difference in the level of already-present tinnitus in my right ear. Along with the increased volume, I am also experiencing a pressure or "fullness" in that ear that was not present before the vaccine. It's been only a week, but the symptoms have not subsided yet.

Other Meds: Levoxyl Multivitamin Magnesium EPA DHA Inflavonoid Intensive care Adrenogen Selenium

Current Illness: none

ID: 1273254
Sex: M
Age: 49
State: NC

Vax Date: 04/09/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
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: aspirin, angioedema

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

Symptoms: 1st week after vaccine administration, developed hives/macular rash, originally around arm then diffuse. Lasted for 2-3 days, no other symptoms.

Other Meds: none

Current Illness: none

ID: 1273255
Sex: F
Age: 39
State: LA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 04/30/2021
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: Allergic to raspberries.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Became very dizzy in the morning after standing up, patient was not able to eat anything resulted to vomiting.

Other Meds: Patient has birth control implant Nexplanon in left arm.

Current Illness: None.

ID: 1273256
Sex: F
Age: 39
State: FL

Vax Date: 04/19/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
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: Right side ear completely numb. Tissues surrounding ear including face, neck and head above and behind ear completely numb. Sudden onset ringing in both ears.

Other Meds: None

Current Illness: None

ID: 1273258
Sex: F
Age: 70
State: IN

Vax Date: 04/01/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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

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

Symptoms: Severe muscle aches. Stiffness

Other Meds: Metformin Lisinopril Carvedilol Flecanide Simvastatin Omeprazole Eliquis Hydrochlorathiazide Fish oil Vitamin D B12 B complex Turmeric Glucosamine Imodium

Current Illness: None

ID: 1273259
Sex: F
Age: 44
State: FL

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Azithromycin (hives), promethazine (anxiety)

Symptom List: Nausea

Symptoms: Patient presented to UF Health Jacksonville ED with R knee pain and joint swelling for past 5 days. Patient reported that is started 10 hours after receiving COVID-19 vaccine. Pain described as severe, throbbing, constant with a sudden onset; decreased range of motion. Per chart review, patient concerned that knee pain related to COVID-19 vaccine.

Other Meds: None listed

Current Illness: None known

ID: 1273260
Sex: F
Age: 53
State: TX

Vax Date: 04/28/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Ant bites cause me anaphylaxis. Allergic to latex.

Symptom List: Injection site pain

Symptoms: 1st Dose: Developed a small, oval, red, itchy spot at injection site on morning of day 2 after injection. Itchy on my whole body also. Did not go away for at least a week. 2nd Dose: Same as above, except this time the spot is much larger (5 inches across), is very sore, very firm and raised. Also, much more itchy EVERYWHERE. It is just now the morning of day 2 after the 2nd injection, so I don't know how long it is going to last.

Other Meds: Ibuprophen, Icy-Hot w/Lidocaine

Current Illness: Rheumatoid arthritis. Possible thyroid disorder. Arythmia

ID: 1273261
Sex: F
Age: 43
State: FL

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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

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

Symptoms: 2nd dose. Soreness started a hour after. Headache started around 3pm. Itching at the site of injection started around 6pm. Hardness at site and swelling noticed around 10pm. Headache, body aches, redness, lump, itching, and soreness at site still present at 10:30am the following day

Other Meds: N/A

Current Illness: N/A

ID: 1273262
Sex: F
Age: 90
State: WI

Vax Date: 04/06/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Patient was tested for COVID prior to seeking admission to a nursing home. Patient was asymptomatic at the time of testing but the test result returned positive.

Other Meds:

Current Illness: N/A

ID: 1273263
Sex: F
Age: 52
State: IL

Vax Date: 04/12/2021
Onset Date: 04/25/2021
Rec V Date: 04/30/2021
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: Woke up April 25, 2021 at 9:00 am with left shoulder pain. Throughout the day the pain became intense and unbearable. It had also swelled considerably. I could not lift my arm at that point. At approximately 10:00 pm I went to the hospital. I was given an Ultrasound on left arm and shoulder to check for blood clots which was negative. I was also given an Xray on left shoulder to check for bone abnormalities which was negative. I was diagnosed with "COVID shoulder", released and given pain medication. Was told to follow up with family practitioner. Went to Dr. on Tuesday, April 27, 2021 who confirmed the diagnosis. Blood was taken which showed elevated white blood cells.

Other Meds: Effexor, Rosuvastatin, Femhrt Low Dose

Current Illness: None

ID: 1273264
Sex: F
Age: 46
State: TN

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: Erythema, Pruritus

Symptoms: left underarm painful, center of chest hollow-feeling, leg cramp in right leg, one vertebrae in back of neck at shoulders (maybe C7 or T1) sharp pain comes and goes.

Other Meds: sertraline 50 mg

Current Illness: none

ID: 1273265
Sex: M
Age: 55
State: NC

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/30/2021
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:

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

Symptoms: MALAISE LASTING > 4 DAYS

Other Meds:

Current Illness:

ID: 1273266
Sex: F
Age: 42
State: FL

Vax Date: 04/27/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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

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

Symptoms: On the injection day Tue 04/27/21, the left arm is hard to lift and a little fatigue; on the next day Wed, only the injection area pain and still sleepy early night; but since the morning Thu 04/29/21, I felt headache, chills, sore throat and fatigue. The situation got worse at the night, headache, chills, sore throat all more severe, the temperature rose from 37.3C to 37.7C, a little dizzy, congestion and runny nose at the same time. Occasionally shortness and sneeze. All together made me almost no sleep. On Fri 04/30/21 I went to an urgent care and the provider did a few tests. He is affirming I have no COVID-19 but the test result comes out in 5 days. He didn't prescribe anything. But I am already much better after much sweating in the early morning: temperature dropped, headache almost gone, sore throat not so severe, shortness of breath also released after changing the mask, congestion in nose gone, but still a little runny nose.

Other Meds: vitamin D, Glucosamine Chondroitin

Current Illness:

ID: 1273267
Sex: M
Age: 52
State: NY

Vax Date: 03/27/2021
Onset Date: 04/11/2021
Rec V Date: 04/30/2021
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: Penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Tingling and numbness in both arms (below the elbow to hands) & legs (below the knees to the feet). Started in right arm and progress to the other extremities within a few hours. Neurologist has seem me and is conduction further tests including an EMG. Test is being taken 4/30/21. At this time the tingling and numbness has climbed above the knee and has stayed the same in the arms.

Other Meds: Fish Oil, D3, Magnesium

Current Illness: None

ID: 1273268
Sex: F
Age: 55
State: VA

Vax Date: 04/07/2021
Onset Date: 04/23/2021
Rec V Date: 04/30/2021
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: Erythromycin/Neosporin ointments, sensitive Codine and aspirin

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

Symptoms: After the 1st dose, I had sore arm and days later I had itchy rash around my right arm pit and my gland with swollen in the arm pit. After 2nd vaccine, sore arm and was tired for about 48 hours. Days later I'd noticed little itchy bumps on my left eye lid. On the night of 4/23, now both eye lids were itchy and a bit red. Throughout 4/24, eye lids got a little more swollen and still itchy and red, and by the evening my lips started to tinkle and a little bit swollen (it felt like I'm getting a cold sore) and I had noticed a few little bumps on the edge of my upper left side of lip (in a straight line). Throughout 4/25 my eye lids and lip were a little more swollen and feels like I'm having cold sore/sunburn. I

Other Meds: Amlodipine/Simvastatin/Aller-Tec/Calcium/ Vit. D3/Valacyclovir

Current Illness: Osteoarthritis, trigger thumb, bladder infection ...

ID: 1273269
Sex: M
Age: 47
State: RI

Vax Date: 04/16/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
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:

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

Symptoms: Heart arrhythmia, skipping beats every 10-20 beats. This was noticed the night I received the vaccine, but it may have started before the vaccine and be unrelated. But, after 3 days, the arrhythmia stopped, and my heart beat is back to normal, so my doctor says perhaps it WAS related to the vaccine.

Other Meds: Fluoxetine, Simvastatin

Current Illness:

ID: 1273270
Sex: M
Age: 30
State: NY

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

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

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: 30-second syncopal episode and urinary incontinence while seated--3 minutes after injection. Did not fall or hit head. Regained consciousness without intervention. BP, pulse and respirations wnl. Positive for diaphoresis. Negative for swelling and shortness of breath. Recovered in 20 minutes and was able to leave clinic site. Provided water and cookies. Employer activated their emergency response system.

Other Meds: none known

Current Illness: none

ID: 1273271
Sex: F
Age: 55
State: PA

Vax Date: 04/06/2021
Onset Date: 04/12/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: penicillin, amoxicillin, sulfa drugs

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

Symptoms: 7 days after 1st vaccine, experience full body breakout of hives. After another week, went to doctor for treatment; received prednisone- 9 day dosage; after two weeks, hives faded, dried up, still itchy. Self-medicated periodically with benadryl throughout the past 3-1/2 weeks.

Other Meds: atorvastatin 10 mg; daily adult gummy multi-vitamins

Current Illness: none

ID: 1273272
Sex: F
Age: 34
State: AZ

Vax Date: 04/05/2021
Onset Date: 04/12/2021
Rec V Date: 04/30/2021
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: Sulfurs, "Cillins", artifical flavors and dyes

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

Symptoms: Adverse event is developing shingles after the second shot for the COVID vaccine. After the first shot therirwas a increase in POTS symptoms but did not attribute to vaccine but pregnancy itselfs. ( increased POT symptoms included more uncontrolled heart rate, increasing to 160 at certain positions, and more silent migranes and dizziness) One week after the shot back and side started to hurt then developed a rash and was diagonsed with shingles. The shingles as of today has still not completely gone away. There is no indication of adverse effects to baby at this time since the development of the shingles was in third trimester. The treatment plan was collidal oatmeal baths and Valacyclovir (10 days 3x a day)

Other Meds: Rainbox Prenatal Vitamins, Folic Acid 1mg

Current Illness: No illnesses

ID: 1273273
Sex: F
Age: 29
State: MN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Noticed the injection site became very red, warm to the touch, swollen with pain described burning and aching. Had hot flashes. Symptoms started approximately 3 hours after vaccination and continued through night. Feelings of warmth have subsided at time of report 0930 following day, but all other symptoms continue.

Other Meds: None

Current Illness: None

ID: 1273274
Sex: M
Age: 26
State:

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: Body temperature : 100.8 Body shaking

Other Meds:

Current Illness:

ID: 1273275
Sex: M
Age: 45
State: MA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: Patient was vaccinated in error with 2nd dose of covid 19 one week prior to the 28 day recommended time lapse between first and second doses.

Other Meds:

Current Illness:

ID: 1273276
Sex: F
Age: 19
State: IL

Vax Date: 04/12/2021
Onset Date: 04/24/2021
Rec V Date: 04/30/2021
Hospital: Y

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 allergies on file

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

Symptoms: 19 y.o. female with h/o Hashmoto's thyroiditis now admitted 4/29/2021 with cerebral venous thrombosis. She received J&J COVID vaccine on 4/12.

Other Meds: levothyroxine 50 mcg tablet (taken for Hashimoto thyroiditis) naproxen 250 mg tablet (taken PRN)

Current Illness:

ID: 1273277
Sex: M
Age: 42
State: TX

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Spiking fever, strong chills with muscle cramping all over body and headache.

Other Meds: None

Current Illness: None

ID: 1273278
Sex: F
Age: 55
State: CA

Vax Date: 04/23/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: 7 days post jab feeling nauseous, muscle cramps in hands, vertigo

Other Meds: Lisinopril Aspirin 325 Tylenol

Current Illness:

ID: 1273279
Sex: M
Age: 42
State: CA

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Amoxicillin

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

Symptoms: Increase of existing tinnitus, earache

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm