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: 1277572
Sex: M
Age: 21
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Nkda

Symptom List: Dysphagia, Epiglottitis

Symptoms: Dizzy, lightheaded with needles

Other Meds: None

Current Illness:

ID: 1277573
Sex: M
Age: 66
State: IN

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: numbness in right side of face after shot next morning same side of face drooping and trouble opening right eye

Other Meds:

Current Illness:

ID: 1277574
Sex: F
Age: 52
State: NC

Vax Date: 03/21/2021
Onset Date: 03/28/2021
Rec V Date: 05/01/2021
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: Erithromyacin, Levaquin, Benedryl

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

Symptoms: Two days after receiving the first shot I broke out in a rash on my abdomen. It began to spread throughout my body consisting of large geographic areas that were red and raised on the edges. The rashes were solid red and covered my inner arms, under my armpits, back of my neck, my back, down the back of my legs. The rash continued to increase in redness and throughout my body on the third day after receiving the vaccine. On the fourth day it begin to subside. By the fifth day I had a ghost of a rash.

Other Meds: T4 25 MCG/T3 15MCG SR

Current Illness:

ID: 1277575
Sex: F
Age: 52
State: VA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Dust, mild, mildew, pollen, grasses, trees, sulfa-based drugs, aspirin, quin-family of drugs, amitriptyline, Anaphylaxis / idiopathic allergies.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Anaphylaxis - 50mgs benadryl , received 2 shots epinephrine, received succinate and methylPrednisolone

Other Meds: Benicar

Current Illness: Sinus infection - one month before

ID: 1277576
Sex: F
Age: 38
State: IL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 05/01/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Very sore arm - Right after shot; lasted 3-4 days Fatigue - Day after shot; lasted 3-4 days Headache - 5 days post-shot; lasted 1 day

Other Meds: Multivitamin, Nuvaring birth control, Vitamin D3, Vitamin B12

Current Illness: N/A

ID: 1277577
Sex: M
Age: 60
State: OH

Vax Date: 04/10/2021
Onset Date: 04/15/2021
Rec V Date: 05/01/2021
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: Severe pain and inflammation in right eye starting on 4/15/2021 @ 3:30am. Condition worsened followed by blurred vision. Went to my eye doctor on 4/26/2021 who diagnosed condition as Panuveitis. My eye doctor prescribed Prednisolone AC 1% Eye Drops (1 drop into right eye four times daily). Treatment with Prednisolone eye drops is current with moderate improvement. I continue to have intermittent pain with blurred vision as of this writing.

Other Meds:

Current Illness:

ID: 1277578
Sex: F
Age: 50
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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, Sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Sore arm and armpit lymph node, severe aches, chills, 102 fever, brain zaps

Other Meds: Vyvanse, Desvenlafaxine, Clonazepam, L-Methylfolate

Current Illness: No

ID: 1277579
Sex: F
Age: 33
State: NH

Vax Date: 04/10/2021
Onset Date: 04/20/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Vasovagal syncope reaction Sweating nausea diarrhea paleness blurred vision ringing in ears etc

Other Meds: Adderall 10mg

Current Illness: None

ID: 1277580
Sex: F
Age: 55
State: MT

Vax Date: 04/16/2021
Onset Date: 04/21/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Dairy, Egg Whites, Penicillan, Grass, Mold, Pine Pollen, Dust

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Frequent hot flashes and sweating (significant enough to disrupt sleep). I'm four years post-menopause. Until the second vaccination, I hadn't experienced hot flashes in a year.

Other Meds: Flovent, Ventolin HFA, Alaway Eye Drops, Vit D, Magnesium, B Complex,

Current Illness: None

ID: 1277581
Sex: F
Age: 56
State: FL

Vax Date: 04/22/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swollen, itchy, hot to touch and feels like a burning sensation at the site.

Other Meds: Omega-3 Fish Oil, Vitamin D3 2000 ,Iron 65mg and Estriol cream 1mg

Current Illness: No

ID: 1277582
Sex: F
Age: 32
State: GA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 05/01/2021
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: 1-11 days after the vaccination I had a series of events that came and went: muscle pain in arm opposite of my injection, hot flashes, joint pain, body ache, chills, night sweats, rash.

Other Meds: None

Current Illness: None

ID: 1277583
Sex: M
Age: 47
State:

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
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:

Symptom List: Rash, Urticaria

Symptoms: 101 degree fever, severe body aches, nausea, extreme fatigue

Other Meds: Fiber supplement, iron supplement, mutivitamin

Current Illness:

ID: 1277584
Sex: F
Age: 44
State: OK

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 05/01/2021
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: Headache first day. Soreness in shoulder where the shot was given for two days. I have never had migraines, however I have had three debilitating migraine headaches since the vaccines. My menstrual cycles have always been normal, but since the vaccines my periods are about two weeks apart and I am flowing incredibly heavy, unlike ever before! I have a rash on my left butt cheek that won?t go away and it feels like I have a rectal hemorrhoid. I am have been super tired and no energy. Before the vaccines I was in great shape and very healthy!

Other Meds: None

Current Illness: None

ID: 1277585
Sex: F
Age: 28
State: MA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: Penicillin

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

Symptoms: 38C fever and chill lasted for more than 22 hrs. Serious headache lasting for 72hrs. Nausea and dizzy showed up at same time with headache. Breath difficult happened on 29th Apr afternoon around 2pm.

Other Meds: NA

Current Illness: NA

ID: 1277586
Sex: M
Age: 27
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: N/A

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

Symptoms: Slight fever, chills, aches in muscles and bones 9 hours after 2nd dose

Other Meds: Lexapro, melatonin, mens daily multi vit

Current Illness: After vacc. Slight fever, chills, aches in bones and muscles, extreme fatigue

ID: 1277587
Sex: M
Age: 77
State: WI

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 05/01/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: It started with stills, nausea, aches for about 24 hours. Then more and more trouble breathing for 8 weeks. In the past week it has been somewhat better.

Other Meds: fluticizone

Current Illness:

ID: 1277588
Sex: F
Age: 38
State: IL

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 05/01/2021
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: Very sore arm - Right after shot; lasted 3-4 days; Redness and welts - Hours after shot; lasted 4 days; Low-grade fever - Day after shot; lasted 1 day; Chills - Day after shot; lasted 1 day; Body aches - Day after shot; lasted 2 days Mild nausea - Day after shot; lasted 1 day; Fatigue - Day after shot; lasted 3-4 days; Headache - 5 days post-shot; lasted 1 day.

Other Meds: Multivitamin; birth control pill (Yaz, generic); Vitamin B12; Vitamin D3

Current Illness: N/A

ID: 1277589
Sex: F
Age: 33
State: WA

Vax Date: 04/22/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Gluten/dairy sensitive

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 6 days after injection, developed an itchy raised red bump on the injection site about the size of 3 quarters

Other Meds: None

Current Illness: None

ID: 1277590
Sex: F
Age: 54
State: OH

Vax Date: 04/09/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Itchy rash all over my body several days ago, treated with cortisone cream and antihistamine tablets

Other Meds: Pantoprazole 20 mg, buspirone 7.5 mg, lisinopril -HCTZ 10/12 mg, citalipram 40 mg

Current Illness:

ID: 1277591
Sex: F
Age: 58
State: DE

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Jackfruit

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

Symptoms: My last period was in Feb, 2019. On Thursday, 04/29 a few hours after my 2nd vaccine shot I started spotting. On Friday, I started menstruating

Other Meds: *Bayer Aspirin 81 MG* Multivitamins *Losartan Potassium Tablets Usp 100 mg*Omeprazole *1 refill avail Amlodipine Besylate 5 MG Tab* Farxiga 10 MG Tab*+2 supply Metformin 1000 MG* need refill Atorvastatin Tab 10 MG Tab*Oxybutynin CL ER 10 MG

Current Illness: Hypertension; Type 2 Diabetes

ID: 1277592
Sex: F
Age: 36
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: Penicillin

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

Symptoms: I started itching about an hour and a half after getting the shot. All of my body. Took an allergy pill and it dissipated after about two hours. That evening my arm started hurting like I had been punched or stabbed. Starting on the 30th, the day after getting the shot, my arm was too sore too move higher than shoulder level and a welt/rash of some kind developed on my bicep below the injection site. Today, two days after the shot, my arm is still extremely sore and the welt/rash is still on my arm but seems to be fading a little.

Other Meds:

Current Illness:

ID: 1277593
Sex: F
Age: 60
State: MD

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: Fever, aches, chills, fatigue for 24 hours

Other Meds: Brisdelle

Current Illness: None

ID: 1277594
Sex: F
Age: 38
State: MD

Vax Date: 04/01/2021
Onset Date: 04/08/2021
Rec V Date: 05/01/2021
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: Swelling, redness, pain, firmness and itchiness at injection site, add well as body aches and chills, one week after shot. Aches and chills dissipated after about 12-15 hours, injection site symptoms lasted about 2 days longer.

Other Meds: Fluoxetine, buproprion, trazodone, adderall

Current Illness:

ID: 1277595
Sex: F
Age: 70
State: WI

Vax Date: 01/14/2021
Onset Date: 02/20/2021
Rec V Date: 05/01/2021
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: Sulfa methimozole

Symptom List: Injection site pain, Pain

Symptoms: sudden onset severe muscle stiffness and pain upper an lower extremities and severe L hip pain. Proximal Muscle weakness noted. Gradually resolving over next 5-6 weeks. Pain did not respond to NSAIDS Multiple doctor visits and physical therapy. Possible diagnosis of acute onset Polymalgia rheutmatica This has not been confirmed continuing to monitor and multiple physican visits scheduled.

Other Meds: Gaba pentin Diclofenec Hydrochlorothiazide

Current Illness: None

ID: 1277596
Sex: M
Age: 45
State: AZ

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
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: Injection site pain, Menorrhagia

Symptoms: severe pain at injection site, horrible headache, dizzy, blurry vision, sensitivity to light, congestion, difficulty breathing, cough, heavy chest, abdomen swollen and tender to touch, nausea, bloating, loose stool, moaning, fever, sweats, chills, severe joint pain full body, restless, unable to sleep, unable to eat or get out of bed or work

Other Meds:

Current Illness:

ID: 1277597
Sex: F
Age: 46
State: MA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: No known

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

Symptoms: Patient reported top lip swelling 25 minutes after injection accompanied by a sudden rush of numbness/tingling up the left side of her neck to the left side of her jaw and cheek. SHe is still experiencing this symptom 48 hours post immunization but has improved.

Other Meds: Levothyroxine 50 mcg

Current Illness: none known

ID: 1277598
Sex: F
Age:
State: GA

Vax Date: 04/02/2021
Onset Date: 04/10/2021
Rec V Date: 05/01/2021
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 pollen Allergic to Flagyl

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Systems of Rhuumatoid Arthritis

Other Meds: Blood pressure pills Alleve

Current Illness: High Blood pressure OA- in both hips

ID: 1277599
Sex: M
Age: 23
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: mainly noted flushing of skin mainly on both forearm- slightly itching/ sensitive sensation - no hives , no edema noted - no other s/s of any breathing or swelling in oral mucosal area - remained alert no other stress -- recommended Benadryl OTC and pt was fine with recommendation and will contact to see pcp if any other worsening issues -- mainly want to know how to manage his second vaccination - what advise to give - recommend him to take Benadryl prior to next vaccine , or is he safe to get his second vaccination?

Other Meds: none per pt

Current Illness: no

ID: 1277600
Sex: M
Age: 60
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: None

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

Symptoms: 1st day: Soreness in right arm. 28 hours later: all Joints very achy. Fever of 100.3 degrees. Chills Intestinal distress. diarrhea. gas. overall exhaustion.

Other Meds: Prozac, Zestril. Aleve

Current Illness:

ID: 1277601
Sex: F
Age: 47
State: IN

Vax Date: 04/20/2021
Onset Date: 04/22/2021
Rec V Date: 05/01/2021
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-rash Tree Nuts-anaphylaxis

Symptom List: Nausea

Symptoms: I received the vaccine on Tuesday 4/20/21. On Thursday 4/22/21 around 11:30 am, I noticed my lip was swollen. I took Benedryl and this side effect subsided Friday evening. On Tuesday 4/27/21 around 11:00 pm, I noticed a huge hive that was itchy, red, and swollen on the site where my vaccine was given. I went to the er because I have a history of anaphylaxis shock. They directed me to take Benedryl, use cortizone cream, and if it worsens-to use my Epi-Pen and call 911. Currently, on Saturday 5/1/21 around 6:30 am, I woke up with a small hive on my lower back and a hive on my abdomen. I called my dr.'s phone service to determine what steps need to be taken. The on-call nurse advised me to take 10mg/day of Zyrtec or Claritin and use cool baths to relieve itchiness. She stated that it they spread-to call back. If they remained the same-to follow up with my dr. on Monday.

Other Meds: Albuterol Inhaler: as needed Epi-Pen: as needed

Current Illness: None

ID: 1277602
Sex: F
Age: 65
State:

Vax Date: 04/02/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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:

Symptom List: Injection site pain

Symptoms: pleural and pericardial effusions

Other Meds:

Current Illness:

ID: 1277603
Sex: F
Age: 49
State: TN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Sore muscles, unwell, chills, headache, body ache ,nausea , tired. Tylenol every four hours, fluids and rest.

Other Meds: Birth control. Multi vitamin, otc sleep aid, otc allergy , otc stool softener, ibguard, doxycycline

Current Illness: Antibiotic due to tick bite given as a precaution

ID: 1277604
Sex: F
Age: 62
State: PA

Vax Date: 04/22/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none known

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

Symptoms: Normal side effects of chils, achiness, nausea and arm pain. Nine days later a hard red lump appeared on arm where vaccine was given.

Other Meds: Calcium, magnesium B vitamins, fish oil

Current Illness: none

ID: 1277605
Sex: M
Age: 19
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Nausea, dizziness, light-headed, muscle ache, ear ache, stomach ache, exhaustion, fever, chills, sensitivity to light, headache, restlessness

Other Meds: Insulin

Current Illness:

ID: 1277606
Sex: F
Age: 26
State:

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 05/01/2021
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: client observed sitting in chair when suddenly she loses consciousness and collapses to floor. Vaccine crew arrives immediately and she is assessed. No skin lesions, redness, swelling noted. Client gains consciousness and when asked about incident, she states: "I have fainted before when receiving a vaccine. EMS arrives and further assesses client taking over patient care.

Other Meds:

Current Illness:

ID: 1277607
Sex: F
Age: 37
State: MO

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/01/2021
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: Diarrhea and vomiting more than 10 times over 4 hours. Headache, redness and swelling at injection site. Body aches, fever and chills lasting more than 7 hours.

Other Meds: Multivitamin, lo estrin birth control pills

Current Illness: None

ID: 1277608
Sex: F
Age: 39
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: Late

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

Symptoms: Chills, body aches, fever, weakness in legs, fatigue for 24 hours. Started about 12 hours after second dose.

Other Meds: Birth control taytulla brand

Current Illness: None

ID: 1277609
Sex: F
Age: 38
State: IL

Vax Date: 04/16/2021
Onset Date: 04/23/2021
Rec V Date: 05/01/2021
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: Na

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Due date May 12th 2021. Uneventful pregnancy then first vaccine shot given 4/16/21. One week later, 37.3 weeks, during a routine prenatal visit increase amniotic fluid was noted. Two weeks later, 38.3 weeks, amniotic fluid increase more. Patient was sent to hospital for an induction. Baby was delivered on May 1 with no complications.

Other Meds: Prenatal vitamin Baby aspirin

Current Illness: Cold non covid related Pregnant patient was 36 weeks at time of vaccine. One week later during a routine prenatal visit pt had increased amniotic fluid. 2 weeks after Pfizer vaccine patient amniotic fluid increased more. Pt was admitted to hospital for an induction to deliver baby at 38.3 weeks. Baby delivered fine with no complications. Unsure if this is related to the Pfizer vaccine but that was the only complication during entire pregnancy.

ID: 1277610
Sex: F
Age: 17
State: IL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
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: unknown, none listed

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

Symptoms: After a few minutes of receiving vaccine, patient reported dizziness, light headedness, and blurry/dots in vision. She then became more upset leading to hyperventilation and crying. She then said she had tingling in her fingers, which progressed to difficulty moving her fingers/stiff fingers, and coldness and redness in tips of fingers. She then reported she was loosing sensations in her feet and legs. 911 was called. We tried to have the patient take slow deep breaths. We offered an ice pack and water up front and a heat pack for her fingers. Paramedics arrived. Her blood pressure, heart rate, oxygen saturation, glucose were within normal limits. She was given oxygen and the paramedic was able to help her slow her breathing. Her fingers went back to normal and she felt fine before leaving. She did not feel the need to go with the paramedics.

Other Meds: unknown

Current Illness: unknown

ID: 1277611
Sex: F
Age: 22
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: Fever, headache, back pain

Other Meds: None

Current Illness: None

ID: 1277612
Sex: F
Age: 22
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: Pain in extremity

Symptoms: Muscle aches: 10:00 pm 4/29- 1:00 am 5/1 Fever: 3:00pm 4/30-6:30pm 4/30 Chills: 12:00pm-8:00pm 4/30 Fatigue: 8:00am-6:00pm 4/30

Other Meds: Levothyroxine Iron supplement Doxycycline

Current Illness: None

ID: 1277613
Sex: F
Age: 30
State:

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Fatigue beginning 2 hours post injection. Fever beginning 6 hours post injection, maximum temperature 102 degrees, treated with ibuprofen after having a fever for 24-hours. Muscle ache and joint pain coincided with fever. Extreme soreness at injection site extended down to elbow and into shoulder. Headache beginning 10 hours post injection. Symptoms largely went away 30 hours post injection after taking ibuprofen.

Other Meds: Lo loestrin fe

Current Illness:

ID: 1277614
Sex: F
Age: 19
State: MI

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Fatigue Chills Body Aches Itchy swollen rash on arm

Other Meds: Oral birth control Spironolactone

Current Illness: Covid March 13

ID: 1277615
Sex: F
Age: 36
State: NJ

Vax Date: 02/02/2021
Onset Date: 03/14/2021
Rec V Date: 05/01/2021
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: My menstrual cycle in March 2021 was only 18 days long. It lasted March 14-31. I did have the common cold at the time. On March 22, I had hysterosalpingogram attempted, but the doctor was unable to do the procedure.

Other Meds: Prenatal vitamins (for trying to conceive), vitamin C, vitamin D

Current Illness: None

ID: 1277617
Sex: F
Age: 42
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: Headache throughout the night and continuing into the morning. Took Tylenol but still present. Sore arm at injection site.

Other Meds: Centrum women?s vitamin, fish oil pills

Current Illness: None

ID: 1277618
Sex: F
Age: 44
State: NY

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 05/01/2021
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: NKA - other than mushrooms

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I have not had my period since receiving the. first or second vaccination. I was originally expecting (healthy, regular periods) my period the first week of April. It's now May 1, 2021 and still nothing.

Other Meds: vitamins: Women's Daily Multivitamin, Monolaurin-Avail (1g), Vitamin D (50mcg) w/ Vitamin K (200 mcg), Biotin (20,000mcg), Ferrochel (27mg), Vitamin B12 (5000 mcg), Vitamin C 60mg), Zinc (15mg)

Current Illness: no

ID: 1277619
Sex: F
Age: 22
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/01/2021
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: headache - began around 11:30am on 4/29/21 and was maintained until about 7pm on 4/30/21; fever - began around 12am on 4/30/21 and continued until about 4pm on 4/30/21; body aches - began around 12am on 4/30/21 and continued until about 7pm on 4/30/21

Other Meds:

Current Illness:

ID: 1277620
Sex: F
Age: 58
State:

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 05/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Upon vaccinating the patient with J&J patient became dizzy, lethargic, & altered mental status. We proceeded to call fire rescue who got on scene within a few minutes. Fire rescue proceeded to attend patient. No further incidents. Vaccine was given at 10:05 AM. Symptoms started at about 10:15 AM. Fire rescue was called at 10:20 AM.

Other Meds:

Current Illness:

ID: 1277621
Sex: M
Age: 19
State: IN

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/01/2021
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: I got my shot at around 2:50PM on 04/29/2021. I started experiencing symptoms at around 12 hours (3am)after the shot. Basically chills, fever, headache, and just overall body cramps. Overall just felt super dizzy and could barely walk due to the dizziness and fatigue. About an hour later, I had trouble breathing and started hyperventilating. My body started cramping up all over to the point where I couldn?t move any part of my body and my entire body was tingly and it felt like I was having a heart attack but I believe it might have been a panic attack. I have not had many symptoms to vaccines in the past. Only meningitis B

Other Meds: None

Current Illness: None

ID: 1277622
Sex: M
Age: 17
State: IL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 05/01/2021
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: Immediately after receiving the vaccine patient felt faint, light headed, dizzy, and exhausted. We laid him on the floor with his feet up on a chair. He felt better after a few minutes so he sat up, then stood, then walked to the waiting area. He again felt the same symptoms and was placed back on the floor. After about 20 minutes he slowly was able to get back up and felt fine to go home.

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm