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: 1280345
Sex: M
Age: 48
State: GA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/02/2021
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: Patient reports, on the afternoon after the vaccine, he started to feel weak, and had some discomfort with blurry vision in both eyes with pain and discomfort in his right eye. He continued to work. On 4-11-21, he went to work feeling weak with pain/discomfort in his right eye with blurry vision in both eyes. The pain was so much with blurry vision that he had asked someone else to take him to the airport to travel back home. He traveled back home via airplane. On 4-12-21, his condition did not change. He consulted with his Commander and unit staff, and would go see an eye doctor. He was seen by a civilian eye doctor on 4-15-21, 4-16-21, 4-27-21, and military doctor on 5-1-21. He was diagnosed with Anterior Uveitis, pupils unequal, pupil bound.

Other Meds: Atorvastatin

Current Illness: none

ID: 1280346
Sex: F
Age: 78
State: GA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 05/02/2021
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: Macrodantin

Symptom List: Anxiety, Dyspnoea

Symptoms: Late afternoon of 2/18/21 developed high fever, chills, nausea, headache, severe dizziness. I was literally unable to think or move. I was totally bedridden until the next day when I started to feel some better.

Other Meds: none

Current Illness: none

ID: 1280347
Sex: F
Age: 48
State: IL

Vax Date: 04/22/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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: Eight and a half days after first vaccine shot I developed redness, warmth and mass at site of injection. It is not tender and my arm is not sore. It does NOT prevent me from doing any activities of daily living. This is currently ongoing but is dissipating on day 2.

Other Meds: doxycycline 40 mg daily

Current Illness: None

ID: 1280348
Sex: F
Age: 48
State: VA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: SORENESS IN ARM, TIREDNESS, DIZZINESS - OTHER ARM ODDLY EXPERIENCED SAME SORENESS BUT NOT AS INTENSE.

Other Meds: ACETAMINOPHEN 500 MG

Current Illness: NONE

ID: 1280349
Sex: M
Age: 78
State: FL

Vax Date: 04/19/2021
Onset Date: 04/22/2021
Rec V Date: 05/02/2021
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: Lose of bladder control, lose of bowl control, lose of strength

Other Meds: zyrtec, Advil, fish oil, Turmeric.

Current Illness: PMR

ID: 1280350
Sex: F
Age: 42
State: FL

Vax Date: 04/22/2021
Onset Date: 04/29/2021
Rec V Date: 05/02/2021
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: None

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

Symptoms: Rashes at injection sit after a week and muscle pain, exhaustion and the rash spread to other area of my body

Other Meds: None

Current Illness:

ID: 1280351
Sex: F
Age: 69
State: NY

Vax Date: 04/10/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The patient developed bilateral pulmonary emboli approximately 2-3 weeks after vaccination

Other Meds: Atenolol 25mg PO qd, buspirone 10mg PO qd, lipitor 20mg PO dailu, anastroloze 1mg daily, donepezil 10mg daily, memantine 10mg PO bid, vitamins D/B/E.

Current Illness: Frequent falls

ID: 1280352
Sex: M
Age: 16
State: FL

Vax Date: 04/23/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Pharyngeal swelling

Symptoms: Pt has a golf ball size swelling at site of injection. Slight pain and radiates heat

Other Meds: fusion bariatic vitamin, metformin Zyrtec, singular, Advair, ProAir

Current Illness: no

ID: 1280353
Sex: F
Age: 37
State:

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient complained of throat discomfort/swelling.

Other Meds:

Current Illness:

ID: 1280354
Sex: F
Age: 20
State: CA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever, chills, body aches, migraine, fatigue, dizziness, nausea, vomiting, for the entire day after receiving the vaccine.

Other Meds:

Current Illness:

ID: 1280355
Sex: M
Age: 36
State: WI

Vax Date: 04/09/2021
Onset Date: 04/13/2021
Rec V Date: 05/02/2021
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: Dizziness, heart palpitations, headaches, joint pain, chest pain, intestinal pain

Other Meds: Doctor has me taking Alegra and Musinex for the symptoms. Not working. I am also taking a multi vitamin and occasionally ibporpheon

Current Illness: Sinus infection in March

ID: 1280356
Sex: M
Age: 23
State: IN

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: So on the same day, starting at 11PM, my body started to ache and my bones started hurting a lot. I then became feverish and felt cold. As I tried to sleep, I had difficulty sleeping. The next day, I awoke with a splitting headache and my body aching worse than before including my neck which was impossible for me to look around. Still felt a little cold. Head was hurting a lot. Slept better the second night. Awoke on Sunday with mainly head hurting and body aching a little less.

Other Meds: None

Current Illness: None

ID: 1280357
Sex: M
Age: 35
State: FL

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Kefflex, Morphine, Sulfa

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

Symptoms: Started with fatigue, difficulty breathing. Has continued for days. Also suffering from nausea, vomiting, diarrhea achy body, feeling hot, shortness of breath treated with inhaler.

Other Meds: Valacyclovir, Ventolin, Propecia

Current Illness: None

ID: 1280358
Sex: F
Age: 26
State: NJ

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 05/02/2021
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, peanuts, tree nuts, sesame oil

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

Symptoms: Sunburn-like rash on upper-inner arm extending to just above middle of arm. (Off of injection site.) Next day, the rash turned tan-brown, like a very large bruise. The yellow hue lasted 3 days, then started fading. Area of rash got smaller and stayed, mostly, near the bicep. The color turned to a flesh-colored red. During the early days of the rash, I took Benadryl. (Not sure if it helped.) No fever during this time. No fu-like symptoms.

Other Meds: Oral birth control

Current Illness:

ID: 1280359
Sex: M
Age: 56
State: NC

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 05/02/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: When I got home from receiving the vaccination, my shoulder felt very sore. When I removed my shirt, I noticed that the injection site (as indicated by the location of the bandaid) was in an unusual location. Instead of in my shoulder muscle, the injection site was further back toward the back side of my shoulder joint. My shoulder pain got worse throughout the day and I continue to experience pain when I lift my arm over my head or when I put weight on it while laying down. I have trouble sleeping with this pain.

Other Meds: none

Current Illness: none

ID: 1280360
Sex: F
Age: 32
State: CA

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
Hospital: Y

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: I developed fever, chills, headache and elevated heartbeat after 17 hrs of vaccination. I was brought to ER because my heart rate would not go down. I developed arrhythmia around 11PM of Friday when my heart rate wont go down from 173, The doctor did chemical conversion. They used adenosine and metoprolol to reset my heat and bring my heart rate down.

Other Meds: Amoxicillin

Current Illness: None

ID: 1280361
Sex: F
Age: 34
State: FL

Vax Date: 04/14/2021
Onset Date: 04/22/2021
Rec V Date: 05/02/2021
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: ?COVID Arm? - about a week after the injection, I randomly noticed the injection site was itchy. At first, I thought it might be mosquito bite - that?s how intense the itch was. After scratching, I made the realization that it was the injection site and it started to get hot and swollen again. I tried to just ignore it but over the course of the first day, my arm became increasingly sore and swollen. There was a noticeable ?rash? around the injection site that was initially about the size of a dime but spread to about the size of a baseball at its largest. In all, the swelling was at its worst for the first 2 days after it appeared, with my entire shoulder noticeably swollen, and it gradually went down after that. The rash was present for about 4 days after it appeared. I didn?t seek any treatment for it as I was able to find reputable sources (i.e. CDC website) that described the exact timing and symptoms of what I was experiencing. I was ready to seek treatment if the itchiness and swelling did not subside in the timeframe mentioned on the CDC website but did not need to.

Other Meds: 20mg Bystolic daily

Current Illness: None

ID: 1280362
Sex: F
Age: 19
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Caller states she received her second vaccine dose of Pfizer, yesterday May 1, 2021 and started experiencing s/sx that night such as fever, runny nose, cough and swollen eyes. Caller states she woke up today and the swelling has not resolved. Advised caller to seek medical treatment so they can assess and advise her further

Other Meds:

Current Illness:

ID: 1280363
Sex: F
Age: 26
State:

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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: Lightheadedness; diaphoretic; refused ED

Other Meds:

Current Illness:

ID: 1280364
Sex: M
Age: 32
State: VA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Strong metallic taste that persists. Began minutes after receiving the second injection.

Other Meds: None

Current Illness: None

ID: 1280365
Sex: F
Age: 54
State: IN

Vax Date: 04/24/2021
Onset Date: 04/25/2021
Rec V Date: 05/02/2021
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: grass, trees, latex

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

Symptoms: 16hrs-rash inflammation soreness at injection site, very sore joints and muscles, lucid and vivid dreams 32hrs-headache and diarrhea 56hrs-continued diarrhea None after 72hrs

Other Meds: nortriptyline, meclizine, xanax spironolactonone, prempro rovustatin one a day women's 50 plus

Current Illness: none

ID: 1280366
Sex: F
Age: 63
State: VA

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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, Penicillin, Adhesives, Contrast Dyes --- Eggplant - Arugula - Lentil

Symptom List: Unevaluable event

Symptoms: Cold and burning sensations; prickly cold/burning type pins and needles; in hands, arms, abdomen, eyes, face, ears, back of thighs, and calves. Muscle spasms in calves, abdomen, and side/kidney area. Dilated pupils, photo sensitivity/eyes. Very cold painful hands. Some brain fogginess. Very uncomfortable and scary. Sounds like some type of neuropathy - small fiber, perhaps?

Other Meds:

Current Illness:

ID: 1280367
Sex: M
Age: 45
State: CO

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 05/02/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: 12 hours after vaccine, 100.4 fever, chills, body aches. Fever broke after about 18 hours. General pain on injection arm, continuing through this day. General pain/discomfort in upper left arm and shoulder/back area.

Other Meds: probiotic supplement, CBD supplement

Current Illness: none

ID: 1280369
Sex: M
Age: 76
State: NC

Vax Date: 04/17/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: Patient received vaccine on 04/17/2021. Reaction started on 04/30/2021. Came to pharmacy and showed left arm was covered sparsely but with red blisters located on left arm, arm pit, left chest, and a little bit on the back arm. Reported soreness and itchiness as well. Has not tried medication but has been putting on a warm washcloth over the area to ease the soreness. Spoke about using otc pain to help ease until seen on Tuesday by doctor as the doctor office is closed today (sunday 05/02/2021).

Other Meds: none

Current Illness: nka

ID: 1280370
Sex: F
Age: 16
State:

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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: headache; no additional symptoms

Other Meds:

Current Illness:

ID: 1280371
Sex: M
Age: 20
State: MD

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 05/02/2021
Hospital: Y

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

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

Symptoms: Acute onset chest pain began 4/11/2021, he took NSAIDS and tried to sleep. The following day, 4/12/21 the chest pain was still present. He was admitted to hospital and diagnosed with acute myo-pericarditis. He was treated with Colchicine with improvement in his symptoms.

Other Meds: Mesalamine, Miralax, Multivitamin

Current Illness: none

ID: 1280372
Sex: F
Age: 29
State: MA

Vax Date: 04/25/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: Very sore/limp arm at day of shot and pretty sore the next day as well. 5 days after shot red blouchy circle started to appear at sight. Exactly one week later it is a very obvious blochy red spot

Other Meds: None

Current Illness: None

ID: 1280373
Sex: M
Age: 43
State:

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: fever, chills, weakness

Other Meds: None

Current Illness: None

ID: 1280374
Sex: F
Age: 29
State: OR

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: Growing rash, red hot painful injection site, severally painful and tender lymph node in right underarm.

Other Meds: None

Current Illness: None

ID: 1280375
Sex: F
Age: 63
State: NJ

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Fosamax and Prolia.

Symptom List: Nausea

Symptoms: Injection site swell and pain, and headache, light head, unset stomach subsequent to injection. The following day I noticed a rash, which I never had in my life. It progressed to blisters and I noticed it was oozing. I also had a blister underneath my lips . I went to the doctor 5 days after taking the shot, on 04/22/21. The doctor I saw was not my regular doctor, and she treated the rash as if it were not associated to the vaccine. I said I was afraid to take the second shot, she said: "don't tell me that you don't want to take the vaccine!" After treating me as a normal patient with a condition that she said was "shingles", which I never had in my whole life, she said that "nobody can force you to take the vaccine", that's all she said. I was very upset because there is no doubt it was a reaction to the vaccine. I had Flu symptoms for 9 days, specially at night with fatigue, chills, upset stomach, muscle and joint soreness, tiredness. 10 days after the vaccine, I started to feel better and the symptoms started to fade.

Other Meds: None

Current Illness: None

ID: 1280376
Sex: F
Age: 25
State: NY

Vax Date: 04/12/2021
Onset Date: 04/17/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Eggs, lactose, shrimp (all minor)

Symptom List: Injection site pain

Symptoms: Approximately 4-5 days after receiving the first dose of the vaccine, my period began. This was about a week earlier than I should have been experiencing bleeding.

Other Meds: Sertraline (Zoloft) Multivitamin

Current Illness:

ID: 1280377
Sex: M
Age: 33
State: IN

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Fever,weak dizzy, sleepy, lightheaded, nauseous

Other Meds: Tylenol

Current Illness: Na

ID: 1280378
Sex: F
Age: 43
State: MI

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/02/2021
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

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

Symptoms: Constant dull pain in shoulder upper arm. Radiates shooting pain when lifting.

Other Meds: Amlodipine Loratidine Paroxetine

Current Illness: None

ID: 1280379
Sex: M
Age: 78
State: FL

Vax Date: 03/10/2021
Onset Date: 04/14/2021
Rec V Date: 05/02/2021
Hospital: Y

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: Bilateral leg weakness, bilateral hand numbness

Other Meds: Eiquis, atenolol, rythmol, simvastatin, azilsartan, chlorthalidone, aspirin, actos, metformin, janumet

Current Illness:

ID: 1280380
Sex: M
Age: 45
State: WI

Vax Date: 04/03/2021
Onset Date: 04/05/2021
Rec V Date: 05/02/2021
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: I had kaleidoscope vision for about 20 minutes that afternoon. That evening my facial paralysis went away. I suffered from partial facial paralysis for two years from a sever episode of Bell?s palsy. The paralysis complete went away two days after got the vaccine.

Other Meds:

Current Illness:

ID: 1280381
Sex: F
Age: 58
State: NC

Vax Date: 04/19/2021
Onset Date: 04/19/2021
Rec V Date: 05/02/2021
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: Gluten, neomycin

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

Symptoms: Fatigue, day of vaccine Fatigue, significant chills and body aches, unusual headache, dizzy - day after vaccine Less significant chills and body aches, headache - 2nd day after vaccine Fatigue, minor headache - 3rd day after Fatigue 4th - 7th day after Strong, unusual odor to urine - 4th day after to current.

Other Meds: Locating HCZ 100/12.5, doxicycline 50, probiotic, multi vitamin, vitamins D, B12, fish oil, loratidine, selenium, cranberry supplement

Current Illness: None

ID: 1280382
Sex: F
Age: 62
State: IN

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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: Nausea, vomiting, aches, fever,

Other Meds: Losartan, metoprolol, fish oil glucosamine, baby aspirin, elderberry/zinc, vitamin D

Current Illness: None

ID: 1280383
Sex: F
Age: 55
State: MD

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: Codeine

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: By 11:00pm the same day of the vaccine 4/30/21, I became achy throughout my body and just an overall feeling that I needed to lay down and rest. Also my blood sugar has been elevated even though I barely ate on Saturday 5/1/21 and still elevated today 5/2/21. I wear an insulin pump and I have had to make adjustments on the pump and have barely eaten and blood sugar still elevated and not normal for me. I was not experiencing the elevated blood sugar until after I was given the Moderna Covid 19 shot.

Other Meds: Losartan 100 MG, Folic Acid, Humalog (Insulin Pump). I take Methotrexate for Rheumatoid Arthritis but did not take this week because I was getting the vaccine.

Current Illness: Type 1 Diabetes, High blood Pressure, and Rheumatoid Arthritis

ID: 1280384
Sex: F
Age: 62
State: PA

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/02/2021
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: methimazole

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

Symptoms: Pain in left arm at injection site, joint pain throughout body, initially worst in hips

Other Meds: Synthroid 75 ug, Vitamin D, glucosamine/chondroitin, Vitamin C

Current Illness: None

ID: 1280385
Sex: F
Age: 19
State: IL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: Fever, chills, cough, lethargic, body aches, nausea

Other Meds:

Current Illness:

ID: 1280386
Sex: F
Age: 72
State: CT

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: latex, milk protein, lactose, meat protein

Symptom List: Pain in extremity

Symptoms: Neurological symptoms: Twitching left eyelid for 8 hours. Followed by tingling in both hands and feet for about 8 hours. Followed by slight uncontrolled muscle cramps in both hands and forearms. Followed by worsening muscle cramps in both hands, forearms and more tingling in both feet - starting to drop things when trying to move objects from one place to another. This was going on for 2 weeks then starting to get better, but not disappearing completely. After second dose of vaccine 04/16/2021 the muscle cramps increased again and are still present after 2 weeks, but not so bad as after the first dose of vaccine.

Other Meds: Mepron, Biaxin, Lasix, Potassium, C-vitamin, D-vitamin, sink

Current Illness: Lyme disease, Babesia, COVID-19, heart failure, lung disease

ID: 1280387
Sex: F
Age: 22
State: IN

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Penicillin. Not allergic to any food

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

Symptoms: small red bumps appeared on forearms (radius and ulna) were slightly itchy. Bumps not filled with fluid.

Other Meds: Occasional aleve, hair, skin, nail supplements

Current Illness: None.

ID: 1280388
Sex: M
Age: 18
State:

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Mid-grade fever for 18 hours, 2x325 mg acetaminophen about every 4 hours. Fever did not reduce after 4th dosage at 4pm 05/01/2021. General weakness, chills.

Other Meds: Bupropion

Current Illness:

ID: 1280390
Sex: F
Age: 42
State: FL

Vax Date: 04/22/2021
Onset Date: 05/01/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Firm red circle on the surface of my skin that is itchy near the injection site

Other Meds: daily multi-vitamin Daily pro-biotic gummy

Current Illness: None

ID: 1280391
Sex: F
Age: 57
State: FL

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: A couple days after second dose my arm has a red area that's spreading and pain and feels warm to the touch

Other Meds: Premarin .625 mg Meloxicam 7.5 mg Gabapentin 100 mg

Current Illness: None

ID: 1280392
Sex: F
Age: 42
State: TX

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: Septra

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: At injection site- Soreness, swelling, redness, firm (like a lump), measures 2" x 4", warm/hot to the touch. Started small hours after injection and continued to grow over last 24-36 hours.

Other Meds: B12, Vitamin D, melatonin

Current Illness: None

ID: 1280393
Sex: M
Age: 35
State: CA

Vax Date: 04/19/2021
Onset Date: 04/28/2021
Rec V Date: 05/02/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Apr 28 evening, day 9 after vaccine. Mild dry cough. Apr 29 morning, day 10. Mild dry cough a bit worse, nasal congestion, chest pain only when coughing. Negative rapid PCR Covid-19 around 6pm. No fever. Apr 30. Continuation of symptoms. Also sore throat. No fever. May 1. Continuation of symptoms. Doctor advised to repeat test. Started Mucinex MD for phlegm and cough, ibuprofen as needed for pain. No fever. May 2. Received POSITIVE Covid 19 test result from day before. Same symptoms continue. No fever.

Other Meds: Flonase, once daily.

Current Illness: None

ID: 1280394
Sex: F
Age: 25
State: FL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
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: Pain in neck and back, fever, cold sweats, upset stomach, chills, passed out three times

Other Meds: Nuvaring

Current Illness: None

ID: 1280395
Sex: F
Age: 57
State: AR

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfa antibiotics, macrolides, carisoprodol

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

Symptoms: Red, feverish swollen arm, purple in spots, rash all down arm--Instructed patient to take diphenhydramine and ibuprofen, apply ice pack for 15 min at a time, and if continues after a week from vaccination, see a medical doctor.

Other Meds: Duloxetine, buspirone, gabapentin, ipratropium nasal spray

Current Illness: n/a

Date Died: 03/06/2021

ID: 1280396
Sex: F
Age: 85
State: WA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 05/02/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: The day after first shot , patient was more paranoid, increase hallucinations, angry and started to lose ability to stand up straight, by day 8 she had total loss of leg control and torso, could not feed herself, dress herself and she was very combative and hallucinating constantly. We had to hospitalize her and she died March 6 in the hospital.

Other Meds: levothyroxine,

Current Illness: Lewy Body Dementia

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm