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: 1281497
Sex: F
Age: 62
State: NY

Vax Date: 04/11/2021
Onset Date: 04/17/2021
Rec V Date: 05/03/2021
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: Vomiting

Other Meds: Motorola, omprezole, lisinoprol, preventative, diuretic.

Current Illness: Ulcers, blood pressure

ID: 1281498
Sex: M
Age: 17
State: GA

Vax Date: 04/23/2021
Onset Date: 04/23/2021
Rec V Date: 05/03/2021
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: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: PT WAS ASKED TO VERIFY AGE- PT STATED HE WAS 18- PT INFORMED THE MODERNA VACCINE IS APPROVED FOR 18 YEARS OF AGE AND OLDER. VACCINE ADMINISTERED. AFTER VACCINE CLINIC DURING DATA ENTRY IT WAS DISCOVERED THAT THE PT. WAS ACTUALLY 17.

Other Meds: NONE

Current Illness: NONE

ID: 1281499
Sex: F
Age: 52
State: PA

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 05/03/2021
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 Known Allergies

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

Symptoms: Light pressure in her chest cough You can take a cough medication like MucinexDM that has guaifenesin and dextromethorphan to help with chest congestion and cough. You can also use a decongestant. Be sure that your are staying well hydrated. Tylenol/motrin alternating for fevers or pain as needed. Humidification can also help.

Other Meds: blue-green algae, Spirulina, 500 mg tablet magnesium oxide (MAG-OX) 400 mg (241.3 mg magnesium) tablet TURMERIC ORAL zinc sulfate (ZINC-15 ORAL)

Current Illness: None

ID: 1281500
Sex: M
Age: 25
State:

Vax Date: 04/23/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Swollen lymph node in the left neck area, above the clavicle bone. The doctor estimated it as a 2cm swollen area.

Other Meds: Vitamin D supplement 50,000 units once a week

Current Illness: N/A

ID: 1281501
Sex: F
Age: 42
State: PA

Vax Date: 01/12/2021
Onset Date: 02/20/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: AmoxicillinHives / Urticaria DoxycyclineHives / Urticaria, Swelling MorphineHives / Urticaria PenicillinsHives / Urticaria Sulfamethoxazole-trimethoprimRash

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

Symptoms: New loss of taste or smell

Other Meds: biotin 1 mg capsule calcium carbonate-vitamin D3 1250 mg, 500 mg calcium,-5 mcg 1250 mg (500 mg calcium)-200 unit per tablet fluconazole (DIFLUCAN) 150 mg tablet ibuprofen (MOTRIN) 600 mg tablet meloxicam (MOBIC) 15 mg tablet(Expired

Current Illness: None

ID: 1281503
Sex: F
Age: 56
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
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: Sulfa Drugs, Adhesive

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

Symptoms: Patient complained of pain at injection site in left deltoid x 2 days following second COVID-19 vaccine administration at that site 2 days ago. Pt reports associated pruritis at the injection site w/ redness, swelling, TTP, and the area feeling firm. Pt reports the symptoms began several hours after the injection and the affected area has been changed appreciably since onset. Pt reports no meds/creams utilized for these symptoms. Pt reports chills, malaise, and decreased energy level yesterday that since resolved. Pt reports no systemic symptoms today.

Other Meds: No medication. Only Vitamins

Current Illness: None

ID: 1281504
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 05/03/2021
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: None stated.

Other Meds:

Current Illness:

ID: 1281505
Sex: F
Age: 48
State: WA

Vax Date: 04/20/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: sensitive to codine, no other allergies to medications, food or other products

Symptom List: Pharyngeal swelling

Symptoms: Lump on left side of neck just above collar bone and pain on left shoulder and under left arm pit, doctor at Urgent Care advised that these are swollen lymph nodes and a result from the 1st Co-Vid shot in left arm and advised to report this to CDC. Advised treatment are OTC pain reliever (Tylenol) and warm compresses.

Other Meds: None

Current Illness: None

ID: 1281506
Sex: F
Age: 70
State: NJ

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: Dilaudid

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I have suffered from Tinnitus for 20 years. The condition was exacerbated following the first shot. I did receive the second dose on 2/26/2021. It is now almost three months later and the intense conditions remain.

Other Meds: Losartan, Atorvastatin, Metformin, Ezetimibe, Nexium, Vitamin D, Vitamin CoQ10.

Current Illness:

ID: 1281507
Sex: F
Age: 46
State:

Vax Date: 04/26/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
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: Tea tree oil and Nickle

Symptom List: Diarrhoea, Nasal congestion

Symptoms: on the third day a pain on the left side of neck way up to the left year. Felt it at the connector of the jaw and neck. Felt like the nodes were painful. Kept ice at first and then when I called the Dr he said to keep heat on it.

Other Meds: Medication For GERD

Current Illness: None

ID: 1281509
Sex: F
Age: 40
State: RI

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Cold feet when the rest of my body is warm; sore, still feet

Other Meds:

Current Illness:

ID: 1281510
Sex: F
Age: 40
State: IN

Vax Date: 04/29/2021
Onset Date: 05/03/2021
Rec V Date: 05/03/2021
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: Menstruation - started 1 week early

Other Meds:

Current Illness:

ID: 1281513
Sex: F
Age: 55
State: FL

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
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 none allergies

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

Symptoms: Blister at site of injection. Anticipated redness, swelling at site.

Other Meds: None

Current Illness: None

ID: 1281514
Sex: F
Age: 26
State: TX

Vax Date: 03/16/2021
Onset Date: 04/18/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Left arm and left leg numbness. While I can do any activities normal, my left arm and leg feel different to my right side. I haven?t had any pain.

Other Meds: No

Current Illness: No

ID: 1281515
Sex: F
Age: 19
State: NC

Vax Date: 05/01/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
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: NKDA

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

Symptoms: Vasovagal episode without syncope. Patient with dizziness and vomiting.

Other Meds: Wellbutrin, Seritonin, and oral birth control

Current Illness: Anxiety

ID: 1281516
Sex: M
Age: 66
State: NJ

Vax Date: 04/01/2021
Onset Date: 04/18/2021
Rec V Date: 05/03/2021
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: Pt experienced sever headache, loss of speech transported to Medical Center. 4/19/21 Reports overnight stay and "blood clots" affecting speech, causing HA. Reports clots seen around his heart on MRI Discharged 4/20/21

Other Meds: ASA 81 mg daily, Backlofen QID, Neurontin 400mg TID, Detrol BID, Vitamins, diuretic daily, K daily, Prevacid, Lipitor daily.

Current Illness: Quadriplegic since MVA 1986, Stroke 4 yrs ago

ID: 1281517
Sex: M
Age: 64
State: MA

Vax Date: 04/22/2021
Onset Date: 04/23/2021
Rec V Date: 05/03/2021
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: I received my 2nd dose of Moderna at 9:45 a.m. on Thursday, 4/22. At 3 a.m. the next morning I woke up with moderate chills and then when I woke up I had moderate sweats. Nothing unmanageable or, awful. However, I spent most of 4/23 in bed sleeping and reading. I had no energy but did not feel awful. By Saturday, 4/24, I was back to 100%. I hope that I am reporting this in the right place. My symptoms were mild compared to stories I've heard but thought you'd want to know.

Other Meds: Azalastine Multi vitamins, Sildenafil once a week

Current Illness: none other than chronic sinus issues

ID: 1281518
Sex: M
Age: 50
State: VA

Vax Date: 04/09/2021
Onset Date: 04/14/2021
Rec V Date: 05/03/2021
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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Extreme nerve pain in upper shoulder down left arm including rash on left arm resulting in emergency room visit. Diagnoses: Herpes zoster without complication; adverse effect of COVID-19 vaccine.

Other Meds: none

Current Illness: none

ID: 1281519
Sex: M
Age: 81
State: CT

Vax Date: 03/04/2021
Onset Date: 03/07/2021
Rec V Date: 05/03/2021
Hospital: Y

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

Lab Data:

Allergies: All to Dilantin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Persistent encephalopathy beginning 2 days after vaccine, with multiple hospital admissions, some clinical improvement after CSF drainage from VP shunt, then recurrence of encephalopathy with falls, lethargy. Treatment included intubation, CSF neg for infection, clinically diagnosed with autoimmune encephalitis, brisk response to steroids.

Other Meds: aspirin, Lipitor, lisinopril-HCTZ, tamsulosin, multivitamin

Current Illness:

ID: 1281520
Sex: M
Age: 55
State: NV

Vax Date: 04/11/2021
Onset Date: 04/15/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Breakouts of hives / rashes all over body from head to toe intermittently. Breathing is labored. Taking Benadryl every 4 hours and using steroid cream.

Other Meds: Multi vitamin; Atorvastatin

Current Illness: None

ID: 1281522
Sex: F
Age: 39
State: TN

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
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: Clindamycin

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

Symptoms: Day after vaccine, 11:00 am, the following symptoms began: - Throbbing migraine headache - Skin sensitive and sore to the touch - 100.7 degree temperature, rising to 101.1 degrees after Tylenol, later that day - Dizziness - Chills and sweating - Nausea - Sore arm - Fatigue All symptoms went away after 24 hours, except migraine headache. Headache remained for about 48 hours.

Other Meds: Zyrtec 5 mg, Nexium 20 mg, VitaminC/Vitamin D gummies

Current Illness: N/And

ID: 1281523
Sex: F
Age: 62
State: WI

Vax Date: 02/08/2021
Onset Date: 04/06/2021
Rec V Date: 05/03/2021
Hospital: Y

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: Unevaluable event

Symptoms: Patient was admitted to the hospital within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1281524
Sex: F
Age: 80
State: NY

Vax Date: 02/08/2021
Onset Date: 03/14/2021
Rec V Date: 05/03/2021
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: Contrast dye, Amlodipine, Pantoprazole

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

Symptoms: Received second dose of Covid-19 Moderna vaccine on 2/8/21. On 3/10/2021 she went to ophthalmologist for normal checkup. Did have her eyes dilated (Tropi-Phen). 3/14/21 started having what she thought was floaters in her left eye, has a history of floaters. Then 3/16/21 got worse with blurred vision in both eyes. 3/22/21 Retinal specialist diagnosis of panuveitis with significant vitritis and retinal vasculitis on angiogram. On 3/24/2021 she was started on 60 mg of prednisone daily along with Prednisolone acetate eye drops. Vision beginning to improve. Due to ADRs from steroids (SOB, insomnia, hyperglycemia, myopathy) , started on Humira 4/27/21 with goal to taper steroids. Patient has been unable to work due to vision issues.

Other Meds: Felodipine, Pravastatin, Trazodone, Esomeprazole, Losartan, Colchicine, Restasis, Famotidine, Vitamin E

Current Illness: Macular pucker, dry eye, vitreous degeneration, and pseudophakia, hypertension, GERD, CKD, NAFLD, gout, osteopenia

ID: 1281525
Sex: M
Age: 59
State: NH

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Swollen Uvula

Other Meds:

Current Illness:

ID: 1281526
Sex: M
Age: 26
State: OH

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: promethazine with codeine

Symptom List: Injection site pain, Menorrhagia

Symptoms: -Fever of 103?F 18 hours after vaccination -Difficulty breathing 0.5 hours after vaccination and continuing for the next 48 hours -Rapid heart rate 4 hours after vaccination and continuing for several hours -Extreme fatigue 12 hours after vaccination and continuing for 24 hours

Other Meds: None

Current Illness: None

ID: 1281527
Sex: F
Age: 28
State: MA

Vax Date: 04/24/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash, itchiness, and swelling around injection site 8 days after first dose

Other Meds:

Current Illness:

ID: 1281528
Sex: M
Age: 45
State: NJ

Vax Date: 03/30/2021
Onset Date: 04/04/2021
Rec V Date: 05/03/2021
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: 12/10/20 - 12/25/2202 COVID with mild symptoms 3/10/2021 1st Shot Pfiizer 2pm 3/13/2021 Brief Vertigo 3/31/21 2nd Shot Pfizer 4pm 4/4/21 running and throwing all day with kids 4/3/21-4/4/21 Tingling in shins like sunburn Week of 4/4/21- 4/11 progressive burning lower legs and arms as well as instability standing and sensitivity to light . Weakness in peronials right lower leg. Dizziness as well as wobbly gait, like I was stepping over a curb. Neck soreness and stiffness as well as a burning in the spine when I laid down. Weakness in right and left arm consistent with a pinched nerve. (history of trauma and nerve damage in right arm from an accident) TMJ jaw soreness and eye focal issues. -During this time i could still balance on on leg and passed several basic neurological exams -Balance on toes and heals 4/11-4/13 Symptoms dissipated by 30% Chiropractic helped some. Still had neurological instability like I had cold or Woozy head feeling with stiff neck 4//14 Primary Care Doc . Prescribed me Predizon 10 mg - 4pills 3 days, 3Pills 3days, 2Pills 3 days, 1 pill 3 days. Took at least 6 days but physical symptoms were about 85-90% gone I was left with Bilateral burning ( intermittent ) in hamstrings, feet lower, legs left and left glute. And tingling in Scrotum. I have L5 bulge. I also still had a ?woozy or unstable feeling intermittent as well as a intermittent visual focal issues I also have/had a light sunburn like tingling intermittent in outer arms, abdomen and legs. intermittent tmj bilateral tension.. 4/26 - Ophthalmologist looked at my eyes and said everything was perfectly fine I may need reading glasses and that the symptoms I was experiencing were not related to anything he found 4/27 - Spoke to a Rheumatoid Arthritis Doctor ( I had elevated levels on blood work) He said nothing that suggests RA at all. I told him my story and he said he has heard of this and it is most likely some reaction to the shot and may take a couple of months to work itself out. Referred me to a neurologist to be sure I have nothing else going on. He put me on 5mg of Prednisone daily for 30 days as well ad 200 mg of Celebrex for 30 days with a follow up call in 30 days Helping all physical symptoms almost immediately 4/29 - I currently have Intermittent visual focus issues, sensitivity to light and sore neck and slight instability. Like my body is recovering from a virus. My cognition and energy are improving and I finally slept for more than 4 hours straight.

Other Meds: No prescriptions. Supplements: Vitamin D, red Phenol powder, HMO powder, molecular hydrogen.. All supplements taken every other day.

Current Illness: Vertigo 4 days after 1st Shot

ID: 1281529
Sex: M
Age: 47
State: MN

Vax Date: 02/12/2021
Onset Date: 05/01/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: no known allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient tested positive for COVID 19 on 5/1/2021 he was asymptomatic.

Other Meds: atorvastatin, losartan, bupropion XL

Current Illness: none

ID: 1281530
Sex: F
Age: 31
State: TX

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
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: Adverse side effect- acute watery diarrhea, persistent for over 3 days- and subsequent dehydration.

Other Meds: None

Current Illness: None

Date Died: 04/24/2021

ID: 1281531
Sex: M
Age: 35
State: TX

Vax Date: 04/05/2021
Onset Date: 04/12/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Received 2nd dose of vaccine, 5 days later his left leg started hurting and swelling. He had severe headache afterwards, dizzy and blurred vision. 04/24/2021 he complained of not feeling right, coughed and passed out. Had fever and chills when he came to. Wife called 911 and was talking and walking. Was awake and talking in ambulance, oxygen level was low. Once arrived at hospital, he became restless and passed away within 3 minutes. Autopsy was performed due to his age - 35 and no pre-existing illnesses - was determined he died of Pulmonary Thrumbo Embolism

Other Meds: None

Current Illness: None

ID: 1281532
Sex: F
Age: 46
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/03/2021
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: Injection site pain

Symptoms: Dizziness , resolved

Other Meds:

Current Illness:

Date Died: 04/17/2021

ID: 1281533
Sex: F
Age: 71
State: PA

Vax Date: 04/11/2021
Onset Date: 04/14/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Blood clot in the lungs, Death

Other Meds: Patient died 7 days later. Blood clot in lungs. Issues started 5 days after second dose.

Current Illness:

ID: 1281534
Sex: M
Age: 16
State: TX

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
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 under age 18 was vaccinated with Moderna, which is a vaccine error. Troubleshooting: Scribe and vaccinator did not validate age; screeners at the beginning of the process did not ask or turn her away on a Moderna-only day; everyone ignored the parent signature for under age 18 on a Moderna day.

Other Meds:

Current Illness:

ID: 1281535
Sex: M
Age: 54
State: IN

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 05/03/2021
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: Penecillin

Symptom List: Tremor

Symptoms: The sciatic pain increased dramatically after the first injection. It was so bad that I was practically confined to my bed or chair/couch. At first, I thought the increase in pain was due to my increasing activity level. However, another round of steroids had no effect, and all of the other pain management strategies I normally use were ineffective. It wasn't until the day before my second injection that I ran across information indicating that the inflammation created by the vaccine could cause joint and nerve pain. When I arrived for the second injection, I asked the medical professional on-site about it. She said that the vaccine could definitely have caused the severe pain I'd experienced over the last month. She even suggested that some patients report that the second injection ameliorates negative effects of the first one. A few days after my second injection, the pain levels decreased and recently returned to pre-vaccine levels.

Other Meds: I take a statin and blood pressure medication.

Current Illness:

ID: 1281536
Sex: F
Age: 47
State: TX

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
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: Fatigue, ongoing

Other Meds: Progesterone

Current Illness: None

ID: 1281537
Sex: M
Age: 88
State: MN

Vax Date: 02/15/2021
Onset Date: 02/25/2021
Rec V Date: 05/03/2021
Hospital: Y

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: Patient presented to the ED and was subsequently hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1281538
Sex: F
Age: 58
State: FL

Vax Date: 04/06/2021
Onset Date: 04/26/2021
Rec V Date: 05/03/2021
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: Feels like a very light sinus headache, developed a cold sore

Other Meds: Alprazolam omeprazole Probiotic Vitamin B

Current Illness: None

ID: 1281539
Sex: F
Age: 34
State:

Vax Date: 04/30/2021
Onset Date: 05/02/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Redness on arm at the injection site (approx. 3 inch diameter); tenderness; swelling

Other Meds: N/A

Current Illness: N/A

ID: 1281540
Sex: M
Age: 50
State: PA

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 05/03/2021
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: ColchicineHives / Urticaria NaproxenNausea Only

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

Symptoms: body aches, headache, cough, chills, fever and nasal congestion Advised patient to hydrate, Tylenol for fever body aches

Other Meds: allopurinoL (ZYLOPRIM) 100 mg tablet escitalopram (LEXAPRO) 10 mg tablet MAGNESIUM ORAL pravastatin (PRAVACHOL) 20 mg tablet traZODone (DESYREL) 100 mg tablet

Current Illness: diarrhea

ID: 1281541
Sex: F
Age: 35
State: ME

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
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 over 103, extreme abdominal pain, shooting pain down both legs, vomiting, diarrhea, migraine headache with photophobia, extreme anxiety with impending sense of doom. Symptoms lasted 12 hours (3pm -3am) and migraine with photophobia lasted another 8 hours with extreme fatigue (slept on / off for 24 hours straight). All symptoms resolved within 2 days.

Other Meds: None

Current Illness: None

ID: 1281542
Sex: F
Age: 74
State: GA

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: On 3-31-2021, administered dose ONE of the Pfizer Covid vaccine. the patient received dose TWO, which was Moderna, on 4-8-2021.

Other Meds:

Current Illness: Undergoing Dialysis

ID: 1281543
Sex: F
Age: 34
State: AL

Vax Date: 04/24/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: 6 days after vaccine, developed a red, itchy bump on injection site arm. By day 7, the hive-like bumps spread to both arms, neck, stomach, and back. The hive-like bumps started to fade around day 8-9.

Other Meds: Sprintec, Vitamin D3, L-Lysine, Metoprolol

Current Illness: N/A

ID: 1281544
Sex: F
Age: 19
State: OH

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/03/2021
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: Vaccine #2 administered too early between doses

Other Meds:

Current Illness:

ID: 1281545
Sex: F
Age: 32
State: GA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
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: Shrimp

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

Symptoms: Headache across forehead(6 hours), ear ringing/sensitivity, joint pain (especially knees-2 days), fatigue(3 days), muscle soreness(1 day), constipation (2 days)

Other Meds: None

Current Illness: None

ID: 1281546
Sex: M
Age: 29
State: TX

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/03/2021
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: anxiety , resolved

Other Meds:

Current Illness:

ID: 1281547
Sex: F
Age: 81
State: FL

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 05/03/2021
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: We noticed my mother's foot was swollen, after alerting her nurse practicioner they ordered a scan to be done on my mother. It confirmed that she had a blood clot between her groin and below her knee. They prescribed eloquis.

Other Meds:

Current Illness:

ID: 1281548
Sex: F
Age: 28
State: PR

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 05/03/2021
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: Joint pain, migraine, diarrhea, tiredness and headache.

Other Meds: Tylenol and microgestin.

Current Illness:

ID: 1281549
Sex: M
Age: 40
State: AZ

Vax Date: 04/03/2021
Onset Date: 04/28/2021
Rec V Date: 05/03/2021
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: Approximately 25 days post vaccination, patient (I) started to feel burning sensations in the right upper half of my body - areas affected were the back shoulder and chest. Approximately 4 days later, a rash appeared on my back shoulder and under arm areas. The burning sensation continued and the area was sensitive to touch. A telehealth doctor visit was done and I was diagnosed with Zoster without complications and I was prescribed valacyclovir for 7 days.

Other Meds: Dietary supplements - Nitrix, C4 Preworkout, BCAA Recovery Formula Vitamins - Vitamin D, Daily Multi-Vitamin

Current Illness: None

ID: 1281550
Sex: F
Age: 84
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/19/2021
Rec V Date: 05/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I am getting anixity attacks every day last all dsy

Other Meds:

Current Illness:

ID: 1281551
Sex: F
Age: 26
State: AZ

Vax Date: 04/14/2021
Onset Date: 04/26/2021
Rec V Date: 05/03/2021
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: Seasonal allergies

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

Symptoms: Developed shingles

Other Meds: zyrtec qd, asa 81 mg qd, ibuprofen as needed

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm