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: 1289077
Sex: F
Age: 66
State: WI

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

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: States she tested positive for COVID 19 at Health Clinic and was quite symptomatic in October 2020. Vaccinated with Moderna vaccine on Feb 3, 2021 and March 3, 2021. Currently asymptomatic. Tested positive on 5/3/2021 before a scheduled procedure. Tested by a real time PCR assay run on the Hologic Panther for the qualitative detection of SARS CoV 2 virus

Other Meds:

Current Illness:

ID: 1289078
Sex: F
Age: 48
State: WA

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 05/05/2021
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: Oysters

Symptom List: Anxiety, Dyspnoea

Symptoms: Swelling in face and neck, Redness in face and neck, Ears warm, Deepening of voice,. I noticed the symptoms half an hour after the shot, and cleared up with 3 hours.

Other Meds: Ketoconazole

Current Illness: Seasonal allergies (pollen)

ID: 1289079
Sex: M
Age: 49
State: PA

Vax Date: 04/09/2021
Onset Date: 04/24/2021
Rec V Date: 05/05/2021
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: Nasal congestion sore throat loss of taste cough

Other Meds: buPROPion SR (WELLBUTRIN SR) 150 mg 12 hr tablet ergocalciferol (VITAMIN D2) 1,250 mcg (50,000 unit) capsule omeprazole (PriLOSEC) 40 mg capsule sertraline (ZOLOFT) 50 mg tablet verapamil SR (CALAN-SR) 180 mg CR tablet

Current Illness: None

ID: 1289080
Sex: F
Age: 24
State: NH

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

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

Lab Data:

Allergies: None known to patient

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient stated she was feeling "woozy," lightheaded, and dizzy a little while after receiving her COVID vaccination. Patient was given a cold wet cloth and ice pack to place on head/neck, as well as some water. Patient stated she had not eaten so it could have been because of that and consumed 2 Chewy Granola Bars. Patient said she had a slight headache as well. After approximately 60 minutes patient felt well again and left.

Other Meds: Wellbutrin

Current Illness: None

ID: 1289081
Sex: M
Age: 79
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 05/05/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: PMR symptoms

Other Meds:

Current Illness:

ID: 1289082
Sex: M
Age: 90
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 05/05/2021
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: It looks like the patient received a 3rd dose of Moderna and it was 11 days after the 2nd dose. 1st dose listed - 2/26/21. 2nd dose listed - 3/25/21. 3rd dose given 4/5/21.

Other Meds:

Current Illness:

ID: 1289083
Sex: F
Age: 43
State: IN

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 05/05/2021
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; blue cheese; cats

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Started my period 2 weeks early; skipped a fertility cycle; headache; sore arm

Other Meds: prenatal vitamin, vitamin D, magnesium chloride, iron, Zyrtec

Current Illness: none

ID: 1289085
Sex: F
Age: 69
State: MD

Vax Date: 04/24/2021
Onset Date: 04/28/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Niacin

Symptom List: Pharyngeal swelling

Symptoms: (I received Moderna COVID-19 Vaccine EUA.) About 4 days after my Covid vaccination (April 24, 2021), my right leg & buttock began to tingle & burn. I started feeling lethargic & developed a rash - which worsened. On May 3, 2021, I went to Urgent Care & was diagnosed with Shingles. I am still suffering with this condition.

Other Meds: levothyroxine, lisinopril, metformin, livalo, l-lysine, vit. D3, Co-Q 10, vit. B complex with zinc & vit. C

Current Illness:

ID: 1289086
Sex: M
Age: 52
State: VA

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

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient presented for first dose Pfizer COVID vaccine; vaccine administered at 1315. At approximately 1330, patient reported 7/10 chest pain associated with shortness of breath, stated symptoms unlike previous chest pain episodes. Patient transported from vaccine clinic to private room via wheelchair, EMS called at 1335. Upon EMS arrival at 1342, patient reported chest pain had decreased to 1/10, still reported shortness of breath. Patient transferred from wheelchair to EMS stretcher, transferred to ED via EMS.

Other Meds:

Current Illness:

ID: 1289087
Sex: F
Age: 32
State: NY

Vax Date: 04/10/2021
Onset Date: 04/22/2021
Rec V Date: 05/05/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I took a home pregnancy test on 3/25/2021 and it was positive, I had bloodwork done that following week to monitor that my HCG was rising appropriate to make sure it was a viable pregnancy. I received my 1st Covid vaccine before I knew I was pregnant. I received my 2nd dose on 4/10/2021, I was 5w2d pregnant. I saw my doctor on 4/12/21, ths doctor only saw a gestational and yolk sac on the Ultrasound. No signs of a fetal pole or embryo developing. I had a repeat ultrasound on 4/22, again only a gestational sac and yolk sac was visible. No signs of embryo development or fetal pole. I was told the pregnancy was not viable and was scheduled for a D&C on 4/26/2021. I do not know if the vaccines caused this but my OB states there is simply not enough data out there to say yes or no right now.

Other Meds: Nexium 40mg, Vitamin D 2,000 IU, Baby Aspirin 81mg, Bonjesta 20/20mg

Current Illness: None

ID: 1289088
Sex: M
Age: 50
State: FL

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/05/2021
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: Significant bruising and pain at injection site, chills, bloating, malaise

Other Meds: Briviact, Vimpat, Zonagran, gummy vitamins, Tylenol, vitamin supplements B, D, E, Zinc, medical marijuana

Current Illness:

ID: 1289089
Sex: M
Age: 59
State: CA

Vax Date: 04/08/2021
Onset Date: 04/28/2021
Rec V Date: 05/05/2021
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: UNKNOWN

Symptom List: Rash, Urticaria

Symptoms: POSITIVE COVID 19 TEST AFTER VACCINATION

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1289090
Sex: F
Age: 19
State: IN

Vax Date: 05/01/2021
Onset Date: 05/04/2021
Rec V Date: 05/05/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Swollen lymph nodes, fatigue, fever, aches, dizziness, sore arm

Other Meds:

Current Illness:

ID: 1289091
Sex: M
Age: 31
State: PA

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

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

Symptoms: fever, sweating, neck down couldnt feel anything

Other Meds: alopurinol, indomethacin, duloxetine

Current Illness:

ID: 1289092
Sex: M
Age: 42
State: MA

Vax Date: 04/13/2021
Onset Date: 04/23/2021
Rec V Date: 05/05/2021
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: Swollen/painful lymph node in left groin - started day 3 (4/16), lasted 10 days, still 10% swollen/no pain as of day 22 (5/5). Rash (mild/light pink) around left groin lymph node, creates a semi-circle perimeter 4 inch radius from lymph node - started day 10 (4/23), still persists as of day 22 (5/5)

Other Meds: Occasional vitamins (B, C, D, E), Glucosomine, Magnesium, Omega-3,

Current Illness: None

ID: 1289093
Sex: F
Age: 36
State: MN

Vax Date: 03/06/2021
Onset Date: 05/03/2021
Rec V Date: 05/05/2021
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: pt currently has Covid 19

Other Meds:

Current Illness:

ID: 1289094
Sex: F
Age: 48
State: FL

Vax Date: 04/14/2021
Onset Date: 04/21/2021
Rec V Date: 05/05/2021
Hospital: Y

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

Lab Data:

Allergies: PENICILLINS, RED DYE

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

Symptoms: Increased weakness - Guillain-Barre Syndrome

Other Meds: ACETAMINOPHEN, ALBUTEROL INHALER, XANAX, ANASTROZOLE, VITAMIN C, EXCEDRIN, PEPTO BISMUTH, TUMS, CALCIUM/MAG/ZINC SUPPLEMENT, CETIRIZINE, VITAMIN D3, CYMBALTA, FAMVIR PRN, NEURONTIN, IBUPROFEN PRN, LORATADINE, TOPROL, PREDNISONE, CARAFATE, I

Current Illness: 2 WEEKS PRIOR - PATIENT HAD HYSTERECTOMY AND OOPHERECTOMY.

ID: 1289095
Sex: M
Age: 51
State: WA

Vax Date: 04/09/2021
Onset Date: 04/29/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: Vicadine slight allergy

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Having lunch on 04/29/21, around 11:30 am. Talking with co-worker started noticing by vision went blurry. My hands & feet started tingling. I turned very pale in facial color. Had co worker call 911, paramedics to me to ER. All my vitals showed normal, ekg, blood work, platlet count all good !! Went home and over next few days felt a little off, made regular doctor appt. follow up. Doctor said all my vitals look normal. Not sure what the cause is, had a ultra sound done of my left leg pain also. Showed no blood clots. Waiting for a heart monitor appt. On 05/03/21 woke up at 3 am drenched in sweat. Still feel a little off, for no reason . At times I feel like I might pass out. Had epilepsy as a you child. But out grew with medications. No seizures in 40 years.

Other Meds: None

Current Illness: None

ID: 1289096
Sex: F
Age: 44
State: IN

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

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Left arm extremely sore, full body aches, joint pain all over, nausea, fever, headache, extreme fatigue. Lasting 36 plus hours. Left arm still extremely painful 3 days later. About 24 hours later I also noticed a very sore left armpit and sort of lump., probably a lymph node..still sore 48 plus hours later.

Other Meds: Lexapro 20 mg Lexothyroxine 88mcg

Current Illness: None

ID: 1289097
Sex: F
Age: 40
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: Systemic: Chills-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: syncope episode, did not pass out, pale,sweating,visual changes-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: vaccine 2:40pm, CC@ 2:55pm, sweating, visual changes, sweating, feeling of going to pass out, cold compress, vitals BP 93/55 pulse 81. slight tingling feeling in hands, pale, laid on floor/feet elevated, monitored and after 30+ additional minutes felt better,sipped some water& walked out of store, advise lots of water/rest/come back or ER if further issues

Other Meds:

Current Illness:

ID: 1289098
Sex: M
Age: 85
State: NY

Vax Date: 02/16/2021
Onset Date: 03/26/2021
Rec V Date: 05/05/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: The patient was admitted to the hospital by the Vascular surgery service for right groin infection with wound dehiscence, and cellulitis. He will be treated with incision, drainage and antibiotics. He has a positive COVID-19 CR today as an incidental finding. The patient had COVID-19 in December 2020 ? positive test 12/22/20. He subsequently tested negative and returned to his nursing facility. The patient was vaccinated 1/26/21 and 2/16/21. The patient did not require any COVID-19 treatments. The patient had to stay in the hospital longer than needed because he could not be discharged back to nursing home.

Other Meds: acetaminophen (TYLENOL) 500 MG tablet albuterol (PROVENTIL HFA;VENTOLIN HFA) 108 (90 Base) MCG/ACT inhaler allopurinol (ZYLOPRIM) 100 MG tablet 3 Calcium Carbonate Antacid (CALCIUM ANTACID ULTRA MAX ST) 1000 MG tablet clopidogrel (PLAVIX

Current Illness: right groin infection with wound dehiscence, and cellulitis.

ID: 1289099
Sex: M
Age: 31
State: IN

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/05/2021
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: Chills, fever, headache, body aches and nausea

Other Meds: None

Current Illness: None

ID: 1289100
Sex: F
Age: 34
State: MD

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/05/2021
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: Latex touch allergy

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

Symptoms: Throat and tongue went numb minutes after injection.

Other Meds: Birth control- levonorgestrel and ethical estradiol tablets, fluconazole

Current Illness: Yeast infection

ID: 1289101
Sex: M
Age: 42
State: IN

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/05/2021
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: Flexeral

Symptom List: Injection site pain, Pain

Symptoms: Fever up to 103.5

Other Meds: Previcid

Current Illness:

ID: 1289102
Sex: F
Age: 35
State:

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

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Swollen lymph node under left arm. Slight pain and swelling there.

Other Meds: Synthroid, Humalog, Levemir, Vitamin D

Current Illness: none

ID: 1289103
Sex: M
Age: 59
State: MA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 05/05/2021
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: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 1289104
Sex: M
Age: 34
State: NY

Vax Date: 05/02/2021
Onset Date: 05/02/2021
Rec V Date: 05/05/2021
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: Fatigue, pain at vaccination site and underarm, and headache 3-4 hours after injection. Extreme fatigue and some body ache 24 hours after vaccination. Sneezing and fatigue as of now (86 hours after vaccination)

Other Meds: None

Current Illness: None

ID: 1289105
Sex: F
Age: 54
State:

Vax Date: 04/07/2021
Onset Date: 04/28/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: tachycardia, elevated blood pressure, malaise, fatigue, headache, chills, warm injection site with swelling. Tachycardia and elevated BP necessitated ER visit for ECG, CBC w/diff, and chest xrays.

Other Meds:

Current Illness:

ID: 1289106
Sex: F
Age: 70
State: MI

Vax Date: 04/16/2021
Onset Date: 04/27/2021
Rec V Date: 05/05/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa (hives, itching) Indomethacin (palpitations)

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

Symptoms: Patient was immunized with the second Moderna vaccine in the left arm (not in this clinic) on 04/16/21. ON 04/27/21 she suffered a CVA. She is now being treated with statin and plavix

Other Meds: Atenolol 50 mg, chlorthalidone 25, multivitamin, omega 3, Keflex 500 mg tid 7 days

Current Illness: Patient reported a lump on her right lower arm that developed after she was vaccinated that kept getting worse, she assumed she was bit by a spider. She was vaccinated in the left arm, so this was presumably unrelated. It appeared to be questionalby cellulitic so we treated with an antibiotic (Keflex) Then a few days later she had the CVA.

ID: 1289107
Sex: M
Age: 28
State: WA

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

Symptoms: Systemic: Dizziness / Lightheadness-Medium, Systemic: Hypotension-Severe

Other Meds:

Current Illness:

ID: 1289108
Sex: F
Age: 29
State: NY

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

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

Lab Data:

Allergies: Allergic to prednizone, as well as Poison Ivy and Oak

Symptom List: Injection site pain

Symptoms: Achiness in legs, fatigue, some chills and cold sweats. It's about the same intensity as the first shot.

Other Meds: Loryna, B-12 and folic acid tablets

Current Illness: None

ID: 1289109
Sex: M
Age: 27
State: NH

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 05/05/2021
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 listed

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

Symptoms: 27yo male vaccinated with Janssen covid vaccine. Within minutes of standing up from vaccination in the vaccine booth, stated he was dizzy. I sat him down immediately, he was having trouble staying awake eyes glossing over, speech very slow. I turned to push the door open into the main pharmacy to call for help and have them dial 911, grabbed epinephrine and ammonia salts as well. When I turned back he had slumped in his chair. As I took the step back towards him, he spontaneously started to sit up and speak. Was diaphoretic, still slow speech eyes glossy. I supported him as best I could. His HR was 42, i lifted his legs up unto to a chair in quazi trandelenburg position. He stated that made him feel alot better. I stayed with him until EMTS arrived. He got himself onto they stretcher and they took him out of the store.

Other Meds: n/a

Current Illness: none known

ID: 1289110
Sex: M
Age: 60
State: NC

Vax Date: 04/19/2021
Onset Date: 04/22/2021
Rec V Date: 05/05/2021
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: non known

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

Symptoms: Onset of drooping right eyelid and watery eyes, and blurred double vision. Ongoing impaired vision.

Other Meds: Rosuvastatin, multivitamin

Current Illness: n/a

ID: 1289111
Sex: M
Age: 39
State: CO

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Extreme pain in heels of both feet within 24hr of vaccine injection. Difficulty walking and standing. Constant pain in both feet during daytime and nighttime. Particularly acute pain in morning after sleep. After 1-2 weeks, pain remained in heels of both feet, but also migrated into lower ankles. Swelling was present from the beginning of the episode, but increased over time. Pain and swelling abated 3 weeks after first vaccine dose for about a week. Second vaccine dose occurred 3-29-21 and pain/swelling returned. Pain in heels was still present at this time, but majority of pain migrated to ankles and achilles regions. Swelling increased by week 5 to become obvious Edema. Acupuncture did not help. Stretching did not help. Rest and elevating feet did not help. Magnesium supplement may have helped relieve pain, but I am unsure. Compression sock did not help. Ibuprofen did relieve pain but not swelling. By week 9, no relief from symptoms. Podiatrist x-rayed affected areas and found no structural issues, but was concerned with Edema. Administered steroid dosepack for 6 days. Symptoms immediately abated. No symptoms as of today.

Other Meds: Lamotrigine, 100mg, daily Citalopram, 20mg, daily

Current Illness: None

ID: 1289112
Sex: M
Age: 44
State: TX

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 05/05/2021
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: Mold and some food

Symptom List: Erythema, Pruritus

Symptoms: Shortness of Breath, still not reslved.

Other Meds: Unknown

Current Illness: None

ID: 1289113
Sex: F
Age: 20
State: MA

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

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

Symptoms: Patient stated that approximately 6 hours after receiving vaccination she became dizzy, developed a high fever, and was sweating. She then proceeded to pass out.

Other Meds: None Known

Current Illness: None Known

ID: 1289114
Sex: F
Age: 29
State: MA

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/05/2021
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: Kiwi

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

Symptoms: The evening after receiving my shot I felt my heartbeat was accelerated abnormally while not exerting myself in any physical activity. I was laying in bed reading. I didn't report it until now because I just got around to reading the information handed out to me at the vaccination site describing the side affects that I could potentially feel. At the time it happened I thought it was a normal side effect but on the information hand out it says that a fast heartbeat is a severe allergic reaction so I figured I would report it. It has since gone away and was only noticeable the evening of the same day I got the vaccine. Otherwise, I feel fine.

Other Meds: Vegan diet - taking B vitamins, liquid aminos, calcium, magnesium and zinc - daily to every three days - basically when I remember or incorporate them into meals

Current Illness: NA

ID: 1289115
Sex: F
Age: 36
State: IN

Vax Date: 05/03/2021
Onset Date: 05/03/2021
Rec V Date: 05/05/2021
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 Zithromax

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Headache, sore throat, fever, body aches and chills, diarrhea

Other Meds: Aspirin 81 mg Synthroid

Current Illness: None

ID: 1289117
Sex: M
Age: 51
State: MO

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 05/05/2021
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: Meclizine, shrimp

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

Symptoms: The evening after shot I started feeling body aches, then chills. I alternated being having chills and then sweating. I alternated taking Tylenol and Ibuprofen for symptoms. Body aches particularly my back and legs increased. The next day, I was very fatigued, still had body aches, also headache. I didn't have energy to get out of bed. Also, didn't have an appetite. The next day I had same symptoms, but felt slightly better that evening. The following day I felt quite a bit better, but it took about 4 days for me to feel back to normal.

Other Meds: Fexofenadine, daily multi-vitamin, Vitamin D

Current Illness: none

ID: 1289118
Sex: M
Age: 46
State: AR

Vax Date: 05/01/2021
Onset Date: 05/02/2021
Rec V Date: 05/05/2021
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: He got the vaccine, at first for about 6 hours he felt okay, did not feel anything, felt fine. Then that day he started getting a headache, feverish, took Tylenol and felt better. The next day he noticed his heart rate would not go down, it will not go down below 100, will shoot up to 130. He went to the ER and at one point went to 150. They prescribed him some medicine to lower his blood pressure and he has been taking that and it has not been helping. He also went to his doctor and told him that it was probably anxiety, and his heart rate will still not go down. He has not had any other reactions other than this and he's scared.

Other Meds: None.

Current Illness: None.

ID: 1289119
Sex: F
Age: 19
State: IN

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/05/2021
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: The day after I began to feel so dizzy that I could not walk properly. My skin all over my body was red and hot to the touch. I had nausea symptoms and a migraine.

Other Meds:

Current Illness:

ID: 1289120
Sex: M
Age: 53
State: GA

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

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

Lab Data:

Allergies:

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

Symptoms: I was having dinner and suddenly felt a strong numb/tingling sensation with a slight pain in the little toe at my left foot, as well as the bone connected to the toe. I tried stretching my toes for a while and gradually the sensation went away. However, when I remove my socks later in the evening, I noticed that symptom area is severely bruised, even though I never experience any external injury. Not sure if it's blood clot or blood vessel bursting.

Other Meds:

Current Illness:

ID: 1289121
Sex: F
Age: 44
State: FL

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

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

Symptoms: Less than 1 day after, started with welts. Progressed in size and numbers. Still getting more today, 7 d later. Largest welt on arm is about 10 x 6 cm. A second is about 5x4 cm. Several smaller ones.

Other Meds: toprol, viibryd, lexapro

Current Illness: no

ID: 1289122
Sex: F
Age: 30
State: MD

Vax Date: 04/12/2021
Onset Date: 04/12/2021
Rec V Date: 05/05/2021
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 ALLERGIES

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

Symptoms: After the vaccine, I began to have fever and body ache for a couple of days. The next week, 04/20/2021 I began to have abdominal pain and blood in my urine. I went to the doctor. The diagnosis was that I was having a miscarriage. I was supposed to have 7 weeks of pregnancy. The embryo appeared to have about 5 weeks. It appears that after the vaccine the embryo stop developing. On 04/21/2021 the miscarriage took place without any medication taken to accelerate the process. Before my schedule second dose for the vaccine, I called the clinic and asked for a doctor appt. I wanted to talk to a doctor regarding my early pregnancy stage and the upcoming vaccine. At first I was denied. Then after a struggle I was provided with a lab test to confirm my pregnancy. On 04/12/2021 in the morning, I called the clinic to speak with a doctor and ask his/her opinion about the vaccine and my early pregnancy. After an struggle, the receptionist told me that the nurse who had the results of my pregnancy was busy. She would call me later on the date. That been pregnant or not, the vaccine was secure. I asked that I wanted to have a talk so I can make my decision. But the receptionist repeated the same. And after I said thank you but the phone was cut. That is when I decided not to miss my vaccine appt.

Other Meds: NONE TAKEN

Current Illness: SLIGTHLY FEVER, AND BODY ACHE

ID: 1289123
Sex: F
Age: 57
State: MN

Vax Date: 04/14/2021
Onset Date: 04/16/2021
Rec V Date: 05/05/2021
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: Vasovagal syncope

Other Meds: Mycophenolate 500 mg, Irbesartan 75 mg, Levothyroxine 112 mcg, Omeprazole 20 mg, Simvastatin 40 mg, Vitamin D 50 mcg, Allegra 80 mg, multi-vitamin

Current Illness:

ID: 1289124
Sex: F
Age: 23
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 05/05/2021
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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt developed hives about 2 hours after receiving the vaccine at vaccine injection site, then spread up arm and to chest and last 1 week; face and ears also got hot and red

Other Meds: fluticasone propionate, 50 mcg/actuation, SPRAY SUSP, NASAL USE ONE TO TWO SPRAYS IN EACH NOSTRIL ONCE EACH DAY #1 RF3 3 Active 07 Jan 2021 AZELASTINE HCL, 0.1%, SPRAY, NASAL SPRAY 2 SPRAYS IN EACH NOSTRIL TWICE A DAY #2 RF3 3 Active 11 Jan

Current Illness: denies

ID: 1289125
Sex: F
Age: 52
State: MA

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

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

Symptoms: Reports 3 days after vaccine, developed sweating, palpitations, nausea and headache. Was hospitalized x 2 days 2/8/21-2/10/21. Currently under treatment with PCP, MD and, NP.

Other Meds: Unknown

Current Illness: None reported

ID: 1289126
Sex: F
Age: 31
State:

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/05/2021
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: Latex, and natural rubber per EMR

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient received first dose of COVID-19 vaccine on 5/3/21 at 0733, patient was in observation area when she reported to RN that she feels her throat getting itchy and dry. Per RN, patient kept clearing throat and had edema and redness of the eyes. RN called RRT and administered 0.3 mg of Epi-Pen at 0749 in the meantime.

Other Meds:

Current Illness:

ID: 1289127
Sex: F
Age: 31
State: TX

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 05/05/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Midgrade Temp (100.9) chills body aches

Other Meds: Lexapro Wellbutrin

Current Illness: N/A

ID: 1289128
Sex: M
Age: 46
State: OH

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

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

Symptoms: Severe Muscle Aches began 7-8 hours after the shot Chills began 7-8 hours after the shot Elevated Heart Rate - 100BPM Resting - When i woke up the next morning Symptoms started going away roughly 24 hours after injection.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm