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: 1295203
Sex: F
Age: 51
State: PA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 05/07/2021
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: Erythromycin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Very strong menstrual cycle - haven?t had one in at least 10 months and it was extremely heavy for one week. Very close to going to ER.

Other Meds: None

Current Illness: None other than back issues and high cholesterol

ID: 1295204
Sex: F
Age: 70
State: NJ

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

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: went unconscious for about 15 minutes. called 911, by the time the ambulance got there she was responsive. went to hospital to get checked.

Other Meds:

Current Illness:

ID: 1295205
Sex: M
Age: 52
State: MI

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: None

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

Symptoms: I have COVID symptoms that are much worse than when I had the real thing back in November. My temperature is way above 103 degrees F and cannot be reduced via tylenol or ibuprofen.

Other Meds: None

Current Illness: None

ID: 1295206
Sex: M
Age: 33
State: TN

Vax Date: 04/05/2021
Onset Date: 04/19/2021
Rec V Date: 05/07/2021
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: Red itchy bumps on left arm. New patches of eczema on left arm and stomach.

Other Meds: None

Current Illness: None

ID: 1295207
Sex: M
Age: 32
State: IN

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
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: Fever, aches, fatigue, chills all starting Wednesday 5/5 in the afternoon (around 3:00 pm) and remained until 5/7 at 7:00 am upon waking for the day. sore arm remains

Other Meds: Propranolol and atorvastatin

Current Illness: none

ID: 1295208
Sex: F
Age: 40
State: CA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 05/07/2021
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: Azithromycin, seasonal allergies, sensitivities to Night Shades and Gluten

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

Symptoms: I received my shot at approximately 12:25. Within 5 minutes of my shot I started to feel a bit light headed, hot, having difficulty breathing with my mask on (so I pulled my mask down which helped) and then my heart started racing! After grabbing the attention of the nurses, drinking some water and doing some calming breathing exercises my heart rate went down but not to resting. Upon further investigation through my Apple Watch Heart App, my heart rate had spiked to 141 within those first 5-7 mins of the vaccine. Monitoring myself closely over the next couple of days, my heart rate would have little spikes randomly. I?d be sitting (should be at resting heart rate of 65-70) and I?d spike into the 90?s or 80?s for a few moments then return. The first day it happened about every 20-30 minutes for 3 hours, then tapered off to once every hour or so then the next day every hour or two. By Monday April 26th I felt completely normal and have had no other concerns at this time.

Other Meds: Juice Plus, Doterra Supplements: Terrazyme, PB Assist, XE Omega, Alpha CRS, Micro Plex VMZ, Bone Nutrient, Deep Blue Polyphenol, Essential Oils: Frankensense, Green Mandarin, Black Pepper, Pink Pepper, Turmeric, Copaiba, Vitamin D3+K7

Current Illness: None

ID: 1295209
Sex: M
Age: 45
State: FL

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: Food - crustacean like crab, shrimp

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Headache and Fever of 102.4F, accompanied by chills, and joint pain. Body felt like it was oscillating between being too cold and too hot. Eventually the fever subsided overnight. Treatment was bed-rest with cold compress.

Other Meds: Multivitamin, Turmeric

Current Illness: none

ID: 1295210
Sex: F
Age: 24
State: IN

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

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Fatigue, body aches, head ache, fever

Other Meds:

Current Illness:

ID: 1295211
Sex: F
Age: 65
State: MN

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 05/07/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient hospitalized within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1295212
Sex: M
Age: 40
State: IN

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

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swelling of lymph node, headaches.

Other Meds: none

Current Illness: none

ID: 1295213
Sex: F
Age: 21
State: IN

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
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: Arm pain and fatigue about an hour after. Increase in menstrual flow. I passed 15+ grams of blood in roughly 4 hours which is abnormal for me.

Other Meds: L-methtlfolate, metformin, viibyrd, sprintec, Paxil

Current Illness: Not an illness, but I was menstruating at the time

ID: 1295215
Sex: F
Age: 57
State: NJ

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
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: Sulfa

Symptom List: Rash, Urticaria

Symptoms: 05/04/2021-> MY BOTH EYE STARTED EACHY LITTLE BIT ON SAME DAY OF 1ST DOSE COVID19 VACCINATION . 05/05/2021-> FEEL BETTER TILL AFTER NOON THEN SLOWLY BECAME MORE RED, MORE EACHY AND I NOTICE MY RIGT EYE HAS SWELLING UNDER EYE BY THE TIME OF 9.30 PM, I TOOK BENADRY FOR RELIVE 05/06/2021-> CONSULT MY PRIMARY DR, SHE HAS PRISCRIBED ME ORAL MEDICINES AND EYE DROP: PREDNISONE 20 MG-TWICE A DAY LORTADINE 10 MG- ONCE A DAY NEOMYCIN-POLYMYXIN-HC DROP-TWICE A DAY

Other Meds: Levothyroxine 100 mg, Losartan 50mg

Current Illness: NO

ID: 1295216
Sex: M
Age: 20
State: MI

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Incredible fever/chills and body aches that are greater than what any prior virus has ever felt like. Temperature cannot be controlled with Tylenol or ibuprofen and is staying above 103 despite all efforts.

Other Meds: No

Current Illness: None

ID: 1295217
Sex: F
Age: 36
State: IN

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: N/A

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

Symptoms: Swollen and sore lymph node in armpit of injected arm (left arm)

Other Meds: Oral birth control

Current Illness: N/A

ID: 1295218
Sex: F
Age: 33
State: IN

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: Amoxicilin

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

Symptoms: I had chills and High fever. When I tried to get out of bed I fainted and was completely pale and weak for an hour.

Other Meds:

Current Illness:

ID: 1295219
Sex: F
Age: 57
State: WI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 05/07/2021
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: Patient stated that about 15 to 20 minutes after receiving the vaccine, she noticed a bruise on her left hand that she did not notice before. She stated the bruise did heal, and she did not report the same reaction after the second dose.

Other Meds:

Current Illness:

ID: 1295220
Sex: F
Age: 85
State: MN

Vax Date: 03/19/2021
Onset Date: 04/14/2021
Rec V Date: 05/07/2021
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:

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

Symptoms: Patient presented to the ED on 3/18/21 with syncope. Patient presented to the ED and was subsequently hospitalized on 4/14/21 with sinus pause, syncope.

Other Meds:

Current Illness:

ID: 1295221
Sex: M
Age: 18
State:

Vax Date: 05/01/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
Hospital: Y

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: Myopericarditis -diffuse ST elevations on EKG with elevated troponin. Cardiac MRI shows inflammation and area of fibrosis in septum. Started on motrin 600mg QID. S/p 1x IVIG, 2x IV solumedrol, transitioned to PO prednisone course for 3.5wks, ASA 81mg daily.

Other Meds: none

Current Illness: none

ID: 1295222
Sex: M
Age: 28
State: IN

Vax Date: 05/01/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Cold sweats, nausea, flu symptoms

Other Meds:

Current Illness: None

ID: 1295223
Sex: F
Age: 30
State: IN

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: Walnuts

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

Symptoms: -Severe chills/shakes lasting approximately 1 hour, (onset about 12 hrs after receiving vaccine) followed by intense sweating and feeling of being overheated lasting for approximately 1 hour. -general feeling of being unwell (body aches, tiredness) starting about 18 hrs after receiving vaccine and lasting approximately 12 hours

Other Meds: Prenatal vitamins, calcium supplement

Current Illness: None

ID: 1295224
Sex: M
Age: 58
State: NH

Vax Date: 01/28/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
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: REGLAN

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

Symptoms: LEFT LOWER EXTREMITY DEEP VENOUS THROMBOSIS

Other Meds: AMBIEN

Current Illness: INSOMNIA

ID: 1295225
Sex: F
Age: 32
State: OK

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
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: Unevaluable event

Symptoms: Soreness in whole upper left arm. Inability to lift arm above shoulder or from side to side without pain. Red rash appeared 05/06/2021 around injection site. Rash has a diameter of about 2 inches. 1st dose caused a sore arm but it took a day to feel and only lasted 2 days.

Other Meds: Flonase Zyrtec

Current Illness: None

ID: 1295226
Sex: F
Age: 37
State: IN

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: Body aches, headache, low grade fever. Lasted about 24 hours. 48 hours later and still experiencing fatigue

Other Meds: Wellbutrin alprazolam extended release hydroxyzine Viibryd

Current Illness:

ID: 1295227
Sex: M
Age: 37
State: OH

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 05/07/2021
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: 1st shot in left arm-I had a red bump that was 3x3 inches and raised. It eventually went away after two weeks leaving behind a bruise. 2nd shot- right arm,by day two I was feeling flu like symptoms. By day three I was short of breath,dehydrated,experiencing rapid heart rate,fever,chills,shortness of breath,sweating,dizziness,migraines which last a week. The bad headaches continued for a month and my blood pressure went from normal to high. I had to go on blood pressure medication after having my vaccine. I still don't feel the same since being vaccinated. I feel fatigued all the time,I have edema, and suffer with chronic headaches.

Other Meds:

Current Illness: Had reaction also to first shot- had a red bump 3x3 inches and it was raised. After the second shot I was told by a physician I had covid arm and was reacting to the vaccine.

ID: 1295230
Sex: F
Age: 50
State: MI

Vax Date: 02/11/2021
Onset Date: 03/01/2021
Rec V Date: 05/07/2021
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: Sore arm after vaccination--not concerning. Seem to be having long term symptoms of fatigue, brain fog, difficulty concentrating, and forgetfulness since receiving vaccination. Unclear if related but felt it was important to report.

Other Meds: escitalopram 10 mg

Current Illness: none

ID: 1295231
Sex: F
Age: 35
State: IN

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
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: Large rash at vaccination site about 3" in diameter, very large swollen lump under the rash. Area is very hot to the touch and very sore.

Other Meds: Morena IUD

Current Illness:

ID: 1295232
Sex: M
Age: 37
State: IA

Vax Date: 04/08/2021
Onset Date: 04/25/2021
Rec V Date: 05/07/2021
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: no

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Shingles

Other Meds: statin for high cholesterol

Current Illness: no

ID: 1295233
Sex: F
Age: 22
State: GA

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

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

Lab Data:

Allergies: NKDA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient developed numbness and tingling down her L arm distal to the site of the injection

Other Meds: none

Current Illness: TMJ (on steroids and off 9 days ago)

ID: 1295234
Sex: F
Age: 22
State: IN

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: At 6am I had a fever, body ache, chills. Then at 3pm I had very sharp chest pains and shortness of breath. They would not go away so I went to the ER

Other Meds: Junel Fe (birth control)

Current Illness: None

ID: 1295235
Sex: M
Age: 44
State: IL

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/07/2021
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: Stinging in pinky on hand opposite of vaccine. It would happen once or twice a day up to about 10 times a day. The pain has dulled over the past two weeks, but still occurs.

Other Meds: None

Current Illness: None

ID: 1295236
Sex: M
Age: 34
State:

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

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Injection site pain

Symptoms: Sore arm, slight fever, chills, bad headache, didn?t sleep the night after getting the vaccine

Other Meds:

Current Illness:

ID: 1295237
Sex: F
Age: 50
State: TX

Vax Date: 04/01/2021
Onset Date: 04/15/2021
Rec V Date: 05/07/2021
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: Severe tinnitus in right ear

Other Meds: Carbamazepine, levothyroxine, armour

Current Illness:

ID: 1295238
Sex: F
Age: 30
State: NE

Vax Date: 05/03/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: No

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

Symptoms: Large round red, swollen, warm, and sore area on my arm. It?s just right and below of the injection site though and more on the outside facing portion of my bicep.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1295239
Sex: F
Age: 41
State: IN

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Began with nausea and fever the night of. The following morning I had fever, nausea with vommitting, all over body aches, headache and extreme fatigue. The 2nd day I have body aches remaining as well as headache, but the nausea and fever seem to be gone.

Other Meds: Lisinopril - 10 mg Venlafaxine HCL ER - 150 mg Norethindrone - .35 mg Nexium 24 hour (OTC) Super Strength Cranberry (OTC)

Current Illness:

ID: 1295240
Sex: F
Age: 38
State: IL

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: COVID Arm. Approximately 5 inch long and 3.5 wide red rash around injection site. Rash is itchy, tender and feels warm. Area feels tight too.

Other Meds:

Current Illness:

ID: 1295241
Sex: F
Age: 69
State: NY

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
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: Erythromycin

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

Symptoms: Janssen COVID-19 Vaccine EUA (Injected IM in Lt Arm on May 4, 2021 at 10:10 am) May 4, 2021 at 6 pm I experienced chills (no fever). During the nights I experienced chills alternating with sweats (no fever). When I awoke at 6 am on May 5 and stood I was very dizzy - enough that I had to brace myself with the wall to walk to the bathroom. Dizziness persisted all day on May 5. I had no further chills nor sweats and continued to be afebrile. On May 6 I was still dizzy but it was not as severe. On May 7 (today) I continue to have dizziness and some nausea but, again, it is not as severe as on May 5.

Other Meds: Crestor,Inderal,Multivitamin,Calcium,CoQ10,ASA,VitaminD3,

Current Illness:

ID: 1295242
Sex: M
Age: 89
State:

Vax Date: 03/02/2021
Onset Date: 04/09/2021
Rec V Date: 05/07/2021
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:

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

Symptoms: Patient had an ED visit and/or hospitalization within 6 weeks of receiving COVID vaccine.

Other Meds:

Current Illness:

ID: 1295243
Sex: F
Age: 20
State: MO

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever, severe headache, nausea, chills, muscle aching, fatigue, dizziness

Other Meds:

Current Illness:

ID: 1295244
Sex: M
Age: 25
State: FL

Vax Date: 04/19/2021
Onset Date: 04/01/2021
Rec V Date: 05/07/2021
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: Sulfa drugs

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

Symptoms: Taste of Metal - lasting 3 weeks so far

Other Meds:

Current Illness:

ID: 1295245
Sex: M
Age: 63
State: MN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/07/2021
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: No known allergies

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

Symptoms: Extreme flare up of gout. The worst gout I ever experienced. I can be prone to gout so am familiar with the issue. This began immediately the following morning after the first dose and is still a problem now 3 weeks later. My entire foot, ankle and lower calf were completely swollen and the foot turned blue. Finally now 3 weeks later the swelling has reduced to the big toe but I am still limping. I was schedule for the second dose yesterday and we cancelled. I am very concerned about taking the second dose, especially since we have a wedding trip planned in early June. I can not suffer with this again during that trip and not sure if a 10% increase in immunity from Covid is worth the risk of another major gout flare up like that. Naturally I am concerned about permanent joint damage also.

Other Meds: Losartan Potassium 50mg Metoprolol 25mg Fluticasone Propionate (nostril spray) Levothyroxine Sodium 125mcg Simvastatin 20mg CoQ 10 Tart Cherry seed extract w/celery seed capsules

Current Illness: None

ID: 1295246
Sex: F
Age: 47
State: VA

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/07/2021
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, sulfa

Symptom List: Pain in extremity

Symptoms: Fever, chills, body shakes, shortness of breath, headache, arm pain, nausea, exhaustion

Other Meds: Levoxyl Liothyronine Lolo estrin Multivitamins

Current Illness: None

ID: 1295247
Sex: F
Age: 58
State: IL

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: pcn

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

Symptoms: Admits to left arm swelling, neck pain, fatigue, headaches started 4/8/21

Other Meds: none

Current Illness: unknown

ID: 1295248
Sex: F
Age: 20
State:

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/07/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Fever 101.5, aches, chills, soreness, fatigue, diarrhea, cough, runny nose

Other Meds: birth control pills.

Current Illness: Yes, I had a sore throat and common cold symptoms before my vaccination. Went to the dr and was tested for COVID-19-19, mono, flu, and strep but all results came back negative. Was a little sick with a cough morning of vaccine.

ID: 1295250
Sex: F
Age: 27
State: CT

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Chills, Fever, Severe Hallucination.

Other Meds: None

Current Illness: None

ID: 1295251
Sex: M
Age: 40
State: MD

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 05/07/2021
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: Codeine, latex, Propyenel glycol

Symptom List: Vomiting

Symptoms: Symptoms: vomiting, shakes, fever, body aches, lethargy, weakness, loss of appetite, migraine, chest pains, difficulty breathing, wheezing, shortness of breath.

Other Meds:

Current Illness:

ID: 1295252
Sex: M
Age: 72
State: TX

Vax Date: 04/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The hole where the shot went in is bleeding....it has not healed.

Other Meds: Levothyroxin, lisinopril, omeprazole, naproxen, vit B, Calcium D2, zonc, msm, acetl-l-carnitine, pterostilbene, vit C

Current Illness: None

ID: 1295254
Sex: F
Age: 49
State:

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/07/2021
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: Amoxicillin: rash; ampicillin: rash; cat's claw: rhinitis; prochlorperazine: rash; Darvocet: rash; dog: rhinitis; erythromycin: rash; iodine: rash

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

Symptoms: Patient presented to hospital's outpatient vaccine center clinic for first dose of her Pfizer Biontech mRNA COVID-19 vaccination series. Approximately 20 minutes after vaccination, patient began to experience chest tightness, difficulty swallowing, and shortness of breath. No rash or hives noted. A rapid response team was called and patient transferred to the ER. Patient received epinephrine 0.3 mg IM, famotidine 20 mg IV, diphenhydramine 50 mg IV, methylprednisolone sodium succinate 125 mg IV, and expressed symptomatic relief shortly after stating "I can breathe again." Patient is now resting comfortably under observation in the ED.

Other Meds: Stelara (ustekinumab) 45 mcg SQ every 12 weeks Gabapentin 300 mg TID Tizanidine

Current Illness:

ID: 1295255
Sex: M
Age: 21
State: OH

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Janssen vaccine given as 2nd dose of Pfizer vaccine in error. {patient was immediately advised of same, and reassured that he would be fully vaccinated . side effects were discussed and all questions were answered. He will be contacted for follow up in several days and advised to call the Health Dept or his PCP if any concerns.

Other Meds:

Current Illness:

ID: 1295256
Sex: F
Age: 64
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 05/07/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: 1/19/21 evening, the same day the vaccine was given, symptoms occurred 6 hours after vaccinated: diarrhea, stomach cramps, no appetite, low energy, soup diet only for 4 days. 1/24/21, symptoms improved and had soft solid food about 6pm. Around 7:30pm, strong stomach cramps and bad diarrhea. Sitting on toilet, the pain getting stronger and started chill and quick cold sweat on forehead and whole body, feeling numbness spreading in skin, foggy in brain and vision, and difficult breath. Stood up unbalanced and vomited badly. I could not remember the order of vomiting and calling 911. While calling 911, breath became harder. Laid down about 10 minutes, breath came back a little bit when ambulance arrived, lips blue. Oxygen was given and BP was high on the way to ER. Vital signs were normal upon arriving ER. IV fluid and medications were given for diarrhea and stomach pain. BP and all lab work came back normal. Continued diarrhea for a few hours and was discharged about 1:30am 1/25/21. Diagnose: unknown reason diarrhea Stomach pain and discomfort continued a few weeks. Did not take 2nd dose. Covid19 Antibody test came out negative 3 weeks later. Can I take Novavax if it gets approved?

Other Meds: Urso 500mg 2/day Omeprazole 20mg as needed multi-vitamin Milk thistle extract

Current Illness: none

ID: 1295257
Sex: M
Age: 38
State:

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/07/2021
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: Patient became sweaty, pale and experienced shortness of breath minutes after receiving vaccine.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm