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: 1299712
Sex: F
Age: 80
State: MI

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 05/08/2021
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: no

Symptom List: Dysphagia, Epiglottitis

Symptoms: my left arm developed a rash and a red bruise the size of a dime.local pharmacist recommend a cortizone ointment [2nd injection] had loose bowel movements with 2nd dose.

Other Meds: no

Current Illness: no

ID: 1299713
Sex: M
Age: 46
State: WI

Vax Date: 05/04/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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: Visible hematuria. Bloody urine as well as clumps of blood expelled.

Other Meds:

Current Illness:

ID: 1299714
Sex: M
Age: 68
State: NV

Vax Date: 04/26/2021
Onset Date: 05/05/2021
Rec V Date: 05/08/2021
Hospital: Y

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: NKDA

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

Symptoms: STROKE

Other Meds: albuterol; Xarelto, Amiodarone; Xarelto, Lisinopril, metoprolol, Lasix

Current Illness: atrial fibrillation; heart failure, aortic stenosis, hypertension

ID: 1299715
Sex: F
Age: 58
State: FL

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

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

Lab Data:

Allergies: nka

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: pt fainted , heavy breathing , semi unresponsive .. Epi pen administered EMS called . Pt came to shortly after epi pen administration .. She told us after vaccine administration she has experienced Syncope in the past post vaccine admin

Other Meds: Celexa

Current Illness: unknown

ID: 1299716
Sex: F
Age: 58
State:

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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: Patient states that she is anxious and is experiencing tingling in her legs. Her legs checked and appear normal. Her vital was checked BP 122/84 O2 sat 98 HR 80 She appeared normal and she was released to go home.

Other Meds:

Current Illness:

ID: 1299717
Sex: F
Age: 17
State: NC

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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: No reaction but patient under 18

Other Meds:

Current Illness:

ID: 1299718
Sex: F
Age: 19
State: NY

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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: Immediately after receiving vaccine, patient felt blood rush to her head and felt heart palpitations. This lasted for 2-3 minutes and then she felt better and waited about 30 minutes in pharmacy and left with her mother.

Other Meds:

Current Illness:

ID: 1299719
Sex: F
Age: 39
State: OH

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

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Extreme body aches, sweating/fever, chills, nausea

Other Meds: cybalta

Current Illness: none

ID: 1299720
Sex: M
Age: 76
State: PA

Vax Date: 05/03/2021
Onset Date: 05/04/2021
Rec V Date: 05/08/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Complete loss of strength in arms and legs. Was unable to get off of the floor for 4 hours.

Other Meds:

Current Illness: None

ID: 1299721
Sex: F
Age: 56
State: CA

Vax Date: 04/30/2021
Onset Date: 05/01/2021
Rec V Date: 05/08/2021
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: Around 5pm on 5/1 started with overall fatigue and muscle aches and weakness. Within 30 minutes had chills and uncontrollable shaking and fever shot to 102.2 and lasted throughout the night. Also, had a horrible headache in which pain relievers did not help. The next day I felt better, but was still exhausted and weak. Fever has disappeared. By 5/3 I felt more like my normal self.

Other Meds: None

Current Illness: None

ID: 1299722
Sex: M
Age: 73
State: OK

Vax Date: 02/08/2021
Onset Date: 03/01/2021
Rec V Date: 05/08/2021
Hospital: Y

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

Lab Data:

Allergies: no

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

Symptoms: received his second COVID 19 Pfizer shot on March 1 and began feeling bad with cough, aches, no energy and his urine turned brown the day he received the second shot. The next week after getting worst he went to the hospital. They first diagnosis him with pneumonia ad kidney failure. They admitted him to the hospital and began running test. He was then diagnosed with anti-GBM or Goodpasture's Disease. He had gone to the doctor on the Friday before his second shot on Monday, March 1st and he was very healthy and very active with no health issues. The second COVID Pfizer shot is the only thing he had done different that week.

Other Meds: Paxil vitamins

Current Illness: none

ID: 1299723
Sex: F
Age: 46
State:

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 05/08/2021
Hospital: Y

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: Shortness of breath started later in day on day of second vaccine (4/20/21) . Presented to hospital 4/25/2021 with chest pain and shortness of breath. Found to have large pulmonary embolism and elevated troponin. Patient was discharged on 4/28/2021 on apixaban. Patient did already have lower extremity vein disease and previous ablation to right great saphenous vein in 2019. Has family history of pulmonary embolism in her sister. Patient was also on depot medroxyprogesterone acetate injections.

Other Meds: depot medroxyprogesterone acetate injections

Current Illness:

ID: 1299724
Sex: F
Age: 36
State: TN

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 05/08/2021
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 known allergies

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

Symptoms: Approximately 3 weeks after the vaccine my hair being to fall out in large patches. Hair began to rapidly turn grey.

Other Meds: Birth control combo pill, cetirizine, flonase

Current Illness: None

ID: 1299725
Sex: M
Age: 28
State: KS

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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: NKA

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

Symptoms: Bells' Palsy

Other Meds:

Current Illness:

ID: 1299726
Sex: F
Age: 56
State: MA

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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: Dizziness lasting more than 6 hours, fainting, stomach upset, headache

Other Meds: None

Current Illness: None

ID: 1299727
Sex: F
Age: 16
State: OH

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
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: Dairy intolerance

Symptom List: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: 18 hours after administration, vasovagal syncope and low blood pressure for 11 hours after onset; patient fainted and could not sit up or stand -- blood pressure would drop; symptoms persisted for 11 hours

Other Meds: None

Current Illness: None

ID: 1299728
Sex: F
Age: 55
State: CA

Vax Date: 04/12/2021
Onset Date: 04/15/2021
Rec V Date: 05/08/2021
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: 4/15/21 - right outer ear pain. 4/19/21 - saw Dr. on demand - prescribed Amox-Clav 875-125 mg 2X a day. 4/20/21 - right facial swelling - went to urgent care. Dr. said to stay on prescription given to fight bacteria infection. 4/27/21 - saw Dr. - prescribe Azithromycin 250 mg 2 tablet a day and Ciproflox-dexamerh ear drop. Again - diagnose as bacteria ear infection. 4/29/21 -right face paralysis-extreme pain. 4/30/21 - went to urgent care - extreme pain - Dr. directed to go to Hospital Emergency Room for CT scan and blood work. Diagnosed from Hospital ER is 1. Otitis external of right ear. 2. Facial nerve palsy 3. Ramsay Hunt Syndrome - auricular. Prescription-Acyclovir 400MG tablet 5x per day for 7 days. Prednisone 50 mg daily for 7 days. Hydrocodine-acetaminophen 5-325 mg as needed. Ask to follow up with ENT specialist on paralysis. Appointment made for 05/10/21 afternoon. Pain and swelling persisted throughout ordeal.

Other Meds: None

Current Illness: None

ID: 1299729
Sex: F
Age: 23
State: IN

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Started feeling incredible fatigue and exhaustion about 7pm on the day of the vaccine. That night around midnight I started running a fever and throughout the night and the next day I?ve been running an off and on fever usually around 100.1?. Today (second day after vaccine) I?ve had a really bad headache.

Other Meds: Vitamin C, Vitamin B Complex, Magnesium, Melatonin

Current Illness:

ID: 1299730
Sex: F
Age: 62
State: IN

Vax Date: 04/12/2021
Onset Date: 04/13/2021
Rec V Date: 05/08/2021
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: Ringing in ears have been high-pitched, continual and unbearable. I've never had this condition in my life. Swollen lymph glands, sore throat, body aches and flu-like symptoms have subsided.

Other Meds: Gabapentin 600 mg 3 x daily Estradiol patch .075mg 2 x weekly

Current Illness: Idiopathic small fiber peripheral neuropathy

ID: 1299731
Sex: F
Age: 47
State: MD

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: sulfa

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

Symptoms: Within 10 hours, fever, chills, hot flashes, muscle aches, nausea. Two days after vaccine administered, fever is gone, still some nausea. Now having severe dizziness and still some hot flashes.

Other Meds: Levothyroxine

Current Illness:

ID: 1299732
Sex: M
Age: 16
State: AZ

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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: None

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

Symptoms: Woke up shaking, low fever, sore arm and nausea.

Other Meds: N/A

Current Illness: None

ID: 1299733
Sex: F
Age: 54
State: MA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Unevaluable event

Symptoms: PER PATIENT RECEIVED 1ST DOSE AT 12PM AND WAS OK UNTIL 1AM. PATIENT GOT A SEVERLY ITCHY THROAT AND EARS, HAD TROUBLE SWALLOWING. ATE ICE CHIPS AND TOOK TYLENOL. OK AFTER ABOUT 2 DAYS OR SO.

Other Meds:

Current Illness:

ID: 1299734
Sex: M
Age: 63
State: MN

Vax Date: 03/29/2021
Onset Date: 04/17/2021
Rec V Date: 05/08/2021
Hospital: Y

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: Penicillin family of antibiotics - no other allergies known

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

Symptoms: While this first vaccine gave no side effects other than a slightly sore arm, 17 days later on 4-17-2021 I suffered a TIA (Transcient Ischemic Attack). That occurred at 5:15 pm and I immediately took 4-81 mg aspirin and headed for a nearby Emergency Room. They said it was a stroke (and it did show on an MRI the next day but sub-centimeter and I was told the size of a pinhead. AT the ER the double vision in my left eye and numbness in left lips, gum and tongue were already subsiding, but the DR there gave me a Plavix and within 5 minutes I was completely back to normal (or close). I am not sure IF that first dose of vaccine had anytrhing to do with this TIA, but it might have? I had also stopped taking my 81mg aspirin several days before this TIA as I had a Periodontal appointment for insertion of an implant post and wanted to control the possible bleeding. The thoughts of my Doctor at Hospital as well as the Neurologists was that the omission of the aspirin PROBABLY was the main cause of the temporary clotting that caused this event HOWEVER I did not tell them that I was 17 days post-Covid Pfizer vax #1 and so the possibility remains that the vaccine could have been partially the cause of this event? As listed previously, Dr at Hospital was my Doctor and might shed some light on this and her thoughts. I felt it was important enough to report as I have heard stories of all of the vaccines possibly causing some clotting and this might fit.

Other Meds: Daily - Multivitamin, B-complex, D3(4000iu), Magnesium(400mg), Potsassium(99mg), CoQ10(200mg), Probiotic Daily - aspirin(81mg) Daily Prescription - Simvastatin(40mg) Prescription - SIldenafil (20 to 100 mg as needed for mild ED) Note: I ha

Current Illness: None

ID: 1299735
Sex: M
Age: 40
State: NY

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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: unknown

Symptom List: Injection site pain, Pain

Symptoms: PATIENT HAD NO ADVERSE EVENTS, REQUIRING NO TREATMENT HOWEVER, PATIENT RECEIVED 2ND DOSE VACCINE ON THE 23RD DAY DUE TO INABILITY TO MAKE IT ON RECOMMENDED TIME FRAME BECAUSE OF WORK SCHEDULE.

Other Meds: unknown

Current Illness: no

ID: 1299736
Sex: F
Age: 65
State: IN

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 05/08/2021
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: ringing in the ears increased after side effects after 2nd vaccine. Had severe chills and high fevers for 8 hours. Then the ringing increased. Contact Dr and he said not unusual when someone has ringing in ears that it increases after being ill. Also had 3 weeks of glucose spikes that were not normal. Back under control now. Dehydration for 7 days. Increased urination.

Other Meds: diovan, glyambia, gliperide, metformin, meloxican, vit b and e, mega red, daily vitamin

Current Illness: none

ID: 1299737
Sex: F
Age: 49
State: PA

Vax Date: 04/30/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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 round red patch at injection site, itchy

Other Meds: mesalamine

Current Illness:

ID: 1299738
Sex: M
Age: 48
State: TX

Vax Date: 04/11/2021
Onset Date: 04/17/2021
Rec V Date: 05/08/2021
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: Shingles breakout on left scalp, neck, and face

Other Meds: Ashwghanda, lions mane mushroom, Allegra 24 hour

Current Illness: None

ID: 1299739
Sex: M
Age: 27
State:

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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: Thought that I was in the clear of any side effects. First vaccine only resulted in a minor sore arm. Got second Phizer vaccine at 10:40 a.m. on 5/6 and went all day with nothing. Woke up at 2 a.m. the next morning (15.5 hours after vaccine) with sore arm at point of injection, chills, fever, aches, and a headache. Symptoms lasted all day. Woke up the next morning (46 hours after vaccine, 30 hours after symptoms started) with no lasting effects.

Other Meds:

Current Illness:

ID: 1299740
Sex: M
Age: 81
State: MI

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 05/08/2021
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: no

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

Symptoms: loose bowels and headache

Other Meds: no

Current Illness: no

ID: 1299741
Sex: F
Age: 61
State: OH

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

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

Lab Data:

Allergies: PCN

Symptom List: Nausea

Symptoms: 3-4 days after vaccine pt devolped DVT and PE no other known provoking factors, pt did have VTE in 2019 and was no longer on anticoagulation

Other Meds: Descovy, flexeril, albuterol, tivicay, salmeterol

Current Illness: nothing acute

ID: 1299742
Sex: F
Age: 46
State: PR

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

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

Lab Data:

Allergies: NONE

Symptom List: Injection site pain

Symptoms: Dizziness and two fainting spells, nausea.

Other Meds: NONE

Current Illness: NONE

ID: 1299743
Sex: M
Age: 60
State: WA

Vax Date: 05/06/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: BLURRED VISION - I've perfect mid-range and long-distance vision and everything is now blurry. All the other side effects have subsided except the blurred vision. Other Symptoms that have since subsided: headache, chills, upset stomach, muscle aches

Other Meds: Pravastatin 20mg

Current Illness: None

ID: 1299744
Sex: F
Age: 47
State: OH

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

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

Lab Data:

Allergies: none

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

Symptoms: Arm hurts bad, red rash in area, feels like a big lump in my arm

Other Meds: none

Current Illness: none healthy

ID: 1299745
Sex: F
Age: 26
State: IN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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: 100F fever, chills, nausea, dizziness, full-body weakness, and headache in the morning. Took Tylenol and all but the headache went away. At night starting around 8pm EVERY joint in the body hurt down to each finger and hip. Applied warm compresses over the body and it eased the pain. Sore arm.

Other Meds: Lamictal, melatonin, cetirizine, and daily vitamin

Current Illness:

ID: 1299746
Sex: F
Age: 40
State: MN

Vax Date: 05/01/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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: Metallic taste in mouth Severe back muscle pain Swollen groin lymph nodes Headache Chills Generalized severe pain throughout body Pain to move

Other Meds: None

Current Illness: None

ID: 1299747
Sex: M
Age: 39
State:

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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:

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

Symptoms: Woke up with fatigue. Throughout the day it progressed to muscle aches and headache. Was gone by next morning

Other Meds:

Current Illness:

ID: 1299748
Sex: F
Age: 28
State:

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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: No

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

Symptoms: Right side of head and right ear feel muffled. Feels like right ear needs to pop but it won?t. Sound isn?t as clear for the right ear as it is for the left ear. Never had any hearing issues previously.

Other Meds: No

Current Illness: No but was on period

ID: 1299749
Sex: F
Age: 19
State: NY

Vax Date: 04/13/2021
Onset Date: 04/29/2021
Rec V Date: 05/08/2021
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: Dizzy Lightheaded Brain zaps Fast heart rate/pain Increased anxiety and panic attacks

Other Meds: Clomipramine

Current Illness:

ID: 1299750
Sex: F
Age: 20
State:

Vax Date: 05/05/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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: n/a

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

Symptoms: Modern COVID-19 Vaccine EUA rash on vaccination arm

Other Meds: isibloom birth control

Current Illness: n/a

ID: 1299751
Sex: F
Age: 48
State: MD

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Diaphoretic, weakness. Seen by EMS. Discharged home at 11:15 A.M. Recorded by RN.

Other Meds:

Current Illness:

ID: 1299752
Sex: M
Age: 58
State: MI

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: Prilosec, sulfa product, rosemary herb, stainless steel staples, some adhesives on tapes

Symptom List: Pain in extremity

Symptoms: I had a fever of 102.1 for hours and the chills. Vomiting and no apatite all day. The head ache made it hard to focus and walking felt unstable. The body aches all over my body and every joint hurt. This second dose was worse than the first with the head ache and stability issues. The symptom's were like back in Oct 2020 when I had covid19. This time I didn't go to an urgent care like I did when I had the first Moderna covid19 vaccine since I kind of knew this would happen.

Other Meds: Lisinopril, Metoprolol, Aspirin, Prevised

Current Illness: None

ID: 1299753
Sex: F
Age: 67
State: DC

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I received my vaccine at 8pm and stayed for 15 mnutes after. Drove home and went about my day. Around 11pm I noticed that my legs were feeling tired. I layed down but got up around 1:25 am. As I was making up the bed for my granddaughter I fainted without any warning other than my legs still feeling tired. I could hear myself hitting something but could not stop it. Not sure how long I was out but I came too after hearing my granddaughter calling me, crying and asking if I was OK. I got up from the floor and sat on the otttoman that I think broke my fall. I told my grandson and husband. I sent my doctor a message to let her know what happened and also because my blood pressure had dropped low.

Other Meds: Lisinopril and Amlodipine

Current Illness: High Blood Pressure

ID: 1299754
Sex: F
Age: 63
State: TX

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/08/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Severe arm pain (worse than the first vaccination), fatigue, bad headache, achy everywhere and nauseous. Took acetametaphen at about 8:30 AM with food. Some symptoms are easing up slightly as of this writing, but arm pain is still fairly intense and headache and feeling completely exhausted are not letting up.

Other Meds: None

Current Illness: None

ID: 1299755
Sex: F
Age: 36
State: WA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
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: Lamictal, Lobster, Sulfa Meds

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

Symptoms: Severe pain and tightness in injection site first and second day of being vaccinated, nausea on the first day, headache on the second day of being vaccinated

Other Meds: Fluoxetine, Quetiapine.

Current Illness:

ID: 1299756
Sex: F
Age: 28
State: IL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 05/08/2021
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: Dairy

Symptom List: Vomiting

Symptoms: Intense arm pain day after injection. Pain went down after 1 day but never went away fully. Buy arm is still in a lot of pain when raised above head a month later at injection site. It?s been over a month and I am concerned. Pain when arm is raised to take off clothing etc is 8/10

Other Meds: Multivitamin

Current Illness: None

ID: 1299757
Sex: F
Age: 44
State: MI

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/08/2021
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: Patient has seen NP stating her shoulder is still hurting from vaccine given at summit clinic on 4/26/21. Her NP recommended heat/ice to site and patient could see orthopedic dr. for evaluation. Patient feels shot was given too high in arm.

Other Meds: unknown

Current Illness: none

ID: 1299758
Sex: F
Age: 44
State: GA

Vax Date: 04/26/2021
Onset Date: 05/03/2021
Rec V Date: 05/08/2021
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: clavulanate, IV Levaquin

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

Symptoms: Delayed hypersensitivity/ Covid arm --- large circular area of redness, warmth, swelling and itching at injection site (left deltoid)

Other Meds: multivitamin with iron, paxil, ultram

Current Illness: TAH performed on 3/24/21

ID: 1299759
Sex: F
Age: 50
State: IN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/08/2021
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: Penicillin Ceftin Lysine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever (101 degrees) for about 12 hours Arm soreness for 2 days (with both 1st and 2nd shot)

Other Meds: Wellbutrin Seroquel Remeron

Current Illness: None

ID: 1299760
Sex: F
Age: 30
State: ME

Vax Date: 04/29/2021
Onset Date: 05/02/2021
Rec V Date: 05/08/2021
Hospital:

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

Lab Data:

Allergies: asthma-like sensitization to isocyanate monomers asthma-like reaction to second-hand cannabis smoke

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

Symptoms: I had a respiratory infection in Apr 2020 consistent with Covid-19. Testing was being rationed at that time and I wasn't tested until later. Shortly after that illness cleared up I developed new chest pain. This was diagnosed as pericarditis and treated with NSAIDS, eventually a 3-month course of colchicine. From approximately 3 hours to 36 hours after vaccination I experienced flu-like fatigue, joint stiffness, malaise, and chills without fever. Nothing worse than expected. On the morning of 2 May I started to experience chest pressure and pain, qualitatively the same as my previous pericarditis. Aspirin at 1:16pm gave some relief, but I switched to ibuprofen for the next dose at 5:36pm. 3 May was fine. Not pain-free but enough that I hoped this was a brief episode. On 4 May the pain was back. I called my primary care and scheduled and appointment for the morning of the 5th. Resumed ibuprofen. By midnight that night the pain was breaking through the ibuprofen and I had developed an occasional cough. Presented for an emergency evaluation, spent the night being poked and scanned. Biggest concern on labs was elevated d-dimer and occasional cough suggesting a pulmonary or cardiac infarction, but an angiogram was clean. Kept my appointment on 5th May. Tested for Covid at that time (negative), advised to watch for additional clotting symptoms, restarted colchicine. Today is 8th May. Chest pain is somewhat managed with colchicine, but still often at 1/10.

Other Meds: estradiol valerate injection, 3mg weekly Vyvanse 30mg daily clonidine 0.1mg daily

Current Illness: no acute illness 1mo prior to vaccination

ID: 1299761
Sex: M
Age: 63
State: CA

Vax Date: 05/05/2021
Onset Date: 05/06/2021
Rec V Date: 05/08/2021
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: None

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

Symptoms: Since receiving a single dose of Pfizer-BioNTech three days ago on May 5, 2021, I now have Tinnitus as loud as the construction noise coming from a crew that's building a 3-story house 100 feet away from our home. Another comparison of the Tinnitus noise level I now experience is this: if you've ever boarded a jet from the tarmac while the jet's engines are running, that's the noise I hear now.

Other Meds: B-Complex, Ester-C, Vitamin-D

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm