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: 1300819
Sex: F
Age: 63
State: LA

Vax Date: 03/31/2021
Onset Date: 04/29/2021
Rec V Date: 05/09/2021
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: macrobid

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient is having inflamed gums with blisters

Other Meds:

Current Illness:

ID: 1300820
Sex: F
Age: 34
State: VA

Vax Date: 05/06/2021
Onset Date: 05/06/2021
Rec V Date: 05/09/2021
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: Allergic to down feathers

Symptom List: Anxiety, Dyspnoea

Symptoms: 1st dose: wirhing ~6 hrs: extreme itchy face (forehead and cheek area), eyes, and inside nose (similar itchiness to what happens when spinal block epidural wears off (I've had 3 c-sections). 2nd dose: within 2 hours: itchy scalp, itchy eyes, some itchiness around nose and eyes, and itchy inside nose: 24 hours: burning eyes watery eyes and low grade fever; 36 hours: dry eyes and clogged tear ducts

Other Meds: Norethindrine, Vitamin C, Iron, Garden of Life Organic Prenatal

Current Illness: N/a; have been sequestered at home

ID: 1300821
Sex: F
Age: 39
State:

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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:

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

Symptoms: Enlarged, painful lymphoma in the armpit on the side of the body that got the injection.

Other Meds:

Current Illness:

ID: 1300822
Sex: M
Age: 36
State: IN

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Headache; chills; fever; nausea; sore muscles. Lasted approximately 36 hours. Treated with rest, fluids and Tylenol.

Other Meds:

Current Illness:

ID: 1300823
Sex: F
Age: 49
State: MD

Vax Date: 04/26/2021
Onset Date: 05/03/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Shingles

Other Meds: N/A

Current Illness: N/A

ID: 1300824
Sex: F
Age: 57
State: IN

Vax Date: 05/05/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa Drug- rash

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

Symptoms: The patient has underlying history of asthma, 2 days after the vaccination she began developing what she describes as her typical asthma type symptoms - wheezing at night time that improve with her inhalers

Other Meds: Montelukast Ventolin HFA Flovent HFA

Current Illness: no

ID: 1300825
Sex: F
Age: 39
State: IN

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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: fever, headache, chills, fatigue

Other Meds: Levothyroxine

Current Illness:

ID: 1300826
Sex: M
Age: 44
State: ID

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

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

Lab Data:

Allergies: no

Symptom List: Pharyngeal swelling

Symptoms: ITP - he received the Pfizer COVID vaccine the day prior to admission. He subsequently felt fatigued and awoke this morning with intermittent petechiae. While golfing, he subsequently noticed increased bruising over his left shoulder. He had two episodes of epistaxis for which urgent care and then ED evaluation revealed evidence of thrombocytopenia. Platelets found to be 3,000, normal Hb, normal WBC, no splenomegaly, no lymphadenopathy,. Oncology saw recommended decadron 40mg daily for 4 days

Other Meds: ibuprofen

Current Illness: none

ID: 1300827
Sex: F
Age: 35
State: IN

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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: Headache, fever, body aches, chills, sore arm. These symptoms started at 8pm, 5/7/21 (9hrs after 2nd dose) and still experiencing them right now at 9:17am if 5/9/21. Only medication being taken are two-Tylenol 500mg every 6hrs.

Other Meds: None

Current Illness: None

ID: 1300828
Sex: F
Age: 73
State: MD

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 05/09/2021
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: food allergies/ sensitivities and dust mites

Symptom List: Diarrhoea, Nasal congestion

Symptoms: "Post client vaccination client monitored for symptoms. She reported 'being jittery' and light-headed. EMT evaluation and recommendation to transfer to hospital. Client noted increased history of allergy and notes that's most allergic reactions start with 'jittery and light headedness" Site Supervisor Resport

Other Meds: Epi Pen for many allergies other not advised

Current Illness: not advised

ID: 1300829
Sex: F
Age: 52
State: IL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: Tramadol/Ultram, Narco, maybe Vicadin, bee stings

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

Symptoms: This is my second report (same vaccine Johnson and Johnson on March 23 lot #1805031) because my symptoms are still present; my first report was on 04/07/2021. I currently have depression, tinnitus, fatigue, brain fog, sometimes I feel shaky on the inside, swaying at times, and dizziness/vertigo. I sent follow-up information for my first VAERS report via mail and a pdf document to VAERS webpage; I attempted to fax several times but it came back unsuccessful; I left a message for a representative to return my call and nobody called back. I want to make sure you get this information, hence this second report. Additional Follow-up Information: Hospital Emergency Room visit on April 8, 2021: purple finger, racing heart, chest pain. EKG, body scan for blood clots, and blood panel. Doctor video visit on April 16, 2021: chest pain, feeling horrible, shortness of breath, metallic taste in the mouth, tinnitus, insomnia, anxiety, and depression. Doctor office visit on April 29, 2021: headache, dizziness, fatigue, brain fog, stress, depression, thirsty, pressure at temples and back of head and forehead, rocking, anxiety.

Other Meds: None

Current Illness: None

ID: 1300830
Sex: M
Age: 52
State: NC

Vax Date: 05/06/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None known

Symptom List: Rash, Urticaria

Symptoms: Pt reports numbness in right hand and pain in finger tips, low back pain, fever, chills

Other Meds: Amlodipine, doxazosin, ibuprofen, latanoprost eye drops, pantoprazole, sildenafil

Current Illness:

ID: 1300832
Sex: F
Age: 71
State: WV

Vax Date: 01/21/2021
Onset Date: 01/31/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: Cant take demerol...oversedates.

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

Symptoms: Tennitis. At my doctor appt on Feb 22 or next appt. I reported to her I had just started having ringing in left ear...tennitis.it has gitten worse now 5/9/21.

Other Meds: Gabapentin, asprin, metropol, eliquis, blood pressure pil, lisinopril, levothyroxin, atorvastatin, acyclovir, nortriptlin, tylenol, nasonex

Current Illness: Hx atrial fib., osetoarthritis, hx depression. Low thyroid. Polyneuropathy. Hx herpes. Srasonal and cat allergy

ID: 1300833
Sex: F
Age: 52
State: IL

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Extreme head ache, dizziness, weakness, nausea, fever, and chills

Other Meds:

Current Illness:

ID: 1300834
Sex: F
Age: 44
State: MD

Vax Date: 04/23/2021
Onset Date: 04/24/2021
Rec V Date: 05/09/2021
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: Severe body and join pain . I was diagnosed with Fibromyalgia after my spinal fusion 2017, but I never experienced a ? flared ? like this before. The 2 nd Moderna shot triggered the Fibromyalgia soft points. I I had no energy to the point the was extremely difficult to walk. I was very depressed. My stomach was upset and I had headaches on and off. The night when the symptoms stared I vomited a few times , then always nauseous . The symptoms lasted for almost exactly two weeks since the day I received the second shot.

Other Meds: Topiramate ER 150 Daily Tizanidine 4 mg Daily Savella 200 mg Daily 2. Benadryl Daily Venlafaxine 37.5 mg Daily Cyclobenzaprine 10 mg as needed.

Current Illness: I?m waiting for my second blood work results to come back. The first one done by the primary came back per my Rheumatologist, most likely showing a false positive for Lyme My mother was diagnosed with Rheumatoid arthritis when she was 50 years old.

ID: 1300835
Sex: M
Age: 18
State: CO

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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: About 6 hours after the shot, I started getting pain in my arm. 2 hours later, I woke up and was severely shivering for two hours straight. In the morning, I woke up again with a fever of 104 and I dry heaved. My fever broke, but then a few hours later I got another low grade fever. I felt better about 24 hours after my shot.

Other Meds:

Current Illness:

ID: 1300836
Sex: F
Age: 25
State: FL

Vax Date: 01/22/2021
Onset Date: 03/01/2021
Rec V Date: 05/09/2021
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: Right lung is diminished leaving a lasting affect of difficulty breathing. Affects everyday tasks such as walking and cleaning and working.

Other Meds: Lexapro. 20mg once a day.

Current Illness: None

ID: 1300837
Sex: M
Age: 31
State: MN

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

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

Lab Data:

Allergies: Shellfish

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient received COVID 19 vaccine through work at the company in the location on 05/05/2021. 14:45. Said he didn't feel "right" immediately. Waited the 15 minutes without sxs of allergic reaction and went home. On arrival home felt dizzy and laid down. Had initial ED visit that night and again on morning of 05/09/2021. Full body hives, itching, facial swelling, throat swelling.

Other Meds: none

Current Illness: none

ID: 1300838
Sex: M
Age: 34
State: IN

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Headache, body aches, fever (highest measured temp of 100.8 F)

Other Meds:

Current Illness:

ID: 1300839
Sex: M
Age: 22
State: IN

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: Hummus, fava beans

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

Symptoms: Sore right arm shortly after the shot. Arm is still slightly sore as of completing this form. Lost of appetite, chills, sweating, and mild fever starting 12 hours after the shot. Took Ibuprofen shortly after the symptoms showed up. Symptoms lasted for 7 hours.

Other Meds: Ibuprofen

Current Illness:

ID: 1300840
Sex: M
Age: 30
State: CA

Vax Date: 05/08/2021
Onset Date: 05/09/2021
Rec V Date: 05/09/2021
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:

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

Symptoms: Cold sweats overnight, body hot to the touch in the morning but no fever (98.7). Dehydrated, body sore, head ache. Numb finger tips.

Other Meds:

Current Illness:

ID: 1300841
Sex: F
Age: 22
State: NY

Vax Date: 05/09/2021
Onset Date: 05/09/2021
Rec V Date: 05/09/2021
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: Client indicated they do not do well with shots. I offered wheelchair. Patient accepted. Reported Hx of syncope with shots - administered shot - patient reported not feeling well within 30 seconds of injection - became pale - had emesis never fully syncopal.

Other Meds: Paxil 60 mg daily

Current Illness: none

ID: 1300842
Sex: M
Age: 29
State: MD

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 05/09/2021
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 advised

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

Symptoms: "Subject was walking out to leave when he suddenly got lightheaded, dizzy and had a near syncopal episode (falling to the ground). He was not injured. He was treated and released by EMS. Patient accepted assessment/refused transport to hospital." per site supervisor report.

Other Meds: not stated

Current Illness: None advised

ID: 1300843
Sex: F
Age: 47
State: IN

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: none, only yellow jacket/bee/wasp stings

Symptom List: Injection site pain, Pain

Symptoms: Normal flu like symptoms by 12 midnight Sat. but by late Saturday left arm developed red swollenness in upper arm and spread a couple of inches, also red and warm. Took a photo of it. Reminded me of when I would get desensitization allergy venom shots years ago. Still occurring Sunday morning nearly 48 hours after vaccine administered.

Other Meds: multivitamin, time release vitamin C, calcium + D

Current Illness: none

ID: 1300844
Sex: F
Age: 61
State: FL

Vax Date: 04/24/2021
Onset Date: 05/01/2021
Rec V Date: 05/09/2021
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 known

Symptom List: Injection site pain, Menorrhagia

Symptoms: 1st dose put in left arm front not side where it should have been given, extremely painful during injection but only sore for next few days. Second dose given by same person. Was asked by me to please put on the side but was ignored and again put in front part of arm not where it belongs. Was painful for a few days and some fatigue but was ok for about a week. About 8-10 days after injection arm became extremely painful at injection site and has gotten worse. pain radiates down arm into elbow and hand. Arm is basically useless as the pain is extreme upon any use. Some swelling around where injection site is but no rash or soreness.

Other Meds: none

Current Illness: none

ID: 1300845
Sex: M
Age: 41
State: MT

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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: None known

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

Symptoms: I got the shot (this my second in the series). No adverse effects immediately. I went to bed that night, and woke up just after midnight to tremendous ringing in the ears. I thought I was hearing something outside, but it was in my ears. I also had very sore body muscles. I got up the next day the the symptoms persisted.l throughout the day. The body aches slowly diminished and eventually went away, but the constant ear ringing has persisted. Today is the 9th.

Other Meds: None

Current Illness: None

ID: 1300846
Sex: M
Age: 36
State: IN

Vax Date: 05/06/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe, unrelenting migraine for over 24 hours, high fever with chills, nausea and dizziness.

Other Meds:

Current Illness:

ID: 1300847
Sex: F
Age: 61
State: OH

Vax Date: 05/08/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: After injection, while waiting in lobby, patient felt lightheaded and nauseated and looked pale. Vomited once. Appeared to be a vasovagal response and patient was assisted by staff to lie down across 3 chairs. After several minutes laying flat she began to feel better. Sat up in chair and staff provided water and cool damp cloth. She remained for 10 more minutes after which she said she felt much better and color had returned to face. Staff ambulated with her to the lobby and she denied any more symptoms

Other Meds: Unknown

Current Illness: Unknown

ID: 1300848
Sex: F
Age: 64
State: WI

Vax Date: 05/05/2021
Onset Date: 05/05/2021
Rec V Date: 05/09/2021
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: After nearly 12 hours, I had an extreme case of the chills accompanied by nausea, body aches, and lethargy. These symptoms lasted approximately 48 hours.

Other Meds: 20mg Crestor, daily multi-vitamin, fish oil, vitamin D3, turmeric, 1000 mg vitamin C, Co-Q10, glucoseamine chrondroitin

Current Illness: None

ID: 1300849
Sex: F
Age: 64
State: IN

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
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: No fever, but skin feels hot and hands & feet are cold & slight headache - a little achy, but Tylenol helped. Symptoms began 24 hours after shot given, but ended by next morning.

Other Meds: Lisinopril Simvastatin Metformin OTC multi-vitamin Fish oil CoQ10 Omeprozole

Current Illness: None

ID: 1300850
Sex: F
Age: 31
State: NY

Vax Date: 05/04/2021
Onset Date: 05/05/2021
Rec V Date: 05/09/2021
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: Chills, fever (101.6F), sweating, headache, nauseau, loss of appetite; resolved in 24 hours

Other Meds: Buspirone 5 mg

Current Illness: None

ID: 1300851
Sex: M
Age: 36
State: NY

Vax Date: 04/25/2021
Onset Date: 05/06/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: Seasonal

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

Symptoms: Diagnosed with shingles for the 1st time in my life approximately 2-3 weeks after vaccination

Other Meds: Nexium, Zyrtec

Current Illness: No

ID: 1300853
Sex: M
Age: 69
State: MI

Vax Date: 05/07/2021
Onset Date: 05/07/2021
Rec V Date: 05/09/2021
Hospital: Y

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

Lab Data:

Allergies: Vicodin

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

Symptoms: Patient had his second Moderna COVID vaccine on 5/7 while at dialysis. He would then have a stroke a few hours later. He did receive TPA as well as thrombectomy, without significant improvement in his deficits.

Other Meds: Carvedilol Torsemide Lantus Pantoprazole Ferrous Sulfate Atorvastatin Allopurinol Tylenol

Current Illness:

ID: 1300854
Sex: M
Age: 55
State: FL

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 05/09/2021
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: Tremor

Symptoms: High fever 104.5 the evening of shot along with chills. 1st trip to urgent care on 04/28/21. No testing, doc recommend Tynol for fever. Fever decreased with meds but would spike once meds wore off. 6 days later welts/hives appeared along backside with swelling in groin area & left side of lips. 2nd trip to urgent care 05/02/2021 doc treated for allergic reaction by administrating a steroid shot plus prescribed 10mg of Cetirizine, Prednisone along with an Epi pen. Fever was at bay for 2 days but then resummed

Other Meds: Losartan

Current Illness: N/A

ID: 1300855
Sex: F
Age: 61
State: FL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 05/09/2021
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: Shellfish

Symptom List: Erythema, Pruritus

Symptoms: It seems like it took a long time to complete administering the vaccine. I felt almost faint than I heard/felt a "pop". The next day the soreness from the arm migrated to the back/top of the left shoulder, then up the left side of the neck then up to the ear. The pain/soreness then come over to the front of the should down under the clavicle bone. The pain/soreness is still present today with mild headaches.

Other Meds: Pantoprazole 20 mg, Probiotic 50 billion, Vitamin D3 50 mcg.

Current Illness:

ID: 1300856
Sex: M
Age: 31
State: MD

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 05/09/2021
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: None provided

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

Symptoms: Client stated migraine post vaccine.

Other Meds: None provided

Current Illness: None advised

ID: 1300857
Sex: M
Age: 31
State: IN

Vax Date: 05/06/2021
Onset Date: 05/09/2021
Rec V Date: 05/09/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Dyspnea; Full evaluation with EKG (normal); treated with albuterol inhaler and OTC therapies with close monitoring and education for rapid follow up with ER if changes in chest symptoms or worsening.

Other Meds:

Current Illness:

ID: 1300858
Sex: F
Age: 67
State: OH

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 05/09/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Hospitalized on 3/31 following episode of unresponsiveness and confusion that started roughly 18hrs after vaccination. Patient had similar presentation requiring hospitalization after first vaccine dose as well Initially presented to Hospital. Workup there included empiric antibiotic therapy, antiviral therapy did not result in improvement, MRI brain and lumbar punctures non-significant, required intubation early in admission for a brief period, then likely developed HAP/VAP and ARDS requiring re-intubation and was transferred to higher level of care our main campus facility from which I am reporting this. Here, rheum/neuro workup largely negative. Her course has been c/b multiple DVTs and Aflutter that has resolved. So far, workup for AMS and fevers have been extensive -- BEM, LP, MRI, thora, bronch w BAL were unremarkable. The patient has been monitored off abx without hemodynamic changes. She did not improve despite various abx administered and did not really respond to seroquel for her delirium. At one point, the husband was considering hospice because nothing had improved her clinical status. Given her rheumatologic hx and declining mental status after the vaccine, the patient was treated with methylpred 1 daily x3 and this dramatically improved her clinical course. She began to wake up and per the ICU, was AOx2-3 at one point, whereas she had not responded even to painful stimuli at one point. She still did have some hypoactive delirium. At this point, she was deemed stable enough to be transferred. Our phsyicians were following her through the admission, was not aware and speaking again until 5/5/21. Currently she is undergoing epilepsy workup and is still hospitalized.

Other Meds:

Current Illness:

ID: 1300859
Sex: F
Age: 39
State: FL

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Doxicycline

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

Symptoms: 1. Diarrhea started at 7pm the following day 2. Itchy skin rash on neck, chest, back noticed 48 hours after injection

Other Meds: Hair, Nail, and Skin Gummies

Current Illness: No

ID: 1300860
Sex: F
Age: 25
State: MI

Vax Date: 05/04/2021
Onset Date: 05/04/2021
Rec V Date: 05/09/2021
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: I have had minor tinnitus over the past couple of years. Infrequent and rises and falls in volume (especially loud with migraines or stress). Heard as a high pitched ring in both ears, typically slightly louder in left. No perceived increase in volume after first shot (April 3, 2021). After my second shot (May 4, 2021) it has been extremely loud and constant for almost a week now. I have zero hearing loss (went to a ENT about two months ago and got tested) and am in overall good health.

Other Meds: Baclofen Gabapentin Claritin

Current Illness:

ID: 1300861
Sex: M
Age: 56
State: NC

Vax Date: 05/03/2021
Onset Date: 05/05/2021
Rec V Date: 05/09/2021
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: None

Symptom List: Pain in extremity

Symptoms: Racing heartbeat (143-157 bpm) waking from sleep.which lasted approximately 30 min. Consulted primary Dr office. They did EKG and sent me to hospital emergency room. I was admitted for overnight stay. Ultrasound and catheterization procedure was done. No blockages or issues found. No previous issues know. Last nuclear stress test was done in 2017 with no issues found. Currently on 24 hr heart monitoring.

Other Meds: None

Current Illness: None

ID: 1300862
Sex: F
Age: 41
State: IN

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

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

Symptoms: 2hrs post dizziness, vertigo, slowed speech, arm pain, arm rash near injection site 5hrs - 24 hrs post extreme chills, extreme muscle ache, joint pain, headache, had to lay on floor 24hrs - 48hrs post crushing chest pain , stomach pain 48hrs post eye inflammation right eye hurt to blink

Other Meds: Spironlactone, Xanax, ortho novum

Current Illness: No

ID: 1300863
Sex: M
Age: 54
State: IN

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Site injection pain; Body Aches; tiredness;headache; minor fever (2 degrees above normal but below 100)

Other Meds: invokana;januvia;atorvastatin

Current Illness: None

ID: 1300864
Sex: F
Age: 57
State: FL

Vax Date: 03/24/2021
Onset Date: 04/03/2021
Rec V Date: 05/09/2021
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: Broke out in hives seven days after my first shot, waited about a week to see if they would go away, treated with Prednisone and Zyrtec, no change, they got worse. A week or so later went to an allergist a couple of days before my second shot who assured me it wasn't from the vaccine, prescribed Triamcinolone Acetonide which helped with the swelling but kept getting outbreaks, went to my dermatologist about 1 and 1/2 weeks later who took a biopsy and said the biopsy showed a "drug" reaction. Told me to wait it out another month until it got through my system. That was 3 days ago and I'm still breaking out.

Other Meds: none

Current Illness: none

ID: 1300865
Sex: M
Age: 16
State:

Vax Date: 05/09/2021
Onset Date: 05/09/2021
Rec V Date: 05/09/2021
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 reaction, awaked quickly, tolerated , ambulates with difficulty, no further symptoms, no medication taken then released at 08: 30 AM

Other Meds:

Current Illness:

ID: 1300866
Sex: F
Age: 51
State: MD

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 05/09/2021
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 advised

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: "Client reported feeling hot and wanted to have her vitals checked. EMS attended to her. EMS reported that her vitals were stable throughout. While waiting in EMS area, she reported dizzy and jittery. She decided to go to the hospital to get checked, via Ambulance." "Pt also stated that she is going through menopause and feeling hot is not unusual." Supervisor Report

Other Meds: None advised

Current Illness: None advised

ID: 1300867
Sex: F
Age: 74
State: IL

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 05/09/2021
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: Sulphate

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

Symptoms: Sciatica Shingles

Other Meds: Triamterine Vesicare D3 Lutein Baby aspirin Calcium Metoprolol Prilosec

Current Illness: None

ID: 1300868
Sex: F
Age: 52
State: GA

Vax Date: 04/04/2021
Onset Date: 04/06/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The second night after the shot I was awakened out of a sound sleep at 3AM with a pain across the entire top of my upper chest (at the top of the breast region) it was a though someone had turned a 2x4 on its side and was standing on it. I was clammy and had some hives on my back and hips. I sat on the side of the bed I stretched my arms did some yoga type moves trying to see if being less active the day after the shot maybe had my back a little tight causing the pain. I chewed two tums thinking that might help to get rid of the pain even though I knew it was worse than heartburn. After 15 mins at 3:15 I woke my husband to let him know it was not going away and that I was not sure what was going on but just in case I did not want to be ridiculous and sit there and have a heart attack. I'm not one to run to the doctor, I'm very healthy but thought to myself this may be more serious. My husband ask about calling for help and I said lets just see what happens and just know if I need help then you at least know my symptoms now . I woke the next morning and felt much better and made a joke about all the crazy people being right stating "they are trying to kill us" Later in the week on Thursday playing tennis I felt me left arm going numb, I shrugged it off to hitting the ball hard and it never crossed my mind about anything else. Two weeks to the day on Sunday Morning I woke with a migraine that made me feel I was going to throw up. The news just came out about J& J and the few family members that knew about my adverse reaction urged me to report and go to the Dr. I'm currently dealing with a bruise (I usually don't bruise badly) on my left front chin- I could have hit it on something who knows but it has been there now over a week.

Other Meds: vit. D, multi vit.

Current Illness: none

ID: 1300869
Sex: F
Age: 51
State: SC

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 05/09/2021
Hospital:

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

Lab Data:

Allergies: Pineapple allergy, suspected cashew allergy, sensitivity to morphine

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

Symptoms: Went to bed with a sore arm, as expected, & woke up about 12:40am (a little over 13 hours after injection) shaking. Within 15 minutes I was shaking so hard that I could not stand straight to walk & needed assistance. I had to sit to scoot down the stairs to get to a tolerable position. The shaking continued to get worse to the point that I was hyperventilating. After a couple hours of shaking & being unable to take in full breaths I began to have tingling & some numbness in my feet & hands up to my elbows. This went on for about four hours then started to taper off where I could breathe better. It took an additional hour & a half to finally fall asleep. The next day was soreness & extreme exhaustion but no more shaking.

Other Meds: Zyrtec 10mg otc (taken before), Vitamins D, E, C, B-complex, magnesium, krill oil (supplements taken hours after with a meal)

Current Illness: Dust mite allergy year round compounded by seasonal allergy symptoms

ID: 1300870
Sex: M
Age: 60
State: NH

Vax Date: 05/07/2021
Onset Date: 05/08/2021
Rec V Date: 05/09/2021
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: Debilitating pain in left arm, exceeding that of a broken limb. 101*F fever, chills, sweat spells, body ache, headache, mental fog, upset stomach. I've never felt more sick in my life. Would have gone to ER however my wife suffered the same vaccination reaction (was vaccinated at the same time/location) and was unable to drive.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm