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: 1300973
Sex: F
Age: 74
State: NJ

Vax Date: 03/29/2021
Onset Date: 04/07/2021
Rec V Date: 05/09/2021
Hospital: Y

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

Lab Data:

Allergies: Contrast dye and penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: 9 days after the second shot I experienced whAt had been diagnosed as an ocular migraine by 2 separate physicians, an urgent card and retinologist. Three days later an mri diagnosed a 2 mm finding in my thalamus.

Other Meds: No

Current Illness: No

ID: 1300974
Sex: M
Age: 33
State: NY

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Rectal bleeding appeared one day after first dose and disappeared 2 weeks after second dose. Treatment for hemorrhoids including cream and increased fiber and water intake started 04/01/2021

Other Meds: Thc and cbd oil

Current Illness: None

ID: 1300975
Sex: M
Age: 27
State: IN

Vax Date: 05/01/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Sleeplessness and Insomnia all night untill through 6:00am the next day when I had to go take sleep inducing medicines from a gas station

Other Meds: N/A

Current Illness: N/A

ID: 1300976
Sex: F
Age: 37
State: PA

Vax Date: 04/09/2021
Onset Date: 05/05/2021
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: Amenorrhea. Patient has experienced a disrupted menstrual cycle not due to pregnancy. Other causes were ruled out.

Other Meds: Metformin, symbacort, Topimax, clonidine, multivitamin, fish oil, Yaz (BCPs)

Current Illness:

ID: 1300977
Sex: M
Age: 58
State: CA

Vax Date: 03/06/2021
Onset Date: 03/10/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Headache comes and go through out the day and evening right until sleep. I am not taking any medication because the headache is bearable

Other Meds: None

Current Illness: None

ID: 1300978
Sex: F
Age: 50
State: MN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
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: zythromax, minocyclene,

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

Symptoms: 30 to 40 minutes after shot - neck pain, sharp pains through whole left side body, lower left back pain with 2 mysterious bruises that came on lower left back not bumped evening of shot - whole left arm and hand ache and pain, hurt to move hand, body aches, ache at injection site 1st or 2nd evening after shot - left arm and hand didn't want to work or move smoothly "like dying battery" flickery or off on operation, but normal movement by morning by one week most symptoms gone -BUT- still ache left arm and hand and still ache left neck Today and yesterday sharp pain under left rib came back

Other Meds: levothyroxine, liothyronine, niacinamide, vit D

Current Illness: none

ID: 1300979
Sex: F
Age: 28
State: AZ

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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pain in armpit on the side of the body where the injection was given

Other Meds: None

Current Illness: None

ID: 1300980
Sex: M
Age: 43
State: WA

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Nickel, Seasonal allergies

Symptom List: Pharyngeal swelling

Symptoms: Muscle soreness, fatigue, low fever, nausea, diarrhea, chemical smelling stools.

Other Meds: Vitamin D (5000 IU), Loratadine (10mg)

Current Illness: none

ID: 1300981
Sex: F
Age: 41
State: CO

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Painful swollen lymph nodes under arm, same side where I got vaccinated.

Other Meds:

Current Illness:

ID: 1300982
Sex: F
Age: 27
State: MO

Vax Date: 04/06/2021
Onset Date: 04/07/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Suddenly felt dizziness and chills and passed out for a minute. When woke up, my arms were numb.

Other Meds:

Current Illness:

ID: 1300983
Sex: F
Age: 22
State: IN

Vax Date: 05/02/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Hives covering stomach, neck, face, ears, legs

Other Meds: Adderal Balcoltra

Current Illness: None

ID: 1300984
Sex: F
Age: 35
State: OH

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: amoxicillin, codeine, ibuprofen

Symptom List: Rash, Urticaria

Symptoms: Dizzyness, lightheadedness

Other Meds: Insulin, Depakote, buspirone, cozaar

Current Illness:

ID: 1300986
Sex: M
Age: 52
State: NY

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: "I watch a customer get his Vaccine at 1:13pm while I waited for mine at 1;35. He seemed happy and moved to the recovery area allowed for 20 minutes rest to see if there were any reactions. He complained after 10 minutes of having a fever and asked for cold, cold water. He was sweating and his T-shirt looked very wet, At this point the pharmacist attended him and called 911. I heard a staff member of the Shop say that was the 6th one to have a reaction that week that they knew about. I got up and left and did not get my vaccine. "

Other Meds: None

Current Illness: None

ID: 1300987
Sex: F
Age: 74
State: WI

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: PT STATED HAVING A SPIKE IN HER BLOOD SUGARS (>500) ROUGHLY 24 HOURS AFTER HER 2ND DOSE OF COVID VACCINE. PT STATED IT WAS VERY UNUSUAL FOR HER BLOOD SUGARS TO SPIKE THAT HIGH AND HAS HAD NO RECENT HISTORY OF A BLOOD SUGAR THAT HIGH.

Other Meds: MYCOPHENOLIC, TACROLIMUS, PRAVASTATIN, SERTRALINE

Current Illness: NONE

ID: 1300988
Sex: F
Age: 38
State: OR

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Avocados

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

Symptoms: 2 to 3 hours after shot, I was feeling a little light-headed (similar to if I had taken one or two sudafed tablets); generally feeling slow and slightly forgetful; the next day (5/9), the same symptoms were still present, and I noticed swelling & tenderness in both breasts, and swelling in the groin area, also slight shortness of breath and slightly faster heart beat

Other Meds: none

Current Illness: none

ID: 1300989
Sex: F
Age: 45
State: IL

Vax Date: 05/03/2021
Onset Date: 05/06/2021
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: NA

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

Symptoms: Continuing unbearable pain in lower back and Lower back muscles.

Other Meds: NA

Current Illness: NA

ID: 1300990
Sex: F
Age: 58
State: MD

Vax Date: 04/27/2021
Onset Date: 05/04/2021
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: N/A

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

Symptoms: DAY AFTER SECOND DOSE - GOT CHILLS/FEVER/HEADACHE SEVEN DAYS LATER DEVELOP SEVERE HEADACHES, FEVER BLISTER -CANKER SORE IN THE RIDE SIDE OF MY CHIN - CHILLS/FEVER 101-103 - SWOLLOW LYMPH NOSE AND KNOTS IN THE BACK OF NECK AND TENDER RISE INTHE LEFT SIDE MY HEAD.

Other Meds: Injection B12

Current Illness: None

ID: 1300991
Sex: F
Age: 27
State: MO

Vax Date: 05/07/2021
Onset Date: 05/08/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I suddenly felt dizziness and stomach pain and could not support myself. After a minute, my arms felt numb. Recovered after another minute. On the second day, I experienced fever, headache and fatigue.

Other Meds:

Current Illness:

ID: 1300992
Sex: F
Age: 36
State:

Vax Date: 04/28/2021
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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Sore arm, redness around injection site about 4in, headache Have had it it one day now with no change.

Other Meds: None

Current Illness: None

ID: 1300993
Sex: M
Age: 26
State: IN

Vax Date: 05/07/2021
Onset Date: 05/08/2021
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:

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

Symptoms: Fatigue, chills, body aches

Other Meds:

Current Illness:

ID: 1300994
Sex: F
Age: 56
State: WV

Vax Date: 04/07/2021
Onset Date: 04/09/2021
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: Sore left nodes under arm. Red patchy swollen red mark under injection site on left arm. Began to itch for couple days.

Other Meds:

Current Illness: Migraine

ID: 1300995
Sex: F
Age: 56
State: FL

Vax Date: 04/17/2021
Onset Date: 04/21/2021
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: Not known

Symptom List: Unevaluable event

Symptoms: Patient received their first dose on Pfizer on the morning of 04/17/2021 and later that night began noticing discoloration in numerous areas of her body including: inside of ankles, forearms, breasts, back, lower abdomen, calves region. Over the next day or so those discolored areas mentioned previously began blistering and turned into open sores. She went to her primary physician where they completed blood tests, which returned as normal, and a physical exam. The physician's conclusion was a shingles-like reaction. Over several weeks the blisters and sores healed leaving a discolored area. The patient mentioned that the areas mentioned did not itch or produce any hives. They were only painful. The physician recommended the patient go back to the pharmacy where she received that first dose so she could discuss the reaction with the pharmacist and obtain the lot number, so this incident may be reported. The patient reported to me that she did in fact have a varicella infection when she was younger. She has numerous photos taken if you decide to investigate further. She has received influenza vaccinations in the past with no reactions.

Other Meds: Not known

Current Illness: Not known

ID: 1300996
Sex: F
Age: 51
State: NJ

Vax Date: 04/12/2021
Onset Date: 04/12/2021
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

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

Symptoms: left arm (close to shoulder) where injection occurred. feels like a nerve was pinched. it's not sore but pinches acutely during certain motions.

Other Meds: none

Current Illness: none

ID: 1300997
Sex: M
Age: 44
State: IN

Vax Date: 05/01/2021
Onset Date: 05/07/2021
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: Sulfur medications

Symptom List: Injection site pain, Pain

Symptoms: Mild fever 100.4, body aches, slight chills , slight headache. Tiredness. I drank plenty of fluids, Tylenol, bed rest

Other Meds: Folic acid, Omeprazole, methotrexate, hydrocodone, Tylenol

Current Illness:

ID: 1300998
Sex: F
Age: 19
State: ME

Vax Date: 04/21/2021
Onset Date: 04/24/2021
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: mango skin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Itchy, swollen toes progressed to elbows within the first few days. The rash slowly began reaching her knees, ankles and thumbs. This lasted for about one week. There were days with minimal presence of a rash but then it returned initially on the elbows and the backs of heels/achilles tendons. Over a course of 2 weeks, the rash has flashed up in various areas for a few days at a time. Today (5/9/21) there is swelling and redness on her feet (bottoms and sides) and her fingers. There is a tingly sensation with movement and her skin feels tight to move. She is due to have second vaccine in 3 days.

Other Meds: none

Current Illness: none

ID: 1300999
Sex: M
Age: 42
State: UT

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

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: Appendicitis

Other Meds:

Current Illness:

ID: 1301000
Sex: F
Age: 16
State: NY

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 20 hours after receiving the vaccine I felt very dizzy and nauseous for a moment and then fainted and was unconscious for a minute. I had developed a fever about 8 hours after receiving the vaccine, but by the time I fainted the fever was pretty much gone.

Other Meds: None

Current Illness: None

ID: 1301001
Sex: F
Age: 56
State: WA

Vax Date: 04/30/2021
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: None Known

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I had not shown any adverse reactions other than pain in the injection site on day one. One week after the first shot, I developed redness and swelling with pain at the injection site (approximately 3 inches in length by 1 inch in width).

Other Meds: Tamoxifen 20mg, multi-vitamin, CoQ10

Current Illness: None

ID: 1301002
Sex: M
Age: 22
State: IN

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:
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: Extreme shivering that woke me up, took much longer than usual to get warm. Next morning, I had a headache and 100 degree fever

Other Meds: None

Current Illness: None

ID: 1301003
Sex: M
Age: 43
State: MN

Vax Date: 04/28/2021
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: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Shingles. I received the second dose of covid vaccine on Wed, April 28. Three days later, Saturday May 1, I woke up with intense abdominal pain, spanning the entirety of my stomach, and wrapping around my right oblique and kidney area. I had thrown out my back one week prior, assumed this was more muscle pain, and treated it as such. The Monday following, May 3, I went to the chiropractor, still in intense pain, but also with a tingling sensation on the affected area, sensitivity to the touch without pain. I assumed that I had burned myself with the heating pad. Wednesday a rash began to form in the affected area. My pain was nearly gone, I no longer felt muscle tightness, and assumed that the condition was resolving itself, and that the rash was heat rash from the heating pad. Friday the rash was redder and my abdomen showed signs of significant swelling. I still thought this was muscular, that perhaps I had pulled the abdomen, treated with ice and decided to visit Orthopedic urgent care Saturday. Saturday the pain had increased. I went to Urgent care, and was told I have shingles. I asked if the covid vaccine could have caused shingles to flare, was told "theoretically", but thar we do not really know enough to say whether the vaccine contributed, or whether it was coincidence. At home, I read a bit on the covid vaccine qnd shingles, saw what appeared to be anti-vaccer propaganda, but also read about this self-reporting system...so, I thought that I might as well submit my info.

Other Meds: Vitamin D Elderberry

Current Illness: Inflammation in back muscles

ID: 1301004
Sex: M
Age: 31
State: MD

Vax Date: 04/08/2021
Onset Date: 04/08/2021
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: LA

Lab Data:

Allergies: None indicated

Symptom List: Injection site pain

Symptoms: "Patient who had recently been vaccinated approached me and stated that he did not feel well." "Complaining of weakness and dizziness after COVID Vaccine." "Pale and notably diaphoretic" "Vital signs assessed and found to be bradycardia and hypotensive in seated position. EKG completed and transport to medical facility via medic ambulance." 11:43 BP 90/31, HR48 (weak, regular), RR 16 normal and SpO2 98% room air. 11:46 BP 86/39, HR52, SpO2 98% 11:55 BP 125/68, HR73, SpO2 100% 12lead performed to show brady-sinus with no indications of heartblock. IV fluids, 100mL LR via 20g in LAC.

Other Meds: None indicated

Current Illness: None indicated

ID: 1301005
Sex: F
Age: 74
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sensitive to epinephrine, Darvon

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

Symptoms: 102 fever, chills, nausea, headache, severe body aches and weakness. Fever continued to 5/9/2021.

Other Meds: Irbesartin, Metoprolol

Current Illness: Seasonal allergies

ID: 1301006
Sex: F
Age: 22
State: IN

Vax Date: 05/02/2021
Onset Date: 05/04/2021
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: RA

Lab Data:

Allergies: NKDA

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

Symptoms: Hives

Other Meds: Adderall, Balcoltra, Claritin

Current Illness:

ID: 1301007
Sex: F
Age: 37
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:

Symptom List: Tremor

Symptoms: Fever / chills for about 3 hours beginning about 25 hours after injection

Other Meds:

Current Illness:

ID: 1301008
Sex: F
Age: 61
State: IL

Vax Date: 05/07/2021
Onset Date: 05/09/2021
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: Non

Symptom List: Erythema, Pruritus

Symptoms: Large hive on forearm of arm injected

Other Meds:

Current Illness: Non

ID: 1301009
Sex: M
Age: 37
State: TN

Vax Date: 04/30/2021
Onset Date: 05/01/2021
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:

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

Symptoms: Swollen Lymph near collar boner

Other Meds:

Current Illness:

ID: 1301010
Sex: M
Age: 39
State:

Vax Date: 05/01/2021
Onset Date: 05/01/2021
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: Headache, fever, chills, stuffy nose, slight cough, tiredness. All less than 24 hours after receiving shot. Headache, tiredness, slight cough, stuffy nose still less than 48 hours later.

Other Meds:

Current Illness:

ID: 1301011
Sex: F
Age: 85
State: NY

Vax Date: 04/07/2021
Onset Date: 04/09/2021
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: Sulfur, zantac, sudafed, actonol, erythromycin, doxycycline, melon, soft shell crabs, stinging insects.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: April 9- mild headache and 2 dizzy spells 2 to 3 minutes each April 21- severe dizzy spell, 10 minutes long April 21- Dr. examination followed by blood work and brain CAT scan. All tests came back normal. April 23- severe migraine, feeling very sick, no appetite April 24- present- lite headed dizziness, unsteadiness

Other Meds: Atenelol, pataprazol, oxycodone-acedemedaphin, vitamin D

Current Illness: None

ID: 1301012
Sex: F
Age: 49
State: CA

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: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Painful, swollen lymph nodes in neck and armpit

Other Meds: Lexothyroxine, fluticisone, Zyrtec, vitamin D, B12,multivitamin

Current Illness: None

ID: 1301013
Sex: F
Age: 47
State: PA

Vax Date: 04/26/2021
Onset Date: 05/01/2021
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: none

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

Symptoms: 5 days following 2nd shot, an extremely itchy, painful rash appeared on the middle of my left arm, and worsened over the course of a week. Blisters, oozing occurred and has not healed yet.

Other Meds: Bupropion HCL XL 450 mg, Levothyroxine 75 mcg, Lamotrigine 150 mg, Amlodipine 7.5mg

Current Illness: none

ID: 1301014
Sex: F
Age: 52
State: PA

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Second day sudden symptoms. Overall sickness, extreme cramps! Nausea and diarrhea. I was so sick it was hard to get home from work. The diarrhea lasted about 2 hours. The second day I still have some pretty good cramps. And still feeling pretty sick. I will not be getting a second shot.

Other Meds: Citalopram 20 mg Pantoprzole 40 mg

Current Illness: None

ID: 1301015
Sex: F
Age: 74
State: MI

Vax Date: 03/31/2021
Onset Date: 04/07/2021
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: Penicillin

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

Symptoms: Dizziness after first vaccine 1 time. Several episodes after 2nd vaccine.

Other Meds: Amlodipine, metformin, losartan, Januvia, cholesterol medication

Current Illness: N/a

ID: 1301016
Sex: M
Age: 21
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Headache (ongoing), Muscle soreness (ongoing), Swollen lymph node in left armpit (started on 5/9), nausea (when I woke up on the 8th), chills, elevated resting heart rate (around 100 BPM)

Other Meds: None

Current Illness: None

ID: 1301017
Sex: F
Age: 34
State: MA

Vax Date: 04/30/2021
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: Percocet Prednisone Crab Artificial sweeteners

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

Symptoms: One week after the vaccine, I developed a large rash surrounding the injection site. It caused Redness, swelling and itching.

Other Meds: Pre natal supplement

Current Illness: None

ID: 1301018
Sex: M
Age: 54
State: NC

Vax Date: 05/08/2021
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: NKDA

Symptom List: Vomiting

Symptoms: Woke up incredibly sore. Muscle aches in my legs and arms. My left arm at the injection site feels like lead. Left side of my chest is sore. Pounding headache.

Other Meds: Tylenol

Current Illness: None

ID: 1301019
Sex: F
Age: 54
State: IA

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 102.5 fever. Chest pains, very uncomfortable. Bone pain, joint pain. Shooting pain in ears and knee. Sharp stomach pains. Fatigue.

Other Meds: Oxybutinin, estrogen, B complex, D.

Current Illness:

ID: 1301020
Sex: F
Age: 14
State: HI

Vax Date: 04/16/2021
Onset Date: 04/16/2021
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:

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

Symptoms: Patient accidentally vaccinated underage, no adverse reaction

Other Meds:

Current Illness:

ID: 1301021
Sex: M
Age: 85
State: FL

Vax Date: 04/05/2021
Onset Date: 04/20/2021
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: Shingle ?

Other Meds: Losartan, - Vit B12 -Fish Oil - Vit D3 - Centrum Silver - Zinc - Vit C -

Current Illness: None

ID: 1301022
Sex: F
Age: 28
State: VA

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: 2am next day. Stomach cramps, vomiting, sweating. Next day, extreme fatigue and nausea.

Other Meds: Adderall XR 20 mg capsule. Dextroampamphetamine 5mg. Lexapro 15mg. One a day vitamin. Vitamin d.

Current Illness: none

ID: 1301023
Sex: M
Age: 37
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Muscle aches, headache, fatigue

Other Meds: Venlafaxine 75mg

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm