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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1301130
Sex: U
Age:
State:

Vax Date:
Onset Date:
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1301131
Sex: F
Age: 77
State: GA

Vax Date: 04/27/2021
Onset Date: 05/01/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: PATIENT INJECTION SITE BECAME INFLAMMED 4 DAYS FOLLOWING VACCINE. THE AREA IS ITCHY, SLIGHTLY WARM, RED COVERING A LARGE PORTION OF UPPER ARM, AND PATIENT REPORTED HER SKIN PEELED.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1301132
Sex: M
Age: 18
State: OH

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: None

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

Symptoms: Flu like symptoms lasting for about 18 hours, beginning about 12 hours after injection. Fever, muscle aches, extremely tired, mild headache.

Other Meds: None

Current Illness: None

ID: 1301133
Sex: M
Age: 26
State: NJ

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: sulfonamides

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Whole body shivering in bed before sleep. Strong fatigue.

Other Meds:

Current Illness:

ID: 1301134
Sex: F
Age: 59
State: TN

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: azythromicin

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

Symptoms: Fever, Headache, Body Ache, Chills, Extreme Fatigue and rash on neck and chest

Other Meds:

Current Illness:

ID: 1301135
Sex: F
Age: 76
State: FL

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

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: none

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

Symptoms: Patient presented with abdominal pain, nausea and malaise. She was diagnosed with acute idiopathic pancreatitis 2 days after 1st moderna vaccination. Imaging of gall bladder is normal. Triglycerides are normal. No offending medications identified.

Other Meds: Aspirin, Lipitor, cholecalciferol, cyanocobalamin, lisinopril, fish oil, oregano oil

Current Illness: none

ID: 1301136
Sex: F
Age: 71
State: OH

Vax Date: 03/24/2021
Onset Date: 03/27/2021
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: BILATERAL TINNITUS....TERRIBLE...my hearing is affected...Sounds like I'm talking out of a can...

Other Meds: None

Current Illness: None

ID: 1301137
Sex: M
Age: 70
State: HI

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Approximately 12 hrs after injection, (11:30pm) severe chills (duration 1 hr). Approximately 12 hrs after that (11:30 am, severe discomfort in upper body (deep), duration 1.5 hrs. Repeat discomfort 2nd time 4 hrs later, duration 1.0 hrs. Discomfort 3rd time 4 hrs later, duration .75 hrs,

Other Meds: Simvastatin, Lisinopril, Metformin, Glipizide, Buprenorphine, Baclofen, vitamin C, vitamin D

Current Illness:

ID: 1301138
Sex: M
Age: 31
State: CO

Vax Date: 05/05/2021
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: No

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Covid Arm. Red rash of about 3 inches in diameter a few inches below injection site. Now yellowing is appearing on the edge of one side of the rash.

Other Meds: Nortriptyline and Fluticasone Propionate

Current Illness: Sore throat

ID: 1301139
Sex: F
Age: 33
State: FL

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever, body pain, ear pain, throat pain, nauseated, congestion, dizziness, tiredness, chills a lot of back pain, headaches

Other Meds:

Current Illness: Had a cold

ID: 1301140
Sex: M
Age: 51
State: CA

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:
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: Pt had localized swelling induration warmth and lymphadenopathy he thought he had a fever but did not check

Other Meds: Blood Pressure Medications. Amlodipine Hydrochlorothiazide, Cozaar

Current Illness: HTN

ID: 1301141
Sex: F
Age: 22
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: NKDA

Symptom List: Rash, Urticaria

Symptoms: Patient past out after getting shot. Recovered within 1 minute. BP 100/60, Pulse ox 98, pulse 68. Evaluated for 30 minutes.

Other Meds:

Current Illness:

ID: 1301142
Sex: M
Age: 41
State: PA

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: ASA, PCN, CODEINE

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

Symptoms: ABOUT 2 MINUTES AFTER VACCINATION PATIENT SAID HE WAS FEELING WARMTH TO HIS FACE , SWEATY , DIFFICULTY BREATHING STILL ALERT. CALLED 911 AND I TOLD HIM THAT I WAS GOING TO GIVE HIM AN EPIPEN. A FEW MINUTES AFTER THE EPIPEN HE SAID HE WAS FEELING BETTER.

Other Meds: NONE DISCLOSED

Current Illness: NONE-DISCLOSED

ID: 1301143
Sex: F
Age: 33
State: MA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa allergy, shellfish allergy, neomycin, nepsporin, Bactrum , laytex, fluoxetine, seroquel, hydroxyzine, benzokonium chloride, Prozac, Zoloft, clindimyocin, lidocaine, benzocaine, novacaine,

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

Symptoms: 24hrs after 1st dose, shortness of breath, hard to breathe, dry barking/bronchitis cough, sore throat, neck hurts, bad pelvic pain, lower abdominal pain,

Other Meds: Symbicort, Protonix, Lamotragine, Buspirone, Sprintec birth control,

Current Illness: Anxiety

ID: 1301144
Sex: M
Age: 41
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Diarrhea, tired, low energy, chills, nausea

Other Meds: Metformin, glyperipe, licenapro, adrovastaten

Current Illness:

ID: 1301145
Sex: F
Age: 19
State: CT

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: The patient fainted about 20 seconds after I gave her the vaccine. I lowered her to the floor and was going to lay her on her side when she regained consciousness. She then felt nauseous and stayed on the floor for about 15 minutes. She never vomited. She started drinking her beverage and felt better in about 25 minutes. She communicated that she did not need further medical attention and I agreed.

Other Meds: tri-lo-sprintec, lamictal, risperidone, trintellix

Current Illness: none

ID: 1301146
Sex: M
Age: 68
State: OH

Vax Date: 03/25/2021
Onset Date: 04/01/2021
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: Medications: none known

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

Symptoms: Mild soreness in arm for 2-3 days and constant ringing in both ears

Other Meds: Alegre, Tamsulosin, Metformin, Glipizide, Levemir, Piroxicam, Montelukast, Crestor

Current Illness: none

ID: 1301147
Sex: F
Age: 36
State: NJ

Vax Date: 05/01/2021
Onset Date: 05/06/2021
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: Huge mark puffy mark on arm

Other Meds: Multivitamin

Current Illness: Seasonal allergies

ID: 1301148
Sex: M
Age: 49
State: MN

Vax Date: 03/31/2021
Onset Date: 04/05/2021
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: Tinnitus

Other Meds: None

Current Illness: None

ID: 1301149
Sex: F
Age: 68
State: CO

Vax Date: 05/09/2021
Onset Date: 05/09/2021
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: Tetracyline, erythromycin

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

Symptoms: Evening of the shot -achiness, chills, fever, could not sleep - just tossed and turned all night, nauseous. Lasted about 12 hours. Next day, very tired, slept off and on all day and night - 24 hours Two days after the shot, I still felt tired, but much better. Three days after, I was just fine.

Other Meds: Losartan, decongestant, Pepcid, D3, multi-vitamins

Current Illness: None

ID: 1301150
Sex: M
Age: 40
State: MA

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: None

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

Symptoms: Persistent injection site pain moderate after vaccination, systemic symptoms started from ~3:30 AM: moderate muscle ache all over the body, increase in heart rate from ~45 bpm to ~80 bpm. All symptoms alleviated by taking ibuprofen 400 mg at ~6:30 AM. Systemic symptoms returned at ~12PM, alleviated by 400mg ibuprofen. Patient had Covid with mild symptoms in January 2021.

Other Meds: None

Current Illness: None

ID: 1301151
Sex: M
Age: 44
State: CA

Vax Date: 04/17/2021
Onset Date: 04/24/2021
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: N/A

Symptom List: Unevaluable event

Symptoms: Developed Deep VEIN thrombosis (DVT) in the left leg and a Pulmonary Embolism. Was hospitalized for 5 days and had to have a surgical procedure to insert a screen into my inferior vena cava

Other Meds: N/A

Current Illness: N/A

ID: 1301152
Sex: M
Age: 59
State:

Vax Date: 05/04/2021
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: LA

Lab Data:

Allergies: None

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

Symptoms: Awoke 12 hours after injection with severe chills, sweating, muscular pain, headache, slight nausea, weakness. Awake the rest of the night, and had symptoms the next day, Began to abate in the evening. Mostly gone the second day.

Other Meds: Simvastatin 20mg, low dose aspirin 81mg

Current Illness: None

ID: 1301153
Sex: F
Age: 38
State: WA

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: Penicillin, scallops (but no other shellfish)

Symptom List: Injection site pain, Pain

Symptoms: Persistent dry cough and shortness of breath

Other Meds: Calcium, vitamin D, spirulina tablet

Current Illness: None

ID: 1301154
Sex: F
Age: 23
State:

Vax Date: 04/14/2021
Onset Date: 04/14/2021
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: allergies to environment

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient arrived to facility for her 2nd dose appointment. Patient reported a first dose reaction to lead nurse. Patient reported dizziness immediately after vaccination that lasted for 15 minutes and itchiness all over body 30 minutes after vaccination lasting 1-2 hours. Patient did not remember taking benadryl for symptoms. Patient reported allergies to the environment, eczema, attention deficit disorder, and cerebral palsy. Patient reported taking pepcid and zyrtec. Lead nurse elevated situation to medical consult team. At 1500, medical consult team advised patient to receive Janssen Covid 19 Vaccine as her second dose. Lead nurse collected patient's contact information to schedule her for one dose of the Janssen Covid 19 Vaccine. Lead nurse educated patient on receiving Janssen Covid 19 Vaccine as her second dose, seeing an allergist, signs/symptoms of when to seek emergency care, and how to sign up on v-safe. At approximately 1505, patient left facility to self with unlabored respirations and steady gait.

Other Meds: zyrtec, pepcid

Current Illness:

ID: 1301155
Sex: F
Age: 42
State: FL

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Large bruise and swelling at injection site. Full body tingling sensation.

Other Meds: Levothyroxine

Current Illness: None

ID: 1301156
Sex: F
Age: 57
State: MI

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: Penicillen

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Nausea, headache, diarrhea, and arm soreness.

Other Meds: Zoloft/Wellbutrin/BP med (lis... don?t remember).

Current Illness: None

ID: 1301158
Sex: M
Age: 49
State: WA

Vax Date: 04/02/2021
Onset Date: 04/15/2021
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

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: On 04/15/2021 I got a cramp/charlie horse for 2 days on my left thigh, which I have never had before and I have been actively been playing pickleball for 1.5 years straight about 6 days a week for few hours every time I play, also been lifting at gym 2-3 times a week. Then my left calf got stiff the next day, then the next day my left thigh, left calf and behind the left knee all stiff and behind left knee felt it was hyper extended for several days and I was limping. I am right handed and only use my right arm to play pickleball, my left arm got sore more like sore muscles but with aches that don't go away. Then my shoulders and next got achy sore, then my right leg right side on the side of calfs got tight, then both the cushion part of both bottom of my feet near the toes sore, feilt sort of bruised with no bruise, felt tender and sore it is still that way today. I also notice when I lift or play pickleball after rest at night I am super sore and tight and difficulty to sleep at night as I can't move much and morning wake up very sore muscles with aches. This is not typical muscle soreness, more like an ache feeling soreness. Also my right arm got tennis elbow, but the pain went to non tennis elbow area more to the left forearm area, which is also very unusual. Then my left arm, I got tennis elbow and I don't use my left arm when playing pickleball. Sore aches are in muscles I don't use or sore in places I have never been sore before. I have ran marathons, lift weight extensively, played pickleball for 5 hrs straight, I rarely get sore and it only lasts 1-3days at the most, now just simple game for short time and I am extremely sore all over in various random places as the soreness areas move. I need an antidote for this, this is clearly not normal as this all happen after the Janseen shot. I also end up getting TMJ on my left mouth near the left ear been this way for over 2 weeks.

Other Meds: COLCHICINE 0.06 MG 2 times a day, Folic Acid 1 Mg 1 time a day. Multi-vitamin, fish oil, calcium..

Current Illness: Krystexxa IV every 2 weeks since may 2020 to remove tophus uric acid in left foot near the large toe.

ID: 1301159
Sex: F
Age: 36
State: WA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Allergy to red dye and sulfa antibiotics; gluten sensitivity

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

Symptoms: I instantly got a tingling sensation at the injection site. 5 minutes later in the waiting area, I got a headache and left-sided neck pain that did not go away (I still have these symptoms over 8 weeks later!). The next day, my left arm was very painful to raise and would get nauseous if I did try to raise my arm (these symptoms only lasted a day). I also had pain deep in my left shoulder joint (still an intermittent problem). The headaches and neck pain continued every single day for 6 weeks before I finally reached out to my PCP regarding my symptoms on 4/21/21. She prescribed me prednisone, which made the symptoms worse and more symptoms developed including vertigo with nausea and pressure with a burning sensation deep behind my left eardrum and on the left side of my neck at the base of my skull. I had a follow-up on 4/28/21 due to worsening symptoms. My headaches and neck pain were getting extremely painful. The pain feels like a nerve pain that goes down the left side of my neck, into my left shoulder join, down into my left scapula, and down the left side of my spinal column. The headaches come and go all day every day at random locations. The left-sided neck pain and pressure is constant. I had labs and a CT of the head done on 4/28/21 (WNL). On 4/29/21, I developed left-sided facial numbness that lasted the entire day and I went to Medical Center. Dr. recommend I go back to my PCP and have her order an MRI of my head and neck. My next appointment is this week. I still have slight numbness to the left lower facial area and lips along with headaches, neck pain and pressure. Today, I can barely turn my head due to the severe neck pain.

Other Meds: RX: levothyroxine 50mcg daily OTC: prenatal vitamin (breastfeeding), vitamin D, and DHEA

Current Illness: none

ID: 1301160
Sex: F
Age: 40
State: AZ

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Irregular menstrual bleeding. Received the first vaccine shot in the series on 4/9/2021. Had a normal menstrual cycle beginning 4/19/2021 for 5 days. Then I began having bleeding, not spotting on 4/29-4/30. I revived the final vaccine shot on 5/7/2021. I then began menstration on 5/8/2021. By 5/9/2021 between 4am and 5am menstrual bleeding became profound and significant, exceeding 3 sanitary napkins within a two hour period.

Other Meds: None

Current Illness: None

ID: 1301161
Sex: M
Age: 33
State: MD

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: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: After getting my second shot of Pfizer COVID vaccine, I waited for 30 minutes according to the protocol and I left for home after the wait. While on the way home, I developed rash on my both arms and felt dizzy. I pulled over to a parking lot but before I could park my car, I passed out. I couldn't control my car and I bumped into another parked car. All this happened in a matter of 15 seconds. My wife and my daughter was with me. When I regained consciousness, my wife was doing CPR on. A bystander in the parking lot called EMS for me.

Other Meds: None

Current Illness: None

ID: 1301162
Sex: M
Age: 33
State: PA

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

Lab Data:

Allergies: NONE DISCLOSED

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

Symptoms: A few minutes after patient was vaccinated he started to feel clampy , cold sweat,feel like fainting " feeling of thing starting to close in" but alert and in a sitting position. He was talking the entire time. A few minutes later he said he starts to feel better.

Other Meds: NONE DISCLOSED

Current Illness: NONE-DISCLOSED

ID: 1301163
Sex: M
Age: 19
State: FL

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Woke up with sore and achy joints/back. Also experienced cold sweats.

Other Meds: None

Current Illness: None

ID: 1301164
Sex: F
Age: 44
State:

Vax Date: 04/09/2021
Onset Date: 04/10/2021
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: lethargy, fever, headache, nausea, brain fog

Other Meds: IUD

Current Illness:

ID: 1301165
Sex: F
Age: 70
State: IL

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

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

Lab Data:

Allergies: unknown

Symptom List: Erythema, Pruritus

Symptoms: Pfizer for 1st dose followed by Moderna for 2nd dose

Other Meds: unknown

Current Illness: unknown

ID: 1301166
Sex: M
Age: 79
State: MS

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

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

Symptoms: brakeing out in red spots like measels

Other Meds: nurotin,blood preasure and colestral

Current Illness: none

ID: 1301167
Sex: F
Age: 59
State: FL

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

Lab Data:

Allergies: Sulfa drugs Oak trees

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

Symptoms: Severe left sided abdomen pain. Onset when I was trying to go to sleep. My Primary Care physician is someone at Hospital who only does telephone appointments like 6 weeks out so that is not any help.

Other Meds: Cymbalta, Trazadone, Lipitor,bupropion,loratdine,levothyroxine,atorvastatin,low dose aspirin,

Current Illness: None

ID: 1301168
Sex: M
Age: 64
State: FL

Vax Date: 03/26/2021
Onset Date: 04/27/2021
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: Penicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: My husband who is 64 years old, was a previously in good health. Only history was mild cardiomyopathy diagnosed 12 years ago. And elevated blood pressure, which was normal with medications. He was very active, maintained a demanding full time job and was a great husband of 2 children. He received his 2nd dose of Pfizer on approximately 4/1/21. He didn?t complain of any side effect. However, on the morning of 4/27/21 he woke me up saying that he could not breath. We started driving to the hospital, however he got worse and we stopped at the fire station. They gave his oxygen and rushed him to the hospital. We came to hospital and when the fire truck was pulling in, I was told that my husband went into pulseless electrical activity. CPR was started and after approximately 5 minutes he regained pulse. He was taken to the ICU and therapeutic hypothetic protocol was completed. Since then, he is still requiring mechanical ventilation. He opens his eyes spontaneously, at times appears to obey small commands and is bedridden.

Other Meds: Coreg 25mg Provachol 40mg Ecotrin 81mg Hydrodiurel 25mg Trajenta 5mg

Current Illness: No

ID: 1301169
Sex: F
Age: 67
State: VA

Vax Date: 01/08/2021
Onset Date: 01/14/2021
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: None

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

Symptoms: Severe and persistent vertigo. Self-treated using Epley Maneuver. I spoke to my primary care physician afterward and he was unaware of any nexus between the vaccine and vertigo. I had a recurrence about two months later (after second dose), and had a virtual appointment . I again self-treated with the Epley maneuver. Symptoms were room spinning, loss of balance and nausea. Although I have not had another episode, I continue to experience episodes of light headedness. I am aware now of several other people who have experienced the same reaction after their vaccinations.

Other Meds: Lisinopril, Atorvastatin,

Current Illness: None

ID: 1301170
Sex: F
Age: 45
State:

Vax Date: 04/23/2021
Onset Date: 04/26/2021
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: Penicillin

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

Symptoms: Itchy hives all over body for 3-4 days.

Other Meds: Pristiq

Current Illness: None

ID: 1301171
Sex: F
Age: 72
State: VA

Vax Date: 03/24/2021
Onset Date: 03/26/2021
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: Severe ringing in the ears started 1-2 days after injection. Has not stopped. Made appointment with PCP (appointment 04/14/2021) who sent me to a hearing specialist after she examined my ears. My appointment with the hearing specialist was 05/03/2021. He prescribed a drug to take at night to help with sleep.

Other Meds: Estrogen/testosterone pellet Progesterone GTF chromium A*D3*K CranActin Niacin A Glucosamine/Chondroitin Cinnamon E Omega-3 Quercetin CoQ10 Elderberry gummie DIM Acidophilus Iron

Current Illness: None

ID: 1301172
Sex: M
Age: 40
State: MI

Vax Date: 04/30/2021
Onset Date: 05/03/2021
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:

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

Symptoms: Developed tinnitus. Has been daily for almost a week now.

Other Meds:

Current Illness:

ID: 1301173
Sex: F
Age: 23
State: WA

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No allergies. But I am gluten and lactose intolerant.

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

Symptoms: First vaccine, immediate side effect: felt lost, confused and had trouble driving home. Mild body aches for 2 days that came and went. Arm was sore and unable to move for 3 whole days starting immediately after shot. Second vaccine: felt great for about 12 hours after. No side effects at all. Ran errands and all. Next morning at 6 am, woke up with extreme body aches, fever, pain, headache, light sensitivity, can't keep any food down, vomiting, nausea upon standing and my left arm is so incredibly sore I can't even touch it. About 24 hours after second dose, I still feel the same symptoms. Awful pain all over (from toes to groin to shoulders) and a bad tension headache that won't go away, even with Tylenol.

Other Meds: None

Current Illness: None

ID: 1301174
Sex: M
Age: 46
State:

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Two weeks after the vaccine, blood lab works show elevated EOS on CBC (12.4%, 760 count/uL).

Other Meds:

Current Illness:

ID: 1301175
Sex: F
Age: 49
State: OR

Vax Date: 04/29/2021
Onset Date: 05/06/2021
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: Penicillin Eggs

Symptom List: Vomiting

Symptoms: A week after I received my second moderna shot, I had some spotting. The next day I was bleeding as if my period had started, although heavier than usual. This comes a little over a week after my last period. The flow has been a lot heavier that normal.

Other Meds: B12

Current Illness: None

ID: 1301176
Sex: F
Age: 70
State: NY

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

Lab Data:

Allergies: None.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient presented with septic shock of unclear source, also with septic cardiomyopathy.

Other Meds: None.

Current Illness:

ID: 1301177
Sex: U
Age:
State: IN

Vax Date:
Onset Date:
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: Fatigue Arm Soreness Body Aches

Other Meds:

Current Illness:

ID: 1301178
Sex: M
Age: 65
State: VA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Had bad headache with Codiene over 40 years ago

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Slight fever throughout the day ranging from 98.7 to 100.6 (was fluctuating). Body aches and slight headache. Taking Tylenol seems to help.

Other Meds: Lisinopril/HCTZ, Bisoprolol Fumerate, Simvastatin, Levothyroxine, Prilosec OTC

Current Illness: None

ID: 1301179
Sex: F
Age: 64
State: OH

Vax Date: 04/21/2021
Onset Date: 04/26/2021
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: Cephalosporins, quinolones, augmentin, macrolides, sulfa

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

Symptoms: Patient developed a large rash on the arm and back after getting the second dose, causing her to go to the doctor for evaluation.

Other Meds: Losartan, multi-vitamin, Vitamind D, zinc

Current Illness:

ID: 1301180
Sex: M
Age: 18
State: HI

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: 11:00 AM PT RECEIVED VACCINE, moved to a chair on his own, 11;05 AM PATIENT WAS OBSERVED TO BE SLOUCHING IN CHAIR AND WAS ASKED IF NEEDED ASSISTANCE. WE GOT SOME WATER AND HELPED HIM TO PAY DOWN, PATIENT WAS ASHEN IN COLOR AND SAID HE FELT WOOZY.ABOUT 11;15 PATIENT STARTED TO RESPOND WITH EYES OPENED AND A SMILE. DECLINES EMS CALL. 11;20 SAT BACK UP IN CHAIR,REPORTED FEELING OK. KEPT PATIENT FOR ABOUT 30 MINUTES AND NO FURTHER INCIDENTS TO REPORT.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm