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: 0967723
Sex: M
Age: 77
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: no evidence shot was rcvd ! was needle empty?

Other Meds: lisiinopril 40 tamsulosin 0.4 finasteride 5mg metoprolol tartrate 50mg metformin er 750mg tablet extended amlodipine 5mg atorvastatin80mg aspirin325mg humilin

Current Illness: back ache

ID: 0967724
Sex: M
Age: 37
State: KY

Vax Date: 01/08/2021
Onset Date: 01/17/2021
Rec V Date: 01/23/2021
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: Sulfa Drug, no known food allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: Small itchy spots on my arms and legs began on 1/17. By 1/20, a rash had formed all over my body on arms, legs, back, stomach, chest, scalp. Zyrtec, Benadryl, Hydrocortisone cream, and NSAIDs have helped relieve symptoms, but the rash is still in full cover today 1/23.

Other Meds: 81mg Aspirin , 10mg Loratidine, 5g Creatine Monohydrate , Vitamin D

Current Illness: None

ID: 0967725
Sex: M
Age: 45
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
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: The arm muscle that received the shot became quite sore overnight, and lasted throughout the next day. The rest of me felt like I had a mild case of the flu. Aches and fatigue all over, with some chills. I have been training for a half marathon, and this through off my training due to knee pain. I also had diarrhea that has lasted through Saturday. The first day after was the worst, and things have improved each day since.

Other Meds: Allegra, iron, calcium, multi-vitamins

Current Illness: N/A

ID: 0967726
Sex: F
Age: 16
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: Vaccine given to 16 year old. Moderna approved for age 18 and older.

Other Meds:

Current Illness:

ID: 0967728
Sex: F
Age: 31
State: NY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/23/2021
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: Menstrual spotting that lasted less the 24 hours. Light pink in color and only noticeable if wiping.

Other Meds: Birth control, vitamin D, colace

Current Illness: None

ID: 0967729
Sex: F
Age: 51
State: OH

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: Erythromycin Ragweed Possible PCN

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

Symptoms: 2am awaken with muscle aches, fatigue, headache, chills, nausea & temp 99.2? 10am severe muscle pain, headache, nausea, back pain & temp 101.3? Highest temperature taken 103.6? Still symptomatic with temperature not going below 99.7?

Other Meds: Losarten, Hydrochlorothorozide, sertraline, omiprazole, Tylenol

Current Illness: None

ID: 0967730
Sex: F
Age: 35
State: VA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: Pineapple, some laundry detergents

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Arm was sore the next day and I had a mild headache and moderate fatigue, but slept 10 hrs. and woke up the nex t day feeling fine. Arm was still sore, but subsided entirely after 3-4 days after dose. Then this week, 8 days after first dose, that evening I noticed around where I received my injection it itched. Over night the itching stopped by the skin felt warm, very tender to the touch, and had some redness.

Other Meds: Metformin, Spironolactone, Levothyroxin, Aviane, phentermine Zyrtec, vitamin D3, Women?s multivitamin, Biotin, vitamin C, vitamin E, melatonin, probiotic, magnesium, zinc, omega-3 with fish oil, echinacea

Current Illness: Nothing known of.

ID: 0967731
Sex: F
Age: 23
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Arm pain Fever Fatigue Chills Tired

Other Meds: None

Current Illness: COVID Positive 12/18/20

ID: 0967732
Sex: F
Age: 29
State: NM

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Basil, doxycycline

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: All over Itchiness, few hives, metallic taste in month

Other Meds: Prenatal

Current Illness: None

ID: 0967733
Sex: F
Age: 80
State: FL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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: Muscles very sore. Headache. Sick to my stomach. Light headed. Chills

Other Meds: Eliquis Carveoil OL Losartan/HCT Atorvastatin

Current Illness:

ID: 0967734
Sex: F
Age: 46
State: LA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Augmentin Fish Dust Dogs Cats Roaches Rats Weeds Pollen Trees Multiple outside types tress and grass multiple fruits and berries

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

Symptoms: Elevated heart rate, blood pressure remained high at minimum of 165/110 chest tighten.. tingling/swelling in left hand and feet.. became weak speech slurred felt moments of wanting to pass out.

Other Meds: Atarax Singulair Buspar Celexa Female Multivitamin Turmeric Gummies

Current Illness: None other than allergies controlled by meds and mild anxiety controlled by meds minor great left toe arthritis controlled by exercise and vitamins

ID: 0967755
Sex: F
Age: 38
State: IA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Latex, PCN, strawberries, flu shot

Symptom List: Rash, Urticaria

Symptoms: Patient was asked to wait 30 minutes after COVID vaccine administration. (pt has had rash, fever, swelling at injection site after flu shot before - after several hours) patient had redness and swelling around the site of the injection in less than 30 minutes and some redness on her chest so she was given 50 mg of Benadryl around 1:45 and the bandage was removed as ice packs were also applied. at 2:04 PM it looked much better and the rash resolved at 2:15, then nausea began. it was better after eating a snack. patient was instructed to check in with PCP after 24 hours if symptoms persisted and to get an EpiPen to have on file in case of emergency after 2nd shot.

Other Meds: Unknown

Current Illness: None

ID: 0967756
Sex: M
Age: 91
State: NY

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Pt had become lightheaded after getting the vaccine

Other Meds:

Current Illness:

ID: 0967757
Sex: F
Age: 30
State: HI

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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: Morphine and latex

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

Symptoms: On day 8 post vaccine, my arm started itching. Large red circular rash around injection site.

Other Meds: Prenatal

Current Illness:

ID: 0967758
Sex: F
Age: 57
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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: Lincomycin, most opioids, methylchloralisothialisone

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

Symptoms: Rash on chest and back, upper thighs

Other Meds: Estr?dula, progesterone, vitamin D, c amd a multiple

Current Illness: Cold

ID: 0967759
Sex: F
Age: 53
State: OH

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: on 1/20 the day of vaccine: poor appetite by 7pm. left arm site bruised, slightly swollen and sore enough not to be able to raise by 9pm. felt fatigued, but had Insomnia. Around 2:30am, chills with uncontrollable whole body shaking, restless legs, body aches, heart palpitations, extreme headache, nausea. 1/21 was able to nap/doze off throughout the day, but symptoms persisted along with photophobia. Kept taking 500mg acetaminophen to ease the extreme headache. Chills/body shaking, palpitations, photophobia gone in evening. 1/22 still experienced lower back ache, headache, nausea, left arm pain in morning. Around 12:20 only had sore arm, fatigue and poor appetite

Other Meds: Elderberry vitamins, Biotin vitamins

Current Illness: None

ID: 0967760
Sex: F
Age: 44
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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:

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

Symptoms: Fever, chills, body aches lasting about 24-36 hours. patient had to stay in bed all day

Other Meds:

Current Illness:

ID: 0967761
Sex: M
Age: 67
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Keflex-rash, Wheat-as a child had severe allergy and over time it has progressively improved; the patient now experiences mild sneezing when exposed to wheat

Symptom List: Ear pain, Hypoaesthesia

Symptoms: The patient was set to receive the second dose on 1/26/21 and received it early on 1/20/21. The patient reported headaches, body aches, and fever off and on ranging from 100 to 102. These symptoms lasted for approximately 24 hours post-vaccination.

Other Meds: Turmeric, Zinc, Vitamin C, Vitamin D, Lisinopril, Meloxicam, Gabapentin, Omeprazole

Current Illness: None

ID: 0967762
Sex: F
Age: 65
State: OH

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I felt a tingling to the tip of my tongue. I did not affect my speech or breathing. I saw a nurse practitioner while waiting for my side effect to wear off, and she told me to take Benadryl.

Other Meds: Eloquine, Multi-vitamins

Current Illness: I have Sjogrenes disease (auto immune disease)

ID: 0967763
Sex: F
Age: 59
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Late onset of swelling and pain @ injection site- went to urgent care and had Dr look at it. Wasn?t sure why shot was given so low , and why a reaction 9 days later. Told me to watch it and come back if pain or swelling got worse. She thought it could be cellulitis, wanted to wait on antibiotics tx. I put warm compress on and antibiotic cream to see if it clears up. My father is in hospital with covid and I?ve been helping my mom , we both got retested for covid. Waiting on results. The quick test did not pick up covid 2x in my dad. And my moms quick test was neg.

Other Meds: Vitamins

Current Illness: None

ID: 0967764
Sex: F
Age: 55
State: UT

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Reaction occurred seven days after the initial vaccine. Severe redness, swelling, burning, hot sensation approximately 5 inches in diameter around the injection site.

Other Meds: No

Current Illness: None

ID: 0967765
Sex: M
Age: 65
State: PA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
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: chills, body aches and fatigue

Other Meds: none

Current Illness: none

ID: 0967766
Sex: F
Age: 28
State: PA

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Swollen and painful lymph nodes under left arm pit. Headaches

Other Meds: Lexopril, Trintellex

Current Illness:

ID: 0967767
Sex: F
Age: 53
State: NY

Vax Date: 01/07/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: NDKA

Symptom List: Injection site pain, Pain

Symptoms: Patient states that she received COVID-19 vaccine on 1/7/2021. After the vaccine she became light-headed and blood pressure of 186/103. As per patient she does not have history of elevated blood pressure. She was followed-up with her PCP and prescribed two medications. She tested negative for COVID-19. She went to Ed and was sent home. (After further discussion, pt stated that she has been told in the past that she has HTN, was started on medication but discontinued it because "my blood pressure returned to normal." )

Other Meds: No active medications

Current Illness: No active clinical problems

ID: 0967768
Sex: F
Age: 67
State: NM

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Rash and itch on hands and feet with penicillin, cephalosporins, sulpha

Symptom List: Injection site pain, Menorrhagia

Symptoms: Delayed injection site reaction. Day 8 noticed itching and redness at injection site which has continued on day 9. Days 1-4 noticed a small area of lower lip tingling with pressure or tooth brushing. Resolved day 5.

Other Meds: Synthroid, Toprol XL 25, multi vitamin, omega 3, calcium, vit D, estring

Current Illness: None

ID: 0967769
Sex: F
Age: 34
State:

Vax Date: 01/11/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Injection site redness and swelling

Other Meds: Humira

Current Illness:

ID: 0967770
Sex: F
Age: 47
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/23/2021
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: Sulfa, almonds, white rice, white potato?s

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: GI inflammation, nausea, vomiting x2 the evening of. The next day hives over my abdominal region worsening each day and continue to be present.

Other Meds: Candida supplements, Tumeric, women?s multivitamin, Quercetin, L-lysine, rosuvastatin, acyclovir, gabapwntin

Current Illness:

ID: 0967771
Sex: F
Age: 51
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs0

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Sudden, explosive attack of diarrhea the day of the shot (THU 1/21), followed almost immediately by extreme fatigue, muscle soreness, some light headedness and nausea, and the injection site was sore. I had a rapid heartbeat all night and could not sleep. I spent the next day (FRIS 1/22) in bed with the same symptoms. Then I developed chills and sweats. It is now.Saturday, and I feel slightly better, but still very, very tired. My arm where I got the shot is very sore still.

Other Meds: Levteracetam (2000mg/day) Vit B, C, D, Calcium, Zinc Herbal supplements

Current Illness: Bronchitis a few weeks earlier

ID: 0967772
Sex: M
Age: 43
State: NV

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/23/2021
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: food allergy - sodium meticarbonate; and dogs and cats

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

Symptoms: I pretty massive headache for a couple of days. Really low grade fever - muscle pain in my large muscle groups; joint pain and insomnia. It was about 5 days before I felt normal. Headache stayed the longest. Muscle pain and joint lasted a few days and finally was able to go to gym on the fourth day and after I worked out hard everything went away except my headache. Slept on a heated throw pad and that soothed the muscle aches. took Ibuprofen.

Other Meds: Motroproal ; Singular - for allergies; Albuterol - when needed

Current Illness: no

ID: 0967773
Sex: M
Age: 64
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: Headache, Light headed, Increased heart rate, increase blood pressure, soreness

Other Meds: Simvastatin 20mg

Current Illness:

ID: 0967774
Sex: F
Age: 55
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain

Symptoms: Started with sore arm ad raised injection site and two hours later started with headache fever (103.7) and chills as well as achy all over. Continued thru the night and following day have headache and less achy and no fever. Symptoms are starting to get better but not resolved yet. I had known covid in Oct 2020.

Other Meds: None

Current Illness: None

ID: 0967775
Sex: F
Age: 39
State: SC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Vancomycin

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

Symptoms: Rigors, fever, cold sweat began 12 hours after injection. Subsided the next morning. Body Aches and head ache until 24 hours post vaccination, then all symptoms resolved.

Other Meds: None

Current Illness: None

ID: 0967776
Sex: F
Age: 52
State: KY

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: No known drug or food allergies

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

Symptoms: Chills, fatigue and muscle pain started the evening of the injection. I aslo had severe pain at the injection site. It felt like I had received 1,000 flu shots. I used and ice pack to the inj site and took Advil. The following day, 1/16/21 these symptoms continued and I also had a metal taste in my mouth. By Sun. 1/17/21 the chills had stopped. I was still experiencing low energy level, the muscle pain was gone BUT, I started having severe breast pain in my right upper breast area which is opposite from the injection arm. The breast pain continued until Fri. 1/22/21. I was due for a mammogram and was able to get one Thurs. 1/21/21. These results are still pending.

Other Meds: Allegra. Estradiol, Flonase

Current Illness: None

ID: 0967777
Sex: F
Age: 40
State: MI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: Tremor

Symptoms: Approximately 5-10 minutes after injection, I began to feel dizzy and my heart started to beat rapidly. The nurse checked on me and it continued to get worse. They checked my blood pressure. It was extremely high, 166/1 Over the course of the next 45 minutes my Blood Pressure continued to stay high. The dizziness would come and go. I was escorted to the ER. I refused an ambulance. The ER did an EKG, hooked me up to a heart monitor and monitored my blood pressure for about 2 hours. They finally let me leave when my Blood pressure came down to 135/100 and I was not experiencing anything but minor dizziness and a headache. The headache continued on through the night and by 3:30AM I had a migraine. I took Sumatriptan and after an hour the headache subsided.

Other Meds: Depo-Provera, Adderall.

Current Illness: None

ID: 0967778
Sex: F
Age: 68
State: OR

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/23/2021
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: Erythema, Pruritus

Symptoms: 30 minutes after the vaccine was administered, as I was walking in the parking lot, I all of a sudden felt weak, lightheaded, trembly, with chest tightness and a need to lay down. The biggest problem was that my eyes became strangely affected, like there were shutters being opened and closed in rhythmic waves inside my eyes. They were also very photosensitive and blurry. My whole head felt wrong. drove me home, (I could not have driven). This lasted several hours. I had chills and stayed laying down with my eyes closed. By the end of the day I felt mostly recovered. This series of events recurred 6 days later, on Jan. 20th. This time it also lasted most of the day, but I continued feeling moderately unwell the next day, and today it continues. I feel weak and unsteady. My eyes are better but not entirely. They ache and feel insecure. I am not currently feeling up to any activities besides resting.

Other Meds: cortef, fludricortsione, liothyronine, synthroid, pyridiostygmine, pramipaxole, vit k, calcium, tumeric, vagifem, loratadine,

Current Illness:

ID: 0967779
Sex: F
Age: 59
State: TN

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: temp 100.5, chills, nausea, headache, body aches, fatigue, dizziness

Other Meds: estradol .5mg, lexapro 10mg, xanax .5mg, mult-vit, calcium+D

Current Illness: none

ID: 0967780
Sex: F
Age: 37
State: MI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Gabapentin, lyrica, boric acid, tagamet, adhesive,

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

Symptoms: Within first 3 to 5 minutes had symptoms. Within 10 minutes increased temperatures, (wave of heat in body) tightness in throat, heart pounding, weakness in legs. Went to fresh air, some sympyoms resolved then came in short spurts (throat). Had motion sickness, nausea, dizziness while in ambulance. Could be from fumes from cars in parking garage, idling and lack of oxygen.

Other Meds: Daily vitamin, childrens chewable and flonase( fluctonconzole) (spelling)

Current Illness: In recovery from Coxsackie b virus, potential pericarditis (chest pain, recurrent bacterial vaginitis.) Former lyme disease. Bradycardia.

ID: 0967781
Sex: F
Age: 43
State: CA

Vax Date: 12/24/2020
Onset Date: 01/24/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: At night I felt like my back was hurting. When I woke up it was worse, I went to work and couldn't bend over and ended up going to Urgent Care, the Dr. didn't think it was due to the vaccine, he adjusted my back , gave me a shot and pain meds. It helped but the pain stayed on the right side. It was weird because it happened the night of the vaccine. This also happened with the second does.

Other Meds:

Current Illness:

ID: 0967782
Sex: F
Age: 35
State: TX

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
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: The patient was set to receive the second dose of the series on 1/26/21 and instead received it on 1/20/21. The patient experienced nausea/vomiting, sweating, body aches, loss of appetite, and headaches intermittently for about 24 hours following the vaccination.

Other Meds: None

Current Illness: None

ID: 0967783
Sex: F
Age: 55
State: NY

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: macrobid

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

Symptoms: Jan 14th - day of event: immediate dizziness Jan 15th-Jan 16th - low grade fever and fatigue (99.8-99.9) Jan 17th- Jan 21- stuffy, runny nose, mild sore throat Jan 22-23 - redness, mild itch, hot at the touch and dizziness

Other Meds: prempro; pantoprazole; vitamin D3; triple action joint health; methanamine

Current Illness: NA

ID: 0967784
Sex: F
Age: 81
State: OH

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: aspirin, codine, some antibiotics, MSG

Symptom List: Pain in extremity

Symptoms: COVID-19 Vaccine EUA; Severe pain when moving or raising left arm or laying on left side. This symptom started about 3:20 pm the day of the shot and continues 22 hours later.

Other Meds: Atenolol 25MG Caltrate D One-A-Day Vitamin

Current Illness:

ID: 0967785
Sex: F
Age: 53
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Levaquin

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

Symptoms: 2sd dose Symptoms sore arm at 430 pm - woke next day(day 2) not feeling well - body ached arm very painful /headache/ fatigue Went back to bed woke at 4pm Felt terrible with flu symptoms. Had fever of 101 Woke day 3 feeling exhausted temp back to 98.7 arm hot warm to touch and very painful.

Other Meds: Lantus insulin

Current Illness: None

ID: 0967786
Sex: F
Age: 46
State: MA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Penicillan

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

Symptoms: 7 days after vaccine- nausea, diarrhea, body aches, sore throat, fever. Could be unrelated but Urgent Care asked me to report it.

Other Meds: Bupropion, escitalopram

Current Illness: N/a

ID: 0967787
Sex: M
Age: 79
State: FL

Vax Date: 01/09/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
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: Started with severe myalgias, back pain, leg pain and fever T 104 He was taken to Urgent Care with Covid neg, Influenza A/B neg. UA and CXR negative Symptoms lasted 72 hours He has never had fever before and he is 79 years old.

Other Meds: Catapressan Amlodipide

Current Illness: None

ID: 0967788
Sex: M
Age: 19
State: IN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: Sulfites

Symptom List: Vomiting

Symptoms: A little before bed I was feeling cold (I think it was a little after 10pm). I took a warm shower thinking the house was just cold, but when I went to bed after I started shaking with chills. I didn?t sleep well that night and during the day Thursday (01/21) I felt feverish and a throbbing headache. I tried sleeping throughout the day, still having the chills come and go. I took ibuprofen before heading the bed the next night and slept great other than feeling a little hot and sweaty. I showered the next morning and felt 100% again.

Other Meds: Elderberry chewable vitamins

Current Illness: None

ID: 0967789
Sex: F
Age: 42
State: OH

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Itchy, red, swollen, and hard.

Other Meds: Tri-Sprintec birth control pill. Apple Cider Vinegar Gummies. Elderberry Gummies. Vitamin C gummies. 1000mg of Lysine supplement.

Current Illness: No

ID: 0967790
Sex: F
Age: 36
State: TX

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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: N/A

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

Symptoms: Client reported weakness, shortness of breath, and anxious after receiving vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 0967791
Sex: F
Age: 61
State: WV

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
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: Penecillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: First was mild. I sat for 15 minutes after the shot and had a mild headache when I left. I am not doing all this to report that. The following did not link up in my head as a possible side affect until this morning. Starting with Wednesday evening I was burning up. (I am guessing at the 5pm I reported above). I did not have a fever. The burning up sensation was constant until I awoke this morning (Saturday). It is only now I can tie it in with the burning sensations I got with M.S.. Thursday during my one class I kept making mistakes where I said one thing and wrote another. Once is an accident. 10 times is MS. I did connect that to MS even though I have not had that issue in over 10 years. I thought it might be due to the small amount of sleep I got Wednesday night. I now wonder if everything goes back to the shot. I STILL WANT A SECOND SHOT. I am just doing my due diligence in reporting this for data purposes. I was fine Friday except for the heat sensation in my skin and being tired. The shot was worth it if it keeps Covid at bay.

Other Meds: Hydrochlorothiazide 12.5 mg Amolodipine Besylate 5mg I may have taken advil (I currently have a twited knee) I daily take a multivitamin, Vit D, Advil, Fish Oil, and acidolpholus

Current Illness: I twisted my knee a couple of weeks ago and reinjured it shoveling snow. I really don't think its relevant though

ID: 0967792
Sex: F
Age: 41
State: IN

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Erythromycin

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

Symptoms: Numbness right side of throat, right side of tongue, right side of face and right side of neck. Symptoms still present at the time of release

Other Meds: Adderall Daily Norco PRN

Current Illness: None

ID: 0967793
Sex: F
Age: 45
State: CA

Vax Date: 12/21/2020
Onset Date: 12/22/2020
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Hives and itchiness all over body, occurring the day after 1st vaccine Dec 21 through Jan 22. Took Benadryl, Hydroxyzine, Loratidine, Pepcid and Prednisone steroid dose pack. Got 2nd vaccine on Jan 7. After I completed Prednisone, hives returned. I was just prescribed a 2nd round, this time high dose Prednisone pack x 5 days and Atarax. Thankfully, I'm feeling much better just after 1 dose of Prednisone and Atarax.

Other Meds: probiotic

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm