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: 0991102
Sex: F
Age: 49
State: NC

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/01/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chest Pain in the morning after sleep Occurred twice before going to Emergency Dept. administered EKG and other test to rule out heart problems. They were in fact ruled out. Heart is in great condition. Third episode of chest pains 3 days later and I now have Dr appt in 48 hours

Other Meds: Albuterol Singular

Current Illness: High Blood pressure but was guided by Dr to take vaccine

ID: 0991103
Sex: F
Age: 29
State:

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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: received her second dose of the Moderna vaccine today (lot # 028L20A) around 5:45pm; by 6:06 we brought her into the allergy room for itching on her stomach and arms, with flushing on her face and neck. She felt anxious but denied SOB, CP, dizziness, N/V/D. She had no rash or hives. We called Allergy, placed her in the supine position with ice packs on her chest and gave her 10mg Cetirizine around 6:06pm. We had her wait an additional 15 minutes in the allergy room in the supine position. Her symptoms improved and felt comfortable going home. We gave her an additional 10mg tablet of cetirizine to go home with in case she felt these symptoms again later tonight. Her Vitals at 6:06 SpO2 99%, HR 90 (supine) BP 129/82.

Other Meds:

Current Illness:

ID: 0991104
Sex: M
Age: 35
State: KY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Sat down, felt hot (left coat on), felt light headed, nauseated & nervous. Took coat off: felt better. Lasted 10 min

Other Meds: None

Current Illness: None

ID: 0991105
Sex: F
Age: 35
State: OH

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Local reaction, rt. arm, grade 3 at 130cm x 75cm with pain, edema, redness.

Other Meds: singular 10mg. daily

Current Illness: none

ID: 0991106
Sex: F
Age: 64
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Lipitor, GI contrast

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

Symptoms: Approximately 24 hours after COVID 19 vaccine administered, started with headache, body aches and chills and fatigue. Occasional nausea but no vomiting. Lasted from 1/29/21 to 2/1/21.

Other Meds: Atenolol 50 mg QD ASA 81 mg QD

Current Illness: NA

ID: 0991107
Sex: M
Age: 62
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: None

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

Symptoms: Systemic: Fainting-Medium, Systemic: Other- Pt felt sob and went to go get help, he fainted a while after. When EMS arrived he was feeling better, and was left at the facillity. Pt awaiting pacemaker, may have underlying condition. Symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0991108
Sex: M
Age: 77
State: OH

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Penicillin; Tolectin; Ceclor

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: fever up to 103.3, shakes, chills, severe body aches, loss of appetite, fatigue, sore arm

Other Meds: Lotrel; Baby Aspirin; Lipitor; c/o Q 10; Fish oil; Glucosamine, Hydrochlorothiazide; Norco; Lopressor; Myrbetriq; Sertraline; Vitamin B Complex Allopurinol; Vitamin C; Zinc; Metformin; Melatonin; Vit D

Current Illness: None

ID: 0991109
Sex: F
Age: 29
State:

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 02/01/2021
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: Brain fog, fever, aches bad headache

Other Meds:

Current Illness:

ID: 0991110
Sex: F
Age: 46
State: IL

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Redness & inflammation (1/2 inch) that occurred adjacent to injection site 1 week & 2 day post vaccination. Area of redness/swelling continues to increase in diameter (2" in diameter).

Other Meds: Vitamins

Current Illness: N/A

ID: 0991111
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Rash on arm 13 days after injection - looks like covid arm as seen on web

Other Meds: Vitamin D Lexapro Benicar

Current Illness: Eye irritation

ID: 0991112
Sex: F
Age: 27
State: IL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient sitting in chair of observation area. Suddenly felt dizzy. Observation staff RN brought patient to triage. Patient states she felt dizzy. Lightheaded, nauseated, started vomiting, vomited two times. Slightly diaphoretic. She is warm and dry BP elevated. Patient started to scratch back, lower and mid back. noted with scattered raised red rash. Patient drowsy and altered mental state gave Benadryl. Patient to triage cot, cold pack applied V.S and N.S. measured. Charge nurse present. Benadryl 50mg IM given per protocol. EMS activated. report given to paramedic crew. No further vomiting. V.S.S. SR on monitor O2 sat 99%. Remains orientated to name, place and date. Cannot open her phone or recall family emergency number. Patient sent to hospital with EMS.

Other Meds:

Current Illness:

ID: 0991113
Sex: M
Age: 19
State:

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/01/2021
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:

Symptom List: Rash, Urticaria

Symptoms: headache, nausea

Other Meds:

Current Illness:

ID: 0991115
Sex: F
Age: 60
State: KS

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Penicillin, Bee sting, fabric softener

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

Symptoms: I experienced severe exhaustion with an elevated temperature. I also experienced headaches with cough and congestion.

Other Meds: Gabapentin, Metformin, Protonix, Prostiq, Hydrochlorofized, Spirolaractnoid, Losartan, Vitamin D3

Current Illness: Cancer, pneumonia

ID: 0991116
Sex: F
Age: 19
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
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: unknown

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

Symptoms: Chills, Fever

Other Meds: unknown

Current Illness: unknown

Date Died:

ID: 0991117
Sex: F
Age: 90
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Systemic: Other- pt had history of copd and DNR on file. approx 3 1/2hr after vaccine pt had sob and lowo2 sat, emergency services called, pt passed on their arrival.staff felt due to pt existing condition

Other Meds:

Current Illness:

ID: 0991118
Sex: F
Age: 42
State: MA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
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: Keflex

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

Symptoms: I received the vaccine at 0830. My arm felt sore during the day. In the evening (around 1700), I began to feel muscle aches and pain in my joints (wrists, knees, ankles). I also felt fatigue and brain fog. My injection site (L upper arm) was sore, felt hot to touch and was about 5/10 pain-wise. I took Tylenol 1,000mg PO and rested for the next 24 hours. The muscle aches and joint pain resolved after 24 hours. However, up to 48 hours after receiving the vaccine, I felt extreme fatigue and could not resume my regular level of activity. After 48 hours, I returned to regular activities.

Other Meds: Allegra 180mg Tab daily, Vitamin D 2,000 IU daily, Fish Oil supplements daily

Current Illness: none

ID: 0991119
Sex: M
Age: 44
State: IL

Vax Date: 10/06/2020
Onset Date: 10/08/2020
Rec V Date: 02/01/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: none

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

Symptoms: Loss of range of motion. Constant pain in shoulder radiating to elbow. Treatment of Physical therapy and ibuprofen. Outcome: Still having symptoms and treatment.

Other Meds: none

Current Illness: none

ID: 0991120
Sex: F
Age: 27
State: OH

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Employee states within 5 - 10 min. developed profuse sweating, dizziness, shortness of breath, nausea, vomitting, fatigue, confusion, chest pain and felt panicked. Symptoms waxed and waned. After 45 minutes went to Emergency Department and they completed and EKG, no meds, no labs per employee. Developed rash on her chest while waiting. Symptoms eased by 7pm and she was sent home. Continues with intermittent tightness in her chest, shortness of breath and heartburn since vaccination. No history of anxiety or panic attacks in past.

Other Meds: none

Current Illness: none

ID: 0991121
Sex: F
Age: 31
State: OH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
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: 11:30: 163/85, 83HR, o2 sat 100%. 11:44: 142/103, HR 74, o2 sat 99%. 11:47: 173/99, HR 81, o2 sat 99%. 11:51: 143/73, HR 79, r 18, o2 sat 99%. 11:58: 138/96, HR 69, rr16, o2 Sat 99%. 12:03: 137/100, HR 67, rr16, o2 Sat 100%. 12:20: 153/107. Still flushed/warm. Fatigue, felt weak, slept 4 hours. Light snack. Slept 16 hours. Following day remained very fatigued. Sunday: symptoms resolving. CRITERIA: Grade 3 Fatigue.

Other Meds: levothyroxine, zyrtec, propanolol, mirena IUD.

Current Illness: None

ID: 0991122
Sex: F
Age: 52
State: AR

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: PCN, Sulfa

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

Symptoms: Pfizer-BioNTech Covid-19 vaccine EUA HA and migraine

Other Meds: Topamax, cyclobenzaprine, gabapentin, methocarbamol, tramadol

Current Illness: migraines, arthritis, fibromyalgia

ID: 0991123
Sex: F
Age: 91
State: OH

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 02/01/2021
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: sulfa, tetrcyclline, Buspar, anxiety meds, grass, pollen, molds

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

Symptoms: Other meds; potassium chloride, VitD3, super B complex, Cal-mag-zinc. Increased neuropathy with increased pain, stiffness, myalgia, arthralgia, prickly skin feeling all over, sensitive. Criteria for reporting: states saw Dr. 1-18-21, prescribed steroids. Took prescribed pain meds and prevented her daily activity; Grade 3 for pain and fatigue, myalgia, arthralgia.

Other Meds: Amlodipine, Donepezil, famotidine, Pantoprazole, Clopidogrel,

Current Illness: none

ID: 0991124
Sex: F
Age: 59
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Latex, tetracycline

Symptom List: Unevaluable event

Symptoms: Headache, Fever 102.5 for 10 hours, hip joint pain, upper teeth hurt, kidney pain 400 mg Motrin @9:30 am

Other Meds: 15mg Lisinopril Vitamin C, D and E

Current Illness:

ID: 0991125
Sex: F
Age: 55
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/01/2021
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: After approx. 10hours of receiving the vaccine in my left arm-shoulder at work , I was sleeping and was awakened With: SEVERE CHILLS - teeth chattered in my head & legs shook -uncontrollably for over 9 hours FEVER- 103 Degrees -on & off for 8 hours BURNING - STINGING - in both hands and turned red 1-2 days LEFT ARM - sore- swollen 1 week [LEFT ARM - still has aches and stiffness] HEADACHE- -top of head for 2 days JOINT PAIN -all over for 3-4 days WEAKNESS- for over 72 hours

Other Meds: albuterol inhaler

Current Illness: none

ID: 0991126
Sex: F
Age: 53
State: CA

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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's

Symptom List: Injection site pain, Pain

Symptoms: First 3 days-Pain, tenderness and swelling of the lymph nodes in the same arm of the injection, swelling (hardness), and redness. 1 week after-Red hives, itchy, painful and swollen in the same arm of the injection

Other Meds: Bisoprolol fumarate

Current Illness: None

ID: 0991127
Sex: F
Age: 30
State: KY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Warm , red area, and swollen.

Other Meds:

Current Illness:

ID: 0991128
Sex: F
Age: 41
State:

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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: o After about 10 minutes of receiving the vaccine, while she was in the observation unit, she suddenly developed lightheadedness, shortness of breath, and nausea without vomiting. She was assisted to the ground in a supine position and given one EpiPen injection, with subsequent improvement of her symptoms. Upon arrival to ED, she does endorse some diffuse itching over her body, but airway is asymptomatic. She denies taking Benadryl, Zyrtec, or any other antihistamines today. o Of note, on the day of her first vaccine dose 4 weeks ago, she had gradually developed symptoms including severe fatigue, muscle aches, and headache. The following day, she also developed increased redness, hives, and similar itching to her presentation today, which she describes feeling like "bugs crawling inside." She subsequently had a virtual visit with her PCP on 1/7, who prescribed her an EpiPen and Zyrtec. She has had resolution of these symptoms and has had no other complaints since.

Other Meds:

Current Illness:

ID: 0991129
Sex: F
Age: 43
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
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: unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: chills, fever, weakness, body aches

Other Meds: unknown

Current Illness: unknown

ID: 0991130
Sex: F
Age: 62
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: possibly naproxen sodium

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I would not necessarily say these were "adverse" event, but somewhat expected post-vaccine symptoms: Fever (101 degree F at the highest) and signifiant body aches

Other Meds: None

Current Illness: none

ID: 0991131
Sex: F
Age: 51
State: PA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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: Penicillin, Sulfur

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

Symptoms: 8 days after injection, injection site started itching terribly and is very painful, large round circumference the size of the area is the size of the bottom of a large Mason Jar. Very hard. Pain goes the whole length of arm.

Other Meds: N/A

Current Illness: N/A

ID: 0991132
Sex: F
Age: 45
State: OH

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Cats, dust, seasonal

Symptom List: Nausea

Symptoms: Vaccine Monday 1/11/2021 1530. Wednesday 1/13/2021 woke up with mild site pain, fatigue, arthralgia. 1/14/2021 Pain in shoulder blade area. 1/16/2021-1/17/2021 developed painful, unilateral truncal rash and tingling pain. Sought help with PCP; Dx. with SHINGLES; started on Valtrex, etc.. Positive COVID history 12/9/2021. States when had her blood tested to donate in January the week before her vaccine she tested negative.

Other Meds: allegra, Vit. D3, zinc tablets, magnesium, Vit B6

Current Illness: none

ID: 0991133
Sex: F
Age: 49
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: seasonal only

Symptom List: Injection site pain

Symptoms: Felt weird agt 15min end time of observation. Needed to take a deep breath. Got up: lost footing/stumbled. Feels weird, very tired.

Other Meds: Statin

Current Illness: None

ID: 0991134
Sex: F
Age: 59
State: SD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

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

Symptoms: Headache, fever (100.2), chills

Other Meds: Aspirin, Multi-Vitamin, Metoprolot tartrate, Rosuvastatin, Ticagrelor, plus 2 more

Current Illness:

ID: 0991135
Sex: F
Age: 67
State: IL

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: herpes zoster left scapular area

Other Meds: multivitamin, calcium with D, Fosamax

Current Illness: none

ID: 0991136
Sex: M
Age: 59
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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 that I know of

Symptom List: Tremor

Symptoms: fever, chills , vomiting's, dry eves, headache, diarrhea, slight dizziness symptoms lasted about 24 hrs. but was week the next 2 days after

Other Meds: heart burn medicine Opera 20mg something prescribe by my doctor Sugar medicine Metforim 500 mg prescribe by my doctor Multi-vitamin for men over 50

Current Illness: None

ID: 0991137
Sex: F
Age: 48
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/01/2021
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: Patient reports a six day hx of constant rash over torso 30 minutes after covid vaccine. denies sob/cp/wheezing/palpitations/swelling of tongue/throat. +pruritic

Other Meds:

Current Illness:

ID: 0991138
Sex: F
Age: 34
State: OH

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
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: No known

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

Symptoms: Arm progressively more sore throughout the day. Chills started around 9:45 pm. Body aches throughout the night, difficulty sleeping. The following day (1/28) headache and fatigue. No symptoms on 1/29

Other Meds: None

Current Illness: None

ID: 0991139
Sex: F
Age: 60
State: OK

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Patient received their first dose of Pfizer vaccine on 1.27.2021. Patient reports little red spots that are itchy on their legs, thighs, and chest that started the day after receiving the vaccine. The patient states that they are NOT experiencing any facial swelling, scratchy/itchy throat/ShOB. Patient states the rash has improved with over the counter medications. Encouraged the patient to reach out to provider with any more worrisome or bothersome conditions, including worsening of rash. Reviewed when the patient should seek emergency care.

Other Meds:

Current Illness:

ID: 0991140
Sex: F
Age: 51
State:

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: ADHESIVE TAPE, OPOID PAIN MEDICATIONS, STATINS, LISINOPRIL

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 01/28/21 WOKE UP WITH HIVES ALL OVER BODY WITH FLU LIKE SYMPTONS, SLEPT ON AND OFF MOST OF THE DAY. BY 6:00 PM ON 01/28/21 THE HIVES HAD SPREAD AND IT LOOK LIKE A SEVERE SUNBURN ALL OVER, HIVES WERE ITCHING AND BURNING SEVERLY, HAD A TEMP. OF 101. WENT TO URGENT CARE AT 6:45PM ON 01/28/21 AND WAS SEEN BY A DOCTOR. WAS GIVEN A SHOTOF DEXAMETHASONE IN MY RIGHT HIP, A PRESCRIPTION FOR HYDROXYZINE HCL 50MG -QTY. 20 TABLETS AS NEEDED FOR ITCHINGAND PREDINSONE 10MG TABLET TO TAKE FOR 8 DAYS

Other Meds: EFFEXOR ER, BUSPAR,ROPINIROL,ATENOLOL,CHOLESTOFF, CALCIUM, ALANI NU-BALANCE SUPPLEMENT

Current Illness: NONE

ID: 0991141
Sex: F
Age: 30
State: MI

Vax Date: 01/12/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
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:

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

Symptoms: Pulsatile tinnitus

Other Meds:

Current Illness:

ID: 0991142
Sex: F
Age: 46
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: 1/30/30 - 2nd dose - bruising , sore arm (like a tetanus shot) and redness at injection site. Injection was done at 9:34 AM. Around 10:30 PM started with headache. 1/31/20 - Woke up at 7:00 AM with fever (100.3), aches, major headache, overly tired and chills. Slept most of the day. I alternated Tylenol and Ibuprofen. Around 6:30 PM the fever was gone and the chills had dissipated. 2/1/20 - Woke up at 6:00 AM a little sluggish but 90% better. Arm is still sore. Headache, chills, fever and feeling tired are gone. Still a little achy.

Other Meds: Eszopiclone Topiramate Sertraline Betamethasone Dipropionate

Current Illness:

ID: 0991143
Sex: F
Age: 60
State: KS

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Penicillin, Bee sting, fabric softener

Symptom List: Pain in extremity

Symptoms: After my second dose my right arm got so big as a baseball, it was hard, swollen, felt hot upon palpation. I also had difficulty lifting my right arm up due to the pain. I also ran an elevated fever.

Other Meds: Gabapentin, Metformin, Protonix, Prostiq, Hydrochlorofized, Spirolaractnoid, Losartan, Vitamin D3

Current Illness: Caner, pneumonia

ID: 0991144
Sex: F
Age: 55
State: SC

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: Patient received Moderna vaccine 10 days ago, pt started having redness and slight swelling at the site 2 days ago.

Other Meds:

Current Illness:

ID: 0991145
Sex: F
Age: 18
State: AR

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
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: unknown

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

Symptoms: headache, chills, nausea

Other Meds: unknown

Current Illness: unknown

ID: 0991146
Sex: F
Age: 51
State: AR

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 02/01/2021
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: PCN , augmentin

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

Symptoms: Covid-19 vaccine mild cough, runny nose and mild HA. Used my inhaler due to some wheezing.

Other Meds: none

Current Illness: none

ID: 0991148
Sex: M
Age: 68
State: FL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: bee stings/fire ants

Symptom List: Vomiting

Symptoms: HCP was called to a patient with "tongue swelling". HCP asked MD for an Epi Pen and the paramedics are O2. O2 was applied at 2L per NC. . HCP approached vehicle where a 68yo white male was sitting in his vehicle on the driver side. Quick assessment revealed erythema of the face and angioedema. Pt was able to speak clearly, was CTA and had RRR. 911 was called. BP 160/90. EpiPen dose 1 was injected into right vastus lateralis and pt reported improvement at 1057. HCP asked for injectable diphenhydramine. HCP continued to monitor pt with RRR and CTA but erythema and angioedema began again along with swollen tongue so EpiPen dose 2 was injected into right vastus lateralis. 50mg IM diphenhydramine was injected into the right deltoid while fire rescue began to arrive on scene. Pt did not report difficulty breathing. Pt did report previous anaphylaxis to fire ant bites/stings and did report being allergic to bee stings. Fire rescue transported patient without difficulty. HCP called pt later that night at 2030 who reported doing better but still having tongue swelling.

Other Meds:

Current Illness:

ID: 0991149
Sex: F
Age: 36
State: AR

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Warm red rash on upper left arm where injection was received. 9 days after injection. Arm slightly sore. Rash mostly gone within 48 hours.

Other Meds: Wellbutrin, Synthroid, Sprintec, Prenatal Vitamins, Red Rice Yeast, Zyrtec, Fish Oil

Current Illness: None

ID: 0991150
Sex: F
Age: 34
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: urticaria and lip/eye swelling; urticaria persisting 4+ days

Other Meds: ortho-tri-cyclen

Current Illness: none

ID: 0991151
Sex: M
Age: 57
State: VA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital: Y

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: Morerna 2 vaccine was admitted on Jan. 24 at 3:45 pm from the Hospital. Mild Cheer, muscle, fever and diarrhea on 25th. On 26th, Moderate symptoms abdominal pain. On 27, Mod localized Abdominal pain developed and 28the 4:30 am entered to ER. Blood work and CT done. Dx: Appendicitis . Transferred to higher level of care OR at 3pm and Surgery was done at 5:00pm with Appendicitis with burst. Discharged from hospital on 30 th at 2pm

Other Meds: None

Current Illness: None

ID: 0991152
Sex: M
Age: 17
State: AZ

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: no Too young

Other Meds: no

Current Illness: no

ID: 0991154
Sex: M
Age: 78
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Fever (101.8), chills, night sweat, all over achy feeling for two days. Did not go to a clinic.

Other Meds: Simvastatin (40mg); Metoprolol (12.5 mg); Glucosamine (1500 mg), CoQ10 (100); Aspirin (81 mg); Tumeric (1500 mg)

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm