VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 11/12/2021
** VAERS DATABASE Last updated: November 12, 2021**
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Manufacturers

Total Manufacturer
199,106MODERNA
36,710JANSSEN
5,381PFIZER\BIONTECH
2,555GLAXOSMITHKLINE BIOLOGICALS
1,469UNKNOWN MANUFACTURER
897MERCK & CO. INC.
627SEQIRUS, INC.
112DYNAVAX TECHNOLOGIES CORPORATION
91SANOFI PASTEUR
75NOVARTIS VACCINES AND DIAGNOSTICS
40EMERGENT BIOSOLUTIONS
14PAXVAX
12TEVA PHARMACEUTICALS
12PROTEIN SCIENCES CORPORATION
9PFIZER\WYETH
4BERNA BIOTECH, LTD.
4SMITHKLINE BEECHAM
3INTERCELL AG
1MEDIMMUNE VACCINES, INC.
1CSL LIMITED

COVID19 Lot Number

VAX LOT Total
2S9CL7,949
7,473
2,547
1,506
1,187
1,051
1,049
s0294561,043
866
IMM209861
816
UT7065MA766
657
579
U62828AA563
557
538
U6737AA516
515
S034636506
4F472471
458
P100253275449
444
276563436
429
418
4BH32414
MENVEO404
PP9L5362
UJ446AA337
319
306
290
271
49TM3270
R1B252M253
4F472179
933622147
C5763AA144
CW3116134
3Y7NL126
UNK114
113
ARBA141A105
104
103
96
300057A90
79
1F4EB73
R1B743M62
56
UJ090AA55
51
UH894AB46
45
UNK44
UNK42
42
EJ168638
Unknown36
35
34
32
32
26
el128424
24
A115A22
22
EN620222
21
UNK20
20
19
Z127A19
19
17
JEV18K95E15
12
111798PI12
10
A739088
No batch number8
3333324181078
6
6
TAR356
5
5
U6935AA5
UNK5
4
unknown4
3
2
55RB72
2
2
2
2
2
U7124AA2
JEV18A68E2
2
ABYB05BA1
1
1
1
1
AMVA436A1
1
1
TJ3521
A130A; VIS give1
1
U7140BB1
1
1
SP UP016AA1
1
1808P08802/ESV01
037K20A300,947
EL1284288,578
57,766
1,432

Incidents per State

State Total
82,750
CA62,821
FL38,209
TX36,512
NY34,921
PA23,646
IN23,622
IL20,597
MI19,590
OH19,426
NJ18,413
NC16,769
GA15,932
WA15,351
VA15,234
MA14,876
AZ14,206
MN12,940
MD12,656
CO11,908
WI11,425
MO10,240
TN9,685
OR8,768
KY8,437
CT8,300
SC6,700
OK6,293
AL5,692
LA5,025
IA4,825
KS4,821
UT4,637
NV4,374
NM3,967
AR3,807
ME3,161
NH3,096
NE2,918
MS2,859
ID2,785
WV2,469
HI2,459
PR2,417
MT2,414
RI2,076
DE1,868
AK1,830
VT1,734
DC1,715
ND1,388
SD1,269
WY866
GU118
VI69
AS47
MP29
MH8
XB6
FM4
QM3
XV2
XL1

ID: 0995672
Sex: F
Age: 27
State: OR

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

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

Lab Data: N/A

Allergies: N/A

Symptom List: Dysphagia, Epiglottitis

Symptoms: 1 week after 1st dose was administered, redness, swelling and itching appeared at injection site.

Other Meds: Nuvaring

Current Illness: N/A

ID: 0995673
Sex: F
Age: 80
State: WI

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data: Nothing ordered.

Allergies: No known allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: I began with mild arm ache 24 hours after vaccination, 72 hours later the site became swollen, red and itchy. Overall I feel fatigued and lost my appetite. In addition when I had CoVID in September I experienced difficulty falling or staying asleep. I experienced that last night again. I am very tired but unable to fall asleep.

Other Meds: Carvedilol, Omprazole, Tylenol,Potassium, VitaminD3, Multivitamin, Zinc, Aspirin low dose, Aleve, Magnesium,.

Current Illness: Chronic arthritis, low back pain on-going.

ID: 0995674
Sex: F
Age: 79
State: CA

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Lightheaded 20 minutes after the vaccine, no other symptoms. BP 144/70, pulse 68, O2 sat 100%. Patient offered water/juice, refused. Stable to go home.

Other Meds:

Current Illness:

ID: 0995675
Sex: F
Age: 34
State:

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

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

Lab Data:

Allergies: PCN - hives, Doxy - GI

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: itching to bilateral cheeks with noted mild redness, no hives. Meds declined by patient. Patient left observation with friend accompanying her.

Other Meds:

Current Illness:

ID: 0995676
Sex: F
Age: 64
State: IL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data: none

Allergies: NKA

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

Symptoms: Fever 100.1 vomiting, chills, arm hurt, for 2 days

Other Meds: Unknown

Current Illness: none

ID: 0995677
Sex: F
Age: 29
State: NC

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
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: None as of yet.

Allergies: Lorazapam and shellfish

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

Symptoms: Immediately following vaccination no adverse reactions occurred. Approximately 8 hours following, I began feeling sluggish & global muscle soreness. I slept that evening with Tylenol in my system(1000mg) and then awakened the next morning with swollen & tender axillary nodes in my right upper extremity. I rested that day due I was still feeling bad(fatigue, muscle & joint pain, headache) with alternating 1000mg of Tylenol and 600mg Ibueprofen every 4 hours. January 31st morning I awoke and continued to have the swollen, tender axillary nodes with progression of swelling into my right breast and down into my right elbow area. I again alternated NSAIDs with no improvement except for lying supine with my RUE elevated toward the ceiling. Monday morning I continued to have the same above symptoms and Tuesday my RUE is swelling into my hand intermittently with continued tenderness & swollen axillary nodes. I see a physician on Thursday at 1330, Dr.

Other Meds: Flonase, Elderberry gummies with vitamin C & Zinc

Current Illness: None

ID: 0995678
Sex: F
Age: 79
State: AZ

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: None

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Arm pain to shoulder, chills, flu kind symptoms. Body ache.

Other Meds: Telmisartan 80mg Hidroclorotiazida 25 mg Paracetamol Vitamin D 50 mcg

Current Illness: High blood pressure

ID: 0995679
Sex: F
Age: 50
State: IA

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data: None.

Allergies: None.

Symptom List: Pharyngeal swelling

Symptoms: On 1/17/21 at approximately 8:00 p.m., Patient noticed her lymph nodes were swollen on the left side and she was unable to move her neck. She was better by 1/24/21

Other Meds: None.

Current Illness: None.

ID: 0995680
Sex: F
Age: 84
State: SD

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: Celebrex, egg

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient did sat in the clinic after administration for 15 minutes with no initial reaction. Patient went home and noticed her arm was warm red and swollen later that day. Attempted to decrease her symptoms with ice and zyrtec but no relief was received. Patient was seen by PA on 2/1/2021 as her symptoms continued and was placed on abx.

Other Meds: alendronate, atorvastatin, calcium, carbamazepine, vit d3, levothyroxine, losartan, metoprolol, multivitamin, triamcinolone ointment, zinc

Current Illness: vertigo

ID: 0995681
Sex: F
Age: 77
State: CA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
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: Resident came by my office to report an adverse reaction to the first COVID vaccine given around 11 am on 01/30/2021. She describes her tongue feeling slightly swollen while eating her dinner around 6pm 1/30/21. The next morning around 5 am she woke with tongue very swollen. She took Benadryl 25 mg at 5 am, 10 am and 8 pm. Today the tongue no longer appears swollen but is reddened the distal third. She reports unable to drink anything hot.Adverse reaction report filed with VAERS.

Other Meds:

Current Illness:

ID: 0995682
Sex: F
Age: 67
State: CA

Vax Date: 01/22/2021
Onset Date: 02/02/2021
Rec V Date: 02/02/2021
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: rash on stomach itchy red hives

Other Meds:

Current Illness:

ID: 0995683
Sex: M
Age: 44
State: NY

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

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

Lab Data: N/A

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Rash similar to a heat rash noticed the morning after vaccine on both arms near wrist

Other Meds: Multivitamins, Omega.

Current Illness: N/A

ID: 0995684
Sex: F
Age: 42
State: CA

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 02/02/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: The first thing that happened was the pain that spread across my arm it looked like I was bit by a mosquito I took benadryl my entire upper arm was swollen, Sunday I projectile vomitted out of no where without any indication of being nauseous, I had a lot of fatigue I was coughing intermittently I thought it was my asthma but I also had severe neck pain I could barely hold my head up and I was sent to the urgent care where I was monitored. I had hives in random parts of my body including my face. My body was sore and I had to take off of work because I couldn't sit up. That following Thursday I was completely fine there was nothing wrong with me. Thursday I had an appt and explained everything to my Dr which she monitored me and said it was an immune response

Other Meds: Benadryl, inhalor

Current Illness: no

ID: 0995685
Sex: F
Age: 77
State: MA

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

Allergies:

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

Symptoms: 32 hours after receiving the shot of Shingrix, and not having had a bowel movement, I had a sudden urge to move my bowels. I had a very large in volume bowel movement. I felt tired afterward, but no further effects.

Other Meds:

Current Illness:

ID: 0995686
Sex: F
Age: 55
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data: COVID testing

Allergies:

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

Symptoms: body ache, fatigue, continues.

Other Meds:

Current Illness:

ID: 0995687
Sex: M
Age: 22
State: MA

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

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

Lab Data: none

Allergies: unknown

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

Symptoms: Adverse Event: As the provider started to inject the vaccine into the patient, significant amount of leakage occurred and dripped down patient's arm. Treatment: Vaccine was lost and a second vaccine was administered. Outcome: We did a safety huddle and retrained vaccinators. The same thing happened again. Each remaining syringe was checked by the Pharmacist who found that the connection between the syringe barrel and the needle was loose and unable to be tightened, This was determined to be a defect with the needle device. We changed out all the remaining vaccines with our own supply of needles and had no further problems.

Other Meds: unknown

Current Illness: unknown

ID: 0995688
Sex: F
Age: 72
State: FL

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
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: hay fever, and rose fever, iodine, and sulfur, shellfish

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

Symptoms: 7 days after shot i was taking shower and there was bumps on arm and it was splotches and red and itched and was hot and stayed like that for 3 or 4 days . I also had a very bad headache. I slept the whole day. I was very tired.

Other Meds: multivitamin

Current Illness:

ID: 0995689
Sex: F
Age: 61
State: MD

Vax Date: 01/22/2021
Onset Date: 02/02/2021
Rec V Date: 02/02/2021
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: Bloodshot left eye

Other Meds: atorvastatin aspirin 81 mg cymbalta Vitamin D

Current Illness:

ID: 0995690
Sex: F
Age: 49
State: CA

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Uncontrollable chills and sweats.

Other Meds:

Current Illness:

ID: 0995691
Sex: M
Age: 66
State: IL

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/02/2021
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: Shortness of breath, fatigue, sore arm

Other Meds: None

Current Illness: None

ID: 0995692
Sex: F
Age: 35
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/02/2021
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: I did not seek medical attention. I took ibuprofen and my prescribed Rizatriptan to manage the migraine pain.

Allergies: Penicillin, morphine, percocet, nitroglycerin, pineapples, tomatoes.

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

Symptoms: I got my vaccine on 1/5/2020 about 7:30AM. Within 5 minutes I felt dizzy, dizziness continued. My arm was very sore-felt hot and like someone punched me. Within 1 hour I had a headache (migraine) that continued from the onset until 6PM 1/6/2020. I felt unwell, malaise, and lightheaded, flu-like for this time period. I experienced muscle stiffness and soreness from the top of my head, down the left side of my neck, down my arm to the elbow on my left side. This continued for about 3 days.

Other Meds: Buspar, Hydroxyzine, vitamin b-2, nortryptiline, lamictal, trileptal, donezapil, vyvanse, vitamin d3, l-methyl folate.

Current Illness: N/A

ID: 0995693
Sex: F
Age: 32
State: NY

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
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, latex

Symptom List: Unevaluable event

Symptoms: Moderna COVID?19 Vaccine EUA I developed a inflamed, stiff, hot, itchy rash on my left arm (where I got vaccinated) on 1/27/2021. It went away after 2 days. Then another red rash appeared on the same left arm again 2/1/2021. It is currently a big red blotch on 2/2/2021.

Other Meds: Prenatal, Valtrax

Current Illness:

ID: 0995694
Sex: F
Age: 69
State: TX

Vax Date: 01/27/2021
Onset Date: 02/02/2021
Rec V Date: 02/02/2021
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: N/A

Allergies: Penicillin, Ibuprofen

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

Symptoms: Swollen lymph node in armpit in same arm as injection. My upper back seems a little tight and sore, too. It's just light pain so far, nothing drastic. I just thought I should report it. It just started today, so I don't know how long it will last.

Other Meds: Irbesartan, Atenolol, Bupropion, Lexapro, Progesterone, and Estradiol. Over the counter Claritin.

Current Illness: None

ID: 0995695
Sex: F
Age: 36
State: VT

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data: N/A

Allergies: N/A

Symptom List: Injection site pain, Pain

Symptoms: One week AFTER ( with no symptoms prior) arm became sore. Woke up to swelling, hives itching, redness in a uneven circumference bigger in size than my hand, deltoid muscle felt rock hard and hot. Symptoms lasted several days with gradual reduction.

Other Meds: Flax oil Multi-vitamin Bisoprolol

Current Illness: N/A

ID: 0995696
Sex: F
Age: 52
State: KY

Vax Date: 01/18/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: Sensitivity to multiple meds.

Symptom List: Injection site pain, Menorrhagia

Symptoms: 1/29/21 Began with 2 x 2 inch red area, warm to the touch, 1/30/21 Red are became larger 1/31/21 Red Area continue to increase in size . Warm to the touch. No knots or bumps, no discomfort. 2/1//21 Red area increase to approx. 5 x3 inches, warm to the touch. Developed a noticeable ache and itching. Discussed with Infection control office (I work in the hospital) and discussed with 2 pharmacist. I made decision to take Pepcid, first dose 4:00 PM 2/2/21 Red area fading, surface temperature decreasing. Itching , ache resolved.

Other Meds: Multi Vitamins

Current Illness: 0

ID: 0995697
Sex: F
Age: 70
State: CA

Vax Date: 01/23/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data: none

Allergies: Quinilones,Skelaxin,Doxycicline,Latex,mussels

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

Symptoms: Initial swelling and redness after shot lessened within a few days; a few days later, however, pain, swelling and large area of redness appeared

Other Meds: Pepcid,Omeprazoled,Oxycontin,Ondansetron,Fluoxetine,Trazodone,ProAir HFA,Wixelia Fluticasone Proportionate,Carbidopa/Levodopa, Mega Red 4 in 1,Centrum Silver,Critical Maximum Plus, Quonol CoQ10, Vitamin K2,Magnesium,Low Dose Aspirin,Docusat

Current Illness: Fibromyalgia, asthma

ID: 0995698
Sex: F
Age: 47
State: DE

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
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: Keflex, Bactrum.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Approximately 10 days after receiving vaccine began developing rash (raised and red) on chest and back. Continues to develop more on arms and legs. Areas are itchy and not resolving. Do not consider serious however uncomfortable. Seen by PCP 2-2-21; prescribed antihistamine and topical ointment. Cause unknown. Scheduled for second dose 2-11-21 (if available)

Other Meds: None

Current Illness: Sinus infection (resolved prior to vaccine)

ID: 0995699
Sex: F
Age: 59
State: FL

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

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

Lab Data: Covid test- positive

Allergies: sulfa, bee stings, and airborne allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pt states that she had nausea , diarrhea, headache, fatigue, sinus congestion, body aches, no fever. Pulse ox reads 95. She went to an urgent care since she wasnt feeling well and they did PCR Covid test which came back positive. She has only had aspirin for pain at this time.

Other Meds: zinc, magnesium, calcium, Coq10, escitalopram 20 mg x once daily, norethindrone 1mg-5micrograms, Montelukast 10 mg, tizanidine 4 mg x 2 daily, Synthroid .112 micrograms, ezetimibe 10 mg once daily, myrbetriq 50 mg, atorvastatin 20 mg every

Current Illness: none

ID: 0995700
Sex: M
Age: 31
State: WI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
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: EKG normal

Allergies: "multiple allergens" sees allergist, consent states no food or medication allergies

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

Symptoms: Chest tightness and muscle "twitches" within 15 minutes of receiving 1st does of Moderna COVID-19 vaccine. Evaluated by onsite EMS: 12 lead EKG and vital signs (BP 151/95, HR 88, Resp 20, Pulse ox 96%, normal sinus rhythm). Declined transport via ambulance to hospital. Instructed to follow up with PCP and seek care if chest pressure returned.

Other Meds: Unknown

Current Illness: unknown

ID: 0995701
Sex: M
Age: 51
State: VT

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

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

Lab Data: COVID-19-neg

Allergies: no

Symptom List: Nausea

Symptoms: A couple days after I begin experiencing general body aches, headache and nausea which lasted about 10 days after. I got a COVID swab which was negative.

Other Meds: no

Current Illness: Nov-brachial plexitis

ID: 0995702
Sex: F
Age: 47
State: WI

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
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: Injection site pain

Symptoms: Patient reports intermittent numbness and tingling to bilateral thumbs, index and middle fingers and palms. Patient states symptoms started the same day as receiving her second dose, later in the day. Patient unsure if she will seek further evaluation.

Other Meds:

Current Illness:

ID: 0995703
Sex: F
Age: 29
State: NY

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

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

Lab Data: Finger stick for glucose was 107, cbc with diff, comprehensive metabolic panel, IV fluids

Allergies: Cefzil-rash

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

Symptoms: PT had Covid Pfizer vaccine on 02/01/21 at 8:47 am with no adverse reactions. While working at her desk at 11:40 am, (employee) patient states had gradual bilateral arms and bilateral legs shaking and back went into spasms. No loss of consciousness. PT walked to vaccination pod where seen by MD Resident and then take to ED for further exam

Other Meds: Ozempic, Prozac, Wellbutrin, Clonidine, Abilify, Lo Lo Estrogen (Birth Control), Ambien, Lamictal

Current Illness: No

ID: 0995704
Sex: F
Age: 58
State: VA

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

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

Lab Data: n/a

Allergies: no

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

Symptoms: started feeling bad this am and have gotten progressively worse. Temp 101.3 Heart rate 136 Could not warm up. Head ache, ears hurt, throat and nose dry, General aches, tired

Other Meds: Zinc, vitamin C, Vitamin D, Turmeric, prednisone, sulfasalazine, meloxicam

Current Illness: got first vaccine on 1/4 Diagnosed with Covid on 1/13 - tested 1/11 Symptoms started on 1/10 into 1/11 and out of work until 2/1/22 and it was recommened to get the 2nd vaccine.

ID: 0995705
Sex: F
Age: 40
State: PA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data: Covid 19 test- 1/4/2021 Covid 19 test- 1/6/2021 XR Chest 2 views 1/7/2021

Allergies: Allergies to Xarelto, Pradaxa, Coumadin, sulfa, tramadol, toradol Allergies to mayonnaise, mustard, aloe vera

Symptom List: Tremor

Symptoms: after the vaccine, I started to feel Body aches, chills, nausea, gum pain, I felt fine prior to the vaccine, I went to an Express Care they did a Covid 19 test, result was negative, I had a video visit with my doctor because I developed cough, chest tightness and shortness of breath, they did a 2nd Covid 19 test result was negative, The cough become persistent and the cough caused pain in my chest and back, The Doctor prescribed guaifenesin with codeine, albuterol and something for my gums. the cough and pain in chest was worsen and the Doctor gave me the zpack, I was out of work for 10 days. they said I had an acute URI

Other Meds: Eliquis 2.5 mg, Aimovig 70 ml every 28 days

Current Illness: NO

ID: 0995706
Sex: M
Age: 52
State: AK

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

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

Lab Data: N/a

Allergies: Demeroll, advil coding

Symptom List: Erythema, Pruritus

Symptoms: Headache, body pain, joint pain, fever, tiredness, chills.

Other Meds: Tylenol, Etodolac 500mg, clonazepan 1mg,

Current Illness: N/a

ID: 0995707
Sex: M
Age: 25
State: AZ

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
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: gluten allergy

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

Symptoms: 24hrs after vaccination severe myalgia, chills, headache, nausea, diarrhea, swollen lymph nodes, loss of appetite, and fatigue continued into 02/02/2021

Other Meds: nexium 20mg

Current Illness: none

ID: 0995708
Sex: M
Age: 91
State: IL

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/02/2021
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: FDB Medication Ingredient - hydromorphone HCl; FDB Medication Ingredient - morphine; FDB Medication Name - Norco; FDB Specific Allergen Group - NSAIDS (Non-Steroidal Anti-Inflammatory Drug)

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

Symptoms: Fall

Other Meds: omeprazole 20 mg tablet,delayed release, acetaminophen 500 mg tablet, Aspirin Low Dose 81 mg tablet,delayed release, busPIRone 10 mg tablet, carvediloL 3.125 mg tablet, levothyroxine 50 mcg tablet, lisinopriL 5 mg tablet, Miralax 17 gram/do

Current Illness:

ID: 0995709
Sex: F
Age: 54
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: chills, low-grade fever, joint pain, headache

Other Meds: Vitamin D3/K PO liquid, 2 Excederin ES tablets, Quercetin phytosome, Zinc

Current Illness: none

ID: 0995710
Sex: F
Age: 59
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data: none

Allergies: none

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

Symptoms: Slight fever (100), slight headache, bumps on skin 2" from injection location, pink, warm area 4" from injection and lump on lower part of upper arm (6" from injection) tender to the touch. Noticed 20 hrs post-injection, headache and fever gone by 24 hrs post-injection but reaction on arm still there 4 days later, only slightly reduced.

Other Meds: none

Current Illness: none

ID: 0995711
Sex: F
Age: 47
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Moderate pain at site x 1 day, short intermittent sharp pain in chest, nausea; left side facial sensitivity to touch and cold, nausea, and diarrhea

Other Meds:

Current Illness:

ID: 0995712
Sex: F
Age: 62
State: PA

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

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

Lab Data:

Allergies: PCN Red Dye

Symptom List: Pain in extremity

Symptoms: Dizziness, Increase Blood Pressure, Fainting, Fatigue,

Other Meds: Synthroid Effexor XR

Current Illness:

ID: 0995713
Sex: F
Age: 29
State: MA

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

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

Lab Data: none

Allergies: Unknown

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

Symptoms: Adverse Event: As the provider started to inject the vaccine into the patient, leakage occurred and dripped around barrel of syinge. Treatment: Vaccine was estimated to be 50 % injected and 50 % lost Outcome: We did a safety huddle and retrained vaccinators. The same thing happened again. Each remaining syringe was checked by the Pharmacist who found that the connection between the syringe barrel and the needle was loose and unable to be tightened, This was determined to be a defect with the needle device. We changed out all the remaining vaccines with our own supply of needles and had no further problems.

Other Meds: Unknown

Current Illness: Unknown

ID: 0995714
Sex: F
Age: 68
State: NC

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data: bloodwork, tested for stroke or heart attack, both were ruled out. No prior history of heart or circulatory issues. MRI to check brain for balance dysfunction, no evidence of brain dysfunction or injury. They have all the records of what happened.

Allergies: penicillin

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

Symptoms: 45 hours after vaccine admin, woke up Sunday AM, and upon eating and hydrating, got vertigo-- dizziness and vomiting. Unable to keep food or fluids down. (Patient is 68 yrs, and has never ever thrown up.) Elevated heart rate and BP, stress reaction. These symptoms continued for 8 hours. Wound up at ER. Doctors suspect vaccine as cause of vertigo reaction. Received IV to restore fluids. Had an MRI to rule out stroke or heart attack. Released from Hospital Sunday 10:30PM

Other Meds: One a Day Women's 50+, Ovega3 500 mg, 1 Curamin tablet,

Current Illness: none

ID: 0995715
Sex: M
Age: 43
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/02/2021
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: was vaccinated with Moderna lot#025L20A. At 1355, shortly after arriving to observation area, he reported nausea, light headedness, and "feeling like he was going to pass out". First vitals were BP 91/53 (65), 36.7, 95% and HR-74 and noted to be pale. Denies allergies or past history of issues with vaccines however does report not liking needles. After laying down for 15mins he was noted to be less pale and better able to have conversations. Repeat vitals while siting up 123/80 (93), 97%, HR-85. Pt able to eat crackers and juice. Stayed in room until 1450 then walked around for 10mins and decided to leave. Last vitals 124/90 (102). Education given to call 911 if symptoms return or anything new happens. He was also educated to let staff know about this before getting second dose.

Other Meds:

Current Illness:

ID: 0995716
Sex: F
Age: 17
State: IL

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

Symptom List: Vomiting

Symptoms: Client was given Moderna COVID-19. Med error

Other Meds:

Current Illness: None

ID: 0995717
Sex: F
Age: 86
State: FL

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data: CT scan of the brain Chest X-ray Blood work All performed in the ER on 2/1/2021

Allergies: None known

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Was wandering around the house in the middle of the night, after midnight. Went to the kitchen to eat and fell, had to have help getting up. She was too weak to get up on her own. Had no recollection of falling. She went back upstairs to her room and eventually continued wandering around. At 7:15 am she didn?t know if it was morning or night. Shortly after eating she had no recollection of eating. All of this sounds like it would be her normal with Alzheimer?s but she is not at this stage yet. She acted as she did when she had a TIA several years ago.

Other Meds: Rosuvistatin Citilopram Clobidogrel Donepezil Lisinopril

Current Illness:

ID: 0995718
Sex: F
Age: 37
State: OR

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

Allergies: latex, fruit, tree nuts

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

Symptoms: fatigue, chills, muscle aches, nausea, vomiting, joint pain, lymph node swelling

Other Meds: low dose aspirin, zyrtec, flonase, cinnamon, fish oil, prenatal vitamin, vitamin D, magnesium

Current Illness: pregnancy, gestational diabetes

ID: 0995719
Sex: F
Age: 57
State: TN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
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: Penicillin Ceclor

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 10 minutes after receiving vaccine, complains of lip and tongue swelling. Patient also complained of tingling around lips. Treatment was given Benadryl 50mg IM. EMS was notified and vital signs were monitored. Patient went to the hospital after EMS evaluated.

Other Meds: Hydroxyzine Levothyroxine Lisinopril Prozac

Current Illness:

ID: 0995720
Sex: F
Age: 43
State: CA

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

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

Lab Data:

Allergies:

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

Symptoms: Fatigue

Other Meds:

Current Illness:

ID: 0995721
Sex: F
Age: 43
State: MO

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

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

Lab Data: None

Allergies: None

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

Symptoms: Fever, achy, tired, gastric problems.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 654,986

Page last modified: 13 November 2021 9:17am