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: 1024704
Sex: F
Age: 22
State:

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: Gluten (Celiac)

Symptom List: Dysphagia, Epiglottitis

Symptoms: Severe body aches and joint pain, fever, cough, chills

Other Meds: Vienva birth control

Current Illness:

ID: 1024705
Sex: F
Age: 97
State: MN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: n/a

Symptom List: Anxiety, Dyspnoea

Symptoms: Resident became unresponsive after bath. unable to get O2 stats P76 B/P 116/70. Very lethargic all am did not get out of bed all day continued to be very lethargic all day.

Other Meds: Diltazem 120 Fiber Tabs hyoscyamine PRN Loperamide PRN Lorazepam 0.5 PRN Metoprolol Tartrate 25 BID Morphine Ondansetron 4 mg Tylenol 500 1 tab 3TID Tramadol 50 BID Vit B12 100mg

Current Illness: Dementia

ID: 1024706
Sex: F
Age: 37
State: IN

Vax Date: 01/25/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: Mushroom

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

Symptoms: Swollen lymph nodes

Other Meds: Prozac, wellbutrin, folic acid, evekeo, syeda

Current Illness: None

ID: 1024707
Sex: M
Age: 25
State:

Vax Date: 01/08/2021
Onset Date: 01/28/2021
Rec V Date: 02/11/2021
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: Three red raised lesions on two fingers of right hand (one on pinky and two on middle) approx 1/5 cm in diameter Pt presented for exam at Student Health on 2/10/2020. Vaccine was given, not within the Student Health clinic which is a separate entity.

Other Meds: None

Current Illness: Mild itching in groin thought to be mild reaction to a chamois cream pt uses for cycling. Better when stopped.

ID: 1024708
Sex: F
Age: 37
State: AZ

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: pine nuts, honey, pollen

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

Symptoms: redness and itching developed around a previous scar near the injection site that started about 24h after 2nd vaccine--continues about the same--worsens when moving around and becoming hot

Other Meds: isibloom

Current Illness: none

ID: 1024709
Sex: F
Age: 44
State: KY

Vax Date: 02/01/2020
Onset Date: 12/28/2020
Rec V Date: 02/11/2021
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:

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

Symptoms: Developed shingles aboit 1 week after first vaccination.

Other Meds:

Current Illness:

ID: 1024710
Sex: F
Age: 68
State: IN

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: n/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I woke up at 3:30 a.m. February 11. I noticed I had wet the bed (which I haven't done for 60+ years) and felt very weak--afraid to move for fear I would pass out. I had no pain and no indication of heart attack or stroke. After 5-10 minutes I walked to the bathroom where I had diarrhea and vomited a small amount. I stayed on the stool for some time because I felt too weak to safely get up. I did go back to bed after 15 minutes or so. I got up again with diarrhea an hour or so later. I got up at 9 a.m. feeling a lot better but still weak. Took it easy the rest of the day and had regained most of my energy by evening. I think I may have suffered a seizure of some kind resulting in the wet bed and extreme weakness.

Other Meds: statin, zyrtec, daily vitamin, tums for calcium, vitamin d, ibuprofen

Current Illness: n/a

ID: 1024711
Sex: F
Age: 63
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
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: soreness at injection site (3 days), insomnia (1 night), headache (next day), body aches (next day)

Other Meds: none

Current Illness: none

ID: 1024712
Sex: F
Age: 34
State: FL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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 allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Hot to touch/red area on left deltoid. Pain in my shoulder up to my neck.

Other Meds: Phentramine Citalopram

Current Illness: None

ID: 1024713
Sex: M
Age: 49
State: SC

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Started with skin rashes on multiple locations with itching. There is no respiratory reactions. Treated with over the counter Benadryl 2 tablets total of 50mgs once a day, skin rashes and itching recurred everyday until today 02/11/2021. No other symptoms. No doctors visit.

Other Meds: None

Current Illness: None

ID: 1024714
Sex: F
Age: 53
State: PA

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

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

Lab Data:

Allergies: Aspirin

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

Symptoms: Headache and very nauseous

Other Meds: Zoloft; Protonix; Pepcid; Metoprolol; Prednisone; Neurontin; Coumadin; Ativan; Ambien; Atorvastatin; Tylenol

Current Illness: None

ID: 1024715
Sex: M
Age: 59
State: NV

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Dizziness and loss of appetite.

Other Meds: Lisinopril, aspirin 81mg, potassium, fish oil, atorvastatin, vitamin D3, vitamin-C, B-complex. Xopenex HFA.

Current Illness: Asthma, and hypertension.

ID: 1024716
Sex: F
Age: 80
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Evening chills the night of the vaccine (2/8) Slight headache and fever (low 100 degrees) and very tired on 2/9

Other Meds: Calcium Vitamin D3 Preser Vision Calcium Fish Oil Cetirizine 10 mg Atorvastatin 20mg Levothyroxine 125 mcg

Current Illness: None

ID: 1024717
Sex: F
Age: 66
State: ID

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/11/2021
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: None

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

Symptoms: Severe body rash Headaches for 5 weeks after vaccine like I had with the Covid virus Still currently having headaches.

Other Meds: D3 Multivitamin Calcium Magnesium Coq 10

Current Illness: None

ID: 1024718
Sex: M
Age: 76
State: TN

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
Hospital: Y

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: Seizure followed by loss of speech, weakness, confusion

Other Meds: Warfarin, Allopurinol, Flomax, Paxil, Gabapentin, Trazodone

Current Illness:

ID: 1024719
Sex: F
Age: 38
State: MO

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: sulfa, doxycycline

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

Symptoms: approximately 7:00 pm started body aches, blurry vision, heavy feeling, increased tenderness at injection site, chills, sweating, headache, 2 min headaches after 36 hours on L side of head, minimal tingling in L side of face after 2 min headaches occured , difficulty sleeping without waking. symptoms have decreased after this document was created.

Other Meds: aubagio 14 mg 1 tab daily zyrtec 10 mg 1 tab daily singulair 10 mg 1 tab daily

Current Illness: multiple sclerosis asthma

ID: 1024720
Sex: F
Age: 28
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: No

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

Symptoms: Strong headache, Nauseas Chills Fever

Other Meds: No

Current Illness: No

ID: 1024721
Sex: F
Age: 55
State:

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: elevated heart rate

Other Meds: none

Current Illness: none

ID: 1024722
Sex: F
Age: 32
State: NY

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Gluten allergy

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Woke up in the middle of the night super nauseous. Couldn?t go back to sleep. Felt off the whole next day.... body aches, chills, nauseous, tired. A week after the shot my arm was really itchy and had a giant welt. It also looked like it had hives on the bump.

Other Meds: Zoloft, vitamin D

Current Illness: No

ID: 1024723
Sex: M
Age: 74
State: CT

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: I?ve dye

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

Symptoms: Pain, sweating, chills, fever , muscle pain, body aches

Other Meds: Wellbutrin,quinipril,, Lipitor

Current Illness: None

ID: 1024724
Sex: M
Age: 65
State: WA

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
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: Left knee Osgood Schlatter's disease sharp pain for 3 days, especially at night. Rec'd shot Saturday morning, pain started Sunday evening and ended Wednesday morning. Pain was enough that it woke me up Sunday, Monday and Tuesday nights. I treated the pain with ice and ibuprofen, but still very painful to move and to touch. Wednesday it got better about as quickly as it started on Sunday. I did not do any physical activity that would have triggered such sever pain. The only thing that was different is that I received the Moderna vaccine. By Thursday my knee was back to normal.

Other Meds: none

Current Illness: none

ID: 1024725
Sex: F
Age: 27
State: OR

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, Keflex, cashews, Brazil nuts, macadamia nuts

Symptom List: Unevaluable event

Symptoms: Severe eczema flare up on neck (For vaccine 1, which was 20 days earlier, I also had an eczema flare up on my ears)

Other Meds: Sprintec, duloxetine (120mg/day), generic zyrtec, Flonase, immune support vitamin

Current Illness: None

ID: 1024726
Sex: F
Age: 63
State: TX

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
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: 5 CM red rash . swollen. warm to touch, brusing at injection site. Lasted 3-4 days post injection, Treated with topical antihistamine and cleared. Rash returned 2/11/2021 - 9 days post shot, Treating with topical antihistamine

Other Meds: multi vitamin

Current Illness: none

ID: 1024727
Sex: F
Age: 58
State: NY

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/11/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Double Vision. Unable to focus far away . Blurry up close. Urgent care. Primary Dr. 2 eye drs primary care three times . Out of work vision issue is on going

Other Meds: Losartan/hctz 50/12.5 Amlodipine5mg Levocertrizine5mg

Current Illness: None

ID: 1024728
Sex: M
Age: 67
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Norco

Symptom List: Injection site pain, Menorrhagia

Symptoms: On 2/11/2021, after about an hour the vaccine was administered to the patient and with about minutes left of his dialysis treatment. , the patient reported to staff that he was feeling nauseous and then spit out a 3/4 quarter sized blood clot. Pt was almost done with his dialysis treatment and his time was cut short by 3 minutes. Pt then verbalized that he felt "fine." The RN working with the patient notified the on-call nephrologist and 911 was called. Pt refused to go to the hospital. On following up with patient and RCM on 2/10/2021, patient reported he notified his nephrologist and CXR was scheduled. As of 2/11/2021, pt stated he is not feeling well and did not arrive for scheduled hemodialysis. RCM aware.

Other Meds: Aspirin 81mg 1 tab PO daily

Current Illness: none

ID: 1024729
Sex: F
Age: 69
State: MN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: NA

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

Symptoms: resident became unresponsive eye glossy would not eat P 47 BP 120/60 Sats 87% very lethargic only ate a little lunch or supper still very lethargic all day very little responce

Other Meds: ASA 81 mg daily divalproex 125 mg BID Donepezil 10mg daily with 5 mg daily fiber tabs 2 tabs daily gabapentin 100mg QID novolg insulin 3 units TID Lantus 28 units Daily melatonin 3 mg daily metfprmin 1900mg daily tylenol 500mg TID 2

Current Illness: Dementia DM weight loss

ID: 1024730
Sex: F
Age: 56
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: ? Shellfish/Seafood ? Latex ? Iodine - contrast ? Verapamil er pm ? Metoprolol ? generic ? Prednisone ? Cortisone ? Naproxen ? Neurotin ? Skelaxin ? Lyrica ? Cymbalta ? Furosemide ? Erythromycin ? Levaquin ? Vibramycin ? Pyridium ? Tetracycline ? Macrodantin ? Bactrim ? Tamoxifen ? Percocets ? Oxycodone ? Oxycontin ? Tresiba ? Lantus ? Levimir ? Metaformin ? Motrin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Tightness of chest, EKG was perfomed and confirmed there at facility by EMT and confirmed tachycardia. Blood pressure - normal, SPO2 level - WNL. This was within 10mins after injection during the wait time after injection within the facility.

Other Meds: Fiasp Flex touch Insulin , Toprol XL 25mg, (1/2 tab), Tylenol, ProAir Inhaler, Chemotherapy ? Irinotecan 90 min infusion & 5-FU Flurouracil 46 hrs ? via pump infusion , Flush : 0.9% Sodium Chloride Injection & 5ml Heparin Lock

Current Illness: Pancreatic cancer, COPD, diabetes, tachycardia, hypertension

ID: 1024732
Sex: F
Age: 40
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Less than 24 hours after the patient received her first dose, she had what appeared to be a partial seizure. During the episode, the patient acknowledged that she has had seizures in the past and takes Lamictal to control it. She stated that she has not had a seizure in over a year prior to getting the vaccine.

Other Meds: unknown

Current Illness: unknown

ID: 1024733
Sex: F
Age: 24
State: UT

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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 that I know of

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

Symptoms: The right side of my face became numb for about 10minutes.

Other Meds: Citolopram, busperone, vitamins, midol pain relief

Current Illness: None

ID: 1024734
Sex: F
Age: 23
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Penicillins

Symptom List: Nausea

Symptoms: Fever, chills, body aches, fatigue, headaches ? all lasted for 24hrs starting about 12 hours after the vaccine

Other Meds: Spironolactone Nexplanon implant

Current Illness: None

ID: 1024735
Sex: F
Age: 41
State: TX

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: One week after 1st vaccination, injection site again began to swell and become sore with a red, heated, itchy rash 3in diameter. Also, headache, some diarrhea and nausea. First rash /sore arm lasted 36 hours after vaccination , then went away.

Other Meds: none

Current Illness: none

ID: 1024736
Sex: F
Age: 66
State: MA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
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,sulfa

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

Symptoms: 3 hours after severe flu symptoms for 36 hours then severe headache, chills, nausea, malaise , for 8 days after

Other Meds: ibuprofen

Current Illness: none

ID: 1024737
Sex: F
Age: 52
State: WA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Cellulitus at injection site

Other Meds: Motrin, floricet, synthroid, Tylenol, Flonase, patanol, zyrtec

Current Illness: None

ID: 1024738
Sex: F
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 02/11/2021
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: Sulpha

Symptom List: Tremor

Symptoms: Slight fever nausea headache fatigue

Other Meds: Medications Omeprazole 20 mg Metoprolol 25mg Citalopram 10mg Meloxicam 15mg CoQ10 400mg Red yeast rice 1200mg Biotin 10000mcg D3 5000 IU Preolytics enzyme

Current Illness:

ID: 1024739
Sex: F
Age: 36
State:

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: Amoxicillin

Symptom List: Erythema, Pruritus

Symptoms: Red rash at injection site developed 7 days after Rash is approximately 1inch around injection site

Other Meds: Melatonin

Current Illness:

ID: 1024740
Sex: F
Age: 62
State: NC

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Aspirn

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

Symptoms: Fever Chills Body Aches

Other Meds: Amoxicillin

Current Illness: Infection in tooth

ID: 1024741
Sex: F
Age: 49
State: MD

Vax Date: 01/29/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Injection site became very hot, itchy, red, hard, and inflamed. Large red circle about 1.5 inches in diameter. Lasted 2 days, until poultice of warm turmeric and then ice pack was applied. Took 500 mg tylenol. Went to sleep. Much better next day.

Other Meds: vitamin D, vitamin C

Current Illness: none

Date Died: 02/11/2021

ID: 1024743
Sex: F
Age: 74
State: CA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
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 known

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: pt became lethargic, stopped eating. No fever; no nausea

Other Meds: xalatan drops, cosopt drop, alphgan drops, Norco, Seroquel, dulcolax supp, Senna, depakote sprinkles, trazodone,

Current Illness: none

ID: 1024744
Sex: F
Age: 76
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: No

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

Symptoms: Chills, achy bones/ joints, fatigue, 100 F fever,

Other Meds: Bisoprolol-HCTZ 10-6.25 mg

Current Illness: None

ID: 1024745
Sex: F
Age: 71
State: OH

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Sulpha

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

Symptoms: 8 days after receiving vaccine I have a large bump at the injection site. Also warm and itch

Other Meds: Met forming, Januvia, xarelto,metoprolol, flecainide, atorvastatin Biofeedback, citracal

Current Illness: None

ID: 1024746
Sex: M
Age: 58
State: TX

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Fever (100.6)

Other Meds: Insulin shot Metformin

Current Illness:

ID: 1024747
Sex: F
Age: 43
State: WI

Vax Date: 12/28/2020
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Received first Pfizer Covid-19 vaccine on 12/28/2020 and second dose on 01/18/2021. On 02/09/2021 I was diagnosed with shingles on my left/mid back. I was able to send pictures to my doctor's office for diagnosis and am now on day two of treatment with Valacyclovir. Condition likely caught early, but symptoms (rash, pain) are worsening as of today.

Other Meds: Multivitamin, Vitamin C, Vitamin D

Current Illness: None

ID: 1024748
Sex: F
Age: 62
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/25/2021
Rec V Date: 02/11/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Jan 25- chills, fever, headache Jan. 27- obtained rapid and PCR COVID SWABS- which resulted negative Jan 30- started antibiotics from primary doctors with no relief of fevers. Jan 31 - Brought to ER And was admitted for observation . Multi Covid testing negative. Cat scan showed pneumonia picture. SARS COVID IGG was negative, but antibody for vaccine was positive

Other Meds:

Current Illness:

ID: 1024749
Sex: F
Age: 56
State: OH

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
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: Large redness on arm 3 inches below injection site. Hands feel a little tingly

Other Meds: None

Current Illness:

ID: 1024750
Sex: F
Age: 41
State: NH

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: Injection site 8 days after injection hot to touch, hugely swollen, itchy, pain, hard time lifting arm

Other Meds: None

Current Illness: None

ID: 1024751
Sex: F
Age: 77
State: FL

Vax Date: 01/19/2021
Onset Date: 02/02/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I took the first shot of Moderna?s COVID-19 vaccine the middle of January. Two and a half weeks later, I developed a two inch rash above my right breast even though it didn?t itch or burn, if pressed, it hurt. I treated it with antibiotic ointment and calamine lotion. During that time, I experienced tiredness, exhaustion, sluggishness as well as aches around the right shoulder. I went to get a mammogram where they told me my lymph nodes were swollen on the right side under my arm. They had seen adults who had taken the shot develop swollen lymp nodes which made it necessary to retake the mammogram. I also went to the dermatologist to see what the inch rash was, he took a biopsy, and it turned out it was shingles even though I had had the shingles shots a year before.

Other Meds:

Current Illness:

ID: 1024752
Sex: F
Age: 74
State: OR

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: rofecoxib, iodine, betadine, mushroom, wood smoke. bee stings

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

Symptoms: Patient reports she got up out of be early the next morning after receiving her COVID vaccine and took 2 of her morning pills and then had an episode where she passed out for a few minutes and spilled the water down her clothing. She felt weak and tired after this episode and so went back to bed for several hours. Later that day she had another episode of feeling lightheaded as if she might pass out, while sitting at a hair salon waiting for her appointment, but did not actually pass out, just felt a wave of heat and slight nausea, but did not faint. She had one further near syncopal episode at home later that night when she also noticed she was a little "jittery" and noted a strange smell that the rest of her family did not notice. She also reports that she has had near syncopal episodes in the past and thinks she may have been a little dehydrated the day these incidents occurred.

Other Meds: chlorthalidone, metoprolol, vitamin D, loratadine, albuterol, omeprazole, docusate/senna

Current Illness: sensitivity to weather pressure changes causing vertigo recently

ID: 1024753
Sex: F
Age: 19
State: NM

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/11/2021
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: Wheat bread,

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I was high in fever, I could not walk without my vision being blurry and dizzy. After the 2 does it took a week before my fever and symptoms went away however before that happened I could not walk I was literally tied to my bed if I walked I would have to hold on to something my leg strength was gone.

Other Meds: Tynolol

Current Illness: N/A

ID: 1024754
Sex: F
Age: 70
State: NH

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: allergy to preservative in lydocane

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

Symptoms: Left arm is red and itchy at site of injection. Area has been getting larger.

Other Meds: Metoprolol-50MG, colestid 5 gm packet, Pentasa 500 MG, Spironolactone 50 MG, Cephalexin 250 MG. Also take pro-biotic(cultcherel)

Current Illness: Crohn's Disease,

ID: 1024755
Sex: F
Age: 45
State: PA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Penicillin, coconut, gluten

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

Symptoms: about a week after the injection, site became red, swollen, hot, bumpy, extremely sore.

Other Meds: Aspirin, Pepcid, Spirnolactone, Ubrelvy, Topomax, dapsonne. Tylenol taken afterwards and Lidocaine injections given one week later.

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm