VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1032032
Sex: F
Age: 36
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
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: NA

Symptom List: Dysphagia, Epiglottitis

Symptoms: 1335 at the end of her 15 min wait pt states that her neck is itching. A few red marks noted on her neck. Pt states that her sx started about 5' after receiving her vaccine. Pt escorted to observation area. Vitals 130/88, O2 98, HR 81. Pt states that she has known mast cell activation syndrome and sees Doctor. Pt states that she has had reactions like this, treats with Benadryl dosing per allergist. Pt. states that she has never used an Epi-pen. Pt denies throat swelling. Pt is clearing her throat but states that she is getting over sinus infection and this is the same as she has been. Pt called answering service for allergist and is awaiting a return call from her allergist. Pt. states that she prefers to go home and get Benadryl vs. waiting in the clinic longer. Pt. states that her fianc? is a firefighter and she is comfortable leaving with him, since he drove. 1345 BP 130/88, O2 98%, HR 81, Pt escorted to car and left at 1352

Other Meds: None

Current Illness:

ID: 1032033
Sex: F
Age: 0
State: CA

Vax Date: 10/05/2020
Onset Date: 10/05/2020
Rec V Date: 02/15/2021
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: NA

Symptom List: Anxiety, Dyspnoea

Symptoms: Flu vaccine administered at 2 months age without any adverse outcomes or side effects.

Other Meds: NA

Current Illness: NA

ID: 1032034
Sex: F
Age: 47
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/15/2021
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: Woke up at 1130 pm with Extreme body pain, all 4 extremity bones hurt and joints felt on fire. Lasted approx 12 hours. Hurt laying still, hurt more to move , even slight adjustments in body position severely hurt, Then progressed slowly to generalized aches and pains x 3 days, Headache x 3 days.

Other Meds: Melatonin, gabapentine

Current Illness:

ID: 1032035
Sex: F
Age: 50
State: AK

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt conveyed they are experiencing itching over entire body and internally, Sx onset of 2/13 with progression through today 2/15.

Other Meds:

Current Illness:

ID: 1032036
Sex: M
Age: 75
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Had a fever is high as 100? cold chills bodyaches joints hurt had a 48 hours after that it disappeared. Stayed in bed for two days.

Other Meds: None

Current Illness: None

ID: 1032037
Sex: M
Age: 53
State: CA

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/15/2021
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: Allergy to codeine.

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

Symptoms: Body rash began on day 4 after vaccine. Rash spread to entire body over the next few days. Diagnosed as full-body Erythema multifome with mucosal involvment. Prednisone 40 mg x 1 week, followed by Prednisone 2- mg. x 2 weeks. Topical steroid for lesions on the face, scrotum, penis, anus, and scalp.

Other Meds: Finasteride, Testosterone Cypionate, Truvada

Current Illness: None

ID: 1032038
Sex: M
Age: 54
State:

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
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, shellfish *obsolete*, Gabapentin, Benadryl,

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: H/A. Headache started yesterday which went away w/tylenol. Pain came back this morning which is radiating to sinus area. Denies bodyache, loss of smell, n/v/d/ URI symptoms. Patient is a 54 year old male who presents to ED with 3/10 headache behind his eyes which started last night, then resolved and came back this morning. He reports some nausea without vomiting. No numbness, no tingling, no vision changes. He has known HTN and DM for which he takes daily medication. Past medical/surgical history, medications, allergies: Reviewed.

Other Meds: UNK

Current Illness: HTN, diabetes (DM), HLD

ID: 1032039
Sex: F
Age: 66
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: Fever, chills, achiness, muscle pain, joint pain, sore arm at injection site

Other Meds: Hydrochlorothiazide 12.5mg, protonix 20 mg,synthroid 88 mcg, trintellix 10 mg, lorazepam 0.5 mg qd

Current Illness: None

ID: 1032040
Sex: F
Age: 69
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Sluggish quizzing weakness slight temp

Other Meds: Too many supplements to list Losartin Losartin 50mg Progesterone 2mg Estradiol .5mg Cyanocobalamin 1ml /wkly

Current Illness: None

ID: 1032041
Sex: F
Age: 75
State: MT

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
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: Allergies to Bactrim, Lisinopril (BP) med., latex, perfume, HAVE TO USE ALL FREE AND CLEAR PRODUCTS. Mycin drugs.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Onset began Thursday evening rapid heart rate and increased blood pressure. Headache and chills. unable to do housework for 2 days.

Other Meds: Took 5mg Amlodipine BP Med at 8 am., Hydrochlorothiazide 0.5mg for BP, Levothyroxine 0.112mg, 80mg baby aspirin.

Current Illness: None

ID: 1032042
Sex: F
Age: 54
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Latex

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

Symptoms: 1237 Pt complained she felt "off center" 1300 BP 140/80, )2 98%, HR 58, 1325 She felt better vs no change. She ride home with her sister

Other Meds: Allegra, multivitamins, Pravastatin

Current Illness: out sick last month, allergies

ID: 1032043
Sex: F
Age: 44
State: NY

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: Pain started slowly after shot and within a couple of hours the pain was in the entire arm, I could not lift my arm up. I also felt very tired and sleepy. I took some acetaminophen twice (650mg) and was much better within 24h. The next day, the pain in the arm went away pretty quickly and I wasn't feeling so tired anymore.

Other Meds: Vitamin B12, Birth Control Pill (Apri)

Current Illness: N/A

ID: 1032044
Sex: M
Age: 75
State: CA

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

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

Lab Data:

Allergies: Penicilllin, Ceclor, Keflex

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

Symptoms: February 11, 2021, at 8:00PM. Swollen nipple on right side, same side as Moderna vaccination. No treatment, Nipple enlarged and hard, sensitive. Begins to subside in 24 hours, but still sensitive and slightly enlarged as of today. February 15, 2021, at 8:30AM. Rash on right arm, same arm as Moderna vaccination. No treatment. Blotchy, smallish red bumps on arm near injection site, appears as red rash about three inches long and one to two inches wide. Not itchy or painful. A few days earlier, I had bumped my shoulder at the injection site rounding a corner in the house experiencing mild soreness at the injection site.

Other Meds: Famcyclovir, Metamucil

Current Illness: None

ID: 1032045
Sex: F
Age: 73
State: CA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: KEFLEX, PNC, DEMEROL

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

Symptoms: PATIENT STATED SWELLING/TIGHTENING IN THROAT

Other Meds: HYDROCHLOROTHIAZIDE, LOVASTATIN, IBUPROPHEN, TRAMADOL

Current Illness: N/A

ID: 1032046
Sex: F
Age: 66
State: NY

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
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: Medicine allergies: penicillin and derivatives, erythromycin and derivatives, avelox, bactrim, and theophyllin Food allergies: lamb, goat, rabbit (gamey meats) and any products made from sheep's and goat's milk. Allergic to clothing made from fur of sheep, goat, rabbit.

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

Symptoms: On 2/11/21 - day of vaccination - arm was sore and hot at injection site and felt extremely fatigued. Had to sleep Next day - arm was still sore, but less than the day before. Had a headache but headache was gone by late evening around 10 pm. Felt a little sluggish, but not as exhausted as the first day when I received the shot. Two days later, the arm soreness was gone. No other symptoms.

Other Meds: Benazepril 20 mg/day; Aspirin 81 mg/day; claritin 10 mg/day; crestor 10 mg/day; singulair 10 mg/day; Xopenex Inhaler - as needed Flovent Inhaler 2 puffs/day

Current Illness: None

ID: 1032047
Sex: F
Age: 61
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Heavy feeling in arms and legs and shoulders Funny feeling in lips

Other Meds:

Current Illness:

ID: 1032048
Sex: F
Age: 35
State: OH

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: I woke up and was really tired and really sore - body aches and at the injection site; that lasted most of the day until evening. I got a fever around 100.0 and I took Tylenol. The fever went away within 30 min. I started getting chills and sweats. I took my temperature and it was normal but I was still getting chills and sweats. That went through the night. I was still tired and had the soreness in body and at injection site. When I had the chills, I was shivering and shaking (not just feeling chilled.) June 4th, 2021 - is my due date; my history of pregnancy - first pregnancy and it's been normal so far.

Other Meds: Yes - prenatal vitamins; B2; Magnesium; Vit D; Zinc; Flax Seed Oil

Current Illness: no

ID: 1032049
Sex: F
Age: 72
State: WI

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: bees, tapes, medications of the -caines family

Symptom List: Ear pain, Hypoaesthesia

Symptoms: On 02/08/2021 patient noticed her arm at the site of injection was getting red, itchy, and hot to the touch. Over the next couple of days the redness and itching spread down her arm, over to her back, and down the front of her chest. She visited her primary care provider, on 02/12/2021 where she was diagnosed with cellulitis and prescribed antibiotic treatment. As of today, 02/15/2021, the redness and itchiness has fully subsided. Dr. advised her not to return for her second dose that was scheduled for 02/24/2021.

Other Meds: prilosec, tamoxifin, multivitamin

Current Illness: none

ID: 1032050
Sex: M
Age: 20
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: headache,fever,chills. BIB by EMS w/ c/o HA/Vomiting/Chills/Fevers x 6 hours, reports taking 650mg Tylenol around midnight with no relief; reports getting COVID vaccine 9Feb around 1130am; 2 episodes vomiting, denies any blood.

Other Meds: UNK

Current Illness: N/A

ID: 1032051
Sex: F
Age: 60
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
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 known

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

Symptoms: began fever at 8 hrs post injection, body aches, headache, skin sensitivity, fever for 24 hrs after injections.

Other Meds: levothyroxine

Current Illness: none

ID: 1032052
Sex: F
Age: 43
State: MI

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/15/2021
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:

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

Symptoms: AFTER RECEIVING THE VACCINE SHE COMPLAINED OF AN ALLERGIC REACTION. ONSITE EMS AND PHYSICIAN RESPONDED. HER BP 138/78 HR 104/100% O2 ON ROOM AIR. PATIENT REFUSED ADDITIONAL EVALUATION AND WENT HOME AGAINST MEDICAL ADVISE.

Other Meds:

Current Illness:

ID: 1032053
Sex: F
Age: 71
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Pt began to feel light headed after receiving covid vaccine did not eat breakfast, was feeling nervous about getting shot. Did not take her HTN medication this AM. 1130 Pt felt fine after 15 min. 1130 BP 138/90, HR 52, RR 10; 1145 BP 138/88, HR 55, RR 10, O2 99%

Other Meds: Amilodipine, losartan, hidroxicholorothiazide, tylenol, omeprazol

Current Illness: None

ID: 1032054
Sex: M
Age: 88
State: CA

Vax Date: 01/20/2021
Onset Date: 01/24/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Loss of hearing in right ear. Treated with oral prednizone protocol. No notieable improvement.

Other Meds:

Current Illness:

ID: 1032055
Sex: M
Age: 11
State: MN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
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: Unknown

Symptom List: Injection site pain, Pain

Symptoms: No adverse reactions at all. Patient was too young per label of Moderna use.

Other Meds: Unknown

Current Illness: None known

ID: 1032056
Sex: F
Age: 64
State: NM

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Anaphylaxis to shellfish Penicillin, codeine, sulfa, contrast dye

Symptom List: Injection site pain, Menorrhagia

Symptoms: 25 minutes after receiving vaccine: flushing, slight throat swelling;Vitals were normal Resolved within 1 hour

Other Meds: Synthroid, Bystolic, Rosuvastatin, Cetirizine, Senior multivitamin with minerals, CQ10, fish oil, plant sterol esters, magnesium

Current Illness:

ID: 1032057
Sex: M
Age: 73
State: GA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
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: Horse Serum

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

Symptoms: I awoke at 2:00 AM on 2-14-21 with severe chills and copious perspiration. After that I slept only intermittently. When I arose at 10 AM, my left arm was swollen and throbbing with pain. I took Aleve with breakfast and that helped the pain, but not the swelling. However, this morning, 2-15-21, I noticed hives in the crook of both elbows and on my chest under both pectoral muscles. The hives don't itch or cause any discomfort except for causing some anxiety due to the fact that I haven't heard of hives being mentioned as a side effect of the vaccine.

Other Meds: Dyazide, Eliquis, Citrucel, Nexium, Core Level Prostate, Max for men vitamin, Crestor, Azelastine, Chinese herbs for arthritis

Current Illness: none

ID: 1032058
Sex: M
Age: 35
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
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: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Nausea, headache, body ache. HPI: 35yo patient presenting to ED 24h after receiving 2nd COVID-19 vaccine with above complaints. He has no URI symptoms, no cough or dyspnea. He is having generalized abdominal discomfort without focal pain, having N without V or D. He has no other complaints.

Other Meds: UNK

Current Illness: N/A

ID: 1032059
Sex: M
Age: 50
State:

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Unable to feel heart beating in chest, even after heavy exertion. Same thing happened after first dose, but only lasted 3 weeks. I?m able to visualize my heart rate through an application on my Watch, but do not physically feel tasked, when performing exercises that push my heart rate of over 140 bpm.

Other Meds: Ibuprofen 800mg

Current Illness: None

ID: 1032060
Sex: F
Age: 58
State: CA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/15/2021
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: erythromycin

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

Symptoms: Had feeling of eurphoria. Then not feeling well at 1545. Then passed out at 1930, fever, chills, and general malaise began. Worsened on 1/12/2021. Had fever 102 F. Had rigors even with Acetaminophen and Ibuprofen. Then develp. resp. issues, using advair/albuterol/singulair.

Other Meds: None.

Current Illness: none

ID: 1032061
Sex: F
Age: 23
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea

Symptoms: vaccine reaction. Patient received 2nd COVID vaccine x 1 week ago. Reports chest tightness and SOB x 1 week and dry cough x 1 day. Reports intermittent body aches and nausea. Denies fever and known contacts. CC: malaise, chest tightness, dyspnea with pleurisy HPI: 23yo F presenting to ED for evaluation of the above symptoms that have been constant since receiving her second COVID vaccine 7 days ago. The chest tightness has no palliating/provoking factors, no associated N/V or diaphoresis, no radiation of pain. She has no cough, no hemoptysis, no fever. There is no chest pain when supine. Pt states she has some chest discomfort with inspiration. She has no traditional risk factors for PE. She has no ACS risk factor

Other Meds: UNK

Current Illness: N/A

ID: 1032062
Sex: M
Age: 26
State: ME

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: After receiving the Moderna vaccine on 2/10/2021, traditionally expected symptoms developed on 2/11/2021 and 2/12/2021 including fatigue, fever, headache, and general achiness. On 2/12/2021 and into the morning of 2/13/2021 I developed a persistent aching chest pain - Saturday morning (2/13/2021) I went to convenient urgent care in for a quick once-over including vitals and an EKG. The EKG showed ST elevations, and I was taken via ambulance to the hospital emergency room. With blood lab value analysis and an echocardiogram performed, the hospitalist and cardiologist determined the diagnosis to be peri myocarditis. I was admitted to the hospital for 24 hours of observation and was released on 2/14/2021.

Other Meds: N/A

Current Illness: N/A

ID: 1032063
Sex: F
Age: 77
State: CO

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: cat dander horse dander

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

Symptoms: Injection site slightly swollen, red, itchy. Redness in a circle about 3" diameter.

Other Meds: Atenolol 25mg Triamterene hydrocholorthiaz Simvastatin 20 mg

Current Illness: none

ID: 1032064
Sex: F
Age: 32
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
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: After vaccine, aprox 3 min after, started with hear racing, pain in upper r-chest. Pain scored 5/10. Vitals @ 1254; BP 116/76, RR 16, O2 00%, HR 72, Vitals @1307 Heart no longer racing. Pain 5/10, Vitals @1309 BP 116/80, HR 66, O2 99%, RR 12

Other Meds: Aspirin

Current Illness: Stomach virus 2 weeks ago

ID: 1032065
Sex: M
Age: 44
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: Penicillin, seasonal allergies

Symptom List: Tremor

Symptoms: mild injection site pain - onset at 13:00 on day of injection (90 minutes post dose), lasting several hours.

Other Meds: Luvox ER, Atorvastatin, aspirin, fish oil, MVI, alpha-lipoic acid, vitamin D, Vitamin C, Zinc, Zyrtec, milk thistle

Current Illness:

ID: 1032066
Sex: F
Age: 70
State: IL

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: Tetanus vaccine

Symptom List: Erythema, Pruritus

Symptoms: Night of Feb 13. Felt tired around 10 pm, headed for bed. Lay down and room started spinning. Started feeling nauseous. (Note no alcohol consumed since New Year?s.) sat up, read a while, tried lying down again 3 times with same result. Got up to walk, threw up. After about 15 min was able to lie down and sleep. Process took about 2 hours in all. Mild nausea and dizziness continuing to now, Monday afternoon. Note lifelong history of motion sickness related to boats, planes, swaying motions, sometimes car travel.

Other Meds: Multivitamin Vitamin D Valsartan Rosyvastatin

Current Illness: None

ID: 1032067
Sex: M
Age: 24
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
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: NKDA

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

Symptoms: diarrhea,bodyache,chills. Pt reports loose stools starting 2100 last night, every 30 minutes, denies blood/mucus/pus. Pt received COVAX dose two yesterday. CC: diarrhea, abdominal cramping HPI: 24yo AD M presenting to ED with 1 day of the above symptoms. Pt received dose #2 of COVax yesterday then began having multiple bouts of watery diarrhea. He has no focal abdominal pain, no emesis, is PO tolerant. He has no dyspnea, no chest pain, no URI/LRI symptoms, no subjective focal neurologic deficits.

Other Meds: UNK

Current Illness: N/A

ID: 1032068
Sex: F
Age: 48
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
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: no

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

Symptoms: Fever of 100.6. Fatigue, Body Aches, for 24hrs Severe tenderness and swelling at injection site

Other Meds: none

Current Illness: no

ID: 1032069
Sex: F
Age: 72
State: CA

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Moderna COVID-19 Vaccine EUA Large red rash at injection site

Other Meds: Lovastatin Vitamin D, calcium, zinc, magnesium Staments Immune boosting mushroom

Current Illness: none

ID: 1032070
Sex: F
Age: 44
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Pt began to feel "hot, warm, and tingling through her mid section chest / stomach area, skin and chest and arms red and flushed. VS @1222 BP 176/80, HR 86, O2 99%. @ 1232, feels better, Vitals recheck @ 1238 BP 140/78, HR 92, O2 99%.

Other Meds: Anxiety meds, BP meds

Current Illness: None

ID: 1032071
Sex: M
Age: 71
State: ID

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: Chills, headache, nightmares, chest pressure, chest pain, heart pain

Other Meds: None

Current Illness: None

ID: 1032072
Sex: F
Age: 42
State: OR

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Pain in extremity

Symptoms: The evening of the vaccine, I had a very small red mark at the injection site. Throughout the next week it stayed about the size of a nickel and was very warm. Saturday night it almost doubled in size and was swollen and about 102 degree surface temp. Sunday morning 2/14, it was very swollen and larger as well as hot still. Today 2/15, it is very large (3") and 103 degree surface temp. It is starting it itch and throb.

Other Meds: Omeprazole 40mg., Iron 60 mg. and D3 50 mcg.

Current Illness: None

ID: 1032073
Sex: F
Age: 48
State: PA

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

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

Lab Data:

Allergies: Antibiotics, grass

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

Symptoms: Throat tightening, dizziness. Gave 50 mg of Benadryl

Other Meds:

Current Illness: Lung dysfunction, allergies

ID: 1032074
Sex: M
Age: 38
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
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: NKDA

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

Symptoms: flu symptom for covid shot. patient reports sore throat, chills, fatigue after receiving 2nd COVID shot yesterday. denies any fever. states took 400mg motrin around noon. CC: malaise and arthralgias following COVID vaccination HPI: 38yo M presenting to ED for evaluation of malaise and arthralgias following second COVID vaccine 24h ago. He has no dyspnea, no chest pain, no subjective focal neurologic deficits.

Other Meds: UNK

Current Illness: Headaches & Migraines (HA)

ID: 1032075
Sex: F
Age: 71
State: FL

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: Iodine/shellfish

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

Symptoms: chills, fever, headache, joint pain, fatigue

Other Meds: Amlodopine Vitamin C D3 Zinc

Current Illness: None

ID: 1032076
Sex: F
Age: 56
State: CO

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
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: Dairy, wheat

Symptom List: Vomiting

Symptoms: At approximately 9:30 PM, she felt like an iceblock (chilled and unable to move). A few hours later, she was burning with high fever, delirious and singing, had a headache, muscle pain, and joint pain with such inertia that it took about an hour to reach the Tylenol (500) and water that was 1 foot away. At about 3 AM (02/12/2021), still with fever, another Tylenol was taken with greater ease. After waking up and eating half of breakfast, another Tylenol was taken and she slept from 09:30 to 11:30 AM. Chills, joint aches, muscle aches, nausea, headache, and fatigue persist but are decreasing to current day 02/15/2021) without chills.

Other Meds: Many days: Glucosamine sulfate, Vitamin D3, Vitamin C (rutin), 3x/wk Vitamin B

Current Illness: None

ID: 1032077
Sex: M
Age: 48
State: FL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/15/2021
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: NKDA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Urticaria to arms, legs, chest, back, and face with intense itching, beginning 9:30pm day of vaccine. Resolved with Benadryl 50mg po and Prednisone 20mg po but recurred daily for next 4 days around 3pm, approximating time vaccine was given. Each day prednisone and Benadryl were repeated, which resolved urticaria for that day.

Other Meds: Amlodipine 10mg q am, Biktarvy one tablet daily q pm

Current Illness: None other than undetectable HIV

ID: 1032078
Sex: F
Age: 41
State: IL

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I went from feeling completely normal to almost falling over and shaking. I was told my BP was really high. I was approved to go home after my BP was normalized. I was completely exhausted from that point and I went to straight to bed when I got home. I sleep until the next day and was completely fine the next. The same thing happened with 2nd dose.

Other Meds:

Current Illness:

ID: 1032079
Sex: M
Age: 83
State: AZ

Vax Date: 01/30/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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: None at this time

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Approximately 9-10 days following receipt of the first Moderna vaccine, my father stated he observed a large rash appear at the injection site the covered a large area of his arm. The tissue was warm to the touch and he described feeling an occasional itchy / pulsating feeling in the surrounding tissue.

Other Meds: Eloquis, Lovthyroxine, Furosemid, Spironolactone

Current Illness: Osteoarthritis, Skin Cancer

ID: 1032080
Sex: F
Age: 49
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin

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

Symptoms: Pt stated feeling well more related to anxiety, refused having VS taken. Stated that it will make her feel worse. RR 20, HR 110. Supervisor notified. Pt walked few steps, had water, stated feeling better. Husband called and picked her up/ Spoke with husband and medical team made him aware if pt getting worse need to go to ER

Other Meds: Ibuprofen

Current Illness: None

ID: 1032081
Sex: F
Age: 76
State: MD

Vax Date: 01/24/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
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: No

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

Symptoms: COVID-19 Arm Large red swelling at site of injection on Feb 9 Headache Chills Severe Vertigo

Other Meds: amlodipine 2.5 mg

Current Illness: Mild vertigo hives

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm