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: 1044756
Sex: F
Age: 32
State: NY

Vax Date: 01/22/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: I received my first dose of the COVID19 Pfizer vaccine on 12/30/20. At this point I was 4 weeks pregnant. I received my second vaccine dose for the series on 1/22/21. At this point I was 7 weeks pregnant. On 2/18/21 I was diagnosed with a miscarriage due to no fetal heartbeat on ultrasound. I now have to undergo a D&C in the operating room.

Other Meds: synthroid prenatal vitamin calcium supplement

Current Illness: none

ID: 1044757
Sex: M
Age: 79
State: CA

Vax Date: 02/01/2021
Onset Date: 02/13/2021
Rec V Date: 02/21/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe nerve pain in right lower, then right hip, then to right knee

Other Meds: Multi-vitamin

Current Illness: None

ID: 1044758
Sex: F
Age: 65
State: GA

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Sulfa

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

Symptoms: Large (4 inches long, 2 inches wide), red, itchy, rash that appeared 8 days after vaccination ("COVID arm"); realize that this is not truly an "adverse" life-threatening event, but think that it is vastly underreported (the symptom reporting app stops on day 7, and this appeared on day 8). Took photo for documentation.

Other Meds: Advair, levoxyl, vit D, calcium

Current Illness: None

ID: 1044759
Sex: F
Age: 65
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Latex, Repatha,

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Immediately felt like I couldn?t think normally... weird brain fog, sudden urge to sleep. Figured it was no big deal but over the next day it got worse, fever and chills, then severe headache, stiff neck, swollen lymph nodes, cognitive impairment... it made me feel like I was never going to get my ability to think normally back. The stiff neck kept getting worse until I could hardly turn my head, brain fog and swollen lymph nodes were severe and lasted three weeks. It was severe enough that I knew it would be a bad idea to get the second dose. Finally I got better. I know of no one who had such an extended period of feeling quite ill. When I first had lyme disease I had an encephalitis. These symptoms were quite similar despite the fact that my Lyme disease is well controlled with medication.

Other Meds: Aldactone, Maxzide, Malarone, Azithromycin, Thyroid, Nystatin, Hormone replacement cream, Vit D, Vit B1, CoQ10, Magnesium, Lysine

Current Illness: Chronic neurological lyme with well controlled symptoms

ID: 1044760
Sex: M
Age: 67
State: WA

Vax Date: 02/06/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: 2 weeks after vaccination (2/20/2021) I lost movement of right side of mouth and right eye. Went to ER to check for possible stroke.

Other Meds: magnesium, iron, omeprazole, metformin hydrochloride, metropolol succinate, amlodapine besylate/valsartin, clopidogrel, rosuvastatin calcium

Current Illness: none

ID: 1044761
Sex: F
Age: 56
State: MS

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Demoral liquid (throw up) Versid did not come off cloud nine, had two iv bags

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

Symptoms: Felt like a pulled muscle on friday and saturday after my shower on sunday at 6pm the pulled muscle shot turned into a rash

Other Meds: 25 mg imitrex and 25 mg norco for migraine

Current Illness: N/A

ID: 1044762
Sex: F
Age: 51
State: AL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
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: Pyrexia, White blood cell count decreased

Symptoms: high fever, horrible headache, chills, nausea. ALternated tylenol and advil every 4 hrs, cold compress to the head. Lasted from 10pm on 2/19 until the morning of 2/21. The afternoon of 2/21, fever and headache returned, not as severe.

Other Meds: no

Current Illness: none

ID: 1044764
Sex: F
Age: 68
State: CT

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Numerous allergies ans advrrse reactions to medications ,incl pain killers, antibiotics and others.

Symptom List: Pharyngeal swelling

Symptoms: Extremely painful sore arm at injection site , began 8 hours after , Almost fully resolved now Chills, began 23 hours after Still feeling minor chills and then 100? temperature , began 24 hr after injection, resolved in about 24 hours Achy, began 24 hr after injection, resolved about /4 hour later Headache, began 24 he after injection, resolved about 24 hr later Extreme fatigue began 4 hr after injection , , has lessened but I?m still not functioning at my normal energy levels Severe nausea began mild 24 hr after injection and in another hours was severe (couldn?t even sip water) and was back to moderate to mild about 48 hours after injection stomach still not completely back to normal Had minor pains I. Stomach several times when nausea was the worst Joint pains in major joints, Worst in the left elbow below the injection site. Begin 54 hours after injection and resolved 12 hours after that, along with it had some lesser pain in limbs And a little in hands and feet

Other Meds: Rx Levoxyl Rx Dyazide Rx topical: Clindamycin (on scalp) Rx topical: Betamethasone Dipropionate Augmented (scalp Rx topical: Restasis eye drop Rx topical: Pataday eye drop Rx topical: Avenova eyelid wash Rx topical: estradiol (vaginal

Current Illness: None

ID: 1044765
Sex: F
Age: 62
State: CA

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Opiates, Peanuts

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Renal pain, throbbing like calculi, intermittent, recurring. today is Feb, 21 and it is still happening. I am pushing fluids and taking Tylenol.

Other Meds: Modafinil, Celebrex, Montelukast, Incruse Ellipta, Albuterol

Current Illness: no

ID: 1044766
Sex: F
Age: 43
State: NY

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Swelling of lymph nodes on left arm pit With swelling of arm and hand .

Other Meds: Vitamin D

Current Illness: None

ID: 1044767
Sex: M
Age: 65
State: IL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/21/2021
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: Dizzy, weak, fever ,pain in arm, cough

Other Meds:

Current Illness:

ID: 1044768
Sex: F
Age: 39
State: WV

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: My whole right arm from right were the injection site is down to my hand has been sore and cramping. This is a week later, nothing happened door me during the first week.

Other Meds: None

Current Illness: None

ID: 1044769
Sex: F
Age: 67
State: CA

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: sulfa (z-pak +)

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

Symptoms: large (6" x 8") raised red area with several smaller areas of rash/lesions, lasting about 10 days

Other Meds: Benadryl Clobetasol Benazapril Synthroid Supplements, C, D, calcium, b-complex, cucumin

Current Illness:

ID: 1044770
Sex: M
Age: 72
State: CA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/21/2021
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: Moderna COVID-19 Vaccine Date of vaccination: 2/2/2021. Moderna Lot: 041L20A (the same as lot that was put on hold by the State for some time because of issues) 2/4/21: Start noticing itching over the body. Over the 4 days, rash appears on arms and legs. 2/8/21: I filed a VAERS report with FDA/CDC. 2/9/21: I contacted Moderna to file an adverse event. Again called Moderna 2/16/21. Unsatisfactory interaction. 2/11/21: PCP orders CBC panel. Completely normal. Video visit with PCP. Summary attached. Rash continues to spread. 2/17/21: Another video visit with PCP. Summary attached. 2/18/21: In-person visit with dermatologist. 2 biopsies taken. Prescribed Triamcinolone 0.1% for use twice a day. Visit notes attached.

Other Meds: Amlodipine, Simvastatin, HCTZ, Lisinopril

Current Illness:

ID: 1044771
Sex: F
Age: 69
State: IL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
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: Penicillinnone

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

Symptoms: Chills, headache, muscle soreness, insomnia and fatigue. Treatment - Tylenol -Moderna COVID Vaccine EUA

Other Meds: Proprananol Prozac Simvastatin

Current Illness: none

ID: 1044772
Sex: F
Age: 48
State: WA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Cephalosporins, Augmentin, sulfa, latex sensitivity, dust mites, molds, salicylates.

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

Symptoms: Fainting, nausea, chest pain

Other Meds: Xyzal

Current Illness: None

ID: 1044773
Sex: F
Age: 69
State: CO

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Shot went in great. That night of the shot I started having pain in the arm around 9:00, around 10:30 I felt chills, flu like, took advil. Next morning I stayed in bed all day, I had 99.9 temp, mine is usually 97.7, Diarrhea, also, crazy dream, stayed in bed all day, took advil,. Thursday, got up, went back to bed, dizzy, head ache, no temp. Friday, got up head ache, took advil, Saturday, got up had head ache, dizzy, went to bed, got back up got the chills, went into take show, noticed a rash on my arm, at sight where shot given, tender to the touch. Went in to Urgent care, told redness was high sensitivity, not celulitus, but to watch. Today Sunday, I feel great.

Other Meds: Metoproal, armour, biotin, b-12, baby asprin, tamoxifin, azo-cranberry.

Current Illness: None

ID: 1044774
Sex: M
Age: 27
State: AL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
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: Chills, fever, body/aches, chills began around 4 am the morning after vaccination. Unable to walk/stand without becoming dizzy. Symptoms began to get better that same evening and terminated the following morning.

Other Meds: NONE

Current Illness: NONE

ID: 1044775
Sex: F
Age: 70
State: SC

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Over the next 24 hours, severe chills, headache, fatigue & temperature of 101.6 F. The next 24 hours, fever subsided, chills subsided & headache became moderate, gradually easing. Body aches & fatigue present. Today, body aches present & fatigue has lessened somewhat.

Other Meds: Atenolol, Hydrochlorthaladone, B 12

Current Illness: None

ID: 1044776
Sex: F
Age: 50
State: GA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Codeine ,sulfur ,malaria vaccine

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

Symptoms: 2/18 started at 10 am and progressively got worst: fatigue/ tired/ to complete exhaustion at 2 pm. Diarrhea, body aches all over every part of my body except my head 2/19 woke up feeling better but had red petechiae on my left arm 2/21 noticed at 9 am red petechiae to bilateral lower legs / calfs/ ankles No treatments

Other Meds:

Current Illness:

ID: 1044777
Sex: F
Age: 72
State: IN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
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: Septocaine

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

Symptoms: First vaccine - side effects lymph nodes in right armpit, lasted 5 days Second vaccine side effects - lymph nodes swollen and very sore in left armpit started 2-18-21 and still uncomfortable today 2-21-21.

Other Meds: Centrum silver, Caltrate plus D, Enalapril, Metoprolol Tartrate, Simvastatin, Potassium CL ER, Furosemide Vitamin E ,Farxiga, Paroxetine, Glimepiride, Clonidine HCL,

Current Illness: None

ID: 1044778
Sex: F
Age: 73
State: MA

Vax Date: 01/25/2021
Onset Date: 02/08/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: allergic to penicillin,

Symptom List: Unevaluable event

Symptoms: On the night of Feb. 8, 2021 I had a hallucinogenic nightmare that woke me up.

Other Meds: nortryptiline, clonazepam, amlodipine, atorphistatin, labetalol,

Current Illness: none

ID: 1044779
Sex: M
Age: 74
State: CA

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
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: no

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

Symptoms: Abdominal pain lasting now 5 days. Much worse first day, but still persists.

Other Meds: tadalifil 5mg, , finasteride 5mg., multivitamin, quercetin, probiotic

Current Illness: none

ID: 1044780
Sex: M
Age: 73
State: WI

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital: Y

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: SEPTIC SHOCK ACUTE LIVER INJURY ENCEPHALOPATHIC PRESENTED WITH BLOODY DIARRHEA. TRANSAMINASES IN THE 1000S. IN SEPTIC SHOCK. INTUBATED AT PRESENT

Other Meds: P1 Current Medications: Rx: INSULIN SYRINGE/NEEDLE 28G X 1/2"0.5 ML N/A Each, Ref: 11 Instructions: Take inject Each N/A AT BEDTIME. for use with Lantus 15u qhs. dx: 250.62 Rx: GLUCOSAMINE 1500MG ORAL Capsule, Ref: 0 Inst

Current Illness: NONE

ID: 1044781
Sex: M
Age: 75
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
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

Symptom List: Injection site pain, Menorrhagia

Symptoms: I have had progressive peripheral neuropathy for two years. No known cause after all typical causes have been checked (diabetes, B12 deficiency, renal issues, tumors, etc.), so idiopathic. Still fairly low level in terms of symptoms, maybe 2 on the 10 scale. About 24 hours after the second dose, the symptoms of my PN got noticeably worse all of a sudden, up to maybe 3 or 4 on a 10 scale, and have stayed at that level for four days at this point.

Other Meds: Lipitor, aspirin, Benadryl

Current Illness:

ID: 1044782
Sex: F
Age: 80
State: NC

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
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: Sulphur Hydrocodine

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

Symptoms: Fatigue started late morning 2/17; fleeting low-grade headaches started later on 17th or on 18th. Fatigue has continued since it started on the 17th. Headaches last 30 seconds or a minute or two, then are gone, but return shortly after. Headache appears to be centered on the top of the head, slightly to the rear and to the left. It has not interfered with my sleep, as I am sleeping much more than normal.

Other Meds: Fish oil; fiber; vitamin D3; baby aspirin; HRT: estrad/prog/test.

Current Illness: None

ID: 1044783
Sex: M
Age: 61
State: NJ

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
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: Asprin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills, bad headace, possible light fever from bedtime throughout the night (Friday night). Next day headace and tiredness all day (Sat). Felt fine by Sunday

Other Meds: Crestor 20mg, Synthriod 75mcg, Norvasc 10mg

Current Illness: None

ID: 1044784
Sex: F
Age: 45
State: MD

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: iodine contrast

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chills Body ache Low-grade fever Headache Sore arm Congestion Running nose Week After last shot Sore throat & Headache. Had a COVID test to be sure and test was negative

Other Meds: Effexor 150 mg Probiotic Baby Aspirin 81mg Xyzal Vitamin D3

Current Illness:

ID: 1044785
Sex: F
Age: 66
State: CA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: No

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

Symptoms: Vomiting and diarrhea. Muscle and joint pain

Other Meds: Prozac Many others

Current Illness: Acid reflux

ID: 1044786
Sex: M
Age: 67
State: CO

Vax Date: 01/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Cephalosporins

Symptom List: Nausea

Symptoms: Three severe episodes of Meniere's on 1/30/2021; 2/9/2021 and 2/10/2021. All three lasted about 2-3 hours with severe vertigo and nystagmus.

Other Meds: Lamictal 100mg BID; Amlodipine 5mg QD; Lisinopril 40mg QD, Famotidine 20mg BID, Timolol 0.5% OU QD; Lumigan 0.01% OU QD, Betahistine 16mg TID; Multivitamin; glucosamine; digestive enzymes, omega 3, omega 6 and luetin.

Current Illness: none

ID: 1044787
Sex: M
Age: 26
State: NY

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: I received the vaccine around 2 o?clock on Saturday. When I woke up on Sunday around 7:30 AM I had chills and fever, myalgia and joint soreness. We broke the fever down with ibuprofen, and I was still sore but relatively better feeling most of the day until around 6:45 pm when I came down with a really bad wave of chills and rising fever.

Other Meds: Nothing.

Current Illness: None

ID: 1044788
Sex: F
Age: 25
State: MI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Pt received Moderna vaccine at approx 0930. Pt stated began "feeling funny" with feeling of increased heart rate approx 20 minutes after vaccine administration, but thought it might just be anxiety. Pt waited 5 more minutes, then states her symptoms continued to get worse. Pt notified staff at this point that she was not feeling well and nurse immediately responded. upon arrival to pt, pt informed nurse that she was experiencing tachycardia and felt like her chest was tight. While nurse was assessing pt, pt then stated she felt like her throat was starting to feel tight, as well. Pt stated she had hx of asthma and carries inahler. Pt took puff of inhaler while nurse injected pt with 50mg of IM Benadryl into her L deltoid. Benadryl administered at 0956. Nurse stayed with pt. Over the next few minutes pt stated her heart rate began to normalize. Stated her chest and throat tightness were getting better. Pt waited 30 more minutes before leaving the building. Pt stated that prior to leaving her s/s had resolved. states she did not feel drowsy at all from the Benadryl. Encouraged pt to have someone pick her up from the site instead of driving home. Pt stated she felt well enough to drive herself home and experience no drowsiness from the Benadryl. Nurse called pt 2 days after vaccine administration. pt states was feeling completely back to normal now. states after returning home, later in the afternoon she still felt like her breathing wasn't as good as normal. Pt used her prescribed nebulizer treatment at home and experienced instant relief. no recurrence of any s/s after that.

Other Meds:

Current Illness:

ID: 1044789
Sex: F
Age: 70
State: OH

Vax Date: 02/01/2021
Onset Date: 02/12/2021
Rec V Date: 02/21/2021
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:

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

Symptoms: On day 12 developed rash ring at injection site. Itchy. Gone within 3 days.

Other Meds: Daily vitamin, vitamin D, calcium

Current Illness: Sinus infection month before

ID: 1044790
Sex: F
Age: 74
State: GA

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Motrin, Band-Aid Adhesive

Symptom List: Tremor

Symptoms: Evening of vaccination felt fine, arm a little sore at injection site. Morning after vaccination had flu-like symptoms, e.g., headache, slight fever, body aches, sleepy. Sept most of the day. Morning of second day after vaccination felt good (normal) but notice rash and felt soreness in upper left arm. No change in rash over the course of the day. Prescriptions (continued): Xarelto 20mg

Other Meds: Evista 60mg, Neurontin 100 mg, Mirapex 0.5mg, Livalo 2mg,

Current Illness: None

ID: 1044791
Sex: F
Age: 73
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
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: Seasonal allergies, grass trees.

Symptom List: Erythema, Pruritus

Symptoms: COVID-19 vaccine given. Second day heart and chest felt funny. Can?t describe. Third day had vertigo, nausea, and chills. Fourth day pretty good. Fifth day had vertigo, nausea and chills again. Sixth day, today, doing pretty good. Started ginger for vertigo yesterday and sprite.

Other Meds: Eliquis, atoravastatin, furosemide, atenolol. Also multivitamin, osteo biflex, pre and probiotics, fish oil.

Current Illness: Just allergy related drainage and occasional cough.

ID: 1044792
Sex: F
Age: 65
State: OH

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: None

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

Symptoms: I had pain in my arm for several days after injection. Pain went away. 8 days after injection the pain returned. Same place in my arm as before. There is pain when I move my arm. Some movements hurt more than others. Over my head and reaching backward. Such as reaching to put on my seatbelt in the car or tying an apron string at my back.

Other Meds: Daily vitamin, Atorvastatin, levothyroxine

Current Illness: None

ID: 1044793
Sex: F
Age: 65
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/21/2021
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: Seafood shellfish sulfa drugs

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

Symptoms: Stomach rash, large raised red oval at injection site, low fever, fatigue

Other Meds: Cytomel, Levothyroxine

Current Illness: None

ID: 1044794
Sex: F
Age: 91
State:

Vax Date: 01/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/21/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: acute hypoxic respiratory failure

Other Meds:

Current Illness:

ID: 1044795
Sex: F
Age: 61
State: OR

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Unknown-none noted on VAR

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

Symptoms: Patient was mistakenly given the Pfizer vaccine for her second dose of Covid vaccine, after starting the series with Moderna on 1/21/2021. Her Moderna lot # was 041L20A.

Other Meds: Unknown

Current Illness: Unknown-none noted on VAR

ID: 1044796
Sex: F
Age: 25
State: NY

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Latex

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

Symptoms: Patient kneeled downed to the floor with no injuries, no fall. Patient then noted to become unconscious for 2 minutes (6:40pm-6:42pm) with palpable pulse and labored breathing. Patient was assisted to the floor, placed on her left side with aspiration precautions maintained. Initial vital signs at 6:44pm: BP 100/60, HR 90, O2 Sat 74%. Patient regained consciousness at 6:42pm and was verbally responsive. At 6:50pm vital signs as follows: AO x3, BP 100/70 , HR 104, O2 85%. Patient's main complaint was syncope. Continued with vital signs and monitored vital signs until EMS arrival.

Other Meds:

Current Illness: Vasovagal

ID: 1044797
Sex: F
Age: 70
State: NY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Zithromax, Neosporin

Symptom List: Pain in extremity

Symptoms: same day: body aches, arm and foot pain subsequent days and weeks: moderate to severe pain back of right knee, arm pain, tingling in fingers, right foot, numbness in fingers, legs,bilateral leg pain, bloating, diarrhea, gas pain in right leg and left foot continue, diarrhea, now over 30 days after 2nd shot

Other Meds: MVI, Atorvastatin qod.

Current Illness: --------------------

ID: 1044798
Sex: M
Age: 28
State: MA

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Concerta

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

Symptoms: Diarreaha for 2 days, abdominal pain for 2 days, fever for 2 days.

Other Meds: None

Current Illness: None

ID: 1044799
Sex: F
Age: 73
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/21/2021
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: sulfa

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

Symptoms: Blood clots in left leg diagnosed in Hospital, , emergency room 02/08/2021, about 5 hours after first vaccine. Treated with eliquis. History of prior embolus and blood clots. Referred to primary physician who referred me to a vascular surgeon and a hematologist. For about 3 days extremely tired and slept quite a bit. I already have rotator cuff injury of arm where I got shot so pain was not able to be separated from rotator cuff pain. No temperature, rash, redness or swelling of injection site.

Other Meds: adderall, one a day vitamin, childs aspirin, omega 3 fatty acid, B-12

Current Illness: none

ID: 1044800
Sex: F
Age: 70
State: MD

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/21/2021
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: The day after the vaccination, I got a bad case of facial acne (very unusual for me) centered on both sides of the nose. Over the next 48 hours, the skin where the acne was concentrated dried and flaked off in largish flakes.

Other Meds: No Prescriptions Vitamin B, Vitamin D, Calcium, Phosporus, eicosapentaenoic acid,docosahexaenoic acid,salmon oil, = Microcrystalline hydroxyapatite concentrate, alpha lipoic acid, =polyenylphosphatidylcholine, N-acetyl-cysteine

Current Illness: none

ID: 1044801
Sex: F
Age: 27
State: GU

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Fever 101.8 tmax following morning, headaches following morning, stomach ache following morning, palpitations 2 days post vaccine

Other Meds: None

Current Illness: None

ID: 1044802
Sex: F
Age: 71
State: ME

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
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: Morphine, Codeine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: After 10 days the site is extremely itchy, with a red, raised circle of approx. 2.5 inches and it is hot to the touch.

Other Meds: venlafaxine, humulin, ursodiol, atorvastatin, trazadone, ceterezine, omeprazole, Xiidra, flonase, vit D3, Centrum Silver, Vit C

Current Illness: none

ID: 1044803
Sex: F
Age: 49
State: KY

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/21/2021
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: nkda lactose intolerance

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

Symptoms: ON DAY 2 AFTER VACCINE WOKE UP WTIH PERIORBITAL EDEMA AND FACIAL SWELLING. DID NOT GO DOWN UNTIL DAY 4 AFTER VACCINE. TOOK ALLEGRA D ALL 4 DAYS TO HELP WITH INFLAMMATION.

Other Meds: lexapro, wellbutrin, vivelle dot, mobic, crestor

Current Illness: none

ID: 1044804
Sex: F
Age: 66
State: FL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/21/2021
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: Tetracaine, Articaine, Cetacaine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe diarrhea, chills, severe nausea but no vomiting, headache, mild fever. No appetite for 3 days. Injection site began to hurt today (8 days later), is hard, itches and is warm to the touch.

Other Meds: N/a

Current Illness: cold

ID: 1044805
Sex: F
Age: 59
State: WA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Pain at injection sight Very bad body aches Very tired

Other Meds: Naproxen Lisinopril Levothyroxine

Current Illness:

ID: 1044806
Sex: M
Age: 65
State: NY

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: Left arm pain at Vax site starting about 3 hours after vax. about 20 hours after vaccine, got fatigued/tired and had a headache. At 5pm, had about +.5F fever. At 6pm, had +2F fever. Fever lasted about 4-5 hours. Fatigue and fever were gone on Sunday, but had bad headache all day.

Other Meds: NONE

Current Illness: NONE

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm