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: 1044863
Sex: F
Age: 70
State: CA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pain and about 1 inch dark red spot surrounding injection site. Red area (though not as dark ) continues and surrounds the dark red spot. It is about 6 inches across.total. Both are warm to the touch four days after the injection.

Other Meds: Metformin victoza glimeperide pamaprexal low dose aspirin

Current Illness: None

ID: 1044864
Sex: M
Age: 81
State: ID

Vax Date: 02/06/2021
Onset Date: 02/10/2021
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: Cefuroxime, raw onions, melons, dust and pollens.

Symptom List: Anxiety, Dyspnoea

Symptoms: 5 days after vaccination started getting small red splotches on arm below the injection site. In 3 days the pinkish/red area was 3 1/4" and 2 1/4" wide. Surface itched and sore in the muscle. Doctor's nurse advised to just watch it and if gets worse to call back. After another 7 days it went away other than a very faint outline.

Other Meds: Tamsulosin, Finasteride, Sertraline, Losartan, Cephalexin, Azelastine Hydrochloride, Metformin, Gabapentin, Mometasone, Omeprazole. Allerclear, Aspirin, Multi adult vitamin, Vitamin D3, Probiotic 10, Benadryl,

Current Illness: Sinus drainage causing coughing

ID: 1044865
Sex: F
Age: 71
State: MS

Vax Date: 02/09/2021
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: None

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

Symptoms: Bruise above shot location on 2-10-2021. On 2-20-2021 injection site started to itch and turn red and felt warm to the touch.

Other Meds: Magnesium Oxide, Pantoprazole, Folic Acid, Enbrel, Otrexup, Potassium Chloride, Metoprol Tar, Aspirin, Gabapentin, Fluticasone propionate, Miralax, Immune C.

Current Illness: None

ID: 1044866
Sex: F
Age: 61
State: AZ

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Dizziness at 230pm, subsided by 7pm 02/19/2021 12 midnight chills, subsided by 10am 02/20/2021 Body aches, throbbing pain in finger joints, subsided by 4pm 02/20/2021

Other Meds: Levothyroxine, pramipexole (restless legs)

Current Illness: Nine

ID: 1044867
Sex: F
Age: 30
State: CA

Vax Date: 02/02/2021
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: LA

Lab Data:

Allergies: - latex allergy (self-diagnosed only)

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA - started feeling somewhat unwell app. 8 h after vaccine - started having a fever app 10-12 h after vaccine. Fever was highest app. 24 h after vaccine (38.9C). Fever disappeared app. 38 h after vaccine. Somewhat raised temperature (0.5 - 1 C more than normal for another 12h. - lots of vomiting (5x?), temporarily unable to retain fluids, unable to eat, app. 20 h - 36 h after vaccine - headache 12 h - 50 h after vaccine, despite hydrating whenever possible. - sweats, weakness, dizziness when not resting 40 h - 48 h after vaccine

Other Meds: - magnesium supplement - Vitamin D supplement

Current Illness: none

ID: 1044868
Sex: M
Age: 45
State: MI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
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: Allergies to Cashews

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

Symptoms: Began with severe fatigue and transitioned into severe shaking, body chills, aches that stayed for a prolonged period. In the course of trying to bring warmth to the body, I showered and ended up having severe vomiting. The body aches, fatigue, and overall sickness stayed with me for over 48 hours. Two days post vaccination, my left arm was swollen with severe redness. I am still struggling with fatigue and body aches (4 days later) but have regained mobility and strength.

Other Meds:

Current Illness:

ID: 1044869
Sex: F
Age: 40
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Bladder spasms , urgency and increased frequency of urination. This lasted several days but was very intense the evening of the injection. The above is a chronic condition following cancer treatment (hysterectomy, pelvic radiation), however is controlled with medication. Medication had been taken appropriately in the days prior to and after the vaccine. This could be explained day two, as there was an increase in water intake due to severe thirst, however no significant increase in water intake the day of the vaccine. Between 11 pm and 3 am urinated 8 times (typically urinate 0-1x/evening). After 3 am, experienced insomnia the rest of the evening (awake and alert) Odd taste in mouth (occurred immediately with injection and lasted about 20 min) Dizziness (started within min of receiving vaccine and lasted 2 days) Poor temperature regulation (started within 1-2 hours following vaccine was severe hot/cold with severe sweating for 3 days. Currently continues 1.5 weeks following injection, however at a lesser extent. Currently , I over-heat with minimal exertion.) Extreme fatigue -slept for 1.5 days following vaccine. Notable fatigue persists currently, which is 1.5 weeks following vaccine. Fatigue with work-related tasks extremely easily and with working out (lifting weights, unable to jog due to fatigue)

Other Meds: Bethanechol, Tamsulosin, Premarin Vag Cream, Doxycycline

Current Illness: none

ID: 1044870
Sex: M
Age: 22
State: WV

Vax Date: 02/01/2021
Onset Date: 02/02/2021
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: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Morning after the COVID19 shot, experienced fatigue, chills, fever, and headache (general flu-like symptoms). Minimal injection site pain. Symptoms persisted for roughly 12 hours and then stopped. No recurrence or additional symptoms followed, no treatment needed.

Other Meds: Vitamin D supplement, 2000 IU/day

Current Illness: None

ID: 1044872
Sex: F
Age: 47
State: MN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: N/A

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Immediate dizziness/ light headed. Mild headache within 4 hours. Moderate headache within 8 hours. Sore at injection site begins within 8 hours. Fatigue sets in almost immediately after injection. Next morning, less than 24 hrs later, nausea and vomiting. Extreme Fatigue and major head pain. Tylenol not working. Headache and Fatigue last two weeks. Unknown rash on left arm.

Other Meds: Prozac 40mgs

Current Illness: N/A

ID: 1044873
Sex: F
Age: 74
State:

Vax Date: 01/28/2021
Onset Date: 02/04/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 7 days later pt had a large local reaction then on 8 days after shots noticed 2 itchy red spots on both sides of abdomen (pt states she gets this from time to time) -improved over a few days w topical steroids on day 9 after shot pt had chest pain only with lying down (went to ER) and was diagnosed w GERD a few days later pt had EGD which showed inflammation at GE junction (consistent w GERD)

Other Meds:

Current Illness:

ID: 1044874
Sex: F
Age: 24
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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: None

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

Symptoms: Delayed menstrual cycle. Typically have a 30 day cycle (very regularly for the past 5 years), following initial vaccine had 37 day cycle (Oligomenorrhea). Currently waiting for my next period and am now 1 day late (unsure if this will be delayed as well at this point)

Other Meds: None

Current Illness: None

ID: 1044875
Sex: F
Age: 35
State: PA

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Kiwi

Symptom List: Rash, Urticaria

Symptoms: Large red lesion, very firm, warm to touch, painful, itchy

Other Meds: Meloxicam

Current Illness: None

ID: 1044876
Sex: F
Age: 50
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: IM
Vax Site: LA

Lab Data:

Allergies: Food allergies to probable caramel color, preservatives, possible others unknown. Sensitive to stimulants e.g. caffeine, afrin, Flonase, epinephrine, causes rapid heart rate

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

Symptoms: 1. Dizziness 2 minutes after shot and ?felt weird?. This lasted around a minute and resolved. 2. Burning or cold sensation going up both sides of the back of my neck (maybe within 3 or so minutes of receiving vaccine). This just lasted a few seconds and resolved. 3. Felt heart rate increase. Measured heart rate after about 15 minutes it was 91bpm. My resting HR is typically in the 50?s or 60?s or lower. My heart rate jumped around, went back down to 60?s and then a few minutes later back to 91 bpm. (I did not measure my heart rate immediately) 4. Tasted vaccine on anterior portion and tip of tongue. Still think I taste something. Left after 30 minutes. Reported rapid heart rate to pharmacist. Went home. Didn?t feel great but ok. That night sore arm which worsened and then now improved today, no pain. 02/17 felt a little better. 02/18 felt nauseous and ?weird? in am. Felt better in pm. Today I feel ok.

Other Meds: Creon, Acyclovir, Multivitamins, Vitamin B complex, C, D, E, calcium-magnesium-zinc

Current Illness: Unknown

ID: 1044877
Sex: M
Age: 65
State: CA

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: 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: Headache, body ache, fever, sore arm at site of injection

Other Meds: None

Current Illness: None

ID: 1044878
Sex: F
Age: 36
State: NC

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Hayfever

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

Symptoms: Pain at injection site for 24 hours; redness and swelling of injection site developed 8 days later

Other Meds: Centrum multivitamin, fish oil, occasional ibuprofen 200mg

Current Illness: None

ID: 1044879
Sex: M
Age: 49
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: Allergic rhinitis (to dust, grass pollen, tree pollen). No drug allergies. No food allergies.

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site soreness x 48 hours. No treatment. Spontaneous resolution. Fever x 24 hours, started morning after injection. No treatment. Spontaneous resolution. Widespread muscle soreness x 24 hours, started morning after inj. No treatment. Spontaneous resolution.

Other Meds: Multi-vitamin, Adderal, Zioptan eye drops.

Current Illness: None.

ID: 1044880
Sex: F
Age: 74
State: TX

Vax Date: 01/28/2021
Onset Date: 02/01/2021
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: I broke out in a rash on face and legs, had extremely severe headaches, one day of incontinence, 2 days of heart palpitations and shortness of breath. Also, I ate some peanuts and my throat swelled up. This is the FIRST TIME I have ever had a rash, incontinence, net allergy, or shortness of breath.

Other Meds: Ropinerol Xanax Digestive enzymes

Current Illness: none

ID: 1044881
Sex: F
Age: 67
State: NY

Vax Date: 02/13/2021
Onset Date: 01/18/2021
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: Sulfa drugs, poison ivy/mango skin, dust mites, pine pollen,

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Sore arm after 3 hours. Chills afternoon of the vaccine. 101 fever for next two days. Rash on top 1/3 of right arm (where injection given) and around right ankle began Day 2. Congestion began Day 3. Lethargic, in bed for two days after fever broke. Felt better the next morning and arm soreness was gone, but by afternoon began having terrible headaches and pain behind right eye. Diagnosed with sinus infection (likely from congestion) and put on antibiotic/Mucinex for infection + Advil for pain. Sinus began draining overnight after two antibiotic doses; the pain behind the eye improved, also. Now 8 days post-vaccine starting to feel better, but itchy rash persists, though is improving. Some congestion/headache remain.

Other Meds: Tumeric, Salt Pills, Vit D3, Vit C, Vit K2, Viactiv, Florastor

Current Illness: None

ID: 1044882
Sex: F
Age: 73
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
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: Penicillin, sulphur

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Red at site of vaccine, hard, tender to touch Ice for first 24 hours and nothing since Still red and tender 10 days after vaccine

Other Meds: Synthroid, lasix, chlor-con, sotalol, xarelto,losartan, omeprizole, vitamins: calcium, c, d3

Current Illness: None

ID: 1044883
Sex: F
Age: 33
State: CA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
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: Allergy to sulfa

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

Symptoms: Body aches, chills, fatigue

Other Meds: Sertraline, spironolactone, Zyrtec, calcium, magnesium, vitamin D

Current Illness:

ID: 1044884
Sex: F
Age: 53
State: AZ

Vax Date: 02/20/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codeine

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

Symptoms: Flu like symptoms...body aches and fatigue.

Other Meds: Ativorstatin. Paroxetine. Amlodipine.

Current Illness: None

ID: 1044885
Sex: F
Age: 72
State: OR

Vax Date: 01/24/2021
Onset Date: 02/02/2021
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: Epinephrine

Symptom List: Unevaluable event

Symptoms: On 2/2/21 I developed chest pressure and irregular heart beat at 4:00 pm. Went to ER and it spontaneously resolved while staff was telling me how they would treat it. Gave me Metoprolol 5 mg IV with 500 IV fluids and discharged. Then on 2/6/21 I slept poorly and felt very jittery and had more chest pressure but pulse was regular. then on 2/8/21 at 6:00 am I awoke and felt terrible with chest pressure. Took my blood pressure at home and it was 193/103, and I was very shaky. Went to ER where they did blood work, X-ray, and monitored my heart and blood pressure for 4 hrs. Gradually my blood pressure came down, and my blood work and X-ray probed to be WNL. I was discharged without medication change but had echocardiogram scheduled and follow-up appt. with Cardiologist, on zoom. He started me on Flecainide 100 mg bid, and stress test on 2/24/21 and follow-up appt. with him on 3/3/21. I also had a follow-up appt. with my GP the day after the first ER visit and she ordered more labs, and the echocardiogram. I have continued to have feelings of fluttering and pressure in my chest off and on and they continued after my second vaccine. But my heart has remained regular since starting the Flecainide. But my blood pressure went up to 150/85 on 2/9/21 and again to 142/81 on 2/10/21 both times with feelings of jitteriness and pressure in my chest.

Other Meds: Amlodipine, Atenolol, Crestor, ASA, Cal, Mg, and Zinc, Fish oil, and Multi vit.

Current Illness: None

ID: 1044886
Sex: F
Age: 67
State: CO

Vax Date: 02/08/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Augmentin, Bupronion, Plendel, Sulfa

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

Symptoms: In the afternoon of 02-21-2021, I began experiencing the following symptoms: redness around the injection site, a swollen area about the size of my hand, warmth, and itching.

Other Meds: Pentasa, Methotrexate, Methocarbamol, Hydrocodone-Acetaminophen, Pantoprazole, Chlorothalidone, Chlorothalidone, Escitalopram, Metformin, Propranolol, Lorazepam, Krill Oil, Losartan Potassium, Folic Acid, Levothyroxine, Liothyronine, D3,

Current Illness:

ID: 1044887
Sex: F
Age: 69
State: FL

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
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: sulfa

Symptom List: Injection site pain, Pain

Symptoms: about 5" oval shaped itchy, hot, red rash appeared on upper left arm exactly 1 week after shot was injected

Other Meds: 5000 Vit D3, 1000 Liposomal Vit C, New Chapter fermented zinc complex, 10mg DHEA, 100mg Ubiquinol, MethylCare by Metagenics

Current Illness: none

ID: 1044888
Sex: F
Age: 73
State: WA

Vax Date: 02/14/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: latex, perfumes, metals,

Symptom List: Injection site pain, Menorrhagia

Symptoms: mild headache right after shot than fatigue so bad could not get off couch and slept a lot. second day got a bloody nose dark red blood went away quickly, had stomach ache high up and bad fatigue for 4 days. still tired

Other Meds: no

Current Illness: hade minor surgery on 1/11/21 for hystoroscopy

ID: 1044889
Sex: M
Age: 52
State: IL

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin, sulfa, cephalosporins

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

Symptoms: The needle hub failed at the end of the injection, such that a couple of drops of the vaccine ran down my arm

Other Meds: Lisinopril, atorvastatin, cetirizine, hydrochlorothiazide, rabeprazole, fluticasone nasal spray

Current Illness: None

ID: 1044890
Sex: F
Age: 69
State: CO

Vax Date: 02/16/2021
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: Penicillin allergy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: broke out in several rashes on legs and back of neck. Also broke out with several cold sores on mouth and fibramiaglia has flared up.

Other Meds: Trazedone, metformine, duloxetine

Current Illness: none

ID: 1044891
Sex: F
Age: 71
State: CA

Vax Date: 01/26/2021
Onset Date: 01/30/2021
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: Need to eat lactose and gluten free.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Four days after 1st vaccine woke up with blurry vision and ophthalmologist diagnosed me with Glaucoma on Monday Feb.1, 2021. My eye pressure was at 42. Day after 2nd vaccine my blurry vision doubled. Saw ophthalmologist again who confirmed it was due to the vaccine due to no other issues or changes on my body or health.

Other Meds: Liothyronine 10mcg 1xD Levothyroxine 50mcg 1xD Nifedipine XL 30mg 1xD Clonazepam 2mg 1xD Quetiapine 50 mg 1to2 at bedtime Kepra 1,000 mg at bedtime Zyrtec 10mg 1xD Liquid Vit. D 2,000 IU 1 drop B12 with L-5 MTHF 1,000 mcg 1xD Potassium 99mg

Current Illness: Shingles

ID: 1044892
Sex: M
Age: 34
State: NJ

Vax Date: 02/18/2021
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: RA

Lab Data:

Allergies: none

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

Symptoms: Moderna COVID-19 Vaccine EUA Persistent joint pain throughout entire body, started about 18 hours after vaccination and did not fully subside until about 60 hours after vaccination. Pain was fully managed with ibuprofen, 400 mg was taken every 8 hours.

Other Meds: Amlodipine 2.5 mg daily Perindopril 4 mg daily Humira 40 mg/0.4 mL every 10 days Vitamin D 2000 IU Vitamin B12 1000 mcg Calcium 600 mg

Current Illness: none

ID: 1044893
Sex: F
Age: 35
State: NM

Vax Date: 02/10/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Odd shape rash appearance with hive at injection location approximately 8 inches in size. Hot to touch, and swelling.

Other Meds: NOne

Current Illness: None

ID: 1044894
Sex: F
Age: 60
State: FL

Vax Date: 01/25/2021
Onset Date: 01/30/2021
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: Hydrocodone; Latex.

Symptom List: Injection site pain

Symptoms: Left shoulder has periodic pain and stinging as if someone with a heavy hand is giving me an injection now. The pain wakes me up at night. Sometimes in the day I feel the pain level at about a 6.

Other Meds: Tylenol 500mg, Vit. D, Vit. B, Hydroxyquine, Atorvastin, Lorsartin, Hydrochlorizide; Albuteral inhaler.

Current Illness: None.

ID: 1044896
Sex: M
Age: 71
State: OK

Vax Date: 02/21/2021
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: LA

Lab Data:

Allergies: N/A

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

Symptoms: Headache took ibuprofin

Other Meds: FUROSEMIDE, KLORCON, FLOUXETINE, PANTOPRAZOLE, LISINOPRIL, ATORVASTATIN, PRAMIPEXOLE, GLI0PPIZIDE, METFORMIN, GABAPENTIN, MULTI- VITAMINE, BABY ASPIRIN

Current Illness: N/A

ID: 1044897
Sex: F
Age: 64
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: none

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

Symptoms: 10 hours after the vaccine, shoulder/arm area suddenly became very sore. A reddish circle appeared around the vaccination site and it appeared to be raised at the center. My arm was extremely sore for 24 hours, then slowly the redness and pain subsided. Also had a mild head ache for 2 days. No need for any medications.

Other Meds: Janumet xr, Rybelsus, Pantoprazole, Glimepiride, Ezetimibe, Cholestyram, Vitamin D, Elderberry, Multivitamin

Current Illness: none

ID: 1044898
Sex: M
Age: 36
State: AZ

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Gluten allergy

Symptom List: Tremor

Symptoms: Sever headache, high fever, chills, vomiting

Other Meds:

Current Illness: None

ID: 1044899
Sex: F
Age: 29
State: CA

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Erythema, Pruritus

Symptoms: My vaccine was administered subcutaneously and not on my deltoid muscle.

Other Meds: no

Current Illness: no

ID: 1044900
Sex: F
Age: 52
State: NY

Vax Date: 02/13/2021
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: No

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

Symptoms: Large raised circle rash at site of injection. 3 inches.

Other Meds: Sertraline 50 mg daily

Current Illness: No

ID: 1044901
Sex: F
Age: 54
State: NY

Vax Date: 02/13/2001
Onset Date: 02/17/2001
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1044902
Sex: F
Age: 43
State: IL

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Tamiflu, sulfa, latex, shellfish, egg, fruit, fragrance

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: shortness of breath, wheezing; Medications given at ER on Feb 17, 2021; albuterol HFA (4 puffs), last given at 2:47pm; Diphenhydramine (Benadryl) (50mgs) , last given at 2:47pm; famotidine (Pepcid) (1 tab), last given at 2:47pm; I was discharged after 1 hour of observation, with my breathing back to normal. I have a history of cold-induced asthma and since the pandemic, I rarely venture outside of my house so this could also have been a reaction to the cold.

Other Meds: Caltrate, Zyrtec, Lexapro, magnesium, Singulair, Estarylla, melatonin

Current Illness: allergy-induced asthma, cold-induced asthma, headache

ID: 1044903
Sex: F
Age: 71
State: CA

Vax Date: 01/20/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: latex, physodex, contact sray on plants

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

Symptoms: After the second shot I hard a 99.3 temp at 1:30 a.m. Thursday morning also chills and ache all over. That night I noticed I had a lump near my collarbone and neck (lymph nodes. Very tender. I was taking 1,00 mg tylenol since the second shot. I called my dr. at 12:30 pm 2/20/2021 and told him about my neck and that my temp, chills and aches were gone. He said he had never heard about anything like this but to continue with 500 mg of tylenol every 6 hours. I told him I had a friend you had a much larger lump on her neck and her dr. gave her antibiotics since her lymph nodes were swollen. I said I had a antibiotic and he said I could take it. If it was still swollen on Monday to make an apt. The swelling is down some on 2/21/2021 but I can feel the nodes more. I will call dr. on Monday. I has researched this and see it is a side effect but rare.

Other Meds: losartan potassium 25mg clopidogrel 75mg atorvastatin 10mg montelukast sodium 10mg baby aspirin 81mg vit. D 4000

Current Illness: none

ID: 1044904
Sex: F
Age: 79
State: WI

Vax Date: 02/12/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa, nitofurantoin

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

Symptoms: Rash 2"x4" red and very itchy on the arm around the injection site; Took about 24 hr to become red, and warm. Still itchy today 2/21, but less red, and less warm.

Other Meds: Synthroid, vitamin D3, vitamin b12, vitamin C, lutein Magnesium, turmeric Zinc, Phillips stool softner

Current Illness: none

ID: 1044905
Sex: F
Age: 28
State: MI

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Cedifir (?) antibiotic

Symptom List: Pain in extremity

Symptoms: Red, swollen and itchy on and around injection site, 8 days after 1st dose. Also swelling of the face within 3 hours after first shot.

Other Meds: Adderall Junel- birth control

Current Illness:

ID: 1044906
Sex: F
Age: 38
State: PA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
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: Some antibiotics

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

Symptoms: February 13: Fever of 100.0, delirium (probably also associated with PTSD), aches and pains, fatigue, dizziness, arm and shoulder pain February 14: Fatigue, dizziness, shoulder pain, irregular heartbeat February 15; Fatigue, dizziness, shoulder pain Fatigue and dizziness have reocurred at some points.

Other Meds: Liquid generic Fluoxetine and Pharmacy brand gummy prenatal vitamins

Current Illness: none

ID: 1044907
Sex: F
Age: 40
State:

Vax Date: 02/21/2021
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:

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

Symptoms: Pt pre-medicated with benadryl prior to ariaval. Pt started getting pruitis 10 mins after administration. pt given benadryl and predisone in ED. Pt improved soon after

Other Meds:

Current Illness:

ID: 1044908
Sex: M
Age: 72
State: CA

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: No known allergies

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

Symptoms: Had mild left arm rash that came on 1 day after vaccine and then lasted 3 days. Fairly severe difficulty with eating x 3 wks (could only eat very little) despite no N/V/D. He says it was hard to describe, but it was very bad and he barely recovered. Self resolved after 3 weeks. No fever, N/V, SOB. +Fatigue.

Other Meds: atorvastatin 20mg daily, benazepril 10mg daily, vitamin D3 1000IU daily, glipizide 10mg 2 tabs BID, metformin 500mg 2 tabs BID.

Current Illness:

ID: 1044909
Sex: M
Age: 72
State: NY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: allopurinol, uloric

Symptom List: Vomiting

Symptoms: Rash and itch on arm one day after injection and still persists more than 2 weeks after vaccination.

Other Meds:

Current Illness: None

ID: 1044910
Sex: F
Age: 76
State:

Vax Date: 02/21/2021
Onset Date: 02/21/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Vaccine was under diluted and patient received dose calculated to be approximately 25% more than recommended.

Other Meds:

Current Illness:

ID: 1044911
Sex: F
Age: 30
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: Tetracycline

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

Symptoms: Nausea and cold chills starting morning of 2/20 lasting until 2/21. No treatment.

Other Meds: Labetalol 100 mg twice daily. Due date October 12, 2021

Current Illness: None

ID: 1044912
Sex: F
Age: 28
State: TX

Vax Date: 02/11/2021
Onset Date: 02/13/2021
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: Dairy

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Lump at injection site. Red skin around injection site. Slightly itchy.

Other Meds: Escitalopram 20 mg and Levonorgestrel & ethinyl estradiol .1 mg/.02 mg

Current Illness: None

ID: 1044913
Sex: F
Age: 47
State: CO

Vax Date: 02/01/2021
Onset Date: 02/15/2021
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: Soy

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

Symptoms: Headache, sweating at night, brain fog, light headed started two days after vaccine. 8 days after vaccine I had a big red hot welt the size of a. Baseball on the injection sight - it is itchy and swollen

Other Meds: None

Current Illness:

ID: 1044914
Sex: F
Age: 97
State:

Vax Date: 02/21/2021
Onset Date: 02/21/2021
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:

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

Symptoms: Administration error - Vaccine was under diluted, and patient received dose calculated to be approximately 25% more than recommended.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm