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: 1047787
Sex: F
Age: 48
State: CA

Vax Date: 02/20/2020
Onset Date: 02/21/2020
Rec V Date: 02/22/2021
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: Bees, latex, monastat , mangos,

Symptom List: Dysphagia, Epiglottitis

Symptoms: Day 1 - fever of 102, body aches, headache, could barely move Rt. arm, tight chest, little appetite. Day 2 - temp down to 100, body aches more mild, still a headache, pain near groin lymph nodes, arm more mobile but now with a red hot and painful lesion

Other Meds: Gabapentin, Propanolol , Motrin

Current Illness: None

ID: 1047788
Sex: M
Age: 49
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
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: Denies

Symptom List: Anxiety, Dyspnoea

Symptoms: Chills and bodyache following #2 of moderna yesterday.

Other Meds: UNK

Current Illness: N/A

ID: 1047789
Sex: M
Age: 30
State: OR

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
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: -tylenol -mangos

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

Symptoms: -Fever/chills -extreme body ache -bones hurt

Other Meds: -vitamin c -zinc

Current Illness: n/a

ID: 1047790
Sex: F
Age: 27
State: TN

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

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

Lab Data:

Allergies: Penicillins

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Climbing Fever starting around 9:00 pm with current temp of 102.2 as of 10:50 pm (body temperature usually <97). Severe chills onset around 9:30 pm. Mild Soreness at injection site starting approximately two hours after vaccination.

Other Meds: Levothyroxine

Current Illness: None

ID: 1047791
Sex: F
Age: 70
State: WI

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Beginning about 3;00 pm the day of the injection (8:16 am), soreness at injection site,. Beginning about 5:00 pm, severe headache, chills, fever (101.5), teeth hurt, arm was very tender, lethargy. The next day, the headache, chills (but less intense), and extreme lethargy continued. Symptoms started to subside late in the day. By the next morning, only mild headache remained and subsided as the day went on. Arm soreness continued throughout the day into the evening.

Other Meds: 10 mg simvastatin, 37.5-25 mg Triamerene-HCTZ, 20 mg Telmisartan, 0.375 mg Hyoscyamine, Multivitamin Women 50+ OTC

Current Illness: none

ID: 1047792
Sex: M
Age: 76
State: OH

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Constipation 5 days still going

Other Meds:

Current Illness:

ID: 1047793
Sex: F
Age: 47
State: CA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 02/22/2021
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: morphine,vicodin, bacitracin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Developed itchiness on face and mild palpitation 20 minutes after injection Developed headache and injection site soreness 12 hours after injection Developed dizziness about 20 hours after injection Developed itchiness, redness, and welt below the injection site 3 days after injection and lasted for about 5-7 days

Other Meds: none

Current Illness: GERD, PCOS, Seasonal allergies

Date Died: 02/12/2021

ID: 1048786
Sex: M
Age: 87
State: KS

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Orudis, Statins (intolerance)

Symptom List: Pharyngeal swelling

Symptoms: Was given vaccine around 1:30Pm on 2-11-2021. He and his wife waited in the building for 15 minutes and then left. he denied complaint. (He was waiting to have both Covid shots before he went to cardiologist Re: CAD.) He had an alarm going off in his house, was going to basement to check it out. Police officer heard alarm, came into house, & heard a thud when Doc fell. He was in PEA (Pulseless Electrical Activity) when brought into ER. Given 5 "rounds of Epinephrine with no response.

Other Meds: unknown

Current Illness: ? sepsis, CAD, HTN, increased lipids

ID: 1049608
Sex: F
Age: 37
State: GA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/22/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: COVID-19 Vaccination, Pfizer

Other Meds: Escitalopram

Current Illness: Only medical history includes anxiety/depression with use of escitalopram. Patient reports that she will on rare occasion use alcoholic drinks but average weekly alcoholic drinks = 0.

ID: 1391338
Sex: F
Age: 77
State: FL

Vax Date: 02/07/2021
Onset Date: 02/12/2021
Rec V Date: 02/22/2021
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: Four days after the 2nd dose, my blood pressure became elevated to 140/80. I went to the Emergency Room where the following tests were performed: BMP, CBC with Differential, Flu/RSV//Covid PCR, Troponin Ohr (initial), Urinalysis reflex Microscopy/Culture, CT HEAD BRAIN WITHOUT CONTRAST. Findings: No evidence of intra- or esttraaxial hemorrhage, mass effect, midline shift, hydrocephalus or acute transcortial infarct, No acute intracranial pathology. Cardiac silhouette and pulmonary vesselas are within normal range. No infiltrate, pleural effusion or pneumothorax. Impression: No acute disease. There were no other event occurences in my life to generate anxiety. Also General muscle

Other Meds: Armour, Women's Whole Earth, Krill Oil, Hyalouric Acid, Fish

Current Illness: None

ID: 1391416
Sex: F
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 02/22/2021
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: Third dose of Pfizer's COVID vaccine incorrectly administered. only 2 doses required. No side effects/ symptoms observed but patient being closely monitered.

Other Meds:

Current Illness:

ID: 1391418
Sex: F
Age: 73
State: AZ

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
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: 2/10/2021: Woke up with a itchy red rash at the site of the injection 2/11/2021: Red rash has tuned into a large red swollen round mass that is warm to the touch.

Other Meds: Metformin, Xarelto, Farxiga 5 MG, Carvedilol, Digoxin, Prolia

Current Illness: None

ID: 1391419
Sex: F
Age: 78
State: WV

Vax Date: 12/02/2020
Onset Date: 12/01/2020
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Milk, dust, pollen, posion oak

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

Symptoms: On Dec 2nd the left side of my face lower parts of the chin begin to swell & my left eye begin to swell I went to the Doc. He thought I might had a strock but instead I got Bells palsy & blisters on my stomach. It took me about a month to get over this with predisone.

Other Meds: 1 low Dose aspirin; 20 mg atorvastatin & Lisinopril 5 MG

Current Illness: None

ID: 1391422
Sex: F
Age: 48
State: ID

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 02/22/2021
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:

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

Symptoms: rec'd 2nd dose of covid vaccine (Pfizer) on 1/8/21 & had prolonged upper arm pain / soreness x several weeks - unable to lift arm above shoulder - treated; heat / ibuprofen recovering

Other Meds: potassium citrate, HCTZ, topirimate

Current Illness: none

ID: 1399133
Sex: F
Age: 75
State: NV

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

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

Symptoms: PAIN, TENDERNESS AND SWELLING IN THE SAME ARM, HEADACHES, JOINT PAIN MUSCLE PAIN, CHILLS, NAUSEA AND VOMITING AND FEVER. DIFFICULT BREATHING, WEAKNESS, FAST HEART BEAT, DIARRHEA

Other Meds:

Current Illness:

ID: 1399134
Sex: F
Age: 75
State:

Vax Date: 02/16/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
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: COVID "arm" - swelling, red, itchy, spreading, 8 x 4 in.

Other Meds:

Current Illness:

ID: 1399135
Sex: F
Age: 1
State: NY

Vax Date: 01/27/2021
Onset Date:
Rec V Date: 02/22/2021
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:

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

Symptoms: Development of popular pustular rash over the back about a week after vaccination and continuing to worsen > 3 weeks after vaccination

Other Meds:

Current Illness: None

ID: 1399136
Sex: F
Age: 38
State: NH

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA, Allergy to tree pollen

Symptom List: Ear pain, Hypoaesthesia

Symptoms: FLu like symptoms. large localized reaction at injection site. Ibuprofen/Tylenol, warm compresses.

Other Meds: None

Current Illness: None

ID: 1399244
Sex: F
Age: 68
State: IN

Vax Date: 02/17/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: iodine, pcn

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt received vaccine on 02/17/2021, stated she had some arm pain which resolved within 2 days. Then on 02/21/2021 In the evening she began to have diarrhea and T. of 102.4. She took tylenol and imodium diarrhea resolved and t, decreased to 99.4. Then today she began to feel ill again with cold like symptoms such runny nose, chills, sinus , neck pain and headache took over the counter cold meds. PHN advised patient to follow up with PCP at this time. Pt voiced understanding and states she had contacted VSAFE as well. Spoke with patient again this evening stated she was feeling a little better and had spoke with PCP and he said they would keep watching.

Other Meds: Pregabalin, Lisinopril-Hctz, potassium, tylenol, Imodium,

Current Illness: high blood pressure, high cholesterol, diabetes

ID: 1399274
Sex: F
Age: 0
State: UT

Vax Date: 11/30/2020
Onset Date: 11/30/2020
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Irritable for 24 hours

Other Meds: 0

Current Illness: No

ID: 1399278
Sex: F
Age: 0
State: UT

Vax Date: 09/29/2020
Onset Date: 09/29/2020
Rec V Date: 02/22/2021
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: Irritable for 24 hours

Other Meds: omeprazole

Current Illness: no

ID: 1047794
Sex: F
Age: 40
State: CA

Vax Date: 02/13/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
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: Large red rash similar to COVID arm side effect appeared at the injection site. This was almost a week later.

Other Meds: Loratidine, birth control pill- Portia

Current Illness: None

ID: 1047795
Sex: F
Age: 45
State: TX

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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: Sulfa

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

Symptoms: Purple mark around injection site . Directly below the site, there is a large red patch that is swollen and warm to the touch. I had a red patch and swelling after the first dose also. That one is now a faint purple. Same arm.

Other Meds: None

Current Illness: None

ID: 1047796
Sex: M
Age: 44
State: AL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
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: Penicillin, nuts

Symptom List: Injection site pain, Pain

Symptoms: Started itching of mouth face and upper body within 10 minutes of injection. Became dizzy with tunnel vision. Went to urgent care had elevated blood pressure of 178/110. Receive steroid injection and prescription for hydroxyzine.

Other Meds: Metformin

Current Illness:

ID: 1047797
Sex: M
Age: 68
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
Hospital: Y

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: Injection site pain, Menorrhagia

Symptoms: Symptoms started within 3 days of getting the shot. As per Hospital : severe UTI - cleared up completely severe Pancreatitis - cleared up completely Severe diabetes - placed on high insulin severe kidney failure - placed on dialysis

Other Meds: lisinopril glipizide clonidine hydrochlorothiazide levothyroxine multi vitamin saw palmetto magnesium Niacinamide cod liver oil metformin

Current Illness: NONE

ID: 1047798
Sex: M
Age: 22
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/23/2021
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: None known

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

Symptoms: Immediate soar arm, next day horrible body/joint/head aches, intermittent fever up to 103.4 degrees F, mind fog, severe malaise and fatigue, chills. All those lasted about 4 days. They really bad ?COVID toes? that were like chlybains and now 3 weeks later look like petechiae on top of toes (reddish - purple , a few are bleeding). By the way I had Mono 13 months ago that was pretty bad and had COVID in November not that severe at all.

Other Meds: Adderal, fanasteride

Current Illness: Mild symptoms from first dose of moderna COVID vaccine on 01/05/2021

ID: 1047799
Sex: F
Age: 34
State: CO

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Numbness and tingling of face and lips that got progressively worse. Throat swelling

Other Meds: Levothyroxine 150 mcg

Current Illness: None

ID: 1047800
Sex: F
Age: 48
State: IL

Vax Date: 02/17/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Sore arm on days 1,2,3. On day 5 I noticed a scab or almost lesion where the shot was given Today on day 6 I am achy on my left side only. Mostly my neck, arm and also my left side thigh.

Other Meds:

Current Illness:

ID: 1047801
Sex: F
Age: 68
State: RI

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/23/2021
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: Pencillin, vicodin, Codeine,Keflex, Carafate, E-mycin, Aspirin:sensitivity, Neo Sporin Ointment. Predisposed to Morphine so do not take. Allergies to foods and environment. Anti-philatelic experiences with medicine, food and environment.

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

Symptoms: I had the virus in August of 2020 for 30 days until symptom free. ON 2/6/2021 received first vaccine injection. within 3 minutes a light headache started. That evening, rash and itching on right fore-arm and under chin. took benedryl. Woke at 3:30 am on 2/7 not feeling well and left arm very sore and could not touch. 6:30 am - chills with severe body shaking and 101 temp. 7:30 am 102.2 took tylenot 8 hr 650 mg. Oxygen at 96, heart rate at 76 and BP 117/68. 8:00 am 101.9 temp. 10 am 100.6 temp. 1:30 pm 102.9 temp. 2:00 pm 103.3 Took Tylenol, extra strength 2 tabs. 8:30 pm used inhaler due to chest pains 101.3 temp. took benedryl. Oxygennn @98 HR-82 BP 145/77. 11.00 pm 103.3 temp. took 2 tylenol. Mon 8:00 Monday am continued/ 100.2 temp oxygen 97 HR-70; 99.2 temp BP 110/71. 7 pm. took Benedryl for congestion. Quit taking stats. Fatigue and rest took play at this point. Since then have had intermittent low grade fever in 99.2 to 99.9. Same with headache and extreme fatigue. Have high risk husband that I take care of . He had his first vaccine at same time. No side effect at all. I am scheduled for 2nd vaccine on March 6th. I am very apprehensive about taking it with this reaction. Please advise/recommend if I should proceed. My PCP stated that these reactions were evidence the vaccine is working. Is this because I had the virus??? Both the virus and vaccine have been really hard on me. I am usually a very active person and since August, I have been struggling with fatigue. First time in life. Thank you.

Other Meds: None - withheld in preparation of vaccination.

Current Illness: allergies, seasonal and chronic sinus issues

ID: 1047802
Sex: F
Age: 76
State: CA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: NO

Symptom List: Nausea

Symptoms: Slight fever, loss of strength, headache, extreme difficulty breathing. Oxygen, steriods, antibiotics for UTI, Cyanotic according to EMS and saturating at 80s at home. No accute pathology but hyperinflated WBC was 19. Sent home with oxygen

Other Meds: Amlodipine Besylate 5mg, hydrochlorothaizide 12.5mg, bupropion XL 150 mg, atorvastatin 20mg, escitalopram 10mg, Stiolto 2.5/2/5 MG INH 4GM MFG, B complex, multivitamin, calcium chews +D & K, D3.

Current Illness: UTI

ID: 1047803
Sex: F
Age: 62
State: CA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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: Soreness at injection site and fatigue within several hours; headache next morning with slight dizziness

Other Meds: Low dose aspirin

Current Illness: None

ID: 1047804
Sex: M
Age: 43
State: TX

Vax Date: 01/10/2021
Onset Date: 01/21/2021
Rec V Date: 02/23/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: The immediate 48 hours after the second dose was not a problem. It was around 72 hours in which acute muscle soreness occurred at the injection site on my right deltoid. I thought it would resolve like the first dose after three or four days, but this seem to last longer and then it mysteriously begin to travel down my arm. It seems like every one or two days it went more distal down my right upper extremity. It first went from my deltoid to my bicep and tricep. And then a couple days later it was in my elbow and forearm. Now it has been in my elbow for weeks leaving me with weakness and pain that nothing seems to help improve it. It?s like it is in my joint at my right elbow. There is a very specific soreness and pain which has cost me a significant discomfort and weekend my strength and the entire arm.

Other Meds:

Current Illness: None

ID: 1047805
Sex: F
Age: 67
State: CO

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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: Allergic to many things. I have mast cell.laytex, many foods, many antibiotics, smells, dyes,

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

Symptoms: Rash with raised bumps. No itch however if I scratch them they bleed.

Other Meds: Fioricet, hydralazine, hydroxyzine,baby aspirin, clonazepam,synthroid, gabapentin, ranitidine Tylenol, Valium,repatha, albuterol, astalin, b12,D3, botox

Current Illness: Mast cell, asthma, hashimoto's, migraines,

ID: 1047806
Sex: F
Age: 43
State: ID

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: Intense joint pain in hips and pelvis, especially left side. Pain progressed throughout the day making it difficult to move.

Other Meds: none

Current Illness: none

ID: 1047807
Sex: F
Age: 68
State: AL

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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: Erythema, Pruritus

Symptoms: After some eight hours after the injection patient's glucose level dropped to a unsafe level. (48) After eating dinner, some three hours later, patient took Jardiance 25mg. and one Tylenol.

Other Meds:

Current Illness:

ID: 1047808
Sex: F
Age: 54
State: MI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: Morphine, eggs, wheat, coffee, dairy, corn, seasonal, pet dander, grass.

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

Symptoms: First as expected arm sore apx 5 hrs post, at 930 pm extreme upper abdominal pain (similar to pancreatitis), followed by continuous nausea, vomiting for 1.5 days eased finallyby Zofran. On day 2 my lips began to swell and were itchy, by day 3 they were very swollen, took benadryl every 8 hrs and by day 5 today they are fairly normal but still sore. My arm also swelled and spread to arm pit and was very hot and red. The redness has mostly gone, the swelling has lessened but not gone. Still sore and itchy. Still pretty run down and no energy. My cousin and I live together and were vaccinated at the same time and both had these symptoms except the lips swelling.

Other Meds: Benadryl, creon, ibuprofen, acetaminophen, escitalipram, pantoprozole, d3, probiotics, atorvastatin, 87 m aspirin

Current Illness: Chronic pancreatitis, low igg, 21 months post lad heart attack and heart aneurysm

ID: 1047809
Sex: M
Age: 30
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
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: NICKEL

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

Symptoms: CHIEF COMPLAINT & HPI: Pt presents to ED for fever after COVID-19 vaccination. Pt received 2nd dose of COVID-19 vaccination yesterday then reports feeling fever and fatigue 12 hours later. No rash, shortness of breath, or chest pain. Pt symptoms were controlled with acetaminophen that he took at 0700 this AM. Pt was sent to the ED by his chain of command in order to be tested for COVID-19.

Other Meds: UNK

Current Illness: N/A

ID: 1047810
Sex: F
Age: 20
State:

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
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: CHIEF COMPLAINT & HPI: 20 yo F here with sore throat after her 2nd covid vaccine. no fever/chills. no NVD. no cp/sob. No difficulty breathing.

Other Meds: UNK

Current Illness: N/A

ID: 1047811
Sex: M
Age: 49
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
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: N/A

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

Symptoms: CHIEF COMPLAINT & HPI: 49 yo M here with body aches and chills after his 2nd covid vaccine yesterday. no fever. no cp/sob. no nvd. Pt able to eat and drink normally.

Other Meds: UNK

Current Illness: N/A

ID: 1047812
Sex: F
Age: 67
State: CA

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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 known

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

Symptoms: After three days my injection site started swelling and itching Now it's gotten worse and it's been 7 days. I have a hot red swollen patch about the size of a half dollar that itches.

Other Meds: None

Current Illness: None

ID: 1047813
Sex: F
Age: 40
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Reglan, METOCLOPRAMIDE HCL

Symptom List: Pain in extremity

Symptoms: CHIEF COMPLAINT & HPI: 40 yo F had her covid vaccine #2 yesterday and has been having fever/chills/body aches/nausea. No CP/SOB. no difficulty breathing.

Other Meds: UNK

Current Illness: N/A

ID: 1047814
Sex: F
Age: 70
State: AK

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Lightheaded, headache, upset stomach, sore arm , within 30 minutes post vaccine. tired. Poor sleep quality at night after vaccine. Chills, Fever and scratchy dry throat began about 10 hours post vaccine. Fever of 100.4 lasted about 18 hours. Loose stools after about 24 hours. Ear ache and tender neck lymph nodes began after 24 hours. dry throat lasted 48 to 72 hours.

Other Meds: None

Current Illness: None

ID: 1047815
Sex: M
Age: 31
State:

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/23/2021
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: patient reports muscle aches, chills, nausea, fatigue headache that started last night. states recieved COVID vaccine yesterday.

Other Meds: UNK

Current Illness: N/A

ID: 1047816
Sex: M
Age: 22
State:

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/23/2021
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: NKDA

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

Symptoms: 22 yo M w/ no known chronic medical conditions, got COVAX in L delt 1 week ago, now w/ raised/erythematous/itchy rash overlying L delt that started last night. The story sounds c/w localized vaccine reaction, but the area is indurated/warm, so just in case of cellulitis I plan to treat w/ keflex. I do think there is an inflammatory/allergic component, so I also prescribed topical hydrocortisone for itching. Discussed plan/SRP w/ pt in detail. Answered all questions. Pt verbalized understanding, agreed to plan/SRP, and pt was d/c'ed in stable condition.

Other Meds: UNK

Current Illness: N/A

ID: 1047817
Sex: M
Age: 21
State:

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
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: NKDA

Symptom List: Vomiting

Symptoms: 21 yo M w/ no known chronic medical conditions, presents w/ 2 hours MEG/central chest burning. Initial a/w mild SOB and LH; by time of my eval, LH/SOB had resolved and CP was 4/10. Pts sx completely resolved w/ GI cocktail. No exertional sx. No recent infectious sx.

Other Meds: UNK

Current Illness: N/A

ID: 1047818
Sex: F
Age: 54
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: Allergies: morphine, lidocaine, EES

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 54 y o female c/o hives to face _ none seen) , lip tingling and 5/10 chest pain Given 50 mg of Benadryl IM right deltoid at 204 pm and placed on 10 lpm O2 via mask at 205 pm O2 reduced to 8 lpm via mask after 2/10 chest pain Lungs CTA bilaterally non-labored breathing. Client had used albuterol PTA Client on room air at 234 pm and feeling good. Denies any lip tingling Chest pain resolved. VSS 102/78 70 24 Client agreed to follow up with PCP prior to 2nd CoVid vaccine. Meds: Zyrtex, albuterol, Advair, Flonase, singular Allergies: morphine, lidocaine, EES Client DC;d home stable NAD MAEW non-labored breathing

Other Meds: Meds: Zyrtex, albuterol, Advair, Flonase, singular

Current Illness: none

ID: 1047819
Sex: F
Age: 76
State: CA

Vax Date: 01/14/2021
Onset Date: 02/02/2021
Rec V Date: 02/23/2021
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: n/a

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

Symptoms: 2/02/2021 developed shingles ( herpes roster) first time in my life. Severe pain, red bumps on right back and front

Other Meds: glaucoma eye drops, amlodipine, vitamins D & C

Current Illness: none

ID: 1047820
Sex: M
Age: 37
State: OR

Vax Date: 01/07/2021
Onset Date: 01/12/2021
Rec V Date: 02/23/2021
Hospital: Y

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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 37yo male with no cardiac risk factors had spontaneous dissection of rt coronary artery 5 days post vaccination w associated MI requiring 3 drug eluting stents and "extreme" clot burden on cath requiring tPA.

Other Meds:

Current Illness:

ID: 1047821
Sex: F
Age: 33
State: NY

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Body aches and chills the following morning after receiving the vaccination. I was very sluggish and remained in bed for the majority of the day. I also had a lot of pain at the injection site and couldn't lift my arm. Tylenol resolved the issues for the most part but it was only effective for about three hours prompting me to wait an additional 2-3 hours with the symptoms. This lasted 24 hours and I felt good as new the following day with minor pain at the injection site.

Other Meds: None

Current Illness: None

ID: 1047822
Sex: F
Age: 49
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin amoxicillin ampicillin

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

Symptoms: Severe bodyaches headache fever of 102.4 chills and two days after receiving the injection broke out in hives

Other Meds: Adderall 20 mg three times a day

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm