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: 1048995
Sex: M
Age: 70
State: GA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
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: LA

Lab Data:

Allergies: Naproxin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Bleeding stomach ulcer

Other Meds: Citalopram 30 mg daily Loratadine 10 mg Pseudoephedrine 240 mg

Current Illness:

ID: 1048996
Sex: F
Age: 77
State: CA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: Very sore arms and fever of 100.1

Other Meds: Metoprolol, spironolactone, acid controller, vitamin D

Current Illness: none

ID: 1048997
Sex: F
Age: 74
State: IN

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
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: NKA

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

Symptoms: 5 hrs after injection started getting a headache,10 hrs after started getting constant aching injection site arm, from elbow to shoulder, swelling, no redness, no heat. Low grade temp. Took 2 Tylenol 650 mgs. Unable to sleep even with elevated arm and ice.. Continued through the next day but headache gone.Arm pain constant if left down.Next day swelling reduced, but still constant ache, muscle, bone and joints. Today improved, still aching, but tolerable.

Other Meds: Atenolol 50 mgs 1 q AM...Meloxicam 15 mgs 1 q AM...Enelapril 10 mgs 1 q AM... Omeprazole 40 mgs 1 q AM...HCT 25 mgs 1 q AM...Montelukast 10 mgs 1 HS

Current Illness: None

ID: 1048998
Sex: F
Age: 78
State:

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, Codeine, antihistamines

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Covid Arm and three days later a hives/welt rash that I have had for 4 weeks. Getting better, but still flare ups.

Other Meds:

Current Illness:

ID: 1048999
Sex: F
Age: 70
State: GA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Ceftin, Avelox

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

Symptoms: Moderna COVID-19 Vaccine EUA First symptoms appeared about 8PM the evening of the shot - a feeling of being weighted down, with extra difficulty in moving about. I went to bed early and when I woke up I had a fever of 101.5 accompanied by chills, body aches, nausea, fatigue, brain fog, and headache. Over the course of two days, my temperature ranged from 101.5 to 103. After two days my fever broke during the night. I did not want to take fever reducing medication in case it interfered with the immune response, but I did take 1 dose each of Tylenol and Motrin over the course of the 2 days. Still felt a bit sluggish on the 3rd day and continue to have brain fog 6 days later.

Other Meds: none

Current Illness: none

ID: 1049000
Sex: F
Age: 49
State: MN

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
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: None

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

Symptoms: When I first got the shot, my right hand tingled for a few minutes and then it went away. My arm hurt for About a week after the vaccination my right arm (where I got the vaccination) started to itch. I felt a slight bump- like a mosquito bite- where the shot happened. The next day I had a slight rash. Since then, there is a larger circle around the injection site and it has itched since then. The rash is still there and it itches off and on- especially when my sleeves rub the wrong way on it.

Other Meds: Birth control, prilosec

Current Illness: None

ID: 1049001
Sex: F
Age: 46
State:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pain in arm, upper body aches, back, neck, shoulder, headache sore throat, congestion.

Other Meds:

Current Illness:

ID: 1049002
Sex: F
Age: 52
State: WV

Vax Date: 01/29/2021
Onset Date: 01/30/2021
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: morphine

Symptom List: Pharyngeal swelling

Symptoms: exhaustion, fever of 102, bone pain, chills, muscle/joint aches, headache, sweating, lump (size of small apple) in my left armpit. All symptoms subsided by Wednesday except exhaustion and lump.

Other Meds: mobic, carvedilol, metformin, Arava

Current Illness:

ID: 1049003
Sex: F
Age: 71
State: IA

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Dizzy, shortness of breath, oral swelling

Other Meds: N/A

Current Illness: N/A

ID: 1049004
Sex: F
Age: 34
State: ND

Vax Date: 02/04/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
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: Eggs

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Extreme fatigue, burning muscles, bruising, night sweats, borderline low platelets, high MPV, dizziness, cannot exercise

Other Meds: None

Current Illness: None

ID: 1049005
Sex: M
Age: 65
State: LA

Vax Date: 02/20/2021
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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: On Sunday morning he noticed abdominal pain and he's been noticing that off and on since Sunday.

Other Meds: vitamin d3 baby aspirin blood pressure medicines hydrolozine insulin

Current Illness: No

ID: 1049006
Sex: F
Age: 57
State: KY

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Penicillin

Symptom List: Rash, Urticaria

Symptoms: COVID Arm. Red rash and itching appeared post vaccination on day 8 to 9. Slight red circular area app. 2" in diameter, warm to the touch and itchy.

Other Meds: L-Thyroxine 50msg, Pantoprazole 40mg, Ocuvite Gummies, Enegen-c with vitamin D Gummies, Adult calcium gummies with D3 500Mg

Current Illness: Hypo Thyroidism, Gerd

ID: 1049007
Sex: F
Age: 38
State: FL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Sore arm, swollen eye (lump under the skin and visible in the rim of the eye, fatigue, malaise, headaches, chills, diarrhea. All recovered other than the sore eye.

Other Meds: None

Current Illness: None

ID: 1049008
Sex: M
Age: 81
State: FL

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Dust, yeast, penicillin and codeine(tremors)

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

Symptoms: 02/18/21, pain started later that day

Other Meds: Pantoprazole Eliquis Pravastatin Isosorbide mono Losartan Metoprolol Dutasteride Aspirin Vitamin D3 NTG PRN

Current Illness:

ID: 1049009
Sex: F
Age: 68
State: IN

Vax Date: 01/18/2021
Onset Date: 01/20/2021
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: Tetracycline, Thimerosol

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

Symptoms: Discomfort at injection site almost immediately & then a real weird nausea at 36 hrs that lasted 12 hrs - tired

Other Meds:

Current Illness:

ID: 1049010
Sex: M
Age: 73
State: NY

Vax Date: 02/16/2021
Onset Date: 02/20/2021
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: none

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

Symptoms: SEVERE INFLAMMATORY FLARE-UP at site of osteoarthritis, both knees (first time in 14 years, left knee; first time in 7 years, right knee) Right knee approximately 80% recovered, left knee approximately 60% recovered and improving.

Other Meds: irbesartan 300 hydrochlorothiazide 50 amlodipine 2.5 simvastatin 10

Current Illness:

ID: 1049011
Sex: F
Age: 65
State: PA

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: Bees Macrodantin Bactrum

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

Symptoms: Itchy rash appeared on back and buttocks. Seemed like little blisters/boils. Didn't connect it to the shot, but then heard a friend had a similar reaction and he reported it, so I thought I should, too.

Other Meds: A&D Supplement (for dry eyes); cranberry supplement

Current Illness: None

Date Died: 02/19/2021

ID: 1049012
Sex: F
Age: 72
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient was given vaccine on friday, one week later she passed away. The family called the pharmacy to inform us on Saturday, Feb 20, 2021. After the phone call was over, we saw in her pharmacy profile that she had received the vaccine one week prior

Other Meds: lisinopril, lovastatin, diclofenac sodium, nifedipine ER, Anastrozole, Alendronate

Current Illness:

ID: 1049013
Sex: F
Age: 67
State: NC

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I got very tired and I felt achy. I started feeling a tingle and numbness in my hands and fingers. I had pain around the base of my thumb on my left hand.

Other Meds: Metformin Atorvastatin Losartan Glipizide ER Baby Aspirin Caltrate Alendronate (only takes once a week)

Current Illness: No

ID: 1049014
Sex: F
Age: 33
State: GA

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

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

Lab Data:

Allergies: None

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

Symptoms: Severe aches, pains, headache, chills, nausea and vomiting that lasted for 2 full days following vaccination. Unable to keep anything down from 0100 on 2/19 to 2/21 0900. This was following the first shot and now I am terrified to get second vaccine as many folks say second vaccine symptoms are worse.

Other Meds: None

Current Illness: None. Tested positive for Covid 19 on 12/28/2020

ID: 1049015
Sex: M
Age: 17
State: IA

Vax Date: 02/18/2021
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: 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: Patient underage for vaccine.

Other Meds:

Current Illness:

ID: 1049017
Sex: F
Age: 36
State: CO

Vax Date: 02/19/2021
Onset Date: 02/22/2021
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: Sulfa, latex

Symptom List: Unevaluable event

Symptoms: Extreme brain fog and fatigue. Burst of energy and then need to sleep for hours. Missing work due to effects.

Other Meds: Sertraline

Current Illness:

ID: 1049018
Sex: M
Age: 91
State: NY

Vax Date: 02/11/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: on the 18th he started to hallucinate and has continued for the last 4 days. seeing people sitting on the couch and all over the house

Other Meds: metoprolol, losartan 25 mg, Aspirin 81 mg, multivitamin, vitamin D3 25 mcmg, melatonin 3 mg, Cetirizine, fish oil 1200 mg, Simvastatin 40 mg, asediphyliis,

Current Illness:

ID: 1049019
Sex: F
Age: 59
State: NY

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

Symptom List: Injection site pain, Pain

Symptoms: 1. Throat closed up, could not breathe 2. Coughing 3. Nausea Treated with: EpiPen x2 Oxygen Nebulizer Treatment

Other Meds:

Current Illness:

ID: 1049020
Sex: F
Age: 75
State: MD

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

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

Lab Data:

Allergies: SEASONAL ALGERIES

Symptom List: Injection site pain, Menorrhagia

Symptoms: four days after the shot I began to feel fatique and dizzy headache , cold ,vomited and sudden sweats. I spent 4 days in bed tired and feeling as if I had flu. nauseous if I got out of bed. I do not believe Ii had a fever but threw up once a day during the four days in bed. I continued to feel under the weather for some days after I got out of bed. eventually I took advile . I do not believe I took anything when I was actively vomiting. My question ; IS IT SAFE FOR ME TO TAKE SECOND VACCINE ON THURSDAY 02 25 21

Other Meds: VITIAMS C AND D TURERIC aller-tec hydrochlorothiazide

Current Illness: ALLERGY

ID: 1049021
Sex: F
Age: 71
State: MI

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: C-chlor, pennicillins, E mycin, Bees, Adverse reaction to Cipro= severe tendonitis

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

Symptoms: arm swollen, red, itchy, . Spreading around to underside of arm. Face " feels funny" though no visible swelling or redness noted

Other Meds: Losartan 50mg, Vit D, Zinc 50 mg, Ubicquinol, Multi vit, Omega fatty acids Tramadol prn Tylenol prn

Current Illness: none

ID: 1049022
Sex: F
Age: 55
State: NY

Vax Date: 02/19/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient felt dizzy post covid vaccine.

Other Meds:

Current Illness:

ID: 1049023
Sex: F
Age: 41
State: WV

Vax Date: 02/12/2021
Onset Date: 02/12/2021
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: None reported

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient received her 2nd Moderna dose on 2/12/21 at a vaccination clinic at School, her employer. She previously received her 1st Moderna dose on 1/15/21 at another School clinic. On Tuesday, 2/16/21, patient reported to her school nurse, at School, that she "developed hives around the upper arm and a burning sensation in the palm" following receiving the 2nd Moderna dose. Patient was advised by Nurse, and Executive Secretary to the Superintendent of Schools, to contact her primary care provider as soon as possible.

Other Meds: None reported

Current Illness: None reported

ID: 1049024
Sex: F
Age: 30
State: KY

Vax Date: 02/05/2021
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: none

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

Symptoms: 7W & 4D pregnant at the time of this vaccination, No complications with pregnancy. Fever, chills, body aches, migraine, nausea, vomiting, hot & cold flashes for 2 days. Symptoms started 12 hrs after vaccine received.

Other Meds: tylenol, pre natal vitamin

Current Illness: none

ID: 1049025
Sex: M
Age: 67
State: MN

Vax Date: 02/19/2021
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: RA

Lab Data:

Allergies: PCN, bactrim

Symptom List: Nausea

Symptoms: fever, chills and headache

Other Meds: vitamin D, Flaxseed, folic acid, probiotic, lisinopril, melatonin, metformin, milk thistle

Current Illness: none

ID: 1049026
Sex: F
Age: 84
State: MI

Vax Date: 01/26/2021
Onset Date: 01/28/2021
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: Baclofen, Canagliflozin

Symptom List: Injection site pain

Symptoms: chills and very achy for about 24 hours

Other Meds: Trajenta, Lipitor, Glimipride, lyrica, Neurontin, Lasix, breo, proair, Prilosec, Vitamin D, metoprolol, synthroid, percocet

Current Illness: none noted

ID: 1049027
Sex: M
Age: 65
State: OH

Vax Date: 02/13/2021
Onset Date: 02/13/2021
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: Intermittent soreness in area of the vaccination, Moved arm in circular motions for relief. Soreness completely gone after 24 hours.

Other Meds: Spironolactone, Chlorthalidone, Losartan, Allopurinol, Pravastatin, Fish Oil, Vitamin C, Low Dose Aspirin

Current Illness: None

ID: 1049028
Sex: F
Age: 69
State: OH

Vax Date: 02/17/2021
Onset Date: 02/18/2021
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: NONE

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

Symptoms: On February 18, about 6:00 pm, I felt so cold, shivering uncontrollably. Bundled up in robe, and 2 afghans. Low grade fever of 99.6. Went to bed. Fever must have been high during night according to husband. Slept through it. Following morning, felt washed out, ache around my eyes. By 6:00 pm, no symptoms at all.

Other Meds: SIMVASTATIN, ANASTROZOLE,HYDROCHLOROT,LOSARTAN, VITARMIN D2, L

Current Illness: NONE

ID: 1049029
Sex: F
Age: 50
State: FL

Vax Date: 02/16/2021
Onset Date: 02/17/2021
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: Sulfa, shellfish, dye in CT scan

Symptom List: Tremor

Symptoms: In addition to expected side effects of fever, chills, headache, body aches, pain and warmth at the injection site, and diarrhea and nausea, employee also had joint pain in shoulder and neck on left side, pain in elbow and wrist and itching and burning in feet. Pain in lower lumbar region of back, SOB.

Other Meds: Visoprolol, Protonix, Benedryl

Current Illness: None

ID: 1049030
Sex: F
Age: 21
State: NC

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Doxycycline

Symptom List: Erythema, Pruritus

Symptoms: Patient arrived for 2nd dose of COVID-19 vaccine. She was given Pfizer but was supposed to receive Moderna for her 2nd dose.

Other Meds:

Current Illness:

ID: 1049031
Sex: M
Age: 77
State: TX

Vax Date: 01/05/2021
Onset Date: 02/11/2021
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:

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

Symptoms: developed Bell's Palsy 10 days after second shot

Other Meds:

Current Illness:

ID: 1049032
Sex: F
Age: 47
State: SC

Vax Date: 01/11/2021
Onset Date: 01/28/2021
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: toradol, betadine

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

Symptoms: fever, chills, muscle ache, fatigue, headache that lasted 12 hours. Negative covid test.

Other Meds: zyrtec, ibuprofen

Current Illness: None

ID: 1049034
Sex: F
Age: 71
State: GA

Vax Date: 02/11/2021
Onset Date: 02/18/2021
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: Onions (extreme rash, swelling). Codeine (vomiting), Prednisone.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: On 2/18/21, her arm felt itchy, got up and went and looked in the mirror and her arm was red and swollen. She rubbed the area and the reaction was below the injection site (1/4" below). It runs down the arm 3" from the injection toward her elbow, and width is 5". It is not as puffy as it was, somewhat paler, but very obvious and noticeable. It is not itching as bad, and is putting wet washcloths on it for relief. The size of it is still the same size and has not changed, possibly spread a little. She called her doctor who told her to take Tylenol and put the cool rags on it.

Other Meds: Baby aspirin, Alprazolam.

Current Illness: Had CAT scan on 1/27/21 with contrast, and had saline.

ID: 1049035
Sex: F
Age: 81
State: OH

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin Codeine

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

Symptoms: On Sunday, February 21 at 07:42 AM I received a call from patient advising me she had called for an ambulance, she was awoken from her sleep with a rapid heart beat and was also suffering from shortness of breath. Patient was taken to Hospital where she was admitted due to a Pulmonary Embolism, a small clot was found in her lung.

Other Meds: Unknown - will need to follow up with Hospital

Current Illness:

ID: 1049036
Sex: F
Age: 61
State: OH

Vax Date: 02/20/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Wheat

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

Symptoms: Swollen Lymph Nodes under left arm

Other Meds:

Current Illness:

ID: 1049037
Sex: F
Age: 74
State: NC

Vax Date: 02/09/2021
Onset Date: 02/16/2021
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: All classes of Ampicillan drugs (Penicillin) , All sulpha drugs Extremely allergic to mold, and particulates (wood smoke or cigarette smoke), cat & dog dander

Symptom List: Pain in extremity

Symptoms: At site of shot on night of Feb 16, my arm was itchy and hurting. By the morning of Feb 17, My arm was swollen at the site shot, red, hard and painful. I was alarmed as this was a full week after the vaccine and my arm had not bothered me for the first week. I reported to Health Dept & received a call from a volunteer doctor who told me I had Covid Arm and to use cold pack, tylenol to relieve symptoms and benydryl at night to help me sleep. I am due to get shot #2 on March 9 and am concerned. My Covid Arm lasted 5 days and went away.

Other Meds: Diltiazem (BP med), preservision (2 tab / day), lavalo (statin), co-q-10 (100 mg), potassium & magnesium supplements, calcium and vitamin D supplement, centrum silver multivitamin, natural psyllium fiber (Konsyl 1 Tbsp 3 times /week)

Current Illness: Two weeks prior to first shot I had headache, fatigue, and aches ? no fever

ID: 1049038
Sex: F
Age: 44
State: TN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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:

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

Symptoms: Extremely dry throat, tongue felt swollen towards the back, BP 133/90, itchy hands (this was within 10-12 minutes of vaccination- called primary care physician, she recommended monitoring- Nurse gave me small dose of Benedryl which helped the symptoms- that night I ran fever, itchy feet and palms again and small bumps on my chest- day2 of vaccine- muscle aches, fever, overall flu-like feel, rash on chest still present, but not itchy- day 3- much better, low grade fever, no allergy reactions noted.

Other Meds: NONE

Current Illness: NONE I did have COVID-19 diagnosis in last week of November

ID: 1049039
Sex: F
Age: 81
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
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:

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

Symptoms: Vaccine reaction, initial encounter, pain left deltoid, no erythema, vaccine given 4 days ago, suspect she is having localized pain from injection, fairly thin arms, making it more pronounced, treat supportively, stable condition at time of discharge, pain described as achy, hurts when moves her arm, pt. having some memory issues and relies on husband most of the time, arthralgias and myalgia, [t discharged home, tylenol prn, follow up with Dr if not improving over next 2 weeks.

Other Meds:

Current Illness:

ID: 1049040
Sex: M
Age: 74
State: FL

Vax Date: 02/01/2021
Onset Date:
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: low grade temp 10 days ago.....in the afternoon his temp is 99.5, in the am its low or normal

Other Meds:

Current Illness:

ID: 1049041
Sex: M
Age: 69
State: PA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: calcium, vitamin d

Symptom List: Vomiting

Symptoms: patient states that immediately following administration of covid vaccine on 2/5 he began to experience profuse sweating, dizziness and nausea. He went home and then went to the ED for syncope on 2/6. Prior to ED, patient states that he became so dizzy that he lost control of his head and it slammed on the table he was sitting at leading him to go to the ED. The ED note is without mention of the vaccine. However, when pt saw me on 2/9, he states that all of his symptoms were r/t the vaccine. He left ama from the ED who wanted to admit him for a cardiac eval. I did not witness administration nor did I know patient prior to visit. I just saw him following his ED visit. It is not my intent to mislead the Department of Human and Health Services, I am simply reporting what the patient told me.

Other Meds: acetaminophen, ambien, fluticasone, levitra, meloxicam, omeprazole, ropinirole

Current Illness: n/a

ID: 1049042
Sex: F
Age: 30
State: CA

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever, headache, nausea, muscle pain, back pain, fatigue, 'brain fog'

Other Meds: Contraceptive pill

Current Illness: None

ID: 1049043
Sex: F
Age: 76
State: MN

Vax Date: 02/20/2021
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: RA

Lab Data:

Allergies: X

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

Symptoms: Fever 100 Achy joints Chills

Other Meds: Synthroid, cyclobenziprene, metropolol, rosuvistatin, vitamin D

Current Illness: X

ID: 1049044
Sex: F
Age: 52
State: TX

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Certain antibiotics- Cipro, amoxicillin Cyclobenzoprine- muscle relaxer Immune boosting meds-Ziacam, EnergenC, Airborn

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Hives on neck, chest/breast area and abdomen.

Other Meds: Lisinipril 10 mg

Current Illness: None

ID: 1049045
Sex: F
Age: 46
State: NY

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
Hospital: Y

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

Lab Data:

Allergies: nut allergy (lips and tongue swell up)

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

Symptoms: I got the vaccine on the 8th and then about at 8 at night on the tenth, and my throat started to close, and I couldn't breathe. I was sent to the hospital where I was intubated. I went into anaphylactic shock and cardiac arrest and then respitory failure.

Other Meds: symbocort 80/4.5 mg 2 puffs in the AM and 2 in the PM vitamin C 500 mg zinc spray edleberry (immune booster)

Current Illness: No

ID: 1049046
Sex: F
Age: 80
State: WI

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

Lab Data:

Allergies: None that I know nonenone

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

Symptoms: Broke out with hives on both arms and upper legs.

Other Meds: Levothyroxin: diclofenac sodium 50 mg:multiple vitamins: fish oil: vitamin C:calcium 500: vitamin D3: every 2 months remicaid

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm