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: 1049475
Sex: F
Age: 68
State: CT

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

Lab Data:

Allergies: CT scan dye and seasonal allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: BP 180/100 , repeat 170/90 Pulse Ox 96 While sitting in observation pt reported having an itchy area on her left wrist. Pt reported a history of CT Scan Contrast Dye and seasonal allergies. Pt was evaluated by EMS paramedic. Pt declined transport to the ED despite recommendation and education on precursor to anaphylaxis. Pt signed refusal with EMS. Pt reported she often gets itchy for no apparent reason. Pt stayed at clinic in observation for over 45 minutes with no progression of itchiness or other symptoms. . Pt was given ED precautions.

Other Meds: Unable to review in VAMS

Current Illness: Unknown

ID: 1049476
Sex: M
Age: 52
State: NE

Vax Date: 02/01/2021
Onset Date: 02/03/2021
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: Sulfa antibiotics, Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: I developed ED and still have it 3 weeks later. Can you let me know if this is permanent? or temporary? Also, You should let other sexually active males of this risk.

Other Meds: None

Current Illness: None

ID: 1049477
Sex: F
Age: 66
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
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: 21 different medication in addition to Cats and dogs

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

Symptoms: Headache in about 20 minutes after Vaccination. Next day had headache and diarrhea and by 3rd day has vomiting, chill and weakness which lasted 6 days

Other Meds: 20. different prescriptions

Current Illness: None

ID: 1049478
Sex: M
Age: 46
State: MN

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: Sulfa

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever, aches, chills, migraine, nausea . No treatment other than fever reducing medication. All resolved after 24 hours

Other Meds: Flonase Emergen-C 1000 mg Vitamin C

Current Illness: none

ID: 1049479
Sex: F
Age: 45
State: WA

Vax Date: 01/07/2021
Onset Date: 01/09/2021
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: egg sensitivity milk allergy an antibiotic - unknown at this time - hives

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

Symptoms: 9th, in the late afternoon, I started feeling really cold and I started getting headache and a lot of arm pain. It hurt to reach out to grab steering wheel. I felt very tired. I checked my temperature - 100.5. I got really cold and shivering at about 6:00 pm and I could not warm up for about 2 hours. It went to 101.5. Horrible pounding headache and dizziness. I started having stomach issues and diarrhea but didn't vomit. That went through the night - I felt like I had the flu. Back of my neck was really stiff and achy - from shoulders up to the back of my skull. I didn't sleep much. I woke up completely soaked in the morning. My fever had broken. SUnday, I felt a little better. Dull headache ( it came and went). My temperature would go up and down -96.8 - to 100.1-ish all day. When my temp went up I got a headache and fatigue and down my headache would be better. Rolling every four hours. Monday, I stayed at 99.2 to about 100.2. Stayed at that the whole day. I was really tired. I had trouble thinking and concentrating. My arm was feeling better by Monday. Monday afternoon, about 1:00 my fever went to 100.5 and I called the nurse then. She told me to call my doctor's office. They sent me to a call to a triage nurse and she advised me to get tested for COVID. So Tuesday morning, the 12th,at 9:00 am - healthcare clinic - the results were negative for COVID. Tuesday, I was feeling a little better - fever stayed around 99.2 to just over 100 and the headache was dull. I wasn't quite as tired. Wednesday, I was feeling better - like I could go to work but I didn't because of my fever the day before. I went to work on Thursday or Friday. The whole next week then I was better and felt fine. I got the second dose February 1.

Other Meds: daily zyrtec - 10 mg; allergy shots (although I had taken time off before the vaccine)

Current Illness: no

ID: 1049480
Sex: F
Age: 48
State: MA

Vax Date: 02/11/2021
Onset Date: 02/15/2021
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: Amoxicillin, Contrast dye, Bactrim, Losinipril, Perococet

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

Symptoms: Day 1- Hives about 5 hours after injection, lasted a few hours, soreness at injection site Day 4- welt and redness at injection site, progressing daily Day 12- spreading redness and swollen at injection site, very hard. Visited PCP and received antibiotic

Other Meds: Biotin, Aspirin, Vitamin D, Elderberry with Vitamin C, Estrovera, Pantoprazole, Buspirone, Metoprolol

Current Illness:

ID: 1049481
Sex: F
Age: 38
State: AL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
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: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Large, swollen knot around the injection site on right arm, beginning the day after vaccine. The knot grew in size, bright red, and is warm to the touch on day 10 after the vaccine. The swollen area is about the size of a softball on day 10 and is painful. Entire right arm feels weak and aches, similar to growing pains.

Other Meds: none

Current Illness: none

ID: 1049482
Sex: F
Age: 33
State: NJ

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: I received the vaccine on 02/11/21 and am breastfeeding my 7-month-old daughter. The next morning, my daughter had a rash throughout her stomach. The rash appeared to flare up after feedings. I stopped breastfeeding for 12 hours and the rash was resolved. She was seen at pediatrician for this issue.

Other Meds: Prenatal vitamin

Current Illness: No

ID: 1049483
Sex: M
Age: 74
State: CA

Vax Date: 02/22/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache Body Ache Fever (99.2)

Other Meds: None

Current Illness: Diabetes Hypertension Thyroid

ID: 1049484
Sex: F
Age: 70
State: PA

Vax Date: 02/04/2021
Onset Date: 02/12/2021
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: bug bites

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Started with a red ring around injection site on left are. then on 2/14 red flat rash started forming on arms and legs. Rash was itchy and hot. went to Primacy Care Doctor 2/5/21, the to ER 2/16, and then finally the dermatologist on 2/16. At dermatologist they took a biopsy and gave pt. prednisone starting with 40 g with a 12 day tapered dosing.

Other Meds: Multi-vitamin

Current Illness: none

ID: 1049486
Sex: F
Age: 28
State: NE

Vax Date: 02/19/2021
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: Allergy to zythromycin

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

Symptoms: Full body rash. Started at site of injection site woke up next morning with a completely full body red, itchy, bumpy rash. Went to dermatologist and they said it was from vaccine they prescribed me an external cream to take.

Other Meds: None

Current Illness: None

ID: 1049487
Sex: F
Age: 62
State: PA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: morphine, dilaudod, fentanyl, sulfa, eggs, penicillin

Symptom List: Rash, Urticaria

Symptoms: Red face, swollen lips, itchy watery eyes, red rash over body

Other Meds:

Current Illness: none

ID: 1049488
Sex: M
Age: 43
State: CA

Vax Date: 02/12/2021
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: seasonal

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

Symptoms: joint pain, light headed, muscle pain. Low energy. Headache

Other Meds: Meloxicam 7.5 Mg, Pantoprazole Sod 40 Mg, Sumatriptan 50 Mg, Baclofen 10 Mg, Duloxetine Hcl 30 Mg, Amlodipine Besylate 2.5 Mg, Losartan Pot 50 Mg, Aspirin 81 Mg

Current Illness:

ID: 1049489
Sex: F
Age: 75
State: WI

Vax Date: 02/12/2021
Onset Date: 02/13/2021
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: None

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

Symptoms: Next dayt bad taste in mouth. Then sore under tongue and sore roof of mouth similar to when you get injections for tooth extraction. Swelling of upper lip. Lasted about 1 week before gradually going partial away. It's 10 days and still minor pain on roof of mouth and most swelling of upper lip is gone.. Took Tylenol a few times. Did not contact doctor.

Other Meds: 100 mg Losartan 1 Daily PM 100 mg Metoprolol ER Succinate 1 Daily PM 2.5 mg Amlodipine Besylate 1 Daily PM 300 mg Bupropion XL 1 Daily PM 5 mg Oxbutynin 2 Daily PM 500 mg Amoxicillin 4 Pills1/2 Hour

Current Illness: None

ID: 1049490
Sex: F
Age: 81
State: MD

Vax Date: 02/10/2021
Onset Date: 02/22/2021
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: season allergies hazelnuts penicillin sulfa

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

Symptoms: I had my first dose of the Moderna vaccine on Feb. 10, 2021. I had about three days of chills, aches, headache, very sore arm. etc. On Feb. 22,2021 a red area about 3 or 4 inches around the site of the injection was noticed. It was itchy and uncomfortable. I spoke to my internist and allergist. There is some disagreement about whether I should take the second dose. I have taken benadryl and tylenol. Both doctors said it was unusual for such a reaction 2 days after receiving the vaccine. What information do you have about rashes occurring so long after the vaccination? What is the recommendation about the second vaccine? Thank you.

Other Meds: lisinopryl anastrozole prolia cranberry supplement Vit D and Calcium supplement

Current Illness: none

ID: 1049491
Sex: M
Age: 32
State: NM

Vax Date: 02/22/2021
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: NKA

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

Symptoms: tremor, cough, chills, body aches, severe pain on both arms starting from 1am on 2/23. As of reporting still coughing and having a headache. tremor and chills resolved about 1 hr from symptom onset

Other Meds: omeprazole 20 mg,

Current Illness: NO

ID: 1049492
Sex: F
Age: 70
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: none known

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

Symptoms: On the evening of the vaccine the headache started and arm was sore. But 9 out of the last 12 days I've had headaches and I don't normally have headaches.

Other Meds: 500mg Hydroxyurea once a day, Lorazepam, Aspirin

Current Illness: no

ID: 1049494
Sex: M
Age: 72
State: FL

Vax Date: 02/12/2021
Onset Date: 02/22/2021
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: Bactrim, Amox

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Soreness, rash & itching at shot site. Not resolved after 24 hrs

Other Meds: Atorvasatin (zocor generic) 20 mg every other day, Centrum silver over 50, extra Vit .D, Glucosimine & Chondrotin, 81 mg Aspirin

Current Illness: mild gout

ID: 1049495
Sex: F
Age: 41
State: TX

Vax Date: 02/05/2021
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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On 2/17/2021 presented with rash/lesions to torso minimally to extremities with no itching noted. Once the lesions dry they present in a darker hyperpigmentation color. Consulted with dermatologist on 2/22/21 was prescribed oral meds (Atarax) and topical steroid (Triamcinolone) to apply to lesions. Was not able to consult sooner due to increment weather and no open medical facilities to consult. 2/23/21 rash continues with no itching but redness has mildly improved.

Other Meds: Xyzal 25mg tab at bedtime daily

Current Illness: None

ID: 1049496
Sex: F
Age: 19
State: OH

Vax Date: 02/08/2021
Onset Date: 02/23/2021
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: Zithromax, dogs, tree allergies

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

Symptoms: Bells Pals half of face, numbness, weakness, headache, fever, diarrhea, nausea, chills, body aches, fatigue., tics and then a few days later had a gran mal seizure, forgetfulness

Other Meds: Allergy medicine

Current Illness: None

ID: 1049497
Sex: F
Age: 38
State: MN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
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: Allergy to Sulfa drugs. Side effects from escitalopram and paxil. No other known food/drug allergies.

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

Symptoms: Chills, low grade fever, runny nose, body aches, brain fog, mild headache, fatigue that lasted at least 24 hours. Brain fog lasted approximately 5 days.

Other Meds: None

Current Illness: None. Previously had Covid-19 the first week of December 2020.

ID: 1049498
Sex: M
Age: 41
State: OH

Vax Date: 02/22/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: None known

Symptom List: Unevaluable event

Symptoms: After I went to bed, I started running a fever, had chills, and body aches. All my joints were sore the next day as well.

Other Meds: Daily multivitamin

Current Illness: None

ID: 1049499
Sex: M
Age: 59
State: IL

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 02/23/2021
Hospital: Y

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: SWOLLEN RIGHT LIP UPPER RIGHT SIDE PERIORBITAL BRUSING OF LEFT EYE

Other Meds:

Current Illness:

ID: 1049500
Sex: F
Age: 43
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/22/2021
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: Vicodin Trees, grass, dust mites, pollen

Symptom List: Injection site pain, Pain

Symptoms: Covid Arm started yesterday (2/21/21) evening. Bright red circle, two finger width, hot and itchy. It has increased in size today (2/22/21). I did put Benadryl cream on it last night and today. Main complaints- Hot, itchy, hard to the touch.

Other Meds: Current Medications- Daily Use Singular 10 mg- (montelukast) take 1 pill at bedtime Plaquenil 200 mg-(hydroxychloroquine) take 1 pill daily Zoloft 50 mg (Sertraline) take 1 pill at bedtime Current OTC- Daily Use Allegra 180 mg-(fexofenadine

Current Illness: Vertigo

ID: 1049501
Sex: M
Age: 36
State:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Arm Soreness and stiffness, Headache (the patient took Tylenol)

Other Meds:

Current Illness:

ID: 1049502
Sex: M
Age: 74
State: CA

Vax Date: 01/22/2021
Onset Date: 02/09/2021
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: Maxide nifedipine NSAIDS

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

Symptoms: Diagnosed with myasthenia gravis on 2/16/2021

Other Meds: Metformin Glipizide Hydrochlorothiazide Clonidine Carvedilol Losartan Atorvastatin

Current Illness:

ID: 1049503
Sex: F
Age: 53
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: bee stings, various foods and environmental thing, nuts, trees, grass, shellfish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Shortly after the vaccine I developed chest tightness and SOB causing me to use my Albuterol Inhaler. Later that evening I took my reg asthma meds. Sat morning still experiencing the SOB but a bad headache appeared and had some stomach aches as well. 1/9 I spoke with my Allergist who advised to take an additional Singulair and Xyzal meds on top of what I was originally taking already. 1/10 was advised to take and Allergra for the SOB along with my reg meds that evening and by the Tuesday of the next week I was finally able to get my back Asthma balanced out.

Other Meds: Levothyroxine, Xyzal, Singulair, Pantoprazole, Prempro

Current Illness: no

ID: 1049504
Sex: M
Age: 27
State: PR

Vax Date: 12/16/2020
Onset Date: 12/18/2020
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.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Two days after the administration, the patient started to feel headaches that lasted all the way through January 3, 2021.

Other Meds: None.

Current Illness: None.

ID: 1049505
Sex: M
Age: 69
State: CA

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

Lab Data:

Allergies:

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

Symptoms: extreme gut pain right behind my solar plexus. I had the shot on Saturday and Sunday morning I was in agony all day. It is Tuesday and it is still very much there

Other Meds: xarelto and pepcid

Current Illness:

ID: 1049506
Sex: F
Age: 73
State: NY

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: RA

Lab Data:

Allergies: Levaquin, Sulfa, Penicillin, aspirin, NSAIDS. All melons. Bee and wasp stings.

Symptom List: Nausea

Symptoms: After 15 minutes of the vaccine she left and when she got home had an anaphylactic reaction, had to use her Epi-Pen. Did a telemed appointment with her physician who told her to take one dose of the Epi-Pen, Benadryl, Prednisone, Ventolin, and Singulair. These medications have worn off, and wants her to take even more doses of the Prednisone, Benadryl and the inhaler. She is still having symptoms, but improving. She does not itch as badly. Her arm is sore.

Other Meds: Januvia, Micronase, Diovan, Singulair.

Current Illness: None.

ID: 1049507
Sex: F
Age: 49
State: CA

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Shortly after receiving the vaccine, diarrhea & fatigue developed. Continued x 2 days, then subsided on day 3.

Other Meds:

Current Illness:

ID: 1049508
Sex: F
Age: 70
State: GA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
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: Noticed redness and tenderness on 4 gums in mouth soon after shot, visited dentist who recommended salt water rinses, have been doing that for 5 days, somewhat better but not gone, dentist mentioned that he had seen a photo of something similar in the mouths of two men who tested positive for Covid.

Other Meds: Losartan 100 mg, Verapimil 180mg, ibuprofin 400 mg

Current Illness: none

ID: 1049509
Sex: F
Age: 64
State: MN

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: Zoledronic

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

Symptoms: (L) ear Hearing Loss: hearing loss occurred after both vaccinations. After Vaccination #1-1/28/2021: Hearing loss occurred on Friday 1/29/2021 about 0200-0300 then returned 100% by Saturday afternoon. Then after vaccination #2 - 2/19/2021: hearing loss occurred on Friday 0200-0300 as of 2/22/2021 hearing loss is approximately 90% returned.

Other Meds: Albuterol 90mcg 1 puff q4-6h prn; lactobacillus Acidophilllus 2 capsules qd; Lanolin/mineral oil topically prn; vag gel 1 application 2X/week; mometasone furoate 50mcg 2 sprays each nostril QD; pantoprazole Na 40 MG QAM; ranitidine hcl 150m

Current Illness: Sinus Headache.

ID: 1049510
Sex: F
Age: 55
State: MA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Sore arm, headache, dizzy, tired, chill. a little fever, from 6 hrs to 40 hrs after dose.

Other Meds: None

Current Illness: None

ID: 1049511
Sex: F
Age: 62
State: OH

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: Sulfa, Pineapples, Environmental

Symptom List: Erythema, Pruritus

Symptoms: Afternoon of vaccine began chilling, body aches, fatigue, sore arm. Temp rose to 103.5. I alternated Tylenol with Motrin. Tylenol did little to decrease this fever, motrin seemed to bring it down for about and hour then would go back up again. Temp stayed between 102 to 103 through Sunday 2/21/21. Temp 99-101 on Monday 2/22/21. Today as I report, temp is 99 and continue to feel very fatigued with no energy and poor appetite.

Other Meds: Synthroid Lotrel ASA Lozol

Current Illness: none

ID: 1049512
Sex: F
Age: 75
State: MT

Vax Date: 02/22/2021
Onset Date: 02/22/2021
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: codeine, NSAIDS, stings

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

Symptoms: headache, muscle aches, pain at injection site, sensitivity to touch--prickly skin, severe elbow and shoulder pain--both sides, insomnia, 100 degree fever approximately 18 hours after shot, treated successfully with acetominophen. Symptoms still present 24 hours

Other Meds: budesonide, triamterene, diltiazem, celebrex, atorvastatin, vitamins, calcium with D

Current Illness: none

ID: 1049513
Sex: F
Age: 33
State: AL

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: latex

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

Symptoms: There were no immediate adverse affects after the vaccine. Arm tenderness near the injection site became very noticeable the morning after the shot. About a day after the vaccine, I developed flu-like symptoms: joint tenderness, body aches, chills, and a low-grade fever of 99 - 100.1 degrees. These symptoms were completely gone within 48 hrs. I experienced moderate to severe arm tenderness for 3-4 days. I also had slight periods of itchiness near the site of injection, but again, this dissipated completely after 3-4 days.

Other Meds: Zoloft, Klonopin

Current Illness: None

ID: 1049514
Sex: M
Age: 73
State: MI

Vax Date: 01/12/2021
Onset Date: 01/13/2021
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: Asprin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: As listed in the v-Safe materials, "A bad rash all over your body."

Other Meds: bisoprolol 5mg/day hydrochlorothiazide 25mg/day penicillin V potassium 500mg/day omeprazole 20mg/day vitamin D3 4000IU/day vitamin C 500mg/day probiotic 1time/day

Current Illness: None

ID: 1049515
Sex: M
Age: 48
State: PA

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

Lab Data:

Allergies:

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

Symptoms: developed slight eye tearing and left ear pressure within 24 hours of vaccination. followed by left facial drooped. was seen in ER on day 3 after vaccination, diagnosed with Bells Palsy. treated with eye care and oral prednisone.

Other Meds:

Current Illness:

ID: 1049516
Sex: F
Age: 69
State: CT

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Patient reports allergies to Vicodin, Percocet, Dilaudid, Benzoyl Peroxide, Dramamine, Iodine, silk tape, and lanolin.

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

Symptoms: After vaccination the pt reported feeling light headed. Pt was evaluated by Prospect EMS paramedic. BP 140/100, HR 59. Pt reports allergies to Vicodin, Percocet, Dilaudid, Benzoyl Peroxide, Dramamine, Iodine, silk tape, and lanolin. Pt declined transport to the ED. Pt ate a snack and drank some water, she then reported feeling better.

Other Meds: N/A- not in VAMS

Current Illness: Not in VAMS and not indicated by patient

ID: 1049517
Sex: F
Age: 39
State: MA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
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: Pain in extremity

Symptoms: The day after I received the 2nd Moderna vaccine I started to have intense internal vibrating/tremors. My BP is higher, pulse is higher, pupils are dilated. The internal vibration/tremor has not gone away for 4 weeks.

Other Meds: None

Current Illness: None

ID: 1049518
Sex: F
Age: 51
State: NY

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: All NSAIDs, Flygyl Bees Delarex

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

Symptoms: Left arm 1st dose given at 12:39 pm. 15 mins post vaccination, patient began having a warms sensation on her left shoulder blade followed by itching in her extremities. She was brought to observation and reported urticaria all over, flushing of the face, and hives in her upper and lower extremities. Vitals taken and were stable. Benadryl 50mg was administered 15 mins post vaccination and immediately patient reported decreasing symptoms of warmth sensation, itching, and hives. Patient reports she has recently developed hives with cortisone injections. Patient examined 20 mins post vaccination: S1,S2, CTA, hives noted on bilateral UE and LE. Hives resolved 25 mins post vaccination. Patient monitored for over 45mins and reported her symptoms were mild. She declined transportation to the ER. She left in stable condition with her husband.

Other Meds:

Current Illness:

ID: 1049519
Sex: U
Age:
State: CA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
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, Hizentra, Hgvia

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

Symptoms: Light headedness, dizziness, fatigue, Chest pain

Other Meds: none

Current Illness: None

ID: 1049521
Sex: F
Age: 69
State: CA

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

Lab Data:

Allergies: Penicillin, Septra

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

Symptoms: Large red area at injection site (left arm), itching & tenderness to touch, red rash in armpit with itching. For 2-3 days before the redness I noticed tenderness & itching at the injection site & armpit. Only other symptom is feeling very tired. I contacted my doctor & sent her photos. She agreed it was Covid arm & told me to contact this site & to let her know if I was getting better or not.

Other Meds: Levothyroxin, multivitamin, calcium, magnesium, Vit D, Vit K

Current Illness:

ID: 1049522
Sex: F
Age: 37
State: GA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Vomiting

Symptoms: Pt. received second dose of Moderna Covid 19 EUA vaccine at 3:15pm. At 3:31, pt stated she felt lightheaded/dizzy and could "taste the vaccine", which was making her anxious. Vitals @ 3:22 139/86, HR79, Resp 36, O2 97, temp 97.3. Patient given water. Vitals @3:37 119/81, HR80 O2 98. Patient reported feeling better, and taste was gone. Vitals @ 3:42 120/84 HR78 O2 98, resp 32. Patient then released with instructions to contact MD/ER should any symptoms recur. Patient expressed understanding.

Other Meds: Prilosec, Multivitamins

Current Illness: none

ID: 1049523
Sex: F
Age: 63
State: NJ

Vax Date: 02/14/2021
Onset Date: 02/15/2021
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: Latex, bacitracin, neosporin, chlorhexidine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Initially, just pain at the injection site but it was followed by a very large bruise which has lasted over a week. Yesterday, I noticed that the injection site area has a red rash all around it.

Other Meds: Lisinopril, Climara, desloratadine, Vitamin D, multivitamin, Metamucil

Current Illness: None

ID: 1049524
Sex: M
Age: 77
State: KY

Vax Date: 02/19/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: PCN

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

Symptoms: 1st vaccine 2/19/21; developed N/V/D abdominal pain and fatigue 2/20/21; seen in ED 2/23/21 for ongoing symptoms

Other Meds:

Current Illness:

ID: 1049525
Sex: F
Age: 41
State: PR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 10 minutes after the vaccine was administered, the patient started presenting a tingling sensation on her throat. She was given diphenhydramine 50 mg IM.

Other Meds:

Current Illness:

ID: 1049527
Sex: F
Age: 71
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: IM
Vax Site: RA

Lab Data:

Allergies: NO

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

Symptoms: FACIAL REDNESS TOOK ORAL BENADRYL AT HOME 1 HOUR LATER PT FELT IMPROVED

Other Meds:

Current Illness: NO

ID: 1049528
Sex: F
Age: 41
State: OH

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: adhesives, latex

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

Symptoms: 1/16 Vaccination. Later that evening at about 6:30, my arm was wicked sore. Naproxen and heating pad. Symptoms lasted for 48 hours.

Other Meds: miralax

Current Illness: n/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm