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: 1052023
Sex: M
Age: 70
State: CT

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: large lower extremity deep venous thrombosis and small pulmonary embolus; outcome: responded well to anti-coagulants, with decreased pain, swelling and improved oxygenation

Other Meds: cymbalta, gabapentin, zypraxa, diazepam, quinipril, vitamin D

Current Illness: none

ID: 1052025
Sex: F
Age: 59
State: WI

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: One week after 1st vaccine dose, hard lump from lymph node in Right axillary with general pain/swelling. About 4 days later lymph node started to soften but the swelling and pain remained. AT time of 2nd dose the swelling and pain were less, but not fully resolved, so dose give in left thigh. Four days after second dose, right axillary lymph node harden with increased pain/swelling. Lymph node soften over the course of a week, but the swelling and pain continues 2 weeks post dose (2/24/21). Treated with lymph-edema message/exercises, ice, and NSAID (Celebrex alternating with Acetaminophen) throughout and continuing.

Other Meds:

Current Illness:

ID: 1052026
Sex: F
Age: 44
State: MT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
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:

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

Symptoms: Fatigue, Fever, Chills, Body aches, Injection site pain

Other Meds:

Current Illness:

ID: 1052027
Sex: F
Age: 71
State: MI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient experienced general malaise unknown cause. Onsite EMS was called vitals BP 178/82 96% O2 room air HR 76. Patient refused evaluation/care released against medical advice.

Other Meds: Insulin Degludec

Current Illness:

ID: 1052028
Sex: F
Age: 55
State: MO

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/24/2021
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: Soreness / tenderness of injection site on arm for each dose. The soreness did not present until I was in bed for the first does in my left arm (not dominant) and progressively got worse. It was not unbearable, but more intense than when I get the flu shot. The soreness lasted for about two days. The soreness for the 2nd does in my right arm (dominant arm) started almost immediately as I recall. It was did not get as sore as the first dose and lasted about 1 1/2 days. I was somewhat tired the evening of the second shot, but nothing dramatic and may be unrelated.

Other Meds: None

Current Illness: None.

ID: 1052029
Sex: F
Age: 68
State: VA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
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: percocet

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

Symptoms: Beginning about 9pm increasing soreness and pain in arm -by midnight arm was too sore and stiff to lift above waist Beginning about 11pm headache, full body joint pain, full body body aches, chills, fever approaching 99 (NB - my typical body temp is 97.2 - 97.4). As night progressed the symptoms worsened - about 2am intense back pain between shoulder blades radiating to chest, heart was pounding, temperature increased to 101 About 3am was in extreme pain throughout entire body, severe chills/shaking, fever was 102.2, experienced minor urinary incontinence About 3:30am I finally had to take 2 Advil - within an hour the symptoms had lessened and temp had dropped to 100 By noon (22 hours after injection) I was experiencing only mild body aches, temperature was normal, left arm remained sore but I could move it - other side effects had resolved I am very stoic and have a fairly high pain tolerance. I had no side effects after shot 1. After shot 2 I was sicker than I have ever been in my life ?- for several hours I was concerned I was going to die.

Other Meds: atenolol, lisinopril, HCTZ, levothyroxin turmeric, ubiquinol, berberine, cinnamon, fish oil, Preservision AREDS2, tart cherry, bergamot

Current Illness: none

ID: 1052030
Sex: F
Age: 73
State: OH

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 19 or 20th increase tenderness, and it was itching, redness that extending 2 inches across the arm and from shoulder down to my elbow. It is light pink area now. slowly getting better. per monderna they said it was a delayed reaction. I haven't put anything on it.

Other Meds: Lisinopril HCTZ, elderberry syrup

Current Illness: NO

ID: 1052031
Sex: F
Age: 79
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: PER PATIENT: ALLERGIC REACTION TO SHINGRIX VACCINE 2 MONTHS PRIOR TO COVID-19 VACCINE CORIANDER, PARLEY, BASIL

Symptom List: Pharyngeal swelling

Symptoms: REPORTED SLIGHT LIP SWELLING AND SOME DIFFICULTY SWALLOWING, PATIENT TOOK BENADRYL 25 MG ORAL DR OFFICE NOTIFIED, SPOKE TO EMPLOYEE

Other Meds: LOSARTA, ATORVASTATIN, INDERAL, LEVOTHYROXINE

Current Illness: HTN, HYPOTHYRODISM, HLD

ID: 1052032
Sex: M
Age: 44
State: NC

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: PCN

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient had seizure, provider could not find pulse, administered 2 rounds CPR and applied AED, EMS notified. Patient alert and awake after 2 rounds CPR and was admitted to hospital.

Other Meds: Multiple

Current Illness: Cancer

ID: 1052033
Sex: F
Age: 61
State: MT

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache & Nausea

Other Meds:

Current Illness:

ID: 1052034
Sex: F
Age: 60
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Patient complained of lightheaded/dizziness, resolved and left vaccine site.

Other Meds:

Current Illness:

ID: 1052035
Sex: F
Age: 32
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/24/2021
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: Food allergies - peanuts ,kiwi, strawberry, dairy; nickel allergy; allergic to bees;

Symptom List: Rash, Urticaria

Symptoms: After I got the vaccine, I started feeling warm and it felt like needle pricks in my muscles. Body was painful. I lost my appetite but wasn't vomiting or having nausea. I had a migraine and fever and body aches and chills (I was either freezing or hot) - couldn't get warm enough - these symptoms I noticed about midnight - it woke me up after a couple hours of sleep and then I couldn't sleep. These symptoms lasted through to Monday. Tuesday, I wasn't feeling fantastic but I went back to work. Fever broke on Sunday morning. Migraine lasted five days. I took Tylenol for fever and ibuprofen for other symptoms. I had a virtual Dr appt on Friday, the 8th. I took migraine medicine but it wasn't really helping. I met again with Dr on 11th - virtual. I chose to go back work even though I wasn't better - felt fatigue and the headache on and off for a couple of weeks. Just since the beginning of February do I feel like fatigue has gone away. When I work out, I do still notice that I get tired faster.

Other Meds: No

Current Illness: I had gotten sick after adverse dose 1 of vaccine - minor symptoms - I felt hot (flushed) and then cold; fatigue (which continued for awhile). I had mild body aches. It lasted about three days and then I was feeling better.

ID: 1052036
Sex: F
Age: 57
State: TX

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Fever, chills, headache, joint pain, nausea, vomiting

Other Meds: N/A

Current Illness: N/A

ID: 1052038
Sex: M
Age: 82
State: WA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
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: Administration error, not adverse event. On 2/19/2021 patient reported that he had not (yet) been administered COVID-19 vaccine. This was confirmed by database lookup that revealed no COVID vaccine dose administration. Subsequent to administering the Moderna COVID-19 vaccine on 2/19/2021, it was discovered that the patient had in fact already received the first Moderna COVID-19 vaccine on 2/11/2021 at his home. The AFH was late in entering the dose into system, and the patient did not recall getting it. Thus, the second dose was administered 20 days early. The patient displayed no symptoms or adverse reactions as a result of the early dose.

Other Meds:

Current Illness:

ID: 1052039
Sex: M
Age: 75
State: MO

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: pt stated that 3 days after taking the covid vax that he started getting bad sores on left side above the groin area which is spreading. Pt went to his PCP on 2/12/2021. He was prescribed Nystatin cream100,000 usp and Cephalexin 500 mg x 2 daily for 7 days. Pt is going to FU w/ PCP on 2/25/2021 to get more antibiotics since they are not improving.

Other Meds: alprazolam 1mg x 4 daily, amlodipine 5mg x 2 daily, atorvastatin 40mg, carvedilol 25mg, duloxetine 30mg and 60mg, fenofibrate 145mg, Lisinopril 40mg x 2 daily, metformin 850mg x 2 daily, Omega-3 1 gm, viibryd 20mg, famotidine 40mg, hydrochl

Current Illness: no

ID: 1052040
Sex: M
Age: 78
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: Extreme pain at the injection site and unable to lift my arm. Believe shot was not administered properly - into bursa sac and not the muscle

Other Meds: Levothyroxine

Current Illness:

ID: 1052041
Sex: F
Age: 57
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
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: Patient had second vaccination on 2/19, and later in the evening started to feel achy, and tired, and had swelling under arm, that is still there, though it has gone done. She satted it feels like it spread to her breast. She also stated she had a twitching on the side of her mouth that lasted a second. She denies, fever, SOB, chest pain, rash, or any other symptoms. She stated she is taking Tylenol every 6 hours which is helping. RN reviewed red flags to call 911. RN reviewed would folllow up tomorrow with her.

Other Meds:

Current Illness:

ID: 1052042
Sex: F
Age: 72
State: MT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills & Body aches

Other Meds:

Current Illness:

ID: 1052043
Sex: F
Age: 33
State: CA

Vax Date: 01/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 72 hours after vaccine #1, she experienced headaches, arm ache, nausea (vomiting x 24 hours only) also had fever to 99 (day#4), fatigue, light-headedness, trouble sleeping, gradually improved. General fatigue lasted 20-25 days after vaccine #1. Self care with rest, fluids, over the counter pain meds.

Other Meds:

Current Illness:

ID: 1052044
Sex: M
Age: 66
State: CA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Allergy: Penicillin Food sensitivity: eggs, milk, wheat

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

Symptoms: Slight to moderate headache starting at 1:00 p.m. (3 hours after vaccination) that lasted for approximately 3 hours. Soreness at site of vaccination (left arm) ONLY when attempting to sleep on that (left) side for 1st night; otherwise, no pain.

Other Meds: Ibuprofen (200 mg. gel cap night before), Amlodipine (night before)

Current Illness: N/A

Date Died: 02/22/2021

ID: 1052045
Sex: F
Age: 85
State:

Vax Date: 02/12/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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 passed away with in 60 days of receiving the COVID vaccine series

Other Meds:

Current Illness:

ID: 1052046
Sex: F
Age: 63
State: ID

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Hives

Other Meds:

Current Illness:

ID: 1052047
Sex: F
Age: 69
State: SC

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Redness, slight itch near sight and swelling 7 days after injection. No doctor. Look up online after two days swelling down redness less red but slightly larger. No real problem

Other Meds: Levothyroxine25, Timolol maleate.25, Latanoprost .005 Daily Centrum silver, vit C 1000mg, super vit B-complex Twice a week vitA2400mcg

Current Illness: None

ID: 1052048
Sex: F
Age: 34
State: MI

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Patient complained of new headache . Onsite EMS was called vitals BP 103/70 98% O2 room air HR 74. Patient treated and released against medical advice.

Other Meds:

Current Illness:

Date Died: 02/23/2021

ID: 1052049
Sex: M
Age: 67
State: MN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient was into the clinic on the afternoon of 2/23/21 for a COVID-19 vaccine. He had a podiatry clinic visit after his vaccine same day. It was reported by the patients family physician that patient stated he didn't feel well and suddenly collapsed at home at approximately 4:45 pm. Emergency medical personnel were not able to revive him. Patient died at approximately 4:45 pm on 2/23/21.

Other Meds: Multivitamin and Glucosamine. Started on Prednisone after the vaccine was administered

Current Illness: None known at the time of the vaccination. However, patient did have a podiatry visit after the vaccination for right foot pain and swelling

ID: 1052050
Sex: F
Age: 40
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
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: No

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

Symptoms: Rash began 5 days after receiving 2nd vaccine..Starting in stomach area and up the chest, stopping before neck. Then on upper arms and back. Before going to bed it had spread to thighs. Took Claritin and Benadryl 25mg prior to bed. In am , no better and now more pronounced and spread to lower legs.. Began on a medrol dose pack and took a Claritin. That evening not getting worse but no signs of improvent, took benadryl 50mg at bedtime... Rash was slightly itchy but not much. Fourth day into Medrol dose pack it began to subside. Completely cleared up a day after finishing..

Other Meds: B-12

Current Illness: No

ID: 1052051
Sex: F
Age: 79
State:

Vax Date: 01/29/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
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: 2 weeks later, red localized rash shortness of breath foot swelling

Other Meds:

Current Illness:

ID: 1052052
Sex: F
Age: 78
State: MT

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
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: Injection site pain, Nausea, Swollen Lymph nodes, Fatigue, Diarrhea

Other Meds:

Current Illness:

ID: 1052053
Sex: F
Age: 66
State: CA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
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: Several Antibiotics, Actifed, Shringrix Vaccine (serum sicknes

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

Symptoms: The second dose caused the reaction, the first being exactly 3 wks earlier. No major problem to that dose. (Had arm pain and mild chills and fatigue). The day after dose two above noted fullness and discomfort in feet, On the second day after, had early erythematous (non-puritic) rash, mild multi-joint discomfort, 100 deg fever, and shaking chills. Doctor on call said to use judgment on starting Prednisone, since hope that this would stabilize. However, progressed and at 9am on the third day after vaccine started prednisone 40mg. At the worst, had to be dressed by husband due to pain and stiffness in upper extremities, widespread erythematous rash, fullness of skin, joint swelling.

Other Meds: Synthroid, Centrum Silver, Calcium, Vit D3

Current Illness: None

ID: 1052054
Sex: F
Age: 72
State: NY

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: Pain at injection site, fatigue, headache, myalgia, very cold, nausea and vomiting, fever, had insomnia, took Tylenol

Other Meds: None taken, the day before took a Statin

Current Illness: no

ID: 1052055
Sex: F
Age: 55
State: CO

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
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: Received vaccine at 1130 AM, and at 0400 the following day, awoke from sleep feeling the worst dehydration she has ever had. Got up and went to bathroom and then took water bottle to kitchen to fill. Lost consciousness she believes for 20 minutes or longer . Awakened on the floor with a cut to her right eyebrow and a bruise to her left shoulder. She sustained a cut to her right eyebrow that required 7 sutures to close. In ED a complete work up was done with negative Head CT, negative EKG, elevated D-dimer, but no evidence on Chest CT of pulmonary embolus. ED diagnosis: Dehydration due to side effects from receipt of Moderna, COVID-19 vaccine.

Other Meds: Levothyroxine

Current Illness: Diagnosed with SARS CoV-2 illness on 1/14/2021. Mild to moderate symptoms with uneventful recovery. No lingering adverse response. Significant other also diagnosed with COVID-19, with preexisting health conditions died in the home 1/17/2021. Public Health provided caution regarding receiving vaccine within 90 period following illness, but felt compelled by employer to take vaccine on date offered to school district employees..

ID: 1052056
Sex: F
Age: 68
State: TX

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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

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

Symptoms: Within 2 hours of getting the vaccine my arm started feeling sore. Several hours after that the swelling started. Within 6 hours of the shot the injection site was swollen, red, sore, and itchy. By the time I went to bed, about 11 hours after the shot, I was exhausted, very itchy, had a headache and chills, and had a very sore arm. Took 2 Tylenols and that helped the chills and headache. When I awoke this morning I was so tired that I went back to sleep after having coffee. No headache, no chills but my arm is still swollen, red, and very itchy.

Other Meds: Baby aspirin, metformin, diltiazem, jardiance, tradjenta, rosuvastatin, lisinpril

Current Illness: N/A

ID: 1052057
Sex: F
Age: 78
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: 15 minutes after vaccination, Patient complained of non-radiating chest pain and "stomach discomfort." States chest pain 3-4 out of 10. Vital signs stable. Denies nausea or pain in other areas. States "a little" short of breath. Unable to determine pulse ox related to client nail polish. 911 was called, paramedics recommended client go for hospital evaluation, client refused. Client walked out with her husband. She was encouraged multiple times to go for evaluation, and to call her doctor to report symptoms.

Other Meds: Atorvastatin Metoprolol Losartan

Current Illness:

ID: 1052058
Sex: F
Age: 56
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: PCN Epinephrine

Symptom List: Tremor

Symptoms: Prior to receiving vaccine, vaccinator stated patient had increased ?anxiety? making statements such as ?I?m going to die! This vaccine is going to kill me!? Immediately after receiving vaccine (less than 3 seconds) patient slumped down in chair, writer to the patient, patient stating ?I can?t breathe, its going dark, I?m going to die! What about my daughter!? Writer and vaccinator attempted to talk patient down, ineffective. Patient V/S 100/60, 66-HR, 98%-O2, 22-Resp. Patient became limp in chair, unresponsive, episode of urinary incontinence, EMS activated. ~90 seconds into episode patient regained consciousness, A&Ox4, stating ?I?m back. I?m back.? Patient reports this last happened to her ?in college?. Patient also states ?my doctor told me not to get the vaccine, to wait until August since I have Lyme Disease.? Patient to ED with EMS.

Other Meds: Synthroid Hydrocortisone

Current Illness: Reports Lyme Disease

ID: 1052059
Sex: F
Age: 58
State:

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Erythema, Pruritus

Symptoms: Headache - moderate - 18 hours Chills - moderate - 18 hours Muscle aches - low - 18 hours Tiredness/sleepiness - high - 18 hours Soreness at injection site - moderate - 24 hours Treated with 2 extra strength Tylenol every 6 hours beginning at 6:45 AM Feb 23, 2021. Last dose 9:30PM Feb 23, 2021

Other Meds: supplement 1000mg Vitamin C daily supplement 50mg Zinc daily supplement 2000 IU D3 daily supplement 5000mcg Biotin daily

Current Illness: None

ID: 1052060
Sex: F
Age: 47
State: IA

Vax Date: 01/18/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: NKA

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

Symptoms: Patient stated on 2/23 noticed a small red circle, 2/24 was very tired, nauseous, diarrhea, and HA. 2/27 redness bigger then a quarter, 2/28 measured 2inches width and 3 inches length with firmness, 2/29 redness larger but firmness went away, on 2/2 red mark was about the size of a tea cup saucer Had 2nd vaccine on 2/16/21

Other Meds: agestin, metoprolol, spironolactone, prevacid, amlodipine, benazepril

Current Illness: none

ID: 1052061
Sex: F
Age: 80
State: TX

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: I have a strange metallic taste in my mouth.

Other Meds: Water pill; Lasix; Potassium; Centrum Silver

Current Illness: no

ID: 1052062
Sex: F
Age: 68
State: ID

Vax Date: 02/11/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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 known

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Hot red circular patch around injection site. Skin is a little rough and feels warm to touch and a little itchy. Started yesterday and remains today.

Other Meds: None

Current Illness: None

ID: 1052063
Sex: F
Age: 79
State: MA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
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: t/c from this person who reported mild injection site discomfort x 2 days. 10 days after vaccination, she developed redness, swelling, itching at injection site and contacted her PCP who prescribed 7 day course of antibiotic to treat "cellulitis" infection and recommended dose #2 in the other arm but to make sure she did go for dose #2.

Other Meds:

Current Illness:

ID: 1052064
Sex: F
Age: 78
State: KS

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa, codeine, streptamycin, cardiazem

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

Symptoms: Patient reports that starting Wednesday afternoon she felt "yuck". Continues to state that from Wednesday afternoon until approximately Saturday afternoon she had flu like symptoms, consisting of fever, chills, aches, muscle cramps in her legs.

Other Meds: magnesium, bumex, losartan, carvedilol, potassium, atorvastatin, warfarin, albuterol

Current Illness: Denies any illnesses.

ID: 1052066
Sex: F
Age: 47
State: MN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Pain in extremity

Symptoms: Sore arm (not too bad). Extreme body aches, lethargy, I felt extremely cold all over. This was on the day after I got the second dose. I took the day after that off from work. Fully recovered by day three

Other Meds: amitriptyline omeprazole venlafaxine

Current Illness: no

ID: 1052067
Sex: F
Age: 0
State: TX

Vax Date: 02/01/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: penicillin, lyrica

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

Symptoms: Sore arm, rash at injection site, low grade fever

Other Meds:

Current Illness:

ID: 1052068
Sex: M
Age: 85
State: FL

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 02/24/2021
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: Cy pro and sulfa antibiotics

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

Symptoms: Squeezing headaches started Sunday afternoon and ended late Tuesday or Wednesday morning. On Wednesday, I had what I thought was a bug bite on my forehead but my wife said it looked like a broken blister. Thursday morning I had more blisters on the right side of my head (Forehead to the back of the my hairline). and went to a doctor. We all thought it ws a burn from a barbecue blow back on Sunday but the ophthalmologist a week later diagnosed it as Shingles. A week later the wound care specialist also said it was shingles.. I am starting the 6th week of Shingles.

Other Meds:

Current Illness: None

Date Died: 02/23/2021

ID: 1052070
Sex: F
Age: 95
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: No known drug or food allergies

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

Symptoms: 2/22/2021 10:09 pm resident reported 1 episode of being nauseous and having dry heaves, no temperature, MD notified and nurse was told to continue to monitor, no new orders, daughter made aware. Vital signs being done every 4 hours. 2/23/2021 3:04am resident complains of nausea, scant BM amount x 2, MD notified and no new orders, continue to monitor and encourage fluids, vital signs continue every 4 hours.

Other Meds: Aspirin EC tablet delayed release 81mg once a day, Lasix 20mg tablet once a day, Multivitamin once a day, Omeprazole tablet delayed release 20mg once a day, Probiotic Capsule 2 per day, Refresh PM eye ointment at bedtime, Tylenol Extra Str

Current Illness: No

ID: 1052071
Sex: F
Age: 71
State: ID

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: Allergic to penicillin

Symptom List: Vomiting

Symptoms: 5 days after my vaccination, I began to have itching on my right arm where my vaccine was given. in the next few hours multiple raised lesions appeared on my right deltoid area. The itching has continued since that time, and has not yet resolved. I am taking Benadryl for the itching, and using Benadryl lotion as well. No other systemic affects.

Other Meds: Humira, Celebrex, Methotrexate, folic acid, levothyroxine, Sertraline, Vitamin D3

Current Illness: none

ID: 1052072
Sex: F
Age: 64
State: MI

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: Lamisil

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Headache 48 hours Fatigue 48 hours

Other Meds: none

Current Illness: none

ID: 1052073
Sex: F
Age: 56
State: UT

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Codeine Phosphate Demerol Darvon

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

Symptoms: Approx 10 minutes after the immunization the patient started showing s/s of difficulty breathing and c/o itching. The patient was very flushed. Mouthed "I can't breathe". Wasn't able to speak a full sentence. Staff at the clinic first administered IM Benadryl out of the emergency bag, with Epinephrine on stand-by. About 2 minutes after the Benadryl was given, she started showing signs of breathing easier, and was starting to speak to staff. She said her doctor's office was across the street and he told her to go to his office if there was any reaction. She was able to walk out on her own, accompanied by her friend who was able to take her to her doctor's office.

Other Meds: Unknown

Current Illness: Unknown

ID: 1052074
Sex: F
Age: 72
State: AL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
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: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, fever, felt like I had the flue, swollen and red circle around injection site, and very painful, joints all over painful, weakness, no appetite, stayed in bed for 4 days. Did NOT loose taste or smell.

Other Meds: none

Current Illness: none

ID: 1052075
Sex: F
Age: 26
State: MI

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient complained of chest tightness and throat tightness. Onsite EMS was called vitals BP 108/73 100% O2 room air. Patient seemed cheerful & talkative, feels better. Patient treated and released against medical advice.

Other Meds:

Current Illness:

ID: 1052076
Sex: F
Age: 50
State: MT

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever and Body aches

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm