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: 1054222
Sex: F
Age: 79
State: MN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: Sulfa

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient received first dose on 2/11/2021. Presented for second dose on 2/23/21 and received vaccination which was too early. Error discovered while patient at site and she waited 30 minutes post vaccination with no reaction.

Other Meds: Unknown

Current Illness: Unknown

ID: 1054223
Sex: F
Age: 58
State: MA

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
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: NKDA

Symptom List: Anxiety, Dyspnoea

Symptoms: Skin itching - eventually small pinpoint sores - only over joint areas: shoulders (both) elbows, knees, mid back.

Other Meds: Vitamin D3, Magnesium

Current Illness: None

ID: 1054224
Sex: F
Age: 71
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Chills, low-grade fever, headache, muscle aches, fatigue/weakness, nausea. Symptoms started about 18 hours after injection and lasting for 24 hours.

Other Meds: Atenolol Synthroid

Current Illness: None

ID: 1054225
Sex: F
Age: 53
State: UT

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Itching, swollen eye lids, chest tightness, body aches, fatigue. Treatment was antihistamines, rest, hydration, and tylenol. Symptoms persisting at about 48 hours post vaccine

Other Meds: Unknown

Current Illness: None acute

ID: 1054226
Sex: F
Age: 45
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: My symptoms began yesterday with a slight headache and increasing as the day progressed. Last night, I experienced chills, fever, muscle pain, weakness, loss of taste (I don't mind that part:) and a severe headache which caused some nausea. I have taken, aleve 220mg x2 and phenergan 25mg for the nausea. My last temp as of 0900 was 100.2

Other Meds:

Current Illness:

ID: 1054227
Sex: M
Age: 74
State: NC

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/25/2021
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: For 12 days: all symptoms were extreme: dizziness, nausea, light sensitivity, motion sickness, constipation, difficulty lying down to sleep, inability to look at screens

Other Meds: Stelara (90mg shot every three months), metformin (2000)', glipizide (7mg), triam hctz The most recent stelara shot was on 2/11/2021

Current Illness: none, other than occasional episodes of vertigo

ID: 1054228
Sex: M
Age: 73
State: KY

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
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: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1st dose vaccine 1/23/21; 2nd dose vaccine 2/13/21; developed sore throat, night sweats, chest tightness 2/21/21; seen at ICC for ongoing symptoms on 2/25/21

Other Meds:

Current Illness:

ID: 1054229
Sex: F
Age: 53
State: MD

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: None stated.

Other Meds:

Current Illness:

ID: 1054230
Sex: F
Age: 44
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Keflex, Neosporin, Betadine, Bleach, Shellfish and Nuts

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: severe shoulder / muscle pain; shoulder movement has been extremely limited

Other Meds: Levothyroxin

Current Illness: None

ID: 1054231
Sex: F
Age: 36
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
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: AFTER RETURNING HOME, I WAS EXPERIENCING SORENESS IN THE ENTIRE RIGHT SIDE OF MY BODY FROM MY NECK DOWN TO MY SHINS. I WOKE UP AT LEAST EVERY HOUR WITH CHILLS. YESTERDAY I EXPERIENCEDA SORE THROAT, CHILLS, HEADACHE AND NECK PAIN ALONG WITH FATIGUE AND NAUSEA RIGHT BEFORE BEDTIME. THIS MORNING I THREW UP AND HAD DIARRHEA. I DO NOT HAVE A FEVER BUT I HAVE CHILLS, BODY ACHES, AND EXTREME NAUSEA/DIARRHEA/VOMITING

Other Meds:

Current Illness:

ID: 1054232
Sex: F
Age: 74
State: PA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: On second day of receiving vaccine my arm began to get itchy. Upon looking at it, I seem to have a rash about size of a half dollar where the injection was. It is red and extremely itchy. I have put some cortisone cream on the area. Upon searching the internet, I discovered it looks the rashes that have developed with Moderna but no mention of Pfizer so I thought I'd let you know.

Other Meds: amitryptaline 50 mg. nightly, propanolol 120mg 1x daily, simvistatin 20 mg. 1x daily, lexapro 20mg. 1xdaily, aspirin 81 mg daily, COQ10 100mg. daily, lisiniprol 20mg, daily, calcium w/D 500 mg. 2x every other day

Current Illness:

ID: 1054233
Sex: F
Age: 31
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
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: Codeine, Gabapentin, Amphetamine, buspar, morphine

Symptom List: Rash, Urticaria

Symptoms: Patient developed itching and redness on forehead, no SOB, no hives.

Other Meds: Bupropion, Prozac, Methylphenidole, tramadol, Topamax, albuterol, trazodone, ibuprofen

Current Illness: none

ID: 1054234
Sex: M
Age: 86
State: IA

Vax Date: 02/11/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: nkma

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

Symptoms: Right arm swelling and pain(not arm injected), difficulty walking, very weak, some dyspnea, elevated blood sugars, total body aches, subjective fever, patient report fever 102 deg F. S/S lasting >4 days. Sent by nurse to PCP for covid-19 rule out. Tested at clinic for covid 19, then sent into hospital for CXR and labs that were all "normal" No other treatment reported. Patient not admitted, sent home and remains a little better but still weak.

Other Meds: insulin, unknown blood thinner

Current Illness: none noted

ID: 1054235
Sex: F
Age: 65
State: MI

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
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: Backtrim

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

Symptoms: Pain swelling hardness redness hot

Other Meds: Wellbutrin multivitamin omeprazole allergy relief calciumvitD3

Current Illness: Done

ID: 1054236
Sex: M
Age: 31
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: He called out sick yesterday 1/7, but he did come into work today and is stilling feeling horrible with diarrhea and stomach cramps, sent home, scheduled for covid testing 1/9

Other Meds:

Current Illness:

ID: 1054237
Sex: F
Age: 30
State: NY

Vax Date: 02/01/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
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: N/A

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

Symptoms: Moderna COVID-19 Vaccine EUA. I had flu like symptoms for about 24 hours, headache, chills the 1st night, and pain in arm. But after that I started sneezing, and have a running nose. I dont have any other symptoms, just these too.

Other Meds: N/A

Current Illness: N/A

ID: 1054238
Sex: F
Age: 69
State: PA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

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

Symptoms: Strong headache, fever, chills, body aches, vomiting, diarrhea, dizziness, tiredness

Other Meds: Kelfex

Current Illness: Eye infection

ID: 1054239
Sex: F
Age: 80
State: OR

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 2" x 3" red, warm, slightly raised welt from day 2 to day 9 (ongoing)

Other Meds:

Current Illness:

ID: 1054240
Sex: F
Age: 74
State: SC

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; Dust; Pollen

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Feb. 19 upon going to bed about 10:00; muscle aches in shoulders, arms, legs, knees. Feb 20 upon waking about 5:00AM; headache, continuation of pain muscles and joints, fever 101.3. Feb22 I don't know if related to vaccine, but fever blisters.

Other Meds: Losartan 100mg; Rosuvastatin 10mg; Aspirin 81mg; Clopidogrel 75mg; Myrbetriq 50mg; Lumigan eyedrops; HTZ 10mg; Multivitamin; Calcium+D

Current Illness:

ID: 1054241
Sex: M
Age: 88
State:

Vax Date: 01/22/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Inpatient hospitalization

Other Meds:

Current Illness:

ID: 1054242
Sex: F
Age: 41
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
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: none reposrted

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

Symptoms: Patient reported Shortness of breath and that she almost passed out after walking up the stairs. She reported fluctuation of heart rate for about an hour, heart rate went up to 119 then drastically dropped to 36 then up to 147 then back to 119.

Other Meds: Thyroid medication, Inhaker

Current Illness: None

ID: 1054244
Sex: F
Age: 47
State: FL

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 02/25/2021
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: 1/8 developed swelling and pain to injection site and axilla. Ibuprofen. Nerve conduction study ordered.

Other Meds:

Current Illness:

ID: 1054245
Sex: F
Age: 44
State: NC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/25/2021
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: egg, fish, iodinated contrast media, latex, peanut, tomato

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

Symptoms: Severe extremity joint pain since second Pfizer COVID vaccine dose 1/15/2021

Other Meds: furosemide, fluticasone allergy relief, glipizide, levocetirizine, liraglutide injection, Lisinopril, metformin, montelukast

Current Illness: none

ID: 1054246
Sex: F
Age: 63
State: IL

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 02/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: 1/13 vaccination 3 days later, I got blurred vision. It got worse. 1/15 got worse with vision. Stayed at home. Had to stop driving, double vision. 1/18 really started to get bad with vision. Been like this ever since. I have been working from home for 3 weeks now. PCP; She gave me medicine to get sugar down; Jarviance 1/21 Blood sugar went up to 495; went to ER.Opthamologist; He told me nothing he could do for me. He told me I had vision reversed due to sugar being so high. He told me he couldn't give me any glasses as when sugar decreases, the vision will go back to normal.

Other Meds: n/a

Current Illness:

ID: 1054247
Sex: F
Age: 74
State: MO

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
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: Injection site pain, Menorrhagia

Symptoms: On Sunday i started to get Very light headed and off balance and very very tired.

Other Meds: Losartan, Atorvastatin, 81 mg Aspirin, Delsym cough syrup

Current Illness: Cough

ID: 1054248
Sex: F
Age: 53
State: PA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/25/2021
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: medications, IV contrast

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

Symptoms: Employee had generalized rash (2/14)that evolved(2/17) into hives throughout body and lump sensation in throat with slight DOB.

Other Meds:

Current Illness: Espohageal reflux, migraine

ID: 1054249
Sex: F
Age: 72
State: TN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: PATIENT STATES: "I HAD MY VACCINE ON 2/23/2021 AND A SMALL BUMP APPEARED LATER ON. ON 2/24/2021 I NOTICED THE BUMP BECAME LARGER LIKE WHEN I PLACE MY THUMB AND INDEX FINGER SPREAD OUT. THE SITE IS PINK, WARM, ITCHES AND WHEN I RAISE MY ARM I CAN FEEL IT PULSATING. I TOOK AN ADVIL AND LAID DOWN BUT IT DIDN'T HELP."

Other Meds: None

Current Illness: None

ID: 1054250
Sex: M
Age: 70
State: MI

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Cipro

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Began to experience symptoms of Trigeminal Neuralgia

Other Meds: Lisinopril 10 mg - 1 daily Vitamin D2 (ergocal) 1.25 mg-1 each week Black Cherry supplement 100mg- 1 daily 1200 mg calcium + 400IU Vitamin D-1 Daily

Current Illness: None

ID: 1054251
Sex: F
Age: 38
State: NH

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: Tree nuts, shellfish

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

Symptoms: Gives on the injection site and severe ovary pain.

Other Meds: Hydroxyzine, doxycycline, valtrex, mucinex D, omeprazole

Current Illness: Only a flare up of hiddrenitis supperativa

ID: 1054253
Sex: F
Age: 70
State: WI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NONE ON FILE

Symptom List: Nausea

Symptoms: PT WAS GIVEN VACCINEE. WITHIN 3 TO 5 MINUTES, SHE APPEARED TO BE HAVING A SEIZURE. AID WAS ADMINISTERED. RPH HELD HER UPRIGHT (PT WAS FALLING OUT OF HER SCOOTER). 911 WAS CALLED AND ICE PACK APPLIED TO CHEST TO HELP WITH FIGHT OR FLIGHT FEELING. SHE WAS NAUSEOUS, LIGHT-HEADED, AND FAINTED. PT WAS HELD UNTIL EMT'S ARRIVE, AT WHICH POITN SHE WAS COHERENT. STAFF AT FACILITY BROUGHT THE PATIENT ORANGE JUICE. SHE WAS OK WITH SITTING AND STANDING BP O F96/62. SHE FELT BETTER AND REFUSED TO GO TO THE HOSPITAL.

Other Meds: UNKNOWN TO PHARMACY

Current Illness:

ID: 1054254
Sex: F
Age: 85
State: NJ

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Yellow jacket stings. Augmentin, Amoxicillin, Levaquin, Bactrim DS, Sulfandroxyl, Penicillin, IV dye, metronidazole, Prednisone, Erythromycin, Claquanicacid, Flagyl, Clindamycin.

Symptom List: Injection site pain

Symptoms: Had the vaccine and had no problems until 2/24/21, her arm started hurting. It hurt to lay on that side last night. This morning it is red, swollen, itching, below the actual vaccine insertion site. It starts right below the dot where the vaccine was. The swelling goes down 4-5" and 1 1/2" wide, red, hard and hot to touch, and painful. She has not taken anything for it.

Other Meds: Furosemide, Metoprolol succinate ER, potassium CLER, Vitamin B complex, Biotin, osteobioflex, centrum silver.

Current Illness: None.

ID: 1054255
Sex: F
Age: 41
State: VA

Vax Date: 12/18/2020
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Honeydew melon, Neurontin, honey bees

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

Symptoms: Took the shot on 2/18 and on 2/21 that night about 10:30 my arm started itching below where I got the shot on left arm. Wen to bed and woke up next morning it was broken out with blisters all over body, itching everywhere. I went to see my doctor and she hadn?t seen anything like this. I went to the dermatologist they took 3 biopsy?s and came back with a diagnosis of Sweets Syndrome which is an auto immune disorder, paperwork from dermatologist states that it would be favored more likely due to the vaccine. Now I have no job because I cannot work like this, it breaks out or flares up any my allergies flare up or anything that causes my white blood cells to go up.

Other Meds: Vit D 50,000 units, Cymbalta, Levocetirizine, Atorvastatin, Omeprazole, Lyrica, Lisinopril , Diclofenac

Current Illness: no

ID: 1054256
Sex: F
Age: 39
State:

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: bananas and pitocin

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

Symptoms: I started with a very bad headache akin to a migraine, it developed into a 100-101 degree F about 12 hours after the shot which also included aches all over the body and nausea. The headache and fever had mostly subsided 40 hours later, but I'm still a bit nauseous over 52 hours since the shot.

Other Meds: N/A

Current Illness: none

ID: 1054257
Sex: F
Age: 78
State: CA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
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: Tremor

Symptoms: red Rash beginning at the breasts down to .the waist. I took 2 benadryl before bed and took claritin the next day. Note: rash did not itch. It crawled. NOTE; I HAVE GOTTEN THIS SAME RASH OVER THE LAST 15 YEARS. THE RASH COULD BE FROM AN OVER-THE-COUNTER DRUG AT ONE TIME AND NOT HAPPEN AGAIN THE NEXT TIME THE DRUG IS TAKEN. THAT IS TRUE FOR ANTI-BIOTICS; I.E. RASH AT ONE TIME, BUT NOT NECESSARILY THE NEXT. I HAVE BEEN EXAMINED BY AN ALLERGIST FOR THIS AND SHE FOUND NOTHING THAT SHE COULD DIAGNOSE (AFTER COMPLETING SKIN TESTS OF MEDICATIONS)

Other Meds: Levothyroxin, rusuvastatin, cold calm, fish oil, D3, iron plus vitaminC, multivitamin, tylenol ( 8 hours after vaccination), flonase

Current Illness: None

ID: 1054258
Sex: M
Age: 72
State: FL

Vax Date: 02/11/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
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: Apparent "Covid arm." 3-inch diameter oblong red rash below the injection site. Not itchy but slightly warm. First appeared about a week after the injection.

Other Meds: Aspirin AM/PM 81 mg./81 mg. Ramipril AM 1.25 mg. Metformin ER AM/PM 1000 mg./1000 mg. Sitagliptin (Januvia) PM 100 mg. Rosuvastatin (Crestor) PM 40 mg. Metoprolol succinate ER PM 12.5 mg. blue-green algae Vitamin D3 Famotidine 20 mg. da

Current Illness: None

ID: 1054259
Sex: F
Age: 73
State: AR

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: Penecillin / Kefex

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

Symptoms: On the first day only mildly sore right arm. Woke up the next morning with nausea (no vomiting) , headache, chills, fever, malaise, muscle and body aches. And an extremely sore right arm. Went back to bed for a couple of hours, took #2 Tylenol, was extremely tired. Had to go to a luncheon but was not feeling well and had little appetite. When I got home in early afternoon continued with chills, fever (100.8), body hurt, malaise was extreme. Then diarrhea occurred. Took OTC's for pain/body aches , upset stomach and fever. Went to bed very early and sleep well with #2 nighttime Cold/Flu medications. Woke up on 3rd day post-vaccine and feeling much better. No major symptoms except a little tired.

Other Meds: Tylenol #2 / 500 mg. Did not take my routine Rx medication the day of my vaccine.

Current Illness: none

ID: 1054260
Sex: M
Age: 74
State: GA

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/25/2021
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: Zithromax

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

Symptoms: Extreme swelling of upper arm and shoulder extending to forearm . Redness and pain entire shoulder and arm. Temperature elevation to 102.4 lasting 5 days. Lethargic and no appetite. Contacted Md/oncologist on day two....tylenol and ice. Started amoxicillin-clav 875-125 mg 02/22. Saw dr.on 02/24 at hospital.. continuing to monitor.

Other Meds: Levothyroxine,apixaban,prasugrel,multivitamin

Current Illness: None

ID: 1054261
Sex: F
Age: 31
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: TINGLE TONGUE 5 MINS, 25 MINS

Other Meds:

Current Illness:

ID: 1054262
Sex: F
Age: 50
State:

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
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: ibuprofen, aspirin

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

Symptoms: lightheadedness, nausea

Other Meds: allergy meds and vitamins

Current Illness:

ID: 1054263
Sex: F
Age: 40
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: Penicillin, vancomycine

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

Symptoms: 40 y/o female who developed anaphylaxis to Pfizer vaccine. Pt first developed itchiness of throat , followed by generalized pruritus and the sensation of "throat tightening." Received epi from medical team but initially refused ER visit. Symptoms resolved but returned 15 mins later with numbness of the lips and throat, sensation of throat closing being additonal symptoms. She was agreeable to transport after the second episode.

Other Meds:

Current Illness:

ID: 1054264
Sex: F
Age: 50
State: CA

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Almonds; Pineapple

Symptom List: Pain in extremity

Symptoms: Red tender irregular splotch, upper left arm, beginning and inch below injection site, two days after 2nd vaccine. Some tingling sensation around thumb area.

Other Meds: Liothyronine 5mcg, Levothyroxine 88mcg, Multivitamin, Probiotic, C, D.

Current Illness:

ID: 1054265
Sex: M
Age: 71
State:

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
Hospital: Y

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: Received first COVID-19 vaccine on 2/18/21. Tested positive for COVID-19 on 2/21/21.

Other Meds:

Current Illness:

ID: 1054266
Sex: M
Age: 76
State: IL

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: no

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

Symptoms: caller stated he developed neurological issues a week after receiving the covid vax. Pt became weak, confused, unable walk, hallucinating. He fell 3 times in that week. Symptoms got worse to the point that 911 was called and he was admitted to the Hospital. He had a MRI and CT of brain. MRI on spine. Both had abnormal results w/ no bleeding. Blood Work was normal. He was treated and will be released on Hospice 2/25/2021.

Other Meds: lantus insulin daily, metoprolol, torsemide, spironolactone, carbidopa/levodopa, fludrocortisone, Vitamin D,

Current Illness: no

ID: 1054267
Sex: F
Age: 35
State: GA

Vax Date: 12/30/2020
Onset Date: 01/02/2021
Rec V Date: 02/25/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: 3 days after the first dose was received, rashes developed under my chin and necks area with itching, and stinging sensation. The symptoms went away a couple days later. The same symptoms would appear a couple more times spacing out about 2- 3 weeks after the initial reaction. Then on 2/17/2021, the same symptoms appear again but this time it would spread out to my entire neck and also my face. Symptoms included facial swelling, redness, blisters, along with stinging, burning, and itching sensation. I did not crossed my mind that it was a reaction, but come to think of it, all of these happened after the vaccinations. I did seek medical treatment on 2/18/21 and was treated with steroid pack. Although the medication treatment regime had completed, I still have symptoms of itchiness under my chin and neck as well as the rashes are still visible.

Other Meds: birth control.

Current Illness: none

ID: 1054268
Sex: F
Age: 26
State: MN

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
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: Unknown

Symptom List: Vomiting

Symptoms: Patient presented for second dose of covid vaccine. She was administered Pfizer vaccine. Patient fainted approximately 1 minute after administration of vaccine. Started as syncopal episode then patient started seizing - tonic/clonic. Patient was still seated in chair and seizing lasted about 1 minutes. 911 called. BP 138/78. P 115. Patient moved to cot after she was alert and oriented. By the time paramedics arrived patient was awake and oriented. She refused transport by EMS. She left with fianc? who was driving patient.

Other Meds: Unknown

Current Illness: Unknown

ID: 1054269
Sex: F
Age: 65
State: SC

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: Cipro, Lumigan, Keflex, Tobradex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 8 days after vaccine I have developed a Red swollen itchy rash at injection site

Other Meds: Lisinopril

Current Illness:

ID: 1054270
Sex: M
Age: 40
State: NH

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: Allergy to shellfish

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

Symptoms: Diffuse allergic reaction with urticaria, mild difficulty breathing the next day, right upper arm swelling.

Other Meds: Albuterol inhaler as needed; Flovent daily; Tadalafil as needed

Current Illness: N/A

ID: 1054271
Sex: F
Age: 33
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
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: I can?t move my arm nor move my body . I?ve had fever all night and the body aches I can?t even deal with. ER visit 1/7

Other Meds:

Current Illness:

ID: 1054272
Sex: M
Age: 33
State: OR

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: Approximately eight minutes post vaccination Client became pale and very diaphoretic, saying he did not feel well, looked hypotensive. 4:05PM B/P was 55/32 Pulse -48 R-14 C/O dizziness. Called 911. Gave him 6.7oz apple juice, retook VS at 4:10PM 99/53 P-64 R-16 placed in supine position. 4:15PM EMTs arrived. O2 sat 99% Vital signs continued to improved to B/P 110/80 . Orthostatic B/P done, no change. Client declined to go to hospital. Wife is MD she escorted him home

Other Meds: NONE

Current Illness: NONE

ID: 1054273
Sex: F
Age: 77
State: MD

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: Amoxicillin Aspirin-caffeine ... Codeine Diazepam Erythromycin Iodine Isosorbide Dinitrate Morphine Penicillins Propoxyphene N-acetaminophen Sulfasalazine Terfenadine

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

Symptoms: Pt received injection on 02/20/2021 and tolerated well. Pt contacted PCP office and spoke with triage RN on 02/23/2021. Pt woke up on 02/23/2021 and after taking her shower noticed redness, swelling and warmth at the injection site. area was 4" and now appears to be approx. 2.5" in diameter. Pt monitored the area and in the afternoon the symptoms resolved. Pt denies chest pain, shortness of breath, fevers, chills, rash/blisters and swollen glands at the time of the triage call. RN provided pt with home care instructions for her to continue to monitor for reaction to COVID vaccine, take Tylenol as needed and apply cool compresses tot he area with barrier between skin/ice as needed. Pt returned telephone call to the PCP office and spoke with triage RN on 02/25/2021 and advised the area of redness has extended to her left elbow. Pt reports no " red streak noted" its only red, warm to touch and with no swelling/pain or fever. RN sent message to PCP and recommendations received and RN contacted pt. RN advised pt to continue with ice as needed, Tylenol as needed and reviewed instructions for worsening symptoms and when to present to hospital ( increase redness/warmth/fever) and ED ) red streak/increase pain/swelling/high fever/decreased movement to left arm).

Other Meds: Anoro Ellipta 62.5-25 mcg inhale 1 inhaler into the lungs daily Aspirin 81 mg EC daily Chlordiazepoxide 10 mg one capsule three times a day as needed for anxiety Ezetimibe 10 mg - take one tablet daily Flavoxate 100 mg tablet - take one ta

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm