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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1003438
Sex: M
Age: 85
State: GA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: RASH ON BOTH ABDOMEN AND BACK

Other Meds:

Current Illness:

ID: 1003439
Sex: F
Age: 57
State: NM

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
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: none

Symptom List: Anxiety, Dyspnoea

Symptoms: swelling, hardness near injection site, chills

Other Meds: unknown

Current Illness: none

ID: 1003440
Sex: F
Age: 67
State: ID

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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: seafood

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

Symptoms: Pt co lightheadness. Also complain of hot flashes. 1705 bp 147/71; p 72, rr 20, 02 99 1710 bp 139/64, p 80, rr 20, 02 99; 25 mg Benadryl given po 1712 - c/o lips and tongue tingling 1715 - 135/69, 65, 100% 1715 - tingling improving 1720 - 138/68, 66, 99% 1725 - tingling gone, lightheadness impoving; pt stood by chair without complaints 1730- 125/55, 66, 99%; pt feels better; pt assisted out to car.

Other Meds: coumadin, synthyroid, reclast

Current Illness:

ID: 1003441
Sex: F
Age: 48
State: NH

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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: first shot on Jan 25th - fatigue , nausea and headache about 9 days later my arm is sore and shot area is read and the muscle aches into my shoulder blade for 2 plus days

Other Meds:

Current Illness:

ID: 1003442
Sex: M
Age: 46
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/04/2021
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: Fever, Chills, Fatigue, Body aches, cold hands / feet even with the heater blasting. Duration of events: ~2 days.

Other Meds: multivitamins

Current Illness: none

ID: 1003443
Sex: F
Age: 42
State: MA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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: Anaphylaxis to soy protein and zucchini. Allergy to tree nuts, hops, sulfur medication.

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

Symptoms: Initial itch which went away within minutes. No symptoms until a sore arm until today (a week later). Arm swelled and raised with hard white surface. I took a photograph.

Other Meds: None

Current Illness: None

ID: 1003444
Sex: F
Age: 90
State: CO

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/04/2021
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: Has a red mark about 4x2 at the injection site and warm to the touch

Other Meds: no

Current Illness: no

ID: 1003445
Sex: F
Age: 77
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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: Administered vaccine into patient left deltoid, patient began to bleed and not clot quickly. Patient was dripping blood from vaccine site for 2 minutes, EMS was called in to confirm patient was feeling well and not pass out. Patient began to bruise and swell at injection site. Patient was coherent entire time, able to walk and move and stay for monitoring for 30 minutes. Patient denied medical transport.

Other Meds:

Current Illness:

ID: 1003446
Sex: F
Age: 50
State: PA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/04/2021
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: That day just felt sick and then next day could hardly lift arm and felt very sick, sat I looked like someone beat me . The pictures look like I was beat to death my skin was all purple went to urgicare they sent me hime , went Er Sunday and the Dilantin wouldn?t kill the pain, dehydrated Gabe me fluids and did a Doppler, then sent me hime on oxi which did nothing but dull pain went from Sunday since so tired and still in pain and sick , he send mye for labs on Friday. It came back iron was low. My arms are both blotchy and sore and black n blue .

Other Meds: Synthriod, allergy pill, carafate, protonix, Wellbutrin

Current Illness: None

ID: 1003447
Sex: F
Age: 57
State: WA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
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: penicillins

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 8 hours after vaccine lasting approx 24 hours-- body aches, chills, sweating, nausea

Other Meds: Venlafaxine, Vit D, Premphase, Fexofenadine, Levothyroxine, Meloxicam

Current Illness:

ID: 1003448
Sex: F
Age: 52
State: TX

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

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

Lab Data:

Allergies: Multiple foods, neosporin, benzyl peroxide,

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

Symptoms: Fatigue, muscle and joint pain, headache, swollen lip and gums. All symptoms severe for 48 hours, ongoing.

Other Meds: Levocetirizine, carvedilol, simvastatin, montelukast, vyvanse, allopurinol, progesterone, vitamin D3, fiber, milk thistle, theanine serene w relora, intestamine, CoQ10, sermorelin

Current Illness: N/a

ID: 1003449
Sex: F
Age: 49
State: WA

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
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: Aspirin, ibuprofen, oral allergy syndrome

Symptom List: Rash, Urticaria

Symptoms: Shingles

Other Meds: Omega-3 1280 mg , D3 5,000 IU 125 mcg, Probiotic 15 billion CFU, Folate 1000 mcg

Current Illness: None

ID: 1003450
Sex: F
Age: 52
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Unknown dose amount leaked out from injection site post-administration.

Other Meds:

Current Illness:

ID: 1003451
Sex: F
Age: 39
State: WI

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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: penicillin and sulfa

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

Symptoms: On day 7, got an itchy arm, have a bump there that is itchy at injection site and also arm is red, slightly hard and slightly swollen

Other Meds: Magnesium 250 mg twice daily; B2 400 mg in morning, fish oil daily, daily multivitamin, methylfolate, vitamin d, Acyclovir

Current Illness: no

ID: 1003452
Sex: F
Age: 55
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
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: Chills, aches, headache, slight nausea, sore arm at injection site. I took 200mg ibuprophen every 4 hours. Symptoms lasted approximately 36 hours.

Other Meds:

Current Illness:

ID: 1003453
Sex: F
Age: 61
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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: PCN, NSAID's

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

Symptoms: 12:54 pm Pt reported feeling cold & feeling of throat closing. Pt calm & talkative through situation. Interpreter RN assisted with interpreting. Another RN assessed pt, negative wheezing &/or stridor, pt accepted bottle of water ingested/tolerated sips of water. Pt ambulated with RN w/o issue to have IM Benadryl 50 mg Right gluteus. Pt tolerated well. Pt prior hx allergies to PCN & NSAID?s w/side effects of laryngeal edema. 12:55 pm called over to pt, RN for 61 yo F with hx of laryngeal edema with PCN & NSAID?s. Pt states her throat feels scratchy, primary Spanish speaking w/interpreter at side. Assess pt no ins/exp wheezing. No stridor, no SOB on O/A 98% O2 sat, HR 67, with 90 SBP palp. Pt also, hx of anxiety. Pt given bottle of water with sips occasional clearing throat. No mouth/oral swelling visualized, however pt is requesting Benadryl. Pt does not have Benadryl on her & discussed with option of IM injection if pt feels she needs it. Pt not flushing, talking with staff & continues with no stridor. Pt again states she would like to have Benadryl. 1300 Per standing order with pt?s stated feels like her throat is having swelling/itching Benadryl 50 mg IM R gluteal with band aid applied. 1305 Per adm ALS called for f/u, pt continues with no distress, no stridor, no ins/exp wheezing. Pt sips on water & is talking with staff without distress. 1308 ALS on scene with update status, PMH & allergies with Benadryl 50 mg given @ 1300 IM, HR 67, O2 sat 98% RH, B/P 161/80 RA. Pt not in distress & is stating she feels much better, no throat swelling, just feels sleepy. Pt has husband in personal vehicle to assist pt home. Pt denies need for transport. 1323 Pt sitting in chair, calm & no distress, cont. to re-assess. 1330 Pt tolerated well & cleared for discharge to home with husband. Pt I/S to f/u with PCP if needed. Any SOB, increased anxiety d/t possible reaction, call 911 & will be re-evaluated. Pt consents to go home with husband driving.

Other Meds: Citalopram 20 mg 1 PO Q am

Current Illness: No

ID: 1003454
Sex: F
Age: 69
State: IL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital: Y

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

Lab Data:

Allergies: Essential oils

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

Symptoms: Pt presented to the emergency department with complaints of myalgias after receiving the vaccine. She noted that she had vomiting the night prior. She denied any chest pain, shortness of breath, abdominal pain, headaches, fever at that time. Pt was left in room by herself for approximately 5 minutes and was found unresponsive. Code Blue was called. Pt was found in asystole. ACLS was initiated. Return of circulation occurred after 7 minutes of resuscitation. Pt is currently intubated and sedated.

Other Meds: Atorvastatin, Celebrex, citalopram, flexeril, voltaren, Ativan, Prilosec, rizatriptan, tramadol

Current Illness: Vomiting prior to the vaccine.

ID: 1003455
Sex: F
Age: 75
State: MA

Vax Date: 01/24/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: cefazolin, Monistat, Vagisil, levofloxacin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient had arm pain initially after vaccine which resolved. On 1/31, she developed severe headaches for 4 days. On 2/2 ,she developed redness, warmth, tenderness, itching and pain at injection site.

Other Meds:

Current Illness:

ID: 1003456
Sex: F
Age: 43
State: IL

Vax Date: 01/25/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I noticed a red splotchy rash on my arm at the injection site. It showed up on Wednesday Feb 3, 9 days after my injection. It is moderately itchy.

Other Meds: Lolo estrin, multi vitamin, b12, d3, iron, zinc

Current Illness: N/a

ID: 1003457
Sex: F
Age: 45
State: WV

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

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

Lab Data:

Allergies: BIAXIN BENEDRYL

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

Symptoms: EYELID DROOPINESS, LOSS OF MOTION IN FOREHEAD,EYEBROWS. PAIN OVER RIGHT EYE. TIGHTNESS ACROSS FOREHEAD.

Other Meds: MULTIVITAMIN MAXALT FOR MIGRAINES

Current Illness: MIGRAINES

ID: 1003458
Sex: F
Age: 58
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
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: low grade fever fatigue achy joints short of breath with exertion

Other Meds:

Current Illness:

ID: 1003459
Sex: F
Age: 47
State: CO

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
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: Unevaluable event

Symptoms: Severe headache for 24 hours and off and on for a few days along with fatigue. Lymph nodes under right arm swelled up 2 days after injection and remained swollen and painful for several day.

Other Meds: Duloxetine 60mg

Current Illness: None

ID: 1003460
Sex: F
Age: 31
State: IL

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Site was painful to touch for 2 days. Continued ibuprofen for those days. A bruise appeared afterwards. Tender to touch but pain tolerable for about 2 more days. Itchy after 5th day. Scratched and became red and bumpy. Continued to be itchy on Day 8. Anti-inflammatory OTC applied.

Other Meds: Ibuprofen

Current Illness: N/A

ID: 1003461
Sex: F
Age: 40
State: AR

Vax Date: 12/29/2020
Onset Date: 01/02/2021
Rec V Date: 02/04/2021
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: Aspirin; codeine; tramadol; Hydrocodone; have ill affects from Morphine

Symptom List: Injection site pain, Pain

Symptoms: December 28,(before the vaccine) I was exposed to COVID at work. I started feeling feverish on Monday at work. I needed to use my inhaler twice that day. I couldn't stop coughing at work. At home that night - used inhaler again and I had an elevated temperature - 99. something is high for me. I missed work on Tuesday. Couldn't breathe and it hurt my chest to breathe. My temp was over 100. Dr appt - went to it late afternoon he wanted me test for COVID. Took vitals - mostly normal - temp.; checked OXYGEN - normal. COVID test - was positive. Temperature went to 101 that night - couldn't breathe good - couldn't stop shaking; I was aching and I was in pain; I couldn't feel warm enough. Tried to sleep and drink fluids. Still didn't have test results from COVID test on Thursday - temp was up to 102 now. The doctor said they couldn't do anything until they had results back of test. Friday - 101 and 102.8 - temperature that day. After hours clinic - I called them - Dr - I had to gasp for every breath and I was coughing a lot. He prescribed Benzymidate - cough pearls and Azithromycin - started taking those that night. By Sunday afternoon, my fever continued and I still didn't have COVID results yet. My mom took me to Urgent Care on Sunday - still running fever; he looked at my lungs and listened - he could hear wheezing and crackling in my lungs - he determined pneumonia - he didn't know what kind - he gave me Augmentin - he told me to use both my Albuterol inhaler and steriod haler; Mucinex expectorant twice a day; Vit C and Vit D and Elderberry and Tylenol and two antibiotics. Saturday - before I went to Urgent Care on Sunday - I noticed I couldn't smell. Monday is when I got the positive test for COVID. Provided info to work and I tried to figure out how to work. Even though I was still very sick, I worked again online on Monday. But I couldn't keep working - got really whoozy; coughing and gasping felt like I was going to pass out and felt like I could hardly breathe. My mom called 911 for me. I managed to get to the bathroom - but having trouble breathing and I almost threw up - heard ringing in my ears and room was spinning. There is a lot of things after that I don't remember - when they moved me to ambulance to hospital bed I realized I had an IV in me. They stabilized me. They let me go home. I took the rest of the week off from work. Took a lot of medication and was keeping up with my vital during that week - 99.8 - 102.8 - for ten days I ran that fever. Broke Jan 20th. I went back to work on Jan 25. Still had to use an inhaler a lot. I'm slowly getting taste back; I can't taste flavor but can taste salt . I'm slowly getting smell back. I still have a lot of congestion but not as bad. Ears were bothering me this weekend so I did go to urgent care on they put me on a third antibiotic for an ear infection. Gave COVID to my son and my mother. Still have trouble catching me breath. January 23 - my isolation was extended to . the county extended my isolation period because of my family getting COVID. I'm about 75% recovered, I'd say.

Other Meds: Duloxetine 10mg in morning; OTC decongestant - 10 mg in a.m.; Cetirizine (off brand of Zytec) 10 mg; Montelukast - 10 mg at night; Gavipentin - 600 mg at night; birth control pill; Multi-Vitamin; Albuterol inhaler as needed (didn't take it

Current Illness: no

ID: 1003462
Sex: M
Age: 65
State: ID

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

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

Lab Data:

Allergies: bee stings

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pt sat down. 5 minutes later c/o lightheadedness and was very diaphoretic. 1718 108/53 hr 68, rr 16-20, sats 99 1722 - 104/68, hr 92, sats 96. RRT called. pt denied dyspnea, itching. Pt transported to ED.

Other Meds: unknown

Current Illness:

ID: 1003463
Sex: M
Age: 29
State: IL

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient was administered vaccine. Stood up to go sit in monitoring section. Sat down and immediately stated he didn't feel good. Patient stated he was dizzy and felt out of it. He started sweating. Patient denied closing of throat or any anaphylactic reaction. Patient later stated he blanked out and did not know where he was. EMT was called however patient did not go with as he felt his symptoms relieved.

Other Meds: N/A

Current Illness: Uknown

ID: 1003464
Sex: F
Age: 41
State: MA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe upper back pain started 1/23, lessened in severity by 1/29 then became very severe again on 1/30, decreased in severity again on 2/2. Still have some pain today (2/4) but is no longer constant. There was no precipitating injury or strenuous activity.

Other Meds: Celexa 20mg daily

Current Illness: None

ID: 1003465
Sex: F
Age: 64
State: TN

Vax Date: 01/22/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Cipro, Shellfish, Fosamax, Sulfa Drugs

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 9 days after injection, swelling, redness, itching and heat at injection site. All symptoms increased in the next 24 hours. Swelling advanced to elbow and rash spread across upper arm from front to back. Center of rash became mottled and peeled. No pain but constant and unappeasable itching.

Other Meds: Lexipro 7.5 mg, Omeprazole 40 mg

Current Illness: None

ID: 1003466
Sex: U
Age: 62
State:

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 02/04/2021
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: Knee joint pain. Woke up several times throughout the night from the pain in my knees. Took Tylenol and Epsom salt baths. for the pain. Trying to work them. Horrible headache. Body aches, and fatigue.

Other Meds:

Current Illness:

ID: 1003467
Sex: F
Age: 26
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: Chills, muscle aches, headache, fever, nausea

Other Meds:

Current Illness:

ID: 1003468
Sex: M
Age: 67
State: PA

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

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

Lab Data:

Allergies: Penicillin maybe

Symptom List: Injection site pain

Symptoms: None so far.

Other Meds: Centrum Silver Men 55+ multivitamin

Current Illness: None

ID: 1003469
Sex: F
Age: 55
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Influenza vaccine (hives due to egg allergy) Pfizer-BioNTech COVID-19 Vaccine EUA (experienced light headedness and dizziness after first dose)

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

Symptoms: Patient received 2nd dose of Pfizer-BioNTech COVID-19 Vaccine EUA at 12:37pm on 1/27/21. Subsequently developed lightheadedness, shortness of breath, and throat swelling after 10 mins. Clinic nurse administered EpiPen 0.3 mg IM dose x1 and activated Code Blue via nearby security guard. Patient was stabilized and escorted to ED for evaluation. In the ED, patient received another dose of epinephrine 0.5mg IM, methylprednisolone 125 mg IV, diphenhydramine 50 mg IV, and famotidine 20mg IV. Patient was then transferred to the CDU as compared to initial presentation patient felt improved. Patient was cleared to be discharged at 9pm.

Other Meds: Not available in medical chart

Current Illness: Not available in medical chart

ID: 1003470
Sex: F
Age: 78
State: CA

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Swollen, itchy area 1"x2" on day 5 and 2"x3" with pustules on day 8 at site of injection

Other Meds: Duoneb, Physalis angulata, N-Acetyl Cysteine, Vitamins D & B12

Current Illness: None

ID: 1003471
Sex: F
Age: 74
State: CA

Vax Date: 01/25/2021
Onset Date: 01/31/2021
Rec V Date: 02/04/2021
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: allergic to sulfonamides

Symptom List: Tremor

Symptoms: Initial reaction mild with local induration ,erythema, discomfort Delayed reaction on day 5-6 with increasing local swelling, erythema and mild fatigue. Day 9- 7.5x9'5 cm induration redness and moderate pain with increase to 10x11cm 12 hours later. Them gradual decrease in degree of induration and erythema and pain over the following 12 hours. No systemic symptoms at that point

Other Meds:

Current Illness:

ID: 1003472
Sex: M
Age: 43
State: MA

Vax Date: 01/29/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Suspected Bell's palsy...MD felt symptoms were consistent (left side of face impacted, including ability to blink left eye)...treated by MD with prednisone and Valtrex.

Other Meds: Synthroid 50 mcg

Current Illness: None

ID: 1003473
Sex: F
Age: 47
State: FL

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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: latex

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

Symptoms: Rash presenting 40-48 hours after 2nd dose. Scalp, face, torso. Slightly itchy, patches of redness chest, back, stomach, crotch, face, scalp. Took Benadryl and it helped slightly with redness but has persisted through next day, although redness isn't as vivid.

Other Meds: zyrtec

Current Illness: n/a

ID: 1003474
Sex: F
Age: 56
State: MA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Developed diagnosed left-sided Bell's Palsy (see timeline below): 1/21/21 - 1st dose of Moderna COVID-19 vaccine administered 1/22 /21 - Developed tingling of the tongue 1/27/21 - Developed worsening tingling sensation of tongue along with left side of face, facial drooping of the left side, drooling and inability to whistle; patient was seen at the hospital where patient had lab work done along with 2 MRI's; attending clinician determined diagnosis of Bells Palsy and referred patient to neurology 2/4/21 - Pt contacted Center stating no improved symptoms and has not yet seen a neurologist

Other Meds: Current: omeprazole OTC 20mg daily; rizatriptan 10mg PRN migraines: artificial tears (place 1-2 drops OU PRN); Lotemax Ophthalmic Solution (place one drop OU three times daily) Previous: Lotemax Ophthalmic Ointment (one drop OU three time

Current Illness: none - But, pt states at time of her COVID-19 vaccine administration on 1/21/21 she had thought that she received her second Shingrix vaccine on 1/6/21. However, she actually received her 2nd Shingrix vaccine on 1/13/21

ID: 1003475
Sex: F
Age: 31
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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: palpitations legs got jittery and warm fast heart rate

Other Meds:

Current Illness:

ID: 1003476
Sex: F
Age: 57
State: CA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/04/2021
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: Sulfa, minocycline, azithromycin

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

Symptoms: Swelling, pain and itchiness at injection site lasting 4 days

Other Meds: Metformin, glipizide, excedrine, iron, pepcid

Current Illness: None

ID: 1003477
Sex: F
Age: 63
State: GA

Vax Date: 01/18/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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, PENICILLINS; MACROLIDE ANTIBIOTICS; AMPRENAVIR ANALOGUES

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

Symptoms: REDDISH RASH AND ITCHING A FEW INCHES BELOW INJECTION SITE. ADVERSE EVENT OCCURRED TWO WEEKS AFTER INJECTION

Other Meds: NONE REPORTED BY PATIENT

Current Illness: NONE

ID: 1003478
Sex: F
Age: 68
State: IN

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

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

Lab Data:

Allergies: Adhesive Sulfa

Symptom List: Pain in extremity

Symptoms: Chills, headache, stuffy nose, fever & fatigue

Other Meds: Levothyroxine Losartan Atorvastatin

Current Illness: None

ID: 1003479
Sex: F
Age: 60
State: UT

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

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

Lab Data:

Allergies: Flu Vaccine (anaphylaxis), cephalosporins, clindamycin, doxycycline, erythromycin, gentamicin, penicliins, sulfonamides, vancomycin, and latex

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

Symptoms: About 3 PM she received her second vaccination for Covid. She states that she has a history of adverse reactions to flu vaccines that are anaphylactic like in the past. She usually premedicates with Benadryl and steroids. Today she did take 100 mg of Benadryl prior to her vaccination. Shortly after receiving the vaccine, she did feel like her throat was getting a little bit tight but she did not feel like it was true anaphylaxis. However she then felt very off. After this vaccine her throat started to feel tight, and she stated she did not feel well overall. She did have some tunnel vision and was shaky. At about 1730 her heart rate drops to the 30s, she started feeling itchy, and then she went into a coughing fit and started to feel her throat close. She received 0.3 mg IM epinephrine, 20 mg IV famotidine, 125 mg IV methylprednisone, 0.5 mL of nebulized racepinephrine, and 500 mL NS bolus. She has since recovered and is stable on room air.

Other Meds: Escitalopram, KCL, Lasix, Xarelto, Atorvastatin, Entresto, albuterol, temazepam, metoprolol succinate, Benadryl

Current Illness: N/A

ID: 1003480
Sex: F
Age: 49
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Diarrhea, fever, pain at injection site with swelling

Other Meds: Thyroid high blood pressure and Benadryl

Current Illness:

ID: 1003481
Sex: F
Age: 68
State: TX

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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: Chills Aches Headache Cough Low grade temperature Hard bump & redness at injection site. (Warm to the touch) Symptoms lasted approximately 24 hrs; injection site still red three days after injection

Other Meds: Meloxicam 7.5 mg Simvastatin 20 mg Valsartin 80mg Equate multivitamin for adult over 50 Tylenol 500 mg

Current Illness: None

ID: 1003482
Sex: F
Age: 48
State: IL

Vax Date: 01/23/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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: Wellbutrin XR Soy sauce

Symptom List: Vomiting

Symptoms: Day 11: injection site; became red/swollen, left arm pit/lymph node tender, very tired

Other Meds: Fish oil, multi vitamin, calcium, biotin, lisinopril 25mgs

Current Illness: none

ID: 1003483
Sex: F
Age: 39
State: FL

Vax Date: 01/26/2020
Onset Date: 01/26/2021
Rec V Date: 02/04/2021
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: Ceclor, pineapple, kiwi, surgical tape, paper tape

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Throat swelling/trouble breathing, hives on neck, throat, and shoulder, and inflammation and rash at injection site beginning approx. 45-60 minutes after injection. Treated with Benadryl. Throat swelling reduced by following day. Hives on neck, throat, and shoulder, and rash at injection site have not resolved. Continue to take Benadryl. Severe arm pain and shoulder pain at injection site. Began within 1 hour of injection. Treated with ice and Aleve. Shoulder pain has not resolved. Continue to treat with ice and Aleve.

Other Meds: Adderall, Kariva

Current Illness: None

ID: 1003484
Sex: F
Age: 35
State: CA

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

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

Lab Data:

Allergies: None

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

Symptoms: Patient felt faint & "tingly" with some mild anxiety post-administration. No true syncope. BP 114/68 sitting, 112/64; no orthostatic hypotension. Remained in an upright position. c/o suborbital ocular twitch x 20 seconds which was observed by this writer. Visual onset of mild swelling L upper cheekbone. Treated with cold pack to area, Benadryl 25mg IM PRN to RD, decrease in environmental stimuli, reassurance, and direct observation x 15 mins. Interventions effective; no further swelling, no s/sx anaphylaxis, anxiety & other symptoms relieved. Client observed with steady gait "I'm better"

Other Meds:

Current Illness: None known

ID: 1003485
Sex: F
Age: 38
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
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: Chills, loss of appetite, fatigue, pain at site of injection, general malaise

Other Meds: Albuterol, wixelia, birth control pop pill (erryn), ginger tea, pantaprozle (not sure how to spell)

Current Illness: None

ID: 1003486
Sex: F
Age: 27
State: MI

Vax Date: 12/30/2020
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: She presented to the hospital with acute typical angina approximately 72 hours after receiving her 2nd vaccine dose. The morning following her vaccine she developed fever, chills, generalized malaise, myalgias, and fatigue lasting about 48 hours. The following morning, she was awoken from sleep by a crushing substernal chest pain with associated typical anginal symptoms. Her initial troponin-I was elevated at 7.47 ng/mL and peaked at 19.19 ng/mL. An ECG demonstrated minimal ST elevations followed by an echocardiogram demonstrated preserved systolic function and an ejection fraction of 60-65%. Due to her elevation in cardiac enzymes and persistent angina, coronary angiography was performed revealing no obstructive coronary artery disease. She was diagnosed with suspected myocarditis and treated successfully with anti-inflammatory medication. In follow-up, she had an uncomplicated treatment course with complete resolution of anginal systems and improvement in troponin and inflammatory markers.

Other Meds:

Current Illness:

ID: 1003487
Sex: F
Age: 35
State: NY

Vax Date: 01/21/2021
Onset Date: 02/04/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Redness and itching that developed tonight, one week after receiving the first dose

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm