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: 1006830
Sex: F
Age: 84
State: NY

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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 (redness only) began 5 days after vaccine administered--back & much of torso. Itchy. Prior to appearance of rash, but following vaccine receipt, took Cephalexin, 500mg (for possible finger infection); Ambien; Vitamin D3. Stopped above once rash appeared, added Benadryl. It's now 48 hours since rash appeared, seems to be fading.

Other Meds: Vitamin D3 (2000iu)

Current Illness: none

ID: 1006831
Sex: M
Age: 43
State: MS

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: Patient had vasovagal syncopal event. This event was not a vaccine side effect but a vasovagal response (previous history of syncope with vaccinations/procedures). Patient received 1st dose of Pfizer vaccine around 11am today. Within 2 minutes of receiving the vaccine, he started to feel dizzy and passed out for around 45 secs. He had cold extremities, looked pale and was sweating. He was immediately transferred from chair to floor and his legs were raised. Cold towel was placed on his head. He regained consciousness but was confused for less than a 1min. Vitals were checked and his BP was 95/50's and HR was around 56. Pulse O2 was 99% during entire event. He was able to converse well after that and was oriented. He informed having anxiety/panic attacks, had taken his medication that morning. He reported similar syncopal episodes in the past. He was monitored in same posture. He was gently hydrated orally with water and soda. He was given sublingual zofran due to nausea and retching. He did not vomit. We continued to monitor his BP on regular intervals. He had slow improvement in BP and after 2 hrs while sitting his BP was 104/65, pulse 56/min (reports being an athlete and previous records show baseline bradycardia). He denied any symptoms and was awake, alert, oriented. As he was not accompanied by anyone, his wife was contacted who came to clinic in 10mins and helped to drive him home. He was transported by wheelchair till entrance of clinic. He reported feeling better and thanked for helping. He does not have any contraindications to receive 2nd dose of vaccine.

Other Meds: Paroxetine 20mg daily, Vistaril 25 mg daily

Current Illness:

ID: 1006832
Sex: F
Age: 71
State: FL

Vax Date: 01/09/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
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: Covid arm

Other Meds:

Current Illness:

ID: 1006833
Sex: F
Age: 50
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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 had a "different" taste in the mouth and felt that the tip of her tongue was numb, felt lightheaded. BP was taken and it was 131/80.

Other Meds:

Current Illness:

ID: 1006834
Sex: F
Age: 55
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Demerol, peanuts, tree nuts, and coconut

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

Symptoms: Vaccine administered at 7 AM symptoms began at 7 PM by the next morning at 9 AM they started to subside and by 4:00 PM the symptoms were gone My symptoms were severe chills and the body aches were pretty bad, also slightly nausea, no temperature at any time

Other Meds: Certirizine 10mg 1 Tablet PO Daily, escitaloptam 20mg 1 Tablet PO Daily, simvastatin 20 mg 1 Tablet PO Daily, vitamin D 3,000iu PO Daily, acetaminophen 650mg 2 Tablets PO Daily

Current Illness: No

ID: 1006835
Sex: F
Age: 70
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: Head ache, fatigue, burning eyes, myalgia--- all very mild,- no fever.

Other Meds: Atorvastati, D3, Losartin

Current Illness: None

ID: 1006836
Sex: F
Age: 81
State: UT

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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 Foods or Milk Products Very allergic to Penesilin and Cephalexin Antibotics

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Rash on body torso, breasts and groin area

Other Meds: Levothyroin, 75 Mg A.M, Humalog FlexPen Insulin 12 Units before meals, Losartan 100 Mg A.M.,Toujeo Insulin at Bedtime, Atorvastatin 20 Mg Bedtime, Vitamin B12 injections once a month, Vitamin D 2000 IU daily, Lyrica 20 Mg at Bedtime, Okmepr

Current Illness: None

ID: 1006837
Sex: F
Age: 27
State: CT

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Lactose, penicillin

Symptom List: Pharyngeal swelling

Symptoms: Fever of 102 degrees F, nausea, vomiting, fatigue, muscle aches. Treated with IB profin, symptoms resolved in 24 hours.

Other Meds: None

Current Illness: none

ID: 1006838
Sex: F
Age: 64
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/05/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: sore arm where I could not lift, headache, nausea, tiredness

Other Meds: no

Current Illness: no

ID: 1006839
Sex: M
Age: 36
State: VA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
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: Client has been feeling dizzy for 1 1/2 hours since receiving the vaccination. BP 140/90 Given water and snack and felt better

Other Meds: Client felt dizzy a few hours after vaccination. Given water and granola and felt better.

Current Illness:

ID: 1006840
Sex: F
Age: 65
State: CA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: arm itching, round ball on arm, red, bumped up

Other Meds: vitamin c, zinc, magnesium potassium

Current Illness: n/a

ID: 1006841
Sex: F
Age: 34
State: WI

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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: NKA

Symptom List: Rash, Urticaria

Symptoms: Pain, redness, and swelling at injection site. Chills. Fever from 100.5 to 102 Fahrenheit. Headache. Lightheaded ness. Mental cloudiness. Body aches. Muscle aches. Lethargy. Hot flashes.

Other Meds: Ciprofloxacin 500 mg BID Florajen 3 once a day

Current Illness: Ulcerative colitis

ID: 1006842
Sex: U
Age: 74
State: WA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: unknown

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

Symptoms: Onset flushing, tachycardia, diaphoresis and weakness. No SOB, wheezing. Onset ~10min post 1st dose Moderna vaccine. No previous medication reactions. On 15 min wait time.

Other Meds: unknown

Current Illness: unknown

ID: 1006843
Sex: F
Age: 65
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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

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

Symptoms: I have had extreme pain in my arm, from my neck down to my wrist, from 4 hours after receiving the COVID vaccine until now--more than 48 hours later. I have been taking Tylenol and Ibuprofen and using a cold compress, but nothing helps with the pain. I cannot lift my arm more than 1/2 inch from my side without excruciating pain. In addition, I have been running a fever of 100-101.5, possibly a little higher.

Other Meds: Atorvastatin, Pantoprazole

Current Illness: None

ID: 1006844
Sex: F
Age: 77
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
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: Pain and swelling around injection site. Continued all week, redness around site started Thursday (4th) evening. Called PCP on 5th and told to use Hydrocortisone cream and cold compress and report to VAERS.

Other Meds:

Current Illness:

ID: 1006845
Sex: F
Age: 41
State: CT

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/05/2021
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: Phenergan, bee venom

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

Symptoms: Rapid heart beat, confusion, numbness in extremities, diarrhea

Other Meds:

Current Illness:

ID: 1006846
Sex: F
Age: 31
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: Tingling, numbness, Left rib pain, nausea, muscle tightness Vital Signs: Blood pressure: 160/94, Pulse 78,

Other Meds:

Current Illness:

ID: 1006847
Sex: F
Age: 28
State: NH

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Shell fish, seafood, latex, sumatriptan

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Large red itchy rash, with swelling and warm to the touch.

Other Meds: Ajovy auto injection, anoro inhaler, Flovent inhaler, Zyrtec, singular, adderall xr, wellbutrin xr, amitriptyline

Current Illness:

ID: 1006848
Sex: M
Age: 25
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: Patient was feeling dizzy and had a low blood pressure, looked very pale, he claimed to have blurry vision. After sitting for a while he started to feel better and blood pressure rose to his normal value. Patient stated that this type of reaction to a vaccine had happened before.

Other Meds:

Current Illness:

ID: 1006849
Sex: F
Age: 46
State: CA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Chili and Salsa

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

Symptoms: Patient received vaccine on 1/8/21 at 10:30am. On the night of 1/9/21 patient started to feel strong urge to scratch due to itchiness on the site of the injection. The injection site raised a bit, feeling swollen. The next day one hour to 2 hours later after waking up patient started to feel itchy sensation everywhere. Patient noticed measles-like red pumps all over the upper torso of the body. Approximately on 1/14/21 patient's symptoms subsided and went away completely.

Other Meds: N/A

Current Illness: N/A

ID: 1006850
Sex: F
Age: 34
State: WA

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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 (maybe sulfa, I?m not convinced).

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

Symptoms: The day of the injection I had a very sore arm, just like my first dose. Then around quarter after midnight, I got up to use the bathroom. I recall extremely vivid dreams, and a little bit of disorientation. On my way back to bed I thought I?d take another ibuprofen to help me sleep because my arm was so sore. I remember feeling very dizzy, I did take my pill, and then I woke up on the floor. I was extremely disoriented and there was a shrill ringing in my left ear. As I came to, I recall really finding relief in the cold tile, and being concerned that I may have hit my head. I did a mental scan of my body and nothing felt painful, though stiff and sore, as I had the flu. I got back in bed and looked at the time, about 20 minutes had elapsed. The rest of the night I tossed turned, and felt quite feverish. I attempted to find radial and carotid pulses, which were extremely weak. That night, I never did get a temperature, because I was quite disoriented. This morning I?ve been quite stiff and low energy. I feel discomfort in my kidneys, and have taken care to stay hydrated. I have reduced appetite, and some achiness in my body. My temperature right now is 100 even. It?s almost 3 o?clock, so about 28 hours has elapsed. I did not seek further medical care, as I live alone and transportation i would be a hurdle. I also not super concerned, mostly I just want you all to document that I painted, as I have not found that to be listed as a common side effect for the Moderna vaccine. I did call up a friend who is a paramedic, and feel reassured by her two cents.

Other Meds: Vitamin D

Current Illness: None

ID: 1006851
Sex: F
Age: 48
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Milk

Symptom List: Unevaluable event

Symptoms: S/P vaccine administration patient c/o chest pain, dizziness and weakness in the legs. Nurse observed patient to be diaphoretic, cool clammy skin. Initial vitals taken BP 134/96 and HR 87. Patient was assessed by a doctor who found that patient had a vasovagal reaction, compounded by a panic attack following administration . Repeat vitals showed BP 119/81 and HR 79. Patient was stable and discharged home via Uber.

Other Meds: Unkown

Current Illness: No known illness

ID: 1006852
Sex: M
Age: 69
State: KS

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Symptoms were fever (100.8), muscle ache, joint ache, chills, headache (severe), fatigue, soreness at injection site. Symptoms started 8-10 hours after injection. Symptoms lasted 36 hours. Took Tylenol for aches and fever.

Other Meds: omeprazole 20mg, crestor 10 mg, fish oil 2000 mg, Vit D3 1000 iu, lutein 10 mg, asprin 81 mg

Current Illness: doxicycline

ID: 1006853
Sex: U
Age: 60
State: WA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
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: unknown

Symptom List: Injection site pain, Pain

Symptoms: Onset tongue tingling, followed by sensation of tongue swelling. No SOB, wheezing. Onset ~10min post 1st dose Moderna vaccine. No previous medication reactions. On 15 min wait time.

Other Meds: unknown

Current Illness: unknown

ID: 1006854
Sex: F
Age: 51
State: DE

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Egg

Symptom List: Injection site pain, Menorrhagia

Symptoms: Visible reaction includes facial drooling but patient was stable. Patient was given some Benadryl and observed for 30 minutes before being asked to go home

Other Meds:

Current Illness:

ID: 1006855
Sex: F
Age: 25
State: OK

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: N/A

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

Symptoms: Swollen and pain on underarm/lymph node on side of vaccine; started day after second dose of vaccine

Other Meds: Ocella Doxycycline Amitriptyline Claritin-D

Current Illness: N/A

ID: 1006856
Sex: F
Age: 51
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: Fever (101 F), chill, headache, body aches. Took ibuprofen and Tylenol 4 hours apart. Felt better by 3 pm.

Other Meds: none

Current Illness: none

ID: 1006857
Sex: F
Age: 34
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: none stated

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Sudden onset tongue numbness and throat tingling s/p Pfizer Covid19 vaccine admin. VS per RN notes. Pt given Benadryl 25mg IM ROUQ per standing order and pt. request . Pt symptoms resolved. VS returned to baseline. Airway remained patent. No adventitious lung sounds noted. Pt elects to DC home W/ACI and CDC form. Pt states she is a hospice nurse and well versed on Vaccine RXN. Pt in good spirits. **refer to written RN note**

Other Meds: prenatal vits

Current Illness: denies

ID: 1006858
Sex: F
Age: 46
State: MN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: reactive lymphadenitis; Naproxen 500mg twice daily for 5 days

Other Meds: Lamotrigine, Gabapentin, amlodipine, metoprolol

Current Illness: None

ID: 1006859
Sex: F
Age: 24
State: MI

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/05/2021
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: Passed out the day of, numb and tingling face and body for over a week, shortness of breath, dizziness, fast heart beat

Other Meds: Amitriptlyn Lexapro Birth control pill Systemic formula ViVI

Current Illness: No

ID: 1006860
Sex: F
Age: 37
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Nitrofurantoin (Macrobid)/Rash.

Symptom List: Injection site pain

Symptoms: Symptoms reported, "I was driving home after the vaccine and felt really hot, like a hot flash and felt my heart palpitating", that lasted for approximately one hour. Symptoms of "tingling at all 10 finger tips that has gone away but now have a little numbness in both hands". Reported driving home and calling primary care physician to report symptoms but has not received a call back.

Other Meds: None

Current Illness: None

ID: 1006861
Sex: F
Age: 22
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/05/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Client reported history of fainting from shots. Staff was already monitoring patient specifically due to previous history of fainting from receiving other vaccinations. Client passed out in the 15 minute wait time and was observed by EMS in a squad where she recovered. At 17:55 BP 103/68 and pulse 68, at 18:02 BP 106/70 and pulse 98. At 18:06 BP 115/72 and pulse 100. No other adverse reactions reported at the time of this event.

Other Meds:

Current Illness:

ID: 1006862
Sex: F
Age: 53
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: Bactrim -tongue swelling, patchy rash

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

Symptoms: Scratchy throat and "weird feeling."

Other Meds: Hydrochlorothiazide 25mg, PO Q day, Norvasc 5mg, PO q day, aspirin 81mg, qd

Current Illness: none

ID: 1006863
Sex: F
Age: 63
State: CA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/05/2021
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: Thimerosal

Symptom List: Tremor

Symptoms: Hives, angioedema, tongue swelling.

Other Meds: unknown

Current Illness: unknown

ID: 1006864
Sex: F
Age: 28
State: NV

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
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: Papaya, Dermabond, Latex, Cobalt blue, perfumes and colognes

Symptom List: Erythema, Pruritus

Symptoms: About 15 minutes after receiving vaccine, she got in her car and noticed a rash, started having light headed. Thought she needed food, then got the headache and chills. For the entire night she did have the cold chills. She went to work the following day and her skin started feeling tingly. By the time she got home on 2/3/21 she felt nauseous, had temp of 101.8. The whole night she pretty much swim in sweat. She went to work and was sent home due to the fever, nonstop sweating, and fatigue feeling like she was going to pass out. Around 12:00 PM on 2/4/21 she couldn't keep anything down, she lost 5# since this vaccine. She took an Ibuprofen 800 which didn't do much. She took Pepto-Bismol, Advil and could not hold anything down. The brain pounding headache that didn't want to go away yesterday. She is still having a headache, she feels like every step she takes she has to use the restroom due to diarrhea episodes. She has been at home trying to sleep through the symptoms and has not seen a doctor as when she called with her first vaccine reactions they did not have any information to tell her since the side effects are so new. She only gets up today only when she has to use the restroom. She has been in the bed since she went home on 2/3/21.

Other Meds: None.

Current Illness: None.

ID: 1006865
Sex: F
Age: 76
State: FL

Vax Date: 01/19/2021
Onset Date: 01/24/2021
Rec V Date: 02/05/2021
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: none known

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

Symptoms: Reaction 1: sore left shoulder at the injection site next day for one day only Reaction 2: 5 days after vaccine, noticed blood on my shirt where I had been itching, left upper arm between injection site and elbow. Appearance of skin is rash, welted, red, bruised and sensitive to touch in an area about 3x3 inches. OTC anti itch cream not effective. Itching became so severe, I went to my dermatologist 3 days after itching started. Diagnosed as Allergic Contact Dermatitis due to Covid 19 vaccine. Given Rx anti itch cream and told to use cold pack when it was itchy and take OTC antihistamine. Followed doctor's orders and itching finally stopped after 12 days from onset.

Other Meds: Multaq, Bisoprolol, Levothyroxine

Current Illness: none

ID: 1006866
Sex: M
Age: 71
State: CA

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
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: Floxin

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

Symptoms: Red blotching. Started small, continues to grow. On going.

Other Meds: Xarelto 20mg 1x Metoprolo 25 mg 2x Vitamen D3 5000 IU Vitamen C 500mg

Current Illness:

ID: 1006867
Sex: F
Age: 53
State: PA

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: DAY 9 after shot - SYMPTOMS REAPPEARED! Mild but concerning as to why symptoms returned 9 days later!? Slept for additional 4 hours today - still very tired with feeling of not well Fever/ chills - sorry I can not find my thermometer Feeling of internal irritating shake - I feel this same way when I get my periods well Headache - I am not a headache person so when I have one something is wrong Upset stomach Day 2 & 3 symptoms were expected( All mild) fever, chills, headache, stomach ache ( day 3), tired I also noticed by the time I walked out of the rite aid, I had head fog. I definitely did not walk in with head fog.

Other Meds: None

Current Illness: none

ID: 1006868
Sex: F
Age: 61
State: WA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: none provided

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

Symptoms: Patient presented to the vaccine clinic for her second covid vaccine. Staff outside had not verified date of first vaccine, when I went to document and verify patients first dose patient advised that she received the first dose on 01/16/2021. Then verified with management that patient was to early for her second dose as it has only been 20 days.

Other Meds: unknown

Current Illness: none noted

ID: 1006870
Sex: F
Age: 32
State: TX

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
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, Penicillin

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

Symptoms: I started having a rash all over my body 7 days after first vaccine. Got a lot worse over 5 days. Woke upon 2/5 to major chest pains, itching all over, and broken blood vessels and bruising all over my body. I had blood work done and they said it's normal but now I need to see a Hematologist. It's been 5 days and its not getting better just worse.

Other Meds: Procardia XL 30mg (once a day) albuterol inhaler

Current Illness: None

ID: 1006871
Sex: F
Age: 29
State: TX

Vax Date: 01/21/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Tamiflu-jaundice

Symptom List: Pain in extremity

Symptoms: Wheezing and shortness of breath a day after second dose.

Other Meds: Venlafaxine ER 37.5 mg ER, Trazodone HCL 100, Flonase, Melatonin, Zyrtec 10 mg, Nexplanon 68 mg implant

Current Illness: None

ID: 1006872
Sex: F
Age: 48
State: AL

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: No allergies to medication; allergies to trees, molds

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

Symptoms: Itching at vaccination site then led to redness and inflammation around the area about the size of a baseball within 24 hours. Had itching on other parts of body, i.e arms, head, legs.. Took Benadryl and initially did not help itching or redness at vaccination site. After 24-36 hours itching began to decrease but redness and inflammation remained.

Other Meds: Topamax; Lexapro; Tumeric; Fish Oil

Current Illness: No

ID: 1006873
Sex: F
Age: 82
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Shoulder pain within 10 min. after shot. Rash started the next day. Waited till Saturday, the 29th to see a doctor., and she diagnosed that I had Shingles. She gave me two medicines to get from my druggist. One was valacyclovir and the other was HYDORcodone. These helped to relieve the pain. I was limited to 5 of the HYDROcodone, so when I was finished with those tablets, my nighttime pain in my shoulder was very uncomfortable.

Other Meds: none

Current Illness: none

ID: 1006874
Sex: F
Age: 81
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: iodine and iodine containing compounds

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

Symptoms: muscle spasms, not feeling well and complaining of pain in feet and mouth

Other Meds: Sildenafil Citrate Tablet 20 MG, MetroNIDAZOLE Tablet 500 MG.

Current Illness: blisters on both feet as a result of chronic Raynaud?s Disease.

ID: 1006875
Sex: F
Age: 28
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None known

Symptom List: Vomiting

Symptoms: On 1/18/2021, I developed a bright right itchy rash at the injection site. The rash had paler raised skin in the center with an uneven border. I took two separate doses of benadryl, a zyrtec the next morning, and a benadryl the next night again. I also began to apply cortisone cream. The visible rash gradually lessened and was no longer visible on 1/21/2021, but some itchiness lingered and then also remitted after about 24 hours later.

Other Meds: Lamotrigine 100mg 2x daily, adderall xr 15mg 1x daily, bupropion 75mg 1x daily

Current Illness: None

ID: 1006876
Sex: F
Age: 67
State: WA

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
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: Meloxicam

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: On the 8th day after I had the Moderna vaccine, my left arm deltoid area (where I had the shot) developed a very red, defined area about 3 inches by 5 inches. It didn't really hurt but was somewhat swollen and felt itchy/achy. After 2 days it started to fade and now after 8 days, it is almost gone. I did not have fever or other symptoms.

Other Meds: Prolia Vitamin D Ibuprofen as needed

Current Illness: None

ID: 1006877
Sex: F
Age: 36
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: nuts (especially hazelnuts), nitrofurantoin, and diphenhydramine

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

Symptoms: as per MD notation, :"Patient is a 36 Yo female had her first Moderna CoVid vaccine on 1/29/21 and on the 3rd of February, 5 days later, developed a delay hypersensitivity reaction in the left upper arm with warmth to the touch, redness and some axillary painful lymphadenopathy that is causing pain along the left later breast. Patient is rated at 6/10 and arm is very warn to the touch. I ordered ibuprofen to use q 6 H with food over the weekend. advise cold packs to the upper deltoid of the left arm, start cetirizine today asap and go home and rest. Epi pen was also dispensed. Pretreatment with cetirizine and ibuprofen advised prior to moderna #2 vaccine. "

Other Meds: NONE

Current Illness: NONE

ID: 1006878
Sex: F
Age: 33
State: MO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: Benzoyl peroxide

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Significant widespread body aches starting 12 hrs after dose, felt feverish throughout night, took ibuprofen and still spiked 101.1 fever 2 hrs into motrin.

Other Meds: Zyrtec

Current Illness:

ID: 1006879
Sex: M
Age:
State: IL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Severe body ache stomach pain, headache, nausea and vomiting, 103 temp severe joint pain

Other Meds: Metoprolol, Clopidogrel, Lantus, Humalog, L-lysine, Lovastatin, Gabapentin, acid reducer,

Current Illness: None

ID: 1006880
Sex: F
Age: 44
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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, fatigue, body aches,chills

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm