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: 1013219
Sex: M
Age: 11
State: TX

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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: none reported

Symptom List: Dysphagia, Epiglottitis

Symptoms: Vomiting, given Zofran, then vomited again. Patient denies dizziness, abdominal pain, eye and lip swelling, and rash

Other Meds: none

Current Illness: none

ID: 1013221
Sex: F
Age: 41
State: NC

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: sulfa, penicillin, erythromycin, clindamycin

Symptom List: Anxiety, Dyspnoea

Symptoms: body aches, fever, nausea and vomiting, headache, fatigue lasted 36hours

Other Meds: prozac 20mg vitamin d 5000iu zyrtec 10mg

Current Illness: none

ID: 1013222
Sex: F
Age: 23
State: OH

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
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: NKA

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

Symptoms: CLIENT BEING OBSERVED 15 POST VACCINATION BY EMS. COMPLAINED OF NAUSEA, CHILLS, WEAKNESS, DIZZINESS AND QUESTIONABLE THROAT TIGHTNESS. TRANSPORTED TO HOSPITAL FOR FURTHER OBSERVATION

Other Meds: ZOLOFT,MELATONIN,AMOXICILLIN

Current Illness: DENTAL INFECTION

ID: 1013223
Sex: F
Age: 43
State: MD

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

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

Lab Data:

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: fever, chills, body aches x 2 days. Started 3 hours after injection

Other Meds: vit D, magnesium, probiotics, omega-3

Current Illness: none

ID: 1013224
Sex: F
Age: 48
State: CO

Vax Date: 12/31/2020
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: About 4 days after the vaccine, I had extreme itching on my hands, rash under my arms and leg and area close to my crotch. I had peeling in the area near my pubic region and the palms of my hands.

Other Meds: N/A

Current Illness: No

ID: 1013225
Sex: F
Age: 35
State: MO

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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: PENICILLIN, TOPAMAX, ERYTHROMYCIN

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

Symptoms: Staff member at facility was watched for 15 minutes. Around 2:15pm she vomited, then chest tightness and severe pain in left arm began. She was given Benadryl at 2:30pm and EMS arrived at 2:45pm.

Other Meds: NONE LISTED ON VARS

Current Illness: ONLY NAUSEA FOR 24 HOURS AFTER FIRST COVID19 SHOT

ID: 1013227
Sex: F
Age: 42
State: UT

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 36 hours after injection, noticed a golf ball size patch of redness, with heat. The next day it more than doubled in size. On day four after injection it had more than doubled in size again. I went to the clinic and received a diagnosis of cellulitis. Received Kelflex 3 three times a day for 10 days. 24 hours after treatment started there was noted improvement. 8 days after treatment it is mostly resolved.

Other Meds: Omeprazole, multi vitamins, magnesium, mili (oral contraceptive)

Current Illness: none

ID: 1013228
Sex: F
Age: 33
State: NY

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

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

Lab Data:

Allergies: Biaxin, Levaquin

Symptom List: Pharyngeal swelling

Symptoms: Jittery, anxious feeling. Like a panic attack.

Other Meds: None

Current Illness: None

ID: 1013229
Sex: F
Age: 52
State: PA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Ativan, Benadryl

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: lump on injection site, hot, redness size of hand, fever 100.0 for 2 days on and off, swelling of arm, fatigue, hangover feeling

Other Meds: one a day, calcium 500g, vitamin c and zinc, vitamin d 1000 iu, Wellbutrin 150 mg xl,

Current Illness: n/a

ID: 1013230
Sex: M
Age: 71
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: The next day after the second dose I experienced severe fatigue. About 48 hours after the vaccine I started with muscle aches mainly in across the back and shoulder area. Also noted there was a rash on both legs (no itching and no pain, no bleeding) within a week of vaccination. That is when I decided to see dermatologist who said it would disappear in about 2 weeks. I am not getting any new rashes so far. As a precaution I took regular Tylenol 1-2 hours after second dose to minimize any side effects. Injection site was red and sore (more than first dose) for about 2 days.

Other Meds: Baby aspirin, Vitamin C and D a multi vitamin and Fish Oil. Crestor.

Current Illness: No

ID: 1013231
Sex: F
Age: 31
State:

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

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

Lab Data:

Allergies:

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

Symptoms: Needle disconnected only partial dose administered approx. 0.2ml

Other Meds:

Current Illness:

ID: 1013232
Sex: F
Age: 39
State: NY

Vax Date: 12/30/2020
Onset Date: 01/12/2021
Rec V Date: 02/08/2021
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:

Symptom List: Rash, Urticaria

Symptoms: SOB, digestive issues stomach ache, nausea, no fever, 01/21/21 still with SOB and digestive issues

Other Meds:

Current Illness:

ID: 1013233
Sex: F
Age: 66
State: FL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: CODEINE - NAUSEA MORPHINE - HALLUCINATIONS

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

Symptoms: 24 hours after second Pfizer dose, multiple Seizure activity occurred. Client was transported to the hospital for a 3 day stay. During that visit client was sedated and has little recall of hospitalization. Medication upon discharge - Keppra 750mg BID. First dose Pfizer 1/12/21 no reaction, not even sore arm

Other Meds: HCTZ 25MG DAILY AMLODIPINE 5MG DAILY B COMPLEX OTC DAILY

Current Illness: CLL DX OCT 2020

ID: 1013234
Sex: F
Age: 65
State: TX

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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: Sulfa Meds Poison Ivy

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

Symptoms: Approx. 1 week after injection redness and hardness at the site of the injection with mild pain that lasted for 8 days post injection. Also began to notice joint pain I have not had before, in particular thumb joints and knees. Is now much milder but still exists.

Other Meds: Daily multivitamin

Current Illness: None

ID: 1013235
Sex: F
Age: 89
State: TX

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital: Y

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 known allergies

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

Symptoms: Patient was transported to a local hospital, She experienced a stroke.

Other Meds: unknown, she doesn't usually fill medications here

Current Illness: heart conditions listed on intake form

ID: 1013237
Sex: F
Age: 51
State: WA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Amoxicillin

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

Symptoms: Skin just below vaccination site became red, firm, swollen and itchy 8-9 days after COVID vaccine. Suspect this is ?COVID arm? that I read about on the internet.

Other Meds: None

Current Illness: None

ID: 1013238
Sex: F
Age: 67
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: Slightly elevated fever

Other Meds: Cyanocobalamin 1,000 mcg/ml monthly Levothyroxine 112 mcg tablet Lisinopril-hctz 20-12.5 mg

Current Illness: None

ID: 1013239
Sex: F
Age: 78
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: risedronate sodium (actonel); sulfa drugs; traMADol

Symptom List: Ear pain, Hypoaesthesia

Symptoms: double vision, little dizzy, headache - yesterday had her 2nd vaccine SYMPTOMS DURATION: 2 days. Patient states she got her first COVID vaccine on 2/5/21 and had a slight headache but no other symptoms. Today, she was sitting the car when she started to have double vision. She reports dizziness/lightheadedness that is moderate. Patient states the double vision isn't everything but random things and at random times today. Denies dehydration, fever, or injection site abnormalities. No headache today. Reports that last week at her PCP's office her BP was slightly elevated and she thinks her BP may be elevated right now but does not have a cuff with her to check. Went to the Emergency Department on 2.6.21 - admitted overnight until the 7th. DETAILS OF HOSPITAL STAY: DX: Diplopia [H53.2] Blurred vision, bilateral [H53.8] HOSPITAL COURSE: 1. Double vision post COVID vaccine. Unclear etiology or if related to vaccine reaction. Resolved. CVA ruled out. Could be migraine associated. Advised patient to talk to PCP about migraine prophylaxis and see ophthalmology as outpatient. 2. HTN 3. HLD Advised patient not to drive till cleared by ophthalmology Inpatient workup included myasthenia gravis panel which is still pending The patient is a 78-year-old right-handed woman who received her first Pfizer COVID vaccination February 5. This morning she developed double vision. Images were horizontal she does not know if they were binocular or monocular. She saw couple with 1 child and it appeared that they had 2 children. She looked at her son and saw 2 heads on 1 body. She saw 2 traffic lights. Each time she saw diplopia, it lasted for maybe 1 minute, and after blinking it went away. The double vision was not associated with headache, facial numbness or weakness, numbness or weakness in her extremities, speech change or imbalance. She recovered from each episode. She has had torn retina twice in each eye. Those were each associated with flashes of light in floaters. She did not have a fever today. She has never had double vision before. Review of systems: She admits to a history of headaches. She said she had catamenial headaches and sinus headaches.

Other Meds: albuterol, acetaminophen, amlodipine-benazepril, aspirin, atorvastatin, clobetasol, cyanocobalamin, esomeprazole, fexofenadine, fluticasone, fluticasone-salmeterol, montelukast, vitamin D3

Current Illness: NA

ID: 1013240
Sex: F
Age: 37
State: PA

Vax Date: 12/19/2020
Onset Date: 01/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin when I was a child - anaphylaxis

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On day 16 post-injection, I started experiencing left sided pins/needles/numbness. I went to the ER and they did a CT and CTA which was normal. The next day or so I went to neurology who ordered blood tests (Lyme's, Vitamin deficiencies, Sjrogen's antigens, CRP, ferritin, Copper, ACE, TSH, Vitamin D , ANA) that were all negative. Next I had a MRI of the head and spine with and without contrast which was normal. The pins and needs have now spread all over my body. I full body neuropathic pain (burning sensation, numbness, tingling, sharp pain like stabbing, left eye pain, feeling like bugs are walking on me, and zapping pain). Neurology is continuing to work up my symptoms but they were new onset after COVID vaccine.

Other Meds: Lexapro 20 mg daily and Wellbutrin 300 mg XL daily

Current Illness: None

ID: 1013241
Sex: F
Age: 58
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: Head ache, muscle ache/joint, fatigue, chills, loose stools , pain injection site

Other Meds: Eye Drops: Alphagan P. Azopt Timolol Prolenza Prednisolone

Current Illness: none

ID: 1013242
Sex: F
Age: 43
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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

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

Symptoms: Feel fine except a little sore from arm. Around 10:30 I started feeling chills. Went to bed because feeling tired. Feel that I woke up in the early morning to go to restroom and felt more sore all over especially on the legs, hips, right buttock. Feeling very cold. In the morning, around 7 checked the temperature and it shows 99.4-100 ish (it's the swipe thermometer, so it's not too accurate. Normally my temp is 97ish. Feel headache too. After holding it I finally get some hot soup and coffee and take tylenol around 8:30 AM. After confirming it is okay to take medicine with a nurse friend. I took a second tylenol around 2:30 after feeling bad again. The monday morning, no more fever, no chills, still some sore on right buttock and right arm and had tiny headache.

Other Meds: Vitamin C Vitamin D3 + A Zinc Melatonin Propolis

Current Illness: None. I had covid positive tested on 12/06/2020

ID: 1013243
Sex: F
Age: 69
State: CA

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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

Symptom List: Unevaluable event

Symptoms: Patient received the vaccine on 01/27/2021. 10 days later, she developed swelling, redness, hardened area with wormth at injection site. Measurements are 12 cm in length and 9.5cm in width. Per Dr. it looks like cellulitis. He prescribed Bactrim. Patient is scheduled for her second injection on 02/17/2021.

Other Meds: Bortezomib 1mg/m2 Subcutaneous on days 1, 4, 8 and 11 of a 21 day cycle. Week off at time of vaccination. Revlimid 25mg PO days 1 to 14 of a 21 day cycle. Zometa 4mg IV every 28 days.

Current Illness:

ID: 1013244
Sex: F
Age: 62
State: GA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Ticlid

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

Symptoms: Severe Red Rash developed on abdomen, back, arms and neck with severe pruritus Diagnosed by infectious MD as Leukocytoclastic Vasculitis

Other Meds: Aspirin,Toprol, Famara, Zeita, Crestor, Iron, Fiber tablets, Align, Benadryl

Current Illness: None

ID: 1013245
Sex: F
Age: 44
State: AK

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: My eyes began swelling roughly 36 hours post injection and the edema went down into my right cheek. It resolved with Zyrtec two tablets bid x 1 day.

Other Meds: None

Current Illness: None

ID: 1013246
Sex: F
Age: 28
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

Symptom List: Injection site pain, Menorrhagia

Symptoms: Chills were the first symptom. The next day, I also experienced feeling very cold and some chills. I passed out briefly after getting out of bed and threw up right after that. I had body aches. I was nauseous but was able to take ibuprofen in the late morning. After the ibuprofen wore off, my body aches returned as well as a lethargic feeling. The next morning, I experienced nausea again until in the afternoon.

Other Meds: Spironolacton, Magnesium Glycinate, Vitamin D3, Saccharomyces Boulardii, Fluoxetine, Vitamin B-12, Loryna

Current Illness: N/A

ID: 1013247
Sex: M
Age: 74
State: MN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: Advil

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

Symptoms: Patient received his first dose of Moderna on 2/4/2021 at approx 1300. Patient called on 2/5/2021 stating he had some tongue numbness and eye swelling about 30 minutes after the injection. He did not seek emergency care, did not take any OTC medications. Phone call to patient 2/8/2021 he states on his ride home after the first injection he noticed that the top of his tongue became numb and he developed some swelling around the edge of my eyes and the back of my tongue felt thick. He went home and took a nap. When he woke up, he felt great. No swelling around eyes, tongue was not numb nor did it feel thick any longer. Patient tells me he has had a reaction like this before to a chemo enhancing medication, he does not remember the name. Patient states he still wants to receive the second dose.

Other Meds: Unknown

Current Illness: None

ID: 1013248
Sex: F
Age: 61
State: CA

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/08/2021
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: Pt stated -Onset 12-16 hours post injection of shills, headache, body ache, joint pain and fatigue. The symptoms lasted a day and resolved.

Other Meds: Excedrin Extra Strength 1/2 tab

Current Illness: None

ID: 1013249
Sex: F
Age: 50
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Stroke like symptoms like Loss of balance, loss of words, mixing up words, headache, nausea, distance in vision off, muscle aches

Other Meds: None

Current Illness: None

ID: 1013250
Sex: F
Age: 66
State: CA

Vax Date: 01/25/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: general mild allergies to pollen, house dust, etc. skin sensitivity to many products, especially scented products

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

Symptoms: slight itching very slight round red patch

Other Meds: fluoxetine 20mg/daily cetrizine 10mg/daily red rice yeast 2400 mg/ daily flaxseed oil 2800 mg/ daily salmon oil 4,000mg daily polyethylene glycol 17g daily calcium 1300mg/ daily

Current Illness: None

ID: 1013251
Sex: F
Age: 65
State: AZ

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Allergies to dust mites, dogs and cats, various pollens

Symptom List: Nausea

Symptoms: Red rash around injection site about 3 inches or so around. No itching.

Other Meds: Synthroid 100 mcg daily

Current Illness:

ID: 1013252
Sex: F
Age: 71
State: NY

Vax Date: 01/18/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Injection site pain

Symptoms: Sudden appearance of a warm red patch on right arm that grew over three days before fading. Completely gone after 7 days from onset.

Other Meds: Triamterene Hclz Rosuvastatin

Current Illness: None

ID: 1013253
Sex: F
Age: 74
State: VA

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: codeine, demeral, percoset

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

Symptoms: Rash on body and itching very bad

Other Meds: Linsopril, levthoroxin,

Current Illness:

ID: 1013255
Sex: F
Age: 64
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: VERY SORE LEFT ARM. HEAD ACHE,WEAKNESS ,TIRED, VOMIT AND DIARRHEA,NO APPETITE AND FEVER STILL NOT 100% FEELING WISE ARE NOT SORE NO MORE VOMIT AND DIARRHEA OR FEVER STILL FELL WEAKISH.

Other Meds: LISINOPRIL 20-12-5 CRESTOR 10MG PLAVIX 75MG ASPRIN 81MG DE 5000IU

Current Illness: NONE

ID: 1013256
Sex: F
Age: 33
State:

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 02/08/2021
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: middle abdominal pain

Other Meds:

Current Illness:

ID: 1013257
Sex: F
Age: 51
State: IA

Vax Date: 01/17/2021
Onset Date: 01/20/2021
Rec V Date: 02/08/2021
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: fructose, lactose, minocycline, sulfa

Symptom List: Erythema, Pruritus

Symptoms: Fever to 103, myalgias, headache x 11 days

Other Meds: Omeprazole, fexofenadine

Current Illness: none

ID: 1013258
Sex: F
Age: 75
State: MN

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: Sulfa, ibuprofen, latex

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

Symptoms: About 8 days after the vaccination i began to feel very itchy at the site. Later that day there was a big red raised area, the size of my palm. It was warm and tender.

Other Meds: B12. Vitamin D3

Current Illness: None

ID: 1013259
Sex: M
Age: 71
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/08/2021
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: Some hours after receiving the vaccine, maybe some 4 hours later I experienced a severe headache. Took 1 Advil and in an hour the headache went away. Had also minor pain at the injection site.

Other Meds: Baby aspirin, Vitamin C and D a multi vitamin and Fish Oil. Crestor.

Current Illness: None

ID: 1013260
Sex: F
Age: 64
State:

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: On febuary 4th started getting itch on arm, big swollen area the size of 3 inches diameter.

Other Meds:

Current Illness:

ID: 1013261
Sex: M
Age: 67
State: SC

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: N/A

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

Symptoms: Stuffy sinus especially while trying to sleep. Raised skin with redness at the area of the shot. Itchy and hot to the touch. These reactions started approximately 4 days after receiving the injection and persist to this date.

Other Meds: Rosuvastatin Calcium 20 mg, Tamsulosin HCL 0.4 mg, D 3 50 mcg, Fish Oil 1220 mg, B 12 1000 mcg, Calcium Citrate Magnesium and Zinc with Vitamin D 3, Fexofenadine Hydrochloride Tablets 100 mg antihistamine, One daily multivitamin

Current Illness: N/A

ID: 1013262
Sex: F
Age: 73
State: IN

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: none

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

Symptoms: itching, redness, swelling, warmth at injection site warm compresses applied at doctor's instruction -- no immediate effect

Other Meds: high blood pressure and cholesterol medication

Current Illness: none

ID: 1013264
Sex: M
Age: 63
State: MI

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: mustard, cat dander, dust mite

Symptom List: Pain in extremity

Symptoms: First shot was 1/22/21, light headedness afterwords but no other. On Jan 27th blood pressure dropped so stopped high blood pressure meds. on 1/29 noticed blood pressure going up. Began meds with no effect. Has been going up to 198/112 during the week. Went into Hospital on 2/1. BP high, did blood work, ecg, released when BP dropped to 156/90. On 2/2 possible atrial fib and blood pressure up to 180/106, drove 280 miles to Clinic where they kept me overnight and did blood work, ecg, echocardio, xray and released me on 2/3 with double dosage of linisipril to 40 mg. Blood pressure did not go down and seemed to go up when I took the linisipril. 2/6 Drove back to clinic again and went into ED. BP 175/103, ecg switched bp meds to 50 mg Losartan and discharged. Drove home on 2/7. 2/8 blood pressure back up to 173/108 bpm 62 at 1:15 pm.

Other Meds: Lisinipril 20 mg, Atenolol 25mg, Loratadine 10 mg, fish oil 1000 mg, vit D 2000 mg,

Current Illness:

ID: 1013265
Sex: F
Age: 59
State: CA

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

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

Lab Data:

Allergies: sulfa

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

Symptoms: Severe physiological anxiety attack within 3 hours of dose administration. Shaking, uncontrollabe crying. Completely disabling, had to seek medical attention. Physician on staff had me lie down for about two hours until it passed. Fatigue, exhaustion afterward/

Other Meds: Lamotrogine, Levothyroxin, Armour Thyroid, Tumeric,/Chondroitin, Vit D, CalMag, Collagen Took Valerian root 900mg night before

Current Illness: None

ID: 1013266
Sex: M
Age: 35
State: OH

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Fever and chills onset around 8:00pm following injection. Continued fever (102.9*)and chills along with malaise still current.

Other Meds: none

Current Illness: none

ID: 1013269
Sex: M
Age: 36
State: AK

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Latex

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

Symptoms: Numbness of face bilaterally in V1 and V2 branch distribution of trigeminal nerve.

Other Meds:

Current Illness:

ID: 1013270
Sex: F
Age: 77
State: WI

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: Morphine (N&V), Fenofibrate, pravastatin (headaches), statins, ace inhibitors, furosemide, metformin (no sever allergic reactions to these meds reported)

Symptom List: Vomiting

Symptoms: Pt developed Shingles after vaccination. Notes from call to PCP day after vaccination: "Since yesterday morning after vaccine after she received her covid vaccine, she noted that her right ear hurts. She says that the pain does not feel like it is in the ear but right around the ear, and the bones around the ear. She says it hurts to chew, and the area to the back of her ear has ringing sound. She does not note that the ear is red . When she rubs under the ear she says the area is painful is painful. She does not note a lump or bump under her ear.. She states that the jaw/bone area hurts with the vibration of the conversation." Sore throat and headache, only on right side. Pain progressed to the point of hospitalization, with vesicles erupting on right side of face/ear canal.

Other Meds: aspirin, carvedilol, clopidogrel, iron supplement, fluticasone nasal, furosemide, multivitamin, rosuvastatin, valsartan

Current Illness:

ID: 1013271
Sex: F
Age: 77
State: OH

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fist size swelling around injection site, red and warm to touch.

Other Meds: Not taken day of but since, Ginko Biloba Extract, Calcium Magnesium,plus Zinc, Cran+Probiotic, B Complex. Fish Oil. Only today a Derma repair Complex Vitamin A 300mcgRAE, Thiamin 10mg, Riboflavin 10mg, Niacin 50mg, Vitamin B6 10mg, Folate 1

Current Illness:

ID: 1013272
Sex: F
Age: 78
State: IN

Vax Date: 01/21/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Insaids and, squash family

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

Symptoms: Itchy rash, I put rubbing alcohol and neosporin on it. It was laRGER THE NEXT DAY.

Other Meds: vitamin B-12, cranberry capsules, vitamin D-3, Turmeric, calcium, aspirin 80,Co-Q 10capsule,metformin, Irbesartan 300 MG, Isorborin, Monosorbin, Potassin sorb

Current Illness: none

ID: 1013273
Sex: M
Age: 72
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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: bactrium, clindamycin, lamisil levofloxacin, lovenox

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I started to itch soon after vaccine and I still itch .I'm not sure about 2nd shot reaction could be worst

Other Meds: pradaxa, latanoprost, prednisolone, cosop

Current Illness: rheumatoid artthitis , lupus

ID: 1013274
Sex: F
Age: 37
State: IL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: headache, fatigue, arm pain, dizziness, nausea, body aches

Other Meds:

Current Illness:

ID: 1013275
Sex: F
Age: 73
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: None

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

Symptoms: Had nausea and fatigue, no appetite

Other Meds: Synthroid, Caprelsa, Carvedilol, Lisinopril, Amlodepine, Calcitriol, Diphenoxlate, tincture of opium

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm