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: 1020768
Sex: M
Age: 74
State: CA

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
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.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Strong return of sense of smell. Like I was in my 20's again. I can smell my deodorant, BO, dirty sheets, flowers, perfumes, wife's beauty products. It is so strong that it is annoying.

Other Meds: Primidone , Propranolol, Omeprazole, Escitalopram, Tamsulosin, Finasteride, Atorvastatin, Aspirin.

Current Illness:

ID: 1020769
Sex: F
Age: 61
State: NC

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
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: Red eye in foods

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever,chills and uncontrollable shaking. Lymph nodes enlarged. Under layers of bedding and couldn't get warm. Fever got up to 102.5 on that Saturday about 25 hours after vaccine. Also, felt weak and very tired. Early Sunday morning about 2am, I woke up to my gown dripping wet from sweating. I changed went back to sleep and woke up again about 7am to the same thing. I did take Tylenol and Ibuprofen for the fever. I spent all Sunday in bed, no more shaking but chills and Fever persisted through out the day. Monday, I felt better initially until about 8 pm and symptoms started all over but harsher because know my Lymphedema flared up

Other Meds: Multivitamin Vitamin D

Current Illness: None

ID: 1020770
Sex: F
Age: 70
State: MS

Vax Date: 02/02/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
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: Sulfa, Iodine, Isosorbide dinitrate, Morphine sulfate, Phenergan, Ranexa, Toprol XL

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

Symptoms: 5 days following 2nd dose, patient developed nausea, headache, body aches (especially from hips down), malaise, shaking, slurred speech, difficulty walking secondary to shaking.

Other Meds: Aspirin, Ativan, Gabapentin, Hydrochlorothiazide, Nicardipine HCl, Omeprazole, Rosuvastatin, Xanax

Current Illness: None apparent

ID: 1020771
Sex: F
Age: 34
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: MODERNA COVID 19 VACCINR EUA 102 FEVER headache chills and sweats

Other Meds: orilissa tramadol

Current Illness: NONE

ID: 1020772
Sex: F
Age: 41
State: VA

Vax Date: 01/01/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA, no food, latex or environmental allergies

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

Symptoms: This 41 yo female received her first Pfizer COVID vaccine (Lot EL1284) on 1/7/2021. She reports being in good health, had no illness exposures (does work in hospital with children), and had no recent travel. She reports following her Covid vaccination, she had a sore arm at vaccine site for 4-5 days with no other issues. On 1/31 (day24) while putting on lipstick to take a selfie to send to her friend she noticed the right side of her lower face (lip area) felt "weird"- tingled and the corner of her mouth would not smile symmetrically with left. Her friend commented something was off with this picture. The next day this droop worsened with loss of facial lines/wrinkles on right (nasolabial fold), had tingling/numbness to lips and corner of mouth and inability to smile on right. This prompted her husband to bring her to the ER on 2/1/2021. She denied any fever, headache, weakness to arms/legs, no SOB/CP, dysphagia or speech issues or trauma. ER providers exam noted normal CN evaluation but documented mild right sided decrease in nasolabial fold vs left and loss of taste to anterior right tongue. She had no involvement of eye or forehead. She was diagnosed with early Bell's Palsy and treated with oral steroids and anti-virals. AS of 2/10/2021 with use of medications, she advised her facial weakness/droop had resolved but still has tingling. Her smile is symmetrical at this time. No c/o on loss of taste. Has diagnosis of Bell's Palsy. IHD case 9967.

Other Meds: MVI, vit D, calcium, and BCP

Current Illness: none

ID: 1020773
Sex: F
Age: 40
State: OH

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
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: fish, penicillin, sulfa, cephalosporins, Levaquin,

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

Symptoms: cervical and supraclavicular lymphadenopathy on left side causing vertigo

Other Meds: oral combination contraceptive, imipramine 25 mg, metoprolol 25 mg, Robaxin 500 mg, ibuprofen .

Current Illness:

ID: 1020774
Sex: F
Age: 44
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Staff stated that she was assisting a client registration at a vehicle so she was walking and talking at which time she felt an aura coming (fogginess/lightheadedness, nausea, feeling faint), Staff stated that she received the vaccine the day before and was starting to feel symptoms. Staff was visibly pale and advised to sit down. Staff asked to be laid on the ground because she felt faint at which time onsite life guards were notified. Blood glucose, Blood pressure, pulse rate and O2 saturation all monitored and with in normal limits. Staff stated that the symptoms were starting to resolve and asked to sit in chair. Another set of vitals was taken while the client was sitting and all vitals were with in normal limits. Patient's son (emergency contact) was notified and arrived onsite. Staff stated she felt better and was going to go home and lie down. Escorted to son's vehicle by wheelchair. Staff notified supervisor when she arrived home and per supervisor staff stated she was feeling better.

Other Meds: none reported

Current Illness: None reported

ID: 1020775
Sex: F
Age: 43
State: CT

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Within 12 hours of receiving vaccination my left arm became red, hot to the touch, itchy, and sore to the touch from the injection site to approximately 4 inches down my arm and approximately 2-3 inches wide. Today is February 10th and there is only limited improvement (5 days since date of injection).

Other Meds: Lexapro Diamox Vitamin D Vitamin C Lisinopril

Current Illness: Covid 19

ID: 1020776
Sex: F
Age: 56
State: AZ

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
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: Fever headache pain, arm pain. fatigue

Other Meds: Tylenol

Current Illness: None

ID: 1020777
Sex: F
Age: 23
State: TX

Vax Date: 12/17/2020
Onset Date: 01/07/2021
Rec V Date: 02/10/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Strep Throat. Sxs of tonsillar edema bilateral 3+, erythematous throat, difficulty swallowing, painful swallowing, white pustules on tonsils, fatigue, bad breath. Treated with 10 day course of oral penicillin and mouth numbing medication. Outcome: fully recovered.

Other Meds: N/A

Current Illness: N/A

ID: 1020778
Sex: F
Age: 22
State: MA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Accutane

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

Symptoms: vagal response post vaccination while seating in post vaccine observation area. Fainted with loss of consciouness approximately 10 seconds then arousable but foggy mentation that progressively cleared. She did not eat breakfast this morning. Vital signs stable, oxygen stauration 98-99% on room air. Brought from Vaccine Clinic to Emergency Department via stretcher. Examined, recovered, able to eat discharged to home.

Other Meds: Cytalopropram, multiple supplements

Current Illness: No, see #12 below chronic illness

ID: 1020779
Sex: F
Age: 54
State: IL

Vax Date: 12/30/2020
Onset Date:
Rec V Date: 02/10/2021
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: Tylenol with codeine, latex, bananas, walnuts, seasonal

Symptom List: Rash, Urticaria

Symptoms: With first does- itching at the injection site then down to hand then scalp, face, neck and truck. S/s changed to fatigue, nausea, worsened 24 to nausea, fever, chills , body aches, painful joints and lower extremity weakness. X 3-4 days.

Other Meds: Keppra and lexopril

Current Illness: None

ID: 1020780
Sex: F
Age: 52
State: AZ

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: An itchy rash, hot to the touch in the area of the injection and diarrhea.

Other Meds: Prozac 40 mg

Current Illness: none

ID: 1020781
Sex: F
Age: 69
State: PA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: Oxycodone-acetaminophin - GI Simvastatin - myalgia Zoster - shingles at injection site Iodinated Contrast Media -rash Codeine Influenza Virus Vacc Tri-Val, Pure-Surface 2003-04 - uticaria Nuts - facial swelling Cortisone - Facial rash, migraine Pravastatin - myalgia Neomycin-Polymyxin-Gramicidin - vesicles Bacitracin-Polymyxin B

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

Symptoms: itching after about 15 minutes. red spots with itching on left wrist, right hip. took Claritin at about 20 minutes after injection. spots and itching continued on right neck & face. lips felt like they were swelling, but after about 15 to 20 minutes after taking Claritin, seemed to settle down. When I got home about 35 minutes after shot, I also took 1/2 Benedryl tablet.

Other Meds: lisinopril 5mg Xarelto 20mg Timoptic 0.5 drop vitamin D-3 2000 unit fenofibrate

Current Illness:

ID: 1020782
Sex: F
Age: 39
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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: Erythromycin, Percocet

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

Symptoms: Headache, neck stiffness and pain, body aches, nausea, fever, chills, dizziness, fainting, fast heart rate, low BP

Other Meds: Dexilant, Levothyroxine, Acetazolamide, Relpax, Promethazine, Baclofen, Fluoxetine, Montelukast, Probiotic, Magnesium, Vitamin D, Verapamil, Mirena, Diphenhydramine

Current Illness: Upper respiratory infection, UTI, Migraine

ID: 1020783
Sex: F
Age: 86
State: AZ

Vax Date: 01/09/2021
Onset Date: 01/19/2021
Rec V Date: 02/10/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Sore and numbness and tingling down to fingers. Mostly now down to elbow.

Other Meds: Multi-vitamin, Vitamin D, Calcium citrate, Losartan, Lasiks, Metoprilol,Amlodipine

Current Illness: None

ID: 1020784
Sex: F
Age: 89
State: UT

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
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: Nono

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

Symptoms: Paralysis swelling. Seizure, lost eye sight, partial speech ! And is bed riding and loss of balance

Other Meds: No

Current Illness: No

ID: 1020785
Sex: F
Age: 70
State: FL

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: " Covid arm" redness, swelling and heat coming from the injection site. on Day 9. It is fairly mild at this point. Feels warm and slightly tender, but not painful

Other Meds: multi vitamin, vitamin C, chewable calcium

Current Illness: none

ID: 1020786
Sex: M
Age: 39
State: TX

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Rash from armpit across chest.

Other Meds:

Current Illness:

ID: 1020787
Sex: F
Age: 39
State: IL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pain at injection site. Chills, machines, fatigue, fever

Other Meds: Zyrtec, Celexa

Current Illness:

ID: 1020788
Sex: F
Age: 45
State: CT

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Severe pain of left arm approximately 5 hours after 2nd dose, can not lift arm above 45?without assistance hand keeps going numb,

Other Meds: None

Current Illness: None

ID: 1020789
Sex: U
Age:
State: CA

Vax Date:
Onset Date:
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Beginning at 2:30am, approximately 14 hours after receiving the 2nd dose, began having chills, fever, and body aches. This lasted for approximately 12 hours.

Other Meds:

Current Illness:

ID: 1020790
Sex: F
Age: 70
State: TX

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Good Afternoon: Per the instructions on the back of my Covid Vaccination Record I am advising you of a severe reaction I had to a recent vaccination. On Sunday, February 7, I had my second shot at the clinic. It was a Moderna vaccine. I was injected at 11:00am. I immediately had a very sore arm but no further symptoms until later Sunday evening. I began to feel nauseous and a headache. By early morning I had a severe headache, fever of 103.0 degrees, severe nausea and had a very severe rash that broke out from the injection site down my arm. All this was accompanied by extreme fatigue. the only medication I took was Tylenol during the day. The symptoms lasted all of Monday. Monday night the symptoms began to diminish and by Tuesday morning all but gone other than fatigue. Today, Wednesday I am feeling fine other than slight fatigue.

Other Meds: Statin for Cholesterol

Current Illness: None

ID: 1020791
Sex: F
Age: 26
State: VA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Injection site pain, Pain

Symptoms: One week after vaccine, the vaccine site became red, hot, and itchy and felt like there was a knot under the skin the size of a golf or ping pong ball. Symptoms lasted approximately 48 hours and went away.

Other Meds: Fluoxetine 40 mg/day

Current Illness:

ID: 1020792
Sex: F
Age: 65
State: IN

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

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Extreme headache, nausa,low grade fever, vomiting

Other Meds: Bacoflen,effexor,bisohphyy

Current Illness: None

ID: 1020793
Sex: F
Age: 45
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Later in the afternoon after the vaccine, 2/4/21, patient has had body aches, fever, sore throat, runny nose, coughing, craving water, no appetite, lethargy; still has all of these reactions. Patient feels hot, but does not have a temperature.

Other Meds: Migraine meds

Current Illness: No

ID: 1020795
Sex: F
Age: 48
State: IL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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: Approximately 5 minutes following the second COVID vaccination she started to report itching at the injection site that migrated to the right chest area. PO Benadryl was given and she was observed for 30 minutes. All complaints resolved prior to leaving the vaccination area.

Other Meds:

Current Illness:

ID: 1020796
Sex: F
Age: 59
State:

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever of 101.0 F. Nausea, diarreah. Chills.

Other Meds: Excedrin 200 mg.

Current Illness: None

ID: 1020797
Sex: F
Age: 38
State: MD

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
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: Migraine headache for 4 days. Patient reports that she has had migraine headaches in the past but never lasted this long.

Other Meds: NOT INDICATED

Current Illness: NONE

ID: 1020798
Sex: F
Age: 80
State: VA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Alpha Gal

Symptom List: Nausea

Symptoms: Redness, swelling, itching

Other Meds: Trazadone Celexa

Current Illness:

ID: 1020799
Sex: F
Age: 61
State: NY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
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: Injection site pain

Symptoms: Fever up to 103 headache nausea muscle aches

Other Meds: Synthroid 125 mcg Lipitor 10mg Multi vitamin Calcium

Current Illness:

ID: 1020800
Sex: F
Age: 31
State:

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: amenorrhea

Other Meds: None

Current Illness: None

ID: 1020801
Sex: F
Age: 51
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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: Penicillin, Climdamycin, latex, avvocado topically

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

Symptoms: dizzy with tingling hands soon after injection (10 minutes after). seemed to improve during observation and I left. Started to itch and took benadryl and Tylenol approx. 2 hours after dose received. Had swelling of joints (knees, ankles, neck and shoulders were all imflamed and stiff). Injection sites swelled, red and hot until Sunday afternoon. Iced on and off the two previous days. Took benadryl again on Saturday because rash formed on chest, and eczema flared up. Today, Wed, 2-10-21, rash is still present on chest but is improving. eczema is still flared up.

Other Meds:

Current Illness:

ID: 1020802
Sex: M
Age: 30
State: SD

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
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: Penicillin, Sulfa, Hydrocodone (behaviors increase with certain foods & food colorings such as corn sweeteners, artifical coloring.

Symptom List: Tremor

Symptoms: Mother reports that for 2 weeks after the vaccination, child experienced higher anxiety and required PRN doses of anxiety medication.

Other Meds: Benzoyl Peroxide 10% Lotion- Apply QD at 7pm and then 7am as needed. Calcium Citrate Peties + D3 - 1 tab daily at suppertime (5pm) (4/15/20) Clindamycin PH 1% Gel- Apply topically every PM (5/19/15) DIVALPROEX SOD ER 250 MG - 1 tab every A

Current Illness:

ID: 1020803
Sex: F
Age: 63
State: AK

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
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: Tolectin, Advair: hives after each

Symptom List: Erythema, Pruritus

Symptoms: Fever to 101 beginning about 5 hours after injection. Followed that evening by nausea. Fever and nausea persisted all night. Sat AM 1/30/2021 fever had broken, nausea persisted. After a couple sips of tea, returned up stairs to go back to bed: Sudden complete loss of consciousness (syncope), striking right forehead on wooden chair as falling to the floor. Completely unresponsive for 5-10 minutes. Then confused but responsive to voice. Amnesia for events for at least the next hour. Taken via ambulance to ER for evaluation. Trouble with concentration and dexterity for nearly a week. Bruising and tender forehead for more than a week. Left arm injection site became red and itchy 1/31/21, for several days.

Other Meds: Tamoxafin, Multi vitamin, Fish oil

Current Illness: Well

ID: 1020804
Sex: F
Age: 42
State: AL

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

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: NKA / NKDA

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

Symptoms: presented at 1340 "not feeling well, itchy, hot, dizzy" received covid vaccine 3 hrs prior, no new foods or environmental triggers syncopal episode at 1344 -> 120/91, 73 bpm, 100%, 131 blood glucose heart & lung sounds wnl facial swelling, erythematous raised rash to neck / semi-conscious for approx 2 min 50 mg diphenhydramine administered @ 1346 regained consciousness and transported to bed for ekg, which showed nsr lucid but still altered and unable to sit up without feeling dizzy 8 mg of dexamethasone administered at @ 1356 -> 111/76, 64 bpm, 100 % pt was then deemed stable and elected to go home son called for transportation strict er precautions given

Other Meds: None

Current Illness: None

ID: 1020806
Sex: F
Age: 38
State: IL

Vax Date: 02/02/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: Sulfa

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

Symptoms: Swollen itchy arm around injection site 7 days after vaccine

Other Meds: Metoprolol, prenatal, Viibryd, fish oil, Omeprazole

Current Illness:

ID: 1020807
Sex: M
Age: 35
State: NV

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
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: Joint pain, headache, malaise x 4 days.

Other Meds: None

Current Illness: None

ID: 1020808
Sex: F
Age: 75
State: VA

Vax Date: 02/02/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Vaccination site itchy, lump underneath where shot was given, site it hot and red

Other Meds:

Current Illness:

ID: 1020809
Sex: F
Age: 63
State: NM

Vax Date: 01/28/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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: Bells palsy diagnosed after vaccine

Other Meds: Prescriptions: Lisinopril, rosuvastatin, synthroid, hydrochlorothiazide Supplements: Centrum silver multivitamin, calcium with vitamin D and magnesium, probiotic, quercetin with vitamin C, zinc, flax oil, Dermal repair complex, tri layer me

Current Illness: None

ID: 1020810
Sex: F
Age: 55
State: KY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Pain in extremity

Symptoms: Joint pain, headache, shortness of breath, fever, soreness at injection site, fatigue

Other Meds:

Current Illness:

ID: 1020811
Sex: F
Age: 58
State: MI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Lactose intolerant

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

Symptoms: Pain at injection site, headache, fatigue, chills, nausea, joint pain

Other Meds: Lovastatin, Glimepiride, Ozempic, Cymbalta, Buspar, Losartin, vitamins C, B12, D3, Ambien (bedtime night before)

Current Illness: None

ID: 1020812
Sex: F
Age: 42
State: PR

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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: NO

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

Symptoms: 15 minutes after received COVID 19 vaccine, developed shortness of breath, dry mouth and throat dysphagia, high blood pressure and anxiety.

Other Meds: NONE

Current Illness: NO

ID: 1020813
Sex: F
Age: 27
State: IL

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Arm sore at injection site Arm soreness got significantly worse as night progressed, and was unable to lift arm above shoulder by 8 PM Body aches and headache began to occur around 8 PM and got significantly worse through the night. Body aches were worse on left side of body (side of injection) Ibuprofen was taken at 1 AM The following morning (2/10/2021) body aches continued. Felt nauseous, but not to the point of vomiting. Took Ibuprofen at around 1 PM. Body aches have gotten better after taking ibuprofen. Arm still sore at injection site.

Other Meds: None at time of vaccination; ibuprofen at around 1 AM after vaccination to mitigate symptoms

Current Illness: None

ID: 1020814
Sex: F
Age: 70
State: MI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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

Symptom List: Vomiting

Symptoms: First dose was Moderna Vaccine . No adverse symptoms noted.

Other Meds: NA

Current Illness: None

ID: 1020815
Sex: F
Age: 85
State: MN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital: Y

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

Lab Data:

Allergies: Nitrofurantoin Bactrim Cipro

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Initial temp of 100.4, upon recheck 101.9 with 650mg Tylenol given. IV initiated due to low blood pressure - 78/35. 400mL NS given then converted to D5 due to GFT being 55. O2 Sats 64% RA when vitals assessed and quickly climbed, ordered to apply continuous O2 at 2LPM via NC and sats climbed to 96%. Last BP 78/35, Dr. ordered for pt to be sent in to hospital if pressure doesn't come up in the next 30 minutes. Pt in trendelenberg position, responds to verbal stimuli. Denies pain. Only complaint was feeling weak. BS up to 197 after tolerating 120ml cranberry juice. Pressures continue to stay low, last BP 72/27, Discussed with Dr. with orders to send to hospital. Admitted to hospital with Hypoglycemia and Hypokalemia.

Other Meds: Carvedilol Hydralizine Isosorbide Dinitrate Omeprazole Potassium Chloride Alphagan P Solution 0.1% Amlodipine Besylate Baby Aspirin Fludrocortisone Acetate Glipizide Hydrocortisone Loteprednol Etabonate Syspension 0.5% Bumetanide Tylenol M

Current Illness: Recovering from recent right lung pulmonary embolism and urinary tract infection with severe sepsis

Date Died: 02/02/2021

ID: 1020816
Sex: F
Age: 76
State:

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 02/10/2021
Hospital: Y

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

Symptoms: Pt with acute resp failure, COVID PNA, that developed symptoms 9 days prior to admit and ultimately received first vaccine 6 days prior toa admit, then shortly after progressed with other covid symptoms and was admitted. She decompensated while intp and was transferred to ICU for rising O2 needs, ultimately had to be intubated. Became hypotensive due to massive hamatoma 2' bleeding into abd rectus muscle. Sx and IR consulted and did beside exploration of hematoma. Initially blood pressure responded but overnight continued with refractory hypotension. Maxed out vasopressin and levophed, hemodynamics deteriorated. Pt passed soon after(2/2).

Other Meds:

Current Illness:

ID: 1020817
Sex: F
Age: 71
State: GA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
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: Codeine, morphene

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe chills and shivering, headache, body aches, nauseated

Other Meds: meloxican,, atorvastatin, fluonase, azelastine spray, fish oil, trazodone, venlafaxine HCL 37.5 mg

Current Illness: head cold late December

ID: 1020818
Sex: F
Age: 70
State: KY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: pt states she already had some pain under her shoulder blade before her vax. Pt stated about an hour and half after her vax that her left arm starting hurting really bad. Her left arm is sore and swollen and has a knot on it at the injection site. Pt went to an Urgent Care for shoulder/arm pain. she was prescribed a muscle relaxer and anti inflammatory cream. She was told to FU w/ PCP if she did not improve.

Other Meds: lisinopril 40mg, araba 10 mg, hydroxychloroquine

Current Illness: no

ID: 1020819
Sex: F
Age: 31
State: NY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: Yeast Mushrooms Tomatoes Cashews Almonds

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

Symptoms: Within 15 minutes of injection, I had a strong metallic taste in my mouth, hot sweaty palms, heart rate and blood pressure seriously elevated

Other Meds: Xiidra eye drops Vit D Vit C Glycemic manager herbal supplement prescribed by doctor to manage blood glucose AdreCor herbal supplement prescribed by doctor to manage adrenal fatigue Probiotic

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm