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: 1024132
Sex: M
Age: 56
State: NY

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: fever, arm sore, chills, body aches, pain in bilateral hands

Other Meds:

Current Illness:

ID: 1024133
Sex: F
Age: 49
State: VA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: unknown

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient became diaphoretic and lightheaded. She had complaints of chest pain.

Other Meds: unknown

Current Illness: unknown

ID: 1024134
Sex: F
Age: 36
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
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: Macrobid

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

Symptoms: Nausea vomiting chills fever night sweats headache body ache fatigue arm pain

Other Meds: Linzess Smooth move tea

Current Illness: Nine

ID: 1024135
Sex: M
Age: 74
State: MN

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/11/2021
Hospital: Y

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

Lab Data:

Allergies: latex

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Bloody nose 4:00 AM so I could drive and get my dialysis done. I was on for about and hour they decided to take me off and then I went around the building to the health partners urgent care and they ballooned my nose to stop the bleeding. They took an INR test and it was 11.5, so my son took me took the hospital. They gave me vitamin K as soon as I got in the ER and kept me in the hospital for three days.

Other Meds: coumadin 7.5 mg two days a week 5mg the other five days torvastatin 80 mg daily calcetrol .5 mg daily vitamin d3 125 mg sensopar 60 mg lantis insulin metropril titrate 100 mg renvella 800 mg renal vitamin 1mg

Current Illness: sinus infection

ID: 1024136
Sex: F
Age: 59
State: WI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Mild body aches started about seven hours after vaccine administered. Fever 101; body aches; malaise; nausea 19 hours after vaccine administered. Fever & nausea lasted 6 hours. Body aches lasted 32 hours. Malaise lasted 48 hours and then felt fine.

Other Meds: Levothyroxine 75mcg; Multivitamin; Vitamin D3

Current Illness: None

ID: 1024137
Sex: M
Age: 82
State: LA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Flomax Gabapentin Morphine Morpholine analogous Sulfa

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

Symptoms: Dizzy

Other Meds: Albuterol 2.5 mg Aspirin 81 mg Atorvastatin 40 mg Ciclopirox 1% shampoo Cilostazol 100 mg Diclofenac sodium 1% gel Ketoconazole 2% cream Meclizine 25 mg Mometasone 0.1 % solution

Current Illness: Copd Arthritis ruptured discs bad knees Growth in the left eye Swollen legs and feet

ID: 1024139
Sex: F
Age: 73
State: FL

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
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: Kiwi fruit = hives

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Red, angry ,hard, painful area (2-3 inches)around injection site..persisting for 1 week Unusual lethargy mild+ for 1 week

Other Meds: Lisinopril 20 mg qd Immune boosting fizz liquid supplement Cbd oil capsules 30 mg qd

Current Illness: N/A

ID: 1024140
Sex: F
Age: 65
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Seasonal. Grass trees

Symptom List: Pharyngeal swelling

Symptoms: Headache, nausea, loss of taste. Temp 101.3F

Other Meds: Valtrex, prem pro, cardezem, singular,lysine,biotin,lyrica,,omeprozole,tumeric,vit C and D3

Current Illness: None

ID: 1024141
Sex: F
Age: 24
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 02/11/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: first day felt fatigue, arm soreness. took motrin which helped symptoms next day was feeling chills, headache, fatigue. achiness, arm sore, felt hot. took Ibuprofen which helped those symptoms. lasted 4 days. Also during 2nd day felt shortness of breath when talking, taking a deep breath or moving around. Lasted 3 days.

Other Meds:

Current Illness:

ID: 1024142
Sex: F
Age: 88
State: TX

Vax Date: 01/27/2021
Onset Date: 01/31/2021
Rec V Date: 02/11/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: spontaneous hives to entire body for 24 hours 4 days after 2nd vaccination

Other Meds:

Current Illness: None

ID: 1024143
Sex: F
Age: 68
State: NY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Headache, fever, chills, body aches. Symptoms were intense.

Other Meds: None

Current Illness: None

ID: 1024144
Sex: U
Age: 44
State: KS

Vax Date: 01/26/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Moderna Covid-19 Vaccine EUA: Patient noticed redness, swelling, itching and pain in the left arm where covid vaccination was given. She reported noticing this on day nine after vaccination in the late AM. Patient reports that she started taking Benadryl and Pepcid on that day for a cycle of 24 hours and cold compresses intermittently. Redness and swelling returned on 02/09/21. Patient also reports intermittent numbness that resolves on its own. RN and I looked over arm and felt for any swollen lymph nodes, none noticed. We discussed with to go see PMD, which she has been in contact with.

Other Meds: Multi-Vitamine

Current Illness: N/A

ID: 1024145
Sex: F
Age: 83
State: TN

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: Ampicillin, Ciprofloxacin, Latex, Neosporin, Penicillin, Sulfa drugs, Tape, Tetracyclines

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

Symptoms: --Patient (and patient's husband) report that patient was given 2 doses of Pfizer Covid 19 vaccine 6 days apart at the Health Department. --First dose: 2/3/21. Second dose: 2/9/21 --Patient was admitted to hospital on the evening of 2/9/21 with weakness, shortness of breath "feeling winded". --Patient reports feeling bad and coughing 2-3 days before being vaccinated and does NOT believe her admission to the hospital was associated with the vaccine. --County health department has been notified.

Other Meds: Lasix, Aldactone, Hydrochlorothiazide, Synthroid, Prilosec, Tylenol

Current Illness: Cough and weakness 2-3 days before Vaccine.

ID: 1024146
Sex: F
Age: 37
State: MA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: None

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

Symptoms: I experienced early morning subjective fevers and documented fever (99.8) and chills. Mild to moderate myalgias. I also experienced acute weakness and lightheadedness and suffered a vasovagal syncope that morning. I now have a tension headache throughout the day.

Other Meds: None

Current Illness: None

ID: 1024147
Sex: F
Age: 57
State: OR

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/11/2021
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: Clindamycin, opioids

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

Symptoms: Bilateral ankle swelling. Resolved in 72 hours after first shot.

Other Meds: Cortisone injection in knee day before .

Current Illness: No

ID: 1024148
Sex: F
Age: 32
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: Penicillin&family

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

Symptoms: Itching everywhere. Benadryl doesn't help. Skin is hardening everywhere on my body. Rash everywhere.

Other Meds: Imuran, plaquenil

Current Illness: Lupus sle

ID: 1024149
Sex: F
Age: 72
State: TN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
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: NKDA

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

Symptoms: Patient called and stated that she received her vaccine 2/8/21. She reports that night she went to sleep and woke up around 9:00PM with her heart racing. When she checked it her heart rate was 122. She states that it resolved within about 2 hours. She said the same thing happened the next night. She reports having multiple episodes of feeling like her heart is racing and beating out of her chest.

Other Meds: unknown

Current Illness: Unknown

ID: 1024150
Sex: M
Age: 70
State: NC

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Client did not receive full dose due to faulty syringe. Most of vaccine ran out around hub of needle and did not retract. syringe was a spring loaded retractable syringe.

Other Meds:

Current Illness:

ID: 1024151
Sex: M
Age: 73
State: FL

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Macrodantin, sulfa, amoxicillin, wool, Shea butter, lentils

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Acute exacerbation of Grovers disease

Other Meds: Effexor, vescicare, calcium plus vitamin D, vitamin C

Current Illness: Tetraplegia

ID: 1024152
Sex: M
Age: 43
State: NJ

Vax Date: 01/21/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
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

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

Symptoms: patient administered 5 days earlier than the date stated on the CDC guide line

Other Meds: none

Current Illness: none

ID: 1024153
Sex: F
Age: 84
State: ID

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: Seasonal allergies and receiving allergy injections

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

Symptoms: Developed itching on the 8th and the 9th she had a red rash that resembled hives but went from her neck to stomach.

Other Meds: Cardival, statin Vitamins Fish oil concentrate

Current Illness:

ID: 1024154
Sex: F
Age: 55
State: IL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Unevaluable event

Symptoms: There is no adverse event known thus far. Asked to enter as she verbalized she had the rabies vaccine (she is Animal Control) a week prior.

Other Meds: unknown

Current Illness: unknown

ID: 1024155
Sex: F
Age: 23
State: DC

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/11/2021
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: N/A

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

Symptoms: After being vaccinated and while waiting in the observation area, I began to feel hot and light headed. I fainted about 15 minutes after sitting down in the waiting area and upon fainting hit my head on the floor. I regained consciousness while laying on the floor getting my vitals taken by staff. Because of the minor head injury and proximity to getting the vaccine, I accepted being taken to the ER.

Other Meds: Blisovi Hormonal Birth Control Pill

Current Illness: N/A

ID: 1024156
Sex: F
Age: 59
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
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: 1/29/21. Severe muscle aches, fatigue and nausea starting 24 hours after 2nd dose of vaccine. Continuous nausea ever since. Poor appetite, nausea, fatigue and some dizziness. Loss of weight-unintentional. Working during day, waves of nausea. Taking meclezine at hs. Get off work at 6pm. Home by 6:30 pm. In bed by 7:30-8:00pm every night. UP at 5:30am-not feeling rested.

Other Meds: IBU=prn

Current Illness: None

Date Died: 01/29/2021

ID: 1024157
Sex: F
Age: 88
State: TX

Vax Date: 01/11/2021
Onset Date: 01/20/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: 7 days after receiving the vaccine, patient suffered excessive diarrhea and slight coughing. 9 days after vaccine, patient was tested for Covid 19, and received positive results. Patient was transported to hospital via ambulance but hospital returned her to the nursing home since chest was clear, no respiratory issues, and no fever. 10 days after receiving the vaccine, patient was turned over to hospice care but still in the nursing home. Hospice was called in to provide better physician advice and access 24/7. 14 days after receiving vaccine, patient began experiencing excruciating body aches, coughing, low oxygen levels, and no appetite. 18 days after vaccine, patient died.

Other Meds: Simvastatin, HCTZ, Sertraline, Donepezil, Fenofibrate, Vitamin D3, Vitamin B12, Zyrtec, 81mg Aspirin, Colace

Current Illness: Alzheimer's, Type II Diabetes

ID: 1024158
Sex: F
Age: 30
State: NV

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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:

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

Symptoms: Complain of Left side of throat "a little swollen". Medicated with Zyrtec 10 mg po, ,Prednisone 40 mg po, , Pepcid 20 mg po. Monitored for approximately 1.5 hours. felt better, advised to follow up with primary care physician as needed.

Other Meds:

Current Illness:

ID: 1024159
Sex: F
Age: 80
State: CA

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/11/2021
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: Penicillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Six to Seven days of moderate to severe body aches: back shoulders hips with heavy fatigue; loss of appetite and total exhaustion inhibiting ability to perform ADLs (generally very high functioning). Ibuprofen for several days and in bed for nearly a week and after that time symptoms improved. delayed response. only sore arm until about 72 hours. now, 14 days later near resolution of all symptoms.

Other Meds: Amlodipine 2.5 mg tabs; Aspirin 81 mg; Breathe Rite MDI Spacer; Breo Ellipta 100-25 mcg/dose disks w/ device; Hydrochlorothiazide 25 mg tabs; Levothyroxine 150 mcg tabs

Current Illness: None

ID: 1024160
Sex: F
Age: 30
State: MO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I began experiencing fatigue, body aches, and extreme soreness that began when I woke up the next morning after receiving the vaccine that lasted about 30 hours. I did not run a fever I did previously have Covid-19 on 11/6/20.

Other Meds: Lexapro Microgestin Singular

Current Illness: No.

ID: 1024161
Sex: F
Age: 68
State: OH

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: Woke up morning after vaccination with a black phlegm in the back of my throat. No phlegm in nose or lungs, just in throat. No other symptoms.

Other Meds: Had a cup of herbal tea on 2/10.

Current Illness: none

ID: 1024162
Sex: F
Age: 69
State: IL

Vax Date: 01/29/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: 6"x5" rash around injection site, swollen

Other Meds: 5 mg Lisinopril, women 50+ multivitamin, glucosamine HCI 1500mg MSM 1500 mg, 80 mg aspirin

Current Illness: none

ID: 1024163
Sex: F
Age: 88
State: MN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Injection site pain

Symptoms: About ? hour after the vaccination, the tip of my tongue felt bruised and a little while later it began to swell, I put ice on it for 2 hours and by the time I went to bed it was all gone. And I?ve not had any other problems with it.

Other Meds: Metoprolol and meds for cholesterol and vitamins

Current Illness: no

ID: 1024164
Sex: F
Age: 70
State: GA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: unusually high blood pressure was the main problem 177/99 slight headache slightly sore arm (not bad) general crappy feeling

Other Meds: simvastatin, carvedilol, montelukast, breo, baby asprin, multi vitamin, glucosamine condroitin

Current Illness: none

ID: 1024165
Sex: F
Age: 76
State: AZ

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
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: IVP Dye

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

Symptoms: slight headache, nausea, not being able to move-sit up, walk, muscle pain, joint pain extreme for one day then a tapering off for about 3 days, Took Tylenol 500mg 2 every 6 hrs for a few days, ONDANSETRON 4mg 1every 8 hrs as needed for nausea

Other Meds: Omeprazole, Nadolol, Atorvastatin, Hydroclorothazide, Caltrate, Airborne Original, Mometasone Furoate

Current Illness: Runny nose

ID: 1024166
Sex: F
Age: 82
State: FL

Vax Date: 01/27/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: Tremor

Symptoms: RED RASH ON LEFT ARM FROM VACCINATION SITE DOWN TO ELBOW. ITCHY STAYED FOR ABOUT 3 DAYS. STARTED ABOUT 2 WEEKS AFTER VACINATION

Other Meds: NONE

Current Illness: NONE

ID: 1024167
Sex: F
Age: 59
State: MN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Yes... many... My PCP typically provides with child dose prescriptions due to reactions.

Symptom List: Erythema, Pruritus

Symptoms: 7:00am- 1- 24 hr zyrtec & 2 tylenol 8:07 received shot 8:10 immediate intense shooting shocks through left arm down to fingertips... 8:30- shooting shocks through left arm and starting to throb down through hand ... shooting up through next and base of head 9:00am- random shocks throughout my whole body. shoulder pain. 10:30- shocks stopped somewhat, shoulder and arm still achy, extreme fatigue/weakness, fogginess, blurry vision 11:30- extreme fatigue/weakness, fogginess, kind of blurry vision, severe shaking rt hand, had to sit down. Needed to hang on to things to walk. 12:00pm- continued severe fatigue and brain fogginess & still minor blurry vision, and a few shooting shocks in arm, shoulder , neck, 1:00pm? still great fatigue/weak, body aches-more like shocks than aches Neck is especially sore? back of neck up through head 1:10pm- severe fatigue, eyes hurt, foggy vision and cannot focus? off and on? chest pain for a period of time 1:40pm- twinges through body, still extreme fatigue? fogginess, back of neck is super sore.. Shoulder is slightly sore? 2:00pm- shoulder sore, severe fatigue but other symptoms seem to be getting less?. 2:45pm- shocks in left arm? 4:00pm- went home from work? hard to drive and focus.. severe fogginess, disorientation, 4:20- laid on the couch? slept in between nausea, buzzing in my head, severe arm pain going down into my hand, random shocks throughout my body, could not focus, brain was fuzzy, random severe itching, neck pain, eye pain, extremely irritable, extremely thirsty, bad taste in my mouth, extremely cold, no fever, super sensitive to sound & touch, no appetite, trouble peeing, felt extremely dehydrated. Needed to hang on to things to walk. Fri, Feb 5 6:00am- next day? better, but still buzzing, ringing in my head, extremely exhausted & weak, arm pain radiating to hand, hard to focus, coughing, chest heaviness like an elephant sitting on it, sore, scratchy throat, drainage out of head but not stuffed up?, eyes hurt. Severe nausea & bloating, rt hand shaking badly, no appetite 9:30am- everything is a bit better, coughing & chest discomfort gone, still bad taste in my mouth, slight nausea, bloated, eyes hurt, extremely tired, entire arm sore, buzzing in my head?random twinges or jolts in my limbs? 11:00am- still super tired, still not peeing?... weird for me who pees every 2 hrs or so? Still really bloated? still buzzing in my head, 1:30pm- feeling better, no buzzing, no zinging, super tired and drinking a lot but not much peeing? 4:00pm- home and bed.. hard to sleep because of jolts though my body.. Sat, Feb 6 Normal body aches.. finally able to pee decently, arm and hand on shot side sore (this is my good hand side), shooting pain, and hand aching. Fatigue, This has continued into Monday.. arm and hand pain are off and on. Everything is getting better?

Other Meds: Shaklee brand multi vitamin, calcium, vitamin D

Current Illness: none

ID: 1024168
Sex: F
Age: 87
State: OR

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Cilostazol, Sucruafate.

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

Symptoms: She was fine the first day, on Wednesday she noticed her arm was red, and had difficulty breathing, but has COPD and used her medications. About 5:00 PM her mouth started watering and she got the drive heaves, and then about 15 minutes and then started having them bad. She laid down and after 15 minutes she could not breath, couldn't get any air. When she was able to get some air, her throat was sore and she was really hoarse. Later in the evening she laid down again and the breathing difficulty happened again and it was worse. She was scared to the point that she was afraid to lie down. She is fatigued. She finally fell asleep during the night and didn't sleep much and today is very tired. She called her doctor this morning, and talked to the nurse. They told her if it got worse to go to the ER. Told her to call the CDC.

Other Meds: Omeprazole, potassium, Metoprolol, Azethioprine, Diaresp, Levothyroxine, one a day multivitamin.

Current Illness: None.

ID: 1024169
Sex: M
Age: 17
State: PR

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: There are no adverse reaction, the reason of this report is because the patient is under age (17 years old) at the moment of vaccination.

Other Meds:

Current Illness:

ID: 1024170
Sex: F
Age: 0
State: IN

Vax Date: 01/05/1977
Onset Date: 02/07/2021
Rec V Date: 02/11/2021
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: 1st vaccine dose just a soar arm, went away in a couple days. 5 days after 2nd dose site is still red, raised (swollen) and feels like a rather large knot and itches . No other side effects, feel good besides reaction on arm site area.

Other Meds: Plaquenil, b12, D3, woman's multi vitamin

Current Illness: None

ID: 1024171
Sex: F
Age: 66
State: NC

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
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: Penicillin Sulfa

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

Symptoms: Fever 99-100 F for 7 days so far. Restlessness, fatigue.

Other Meds: Ambien 5mg prn Tramadol 25mg prn Acyclovir 400mg bid prn Vit C 1000mg qd Vit D3 5000mg qd Zinc 30mg qd Calc/Magnesium

Current Illness: Recurrent Herpes Zoster mild cases on right side of body. Had one small blister day of injection.

ID: 1024172
Sex: F
Age: 29
State: NJ

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
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: N/A

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

Symptoms: Intermittent dizziness/vertigo for week following shot, mild to moderate, moderate vertigo accompanied with mild nausea, unable to perform normal tasks during dizzy spells. Symptoms lessened with rest but not food, water. No history of vertigo.

Other Meds: Multi-vitamin, ibuprofen

Current Illness: N/A

ID: 1024173
Sex: F
Age: 34
State: MI

Vax Date: 01/22/2021
Onset Date: 01/27/2021
Rec V Date: 02/11/2021
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 known

Symptom List: Pain in extremity

Symptoms: Swollen lymph node in left armpit

Other Meds: Nature Made Cranberry Extract Nature Made B-Complex Nature Made D3

Current Illness: None

ID: 1024174
Sex: F
Age: 51
State: ID

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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 Known allergies

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

Symptoms: nausea, vomiting, dizziness, lightheadedness, headache, feeling of heart palpitations with associated shortness of breath IV ondansetron, IV bolus normal saline ED visit for > 5 hrs.

Other Meds: diclofenac topical

Current Illness: head cold 1 week prior

ID: 1024175
Sex: F
Age: 93
State: MD

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: NKA

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

Symptoms: Patient felt dizzy, lightheaded and fell. She reported that she could have "passed out" she lives alone. She remembers getting up off the floor.

Other Meds: Amlodipine Besylate Furosemide

Current Illness: no known injury

ID: 1024176
Sex: F
Age: 41
State: MD

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/11/2021
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: Mangos, seasonal,

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

Symptoms: First dose the needle broke.... seemed like none went in. Second try successful administration. Headache, minor, immediate. Three days later a rash began on upper body and progressed to entire body. Thick, very itchy. No respiratory response. Treated with Claritin, Benadryl, hydrocortisone and oat baths. Lasted 9 days.

Other Meds: Claritin, multi vitamin

Current Illness: No

ID: 1024178
Sex: F
Age: 24
State: MS

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: Patient was given second dose. 30 minutes later she sat down on a couch and was breathing short and shallow. She was not responsive and mildly shaking. I gave her an Epipen shot and in less than a minute she was a wake and feeling much better. She drank some water. 911 was not called because her mother was a nurse and was nearby. She came and picked her up and took her to a doctor. I checked on the patient this afternoon and she is feeling fine other than feeling tired. She has a medical history of weight loss surgery and not dieting properly. The administrator of the home said she has a history of not feeling well and almost fainting from not eating properly after her weight loss surgery.

Other Meds: none

Current Illness: none

ID: 1024179
Sex: F
Age: 36
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: NKDA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Sore arm at injection site, tiredness, nausea, achiness

Other Meds: Celexa- 40 mg, po, daily Valtrex- 500 mg, po, daily Risperdone- 0.5 mg, po, bedtime Liletta- IUD

Current Illness: None

ID: 1024180
Sex: F
Age: 49
State: VA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: N/A

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

Symptoms: Severe headache, body aches, extreme fatigue, chills, sweats., dizziness.

Other Meds: Topamax, Xzyal, Allocate, Vyvanse, Tumeric, Vitamins C &E, Zinc, multivitamin, probiotics, cod liver oil.

Current Illness: Broken toe.

ID: 1024181
Sex: M
Age: 83
State: CO

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/11/2021
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: Fentanyl, doxycycline

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient was present at our Moderna vaccine clinic at his Assisted Living Residence where he resides. He did not tell us that he had obtained a Pfizer vaccine previously. We gave him Moderna vaccine on 2/2/21. We received a call from staff at the community days later who reported that the patient had received Pfizer dose #1 on 1/18/21. No side effects or unusual events have been reported at this time.

Other Meds: Unknown

Current Illness: COVID+ approximately 12/27/20

ID: 1024182
Sex: F
Age: 75
State: TN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
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: Approximately 35 red spots about 1/4 inch each with a pinhead sized head appeared across stomach and reaching around to back on right and left sides of trunk. Spots were observed at bedtime, Not sure when they first appeared. No itching. Roof of mouth and gums were sore later in the night and mild headache occurred. Spots started disappearing on their own over the course of a week.

Other Meds:

Current Illness:

ID: 1024183
Sex: M
Age: 49
State: KY

Vax Date: 01/20/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: ceclor

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

Symptoms: patient test positive for covid 2-10-21 after exposure asymptomatic

Other Meds: Vidalista,protonix,klonopin,paxil

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm