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: 1027127
Sex: F
Age: 66
State:

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Intense Shivering, teeth chattering, 102.8 fever, fatigue, and headache all lasted for a day and a half, then third day everything subsided and I felt great.

Other Meds: Turmeric, Omega 3 Fish Oil, Organic Multi-Vitamin, Probiotic, Astragalus, Vitamin D3, 81mg aspirin, Magnesium. Green, Ginger, Camomile Teas.

Current Illness: None

ID: 1027128
Sex: F
Age: 45
State: WY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: ERYTHROMYCIN

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient came in and got her first dose of the Pfizer COVID vaccine at 1515. Patient stated she had no allergies and no issues with vaccines in the past. Patient received the vaccine in the right deltoid, IM. Patient tolerated procedure well. Patient walked to main lobby to wait for her 15 min observation time by a staff member. Approximately 5 minutes after receiving the vaccine the patient approached the staff member observing patients that are in their observation window and stated ?something doesn?t feel right?. At this time the staff member called for a nurse to the lobby. When I got to the lobby and asked the patient what was going on she stated ?that she feels weird in her entire body?. I asked the patient if she was able to walk and took her back to the clinic to an exam room. Once in the exam room the patient stated that she ?just feels weird and that her heart is racing?. The patient started to get red blotchy spots on her shoulders. The patient stated that she was having no trouble breathing and did not feel like her throat or tongue was swelling. The patient?s blood pressure was 190/100, HR 89 and oxygen saturation was 98%. I gave the patient 50 mg of Benadryl PO. Patient stated she was only allergic to erythromycin and takes sertraline and vitamins as her only medications. I had the patient lay down as she felt a little dizzy. The patient was breathing heavily but was not having any trouble with SOB at this time, she called her husband to come join her. The patient continued to feel the same symptoms but they were not worsening. Approximately 5 minutes later her blood pressure had decreased to 170/94. The patient stated that she was feeling the same. 20 minutes after the patient took the Benadryl her red blotchy spots had decreased and she was starting ?to feel better overall?. The patients husband stated that he would watch her tonight and continue to monitor for symptoms. I recommended that she go in and be evaluated if her symptoms persist. The patients blood pressure 30 minutes after taking Benadryl was 140/94, pulse 73, oxygen 97%. The patient left with her husband with the understanding that if her symptoms get worse or persist to go in and be seen.

Other Meds: SERTRALINE AND VITAMINS

Current Illness: NONE

ID: 1027129
Sex: M
Age: 27
State: NV

Vax Date: 01/15/2021
Onset Date: 01/30/2021
Rec V Date: 02/12/2021
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: Allergic to Minocycline

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

Symptoms: Bell's Palsy

Other Meds: None

Current Illness: None

ID: 1027130
Sex: M
Age: 42
State: UT

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: None Known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Ankle started tightening up Wed evening. When I woke up on Thursday it was swollen and painful, unable to weightbear or dorsiflex due to pain. Appears to be an acute tendonitis of right flexor hallucis longus tendon. I was on crutches for a week before being able to wean off of crutches and return to walking normally.

Other Meds: Calcium, VitD, Zinc supplement. fish oil supplement, Vit C supplement

Current Illness: None

ID: 1027131
Sex: F
Age: 55
State: WI

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: On the third day after my injection - my blood sugar readings were extremely high- several hours over 350 which is extremely unusual for me. I only ate tomato soup for supper that night and ended up taking 14 units of insulin before my levels would fall. I?m wondering if this could have been a reaction? I did have to get a second injection of this second dose is when I got the first one a whole bunch ran down the outside of my arm. The nurse said the hub was not tight and the pharmacist and an infectious disease dr strongly suggested I gay another full dose because we don?t think much if any of the first one actually got into my arm.

Other Meds: Insulin - Novolog and Lantus Lisinopril Hyrdochlorot Rosuvastatin

Current Illness: None

ID: 1027132
Sex: F
Age: 35
State: OR

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/12/2021
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: NKDA

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

Symptoms: About 2 hours after vaccine administration patient developed nausea, vomiting, headache, chills, fever, body aches, and sore arm.

Other Meds:

Current Illness:

ID: 1027133
Sex: F
Age: 67
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
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: Tenderness, itching, redness, swelling. Itching & a 10 centimeters lump still present after 9 days

Other Meds: Rousvastatin, Remeron

Current Illness: None

ID: 1027134
Sex: F
Age: 75
State: GA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: At 10:54am pt reports feeling "whoozy", light headed and having a dry throat. Patient states throat feels funny. Denies all other symptoms. Patient supine vitals every 5 minutes. At 10:57 patient declines diphenhydramine. Patient states she is fasting and is carrying glucose tablets and in case her blood sugar gets low. Patient takes one glucose tablet and states she feels better. Finger stick blood glucose 109 mg/dl. At 11:20am patient reports she does not feel dizzy, but her throat still feels funny and agrees to take one capsule Diphenhydramine 25mg po. Continue to monitor patient. At 12:00pm patient states she feels well and is ready to leave, she walks out of clinic.

Other Meds: DILANTIN, SYNTHROID, LANSOPROSOL

Current Illness:

ID: 1027135
Sex: F
Age: 68
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt received vaccine @ 2:50 PM. Pt reported feeling dizzy, hot and sweaty. Pt has a history of anxiety/ fainting when dealing with needle sticks. VS 122/80 HR: 72 O2: 94. Patient later reported feeling back to normal. Pt denied feeling dizzy, hot , and sweaty. Pt was d/c home with her husband.

Other Meds: Paxil, atorvastatin

Current Illness: None

ID: 1027136
Sex: M
Age: 48
State: NY

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Day following vaccine injection, reported elevated temperate of greater than 100, no appetite, this resolved without treatment

Other Meds:

Current Illness:

ID: 1027137
Sex: F
Age: 44
State: MD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Zithromax, gluten

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

Symptoms: About 6 hours after vaccine, stomach became upset and have increasing abdominal pain, nausea since vaccine was administered. Pain is intermittent, always a low grade raw, gnawing feeling in epigastric area as well as umbilical area of abdomen.

Other Meds: Multivitamin

Current Illness: None

ID: 1027138
Sex: F
Age: 65
State: CA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/12/2021
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: Lactose intolerant, allergic to Cipro and Macrobid.

Symptom List: Rash, Urticaria

Symptoms: What I thought were 2 mosquito bites on my right elbow turned into 5 or 6 just a few hours later, all around my elbow. Very itchy. Next day I had 5 or 6 same looking welts on my left elbow and one on my right hand knuckle. Although this one has stopped itching, it left a red callous looking mark the size of a dime. Next day after shower I had one on left hand finger knuckle and then 3 more on my left hand all on finger knuckles. All very itchy. I reported to my Dr. who said it appeared to be bug bites. I reported in again when I got them on my hands. He prescribed Atarax which I started taking on 2/8/21. The welts seem to have stopped appearing but the ones on my left elbow continue to itch and spread. I have a hard time believing that bugs would only bite me on my joints. Nothing on my legs or feet. I suggested a reaction to my Covid vaccine to the PA answering my messages and he said he did not think so.

Other Meds: Trazodone 100mg, baby aspirin, vitamin C, vitamin D, Multi-vitamin.

Current Illness: None.

ID: 1027139
Sex: F
Age: 23
State:

Vax Date: 01/23/2021
Onset Date: 01/26/2021
Rec V Date: 02/12/2021
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 allergies

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

Symptoms: got the vaccine on Saturday 1/23/2021, started itching on Tuesday, Wednesday night, hives started showing all over my body. Went to urgent care, took some prednisone 50 mg. the next day, Thursday was worst. Had to go to the ER to get it looked at. prescribed me Benadryl and famotidine. went away that night. It was super itchy. I was worried I was going to have a anaphylactic shock.

Other Meds: no prescriptions

Current Illness:

ID: 1027140
Sex: F
Age: 21
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: Patient developed focal left sided facial tingling for approx 1.5 hours following vaccine administration. No other associated symptoms. Tingling self resolved.

Other Meds: None

Current Illness: None

Date Died: 02/12/2021

ID: 1027141
Sex: M
Age: 79
State: OR

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/12/2021
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: NKDA

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

Symptoms: The patient reported feeling well. I discussed with him the Covid-19 vaccine and he was able to state that he wanted it and to sign his consent form. The facility reported they had discussed this with him and he had agreed prior to my visit.

Other Meds: Acidophilus Capsule BID, Metamucil (Generic) 1 packet/day, Metformin HCL 500 Generic BID, Omeprazole 20 mg Daily, Potassium Cloride ER 20 MEQ tablet PO daily with breakfast, Prenatal Vitamin plus low iron daily with breakfast, Tamsulosin Hc

Current Illness: None, Last prior illness was November 2020 he had Cdiff and was at Hospital but per facility the patient was fully recovered from this.

ID: 1027142
Sex: F
Age: 41
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Bee sting

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

Symptoms: I started having a sensation of scratching in the mouth; took Benadryl; Next day I started having fever up to 100.4, body aches, back pain and a cough! second day after vaccination I was still having a dry COUGH, then I developed SHORTNESS of BREATH for at least 3 hours, and felt tightness around chest and back; took Benadryl again .It helped. Third day the cough persists, the breathing improved a bit but still there is tightness in chest.

Other Meds: Escitalopram 5 mg daily, after second vaccination dose started taking Benadryl 3-4 days in a row

Current Illness:

ID: 1027144
Sex: F
Age: 20
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/12/2021
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: Zithromax

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

Symptoms: 930 AM shot. Symptoms at 11. body aches, fever, chills, miserable

Other Meds: Singulair, Fasenra, Breo Ellipta, Spiriva, Lo Loestrin

Current Illness:

ID: 1027145
Sex: F
Age: 35
State: MT

Vax Date: 12/23/2020
Onset Date: 01/07/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Petechiae around the injection site - not left arm, down the left arm and up your chest, neck and torso. Tiny blood spots - pinpoint red blood spots that indicate that blood is leaking out of capillaries It continued to get worse before it resolved. It lasted for about 48 hours. I was concerned for my safety and they told me to go to ED. They told me to watch it and if it started to bleed to come back.

Other Meds: no

Current Illness: no

ID: 1027146
Sex: F
Age: 75
State: NV

Vax Date: 02/01/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: pollen, garlic, Percocet, medicine for acid reflux

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Itching this morning, rash at the injection site

Other Meds: no

Current Illness: no

ID: 1027147
Sex: F
Age: 55
State: CA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: -- Co-Trimoxazole -- Adverse Drug Reaction -- Not specified -- Ibuprofen -- Adverse Drug Reaction -- Not specified -- Lisinopril -- Adverse Drug Reaction -- Not specified -- Prednisone -- Adverse Drug Reaction -- Not specified -- Sulfa (Sulfonamide Antibiotics) -- Trimethoprim

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

Symptoms: Nausea vomiting

Other Meds: Bisoprolol (ZEBETA) 5 mg Oral Tab, Take 1 tablet by mouth daily hydroCHLOROthiazide 12.5 mg Oral Tab, Take 1 tablet by mouth daily Losartan (COZAAR) 100 mg Oral Tab, Take 1 tablet by mouth daily amLODIPine (NORVASC) 5 mg Oral Tab, Take 1 ta

Current Illness:

ID: 1027148
Sex: F
Age: 0
State: CA

Vax Date: 12/01/2015
Onset Date: 12/01/2015
Rec V Date: 02/12/2021
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: dairy, gluten, fish, sesame seeds, nuts

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

Symptoms: severe, horrible eczema. tons of food allergies emerging afterwards.

Other Meds: none

Current Illness:

ID: 1027149
Sex: F
Age: 65
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Dairy, sulfa drugs and penicillin

Symptom List: Unevaluable event

Symptoms: Patient complains of headache (pain- 3/10) and mild dizziness @ 1540. Patient states that she is asthmatic and chronically hypertensive. Confirms that she has eaten today and taken her medications as prescribed. RN notes that patient is donning a N-95 mask under a three-ply cloth mask. Instructed to remove outer cloth mask and educated on proper use of N-95. RN offers oral hydration, continues to assess and monitor. At 1550 patient states that dizziness has resolved. At 1600 she states that she is feeling better and would like to go home. RN advises patient to seek medical attention for any escalation of symptoms, and to call 911 with any emergent issues. Verbalizes understanding. Ambulates from facility alone 1605. Initial vitals @ 1540: HR 92, BP 136/95, SpO2 97 Repeat vitals @1603 HR 88, BP 140/94, SpO2 99 Recorded by RN

Other Meds: Albuterol PRN, Hypertensive medication Qday- patient couldn't remember the name

Current Illness: Asthma and hypertension

ID: 1027150
Sex: F
Age: 72
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I experienced flu-like symptoms with a slight headache and body aches for about 24 hours.

Other Meds:

Current Illness:

ID: 1027151
Sex: F
Age: 72
State: FL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: antihistamines, barbiturates, bee pollen, camphor, glycine, iodinated contrast media, iodine and iodine containing products, imovax rabies vaccine, lysine, methionine analogues, MYRRH, opioids, RabAvert, salicylates, xanthines

Symptom List: Injection site pain, Pain

Symptoms: shortness of breath, tingling feeling, "went into shock"

Other Meds: unknown

Current Illness: unknown

ID: 1027152
Sex: F
Age: 47
State: PA

Vax Date: 01/27/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: Injection site pain, Menorrhagia

Symptoms: patient stated that a rash appeared around the injection site on 2/12/2021 - rash is red and itchy

Other Meds:

Current Illness:

ID: 1027153
Sex: F
Age: 64
State: IL

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Toradol, vicodin

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

Symptoms: Pain, swelling and heat at injection site, severe runny nose, sneezing, coughing, sore throat

Other Meds: Cymbalta, Hydroxyzine, B-12, Klonidine, Levothoraxazine

Current Illness:

ID: 1027154
Sex: F
Age: 54
State: PA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: There was slight redness and swelling the first evening that spread to a larger area within 24 hours. By 48 hours swelling has spread to a 5? diameter circle. Read, swollen, hot and itchy.

Other Meds: None

Current Illness: None

ID: 1027155
Sex: F
Age: 79
State: GA

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: ibuprophin, environmental

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: red rash and swelling at injection site. increased redness and swelling when became heated after exercise

Other Meds: biotin 10000 mcg, citracal+D3 maximumplus, levothyroxin 75 mcg, CoQ10, livalo 2 mg, baby aspirin, tylenol, gas x

Current Illness: none

ID: 1027157
Sex: F
Age: 44
State: AL

Vax Date: 01/31/2021
Onset Date: 02/05/2021
Rec V Date: 02/12/2021
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: 1. Penicillin 2. Blackberries 3. Cats

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

Symptoms: Severe redness, rash, swelling, headache, nausea, muscle weakness and aches, joint pain, shakes

Other Meds: Premarin 0.625mg 1TPOQD

Current Illness: None

Date Died: 02/12/2021

ID: 1027158
Sex: F
Age: 95
State: CA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea

Symptoms: death. Per son pt was not feeling well after the vaccination "like her legs were weak." Son found the mom in her bed 1am on 2/12/2021 unresponsive.

Other Meds: acetaminophen 500 mg oral tablet, 500 mg= 1 tabs, Oral, TID, 1 refills ammonium lactate 12% topical lotion, 1 app, Topical, BID, 2 refills calcium (as carbonate)-vitamin D 600 mg-400 intl units oral tablet, 1 tabs, Oral, BID, 4 refills C

Current Illness: CKD-4 Dementia Incontinence of stool Insomnia Skin breakdown right gluteus

ID: 1027159
Sex: F
Age: 62
State: MO

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa, Levequin , IV Dye

Symptom List: Injection site pain

Symptoms: I received the first dose of the Moderna COVID vaccine in my right arm on on Wednesday, February 3, 2021. Eight days post-vaccination, my arm began itching at the injection site. It felt hot with a ?cyst-like? structure beneath the skin. The area around the injection was red and raised in about a four inch diameter circle. Today, the itching continues, there is still a hard area beneath the skin, and the red , raised area is now ten inches in diameter. There are no other symptoms.

Other Meds: None

Current Illness: None

ID: 1027160
Sex: F
Age: 27
State: MA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Large amount of Bleeding at time of injection. Enough to spill all over the floor and my arm and clothing. Rhen i had a severe rash weeping snd bleeding and red and bruised face and neck. Itching and hard to breathe as well as pain all over Face where rash is scabbing and oozing.

Other Meds: None

Current Illness: None

ID: 1027161
Sex: F
Age: 59
State: OR

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Erythromycin, Amlodipine Besylate, Pravastatin, Rosuvastatin, Zyrtec, Sulfa, Pollen

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

Symptoms: Patient developed body aches and joint pains about 24 hours after administration. She developed pain in the opposite arm as if her nerves were on the outside. Patient had lymph involvement.

Other Meds: Probiotic, Flonase, magnesiu, calcium, zinc, vitamin-D, tums, Alka-Seltzer, meclizine, beclomethasone, ventolin

Current Illness:

ID: 1027162
Sex: F
Age: 69
State: MA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/12/2021
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: Persistent left arm pain severity right now 2\10 on pain scale, pain max 8/10; lump at injection site day of vaccination, intermittent chills Lump resolved by 2/10/21 Scheduled for dose #2 on 2/18/21

Other Meds:

Current Illness:

ID: 1027163
Sex: F
Age: 73
State: NY

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Vaccine injection site Cellulitis; diagnosed at Urgent Care, area red, warm, tender, entire arm swollen with open and fluid filled blisters noted; prescribed a course of oral antibiotics, to keep blistered areas clean and covered and recommended not receiving 2nd COVID vaccination.

Other Meds:

Current Illness:

ID: 1027164
Sex: F
Age: 68
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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:

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

Symptoms: Arm sore as expected after injection. First vaccine only sore arm. Second dose on 2/11/20 very sore arm then around 1:30am i woke up with chills a fever of 100 and body aches which continued all day on 2/12/21. I still feel kind of blah but nothing I can?t handle at this time.

Other Meds:

Current Illness:

ID: 1027165
Sex: M
Age: 48
State: CA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: low grade fever headache eyes were warm breath is warm lethargic

Other Meds:

Current Illness:

ID: 1027166
Sex: F
Age: 63
State: PA

Vax Date: 01/18/2021
Onset Date: 01/22/2021
Rec V Date: 02/12/2021
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: Latex

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Itchy, hard bump

Other Meds: Lasix Spirinolactone B-12 D3 Magnesium oxide

Current Illness: None

ID: 1027167
Sex: F
Age: 77
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: Patient felt light headed x 1 hour. drank H2O and laid down and resolved. Declined ED evaluation. All vitals within normal limits. #21. d/c home with instructions to return if new symptoms or old recurred.

Other Meds:

Current Illness:

ID: 1027168
Sex: M
Age: 34
State: MN

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: No known allergies

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

Symptoms: Patient said he started to feel light headed, then tingling in all extremities, also had a sense of panic/anxiety - he said "it came in waves" His ears and neck were flushed - he complained of a dry mouth He said we felt hot and cold He had no shortness of breath or chest heaviness, his O2 sats remained at 97-98% 10:25 AM BP 179/105 Pulse 90 O2 sat 98% 10:35 AM BP 169/102 Pulse 94 O2 sat 97% 10:45 AM BP 180/104 Pulse 84 O2 sat 97% Clinic is attached so the provider did come to see Patient Observed until 11:15 AM - his wife arrived to give him a ride home Provided a BP monitor and pulse oximeter to monitor at home - Planned to take OTC benadryl at home To follow up with provider at clinic to review reaction Called Patient at home at 2:45 PM and says he is feeling better but very tired - Has taken benadryl twice

Other Meds: No prescription medications

Current Illness: none known

ID: 1027169
Sex: F
Age: 23
State: MN

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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 known allergies

Symptom List: Pain in extremity

Symptoms: Patient passed out and fell to the floor. She was very dizzy and nauseous. She may have also hit her head on the floor when she fell. She stayed laying down until she felt better and then sat up. She said her neck also her, and she used an ice pack. A nurse was with me, helping with paper work and she helped to monitor her. Patient called a friend to take her home once she was feeling better so she wasn't left alone.

Other Meds: none

Current Illness: none

ID: 1027170
Sex: M
Age: 37
State: MD

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Left arm muscle pain on movement Fever 102 degree Body aches Headache like hangover

Other Meds: NA

Current Illness: NA

ID: 1027171
Sex: F
Age: 66
State: IA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/12/2021
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: Unknown - however patient reports having a reaction after a pneumonia shot once. Patient stated her arm "got really big."

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

Symptoms: At 4:55, patient received a COVID-19 Pfizer vaccine. At the time of administration patient expressed she had experienced a previous reaction to a pneumonia vaccination (unknown time frame) and that she did not like to receive shots. She requested that the person administering the vaccine count down before giving shot. Patient appeared nervous and was breathing heavily before she received her vaccine. Patient was instructed to sit and wait 15 mins. after vaccine administration in case of an adverse reaction. At time of check-out from the pharmacy (15 mins. after vaccination), patient expressed to pharmacy intern that she felt a "little dizzy" and that she had experienced "slurred speech" immediately after having received the vaccine, however had not communicated this to pharmacy staff. Pharmacy intern immediately took patients blood pressure and it was 176/99 mmHg and 162/101 mmHg during first two blood pressure checks. The pharmacy staff requested patient to remain within the pharmacy premises so that she could be monitored for more time. She then was checked every 5-10 minutes for approximately 2 hours. During this time, she described vision changes, dizziness, and a strange "fogginess" around her head. Additional blood pressure monitoring was conducted for results of 158/100 mmHg and 195/100 mmHg. Pharmacy Manager discussed options with patient, including having her go to an Urgent Care facility or calling 911, so that paramedics could assess her. patient expressed she wanted to be taken to the hospital, therefore intern called 911. Paramedics arrived shortly after and determined patient had not experienced a stroke. Her neurological exam was negative. Paramedics stated that patient was most likely experiencing an allergic reaction. The paramedics then proceeded to take patient to the hospital at her request around 7:00 PM. Multiple pharmacists and pharmacy interns spoke with her during this time frame of ~2-2.5 hours, took her blood pressure, and assessed her condition.

Other Meds: Unknown

Current Illness: Unknown

ID: 1027172
Sex: F
Age: 26
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/12/2021
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: Moderna COVID?19 Vaccine I experienced a low fever, chills, shakiness, muscle aches, insomnia, nausua, extreme fatigue, and pain/swelling at injection site. All symptoms were unrelieved by tylenol and ibuprofen. Symptoms began about 10hrs after vaccine administration and persisted for 24hrs. Headache lasted for about 48hrs.

Other Meds: birth control: mono-linyah, tylenol, and ibuprofen

Current Illness: none

ID: 1027173
Sex: F
Age: 69
State: MD

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
Hospital:

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

Lab Data:

Allergies: None known. Slight itchiness with melon.

Symptom List: Vomiting

Symptoms: Numbness on face and lips left side. Strong metallic taste in mouth. Immediate swelling injection site and in arm pit of left arm. Stiffness in right leg, left arm. Brief Pain (as heartburn but sharper) in center chest Stiffness in neck.

Other Meds: Baby aspirin, vitamin D, 10 mg Bystolic, 20 mg Zoloft, 40 mg

Current Illness: I have an arrhythmia and coronary artery disease. No recent virus or illness

ID: 1027174
Sex: F
Age: 50
State: KY

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Codeine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red rash/hives at injection spot . Hot and itchy

Other Meds: Saxenda, melatonin

Current Illness:

ID: 1027175
Sex: M
Age: 24
State: PA

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

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

Lab Data:

Allergies:

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

Symptoms: Herpes gladiatorum outbreak. Had not had an outbreak since initial outbreak/diagnosis in 2015. Outbreak began 2.5 weeks after first shot.

Other Meds:

Current Illness:

ID: 1027176
Sex: F
Age: 65
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/12/2021
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: Penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Felt hot and didn?t feel very well 2 hours after shot. The next day around 11:00 am I had a slight headaches About 5:00 I took my temperature it was 100. 3 my head start hurting worst, started having chills so I went o bed. Woke up at 12:30 am my temperature was 101.1, I called the hospital, no advice was given, they act unconcerned. I took another Tylenol and went back to sleep praying I would wake up. This morning I woke at 8 feeling normal.

Other Meds: Vitamin D3 5000 mg Vitamin C Multiple vitamin women over 50 Doterra life and vitality vitaminee

Current Illness: None

ID: 1027177
Sex: F
Age: 45
State: NY

Vax Date: 12/31/2020
Onset Date: 01/09/2021
Rec V Date: 02/12/2021
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: Vaccine injection site cellulitis; Was diagnosed in ER, arm red/warm/swollen and painful; treated with course of oral antibiotics.

Other Meds:

Current Illness:

ID: 1027178
Sex: F
Age: 31
State: IA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/12/2021
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: Raglan, Compazine, IV iron, Phinnergrin, codeine, topeamate

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

Symptoms: Very sick to my stomach vomiting some started @6:30pm. My right arm is very sore. Headache started @ 10am today

Other Meds: Quitiapine 450mg, Wellbutrin 200mg, linzess 290mcg, Level thyroxine 125mg, vitamin B complex, vitamin D

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm