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: 1031980
Sex: F
Age: 53
State: IA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
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: About 2.5 hours after receiving the shot I started feeling achy and flu-ish, with a slight fever, about 100.2 degrees. I was extremely tired and felt worn out and went to bed early. Was fine by morning.

Other Meds: Fluoxetine, levothyroxine, probiotics, garcinia cambogia

Current Illness: A bit of nasal congestion at time of vaccination

ID: 1031981
Sex: F
Age: 75
State: FL

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
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: Penicillin Aspirin Sulfa Aspartame

Symptom List: Anxiety, Dyspnoea

Symptoms: Flu-like symptoms with headache, fever, chills, dry cough and extreme fatigue lasting 36 hours. Symptoms started Thursday, 2/11/21 in afternoon and lasted through Saturday morning, 2/13/21.

Other Meds: Nitrofurantoin Mono_MCR 100 mg Omeprazole 20 mg Lisinopril 20 mg Oxybutynin CL ER 10 mg Prasugrel 10 mg Atorvastatin 40 mg Calcium 1000 (2/day) Pure O.N.E. Multi-vitamins Omega B-Complex D-3 5000 Viviscal Zinc Glycinate Lipsomal Glutathio

Current Illness: Suspected UTI

ID: 1031983
Sex: F
Age: 29
State: MD

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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: None

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

Symptoms: Erythema, warmth to injection site starting on 2/12/21 (the day after the injection). Patient circled the area and monitored. On 2/15, pt noticed the area of erythema had spread slightly beyond the marked area, but without worsening pain, no fevers, no chills. + 9cm area of erythema with slight edema, warmth; no induration. Pt feels well overall. Given that this is a known reaction to the vaccine, pt was told to monitor the area; a new line was drawn around the erythema; plan to treat for cellulitis only if the area continues to worsen, or does not improve in the next 2-3 days.

Other Meds: None

Current Illness: None

ID: 1031985
Sex: F
Age: 64
State:

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Back pain

Other Meds: None

Current Illness: None

ID: 1031986
Sex: F
Age: 30
State: NC

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Propolis- bee glue.

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

Symptoms: Starting January 6th started having itching on my upper L eyelid. The itching/pain progressed despite warm compresses multiple times a day. The morning of January 8th had swelling and redness in upper eyelid which then lead to some extremely mild ptosis and inability to fully open eyelid. I got concerned at work on the 8th because of the pain due to the swelling of the eyelid. I was able to be seen by my eye doctor the afternoon the 8th . He prescribed me topical steroid (Desonide). Personally I felt like it felt different than a stye. He reported he didn't feel any bleb or any raised lesion that he felt was suspicious for a stye. I hadn't used any new products/soaps or makeup on that one eyelid. Of note, I did fine for the second vaccine.

Other Meds: IUD in place Vitamin D- 2000 IU daily

Current Illness: None. Healthy, no recent viral illnesses or any issues.

ID: 1031987
Sex: F
Age: 67
State: TX

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
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: Tylenol

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

Symptoms: I have a red rash under my breast area, on the side of my breast and right under my rib cage, navel and at shot sight.

Other Meds:

Current Illness: None at the time of the vaccination but I had chills, fever, and aches the day after the vaccine.

ID: 1031988
Sex: F
Age: 73
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: vomiting, nausea, headache, fever, chills, fatigue

Other Meds: lipitar ibandronate ginger multi-vitamin

Current Illness: none

ID: 1031989
Sex: M
Age: 29
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: Pharyngeal swelling

Symptoms: Headache, body ache, fever, chills

Other Meds:

Current Illness:

ID: 1031990
Sex: F
Age: 67
State: CA

Vax Date: 02/10/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Ampicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I had no adverse reactions the first three days after receiving the Pfizer COVID-19 vaccination (first dose), except for a sore arm. On day four at 3pm in the afternoon I broke out in a rash in between and under my breasts, which I treated with Clobetasol cream, and the rash got better. At 3 am in the morning I broke out in severe hives (welts) on both sides of my abdomen (more pronounced on my left side), under my abdomen and in my groin area. Those areas were very red, raised, itchy and warm to touch. I did not experience any shortness of breath, swelling of face or throat, or fast heart rate. There were no changes in my diet, medications, laundry detergent, or bath soap. I took Benadryl (25 mg) at 3 am and again at 4 am because there was not much improvement. At 9 am that morning the hives were still present but less red and raised, and not itchy. I took another Benadryl (25 mg) in the afternoon because the hives had not completely vanished.

Other Meds: Losartan (100mg) 1 daily, Colace (100mg) 1 daily, Probiotic 10 1 daily Alleve, Motrin, Tylenol as needed

Current Illness: None

ID: 1031991
Sex: M
Age: 88
State: CA

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
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: Pfizer-BIONTECH COVID 19 VACINE EUA 1. MUSCLE PAIN MAKES IT DIFFICULT TO MOVE AROUND 2. JOINT PAIN IN KNEES AND HIPS causes slip and fall issues

Other Meds: multi vityamin, losartin, simistatin

Current Illness: COPD

ID: 1031992
Sex: F
Age: 64
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
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: Pt. c/o nausea and being shaky. Pt was taken to observation room for assessment. Pt stated that last well visit was in November which Doctor Lower doses of some meds. Pt ate some peanut cracker and had some water and started feeling better. BP 160/90, Pt was escorted to her car and SPO2 98%. Pt texted my Supervisor stating she made home just fine.

Other Meds: metformin, lisinopril, albuterol, simbicourt

Current Illness: None

Date Died: 02/13/2021

ID: 1031993
Sex: M
Age: 89
State: MN

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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: KNDA or other allergies listed

Symptom List: Rash, Urticaria

Symptoms: Patient reported mild flu like symptoms from vaccination later that evening. Next morning LTCF staff found pt deceased

Other Meds: Unkown

Current Illness:

ID: 1031994
Sex: F
Age: 50
State: MT

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

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

Lab Data:

Allergies: Shellfish allergy and allergy to Amoxicillan

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

Symptoms: Moderna vaccine given at 1156 DOB 03/01/1970 IM to R deltoid. Lot number 015M20A, exp 7/29/2021. Pt had allergies to shellfish and amoxicillin (stating hives and anaphylaxis). Pt started itching at 1215 so sat by pt and monitored pt closely as she wasn?t sure if she was just being nervous. Pt was itching by her mouth under her mask and behind right ear. I couldn?t see anything that looked like rash or hives. At 1218 I noticed her R ear was now swollen and red. Pt continued to c/o of itching and states it has now progressed to her feet. She called the ambulance while this nurse gave 0.5mg SQ epinephrine L upper arm. VS: BP 140/82, HR 101, RR 20, 99% RA. Pt breathing easy and regular with no issues with airway. Pt states itching much better and was gone from her feet within a few seconds of giving the epinephrine. Pt questioning if she really needs to go by ambulance. This nurse did encourage going by ambulance as if anything happened that patient went unconscious on the way to the hospital that the ambulance staff could keep her safe by giving her more medications. 1223: Assisted patient by w/c to cot to lie down as she was feeling shaky from epinephrine. This nurse staying with pt at all times while waiting for ambulance. Pt called husband and is talking to this nurse throughout this situation. Pt breathing easy and regular. 1230: Pt states itching better, and redness on R ear is getting better. Husband has arrived to be with pt and wait for ambulance. Pt states still itches but still gone from her feet. Redness on ear remains good. Pt talked with husband about concern of taking ambulance. This nurse did state she thought it was safest way for pt to be transported in case anything happened further on the way to the hospital but the patient does have the right to refuse the ambulance. 1240: Pt states itching feels like increasing some. States itching to her hair, face, and feeling like all itching all over again. This nurse gave 50mg Benadryl IM to RUQ buttock. Pt tolerated well. No bleeding to site after injection. Ambulance arrived right after injection given. Report was given to ambulance staff after they had time to assess patient. Pt and husband agreed for pt to leave with the ambulance. Ambulance staff had pt walk to ambulance at 1245. Pt stable when leaving with ambulance staff.

Other Meds: Did not review all medications with pt

Current Illness: Denied being ill at time of vaccination

ID: 1031995
Sex: F
Age: 83
State: ID

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: All types of antibiotics

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

Symptoms: Woke the morning after vaccination with pain throughout body (Saturday the 13th). Sunday pain level had increased. Monday (Feb 15th) pain increased to the point of being unable to move or get out of bed. The only parts of the body not in high levels of pain are the lower arms. To see a doctor it would require an ambulance as the pain makes it impossible to move

Other Meds: Prevacid, Metamucil, Acetaminophen

Current Illness: None

ID: 1031996
Sex: F
Age: 67
State: OK

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: PATIENT CALLED AND STATED SHE WAS HAVING AND EPISODE OF FLUSHING IN THE FACE. CONFIRMED THAT NO SWELLING OR TINGLING SENSATION WAS PRESENT IN THE MOUTH OR THROAT. SUGGESTED SHE TAKE BENADRYL AT THE MOMENT AND CALL IF SHE NOTICES ANY WORSENING SYMPTOMS.

Other Meds: ATORVASTATIN 10 MG

Current Illness: N/A

ID: 1031997
Sex: F
Age: 53
State: WY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/15/2021
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

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

Symptoms: 1st day after vaccine: Fever of 99.9?F, Felt achy, Arm sore, Slight cough when exhaling -- Took extra strength acetaminophen and ibuprofen 800mg 2 days after vaccine: slight fever of 98.8?F, Didn't feel 100% better -- No meds

Other Meds: duloxetine, levothyroxine

Current Illness: none

ID: 1031998
Sex: M
Age: 22
State: ME

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/15/2021
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: After about 15 minutes the subject asked to use a pulse oximeter, reading normal. Then said it was like looking in a tunnel. We asked him to sit an d applied an ice pack to the back of the neck. At the time this provider did not know the patient had a seizure disorder. He slid to the floor with full tonic clonic involvement. His head and neck were protected. 911 was called and an ambulance. After about 3 minutes the subject regained consciousness. He did not wish to be checked out at the hospital. He signed a release and his mother picked him up

Other Meds: Lamictal 200 mg QD

Current Illness: unknown

ID: 1031999
Sex: M
Age: 73
State: NH

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: red area at vaccination site and area was very itchy

Other Meds: allopurinol, vitamin d3, lisinopril-hydrochlorothiazide, metformin, zocor

Current Illness: none

ID: 1032000
Sex: M
Age: 74
State: CA

Vax Date: 02/07/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Severe runny nose.

Other Meds: No

Current Illness: No

ID: 1032001
Sex: F
Age: 75
State: NV

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Cipro

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

Symptoms: 3 days after vaccination; pt woke up having hard time getting out of bed, she had to hang on furniture to move around, sitting down caused extreme pain when pt had to get up.

Other Meds:

Current Illness:

ID: 1032002
Sex: F
Age: 32
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/15/2021
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: Bactrim Peridium Amoxicillin Augmentin

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

Symptoms: I had chest discomfort later that night. I have a 101.8 fever Saturday and bad chest pain. Went to ER and they found large lymph nodes and I had surgery to remove them. Currently awaiting results and will see surgeon tomorrow.

Other Meds:

Current Illness:

ID: 1032003
Sex: F
Age: 31
State: PA

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Unevaluable event

Symptoms: I am experiencing what I saw online as "COVID arm". After the vaccination, the pain lasted for about 2-3 days and it was gone. Then after another 2 days, I realized that I had a huge red rash mark right under where I got the shot. It was a huge red patch of crazy itchiness and a little bit of dull pain, but it was extremely hot and swelled up. So that has been on going for a few days now.

Other Meds: Temazepam, duloxetine, vitamin B C D, MSM, L- Lysine, Hyaluronic Acid, Immunitone, Silymarin, ibuprofen

Current Illness: N/A

ID: 1032004
Sex: M
Age: 36
State:

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: Light headache, loss of appetite, exhaustion

Other Meds: B12 and Calcium supplements

Current Illness: None

ID: 1032005
Sex: M
Age: 30
State: NY

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: amoxicillin

Symptom List: Injection site pain, Pain

Symptoms: Diffuse erythematous pruritic rash. Throat tightness ED treatment: Epinephrine, Solumedrol, Pepcid, Benadryl IV with resolution of symptoms Discharged home on prednisone, Pepcid, Benadryl and epipen

Other Meds: doxycyline

Current Illness: skin infection to umbilical region covid January 2021

ID: 1032006
Sex: F
Age: 34
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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 vaccination with "covid arm" redness, swelling, itching, heat now 4th day of symptoms. recommended antihistamine, steroid cream 2.5% icing, monitoring. hope to see resolution in next 24 =48 hrs.

Other Meds: none

Current Illness: none

ID: 1032007
Sex: F
Age: 69
State: CA

Vax Date: 02/02/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: Cold urtecaria

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

Symptoms: Ten days after vaccination, bruise, redness, tenderness at injection site. None before that day.

Other Meds: Amlodopine, Allegra, Multivitamin

Current Illness:

ID: 1032008
Sex: F
Age: 25
State: PA

Vax Date: 02/05/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: Seasonal

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Large red rash at injection site appearing 10 days post vaccination, burning sensation and hot to touch, rash associated with diarrhea

Other Meds: Sprintec, topical metronidazole on face

Current Illness: None

ID: 1032009
Sex: F
Age: 29
State: AZ

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
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: Swelling,heat, and redness at injection site. Severe headache, fever of at least 101.5, chills, aches, lethargy, inappetence.

Other Meds:

Current Illness: None

ID: 1032010
Sex: M
Age: 79
State: MA

Vax Date: 01/30/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
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 known

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

Symptoms: Large red rash on upper left arm appearing two weeks after vaccine administered No itching but painful.

Other Meds: Atorvastatin

Current Illness: None

ID: 1032011
Sex: F
Age: 50
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Mango, glycerin, Viaxin, sulfa

Symptom List: Nausea

Symptoms: 1500 Pt informed RN @ 1450, 5 min after injection her tongue went numb. States her chest was tight but she was asthma as well and took her Albuterol which helped. NO chest tightness at this time. Numbness improving.

Other Meds: "my PCP knows"

Current Illness: headache, asthma

ID: 1032012
Sex: F
Age: 70
State: WA

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

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

Lab Data:

Allergies: Allergies to Ceftin (hives), prednisone (palpitations, headache, anxiety, GI cramping), and all antibiotics cause severe stomach cramping, diarrhea, and some nausea.

Symptom List: Injection site pain

Symptoms: Extreme fatigue, weakness, muscle aches, steady headache, from 2 pm until next day. Still fatigued and some dizziness and weakness on second day. Headache diminished. Slight queasy feeling. On third day, one incident of weakness almost to point of fainting. Improved after lying down for 15 minutes. Sore arm. Almost 10 days after injection, raised welt and itching area at injection site. Still itchy 14 days after shot. No other symptoms.

Other Meds: None at time of vaccination. Last dose of any medication was one 20 mg simvastin tab 24 hours prior

Current Illness: None

ID: 1032013
Sex: F
Age: 40
State: NY

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Red face, high blood pressure

Other Meds: Multivitamin, hydrochlorothiazide, atorvastatin

Current Illness: No

ID: 1032014
Sex: F
Age: 69
State: NY

Vax Date: 02/01/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: I received the injection on 2/1/21 and on 2/14/21 a 3 x 2 inch red hive like area covered the injection site. It felt warm to the touch and was red and itchy. It ached a little bit and is better today 2/15/21 but is still there - not as red and not as itchy but still swollen. slightly.

Other Meds: Synthroid -75 mcg zinc vit. C , Vit B complex and Vit D multivitamin tumeric

Current Illness: None

ID: 1032015
Sex: F
Age: 0
State: CA

Vax Date: 10/05/2020
Onset Date: 10/05/2020
Rec V Date: 02/15/2021
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: NA

Symptom List: Tremor

Symptoms: Flu vaccine administered to 2month old w/o any adverse outcomes/reaction

Other Meds: NA

Current Illness: NA

ID: 1032016
Sex: F
Age: 60
State: CO

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/15/2021
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: Erythema, Pruritus

Symptoms: Intermittent cramping and diahrrea from midnight Sunday through Monday 2/15 (so far)

Other Meds: Lexapro 40 mg., Levothyroxine 25 mcg, Fish Oil, Methyl Folate 1500 mcg, D3 5,000, Vit. B2- 400 mg, Co-Q 10, Melatonin 5 mg

Current Illness: Ear Infection 2 weeks earlier, Amoxycillin completed.

ID: 1032017
Sex: F
Age: 28
State: IL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/15/2021
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: After receipt of her 2nd dose of the Moderna vaccine, the patient complained of her eyes feeling swollen. She also had hives her back. She was provided an icepack in the monitoring area for her eyes and was observed. She denied itching or throat tightness. Due to increasing hives and additional eye edema, she was taken to the ED. At the ED, she was examined and no hives were found upon examination, only a small area of redness on her chest. Patient was administered one dose of 50mg Benadryl in the ED. She was discharged and counseled to return for worsening signs/ symptoms which were described to patient. The patient indicated understanding and was advised to take Benadryl for symptom relief and follow up with her doctor within 1-2 days for worsening or continued problems. The patient discharged to her home.

Other Meds:

Current Illness:

ID: 1032018
Sex: F
Age: 56
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 24 hours after receiving shot ,chills , muscle aches ,fatigue for about 6 hours

Other Meds: Multi vitamin, turmeric supplement, claritin

Current Illness: None

ID: 1032019
Sex: F
Age: 79
State: CO

Vax Date: 02/05/2021
Onset Date: 02/08/2021
Rec V Date: 02/15/2021
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: Sulpha Benedryll

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: On Monday February 8 , i was hospitalized for TIA.

Other Meds: Citalopram Lorazepam Rosustatin

Current Illness: None

ID: 1032020
Sex: F
Age: 72
State: PA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I developed a headache 30 minutes after receiving the vaccine. I had a headache every day following that for 8 consecutive days. Of moderate intensity. Advil helped, but did not alleviate.

Other Meds: Lipitor Lexro Lisinopril

Current Illness: None

ID: 1032021
Sex: F
Age: 81
State: WA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/15/2021
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:

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

Symptoms: Patient showed up for her 2nd dose. We were only giving 10 shots that day. The patient was not on our schedule and was not yet due for her second dose. This was not caught and patient received her 2nd dose 14 days after her first dose

Other Meds:

Current Illness:

ID: 1032022
Sex: F
Age: 61
State: GA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: Patient felt moderate hand pain following injection. was evaluated by clinician on site and instructed to take routine pain medication once patient was home.

Other Meds:

Current Illness:

ID: 1032023
Sex: F
Age: 56
State: CA

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

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

Lab Data:

Allergies: NKDA

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

Symptoms: PATIENT HAD C/O NAUSEA AND VOMITING WITH DIZZINESS

Other Meds: Baby aspirin, Norvasc, Metformin, Lipitor

Current Illness: N/A

ID: 1032024
Sex: F
Age: 54
State: OH

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/15/2021
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: PCN, Azithromicyn, Clindamicyn, Bactrim, Levaquin

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

Symptoms: 1533 Lightheaded post shot pt passed out. BP 182/120, 1540 148/108 pt lying on the floor, responding to nurse. Son was called to meet her at Hospital. 1542 911 called and squad arrived. 1545 Sitting in chair with EMS present. Oriented x3. 1548 Pt ambulated to squad with EMTS. Pt agreed to go to ER. Pt states she passes out after shots. She was advised to inform her PCP.

Other Meds: Amlodipine

Current Illness:

ID: 1032025
Sex: F
Age: 72
State: MO

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: As I was administering the vaccine, the patient stated: "I feel" and then fainted on me. Her husband and I kept trying to get her to talk to us, she was squeezing my hand as we talked, I ran an alcohol pad under her nose. We got her to open her eyes a few times and decided to call 911. She was breathing and I could feel her pulse. 911 had us lay her on the floor where she started to come to and mentioned how bad her vertigo was before I gave the shot. She also said her blood pressure was really low this morning and didn't want us to call the news as she didn't want to be on the news

Other Meds: Trazodone Tizanidine Amlodipine tramadol gabapentin lorazepam

Current Illness: Low Blood pressure this morning and severe vertigo

ID: 1032026
Sex: F
Age: 23
State:

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/15/2021
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: Amoxicillin

Symptom List: Vomiting

Symptoms: 102.9 fever, headache, severe body aches

Other Meds: Birth control

Current Illness: None

ID: 1032027
Sex: F
Age: 70
State: IN

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/15/2021
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: sulfa, macrodantin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Dose 1: mild pain at injection site Dose 2: moderate pain at injection site; fatigue, chills, muscle aches, low grade fever (100), headache

Other Meds: citracal, vitamin D, prolia

Current Illness:

ID: 1032028
Sex: F
Age: 73
State: NC

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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: pt. answered no to any allergies on the COVID questionnaire.

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

Symptoms: Pt. recieved the COVID 19 vaccine at 5:05 in her left Deltoid. Pt. was had answered no to all questions on the COVID questionnaire. Pt. was to be observed for 15 minutes. At 5:24 the pt. came back from the bath room complaining of her lips not feeling right. Pt. bought into my office VS taken BP 151/83, HR 82, Resp 18, O2 sat 98%. Pt. then started to voice complaints of her tongue not feeling right as well. Pt. advised that she needed to be taken to the ER via ambulance to be checked out due to the concern of anaphylactic reaction. Pt. declined to go by ambulance and states that she has someone in the car with her who can take her.Friend out to get the pt. friend. Continue to monit pt. O2 sats. Sats dropped to 88% but when mask removed from pt. O2 sat went back up to 90%. Advised the pt. and the gentlemen that the pt. needed to go to the ER via ambulance. Pt. again declined and states I want him to take me.The gentlemen states that he will take the pt. to ER. Phone call to ER and spoke with RN and report given that the pt. was on her way.

Other Meds: unknown

Current Illness: unkown

ID: 1032029
Sex: F
Age: 22
State:

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/15/2021
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 and Omnicef

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Dizziness

Other Meds: Mono-linyah and Lexapro

Current Illness:

ID: 1032030
Sex: M
Age: 76
State: NJ

Vax Date: 01/26/2021
Onset Date: 02/05/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: Never

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

Symptoms: Periodically feeling fatigued, slight headache, light headedness at few times since vaccination

Other Meds: Metformin Losartan HydroChloro Thiazide Atorvastatin Vitamin D3 Multivitamin for Adults

Current Illness: None

ID: 1032031
Sex: F
Age: 66
State: IN

Vax Date: 02/01/2021
Onset Date: 02/14/2021
Rec V Date: 02/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I started with chills at 7 pm went to bed at 9pm at 3:30 I had to go to bathroom and almost fell off toilet. Caught myself but laid on floor and slept 30 min until I could get up and go back to bed. Chills were gone at this time. This morning at 10:30 I went to bathroom and blacked out. I was laying on floor but don?t remember what happened except I must have twisted my ankle and knee as they are very sore. I could not get up , no strength and hollered for Alexa to call my husband in the other part of the house. I rested in bed and finally came to couch and then around 3 ate a little but not hungry. I feel better, took a bath and resting but have a terrible headache.

Other Meds: Turmeric vitamin , PreserVision, Benadryl

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm