VAERS 2021 Database www.vaers.hhs.gov

Main Page | All 2021 Deaths | Videos
VAERS Updated: 10/01/2021
** VAERS DATABASE Last updated: October 1, 2021**
PLEASE CHECK BACK SOON
Download the files above while you wait.






Manufacturers

Total Manufacturer
187,133MODERNA
33,878JANSSEN
2,321PFIZER\BIONTECH
1,091GLAXOSMITHKLINE BIOLOGICALS
983UNKNOWN MANUFACTURER
363MERCK & CO. INC.
229SEQIRUS, INC.
45DYNAVAX TECHNOLOGIES CORPORATION
41NOVARTIS VACCINES AND DIAGNOSTICS
29SANOFI PASTEUR
18EMERGENT BIOSOLUTIONS
8PAXVAX
7TEVA PHARMACEUTICALS
4PFIZER\WYETH
3BERNA BIOTECH, LTD.
2SMITHKLINE BEECHAM
2INTERCELL AG
2PROTEIN SCIENCES CORPORATION
1CSL LIMITED

Incidents per State

State Total
77,548
AK1,869
AL5,581
AR3,688
AS47
AZ14,288
CA61,984
CO11,665
CT8,149
DC1,663
DE1,807
FL37,749
FM5
GA15,058
GU120
HI2,453
IA4,625
ID2,692
IL20,334
IN24,007
KS4,615
KY7,696
LA4,887
MA14,654
MD12,514
ME3,129
MH11
MI18,739
MN12,528
MO9,710
MP29
MS2,790
MT2,375
NC16,368
ND1,356
NE2,880
NH3,100
NJ17,634
NM3,916
NV4,239
NY34,355
OH19,081
OK6,195
OR8,636
PA23,083
PR2,370
QM2
RI2,088
SC6,411
SD1,212
TN9,131
TX35,174
UT4,273
VA14,937
VI64
VT1,676
WA14,909
WI11,259
WV2,388
WY861
XB5
XL1
XV2

ID: 1041050
Sex: F
Age: 58
State: WI

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
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, HEADACHE, DIZZINESS, JOINT PAIN, FATIGUE

Other Meds:

Current Illness:

ID: 1041051
Sex: F
Age: 88
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: MORPHINE, CODEINE

Symptom List: Anxiety, Dyspnoea

Symptoms: PATIENT BECAME SHORT OF BREATH AFTER VACCINATION. EMS PRESENT AND TOOK CARE OF PT. O2 SAT 91%, O2 ADMINISTERED, O2 SAT 97% ON 2L/MIN. PATIENT'S DAUGHTER STATED HER MOTHER WAS "VERY ANXIOUS ABOUT GETTING SHOT". PATIENT TRANSPORTED TO HOSPITAL.

Other Meds:

Current Illness:

ID: 1041052
Sex: F
Age: 51
State: MN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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:

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

Symptoms: ELEVATED TEMP OF 100.5, DIZZINESS, HEADACHE, GENERAL BODY ACHES, FATIGUE.

Other Meds:

Current Illness:

ID: 1041053
Sex: M
Age: 74
State: CT

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient was given second dose Moderna today, should have been 2nd dose Pfizer

Other Meds:

Current Illness:

ID: 1041054
Sex: M
Age: 37
State: MI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/19/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient felt dizziness and giddiness . Onsite EMS was called vitals were taken BP 113/79 99% O2 room air BG 144 HR 76. Patient refused evaluation/care. Left aginst medical advice.

Other Meds:

Current Illness:

ID: 1041055
Sex: F
Age: 31
State: MN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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:

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

Symptoms: ELEVATED TEMP OF 102, BODY ACHES, SHAKEY, DIZZY, HEADACHE, ELEVATED HEART RATE

Other Meds:

Current Illness:

ID: 1041056
Sex: F
Age: 48
State: MN

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/19/2021
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: Hematoma in left arm

Other Meds: Zoloft Trazodone Topamax Busperone

Current Illness:

ID: 1041057
Sex: M
Age: 28
State: GA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Intense pain surrounding injection site starting 4 hours after injection and lasting till 36hours post injection Headache, 101.9F degree Fever beginning 18hours after injection and lasting until 36 hours post injection

Other Meds: none

Current Illness: Postive for COVID as of January 26th 2021

ID: 1041058
Sex: M
Age: 67
State: FL

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: My husband has had a fever and extreme exhaustion every day, all day. for 16 days, since he go the Pfizer vaccine. He is retaining water, does not sleep at night, has heavy night sweats, and is emotionally spent. He has no appetite and forces himself to eat. He tastes what little food he eats. He visited his family doctor, a gastroenterologist, and has been in the emergency room two times for sheer exhaustion and pain. He was released both times after tests. Each time, no one could find a cause and no one sent him to other doctors for help. They would not admit him because there was no guarantee he could see other doctors any faster than if he were at home making appointments. He was referred to an infectious disease specialist by the gastroenterologist, but that appointment isn't until March 9, 2021. He will have faded even more by then.

Other Meds: Vit C Tricakafta Enzymes for digestion Inhaled albuterol for Cystic Fibrosis

Current Illness:

ID: 1041059
Sex: F
Age: 66
State: CT

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Swelling, large red circle and itching at site of vaccine shot

Other Meds:

Current Illness:

ID: 1041060
Sex: F
Age: 34
State: MA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Vaccine administered very high into the shoulder- Since 3am on 02/12/21 I have had tearing pain type of sensation in the shoulder

Other Meds: Cardizem, probiotic

Current Illness: No

ID: 1041061
Sex: F
Age: 76
State: KS

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: 02/18/2021 I felt fine in the morning, but at about 11:30 a.m., I became extremely weak, nauseous. for the rest of the afternoon, I suffered diarrhea, dry heaves, and extreme weakness. I began feeling somewhat better at about 5:30 p.m. but still had diarrhea. By bedtime, I was able to go to bed, and I slept as usual with no interruptions. Today, I am feeling normal, had a normal breakfast at 9 a.m. I am still a little weak, but I feel like I am no longer ill.

Other Meds: Lisinopril; Flecainide; Diltiazam; Pravastatin; Atomoxetine; Calcium Supplement; Multivitamin;

Current Illness: None

ID: 1041062
Sex: F
Age: 77
State:

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Complained of feeling foggy and a weird taste in her mouth after getting the first dose of the vaccine. transferred to ED via wheelchair.

Other Meds:

Current Illness:

ID: 1041063
Sex: F
Age: 81
State: NJ

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
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: Penicillin

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

Symptoms: 8 days later I collapsed. 6 days later I had a 4 inch very red and itchy elevation, it was very swollen and itchy and black and blue at the site. My skin, I had a rash, I was weak, chilled, nausea and I felt feverish. I had aches.

Other Meds: Blood pressure medication, Edarbe, Vitamins

Current Illness: None

Date Died: 02/11/2021

ID: 1041064
Sex: M
Age: 88
State: IA

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: CLIENT EXPIRED 1 WEEK FOLLOWING THE VACCINE.

Other Meds:

Current Illness:

ID: 1041065
Sex: F
Age: 72
State: NY

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/19/2021
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: cleocin, chili, naproxen

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

Symptoms: about a week to two weeks later i had a heaviness in my right eye, It since has resolved itself then i started to get sensitivity on my right side of my gum line in my mouth. and it comes and goes.

Other Meds:

Current Illness:

ID: 1041066
Sex: F
Age: 30
State: MN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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:

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

Symptoms: HEADACHE, FATIGUE, BODY ACHES, SWOLLEN ARM AROUND INJECTION SITE

Other Meds:

Current Illness:

ID: 1041067
Sex: F
Age: 38
State: OH

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/19/2021
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: Bells Palsy diagnosis

Other Meds: Metoprolol, Pepcid

Current Illness: None

ID: 1041068
Sex: F
Age: 86
State: FL

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Atrial Fibrillation ,blood pressure low

Other Meds: none

Current Illness: Diabetes

ID: 1041069
Sex: M
Age: 45
State: AL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: ?

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

Symptoms: PATIENT STATES IS HAVING DIFFICULTY SWALLOWING ON HIS OWN . PATIENT APPEARS IN NO APPARENT DISTRESS BUT SEEMS ANXIOUS. PATIENT GIVEN WATER AND DRANK WATER WITH NO DIFFICULTY. HEART RATE 80 AND REGULAR. PATIENT MONITORED ADDITIONAL 15 MINS AND STATES STILL HAS SYMPTOMS BUT ARE LESS INTENSE . PATIENT APPEARS TO HAVE NO APPARENT DISTRESS AND DOES NOT APPEAR AS ANXIOUS. PATIENT REFUSES ANYMORE MONITORING AND LEFT. PATIENT WAS INSTRUCTED THAT IF SYMPTOMS PERSISTED OR GOT WORSE TO FOLLOW-UP WITH EMERGENCY DEPARTMENT.

Other Meds: ?

Current Illness: ?

ID: 1041070
Sex: F
Age: 27
State: IA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: Sulfa

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

Symptoms: SOB, Fever, Tachycardia in 180s-presented to ER for symptoms

Other Meds: Kariva

Current Illness: None

ID: 1041072
Sex: F
Age: 61
State: KY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/19/2021
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: Unevaluable event

Symptoms: Over a 3 day period, I had chills, fever, entire body aches (I could barely move), nausea, EXTREME labored breathing. Symptoms were more severe than the actual covid virus I had.

Other Meds: Coreg, Entresto, Protonix, Lasix

Current Illness: Cardiomyopathy

ID: 1041073
Sex: F
Age: 53
State: NY

Vax Date: 02/01/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Codeine

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

Symptoms: Light headed and chills

Other Meds: No

Current Illness: Not applicable

ID: 1041074
Sex: F
Age: 73
State: CA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
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: Woke up Tuesday at 11PM crying with pain on the right side of my back. After pain and crying for 2 hours fell asleep. OK when I woke up. Woke up Wed. at midnight crying with pain on the right side and mid area of back. Fell asleep after 2 hours. OK when I woke up. Pain not as severe as Tuesday night. Woke up Thursday at 11 pm with pain. Not severe and was able to go back to sleep. Pain Tuesday night was an 8. Pain Wed night was a 7. Pain Thursday night was a 3.

Other Meds: methimazole 10 mg every 8 hours, propranolol 1m mg every 8 hours, estradiol 0.5 mg and progesterone 100 mg - one per day.

Current Illness: Graves Disease and Hyperthyroidism

ID: 1041075
Sex: F
Age: 37
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: HEADACHE, CHILLS, INJECTION SITE PAIN

Other Meds:

Current Illness:

ID: 1041076
Sex: F
Age: 64
State: MO

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Cat dander, grasses, insect, dust

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

Symptoms: Lips started tingling, then burning about thirty minutes after injection. I have had no facial fillers previously. Symptom lasted for several hours. No treatment.

Other Meds: Wellbutrin xl, Pepcid ac, melatonin, D3

Current Illness: None

ID: 1041077
Sex: F
Age: 63
State: NC

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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: codeine, compazine, bactrim, amoxicillin, metamucil, prednisone, dicyclomine, thiazides, tobramycin, lisinopril, rosuvastatin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Approximately 5 hours after vaccine administration my right arm and right armpit were mildly sore, I had mild nausea. 18 hours later soreness in right armpit and right arm (injection site) increased, nausea increased I vomited 3 times (dry heaves), body achiness, mild fever 99.9 (my normal temperature is 97.4, fatigue. Swollen lymph node in right armpit.

Other Meds: Amlodipine, Zetia, Omeprazole, gingko biloba, fish oil, vitamin d, glucosamine, baby aspirin

Current Illness: none

ID: 1041078
Sex: F
Age: 85
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt possibly received normal saline diluent instead of the Pfizer vaccine. There was an error in preparation. Pt was contacted on 2/16/21. No adverse reaction reported.

Other Meds: Unknown

Current Illness: Unknown

ID: 1041079
Sex: F
Age: 65
State: MD

Vax Date: 02/09/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
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: Moderna COVID?19 Vaccine EUA Vaccination #1 Event: Sore arm and body aches lasting 36 hours Treatment: Ibuprofen Vaccination #2 Immediate event - sore arm and generalized body achiness Treatment: Ibuprofen Event #2 occurred 6 days later: Diarrhea, diaphoresis, and chills lasting about 4 hours; body aches and headache lasting about 18 hours Treatment: alternate Ibuprofen and acetaminophen

Other Meds: Chelated Magnesium Riboflavin CoQ10 Vit D3 Famotidine Vit B12

Current Illness: none

ID: 1041080
Sex: F
Age: 68
State: KS

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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: Red splotch, 2 inch diameter at injection site

Other Meds: Trelegy, multi vitamin, vitamin C, collagen pills, omega-3 fish oil pill

Current Illness: None

ID: 1041081
Sex: M
Age: 92
State: WI

Vax Date: 01/26/2021
Onset Date: 01/01/2021
Rec V Date: 02/19/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Patient came to our ED on 2/6/2021 with worsening weakness and fatigue, which he claimed that had been experiencing since the date of vaccination on 1/26/2021. His rapid COVID test came back positive. He was admitted and treated in our COVID unit. His condition improved and he was discharged to home on room air on 2/10/2021.

Other Meds: Toprol XL; Lasix; Lipitor; Eliquis; Lotensin; Allopurinol; ASA; Albuterol inhaler; Coenzyme Q10

Current Illness: Unknown

ID: 1041082
Sex: M
Age: 52
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
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: Around noon on 1/29/21 (less than 24 hours after the shot) i felt a weird nerve sensation throughout my entire body. The only way to describe it is the nerve pain you feel when you hit your funny bone. That was the sensation I was feeling throughout the body. There was also intense bone pain and lower back pain. These were also the same symptoms I had when I had a mild case of covid 3/2020 and didn?t know I had it. In June 2020 I tested positive for antibodies.

Other Meds: Multivitamin

Current Illness: None

ID: 1041083
Sex: F
Age: 33
State: SD

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Codeine

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

Symptoms: 2/18 Employee (EE) woke at 6:45am -arm felt like "pins and needles as if asleep" from elbow to fingers. EE felt like she may have slept wrong on the arm. Symptoms remained at 09:25am. EE was able to work . EE did not seek medical follow up at this time

Other Meds:

Current Illness: na

ID: 1041084
Sex: F
Age: 62
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: HEADACHES, PAIN AT INJECTION SITE.

Other Meds:

Current Illness:

ID: 1041085
Sex: F
Age: 19
State: SC

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 02/19/2021
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: no

Symptom List: Erythema, Pruritus

Symptoms: Shortly after the vaccine developed a high fever and treated it with tylenol.

Other Meds: no

Current Illness: no

ID: 1041086
Sex: F
Age: 53
State: IL

Vax Date: 02/13/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Lisinopril- angioedema (tongue swelling) July 2020

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

Symptoms: Redness and itching left upper arm at injection site- started day 5 after injection given. Self treatment with topical steroid cream and oral antihistamines. This is consistent with known delayed cutaneous hypersensitivity reaction occurring with Moderna COVID 19 vaccines. (husband and I are both physicians)

Other Meds: Levothyroxine, loratadine, montelukast, symbicort, spiriva, bupropion, vitamin D, vitamin B12

Current Illness: Asthma exacerbation- resolved several weeks prior to vaccination

ID: 1041087
Sex: F
Age: 53
State: NY

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: Lunch meat allergy

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

Symptoms: A rash occurred 1 hour after administration of the vaccine, started on my left arm and progressed to my head and torso and arms. Went to urgent care which gave me prednisone to take for 4 consecutive days and to take Benadryl with the prednisone

Other Meds: Valsartan, Metoprolol, Zinc

Current Illness: None

ID: 1041089
Sex: F
Age: 50
State: MN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: HEADACHE, NAUSEA, CHILLS, DIARRHEA, PAIN AND SWELLING AT INJECTION SITE

Other Meds:

Current Illness:

ID: 1041090
Sex: F
Age: 70
State: GA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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: Chills, muscle and bone pains

Other Meds: none

Current Illness: none

ID: 1041091
Sex: F
Age: 42
State: VA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: During screening, she did not state she had any allergies. After her reaction, she stated that she had reactions to iron injectables in the past, but forgot to mention it.

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

Symptoms: Moderna lot# 016M20A 0.5ml given at 1008 am. 1019 am client complained of swelling in her throat without other symptoms. Lips & tongue with minimal swelling noted. Denies respiratory distress or any other symptoms. 1021 EPI 0.3mg administered left thigh. 1022 BP 130/90 left arm with large cuff & pulse 84 & regular. Talking without difficulty & in full sentences. EMS activated stat. Ambulated to the front entrance of the building without difficulty. EMS arrived 1024am. 2 children accompany her. Denies history of anaphylactic reaction but later remembered a reaction to Iron infusion & witnessed per EMS. Refused ER visit & signed against medical advice per EMS.

Other Meds: Claritan

Current Illness: None Reported

ID: 1041092
Sex: F
Age: 73
State: OH

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: Medication: Sulfur Nickle, adhesive

Symptom List: Pain in extremity

Symptoms: On day 8 after the shot I woke up with my left arm itching terribly . I looked in mirror and there was a red round patch around the injection site. I hadn't had any any symptoms prior to this except for a sore arm.. The itching and redness was bad for about 3 days or so then subsided.

Other Meds: Prescriptions: Synthroid, Carvedilol, Amlodipine Bes, Losartan Potassium/Hydrochlorothiazide, Esomeprazole, Sertraline HCL, Simvastatin, Vitamin D, Metformin Hydrochloride ER 24 hr., Tamoxifen Citrate, Albuterol Sulfate Inhaler Over The Co

Current Illness: None

ID: 1041093
Sex: F
Age: 33
State: MS

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: Biaxin

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

Symptoms: Swollen red hard painful lump that itches. Chills and extreme body aches.

Other Meds: Vitamin D, Multi Vitamin, Tramadol, Celexa, Norco, Trazadone, Benadryl, B12

Current Illness: Strep throat - 3 weeks prior

ID: 1041094
Sex: F
Age: 50
State: MN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: HEADAHCE, CHILLS, NAUSEA, DIARRHEA, PAIN AND SWELLING AT INJECTION SITE

Other Meds:

Current Illness:

ID: 1041096
Sex: M
Age: 24
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Chills, headache

Other Meds:

Current Illness:

ID: 1041097
Sex: F
Age: 39
State: UT

Vax Date: 02/12/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Allergic to penicillin

Symptom List: Vomiting

Symptoms: Swelling and slight pain on collar bone on left side of neck (possibly a lymph node), 6 days after first vaccine dose, no treatment yet

Other Meds: None

Current Illness: Unknown

ID: 1041098
Sex: F
Age: 28
State: WI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: MUSCLE ACHES, SWEATS, MIGRAINE

Other Meds:

Current Illness:

ID: 1041099
Sex: F
Age: 28
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Allergic to tetraciclyn antibiotics

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

Symptoms: A hour post vaccine: rash and itchy all over my body (10 am) At night: fever, chills and bones pain. Dizzy. 11:00 am next day (actual moment): still with fever, dizziness and fever

Other Meds: None

Current Illness: None

ID: 1041100
Sex: F
Age: 47
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Vomiting, migraine, fever, chills, weakness, shaking,

Other Meds:

Current Illness:

ID: 1041101
Sex: F
Age: 39
State: MN

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: n/a

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

Symptoms: Swollen lymph nodes in left armpit. Previously had lymph nodes removed from that side.

Other Meds: Multivitamin (Women's One a Day) Imitrex

Current Illness: n/a

ID: 1041102
Sex: F
Age: 59
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/19/2021
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: About an hour and a half after the shot, I felt slightly lightheaded (Saturday) Mid-morning the next day I felt slightly lightheaded. Monday, and through most of the following Saturday, I experienced nausea, lightheadedness and at times weakness in my legs. The total number of days my symptoms lasted was 7 days. The lightheadedness and weakness in my legs would come and go. The nausea would last longer throughout the day. There were times when I felt fine, but usually the nausea occurred most of the day. At first eating crackers or dry food would help the nausea, but by day 4 post shot, the dry foods did little to help.

Other Meds: Calcium 1,200 mg QD Multivitamin. QD Vitamin D3 50 mcg. QD Biotin 10,000 mcg. QD Melatonin .5 mg. QD

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm