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: 1049372
Sex: F
Age: 56
State: IN

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
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: Sulfa, PCN

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pain at sight of injection. Ongoing since injection (4 days) Fatigue - ongoing Fever - 100.8 - resolved on 3rd day Confused thinking - ongoing Body and muscle aches - resolved on 4th day

Other Meds: Levoxyl Antacid

Current Illness: None

ID: 1049373
Sex: F
Age: 68
State: OH

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
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: codeine and curry powder

Symptom List: Anxiety, Dyspnoea

Symptoms: rec'd on 2/12 and didn't have much of a reaction until 8 days later it felt like the shot was just received, arm began to sting and red and itchy and that's been since 2/12.

Other Meds: Hydroxide for dry eye, hair skin and nails vitamin

Current Illness: No

ID: 1049374
Sex: F
Age: 67
State: NY

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
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: after administration, patient comes up with severe allergic reaction redness and rashes starting from left lower arm spreading all the way to the neck and swelling with patient itching and patient acknowledge and started saying he is having severe reaction. Epipen was administered and after about 4 to 5 minutes of administration of epipen all those reactions stopped and patient said he felt better and thank me for the care. I was going to call 911 but patient said he was ok and there is no need . Patient waited for another 25 to 30 minutes after the administration of epipen in the pharamacy area to observe the patient . Patient left after about 30 minutes with no further reaction

Other Meds: none

Current Illness: metabolic disoders

ID: 1049375
Sex: F
Age: 36
State: CA

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: allergy to shellfish and bee stings

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pain to left axilla with swelling, redness to inject site one week later, general fatigue x 1 week.

Other Meds: Azelasthine, Flonase, MVI

Current Illness: Daily headaches

ID: 1049376
Sex: M
Age: 79
State: MS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: CIPRO IV

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

Symptoms: HE WOKE UP AT 4:30 CONFUSED, TALKING OUT OF HIS HEAD, THEN WENT BACK TO SLEEP AND WOKE UP AT 0630 WITH HARD SHAKING CHILLS, JOINT PAIN (SHOULDERS AND KNEES), ALTHOUGH HE HAS HAD 2 TOTAL KNEE REPLACEMENTS), HEADACHE, FATIGUE AND MALAISE, AND TEMPERATURE OF 101,5(NOT RESPONSIVE TO EXTRA STRENGTH TYLENOL) 20BENADRYL 25MG EACH , PEPCID 20MG AND GATORAID. . COULD NOT RAISE EITHER ARMS AND STATED THAT THE "BALL JOINTS" IN SHOULDER WERE VERY PAINFUL. AT 4;20 PM TEMP WENT DOWN TO 101.4, AT 6;30 TEMP 100.3 AND 8:45PM TEMP 99.3. AFTER THIS HIS SYMPTOMS SUBSIDED EXCEPT FOR SORE ARM AND SHOULDERS, SIDE EFFECTS LASTED ABOUT 14 HOURS. BUT STRANGE THING HAPPENED ON 02/21/21 HIS ENTIRE MIDDLE FINGER ON LEFT HAND TURNED VERY RED, BUT NO SORENESS OR PAIN. , AND NO OTHER FINGERS WERE RED AND RESOLVED ON 2/22/21

Other Meds: IMMEDIATELY AFTER THE VACCINE, HE TOOK 1000 MG TYLENOL, 25GM BENEDRYL, 20MG FAMOTADINE,

Current Illness: NONE

ID: 1049377
Sex: F
Age:
State: NY

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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: Body aches, fever, headache

Other Meds:

Current Illness:

ID: 1049378
Sex: U
Age: 51
State: IL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: Pyrexia, White blood cell count decreased

Symptoms: HEADACHES AND FATIGUE

Other Meds:

Current Illness:

ID: 1049379
Sex: F
Age: 46
State: GA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Torodol, Compazine, Imitrex

Symptom List: Pharyngeal swelling

Symptoms: Patient complained of worsening of a headache she experienced since 2/8/2021 after receiving the vaccine. Reported the headache was 8/10 on pain scale. She also reported she has hx of migraine headaches 2-3 times weekly. Was taken to ER via ambulance. She was given medications to control B/P and pain, then discharged to home after six hours.

Other Meds: Descovy, Propranolol, Amplodipine, Plavix, Amitrityline, Phenergan, Keppra

Current Illness: Seizures, Migraines

ID: 1049380
Sex: F
Age: 75
State: IL

Vax Date: 02/08/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: LARGE RASH AND SORENESS AT INJECTION SITE ---WARM SENSATION , ITCTING SWELLING & UNSETTLING AND AGRAVATED FEELINGS THROUGH-OUT THE DAY

Other Meds: none

Current Illness: none

ID: 1049381
Sex: M
Age: 21
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
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: Chills, body ache, fatigue

Other Meds:

Current Illness:

ID: 1049382
Sex: F
Age: 73
State: FL

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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: Extremely itchy rash at injection site.

Other Meds: Synthroid

Current Illness: none

ID: 1049383
Sex: F
Age: 85
State: CT

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
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: My mom had a fever, chills, aches all over, sore arm, and had 2 days of memory loss/crazy behavior. It was almost as if she had dementia - she repeatedly called myself and my daughter claiming that her phone didn't work and she needed help. She was trying to tell me a phone number but kept giving me random words instead. She doesn't remember talking to any one of us who spoke to her Saturday and Sunday. She was repeatedly asking what a specific button did on her TV remote, and would then ask again a few minutes later the exact same question. This went on for 2 days.

Other Meds: Eliquis, Trulicity, hip (something) for UTI management

Current Illness: Rheumatoid arthritis, edema in leg due to lymphoma, pulmonary fibrosis/COPD

ID: 1049384
Sex: F
Age: 27
State: CT

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/23/2021
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

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

Symptoms: After receiving the first dose of the Covid-19 vaccine, I started feeling numbness in my left fingers within seconds. The injection site with in my left arm. Within 5 minutes, I felt some numbness in my lower lip on the right side. Within a few days, the numbness decreased along with my other, more common symptoms, such as fatigue and headache.

Other Meds:

Current Illness:

ID: 1049385
Sex: F
Age: 49
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
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:

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

Symptoms: Vaccine was received on 02/19/2021 at 0738. Symptoms began on 02/19/2021 at 1000. She experienced diarrhea and fatigue.

Other Meds:

Current Illness:

ID: 1049386
Sex: M
Age: 40
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: Fever, sweating, chills, malaise, soreness, muscle and joint pain, nausea, tenderness at injection site.

Other Meds: Zyrtec, flonase, Vitamin D

Current Illness: None

ID: 1049387
Sex: F
Age: 80
State: IL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/23/2021
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: benzocaine methylchloroisothiazinoline melamine formaldehyde

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

Symptoms: itchy, red, hot upper arm around injection site

Other Meds: atorvastatin 20 mg lisinopril 10 mg Symbicort inhaler, 2 puffs q am

Current Illness: none

ID: 1049388
Sex: F
Age: 80
State: ND

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/23/2021
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: Penicillin-HIVES

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

Symptoms: Client stated she "felt odd/disoriented" and exhibited strange behavior, unaware of surroundings. Had chills/headache.

Other Meds: Metoprolol/Irbesartan/Furosemide/Simvastin/Glyburide/Eliquis

Current Illness: NONE

Date Died: 02/20/2021

ID: 1049389
Sex: M
Age: 74
State: ID

Vax Date: 02/09/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
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: Patient passed away Saturday at 14:04pm. Patient's wife reports his death was sudden, he passed away sitting in his chair his heart just stopped she said. They tried to perform CPR, 911 was called and paramedics arrived at the scene and he was given medication but never had any return of vital signs and so his death was called at the scene. Wife reports he was not ill, did not have any symptoms prior to the event. They are not going to be doing a autopsy. She wanted us to know based on timing that there may be some possible correlation with his COVID19 vaccine. He obtained the vaccine on 02/09/2021 - wife reports he had no symptoms, not even arm soreness after the vaccine. Had no fever, shortness of breath. Did not complain of chest pain. We can update chart to reflect the patient is deceased and lets make a card for the family.

Other Meds: Spironolactone, Atorvastatin, Gabapentin, Trelegy Ellipta, Januvia, Xarelto, Losartan, Metoprolol Succinate.

Current Illness: No

ID: 1049390
Sex: F
Age: 73
State: WA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: demerol, bee stings (anaphylaxis) , chlorhexidine,

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: very rapid heart rate for 45 minutes 6 hours after vaccine

Other Meds: synthroid, zyrtec, mucinex,

Current Illness: none

ID: 1049392
Sex: M
Age: 54
State: IN

Vax Date: 02/14/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, aripiprazole

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

Symptoms: received 2nd vaccine on 2/14/21, on 2/16/21 started having cough, nasal drainage, fatigue. Went to urgent care on 2/23/21 and diagnosed with URI

Other Meds:

Current Illness:

ID: 1049393
Sex: M
Age: 74
State: NY

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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: No allergies

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

Symptoms: After 1st vaccine, (1/18/21 the next day. Went to hospital 1/20/21. incoherent and loss of balance. Went to hospital for 3 days. After 2nd shot 2/15/21 he got a reaction 6 days later. Very incoherent, delusional and loss of balance, unable to walk. Fever

Other Meds:

Current Illness: Parkinson?s, diabetes

ID: 1049394
Sex: F
Age: 24
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Fever, Headache, Nausea

Other Meds:

Current Illness:

ID: 1049395
Sex: F
Age: 46
State: IL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/23/2021
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: CANT LEFT RIGHT ARM, FEVER, AND DIZZINESS

Other Meds:

Current Illness:

ID: 1049396
Sex: F
Age: 24
State: NJ

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Redness with moderate pain and mild swelling beginning at injection site and spread distally/down arm. Began small in size but currently approx. 3" x 6". Started 2 days after receiving second dose. I had no issue with the first dose.

Other Meds: Venlafaxine 75mg Nexplanon implant in right arm

Current Illness:

ID: 1049397
Sex: F
Age: 69
State: PA

Vax Date: 02/10/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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 known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Large red circle at the injection sight

Other Meds: Effexor XR 75mg. Effexor XR 37.5 mg. Vitamin D. Magnesium. Probiotics.

Current Illness: Clogged eye oil gland

ID: 1049398
Sex: F
Age: 70
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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: Artificial scent agents

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

Symptoms: Delayed cutaneous reaction. Swelling, heat, redness, itch, soreness. Started 7 days after injection at site.

Other Meds: Sertraline Buspar, Calcium, Vitamin D

Current Illness: None

ID: 1049399
Sex: F
Age: 40
State: MA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: Amoxicillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache, muscle pain, sore throat, fever, sinus pressure, difficulty focusing eyes, fatigue. Memorable symptoms began on Feb. 19th, the worst day was Feb. 20th, when I was unable to complete my usual daily activities. My symptoms have begun to improve today, Feb 23rd. On Dec. 17th, 2020 I was diagnosed with COVID19.

Other Meds: Lithum Zoloft Lamictal Sprinolactone

Current Illness:

ID: 1049400
Sex: M
Age: 73
State: WA

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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: I had no reaction to the initial vaccination. On February 21 ? 8 days after the vaccination ? I awoke with a bit of swelling, light redness, and a slight itch at the vaccination site. I understand this is called "COVID arm" and am only reporting it for research purposes. The swelling has not increased and I have no real pain. I have no concerns about this reaction.

Other Meds: Lovastatin, fish oil, vitamin B, vitamin D, Tumeric, Glucosamine, multi-vitamin

Current Illness: none

ID: 1049401
Sex: F
Age: 76
State: TN

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/23/2021
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: inhalent allergies, food allergies (minor)

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

Symptoms: Pfizer-BioNTech COVID-19 first dose, 1/23/2021, little reaction. second dose, 2/13/2021: headache one day later, disorientation/foggy mind 2 days after, then cleared up, muscle pain was short-lived, moderate chills, feeling unwell with weakness, restless leg syndrome (managed since 2004 with medications) returned 10 days after second shot.

Other Meds: levoxyl, clonazepam, fentanyl trasdermal, allergy injections

Current Illness: none

ID: 1049402
Sex: F
Age: 74
State: CO

Vax Date: 02/22/2021
Onset Date: 02/01/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Flecinaide

Symptom List: Nausea

Symptoms: chills, muscle aching, fatigue Advil/Tylenol lasted about 5 hours

Other Meds: Levothyroxin - propranolol - atorvastin - vitamin D - Calcium - potassium - vitamin c - magnesium oxide - Co Q 10 - fish oil

Current Illness: None

ID: 1049403
Sex: F
Age: 46
State: NE

Vax Date: 12/28/2020
Onset Date: 01/04/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: I have Celiac Disease so no gluten, eggs, shellfish, cantalope, bananas, avocados, soy & corn.

Symptom List: Injection site pain

Symptoms: About 3 hrs after the first dose, I had full body itching, severe chills, body aches, a severe headache, some swelling in my right arm with a red circe that lated about two weeks, lost all the skin on my hands both inside and out. This happened with both doses.

Other Meds: I take Synthroid, Prenatal Vitamins, B complex, Biotin, Asprin, Prozac, Zocor, a Probiotic & Vitamin D.

Current Illness: No

ID: 1049404
Sex: F
Age: 82
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: Hydrocodone-acetaminophen Codeine Cortisone Fosamax [Alendronate]Other. Latex Morphine Sulfa (Sulfonamide Antibiotics) Covid-19 Vaccine, Mrna-1273, Lnp-s (Moderna)Rash

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

Symptoms: Pt has hx of rash on bil arms with her first dose of Moderna and she denies no other reactions including shortness of breath , chest pain, dizziness, headaches, fever, difficulty breathing, dyspnea,dysphagia or wheezing. Pt does notes to have underlying dysphagia which is a chronic issue for pt. Today pt was here for her second Moderna Imm which she tolerated well but at 0845 am reported mild headache which to her seemed similar to her previous migraine headaches which she gets off and on . Denied any nausea vomiting, dizziness, chest pain, shortness of breath, dysphagia, dyspnea, wheezing or coughing or difficulty breathing. Pt was given water and crackers which helped her sx immediately. BP: 134/83 HR: 76 O2: 98% RR: 17. Neuro: pt A&O and able to follow instructions. Pt was monitored for 40 mins total and she left in stable condition.ER precautions were given to pt incase she has any worsening of sx, shortness of breath, chest pain, wheezing , difficulty breathing. She reported understanding.

Other Meds: Atorvastatin (LIPITOR) 10 mg Oral Tab Estradiol (ESTRACE) 0.01 % (0.1 mg/gram) Vagl Crea Cetirizine (ZyrTEC) 10 mg Oral Tab Afrin, oxymetazoline, 0.05 % Nasl Spray Montelukast (SINGULAIR) 10 mg Oral Tab Polymyxin B -Trimethoprim (

Current Illness: GERD

ID: 1049405
Sex: M
Age: 59
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
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:

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

Symptoms: Body aches

Other Meds:

Current Illness:

Date Died: 02/21/2021

ID: 1049406
Sex: F
Age: 86
State: FL

Vax Date: 01/26/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: none listed

Symptom List: Tremor

Symptoms: Patient rcvd 1st covid 19 vaccine on 1/26/2021. Patient had house guests on 1/30/21. Those house guests tested positive for covid on 2/1/2021. Patient started getting symptoms on 02/2/2021. Patient tested postivie on 2/4/2021. Patient was hospitalized 2/7/2021. Patient passed away on 2/21/21.

Other Meds: unknown

Current Illness: unknown

ID: 1049407
Sex: F
Age: 29
State: OK

Vax Date: 02/01/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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: Sore arm, severe body aches and pains, chills, fever. Sore arm was immediately, body aches started about 9 hours after vaccine was given. Chills started next morning, and fever started around 10:30 AM on 2/23/2021.

Other Meds: Allegra Advair Albuterol Effexor Tylenol

Current Illness: None

ID: 1049408
Sex: F
Age: 37
State: CO

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/23/2021
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: Minocycline, codeine

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

Symptoms: Started having reaction on both elbows. Started as pain, then redness then itching. There after reaction moved to neck, with hives that were extremely itchy. Then after, hives were all over body. Lip started swelling, hands were very swollen, red, itchy. Was treated in ED with prednisone, antihistamine, Benadryl, and Pepcid. Went to see allergist after PCP appt due to 2 ER visits. They prescribed more medications. Meds in the morning were: Prednisone 40mg, Zyrtec 10mg, Pepcid 20mg, and Benadryl 50mg. Meds in the evening were: Zyrtec 10mg, Pepcid 20mg, Benadryl 50mg and Singular 10mg.

Other Meds: Started taking Spironolactone 2 days after receiving injection, was taking Colace as well. Have been taking Phentermine for 3 months prior to vaccine.

Current Illness: None

ID: 1049409
Sex: F
Age: 70
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
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: Ceftin

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

Symptoms: Within 1/2 hr. of receiving the vaccine, the left side of my face went tingling/numb. By evening it became very painful. Pain running from behind my left ear over my left checks, including upper and lower jaw on left side. By morning, I had blisters on top of my palate and part of my throat and in my sinus'. Pain became increasingly worse over next few days. Now on medication for it. I am hesitant to receive the second shot as I don't want to go through this again. Please advise.

Other Meds: Losartan 50 mg, b.i.d.; Amlidopiline 12.5 mg., x/1 day; Hydrochlorothiazide 12.5 mg x/1 day; Spirolactine 25 mg. x/1 day. Vit. D3 2000 mg. ; baby aspirin 81. mg x1/day.

Current Illness: None

ID: 1049410
Sex: F
Age: 72
State: KY

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/23/2021
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: Iodinated diagnostic agents; amoxicillin; iodine

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 1st vaccine 1/30/21; 2nd vaccine 2/20/21; developed SOA 2/21/21; seen in ED for ongoing SOA 2/23/21

Other Meds:

Current Illness:

ID: 1049411
Sex: U
Age:
State: IL

Vax Date:
Onset Date:
Rec V Date: 02/23/2021
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: CHILLS, DIZZINESS, WEAK, AND FATIGUE

Other Meds:

Current Illness:

ID: 1049412
Sex: M
Age: 38
State: GA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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: Felt dizzy and light headed. Watch indicated heart rate climbing up to 172bpm momentarily and dropped back down to 120bpm.

Other Meds:

Current Illness:

ID: 1049413
Sex: F
Age: 77
State: GA

Vax Date: 02/15/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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, shellfish, sulfa, Cipro, codeine

Symptom List: Pain in extremity

Symptoms: Diarreah, cramping, nausea, hives

Other Meds: Synthroid, Nexium, astragalus, multi vitamin, gabapentin

Current Illness:

ID: 1049414
Sex: F
Age: 80
State: IL

Vax Date: 02/18/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Rash at injection side, swelling, redness, fever, sore to touch Had prescription cream from derm for another skin issue, used on rash on 2-23-2021 Has taken tylenol with arthritis for pain as well as regular tylenol

Other Meds: Calcium, Vit D, Vit C, Vit B Naproxen Sodium Tylenol Arthritis Prescription Cream: Clobetaflo propionate ointment

Current Illness:

ID: 1049415
Sex: F
Age: 64
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/23/2021
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: Fever,chills,bodyaches

Other Meds:

Current Illness:

ID: 1049416
Sex: F
Age: 40
State: PA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/23/2021
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: CIPRO, TEQUIN, MACROBID, PROZAC, AUGMENTIN,

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

Symptoms: FEVER OF 103 CHILLS SWEATS MIGRAINE WHOLE BODY ACHES LOSS OF TASTE

Other Meds: BEYAZ, CYMBOLTA, AJOVY, IMITREX, MAGNESIUM, MULTIVITAMIN, CO Q-10, VITAMIN C

Current Illness:

ID: 1049417
Sex: F
Age: 28
State: CA

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/23/2021
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: na

Symptom List: Vomiting

Symptoms: Patient received her first Moderna vaccine 1/25/21 at hospital. Today patient came in for Moderna vaccine #2 but was given a Pfizer vaccine instead. No adverse affects. Per Dr. recommendation, there is no need to get a third vaccine. This will complete her series.

Other Meds: na

Current Illness: na

ID: 1049418
Sex: F
Age: 51
State:

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/23/2021
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: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Sore arm, tired, extreme fatigue

Other Meds: none

Current Illness: none

ID: 1049419
Sex: F
Age: 22
State: FL

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/23/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Large sore red area with redder ring around reaction with heat lasting more than 9 days at site of injection

Other Meds: None

Current Illness: None

ID: 1049420
Sex: F
Age: 77
State: MD

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/23/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Acute nontraumatic pain in neck, left side, and upper left extemity(shoulder). Acute left cervical lymphadenitis. Still have discomfort in shoulder blade, some swelling yet of lymph node. Tingling in two fingers on left arm, had swelling over same two knuckles but that has receded just have like my hand is asleep, more at night time. Fullness feeling inside of arm at bend, vein area. Injection site is high - about 1 1/2 fingers down. Have had no x-rays or tests. Went to Urgent Care - prescribed Predisone for 5 days - no help. Nec k, now, has less swelling. Mom

Other Meds: None over the counter. Shaklee viramins w iron Low dose aspirin

Current Illness: None

ID: 1049421
Sex: M
Age: 58
State: IL

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: HEADACHES, CHILLS, FEVER, PAIN IN ARM, AND FATIGUE

Other Meds:

Current Illness:

ID: 1049422
Sex: F
Age: 62
State: FL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/23/2021
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: Tylenol allergy - tingling, mild swelling lips -- started 5 years ago. Prior to that, no issues with Tylenol. Mango, eggplant Facial Hives for no obvious reason sometimes Strong reaction to some antibiotics, not sure if allergy related **Years ago. prior history of anaphylactic reaction (teenage years) no reason **No issues with Miralax taken for multiple colonoscopies

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

Symptoms: Within 1-2 minutes, felt like an infusion or flush with a chemical/metallic smell, taste. Extreme weakness, dizziness. Had to sit down for a long time, couldn't really open my eyes. Bad head feeling. Eyes hurt, but were not swollen. No swelling, just that constant metallic overwhelming. Dizzy. Stayed at pharmacy for about 40 minutes. On drive home, hot face, metallic infusion, very warm. Fever at home, achy all over, 99.8, very dizzy, brain fog, very weak, arm sore. Next morning, no better. Took a Nexium and immediately big hive popped up on my chest. Disappeared about an hour later. Took 3 days to feel like myself. Still concerned about allergic reaction. I'm a little itchy, tingly. I'm now terrified of getting that second shot.

Other Meds: Synthroid 125 mcg that morning, that's it Nexium OTC 20mg daily -- had not taken pre-vaccination Advil 200 mg as needed (but not that day)

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm