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: 1052801
Sex: M
Age: 80
State: AL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
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: NKDA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt reports Aura in Left eye without Migraine pain daily since vaccine. States the aura started peripherally and then moved medial

Other Meds: None

Current Illness: None

ID: 1052802
Sex: M
Age: 76
State: FL

Vax Date: 02/14/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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, Bactrim

Symptom List: Anxiety, Dyspnoea

Symptoms: swelling redness rash

Other Meds: allopurinol, diltiazem, triamterene hctz, metoprolol,finasteride, potassium, multivitamin, calcium/vitamin D3, oxycodone/acetaminophen

Current Illness:

ID: 1052803
Sex: M
Age: 76
State: WA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Client arrived at our mass covid vaccination clinic. Medic asked if he was there for his second Pfizer vaccine. He stated yes. Medic provided vaccine then scribe noticed on Immunization card that his first vaccine was Moderna.

Other Meds:

Current Illness:

ID: 1052804
Sex: F
Age: 36
State: TN

Vax Date: 02/04/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Imitrex

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Shoulder blade pain with sharp pain that feels like it is on fire. Hurts to do daily activities (i.e. carry cup, extend arm, lift anything). Have tried Ibuprofen 800 mg, heat patch, and heating pad with no improvement. Ongoing all day since 2.14.21

Other Meds: Lexapro 10 mg

Current Illness: None

ID: 1052805
Sex: F
Age: 59
State: NY

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: beesting

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

Symptoms: nausea, vomiting, hoarse throat, diaphoresis

Other Meds: lisinopril, xanax, ambien

Current Illness: peritoneal tumors

ID: 1052806
Sex: F
Age: 65
State: AZ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/24/2021
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: Avelox (rash)

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

Symptoms: Within minutes of the shot, my face turned bright red and felt flushed, I developed a headache, and my tongue swelled slightly. I did not have any breathing difficulties. The reaction peaked about an hour after the shot, and by two hours after the shot the reaction had completely subsided. It was a slight reaction, with no medical emergency and no lasting effects, but it was definitely an allergic reaction. My primary care physician, Dr has advised me to not get the second dose of the Moderna vaccine.

Other Meds: Combipatch HRT, Losartan, Metrogel topical gel for rosacea, Claritin, Glucocoritcoid nasal spay, baby aspirin, fish oil, turmeric, glucosamine, multivitamin.

Current Illness: None

ID: 1052807
Sex: F
Age: 84
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itchy ness on day3- day 4 became inflamed and very red -I took Benadryl and the redness faded slightly but the area is still red around the outside - it is already 13 days- there is no pain but slight it hing

Other Meds: Levothyroxine..025mg in the am Prolix shot evert 6 months

Current Illness: None

ID: 1052808
Sex: F
Age: 53
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: 24 hours after 2nd vaccine -- chills, flu like symptoms. 36 hours after 2nd vaccine covid arm appeared.

Other Meds: None

Current Illness: None

Date Died: 02/17/2021

ID: 1052809
Sex: M
Age: 73
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Lisinopril

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient passed away

Other Meds: Neurontin, Proscar, Glucophage XR, Norvasc, Glucotrol, Lasix, Lipitor, Cozaar, Hygroton, Protonix, Hytrin

Current Illness: Pressure ulcers

ID: 1052810
Sex: F
Age: 42
State: NJ

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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 aches, fever happened on Day 1 and day 2 of receiving the vaccine. swollen lymph node and cough started on day 3.

Other Meds: Aubagio

Current Illness:

ID: 1052811
Sex: F
Age: 74
State: SD

Vax Date: 02/01/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: Pt received Covid 19 vaccination on 02/01/2021-SX on 02/24/2021-Positive for COVID 19 on 02/24/2021

Other Meds: ALBUTEROL/IPRATROPIUM SOLN,INHL , METOPROLOL TAB 100MG,WARFARIN 2.5MG TAB 2.5MG, LISINOPRIL TAB 20MG

Current Illness: Atrial Fib

ID: 1052812
Sex: M
Age: 74
State: VA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: Woke up approximately 3:30 AM Monday morning with abdominal cramping and a fever. Unable to get back to sleep. My wife woke up hours later and got a hot pad which helped relieve the cramping, managed to sleep until afternoon. Temperature was about 100 degrees. Very fatigued, stayed in bed most of the day. Woke Tuesday feeling better but still a temperature around 100 and fatigued, slept a lot. By Wednesday morning all symptoms gone.

Other Meds: lisinopril, atorvastatin, allopurinol, hydrochlorothiazide, aspirin (81mg), leutine

Current Illness: none

ID: 1052813
Sex: M
Age: 43
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: I received my first dose of Pfizer vaccine (lot # EN6200) around 10 AM. I was perfectly fine after the shot. However, 6 hours later around 4PM my Left outer ear turned bright red and get itchy (no raised or macular rash, no hives, no signs of insect bites or anything) No other redness or rashes in any other parts of my body. I did not develop any other symptoms (no SOB/difficulty breathing, etc) My R ear is fine too. I observed myself to see if the redness/itchiness will spread but after about an hour or so, the redness and itchiness went away. I did not take any antihistamine and did not I apply any hydrocortisone. Just went away on its own. Four days later, it happened again, my L outer ear turned red again, this time it is not itchy but more like throbbing pain. It went away after 1-2 hours without any treatment.

Other Meds: Vit D, Vit C, Quercetin with Zinc, multi vitamins

Current Illness: None

ID: 1052814
Sex: F
Age: 70
State: NY

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NONE

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

Symptoms: TINGLING IN LIPS LASTED 10 MINUTES AND FLASHING IN THE FACE, FACE IS STILL FLUSHED

Other Meds: NON KNOWN

Current Illness: NONE

ID: 1052815
Sex: M
Age: 71
State: MA

Vax Date: 02/10/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
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: Paresthesia of left foot and left hand, along with fatigue, apathy, dysphoria, some myalgias. Normal neurological examination, strength, sensation, reflexes. Symptoms were intermittent and transitory. No specific treatment.

Other Meds: Finasteride, rosuvastatin

Current Illness: none

ID: 1052816
Sex: M
Age: 88
State: MS

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/24/2021
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: Lisinopril, Aldactone

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

Symptoms: Patient became dizzy, passed out and hit head on wall, Ambulance called, taken to nearest Hospital.

Other Meds: Norvasc 2.5 mg, Plavix 75 mg, Lipitor, 40 mg, Metoprolol, 50mg, Valsartan 80mg, MVI, Calcium , Lutein, Omega-3, B-complex

Current Illness:

ID: 1052817
Sex: M
Age: 21
State: CO

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Patient reports left axillary lymph node swelling, fever, chills, headache.

Other Meds:

Current Illness:

ID: 1052818
Sex: F
Age: 60
State: TX

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 02/24/2021
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: The vaccine was not injected into the muscle as prescribed. The nurse pinched up the fat on my arm with a short needle. My upper arm swelled almost to the size of a baseball and was red and painful for over one week. I think it was administered SQ although intended to be IM. I am a nurse and thought to myself at the time of injection that the proper technique for administering the shot was not followed, but thought perhaps I could be wrong and the extra swelling might be normal with the second injection. My first injection was in left arm and did not swell and was only sore for a few days. If administered SQ, will the vaccine dose be effective?

Other Meds: Estrace vaginal cream

Current Illness: none

ID: 1052819
Sex: F
Age: 33
State: NH

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: none known. But she had a severe reaction to BCG vaccine as a child

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: We did not administer the vaccine. This was done at the Nursing Home where she works. She presented to our Urgent Care c/o of headache, dizziness and fatigue for the last 11 days that started when she had the vaccine. She had felt fine for 8 weeks prior to this after recoverying from Covid the first week of December.

Other Meds: Vitamin D, C, Zinc, Vitamin B12

Current Illness: She had Covid the first week of Dec 2020, about 9 weeks ago, with not dissimlar symptoms.

Date Died: 02/19/2021

ID: 1052820
Sex: F
Age: 73
State: OH

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies: none

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

Symptoms: Approximately 2 weeks after the first COVID vaccine she developed shortness of breath that was much more significant than she had previously. This was the first time she had expressed this symptom to me as being something she was concerned about and difficult for her to manage (we have spoken almost daily for many years). Within 24 hours of the second dose of the mRNA vaccine, they called an ambulance to get her and she was taken to the hospital and diagnosed with bacterial pneumonia. The doctors said it was unrelated, but I found a study with a different vaccine (LAIV) that also seemed to increase the incidence of bacterial pneumonia. They hypothesized through diverting the immune system. So while I don't think the vaccine gave her the bacteria, I do think it may have caused her immune system to be temporarily compromised allowing the bacteria to grow out of control. I feel this is important to report to look for these types of patterns as perhaps it can help others avoid the death spiral that happened to my mother. There were also intervening events between her hospitalization and her death including two successful surgeries (one for a broken hip and another to put in stents in her leg). So to summarize, the first vaccine was within about 2 weeks of the onset of her breathing problems. Within 24 hours of the second vaccine she was hospitalized and diagnosed with bacterial pneumonia. As she was battling bacterial pneumonia in the hospital she broke her hip and was found to have reduced peripheral circulation and had 2 surgeries to correct those. They were successful according to the surgeons, however she died within a week or so of the surgeries. She had other comorbidities as well which I'm sure predisposed her such as diabetes, hypertension and cancer for many years.

Other Meds: A variety of medications for diabetes, blood circulation, hypertension

Current Illness: Diabetes, hypertension, cancer (lung)

ID: 1052821
Sex: F
Age: 77
State: MD

Vax Date: 02/11/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
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:

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

Symptoms: Moderna COVID-19 Vaccine

Other Meds:

Current Illness:

ID: 1052822
Sex: F
Age: 43
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: Patient received the COVID vaccine at 1327. After her 15 minute observation she went to the bathroom and noticed red areas on her arm. She came in and alerted the nurse. 1348 she was escorted to a chair. Raised red areas noted on both hand and arms: vs 97.3-108-22 138/87 o2 sat 98%, no difficulty breathing. She has a history of asthma. 1400 patient took her own Benadryl 50mg po. After 15 minutes rash less red: 1415 vs 98-104-20 131/82. 1440 ambulance here assessed pt. No discomfort noted. Pt refused to go to hospital. EMS escorted her to her car, rash faded, no discomfort noted, stated she felt just fine.

Other Meds: N/A

Current Illness: Asthma

ID: 1052823
Sex: F
Age: 47
State: TX

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 02/24/2021
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: no

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

Symptoms: I had COVID symptoms - cough first, fever, head pain, chills, body aches; lost of taste and smell - overall I had 11 days of symptoms. Once I got better, I was fine. I was given Ivermectin I took a dose on the 8th of Jan and a dose on the 10th - and another antibiotic - that I took for seven days. (Had second dose of vaccine on January 26th.) Telemed visit with Doctor on January 8th.

Other Meds: Almasartin - for high blood pressure; OTC Zyrtec

Current Illness: no

ID: 1052824
Sex: F
Age: 43
State: MD

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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 known

Symptom List: Injection site pain, Pain

Symptoms: Big red blotch on site of injection, about 3.5 inches in diameter, a little itchy and a feeling of dry/numbness on tongue.

Other Meds: Fluoxetine 10 mg

Current Illness: None known

ID: 1052825
Sex: F
Age: 33
State: AZ

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs and Ceclor

Symptom List: Injection site pain, Menorrhagia

Symptoms: Numbness to L thumb since day after receiving the vaccine.

Other Meds: Kurvelo birth control

Current Illness: none

ID: 1052827
Sex: F
Age: 42
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 30 minutes post-injection, patient reported numbness in her feet similar to when she has PEG before. Pt. remained another 15 minutes and was advised to go to the ER and transported there, but wanted to go home instead and left without being seen. She said she would see her doctor if she started to feel bad. She was called 2/1/21 and reported feeling great and denied any needs.

Other Meds:

Current Illness:

ID: 1052828
Sex: F
Age: 37
State: NV

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
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: corn

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had the shot on a Wednesday. Thursday and Friday I felt a little achy and cold but Saturday I woke up with pain under my right clavicle (almost like post surgery gas pain). It has not gone away and is not relieved with ibuprofen. I also have weakness/numbness in my right arm and it feels crampy and uncomfortable. Today is day 8 since my shot.

Other Meds: birth control, magnesium, stool softener, liver detox, parasite detox, fulvic acid

Current Illness: none

ID: 1052829
Sex: M
Age: 44
State: OH

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies: Tetracycline

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever, fatigue, low grade fever, swollen lymph node in arm pit and neck. Heart SVT, rapid heart beat 48 hours later

Other Meds: Vitamin c, elderberry, prilosec, allegra

Current Illness: No

ID: 1052831
Sex: F
Age: 55
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Moderna COVID?19 Vaccine EUA - Right Shoulder Joint and Muscle Pain and stiffness - has not gone away

Other Meds:

Current Illness:

ID: 1052832
Sex: F
Age: 65
State: CA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Certain opiods, scallops, tequilla

Symptom List: Nausea

Symptoms: Extreme fatigue for 4 days, sleeping deeply and continuously for 10-12 hours (sleeping thru alarms), waking briefly, uncontrollable urge to go back to sleep thru 3rd day, then able to be up for a few hours then back to sleep. Only other side effect very sore arm and stiff neck 1st 48 hrs.

Other Meds: Atenolol, aprodyn

Current Illness: None

ID: 1052833
Sex: F
Age: 66
State: CA

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa drugs, Benadryl, opiates, dairy (casein), almonds, zucchini, beef.

Symptom List: Injection site pain

Symptoms: 4" rash on outside of upper left arm adjacent to injection site.

Other Meds: Tylenol, Methocarbamol, Beconase AQ, Protopic, Pepcid AC 10mg, Vitamin D, Vitamin B-12, Liquid Multivitamin, Omega-3 Liquid, Biotin

Current Illness:

ID: 1052834
Sex: F
Age: 47
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/24/2021
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: I was woken up by fever, chills, body aches. Felt overall tiredness. I had these symptoms for about 24 hours. I took some Nyquil

Other Meds: Almasartin - for high blood pressure; OTC Zyrtec

Current Illness: COVID 19 - after vaccine dose 1

ID: 1052835
Sex: F
Age: 43
State: WA

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Sulfa Amoxicillin

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

Symptoms: Rash at vaccination site 9 days post injection

Other Meds: Cylexa Hydroxychloroquin Cod liver oil Probiotic Super enzymes Iron Vitamin d Acacia fiber

Current Illness:

ID: 1052836
Sex: F
Age: 56
State: OH

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Penicillin, sulfa (pt reports high fever)

Symptom List: Tremor

Symptoms: Patient felt dizzy and nervous prior to receiving vaccination. After vaccination, patient reports her heart was racing and still feeling dizzy. EMS onsite and pulse was 90, BP of 170/88, patient was taken to hospital for further evaluation.

Other Meds: Otezla

Current Illness:

ID: 1052837
Sex: F
Age: 34
State: IL

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
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: Nauseous, more abdominal pain, weakness for at least 7 days after

Other Meds: TUDCA, probiotic, digestive enzymes

Current Illness: Abdominal pain, queasy

ID: 1052838
Sex: F
Age: 42
State: IL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
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: Dust mites

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

Symptoms: Redness/pain/hard swelling at injection site from 22 hours post to present with gradual lessening on symptoms. Low grade fever/chills from 22 hours post to 28 hours post. Thoracic muscle spasms at 48 hours post. Lumbar muscle spasms from 72 hours to 100 hours post.

Other Meds: Multivitamin, probiotic, omega 3, omega 6, Nutriferon, vitamin D

Current Illness: Reaction to the first vaccine

ID: 1052839
Sex: F
Age: 31
State: MO

Vax Date: 02/19/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: No known allergies

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

Symptoms: Mon 2/22 had a few spots throughout my body at different times in the day starting in the morning, looked like mosquito bites, by evening, it had shown up on my legs, arms, back, stomach, my ears were hot and itchy, took 1 Benadryl 10:00 PM, went to bed Tue 2/23 6:30 AM widespread rash on both arms and both legs and isolated spots on my trunk, large areas raised red bumpy splotchy 9:40 AM sick visit appointment to see NP at my primary care office, prescribed zyrtec 10 mg in the morning, pepcid 20 mg at lunch, benadryl at night Took pepcid with lunch 3:00 PM put on a lot of lotion over my entire body, hives less pronounced, not as raised, still itchy but not as much Evening some small spots on face near hairline, took 1 benadryl Wed 2/24 morning upon waking hives not as severe, but still present and itchy, eyes slightly puffy, palms itchy but can?t see any hives, overall better than the previous 2 days Took zyrtec with breakfast, pepcid with lunch (now it is currently 4 PM haven't taken benadryl yet for the evening)

Other Meds: None

Current Illness: She had a cold about a week before her first vaccination dose (01/31/21)

ID: 1052840
Sex: M
Age: 85
State: MI

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: DIRECTLY FOLLOWING ADMINISTRATION Involuntary shaking in both arms for 2-3 hrs (severe). Not just trembles Fatigue to near incapacitation (severe) Muscular movement unresponsive Unable to stand, sit up right, raise arms Incontinence Confusion, non-responsive, fog 101.3 F temperature Strained breathing

Other Meds: Diltiazem CD, Finasteride, Lisinopril, Terazosin, Hydrochlorothiazid, Allopurinol, Asprin

Current Illness:

ID: 1052841
Sex: F
Age: 58
State: WI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
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: chlorahexadine (topical scrub for cleaning prior to surgery), seasonal allergies

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

Symptoms: Client reported that after receiving her vaccination in the morning, she noticed at 4pm that her right ear was red and hot. This was followed by her right cheek becoming itchy. At 5pm when she got home from work, she noticed that the right side of the back of her throat was itchy and a little puffy. She called urgent care who directed her to go the ED. Client decided to stay home under the careful watch of her husband. The symptoms went away on their own. That night and the next day she developed chills and body aches.

Other Meds: Sudafed (OTC per MD), claritin, buspar

Current Illness: None Client reported she had onset of joint pain and swelling in June 2020, which went away on its own. This recurred in fall 2020 and in January 2021. In both instances the symptoms went away on their own. Client has sought medical attention for symptoms

ID: 1052842
Sex: F
Age: 69
State: TN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Unknown

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

Symptoms: ADMINISTRATION ISSUE ONLY. NO MEDICAL ADVERSE EVENT. Vaccinator was using 3ml syringe w/ 25G, 1in needle system. Vaccinator was not familiar with this model and did not realize that the needle system needed to be retracted by the push-button system while still in the patient's arm. Pressed plunger until usual resistance was met, thinking all of vaccine had been administered, and removed needle from patient arm. Immediately pressed the end of the syringe to retract the needle and a very amount of vaccine was expelled. Pt did not experience any adverse reactions and vaccinator re-educated on this model of syringe. Pt is scheduled for 2nd dose in 28 days.

Other Meds: Unknown

Current Illness: Unknown

ID: 1052843
Sex: F
Age: 75
State: PA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: morphine,

Symptom List: Pain in extremity

Symptoms: Pt stated that after she received the covid vax her nose was hurting and sinuses were burning. She was not able to sleep since she had a headache and her neck was hurting. Pt took a Tylenol pm and slept some. She was nauseated w/ dry heaves. Her temp was 100.7 . She took another Tylenol pm and slept the entire night. She feels better today but has developed a rash on the top of her left arm. She still has a dry cough that she has had since her first vax. Pt will contact her PCP and schedule a virtual appt.

Other Meds: metformin, losartan, rosuvastatin, acetaminophen,

Current Illness: dry cough

ID: 1052844
Sex: F
Age: 80
State: CO

Vax Date: 02/13/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies: losartan-hydrochlorothiazide, amoxicillin

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: five days after vaccination patient presented to emergency department with left-sided facial droop, right gaze preference, and left hemi-paresis. Patient diagnosed with right middle cerebral artery occlusion, likely thrombotic etiology, admitted to hospital, and underwent thrombectomy and recanalization with symptom improvement. Discharged to home improved, stable, with vital signs within normal ranges two days after arrival to emergency department.

Other Meds: vitamin D3, famotidine, alendronate, amlodipine, aspirin, atorvasatin, calcium, diclofenac gel, duloxetine, lidocaine patch, multivitamins

Current Illness: None reported

ID: 1052845
Sex: M
Age: 73
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
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: Blood clot in left arm.

Other Meds:

Current Illness:

ID: 1052847
Sex: F
Age: 28
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Flu like symptoms body aches dizziness and chills no treatment yet .

Other Meds: No

Current Illness: No

ID: 1052848
Sex: M
Age: 87
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Patient received both doses of Pfizer vaccine. Patient reports around 5 days after the vaccine, experienced shortness of breath, generalized weakness. On admission (about 10 days after completion of vaccination), patient is diagnosed covid-19 pneumonia with covid pcr positive and chest x ray consistent with pneumonia.

Other Meds:

Current Illness:

ID: 1052849
Sex: F
Age: 59
State: KY

Vax Date: 12/17/2020
Onset Date: 12/18/2020
Rec V Date: 02/24/2021
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: Worsening breathing similar to asthma-like condition. It started the day after the first vaccine and worsened after the second. Requires use of albuteral inhaler on a PRN basis.

Other Meds: multivitamins, vitamin D, valtrex 500mg

Current Illness: none

ID: 1052850
Sex: F
Age: 31
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pain at injection site for 3 days, and fatigue for 2 days.

Other Meds:

Current Illness:

ID: 1052851
Sex: F
Age: 35
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
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: Shellfish

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 5:36 complaint of tingling sensation to face and lips; no swelling observed, no other complaints. 5:45 patient drove self home

Other Meds: N/A

Current Illness: N/A

ID: 1052852
Sex: F
Age: 53
State: SD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/24/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: I was vaccinated for Covid-19 (second shot) 12/27/2021. The afternoon of 12/28/2021 I started feeling tired. 12/28/2021 I got up at 0545 and was not feeling well. I had a head ache and a back ache and I felt exhausted, at 0630 I broke out in a sweat and continued not to feel good, I decided to stay home at this point. I set my alarm to call into work at 0730. I stayed in bed until 1215 and continued feeling bad and tired until 1645 when I felt better.

Other Meds: None

Current Illness: None

ID: 1052853
Sex: F
Age: 75
State: CA

Vax Date: 02/04/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
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: Vanccomycin

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

Symptoms: Evening Feb. 15, chills, fever, muscle aches, and headache and exhaustion. Night sweats with temp. up to 101.8. Day temps 99 to 100. Have lasted to the present time. Treatment fluids and aspirin. Chest x-ray and urinalysis clear. Covid nasal test yesterday, Feb.23. The second Pfizer vaccine scheduled for today, Feb. 24, was cancelled.

Other Meds: Levo-thyroxin, Rosuvastatin, calcium, muti vitamin,

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm