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: 1054275
Sex: F
Age: 75
State: FL

Vax Date: 02/12/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: unknown

Symptom List: Dysphagia, Epiglottitis

Symptoms: red swollen and itchy at shot site, suddenly nearly 2 weeks after shot

Other Meds: Vit C, D, B12, fish oilnknow

Current Illness:

ID: 1054276
Sex: F
Age: 25
State: WA

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: On Monday February 22, the lymph nodes in my right arm pit started to swell but not too much and is one of the side effects. Wednesday February 24 the lymph nodes in my right arm pit started to get sore and you could see lumps under my skin. Thursday February 25th I woke up with bad pinching pain in my right arm pit and the lymph nodes are about twice the size that they were yesterday and more painful. One feels bigger than pea sized.

Other Meds: Lamotrigine Prenatal vitamin plus low iron Acetaminophen

Current Illness:

ID: 1054277
Sex: F
Age: 81
State: MO

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/25/2021
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 reported

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

Symptoms: 8 days after vaccination pt noted a 1.5 - 2 in diameter pale red area with speckled dots around her injection site. 4 days later on 2/22/2021 area was larger at 2.5in x 3in area that was pale red with red dots dispersed around the injection site. Pt did take antihistamine on 2/21/2021 for headache and sinus. Reported very minor itch or irritation to the area but not pain, warmth or swelling. Pt saw her primary provider on 2/24/2021 due to area still present. No treatment course given per her primary provider. Pt reported on 2/25/2021 that the area was not a pale pink color and less noticeable but the size was the same. She feels it is starting to subside. No other s/s of reaction reported.

Other Meds: unknown

Current Illness: none reported

ID: 1054278
Sex: F
Age: 45
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
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: "A LITTLE WARM FROM BEING ANXIOUS", WAITED 20 MINS

Other Meds:

Current Illness:

ID: 1054279
Sex: M
Age: 62
State: LA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: banana

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

Symptoms: feaver,body akes,chills.

Other Meds: multivitamin

Current Illness: none

ID: 1054280
Sex: F
Age: 65
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/25/2021
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: YAWNING

Other Meds:

Current Illness:

ID: 1054281
Sex: F
Age: 26
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/25/2021
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: Sesame Oil

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: These symptoms all began approximately at 8am (2/11) and lasted until approximately 12:30am (2/12) Extremely lightheaded (difficulty standing for longer than 2 minutes-almost lost consciousness 4 times). Nausea Chills Body Aches Soreness in left arm beginning approximately 3 hours after receiving the vaccine and lasted for approximately 5 days

Other Meds: Magnesium supplement, Hair Skin & Nails Supplement; Vitamin D; Turmeric supplement

Current Illness: None

ID: 1054282
Sex: F
Age: 26
State: DC

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: Fever; Chills; Body Aches; Headache.

Other Meds: None

Current Illness: None

ID: 1054283
Sex: M
Age: 52
State: CO

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: Day 1: Immediately (1015am) after injection a low grade headache. Soreness in injection site. During the evening some aches in joints. Day 2: Next morning was difficult getting out of bed. Skin was very sensitive to warm/hot shower water. Achy joints all over. Even my left injection site was sore even though I was injected on the right side. Fatigue at work. I was very wide eyed as described by co-worker. I was a little loopy as I was very giggly and things made me laugh way more than usual. I may have been a little delirious but I was able to work. This lasted until I went to bed. Day 3: When I awoke I felt like a fever had broke, Cooling sweat, but my temp was never over 98.5 degrees. My normal morning temp is usually 97.3 every day, but that one degree made a difference. I feel normal today and realize I was not well the day before.

Other Meds: psyllium husk

Current Illness: none

ID: 1054284
Sex: F
Age: 50
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/25/2021
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: First Fever, body aches, joint pain. Second Fever, head ache, body aches, joint pain, hot flashes and has missed work for 3 weeks.

Other Meds:

Current Illness:

ID: 1054285
Sex: F
Age: 50
State: CT

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/25/2021
Hospital: Y

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

Lab Data:

Allergies: cephalosporins, anaphalaxis

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

Symptoms: The day after the vaccine she experienced malaise, fever and chills. That resolved. Four days later she developed angio-edema that developed over the course of 6 hours with shortness of breath and weakness and confusion. She had laryngeal edema. she was treated with epinephrine, steroids and antibiotics. symptoms improved within 24 hours and resovled by 48 hours to 72 hours. she was discharged after 3 days in the hospital

Other Meds: dasatinib, 100 mg, Oral, Nightly escitalopram, 20 mg, Oral, Nightly loratadine, 10 mg, Oral, Daily LORazepam, 1 mg, Oral, Nightly Lisinopril 10 mg oral daily

Current Illness: Multiple sclerosis Chronic Myelocytic leukemia Hypertension GERD

ID: 1054287
Sex: F
Age: 63
State: NH

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
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: Allergy to iodine and shellfish. MSG causes migraines. Allergic to acyclovir. Clarithromycin causes diarrhea.

Symptom List: Rash, Urticaria

Symptoms: Ten minutes after injection to left arm the entire arm was cold and experienced numbness, tingling and pain to left hand, which resolved approximately 8 hours later. Took 2 Tylenol extra strength 4 hours after injection. Experienced chills for 24 hours. Experienced body aches and fatigue for 4 days. By the 5th day felt better after going to acupuncture. Did not require doctor visit.

Other Meds: Levothyroxine, hydrochlorothiazide, Celebrex, trazodone, Zoloft, baclofen, and Advair.

Current Illness:

ID: 1054288
Sex: M
Age: 53
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Pennicillin

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

Symptoms: Day 1 and 2 were fine with no issues. Day 3 woke up with a subconjunctival hemorrhage on my left pupil.

Other Meds: Triumeq

Current Illness: None

ID: 1054289
Sex: M
Age: 42
State: FL

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
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: Syncopal Episode.

Other Meds: None

Current Illness: None

ID: 1054290
Sex: F
Age: 67
State: IN

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Kept waking up with itching at injection site, 8 days after receiving the shot. Noticed a 1 1/2 inch diameter dark pink circle slightly raised around injection site. Put topical anti-itch cream on but the itch kept getting worse until I had to call my Dr. for a recommended treatment. Was told to take 10 mg of Zyrtek which I did. Only one dose needed to subside the itch. Pink skin patch continued to grow to about 2 inches but no longer itched badly. Completely gone by day 12.

Other Meds: vitamin D and OTC Systane eye drops

Current Illness:

ID: 1054291
Sex: M
Age: 40
State: FL

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/25/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: had a ?massive ? panic attack 2 days after receiving the covid vaccine. He did not miss work.He also has a stated history of panic attacks.

Other Meds:

Current Illness:

ID: 1054292
Sex: F
Age: 72
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/25/2021
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: Nickel in knee replacement. Eggs; milk; almonds.

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

Symptoms: Joint pain, fatigue, muscle pain, weakness, headache, rash.

Other Meds:

Current Illness: Hashimotos. Autoimmune.

ID: 1054293
Sex: F
Age: 43
State: WA

Vax Date: 02/12/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Red, itchy rash in mostly a circle around the injection site.

Other Meds: Elderberry vitamins

Current Illness:

ID: 1054294
Sex: F
Age: 84
State: IL

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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 DRUG ALLERGY AND NO OTHER ALLERGY NOTED

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: PT RECEIVED THE MODERNA VACCINE FOR COVID19 ON MONDAY FEBRUARY 22. SHE STATED THAT AT NIGHT SHE STARTED WITH NAUSEA AND HEADACHES. TUESDAY MORNING AROUND 3:00AM SHE STARTED WITH RASH THAT STARTED AT FEET AND STARTED GOING UPWARDS THE ENTIRE BODY BY WEDNESDAY.

Other Meds: FENOFIBRATE 160MG AND LIPITOR 40MG

Current Illness: 01/05/2021: PITYRIASIS ROSEA 02/03/2021: HYPERLIPIDEMIA

ID: 1054295
Sex: F
Age: 48
State: FL

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/25/2021
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: She emailed on 1/7/21 about dizziness.

Other Meds:

Current Illness:

ID: 1054296
Sex: F
Age: 22
State: MA

Vax Date: 02/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/25/2021
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: 2/1/2021 Vaccinated C/o "foggy" after vaccine, but otherwise felt well 2/7/2021 felt tired 2/8/2021 vomited 2/11/2021 vomited several times during night and went to the Emergency Dept. 2/11 had emergency appendectomy

Other Meds:

Current Illness:

ID: 1054297
Sex: F
Age: 65
State: RI

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

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

Lab Data:

Allergies: Cherries

Symptom List: Unevaluable event

Symptoms: Recipient of her first dose developed isolated perioral numbness without any pruritus or other sense of swelling,, without shortness of breath, chest tightness, nausea, rash, or headache. Her blood pressure was taken several times with systolic pressures in 210 plus range and diastolics near 100. She is under a physicians care,, takes no medications, and has never been hypertensive, including a meaurement at her recent physical. She declines further evaluation today but will contact her primary care physician for followup advice. She has not had similar reactions to injections and was asymptomatic after 5-10 minutes.

Other Meds: None

Current Illness: None

ID: 1054298
Sex: F
Age: 38
State: IL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: None known

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

Symptoms: Fever close to 103 Chills Aches Vertigo Headache Shortness of breath

Other Meds: Multi vitamin, sertraline

Current Illness: None known

ID: 1054299
Sex: M
Age: 71
State: WA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/25/2021
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: Skin became red, puffy, itchy, and inflamed around entire body. Rashes appeared all over body as well.

Other Meds:

Current Illness:

ID: 1054300
Sex: F
Age: 64
State: KY

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Percocet.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pfizer Was the manufacturer 24 hours after receiving the vaccine, I started having headaches followed by illness that remined me somewhat of getting the flu. Also, very tired and lack of appetite.

Other Meds: I took Tylenol in the early morning , as always, for arthritis along with prescription vitamin B-12 500 mcg, Calcium 600 mg plus D3 20 mcg vitamin, a prescription vitamin D3 50 mcg, and a Wellbutrin 300 mg.

Current Illness: None

ID: 1054301
Sex: F
Age: 49
State: MA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/25/2021
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: Penicillin, Urethromycin (anything with mycin family- get allergies)

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

Symptoms: After my first vaccine, I experienced right arm soreness and within 48 hours it went away. Then on day six in the morning, I experienced swelling around the injection site. it was hard, swelling and warm to touch.

Other Meds: Vitamin D, Acidophilus pills, tumeric

Current Illness:

ID: 1054302
Sex: F
Age: 46
State: CA

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/25/2021
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: penicillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: pins and needles left side of face, pins and needles right arm and hand, pins and needled left arm and hand. Ongoing

Other Meds: Nexium, daily vitamin

Current Illness: N/A

ID: 1054303
Sex: F
Age: 82
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Dizziness, R side chest pain radiating to R side of neck and R arm. Evaluated by EMS, cleared.

Other Meds:

Current Illness:

ID: 1054304
Sex: F
Age:
State: CT

Vax Date:
Onset Date: 02/08/2021
Rec V Date: 02/25/2021
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: CAT scan dye

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

Symptoms: Temp- 102, chest pain, body aches, headaches, vomiting. Saw primary in the AM and went to the ER from there.

Other Meds: Metoprolol, 25 mg, losartan 100 mg, rosuvastatin 40 mg, Synthroid 75 micrograms, indor 30 mg, Vitamin super b complex and aspirin.

Current Illness:

ID: 1054305
Sex: F
Age: 51
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/25/2021
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: Nausea

Symptoms: Heart Rate 106, resolved

Other Meds:

Current Illness:

ID: 1054306
Sex: F
Age: 67
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: vomiting, chest tigthness and shortness of breath, tongue swelling and difficulty swallowing

Other Meds:

Current Illness:

ID: 1054307
Sex: F
Age: 64
State: WA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: codeine- nausea/vomitiing

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

Symptoms: Moderna COVID-19 Vaccine EUA. Insomnia 12 hours after vaccine. headache 24 hours after the vaccine, progressed to body aches, fatigue, chills, fever 101.6 Resolved after 48 hours. Red arm 6 inches by three inches started 24 hours after the vaccine, still there 36 hours after vaccine

Other Meds: levothyroxine 0.112 mg one QD Vitamin D3 1000 iu one QD Preservision eye vitamin and mineral supplement one QD

Current Illness: none

ID: 1054308
Sex: F
Age: 36
State: FL

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: Pencilllin Sulfa

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

Symptoms: Fever Body ache Chills Neck pain Finger pain Severe headache

Other Meds: Birth control Synthriod Metformin Ozempic

Current Illness: None

ID: 1054309
Sex: F
Age: 55
State: OH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/25/2021
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: Allergic to penicillin, amoxicillin

Symptom List: Tremor

Symptoms: Five minutes after the vaccine was administered, my throat tightened and I was having difficulty swallowing. I took Benadryl and the symptoms minimized.

Other Meds: Levothyroxine 75mcg (1 tablet taken at 4:30 am).

Current Illness: None

ID: 1054310
Sex: F
Age: 75
State: IN

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/25/2021
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: Patient developed a nodule with redness and warmth at injection site about 5 minutes after receiving their second dose of COVID-19 vaccine. The reaction subsided after patient received a dose of oral diphenhydramine. and released from the vaccine clinic without requiring any further intervention.

Other Meds:

Current Illness:

ID: 1054312
Sex: F
Age: 63
State: WA

Vax Date: 02/16/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: Bactrim, antihistamines cause racing heart

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

Symptoms: Covid arm, large red , itchy knot at vaccine site

Other Meds: Metoprolol, pantaprazole, aspirin 325, vit D3, viviscal, potassium, b-complex, magnesium citrate, magnesium oxide

Current Illness: None

ID: 1054313
Sex: M
Age: 71
State: IN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: aspirin

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

Symptoms: HISTORY OF PRESENT ILLNESS: The patient is a 71-year-old male patient with a complex medical history with multiple problems and cancers and debilities. He received a second dose of COVID vaccine yesterday about midday. Shortly thereafter, he started having shivers and shakes. The concern that I had when he called the office was a possible bacteremia. He was sensitive emergency room for evaluation. He was noting that he was chilled and was unable to get warm. He said his temperature was up to 100.5. He had generalized weakness and inability to get up and walk and had malaise. He has no known exposures to pneumonia or other illnesses. He has basically been homebound for the past year with the COVID. He was evaluated in the emergency room and found to have an elevated white blood cell count on the right upper lobe pneumonia on portable chest x-ray. Blood cultures and urine culture were obtained since he had a urine abnormality as well. The patient was admitted to observation while we wait on cultures and we treat the pneumonia with antibiotics.

Other Meds: none

Current Illness: 1 Gabapentin 300 mg 2 p.o. b.i.d. 2. Alprazolam 0.5 mg 1 p.o. b.i.d. p.r.n. and 1 p.o. at bedtime. 3. Clopidogrel 75 mg daily. 4. Rosuvastatin 20 mg daily. 5. Nitroglycerin 0.4 mg sublingual p.r.n. chest pain. 6. Advil 200 mg p.r.n. pain. Topical powder used in the _____ area of the lower abdomen around the suprapubic catheter p.r.n.

ID: 1054314
Sex: F
Age: 84
State: TX

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: None stated.

Other Meds: metroprolol;l-thyroxine;atorvastatin;telmisarten

Current Illness:

ID: 1054315
Sex: F
Age: 63
State: VA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 02/25/2021
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: NKDA

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

Symptoms: first shot- starting two days after and lasting 2 weeks- when I turn my head it feels like it takes a few seconds for my eyes to catch up. second shot-starting two days after and now I'm on my fourth week post vaccination- have the same feeling that when I turn my head it feels like it takes a few seconds for my eyes to catch up. I'm an RN and felt that the manufacturer needed to know this is happening. I'm able to function, but the feeling is still there.

Other Meds: lisinopril levothyroxine escitalpram propranolol atorvastatin mirtazapine

Current Illness: none

ID: 1054316
Sex: F
Age: 58
State: MA

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/25/2021
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: Peanuts, Sunflower/Soybean/Palm Oils, Avalox(antibiotic)

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

Symptoms: 8days after the vaccination, at the site of the injection (left upper arm), a bright red, raised, hot and itchy rash appeared out of no where. I feel itchy all over and achey. My arm is extremly sore and feels hot/burning. Now two days since the onset of the ?rash? the affects area has expanded to my entire left upper arm (shoulder to elbow) still bright red and raised and itchy, all symptoms have remained the same. It is not improving with time.

Other Meds:

Current Illness:

ID: 1054317
Sex: F
Age: 72
State: FL

Vax Date: 02/15/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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 known

Symptom List: Pain in extremity

Symptoms: Hardness of arm, swelling and itching at injection site

Other Meds: Levothyroxine Metoprolol Atorvastatin D3 Omeprazole Baby Aspirin

Current Illness: None

ID: 1054318
Sex: F
Age: 56
State: UT

Vax Date: 02/18/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: Malarone

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

Symptoms: "COVID Arm"(delayed cutaneous hypersensitivity) On day 6 at about 10 pm, my left arm started to itch at the injection site. Not thinking much about it, I scratched it. There was an immediate reaction. The area started to swell and become red, hot to the touch and more itchy. I took a Benadryl but that didn't help. On the morning of day 7, it is now a round red, hard-to-the-touch, patch that is about 2 inches in diameter.

Other Meds: Estradiol Transdermal System, USP (Twice-Weekly) 0.075 mg/day Levothyroxine 0.05MG once daily Centrum Silver Women's daily vitamin De-Stress Snooze Ashwaganda

Current Illness: None

ID: 1054319
Sex: F
Age: 63
State: NM

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: NKDA, NKA

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

Symptoms: After receiving vaccine the patient was waiting for her 15 min. She began to report feeling of numbness in her fingers. Her vitals were checked and she had an elevated blood pressure of 200/108. She was also was developing a redness on both arms and hands. Rechecking her blood pressure 5mins later her blood pressure was 190/110. Patent also had complaints of intermittent chest pain. After speaking to a provider it was decided to send patient to the ER to treat the elevated blood pressure.

Other Meds: Butalbital-APAP-Caff-Cod 50-325-40-30 mg Cyclobenzaprine HCL 10 mg Duloxetine HCL 60 mg Estradiol 1 mg Gabapentin 800 mg Hydrocodone-Acetaminophen 10-325 mg Levothyroxine Sodium 88 mcg Narcan 4mg/0.1ml Norvasc 10mg Sumatriptan Succinate 100

Current Illness: None

ID: 1054320
Sex: M
Age: 74
State: AZ

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

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

Lab Data:

Allergies: Penicillin

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

Symptoms: light headed; spike in blood pressure; tingling, heavy feet. Later dizzyness.

Other Meds: Enbrel, amlodipine, atorvastatin calcium, klor-con, losartan, sulfa salazine, methotrexate, metoprolol

Current Illness: none

ID: 1054321
Sex: F
Age: 75
State: MD

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/25/2021
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: Penicillin, Advil, lactose

Symptom List: Vomiting

Symptoms: Passed out the morning after the vaccine which resulted in a broken ankle. I have never passed out before

Other Meds: Flonase,Vitamin D, culturelle, paroxitine 10 mg, latanoprost drops,

Current Illness: None

ID: 1054322
Sex: F
Age: 51
State: IL

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/25/2021
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: day 1-little light headed, tired day 2-arm hurt, light headed, day 3-feel week light headed, day 4-week foggy, day 5- little week foggy

Other Meds: levothyroxine, simvastatin, metformin, vit d, c, fish oil

Current Illness: none

ID: 1054323
Sex: F
Age: 46
State: MO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/25/2021
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: Penycilian, Statins, Latex

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

Symptoms: At 9PM I began itching, the itching was followed by red blotchy skin all over my body. Treated with Benedryll. Woke feeling nauseated, had chills.

Other Meds: Venlafaxine, Pantoprolol, Metoprolol, Vitamin D, Glyliberide, Trulicity, Ropinerol,

Current Illness: None

ID: 1054324
Sex: F
Age: 53
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/25/2021
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: Codeine, raw carrots

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, back of neck hurts, joint pains and fever the whole day

Other Meds: Multivitamins

Current Illness:

ID: 1054325
Sex: F
Age: 73
State: MO

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/25/2021
Hospital:

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

Lab Data:

Allergies: NoNone

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

Symptoms: Swelling, firmness, redness at injection site 13 days after vaccination

Other Meds: Vitamin D supplement Hair, Skin , Nails Gummies

Current Illness: None

ID: 1054326
Sex: M
Age: 62
State: VA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/25/2021
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: My only known allergies are to erythromycin, bactrim & penicillin (non life-threatening)

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

Symptoms: Moderna COVID-19 Vaccine EUA: I received my second dose of this vaccine about 9:45am on 2/24/2021. About 7:00pm that same day I began to feel achy. A few hours later I began running a low-grade fever. The worst period of side effects was about 11:30pm - 1:30pm during which I had a fever of over 100,, with aches and frequent chills (pretty much every minute during those 2 hours I would shake with chills even though I felt extremely hot). I was taking ibuprofen at the time (at 7pm and 11pm) yet did not experience any significant relief from the chills & fever until about 1:30am. I continued to feel achy the rest of the night with an off-and on low-grade fever (99-100), despite regular appropriate use of OTC NSAIDS (ibuprofen & tylenol). The fever went away by about 8:00am, and the overall achiness largely went away by 10:30am. At no time did I require any other medical attention.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm