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: 1059224
Sex: F
Age: 65
State: CO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/27/2021
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: Multiple chemical sensitivity (MCS). Fragrances. Cleaning products, diesel, etc.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fatigue, chills and migraine beginning within 2 hours and lasting approximately 36 hours. Another round of fatigue about 5 days after injection. Soreness in arm, then hard swelling, then red round rashy spot with itching at 7 days after shot. 12 days later arm is still itchy.

Other Meds: Hormone replacement therapy: DHEA, progesterone, estradiol. L-methylfolate. Melatonin. L-lysine. Magnesium citramate. MultiVitamins.

Current Illness: None

ID: 1059225
Sex: F
Age: 22
State: NC

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
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: Latex

Symptom List: Anxiety, Dyspnoea

Symptoms: 1 hour after shot. Numbness in face, tingling in face; tiredness and fatigue , headache, hand tingling, gradually swelling of the throat, neck tenderness and swelling, trouble swallowing and. breathing, chills and fever, itchiness ; dizziness

Other Meds: N/A

Current Illness: N/A

ID: 1059226
Sex: F
Age: 41
State: AL

Vax Date: 02/01/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Gluten, Penicillin, dairy , nickel

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

Symptoms: Nausea, headache, fever, chills, body aches, severe arm tenderness, swelling, warmth and redness and fatigue; Tylenol, Pepcid, fluids and rest; approximately 24hrs

Other Meds: Tylenol, elderberry, resveratrol, vitamin D, vitamin C, zinc, omega 3s

Current Illness: None

ID: 1059227
Sex: M
Age: 68
State: MD

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Allergic to latex tape -- gives me a skin rash

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Moderna COVID-19 Vaccine EUA Joint pain and swelling sensation

Other Meds: Drug Dosage Prescription Metoprolol Succinate 100 mg 1 tab 2x daily Lisinopril 20 mg 1 tab 2x daily Flecainide 100 mg 1 tab 2x daily Tamulosin 0.4 mg 1tab 1x daily Simvastatin 20 mg 1 tab 1x daily Escitalopram (Lexapro?) 10 mg 1 tab 1x dail

Current Illness: None

ID: 1059228
Sex: F
Age: 37
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Injection site itchiness redness very hot painful hard lump the size of a large grape. Very hard and painful

Other Meds: Lexapro, iron, zyrtec,propanelol,prilosec

Current Illness: None

ID: 1059229
Sex: F
Age: 37
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: No

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

Symptoms: 16 week and 6 days pregnant. Due date is 8/8/2021. I received my 1st dose of Moderna COVID vaccine around 5/45pm on Thursday 2/25 by a woman at the High School. The shot felt fine at the time but I did notice she went a bit higher up on my shoulder. However, the morning after, I was experiencing extreme shoulder pain with limited range of motion as the day progressed on 2/26. By night time of 2/26, I couldn?t remove my bra and had to ask my husband for assistance. I?m scared and terrified that I won?t be able to hold my newborn baby when he?s born. This is all I can think about. I don?t even care that I?m in severe pain. All I can think about is how this is going to ruin my experience caring for my child without full range in one of my arms. It?s 2:37am where I am and I can?t sleep because of the shoulder pain.

Other Meds: Prenatal vitamins and Synthroid 50mg

Current Illness: No

ID: 1059230
Sex: F
Age: 72
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Enbrel, Amoxicillin, Sulfa, Atorvastatin, Latex, Nifedipine, Singulair, Co-Trimazole

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Sever shortness of breath, palpitations, HTN (200s systolic)

Other Meds: Losartan, Diltiazem, Plavix, Advair Diskus, Pepcid

Current Illness:

ID: 1059231
Sex: F
Age: 48
State: WI

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/27/2021
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

Symptom List: Pharyngeal swelling

Symptoms: Fever, joint pain, headaches, fatigue, stomach issues (nausea, diarrhea), body aches

Other Meds: Generic Lexapro

Current Illness: None known

ID: 1059232
Sex: F
Age: 29
State: KS

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
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: Moderate pain and inflammation in left armpit area starting 12 hours after 2nd injection. Pain and sensitivity in area continued for 3 days. Also mild fatigue and general achy feeling for 2 days after shot.

Other Meds: Daysee, multivitamin, vitamin D3

Current Illness: None

ID: 1059233
Sex: M
Age: 38
State:

Vax Date: 02/24/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillin, morphine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient initially had Covid at the beginning of January and was diagnosed on January 2 with a positive test. After recovering from Covid he received the first dose of Covid vaccine at the end of January. He tolerated that well. He then got the second dose of Covid vaccine on February 24-he had previously finished a 5-day course of prednisone for shortness of breath. He was doing okay when he got the second dose of the vaccine; he subsequently developed a fever of up to 103.5 and significant shortness of breath and came to the hospital emergency department-we did not find a cause for his fever, suspect vaccine reaction because it developed after taking the vaccine. He was admitted overnight to the hospitalist for fever of unknown origin. ER doctor was reporter

Other Meds: albuterol, as needed ativan, recently finished a course of prednisone

Current Illness: had covid about 1 month prior to first dose of vaccine.

ID: 1059234
Sex: F
Age: 34
State: CA

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
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: Sunday night Feb 22 I experienced a lot of itching around injection site area. I iced area by Feb 23 area was inflamed, rough, red, and very itchy .. it began to widen and spread out. Tuesday Feb 24 area was very red and spread out, I called my doctor and was prescribed antibiotics to treat a possible case of cellulitis. I continued to apply hydrocortisone on the area and by weds it seemed to have gotten better. Thursday feb 24 .. the area spread further down my arm and is now blotchy and very itchy but only on the outer area. Today the area is inflamed and still very big and spreading. Very itchy .. I called the pharmacy to report the events and began taking the antibiotics today. I have not seen any improvement at this point and am hoping this goes away soon.

Other Meds: Protonix 20 MG - Hydroclorothiazide 25 MG - Cetirzine 10 MG - Bislove-FE 1/20

Current Illness: None

ID: 1059235
Sex: F
Age: 65
State: HI

Vax Date: 02/16/2021
Onset Date: 02/23/2021
Rec V Date: 02/27/2021
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: penicillin

Symptom List: Rash, Urticaria

Symptoms: The muscle pain dissapated after a few days but recurred a week later along with an approximately 2 1/2 by 3 iinch area of redness, warmth and slight hardening surrounding the vaccination site. This area later began to itch. It is still a little warmer than the other upper arm and itchy and slightly tender but not as hard or red as it was previously.

Other Meds: Atorvastatin, Body Mint, Elderberry D3fense, Multivitamin, Cal

Current Illness: none

ID: 1059237
Sex: F
Age: 44
State: MD

Vax Date: 12/30/2020
Onset Date: 01/20/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Xzylocaine

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

Symptoms: Left axillary lymphadenopathy and breast pain. Second vaccine received 1/26/21. Symptoms persist through current time (2/27/21). Symptoms checked by diagnostic mammogram and ultrasound, with findings consistent with lymphadenopathy. Symptoms include breast and axillary pain, swelling and itching.

Other Meds: Multivitamin

Current Illness: N/a

ID: 1059238
Sex: F
Age: 56
State: GA

Vax Date: 02/11/2021
Onset Date:
Rec V Date: 02/27/2021
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: Delayed reaction to both shots. 11-12 days after, low grade fever ( continues) Lower leg pain, mild chills each evening.. last shot 2/11

Other Meds: Gabapentin Propranolol Sertraline

Current Illness: None

ID: 1059239
Sex: F
Age: 66
State: CA

Vax Date: 02/17/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Rash under both arm pits snd now rash across chest and under arm pits.

Other Meds: Prevastatin Sodium 20 mg, 3 times per week. Fenofibrate 160mg, 1 per day

Current Illness: None

ID: 1059240
Sex: M
Age: 58
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/27/2021
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: Fluconazole - Had Valley Fever in 2017 and had to discontinue medication because of resulting rash.

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

Symptoms: No initial symptoms other than sore arm at injection site which lasted for about 23 hours. On January 28 in the middle of the night woke up with pain in left hand. Could not move left hand. Was sleeping on back - not on arm or hand. No restricted blood-flow. Massaged hand and it became responsive. This was followed by burning and tingling sensation in hand. Hand was cold to touch first day. Burning and tingling and muscle tension increased for first couple days. Would be intermittent and location varied. Hands and feet most common. Left back scapular area and left pectoral muscle common. Muscle tightness would cause joint pain without signs of any redness. No temperature. No discoloration. Not as bad in middle of the day. After a few days. When second shot was administered on February 9 at 12:10 AM went home and all sensations stopped for about 12 hours. Took Tylenol with some benefit to diminish but not end symptoms. In past few days have read about taking antihistamines which has often helped. Symptoms are not as intense as they started out to be, but they continue to linger. Muscle tightness has largely given way to fluttering sensation or paresthesia and burning is mostly in bottom of left foot only. Any muscle tightness can be rubbed out (massage) for the most part. Occasional joint tightness continues in fingers - crack knuckles and it improves.

Other Meds: Three Ibuprofen 4 hours before vaccination for neck pain.

Current Illness: NA

ID: 1059241
Sex: F
Age: 65
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/27/2021
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: Codeine Demerol Steroids Levequin Onions Eggs

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

Symptoms: Face red Coughing Trouble breathing Nauseous Heart racing Fainted Inability to speak due to throat swelling up

Other Meds: Allegra Levothrozine Potassium Estradiol Prilosec Singular Amlodipine Epi pen Pro air symicort

Current Illness: High blood pressure Copd Lupus Fibromylagia Asthma Tmj Allergies

ID: 1059242
Sex: F
Age: 46
State: CO

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Eggs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe meningitis starting 30 min after vaccine. Stiff neck; headache; nausea; eye pain; light sensitivity; altered consciousness; blacking out; dizziness. Still sick after two weeks later.

Other Meds: Verapamil

Current Illness: No

ID: 1059243
Sex: M
Age: 31
State:

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Cardiac event with ST elevation on EKG, and elevated troponin. Pt has no cardiac history.

Other Meds: None noted

Current Illness: None noted/reported

ID: 1059244
Sex: F
Age: 68
State: MD

Vax Date: 02/15/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Systemic: Patient claimed that she is experiencing delayed local sensitivity in the arm she recieved the shot-Medium

Other Meds:

Current Illness:

ID: 1059245
Sex: F
Age: 25
State: MN

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Site: Itching at Injection Site-Medium, Systemic: Allergic: Itch (specify: facial area, extremeties)-Medium, Systemic: Allergic: Itch Generalized-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypertension-Severe, Systemic: Nausea-Medium, Systemic: Vomiting-Medium

Other Meds:

Current Illness:

ID: 1059246
Sex: F
Age: 60
State: NH

Vax Date: 02/19/2021
Onset Date: 02/27/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Unevaluable event

Symptoms: Upon receiving shot hot a small lump and was itching. Subsided in a couple of days. Day 8 woke up with 2 in raised lump , red, itching.

Other Meds: Lisinopril 20 mg, multi vitamin, B complex

Current Illness: None

ID: 1059247
Sex: F
Age: 71
State: SC

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Systemic: Flushed / Sweating-Mild, Additional Details: pt felt flused after 10 minutes. Refused benadryl due to previous reaction. Took asa 81 mg and zyrtec 10 mg. Symptoms resolved.

Other Meds:

Current Illness:

ID: 1059248
Sex: F
Age: 79
State: CO

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Error: Wrong Vaccine Formulation (ex. different manufact. initial and booster)

Other Meds:

Current Illness:

ID: 1059249
Sex: M
Age: 82
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1059250
Sex: F
Age: 44
State: VA

Vax Date: 02/22/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
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: Vancomycin

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

Symptoms: Patient reports numerous aphthous ulcers in her mouth 2 days after getting the second dose of the vaccine. She also reported swelling in her lips and tongue but I did not observe any swelling. She does have many small shallow ulcerations in the buccal mucosa. There is no lymphadenopathy and her vital signs are all stable. She otherwise, appeared well.

Other Meds: Malarone

Current Illness: Denies

ID: 1059251
Sex: F
Age: 53
State: WI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Systemic: Allergic: Anaphylaxis-Severe. Systemic: Allergic: Difficulty Breathing-Severe. Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Severe. Systemic: Allergic: Itch Generalized-Severe. Systemic: Chest Tightness/Heaviness/Pain-Severe. Additional Details: Patient experienced tightness in the throat, followed by coughing, complained of itchy back, was given 2 Benadryl, 2 EpiPens; then transported by ambulance to the ER.

Other Meds:

Current Illness:

ID: 1059252
Sex: F
Age: 55
State: OH

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 1059253
Sex: M
Age: 16
State: RI

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Systemic: Fainting/Unresponsive-Medium. Additional Details: Patient fainted about 5 minutes after receiving 2nd dose of vaccine. Pt hit his head on a table on way down. EMS called. PT was alert and oriented, but was taken to the hospital for evaluation by ambulance.

Other Meds:

Current Illness:

ID: 1059254
Sex: F
Age: 49
State: CO

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/27/2021
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: Systemic: Numbness (specify: facial area, extremities)-Medium

Other Meds:

Current Illness:

ID: 1059255
Sex: F
Age: 35
State: CT

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: kiwi

Symptom List: Injection site pain

Symptoms: With the first dose, I had only arm pain. After the second dose, 23 hours in, I had fever, chills, cold sweats, L sided neck pain and stiffness, Left sided headache, brain fogginess, insomnia, muscle aches in my legs, exhaustion. I was unable to get out of bed for 24 hours. After 24 hours of this, my headache lingered for 2 days as well as my neck stiffness and malaise. I would likely not get a 2nd dose ever again because the symptoms were so awful. I am a Registered Nurse.

Other Meds: Synthroid, junel

Current Illness: none

ID: 1059256
Sex: M
Age: 76
State: CO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1059257
Sex: F
Age: 48
State: CO

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Error: Wrong Dose of Vaccine - Too Low

Other Meds:

Current Illness:

ID: 1059258
Sex: F
Age: 82
State: MN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: environmental allergies

Symptom List: Tremor

Symptoms: Dyspnea and fatigue with elevated troponin followed by hospital admission and subsequent PEA/Bradycardic arrest. Subdural hematoma found. EF 25%. Likely underlying undiagnosed MM.

Other Meds: Calcium Zyrtec Tylenol

Current Illness: Lumbar compression fracture Likely undiagnosed multiple myeloma Undiagnosed cardiomyopathy with EF 25%

ID: 1059259
Sex: M
Age: 77
State: OH

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
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: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1059260
Sex: F
Age: 69
State: OH

Vax Date: 02/19/2021
Onset Date: 02/25/2021
Rec V Date: 02/27/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

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

Symptoms: One week after receiving first shot, just below the injection site started itching bad; red rash; swollen; warm to touch; approximately 5 inches round. I had been taking penicillin and augmentin in January for an abscessed tooth.

Other Meds:

Current Illness:

ID: 1059261
Sex: F
Age: 73
State: OH

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/27/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1059262
Sex: M
Age: 44
State: ME

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/27/2021
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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Shortly after taking my 1st shot I started having problems getting and keeping an erection. I had my second shot on 2/26/21. Just wanted to report this. Not sure if it is related to the shot or just a coincidence. I have never had this problem before. If it doesn't get better I will have my annual physical in a couple of months and will let my doctor know about it.

Other Meds: None

Current Illness: None

ID: 1059263
Sex: M
Age: 67
State: MA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Additional Details: Patient was sitting in observation and his head and eyes rolled back. He was observed to go into a shock state, possibly seizure for a few minutes. After a few minutes, patient regain orientation and was alert and was able to answer questions before the ambulance arrived. Patient left with the ambulance to the emergency room.

Other Meds:

Current Illness:

ID: 1059264
Sex: M
Age: 67
State: MA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Systemic: Fainting / Unresponsive-Severe, Systemic: shortness of breath-Severe, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Additional Details: Patient was sitting in observation when he suddenly had his head and eyes rolled back. Patient's daughter alerted the pharmacist on duty that he felt like he couldn't breathe. Patient went into a possible seizure. His eyes rolled back and his body went stiff. After a few minutes, patient was alert and oriented enough to answer questions coherently before the ambulance arrived. Patient went on the ambulance.

Other Meds:

Current Illness:

ID: 1059265
Sex: F
Age: 49
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Additional Details: she mentioned that this is a common reaction after vaccinations. she felt hot, sweat, nausea symptoms. nurse practioner on duty monitored her while she waited in the wait area for abour 20mins. she was feeling fine before she left. Rph called her about an hour and half later and she was back to normal.

Other Meds:

Current Illness:

ID: 1059266
Sex: F
Age: 70
State: MD

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, codeine, peanuts

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

Symptoms: Started with mild itching, then slight rash. Itching and redness increased over 2 - 3 days and then diminished. Rash was about 3 - 4 inches in diameter at highest level of symptoms.

Other Meds: Alendronate Sodium, Calcium, Vitamin D, Vitamin K, Magnesium, Turmeric, Fish Oil,

Current Illness: None

ID: 1059267
Sex: F
Age: 33
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: After the injection I noticed a swelling and a little red on the injection site. After monitoring her pt stated that she has some tingling on her right thumb and monitored by NP for about 40min to an hour and felt ok and went home and an hr later called for follow up and she was 100% better. she was given water while here. rph spoke to her family member while she was here. and I called her about 8:39pm and spoke with her and she said she is doing ok.

Other Meds:

Current Illness:

ID: 1059268
Sex: F
Age: 64
State: NC

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Tingling left side of head as walking from dosage room to waiting area. Then tingling in both hands followed by arms tingling and mottling of skin on both arms. Very strange feeling, knowing something not right. Given 25 mg of Benadryl, observed for approximately 1 hour. Followed up with second 25 mg Benadryl approximately 4 hours later. Second day extreme soreness at injection site, no other noted adverse effects.

Other Meds: Metoprolol succ er 50 mg, losartan 50 mg, levothyroxine 100mcg, famotodine 20 mg

Current Illness: None

ID: 1059269
Sex: F
Age: 34
State: CA

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/27/2021
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:

Symptom List: Vomiting

Symptoms: Systemic: Allergic: Rash (specify: facial area, extremeties)-Mild, Systemic: Chills-Mild, Systemic: Fever-Mild, Additional Details: 6 days after shot, patient had fever and chills. Area around injection site was red, itchy and grew in size. MD prescribed Keflex 02/26/2021

Other Meds:

Current Illness:

ID: 1059270
Sex: F
Age: 57
State: MN

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/27/2021
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: Extreme headache/ body aches/ nausea/ chills - This all came on rather suddenly at around 7:30 pm. The pain continued through the night and extreme fatigue set in. The headache was so extreme that ibuprofen did not help, and loss of appetite for the entire day. At 6:30 on Feb. 25, I was able to take ibuprofen and sleep. By 6 am the following day, I was light headed but over the sever symptoms. I had COVID in October, tested positive, quarantined, and I wear a mask. I know I have antibodies because I donated blood in December. Why are there no reports out about those of us that have had the illness, have antibodies and end up getting SICK from the vaccine?

Other Meds: Celexa, Omega 3 Fish Oil with Vitamin D, Glucosamine and Condroyten

Current Illness: None

ID: 1059271
Sex: F
Age: 52
State: VA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/27/2021
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: Sensitivity to Motrin

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

Symptoms: Hives 2 days, three days with OTC Benadryl two pills, every 4-6 hours,. Extreme pain in left hand at each joint OTC Tylenol, every 4 hours, three days. (I could not bend my fingers due to pain) Residual red itchy rash on right abdominal to current date 02/27/2021,that started with hives. Hives went away, rash developed. Treating with hydrocortisone cream but it will not go away, not sure if it is from the shot. Waiting Dr. apt for treatment.

Other Meds: Omeprazole, metoprolol tartrate, losartan, loratadine one a day vitamin, calcium magnesium and zinc, turmeric.

Current Illness: None

ID: 1059272
Sex: F
Age: 48
State: AZ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/27/2021
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: Rabbits

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Moderate swelling, pain, redness, and warmth of arm surrounding injection site

Other Meds: Nature Thyroid

Current Illness: None

ID: 1059273
Sex: M
Age: 67
State: CT

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/27/2021
Hospital:

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

Lab Data:

Allergies: Lexapro, penicillin, shellfish

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

Symptoms: First symptoms came in the first 72 hours - chills, aches and headaches - ended after 2-3 days Second event came on day 8: - red itchy 2-3 inch rash at the injection site - disappeared after 3 days.. Headaches, chills and body aches - for 6 days, chills, fever, and slightly elevated heart rate 3 days,,

Other Meds: Xanax

Current Illness: none

ID: 1059274
Sex: F
Age:
State: OH

Vax Date:
Onset Date:
Rec V Date: 02/27/2021
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: Bee sting allergy

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

Symptoms: I received the shot at 2:50, at about 5pm I had a bad headache and I noticed my left ear was hot. By 6pm I noticed my ear was extremely red and swollen.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm