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: 1060002
Sex: F
Age: 36
State: CO

Vax Date: 02/25/2021
Onset Date: 02/27/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Nausea and diarrhea 2 days after injection

Other Meds: None

Current Illness: None

ID: 1060003
Sex: F
Age: 69
State: FL

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: 02//25/2021 (day of vaccination-starting 2 hours after injection) had intense pain, discomfort in left arm vaccinated and was unable to move arm without pain, which also did not allow me to sleep that night (no pain relievers taken) and chills. Next day, 02/26/2021, arm pain still intense along with loose stool, nausea for about 1/2 hour, as well as entire day of fatigue, fever about 3 degrees above normal, no appetite, lethargy, chills. 2/27/2021 had diarrhea, lethargy, and no appetite as well as lessening of sore arm, no appetite, and no fever.

Other Meds: L-Lysine, Glucosamine/Chondroitin, Calcium/Magnesium,

Current Illness:

ID: 1060004
Sex: M
Age: 26
State: MO

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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:

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

Symptoms: Patient lost consciousness while in the waiting area about 5-10 minutes after vaccination. Gave patient water and he laid down for several minutes and then started to feel better

Other Meds:

Current Illness:

ID: 1060005
Sex: F
Age: 51
State: TN

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: Latex

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: My face was numb like an upside down T. From the center of my forehead down my nose and chin to my ears. The tip of my tongue was numb. I was fine until about 20 minutes ?? it started with red spots around my chin and bottom of my face. The spots changed to numbness within about 5 minutes. It scared me so I drove to hospital parking lot and called my cousin who is a nurse and I took vistaril and benadryl that I had in my purse and vehicle. My symptoms continued for 12 hours. I did contact the health department and they said take benadryl and go to er.

Other Meds: Lisinapril Zolof

Current Illness: None

ID: 1060006
Sex: F
Age: 53
State: NM

Vax Date: 01/23/2021
Onset Date: 01/31/2021
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 to food- only to ceclor antibiotics.

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

Symptoms: Rash painful and tender started 7 days after shot. Itching all over 3/10. Arm painful and rash spread over upper arm. Matched look of covid arm that was on news. Dr prescribed Benedryl.

Other Meds: Tylenol, ibuprofen

Current Illness: None

ID: 1060007
Sex: F
Age: 36
State: MI

Vax Date: 02/05/2021
Onset Date: 02/19/2021
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: Severe headache started 2 weeks after the vaccine and third week shingles in v1 distribution over the forehead followed by prodromal uri symptoms. Treated with valtrex 1g tid x 10days. Rash resolved, headaches improved with Tylenol. Vague abdominal and joint pains that resolved spontaneously.

Other Meds: Synthroid

Current Illness:

ID: 1060009
Sex: F
Age: 31
State: CO

Vax Date: 12/26/2020
Onset Date: 01/06/2021
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: None.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I did not think anything of feeling sick 10-11 days post vaccine, however exactly 10 days after my SECOND vaccination on 01/23/21, I had the same symptoms. Both times, 10 days post vaccine, at about 230 AM I developed a fever and extreme chills and had episodes of emesis for hours.

Other Meds: Oral contraceptives.

Current Illness: Tested positive for Covid November 23, 2020

ID: 1060010
Sex: F
Age: 38
State: NY

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Achy, and very tirex

Other Meds: None

Current Illness: None

ID: 1060011
Sex: F
Age: 68
State: CA

Vax Date: 02/18/2021
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: N/a

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Swollen and red injection site, about 7 days after injection and continuing to now, 2/27/2021, 2:35 pm PST. I guess it is called Covid arm. I am scheduled for my 2nd vaccine 3/18/2021 and want to know if it is safe.

Other Meds: fish oil, vitamin d, aspirin, phillips colon prohealth, Atenolol, Triamterene-Hctz

Current Illness: none

ID: 1060012
Sex: F
Age: 44
State: AZ

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Morphine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Temperature of 102.6?F from 11pm until 5am, then temperatures up and down between 101.5?F , 100.6?F and 99.9?F Body aches Fatigue Headache

Other Meds: Sertraline 200mg Birth control Super-B complex vitamins

Current Illness: N/A

ID: 1060013
Sex: F
Age: 61
State: FL

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none reported

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

Symptoms: patient called pharmacy stating she developed a red itchy rash at site of injection

Other Meds: non reported

Current Illness: none reported

ID: 1060014
Sex: M
Age: 28
State: AZ

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Pt was administered second dose in the vaccine series 16 days after the 1st dose. The recommended second dose from the manufacturer is 28 days after the 1st dose.

Other Meds:

Current Illness:

ID: 1060015
Sex: M
Age: 85
State: CA

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Demerol, Imitrex, Loratadine, Metoclopramide, Denosumab.

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

Symptoms: Memory loss for 5 hours, weakness in legs, unable to walk, fatigue lasted 3 days.

Other Meds: Vitamin B12, Vitamin D, Calcium Citrate, Benazepril, Prednisone, Abiraterone Acetate, Leuprolide Acetate, Amlodipine Besylate, Ibuprofen, Cetirizine, Fluticasone Propionate, Miralax, Trunature Vision Complex Lutein & Zeaxanthin.

Current Illness:

ID: 1060016
Sex: M
Age: 76
State: NY

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NoNo

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

Symptoms: Fatique and headache, continues from day of vaccination

Other Meds: Ibuprofen, Amoxocillin 875. mg, Quetiapine 25 mg, duloxitine 100mg, gabapenten 600 mg,

Current Illness: No

ID: 1060018
Sex: F
Age: 41
State: NY

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: na

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

Symptoms: complaint of generalized tingling Po Benadryl discharged without complaint husband present

Other Meds: na

Current Illness: na

ID: 1060019
Sex: F
Age: 64
State: WA

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillin sulfa drugs

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

Symptoms: soreness in left arm and shoulder, fatigue, low grade fever. soreness and fatigue started afternoon of day of injection. low grade fever and fatigue worsened the next day.

Other Meds: flonase singular allegra multivitamin vitamin D glucosamine tumeric

Current Illness: none

ID: 1060020
Sex: F
Age: 86
State: KY

Vax Date: 02/20/2021
Onset Date: 02/27/2021
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:

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

Symptoms: 86-year-old female presenting with severe dizziness. She states she was in her usual state of health yesterday, went to bed at 9 PM last night, when she woke up this morning she was so severely dizzy she was not able to walk and was vomiting multiple times. She states that feels like she is spinning and unsteady. She denies any focal numbness or weakness. No speech changes. No headache. No prior history of vertigo however she did have some dizziness in the very distant past which was attributed to a mass in her brain which was surgically removed, she has not had any problems with dizziness since then. Almost 1 month ago she was diagnosed with nonobstructing bilateral renal calculi but completely denies any urinary symptoms, abdominal pain or flank pain today. Has any fever.

Other Meds:

Current Illness:

ID: 1060021
Sex: F
Age: 70
State: FL

Vax Date: 02/23/2021
Onset Date: 02/24/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe fever chills, fever, sore arm - slightly swollen and red, which then got itchy, extreme sweating, tiredness, slight nausea, intermittent headaches, strong muscle and joint pains, slight swollen glands in neck

Other Meds: Atorvastatin, 10 mg/day

Current Illness: None

ID: 1060022
Sex: F
Age: 49
State:

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

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

Lab Data:

Allergies: Latex

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I?m not sure if the symptoms I experienced are considered an adverse event, but a friend advised me about this site to report it. I woke up at 245AM the day vaccine, and felt severe pain in my arm, and it was red and swollen. I then started feelings chills, and took 1000mg of Tylenol. A couple hours later, I started feeling really hot and had body aches. I took 1000mg of Tylenol. Throughout the whole day, I could not get up and move around, and was sleeping a lot. I felt hot but had chills, and was lethargic. I finally felt better, when I woke up on the second day. It is now the third day, and I still have pain and swelling on my arm, but the redness is less.

Other Meds: Tylenol 1000mg after receiving vaccine.

Current Illness:

ID: 1060023
Sex: F
Age: 61
State: CA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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: Midazolam

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

Symptoms: Palpitations lightheaded nauseous Developed high blood pressure Elevated heart rate Blood Tests Dextrose

Other Meds: Levothyroxine 25 mg Atrovastatin 20 mg Multivitamins and VitD Famodipine 40mg Tums Zolpidem Diazepam 2 mg

Current Illness: Gerd Hypothyroidism Slightly elevated cholesterol

ID: 1060024
Sex: M
Age: 65
State: MO

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: Patient passed out in the immunization chair - Passed out 2 minutes after the vaccine, came-to a few seconds after, was fine after that

Other Meds:

Current Illness:

ID: 1060025
Sex: F
Age: 22
State: CA

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: 1335 Patient states her vision became blurry and she felt lightheaded and dizzy after vaccination. Patient assessed. Vitals T 97.3, P 80, O2 99%, BP 140/80, R 24. 1405 Vitals T 98%, P 86, O2 98%, BP 116/72, R 18. Patient states symptoms have subsided. Patient advised to contact primary provider and discharged.

Other Meds: 1335 Patient stated that she felt dizzy and lightheaded with blurred vision approximately 10 minutes after receiving vaccine. Patient assisted to a sitting position and assessed. Vitals: T 97.3, P 80, O2 99%, BP 140/80, R 24. 1405 Vitals T

Current Illness: None

ID: 1060026
Sex: F
Age: 68
State: GA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
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: None

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

Symptoms: Severe fever, drenching sweats, freezing cold, fatigue, had to stay in bed for 36 hours, thought I was going to die. Unable to eat or drink for 48 hours

Other Meds: Gabapentin

Current Illness: None

ID: 1060027
Sex: F
Age: 55
State: WA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
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: benadryl latex allergy/adhesive tape

Symptom List: Injection site pain, Pain

Symptoms: two syncopal episodes back to back within 24 hours of second dose of vaccine resulting in displaced fracture of proximal phalanx of right little finger. this fracture will require two surgeries to repair and loss of work about 12 weeks

Other Meds: celexa protonix multi vitamin

Current Illness: none

ID: 1060028
Sex: M
Age: 70
State: CO

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: Injection site pain, Menorrhagia

Symptoms: Cold sweats commencing about 10 hrs after vaccine, fevers, chills, body aches, fever of 101.5 with fever breaking approximately 36 hours after onset. By Sunday morning Feb 21 all symptoms gonna except for fatigue.

Other Meds: Atorvasratin, oxycodone, ocrevus, vitamin d, tolterodine, tamsulosin, hydrochlorothizide, duloxerine,

Current Illness: Multiple Sclerosis, PPMS

ID: 1060029
Sex: M
Age: 37
State: MN

Vax Date: 02/01/2021
Onset Date: 02/10/2021
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:

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

Symptoms: Heart palpitations

Other Meds:

Current Illness:

ID: 1060030
Sex: F
Age: 51
State: WY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
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: Sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Terrible fatigue, every muscle hurts, eye are bloodshot red and burns. Started about 15 ish hours after dose 1.

Other Meds: Levothyroxine, METFORMIN, vit d, omeprazole, Femara, turmeric, Venlafaxine

Current Illness: None

ID: 1060031
Sex: F
Age: 77
State: CA

Vax Date: 02/03/2021
Onset Date: 02/09/2021
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: Sulfar

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Swollen, painful itchy arm

Other Meds: Triamterene/hctz, enalapril, duloxetine, tramadol hcl, Lipitor, xiidra droplets, bupropion hcl, cla, acetylene-l-carnitine, alpha lipoid acid, centrum silver, collagen, fish oil, reaveratrol, lysine, b-12, turmeric, serovital hgh, applecide

Current Illness:

ID: 1060032
Sex: F
Age: 80
State: SC

Vax Date: 02/25/2021
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: None

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

Symptoms: Cold, loss of consciousness, vomiting that lasted 1 - 2 hours.

Other Meds: No prescription medicines at this time; OTC - vitamin, calcium, fish oil

Current Illness: None

ID: 1060033
Sex: F
Age: 33
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/27/2021
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: RA

Lab Data:

Allergies: Penicillin, Percocet, gluten, dairy

Symptom List: Nausea

Symptoms: A few days later I noticed numbness and tingling in my pinky finger and the tip of my ring finger on my left arm. It hasn?t worsened or improved

Other Meds: Breo inhaler, levothyroxine, topirimate, albueterol, spirinolactone, excedrin migraine

Current Illness:

ID: 1060034
Sex: F
Age: 94
State: TX

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Awakened 12 hours after injection with chills and shivering. Got out of bed 18.5 hours after injection with temperature of 101.7 degreees F. By 24 hours after injection, temperature dropped to 100.0 degrees F. No other symptoms at all.

Other Meds: Felodipine (Plendil EQ) 10 mg Metoprolol Succ 50 mg Dorzolamide Timolol Ophth Soln Hydrochlorothiazide 25 mg Vitamin B12 Complex with Vitamin C St. Jospeph's aspirin 81 mg Tylenol 325 or 500 (for pain) Calcium Carbonate 600 mg = D3 Centru

Current Illness: None

ID: 1060035
Sex: M
Age: 33
State: CA

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Headache and fatigue

Other Meds: N/A

Current Illness: N/A

ID: 1060036
Sex: F
Age: 32
State: RI

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NKDA

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

Symptoms: Awoke from sleep at 4 am 2/27/2021 with diffuse cold sweats, sore left arm with mild swelling, chills, body aches, nausea, too weak to stand or walk more than a couple feet, vomiting, muscle cramps, feverish but no fever (98.6). Took 1,000 mg Tylenol. Improved enough to return to sleep but symptoms continued the next day.

Other Meds: Senna, docusate, bisacodyl, Symbicort, albuterol, Spiriva, voriconazole, clotrimazole lozenges, vitamin D3, magnesium glycine, hydroxyzene, Flonase, azelestine nasal spray, Pristiq, Vyvanse

Current Illness: Hospitalized with Covid-19 for 12 days 11/2020, developed esophageal thrush, bilateral bacterial pneumonia and asthma exacerbation. Diagnosed with aspergillosis fumigatus 2/16/2021

ID: 1060037
Sex: F
Age: 56
State: NC

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: only allergic to morphine

Symptom List: Tremor

Symptoms: injection site soreness, fever (102), chills, headache, body aches

Other Meds: Metformin, Isosorbide, 81 mg of baby aspirin, Linsinipril, Metoprolol, Lansopraole, Hydrochlorothiazide, Duloxetine, Folic Acid, Nu-Iron 150, Atorvastatin,

Current Illness: I had a virus two weeks ago with the same symptoms (fever, chills, headache, body aches); tested negative for flu and Covid

ID: 1060038
Sex: F
Age: 76
State: PA

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: Erythema, Pruritus

Symptoms: After 12 hours, extreme fatigue, headache,tinnitus, chills then joint and muscle pain I took Aleve and was able to sleep off and on during the night. The following morning still had headache and fever. I could not eat breakfast. I took a two-hour nap during the afternoon. Symptoms dissipated slowly by evening.

Other Meds: lisinopril , vitamin D, calcium,

Current Illness: none

ID: 1060039
Sex: F
Age: 23
State:

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: latex, kiwi, tamiflu, sumatriptan injection (not oral)

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

Symptoms: Bright red rash on left arm, resolved within 12 hours with steroid anti-itch cream Sore, swollen arm, not resolved by ibuprofen or acetaminophen

Other Meds: Keppra, gabapentin, escitalopram

Current Illness: None

ID: 1060040
Sex: F
Age: 46
State: KY

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Cipro

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

Symptoms: Unable to move left arm without major pain. Fever and chills all day on the day after the injection. Treated with Tylenol and fluids.

Other Meds: None

Current Illness: None

ID: 1060041
Sex: M
Age: 37
State: LA

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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Sweating, extremely sore injection site

Other Meds: Zofran, Zoloft, ambien, gabapentin, Xanax

Current Illness: None

ID: 1060042
Sex: F
Age: 24
State: AZ

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: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Black mold/mildew

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

Symptoms: Chest pain, cough, post-nasal drip

Other Meds: NONE

Current Illness: NONE

ID: 1060043
Sex: F
Age: 70
State: NY

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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: Bacytracin

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

Symptoms: CHILLS, FEVER, SPIKING TO 101, FATIGUE, JOINT STIFFNESS, LOSS OF APPETITE, NIGHT SWEATS CONTINUING 3 DAYS

Other Meds: PROLIA, 81 mg ASPIRIN, ADVIL + TYLENOL (AFTER VACCINATION)

Current Illness: None

ID: 1060044
Sex: F
Age: 37
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Na

Symptom List: Pain in extremity

Symptoms: Started feeling chest tightness and heart palpitations within 2 hours of receiving the vaccine injection.

Other Meds: Metformin, multi vitamins, advair hfa

Current Illness: Diabetes and cholesterol

ID: 1060045
Sex: F
Age: 76
State: NM

Vax Date: 02/18/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Ibuprofen, potatoes, Biaxin, amoxcillin.

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

Symptoms: Arm got extremely swollen, rash, itching, and look like little bubbles om arm.

Other Meds: Levothyroxine, 88mcg

Current Illness: N/A

ID: 1060046
Sex: M
Age: 72
State: IL

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Nausea, extreme tiredness unable to eat

Other Meds: Too numerous to add

Current Illness: None

ID: 1060047
Sex: F
Age: 64
State: TX

Vax Date: 02/13/2021
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: none

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

Symptoms: February 20, 2021 right arm got very swollen and itchy. Rash covered most of upper arm. Very hot to the touch. As of today February27, 2021 arm is very sore.

Other Meds: Praluent 75mg, Fenofibrate 48mg, Bystolic 5mg, Losartan 50mg, Levothyroxine 50cmg

Current Illness: none

ID: 1060048
Sex: F
Age: 87
State: NM

Vax Date: 02/16/2021
Onset Date: 02/25/2021
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: NONE

Symptom List: Vomiting

Symptoms: Urgent Care doctor advises "Covid Arm"..9 days after 1st Moderna Vaccine right arm at injection site - swollen, red, and itchy

Other Meds: NONE

Current Illness: NONE

ID: 1060049
Sex: F
Age: 34
State:

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Exhaustion / fatigue, but inability to sleep

Other Meds:

Current Illness: None

ID: 1060050
Sex: F
Age: 66
State: GA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: In the past had a reaction to the flu vaccine, but took it this year with no problem. Had an allergic reaction to Keflex - Rash - redness

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

Symptoms: On the morning after receiving the vaccine I had severe pain in my left hip, across my shoulders and lower back. I had a golf trip planned so I drove friends from and played 9 holes of golf that afternoon. I took Tylenol every four hours and the pain eased. I felt tired that day but the next day the pain was minor and I was not as tired.I played 18 holes of golf and played 9 on the following day and drove home. The first day of my trip when I had a bowel movement I noticed a strange acidic smell. All that day every time I ate I had a bowel movement, which is RARE for me. I usually go once in the morning. Also when I had to urinate I had to go IMMEDIATELY. The urination issue improved after the 3rd day but I continue to have the bowel problem and a mild headache and just don't feel well. I am mostly concerned about the bowel problem. I have to go every time I eat. Sometimes it is somewhat normal and sometimes it is like diarrhea.

Other Meds: Losartan -25 mg Vitamin D3 - 2000mg Super B Complex Aspirin-81 mg Provastatin - 20mg Escitalopram - 5mg Famatodine - 20mg Hydroxyzine-25mg

Current Illness: None

ID: 1060051
Sex: F
Age: 66
State: DE

Vax Date: 01/16/2021
Onset Date: 01/27/2021
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: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Moderate rash just below injection site appeared approximately 10 days after vaccine. Itching but no inflammation or soreness. At onset, was approximately 3 inches in diameter and very red. Spread larger but got lighter in color each day. Dissipated after approximately 4 days after first appearance.

Other Meds: Emgality 120 mg/mL Pravastatin 40 mg calcium + D 1200 mg Fish Oil 1000 mg

Current Illness: none

ID: 1060052
Sex: F
Age: 50
State: NH

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Medications: Penicillin, Cipro, Flagyl Food: Gluten, Lacotse intolerant Environmental: Pollen, dust mites,

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

Symptoms: About 4 hours after the vaccine, I experienced sudden nausea and abdominal pain. The symptoms lasted for about a week. They were intermittent at first. I had 3 episodes of sharp adominal pain that radiated up my back and made me short of breath. I felt pain between my shoulder blades when I tried to breathe in. The first two subsided, but the third episode on 02/16/21 was more pronounced. I felt generally unwell, like something was really wrong. I first thought it was a normal immune response or side effect. But the nausea and abdominal pain had grown worse. On 02/16/2021 I went to the ER, where a CT Scan showed I had Epiploic Appendagitis. I suspect the inflammation or a sudden ischemic event after my vaccine had caused this. I had absolutely no such symptoms prior to the vaccine, but the nausea came on exactly 4 hours after my first dose like a switch had been turned on. In addition to the above, I experience facial flushing on the left side of my face for about 7 days after the vaccine. My forehead and right side of my face would read a normal temperature, but my left cheek averaged 101 degrees. The flushing would come on suddenly, often in the evening. I also had heart palpitations. Other symptoms: I had the typical sore left arm for a few days. I developed joint pain on my left side, including my arm and my jaw. In general, I feel like I had a pronounced inflammatory response.

Other Meds: Hydrochlorothiazide 25 mg daily Alprazolam 25 mg as needed Albuterol Sulfate 90 mcg as needed Albuterol Nebulizer solution 2.5 mg as needed Triamcinolone Acetonide oint. 0.1% as needed Multivitamin once daily Vitamin D3 6,000 iu daily Magn

Current Illness: Inflammation of the Parotid Gland, possible infection

ID: 1060053
Sex: F
Age: 42
State: CA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Swelling associated with area of facial filler (Voluma). Placed approximately two months prior

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm