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: 1060553
Sex: F
Age: 30
State: MA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever of 101F, sore and aching body, tight jaw, headache, chills

Other Meds: Metoprolol, sumatriptin

Current Illness:

ID: 1060554
Sex: F
Age: 26
State: NC

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: None that I'm aware of

Symptom List: Anxiety, Dyspnoea

Symptoms: Approximately 5 hours after injection, I started to lose my appetite and have body aches. I then progressed to chills and severe aches. I switched to over heated quickly and vomited. At this point I had a severe head ache. For about the next 38 hours, I had no appetite, severe body aches and head ache and nausea. After that period (as of now), not really having any symptoms besides a slightly sore throat.

Other Meds: Calcium Iron B_complex Magnesium Vitamin d Vitamin c

Current Illness: Side effects from stopping the depo provera prescription.

ID: 1060555
Sex: F
Age: 46
State: CT

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Seasonal allergies Cat dander

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

Symptoms: For the first 24 hours had arm muscle ache and muscle pain from shoulder to elbow, difficult to lift my arm up above rib height. Within 12 hours from vaccination began to experience significant fatigue. At 26 hours from time of vaccination sudden onset of nausea, vomiting and stomach cramps, then within the next hour experienced diarrhea and chills. Stomach cramps felt like my stomach and intestines were being wrung out like a wet towel, after a few hours of diarrhea and chills went to sleep and symptoms subsided.

Other Meds: Vitamin D 3000iu Collagen 6000mg One A Day Women?s multivitamin Chinese Herbal - Plum Flower Six Flavor Teapills ( Liu Wei Di Huang Wan) 8 pills, 2-3x daily

Current Illness: None

ID: 1060556
Sex: F
Age: 24
State: TX

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: zonisamide--allergy--kidney failure; bactrim DS--allergy--itching; clindamycin--allergy--rash

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Immediate tachycardia, hypotension, severe headache, dizziness, and rash. Was then dismissed from her workplace Hospital to go to MAIN Hospital ER for evaluation since she is an adult. Was evaluated in ER and given steroid pack and sent home. She was seen in my clinic 2 weeks later with continued complaints--though less severe. This was after her first vaccine--will not be getting the second per my recommendation.

Other Meds: Multivitamin, Probiotic, tretinoin topical cream, benzoyl Peroxide wash, vitamin D3.

Current Illness: acne

ID: 1060557
Sex: F
Age: 27
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Pistachios; cashews

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

Symptoms: Fri 2/5, developed fever, fatigue and flu symptoms. Sat 2/6 developed sub-clavicular lymph node (golf ball-size) on same arm as injection site. Mon 2/8 developed angioedema of face and neck.

Other Meds: Metformin; Accutane; Vitamin D3 oral; Zyrtec

Current Illness: None

ID: 1060558
Sex: F
Age: 65
State: OR

Vax Date: 02/17/2021
Onset Date: 02/25/2021
Rec V Date: 02/28/2021
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: Latex, sulpha drugs, codeine

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

Symptoms: COVID Arm - rash at injection site, itchy.

Other Meds: Adult Multi-Vitamin, Vitamin D, Fish Oil

Current Illness: None

ID: 1060559
Sex: F
Age: 52
State: MA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/28/2021
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: Mild sulfa allergy

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The night after the shot I became ill with mild flulike symptoms: headache, fever of 101, aches, chills. This seemed fully within what I had expected and been told might happen, but as these symptoms eased up over the next 48 hours, I experienced, and continue to experience, a weird neurological paresthesia-type symptom where it feels as though my skin is covered in some kind of cold minty lotion. (Not the same as chills, though it sounds like it, I realize.) Mostly on my upper back, but also at the injection site, and sometimes other places too. Not painful, just distracting and kind of worrying. Not anything I have ever experienced before, and not related to any sort of external variable. I consulted with both a doctor and my brother and his wife (both doctors) by telephone. Everyone has advised a wait and see approach, but my brother (an epidemiologist) recommended that I report this as an adverse event.

Other Meds: Zoloft 50 milligrams

Current Illness: No

ID: 1060560
Sex: F
Age: 74
State: NH

Vax Date: 02/18/2021
Onset Date: 02/24/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: MORPHINE, SURGICAL TAPE GLUE, AMPICILLIN,

Symptom List: Pharyngeal swelling

Symptoms: DAY6 AFTER FIRST COVID 19 VACCINATION, I HAD LUMPS ON RIGHT FOREARM AT INJECTION SITE WHICH ON DAY 7 LUMPS TURNED INTO RED, ITCHY, IRRITATION, THEN DAY 9 I HAD A RED AND ITCHY LUMP UNDER MY LEFT JAWLINE; SLIGHT UPSET STOMACH, TIREDNESS

Other Meds: PANTOPRAZOLE, ELIQUIS, ATENOLOL, ATORVASTATIN, RAMIPRIL, SPIRONOLACTONE, BUPROPION, LYRICA

Current Illness:

ID: 1060561
Sex: F
Age: 65
State: OH

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever, about 3 degrees above normal temperature. First aware of it about 28 hours after receiving the vaccination. Fever lasted approximately 25-26 hours.

Other Meds: bromocryptine (2.5mg, 2/day), multivitimin, calcium, restasis, niacinamide (1500mg/day)

Current Illness:

ID: 1060562
Sex: F
Age: 70
State: MS

Vax Date: 02/16/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 9 days after injection itching red blotch appeared at injection site

Other Meds: Xerelto, Flexanaide, multivitamin, MSN, baby aspirin, flaxseed oil, Viramin D, B12

Current Illness: None

ID: 1060563
Sex: F
Age: 77
State: IA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Contrast media

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

Symptoms: Cerebral hemorrhage acute. Loss of speech. Agitation and confsion.

Other Meds: Enalapril, levothyroxine, clopidogrel, metoprolol, metformin, letrozole, doxycycline, atorvastatin, oxybutynin.

Current Illness: Stage 4 endometrial cancer.

ID: 1060564
Sex: F
Age: 58
State: MD

Vax Date: 02/22/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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: Cayenne pepper (severe) Erythromycin (rash) Augmenting (itchy rash) Walnuts Shellfish Kiwi

Symptom List: Rash, Urticaria

Symptoms: Bright redness, minor swelling, minor warmth at injection site ? not present yesterday

Other Meds: Atorvastatin 20mg Sertraline 150mg Bupropion HCL XL 150mg Cefdinir 300mg Cetrzn 10mg Emgality 120mg/ml Omeprazole 20mg B12 5000mcg D3 50mcg Multivitamin

Current Illness: Bilateral ear infection (diagnosed 2/13)

ID: 1060565
Sex: F
Age: 78
State: VT

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/28/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Approx 4 hours after having the shot BOTH times; 1st time ache all over, bad headache; no appetite, very weak...stayed in bed for approx 30 hours 2nd dosage: approx 4 hours after shot; bad headache, no appetite, very weak lasted longer still in bed on following Sunday 2/28 (shot on 2/25) headache would come and go; was told to make sure someone stayed with me since I had had reaction with first shot and warned me thatif I had reaction to 1 would have for 2nd...No one to stay

Other Meds: Losarten, Synthroid

Current Illness: none

ID: 1060566
Sex: F
Age: 56
State: VA

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/28/2021
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: Shellfish

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

Symptoms: Body aches, fatigue, chill (pain reliever acetaminophen 500mg/5ml), feeling warm, nauseau(ondansetron 4mg ODT): Saturday evening 02/20/21--no fever Body aches, fatigue continue (heating pad, rest): Called Doctor on Thursday 02/25/2021, she says to push fluids, rest and take ibuprofen and to call her back on 03/01/2020 if symptoms continue and to come in to do a blood test Nauseau and vomiting: Friday night (02/26/2021). Saturday 02/27/2021: Fatigue, body aches took ibuprofen 400 mg tab (total)

Other Meds: pain reliever 500mg/5ml, lorazapem 0.5mg tab, Benicar 40-25mg

Current Illness:

ID: 1060567
Sex: F
Age: 38
State: FL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: N/a

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

Symptoms: Tachycardia up to 115, jolting heart beat for numerous hours, low grade fever, slight chills

Other Meds: Vitamins

Current Illness: Lupus

ID: 1060568
Sex: F
Age: 73
State: VT

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/28/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Swelling & severe pain in right ear, all around the ear, the right side of my neck & back of head. Rash in front of my right ear on 3rd day after vaccine

Other Meds: None

Current Illness: None

ID: 1060569
Sex: F
Age: 29
State: OH

Vax Date: 01/04/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Na

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

Symptoms: Vaccine recieved January 4th and 2nd shot recieved January 26th. Both pfieffer On 2/27/2021 I became aphasic confused could not remember my name or say anything coherent. Husband called 911. MRI EKG CAT EEG done all negative. Speculating a TIA or seizure.

Other Meds: Unisom and B6 for pregnancy nausea Prenatal pills

Current Illness: Na

ID: 1060570
Sex: F
Age: 70
State: FL

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: I had a reaction to potassium iodide years ago but have had iodine in CAT scans with no problem. My reaction to potassium iodide was the same as my neck reaction after the vaccine.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pain on both sides of the neck under the ears.

Other Meds: Theophylline; Evista; Levothyroxine; Multivitamin; Cranberry D-Mannose; Flax Oil, Lutein

Current Illness: None

ID: 1060571
Sex: F
Age: 67
State: NC

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Tiredness, headache, chills, vomiting, diarrhea, night sweats, temperature

Other Meds: Colestipol Azathioprine Fluoxetine Ezetimbe Olemsartan

Current Illness: None

ID: 1060572
Sex: F
Age: 69
State: NH

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Soar arm, fatigue, low grade fever, chills

Other Meds: Attenol lisiniprol aspirin calcium N/a

Current Illness: N/A

ID: 1060573
Sex: F
Age: 68
State: CA

Vax Date: 02/04/2021
Onset Date: 02/08/2021
Rec V Date: 02/28/2021
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: None

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

Symptoms: I have psoriasis and it had been dormant for 8 months prior to the vaccine. I don?t take any medication for psoriasis but I do have a salve to apply to dry spots. After I received the vaccine, I?m having a bad flare up all down the middle of my back and on the back of my head. I?ve had flare ups before but never this bad. I don?t know if the vaccine has anything to do with the flare up but thought it might be something you?d want to know. I didn?t go to the dermatologist because there?s not much they can do for me other than try another ointment. I?m scheduled for my second dose on March 4th.

Other Meds: Amlodopine, hydrochlorothiazide, fluocinonide

Current Illness:

ID: 1060574
Sex: F
Age: 68
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: shell fish, Darvon, Sulfur, Tetracycline

Symptom List: Unevaluable event

Symptoms: Swelling, rash around injection area, approximately 2.5 inch circle, and itching. Red rash area still visible on 02/28/2021 and still itches part of the time.

Other Meds: Metformin, Glimepiride, Telmisartan, Amlodipine, Furosemide, Rosuvastatin, Warfarin, low dose aspirin and vitamin D3 supplement.

Current Illness: Had just gotten out of the hospital a week or two before because of blood clots in lungs.

ID: 1060575
Sex: F
Age: 21
State: VA

Vax Date: 02/19/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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: Zithromax

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

Symptoms: Received the vaccine last Friday, woke up this morning and the right side of my face was swollen.

Other Meds: Taltz Junel Fluoxetine

Current Illness: None

ID: 1060576
Sex: F
Age: 56
State: AZ

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: Horrible headache, chills, body aches, and unable to sleep

Other Meds: Singulair and Fluxotine

Current Illness: none

ID: 1060577
Sex: F
Age: 62
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: Flu like symptoms 24 hours after as warned could happen. Concern was what is nicknamed covid arm which started 2/26 at night. Severe itching burning arm swollen and red and a rash from elbow to shoulder

Other Meds: Propananol. Remicaid infusions every 11 weeks. Lisinopril tramadol. Clonazepam.

Current Illness: Bladder infection diagnosed 2/24 Antibiotic started 2/25 macrobid

ID: 1060578
Sex: F
Age: 32
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Wheat, gluten, malt, egg, mustard, morpheme, citrus fruits, and yeast

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

Symptoms: Rash on arm at injection site , hot, spreading slowly (now palm size) looks similar to CoVID Arm pictures online

Other Meds: Np thyroid, mirena iud, and collagen peptides supplement

Current Illness: None

ID: 1060579
Sex: F
Age: 48
State: PA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Swollen eyes...red eyes

Other Meds: Warfarin

Current Illness:

ID: 1060580
Sex: F
Age: 76
State: UT

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/28/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient has known lymphoma but was on break from chemotherapy. No known lung disease. She developed a very large left pleural effusion and became markedly hypoxia need chest tube drainage. Multiple fluid cultures were negative for infection and fluid sent twice for cytology and flow cytometry were negative for tumor cells. She was too ?sick? for thoracoscopy. Over the next 7 days the symptoms resolved and the effusion has not returned which speaks against this being from the lymphoma. She had symptoms the night of the vaccine but did not become critically ill for about 36 hours as the effusion was developing. Her oncologist and I both believe this was related to the vaccine and will not give the second dose.

Other Meds: Patient has been on Folatyn chemotherapy for lymphoma but off for 2 weeks Trazadone, Vitamins, Prilosec, Amiodorone

Current Illness: T cell lymphoma in abdomen ( intestine)

ID: 1060581
Sex: F
Age: 73
State: PA

Vax Date: 02/19/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Penicillin Vancomycin

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

Symptoms: Swelling, rash, six days after injection

Other Meds: Levothyroxine Keytruda Vitamin

Current Illness: none

ID: 1060582
Sex: F
Age: 39
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Sore arm, nosebleed 3 hrs after the shot. 21 hrs later, headache and nosebleed. No treatment. Nosebleed able to stop

Other Meds: None

Current Illness: Mitral valve regurgitation mild

ID: 1060584
Sex: F
Age: 45
State: MN

Vax Date: 02/24/2021
Onset Date: 02/25/1921
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Shellfish, vicadin, penacillin

Symptom List: Injection site pain

Symptoms: Exhaustion, itchy eyes

Other Meds: Zoloft Adderall Guanfacine Zocor all on for a long time. No side effects.

Current Illness: No

ID: 1060585
Sex: F
Age: 27
State: MN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 106 temperature about 12 after vaccine (8 am on 2/26), I took 400 mg of advil, temp went down. At about 11 am on 2/26, my temp went back up to 105. I called a nurse and they said to take tylenol, my fever went down, then about 8 pm on 2/26 my fever went back up to 102. I haven't had a fever sense then, but I have had a constant headache.

Other Meds: escitalopram, norethindrone

Current Illness: none

ID: 1060586
Sex: F
Age: 48
State: CO

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Arm pain, swelling; nighttime chills, malaise, fatigue for 1 day following shot

Other Meds: Duloxetine, estrogen, progesterone

Current Illness:

ID: 1060587
Sex: F
Age: 90
State: MD

Vax Date: 02/01/2021
Onset Date: 02/23/2021
Rec V Date: 02/28/2021
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: PCN, Codeine

Symptom List: Tremor

Symptoms: Post-herpetic neuralgia flare with severe pain. Gabapentin dose increased to twice daily, but pain is not controlled.

Other Meds: Metoprolol, Warfarin, Renvela, Gabapentin, Folic Acid

Current Illness: CLL, HTN, Afib, CKD 3

ID: 1060588
Sex: F
Age: 66
State: MO

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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: Pcn, erithromycin, clindamycin, sulfa,aspirin, ibuprofen

Symptom List: Erythema, Pruritus

Symptoms: Chills, progressed to fever of 100 F, muscle aches, swelling and discomfort in left armpit

Other Meds: indapamide, a Lodi pine, spiteva, fluticasone, loratadine, synthroid, vitamin D3,

Current Illness: No acuteillnesses

ID: 1060589
Sex: M
Age: 43
State: AL

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 02/28/2021
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: None

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

Symptoms: Swelling of deltoid, fever of 101

Other Meds: Nexium

Current Illness:

ID: 1060590
Sex: F
Age: 22
State: NC

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Started with exhaustion at 12pm followed by headache at 1pm and fever and chills by 5pm

Other Meds:

Current Illness:

ID: 1060591
Sex: F
Age: 65
State: NJ

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/28/2021
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: Cipro

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Itchy warm rash at injection site

Other Meds: "Emergence C" Venlafaxine 150 mg daily probiotic daily

Current Illness:

ID: 1060592
Sex: F
Age: 51
State: KY

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: Multiple food and environmental allergies

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

Symptoms: Extreme itching and redness in upper left quadrant (scalp, face, shoulder, arm, into upper thigh) approximately 12- 15 minutes after injection, dizziness, tingling mouth; ambulance called, taken to hospital, benadryl administered en route and steroids given at hospital

Other Meds: Prozac Oxybutynin Claritin Flonase Multivitamin

Current Illness: Covid-like symptoms (cough, body aches) at the end of January

ID: 1060593
Sex: F
Age: 85
State: NJ

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: None

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

Symptoms: Legs and back pain. Little strength in my legs. Chills and slight temperature. Very tired, slept for several hours for two days. Upset stomach and vomiting.

Other Meds: Vitamin B-12

Current Illness: None

ID: 1060594
Sex: F
Age: 76
State: PA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs, lanolin, seasonal

Symptom List: Pain in extremity

Symptoms: Experience symptom similar to restless leg for about half to one hour in evening. Feeling I had to move lower extremities. Didn't last long.

Other Meds: Prozac, Atorvastatin, omeprazole, metoprololmulti vitamin, biotin

Current Illness: 0

ID: 1060595
Sex: F
Age: 73
State: IL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: Macrobid ( nirafurntoin), Sulfa antibiotics

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

Symptoms: Red area around injection site, 6 x 5cm, hard, hot, dark red. Hematoma 4x4 cm above the site. No fever, no pain to the extent I needed pain killer. Uncomfortable and pulsating and itchy. Today, day 15 after vaccination: Induration 70% resolved, size increased since day 12 by 0.5 to 1.0 cm, colour has changed on the edges to dark pink except in the center. Lymphnodes right axilla swollen tender to touch

Other Meds: Allopurinol 300mg, Amlodipine Besylate 10mg, aspirin 81mg, Atorvastatin 40mg, carvedilol 25mg (x2), furosemid 40mg, glimepirid 2mg (x2), Levothyroxine .175mg, Losartan 100-25mg, Metformin Hcl 500mg ( x4) Tresiba Flex Touch 35

Current Illness: None

ID: 1060596
Sex: F
Age: 70
State: IN

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 02/28/2021
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: PCN &. Sulfa

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

Symptoms: Woke up at my usual time the day after vaccine. Felt a little warm but not feverish and did not take my temperature. After walking to kitchen to let cat in from garage I stopped at the nearby kitchen sink and began to shake ( I believe just my upper body). I had to grab onto sink to steady myself. Shaking was only seconds long. Then I must have fainted as I awoke (quickly) on the floor alongside the cupboards and sliding glass door. I laid there conscious about 15 minutes till I felt confident I could get up on my own. As result of fall I bit upper and lower lip on right (no blood just skin injured), must have clenched my teeth because my left posterior teeth were sensitive to cold and I injured my right ankle. After I got up and realized my ankle hurt with pressure I put on a support knee high to control swelling. Injury seemed to be focused on the ankle bone. I applied ice for recommended 20 on 20 off protocol for most of both 2/25 and 2/26, elevated and took OTC Aleve as directed on package. Bruising observed from heel, behind ankle bone and front of ankle. Called PCP, she recommended continue as I have and she will contact me tomorrow, March 1

Other Meds: Juice Plus fruits and vegetables capsules, Vitamin D3 1000IU Calcium 325

Current Illness: None

ID: 1060597
Sex: M
Age: 69
State: SC

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: shrimp and some shell fish

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

Symptoms: fever and chills, tired. Fever ranged fom 99.5 to 101.0 over a 14 hour period. Fever and symptoms started approximately 21 hours following vaccinations. recovery complete. To combat symtoms drank fluids and took tylenol and ibupropin alternately.

Other Meds: Flomax generic, vitamin B-12 and D-3, zertex, 81 gr Aspirin

Current Illness: none

ID: 1060598
Sex: F
Age: 74
State: MS

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 02/28/2021
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: Ciprofloxacin

Symptom List: Vomiting

Symptoms: Severe pain in joints

Other Meds: Insulin

Current Illness: Diabetes

ID: 1060599
Sex: F
Age: 95
State: TX

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 02/28/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: codeine, tramadol, amiodarone

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pericardial Effusion Bilateral Pleural Effusions

Other Meds: Simbrinza Calcium Carbonate Advair Gabapentin Norco atrovent singulair pravastatin Carafate travatan albuterol voltaren

Current Illness: none

ID: 1060600
Sex: F
Age: 71
State: NY

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/28/2021
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: Penicillin, fish

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

Symptoms: "Covid Arm" Low grade fever day after shot. One week later, itchy reddish rash woke me up. Rash spread larger for another week. Itching mostly at night. Was sore the first few days. Still hurts to touch today.

Other Meds: Synthroid and Triamterene

Current Illness: None

ID: 1060601
Sex: F
Age: 67
State: NY

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 02/28/2021
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: Certain antibiotics Bees

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Friday morning, February 26, 2021: extremely dizzy, body aches, very tired. As morning progressed the right side of my face became numb. Mid-day, the right side of my tongue became numb. But not so numb that I could not eat or drink. By evening I started feeling prickly sensation as one does when novacaine is wearing off. Slept throughout the night. Woke on Saturday, February 27, 2021 with less numbness and prickly sensations. Sunday, February 28, 2021, slight numbness near eye, nose and mouth. I had Bells Palsy in June 2000.

Other Meds: Hyzaar, vitamin D, possibly Flonase

Current Illness: None

ID: 1060602
Sex: M
Age: 52
State: MA

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/28/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Had small rash first appear on top of left foot which became itchy and then approximately six hours later I developed hives on the top of my right foot which seemed air filled.that also became itchy. I took a single Claritin and had relief within a few hours. The next day the itchiness returned and I took another single Claritin pill. The hives went down and there was redness but the itchiness subsided. I took a Claritin on the third day and had no other issues. The rash and hives stayed localized only to the tops of my feet. Important to note I did not use any different soap or detergent or have my feet exposed to any plants or vegetation. I continued wearing cotton socks and slides as I had been doing all along. I reported it to my doctor?s office who suggested I report it to the facility I received the shot from. They referred me to report it here.

Other Meds: Baby aspirin 81mg- 1x/day; Motrin 600 mg or 1 Aleve

Current Illness: None

ID: 1060603
Sex: F
Age: 22
State: GA

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 02/28/2021
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: penicillin

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

Symptoms: Woke up in the middle of the night to use the bathroom and I couldn?t see properly; my vision looked like black splotches. I felt faint and dizzy and couldn?t see my bed to lay down. After laying down, my head and body was tingling. I was sweating but felt cold. I took 2 hydroxyzine and fell asleep. I woke up fine but with body aches. The body aches continued through the day but I took acetaminophen and the body aches went away.

Other Meds: dextroamphetamine, fluoxetine, iron supplement, birth control (norgestimate and ethinyl estradiol)

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm