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: 1061389
Sex: F
Age: 79
State: WA

Vax Date: 02/28/2021
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: Unknown

Symptom List: Dysphagia, Epiglottitis

Symptoms: After patient completed 15 minute waiting period post vaccination, she had almost left the clinic and noted that her nose was "running". She proceeded to have a gushing nosebleed that lasted approximately 1 hour. When we noted that the bleeding was continuing, we called her grandson to pick her up and take her to the ER. Called the ER at 6:15 pm and pt still there being evaluated.

Other Meds: Unknown

Current Illness: Unknown

ID: 1061390
Sex: F
Age: 29
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: Hydrocodone

Symptom List: Anxiety, Dyspnoea

Symptoms: Circular red rash. Grew larger on day 2. Where it is red it is firm and painful to the touch. It is also itchy. Redness appeared below injection site.

Other Meds: Epiduo Forte pump

Current Illness: Nonr

ID: 1061391
Sex: F
Age: 23
State: VA

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: N/A

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

Symptoms: A was given to me. I didn?t show any initial reactions. Then about 24 hours later, I noticed redness around the injection site with extreme soreness and swelling. Is still present and inflamed after 48 hours since injection.

Other Meds: Birth control (Enskyce)

Current Illness: N/A

ID: 1061392
Sex: F
Age: 85
State: TX

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

Lab Data:

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Rash that began not quite 24 hours after injection; rash began on torso, chest and spread to back and later legs. Rash still present on day 5 post injection. Dr. suggested Benadryl and have been keeping up with Benadryl at least 2-3 x/day. Rash may be easing up now.

Other Meds: Bisoprolol 10mg, Furosemide 40mg, Nifedipine XL 30mg, ASA 81mg, Klor-Con 10mEq 2x/day, Ferrous Sulfate 325 mg x2, Levothyroxine 50mcg, Pravastatin 20mg, Kisqali, Letrozole 2.5mg, Multivitamin

Current Illness: Metastatic Breast Cancer

ID: 1061393
Sex: F
Age: 65
State: TN

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: LA

Lab Data:

Allergies: Sulfa, Amoxicillin, Wine, Seafood/Shellfish, Bees

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

Symptoms: On 02/27/2021, Patient received dose #1 of Moderna COVID vaccine at 12:00 p.m. at COVID Vaccine POD. Prior to vaccination, the pt. reported a history of anaphylaxis to shellfish and is prescribed an EPI Pen, she was instructed to wait 30 minutes after vaccination for monitoring. At 12:11, patient reported feeling anxious, tingling lips, and numbness around her mouth to nursing staff. On assessment, BP 150/80, resp. 20. Patient then reported her tongue was getting "thick". Staff continued to monitor symptoms, patient stated symptoms were not improving and her tongue continued to be getting "thick" At 12:15, EPI pen auto injector was administered in patient's right vastus lateralis. 12:27 EMS arrived, patient was assessed, symptoms had resolved, and she refused to be transported to the ER. Follow up instructions were given by EMS and patient was cleared to go home accompanied by her husband.

Other Meds: unknown

Current Illness: unknown

ID: 1061394
Sex: F
Age: 77
State: NM

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: Sulfa drugs, tape

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

Symptoms: Severe side effects including chills, fever, headache, fatigue, diarrhea, loss of appetite, runny nose

Other Meds: Levothroxine, furosermide, amlopodine, atorovastin, hydrochlorithyazide,

Current Illness: Upper Respiratory infection

ID: 1061395
Sex: F
Age: 65
State: TX

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:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: PATIENT FELT PAIN WHEN THE NEEDLE WAS STUCK IN THE BONE. SHE FELT THE NEEDLE WENT INT THE BONE AND FELT A LITTLE NUMBNESS IN HER FINGERS FOR ABOUT 10 MINUTES. BP 169/83 HR 76 O2 96% REPEAT BLOOD PRESSURE AFTER 10 MINUTES 144/73, HR 76 O2 97%. PATIENT STAYED IN OBSERVATION FOR 30 MINUTES , STATES AFTER 30 MINUTES NO NUMBNESS NOTED. PATIENT DENIES SOB AND CP. PATIENT GIVEN INSTRUCTIONS TO NOTIFY PCP IF NUMBNESS RETURNS

Other Meds:

Current Illness:

ID: 1061396
Sex: F
Age: 52
State: CA

Vax Date: 02/18/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Iodine

Symptom List: Pharyngeal swelling

Symptoms: Large raised rash on arm near injection site.

Other Meds: Vyvanse 50mg

Current Illness: No e

ID: 1061397
Sex: M
Age: 74
State: TX

Vax Date: 02/20/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Possibly bee stings.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Lymphadenopathy . A swelling at the intersection of the upper lip and the groove up to my nose. And rigidity of my nose. Minor pain at the injection site 3 or so hours after, continuing 36 hours until fading away.

Other Meds: Lisinopril 5 mg, 81 mg aspirin, Simvastatin 10 mg, multivitamin.

Current Illness: None

ID: 1061398
Sex: M
Age: 56
State: OH

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swollen and sore Lymph node under right armpit. Lasted all day.

Other Meds: Synthroid, Gabapentin, Lisinopril, Simvastatin, Omeprazole, Meloxicam, Citalopram, Colchicine, Magnesium, Viyamin D

Current Illness: none

ID: 1061399
Sex: M
Age: 86
State: IL

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:
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: Fever of 101

Other Meds: Lisinopril Simvastatin Finesteride

Current Illness: None

ID: 1061400
Sex: F
Age: 35
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: NA

Symptom List: Rash, Urticaria

Symptoms: Headache, chills, low grade fever, muscle aches, injection site pain, lymph node pain

Other Meds: Junel, singular, Flonase, colace, align

Current Illness: NA

ID: 1061401
Sex: F
Age: 80
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Irregular heartbeat for approximately 5-8 minutes. Light-headed during this time. Resolved on its own eventually.

Other Meds: multi-vitamins

Current Illness: kidney stone

ID: 1061402
Sex: F
Age: 51
State: CA

Vax Date: 02/18/2021
Onset Date: 02/27/2021
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: Red swollen area where injection was given. Area has grown to be about 4 inches by 5 inches. It is itchy and warm. Asthma flare up. Treating symptoms with Benadryl, QVAR, and Albuterol. Confusion and forgetfulness are an issue as well, as is elevated blood pressure.

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

Symptoms: Hot, red, itchy 4 inch by 5 inch spot on left arm at the injection site, Asthma flare up and raised blood pressure concurring with rash.

Other Meds: Moderna Covid-10 Vaccine

Current Illness:

ID: 1061403
Sex: M
Age: 58
State: PA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. Muscle pain, joint pain, lymph node pain, fever, profuse sweating. Duration: 40 hrs.

Other Meds:

Current Illness:

ID: 1061405
Sex: M
Age: 46
State: KY

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: Latex

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

Symptoms: Flu like symptoms, sore muscles and joints

Other Meds: Buspirone mg5, atomoxetine mg 80, citalopram 40mg, fish oil 1000 mg, multivitamin, cetirizine hydrochloride 10mg, topiramate 100mg, divalproex 500mg, trazodobe 50mg, tamsulosin 0.4 mg, prazosin 5 mg

Current Illness: None

ID: 1061406
Sex: F
Age: 71
State: TX

Vax Date: 02/26/2021
Onset Date: 02/28/2021
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: LATEX

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

Symptoms: patient called and complain about itching at injection site and i recommend cold compress on the site for 15 mins and antihistamine

Other Meds:

Current Illness:

ID: 1061407
Sex: M
Age: 33
State: IL

Vax Date: 02/01/2021
Onset Date: 02/03/2021
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: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I developed periumbilicus cramping abdominal pain, nausea for two days after first shot then it went away. After second shot, I developed the usual thing of arm soreness, fever, chills, joint pain and generalized body aches as well as GI symptoms. All symptoms went away in two days except that I have had persistent symptoms of cramping abdominal pain, on/off nausea, bloating. I still have the symptoms 4 weeks after the shot and nobody knows what is going on. I lost around 15 lb till now and will be following with my PCP soon to see what is next.

Other Meds: No

Current Illness: No

ID: 1061408
Sex: F
Age: 50
State: NY

Vax Date: 02/27/2021
Onset Date: 03/01/2021
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: Naproxen

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Headache, clammy,diarrhea, extreme fatigue

Other Meds: Omeprozole Sodium Bicarbonate, Levothyroxine, Linzess, Sucralfate, Miralax, Folic Acid, Vitamin B, Diazepam

Current Illness: None

ID: 1061409
Sex: F
Age: 59
State: CT

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: Sulfa, Penicillin, Prozac, Dilaudid, Bees

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

Symptoms: Within 5 minutes developed hives rash on face, neck and chest. Upon advise of personal physician, took 50 mg of Benadryl. Medical staff on site recommended being checked out by an ambulance EMT crew, due to ongoing hives and very high blood pressure reading by them. Ambulance called by site medical personnel, ambulance crew strongly recommend transport to ER. Went in ambulance to Hospital ER. In ER for roughly 3.5 hours for observation and vital signs monitored until rash subsided and blood pressure went down.

Other Meds: Verapamil, Triamterene, Lisinopril, Atenolol

Current Illness: None

ID: 1061410
Sex: F
Age: 83
State: AL

Vax Date: 02/03/2021
Onset Date: 02/05/2021
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: Latex, and many medicines

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

Symptoms: I have a muscle disease, Polymyalgia Rheumatica ; side effects : extreme muscle pain when standing , and walking experienced with both doses of vaccine (2/3/21 and 2/24/21) (usual prednisone 8mg does not help the pain) went to urologist Mon Feb 8 for burning, urinary tract, no infection; (nurse practitioner said was side effect of another patient. ) this burning I experienced with the first dose of vaccine (2/3/21); burning lasted two weeks Muscle pain experienced with both doses of vaccine took AZC pills for urinary tract burning.

Other Meds: metoprolol; warfarin; hydrochlorothiazide; lisinopril; prednisone; diltiazam

Current Illness: polymyalgia rheumatica; HBPressure,medicated. atrialfibrilation.

ID: 1061411
Sex: F
Age: 80
State: CA

Vax Date: 02/19/2021
Onset Date: 02/22/2021
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: Unevaluable event

Symptoms: atrial fibrillation as captured by smartphone (i can send PDF if desired) at 5:44pm ...irregular heartbeat caused me to capture event on my phone, especially since I had a similar reaction to the first shot.

Other Meds: multi-vitamins

Current Illness: kidney stone

ID: 1061412
Sex: F
Age: 34
State: CA

Vax Date: 02/27/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: About 10 minutes after receiving the vaccine, I had chest discomfort followed by the sensation that there was ice around my heart, under my rib cage. The cold heart sensation lasted for roughly 20-30 minutes. Following the start of the cold heart sensation, I became dizzy, sweaty, lost peripheral vision, had numbness in my fourth and fifth fingers (ring and pinky fingers) in both hands, and vaccination site attendant mentioned my hands looked red. Dizziness and other symptoms lasted about 15-20 minutes. Now that over 24 hours have passed, my chest feels a bit tight when I breathe. Injection site is also sore.

Other Meds: none

Current Illness: none

ID: 1061413
Sex: F
Age: 29
State: WV

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Hives

Other Meds:

Current Illness:

ID: 1061414
Sex: M
Age: 31
State: NH

Vax Date: 02/19/2021
Onset Date: 02/28/2021
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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: ?COVID arm? rash at injection site 1 week after dose.

Other Meds:

Current Illness:

ID: 1061415
Sex: M
Age: 48
State: NY

Vax Date: 01/20/2021
Onset Date: 01/22/2021
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: Tropical Fruit (Mango, Papaya, Kiwi, Guava), Stone fruit (peach, pear), and avocado: Fruit Latex Syndrome.

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

Symptoms: Dose Given 1/20/21, sore arm after 1/20/21. Migraine headache developed evening 1/21 Intermittent tinnitus developed 1/21/21. Woke up with subjective hearing loss/fullness Left ear and mild vertigo with nystagmus on morning of 1/23/21.

Other Meds: Chlorthalidone

Current Illness:

ID: 1061416
Sex: F
Age: 81
State: MA

Vax Date: 02/22/2021
Onset Date: 02/24/2021
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: Penicillin Lisinopril

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 2d Dose of vaccine received Feb 22 - Monday. On Wed evening around 10:15 my arm started itching. Next day - Thurs after getting out of the shower I noticed a bright red blotch on my arm just below my injection, but not itching. Next day Fri, it was still bright red and a little larger. Sunday morning it was still there and still bright red. I measured the area and it was about 2 1/2 inches long and a little over 1 inch wide. as of Sunday night I still have the rash it doesn't seem as bright but it has spread a little more in length and width.

Other Meds: Irbesartan Breo Elllipta (Inhaler) VitD3 Multi-Vitamin Probiotic

Current Illness:

ID: 1061417
Sex: F
Age: 75
State: MA

Vax Date: 02/09/2021
Onset Date: 02/18/2021
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: RA

Lab Data:

Allergies: Levaquin, Benadryl

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Had no pain in arm or redness for the first 10 days. Developed severe pain in my arm from the injection sight up to my ear and neck. The pain in my neck stayed for 9 days with pain to my arm that was terribly painfull. Now I still have an ache in my neck and arm that is mild but also feels very tired like if you had a neck injury from nerve pain

Other Meds: metoprolo, Clonidine, Lorazapam

Current Illness: Hairy Cell Leukemia Lymphoma, Jan1,21 to Jan.20,21 treated with Vanqomycin for a septic infection in my left clavicle. Had contrast Dye 3 times in the month of January for 3 CT scans

ID: 1061418
Sex: F
Age: 59
State: WA

Vax Date: 02/28/2021
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: RA

Lab Data:

Allergies: Shellfish, Tree nuts, Codeine & Sulfa based meds

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

Symptoms: Face turned red for about 2 hours, swollen face

Other Meds: Lisinopril, Atorvastatin, Metformin HCL, B-12, Calcium plus Vitamin D, Turmeric, Vitamin E, Milk Thistle,

Current Illness: None

ID: 1061419
Sex: F
Age: 27
State: AL

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: RA

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Still experiencing: Bruise: 1 inch diameter, at injection site Redness, swelling: 3 inch diameter, injection site at the top, tender, warm/feverish Ended: Low fever, fatigue, nausea

Other Meds: Vitamin D Collagen

Current Illness: None

ID: 1061420
Sex: F
Age: 72
State: FL

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Serious sciatica attack with stabbing needle like pains to right foot. Lasted for 16 hours.

Other Meds: None

Current Illness: None

ID: 1061421
Sex: F
Age: 46
State: KY

Vax Date: 02/24/2021
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: 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: The same night of my 2nd shot, I experienced chills, body aches all over and a headache. When I woke up in the morning the chills had stopped and the aches where only from the waist down. I also kept having sharp shooting pain in my uterus on the left side off and on. And my left nipple itched off and on. I took an ibuprofen 800mg and the lower body aches went away, but I still had a slight headache.

Other Meds: Hctz 25mg, vitamin D

Current Illness: N/A

ID: 1061422
Sex: F
Age: 78
State: CT

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: RA

Lab Data:

Allergies: Sulfa drugs, Penicillin, tetracycline

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

Symptoms: 2/23/21:Headache, sore arm 2/24/21: High Fever 100 degrees: 8:00 p.m. Blurry eyes, Stuffy, runny nose. Sore arm. Sneezing. Felt ill. 2/25/21: Fever slowly came down during the day. Arm itchy and sore. Hot arm. 2/26/21: Hot, itchy, sore arm. Red area near injection site. 2/27/27: Arm still red, sore itchy. nausea.

Other Meds: enalapril, hydrochlorothiazide, amlodipine, Advair, aspirin, Montelukast, , Lipitor, amitiza

Current Illness: None

ID: 1061423
Sex: F
Age: 32
State: CO

Vax Date: 02/19/2021
Onset Date: 02/21/2021
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: Severe: bee pollen, beeswax, sesame oil Severe/moderate: stevia, prolonged exposure to rubber or latex Moderate: wheat (not gluten)

Symptom List: Tremor

Symptoms: Localized heat in spine on second day, moved to base of skull on days 3-9 (feels like heat stroke with similar slow thinking and fatigue). Heat and mild itching in face day 3. Progressed into rash - hot to the touch, uncomfortable, moderate itchiness. Rash became worse on day 6. Spread to throat and chest on day 9. Became morbilliform rash on day 10. Severe heat and itching. Moderate pain and swelling. Began to spread to upper abdomen at the end of day 10.

Other Meds:

Current Illness: None

ID: 1061424
Sex: M
Age: 70
State: CA

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: Erythema, Pruritus

Symptoms: Moderna COVID-19 Vaccine EUA Fatigue; chills; headache; hallucination (1)--over 48 hours (very small price to pay).

Other Meds: gabapentin; lisinopril; flomax; celebrex

Current Illness: None

ID: 1061425
Sex: F
Age: 75
State: MN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
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: All tree nuts, all peppers except black pepper, Codeine, Bactrim

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

Symptoms: Severe headache, took tylenol, lasted approx 24 hrs. Chills, bundled up and slept eventually, lasted approx. 10 hrs. 3 days later red rash started on left arm from inj. site almost to elbow and width of arm. Have taken 2 benadryl. Still have rash. It's Sunday 02/28/2021

Other Meds: Atenolol 25mg, Calcium Carbonate 600mg Bid, Centrum Silver Multi-vit, Citrucel 1 Tblsp., Cyclobenziprine 5mg, DiltiazemXR 180mg, InCruz, Famotidine 40 mg, Flaz Seed oil 1000mg, Lysine 500mg Magnesium 230mg, Nortryptylin 50mg, Omega 3 900mg,

Current Illness: none

ID: 1061426
Sex: F
Age: 37
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: None

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

Symptoms: Red, knot, swollen, itchy, sore circle around injection site about 2 inches wide for the last 3 days

Other Meds: Blood Pressure Medicine- Lisinopril- HCTZ Fish Oil Vitamin B,C,D Zinc Baby aspirin Elderberry

Current Illness: None

ID: 1061427
Sex: F
Age: 69
State: CO

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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Wed. Feb. 24 - 4:30 pm - felt flushed, upon removal of mask face was bright red and stayed that way for 3 hours. Developed what felt like swollen glands and sore throat 2 hours later which lasted for 2 days. Pain in left arm for three days. Friday, Feb. 26 11:30 pm - terrible vertigo, felt room spinning and had to hold on to furniture to prevent falling. Went to bed and the entire room was spinning. Bad vertigo the next day Saturday, Feb. 27 so stayed in bed. Was better in the afternoon but still felt very dizzy and had to stay in bed all day Saturday. Sunday, Feb. 28 felt much better and was able to cook meals but still felt tired and on the verge of dizziness.

Other Meds: unithroid 100 mcg. one per day

Current Illness: none

ID: 1061428
Sex: F
Age: 71
State: CA

Vax Date: 02/05/2021
Onset Date: 02/10/2021
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: Miconazole

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

Symptoms: Red spot on arm below injection site (2"x3") and didn't start to fade for two weeks. But more concerning full body rash, red and raised, occurred and lasted four days.

Other Meds: Metoprolol 50 mg once daily. Multi-vitamin, Vit C.

Current Illness: None

ID: 1061429
Sex: F
Age: 49
State: CA

Vax Date: 02/27/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Allergic to penicillin and sulfa anitbiotics

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

Symptoms: Cutaneous hypersensitivity: Two-inch diameter circular welt, red and painful, at injection site less than 24 hours after shot. I realize it isn't serious but want to report it since we are just beginning to collect data on COVID vaccine side effects. I fully expect to recover, but am marking "unknown" for recovery below simply because I don't know how long the welt will last.

Other Meds: Levothyroxine, Viibryd, ACE inhibitor/diuretic combo

Current Illness: n/a

ID: 1061430
Sex: F
Age: 70
State: AZ

Vax Date: 02/24/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: shellfish; morphine; aspirin sensitivity; food (most nuts, wheat, chocolate....)

Symptom List: Pain in extremity

Symptoms: Freezing cold to the point of shivering and teeth chattering - chills, headache, body ache, fogginess, extreme fatigue. Tylenol every 6 hours. Cold packs on head and neck. All except headache went away by Friday, 2/26/2021.

Other Meds: Propranolol; escitalopram

Current Illness:

ID: 1061431
Sex: F
Age: 68
State: FL

Vax Date: 02/23/2021
Onset Date: 02/24/2021
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: No allergies, but I am very sensitive to all meds

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

Symptoms: about 24 hours after my shot I was in AFIB. I haven't had this problem since my ablation about 5 years ago. I do not know if the vaccine had anything to do with it or if a coincidence, but pharmacist said I should report it. I am still in AFIB and very short of breath.

Other Meds: Amlodopine, propefanone, levothyroxine, eliquist, simvastatin, HTZ, Hydralizine, Gabapenton, Pramipexole. Low dose asprin, magnesium, prevragen, presser vision areds 2, D3, calcium chews and Q10.

Current Illness: COPD,

ID: 1061432
Sex: F
Age: 29
State: IL

Vax Date: 02/20/2021
Onset Date: 02/21/2021
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: None

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

Symptoms: First dose: fatigue with left arm soreness Second dose: chills, whole body soreness and ache, low grade fever and an ongoing blurry vision. I went to the ophthalmologist and the ocular ct showed right eye optic nerve is inflamed.

Other Meds: I only took 4 Tylenol after the vaccine when I started to experience side effects.

Current Illness: None

Date Died: 02/21/2021

ID: 1061434
Sex: F
Age: 97
State: MN

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/28/2021
Hospital: Y

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: I am the patient's daughter as well as an RN-BSN. My mother was given the Moderna vaccine on Feb 11, 2021 and on Feb 15, 2021 she had a CVA and MI. She was found on her apt. floor unconscious. She was transferred to the Hospital by ambulance where a CT scan and other tests were done. It was determined she had a stroke and heart attack. My mother was in great health, took no medications, and lived alone in her apt. before this incident. The medical professionals determined she would not recover so she was admitted to hospice and died on Feb. 21, 2021. I believe there is a relationship between the vaccine and the CVA and MI.

Other Meds: None

Current Illness: None

ID: 1061435
Sex: F
Age: 65
State: CA

Vax Date: 02/20/2021
Onset Date: 02/28/2021
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:

Symptom List: Vomiting

Symptoms: Arm swollen and sore around the injection site for about 5 days. No treatment. Rash broke out around the injection site on 2/28/21. Applied hydrocortisone to site.

Other Meds: Metoprolol Tartrate, Vitamins: Calcium, B-Complex, Mature Multivitamin, Flaxseed Oil, Glucosamine & Chondroitin, Probiotic

Current Illness:

ID: 1061436
Sex: F
Age: 85
State: WA

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: chills, fever beginning 25 hours after vaccine administration lasting overnight.

Other Meds: Centrum Sliver, Vitamin D3, Calcium, Salmon oil, Q10

Current Illness: none

ID: 1061437
Sex: F
Age: 69
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: RA

Lab Data:

Allergies: Latex, mold, pollen, bee stings, some thick drink I drank before a test

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

Symptoms: Large black and blue mark about 4" wide and 1" - 2" high. And, a red mark below it. Some swelling, warmness, and itching at the site. A little fatigue. A little nausea.

Other Meds: Propranolol Glipizide Atorvastatin Vitamin D Aspirin

Current Illness: None

ID: 1061438
Sex: F
Age: 45
State: NY

Vax Date: 02/21/2021
Onset Date: 02/22/2021
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: Peaches, Cymbalta,

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, nausea, extreme fatigue, swollen glands, muscle aches

Other Meds: Otezla, Pantoprazole, Loratadine, Krill oil, Meloxicam, Vitamin D, Sulfasalazine, Armour Thyroid, Famotidine, Triamterene/Hydrochlorothiazide, Potassium, Gabapentin, Magnesium, Estradiol

Current Illness: none

ID: 1061439
Sex: F
Age: 30
State: WI

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

Lab Data:

Allergies: Lamictal

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

Symptoms: Redness, hard and warm at injection site plus 2 spots near injection site

Other Meds: Sertraline- 50mg 2x daily Leviteracitam(Keppra)- 1500mg 2x daily Vitamin C

Current Illness: None

ID: 1061440
Sex: F
Age: 72
State: NJ

Vax Date: 02/01/2021
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: Itching ans hardening of area of injection

Other Meds: Vit d, vitb12, nardil, pravastatin, protonix, metformin, calcium

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm