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: 1077788
Sex: F
Age: 37
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: Flushing, swelling of upper left lip. Itchiness on face, brain fog. BP 150/105 (pulse 119). Final BP 129/97 (pulse 93).

Other Meds:

Current Illness:

ID: 1077789
Sex: F
Age: 65
State: CA

Vax Date: 02/23/2021
Onset Date: 03/01/2021
Rec V Date: 03/06/2021
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

Symptom List: Anxiety, Dyspnoea

Symptoms: After about 10 days and airy about 4 inches in diameter started itching and felt hard. No real pain just irritation and heat.

Other Meds: Levytheroxin

Current Illness: None

ID: 1077790
Sex: F
Age: 42
State: MD

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 03/06/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Guillain-Barre-Landry Syndrome (AIDP). Presented with paresthesia's, loss of Deep Tendon Reflexes, and proximal > distal LE weakness. Placed on IVIG on 3/4/2021 with improved symptoms of LE weakness but noted residual abnormal sensation

Other Meds: None

Current Illness: None

ID: 1077791
Sex: F
Age: 70
State: CA

Vax Date: 02/08/2021
Onset Date: 02/23/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Skin on arm near injection site left arm swollen with discomfort - red warm to touch- itchy with larger red circle.

Other Meds: Losartin 40mg daily Levothyroxine 150 daily Hydrochlorothiazide 25 mg (2) daily

Current Illness: none known

ID: 1077792
Sex: F
Age: 83
State: WI

Vax Date: 02/28/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: sporonox, lisinopril

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

Symptoms: leg cramps

Other Meds: many

Current Illness: none

ID: 1077793
Sex: F
Age: 42
State: HI

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 03/06/2021
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: none

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

Symptoms: Guillain Barre Syndrome that lasted for 4 weeks. Prickling, pins and needles sensations in arm, fingers, leg, feet numbness/loss of feeling in arm and hand for weeks Difficulty with facial movements, including speaking, chewing or swallowing Severe pain, achy, shooting or cramplike Rapid heart rate Difficulty breathing

Other Meds: none

Current Illness: none

ID: 1077794
Sex: F
Age: 76
State: OH

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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 known

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Aside from the expected sore right arm, I developed painful welling of underarm glands (right side) which I've NEVER had before even as a child; also developed itching and some redness and swelling at injection site,. These occurred in late afternoon on 3/5/2021 - a day after 2nd Moderna vaccine injection. I also developed a low fever for part of the same afternoon (3/5) into early eve. I also had some ache in center chest (gone now) which I never had before (angina?). It is now 3/6/2021 and I still have swollen underarm glands (right arm), right arm soreness at injection site, and some itching there as well. But no fever just now. I'm VERY CONCERNED the swollen glands will not go away in time for my aortic valve replacement surgery on 3/15/2021.

Other Meds: Vitamin D 2000 daily; B12 injection on March 1, 2021

Current Illness: None

ID: 1077795
Sex: F
Age: 66
State: CA

Vax Date: 02/14/2021
Onset Date: 02/21/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: skin allergies

Symptom List: Pharyngeal swelling

Symptoms: 7 days after injection felt slight itch like mosquito at injection site, then it swelled and became hot and red but not itchy. 6" diameter. Sore and hot. I applied an anti-inflammatory Chinese herbal patch for 24 hours. Inflammation/heat slowly subsided, gone within 2 or 3 days

Other Meds: none

Current Illness: none

ID: 1077796
Sex: F
Age: 67
State: UT

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Chills, fever, headache; took 400 mg ibuprofen

Other Meds: D3 - 50 mg Zinc Chelate 30 mg

Current Illness: none

ID: 1077797
Sex: F
Age: 79
State: NH

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/06/2021
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: Moderna COVID-19 Vaccine EUA Covid arm started the day after and was red rash for two days. Eight days after the injection it was itchy red rash that lasted five days.

Other Meds: none

Current Illness: none

ID: 1077798
Sex: F
Age: 67
State: AZ

Vax Date: 03/02/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Codeine Shell Fish

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

Symptoms: 1. Sore Arm the next day. Expected because the first shot made the same arm a little sore. 2. Low Grade Fever and Chills. (can't take anything else due to PE caused by DVT.) 3. Light cough. Not a sore throat but not right. 4. Terrible headaches. But Tylenol takes it away in time. 5. All over Achy body. What is most concerning is the oxygen level Because of my PE I watch my levels at night. Average for me with PE I'm around 94-97 saturation But from Wednesday Night March 3 my levels are lower. Dropping to 88-85. My finger montor goes off at 88 so I cake a couple of deep breaths to bring it back up.

Other Meds: Arunity Ellipat 200 mg ( 1 puff in the Moring) Sertraline 100 mg ( one in the morning)

Current Illness:

ID: 1077799
Sex: F
Age: 30
State: IL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/06/2021
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: None I'm aware of

Symptom List: Rash, Urticaria

Symptoms: The evening following my injection (Tuesday), I began to notice some mild redness and warmth around the injection site. The following day (Wednesday), the area had grown in size and color and my skin was getting harder and warmer. It was very sensitive to touch, but not itchy. The following day (Thursday) the spot began to spread out farther and was flattening, but was very warm to the touch and painful and my skin was hard still. I took a benadryl Thursday afternoon and was taking ibuprofen every 6-8 or so hours since the injection for the pain and other mild symptoms I was experiencing. Today (Saturday) it is mostly flat, the redness has reduced and the pain is the lowest I've experienced. I did not have any of these symptoms with my first vaccine dose. I took pictures every day to monitor, if that would be helpful.

Other Meds: Junel 24FE, Women's daily multivitamin, Calcium, Omega 3 Fish oil, Ibuprofen

Current Illness: None

ID: 1077800
Sex: F
Age: 72
State: IN

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Once to Amoxicillin

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

Symptoms: Skin red, swollen everywhere with tiny itchy hard bumps. Eyelids were red and swollen, hot and hard to open. Body aches and fingers partially numb.

Other Meds: Antihistamine

Current Illness: None

ID: 1077801
Sex: F
Age: 51
State: AZ

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 03/06/2021
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: Penicillin, bactrim, and cucumbers

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

Symptoms: Soreness of arm that lasted 1 week, redness and swelling at the time that lasted 4 days, felt cold for 2 days after the shot, achy and tired for the first day afterwards, swollen glands under the armpit, which was followed by swelling of glands in the neck/chin area. Broke out with 5 cold sores on the lips.

Other Meds: Tylenol and ibuprofen

Current Illness: None.

ID: 1077802
Sex: F
Age: 52
State: MA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 03/06/2021
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: Yes, Bactrim (hives), Percocet (itchiness), Ibuprofen (swelling in legs, venous fluid retention).

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

Symptoms: Core body chills lasting approximately 12 hrs. Fatigue lasting 36 hrs. Strong twitching of extremities & ?jolting? of full body (similar to Restless Leg Syndrome, which I do not have, but at heightened frequency, intensity & duration). Cognizant & lucid during episodes. Lasted approximately 90 minutes until I fell asleep. Upon waking, this symptom was gone. I have had infrequent, random full body ?jolts? since this time. I?ve not ever experienced this body twitching in past.

Other Meds: Yes

Current Illness: None

ID: 1077803
Sex: F
Age: 78
State: IN

Vax Date: 02/16/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: ALLERGIES: latex gold sodium thiosulfate thimerosal cat hair aspirin compazine Ambien CR Cymbalta BAK (benzalkomium chloride) albuterol advair and veramist mayonnaise adhesive tape/patch lisinopril SENSITIVITIES clindamycin Cipro Naprosyn NSAIDs fluoride treatments cortisone injection Ceftin statin meds Johnson?s baby shampoo

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

Symptoms: Woke up with "Covid arm" -- 2 1/2" round red area on arm around injection site, like a hive, but not raised, hot, painful, or itchy. Is almost completely faded now (52 hours later). I contacted Moderna 3/4/2021 and it took a report. Because online info said this wasn't really a problem, I have not contacted my doctor.

Other Meds: levothyroxine, liothyronine, amlodipine, atorvastain, Eliquiis, Vitamin C, Vitamin D, Os-Cal, Centrum Silver

Current Illness: none

ID: 1077804
Sex: M
Age: 75
State: AR

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital: Y

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: iodone, latex, tape

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

Symptoms: Persistent hypoglycemia (30s) causing confusion

Other Meds: allopurinol, asa, diprolene, clonazepam, duloxetine, hctz, famotidine, synthroid, linzess, omeprazole, zaleplon

Current Illness: none

ID: 1077805
Sex: M
Age: 66
State: GA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: 102.5 fever, chills, sweats, abnormal increase of heart Angina, severe fatigue

Other Meds: 10 mg daily Prasugrel 100 mg daily Metoprolol

Current Illness: Chronic heart disease - 6 stints implanted

ID: 1077806
Sex: M
Age: 65
State: WI

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

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

Lab Data:

Allergies: Mesalamine - paradoxical worsening of ulcerative colitis; sulfa (sulfonamides) - rash; Pollens - headache, cough, sneezing

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Mild dizziness onset approximately 10 minutes status post vaccine administration. Patient reports history of issues like this after blood draws, but improved due to frequent lab draws. Possibly "slight headache." Mild, intermittent nausea (unchanged from baseline that started this morning). Patient continually stated that he needed to get to a bathroom (not urgently), but it was quite a focus. He is having frequent diarrhea this morning after increasing Miralax dose last night for constipation. Patient with ulcerative colitis. Transferred via wheelchair to reclining chair and reclined to flat position approximately 10 minutes. Vitals stable. Positioning helped. Sat for approximately 20 minutes prior to leaving. Dizziness resolved prior to discharge. No concern about symptoms from patient or caregiver. Patient took diazepam yesterday and Celebrex yesterday (as needed medications).

Other Meds: azaTHIOprine, Vitamin B, calcium carbonate-vitamin D3, celecoxib, coenzyme Q10, daily multivitamin, diazePAM, docusate sodium, dorzolamide-timolol ophthalmic, fluticasone propionate nasal, latanoprost ophtalmic, levothyroxine, lisinopril, m

Current Illness: Constipation, self-treated with extra Miralax last night that has resulted in multiple episodes of diarrhea this morning and intermittent nausea

ID: 1077807
Sex: F
Age: 65
State: DE

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: -

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

Symptoms: patient is stating aside from arm pain their whole left side is in pain and feels like they are being stabbed by a nail, total vaccination side pain, arm, legs, buttocks

Other Meds: -

Current Illness: -

ID: 1077808
Sex: M
Age: 52
State: PA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Injection site soreness, fatigue and bodyaches

Other Meds: None

Current Illness: None

ID: 1077809
Sex: M
Age: 25
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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: Unevaluable event

Symptoms: Dizziness, BP 138/102 (pulse 98), BP 130/92. Given water and graham cracker.

Other Meds:

Current Illness:

ID: 1077810
Sex: F
Age: 36
State: NY

Vax Date: 02/26/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: It wasn't life-threatening, but it seems I had an allergic reaction. A week after I received the vaccine, the area of injection swelled up. It looked and felt like an insect bite; the area was red, hot, firm, and the swelling about 2 inches in diameter and 1/8 of an inch. I felt a mild itch. I iced it and took an antihistamine, and it looks a little better today.

Other Meds:

Current Illness:

ID: 1077811
Sex: F
Age: 65
State: TX

Vax Date: 02/22/2021
Onset Date: 02/26/2021
Rec V Date: 03/06/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Pain level 10 headache unmanageable with otc drugs. Fever over 102+ with severe chills. Iv and morphine at emergency room after 5 days of symptoms. Tramadol and megestrol at home coupled with 2400mg ibuprofen per day. Symptoms not letting up as of day 8.

Other Meds: None

Current Illness: None

ID: 1077812
Sex: F
Age: 36
State: NY

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

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

Lab Data:

Allergies: Latex

Symptom List: Injection site pain, Menorrhagia

Symptoms: Mild fever (99.8, normal resting body temp 97.1)

Other Meds: Pew natal bitamin

Current Illness: None

ID: 1077813
Sex: F
Age: 77
State: VA

Vax Date: 02/26/2021
Onset Date: 03/01/2021
Rec V Date: 03/06/2021
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: Fabric Softener, hair spray, some perfumes, mums, dogwood, msg, pollen

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

Symptoms: Area sore, hot, itchy for over a week.

Other Meds: 30 mg Pravastatin

Current Illness:

ID: 1077814
Sex: M
Age: 76
State: UT

Vax Date: 02/22/2021
Onset Date: 02/25/2021
Rec V Date: 03/06/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: 2 days of fatigue, 1 day diarrhea, 1 day mild fever and five days of a dry cough - all starting 3rd day after second vaccination

Other Meds: Atorvastatin, Finasteride & Lisinopril

Current Illness: Enlarged prostrate & mucous

ID: 1077815
Sex: F
Age: 48
State: TX

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Allergic to indural, Since I took both Moderna Covid Vaccines an area on my forehead above my left brow has continued to swell. It happened after each vaccination and currently exists.

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Reactions to first vaccine: swollen injection site, itchy injection site, and swollen forehead above left brow. Second vaccine swollen forehead above left brow and itching. Still exists currently.

Other Meds: Unithroid, Myrtrebique, Valtrex, Iron, Fish Oil, Women?s Vitamin and Biotin

Current Illness: None. After the first vaccine in January the vaccine site began to swell for a week 1/2.

ID: 1077816
Sex: F
Age: 71
State: IA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/06/2021
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: minor arm pain like a flu shot, aches, chills, fatigue--generally flu-like symptoms lasting 1 day after shot. Second day felt just fine.

Other Meds: atorvastatin calcium, propranolol, AREDS2, multivitamin, iron

Current Illness: none

ID: 1077817
Sex: F
Age: 38
State: OH

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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

Symptom List: Nausea

Symptoms: All over body aches, 100.1 fever, headache

Other Meds: None

Current Illness: None

ID: 1077818
Sex: M
Age: 66
State: CA

Vax Date: 01/21/2021
Onset Date: 02/15/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs, Penicillin

Symptom List: Injection site pain

Symptoms: Shingles on right leg for 3 weeks Fever: 102 for 24 hours

Other Meds: Alfuzosin, Finasteride, Simvastatin

Current Illness: -

ID: 1077819
Sex: F
Age: 73
State: CO

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
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 (Sulfonamide Antibiotics) Losartan Potassium Latex Peanut - Dietary

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

Symptoms: fatigue, body aches, fever, headache, sweats, metallic taste in mouth.

Other Meds: Synthroid Advil (duel dose)

Current Illness: none

ID: 1077820
Sex: F
Age: 67
State: NY

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: None

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

Symptoms: 2 weeks after vaccine, itching on vaccine site. A case of rosacea as well.

Other Meds: Venaflaxin, gabapentin, simvastatin, vitamins folate, d3,b complex, calcium zinc

Current Illness: Possibly covid toe, or chillblains. Given those possibilities by dermatologist. Psoriatic nails, again a possibility and also fungal nails, another possibility.

ID: 1077821
Sex: M
Age: 76
State: CA

Vax Date: 02/25/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Tremor

Symptoms: Just noticed itching upper left arm rash this morning about 2 inches in diameter and adjacent to but not covering injection site. No timeline yet.

Other Meds: multi-vitamin, 160 mg saw palmetto, loratadine 10 mg, , glucosamine/chondroitin, curcumin extract 700 mg

Current Illness: none

ID: 1077822
Sex: F
Age: 33
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: Patient reported her tongue tingling immediately upon receiving the vaccine injection. RN assisted patient out of her car and to a rest area. Pt. was given an injection of 0.3 mg. adrenaline in her right arm.. Pt. was also given a bottle of water and offered a cool compress. Pt. did not want the cool compress. RN observed the patient for 30 min. and advised the patient not to drive herself home. RN called patient's sister who came and took patient home. RN called patient later that evening and patient stated feeling better and that her sister was still with her. Pt. reported no more tingling in her tongue or neck area and that she was resting. Patient stated that she was taking Benadryl p.o. and was feeling better.

Other Meds: N/A

Current Illness: None

ID: 1077823
Sex: F
Age: 67
State: IN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Injection site was sore, red,swollen. Lasted 4 days. Left a bruise. Another reaction at site one week later, redness, sore and a rash.

Other Meds:

Current Illness:

ID: 1077824
Sex: F
Age: 66
State: HI

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
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: Fever 99.9 Chills Headache Body ache

Other Meds: None

Current Illness: None

ID: 1077825
Sex: F
Age: 67
State: IN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/06/2021
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: Steroids, Sulfa, FQs

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Headache, chills, dizzy, nausea for 3 days and returning 1 week after for 10 days. Still on and off feelings. Swollen axillary nodes both sides, left worse. Still swollen more than 2 weeks later.

Other Meds: Verapamil, Diovan, Inderal, Ambien

Current Illness:

ID: 1077826
Sex: F
Age: 63
State: TX

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 03/06/2021
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: None I was aware of

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

Symptoms: No issues during 15 minute observation period after receiving the vaccine. So I left the facility to go to my car. Then about 15 minutes later my face started to get really hot with slight swelling. Then after several more minutes throat became tight and started to experience extreme difficulty swallowing. I was still in the parking lot so I immediately went back inside to the vaccination area asking for help. I did not experience any breathing difficulties during the entire time but did experience extreme difficulty with swallowing and throat tightening. The staff did the usual checks. I was not too awarre of all the things they did but I was given a benedryl tablet which I was able to swallow thankfully. I was told my vitals were very high. Not sure of exact times but sometime shortly after the benedryl things started to fell better. The throat/swallowing started to get better. Face burning started to cool. Stayed in this area for about 20 or 30 more minutes and then told I could go with a comment that I should see my doctor about my high blood pressure. Which I explained I do not have high blood pressure and when checked later in the day it was back to my usual 115 - 125 range . I was concerned about getting the second shot later and was told to take a benedryl either just before I get the next shot or right after.?????? After checking the online cdc guidelines that does not jive at all.

Other Meds: None

Current Illness: None

ID: 1077827
Sex: M
Age: 38
State: MI

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: No ADR yet. Patient got 1 ml instead of 0.5 ml (Vaccine error)

Other Meds: None

Current Illness:

ID: 1077828
Sex: F
Age: 67
State: UT

Vax Date: 02/24/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies, shrimp

Symptom List: Pain in extremity

Symptoms: Slightly itchy rash & tenderness, redness at injection site started on day 8 after Moderna vaccine. Also mild pain in shoulder & neck. Ongoing.

Other Meds: Sertraline, Losartan, Nexium, Levothyroxine, Loratidine, low dose aspirin, Mucinex, vitamin D, calcium, fish oil, glucosamine, b complex

Current Illness: None

ID: 1077829
Sex: F
Age: 33
State: MN

Vax Date: 02/26/2021
Onset Date: 03/03/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Swollen lymph node in left armpit about 5 days after 1st dose vaccine. Still currently swollen and painful

Other Meds: Junel birth control, 20mg paraxotine

Current Illness: None

ID: 1077830
Sex: F
Age: 49
State: NY

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/06/2021
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: lime

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

Symptoms: I have redness approximately the size of a quarter maybe a little bigger with a little tenderness in the red area still 10 days later after the first dose. When my husband received his first dose he mentioned to the clinic he was at and they said I should report the side effect.

Other Meds: metatropol June fe

Current Illness: none

ID: 1077831
Sex: F
Age: 57
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Itching on right forearm. BP 129/83 (pulse 80), O2 sat 98%.

Other Meds:

Current Illness:

ID: 1077832
Sex: F
Age: 63
State: PA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Sensitivity to wheat, dairy, sugar

Symptom List: Vomiting

Symptoms: Large red area, swollen, warm to the touch. Has gotten larger since it appeared.

Other Meds: Strattera, Prolia, magnesium, probiotic, D3, vitamin C, vitamin B12

Current Illness: None

ID: 1077833
Sex: F
Age: 60
State: GA

Vax Date: 02/22/2021
Onset Date: 03/02/2021
Rec V Date: 03/06/2021
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: On day 9 after injection an itchy, hot rash appeared over injection site. Today is day 13 and the rash has spread down and round my arm. It is real sore and hot to touch.

Other Meds: MEDICATION LIST UPDATED: 12/30/2020 Lisinopril 20 mg p.o. once a day. Pantoprazole 40 mg 1 p.o. once a day. Dicyclomine 20 mg b.i.d. Venlafaxine 75 mg 3 once a day. Trazodone 100 mg 1-1/2 at bedtime. Promethazine 25 mg 1 p.o. every 6-8 ho

Current Illness: NONE

ID: 1077834
Sex: F
Age: 68
State: MA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/06/2021
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: Sulfa drugs, ampicillin

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

Symptoms: Pain at injections site, fever, chills, tiredness and headache.

Other Meds: Multi vitamins; calcium; vitamin D3; honey

Current Illness:

ID: 1077835
Sex: F
Age: 21
State: SD

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/06/2021
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: Allergy to amoxicillin Itching after first dose of Pfizer-Biontech SARS-COV-2 vaccination

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Itching 15 minutes after dose given. Possible mild throat itching. Dizziness. Administered 15ml of liquid diphenhydramine HCL. Monitored for 6o minutes with resolution of dizziness. Vital signs remained stable throughout.

Other Meds:

Current Illness:

ID: 1077836
Sex: M
Age: 77
State: IN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/06/2021
Hospital:

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

Lab Data:

Allergies: Avelox, ACE2 inhibitors

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

Symptoms: Slightly elevated temperature, chills, felt like I was getting a cold. Resolved on its own without intervention.

Other Meds: Simvastatin, Benicar, low-dose aspirin, vitamin D3

Current Illness: none

ID: 1077837
Sex: F
Age: 78
State: OH

Vax Date: 02/10/2021
Onset Date: 02/23/2021
Rec V Date: 03/06/2021
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: Shingles in mouth and Bell's Palsy right side face

Other Meds: Citalopram 20mg Vitamin D3

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm