VAERS 2021 Database www.vaers.hhs.gov

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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: 1079596
Sex: F
Age: 72
State: MO

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Ok so far

Other Meds: Coreg-Amiodarone-Atorvastan-Digoxin-Femara-Furosemide -Levoxyl-Sertraline-Warfarin-Advair-Entresto-D3-B Complex

Current Illness: None

ID: 1079597
Sex: F
Age: 85
State: VT

Vax Date: 02/15/2021
Onset Date: 02/20/2021
Rec V Date: 03/07/2021
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: Cipro; Keflex liquid; Penicillin; Cefpodoxime 200mg; Macrobid; ZPak; Clindamycin; Doxycycline; Bactrim; Levaquin; Trimethoprim; Cat Scan Dye; Acyclovir; Neosporin Ointment; Tramadol; Di Falcon; Vicodan; HTZ?Hydrochlorothia; Advil; Flecainide; Percoset; Forteo; glycopgrrolate

Symptom List: Anxiety, Dyspnoea

Symptoms: Sore arm and tired after injection. Woke up Feb. 20th at 3:00am with severe headache, face ache, pain in eye socket and teeth, neck ache, left shoulder ache, left arm ache

Other Meds: Diltiazem Hydrochloride ER 180 mg / 1X; Enalapril / 20mg, 2 X;Diltiazem Hydrochloride ER 180 mg / 1X; Enalapril / 20mg, 2 X daily; Trental / Pentoxifylline, 400mg ER 1X daily. Advair Diskus 250/50, 2x daily; Pro-Air Inhaler / Albuterol 1x;

Current Illness: Almost continuous urinary tract infections and retention--self catherization 2X daily

ID: 1079598
Sex: F
Age: 65
State: GA

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/07/2021
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: NKMA

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

Symptoms: The day after I received 2nd Covid-19 Moderna injection my body started a full blown RA flareup, arms, hands, left and right hip, left heel/ankle,Sciatica pain,. I had difficulty standing after sitting(severe lower back pain). I had to use my walker every step I made(from bed to bathroom/every step from Wednesday to Saturday. I went to doctor's office Friday. I received two injections,one for pain/toradol, and steroid injection. Injections reduced my pain level. I was given Naproxen also, which I am taking now to control pain until it is safe to stop. I hope this information helps.

Other Meds: Nifedipine ER 50mg, Trandolapril 4 mg, HCTZ 25mg, Pantoprazole 25mg,Amitiza 8mcg,Metformin 500 mg, POT Chloride ER 10 MeQ TAB AUR,Prednisone 5mg,Vit. D3 2,000 IU,,Imuran 50,Probiotic,stool softener

Current Illness:

ID: 1079599
Sex: F
Age: 44
State: MN

Vax Date: 02/26/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Bright red ?rash? appeared 9 days after shot. Appx 4?oval shape, noticed after showering. Moderate itching set in several hours after noticing, and fatigue. Read about ?covid arm? on several reputable news outlets, so reporting the reaction. Will seek medical attention if it persists more than a few days.

Other Meds: Valtrex, women?s daily multi vitamin gummies, calcium supplement

Current Illness:

ID: 1079600
Sex: F
Age: 26
State: TX

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Sore arm immediately after shot, then fatigue starting 6 hrs post shot, then headache, body aches 12 hours post shot, resolved after 48 hours.

Other Meds: Tarina, Zoloft

Current Illness: None

ID: 1079601
Sex: F
Age: 60
State: CT

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 03/07/2021
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: Initially I had the typical chills, fever, fatigue, headache and sore arm. I have continued to experience headaches fairly persistently since the second vaccine along with a stiff/sore neck. It has been over a month and am finding this quite unpleasant. Limits my activity

Other Meds: NONE

Current Illness: NONE

ID: 1079602
Sex: F
Age: 65
State: IN

Vax Date: 02/28/2021
Onset Date:
Rec V Date: 03/07/2021
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: Lumigan

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: About 24bhours after vaccine, I had a fever of 99.4, a slight headache, a slight sore throat and fatigue. The next morning I still felt fatigue but other symptoms were gone. Continued to feel better as the day went on.

Other Meds: -Magnesium -F8sh oil with Flax Seed and Botage oil -Vitamin D -Super C with D and Zinc -Quervetin -Calcium with D -Tylenol for Arthritis -Enilapril -4 prescription eye drops for high pressure

Current Illness: Arthritis Seasonal allergies

ID: 1079603
Sex: F
Age: 72
State: FL

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Sulfa Cefdiner Bee stings (desensitized, carry epi-pens

Symptom List: Pharyngeal swelling

Symptoms: Rash on upper arm, but not at injection site. Started 2 days post-injection. Itchy. Currently resolving, but not yet completely gone.

Other Meds: Welbutrin Prolia infusion Multi vitamin Vitamin D Calcium Olopatadine Aller-Flo Acyclovir ointment Tylenol/Aleve

Current Illness:

ID: 1079604
Sex: F
Age: 49
State: CA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/07/2021
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, Augmentin.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: After two weeks I still have SOB, sever headache , and lethargy. The chest tightness and sob with exertion is becoming worse day by day. I did Covid test since I start having sob and that was negative.

Other Meds: Low does oral contraceptive

Current Illness: Non

ID: 1079605
Sex: F
Age: 50
State: MA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Penacillin Sulfa drugs Benzalclonium chloride

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Within 5 minutes felt dizzy, got very hot, face went pale, and had a fast heart beat

Other Meds: Levo thyroxine Astelin nasal spray Loratidine

Current Illness: None

ID: 1079606
Sex: F
Age: 32
State: NE

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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: Foggy/dizzy almost immediately following vaccination, sever chills that lasted for hours overnight, fever of 102.1 (brought down with Tylenol, it remained at or a over 100 for 8 more hours), nausea, headache

Other Meds: Culturelle, miralax, Zyrtec, multivitamin

Current Illness: Minor cold

ID: 1079607
Sex: F
Age: 72
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 03/07/2021
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: pineapple,

Symptom List: Rash, Urticaria

Symptoms: Fever (2 degrees increase), aches, extreme fatigue, lightheadedness, irregular heartbeat. Lasted 24-30 hours, then all symptoms were gone.

Other Meds: Isosorbide, Tenormin, Amlodopine, Spirolactone, Lipator, Zetia, Metformin, Probiotic, Previcid, Collegan Peptides, Magnesium

Current Illness: Prinzmetal Angina, Insulan Resistant Diabetic, High Chlorestrol

ID: 1079608
Sex: M
Age: 25
State: TX

Vax Date: 02/03/2021
Onset Date: 02/22/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Shrimp, tree nuts

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

Symptoms: Parosmia that started a few weeks after vaccine

Other Meds: Ceterizine Dimesta

Current Illness:

ID: 1079609
Sex: F
Age: 34
State: UT

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: Clindamycin, erythromycin, cofactor, azrithromycin, cefpodxime, morphine, cefdinir, pantoprazole, adhesives, cephalosorins, penicillin, macrolide antibiotic, prednisone, hydrocodone, latex, mold, tape, mushrooms, oral steroids, trees, grass, dust mytes, and dog

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

Symptoms: Throat swelling, itching on site and body, swelling in arm, and around ear in face

Other Meds: None at the time of vaccine but as soon as symptoms started they gave me 25mg benadryl, .03 MG epi pen

Current Illness: ear surgery 2/06/2021,

ID: 1079610
Sex: F
Age: 35
State: CA

Vax Date: 02/11/2021
Onset Date: 02/28/2021
Rec V Date: 03/07/2021
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: Dairy, tamiflu

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

Symptoms: Lightheaded and fatigue few days after shot. Dizziness/vertigo 3 weeks after vaccine. Lasting a week currently. Unable to drive.

Other Meds: None

Current Illness: Postural orthostatic tachycardia syndrome

ID: 1079611
Sex: F
Age: 37
State:

Vax Date: 02/27/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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: Shellfish

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

Symptoms: Moderna COVID?19 Vaccine EUA About a week after the injection, the injection site started swelling and got worse over days 7-9. The injection site swelled to what feels like a knot under the skin and is warm to the touch and red.

Other Meds: Levothyroxine, cetirizine, docusate, pantoprazole

Current Illness: None

ID: 1079612
Sex: F
Age: 52
State: PA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: Morphine

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

Symptoms: Chills/ Fever and Nausea for16 hours

Other Meds: Iron/Vitamin D/Multi-Vitamin/Topamax

Current Illness: none

ID: 1079613
Sex: F
Age: 69
State: IN

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/07/2021
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: About 30 minutes after shot I had two streaks of pain across my chest a little heavy feeling for just that minute or two. Then gone and nothing more of anything.

Other Meds: Losartan at 9:00am before vaccine

Current Illness:

ID: 1079614
Sex: F
Age: 67
State: MN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: All symptoms started about 7 hours after injection: Severe chills and shaking (lasted approximately 3 hrs) Bad headache (lasted 24 hrs) Exhaustion (lasted 24 hrs) All adverse symptoms gone after 36 Hours from injection.

Other Meds: Using none

Current Illness: None

ID: 1079615
Sex: M
Age: 42
State: MO

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Severe headaches, fever, chills, muscle aches in legs

Other Meds: Metformin, sulindac, hctz

Current Illness: None

ID: 1079616
Sex: F
Age: 73
State: PA

Vax Date: 03/03/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: pollen

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

Symptoms: Extreme muscle pain, followed by severe headache, exhaustion, chills ,nausea 4 days after first covid shot

Other Meds: cymbalta armour thyroid pantaprazole

Current Illness: None

ID: 1079617
Sex: F
Age: 49
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Sulpha

Symptom List: Unevaluable event

Symptoms: Chills started last night , progressed to more chills , body ache , fatigue fever of 100.5 still going on at this time , 4pm March 7th 2021

Other Meds: None

Current Illness: Bronchitis

ID: 1079618
Sex: F
Age: 72
State: NC

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/07/2021
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: Pollen and penicillin

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

Symptoms: Recurring low grade fever between 99.5-100.5 for several days after 2nd dose. Achiness, chills, and headache the first 48 hours after 2nd dose, but fever keeps recurring for 5 days after injection.

Other Meds: Pantropazole, trazadone, Wellbutrin, calcium, Mg, relafen, alprazalam, NyQuil,

Current Illness: None

ID: 1079619
Sex: M
Age: 77
State: AZ

Vax Date: 03/03/2021
Onset Date: 03/01/2021
Rec V Date: 03/07/2021
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: Chills Fatigue and tiredness

Other Meds: 1 81 mg Fibasteride. Glipizide. Meta form in. Sootatol. Eliquis. Atorvastatin

Current Illness:

ID: 1079620
Sex: F
Age: 74
State: PA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Injection site pain, Menorrhagia

Symptoms: EAR ACHE PAIN, JOINT PAIN, UPSET STOMACH, HEAD ACHE, CHILLS, SINUS. NO TREATMENT AND NO OUTCOMES!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! WHERE DO I GET THE TREATMENT???????????????????????????????????

Other Meds: NONE

Current Illness: NONE

ID: 1079621
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Appx 8 hours after injection site became so painful bi could not use my arm and my finger tips are tinglin, BOTH EVENTS ARE STILL OCCURRING. I have this issue but normally only in the morning. . Today my stomach began having hard cramps when I woke. In general I feel like I have the old fashioned file weak, tired and s headache residing in the front of my head.

Other Meds:

Current Illness:

ID: 1079622
Sex: M
Age: 54
State: VA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: sulfa, tree nuts

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 1. Muscle soreness at injection site, lasting 2 days. Currently resolved. 2. Feeling of overstimulation throughout day and evening, and difficulty falling asleep at night. "Buzzing" feeling similar to drinking too much coffee. Lasting 3-4 days. Currently resolved.

Other Meds: Bupropion XL 300mg, men's multivitamin, calcium/magnesium zinc, vitamin d, glucosamine/chondroitin, msm

Current Illness: none

ID: 1079623
Sex: F
Age: 58
State: OH

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Red spot, itchy, low grade fever, achy, chills, quezy, tired

Other Meds: Clonidine, Vit. B and D

Current Illness: None

ID: 1079624
Sex: F
Age: 83
State: TN

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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 reported

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

Symptoms: Contacted by caregiver. Patient spiked temperature of 103 deg at about midnight. Unable to bring fever down. Patient is diabetic and unable to take fluids and eat according to caregiver. Blood sugar elevated but unable to provide value. Patient does not have local primary care provider. Recommended ER visit to evaluate based on health conditions and symptoms

Other Meds: Unknown

Current Illness:

ID: 1079625
Sex: M
Age: 51
State: IN

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa antibiotics, prolvigil

Symptom List: Nausea

Symptoms: Chills, body aches, pain and tenderness in left armpit

Other Meds: Lansoprazole, atorvastatin, vitamin D

Current Illness: None

ID: 1079626
Sex: F
Age: 42
State: TX

Vax Date: 02/27/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Clams, oysters, mussels, scallops

Symptom List: Injection site pain

Symptoms: Day 2 after 1st vaccine - headache, chills, extreme fatigue, pain, swelling and inflammation at the site of vaccine Day 7 itching at the site of vaccination Day 8 itching, pain, swelling and inflammation at the site of vaccination

Other Meds: Sertraline, bupropion, Amlodipine, Metoprolol , NuvaRing

Current Illness: None

ID: 1079627
Sex: F
Age: 80
State: OH

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: DEVELOPED SWOLLEN THROAT GLANDS, SORE THROAT, SWOLLEN FACE, KNOT UNDER CHIN, PAIN AROUND NECK

Other Meds:

Current Illness:

ID: 1079628
Sex: F
Age: 29
State: KS

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Night sweats, tiredness

Other Meds:

Current Illness:

ID: 1079629
Sex: M
Age: 68
State: NY

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Extremely tired after receiving afternoon shot. Came home and slept for two hours. (normal temp) Sore/tender left arm/shoulder that evening (normal temp) Morning of Saturday, March 6 joints ached and mild nausea and extreme fatigue. (normal temp) By afternoon achy joints and extreme fatigue was joined by chills (normal temp) Rested most of the day. No concentration for any task. Went to bed at 9 pm with chills and aches...slept, restlessly till 6:30 a.m. Sunday March 7. Felt fine. No residual impact. Feel fine today.

Other Meds: montelukast zyrtec

Current Illness:

ID: 1079630
Sex: F
Age: 73
State: VA

Vax Date: 02/26/2021
Onset Date: 03/03/2021
Rec V Date: 03/07/2021
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: sulfa drugs, NSAIDS, tetracycline, augmentin,

Symptom List: Erythema, Pruritus

Symptoms: Day 6 after 2nd dose had debilitating headache lasting 3 days, muscle shaking, dizziness and some foggy thinking. this is day 10 headache duller now but other symptoms present

Other Meds: Armour thyroid, atorvastatin, calcium carbonate, vitamin D3

Current Illness: none

ID: 1079631
Sex: F
Age: 72
State:

Vax Date: 02/26/2021
Onset Date: 03/04/2021
Rec V Date: 03/07/2021
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: Knot, red itchy rash at site of injection.

Other Meds:

Current Illness:

ID: 1079632
Sex: F
Age: 69
State: NM

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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: Sulfa drugs Adhesive Latex Neosporin Cat dander Flu vaccine strawberries

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

Symptoms: Experienced shortness of breath and dizziness. Use of Albutero.l inhaler and still using . Still have bouts of dizziness and shortness of breath.

Other Meds:

Current Illness:

ID: 1079633
Sex: F
Age: 70
State: MD

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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: Codeine, Sulfa

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 7:30pm unusual restlessness in both legs; by 8:30pm dull constant pain increased, legs were weak, knees wobbly, hands shaking. Pain in legs became intense; I could not sit on the toilet. Went to emergency room of Hospital at 9pm; no medications given. Pain calmed by 10pm, but sensation in legs returned at 11pm and continued until discharge at 1:15am on 3/6. Took Tylenol PM at home for moderate pain in legs and went to bed. Awakened next morning to no pain, had breakfast and went back to bed until noon. Feeling fine since that time.

Other Meds: Atorvastatin, Famotidine, Montelukast Aspirin, Caltrate D, D3, Multivitamin, Systane eye drops, Vitamin C

Current Illness: None

ID: 1079634
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pain and burning when given the vaccine, pain and swelling from the shoulder to my elbow, diarrhea, chills, headache, very tired, nausea, muscle aches, fever.

Other Meds:

Current Illness:

ID: 1079635
Sex: M
Age: 69
State: CO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 03/07/2021
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: Shellfish( mild nausea, diarrhea)

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

Symptoms: Swelling of both hands. Liesions, blisters on hands, palms possibly on legs and arm.

Other Meds: MegaFood Mens 55+ one a day, Vitamin B12, C, D3 Finasteride, Crestor, 5mg, Flonase

Current Illness: NONE.

ID: 1079636
Sex: F
Age: 41
State: KS

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Adhesive tape

Symptom List: Pain in extremity

Symptoms: A few hours after the vaccine the pt became short of breath and wheezy, shortly after became itchy. She used her albuterol inhaler, took Benadryl and went to sleep. Today her itching returned today and she devolved a rash and hives. She came to the ER, was treated with Benadryl, Pepcid, methylprednisolone, and IM epinephrine, and IV fluids. Her symptoms resolved in the ER and she was observed x2 hours, and discharged with a prescription for oral steroids.

Other Meds: flonase, varenicline, Tretinoin, sertraline, levothyroxine, bupropion, phenetamine

Current Illness:

ID: 1079637
Sex: F
Age: 51
State: MN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillan, sulfa

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

Symptoms: Body aches, body chills, headache, weakness, fatigue - beginning at 4:00 A.M. - difficulty getting out of bed for 2 days. Dizziness began either immediately or a few days after. Body aches and chills subsiding only about 2 days ago (about 7 days after shot). Began coughing March 2nd until present. Other symptoms remain and affect my ability to function - dizziness, headache, weakness, fatigue. Treatment: ibuprofin, liquids, rest. Visited doctor March 4th. Negative for strep and Covid testing.

Other Meds: Flonase Allegra (120 mg) Clonazepam .5mg (1/2 tab) Turmeric (1 capsule)

Current Illness:

ID: 1079638
Sex: M
Age: 65
State: NY

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: chills, 101.5 fever 24 hr.s, soreness at injection site

Other Meds:

Current Illness: emphezema

ID: 1079639
Sex: F
Age: 73
State: AZ

Vax Date: 02/27/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Bactrim - angioedema Codeine - pruritis

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

Symptoms: Eyrothema , swelling, tenderness 4 "diameter x 6" long..extending to top of arm. Fatigue. Exercise intolerance. Nausea. Enlarged submandibular lymph glands. Feeling of "something in throat. Ibuprofen 200 mg. Rest. May add Benadryl 25 mg

Other Meds: Lisinopril 20 MG BID Synthroid 100 mcg q am ARDS 1 po BID Vitamin D 3000 u q d Calcium

Current Illness: None

ID: 1079640
Sex: F
Age: 65
State: WA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/07/2021
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: Pain in arm at injection site. Painful to touch and to movement of the arm.

Other Meds:

Current Illness:

ID: 1079641
Sex: F
Age: 71
State: VA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/07/2021
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: Sulphur drugs, Biaxin, Penicillin, Boniva

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Morning after injection, arm very sore and heavy, could not lift arm. Continued muscle pain in left shoulder and neck. After one, week, continued pain in shoulder and neck. Used heat and cold on shoulder to alleviate pain. Will see physician om 3-10-21

Other Meds: Benecar, HCTZ, Meloxicam, Paxil, Omega 3, Dexlansoprazole, Certirizine, Multivitamin

Current Illness: None

ID: 1079642
Sex: F
Age: 65
State: KS

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/07/2021
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 and Iodine (both skin rashes)

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

Symptoms: Pt received 1st Moderna Covid vaccine on 2-26-21. On 3-6-21, pt woke up with a ~2"x2" reddish, itchy rash at the site of her injection. On 3-7-21, rash appeared more red and itching was more intense. Pt reports treating with topical hydrocortisone cream, which provides some relief.

Other Meds: Prescriptions: Metformin, Actos, Victoza, and Losartan. OTC: None

Current Illness: No

ID: 1079643
Sex: M
Age: 56
State: MN

Vax Date: 02/03/2021
Onset Date: 02/27/2021
Rec V Date: 03/07/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Admitted w/ COVID-19 PNA on 03/03/21 on HFNC 50L. Now w/ superimposed HAP.

Other Meds: ASA (81 mg QD), Lipitor 20 mg QD, Folic Acid 1 mg QD, Lisinopril-HCTZ 10-12.5 mg QD, Multivitamin,

Current Illness: CLL.

ID: 1079644
Sex: M
Age: 17
State: MA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient received 0.5 mL of Pfizer instead of 0.3 mL as a result of a preparation error. Patient did not report any adverse events.

Other Meds:

Current Illness:

ID: 1079645
Sex: F
Age: 77
State: ME

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/07/2021
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: chills, fever, neausa, fatigue, 48 hours, I thought I was going to die

Other Meds: Levothyroxin 50 mg,losartan pot 25 mg, , one- a -day multiple vit for women, fish oil 1000 mg, vit d3 50 mg., caltrate D , vit c1000 mg

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm