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: 1081250
Sex: F
Age: 60
State: CA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: swelling, itchy spots: , itchy knot on hip, itchy spots: under breasts, ears, and palms-- swollen lips

Other Meds:

Current Illness:

ID: 1081251
Sex: F
Age: 51
State: NC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 03/08/2021
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: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: One week after I received the shot, I started having headaches and dizziness off and every day for 3 weeks. I had one day on February 11 that I had fever and chills that lasted for 2 hours.

Other Meds: Ibuprofen 800 mg

Current Illness: None

ID: 1081252
Sex: F
Age: 59
State: IN

Vax Date: 03/05/2001
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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: Tetanus - SOB. Flu Shot - arms tingling

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

Symptoms: Patient has a mild reaction after first dose 2/3/2021 which patient appeared anxious and complained of blurred vision. Patient was monitored for 30 minutes without intervention. Symptoms resolved that day - not VAERS submitted for this event. On 3/5, patient received second dose and immediately began complaining of blurred vision and feeling dizzy. Patient complained of some irritation of the throat. Oxygen saturation remained above 90% throughout episode. Diphenhydramine 25 mg given to patient and monitoring for 30 minutes. Patient continued to improve and was released with a friend.

Other Meds: Unknown

Current Illness: Unknown

ID: 1081253
Sex: F
Age: 62
State: TX

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I received the Moderna vaccine on Wednesday, 03.03.2021 @ 1:00 pm. At around 3:00 am I woke up throwing up and having diarrhea. I could not even hold water down and just kept throwing up and having diarrhea until after 8:00 am Thursday morning. I had chills so bad to where I was shaking and my fever went up to 103 F. I was in bed all day and could not go back to work on Friday due to still having high fever. By Friday evening, my fever finally broke; however, my started getting red and swollen. It just kept getting redder in a larger area. It is very red today and this is five (5) days after the shot.

Other Meds: Amlodapine Besylate, Omeprazole, Vitamins B12, C, E & D3, Cerebra, Allergy Pill, Omega 3-6-9

Current Illness: N/A

ID: 1081254
Sex: F
Age: 87
State: IN

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Headache, Weakness, Fell from bed

Other Meds: Amlodipine, Metoprolol ,Levothyroxin, Alprazolam, Omeprazole ,Lipitor, Vit B12, Vit D3, Aspirin, Lasix, Fish Oil, Emgality, Tylenol, Losartan ,Ducosate Sodium, Lexapro

Current Illness: None

ID: 1081255
Sex: M
Age: 24
State: CO

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: smoke

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

Symptoms: Minutes after receiving my vaccine my left arm began to go numb with a full head headache following soon after. I was then moved to the observation area where my chest got tight, I had difficulty breathing and my temperature fluctuated which made me shake. When hives began to show on my face, neck and ears the on-site medical staff gave me a shot of epinephrine and Benadryl and put me on oxygen, during this time an ambulance was called by the staff. When I got to the hospital my heart rate and blood pressure was high, I was given oral steroids to help my anaphylaxis. For days after being released from the hospital I continued to have deep muscle pain and weakness in my left arm as well as a very strong headache

Other Meds: none

Current Illness: none

ID: 1081256
Sex: F
Age: 66
State: FL

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/08/2021
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: HCTZ, Sulfa, Altace, Codeine Bees, Fireants

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Vaccine #1 - slight fatigue and muscle aches; 10 days after vaccine, developed redness and itchiness at site of vaccine and back of throat itchy Vaccine #2 - extreme fatigue and muscle aches; arm soreness; headache; lightheaded. Day #2 developed lip swelling, swelling under eye, heart racing; insomnia for 36 hours (not enough to go to ER). At the end of the 48 hour period after vaccine, developed tightness in the chest.

Other Meds: Atenolol Spironolactone

Current Illness: None

ID: 1081257
Sex: F
Age: 40
State: AZ

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

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

Lab Data:

Allergies: Bananas, avacados, pecans/walnuts, shellfish, latex, nsaids, cefdinr, ceflex, penicillin, amoxicillin, clindomyicin, all myocins,

Symptom List: Pharyngeal swelling

Symptoms: Hives on face, chest, arms Congestion Used Benadryl, atarax, albuterol inhaler

Other Meds: Methotrexate, plaquenil, cabergoline, spiralactalone, singular, turmeric, magnesium, vitamin c, zinc, b12, trulicity, Prilosec, levothyroxine, midol, vitamin D,

Current Illness: No

ID: 1081258
Sex: F
Age: 46
State: CA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt started feeling shortness of breath and chest tightness. Was give zyrtec, epipen 0.3 mg, and albuterol inhaler. Pt then reported feeling "phlegmy" and was then transported by EMS.

Other Meds: Albuterol inhaler

Current Illness: Asthma

ID: 1081259
Sex: F
Age: 59
State: IL

Vax Date: 02/24/2021
Onset Date: 03/01/2021
Rec V Date: 03/08/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache, chills, and body aches

Other Meds:

Current Illness:

ID: 1081260
Sex: F
Age: 27
State: AZ

Vax Date: 02/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: NSAIDS; Ibuprofen, Aspirin, Salicylic acid + derivates

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

Symptoms: flu-like symptoms and swollen neck lymph nodes on the right side up to 2.5 weeks after second dose.

Other Meds: Claritin, multivitamins, medical marijuana (flower; vape)

Current Illness:

ID: 1081261
Sex: M
Age: 16
State: PA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/08/2021
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: NKDA

Symptom List: Rash, Urticaria

Symptoms: Mentally challenged 16 y/o was administered Moderna vaccine which is not labeled for use in patients under the age of 18.

Other Meds: Unknown

Current Illness: N/A

ID: 1081262
Sex: F
Age: 25
State: IA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Chills, headache, arm soreness. My arm was extremely sore the day of my vaccination. Has slowly gotten better but still hurts(48+ hours later) I had a headache through the night and into the next morning (12 hours). My chills started around 12 hours after the vaccine and continued into the night for a few hours. I felt fine again the next morning(around 24 hours after my vaccine) I did take Tylenol twice. Once before bed, and once when I woke up.

Other Meds:

Current Illness:

ID: 1081263
Sex: F
Age: 64
State: NM

Vax Date: 02/24/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
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: None

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

Symptoms: red, round, swollen, circular rash at injection site

Other Meds: Vit D, Vit C, Vit A, Vit B, Zinc, Immune Activator Tincture

Current Illness: None

ID: 1081264
Sex: M
Age: 44
State: PA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 03/08/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Sore arm, body and joint aches, extreme fatigue, low grade fever

Other Meds: none

Current Illness: none

ID: 1081265
Sex: F
Age: 63
State: CA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 03/08/2021
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: no

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

Symptoms: I had body aches and I stayed in bed and I had a headache - that lasted for about 24 hours. No treatment

Other Meds: Heartburn pill; High blood pressure pill; aspirin; fish oil; cholesterol pills

Current Illness: no

ID: 1081266
Sex: F
Age: 69
State: NC

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 03/08/2021
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: Levaquin, Versed, Hydrocodone, Percocet, Pneumovax 23, Venlafaxine Analogues

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

Symptoms: Swelling of tongue, throat, face, eyes, nausea I dose from Epipen Swelling came down but then came back 911 was called- transported to ER. Given a 2nd dose of Epinephrine en route which caused me to have an immediate heart attack

Other Meds: Lisinopril, Fenofibrate, Pristiq, Wellbutrin,Synthroid, Rosuvastatin, Allopurinol, Vitamin D

Current Illness: None

ID: 1081267
Sex: F
Age: 67
State: OH

Vax Date: 02/17/2021
Onset Date: 03/03/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Second dose of Pfizer COVID-19 vaccine was administered 14 days after the first dose.

Other Meds:

Current Illness:

ID: 1081268
Sex: F
Age: 30
State: PA

Vax Date: 01/20/2021
Onset Date: 02/01/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I believe that the vaccine could have affected my monthly menstrual cycle (particularly ovulation), which (if it is documented by enough women) I feel should be looked into more so more women are aware. I've been tracking my period/ovulation for months for family planning purposes. I had 1st dose of Moderna vaccine on 1/20/21 and my next period on 1/28/21. I've been using OPK tests to track ovulation over the past few months, which have been positive on cycle day 18 or cycle day 19 (it's never been outside of those days before). When I tested using the OPK twice per day on 2/10/21 (Cycle day 14) through 2/17/21 (cycle day 21), I got all negatives. I have no idea when I actually ovulated in February and think that the vaccine may have moved the date up earlier (which never happened). I know that I ovulated sometime, since I got a very happy surprise positive pregnancy test on 2/25/21 (which conflicts with the infertility myths!). While our family is thrilled with the news, I wanted to report it to VAERS in case there could be a possibility that the covid vaccine could throw off somebody's menstrual cycles/ovulation. If there is a link between those two, I feel like women of childbearing age would want to be informed of that possibility!

Other Meds: adderall 25mg XR

Current Illness: n/a

ID: 1081269
Sex: F
Age: 70
State: KS

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: azirthromycin

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

Symptoms: Moderna Covid-19 vaccination: Patient called and reported circle spots starting on 02/26 that itched and slowly it started spreading across her chest, upper back and shoulders, rash got worse and she went to on 3/4, dr. gave her predisone. Pt reports taking benadryl and putting cortisone cream on rash and that it did nothing to help it. Pt still reports have the circle like spots on her, but they do not itch like they did before.

Other Meds: unk

Current Illness: unk

ID: 1081270
Sex: F
Age: 28
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/08/2021
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: Penicillin-Anaphylaxis Ciprofloxacin- Anaphylaxis Bactrim-Anaphylaxis

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

Symptoms: I received the vaccine at 10:10 am on 2/13/2021. I began feeling as though I couldn't breath approximately 5-6 minutes after I received the vaccine. The difficulty breathing began to get worse and I got the attention of the nurse. She administered my first epi-pen at 10:18 am. I was transported from the observation room to the emergency department. On my way to the emergency department I began to have difficulty breathing again and received a second dose of epinephrine. When I arrived at the emergency department I was given Benadryl, Zyrtec, and another medication. I was monitored in the emergency department for 3 hours without further incident.

Other Meds: N/A

Current Illness: N/A

ID: 1081271
Sex: F
Age: 85
State: DE

Vax Date: 02/27/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Denies

Symptom List: Unevaluable event

Symptoms: Pt with left upper arm erythema c/w reaction at site. Given warmth, will be treated with topical antibiotic and oral. Pt presented today, outcome unknown at this time.

Other Meds: Lovastatin, Xarelto, Zetia, Levocetirizine, Topamax, methenamine, estradiol, ipratropium nasal spray, breoellipta, amlodopine

Current Illness: Denies

ID: 1081272
Sex: F
Age: 66
State: TX

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/08/2021
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: no known allergies

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

Symptoms: The patient complained of dizziness right after 15 minutes, the patient waited another 15 minutes for a total of 30 minutes and the patient's symptoms subsided.

Other Meds: none

Current Illness: none

ID: 1081273
Sex: F
Age: 68
State: MN

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 03/08/2021
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: Raised swollen approximately 1/4? hard 3? x 3? upper arm. Felt very cold, shivering could not get warm, nauseous, weakened state. No headache. Still sore, feels like I have been punched.

Other Meds: Eliquis, Simvastatin, Metoprolol

Current Illness:

ID: 1081274
Sex: F
Age: 35
State: OR

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Injection site pain, Menorrhagia

Symptoms: Inadvertently recieved 2nd dose of COVID vaccine on Day #20 rather than Day #28. This is a vaccine error, no adverse effects.

Other Meds: unknown

Current Illness: unknown

ID: 1081275
Sex: F
Age: 28
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/08/2021
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: Ibuprofen - rxn unknown

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

Symptoms: Patient experienced hives covering her body, urticaria and flushing within 30 minutes of vaccine administration. Was taken to the Emergency Department and treated with Benadryl, leading to resolution of symptoms. No residual effect noted.

Other Meds:

Current Illness:

ID: 1081276
Sex: F
Age: 32
State: MA

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient neglected to tell the nurse administering COVID vaccine that she has fainted in the past. After getting the vaccine she seemed fine and walked over to the observation area. She suddenly stated she felt dizzy to a companion then collapsed onto the floor striking her forehead. She was unconscious briefly and a little dusky around her mouth. She awakened upon stimulation and was evaluated. Her vital signs were reassuring but a growing hematoma on her forehead prompted ac referral to the ED by ambulance. She was seen there and discharged without imaging. She had some fatigue, headache and vertigo for several days.

Other Meds: unknown

Current Illness: unknown

ID: 1081277
Sex: M
Age: 75
State: CA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/08/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: During the evening of his vaccination he started having chills with severe shaking associated with fever. Presented to ED on 2/28/21. Fever was 104F. Disoriented on presentation, CRP of 18, mildly elevated troponin, persistent hypotension, headache. Received fluids and Rocephin. Admitted to ICU 2/28/21. Discharged 3/1/21. Final Diagnosis- hyperpyrexia, hypotension, related to immunologic reaction from second Pfizer COVID vaccine. Cannot rule out septic shock from RLL pneumonia and pleural effusion. Hx of COVID 19 myocarditis, chronic systolic CHF and cardiomyopathy EF of 45%, with current mildly elevated troponin. Mild hyponatremia, lactic acidosis. Acute encephalopathy related to hyperpyrexia.

Other Meds:

Current Illness:

ID: 1081278
Sex: F
Age: 39
State:

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/08/2021
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:

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

Symptoms: Lingering headache since vaccine, on and off chills and dizziness

Other Meds: zyrtec

Current Illness:

Date Died: 03/07/2021

ID: 1081279
Sex: M
Age: 90
State: SD

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

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

Lab Data:

Allergies: atenolol, simvastatin, terazosin

Symptom List: Nausea

Symptoms: Patient seen by physician for weakness, tired, increase SOB, falls, increase confusion and then subsequently hospitalized . Patient then expired on 3/7/21.

Other Meds: albuterol sulfate 90 mcg/actuation aerosol inhaler (ProAir HFA) 2 puffs inhalation 4H PRN albuterol sulfate 2.5 mg NEB TID atorvastatin 40 mg tablet 0.5 tabs PO DAILY budesonide 0.5 mg/2 mL suspension for nebulization 1 vial NEB BID carved

Current Illness: Has underlying COPD, Was discharged from hospital 1/25/21 for pneumonia. Was declining prior to vaccination: more SOB, falling, abdomen bloated, coughing a little more, tired and weak.

ID: 1081280
Sex: F
Age: 27
State: IN

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: On the 27th at night I got chills and fever. A big headache didn?t let me sleep. Then on the 28th I was feeling unwell. Bodyaches and fever. I got an Ibuprofen and this got rid of the Headache and body aches. I took 2 ibuprofen in total and by the end of the day I was feeling much better

Other Meds:

Current Illness:

ID: 1081281
Sex: F
Age: 45
State: FL

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

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

Lab Data:

Allergies: only allergic to pollen

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

Symptoms: In the first 24-48 hours I experienced -more or less, typical- effects such as: fatigue, headache, trouble focusing/sluggish, chills (likely fever) and pain in the are of the injection site. However, about 48 hours after receiving the vaccine, the pain in the arm grew to a red splotchy rash, extremely hot to the touch and itchy in the entire shoulder area, reaching midway down the arm (but above the elbow)... this has been going on for 5-6 days. I have iced, taken Tylenol and now Benadryl.

Other Meds: Spironolactone, vitamin D

Current Illness: n/a

ID: 1081282
Sex: F
Age: 86
State: IA

Vax Date: 03/01/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: Injection site reaction swollen, hard to the touch, extremely itchy

Other Meds:

Current Illness:

ID: 1081283
Sex: F
Age: 67
State: KS

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 03/08/2021
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, Sulfur

Symptom List: Tremor

Symptoms: I exp headache, chills, fever, achiness and around 4:00 pm I felt better. I was able to sit up no symptoms.

Other Meds: Heart medications

Current Illness: Covid

ID: 1081284
Sex: F
Age: 62
State: IN

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/08/2021
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: Codeine

Symptom List: Erythema, Pruritus

Symptoms: 101.3 fever, nausea, debilitating headache day following vaccine. Cold sores erupted in nose & on lip 2nd day after vaccine. On 3rd day after vaccine visited dentist & they noticed unusual gum irritation, swelling. Cleaning was very painful & this is unusual for me.

Other Meds: Several

Current Illness: None

ID: 1081285
Sex: F
Age: 75
State: IN

Vax Date: 02/20/2021
Onset Date: 03/05/2021
Rec V Date: 03/08/2021
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: penicillin

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

Symptoms: Almost 14 days after injection developed a circle rash near injection area. No itching or pain associated with it.

Other Meds: lisinopril; levothyroxine; metformin; carvedil; alprazolam; trazodone; rosuvastatin; tramadol; meloxicam; 81 mg aspirin

Current Illness:

ID: 1081286
Sex: M
Age: 67
State: PA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/08/2021
Hospital: Y

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

Lab Data:

Allergies: dabigitran (diarrhea)

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

Symptoms: evening of vaccination developed fatigue, sweats, palpitations and subsequent DOE and orthopnea that persisted and led to hospitalization 3/7/2021 for atrial fibrillation with rapid ventricular response and acute on chronic decompensated systolic CHF.

Other Meds: 1) ACETAMINOPHEN 500MG TAB TAKE ONE TABLET BY MOUTH ACTIVE THREE TIMES A DAY FOR PAIN/FEVER 2) AMIODARONE HCL (PACERONE) 200MG TAB TAKE ONE TABLET ACTIVE BY MOUTH DAILY FOR IRREGULAR HEARTBEAT 3) CARVEDILOL 25MG

Current Illness: no acute illnesses. Dose #2 The patient received Pfizer COVID-19 Vaccine 0.3 ml IM. MVX (Manuf); Lot#; Exp Date: PFR; EN6203; 06/30/2021 Administration Anatomic site: Right Deltoid

ID: 1081287
Sex: M
Age: 44
State: PA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/08/2021
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: sore arm, body and joint aches, severe fatigue, low grade fever

Other Meds: none

Current Illness: none

ID: 1081288
Sex: F
Age: 84
State: MN

Vax Date: 03/03/2021
Onset Date: 03/07/2021
Rec V Date: 03/08/2021
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: albuterol

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

Symptoms: Red area overlying covid vaccination site. She complains of redness around the vaccination site after the second Moderna vaccination received about a week ago. Over the past 3 days has developed redness and slight itchy sensation over the area. Feels slightly warm. No tenderness. She otherwise feels well. No other skin lesions, no myalgias/arthralgias. Vaccine not received at our clinic - came in for a PCP visit after noticed rash.

Other Meds: acetaminophen, aspirin, vitamin d3, gabapentin, hydroxyurea, levothroxine, lidocaine-prilocaine, multivitamin, prednisolone eye drops, propranolol

Current Illness:

ID: 1081289
Sex: F
Age: 86
State: IN

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 03/08/2021
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: penicillin, erythromycin

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

Symptoms: Arm became red, swollen and itchy. 3' X 6" area

Other Meds: multivitamin, fish oil, atorvastatin

Current Illness:

ID: 1081290
Sex: F
Age: 30
State: IL

Vax Date: 02/11/2021
Onset Date: 02/19/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Amoxicillin, Pollen

Symptom List: Pain in extremity

Symptoms: Injection site and around the injection site on arm became red, warm, and swollen on Day 8 after the injection. The redness started in two localized areas on the upper left arm. The redness continued to grow from a small circular area to a much larger area covering almost the entire upper arm area. Patient experienced itching, pain, and discomfort in the area. The symptoms decreased by day 11 and was completely gone by day 14.

Other Meds: Zyrtec

Current Illness: NA

ID: 1081291
Sex: M
Age: 81
State: IN

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: eye irritation, exhaustion, headache etc.

Other Meds: ramapril - Alipurinol Vitamin d Multi vitamin Co Q 10

Current Illness:

ID: 1081292
Sex: F
Age: 48
State: IL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/08/2021
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: High blood pressure and headaches

Other Meds:

Current Illness:

ID: 1081293
Sex: M
Age: 49
State: GA

Vax Date: 02/17/2021
Onset Date: 02/21/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Chills and fatigue

Other Meds: Melatonin

Current Illness:

ID: 1081294
Sex: F
Age: 72
State: MI

Vax Date: 02/24/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: Severe fish and nut allergies

Symptom List: Vomiting

Symptoms: Nine (9) days after the shot I developed a bump, redness and itching at the injection site. Today is day eleven (11) and I have the exact same problem. I have NOT done anything to treat.

Other Meds: (Pseudoephedrine HCI) (Triprolidine HCI) for sinus and allergy relief

Current Illness: none

ID: 1081295
Sex: F
Age: 49
State: CT

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
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: Sore arm at sight of injection Nausea Headache Body aches Weakness Panic attacks

Other Meds: Zoloft 200 mg Excedrin

Current Illness: None

ID: 1081296
Sex: F
Age: 53
State: CT

Vax Date: 02/01/2021
Onset Date: 02/23/2021
Rec V Date: 03/08/2021
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: Neosporin & bacitracin

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

Symptoms: Slight bronchia tightness right after shot. Went away within 5 mins. My arm really hurt for 4 days. The area where the shot was given that was inflamed was about 5 inches in diameter. I was dizzy for 24 hours. I was nauseous that evening and vomited. I was tired and had joint aches for 2 days.

Other Meds: Sertraline 150mg QD, Lamotrigine QD, Claritin QD, 2 fiber capsules QD

Current Illness:

ID: 1081297
Sex: F
Age: 51
State: CA

Vax Date: 02/07/2021
Onset Date: 02/18/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Already did previously

Other Meds: Wellbutrin and Zoloft

Current Illness: After receiving my second dose of Pfizer Covid vaccination, I developed symptoms associated with Shingles. It took two weeks for the rash to develop but I was experiencing fever, headaches, dehydrated, side ache where the rash developed. I spoke with two other people who also developed Shingles with two weeks of their second vaccination.. Also, I had shingles eleven years ago so was predisposed.

ID: 1081298
Sex: F
Age: 79
State:

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/08/2021
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: The patient had near-syncope and confusion about 2 minutes after receiving a vaccine. She is diabetic and hadn't eaten at all yet and thought it was more of a metabolic derangement. She was sent to the ER.

Other Meds:

Current Illness:

ID: 1081299
Sex: F
Age: 72
State: CT

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 03/08/2021
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: Sulfa

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

Symptoms: 2/9 red itchy rash , sore arm for 3 Day 2/16. Hives for 3 days , chills on the third day 2/23. Red, itchy rash for 3 days 3/4. Hives lasting for 5 days

Other Meds: Aspirin 81mg, Hydroxyurea 500mg, Raloxifene 60 mg, Fenofibrate 160mg Fish oil, D3, Biotin, probiotic

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm