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: 1082575
Sex: F
Age: 66
State:

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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: During vaccination, vaccine leaked out of syringe at needle connection. An additional dose was drawn up and administered without incident

Other Meds:

Current Illness:

ID: 1082576
Sex: M
Age: 67
State: CA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
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: none

Symptom List: Anxiety, Dyspnoea

Symptoms: shivering with no fever

Other Meds: levothyroxine, baby aspirin

Current Illness: no

ID: 1082577
Sex: F
Age: 69
State: IN

Vax Date: 03/03/2021
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: NSAIDS, Propofol, Calcuim channel blockers, seasonal

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

Symptoms: Second day afyer vaccination flu like body aches. Third day fine. Fourth day awoke with extreme dizziness body aches, confined to bed all day. Fifth day dizziness and some body aches have improved able to stay up.

Other Meds: Fosamax, Xiidra, Intrarosa, Vitimans C, iron, B, D3. Multi vitamin, calcium, Omega 3

Current Illness: None

ID: 1082578
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: no

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Presented 45 min after vaccination with hives over chest and neck, and headache. Lungs clear, SAT 100% RA, HR 92, BP 154/88, RR 16. Anxious. 25mg Benadryl & 650 mg Acetaminophen given. Transported by paramedic to hospital.

Other Meds:

Current Illness: no

ID: 1082579
Sex: F
Age: 54
State: IL

Vax Date: 02/04/2021
Onset Date: 02/25/2021
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: Penacillin, Cephalosporin. All Shellfish

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

Symptoms: Heart Palpitations, Heightened anxiety , Sleeplessness for almost 12hours Heart Racing. Heavy beating. Chills, Fever, Lethargy.

Other Meds: Amitriptyline Hcl 25Mg- Symbicort 160/4.5- Black Elderberry Supplement!000 Milligrams 1 daily.- Zinc 50 Mg- D3- 25mcg-

Current Illness: No illness at the time of vaccination.

ID: 1082580
Sex: M
Age: 65
State: CA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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: Penicillin

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

Symptoms: BLURRED VISION, PARTICULARLY FAR DISTANCE ON THE 7TH AND 8TH OF MARCH. Might be temporary, I will wait and see if the problem does not correct itself.

Other Meds: None

Current Illness: None

ID: 1082581
Sex: F
Age: 55
State: NY

Vax Date: 01/07/2021
Onset Date: 01/09/2021
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: Sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Two days after my first dose vaccine, I lost all sense of taste and smell. I also had pain at the site of injection.

Other Meds: Synthroid medication

Current Illness:

ID: 1082583
Sex: F
Age: 64
State: NY

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Pharyngeal swelling

Symptoms: Severe Chills, headache from 4:00 pm until 10:00. After that sweating, I was in bed from 4 until midnight. Today 03/08/2021 I feel much better, just a slight headache and a little nauseous.

Other Meds: Metoprolol Succinate 25 MG, Century Complete 50+ Multivitamin, Calcium 600 MG

Current Illness: Sinusitis

ID: 1082584
Sex: F
Age: 23
State: CT

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 03/08/2021
Hospital:

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

Lab Data:

Allergies: Tree Nut Allergy Sulfamethoxazole-Trimethoprim Seasonal Allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 2 days Later arm was still red at site of injection and became itchy. Itchiness continued for a week and a half. 4 weeeks later my arm injection site is still red and slightly darker in color .

Other Meds: Junel

Current Illness:

ID: 1082585
Sex: F
Age: 40
State: ID

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: Erythromycin Codeine Sumatriptan (adverse)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Lightheaded following COVID -19 vaccine. Injection at 12:15 pm Vital Signs: B/P: 142/82 HR: 71 Resp.: 16 O2Sat: 95% Skin Signs: Warm and dry Circulation: Cap refill <2sec Resp.: Breath Sounds Clear Bilaterally Treatment: Pt assisted to cot. Requested to remain in sitting position. C/O dizziness and vertigo with head movements. Denies nausea , No flushing, skin p/w/d. Repeat Assessment: 12:45 pm Vitals: B/P: 132/82 HR: 74 Resp.: 16 O2Sat: 98% Skin Signs: Warm and dry Circulation: Cap refill <2sec Respiratory: Breath sounds bilaterally Treatment: Remains in seated position- Offered fluids- refused. Repeat Assessment: 13:02 pm Vital Signs: B/P: 122/88 HR: 73 Resp.: 16 Skin signs: Warn and dry Circulation: Cap refill <2sec Resp.: Breath Sounds clear bilaterally Treatment: Lightheaded, states "easier to focus eyes." No syncope, No increased light or vertigo with movement of head. 13:20 pm Pt released via wheelchair to vehicle to home with a friend. ALOx3, skin p/w/d. No further c/o dizziness . F/U Call: 2/4/2021 Fine after returning home. Woke up in the middle of night fell in BR x2 (no head injury) sweating, fevers, syncope, weakness, vertigo "spinning" disoriented felt delirious with 2nd fall in BR. Extremely nauseated.

Other Meds: Singular QD 10 mg QHS Buspirone 2.5 mg QAM Albuterol Inhaler PRN Rizatriptan PM for Migraines

Current Illness: None listed

ID: 1082586
Sex: F
Age: 61
State: TX

Vax Date: 03/08/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Penicciclin

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

Symptoms: Complained of chills 10 minutes after vaccine administration. EMS checked blood sugar but machine could not read. It was either too low or too high.. BP 219/89, EKG was unremarkable. Patient was advised by EMS and NP to be transported to ER but decline. Preferred to be transported to by the husband to PCP.

Other Meds: Metformin, Blood pressure medication (Unknown)

Current Illness: None

ID: 1082587
Sex: M
Age: 73
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Slight fever & fatigue Gone within 8 hours No physician contacted

Other Meds:

Current Illness: None

ID: 1082588
Sex: F
Age: 79
State:

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: During injection, vaccine leaked out of syringe at needle connection site. Another dose was drawn up & administer without incident.

Other Meds:

Current Illness:

ID: 1082589
Sex: F
Age: 74
State: WI

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: dust mites,cockaroaches,penicillin,tetracycline,benardyl,breo,buproprion,ciprofloaxin,clindamycin,ketek,lactose intolerance,metrodiazole,moxifloxacin,oxycodone,sulfa,tetanus

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

Symptoms: 3/5/21 7:59 AM Got vaccine Covid-19 Monday-into 5 days have severe headache- nausea - sweats-Chills -no taste no smell - mild fever-itching- fatigue- diarrhea Arm still puffy like pop-eye, redness gone down on injection site. One welt - popped , scab formed. No all over body rash unlike past reactions. I should refer to you with any questions.

Other Meds: albuterol,levothyroxine,meclinzine,tretonin,tylenol,lorazeapam,vitd 3,probiotic

Current Illness: patient denies any illnesses

ID: 1082590
Sex: M
Age: 61
State:

Vax Date: 02/25/2021
Onset Date: 02/26/2021
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:

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

Symptoms: Moderna COVID-19 Vaccine EUA 100.4 degree fever, chills, sweats, severe joint pain in thumbs, swelling in left testicle, headache, gained 12 pounds of water weight over two days. Swollen legs with painful rash from knees down. Continuing joint pain in hips, knees, ankles

Other Meds:

Current Illness:

ID: 1082591
Sex: F
Age: 67
State: FL

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: Patient developed chest tightness and throat tightness 3 minutes after receiving first dose. After 35 minutes she developed worsening chest tightness and throat tightness, she was given 50 mg of Benadryl and taken to Hospital. She was monitored for approximately 4-1/2 to 5 hours. She was discharged in stable condition. Her daughter gave her another 50 mg of Benadryl at 9 PM.

Other Meds: Citracal + D Maximum (calcium citrate-vitamin d3)

Current Illness: no

ID: 1082593
Sex: F
Age: 63
State: IL

Vax Date: 02/25/2021
Onset Date: 02/27/2021
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: Allergy formaldehyde, lidocaine

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

Symptoms: On AM of 2/27/21 woke up at 4 AM with eyes swollen shut. So swollen looked as if she was in a fight without bruising. Since was a weekend, she took Benadryl and iced her eyes. By Monday they were better, she could go to work, but remained puffy. Feels they are still slightly puffy today.

Other Meds: losartan 1 pill daily collagen/Vit C supplement 1 pill daily

Current Illness: None

ID: 1082594
Sex: F
Age: 46
State: CA

Vax Date: 03/02/2021
Onset Date: 03/05/2021
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: Novocaine - I break out into hives when I have novocaine.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I noticed on Friday (three days post-injection) that I had small bumps all over my arms, shoulders, chest, neck, and head. On Saturday, I noticed that the bumps had turned red and looked more like a rash. They aren't itching, and don't seem to be spreading, so I have not gone to see a doctor. I have have also had two migraines this week when in the past several months, I haven't had any migraines much at all. (Less than 1 per month.) I do not know if the migraines are at all related, but figured I would mention them because this is out of the norm for me. I have not changed my diet or my detergent, so I don't have anything new that could explain the rash.

Other Meds: Flonase nasal spray

Current Illness: Migraine headaches.

ID: 1082595
Sex: F
Age: 37
State: NJ

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Within 12-14 hours from receiving the 1st dose of the vaccine, I began to have symptoms that initially started as general malaise, fatigue, and muscle and aches and pains. By 2am On 2/09/21, I began having chills and by 6am, I had a fever of 101. F. Pain at the injection site started to develop , which I understood is a normal side effect of vaccines in general, but then over the course of hours to days, the pain began to radiate up my arm to my shoulder, and up my neck, to my head where a severe headache would ensue and render me unable to perform my daily activities. For days I was feeling unwell causing me to call out sick from my job as a nurse more than once. I also feel pain in my axilla and breast tissue adjacent to my arm pit, directly beneath the injection site. I also experienced nausea when the headache and muscle aches were at their worst. The fever eventually subsided after a few days, but the headache has persisted despite taking Ibuprofen as directed by my physician via a telehealth visit on day 3. (I called for an appointment on day 2, but they only had the next day available.) The headache pain is heavy, sharp, piercing, and throbbing, definitely interrupting with my daily activities. I have to go lay down and apply an ice pack to my head and neck area several times a day. These symptoms had been persisting for several days in a row and after being seen by my doctor again on the 8th day because of the symptoms, she recommended I go to the emergency room to address the persisting headaches and rule out any head bleeding and report the symptoms related to the vaccine. I was also advised by my physician to consider skipping the 2nd dose of the vaccine because of my severe reaction to the first one.

Other Meds: None

Current Illness: None

ID: 1082596
Sex: F
Age: 58
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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:

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

Symptoms: At 10:13 am patient reported feeling warm and sweaty in her face and neck area. Staff offered her powerade and she drank some. Pt reported she's diabetic and her blood glucose was 115 and 112 at 10:13an and 10:25 respectively. Patient recovered and was released at 10:25am

Other Meds:

Current Illness:

ID: 1082599
Sex: M
Age: 34
State: VA

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/08/2021
Hospital: Y

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: Unknown

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

Symptoms: Patient received vaccine on 3/4 and 3/6 was admitted to hospital for oxygen desaturation.

Other Meds: Unknown

Current Illness: Congenital Diaphragmatic Hernia with Left Lung Hypoplasia

ID: 1082600
Sex: M
Age: 78
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: LA

Lab Data:

Allergies: NKDA

Symptom List: Unevaluable event

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA: Vaccine recipient?s wife reported that she notice he was slurring his speech and had some confusion prior to getting vaccinated. They contemplated seeking medical care but wanted to get the vaccinated first. After receiving the vaccine, the vaccine recipient was reported to have fell back in his chair and began seizing. EMS responded and treated the patient. They have no history of seizures. They were transported to emergency department at e Regional Medical Center. The patient was admitted to the intensive care unit for further work up and currently present.

Other Meds:

Current Illness:

ID: 1082601
Sex: F
Age: 32
State: CT

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: Sulpha Eggs

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

Symptoms: Immediately after the shot was given on Saturday 3/6/21, I felt very nauseas. The nausea continued for the next two days. Body aches, headache, and chills set in same day, in the afternoon. I took Tylenol every 6-8 hours until Monday 3/8/21. Exhaustion, dizziness, and some shortness of breath occurred on Monday 3/8/21. Nausea, headache, and exhaustion is still ongoing but not as intense.

Other Meds: Magnesium

Current Illness: None

ID: 1082602
Sex: F
Age: 64
State: TN

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

Symptom List: Injection site pain, Pain

Symptoms: Moderna COVID-19 Vaccine EUA Symptoms: fever of 101 degrees, bad body aches, nausea, sore arm , fatigue ; and this was first vaccine Had Covid 12-31-2020 and lasted 2 weeks with fever off and on

Other Meds: Nexium, Atorvastatin, alendronate sodium

Current Illness:

ID: 1082603
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: Allergies to fur, feathers, pollens/plants

Symptom List: Injection site pain, Menorrhagia

Symptoms: extreme exhaustion - couldn't stay awake, headache, nausea, severe joint pain, light-headedness/dizzy, a large swelling/lump formed in L armpit that was very sore/tender, temperature up to 101?F, chills, tongue: swelling, dark red spots, circles with raised bumps, cracks in surface, burning, tingling, no change in taste sensation, plus burning lips. 48 hrs later: awake, no headach, nausea gone, joint pain back to normal, no dizzy, temperature down to 99, few chills, lump less sore, tongue hurts, but no new symptoms. By 03/8/2021 all symptoms gone except tongue still healing - almost back to normal but still some redness, dryness, tingling. Thirst increasing. Healing faster after 2nd shot than after 1st shot.

Other Meds: GluChon,Salsalate,Famotidine,Hydralazine,Advair,Atenolol, Mont

Current Illness: daily allergies to pollen

ID: 1082604
Sex: M
Age: 72
State: MO

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Benazepril, Ibuprofen, Iodine, Lodine

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

Symptoms: rash on arms, legs, hands, feet that itches, burns and is painful. Patient had 2 visits to Urgent Care- 3/4/21 & 3/6/21, PCP OV 3/8/21- Medrol dose pack, Decadron IM, Triamcinolone Cream, Betamethasone Cream

Other Meds: alprazolam, amitriptyline, Vit D, Prozac, HCTZ, Prilosec, K-Dur

Current Illness:

ID: 1082606
Sex: F
Age: 68
State: CO

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: seasonal and environmental allergies. Codeine, amoxicillan.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: feeling very tired (within 25 min), headache (within 3 hrs) worsened over the next several hours, muscle aches (within 8 hrs) worsened in time, fever (@100 dgs) with chills (within 8hrs), runny nose, watery eyes and dry mouth (within 8hrs), sinus pain (dry) and loss of appetite Called advice line @ 7am on 3/7/21 to see if I could take Ibuprophen (yes) and that helped. All side effects subsided in @ 36 hours.

Other Meds: multi-vitamin, L-lysine (500mg), B-6 (100 mg), D3 (1,000 IU)

Current Illness: none

ID: 1082607
Sex: F
Age: 31
State: FL

Vax Date: 12/31/2020
Onset Date: 01/15/2021
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: RA

Lab Data:

Allergies: Penicillin Sulfa

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Two weeks after vaccine I had a rash on the upper arm near the site of vaccination. It was warm to the touch. They stated that it was infected. Localized cellulitis. Antibiotics prescribed. It improved within four or five days. No reaction from second dose.

Other Meds: Levothyroxine Lisinopril

Current Illness:

ID: 1082608
Sex: F
Age: 68
State: MN

Vax Date: 02/25/2021
Onset Date: 03/06/2021
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: Penicillin Erythromycin Flagyl Lisinopril

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

Symptoms: Headache Extreme fatigue Body aches All lasted 18 hours

Other Meds: Losartan Metoprolol Sertraline Vitamin D Calcium carbonate Fish oil

Current Illness: None

ID: 1082609
Sex: F
Age: 75
State: VA

Vax Date: 02/21/2021
Onset Date: 02/23/2021
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: pin,sulfa,macrobid

Symptom List: Nausea

Symptoms: Left Elbow swelled up, caused significant pain for 8 days

Other Meds: none

Current Illness: none

ID: 1082610
Sex: M
Age: 62
State: SC

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/a

Symptom List: Injection site pain

Symptoms: Woke up at 2:00 am extreme headache I took ibuprofen 200 ml. 7:00 am very weak headache not as bad. Day 2: dull headache, very fatigued, muscle ache between shoulders into upper neck. Day 3: same as Day 2. Day 4 same as Day 2 but now small rash on hip. Day 5 dull headache and rash, not fatigued and no muscle aches. I hope this info is helpful.

Other Meds: N/a

Current Illness: N/a

ID: 1082611
Sex: F
Age: 71
State: MA

Vax Date: 03/08/2021
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: Unknown

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

Symptoms: Face and arms were reddened. Pt reported feeling "a little winded" when she ambulated to the bathroom. Pt states she has had this reaction previously with a shingles vaccine. Pt did not report previous reaction to administering nurse.

Other Meds: Unknown

Current Illness: None known

ID: 1082613
Sex: F
Age: 67
State: PA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
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: None

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

Symptoms: In 11 days I had mark on the place of vaccine 2.5cmx2.5cm, in 2 days size was 8.5cmx4.5cm. It was red color, warmer than other hand. I didn't have any pain. In 4 days it was nothing there.

Other Meds: Atorvostatin and Vitamin B-12 took previous day before bed time

Current Illness: None

ID: 1082617
Sex: F
Age: 33
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Amoxicillan, Ceclor

Symptom List: Tremor

Symptoms: Developed fever (102.2), chills, body aches, joint pain, soreness at injection site, fatigue, headache, and nausea. Most severe symptoms lasted roughly 18 hours, then fever broke and chills stopped, while other symptoms persisted but more moderate level. 48 hours after injection, all symptoms stopped except for headache, fatigue, and moderate soreness at injection site. Now (55 hours) after injection, there is just some mild fatigue and mild soreness at injection site.

Other Meds: None

Current Illness: None

ID: 1082618
Sex: F
Age: 69
State: SC

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Severe shaking and muscle contractions, entire body, lasting approx 4 hrs. Whole body pain, headache lasting 24 hrs. Softball size red, itchy spot at injection site appearing at 48 hrs.

Other Meds: Levothyroxine 112mg

Current Illness: None

ID: 1082620
Sex: F
Age: 58
State: NJ

Vax Date: 03/05/2021
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:

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

Symptoms: During the post-vaccination observation period, vaccine recipient complained of vertigo and some mid-sternal chest pain. They were seen by EMS and the cardiac monitor showed abnormal rhythm. They were transported to emergency department Medical Center. They reported chest pressure and near syncope. During reexamination, there was no chest pain or palpitations. They were discharged to home. Registered 03/05/2021 11:37 AM, Discharged 03/05/2021 4:38 PM.

Other Meds:

Current Illness:

ID: 1082621
Sex: M
Age: 76
State: NH

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: Sulfa drugs & ibuprofen

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

Symptoms: Developed bruising around left eye at around 10 PM and n date of injection that continued through today March 8, 2021. Also developed a vertical grey stripe in left eye near pupil of left eye. No pain & no vision loss. Bruising improved overnight but worsened each day as the day went on.

Other Meds: Doxasosin, citalipram, daxalant, Celebrex, glucosamine, rocklatin

Current Illness: None

ID: 1082622
Sex: F
Age: 51
State: TX

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Amoxicillin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dizziness, nausea, and light sensitivity

Other Meds:

Current Illness:

ID: 1082623
Sex: F
Age: 71
State: CA

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: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: antibiotics: penicillin, mefoxin, amoxicillin, ampicillin, erythromycin, septra, lorabid, doxycycline, ceftin, Zoster (Shingrix) vaccine

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

Symptoms: 1st dose 1/29 reaction gave me little dime-sized red bumps all over my body and a lot of itchiness. I had 2 larger brown places on my body that were oval shaped about 1 inch across and it was crusty and had liquid and blood coming from it. One was under my left breast and at the base of my spine. I had to get a mammogram because I had brown and bloody discharge from my left nipple. It looked like someone had painted bright red paint around the nipple. Dermatologists said it was mild duct ectasia bilaterally benign, nipple dermatitis, left nipple bloody discharge, and an eczamatatious rash. Right breast had a brown bump on the areola to the side of the nipple. 03/03/21 second dose: Sore arm, Fever of 100.9 next day that lasted all day. fatigue and a headache. I also had dizziness especially when I lie down or get up. fever went down and then I developed a rash on my body that made it look like I was sunburned all over my body. not spots, just redness all over. I felt pretty weird. it was an itchy rash that stayed about 24 hours, then changed into a spotty rash that traveled to my inner arms and inner thighs. The next day it traveled down my legs to my ankles. It went away mostly after a few days. I do still have spots that look like bites that are quarter-sized brown crusty spots. then I have eczema patches on my forehead. Its flaking and itching and is too sensitive to wash with soap. Also, my right eyelid has 3-4 places that has welt on it so much so that I cant see well from the eyelid, and under eye being swollen.

Other Meds: Metamosone Furoate

Current Illness: No

ID: 1082624
Sex: M
Age: 20
State: MD

Vax Date: 03/07/2021
Onset Date: 03/07/2021
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: corn, soy, potato, nuts, tree nuts

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

Symptoms: chills, shaking, delirium I got progressively more cold and then i started shaking. when i got into bed i was thrashing around for hours.

Other Meds: Vyvanse 40 mg Omeprazole 40 mg zyrtec (over the counter for allergies)

Current Illness: N/A

ID: 1082625
Sex: F
Age: 78
State: IN

Vax Date: 02/24/2021
Onset Date: 02/25/2021
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: None

Symptom List: Pain in extremity

Symptoms: Fever as high as 101.4; Chills; Whole body aches; Whole body soreness; Weakness; Fatigue Took Tylenol Extra Strength every four hours; Increased water intake; Stayed in bed Lasted for approximately 48 hours

Other Meds: Isosorbide ER 30mgs twice daily, Valsartan HCTZ 80-12.5mg tabs , Aspirin 81mgs, Vitamin C 1000mgs, Vitamin E 1000 mgs

Current Illness: None

ID: 1082626
Sex: F
Age: 70
State: OH

Vax Date: 02/27/2021
Onset Date: 03/06/2021
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: Penicillin G, Z Pack, Tekturna, Mangoes, Lactose

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

Symptoms: swelling, redness, heat and inching at injection site. EXTREME pain in joints in neck on right side and upper back near left scapula.

Other Meds: Losartan Tabs 100/12.5Mg, Synthroid 100Mcg

Current Illness: none

ID: 1082627
Sex: F
Age: 36
State: TX

Vax Date: 01/28/2021
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: Dairy allergy

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

Symptoms: Severe arthralgias, fever to 103, headache

Other Meds: Cimzia, Cytomel, Synthroid, prenatal vitamin

Current Illness:

ID: 1082628
Sex: F
Age: 56
State: IN

Vax Date: 03/02/2021
Onset Date: 03/05/2021
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: Sulpha

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

Symptoms: Swollen tender lymph nodes on back of neck

Other Meds: Tramadol, Tylenol

Current Illness: None

ID: 1082631
Sex: F
Age: 68
State: MD

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: None

Symptom List: Vomiting

Symptoms: Abdominal cramping Vaginal bleeding

Other Meds: Talzenna Calcium Biotin Metoprolol Entresto Spironolactone Multi vitamin

Current Illness: Breast Cancer Congestive Heart Failure

ID: 1082633
Sex: F
Age: 78
State: CO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Food allergies; wheat, bakers and brewers yeast, cow dairy. Environmental; seasonal allergies to pollens

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Within two to three hours, I reacted with chills, fever, weakness, fatigue, soreness at vaccination site, waves of nausea, joint soreness. I can only remember a couple of times in my life ever feeling so sick. Within 24 hours my side effects subsided. Ten days later I developed itching and burning on hands, arms, chest and neck which, when scratched, turned bright red. The rash lasted about three of days.

Other Meds: Amlodipine Besylate 2.5 mg Magnesium, Vitamin D3, Wellness Formula (Vitamin and Herbal formula)

Current Illness: None

ID: 1082634
Sex: F
Age: 37
State: CA

Vax Date: 03/01/2021
Onset Date: 03/07/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Swollen supraclavicular lymph node

Other Meds:

Current Illness:

ID: 1082635
Sex: M
Age: 57
State: NJ

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient received his first Moderna covid vaccine shot at about 4:00pm on 3/7/2021 and procedd to the post-vaccination observation area for his 15 minute observation period. About 10 minutes after his shot, patient alerted the an observation staff member that he was starting to feel hot. Staff member alert the pharmacist who had given him his shot and the pharmacist came over. Patient told the pharmacist he feels like he is burning up. Pharmacist took hi temperature an it in the 98 rang (can't remember the exact temp but was 98. something) Patient then then told the pharmacist that he feels like he is getting an aura of a coming seizure. The pharmacist applied an intant ice pack to the back of the patient neck and provided a bottle of cold water. Pharmacist stayed next to him talking to him and asking how he was doing and kept a hand on him in case he had a full blown seizure. Patient was awake but looked pale and seemed like he was going to fainted. Stayed like that for about 10 minutes. after about 10 minutes patient "came back". He looked back to normal and felt fine. During the process he called his wife to come get him and he was fine when she aroungs a few minutes later. Patient, wife, and pharmacist chatted for about 15 minutes before wife took him home. Patient said based on his history that it was a petit mal seizure.

Other Meds: Dilantin 400mg daily

Current Illness:

ID: 1082637
Sex: F
Age: 46
State: NY

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: RA

Lab Data:

Allergies: No

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

Symptoms: Mild vertigo every day - started 3/3 and continues still (3/8). Worst vertigo on 3/7. Also mild chills and fatigue - noticed first on 3/7 and again today

Other Meds: Estradiol

Current Illness: No

ID: 1082638
Sex: F
Age: 84
State: MT

Vax Date: 02/24/2021
Onset Date: 02/24/2021
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:

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

Symptoms: Hives, Palpitations

Other Meds:

Current Illness: B12

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm