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: 1084466
Sex: M
Age: 34
State: TN

Vax Date: 03/02/2021
Onset Date: 03/04/2021
Rec V Date: 03/09/2021
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: None.

Symptom List: Dysphagia, Epiglottitis

Symptoms: He was doing well for a couple of days after he received the vaccine, then he started noticing a decline in his mental health. He became agitated, irate, nothing did anything to provoke his reaction. The voices that he normally hears became louder, and nothing changed except the vaccine. This increased his mental health issues and psychiatrist wanted to admit him to a mental institute and then changed his mind when he realized he had the vaccine. His agitation became 10X worse than his baseline. His psychiatrist believes that the vaccination cancelled out his medications. His doctor is adjusting his medications and advised against taking the 2nd vaccine.

Other Meds: Invega, Trintellex, Lithium, Eliquis, Hydroxyzine, valium.

Current Illness: None.

ID: 1084467
Sex: F
Age: 51
State: TX

Vax Date: 02/24/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
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: wanted to let someone know my symptoms developed a week and two days after the second Moderna vaccine. Severe dizziness, vomiting and tired. I slept for 36 hours straight and did not eat or drink during that time. My issues are resolving on day five today I only have a slight amount of dizziness. Thought it was odd it took so long to get the symptoms after the shot. I had no ear issues and my blood pressure was normal.

Other Meds: Citalopram 20 mg one daily Benazepril/HCTZ 20/25mg one daily Amlodipen Besylate 5 mg one daily Vitamin D 5000 IU one daily

Current Illness: none

ID: 1084468
Sex: M
Age: 63
State: ND

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/09/2021
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: heparin, penicillin, ciprofloxin, diphenhydramine, pregabalin

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

Symptoms: throat was swollen, difficult to swallow, no compromised airway, uvula swollen, TX: Patient given decadron IM and oral prednisone taper, patient responded to treatment and doing better

Other Meds: celebrex, diovan, asa 81 mg, aciphex,

Current Illness: none

ID: 1084469
Sex: M
Age: 61
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Dizzy post vaccine

Other Meds:

Current Illness:

ID: 1084470
Sex: M
Age: 74
State: CA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/09/2021
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 and benazepril

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

Symptoms: pt states after he got 2nd dose he became hot, itchy and developed small hives that merged together that became a rash that went from his legs to his arms and eventually his mouth around the lips. Pt is taking Prednisone 20 mg and fluocinonide 10% and triamcinolone cream which is helping about 50-80%. Pt will continue to take this meds until he sees his PCP on 3/12/2021.

Other Meds: fluticasone propionate 500mg,

Current Illness: no

ID: 1084471
Sex: F
Age: 20
State: CA

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
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: n/a

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

Symptoms: Began menstrual cycle 2 weeks early, with extreme cramps and heavy period flow. Patient has normal cycles and never bleeds between periods. Bleeding started the morning after receiving the first dose of COVID-19 vaccine.

Other Meds: Tri-Lo-Sprintec (the pill) birth control

Current Illness: n/a

ID: 1084472
Sex: F
Age: 29
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Drowsy, SOB, lightheadedness. Evaluated by EMS-Transported to Emergency room/department or urgent care.

Other Meds:

Current Illness:

ID: 1084473
Sex: M
Age: 42
State: FL

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: Bleocycin

Symptom List: Pharyngeal swelling

Symptoms: Approximately 10 hours after receiving the injection, I experienced extreme chills, nausea, elevated heart rate. The last time I experienced symptoms like this was on the first day I started chemotherapy and had an allergic reaction to one of the chemo drugs (bleomycin). I had a delayed reaction hours later and went to the ER. It was determined it was an allergy. So I took Claritin D 24 H and saw the symptoms I was experiencing last night dissipate.

Other Meds: Descovy, Claratin D 24H, testosterone cyphonate

Current Illness:

ID: 1084474
Sex: F
Age: 17
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Vaccine administered to 17 year old patient outside of the recommended/approved age guidelines

Other Meds: Levothyroxine 100mcg

Current Illness: depression, hypothyroidism, obesity

ID: 1084475
Sex: F
Age: 52
State: NJ

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/09/2021
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: Within 24 hrs from 1st vaccine :Low grade fever , chills , aches Within 2 weeks from 1st vaccine - . multi system inflammation since vaccine ( intestinal, sinus) , dizziness , chills on off , episode of heart palpitations not occurring prior to vaccine

Other Meds: Thyroid med Cymbalta

Current Illness:

ID: 1084476
Sex: F
Age: 32
State: AZ

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Approximately 12 hours after receiving the shot (~7:00PM), I began experiencing severe body ache starting in my spine and spreading to my other joints. Throughout the night I experienced chills followed by overheating/sweating. The body aches and low-grade fever persisted until 3:00PM 8 Mar 2021. I treated myself with rest and ibuprofen and noticed improvements. As with the first short, injection site swelling and soreness was prevalent for a few days.

Other Meds: Albuterol

Current Illness: No official diagnosis, currently being evaluated for a possible cystic lung disease.

ID: 1084477
Sex: M
Age: 48
State: NC

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: Fever 101, severe aches, swelling of face, fast heartbeat, bad rash all over body, dizziness and weakness, headache

Other Meds: Gabapentin Lexapro Atorvastatin

Current Illness: None

ID: 1084478
Sex: F
Age: 69
State: GA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Day 1= Vaccination Day 1. Day 1. Extreme Facial Flushing/Hotness 20 min post administration. Duration 5 min. No recurrence. 2. Day 1. Drop in body temperature. 95.2?F recorded 5 hrs post vaccination and continued 4 days. 3. Day 3. Bruise and knot at injection site and pain radiating from knot down into thumb. Fatigue.

Other Meds: Amlodopine 10mg, Vitamins B, C, D, E. Hair/skin/nails supplement, Selenium, Zinc, Beta Carotene, Magnesium, Spirulina, MSM, Potassium, Ginseng

Current Illness: Diarrhea/Nausea from mild food poisoning

ID: 1084479
Sex: F
Age: 84
State: ME

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 03/09/2021
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: gabapentin

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

Symptoms: 2/17/2021-3/7/2021 nighttime shaking, profuse sweating, achiness; daytime chills, shaking, and some sweating

Other Meds: Medications: 1) albuterol 90 mcg/inh inhalation aerosol, 1-2 puffs q4h prn 2) amiodarone 200 mg oral tablet, One tablet daily 3) amLODIPine 10 mg oral tablet, One tablet daily 4) amLODIPine 5 mg oral tablet, Take 1 tablet by mouth once dail

Current Illness: n/a

ID: 1084480
Sex: F
Age: 57
State:

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/09/2021
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: shooting lower back pain. Evaluated by EMS-Cleared

Other Meds:

Current Illness:

ID: 1084481
Sex: F
Age: 70
State: NC

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 03/09/2021
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: Augmentin, lisinopril

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

Symptoms: 1/13 vaccine @ 4:15 About 15 minutes later, the side effects I had flush feeling in my head, chest. Once I got home, a weird sensation in my tongue. I constantly felt my tongue. Those 3 side effects lasted for 3 days. PCP examined me. I could breathe fine. Told me to take Benadryl and then gave me a prescription to take for the 2nd vaccination. My arm was slightly sore.

Other Meds: rosuvastatin 10 mg/ daily; metformin 500 mg 2xdaily; amlodipine 5mg/daily; water pill hydrochlorothiazide 25mg /daily; euthyrox 75 mg/ 1daily; anastrozole 1mg/daily; Allegra 180 1/daily; vitamin 1/ daily; calcium 600 mg/ daily

Current Illness: n/a

ID: 1084482
Sex: F
Age: 48
State: FL

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
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: seasonal/pollen allergy, allergy to cats

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

Symptoms: J&J vaccine around 8:40am Saturday. By 3pm, I was feeling significant fatigue. By 5pm, chills and low fever (99). Chills and fever intensified, and fever rose to 103 by 10pm, with headache and body aches (mainly legs). I had very mild nausea & loss of appetite. Over the course of the night, I tried to stay hydrated with water and apple juice. By about 11pm, I took 200mg of Advil. I took another 200mg Advil several hours later. Throughout the next day, Sunday, my fever subsided gradually, significant fatigue persisted as did loss of appetite. By Monday, I was left feeling mostly weak and worn out, but on the road to recovery. By Tuesday morning (now), I feel that the I will be recovered by tomorrow.

Other Meds: none

Current Illness: none

ID: 1084483
Sex: F
Age: 84
State: CA

Vax Date: 02/24/2021
Onset Date: 03/01/2021
Rec V Date: 03/09/2021
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: Hearing issues

Other Meds: Blood thinner

Current Illness:

ID: 1084484
Sex: F
Age: 26
State: CA

Vax Date: 02/11/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
Hospital: Y

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

Lab Data:

Allergies: Nuts

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Received both doses of Pfizer covid vaccine (1st dose on 1/21/2021, 2nd dose on 2/11/21. Then presented to ER on 3/08 with fevers, severe HAs and Back pain. Clean CXR, normal u/a, negative covid test. Evaluated by ID who feels meningitis is most likely diagnosis. unclear if there would be a relationship to the COVID vaccine or not.

Other Meds: Doxycycline, Lamictal, Ondansetron

Current Illness: none

ID: 1084485
Sex: F
Age: 43
State: IN

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Started out as being light headed and tired. Then the next day noticed arm red and very sore. I watched it and monitored it. Then on the 8th I woke up to the red spot being bigger, warm to touch and very sore. I marked it with a pen to keep track of the red spot spreading. I took an Ibuprofen at night and put ice on the spot. Today on the 9th the red spot has spread a little, however the redness of the color has gotten lighter. It is still tender to the touch and the spot is still warm to the touch. I am going to continue to monitor it another day or two and if it gets worse I will call my doctors office to make a visit

Other Meds: no

Current Illness: no

ID: 1084486
Sex: F
Age: 63
State: VA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
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: Cortisone and Voltaren

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

Symptoms: Chills and fever to 102 from Saturday 03/05 to Monday 4:00 on 03/08 with headache and extreme fatigue. Left arm hot and swollen and painful to touch.

Other Meds: Meloxicam; Pantoprazole; Gabapentin; Duloxentine DR; Vitamin D2; Ezetimibe; Amlodipine-Benazpril; Myrbetriq ER; Vyvanse; Xiidra 5%; Aimovig

Current Illness: Covid one month prior.

ID: 1084487
Sex: F
Age: 74
State: IN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
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

Symptom List: Unevaluable event

Symptoms: Light headed and slight fever on day of injection. Since that time, arm is swollen and red and slightly sore.

Other Meds: Fosamax, Lipitor

Current Illness: None

ID: 1084488
Sex: F
Age: 71
State: OH

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Percocet Sulfa

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

Symptoms: Fevers Chills Muscle aches Headaches Hoarse voice Diarrhea

Other Meds:

Current Illness: End stage renal disease Hypertension Anemia Amyloidosis

ID: 1084489
Sex: F
Age: 72
State: OK

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/09/2021
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: NKA

Symptom List: Injection site pain, Pain

Symptoms: Immediate swelling and bruising at injection site, size of golf ball, 09:55 Benadryl administered (50mg/ml) IM to L deltoid, 1010 ice pack placed, no report of itching or swelling at any other site. Swelling is reducing at 1030.

Other Meds: No medications, over-the-counter medications, dietary supplements, or herbal remedies are being taken.

Current Illness: No illnesses reported.

ID: 1084490
Sex: F
Age: 52
State: TX

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: CIPRO

Symptom List: Injection site pain, Menorrhagia

Symptoms: HIGH FEVERS UP TO 103, INTRACTABLE VOMITING, CHILLS, COUGH, HEADACHE, WEAKNESS, SHORTNESS OF BREATH

Other Meds: LISINOPRIL

Current Illness: NONE

ID: 1084491
Sex: F
Age: 48
State: HI

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/09/2021
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: Penicillin, beer, cat dander

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

Symptoms: Severe headache, nausea, malaise, migraine ( 2 weeks), and fatigue. Took excedrin and imitrex for 2 weeks. Intake of lots of fluids and bed rest. Telehealth visit with doctor.

Other Meds: Lo loestrin fe, calcium plus vit d, multi vitamin, omega 3.

Current Illness: None

ID: 1084492
Sex: F
Age: 69
State: SC

Vax Date: 02/25/2021
Onset Date: 03/09/2021
Rec V Date: 03/09/2021
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: Allergic to Sulfa Drugs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Rash on arm developed/noticed 12 days after vaccination.

Other Meds: Multi vitamin

Current Illness:

ID: 1084493
Sex: M
Age: 62
State: IL

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/09/2021
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 known

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe flu-like syptoms: Whole body aches, fatigue, low grade fever, chills. Symtoms came on suddenly over approx 10 minute period 11 1/2 hours after injection. Took hot shower, (2) 500ml Aspirin, went to bed. Upon waking at approx 7:30am all symptoms had subsided. No further reactions occured.

Other Meds: Metformin, Glipizide, Atorvastatin, Enalapril, Vitamin D Supplement, Adult Multi-Vitamin

Current Illness: N/A

ID: 1084494
Sex: F
Age: 35
State: MA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/09/2021
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: Ceclor, amoxicillin, vancomycin, lactose intolerance & very minor nightshade allergy

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

Symptoms: My Rheumatologist suggested I report this:: I had no side effects other than a sore arm and some tiredness up until approx 6 hours after the injection. At approx 8:30 PM, I was lying in bed and both of my legs from the hips down started to shake violently. It did not feel like the chills as I was not cold and the rest of my body was unaffected. The shakes felt completely involuntary as if my brain was short circuiting. My legs shook so violently that my hip joints began to really hurt. Shaking lasted less than 30 minutes total. I am not sure what stopped the shaking, but I had tried to put my body weight over my legs (body folded in half) to try to stop the shaking and took 1 regular strength tylenol. After the shaking ended, up until I went to sleep (maybe 3-4 hours later) I felt some numbness and tingling in my finger tips and feet. The next day, I felt fine but emailed my Rheumatologist to report the shaking and she directed me to report it here.

Other Meds: Humira, Methotrexate (although I didn't take this for 2 weeks prior to vaccine)

Current Illness: Rheumatoid Arthritis

ID: 1084495
Sex: F
Age: 57
State: VA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: poultry Sulfa drugs, percocet, dilaudid, ancef

Symptom List: Nausea

Symptoms: Painful joints in feet and hands with swelling and redness, inflamation in bladder, exhaustion, restricted about of daily duties and chores due to pain in joints. The side effects have not gone away and my Rheumatologist is putting me on Humira to reduce this ongoing inflamation.

Other Meds: Omeprozole, Estrogen cream, Budesonide 0.6, ibuprophen

Current Illness: none

ID: 1084496
Sex: M
Age: 60
State: NJ

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Fever and headache. Felt flu-like for 24 hours. By Sunday morning I was fine

Other Meds: Metoprolol Tartrate Rosuvastatin Calcium Vascepa

Current Illness: None

ID: 1084497
Sex: F
Age: 71
State: OR

Vax Date: 02/26/2021
Onset Date: 03/04/2021
Rec V Date: 03/09/2021
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

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

Symptoms: I received my first shot of Moderna on the 26th of February. No problem, just achy arm, and fatigue. Then almost a week later on the 4th of March, I developed a very itchy round rash around the injection site. It is still red but not itchy today.

Other Meds: Multivitamin

Current Illness: None

ID: 1084498
Sex: M
Age: 39
State: MD

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/09/2021
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: Ear Ache

Other Meds: None

Current Illness: None

ID: 1084499
Sex: F
Age: 36
State: FL

Vax Date: 01/19/2021
Onset Date: 02/22/2021
Rec V Date: 03/09/2021
Hospital: Y

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

Lab Data:

Allergies: escargot and clindamycin

Symptom List: Tremor

Symptoms: 2/22: RLE started to swell, attempted to elevate overnight but no improvement 2/23: 2+ pitting edema in RLE warm to touch 2/24: 2+ pitting edema in RLE warm to touch, painful and SOB 2/24: went to er: dopper on Right leg and CT with contrast of chest 2/24: admitted to hospital for bilateral PE and DVT in RLE

Other Meds: plaquenil and neurotin

Current Illness: none

ID: 1084500
Sex: M
Age: 71
State: KY

Vax Date: 02/25/2021
Onset Date: 03/04/2021
Rec V Date: 03/09/2021
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: A week after my second dose for Covid 19 I started have diarrhea and it continued for days and I still have it. I am concerned because it won't stop. I am drinking lots of fluids so as not to dehydrate. I will call my Doctor if it does not stop after 7 days. I hope this is a minor side effect of a good vaccine. Thanks

Other Meds: Clopidogrel bisulfate , Ramipril Caps, Metoprolol Succinate Er Tab, Metformin Hcl, Glipizide,

Current Illness: NONE

ID: 1084502
Sex: F
Age: 33
State: TX

Vax Date: 03/02/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
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: None

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

Symptoms: No symptoms after first shot just itching and swelling at injection site

Other Meds: None

Current Illness: None

ID: 1084503
Sex: M
Age: 32
State: TN

Vax Date: 12/28/2020
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
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: NA

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

Symptoms: Received first dose of Pfizer COVID-19 vaccine on 12/28/20 and 2nd dose on 1/18/21, individual tolerated well. Traveled on 3/5/21-3/7/21. Individual is asymptomatic and tested positive for COVID-19 PCR on 3/8/21 during a routine screening test.

Other Meds: NA

Current Illness: NA

ID: 1084504
Sex: F
Age: 65
State: MI

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
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: Sulfa & Clindamycin - rash, Penicillin & Minocycline - vomiting, Levaquin - muscle aches

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 4" long rash, 1.5" wide on the bottom of the left arm, warm and sore to the touch with a lumpy feeling that isn't visible. Taking an antihistamine for a week, which has taken care of most of the rash, but the lump is still there upon palpitation

Other Meds: Fenofibrate - a.m., Advil - p.m., Meloxicam - p.m.

Current Illness: none

ID: 1084505
Sex: M
Age: 82
State: VA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Inability to urinate 12 hours after the shot, frequent bowel movements (not diarrhea) Severe bladder pain the next morning. Catheter relief at Urgent Care in early morning. Doctor prescribed antibiotic. Saw Urologist on March 8. No infection was found. Urologist believes that the excess bloating may have impacted my enlarged prostate which in turn restricted the bladder. arc u

Other Meds: Flomax, Eliquis, atorvastatin, collagen, METAMUCIL

Current Illness: none

ID: 1084506
Sex: F
Age: 62
State: MI

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
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: acetaminophen, adhesive tape, atorvastatin, bacitracin, celecoxib, cephalexin, citalopram, erthromcycin, gabapentin, hydrocodone, ibuprofen, levofloxacin, meloxicam, morphine, neomycin, penicillin, polymyxin, pregabalin, rofecoxib, sultamethoxazole-trimethoprim, and valdecoxib.

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

Symptoms: Seven minutes after receiving the Pfizer Covid 19 vaccine the patient reported having the feeling of being high lasting 10 minutes, elevated heart rate, dizziness and weakness for 1-2 minutes length, blurred vision and "brain fog" lasting for about 24 hours

Other Meds: Ventolin inhaler prn, Fosamax, Xanax prn, Wellbutrin xl, tegretol, flexeril prn, Benadryl, Synthroid, Toprol xl, oxymetazoline nasal spray, crestor, Imitrex, dyazide, vitamins B1, B6 and B12.

Current Illness:

ID: 1084507
Sex: M
Age: 68
State: MA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
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 chills (shivering) started at 11:30 p.m. on May 8, 2021 Temperature was only 99.5 degrees By 1:00 a.m., March 9, fever was 101.5 degrees By 2:30 a.m. May 9, 2021 fever was 102.5 degrees By 4:00 a.m., March 9, 2021fever had reduced to 101.5 degrees By 9:00 a.m., March 9, 2021 fever had reduced to 99.6 degrees

Other Meds: 12.5 mg metoprolol SUCC ER 15 mg lisinopril 10 mg Pravastatin 81 mg baby aspirin Timolol eyedrop, one eye/once a day

Current Illness: None

ID: 1084508
Sex: F
Age: 56
State: IN

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Pain and swelling at injection site. Nausea Muscle aches Earaches Joint pain Chills Tiredness Fatigue

Other Meds: Calcium supplement with vitamin D amlodipine atorvastatin escitalopram tamoxifen

Current Illness: None

ID: 1084509
Sex: F
Age: 71
State: IN

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/09/2021
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: DAYPRO 1ST Shot was on 2/2/2021, no issues.

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

Symptoms: No adverse event from 1st shot (2/2/2021). Second shot right arm on (3/2/2021). On 3/3/2021 body aches, very tired, arm shot location very sore & hot. Body aches & very tired lasted 1 day. Arm shot location very sore & hot for 6 days.

Other Meds: BENAZEPRIL 10MG, HYDROCHLOROTHIAZIDE 6MG, ATORVASTATIN 10MG, FLUOXETIN 40MG, ESOMEPRAZOLE 40MG, STALARA 45MG, ASPIRIN 81MG, GUAIFENESIN 1200MG, MULTIVITAMIN

Current Illness: SINUS INFECTION

ID: 1084510
Sex: F
Age: 50
State: IN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
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: Onset 9 hours after vaccine. Low grade fever of 100. Body aches. Chills. Headache. Fatigue - extreme. Still ongoing now at day 5.

Other Meds: Nothing

Current Illness:

ID: 1084511
Sex: F
Age: 83
State: SC

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/09/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: PCN

Symptom List: Vomiting

Symptoms: Per MD/PA report: Received 2nd vaccine on 3/5/21. That evening, began to have diffuse myalgias, became too weak to get up from being seated and could not walk. Was admitted to the hospital for rhabdomyolysis. Hydrated.

Other Meds: ASA 81mg, enalapril, HCTZ, metformin, metoprolol,simvastatin

Current Illness:

ID: 1084512
Sex: F
Age: 55
State: CA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/09/2021
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: Dizzy, saw black spots in visual fields, felt short of breath

Other Meds: Hydrochlorothiazide, Amlodipine,

Current Illness:

ID: 1084513
Sex: M
Age: 28
State: MD

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/09/2021
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: no

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

Symptoms: diaphoresis, hypotention, bradycardia, dizzy. likely vasovagal/presyncope 2/2 seeing blood after admin of vaccine

Other Meds:

Current Illness:

ID: 1084514
Sex: M
Age: 68
State: MD

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/09/2021
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: latex, arthrotec, fluconazole, sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: allergic reaction - macular papular red rash over chest/abdomen/arms

Other Meds: spironolactone 100 mg., hydrocodone-acetaminophen 10-325, albuteral inhaler,

Current Illness:

ID: 1084515
Sex: M
Age: 46
State: MA

Vax Date: 02/23/2021
Onset Date: 03/03/2021
Rec V Date: 03/09/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Moderna COVID-19 Vaccine EUA Very itchy skin with circular blisters and other rash appeared 1 week after vaccination. On back, shoulders, and legs. Extremely itchy and may bleed if scratched. Swollen feet appeared a few days after onset of rash, including swollen, red toes that are sensitive to touch and feel hot. Patient does have occasional gout and guttate psoriasis, however, no symptoms reported prior to vaccination. Patient has no fever.

Other Meds: ZyrtecD

Current Illness: None

ID: 1084516
Sex: M
Age: 81
State: VA

Vax Date: 02/27/2021
Onset Date: 03/04/2021
Rec V Date: 03/09/2021
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: Sulphur

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

Symptoms: 4 days after second short arm of shot ballooned such that no features can be distinguished. Visited Doctor twice but they had not seen anything like this. They ordered scan on left arm for possible blood clots; negative. Prescribed Benadryl every 8 hours, taken for thee days but no relief from sever swelling. It is now 7 days since the arm first swelled up.

Other Meds: many

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm