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: 1087194
Sex: M
Age: 66
State: TN

Vax Date: 02/24/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: covid arm.....rash 5 inches long beneath vaccination site, 3 inches wide appeared at day 13 after 1st moderna vaccination shot did internet search , decided to wait it out, and not go to doctor.

Other Meds: 2000 metformin daily, lisinopril, astazenthin, lutein, 10mg loratidine

Current Illness: none

ID: 1087195
Sex: F
Age: 24
State: MD

Vax Date: 02/09/2021
Onset Date: 02/23/2021
Rec V Date: 03/10/2021
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: NA

Symptom List: Anxiety, Dyspnoea

Symptoms: Pityriasis Rosea

Other Meds: NA

Current Illness: NA

ID: 1087196
Sex: F
Age: 51
State: AK

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
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: None

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

Symptoms: Approx. 11 hours post-injection I began to feel slight body aches, followed by chills. Within an hour after onset, I was shivering uncontrollably so added layers and hat under my down comforter. I awoke 4-5 hours later drenched in sweat with a slight fever. I drank some water and went back to sleep. Over the next ~60 hours I slept, only waking for about an hour at a time for a total of 6 hours, with slight nausea. My fever spiked at 101.4F before subsiding around hour 50. Took 2 acetaminophen around hour 36 and again around hour 48. Headache began around 36 hours. On 3rd day I was able to stay awake but was light-headed most of day. Finally on 4th I began to feel like myself again.

Other Meds: Armour Thyroid 45mg, Magnesium Taurate 250mg, vit. D 125mcg, vit. C 1000mg, Co-Q-10 100mg, daily multivitamin

Current Illness: none

ID: 1087197
Sex: F
Age: 42
State: WA

Vax Date: 02/27/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chills, extreme body aches, fever, headache.

Other Meds: None

Current Illness: None

ID: 1087198
Sex: F
Age: 69
State: CA

Vax Date: 03/01/2021
Onset Date: 03/05/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Codeine Toradol Sulfa drugs

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

Symptoms: Oral Thrush symptoms ( mouth blisters, redness,stinging) began 3/5/21, worsened over the next few days, was diagnosed by urgent care doctor on 3/7/21.

Other Meds: Potassium CL ER 10meq Daily Vitamin Chlorthalidone 25mg. Fibermucil Melixicam 15mg Nexium Probiotics

Current Illness: None

ID: 1087199
Sex: F
Age: 51
State: WA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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:

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

Symptoms: Patient reported tongue swelling, swollen lips, shortness of breath, hives. Ended up going to ER. Was given Epi, fluids and steroids.

Other Meds:

Current Illness:

ID: 1087200
Sex: F
Age: 53
State: CO

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/10/2021
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: Latex

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever, achy for 4-5 days in hips and joints. 8 days later red spot that grew at injection site... COVID RED ARM, raised spot that itched and was HOT, and hurt.

Other Meds: Panprozol, venaflaxine,

Current Illness: None

ID: 1087201
Sex: F
Age: 44
State: CA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/10/2021
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: Pharyngeal swelling

Symptoms: Red rash approximately 4 inches around at the injection site with a burning sensation which began 1 week after vaccinatiom

Other Meds: Metoprolol, aspirin, multi vitamin, calcium supplement, iron supplement

Current Illness: None

ID: 1087202
Sex: F
Age: 67
State: NV

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NONE

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: THE PATIENT RECEIVED THE EXPIRED VACCINE. SHE REPORTED SORE ARM AFTER VACCINATION.

Other Meds: NONE.

Current Illness: NONE

ID: 1087203
Sex: F
Age: 50
State: CA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: Comparing, tetracycline, erythromycin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Facial twitches and numbness (mild, on and off) on side vaccine was given. Warm feeling in throat and metal taste in mouth (both of these have gone). Twitches and mild numbness still happening.

Other Meds: Futicasone nasal spray, levothyroxcine, multivitamin, cranberry vitamin, probiotics

Current Illness: Uti in February 2021

ID: 1087204
Sex: F
Age: 46
State: NV

Vax Date: 01/23/2021
Onset Date: 02/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Complete left ear hearing loss two weeks after vaccine #1

Other Meds: Multi Vitamins and Biotin

Current Illness: Positive for COVID-19 September 24, 2020

ID: 1087205
Sex: F
Age: 75
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/10/2021
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: Reaction to sulfa drugs - hives

Symptom List: Rash, Urticaria

Symptoms: Muscle pain in extremities, headache, chills, sweats,fatigue, loss of appetite within 8 hours of injection. Overall malaise for following 3 days

Other Meds: Chlorthalidone, Irbesartan, Aspirin, Atorvastatin, Estrace Cream, calcium citrate, magnesium, probiotic

Current Illness: None

ID: 1087206
Sex: F
Age: 35
State: NM

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/10/2021
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: THE FIRST 2 DAYS I HAVE PAIN ON THE ARM, ON THE THIRD DAY I STARTED WITH SWELLING. SINCE MARCH 3RD I HAVE A RED LESION AROUND THE INJECTION SITE

Other Meds:

Current Illness:

ID: 1087207
Sex: F
Age: 65
State: IN

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/10/2021
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: The day after the vaccination my legs felt weak, that feeling went away in a day I believe. At night my feet are usually cold but I noticed An increased numbness in my toes and tingling. The tingling was daily not just at night . I saw Dr. the end of February for another issue and just mentioned in the past 2 weeks increased tingling in my feet and up to lower half of my legs. I was also having shooting pains in my feet which seems to be getting worse as of today. I?ll call Dr. to report this tomorrow. The pain keeps me awake at night and even wakes me up.

Other Meds: Nifedipine, lisinopril,metoprolol,serteraline, Prilosec, folic acid, vitamin B12, vitamin D

Current Illness: None

ID: 1087208
Sex: F
Age: 37
State: CA

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: Macrobid - severe itching

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

Symptoms: Headache - took Ibuprofen 400 mgs and Headache did not go away Fatigue - hours after vaccine and has continued Nausea - occurred 3 days after vaccine

Other Meds: Rosuvastatin 10 mgs Red Yeast Rice 1200mgs Omeprazole Dr 400 mgs (1 month treatment) Terbinafine Hydrochloride 250mgs (3 month treatment)

Current Illness:

ID: 1087209
Sex: F
Age: 56
State: IN

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/10/2021
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: Fatigued, heaviness to vaccination site, chills, low grade fever, chest pain, heaviness, pressure and left upper arm pain that is still on as I am reporting this side effect today.

Other Meds: Diabetic meds

Current Illness: Diabetes

ID: 1087210
Sex: M
Age: 65
State: AZ

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: Amoxcillin, Sulfamethrxazole-Trimethroprim, Tamsulosine &Finasteride, Amitriptyline, Brimonidine Tartrate and Combigan

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

Symptoms: For the first time in my life, I had blood in my stool. At 10 pm on the same day of my injection. 03/09/2021.

Other Meds: Timolol Maleate taken at 9:00 am on same day of vaccine.

Current Illness: None

ID: 1087211
Sex: F
Age: 70
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Amoxicillin Augmentin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fatigue, body aches, headache, chills

Other Meds: Multi vitamin Vit d Fish oil Red yeast rice Coq10 Circumin Valacyclovir

Current Illness:

ID: 1087212
Sex: F
Age: 18
State: CA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: At 1405, Patient was sitting in observation room after receiving first dose of Pfizer. Patient slide down from the chair to the floor and was assisted by her grandmother as well. I immediately went to the patient aide, and she awoke quickly to my voice. I asked the patient for her name and she stated her name. I asked her DOB and she identified her DOB. I asked her if she had any allergies and she denied. I asked the patient if she had any medical conditions, and she denied. I asked the patient if she has ever fainted before and she stated "yes", she has an extreme fear of needles. I also asked the patient if she had eaten anything and she stated, yes, we just had lunch. While I was asking the patient these questions, I assessed the Patient pulse and it was 110, and respiratory was 16. I then asked the patient to focus on her breathing and took the patient Vital Signs. 138/58, HR 78, Resp 16.Auscultated anterior fields, lungs were. clear, no advantageous sounds heard. The patient remained on the floor while asking the questions and assessing the patient. The charge nurse and the LVN, placed the patients feet up on the chair. I then asked the patient how she felt and she stated she was fine, I assisted the patient to a sitting position and asked her how she felt and she stated fine, and then we went to a standing position and she stated she was fine. I then assisted the patient to the chair, provided water and also a cool ice pack. Patient continued to have normal conversation with myself and her grandmother. A few minutes later, the patient appear to look like she was going to vomit, I then immediately provided the trash can to the patient. I also assisted the patient with cleaning the patients hands and right arm, where vomit was. Provided Clean hand wipes, and hand sanitizer. The patient remained stable, and 30 minutes later walked to the car with her grandmother and went home.

Other Meds: N/A

Current Illness: N/A

ID: 1087213
Sex: F
Age: 48
State: CA

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Itchy, red, hot welt at site of injection

Other Meds: Metformin

Current Illness: None

ID: 1087214
Sex: F
Age: 43
State: IL

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: No

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

Symptoms: Dry mouth. Soreness & pain in arm of injection, shoulder & neck stiffness & muscle pain, tiredness. From 30 minutes after injection & continuous throughout the day & night. While these are not severe, because of the lack of time given for proper research, I felt reporting any side effects (even minor ones) were important for your research & statistics.

Other Meds: Vitamin D, Ibuprofen, Adderall, Plaquenil, Trazodone, high blood pressure medication, Lexipro.

Current Illness: Sinusitis

ID: 1087215
Sex: M
Age: 68
State: NV

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Wheat, house dust, penicillins

Symptom List: Unevaluable event

Symptoms: Because of the absurd character limit in this field, I am putting my adverse reaction statement on the continuation page. About 10pm, about 9 hours post injection, I was feeling weak and fatigued. I went to bed and was starting to feel chilled, but not shaking. I hopped into bed and turned on my electric blanket in a room that was 75? (from passive solar house heating during the day) and wearing only a T-shirt, sweat shirt, and sweat pants. The first post-vaccination symptom I experienced was when I laid down and my right upper arm (at the point of the injection) was very sore; it was too painful to lie on my right side. The injection area felt hard. I fell asleep about 11pm and woke up about midnight; I am generally a very light sleeper, rarely sleeping more than ~3? hours (most less than) at a time. At 1:30am, I could not sleep so I watched a recorded movie. All the while, I was feeling progressively worse. About 2:30am, I felt really chilled, so I cranked up the electric blanket to its highest setting and put on some heavy wool socks, a pair of long-johns under my sweat pants, put on another heavy sweatshirt over my existing sweatshirt, and placed another blanket on top of my electric blanket: very cold / chilled but not shivering. The movie ended about 3am, and my stomach was excruciatingly aching. I did not feel I could eat anything which I really felt a need to do, but was concerned that I would just vomit. However, I did take two, 500mg Tylenol tablets with a half a glass of water. I might have slept for an hour or so, but was quite restless. I remember looking at the clock at 4:00am. By 5am, it was considering calling 911; my stomach ached so badly. It was then, that I had the feeling / recollection I had this "illness" before. About 5:30am, my stomach symptoms started to ameliorate; by 7:30am, they were gone. However, I still felt miserable. I then wondered whether my stomach symptom was just a concomitant bout with "stomach flu" where I experienced (severe) abdominal cramps and pain; nausea; and low-grade fever. I have had the stomach flu a limited number of times before and, after 6? hours, it all went away: I just had to suck it up in the meantime. Before I filled out this report, I wanted to consider whether my stomach flu was a reaction to the vaccination or incidental to the vaccination. However, after talking with my neighbors and my sister's friend, who also had the Moderna vaccination, three of the four "victims" had similar symptoms to me. Thus, I deduced I did not have a bout with stomach flu. Additionally, a dog walking partner, who is a rescue worker, also noted folks she knew also had similar symptoms with the Moderna vaccine. I then started wondering what kind of artificial cocktail, a.k.a.: antifreeze, was the suspending medium for the vaccine. If this has to be stored at absurdly low temperatures? I commonly have negative reactions to artificial chemicals. The minor surgeries I have had are uneventful but for the anesthesia chemical concoction I am given. I commonly takes me more then 2-3 days to detoxify that and feel ?normal.' As in this case, I pretty much laid in bed for the next 2? days, with no energy or desire to attend to personal issues, including walking my dogs. However, my subclinical temperature was pretty much gone after the second day. The notable soreness in my arm was mostly gone after two days, but the injection point was still sensitive to pressing on top of the injection site: I could still feel it. I have a very high tolerance for pain and have never experienced anything like this. "Pain" from flu, etc., shots rarely, if ever, lasts more than 10-15 minutes post injection. There was definitely something in the suspension media that reacted with my body chemistry / biological processes. I am NOT looking forward to the booster shot; most seem to have a reaction to the second shot that is worse than the first ? unless their first shot was uneventful and the second shot had considerably milder reactions than my first shot. The next time I will definitely have a bowl or two of jell-O in the refrigerator to help quell any (expected) gut reactions; jell-O has always been a comfort food for me in those situations. What a horribly designed survey?. This is next to impossible to complete online. After timing out twice, I had to start over and opted to download the fillable form PDF. Even then, I am not given the option to select the subdirectory _where_ it should be downloaded. Fortunately, I saw the option to open it directly. If you are going to make the "adverse reaction" field so limited, relative to field size and the absurd online time limit, how can you expect meaningful, complete reporting of post-vaccination reactions? This form CANNOT be fully completed in the time allotted without timing out. This is, most certainly, a deterrent to adverse reaction reporting. One has to wonder how many folks just gave up after getting timed out the first time. With this kind of disincentive, how good or complete or meaningful is the adverse data collection procedure? Have you purged all the supporters? They do not like real, accurate, objective data, particularly information that is not consistent what they want to believe or the narrative they want to spin. No respectable scientist or decent journalist would accept third-rate data. How can public interest decisions be made with a shoddy data collection effort?

Other Meds: I take Prilosec (Omeprazole), Muscinex, Vitamin C & D, et. al.

Current Illness: None, other than bronchiectisis (a chronic condition in my lun

ID: 1087216
Sex: F
Age: 56
State: CA

Vax Date: 03/03/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA Rashes appeared on both legs one day after first dose of vaccine. Rashes are slightly raised and slightly itchy.

Other Meds: Levothyroxine, loratidine, prempro, hydrocortisone

Current Illness:

ID: 1087217
Sex: M
Age: 60
State:

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/10/2021
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: I read today of "covid arm," as described in an article about a symptom that may arise for those who got the Moderna vaccine. I simply wish to share my reaction for the sake of the statistics. The evening after I took the first shot of the vaccine I had a hard red bump on my arm near the injection site. My arm ached that night, and was notably better already in the morning, without aches the following day. The blister was gone the next day. I'm relatively healthy, trail run and get strenuous exercise usually twice a week.

Other Meds:

Current Illness:

ID: 1087218
Sex: F
Age: 72
State: CA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Z Pack

Symptom List: Injection site pain, Menorrhagia

Symptoms: Continuous freezing chills, muscle/Bone sore. Nausea, spiked Fever. Similar to a heavy 36 hour Flu. Redness/Pain on left Arm injection site. still there and hurts and itches Took Tylenol Extra strength, Motrin 800mg alternating. Fluid. Rest. Symptoms eased late Sunday night. Stayed in bed till Monday 11:00am All better

Other Meds: Premarin, Armour Thyroid, Claritin, Tylenol, Motrin, OneADay Vitamin, Magnesium

Current Illness: N/A

ID: 1087219
Sex: F
Age: 66
State: IA

Vax Date: 02/21/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: Codeine

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

Symptoms: Vertigo/dizziness, severe upon arising from bed, lessening as day goes on Slight headache at back of head Slight tinnitus Fatigue Yawning

Other Meds: Levothyroxine Citalopram Vitamin D Calcium Vitamin C Multi-vitamin

Current Illness: None

ID: 1087220
Sex: F
Age: 42
State:

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 03/10/2021
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: Kerosene allergy Cleaning supplies - oxy clean, fabuloso Eucalyptus Sulphites

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Brain fog, fatigue, rapid heart beat, headache, late period, spotting mid cycle, pain in arm, joint pain

Other Meds: Albuterol

Current Illness:

ID: 1087221
Sex: F
Age: 37
State: AL

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

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

Lab Data:

Allergies: Cipro - Hives Doxycycline - N/V Eggs - N/V Gluten sensitivity

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Flu-like symptoms, stabbing chest pain, dizziness, fatigue, rash, and wheezing that developed around 0930 on 3/9.

Other Meds: Dessicated Thyroid 15mg PO Daily; fish oil PO daily; multivitamin PO daily; probiotic PO daily; Vitamin C PO daily

Current Illness: n/a

ID: 1087222
Sex: F
Age: 46
State: NY

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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

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

Symptoms: My left arm where I had a COVID-19 shot started swelling with redness and itchiness 2 days ago. Redness/swelling is about 11cm. Symptoms started a week after the shot was given and it seems like the redness/swelling is getting worse since it started 2 days ago.

Other Meds: Syntheroid 75mcg

Current Illness: none

ID: 1087223
Sex: F
Age: 56
State: FL

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Levaquin, Injected iodine, metformin

Symptom List: Nausea

Symptoms: Headaches, Hives, muscles and joint aches, pain on injection site.

Other Meds: None

Current Illness: B Cell Follicular Lymphoma, Iron Deficiency Anemia

ID: 1087224
Sex: F
Age: 20
State: CA

Vax Date: 02/17/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
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: No rash on injection site. However rash on both legs and one arm had rash on elbow. The rash became dark purple and very large. I was taking Benedryl, Hydrocortisone and Calamile lotion over the counter with no improvement. I went to the doctors, he prescribed a steroid, the rash lightened however back pain started, accompanied with stomach aches. Now I have a heaviness on my chest that hurts. It feels like my rib cage or my bones hurt.

Other Meds: none

Current Illness: none

ID: 1087225
Sex: M
Age: 67
State: CA

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Headache, chills, slight fever 99.5, shivering, upset stomach, thirsty

Other Meds: Atvorstatin 20 mg and 81 mg aspirin

Current Illness: None

ID: 1087226
Sex: M
Age: 77
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/10/2021
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: Inhaling Metallic dust

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

Symptoms: Bitter Metallic Taste in my mouth. Lasted 24 hrs, and abated completely.

Other Meds: Insulin (Humalog and Lantus), Cozaar, Felodipine, Atovastatin, Fenastradide, Aspirin 80mg Vitamins (C, D, E, Multi, B=Complex, B12), Primrose oil tabs, Alpha-lypoic acid, Lutein

Current Illness: None

ID: 1087227
Sex: F
Age: 66
State: CA

Vax Date: 02/26/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Swelling and redness at the injection site

Other Meds: Various

Current Illness: None

ID: 1087228
Sex: F
Age: 27
State: CA

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: Nausea, fatigue, arm pain, and intense itchiness on arm

Other Meds: None

Current Illness: None

ID: 1087229
Sex: F
Age: 35
State: CO

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: Cippro makes me hallucinate.

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

Symptoms: 0-12 hours in I felt mild light headedness and had citrusy metallic taste in my mouth. Went to bed at 11pm and woke up at 10am. Did nothing for it. 12-36 hours in I had waves of nausea every couple hours, fatigue, general aches, and swollen lymph. Swollen and painful at site of injection. Right arm hurt. Taste was restored to normal when I woke up. I vomited after eating eggs at 2pm (26 hours after injection). 36- 48 hours mild waves of nausea, sweating, swollen lymph, mild congestion, mild asthma symptoms, full body/joint aches, and left ear ache-felt like ear infection painful to touch. Arm still sore and swollen. Feels like a mild common cold. 48 - 60 hours everything seems to have cleared up. Still slightly swollen lymph and tenderness/ swelling/ lump at injection site.

Other Meds: None

Current Illness: None

ID: 1087230
Sex: M
Age: 51
State: IN

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Back and chest muscle tightness

Other Meds: Vitamin C. Vitamin D3. Zinc.

Current Illness: None

ID: 1087231
Sex: F
Age: 22
State: CA

Vax Date: 03/02/2021
Onset Date: 03/09/2021
Rec V Date: 03/10/2021
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: A week after I received first shot arm swelled, became itchy, hot to touch, and began to hurt a bit again.

Other Meds: None

Current Illness: None

ID: 1087232
Sex: F
Age: 47
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 03/10/2021
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: Penicillin, ampicillin, dilaudid

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

Symptoms: Received vaccine approximately 1pm on 2/1/21, at 11pm I felt fatigued, took two Tylenols. I awakened with chills on 2/2/21 at 4am, took Tylenol. Around 11am on 2/2/21, I became nauseated, fever of 99.8, severe muscle aches over entire body, headache. Nausea subsided by 2/3/21, all other symptoms continued and new symptom of breast tenderness. On the evening of 2/3/21,approximately 6pm, lower lip began to swell. The lip swelling subsided by next morning on 2/4/21. I alternated Tylenol and Ibuprofen from the evening of 2/1/21- 2/3/21.

Other Meds: No daily prescribed medications or herbal remedies

Current Illness: No illness at the time or one month prior

ID: 1087233
Sex: M
Age: 40
State:

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Following 1 week of the normal symptoms, 2 weeks of weakness, muscle pain and mild depression.

Other Meds: Vitamin D, B

Current Illness: None

ID: 1087234
Sex: M
Age: 53
State: IN

Vax Date: 03/01/2021
Onset Date: 03/03/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: IVP dye Lasix

Symptom List: Pain in extremity

Symptoms: Joint pain in elbow and wrist paralysis in fingers

Other Meds: Amlodipine velphoro metoprolol lokalma

Current Illness: ESRD with Dialysis

ID: 1087235
Sex: F
Age: 44
State: TX

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: coconut, antibiotics made with sulfa like bactrum

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

Symptoms: caused lymphodema on my right side. Lymph nodes removed in 2019 during unilateral masectomy

Other Meds: Albueterol inhaler

Current Illness: Na

ID: 1087236
Sex: M
Age: 24
State: MN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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: Fever (101f), body aches all over, headache

Other Meds:

Current Illness:

ID: 1087237
Sex: F
Age: 53
State: MD

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/10/2021
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: NA

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

Symptoms: 9 hours after shot - Sudden on set chills. and shaking that lasted for more than hour. Followed by vomiting and headache. Headache continued through night. Next 2 days I had fatigue and nausea. Mid day on March 8, I developed swollen bottom lip and on morning of March 9 had hives under lower lip, chin, neck and itchy feeling on neck and face.

Other Meds: NA

Current Illness: NA

ID: 1087238
Sex: M
Age: 37
State: CA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Fatigue, weakness, hot flashes, pain in left shoulder within 24 hours of shot, and woke up drenched in sweat 36 hours after the shot. 48 hours after the shot was still feeling fatigue and weakness, although it had subsided during the day. Face was red and was sweating 48 hours after the shot. Symptoms had mostly subsided within 72 hours.

Other Meds:

Current Illness:

ID: 1087239
Sex: F
Age: 45
State: OR

Vax Date: 02/28/2021
Onset Date: 03/08/2021
Rec V Date: 03/10/2021
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: Injection site localized lump with slight surrounding inflammation and some redness. Sometimes it aches and sometimes it itches.

Other Meds: Mirena IUD

Current Illness: None

ID: 1087240
Sex: F
Age: 49
State: AL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 03/10/2021
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, wasp and bee stings

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

Symptoms: I developed a severe headache, fatigue, body aches that lasted 2 1/2 days. I had facial swelling and hand swelling. on the 7 day I developed a rash all over my back, rash on both forearms and developed a localized red, warm, painful itching area at the injection site.

Other Meds: metformin, celexa, progesterone, estrogene, testosterone, protonix, ambien, Ca with Vit d, Vit D 50,000u, zinc, singular, fexofenadine, flonase NS

Current Illness:

ID: 1087241
Sex: M
Age: 59
State: IL

Vax Date: 03/05/2021
Onset Date:
Rec V Date: 03/10/2021
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: 3/10/20221 l:26 AM STILL having severe pain around the kidney area on left side.

Other Meds:

Current Illness:

ID: 1087242
Sex: F
Age: 46
State: TX

Vax Date: 03/07/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, entax, erythromyocin

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

Symptoms: Broke out in hives across the upper chest, neck and side of cheek. Hives also below the bra line into the upper abdominal area and on the dorsal side on the sacral area. Confirmed with tele-nurse to take a single dose of Benadryl and to report this to this site.

Other Meds: None

Current Illness: None.

ID: 1087243
Sex: F
Age: 35
State: NY

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/10/2021
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: Patient developed generalized itchiness and nausea 2 minutes after getting vaccine. She has history of food , sulfa, cipro, fluconazole. No rash/hives. Vital signs BP 134/88, Pulse 108, Resp rate 24. EMS was notified and because one team was out transport 911 had to be called. She received epi pen from POD at 1:10AM in Left lateral thigh. VSS. A few minutes later still reported generalized itching and was given Benadryl 50mg PO tablet. FD paramedics on scene and administered IV benadryl, patient became nauseous and dry heaved. She was transported patient to Hospital in the village.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm