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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1087488
Sex: M
Age: 63
State: MN

Vax Date: 01/11/2021
Onset Date: 01/26/2021
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: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Abrupt onset of purely sensory neuropathy in tibial nerve distribution bilaterally in legs. Subsequent development a week later of purely sensory neuropathy in both arms and hands mainly in ulnar nerve distribution, and to a lesser extent median nerve distribution.

Other Meds: None

Current Illness: None

ID: 1087489
Sex: F
Age: 51
State: IN

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: I had a pretty bad reaction to the shot got the shakes and aches was up and down about every 20 minutes head was pounding felt like my brain was on fire fever finally broke about 6am next morning woke up totally drenched and sweat

Other Meds:

Current Illness:

ID: 1087490
Sex: F
Age: 48
State: OH

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: At 11:30pm on 3/9/2021 over 12 hours after my 1st COVID-19 vaccine , I awakened from my bed and went into my bathroom to urinate. As I was using the restroom, I noticed my arm where I got the vaccine was very sore, and raised it slightly. Immediately after raising my arm, I became very dizzy and passed out, fell off of the toilet and hit the left side of my temple and eye on the marble ledge of my shower. As I came to, my whole body had chills and I was shaking. I applied a cold compress and took 2 Tylenol. I alternated between sweating and chills for the rest of the night. The next morning I had a headache and felt fatigued, but the dizziness had subsided and I rested.

Other Meds: None

Current Illness: No

ID: 1087491
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chest tightness/pain, headache, body aches, rash, fever and chills

Other Meds: Snythroid, melatonin and spirolactane

Current Illness: None

ID: 1087492
Sex: F
Age: 48
State:

Vax Date: 03/09/2021
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:

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

Symptoms: Chest pain, neck pain, tongue and throat felt "strange" Dizziness, Headache, Lightheadedness, Weakness Requires emergency room visit or hospitalization Shortness of Breath, Myalgia

Other Meds:

Current Illness:

ID: 1087493
Sex: F
Age: 70
State: NH

Vax Date: 03/06/2021
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: None

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

Symptoms: As reported, 10 days after my first does of Modern I had shingles. It took two weeks for it to be subdued. I still have healing scabs. NOW - Three days after my second dose of Moderna I had a rash on my neck and front/back of my upper torso. 24 hours later the rash is fading. I have no other reactions at this time.

Other Meds: Statin

Current Illness: None

ID: 1087494
Sex: F
Age: 26
State: IA

Vax Date: 03/09/2021
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: Sulfa, Gluten, Lactose, Latex

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Severe joint pain, severe muscle pain, fever 100.5, swelling in joints, and headache started at around 2pm of the same day of vaccination and continued into the night. Took 600mg of ibuprofen every 4 hours to control pain. After second round of ibuprofen pain was tolerable. Day 2: when going off of ibuprofen severe pain returns with limited mobility again. Will continue ibuprofen for day 2.

Other Meds: Methotrexate, Singulair, Omeprozole, Norethindrone, Carbinoxamine, multivitamin.

Current Illness:

ID: 1087495
Sex: F
Age: 52
State: IN

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: LA

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: 8 hours after vaccination: Body aches Fever Diarrhea Headache....... all lasted for 12 hours

Other Meds: Effexor

Current Illness: None

ID: 1087496
Sex: M
Age: 69
State: LA

Vax Date: 03/09/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: head ache , dizziness , upset stomach , weakness , loss of balance , soreness in shoulder/joint lasted about 12 hours

Other Meds: rosuvastatin lisinopril

Current Illness:

ID: 1087497
Sex: F
Age: 70
State: NH

Vax Date: 02/23/2021
Onset Date: 02/24/2021
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: sulpha drugs, mushrooms

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fist-size red "bruise", achy on Day 1, Area periodically itches, prickles or aches - rash briefly if I scratch it Occasional sharp pain in the area Still present 2 weeks later Cold sores around the mouth after the first week. Still present. Treated with abreve.

Other Meds: Famotidine, asthma inhaler, halobetasol

Current Illness: none

ID: 1087498
Sex: F
Age: 52
State: OK

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: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: on the 8th day after my first injection my arm started to ache and got very hot and swollen, not really red or rashy, but really hot and achy. Not a huge deal, but I think the data is important to you. Today is day nine, still hot rashy and swelling has gone down.

Other Meds: 2 Advil an hour before; Centrum silver earlier that morning. Zomig 5MG the day before

Current Illness: Occasional migraines.

ID: 1087499
Sex: M
Age: 51
State: IN

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: Headache, Fever (100.2), severe chills, severe body aches starting 12 hours after injection. Severe symptoms lasted 8 hours. Ibuprofen lessened symptoms. Symptoms gone 48 hours after injection.

Other Meds: none

Current Illness: none

ID: 1087500
Sex: M
Age: 53
State: IN

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:

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

Symptoms: High fever 102.3 following morning with significant body aches

Other Meds: Tramadol, Synthroid, pantropazol, Gabapentin,

Current Illness:

ID: 1087501
Sex: F
Age: 64
State: MO

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: NKDA

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

Symptoms: at 1420 pt reports having a runny nose, sweating, feeling hot and having sever lightheadedness. BP=127/85, P=83, T= 99, O2 sat 98%. Appears anxious. Stating "Oh my god. I can't believe I am having a reaction" multiple times. Fanning herself with her vaccine card frequently. Placed in front of a large fan by this RN. Pt states that the wind feels good. has stopped fanning herself. At 1430 reports mild lightheadedness, no sweating and reports she is ready to go . When this RN turned around pt was gone.

Other Meds: Atorvastatin, unknown BP med, Albuterol inhaler

Current Illness: N/A

ID: 1087502
Sex: M
Age: 70
State: FL

Vax Date: 02/21/2021
Onset Date: 02/25/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: eye dryness and itchiness. denies blurred vision or vision loss called md who recommended Claritin daily. Claritin has provided mild relief.

Other Meds: losartan bystolic amlodipine insulin

Current Illness:

ID: 1087503
Sex: F
Age: 91
State:

Vax Date: 02/06/2021
Onset Date: 02/14/2021
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:

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

Symptoms: Rash, itching, seeping in large circle around injection site, that cleared up and then it moved outward. Also, liquid under skin moving down through the arm until it was absorbed around and below elbow. Used Benadryl topical on arm and warm compresses.

Other Meds:

Current Illness:

ID: 1087504
Sex: M
Age: 55
State: IN

Vax Date: 03/08/2021
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: None

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

Symptoms: Fever and body aches.

Other Meds: Diltiazem, Lonergan, Omeprazole, Celecoxib, One A Day Vitamin, and Fish Oil

Current Illness: None

ID: 1087505
Sex: F
Age: 39
State: MA

Vax Date: 01/23/2021
Onset Date: 02/25/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Positive Covid PCR test after second vaccination.

Other Meds:

Current Illness:

ID: 1087507
Sex: F
Age: 47
State: IL

Vax Date: 03/08/2021
Onset Date: 03/09/2021
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: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Debilitating achiness in muscles and joints and headache

Other Meds: atorvastatin, fenofibrate, jolessa, lisinopril, bupropion, pristiq, alprazolam, advil, tylenol, vitamin c, vitamin d

Current Illness: none

ID: 1087508
Sex: F
Age: 23
State: MA

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

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

Symptoms: METALLIC TASTE IN MOUTH AFTER 13 MINUTES STAYED ADDITIONAL 7 MINUTES WITHOUT REACTION.

Other Meds:

Current Illness:

ID: 1087509
Sex: F
Age: 36
State: CT

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: NKA

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

Symptoms: Received shot at 2:15 pm and around 9:30 pm, I started to have the chills/shaking. It then went between chills to sweating profusely. I took Advil before going to bed. I have a slight heading now (9:00 am, 3/10/21).

Other Meds: Levothyroxine, Bupropion, Birth control, fish oil, Vitamin D and B12.

Current Illness: Tension headaches (prior)

ID: 1087510
Sex: F
Age: 19
State:

Vax Date: 03/09/2021
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:

Symptom List: Unevaluable event

Symptoms: About 5 min after the pt received her shot she stated the did not feel well. Pt was very pale the pt did pass out for a second and came back around on her own. Took her pulse and we took her BP 113/67 76. She was taken down to the ED for monitoring Dizziness, Headache, Lightheadedness, Loss of consciousness, Weakness, tachycardia flushing, tachycardia. Lip swelling 4 hrs after second Moderna Covid vaccine

Other Meds:

Current Illness:

ID: 1087511
Sex: F
Age: 30
State: IN

Vax Date: 03/03/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codine

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

Symptoms: About 10-24 hours after the injection, I began to develop itchy red bumps on my core (back, chest, abdomen primarily). I did not have any reaction at the injection site or anywhere on my left arm. The bumps are somewhat raised and rough and itch on and off throughout the day. It?s a mild itch most of the time. As of now, it?s been 1 week since my first injection and the bumps are still prevalent and itchy but not getting worse. I can?t be 100% sure it?s related to the vaccine but wanted to report it since skin reactions are known to occur in some people.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 1087512
Sex: F
Age: 24
State: UT

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: Intense body and joint aches all over my body. Fever hovering between 100.3 and 101.2

Other Meds:

Current Illness:

ID: 1087513
Sex: M
Age: 51
State: IN

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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Brutal headache day following

Other Meds: Lisinopril 20mg

Current Illness:

ID: 1087514
Sex: M
Age: 27
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Shellfish

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

Symptoms: Severe Diarrhea onset next day after first dose.

Other Meds: Garden of life vitamin code New rhythm probiotics 50 billion cfu

Current Illness: None

ID: 1087515
Sex: F
Age: 76
State: MA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: At 8:58 patient drinking water during obs report when swallowing she feels a lump in her throat. VS 165/85; 78; 99%. CAT call made. 9:07 pt reports no increase enclosure of throat. 100% o2 hr 84, ER nurse arrived assessment made, patient to ER for further observation.

Other Meds:

Current Illness:

ID: 1087516
Sex: F
Age: 30
State:

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Flu like symptoms on Day 5?sore throat, congestion, runny nose, headache, earache. No fever. Negative COVID test. Symptoms lasted 3 days.

Other Meds:

Current Illness:

ID: 1087518
Sex: M
Age: 36
State: NC

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Patient fell from chair to floor hitting head and sustaining small laceration above left eye. He also experienced mild seizure activity that lasted approx 10 seconds. Patient quickly regained consciousness and was assisted to triage area. BP 140/86, HR 82, O2 sat 97%RA. EMT came and assessed client and cleared him to leave. Client ambulated out of facility without difficulty

Other Meds: None

Current Illness: None

ID: 1087519
Sex: M
Age: 80
State: IN

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: RA

Lab Data:

Allergies: Nizoral, indosin

Symptom List: Nausea

Symptoms: Chills, body ache, headache, possible fever. All except headache were from 12a - 4a. Headache and "run over by a Mac truck" feeling continued throughout March 9. Feeling 95% normal on morning of March 10.

Other Meds: Metformin, amlodipine, losartan, simvastatin, Januvia, Dutasteride

Current Illness: None

ID: 1087520
Sex: F
Age: 56
State: IL

Vax Date: 03/03/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Open sore left side of face. Tingling Left Side of Face. Porcupine needle pricks all over body. Swollen face left side. Red Rash lower back, left side torso, thighs, upper back. THis started 2 days after the shot. It is now 1 week later and my left face is hurting around site of open sore that popped up. I have never had an open sore on my face. This is NEW.

Other Meds: Hodrocodone

Current Illness: None

ID: 1087521
Sex: F
Age: 48
State: MA

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

Lab Data:

Allergies:

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

Symptoms: Complained of tingling and throat tighness. Stretcher,v/s150/88,HR89, O2sat 100 on RA. Color, pink, warm and dry. reassurance offered. Discharged without issue.

Other Meds:

Current Illness:

ID: 1087522
Sex: F
Age:
State: FL

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: pcn - rash

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

Symptoms: this morning she noted a red blotch on her left eye sclera. her right eye is fine. she denies rubbing her eye, foreign body, or coughing or sneezing or force. instructed not likely related but asked to call back if worsening, vision loss, or blurred vision. wash hands well after touching face. call back prn.Followed up with patient today. She said that the red blotch in her eye is still there but not as red and can tell that it is going away. It doesn't bother her. She did contact her PCP and they told her that it is likely not related. She thanked me for my call. Will close case.

Other Meds: immunosuppressants-Stelara for ulcerative colitis Topamax Abilify Lamictal

Current Illness:

ID: 1087523
Sex: F
Age: 60
State: MI

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: Tremor

Symptoms: 60 year old female experienced increasednheart rate and SOB 8 minute after receiving vaccine, Patient is on 4 liters of 02. History of COPD & pulmonary hypertension, on list for lung transplant. EMS called

Other Meds: Furosemiee, Niredipine er, Atomrastom,spirira,proar, Advair

Current Illness:

ID: 1087524
Sex: M
Age: 60
State: SC

Vax Date: 03/01/2021
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: Niacin

Symptom List: Erythema, Pruritus

Symptoms: First two days, typical injection site soreness; third day my left shoulder joint had a tendonitis feel to it and it has progressively worsened such that range of motion is limited and certain movements very painful

Other Meds: Xarelto 10mg; Lisinopril 20 mg; rosuvastatin 10 mg

Current Illness:

ID: 1087525
Sex: F
Age: 19
State:

Vax Date: 01/30/2021
Onset Date: 01/30/2021
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:

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

Symptoms: Angioedema, Urticaria, hives, shortness of breath Developed facial swelling approx 3h after receipt of 1st-dose Moderna COVID-19 vaccine. Subsequently developed hives and trouble breathing.

Other Meds:

Current Illness:

ID: 1087526
Sex: F
Age: 33
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/01/2021
Rec V Date: 03/10/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfa Drugs

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

Symptoms: I received my second vaccination in the morning on 02-04-21. I visited my OBGYN that afternoon learned that I was approximately seven weeks pregnant, and that my baby was healthy with a heartbeat, I returned to the OBGYN four weeks later for my routine visit and leaned that the fetus had died around week 8, which was approximately one week after receiving the vaccine. I had no other issues or complications that would have contributed to my miscarriage.

Other Meds: Pre Natal Vitamin

Current Illness: None

ID: 1087527
Sex: M
Age: 68
State: NY

Vax Date: 02/09/2021
Onset Date: 03/08/2021
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: Hives and rash on torso.

Other Meds: Multi vitamin

Current Illness: none

ID: 1087528
Sex: F
Age: 68
State: MN

Vax Date: 03/09/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: all over body aches, extreme exhaustion and headache - tiredness noticed late afternoon - gradual progression to exhaustion - fever of 99.2 in the night and a residual head throb in the morning

Other Meds: vitamin d3 2000 units, multivitamin, Immune complex including mushrooms, omeprazole 20mg once daily.

Current Illness: none

ID: 1087529
Sex: F
Age: 72
State: IN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Metal allergy

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

Symptoms: General muscle soreness and body aches, chills and headaches, similar to ?coming down with the flu? - lasted 36 hours

Other Meds: Multi vitamin, timolol, Cq 10, glucosamine

Current Illness: None

ID: 1087530
Sex: F
Age: 28
State: MO

Vax Date: 03/04/2021
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: LA

Lab Data:

Allergies: No known allergies

Symptom List: Pain in extremity

Symptoms: "She is a 28 year-old female calling today with a chief complaint of a rash. Her symptoms started about three days ago. She got her first Pfizer covid-19 vaccine last Thursday, 5 days ago. 2 days later she started to develop some itching on the bottom of her foot and then shortly after started to develop a blotchy rash on the foot. She woke up today and now has a rash over the majority of her body, it is under her arms, on her chest, her knees, her sides, upper back, inguinal area and legs. She is not having any trouble breathing or swallowing. There is no chance she is pregnant. The rash is not itchy except for the small area on her foot. She took Benadryl once the first night she had some itching which helps."

Other Meds: None

Current Illness: None

ID: 1087531
Sex: F
Age: 63
State: NY

Vax Date: 02/26/2021
Onset Date: 02/27/2021
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: allergic to Sulfa drugs Seasonal allergies

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

Symptoms: headache, nausea, lightheaded, chills, tired, muscle bone pain (lower back and pelvis) lasted 10 days

Other Meds: Levothyroxine 88 mcg amitriptyline 10 mg Letrozole 2.5 mg Vitamin C 5,000 mg Calcium 333 mg B-Comples

Current Illness:

ID: 1087532
Sex: M
Age: 67
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penecillin

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

Symptoms: About 7am 6 Mar 21, about 20hours after injection severe joint pain, in all my joints fingers, toes, up to knees elbows, and even back and neck. I used Aleve for this and heating pad. Severe headache as well. No Fever. These symptoms lasted about 24 hours. On Monday about 8am I discovered red rash, 1/4 inch in diameter on face, back, arms and legs. which were widely dispersed and were itchy. Benadryl was used to relieve itching and ease clothing rubbing against the pustule like areas. Appear similar to an insect bite.

Other Meds: Rabeprazole, claritin, multivitamin

Current Illness: None

ID: 1087533
Sex: F
Age:
State: ME

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: Receive allergy shots for dust mites, cats, dogs, ragweed and grass

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

Symptoms: I became warm and flushed all over a few minutes after shot , then foggy feeling with congestion in sinus. I waited about 20 minutes and left I spoke to my allergist and he said that I had experienced mild anaphylaxis and should not take dose 2 of the vaccine

Other Meds: Singular. 10mg Hydrochlorothiazide 12.5 mg Amlodopine 10 mg Atenolol 25 mg

Current Illness: None

ID: 1087534
Sex: M
Age: 78
State: MI

Vax Date: 02/23/2021
Onset Date: 03/04/2021
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: SULFA

Symptom List: Vomiting

Symptoms: THURSDAY STARTED WITH CHILLS AND SEVERE BACK PAIN ALONG THE BELT LINE. HE CALLED (PCP). COMPLAINED OF SOB (SHORTNESS OF BREATH). NO FEVER. AUDIBLE SOB SO HEALTHCARE PROVIDER INSTRUCTED THE PATIENT TO GO TO THE URGENT CARE OR CALL DR. ASAP.

Other Meds: BLOOD PRESSURE MEDS, CHOLESTEROL MEDS, FISH OIL, 81 MG ASPIRIN CORTISONE PILLS, TYLENOL WITH CODEINE, MUSCLE RELAXER

Current Illness: NO

ID: 1087536
Sex: M
Age: 52
State: IN

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Headache, chills and vomiting twelve hours after my shot. Eight hours later I broke out in hives.

Other Meds: Lexipro(generic)

Current Illness: None

ID: 1087537
Sex: F
Age: 29
State: AL

Vax Date: 03/05/2021
Onset Date: 03/08/2021
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: NA

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

Symptoms: Headache and injection site pain day 1-3, Body ache, fever, chills, sweats, diarrhea, vomiting's, and gas day 3-5.

Other Meds: Adderall, Vitex, Prenatal, fish oil, maca,

Current Illness: NA

ID: 1087538
Sex: M
Age: 29
State: NC

Vax Date: 03/03/2021
Onset Date: 03/09/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Ibuprofen

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe itching, welps, lips and eye swelled slighty. Most of my body was red. Looked like I was subnurnt.

Other Meds: None

Current Illness: none

ID: 1087539
Sex: F
Age: 69
State: IN

Vax Date: 02/05/2021
Onset Date: 02/12/2021
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

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

Symptoms: At the shot site in my arm a week later it became red and feverish and hard for about two or three days also itching and then it was gone I understand that it was is now called covid-19 on

Other Meds: Vitamin D Oregano gels Multivitamin

Current Illness:

ID: 1087540
Sex: F
Age: 38
State: CT

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: body pain immediately following vaccine--left side of body--same side as vaccine: neck, sides, hips, back. That ended within a half an hour. Felt ok for a few hours. Headache starting around 2:30. Neck and back pain around 8. Chills, body aches, fever throughout the night and into the next day. Chills subsided. Body aches continued. Side/rib pain noted for 2 days. Sweats continued on and off. Localized arm pain for 4 days.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm