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: 1090825
Sex: F
Age: 60
State: MO

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chills started at 7pm the day of vaccine,. Epic Headache. Fever 99.8 and high pulse 120, the next morning

Other Meds: Lisinopril. Hydrachlorathyazide. Ibuprofen. Vit D3

Current Illness: No

ID: 1090826
Sex: F
Age: 75
State: CA

Vax Date: 03/01/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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: iodine

Symptom List: Anxiety, Dyspnoea

Symptoms: red inflammed site about 2"x4"

Other Meds:

Current Illness:

ID: 1090827
Sex: F
Age: 44
State: IA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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: Sulfa

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

Symptoms: flair up of asthmatic bronchospasm; used albuterol sulfate hfa inhalation aerosol inhaler and took 20 mg of prednisone

Other Meds: amitriptyline, gabapentin, Simvastatin, diltiazem, Omeprazole , pulmicort, amino acids, l-lysine, baby aspirin, potassium chloride, and flonase

Current Illness: asthma bronchospasm

ID: 1090828
Sex: F
Age: 68
State: NM

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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: She had a sore arm. Per MD direction, she will hold the next Cosentyx dose for a week. With the increase in dose from last month (150 to 300mg), she has noticed the plaque has cleared up but has been coming back since she is due for her next dose.

Other Meds: Cosentyx, venlafaxine, naproxen, Excedrin, fluocinolone acetonide 0.01% oil

Current Illness:

ID: 1090829
Sex: F
Age: 43
State: IA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
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 (anaphylaxis) and gluten (intestinal distress)

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

Symptoms: "3/6/21 9 pm, had shakes, chills, fever, brain fog, fatigue."

Other Meds: None

Current Illness: None

ID: 1090830
Sex: F
Age: 60
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/11/2021
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 listed

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

Symptoms: Patient may have inadvertently been given 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notified. State of MD was notified.

Other Meds: none listed

Current Illness: not at time of vaccination

ID: 1090831
Sex: F
Age: 61
State: MO

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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/nitrophur & perchoset

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Severe chills, severe headache, aching all over, dry mouth, loss of appetite

Other Meds: Levothyroxine, bupropion, sertraline, metapropal, 81 mg aspirin, omeprazole, & amtriptaline.

Current Illness: None

ID: 1090832
Sex: F
Age: 77
State: VT

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Theophylline, codeine, tylox meds

Symptom List: Pharyngeal swelling

Symptoms: Pt states she developed swollen lymph nodes under her left armpit towards her breast. The next day she had a itchy red rash at the injection site. Pt contacted her PCP and she was told to keep an eye on it and make a VEARS report since she had a reaction to taking the vax.

Other Meds: Sotalol HCL 120mg, Lisinopril 30mg, Hydrochlorothiazide 12.5mg, Levothyroxine 100mcg, Fish Oil 1000mg w/ Omega 3, Vitamin D3 25mcg

Current Illness:

ID: 1090833
Sex: F
Age: 72
State: IL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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: Moderate fever, aches and fatigue

Other Meds: Blood pressure, vitamin D, thyroxine

Current Illness:

ID: 1090834
Sex: F
Age: 66
State: MN

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever. Chills. Headache. Fatigue. Tylenol and sleep. Over in 48 hours.

Other Meds: Metformin, Metoprolol, Omeprazole, Atorvastatin, Fenofibrate, low dose aspirin, multivitamin

Current Illness: None

ID: 1090835
Sex: M
Age: 65
State: CA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/11/2021
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: Neck pain began 4 or 5 hours after the shot in left arm. It has persisted daily and contant since then ans limits range of movement in my neck. I had to previous long term persistent neck pain. I am currently undergoing physical therapy for my neck which is slowly improving the condition. I asked my doctor if I should take the second vaccine. He was indecisive.

Other Meds: prescription: lisinopril, metformin, pravastatin, suppliments: whole food multivitamin, nico riboside, vitamin d, coenzyme Q , KSM-66

Current Illness: see next

ID: 1090836
Sex: F
Age: 72
State: IN

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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: Lactose sensitive

Symptom List: Rash, Urticaria

Symptoms: Adverse Event: sore arm, could not raise right arm above should height, fever 100.4; onset at 4-5 hours after injection. Very tired; achy especially painful in knees and lower back. Took one Tylenol every 4 hours on Tuesday and Wednesday. Felt fine at 4:30 a.m on the 11th of March. Slept most of Tuesday from 5 p.m until next day. Wednesday, again achy, fever, exhausted, pain in joints, arm warm to the touch. Slept thru most of the day.

Other Meds: Levothyroxine; amlodipine; lutein; multi-vitamin; D-3; B-12

Current Illness: None

ID: 1090837
Sex: F
Age: 43
State: MO

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: At 5:30 pm, I started to have a headache, so I took some Tylenol. I started to feel a little better. From about 7:00 pm to about midnight, I felt awful. I couldn't walk down a short hall without assistance. I was so sore and achy I couldn't really sleep. I felt insanely hot, yet had chills and I had a terrible headache. I am type 1 diabetic, and my blood sugar spiked to over 200, where it hovered between 200 & 300 most of the night, despite the fact that I used insulin to try and lower it. From 10 pm to midnight, I felt nauseous. Overnight was ok. I still had some of those symptoms, but could sleep off and on. I probably woke up every couple of hours. I was till very sore and hot, but not as hot, and still had a headache. Today, I took Tylenol this morning. I still have a mild headache, sore body, tired and a little slow, but significantly better than last night.

Other Meds: Insulin, Vitamin D, Vitamin C, Multi-vitamin

Current Illness:

ID: 1090838
Sex: M
Age: 38
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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: I developed a fever that lasted approximately 12 hours and continue to experience strong headaches 36 hours after the vaccination was administered. I have experienced some shortness of breath and became quickly exhausted with light physical activity (including standing and walking). These two symptoms appear to be better after 24 hours.

Other Meds: None

Current Illness: None

ID: 1090839
Sex: M
Age: 24
State: MN

Vax Date: 02/10/2021
Onset Date: 02/20/2021
Rec V Date: 03/11/2021
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: He came into clinic for 2nd dose in series, told us he had reaction 10-14 days after first dose. Had pictures of rash that extended over his chest back, bottoms of feet, itchy, red raised with irregular borders. Had tried doing sauna which made it worse. Had nausea/vomiting, fever/chills/body aches/headaches. Missed 4 days of work. We advised not to do 2nd dose, but he said he had consulted with a relative who is a MD, and he said go ahead with it. He stayed in our clinic for 30 min with no reaction. Asked him to notify us if he has reaction this time. Advised him to have antihistamine on hand in case he starts having another reaction, and to seek medical care if any trouble breathing.

Other Meds:

Current Illness:

ID: 1090840
Sex: F
Age: 65
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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: Nausea, fever, headache, muscle aches. 24 hrs.

Other Meds:

Current Illness:

ID: 1090841
Sex: F
Age: 70
State: NY

Vax Date: 03/02/2021
Onset Date: 03/03/2021
Rec V Date: 03/11/2021
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: Low ionic CT contrast die, Birch trees = cross reacts with Fresh Cherries, Fresh Green Apples, Macadamia nuts.

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

Symptoms: 1: day of injection - day 4; Extreme RASH on Neck from L shoulder to under chin. Topical Triamcinolone Acetonide 0.1% cream and/or Benadril 2% cream 2; Day 10: Large RED rash at injection site SELF TREATMENT, not reported to medical facility

Other Meds: Ca; Mg; Vit D; Vit C; Vit B12; Turmeric

Current Illness:

ID: 1090842
Sex: M
Age: 24
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Joint pain, fever, and headache

Other Meds: None

Current Illness: None

ID: 1090843
Sex: F
Age: 25
State:

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

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: C/o anxiety prior to administration. Approx 15 minutes after administration individual developed increased anxiety, headache, dizziness, tachycardia, shakiness, and sweatiness. VS: 95/51 HR 63. Evaluated and monitored, provided PO fluids, improvement noted. No transport.

Other Meds:

Current Illness:

ID: 1090844
Sex: F
Age: 67
State: FL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 03/11/2021
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: Approximately 12 hours after vaccine I awoke with chills. Within the following hour, had body aches, 102 fever, joint pain, headache. Symptoms lasted around 36 hours, with the worst in the first 20 hours, then gradually subsiding.

Other Meds: Centrum multi vitamin

Current Illness: None

ID: 1090845
Sex: F
Age: 65
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
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: None

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

Symptoms: Extreme headache, chills, fever & overall body aches less than 24 hrs after vaccine...Took ibuprofen, drank lots of water , slept a lot, symptoms were milder after 24 hrs-no chills, still mild headache & slight body aches, still taking ibuprofen & drinking plenty of fluids

Other Meds: Losartin 50mg Daily D3 EsterC

Current Illness: None

ID: 1090846
Sex: F
Age: 58
State: IN

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

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

Lab Data:

Allergies: Iodine latex

Symptom List: Unevaluable event

Symptoms: Dizzy light headless nausea hives around neck arm pain

Other Meds: Vitamin B, A,C,D,E,turmeric multi Vitamin baby asprin,, chlorthalidone 25mg, amlodipine 5mg.

Current Illness: None

ID: 1090847
Sex: F
Age: 36
State: IN

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
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: n/a

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

Symptoms: Covid arm: red, hot, swollen, itchy circle around injection site. Developed about 48 hours post injection. Still lingering.

Other Meds: flonase prenatal vitamin vit d sunflower lecithin

Current Illness: n/a

ID: 1090848
Sex: F
Age: 50
State: IN

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/11/2021
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: Allergic to latex sensitive to arithromiacin

Symptom List: Injection site pain, Pain

Symptoms: headache, fatigue, chills, body aches, fever

Other Meds: Lamictal Multi-vitamin

Current Illness:

ID: 1090849
Sex: F
Age: 33
State: MA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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 reported

Symptom List: Injection site pain, Menorrhagia

Symptoms: patient waited 5 minutes and began coughing and having trouble breathing

Other Meds: unknown

Current Illness: none reported

ID: 1090851
Sex: F
Age: 81
State: CA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
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: TDP: first time administered as child of 5-6 in public health school my entire vaccinated arm swelled quite a lot. Was told to have booster divided in 2 doses. Have not had problem since. Pain killer: Administered by hospital at age 19 for spasm-pain with fractured pelvis caused itching but have never been able to find what was used & have not had problem with "modern" anesthetics Yellow Jacket Wasp sting: not anaphylactic but very strong reaction about 5 years ago. Used Benadryl. Heart raced Some fish: (not shellfish to my knowledge). Swordfish (USA purchased but not pesce di spada in Italy!). Do not buy canned tuna. tongue and throat swelling, not anaphylactgic. Some itching and facial swelling. Retention of fluid (relatively mild but notable to me) Some skin lotions: Have bought only hypoallergenic for years

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

Symptoms: No side effects in 30 minute waiting period and none on day of injection--some mild itching began night of injection. Day after, Saturday, itching intensified, throat tightened (muscular feeling); and tongue began to become sore, and began to show redness on sides. Bad enough that I finally took a 4-6 hour dose of Benadryl, and slept afternoon. Felt better when I woke up but when effects of Benadryl wore off, the tongue swelling intensified and frightened me. Decided against emergency call on weekend and took Benadryl (4-6 hour) about 8 or 9 Pm and next morning (about 5 or 6AM) noted that I felt okay and tongue had become pink not red though still some swelling on the sides of tongue. Had no strong adverse effects after first dose, some chills in the evening and arm swelling/pain that resolved by 3AM.

Other Meds: levothyroxine 75mcg daily; Vitamin D2 1.25MG 2x weekly (but I take less during weeks and seasons when it is sunny & I am outdoors a lot). Occasional Centrum Senior for women--mostly in winter.

Current Illness: None. One month prior to FIRST dose for which I did not have a strong negative adverse response I had a booster of TD

ID: 1090852
Sex: F
Age: 19
State: DE

Vax Date: 02/09/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient received first Moderna vaccine on 1/12/2021. Side effects included sore arm. Patient received second Moderna vaccine on 2/9/2021. Side effects included chills, myalgias, fatigue, arthralgias. Side effects lasted between 12-24 hours. Patient tested +COVID via PCR testing on 3/8/2021 with mild symptoms.

Other Meds: None

Current Illness: None

ID: 1090853
Sex: F
Age: 76
State:

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/11/2021
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

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chills, body aches, headache, fatigue

Other Meds: benazepril atorvastatin

Current Illness:

ID: 1090854
Sex: F
Age: 35
State: VA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
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: Vaccine was not administered on 3/8/21. Provider realized error and patient was contacted on 3/9/21 to come in for vaccine. He returned to clinic and received correct dose of vaccine. No harm to patient

Other Meds: none

Current Illness: none

ID: 1090855
Sex: F
Age: 55
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: "dizzy with both, body aches with both - 1st one had stomach problems"

Other Meds:

Current Illness:

ID: 1090856
Sex: M
Age: 64
State:

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Deltoid redness and swelling at injection site.

Other Meds:

Current Illness:

ID: 1090857
Sex: F
Age: 41
State: DE

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/11/2021
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 listed

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

Symptoms: Patient may have inadvertently been given 1cc of Moderna COVID vaccine instead of 0.5cc. Patient was notifed. State notified.

Other Meds: none listed

Current Illness: not at time of vaccination

ID: 1090858
Sex: F
Age: 60
State: OK

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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: sore throat, headache, very tired, hard to move the left arm, cough occasionally.

Other Meds: none

Current Illness: none

ID: 1090859
Sex: M
Age: 37
State: CA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
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: Penicillin potentially; allergies to pollen and cata

Symptom List: Tremor

Symptoms: 6 hours after shot, broke into big hives on face. Took Zyrtec and Claritin and went away in 30 mins. Some itchiness on body but not hives.

Other Meds: Took Zyrtec and Claritin after

Current Illness: None

ID: 1090860
Sex: F
Age: 59
State: IN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
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: Penicilln & Sulfa

Symptom List: Erythema, Pruritus

Symptoms: Bad headache, fever (not sure of my temp - no thermometer), body chills and fatigue - basically the same symptoms when I had Covid 10/31/2020 - 11/6/2020.

Other Meds: Multi Vitamin, Zinc, Vit. D3, Glucosamine, Fish OIl, Vit.C

Current Illness: None

ID: 1090861
Sex: F
Age: 50
State: TX

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 03/11/2021
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: NKDA

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

Symptoms: Approx 7-10 days after receiving my 2nd vaccine I developed asthma like symptoms-wheezing at night, difficulty breathing with exercise, chest tightness

Other Meds: Fluoxetine 40mg, synthroid 0.25mcg, vitamin d3 , magnesium, multivitamin, remifemin good night

Current Illness: none

Date Died: 02/21/2021

ID: 1090862
Sex: F
Age: 76
State: TN

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/11/2021
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:

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

Symptoms: DEATH-My Mother received her second Pfizer vaccine on Thursday, February 18, 2021 and died three days later on Sunday, February 21, 2021, after being admitted to the intensive care unit at Hospital. After developing an adverse reaction that started with nausea and then got progressively worse, including vomiting blood, Mom was rushed to the emergency room where she was tested for Covid-19 due to hospital policy (neg. result) and admitted to the intensive care unit. Mother died on Sunday, February 21, 2021. NOTE: Mother was doing well with her heart and renal conditions until she received the second dose of the Pfizer Covid-19 vaccine on February 18, 2021, directly or indirectly causing her death three days later on February 21, 2021. It is unfortunate that we are all advised (sometimes ill advised), particularly those with underlying conditions, to get vaccinated without the benefits of knowing when the vaccine can cause more harm than good. For obvious reasons, the approval of covid vaccines was rushed and thus the Pfizer and Moderna Studies are not thorough and lack in data to support an all call for everyone to get vaccinated in the name of herd immunity. Without the appropriate data, My Mother is DEAD! Sadly, there are probably more unreported deaths caused by the vaccine. While you have immunity from liability, you still have a moral obligation to collect data and advise accordingly. My goal is to save lives by sharing my mother?s personal experience and death after receiving the vaccine with everyone I know through every available resource. It is unconscionable that I have to shoulder the burden of getting the facts out about your vaccine so that individuals with underlying conditions can make a proper, informed decision about getting vaccinated. Sadly, I receive over 100 questions a day via social media from individuals inquiring about whether or not they or their loved ones should opt for the vaccine. I am not a medical professional?this is your job! Until you assume responsibility, I will continue advising anyone with heart and/or renal conditions to stay away from any and all covid vaccinations. Instead of the massive all call for vaccinations, we need further information and data from additional studies that will give more insight as to when the vaccine can cause more harm than good, as in My Mother?s case.

Other Meds: Prescription: Coumadin

Current Illness:

ID: 1090863
Sex: F
Age: 51
State: IN

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

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

Lab Data:

Allergies: Dairy protein

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Tachycardia

Other Meds: Digoxin

Current Illness:

ID: 1090864
Sex: M
Age: 64
State: OR

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/11/2021
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: I had a Seizure lasting 6 to 7 minutes

Other Meds: none

Current Illness: none

ID: 1090865
Sex: F
Age: 50
State: TX

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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: Frequent seasonal and environmental allergies

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

Symptoms: Racing heartbeat, fever of 101.3, body aches, fatigue

Other Meds: Lipitor 10 mg 1x per day Lexapro 5 mg 1x per day Multivitamins, glucosamine chondritin, Shaklee Nutriferon immunity support

Current Illness:

ID: 1090866
Sex: F
Age: 58
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Pain in extremity

Symptoms: Headache, Fever, Chills, Aches, Slight confusion,

Other Meds: Levothyroxine, Losartan Potassium, Escitalopram,

Current Illness: n/a

ID: 1090867
Sex: F
Age: 44
State: NJ

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Missed period

Other Meds:

Current Illness:

ID: 1090868
Sex: F
Age: 44
State: NC

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 03/11/2021
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: Reports itching "all over". Patient reports Pepcid & diphenhydramine 25mg at 0930. Patient began to clear throat during monitoring. Administered additional 25 mg diphenhydramine at 1117. 1/24/21 patient reports that she went to ED for treatment. As given "shot of prednisone" and discharged.

Other Meds:

Current Illness:

ID: 1090869
Sex: F
Age: 44
State: MN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 03/11/2021
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: KNA

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

Symptoms: Started itching and breaking out in rash 45min, felt like her skin was on fire on the inside. Gave bendaryl 25 mg, Did not want to go to Emergency room, said she did not feel like that was necessary. Day two she reported it was somewhat better and was able to work, using bendaryl for itching, Day 3 reports itching is worse, I suggested she seek medical advice as might need different treatment than bendaryl. No shortness of breath, had headache, chills and body aches also.

Other Meds: colchine for gout, nexium, mvi gummy type, vit d3, calcium, be

Current Illness:

ID: 1090870
Sex: F
Age: 62
State: WA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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: Tetracycline (produces yeast infections)

Symptom List: Vomiting

Symptoms: Dramatic flu symptoms. Extreme chills freezing cold extremities, fever, aches insomnia nose discharge, loose stools, headache, light nausea but did not vomit. Still not feeling well. Symptoms have decreased and can now sit in a chair as apposed to lying in bed.

Other Meds: Atorvastation , Metoprolol, Aspirin, Fish Oil ,Vitamin D3, Cal

Current Illness: None

ID: 1090871
Sex: F
Age: 37
State:

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/11/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I have a herpes outbreak on my face under my left eye. I have never had one there before, but I have had one on my chin a few years ago. I believe this is directly related to the vaccine.

Other Meds: vitamin D, C, B12 and multivitamin

Current Illness: none

ID: 1090872
Sex: F
Age: 69
State: LA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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, to my knowledge

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

Symptoms: Day of injection: Sore Arm First Day after Injection: weakness, tiredness, had to sleep or doze throughout the day, feeling sick and ill, no energy, sapped of strength Second Day after Injection: alarming redness and swelling in arm where injection was given

Other Meds: Viactiv Calcium plus D, two daily; Vitamin C 500 mg. Vitamin D3 , 50 mcg. Super B-Complex Biotin, 5,000 mcg. Red Yeast Rice, 600 mg. FiberCon, two daily

Current Illness: none

ID: 1090873
Sex: F
Age: 68
State: NY

Vax Date: 01/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/11/2021
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: penicillin, Rocephin, clindamycin, Levaquin, cow milk (cannot digest)

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 1/8 12:00 vaccination 5:30 I started to notice my body was itching. No rash marking the skin. Itching progressed, made me nervous because I am allergic to other things and its the same symptoms. As my temperature would change slightly, no fever, but elevated for me I feel uncomfortable. Persisted into the week. Made appt with my immunologist. Put on weeks worth of antihistamines; night and day. It did help and gradually help. The itching lasted for quite a while, 2nd dose was recommended to take a antihistamine before vaccination. No itching with the second dose. RASS test in a month

Other Meds: progesterone 200mg; vaginal cream; vit D3, Folic Acid, Multi vitamin, K2, Borane . Colonic C, Calcium, Magnesium, Omega 3, Zinc, Liqorice plus, adrenal daily support

Current Illness: n/a

ID: 1090874
Sex: F
Age: 63
State: FL

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/11/2021
Hospital:

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

Lab Data:

Allergies: Sulfa . No other at the time of the vaccination

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

Symptoms: 102 Fever, Sweats, Chills, all joints on fire and in pain, headache, nausea, swollen lymph nodes in neck. Took several days to feel better. After I felt better I ate shrimp on 2-13 and 2-17 and had a reaction to the shrimp on 2-17 which required a doctor visit and complete bloodwork analysis which showed allergy to shrimp and a high titer which could be an auto immune disorder. Since then I have logged foods and have determined I have reactions when something has MSG or Maltodextrin. I have dry back of my throat, a feeling that I have a lump in my throat, eyes seem a little dry, the headache has not gone away. Pressure on the top of my head and my forehead. Tingling and on fire in hands wrists, forearms, shins and ankles. I have an appointment with a Rheumatologist on March 30.

Other Meds: None

Current Illness: None

ID: 1090875
Sex: M
Age: 67
State: MN

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/11/2021
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: None known.

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

Symptoms: Just Sore arm and a bad Headache for 2 days. Sending just for information value on the vaccine. Just took tylenol on next day.

Other Meds: Pradaxa, Atorvastatin Calcium and Ocuvite 50+

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm