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: 1094567
Sex: F
Age: 35
State: AZ

Vax Date: 12/31/2020
Onset Date: 01/18/2021
Rec V Date: 03/12/2021
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: No previous pregnancy prior to this. 1st vaccine 12-31-2020, home pregnancy test positive 01-05-21, in office intravaginal ultrasound and pregnancy test positive 01-11-21, miscarriage (bleeding, cramps, nausea) started 01-18-21 ended 01-23-21, had 2nd vaccine 01-21-21.

Other Meds: Esomeprazole, levothyroxine, prenatal

Current Illness:

ID: 1094568
Sex: F
Age: 48
State: UT

Vax Date: 02/18/2021
Onset Date: 02/26/2021
Rec V Date: 03/12/2021
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: February 26, 2021 10 am overcome with nausea and need to vomit. Had three vomiting spells and stomach pain. It was all yellow stomach bile. By 1 pm, the pain had increased and I'd had 12 bouts of increased pain and vomiting. Went to Instacare. My white blood cell count was 18,000 so they sent me to the ER. Dr did a CT Scan that showed pancreatitis. I do not drink alcohol at all, my triglycerides were normal, and I'd had my gall bladder out almost 20 years. Cause unknown for pancreatitis. I'm a healthy 115 lb 48 year old who eats healthy and works out every day. The only medical change was having the 2nd Moderna vaccine dosage on 2.18.21. I was sick right after getting the vaccine and missed work the next day. I had bloating and stomach pain all week, but I assumed it was my menstrual cycle. I am reporting this in case my pancreatitis is linked to the second dosage.

Other Meds: Levothyroxine 0.75 mcg/daily Citalopram 20 mg/daily

Current Illness:

ID: 1094569
Sex: M
Age: 64
State: NY

Vax Date: 12/23/2020
Onset Date: 01/14/2021
Rec V Date: 03/12/2021
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: Developed muscle and joint pain 3 weeks after 1st vaccine - Sudden onset diagnosed with Polymyalgia Rhumatica

Other Meds: 81 mg Aspirin; 20 mg Pravastatin

Current Illness: None

ID: 1094570
Sex: F
Age: 53
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/12/2021
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: Tachycardia, resolved on own, cleared by medics.

Other Meds:

Current Illness:

ID: 1094571
Sex: F
Age: 64
State: RI

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

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

Lab Data:

Allergies: seafood - anaphylaxis prednisone - psychosis

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

Symptoms: 64 yo female with hx bipolar disorder on multiple psych meds, Htn, here for same day visit. Pt reports got her second covid vaccine on 3/92021 in the left arm, Pfizer. Yesterday (3/10/21) woke up with severe right knee pain, felt like she could not bear weight/ws going to fall. She went to son's apartment who is in same building and then went to lie down in bedroom. Because she drinks a lot of water, she had to get up to go to bathroom to urinate. She was about to sit down on toilet, when she felt both her legs go numb as well as her arms and her vision was blurred. She tried to grab the tub but fell forward on the floor. She states she urinated on the floor. She was on the floor for about 30 mins until her son got her up and back to bed. Later in the day she needed to urinate again and when she got up, she felt unsteady and fell on the bureau bruising the left arm. Since she feels a bit unsteady with gait and used a walker to come hre today. She denies feeling dizzy before her falls. She denies striking her head. She denies convulsions or hx of seizure disorder. She reports no new meds, only recent change an increase in her alprazolam dose. She does report a headache day after her vaccine.'She denies vomiting or diarrhea or antecedent illness. No longer has headache. She denies positional changes Of note she is on propranolol (prescribed by psych) as well as lisinopril-hydrochlorothiazide for HTN 64 yo female with bipolar disorder on multiple psych meds, htn on propranolol 20 mg bid and lisinopril-hydrochlorothiazide, s/p recent Pfizer covid vaccine, s/p presyncope episode after experiencing severe right knee pain and attempted micturition. Pt felt like her sight was affected and experienced numbness/weakness in legs and arms causing a fall. Did not hit head. The history is most suggestive of a vagovagal episode.

Other Meds: acetaminophen, alprazolam, amitryptyline, fluoxetine, lisinopril-HCTZ, lurasidone, propranolol, quetiapine,

Current Illness: n/a

ID: 1094572
Sex: M
Age: 66
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/12/2021
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: body ache, complete body

Other Meds:

Current Illness:

ID: 1094573
Sex: F
Age: 39
State: NY

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/12/2021
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: PCN, Shellfish

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Staff member reported itchy throat, chest tighness, hoarse voice and swelling of neck area and eyes. On site physician was called, and staff member was evaluated. Pharmacist (myself) and director of nursing was present. Patient O2 sat was checked at 99% and BP noted to be 170/116. Staff member was able to swallow water and speak however recommendation made to call 911. EMT brought staff member to hospital where throat and chest tightness progressed. Staff member was given epinephrine, steroids and benadryl q6h and referred to her allergist.

Other Meds: N/A

Current Illness: N/A

ID: 1094574
Sex: M
Age: 37
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/12/2021
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: Underdone

Other Meds: None

Current Illness: None

Date Died:

ID: 1094575
Sex: M
Age: 66
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/12/2021
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: The decedent had the first Covid vaccine in February 2021 and he was set to have his second vaccine 3/3/2021. It is unknown which Covid vaccine he received. He complained only of a sore arm after receiving the first vaccine.

Other Meds:

Current Illness:

ID: 1094576
Sex: F
Age: 52
State: CO

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/12/2021
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: Celiac disease causes me to have an auto immune response to gluten, dairy and soy. Latex

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First thing BP went up and came down after 20 minutes, and felt fatigues, 2nd day after I had chills, fever, aches, and everything that you have with covid, arm super sore and wasn't able to lift it for 2 days. Then a week later woke up with right arm hard, red itchy, I iced it and took a Benedryl last night today it looks worse; its more red and bigger and more painful. Waiting to hear back from doctor now.

Other Meds: Thyroid med only for low thyroid and Low dose birth control Bilsovi SE, Calcium, Mag, D, B12, B2, B6

Current Illness: no

ID: 1094577
Sex: M
Age: 59
State: ME

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies: Cleocin- hives Biaxin- anaphylaxis

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

Symptoms: Pt with history of mild psoriasis to knees and elbows. One week after 2nd Moderna developed generalized psoriasis plaques to face; ear lobes, trunk, lower arms and legs.

Other Meds: metoprolol succinate Lisinopril Fluticasone nasal spray Triamcinolone acetonide Ibuprofen

Current Illness: lumbago pulmonary hypertension OSA

ID: 1094578
Sex: F
Age: 33
State: NJ

Vax Date: 02/24/2021
Onset Date: 03/01/2021
Rec V Date: 03/12/2021
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: Penicillin

Symptom List: Rash, Urticaria

Symptoms: Tingling in upper arm that radiates to lower arm. Also cold feeling in upper arm. Also tingling in leg. Unsure if related but started after second shot was received and no history of this before.

Other Meds: Prenatal vitamins

Current Illness: N/a

ID: 1094579
Sex: F
Age: 89
State: CO

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/12/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: was weak and very tired two hours after vaccination slept for 14 hours and recovered. I was concerned because no one I know has had these effects. I will be 90years old and will get a second shot on the 16th. I would like to know the cause of these effects on me.

Other Meds: none

Current Illness: none

ID: 1094580
Sex: M
Age:
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/12/2021
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: NKA

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

Symptoms: Tingling and numbness of the left arm radiating to the left neck immediately after receiving the vaccine. Symptoms resolved. BP 139/72, HR 82, O2 sat 100%

Other Meds: Metformin

Current Illness:

ID: 1094581
Sex: M
Age: 42
State: TN

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/12/2021
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: Flushed, hot, dizzy started at 12:10 after shot.

Other Meds:

Current Illness:

ID: 1094582
Sex: F
Age: 67
State: DE

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/12/2021
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: pork, demerol, dust and mold

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

Symptoms: There was an itchy sensation on my eyelid and corner of my right eye, which I had thought was due to tears. That itchy irritation progressed to redness and the itchiness would be more prevalent in the evening, than the morning, after my shower. I tried a few otc items that I thought would help, but after six days, I went to my doctor's office and was treated by a Nurse Practitioner. She urged me to see my ophthalmologist, which I will do on Monday, March 15. She prescribed two oral medications (prednisone & hydroxyzine) and one topical medication (momentasone).

Other Meds: Levothyroxin, simvastin, pantoprazole, Women's vitamins, calcium and fish oil

Current Illness: none

ID: 1094583
Sex: F
Age: 79
State: AZ

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/12/2021
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: Bad reaction to erythromycin, but penicillan pills were fine

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

Symptoms: I became progressively more sleepy the afternoon after the vaccination, as expected. I did get up and make dinner, then went to bed at 9:15 p.m. on March 8th and slept until 9:15 a.m. March 9th. I felt unstable walking into the bathroom to urinate, and even more unstable waking into the kitchen to take my meds. I passed out and woke up on the floor. I was weak but managed to pull myself up holding on to the kitchen range. I headed for the living room sofa and passed out again, waking up on the floor by the sofa. I'm guessing I was unconscious about 2 minutes each time, but don't really know. I lay down on the sofa and called a neighbor. He thought I should call 911, and they came and drove me to ER . They did an EKG, chest x-ray, and CAT scan of my brain, and drew blood. All results were normal. I returned home that same day (March 9) and had little energy, and ate lightly. When I was getting in bed about 10:30 p.m. I let my head drop on the pillow and the room started to whirl around me for about six seconds. Sometimes when I roll over in bed during the night there is a pause before it feels like the room gives one spin. My scalp is very tender in the large area where I hit it twice when passing out. I'm taking it easy again today, but do feel a little stronger. I am normally exceptionally healthy for my age, and work , traveling to destinations to research and photograph my articles. Both the travel and article take stamina, and I thrive on the work.

Other Meds: Levothyroxine 0.112mg Simvastatin 20mg Hydroclorothyazide 12.5 mg Women's 50+ Multivitamin NatureMade Magnesium Citrate 250 mg SuperiorLabs Potassium Citrate 100 mg twice daily Vitami

Current Illness: Only seasonal allergies, for which I take WalFinate (chlorphenamine maleate) as needed, but not the day of vaccination

ID: 1094584
Sex: F
Age: 52
State: CA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient reported feeling dizzy while waiting in the car, approximately 5 minutes after receiving the vaccine, stating her vision began to blur. VS BP 100/60, HR 51, O2 sat 93% on room air. Patient appeared lethargic, unable to keep eyes open when instructed by personnel, upper and lower extremities were limp, unable to keep upper extremities up with full strength or cooperation. Encouraged by personnel to practice deep breathing exercises, compliant until she began feeling tired. Able to understand commands provided by personnel. EMS and police department arrived to scene within 5 minutes. Upon assessment from parademic, patient vitals WNL. Encouraged to go to the hospital by paramedic, patient did not want to go despite feeling dizzy. Aquaintance/close relative on the scene, was responsible of taking patient's car. Relative encouraged patient to go to the hospital, patient refused saying she was feeling better. Patient was able to transfer self from driver's seat to the passenger seat, steady gait. Relative was waiting with patient in patient's car, relative behind the wheel, at the parking lot to monitor patient. Wait approximately 20 minutes before heading home. RN provided education on signs and symptoms to monitor once arriving home, and to seek medical help if conditions worsen.

Other Meds: Levothyroxine and Candesartan

Current Illness:

ID: 1094585
Sex: F
Age: 62
State: IN

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies: Doxycycline, Rosuvastatin, Aspartame, Rye(food), Bee venom

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Arm Pain (injection side) ...Within 5 minutes of injection. Mild neck and torso stiffness...Began 2 hours and 40 minutes after injection. Wheezing...Began about 4 and a half hours after injection. Shortness of breath occurred overnight. 8 hours after injection. ...checked oxygen level at 93 Moderate widespread aching...8 hours after injection. 15 hours after injection...oxygen level at 88 15 hours after injection...Temperature of 99

Other Meds: Vitamin D3 Pro Air Albuterol inhaler script is on file (only if needed) Was not taking at the time of vaccination.

Current Illness:

ID: 1094586
Sex: M
Age: 42
State: CA

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/12/2021
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: Bottom eye lid swelling

Other Meds: None

Current Illness: None

ID: 1094587
Sex: F
Age: 73
State: MI

Vax Date: 02/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/12/2021
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:

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

Symptoms: Patient received second dose of Pfizer on February 4th. She tested positive for Covid-19 on March 9th. Symptoms started March 4th, She was exposed by her children on March 2nd. She only has a cough and runny nose.

Other Meds: Lipitor, Lisinopril, Aspirin, Prozac

Current Illness:

ID: 1094588
Sex: F
Age: 52
State: CT

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies: influenza vaccine - tachycardia and SOB First dose Pfizer COVID vaccine -- lip swelling and SOB

Symptom List: Unevaluable event

Symptoms: Received first dose of COVID vaccine on 1/23/21. Complicated by itching and tongue pain. No rash or tongue swelling. Given dexamethasone and Benadryl. Got second dose of COVID vaccine on 3/4/21 followed 45 minutes later by SOB, lightheadedness and mouth tingling. No rash or tongue swelling. Rx steroid + saline with resolution. ED visit.

Other Meds: Nortriptyline, Ajovy, Bupropion, Trokendi, Sertraline, Allegra

Current Illness: none

ID: 1094589
Sex: F
Age: 59
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/12/2021
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: Sensitive to latex (skin irritation), sensitive to sulfonamides (naussea) and augmentin (GI upset)

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

Symptoms: About 4 AM on 3/10 I woke up with upper abdominal pain. This pain was relieved by an Alka Seltzer. Upon arising on 3/10 I still had mild upper abdominal pain. It worsened and was relieved to some extent by antacids. It persisted throughout the day and evening and was worsened by eating a cheeseburger. Mild food, such as toast or cream of wheat seemed to help. 3/11 was the same. 3/12 has been a bit better, but I still have some mild upper abdominal pain.

Other Meds: albuterol, baclofen, Tegretol, Centrum Silver, Zyrtec, Cymbalta, Relpax (PRN), Flonase, levothyroxine, Singulair, omeprazole, trospium, Xembify, ashwaghandha

Current Illness: Migraine headaches, GERD

ID: 1094591
Sex: F
Age: 64
State: CT

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/12/2021
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: NKDA, NO allergies, food, seasonal- any

Symptom List: Injection site pain, Pain

Symptoms: Woke at 32hrs with severe pain in Rt hip joint and Rt knee joint. later in day rt leg was numb, unable to bear weight, go up stairs without assist or sleep. Next day #3, severe pain in Rt hip, Rt knee and femur. Not responding to Motrin 800mg Q6-8hrs, Tylenol 1gm Q6-8 hours. Day #4 pain now radiating down rt leg through both joints and into Rt calf. Now Monday- called PCP, advised symptoms and would be starting perocets for 2 days of severe pain post vaccine. Also took ASA 325mg for blood clot risk know with virus even through pain was hip to ankle now (not ascending but descending) Percocet Q6hours without improvement but could sit and sleep with pain (dulled brain response to pain). Day #5- leg completely numb, pain now following sciatic nerve, stopped meds as no improvement and developed headaches, stomach aches and constipation from meds. Day#6 Pain severe in am, from hip to ankle- leg and heal of Rt foot numb. Today #7 pain on awaking, Rt hip all along sciatic nerve to foot which remains numb in heel.

Other Meds: Lisinopril 2.5mg daily, Maxide PO daily

Current Illness: none

ID: 1094592
Sex: M
Age: 68
State: IN

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: Muscle soreness, swelling, and redness at site area. Second day of the issue.

Other Meds: Apple cider vinegar, flax seed, multi vitamin, statin

Current Illness: None

ID: 1094593
Sex: F
Age: 73
State: VA

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/12/2021
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: Neomycin, seafood

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

Symptoms: One week after injection, developed warm, itchy rash at site. About size of a baseball. Applying Cortisone cream.

Other Meds: Eliquis, flexcainide, verapamil

Current Illness:

ID: 1094594
Sex: F
Age: 41
State: WV

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/12/2021
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: levaquin, pneumonia vaccine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Vaccine was administered at 8:03 AM. Patient was monitored at clinic until 8:33 AM at which time the patient left the clinic site. At 10:56 AM, the patient reported back to the clinic with concerns over hives on left arm and face. At 10:57 AM, patient was given 50 mg oral diphenhydramine.

Other Meds:

Current Illness:

ID: 1094595
Sex: M
Age: 32
State: VA

Vax Date: 01/19/2021
Onset Date: 03/05/2021
Rec V Date: 03/12/2021
Hospital: Y

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: Developed appendicitis that led to appendectomy

Other Meds: None

Current Illness: None

ID: 1094596
Sex: F
Age: 67
State: IN

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever, fatigue, headache

Other Meds:

Current Illness:

ID: 1094597
Sex: F
Age: 68
State: PA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: Patient had bruising and arm pain which lasted about 10-12 days post vaccination. It resolved on its own without treatment

Other Meds: unknown

Current Illness: no known

ID: 1094598
Sex: M
Age: 67
State: FL

Vax Date: 03/06/2021
Onset Date: 03/08/2021
Rec V Date: 03/12/2021
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: Woke up day after vaccine and face was numb-went to ER on 3-8-21 and was diagnosed with Bell's Palsy and was given medication (steroids and anti-viral meds) for treatment.

Other Meds: None

Current Illness: None

ID: 1094599
Sex: F
Age: 57
State: IL

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/12/2021
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: Immediately could taste the vaccine. Sore, Tired, pain at injection site. No big deal . My brain was foggy - impaired - felt dizzy - or unbalanced - next day missed work . My head felt like in a vice. Terrible. pain. This was really scary - I did not know if I was so tired - it was effecting me this way - but honestly I was worried about having a stroke or something similar. I had the shot on Tuesday morning - felt impaired somewhat on Tuesday day - really unwell - but Wednesday - was afraid to drive - as felt mentally impaired. Friday today - I am taking 4000 milligrams of Tylenol per day and it is helping. I am much better today. I hope I will be all better tomorrow.

Other Meds: None

Current Illness: None

Date Died:

ID: 1094600
Sex: M
Age: 72
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 03/12/2021
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:

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

Symptoms: It is unknown if the decedent had any side effects. Patient died on 3/11/2021.

Other Meds:

Current Illness:

ID: 1094602
Sex: F
Age: 73
State: NM

Vax Date: 02/08/2021
Onset Date: 02/18/2021
Rec V Date: 03/12/2021
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: strawberries; histamines in wine; dogs; cats; some cosmetics

Symptom List: Tremor

Symptoms: The nurse put a Band-aid on the injection site before I could tell her I am sometimes allergic. The second day I developed two little square rashes where the Band-aid adhesive touched my skin. Other than that, I had no immediate effects. About February 18, I noticed my arm had a large pinkish rash about 2" x 4" and was quite itchy. I looked on the internet to see what side effects I could find. I saw information about "Covid Arm," and I'm sure this is what I experienced. I followed the advice I saw about Covid Arm. I used a hydrocortizone cream on the rash until it cleared up about March 1. I took Claritin for a couple of days to help with the itching. I took a photo on February 19. When I returned to get my second injection, I asked the nurse to give me the vaccine in my right arm. I am hopeful I won't develop the rash on this arm, but time will tell.

Other Meds: Levothyroxine 50MCG; Spironolactone 50MG; Vitamin D3 2; Centrum Silver

Current Illness: none

ID: 1094603
Sex: F
Age: 94
State: MD

Vax Date: 02/17/2021
Onset Date: 03/10/2021
Rec V Date: 03/12/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codeine, diphenhydramine, azithromycin, loratadine, prednisone

Symptom List: Erythema, Pruritus

Symptoms: On 3/10/2021 the patient presented to the ED with fatigue and diarrhea. The patient had been constipated and then started taking magnesium citrate and Colace. Since starting the laxatives the patient had been experiencing diarrhea. Once at the hospital, the patient was routinely tested for COVID-19. She had one COVID antigen that was positive and one negative, and the COVID PCR negative. Chest xray shows no pneumonia and he WBC was 11,000. Reason for admission: diarrhea and weakness.

Other Meds: Caltrate+D, docusate, Boniva, magnesium citrate, metoprolol tartrate, multivitamin, Nucynta, Miralax, Xarelto, rosuvastatin, Synthroid,

Current Illness:

ID: 1094605
Sex: F
Age: 74
State: WA

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

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: none

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

Symptoms: My tongue swelled up on the right side. Quite large, to where I couldn't lay on my back and breath easily, I needed to stay on my side. It began to subside about 4 hours later with no treatment. I did not see an wound that would cause this.

Other Meds: Ibuprofen 200mg, am local one 5mg, lisinopril hctz 20/25mg, aspirin 81mg

Current Illness: none

ID: 1094606
Sex: F
Age: 49
State: OH

Vax Date: 02/19/2021
Onset Date: 03/12/2021
Rec V Date: 03/12/2021
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: NKA

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

Symptoms: Patient stated that starting 1 week post vaccine, she experienced numbness & tingling starting at injection site, and went down to thumb.

Other Meds:

Current Illness: None known

ID: 1094607
Sex: M
Age: 56
State: MI

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/12/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient reports experiencing diarrhea the morning after receiving his vaccine. He has taken OTC Immodium A-D which relieves his symptoms.

Other Meds:

Current Illness:

ID: 1094608
Sex: F
Age: 74
State: FL

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/12/2021
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: Nitrofurantoin

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

Symptoms: Throat swelled within 25 minutes of injection. Gagging, coughing, swollen throat. Felt like throat closing down and chocking on fur ball. Returned to nurses station. Checked by nurse, doctor and paramedics called. Gave Benadryl liquid. Paramedics recorded blood pressure 143/110, inserted IV for medications to treat choking. Taken to nearby ER facility and treated with additional Benadryl and Prednisone. Patient held for observation for approximate 2 hours, while vitals monitored and chocking ceased. Later in the evening, patient experienced gums bleeding. Rinsed with salt water and brushing.

Other Meds: Omeprazole 40mg, Oxybutynin 5mg, OTC Allergy relief Fexofenadine hydrochloride 180mg, Calcium 600mg, multivitamin Spectravite

Current Illness: none

ID: 1094609
Sex: M
Age: 79
State: WA

Vax Date: 01/19/2021
Onset Date: 02/17/2021
Rec V Date: 03/12/2021
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: SHORTNESS OF BREATH

Other Meds: crestor,prevacid

Current Illness: none

ID: 1094610
Sex: F
Age: 40
State: NJ

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies: Advil Shellfish

Symptom List: Pain in extremity

Symptoms: Feeling tired

Other Meds:

Current Illness:

ID: 1094611
Sex: F
Age: 74
State: OH

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/12/2021
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: I had a slight anxiety feeling like fast heartbeat during my 15 minute wait time but not alarming. I left and continued my day but felt increasingly itchy and hours later developed a few hives. I took a Zyrtec and after a few more hours it all went away, For the next few days I had tiredness, joint pain and some chills. Completely better after a week.

Other Meds: Valsartan, Keflex

Current Illness: Urinary Tract Infection

ID: 1094612
Sex: F
Age: 65
State: PR

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/12/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: slight inflammation in the arm where vaccine was give, some pink, itchiness, and hot

Other Meds:

Current Illness: High blood pressure

ID: 1094613
Sex: M
Age: 63
State: IL

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 03/12/2021
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: NKDA

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

Symptoms: Received second dose of vaccine on 2/19. presented to this ED on 2/20/21 with generalized weakness.

Other Meds:

Current Illness:

ID: 1094614
Sex: F
Age: 32
State: PA

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/12/2021
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: Gadoninium, melons

Symptom List: Vomiting

Symptoms: Once in the monitoring area, the patient (who is a Facility staff member) was sweating profusely, had increased BP, was unresponsive (but was conscious). She was tended to by the Facility Director of Nursing. The facility called 911, EMT's took pt to hospital. She was released after 2 hours and was back at work the next day.

Other Meds: unknown

Current Illness: pt tested positive for Covid 2/8/21

ID: 1094615
Sex: F
Age: 51
State: MI

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/12/2021
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 that I know of currently

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Redness to arm and warmth at injection site

Other Meds: Lantus, lisinopril, metoprolol tartrate, pravastatin

Current Illness: None

ID: 1094616
Sex: F
Age: 74
State: GA

Vax Date: 03/02/2021
Onset Date: 03/11/2021
Rec V Date: 03/12/2021
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: Bactrim, Darvocet, Environmental

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

Symptoms: Received vaccine on 3/2/21. On 3/11/21, noticed my right arm (at injection site) had a raised rash, bumpy and slightly swollen and red. No itching or pain. Applied Hydrocortisons cream 1mg. Today, 3/12 not bumpy but slightly warm to touch and slightly red. I thought that was strange since it's been 9 days since I had first vaccine! Due for next vaccine on 3/30. What do you advise?

Other Meds: Atenolol 25mg, Oxybutynin 5mg. Claritin (generic) 10mg, Miralax, Meloxicam 15mg, Centrum Silver, Probiotic, Mega Red, Folic Acid 1mg, Iron 325mg,Diletiazm ER 240 mg, Methotrexate 2.5 mg (8 tabs q wk) Atorvastatin 20mg, Singular 10mg, Terazo

Current Illness:

ID: 1094617
Sex: M
Age: 17
State: CA

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/12/2021
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: No Known Allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Unauthorized age group (17 years old) received Moderna instead of Pfizer.

Other Meds: Unknown

Current Illness: Unknown

ID: 1094618
Sex: F
Age: 33
State: AZ

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/12/2021
Hospital:

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

Lab Data:

Allergies: All nsaids, ativan

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

Symptoms: Agitation

Other Meds: Metformin, Lamitcal, lisinopril, gaba, cranberry

Current Illness:

ID: 1094619
Sex: M
Age: 46
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/12/2021
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: Lightheaded, elevated HR, evaluated by EMS-cleared

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm