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: 1096560
Sex: F
Age: 41
State: KS

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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, Bactrim

Symptom List: Dysphagia, Epiglottitis

Symptoms: Heavy sweating, nausea, numbness in hands, dizziness, shortness of breath, fatigue. Lasted for about 10 minutes. Still feeling very fatigued.

Other Meds: Women?s 1 a day gummy vitamins. Vitamin D

Current Illness: None

ID: 1096561
Sex: F
Age: 59
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: Headache, severe chills and shaking for around 7 hours

Other Meds: Cholesterol, vitamin D and calcium

Current Illness:

ID: 1096562
Sex: F
Age: 39
State: FL

Vax Date: 02/27/2021
Onset Date: 03/07/2021
Rec V Date: 03/13/2021
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: On day 8, I developed a large, hive-like bump on my upper arm at the vaccination site. This bump had not been there prior to that day. It was itchy and hot to the touch, and got larger over the course of that day and the next. On day 10, it started to diffuse? the warmth and itch began to go away, the bump was less raised. By day 13, it was pretty much gone.

Other Meds: Multivitamin, probiotic, apple cider vinegar capsule, diclofenac (75 mg), escitalopram (5 mg)

Current Illness: None

ID: 1096563
Sex: F
Age: 52
State: MI

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: rash over entire body. not dangerous but itchy

Other Meds: Calcium + D3 Vitafusion Centrum Silver multivitamin

Current Illness: none

ID: 1096564
Sex: F
Age: 29
State: GA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Cefdinir, Lactose Intolerant

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

Symptoms: The muscle around the injection site was very stiff shortly after the injection. No pain to touch around injection site. On 3/6/21 I started experiencing slight pain in my axillary region. Pain was probably 3 of 10. Stayed at this pain level until 3/8, when it started to increase and to date pain is increasing and there is a large lump in my under my arm. Lifting my arm above my shoulder increases pain. Pain also wraps around to my shoulder area. I have never had any pain in or around this region until after the vaccine.

Other Meds: Allegra, Glucocorticoid Spray, L-Tyrosine, Vitamin C, Dapsone

Current Illness: Sinus Infection - Treated with antibiotic several weeks prior.

ID: 1096565
Sex: F
Age: 60
State: CO

Vax Date: 03/09/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: No

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

Symptoms: A single blister (less than 1cm in diameter) appeared at back of roof of mouth near rear-most molar on left side. Gums inflamed and bleeding around tooth number 12 when brushing teeth in the morning. Blister broke within 3 hours of being noticed, leaving a slightly tender spot on roof of mouth. Around 11pm on 13 March, right outer ear felt warm, tender to the touch, and inflamed. (For decades, I have been regularly experiencing headaches once or twice a month and this ear often becomes tender at the same time of the headaches. I did not have a headache during this occurrence of outer ear pain.)

Other Meds: Daily: Cetirizine 10mg, Sub-lingual Immunotherapy drops for pollen, mold, and dust allergies, Glucosamine 1500mg + Chondroitin 1200mg, Vitamin D-3 2000 IU.

Current Illness: None

ID: 1096566
Sex: F
Age: 41
State: TN

Vax Date: 03/06/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: Diagnosed Egg allergy

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 7 days after first dose, I woke up very itchy at the injection site, a hard knot, and oval red rash swelling

Other Meds: None

Current Illness: I had a cold (covid negative) with runny nose and fatigue; I saw the Dr on Feb 8th, 2021

ID: 1096567
Sex: F
Age: 54
State: MN

Vax Date: 03/05/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: Injection site rash, hard, red, itchy -8 days after injection Chills, sweats, fever - 8 days after injection.

Other Meds: Paroxotine (Paxil) 10mg daily Midodrine 5mg daily

Current Illness: None

ID: 1096568
Sex: F
Age: 66
State: IN

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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, Aspirin, Pravastatin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: .Idont know if this is related to the vaccine, but my epileptic seizures increased.. they consist of an aura of smell, taste, and aura , followed by an intense feeling of fear running up and down my body, with tingling. I has three episodes the evening of the vaccine, three the next evening and one during the day. I have not had this in months. My medication controls the.

Other Meds: Keppra 750 mg pm, Keppra 500 mg am, Prozac 20 mg p.m., Nexioum 20 mg p.m., Centrum for women age 55 and older, perbiotic,probiotic once a day, Zetia 10 mg daily, occasional Ibuprofen 600 mg, occasional Tylenol 1000 mg

Current Illness: Left temporal lobe epilepsy, anxiety depression, GERD, arthritis

ID: 1096569
Sex: F
Age: 45
State:

Vax Date: 02/26/2021
Onset Date: 03/09/2021
Rec V Date: 03/13/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I am quoting this from my mother as she is currently unable to type due to the shaking and shivering. "It started with red hot places on both arms, and then it moved to my face. 2 1/2 hours later I began getting really nauseated and began shaking/shivering uncontrollably. I then went to urgent care and on the way there my heart was pounding and racing. After I was admitted they told me that I had tachycardia and my blood pressure was high (I do not usually have high blood pressure). They did an EKG at urgent care and noticed small changes. I was then sent to the ER and was given IV Benadryl and oral steroids. I was put on a heart monitor, and they were able to get my heart rate to go down, but a few hours later it jumped back up. At that point I was referred to a cardiologist and given a prescription for steroids, and then I was discharged. I saw the cardiologist 2 days later, during those two days I still experienced red hot spots on my arm, shortness of breath, Tachycardia, and shivering. When I went to the cardiologist, they did another EKG and said I still have tachycardia and did some bloodwork. The results of the bloodwork were normal and the cardiologist diagnosed it as an unspecified delayed severe allergic reaction. I am still experiencing symptoms and still having to use Benadryl and steroids."

Other Meds:

Current Illness:

ID: 1096570
Sex: M
Age: 69
State: IN

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Fever 99.5 Headache Tiredness Felt normal after 24 hours

Other Meds:

Current Illness:

ID: 1096571
Sex: F
Age: 67
State: CA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 03/13/2021
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: Shellfish and eggs causing mild itching

Symptom List: Rash, Urticaria

Symptoms: Large itchy painful swollen rash at injection site started about 8 days after injection. No fever. Rash resolved after a week. Diphenhydramine was taken as needed.

Other Meds: Calcium , vitamin d, metformin, losartan, atorvastatin

Current Illness: None

ID: 1096572
Sex: F
Age: 58
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Fever, chills, body aches, headache

Other Meds: Vyvanse 40mg Advair 250/50 Singulair

Current Illness: Food poisoning

ID: 1096573
Sex: F
Age: 31
State: CO

Vax Date: 01/21/2021
Onset Date: 02/22/2021
Rec V Date: 03/13/2021
Hospital: Y

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: No

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

Symptoms: I went into labor during which I started bleeding and was rushed into have an emergency C-section. I had a placenta abruption. Both mom and baby are doing fine. Estimated due date was 03/01/2021. Birth weight was 6 lbs 14 oz

Other Meds: I was taking a prenatal vitamin.

Current Illness: No

ID: 1096574
Sex: F
Age: 66
State: IN

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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, cefdinir

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

Symptoms: Fever, chills, body aches, loss of appetite, nausra

Other Meds: Lisinopril, simvastatin, singulair, amlodipine

Current Illness:

ID: 1096575
Sex: M
Age: 36
State: CO

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Feelings similar to the start of a cold or flu. Unusually warm. Loss of appetite. Sore right arm near injection site.

Other Meds: None

Current Illness: None

ID: 1096576
Sex: F
Age: 66
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: Flagyl, Augmentin, Cleocin, Darvoset

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

Symptoms: started with body aches, progressed to severe headache, severe nausea ,diarrhea, for the next 36 hours

Other Meds: Famotidine 20 mg, Levothyroxine 75mcg Vitamins: Glucosamine chondroitin, Flaxseed/primrose oil, Probiotic 15-35, Zeaxanthin w/lutein, EZ Tears, Vitamin D

Current Illness: none

ID: 1096577
Sex: F
Age: 49
State: GA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Hornets, fire ants, wasps. / /bee sting, latex,

Symptom List: Ear pain, Hypoaesthesia

Symptoms: At 30 min front lip swelling

Other Meds: Zyrtec, Benadryl

Current Illness: None.

ID: 1096578
Sex: F
Age: 57
State: MI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Within 2 hours pain developed behind knees. Difficult and painful to walk or climb stairs. Managed to work that day but called doctor the next day and was referred to emergency room. Pain has receded over time but still minor pain in right knee almost two months later. Also developed low grade fever, runny nose, sore throat 01/24/2021. Symptoms lasted about 2-3 days .

Other Meds: Trial/Hctz 37.25 capsule, 1 a day Hair, Skin, Nails caplets 2 a day Glucosamine 2000 mg 2 a day Airborne tablets 4 a day

Current Illness: None

ID: 1096579
Sex: M
Age: 75
State: MA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: The day after (3/11/21) the vaccination at 9:30 PM I experienced shakes, as though very cold. My pulse oximeter showed low blood oxygen (between 80 and 85%) and elevated heart rate (high 70's/low 80's). [I took multiple readings to make sure the numbers were accurate.] By 10 PM my temperature started to increase rapidly. Max was around 101.5 to 102F. Sweat profusely. By about midnight the fever "broke" (dropped back to normal range). This will sound odd, but I felt like I had been shown what a severe Covid-19 infection/disease would look like if I were to become seriously ill with the disease. Felt light-headed on Friday (3/12/21). [I had no reaction, other than some muscle soreness, from the first dose.The same day as and after the second injection I had soreness in my entire left bicep all day. No other reactions that day.]

Other Meds: Rosuvastatin, Centrum Silver, D3 Supplement, Fish Oil Capsules,Metamucil Capsules, Losartan, Carvedilol, Cialis 5 mg, Nortriptyline, Sumatriptan, Ondansetron

Current Illness: None

ID: 1096580
Sex: F
Age: 57
State: OH

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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 kniwn

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

Symptoms: Burning and watery eyes within minutes. (similar to itching of seasonal allergies) Fatigue, headache, upper body (head, neck, chest and back to top of rib cage) stiffness, chills starting at approx. 8:30 pm and lasting about 12 hours.

Other Meds: Synthroid/Liothyronine Fluoxetine Cyclobenaprine

Current Illness: none

ID: 1096581
Sex: M
Age: 70
State: MN

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Unevaluable event

Symptoms: Fifteen minutes after vaccination, I had stomach pain and gas. Felt faint and sweat profusely. Then, that evening extreme pain in upper left shoulder, injection site. Low grade fever and chills. Just felt bad and had fatigue. Feeling fine, other than left shoulder pain today, three days after vaccination. No treatment required.

Other Meds: None

Current Illness: None

ID: 1096582
Sex: M
Age: 70
State: MA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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 known

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

Symptoms: woke next morning feelin off then fever took Tylenol fever still increased went to bed and felt my hear in A-Fib. I took a fast acting metoprolol tartare went to a clinic for exam had an EKG performed went home and after 3 hours was back in normal rhythm. I no longer have A-Fib but now 3 days later still am experience lightheadedness and dizziness and occasional nausea.

Other Meds: 25 mg metoprolol 1 day 40 mg simvastatin 1 day 20 mg omeprazole 1 day 400 mg magnesium oxide 2 day multivitamins 1 day

Current Illness: none

ID: 1096583
Sex: F
Age: 56
State: KY

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 03/13/2021
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: Bactrim/ sulphate

Symptom List: Injection site pain, Pain

Symptoms: Discomfort, soreness and pain in neck area, as well as change in voice. Internal sore throat.

Other Meds: Synthroid, losartan, bupropion, acyclovir Vitamins A, D, E, Multi, biotin, Zinc, quercetin, NAC

Current Illness: None

ID: 1096584
Sex: F
Age: 40
State:

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pain at injection site

Other Meds: Silvercillin - Designs for Health

Current Illness: None

ID: 1096585
Sex: F
Age: 40
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: No

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

Symptoms: Sore arm. Fatigue, headache, fever

Other Meds: Probiotics, vitamin C, vitamin D. Elderberry

Current Illness: No

ID: 1096586
Sex: F
Age: 23
State: VA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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 known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Rash on back and hips. Resolved with OTC benadryl

Other Meds: Unknown

Current Illness: None known

ID: 1096587
Sex: F
Age: 61
State: NY

Vax Date: 03/05/2021
Onset Date: 03/08/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Latex, peanuts, aspirin and contrast dye, penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Three days after receiving the shot I woke up with fever sores all over my bottom and top lips. I put Abreva on it. The next day, I woke up and both lips were swollen, the left side of my face was swollen and the left side of my lip was twisted to the left. I contacted my allergist and spoke to him online and sent pictures. He advised me to take Benedryl every 4 hours or Zyrtec twice a day. If it got worse call back. That evening some of the swollen ness went down. Little by little each day the swollen went down but the cold sores remained. By Saturday which is today the swollen ness is all gone but all the cold sores are remaining and are painful. I am continuing to take Zyrtec and treat the cold sores with cream.

Other Meds: Unity rod for thyroid

Current Illness: Nothing

ID: 1096588
Sex: F
Age: 66
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: 100 degree fever, weak, very tired and itching at injection site

Other Meds: None

Current Illness: None

ID: 1096589
Sex: F
Age: 40
State: TX

Vax Date: 03/06/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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 Minocycline

Symptom List: Nausea

Symptoms: I have a large, red reaction about 2 or 2.5 inches long around the injection site. It itches and sometimes stings. I can also feel that it is hard underneath my skin. This showed up for the first time 3/13/21, which is exactly a week since my injection.

Other Meds: Zoloft (generic) Yasmin (generic)

Current Illness:

ID: 1096590
Sex: F
Age: 67
State: OR

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline Morphine Mometasone Reglan Gabapentin Fluconazole Doxycycline Phenergan NSAIDS Tapentadol Carbamazepine Tolmetin Ciprofloxacin Dairy

Symptom List: Injection site pain

Symptoms: Extreme fatigue, severe weakness( in bed for 2 days) dizziness, disoriented, nausea, severe headache. injection site swollen(egg size) hot for 4 days(applied ice, and took Tylenol ) Adverse reaction has lasted 3 days, still feeling disoriented day 4 .

Other Meds: Levothyroxine Myrbetriq Florastor Calcium Vitamin D Omeprazole Imodium

Current Illness:

ID: 1096591
Sex: F
Age: 68
State: FL

Vax Date: 03/01/2021
Onset Date: 03/07/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Cipro Loquats

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

Symptoms: Puffy below injection, very hot, red, itchy 7 days post injections (Also after 1st injection but not itchy) Arm sore at injection site, achy, hypersensitivity of skin all over, face(cheeks (R>L) red and swollen

Other Meds: Atorvastatin, Anastrozole, Meloxicam, Gabapentin, Amitriptyline, Levothyroxine, Calcium, Vitamin D, B-12, B Complex , Magnesium, Biotin

Current Illness: None

ID: 1096592
Sex: M
Age: 57
State: VA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Anaphylactic to bee stings & spider bites

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

Symptoms: Chills & fever of 101.7 8hrs after shot. Fever rose to 102.1 during night. At daylight or 18hrs after shot, fever began dropping & was totally gone by 22hrs after shot. Just achy & wiped out the remainder of day 24hrs to 34hrs post shot. All gone by 42hrs after shot

Other Meds: Exalgo, Tadalafil

Current Illness: None

ID: 1096593
Sex: F
Age: 17
State: NC

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: 5 minutes after administration of vaccine, Patient had visual white-out of vision, diminished hearing, disoriented, severe pallor and then vomitted.

Other Meds: none

Current Illness: none

ID: 1096594
Sex: F
Age: 66
State: CT

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Erythema, Pruritus

Symptoms: Already had back pain but starting the day after the shot it was very hard to walk for about 2 days, especially on the stairs. Still limping slightly 2 weeks later. Not sure if its due to the shot or just Age

Other Meds: Thyroid Medicine and Advil

Current Illness: Back pain

ID: 1096595
Sex: F
Age: 25
State: TX

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/13/2021
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: N/A

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

Symptoms: "Covid arm" - rash, hard where shot injected, hot to touch

Other Meds: N/A

Current Illness: N/A

ID: 1096596
Sex: F
Age: 79
State: NY

Vax Date: 03/03/2021
Onset Date: 03/05/2021
Rec V Date: 03/13/2021
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: Allergy only to bee stings; none to medications or food

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

Symptoms: Diarrhea beginning early March 5th continuing through today, March 13 with only two diarrhea-free days in that time. Cramping, urgency and liquid or extremely soft stools. Diet(s): liquid only; jello, plain yogurt, saltines; BRAT diet; normal diet. Only difference in outcome is that I'm very hungry on any other than the normal diet. Imodium approximately 2x a day.

Other Meds: Vit. C & D; Zinc; Preservision; Calcium; Glucosamine Chondroiten

Current Illness: None

ID: 1096598
Sex: F
Age: 67
State: NJ

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 03/13/2021
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: Abilify

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 1. General malaise followed by numbness around nose and lips. Took Benadryl 1.5 hours after vaccine do to worsening of numbness. 2. The following day flare in joint areas of arthritis. 3. Out break of herpes 2 which had been dormant for three years. Out break has continued since vaccine. 4. Numbness around mouth has persisted since vaccine. 5. Change in ability to process information.

Other Meds: Bupropion 150 x1 daily

Current Illness: No

ID: 1096599
Sex: F
Age: 66
State: KY

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: Low grade fever and body aches

Other Meds: Lisinopril 40mg Furosemide 40mg Amlodpine Bestlate 5mg

Current Illness: None

Date Died: 03/12/2021

ID: 1096600
Sex: M
Age: 59
State: MO

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/13/2021
Hospital: Y

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: Per Hospital: NKA

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

Symptoms: Per the patient's spouse and Hospital: The patient received a rapid COVID test at clinic prior to vaccination, which read negative. The patient received vaccination on 2/23/21 and the following day (2/24/21) began to experience breathing difficulties. The patient was admitted to the emergency room at Hospital on 2/26/21 and diagnosed with hypoxic respiratory failure d/t COVID-19 (oxygen saturation < 50%). Patient was intubated on 3/2/21. Per Hospital pharmacist, patient expired on 3/12/21 at 6:40pm.

Other Meds: Per Hospital: Patient was not taking any medications.

Current Illness: Unknown

ID: 1096601
Sex: F
Age: 66
State: MT

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: every cell in my body ached, fever, dizziness, extreme pressure headaches, couldn't move/walk much, shivered in bed night of injection, couldn't eat, tried to drink, nausea, blurred vision, extreme fatigue, couldn't stand loud noises/tv, couldn't read, felt like every cell in my body was fighting to live. Aleve helped the second nigh but not the first.

Other Meds: I don't think you want my list of 25 or so supplements. But in addition to supplements, I take T3, Breo, effexor, xanax (for sleep at night), allegra daily,

Current Illness:

Date Died: 03/05/2021

ID: 1096602
Sex: F
Age: 78
State: ME

Vax Date: 02/25/2021
Onset Date: 02/25/2021
Rec V Date: 03/13/2021
Hospital:

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

Lab Data:

Allergies: Tetracyclines (hives)

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

Symptoms: Hospice nurse reported patient started experiencing fatigue, nausea, dizziness, decreased appetite and shortness of breath immediately following vaccination. Hospice medications were ordered and patient began receiving morphine and nebulizer treatments. She then started having dysphasia. She then died on 3/5/21 from presumed respiratory failure.

Other Meds: Dorzolamide-timolol eye drops, clonazepam, guaifenesin, ipratropium-albuterol, latanoprost eye drops, oxygen 5 liters via nasal cannula, refresh eye drops, ventolin HFA. Also possible hospice medications (atropine drops, haloperidol, loraze

Current Illness: Idiopathic pulmonary fibrosis, asthma, COPD, anxiety, CKD3, macular degeneration, GERD, glaucoma, hypercalcemia, HLD, hypothyroidism, osteoarthritis, migraines, osteopenia, post-menopausal bleeding of undetermined significance, b12 deficiency, vitamin D deficiency

ID: 1096603
Sex: F
Age: 45
State: NJ

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/13/2021
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: Leg rash Swollen tingle tongue Swollen tingle lips Dehydrated 103.2 fever Ears hurt Tight chest Headaches Chills Sweats Tired Loose stool Sore muscles

Other Meds: Levothyrox

Current Illness:

ID: 1096604
Sex: M
Age: 55
State: NJ

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 03/13/2021
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: Morphine

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

Symptoms: Diverticulitis

Other Meds: Lipitor, adderall, pristiq, Wellbutrin, metformin, vitamin d, vitamin c, fish oil, baby aspirin

Current Illness: None

ID: 1096605
Sex: F
Age: 59
State: NY

Vax Date: 03/08/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Quinolones

Symptom List: Vomiting

Symptoms: Arm soreness Rash at site of injection

Other Meds: Levithyroxine 137 mcg Plaquenil 200mgs 2x day Iron supplement Vit D 5000 Vit B

Current Illness: None

ID: 1096606
Sex: M
Age: 50
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/13/2021
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: Have flu symptoms, taking ibuprofen.

Other Meds: None

Current Illness: None

ID: 1096607
Sex: M
Age: 85
State: NY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Altered mental state/semi-conscious. Awake but unable to respond to questions., unable to rise from seated position. Lasted approximately 5 hours. Has no memory of this time period. Headache, weakness, fatigue persisted beyond 5 hours. Was fatigued for approximately 48 hours. Typically, he has excellent cognition, and is alert and oriented. His wife spoke to Dr., but didn?t have office visit.

Other Meds: Allopurinol Baby aspirin Clopidogrel Isosorbide mononitrate Omeprozole Prilosec Metoprolol Tartrate Crestor Systane

Current Illness:

ID: 1096608
Sex: F
Age: 64
State: AZ

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/13/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 12 hours after dose I experience severe lower back pain, extreme body aches, chills, headache, low grade fever and nausea. Symptoms lasted for 12 hours.

Other Meds: None

Current Illness: None

ID: 1096609
Sex: M
Age: 52
State: AZ

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/13/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Large itchy patch of skin around injection site, warm to the touch

Other Meds:

Current Illness:

ID: 1096610
Sex: M
Age: 83
State: IN

Vax Date: 02/01/2021
Onset Date: 02/21/2021
Rec V Date: 03/13/2021
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: Morfin

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

Symptoms: High Temperature 102+

Other Meds: Insulin, Vitamin D3

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm