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: 1096815
Sex: F
Age: 77
State: CA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
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: Histamine Intolerance - must eat only low histamine foods

Symptom List: Dysphagia, Epiglottitis

Symptoms: I was extremely tired the day after, and continued to be tired with gradual improvement over a few days. But I have not recovered my previous level of energy, which was already very, very low because of longstanding chronic fatigue syndrome. My persistent vertigo (since 1989) is also worse than it was, and continues so after 2 weeks from date of first shot.

Other Meds: Klonopin 1/2 mg; Gabapentin 800 mg; Thyroid 30mg; Vit A,B,C,D3,E Quercetin; B12; NAC; NAD; L-Lysine; Lipid Replacement supplement; Magnesium

Current Illness: Chronic Fatigue Syndrome; Mast Cell Activation Syndrome

ID: 1096816
Sex: M
Age: 30
State: WI

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

Lab Data:

Allergies: No food or drug allergies reported

Symptom List: Anxiety, Dyspnoea

Symptoms: After receiving the initial dose, patient checked with observation staff. Patient had a syncopal episode after walking 12-15 feet away from the check in desk. Patient reported "blacking out." Patient stated that he does not like needles. Patient was assessed by paramedic. Patient A/Ox4 with CMS present in all extremities. Airway patent, pulse regular, no bleeding noted. Patient's skin pale, cool, and diaphoretic. Patient was assisted to a chair. Patient reported "feeling better." Patient observed for 10 minutes past the 15 minute observation time. Staff offered to call EMS, patient declined.

Other Meds: None reported

Current Illness: None reported

ID: 1096817
Sex: F
Age: 22
State:

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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:

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

Symptoms: Patient stated she passes out after shots, so RN got her a wheelchair to sit in while the shot was being administered. The vaccine was administered and she felt fine. While sitting for another minute she passed out in the wheelchair and the RN called for help. The patient came too. The patient was assessed by paramedics on scene and stayed an extra 30 minutes. She knew she blacked out and she went home with her mother.

Other Meds:

Current Illness:

ID: 1096819
Sex: M
Age: 61
State: PA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: Minor reactions to certain medications, and per patient reaction to an unkown agent in 2015-2016

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: patient was given 1st injection and about 5 minutes afterward @ 1205 he started to fell like a warm flushing feeling, and feeling a little fuzzy in the head, heart rate 64bpm, patient blood pressure on the monitor did not appear to be accurate indicating 180/118 and this was also tried on the right wrist. Patient did not have any complaints with the elevated with this blood pressure, patient was conversing and without headache, patient denied any itching or signs of anaphylaxis. patient was monitored for a total of 55 minutes before being released. Patient was instructed to call 911 with signs of anaphylactic reaction and to call his provider with any other symtpoms that he was concerned with.

Other Meds: blood pressure medications, cardiac medications,

Current Illness: Yes but not sure of the cause

ID: 1096820
Sex: F
Age: 55
State: IN

Vax Date: 03/03/2021
Onset Date: 03/04/2021
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: pennicilan

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

Symptoms: Headache 2 days Fever 2 days Chills 2 day Muscle aches 2 days

Other Meds: advil

Current Illness:

ID: 1096821
Sex: M
Age: 63
State: PA

Vax Date: 03/11/2021
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:

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

Symptoms: 24-30 hours of flu-like symptoms: flushed, slightly elevated temperature, chills.

Other Meds: Trintellix, Atorvastatin, multiple vitamin, L-Lysine, B-12, D-3, methylfolate

Current Illness:

ID: 1096822
Sex: F
Age: 69
State: SC

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Ampicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever of 103 F, took two 500 mg Acetaminophen. Fever NOT reduced by 1:00 P.M.

Other Meds: Lisinopril

Current Illness: None

ID: 1096823
Sex: F
Age: 32
State:

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Headache Light head Fatigue Dizzy

Other Meds: None

Current Illness: Nonr

ID: 1096824
Sex: F
Age: 60
State: ME

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: n/a

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Rash posterior upper arm one week post-vaccination

Other Meds: fluoxetine

Current Illness: n/a

ID: 1096825
Sex: F
Age: 48
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Torodal

Symptom List: Diarrhoea, Nasal congestion

Symptoms: When I first took the Covid vaccination I had no symptoms then later that day into the next morning about 1-2 am 3/12/21 started feeling fever, chills, headache, body aches, restlessness weak. Later the same day no appetite. Made myself eat so I could take some tylenol for fever and pain.

Other Meds: Multi-vitamin

Current Illness: November 17,20 tested positive for Covid-19. Then 14 days later retested on December 1, 20 retested and December 4, 20 positive result. Then December 15, retested and then on December 17, 20 finally test negative. And I we very, very, very sick with covid-19. Had headache, chill, fever, body aches, restlessness, lost of appetite and taste, cough. Shortness of breath. Pain all over my body. I couldn't think straight etc...... Took Covid vaccination 3/11/21 felt great then later that day ion into the next morning about 1-2 am 3/12/21 started feeling fever, chills, headache, body aches restlessness weak. Later the same day no appetite. Made myself eat so I could take some tylenol for fever and pain.

ID: 1096826
Sex: F
Age: 81
State: AZ

Vax Date: 01/22/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: IV Iodine

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

Symptoms: fatigue, body aches No fever or headache

Other Meds: Losartan/HCTZ 100 mg

Current Illness: n/a

ID: 1096827
Sex: F
Age: 61
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Latex, advil

Symptom List: Rash, Urticaria

Symptoms: Nausea and vomiting

Other Meds: Metformin, glimepride, atorvastatin, metoclopramide, levothyroxine?, omeprazole, gabapentin. Amlopidine, paxil, remron

Current Illness: None

ID: 1096828
Sex: M
Age: 55
State: KY

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: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Around 7:00 P.M. on March 12, 2021 approximately 9 hours after receiving the Jansen COVD-19 vaccine in my left arm. I developed extreme fatigue, muscle aches, skin hurt to the touch of anything including clothing, headache, and fever 101.5. I had to go to bed and was very weak. I took ibuprofen and Tylenol for the discomfort. I slept 14 hours and was able to get up at 11:00 A.M. on March 13, 2021. The soreness at the site of the injection is not problematic. There were other odd symptoms overnight I would awake with strange nerve like sensations tingling and itching that occurred on the bottom of the left foot, upper lip, and neck. I also had several episodes of restlessness that was so bad that I had to stand for a few minutes before being able to lay down again. The worst is the skin hurting and headache. I have also had a few dizzy episodes since getting out of bed this morning. It passes if I sit down or hold onto something. None of these symptoms are normal for me and I cannot remember having a reaction to any vaccinations that I have received in the past. I hope this helps with your study.

Other Meds: Atenolol 25 mg daily, Clarain-D 12 hour daily, Excedrin, Tylenol and Ibuprofen

Current Illness: None

ID: 1096829
Sex: F
Age: 52
State: FL

Vax Date: 02/27/2021
Onset Date: 03/02/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: penicillan, lisinopril, sulfa drugs, clindamycin

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

Symptoms: Reaction started on the left side of the body, it was a red rash on the lower part of the abdomen. The forth day It then spread to the stomach, neck and arms. Now it is all over the body as a red raised bumps that itch and are hot to the touch. The doctor started me out on a cream triamcinolone acetonide and a hydroxyzine hcl 25 mg 1 tablet 3 time a day. and told me not to take the potassium due to a possible reaction between 2 of the medications. this is the 7 day and the skin of my stomach is hard to the touch itchy and sore as well as my neck. my arms have raised red bumps as well as my legs and back.

Other Meds: Glucotrol, Inderal, allegra, singular, Janumet, pravastatin, protonic, jardiance, potassium, Lasix, valsartin

Current Illness: none

ID: 1096830
Sex: F
Age: 42
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
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: Penicillin, clyndomiacine, mangos

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

Symptoms: After my second Covid 19 shot (administered on 2-12-21), my lower back was so inflamed that the nerves in both arms and my right leg became pinched. I waited one week but could not handle the pain, numbness and inability to feel my arms and legs. I went back to the Medical center and signed into the sick call. They gave me a steroid shot and took X-rays. As of today, 3-12-21, I?m still dealing with pinched nerves in both arms and my right leg. I am waiting to take the X-rays to my spine specialist to see why /how the shot reacted with my spinal fusion.

Other Meds:

Current Illness: None

ID: 1096832
Sex: F
Age: 47
State: IA

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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: Darvocet A500

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

Symptoms: Bell's Palsy symptoms developed next day. Seen on 3/9/2021 and prescribed steroid and antiviral. Outcome is TBD.

Other Meds:

Current Illness:

ID: 1096833
Sex: F
Age: 64
State: CO

Vax Date: 03/12/2021
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: Penicillin and sulfa.

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

Symptoms: I received the first dose at approximately 11:45. I had no allergic reaction. I had lunch, then went home. As I drove, I started getting a sparkly effect in my vision (for me, this is usually a precursor to migraine), about 2 hours after the injection. After I got home, I started getting a minor headache, about 2.5 hours after injection. I sat for awhile, and the headache did not worsen and the sparkles dissipated. About 9 hours after the injection (and after preparing and eating dinner) I began to feel lightheaded, almost a feeling of inebriation. I quickly prepared for bed and went to sleep. About 2 hours later, I woke up with diarrhea. I continued to wake up twice more, about 2-2.5 hours apart, with diarrhea. I finally slept for about 4 hours and woke up feeling better.

Other Meds: B vitamins.

Current Illness: None.

ID: 1096834
Sex: F
Age: 70
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: Penicillin, fish, bees

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Sore arm, vomiting, body aches, head ache, chills , slight fever, tiredness, started afternoon of vaccination and lasted for 3 days

Other Meds: Pradaxa,Losartan,clonadine,escitalpram,hydrochlorothiazide,metoprolol

Current Illness: No

ID: 1096835
Sex: M
Age: 69
State: CA

Vax Date: 02/26/2021
Onset Date: 03/08/2021
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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: A skin rash appeared about 7 or 8 days later. Red welts appeared on both wrists and forearms and on left leg on outer thigh.

Other Meds: Multi vitamin, fish oil, vitamin c, vitamin e, calcium, saw palmetto

Current Illness: None

ID: 1096836
Sex: F
Age: 46
State: TX

Vax Date: 03/03/2021
Onset Date: 03/13/2021
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: Pcn, neodymium, sulfa antibiotic

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

Symptoms: Red. Warm. And itchy 10 days out. Less so than day after but more than day 2 after.

Other Meds: To long

Current Illness: None

ID: 1096837
Sex: F
Age: 70
State: MI

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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

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

Symptoms: low grade fever 100.4 & dizziness chills I took an Advil per Pharmacist

Other Meds: generic synthroid levothyroxine

Current Illness: none

ID: 1096838
Sex: F
Age: 25
State: NM

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

Lab Data:

Allergies: Latex

Symptom List: Unevaluable event

Symptoms: Rash from my injection site and extending to the back of my left shoulder, across my chest, and up the right side of my neck.

Other Meds: Spironolactone, berberine, vitamin c, zinc

Current Illness:

ID: 1096839
Sex: F
Age: 32
State: FL

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: NKDA

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

Symptoms: Vaccine administered at 11:33 am; c/o numbness/tingling from injection site to fingers L arm 11:45; Benadryl 25mg po 11:57 VS- 140/90 / HR 100; O2 SAT RA -100%

Other Meds: Actol birth control 1 pill qd Vitamin C1000 mg Vit E ? dose Vit. D 5,000IU

Current Illness: None

ID: 1096840
Sex: F
Age: 65
State: OH

Vax Date: 02/09/2021
Onset Date: 02/09/2021
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: Lodine- NSAID Propofol

Symptom List: Injection site pain, Pain

Symptoms: 1 hour after receiving vaccine became dizzy. It passed within an hour. Following day had severe lower burning back pain.. it resolved following day. The next day Feb 11, was severely nauseated all day. Feb 12 nausea resolved. Feb 18 nausea returned. Stomach upset for over 2 weeks then began to resolve. Called Dr . He rec delay 2nd vaccine 1-2 weeks.. Saw Dr on March 8 to discuss 2nd vaccine. Had 2nd vaccine March 11. Same symptoms again but much milder. Also had fatigue for weeks after 1st vaccine and again after 2nd vaccine. .

Other Meds: co q10, selenium, vit e, fish oil, vit c, b complex, magnesium, vit d3, calcium, tumeric

Current Illness: NoNo

ID: 1096841
Sex: F
Age: 34
State: NJ

Vax Date: 03/04/2021
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: Nope

Symptom List: Injection site pain, Menorrhagia

Symptoms: Hives all over the body it's seviour itchy

Other Meds: Nope

Current Illness: Nope

ID: 1096842
Sex: F
Age: 58
State: GA

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient received Moderna vaccine in left arm around 1045am on 3/12/21 and developed whelps on left arm from elbow to wrist around 130pm. Patient went to ER who told her to just take Benadryl since no throat or facial swelling. Whelps have resolved but transitioned to "looks like cat scratches." Patient is doing better.

Other Meds:

Current Illness:

ID: 1096843
Sex: M
Age: 44
State: PA

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: numbness/tingling in left arm after 1 hour, then similar feeling in right arm; then pressure in head after a 2 hours; seizure after 3 hours; I have not had a seizure for 6 years after being treated for it with Keppra starting in 2015

Other Meds: Jynarque, Levetiracetam, Atorvastatin, Enalapril, Sertraline

Current Illness: none

ID: 1096844
Sex: M
Age: 68
State:

Vax Date: 03/04/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Itch and swelling after 8 days

Other Meds: Multi vitamin

Current Illness: None

ID: 1096845
Sex: F
Age: 41
State: TX

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: Morphine

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

Symptoms: HA, hot flashes, clammy skin, feeling faint. Pt recovered and cleared by EMS.

Other Meds: Metformin, Venaflaxine,glypozine

Current Illness: none

ID: 1096846
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: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa

Symptom List: Nausea

Symptoms: Extreme exhaustion with severe body aches especially in arms, legs and neck.

Other Meds: Propranolol, pantoprazole, cyclobenzaprine, gimfibrozol, ability, venlafaxine citrizine, melatonin, trazodone.

Current Illness:

ID: 1096847
Sex: F
Age: 49
State: NC

Vax Date: 02/27/2021
Onset Date: 03/04/2021
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: Injection site pain

Symptoms: I broke out in hives 5 days after on my arms and on the back of my legs. Then on the 7th day I started getting, I guess more hives on my left hand (the same arm I got the injection). The bumps have turned into what looks like blood blisters the morning after. They are EXTREMELY itchy.

Other Meds: Paxil, welbutrin

Current Illness: None

ID: 1096848
Sex: M
Age: 80
State: AZ

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

Lab Data:

Allergies:

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

Symptoms: 2 DAYS AFTER SHOT , AT INJECTION SITE GOT SWELLING AND RED SPOT THAT ITCHED. I MESSAGED AREA THAT CAUSED AREA TO EXPAND. SIZE OF AREA NOW IS 6 INCHES DOWN ARE AND 4 INCHES WIDE. tHIS IS TWICE THE SIZE AS AREA FIRST 3 DAYS.

Other Meds: Losartan, Vitamin B12, Multi Vitamin,

Current Illness:

ID: 1096849
Sex: M
Age: 61
State: PA

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: RA

Lab Data:

Allergies: unknown

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

Symptoms: got dose Sat, was very sore/stiff Sunday, then late Thursday started getting nausea, Sat 3/13 called us to report vomiting now.

Other Meds: unknown

Current Illness: Diabetes, aortic aneurysm, pancreatic cancer, hypertension, kidney disease

ID: 1096850
Sex: U
Age: 70
State:

Vax Date: 02/15/2021
Onset Date: 02/22/2021
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: Tremor

Symptoms: (Moderna COVID-19 Vaccine EUA) (1st unusual reaction) 02/22/2021: Started to experience "COVID Arm". Became red, slightly itchy rash that spread to area surrounding injection site. Also swollen & hot to touch (2nd adverse reaction) 02/28/2021 Apx 6PM: Started to break out in itchy rash. Over next 2 days, rash spread all over back & front of torso, arms and had started down legs. By end of 3rd day, rash had started to fade. Also on 2nd day, voice was affected. Hard to describe. Could tell that it was affecting my vocal folds. Voice was raspy, kine of like when have sore throat. Was not able to hit the right notes when trying to sing. This went away after apx 8 hours. No other symptons. (No pain, no fever, no

Other Meds:

Current Illness:

ID: 1096851
Sex: F
Age: 73
State: GA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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:

Symptom List: Erythema, Pruritus

Symptoms: Fever, chills first night; dizziness, joint aches, headache, weakness next day; weakness, joint aches, dizziness into second day. Took Tylenol, drank plenty fluids.

Other Meds: Amlodipine, Carvedilol, Xyzal

Current Illness:

ID: 1096852
Sex: M
Age: 72
State: TN

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/13/2021
Hospital: Y

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: About 27-28 hours after injection felt strong pain in left lung area. Got progressively worse, especially at night when lying in horizontal position. The pain became extreme, could hardly breathe (inhalation causing extreme pain) and couldn't really walk on morning of March 6 (about 66 hours after vaccination. Called General Practicioner and he said to go to Emergency Rm. A catscan showed a small blood clot in each lung. Given blood thinner injection. Subsequent Ultrasound of legs showed no clots there. Released 48 hours later, put on Eliquis -- 5mg -- two each time, twice a day for 6 days, then one each time twice a day. for 3 months.

Other Meds: atorvastatin 10mg daily

Current Illness:

ID: 1096853
Sex: F
Age: 25
State: NY

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin Sulfa Hydrocodone

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

Symptoms: Cellulitis, antibiotics given Redness, itching, hot to touch, hard Symptoms began 2 days after vaccine was administered

Other Meds: Prozac 40mg daily Seasonique birth control

Current Illness: None

ID: 1096854
Sex: M
Age: 72
State: WI

Vax Date: 03/10/2021
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:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Developed a red rash on left arm where vaccine was received (3/10/21). Started 24 hours after receiving vaccine. Patient reported this to me on 3/13/21. Still had rash.

Other Meds:

Current Illness:

ID: 1096855
Sex: F
Age:
State: PA

Vax Date:
Onset Date: 02/15/2021
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: PNC

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

Symptoms: after shakes woke up with rash (red rash) all over trunk area

Other Meds: none

Current Illness: none

ID: 1096856
Sex: M
Age: 68
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Next day after vaccination, experienced body aches, headache, fatigue similar to that of the flu. Mild, low fever. Lasted all day ( 24 hours).

Other Meds:

Current Illness:

ID: 1096857
Sex: F
Age: 41
State: PA

Vax Date: 03/13/2021
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: LA

Lab Data:

Allergies: Amoxacillin, tree pollin

Symptom List: Pain in extremity

Symptoms: After receiving dose, about 15 minutes after, at 1215, patient was getting ready to leave and she asked if she was red and the lead clincian stated that she was red in her chest, patient face red and flushed. Patient then was escorted to the observation area she was experiencing itching, no tingling, and she was very warm. Patient was placed on the litter, and her blood pressure obtained in her right arm, 201/ 113, HR 98 and oxygen 100% She was observed for a total of 60 minutes. Her redness resolved, and she was feeling more comfortable after the 60 minute observation.

Other Meds: Norvasc 5 MG

Current Illness: None

ID: 1096858
Sex: F
Age: 61
State: CO

Vax Date: 03/11/2021
Onset Date:
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: none

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

Symptoms: Sore arm at site injection. no treatment, lasted 2 days

Other Meds: Xeralto, Provastatin, multi-vitamin, baby aspirin, probiotic, fish oil, vitamin B, vitamin D

Current Illness: none

ID: 1096859
Sex: M
Age: 78
State: CA

Vax Date: 02/25/2021
Onset Date: 02/26/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Day 1 totally exhausted and slept for 24 hrs. Day 2 totally exhausted. Day 3 felt better but tired. Day 4 woke up dizzy and exhausted. Day 5 dizzy and exhausted. Day 6 dizzy and exhausted. Day 7 dizzy and exhausted. Day 8 still dizzy and tired, but beginning to feel better. Slightly dizzy for days 9, 10, and 11. This affected my work where I couldn't work. I will not get the second shot.

Other Meds: AMLODIPINE 5MG

Current Illness: None

ID: 1096860
Sex: F
Age: 72
State: NH

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Nausea, vomiting, headAche, slight arm discomfort, general flu like symptoms.

Other Meds: Atenolol,almoldapene,omazaprole.trazadone progabiulon

Current Illness: None

ID: 1096861
Sex: M
Age: 75
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Fever, sweating, chills, oxygen level down, back pain from kidneys, headache, body aches, very tired, feel really bad! Don?t plan on getting the other one!

Other Meds: Atorvastatin 10 mg, metformin hcl 250 mg, lisinopril 40 mg , trelegy 100 mcg

Current Illness: Pneumonia

ID: 1096862
Sex: M
Age: 61
State: FL

Vax Date: 02/22/2021
Onset Date: 03/01/2021
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: inflammation, itching at injection site

Other Meds: Ibuprofen, Eliquis

Current Illness: Multiple bi-lateral pulmonary emboli

ID: 1096863
Sex: F
Age: 38
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
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: torodol codeine drugs

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

Symptoms: Fever 101.8 nausea and vomiting chills headahce severe tiredness lasted for about 36 hours

Other Meds: levothyroxine Citalopram ferrous sulfate biotin

Current Illness:

ID: 1096864
Sex: F
Age: 60
State: TN

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: 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: Fever for 40 hours, chills, uncontrollable shaking for more than 3 hours, severe nausea for 36 hours, nausea continues now but at a much less severe amount, swollen glands around head and in right arm pit for more than 40 hours, pain in right eye started within 10 minutes of shot and continues now, pain in ankles started about 8 hours after shot and continues now but is becoming much more bearable, joints of toes and joints of a few fingers were painful for about 24 hours, sore arm started about 3 hours after shot and continues now, overall muscle aches started about 8 hours after shot - became much worse within 12-14 hours after shot and became less severe after 30 hours. Overall I felt as if I had a terrible case of the flu. It was very intense. I was unable to sleep the first night due to the severity of symptoms. The second night I sweated a tremendous amount and my fever broke. I am still not over all of my symptoms but I am feeling better.

Other Meds: Chamomille Tea - 2 cups per day, multi vitamin, calcium supplement, vitamin D

Current Illness: none

ID: 1096865
Sex: F
Age: 61
State: NY

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: RA

Lab Data:

Allergies: Penicillin Latex

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

Symptoms: Dark, granular diarrhea w unusual, intense odor Fever Fatigue Headache

Other Meds: Venlafaxine Multivitamin

Current Illness: None

ID: 1096866
Sex: F
Age: 52
State: NC

Vax Date: 03/13/2021
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: RA

Lab Data:

Allergies: Aspirin Iodine Peniicllin Shellfish Sulfa Wheat

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

Symptoms: Syncope 15 minutes following vaccine. Epipen administred. Subsequent ER visit.

Other Meds: Atenolol Symbicort Clarinex Gabapentin Dilitiazem Singulair Protonix Qvar Lasix Norpace Spironolactone

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm