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: 1097481
Sex: F
Age: 35
State: AR

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: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient was sitting in the post-vaccination chair, about 10 minutes after her vaccination time. She lost consciousness and fell to the floor. I instructed the technician to call 911 and went to the patient, who quickly regained consciousness. She sat back in the chair, and we gave her some water. She said she was feeling better when the EMT arrived.

Other Meds:

Current Illness:

ID: 1097482
Sex: F
Age: 83
State: CA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
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: Opiates.

Symptom List: Anxiety, Dyspnoea

Symptoms: Extreme pain at injection site. My arm felt as though crushed by a vise with an ice pick jabbing into it.

Other Meds: CarbiLevidopa, Primadone, Allopurinol, Aldactone, Vitamin D, Prilosec,

Current Illness: None.

ID: 1097483
Sex: M
Age: 71
State: CO

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

Lab Data:

Allergies: No real allergies but a side effect of taking anything containing codeine is a severe headache.

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

Symptoms: Approximately 5 hours after injection, I started to feel chilled and began shaking and shivering. No fever. Felt general malaise. No appetite. Developed bad headache which prevented sleeping. The next day, it seemed this was over, but still had no appetite and in the evening the shaking and shivering resumed. Developed another bad headache that prevented sleeping again. Next morning (today) still no appetite and continued to feel cold. Have eaten some even with no appetite, so I could take ibuprofen which seemed to help a bit.

Other Meds: Testosterone cypionate 1ml self injected every 2 weeks. Most recent was about 24 hrs prior to vaccination. Daily use of multivitamin supplements. 50 mg DHEA daily for 6 days a week.

Current Illness: Minor cold symptoms, slight cough that ended about 48 hours prior to vaccination.

ID: 1097485
Sex: F
Age: 33
State: CA

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

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Moderna COVID-19 Vaccine EUA Severe dizziness - lasted 2-3 days Fever (102.5 F) - lasted 6-12 hours Chills - lasted 6-12 hours Nausea, vomiting, diarrhea - lasted approximately 12 hours Body aches - lasted 24 hours Injection site pain - lasted 4 days Headache - lasted 24 hours

Other Meds: Prozac 60mg daily Birth control pill daily

Current Illness: No, however I was diagnosed with COVID in December 2020

ID: 1097486
Sex: F
Age: 45
State: TX

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

Symptoms: 10 hrs afterwards I had the worst chills I have ever had for 2 hrs then my body was on fire for 2 hrs. I was drenched in sweat had to change my clothes twice and a severe headache. I felt some mild discomfort in my breathing and I was extremely thirsty. All of this lasted about 5 hrs

Other Meds: Vit C and Multi Vit and Elderberry

Current Illness: Asthma and allergies

ID: 1097488
Sex: M
Age: 8
State: MO

Vax Date: 03/12/2021
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: None

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

Symptoms: Patient was inadvertently vaccinated below the minimum age. He/his guardian listed no PCP and did not answer when we reached out to follow-up.

Other Meds:

Current Illness:

ID: 1097489
Sex: F
Age: 36
State: MA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
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: n/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I received the vaccine in my right arm at 1:30p on Wednesday, January 6. When I woke up on Thursday morning, my arm was red, swollen, and warm to the touch at the injection site, about 2 by 3 inches. It went away after 2-3 days, but returned on January 15, initially the exact same size and shape as the first reaction (we'd traced the edges to watch for spreading). It was warm, continued to expand and become more red and swollen, and was itchy, whereas the initial reaction had not been itchy. Since I work in a hospital, I was encouraged to see an NP at our Health Services department to make sure it wasn't looking like cellulitis, which she said it was not. I was given an antihistamine cream to use topically to relieve the itch. I was also told to see them again if it lasted more than 48 hours from that point. It was gone by January 17 or January 18.

Other Meds: n/a

Current Illness: n/a

ID: 1097490
Sex: M
Age: 38
State: WV

Vax Date: 03/01/2021
Onset Date: 03/04/2021
Rec V Date: 03/13/2021
Hospital: Y

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

Lab Data:

Allergies: Ceclor, sulfa meds, poultry

Symptom List: Pharyngeal swelling

Symptoms: Extreme muscle spasms and contractions, leading to cervical spine damage and cervical spine impingement

Other Meds: Klonopin and Buspar

Current Illness: None

ID: 1097491
Sex: F
Age: 55
State: OH

Vax Date: 03/01/2021
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: NO

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Sore arm on first day, but woke up with very dark and/or blood-tinged urine 36 hours later (today). Back pain and some aches, not sure if related to kidneys. Has persisted all day.

Other Meds: Metformin, Trazadone for sleep, Lisonopril, Welbutrin, vitamins

Current Illness: None

ID: 1097493
Sex: F
Age: 22
State: TX

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NO

Symptom List: Diarrhoea, Nasal congestion

Symptoms: PATIENT FAINTED

Other Meds: NO

Current Illness: NO

ID: 1097494
Sex: M
Age: 66
State: MA

Vax Date: 03/11/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None...this reaction was I believe associated to my second Pfizer coved 19 vaccination .

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

Symptoms: Bumpy itchy rash over entire body

Other Meds: Crestor 2.5 mg daily, coq10, fish oil, vitamin d, vitamin c, probiotic - 2 times a week, small amount of revesteral and turmeric which is in thecoq 10 supplements.

Current Illness: None

ID: 1097495
Sex: F
Age: 65
State: OR

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Morphine, Tetracycline, Zinc

Symptom List: Rash, Urticaria

Symptoms: Within 30 minutes upper body muscles became very achy. Within next hour sinus tickle and nose running. Within two hours a tickling discomfort in lungs, coughing. (Left lung in particular.) Remembered then in early 2000's had pneumonia several times with scarring on left. Monday evening while trying to sleep much sneezing, nose blowing, fluids moving into chest and by morning a severe left calf cramp for which I had to stand up to relieve. Leg very sore until the 12th. Been very cold all week.

Other Meds: Hydroxychloroquin 300 mg

Current Illness: None

ID: 1097496
Sex: F
Age: 53
State: GA

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:

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

Symptoms: Patient came in with father to receive first dose of COVID 19 vaccine (Moderna) this morning. While screening the patient, patient mentioned that she gets flu vaccines each year but this past year her arm had severe swelling after a flu vaccination where she was placed on steroid therapy. Pharmacist suggested that patient receive vaccination in the opposite arm and that she should wait around for 30 minutes for observation instead of 15 minutes. Patient received vaccination at approximately 10:25am. At 5:30pm, patient called back to the pharmacy saying that she had a swollen and bruised arm around the injection site area and underneath the inject-safe bandage. Patient came to the pharmacy at 5:45 pm with the bandage removed where the pharmacist was able to see the arm and both patient and pharmacist agreed that the swollen area appeared as though it was going down. Patient was advised to use a cool compress for the swelling and bruising and that we would follow up with each other on Monday.

Other Meds:

Current Illness:

ID: 1097497
Sex: F
Age: 46
State: MA

Vax Date: 03/03/2021
Onset Date: 03/08/2021
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: Allergy to Penicillin

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

Symptoms: Swelling and tenderness in left arm pit and chest area

Other Meds: No

Current Illness: N/A

ID: 1097498
Sex: M
Age: 60
State: IN

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: NONE

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

Symptoms: DAY AFTER SHOT DEVELOPED 104 DEGREE FEVER, BODY ACHES AND HEADACHE

Other Meds: MONTELUKAST 10MG DAILY

Current Illness: NONE

ID: 1097499
Sex: F
Age: 60
State: AK

Vax Date: 02/19/2021
Onset Date: 02/21/2021
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: wheat, chloroquine

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

Symptoms: It began at about 36 hours after vaccine - severe aches all over my body, my limbs, chills, that lasted several days, weakness, slight sore throat,

Other Meds: Synthroid, Amlodopin, Vitamin D

Current Illness: None

ID: 1097500
Sex: F
Age: 17
State: CA

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

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

Symptoms: Administered out of approved age range. Vaccine approved for 18 years and older. Patient was 17 years old at the time of vaccination.

Other Meds:

Current Illness:

ID: 1097501
Sex: F
Age: 33
State: CA

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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: diaphragmatic, low bp 95/53, dizziness, lightheartedness, tingling on arms and feet .

Other Meds:

Current Illness: N/A

ID: 1097502
Sex: M
Age: 67
State: CA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: Possible allergic dermatitis

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: The patient states that he had a bilateral hand /forearm dermatitis that was getting better when he received his first dose of Pfizer vaccine. Thereafter in about 24 hours the dermatitis erupted again and he developed hand swelling, redness and itching. he consulted his physician and was given oral prednisone at 50mg /d for 7 days which calmed the dermatitis. We reviewed the possibility of his rash erupting again after he receives dose 32--for which he is here today--and the possibility that the previous corticosteroids that he was given might inhibit a full immune response from the vaccine. He opts to receive the second dose today anyway and it is administered. This is to report the worsening of the dermatitis after the first dose was given. He still had remnants of a dermatitis (wrinkled skin, etc)

Other Meds:

Current Illness: Bilateral hand rash--presumed allergy possibly contact dermatitis

ID: 1097503
Sex: M
Age: 37
State: MN

Vax Date: 03/13/2021
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: Vicodin

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

Symptoms: The vaccine vial was diluted with 1.4ml of diluent instead of 1.8ml. Then 0.3ml was drawn out and administered to patient. He got a higher concentration of the vaccine. He reports no adverse events.

Other Meds: Clonazepam, escitalopram, gabapentin, propranolol

Current Illness: Anxiety and depression

ID: 1097504
Sex: F
Age: 20
State: CA

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Pt 20 y/o female found ambulatory at vaccination site. c/c weak/dizzy, borderline hypotensive. Pt received her first doser of Moderna COVID-019 vaccine at approximately 1040hrs. Pt was monitored for 15 minutes in a designated area. Upon standing up pt became lightheaded and dizzy. Pt sat down and notified staff of feeling weak and dizzy. Responder was notified and responded to pt. Pt denied any chest pain or shortness of breath. Minor nausea but no vomiting. Pt had equal grips and pushes, no headache, blurred vision or tinnitus. Abdomen was soft and non tender on palpation. No hives, rash or redness noted. Pt was given 500cc of NS via IV, 20g in L AC. Pt was positive orthostatic and was laid down supine on a blanket. Last LPM 30 days ago. Gravida 0, Para 0. Pt states she has had syncopal episodes during menstrual period. Pt denied any food intake this morning. Pt was transported byto Hospital. Vital signs improved with administration of NS. Vital Signs: BP 106/52, HR96, SPO2 99%. (1052hrs) BP 118/76, HR 68, SPO2 99% Hx: Syncope during menstruation, Anxiety, borderline hypotensive. Allergies: NKDA Medicine: None

Other Meds: N/A

Current Illness: N/A

ID: 1097505
Sex: F
Age: 42
State: CA

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Headache, arm soreness, fatigue, muscle pain

Other Meds: Pantropozole, atorvastatin, fluoxetine, buprpion

Current Illness: None

ID: 1097506
Sex: F
Age: 42
State: AZ

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: Codeine/Vicodin

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

Symptoms: Approximately 20-25 minutes after injection, dizziness, tingling in face, and throat tightness occurred, which resolved after about 15 minutes. No shortness of breath experienced and symptoms were not severe enough to seek medical treatment.

Other Meds: Lisinopril - 5mg Levothyroxine - 50mcg Over the counter probiotic Claritin

Current Illness: N/A

ID: 1097507
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: For 24 hours expereinced headache, body aches, and nausea. Took Tylenol.

Other Meds: Metoprolol, Ibandronate, Caltrate, Low Dose Aspirin

Current Illness: None

ID: 1097508
Sex: F
Age: 72
State: CA

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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Just like the flu, chills, body and joint pain, nausea, extreme headache, started to ease up today 3/13 but still feel sick. Also have weaknesses in arms and legs.

Other Meds: Losartin 40 mg, atorvastatin 80mg, paroxetine 40 omeprazole40mg D3, 1000 our, zinc 50mg magnesium 250 mg , cascara degradation 450 mg extra strength Tylenol

Current Illness: NoNE

ID: 1097509
Sex: F
Age: 74
State: UT

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

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

Symptoms: Headache beginning 45 mins after second shot, lasting 5 days. Severe headache within 4 hours. No treatment. Severe nausea and vomiting beginning 10 pm night of shot or 10 hrs. later, lasting about 12 hours. Extreme chills beginning 10 pm or 910 hrs. after shot. Couldn't hold food down 48 hours. Extreme fatigue beginning 10 pm or 10 hrs after shot, lasting 38 hrs. Slept 14 hours straight after first 24 hours. Symptoms began to subside (except headache) 48 hours after second shot. Headache lasted 120 hours. Began to eat light solids 48 hrs later, began to eat normally 5th day or 120 hrs later. I did not use any treatment or call a Doctor.

Other Meds: multivitamin, turmeric, b complex

Current Illness: None

ID: 1097510
Sex: M
Age: 80
State: TX

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

Lab Data:

Allergies: artichokes

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: within minutes I began coughing, this lasted until after midnight with heavy mucus with gaging and coughing. I took Mucinex a sleeping pill and got some sleep. The next day got up for breakfast and went back to bed sleeping and still groggy at 4 p m

Other Meds: azelastine nasal spray, torsemide, Telmisartan carvedilol omeprazole Ventolin inhaler monthly allergy shots Montelukast anoro inhaler melatonin baby asperin wellness formula vitamin gi total digestive b-12 omega 3 b-2 d3

Current Illness: none

ID: 1097511
Sex: F
Age: 59
State: CA

Vax Date: 03/01/2021
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: RA

Lab Data:

Allergies: Sulf, hand-sanitizer , latex gloves, rubbing alcohol

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 1st day i has a rash. Now on 3/12-present where they gave me the vaccine itches.

Other Meds: No

Current Illness: No

ID: 1097512
Sex: M
Age: 24
State: IN

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: RA

Lab Data:

Allergies:

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

Symptoms: Redness, swelling, soreness in injection site and surrounding muscles/neck/back

Other Meds:

Current Illness:

ID: 1097513
Sex: F
Age: 63
State: MN

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: RA

Lab Data:

Allergies: N/A

Symptom List: Nausea

Symptoms: Pt felt lightheaded/dizzy after receiving the vaccine. She stated that she usually felt that way after receiving all kinds of vaccines. She stated that after consuming some sugary drinks, she felt better. She had the symptoms for about 15 minutes

Other Meds: N/A

Current Illness: N/A

ID: 1097514
Sex: F
Age: 40
State:

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: I am allergic to sulfa, walnuts, and pecans. I also have hayfever. I took 5 years of allergy shots to help with the hayfever. I completed my allergy therapy around 12 years ago.

Symptom List: Injection site pain

Symptoms: A large rash and swelling in the left arm around the injection site exactly one week later. It is itchy and warm to the touch. This may be similar to "COVID arm". It started last night. After I worked out this morning, the rash and swelling increased.

Other Meds: Daily women's multivitamin, Allegra (as needed)

Current Illness: None

ID: 1097515
Sex: F
Age: 66
State: IN

Vax Date: 03/10/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Neosporin

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

Symptoms: Low fever, sore arm, a lot of achiness, really tired. Lasted for about 36 hours until I felt back to normal.

Other Meds: Levothyroxin

Current Illness:

ID: 1097516
Sex: F
Age: 36
State: WI

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

Lab Data:

Allergies: Latex Tramadol Augmentin

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

Symptoms: I am reporting COVID arm. Itching, a rash and some tissue inflammation appeared on day 8 post-vaccination. On day 9, a red patch (where the rash was) is present around the vaccination site. All previous day reactions were reported though vsafe.

Other Meds: Zyrtec Vyvanse Tumeric w/ Black Pepper Montelukast

Current Illness: NA

ID: 1097517
Sex: F
Age: 69
State: CA

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Dose # 1: no effect Dose # 2: headache, nausea, fatigue. chills, fever3/13/2021 All day in bed

Other Meds: None

Current Illness: None

ID: 1097518
Sex: F
Age: 28
State: CA

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

Lab Data:

Allergies: shrimp, pesticides

Symptom List: Erythema, Pruritus

Symptoms: Pt 28 y/o female found sitting in a chair at USC vaccination site. c/c Allergic reaction post COVID-19 vaccination. Pt was instructed to wait in the "30 minute" monitoring area due to allergies to shellfish. After approximately 15 minutes in the monitoring area the pt notified CORE staff stating she felt her lips swelling. CORE staff notified LAFD and Carbon AP who immediately responded to the pt. Upon arrival it was noted that pt had moderate swelling of her lips and minor airway involvement. Pt was assessed and given 2 doses of EPI 1:1000 for a total of 1.0mg (0.5mg each). Swelling subsided and pt denied any further airway involvement. Pt denied any chest pain or severe shortness of breath. No nausea or vomiting, pt had equal grips and pushes. No headache, blurred vision or tinnitus. Abdomen was soft and non tender on palpation. Gravida 0, para 0. LMP 28 days ago. Pt has a Hx of severe allergic reaction to shellfish. LAFD RA10 was dispatched and pt was transported to hospital #133 for further evaluation and care. Hx: Cardiomyopathy, Borderline anemic, HTN Allergies: Shellfish Meds: Birth control

Other Meds: birth control

Current Illness: n/a

ID: 1097519
Sex: M
Age: 41
State: AL

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

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

Symptoms: Soreness at injection sight 1st night. Headache, Fatigue, body aches, and diarrhea the following day.

Other Meds:

Current Illness:

ID: 1097520
Sex: F
Age: 64
State: VA

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

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

Lab Data:

Allergies: NKA

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

Symptoms: I experienced fever, chills, tiredness, and headache approximately five hours after administration of the vaccine on 3-10-21. Symptoms became severe within 30 minutes thereafter, at which time I experienced difficulty standing. After five hours with no improvement, I used my home blood pressure monitor to check my BP and HR; BP was high for me, 120/90 sustained, and HR varied between 135 and 150, with 143 being the most consistent value after multiple readings. I seemed to be experiencing a "severe allergic reaction" per the instructions I was given and called 9-1-1. I was transported to Hospital, treated in ER, and then admitted to the intermediate care unit. I was discharged to home on 3-12-21.

Other Meds: Levothyroxin 88 mcg PO qday Minoxidil 5% topical qday

Current Illness: None

ID: 1097521
Sex: F
Age: 48
State: TX

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Unknown

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Within minutes of receiving Moderna injection, I began to feel tightness in my throat, racing heartbeat, pale skin, burning sensation from neck up, shaking hands. I was immediately evaluated and given an injection of Benadryl and began to feel relief of symptoms. I was allowed to wait an additional 20 minutes and left after having another evaluation and had my blood pressure checked.

Other Meds: Citalopram 10mg Lorazepam 1mg

Current Illness: None

ID: 1097522
Sex: F
Age: 67
State: FL

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: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin, codeine

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

Symptoms: Slight chill started about 7:15 p.m. and within minutes my entire body was shaking uncontrollably. After about 1 and 1/2 hours extreme shaking stopped. Felt very wiped out the following day with slight headache and legs hurting.

Other Meds: Escitalopram 10 mg, otc Zyrtec, otc Pepcid, cranberry, calcium

Current Illness:

ID: 1097523
Sex: F
Age: 29
State: PA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: Beer. Reaction to Vicodin and ambien .

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

Symptoms: The night of vaccination I felt awful like I had the flu and got hives up and down my legs. Since then I have felt malaise and general soreness as well as intermittent headaches etc. none of this is uncommon in my body (as I have autoimmune issues). But I am concerned it?s triggered an autoimmune flare. I no longer have hives (so I will check recovered) but still feel unwell.

Other Meds: Sertraline, lo loestrin, emgality . Maxalt as needed.

Current Illness: /a

ID: 1097524
Sex: F
Age: 57
State: SC

Vax Date: 03/08/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: morphine, sulfa

Symptom List: Pain in extremity

Symptoms: rash that developed 2 days after vaccination in multiple part of body.

Other Meds: benadryl

Current Illness:

ID: 1097525
Sex: F
Age: 83
State: MO

Vax Date: 03/04/2021
Onset Date: 03/05/2021
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: possible penicillin caused raised welt, sulfa, other I don't remember

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

Symptoms: 1st day - 0, day 2 slight fever, sore injection site, red lasted 3 days, March 11th itching, slightly sore, quite red 3 days so far itching

Other Meds: Eliquiz, metoprolol, Armour thyroid, ginkgo biloba, Vit E, C, D , K, Blue green spirulina

Current Illness: no diseases for quite a while If there is no other place besides the reaction the day after vaccination, I had the Covid-Arm about 8 days later, with itching and red sore area the same place as the painful are the 2nd day. March 11th.

ID: 1097526
Sex: F
Age: 66
State: IL

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: Ibuprofen, peanuts, soy flour and soy protein, all tree nuts, lentils, chick peas.

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

Symptoms: General severe arthralgia, severe muscle pain all over, slight mental fogginess, headache, chills, blotchy red circular rash on right arm 2 days after vaccine, swelling and pain at injection site.

Other Meds: Zyrtec, Flonase, Citalopram, Levothyroxine, CBD oil, Vitamins D3, B, C, Probiotics, Calcium/ Magnesium, Glucosamine Chondroitin, Primrose oil, Mega red, krill oil, Viviscal, Albuterol inhaler,.

Current Illness: None

ID: 1097527
Sex: F
Age: 73
State: KY

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

Lab Data:

Allergies: codiene

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

Symptoms: On 3/12 my arm in the area of the injection began feeling like it was burning and itching. Looking at it showed some small red bumps in a zigzag line. Over night it increased to a semi round area about the size of a tennis ball. It is swollen and red. Does not hurt but is uncomfortable like a cross between an itch and a burn. Was given a prescription for loratadine(1xday). Also told to apply ice and watch for about 3 days. If no better or spreads then go to the emergency department.

Other Meds: Tramadal Tylenol

Current Illness:

ID: 1097528
Sex: F
Age: 50
State: NY

Vax Date: 03/05/2021
Onset Date: 03/13/2021
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: Muscle pain in arm injection was given in occurring same day starting approximately 1 hour later, and lasting 4 days. 8 days after injection a hard red bump at injection site developed along with itchiness. Redness extends about an inch around injection site.

Other Meds: Keppra XR, multi-vitamin-centrum senior, vitamin D, vitamin B complex, fish oil

Current Illness: None

ID: 1097529
Sex: F
Age: 38
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: SYR
Vax Site: LA

Lab Data:

Allergies: Bee sting

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Shooting pain in/ around heart for 3 hours. It started about 2 hours after the shot. Sharp shooting pain that was much worse on deep inhales and when stretching chest open.

Other Meds: Multi vitamins. Turmeric, spirulina, vitamin b 12

Current Illness: None

ID: 1097530
Sex: F
Age: 21
State: CA

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:

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

Symptoms: patient was weak and pale . could not sit . low BP 91/44 HR; 43 . sever arm pain on injection site .

Other Meds:

Current Illness:

ID: 1097531
Sex: F
Age: 52
State: NY

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Next morning felt pain tenderness and swelling on left arm and left side of nose (skin) diarrhea mild and fast heart rate 110 bpm.

Other Meds: Metformin 1000mg 2x daily; rybelsus 3mg; vit d 10000btu weekly. Vit e

Current Illness: None

ID: 1097532
Sex: F
Age: 49
State: IN

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: RA

Lab Data:

Allergies:

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

Symptoms: 1628 ? Patient received first dose of Pfizer vaccine. She reported a history of allergic reactions in the past and was thus observed for 30 minutes following her injection time. 1704 ? Vitals: 99% sp02, 192/101 BP. Patient reported symptoms of itching of face, scalp, eyes, and hands. 25 mg Benadryl given by Observer. Patient placed on continuous sp02 monitor. No SOB, cough, or wheezing at this time. 1710 ? Observers called ED Nurse to let them know we would likely be sending a patient their way. 1715 - Observer was advising patient?s husband to take her to the ED when Coordinators were alerted to situation. contacting ED and allowing patient to transport themselves is not our protocol and Coordinators took control of the situation at this time. 1717 ? 1720 ? Patient moved by wheelchair to private area in the library for further evaluation. Vitals: 99% sp02, 200/119, BP, 90 HR. assessed patient. Rash but not hives are present on her chest. There is mild end-expiratory wheezing consistent with asthma history. No airway edema. No trouble speaking or swallowing. She is mildly diaphoretic but neurologically intact. 1720 ? Rapid response called for transport to ED. Sp02 98 ? 99. 1722 - Patient is starting to have increased wheezing with sp02 holding at 98%. She doesn?t have her inhaler. 1727 ? Rapid response called to say transport is 5 ? 10 minutes away. Patient still on monitor. No visible airway edema. Starting to cough and bilateral upper extremities mildly edematous. She notes her back is itching in addition to chest. 1728 ? After briefly explaining procedure to patient and obtaining verbal consent, 0.3 mg Epi Pen injection given to right lateral thigh. Vitals 192/133 BP, 91 HR, 99% 02. 1731 ? EMS arrives. Itching, wheezing, and cough have improved. Report given to EMS. Patient transported by stretcher to ED. Report had previously been given to ED and updates since then were given to EMS.

Other Meds:

Current Illness:

ID: 1097533
Sex: F
Age: 37
State: MO

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: unknown

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

Symptoms: Patient reported feeling dizzy. She asked for some water, which was provided. Went to check on patient a minute later and her eyes were fluttering and her breathing altered. She did not respond to me. Her pupils dilated dramatically and she slumped over. I called for a nurse and we lowered her to the floor together. Blood pressure was low (around 100/60) Her pupils started to return to normal and she was able to converse with us. Blood pressure increased slightly but was erratic. Emergency service responders made call to take to hospital because blood pressure would not stabilize

Other Meds: unknown

Current Illness: no

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm