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: 1097740
Sex: M
Age: 33
State: AK

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: na

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient went into a vasovagal response with sweating about 8 minutes after the shot. patient came back to consciousness after 7 seconds after pharmacist checked pulse made sure the patient was upright and used applied tension technique. Patient was then given fluids and lime soda that helped the patient come back to total consciousness. We continued to monitor patient for an extra 30 minutes and called family to pick him to ensure that he does not drive. Moreover, I recommended that the patient does not go snowboarding as he was thinking of heading to the mountains today.

Other Meds: na

Current Illness: na

ID: 1097741
Sex: F
Age: 33
State: VT

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

Lab Data:

Allergies: NA

Symptom List: Anxiety, Dyspnoea

Symptoms: My menstrual cycle is not due to begin until March 17, 2021. I am on birth control and I take it routinely at the same time everyday. I did not miss a dose, my cycle has never been early like this (maybe a day early.) I started spotting hours after I received my shot, on March 8, 2021 and now it is a full blown cycle. This makes my cycle 9 days early.

Other Meds: Bupropion Xl 300mg, Baclofen 10mg, Omeprazole 40mg, L-norges/eth Est (Kurvelo) 28s .15/30, Naltrexone Hcl Tab 50mg, Amphetamine Mixed Tabs 20mg,

Current Illness: NA

ID: 1097742
Sex: F
Age: 71
State: WV

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: unknown

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

Symptoms: Moderna COVID-19 Vaccine EUA: 10-15 minutes after receiving vaccination, patient felt "Like I just got anesthesia". From chest down felt "Like it's going numb". Also stated she felt very tired. Was transported to ER via EMS. Vital signs were stable before transport. BP 143/73, HR 92, O2 sat 92%, Blood Glucose 132.

Other Meds: unknown

Current Illness: unknown

ID: 1097743
Sex: M
Age: 69
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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Initial - Muscle aches, weakness, soreness at vaccination site, headache Later - Fever, nausea, vomiting, weakness, muscle ache, headache, diarrhea

Other Meds: Omeprazole, Duloxetine, Probiotics, Benfotiamine

Current Illness: None

ID: 1097744
Sex: M
Age: 59
State: LA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Immediate after the shot i had a weird taste and slight feeling of nausea which soon went away. Around 6 pm on the day of the injection I noticed that my taste buds were more sensitive. Following that I became very sluggish. So I went to bed shortly afterwards. The following morning I was still sluggish and there was a feeling of openness in my upper chest area. The feeling of tiredness an no energy started and continued until Wednesday the 3rd of March. That morning I awaken feeling better. I still have a feeling of openness in my upper chest area. But overall I feel great.

Other Meds:

Current Illness:

ID: 1097745
Sex: F
Age: 30
State: NY

Vax Date: 03/01/2021
Onset Date: 03/10/2021
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: Lisnilpril

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

Symptoms: I had a migraine for three days starting on wed and burning tingling and numbness in my hands feet back of my calf also, my veins in my wrist hurt and felt tight and by Friday night my face was starting to get numb. I also have a bad sore throat. I went to the hospital they ruled out blood clot and stroke. My Covid test was negative.

Other Meds: Metformin hcl 1000 mg Nifidepine er 60 mg Prenatal

Current Illness: Hypertension Diabetes

ID: 1097746
Sex: F
Age: 36
State: CO

Vax Date: 02/18/2021
Onset Date: 02/18/2021
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: benzoin tincture, doxycycline, minocycline, tetracycline

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: six days after vaccination patient reports persistent fatigue, light headedness, feeling jittery, and headache. All vital signs within normal ranges. Left cervical lymph nodes noted to be swollen. Patient denies respiratory, cardiac, and gastrointestinal symptoms. Patient advised rest and home care: discharged from urgent care medically stable.

Other Meds: vitamin C, DHA, ibuprofen, mometasone-formoterol, multivitamin, levothyroxine, vitamin D

Current Illness:

ID: 1097747
Sex: F
Age: 39
State: KY

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Red rash at injection site. Rash is warm to the touch and painful.

Other Meds: Nexium

Current Illness: Seasonal allergies

ID: 1097748
Sex: F
Age: 35
State:

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: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient was nauseous, pale, clammy hands. Apply cold compresses to the patient's neck. The patient felt better after 5 minutes.

Other Meds:

Current Illness:

ID: 1097750
Sex: F
Age: 47
State: HI

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: antibiotics, sertraline

Symptom List: Diarrhoea, Nasal congestion

Symptoms: left face, cheek and ear with sensation change. lasted few days. headache, arm pain, body ache for days

Other Meds:

Current Illness: none

ID: 1097751
Sex: F
Age: 60
State: TX

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: SYR
Vax Site: LA

Lab Data:

Allergies: N/a

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

Symptoms: Chills, body aches, nausea and 100.5 fever loss of appetite

Other Meds: Farxiga, duloxtene, vitamins b-12, C

Current Illness: seasonal allergies

ID: 1097752
Sex: F
Age: 37
State: NC

Vax Date: 03/05/2021
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: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: High blood pressure (165/100) requiring treatment with lisinopril, pain on right abdomen, raised red swollen rash on right arm one week after injection

Other Meds: Prozac, CBD, ritual multivitamin

Current Illness: Swelling and pain in hands, unexplained weight gain, malaise, fatigue

ID: 1097753
Sex: F
Age: 55
State: AZ

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: None

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

Symptoms: Swelling occurred at the injection site. This has now further progressed to a larger, raised rash. Approx 2x2 inches around. The area is painful, hot and throbbing.

Other Meds: Atorvastatin, Escitalopram, Asprin

Current Illness:

ID: 1097754
Sex: F
Age: 44
State: AZ

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa eye drops Mild allergy to citrus and mold

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

Symptoms: Nausea Fatigue Fever Stomach Pain Soreness at Injection Site Diarrhea

Other Meds: Chromium supplement gummy x1 B12 sublingual pill Vitamin D gummy x2 Probiotic gummy x2 Multivitamin gummy x2

Current Illness: Non aside from seasonal allergies

ID: 1097755
Sex: U
Age: 22
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Pt. received 0.5 ML IM L deltoid of J&J COVID19 vaccine and ambulated independently to observation area. While in observation area pt. became lightheaded, dizzy, and flush and slipped out of his chair to his hands and knees. Bystander helped pt to the floor so he did not hit his head. BP immediately was 118/74, no blurry vision, no headache, no nausea, had not eaten since 1300. Pt sat up and vitals were taken: BP 126/82 HR80 RR18 A/Ox4, pupils equal and reactive. Pt was then assisted to the cot where he had a snack and juice and was feeling much better. Pt called a friend to drive him home.

Other Meds:

Current Illness:

ID: 1097756
Sex: F
Age:
State: HI

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: Bactrim

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

Symptoms: The day after the vaccine patient woke up with dizziness and vertigo. developed fast heart rate, nausea, vomiting, lightheadedness. seen by me on 3/13/21 and was noted to have irregular rhythm on auscultation. EKG showed frequent PVCs, every 3rd beat, with rate of 87. She has no h/o prior arrhythmia. obtaining monitor and labs to assess but unclear whether she should get the second shot or whether current sx are related to COVID vaccine.

Other Meds: atorvastatin 40 mg Candesartan-hctz 16-12.5 MG

Current Illness: none

ID: 1097757
Sex: F
Age: 67
State:

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: Penicillin, Sulfa, Belladonna, Homatropine

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

Symptoms: Headache, muscle soreness, dizzy, fatigue, sore arm

Other Meds: Hydrochlorothiazide, Ethyl Esters, multi vitamins

Current Illness: None

ID: 1097758
Sex: F
Age: 16
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 16 y/o was given a Janssen COVID19 vaccine shot, the product was only studied/approved for 18+ y/o

Other Meds:

Current Illness:

ID: 1097759
Sex: F
Age: 51
State: CA

Vax Date: 01/13/2021
Onset Date: 01/23/2021
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: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Develop generalized rash bikateral forearms and behind the neck

Other Meds: Vitamin B and D, fish oil, lisinopril

Current Illness: None

ID: 1097760
Sex: F
Age: 61
State: MD

Vax Date: 01/08/2021
Onset Date: 01/16/2021
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: Upper left arm developed a large area (about 6 inches long and 3 inches wide) that was red, swollen and slightly itchy for about 5 days. These symptoms began 8 days after the vaccine was given. The affected area was located about 2 inches below injection site.

Other Meds: Premarin Vaginal Cream 2x/week

Current Illness: none

ID: 1097761
Sex: F
Age: 49
State: WA

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: PERCOCET, TRAMADOL, TORADOL, LATEX TAPE

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

Symptoms: Patient has prior allergies to other medications, never had to use epinephrine. Past allergies include: Percocet, tramadol, Toradol and latex tape. Patient stated she has some full budding numbing experience but no anaphylaxis. We gave her the J&J covid 19 vaccine and asked her to wait 30 minutes to be monitored due to her past allergies. Around 20 minutes patient let one of the pharmacist know she was feeling very flushed and dizzy. We brought her over to the side to be monitored more closely. We had patient elevate her feet to help with faint feeling and drink some water. Within 5 to 10 minutes her symptoms started worsening. Tingling sensation started going up her side of head and neck. It started moving to the front of her face. Once that happened I asked how her breathing was and she was starting to get short of breath. Soon after patients throat started to close. We administer 0.3 m of epinephrine and called 911. Pt was able to breathe a little better but within 5 minutes she was back to gasping for air, we administered another 0.3 mg of epinephrine and the paramedics arrived.

Other Meds:

Current Illness:

ID: 1097762
Sex: F
Age: 64
State: OH

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: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, Amoxicillin, Tramodal

Symptom List: Unevaluable event

Symptoms: Rapid heart rate that is not letting up

Other Meds: Thyroid medication

Current Illness:

ID: 1097763
Sex: F
Age: 53
State: NY

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: LA

Lab Data:

Allergies: food allergies (apples, pineapple, kiwi, berries, etc. )

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

Symptoms: I woke up in the middle of the night with a terrible headache and body aches and chills. The next day these symptoms continued and I also had a fever (100.3). My lower back hurt so much that I felt as if I had fallen down a long flight of stairs. I had to take 1/2 day off of work and spend the remainder of the day in bed. Eventually I took 2 extra strength Tylenol which helped alleviate my symptoms. The next morning I woke up feeling totally fine.

Other Meds:

Current Illness: none

ID: 1097764
Sex: M
Age: 66
State: IN

Vax Date: 02/17/2021
Onset Date: 03/03/2021
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: Sulfa-urticaria Fenofibrate-photodermatitits

Symptom List: Injection site pain, Pain

Symptoms: I received the Pfizer COVID 19 vaccination on the morning of 2/17/21 with no resulting initial sequelae other than injection site tenderness. Approximately 2 weeks post-injection, I developed coryzal symptoms of nasal stuffiness and congestion without fever, chills, headache, or myalgias. On, or about, 3/3/21, I noticed diminution of hearing in the left ear without signs of drainage, fever, or dizziness. This was treated with a Z Pac, nasal and oral decongestants, and nasal steroids. Over the course of 10 days, the hearing decline had improved, but a clinical exam and testing by an ENT on 3/12/21 confirmed evidence suggestive of sensorineural hearing loss, with asymmetric impairment in the affected (left) ear.

Other Meds: 1)Synthroid 137mcg/day 2)Metformin XR 500mg/day 3)Hydrochlorothiazide 25mg/day 4)Atorvastatin 20mg/day 5)Famotidine 10mg/day 5)Vitamin D 2000IU/day 6)Melatonin 5mg/hs

Current Illness: none

ID: 1097765
Sex: F
Age: 22
State: OR

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: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: Ear pain/pressure, headache, and body aches started on 3/11 around 7pm. Around 11am on 3/11 through the end of the day I was having waves of feeling very hot. No fever. Body aches, ear pressure, and fatigue on 3/12 with radiating left arm pain which stopped. Radiating arm/shoulder pain came back on 3/13 around 12:45PM.

Other Meds: Sertraline 100mg Junel

Current Illness: No

ID: 1097766
Sex: M
Age: 74
State: MD

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

Lab Data:

Allergies: None

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

Symptoms: Sore left deltoid, brief general achiness. All side effects gone by injection-time-plus-36 hours.

Other Meds: Simvastatin, tamsulosin, claritin, vitamin B12, vitamin D, metoprolol

Current Illness: None

ID: 1097767
Sex: F
Age: 58
State: CA

Vax Date: 03/04/2021
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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Injection site began itching night of 3/11/21 getting more and more itchy through 3/12/21 and worse today 3/13/21. Very very hot to touch, swollen, firm, red, in about a 6inch diameter

Other Meds: Excedrin migraine, cyclobenzaprine, levothryroxine,, Wellbutrin, lisinopril, Suboxone, estradiol, stool softeners, daily fiber psyllium husk, vegetable laxative vitamin D, vitamin B complex, centrum silver for women, Relizen,

Current Illness: None

ID: 1097768
Sex: M
Age: 49
State: TX

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: RA

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Started feeling really strange, started shaking uncontrollably to the point of almost having seizures , had a high fever from 100-103.6 after receiving vaccine , had severe headache and nausea , started having a cough reflex like throat was swelling . Insides were shaking so bad and couldn?t get it to stop . Went on like this for Thursday night , all day Friday , then Saturday so far . Shaking is better but still having headaches and fever and feeling like something just isn?t right in body .

Other Meds: N/A

Current Illness: N/A

ID: 1097769
Sex: F
Age: 43
State: CA

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: RA

Lab Data:

Allergies: Penicillin

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

Symptoms: Immediate: intense soreness at injection site 6pm body aches 7pm chills 8pm fever 102.4F 12:30am fever broke, onset of migraine 7am nausea Migraine & nausea intense until 6pm 3/13/21 Mild headache now

Other Meds: Lialda

Current Illness: None

ID: 1097770
Sex: F
Age: 50
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: RA

Lab Data:

Allergies: N/A

Symptom List: Nausea

Symptoms: Pain around the injection site. Skin warm to the touch.

Other Meds: Rybelsus, Farmiga, Phentermine, VItamin D

Current Illness: N/A

ID: 1097771
Sex: F
Age: 30
State: OK

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Injection site pain

Symptoms: High Fever, body aches, headache, diarrhea, and vomiting

Other Meds: None

Current Illness: None

ID: 1097772
Sex: M
Age: 73
State: NC

Vax Date: 02/13/2021
Onset Date: 02/13/2021
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: PCN

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

Symptoms: #1 dose recv'd on 02-13-2021: symptoms: headache x 1 day, muscle soreness x 1 week, fatigue x 5 days, vertigo x 15 days, very sore right arm x 3 days, all gone by #2 dose. #2 dose recv'd on 03-13-2021: symptoms: headache, right arm very sore, nausea, fatigue within 3 hrs. of #2 dose.

Other Meds: Fenesteride, Vit.-D, Statin

Current Illness: Started with a headache, then Nausea, body aches, muscle soreness within 2 days. Right arm pain within 1 day that lasted for 1 week. Then got vertigo for approx. 2 weeks. Vertigo lasted for 2.5 weeks. Gone prior to 2nd dose on 03-13-2021. Never lost taste nor smell. No hearing problems. Got 2nd dose of Moderna today 03-13-2021. Only arm pain with mild nausea and head ache at present time...8 hrs. post injection. No N&V, nor vertigo at this time. No musculoskeletal issues at this time.

ID: 1097773
Sex: M
Age: 78
State: CT

Vax Date: 03/01/2021
Onset Date: 03/09/2021
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:

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

Symptoms: Swelling , slight redness and itchy around injection site

Other Meds: crestor. prandin, metformin, lutein, chlorthalidone, coq10, spironolactone, alpha liphoic acid, magnesium critate, losartan, vit d3

Current Illness:

ID: 1097774
Sex: F
Age: 43
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa meds, penicillin

Symptom List: Tremor

Symptoms: Injection site is itchy, feels hard, feels slightly warmer than the rest of my upper arm

Other Meds:

Current Illness:

ID: 1097775
Sex: F
Age: 71
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Clindamcin, pine, dust, sage, adhesive tape

Symptom List: Erythema, Pruritus

Symptoms: headache, fatigue, low fever, rach on torso and neck

Other Meds: Singulair, Pravastati

Current Illness: COVID19 in December 2020

ID: 1097776
Sex: M
Age: 65
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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: seasonal allergies, dust, mold spores.

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

Symptoms: Numbness, chills, headache, tiredness in response to second shot after about 1 day . All faded but still sleeping far more than usual 2 days after shot (when I am reporting). Took NSAIDS, no need for professional attention (or if there was need, no professional attention was sought).

Other Meds: Metformin HCL 1000 mg twice daily; Fenofibrate 145 mg once daily; Venlafaxine HCL Extended Release 150 mg once daily; Venlafaxine HCL ER 75 mg once daily (so total dosage is 225 mg daily); Hydrochlorothiazide 25 mg once daily; Quinapril 40

Current Illness:

ID: 1097777
Sex: F
Age: 44
State: HI

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

Lab Data:

Allergies: None

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

Symptoms: After second shot I had fever about 100F, chills, headache, some body aches, and fatigue. On 3/12 I felt better except still had headache.

Other Meds: None

Current Illness: None

ID: 1097778
Sex: F
Age: 72
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient reported they received monoclonal antibody treatment due to past history of COVID-19 on December 14th, 2020. This was noted as a contraindication for receiving the Pfizer covid-19 vaccine. MD was notified and approved patient to receive vaccine. No adverse event reported.

Other Meds:

Current Illness:

ID: 1097779
Sex: M
Age: 42
State: NY

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin, Ceclore

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

Symptoms: Fever chills aches. Heart rate went into tachycardia with a heart rate up to 200BPM. Rush to the ER by ambulance. Treated and sent home with a heart rate of 95-100BPM

Other Meds: Levothyroxine 225MCG, Metoprolol SUCC ER 25MG, Omega 3,6,9, Vitamin D 5000MCG, Vitamin B complex, Biotin 5000 mcg, Omeprazole 25MG

Current Illness: Stomach issues with acid reflux

ID: 1097780
Sex: F
Age: 45
State:

Vax Date: 03/10/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Not Known

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

Symptoms: 03/10/2021 - @ 4.20 pm Vaccination Moderna 03/10/2021 @ 9.00PM Fatigue 03/11/2021 @ 6.00 am Fever with Chills took Tyelanol at 10 am 03/11/2021 @ 1.00 pm Fever with Chills took Tyelanol at 1 pm 03/11/2021 @ 6.00 pm Fever with Chills took Tyelanol at 6.30 pm 03/12/2021 NO FEVER NO SYMPTOMS

Other Meds: Tacrolimus, Mycophenolic Acid, Plaquenil, Carvedilol, Famotidine

Current Illness: Lupus, Had Kidney Transplant in December 2018

ID: 1097781
Sex: F
Age: 81
State: MD

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:

Symptom List: Pain in extremity

Symptoms: Sore left deltoid; disappeared after 48 hours.

Other Meds:

Current Illness: None

ID: 1097782
Sex: F
Age: 57
State: PA

Vax Date: 03/10/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Shellfish Bee/wasp Avocado

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

Symptoms: As soon as I received the vaccine , I felt the same as if I were stung by a bee. I felt warm and I could feel my tongue getting numb. I told the pharmacist & after about 15 minutes I asked if I could take my Benadryl. So it sort of slowed it down but I still had the tingling and numbing . It?s been 3 days and I?m still experiencing the numbing of my tongue .

Other Meds: Vitamins

Current Illness:

ID: 1097783
Sex: M
Age: 79
State: MN

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

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

Lab Data:

Allergies: Niacin, Statins, Citalopram

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

Symptoms: 5 min after vaccination had abdominal pain, emesis x1, bradycardia, bigeminal PVCs, rigors, chills, fever 101.2, low Mg+ 1.3, SOB , ground glass opaque appearance on CT chest in lungs bilat, needing 2L O2, and normallly only needs room air. Admitted to hospital medical unit.

Other Meds: Coreg, Lisinopril, fosamax, baby ASA, neurontin, Vit D, calcium carbonate

Current Illness: diabetic

ID: 1097784
Sex: M
Age: 53
State: TN

Vax Date: 03/03/2021
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: none known

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

Symptoms: Redness and swelling at injection site noticed 10 days after vaccination.

Other Meds: bp meds

Current Illness: none

ID: 1097785
Sex: M
Age: 51
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: allergic to Mold

Symptom List: Vomiting

Symptoms: 1. First he started to feel as though his sugar was rising. When he tested his sugar had spiked to 250 and his diet had not changed in any way to make it rise that high. 2. He 30 minutes after that he started to shake uncontrollably. He was freezing. His temperature was 100.5. . 3. By 1 hour of onset his temp was 101.5 Given tylenol and all diabetic meds to treat symptoms.

Other Meds: Farxiga, Tamsulosin, Hyocaymine, Ezetimbe, Humalog, Lantus, Pravastatin, Pantaprazole Zoloft, melatonin,

Current Illness: covid 19 November 2020,

ID: 1097786
Sex: F
Age: 66
State: AZ

Vax Date: 02/27/2021
Onset Date: 03/05/2021
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: I got extreme Vertigo- vomited and was dizzy for 7 hours. I was dizzy for 3 days after and now have some dizziness. I went to the doctor after 4 days- had very high blood pressure (not normal for me), had an EKG (normal), and am waiting for blood work to come back.

Other Meds: Prylosec

Current Illness: None

ID: 1097787
Sex: F
Age: 35
State: AZ

Vax Date: 02/15/2021
Onset Date: 02/17/2021
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: NKDA

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

Symptoms: Early menstruation occurred after dose 1 and 2, I didn't realize it was most likely the vaccine until after it happened again after second shot. Menstruation cycle is always regular and on time. each time with vaccine, bleeding started a day later and was a week early each time.

Other Meds: Novolog insulin

Current Illness:

ID: 1097788
Sex: F
Age: 64
State: IN

Vax Date: 03/07/2021
Onset Date: 03/10/2021
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

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Nausea, diarrhea, pounding headache, fever (101.6), extreme fatigue, sore joints, aches, loss of appetite (3 days)....

Other Meds: Toprolol, duloxetine

Current Illness: No

ID: 1097789
Sex: F
Age: 51
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: Fever, tiredness, headache,

Other Meds:

Current Illness:

ID: 1097790
Sex: M
Age: 51
State: FL

Vax Date: 02/03/2021
Onset Date: 02/10/2021
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: none

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

Symptoms: Severe Cluster Migraine Headaches

Other Meds: Wellbutrin, buspar

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm