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: 1098048
Sex: M
Age: 52
State: NJ

Vax Date: 03/04/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Throat swelling 10 days after shot

Other Meds: None

Current Illness: None

ID: 1098049
Sex: F
Age: 31
State: NJ

Vax Date: 12/17/2020
Onset Date: 03/07/2021
Rec V Date: 03/14/2021
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: Minocycline, artificial sweeteners

Symptom List: Anxiety, Dyspnoea

Symptoms: Pfizer vaccine, dose 1 12/17/20, dose 2 1/7/21. Developed mild bells palsy 3/7/21. Unclear if related to vaccine but given no prior history of bells pallsy or other neurologic disease, reporting for safety monitoring. Saw primary care physician 3/16/21 who diagnosed bells palsy and started steroids.

Other Meds: None

Current Illness: None

ID: 1098050
Sex: F
Age: 57
State: MA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: penicillin and sulfa drugs

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

Symptoms: couldn't stop shaking uncontrollably, stiff neck, shaking, for 1 hour

Other Meds: levothyroxine

Current Illness:

ID: 1098051
Sex: F
Age: 71
State: NY

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient experienced shortness of breath and anxiety within 15 minutes of vaccine administration. No indications of anaphylaxis. EMS assessed client and released to home.

Other Meds:

Current Illness:

ID: 1098052
Sex: F
Age: 65
State: CT

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: The evening of the vaccine I noticed a round red hard painful bump right below the injection site. It measures about 3 inches. It is still the same two days later. The day after the vaccine I experienced flu-like symptoms: body aches, headache, loss of appetite, tiredness, malaise and chills. My right hand, especially, was extremely cold. I couldn't seem to warm it up. Today (two days after the vaccine) I feel much better although still have a slight headache and some body aches. And, as mentioned, the arm is still very red and sore.

Other Meds: Risedronate taken the morning of the vaccine (35mg), Vitamin D

Current Illness: None

ID: 1098053
Sex: F
Age: 45
State: GA

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/14/2021
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: The evening of the vaccine (I guessed around 6:00 p.m.), my ears felt like they became stopped up, especially the left. I still feel pressure. I feel like I can?t hear quite as well as before. I hear a high pitch sound when everything is quiet.

Other Meds: Vitamin C, calcium, magnesium, and zinc supplements. I took ubrelvy once on 03/11/2021 for migraine.

Current Illness: None

ID: 1098054
Sex: F
Age: 71
State: PA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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, erythromycin, amoxicillin, doxycycline, azythromycin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: ? COVID arm?. Redness, swelling and itching at injection site.

Other Meds: Famotidine

Current Illness: Dental surgery 2/26/2021

ID: 1098055
Sex: M
Age: 36
State: OH

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Penicillin, Pine

Symptom List: Pharyngeal swelling

Symptoms: I had these side effects. They began around 15 hours after the vaccination and lasted for approximately 12 hours. They appeared in this order: Soreness at injection site Fatigue Low-Grade Fever (99.9) Joint Pain Chills Severe Headache Nausea

Other Meds: N/A

Current Illness: N/A

ID: 1098056
Sex: F
Age: 66
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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 known

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache and body aches beginning about 18 hours after vaccination and lasting approximately 36 hours.

Other Meds: Vitamin B Complex and Calcium

Current Illness: None

ID: 1098057
Sex: M
Age: 59
State: FL

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Redness, swelling, hardness and itching at injection site that developed 8 days after receiving vaccine.

Other Meds:

Current Illness:

ID: 1098058
Sex: F
Age: 65
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Administration error - 1 mL was administered. No adverse events reported.

Other Meds:

Current Illness:

ID: 1098059
Sex: F
Age: 42
State: WI

Vax Date: 03/06/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Initial pain and generalized lethargy with muscle aches lasted 3-4 days. Onset of injection site discomfort, stiffness in muscle red rash started at day 7, worse on day 9. Rash extended approximately 10cm around injection site

Other Meds: Vitamin d

Current Illness: None

ID: 1098060
Sex: F
Age: 75
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Administration error - 1.0 mL was administered. No adverse events reported.

Other Meds:

Current Illness:

ID: 1098061
Sex: F
Age: 54
State: NJ

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/14/2021
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:

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

Symptoms: Fever (101), aches, chills, nausea. Felt like I was as sick as I have ever been. Resolved mostly in 24 hours. Dizziness and nausua remained for several days. Sore arm with continued sharp pains for a week.

Other Meds: Synthroid, vit C, Vitamin D

Current Illness:

ID: 1098062
Sex: F
Age: 81
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Administration error - 1mL was administered. No adverse events reported.

Other Meds:

Current Illness:

ID: 1098063
Sex: M
Age: 51
State: KY

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/14/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Fatigue that lasted for 15 hours. General muscle and joint aches for about 12 hours. Minor Injection site pain that lasted for 2 days.

Other Meds:

Current Illness:

ID: 1098064
Sex: F
Age: 30
State: AZ

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: N/a

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

Symptoms: Body aches, chills, headache, dizziness, wheezing

Other Meds: Selenium, turmeric, tirosint, dhea, biotin, Zyrtec, blisovi 24fe

Current Illness: N/a

ID: 1098065
Sex: M
Age: 89
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Administration error - 1mL administered. No adverse events reported.

Other Meds:

Current Illness:

ID: 1098066
Sex: F
Age: 43
State: PA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pain in left chest area

Other Meds: Zoloft, lamotrigine, trazadone

Current Illness:

ID: 1098067
Sex: F
Age: 74
State: MI

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: Rash and soreness around vaccination site

Other Meds: Crestor 5mg, Evista, Loretta, Hydrochlorothiazide, Tricot, Prozac, Vitamin D 2000 mg

Current Illness: Nonr

ID: 1098068
Sex: F
Age: 59
State: VA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Sulfa

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

Symptoms: Fever, chills, headache, sore arm, achey body

Other Meds: Metformin, amaryl, Lipitor, januvia, toujeo, Wellbutrin, doxycycline, multivitamins, sertraline

Current Illness: None

ID: 1098069
Sex: F
Age: 82
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Unevaluable event

Symptoms: Administration error - 0.1mL administered. No adverse events reported.

Other Meds:

Current Illness:

ID: 1098070
Sex: F
Age: 78
State: NM

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: tetracycline maybe

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

Symptoms: Itching, redness, heat at injection site. In second day. Shot was 8 days ago.

Other Meds: Latanoprost eye drops. various vitamins.

Current Illness: none

ID: 1098071
Sex: F
Age: 40
State: NY

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Administration error - 0.1mL administered. No adverse events reported.

Other Meds:

Current Illness:

ID: 1098072
Sex: F
Age: 42
State: NC

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Hypertension of 162/118 with heart rate of 130 being at 1335. Normal blood pressure is around 120/80 & resting heart rate of 70. Swimmy headed. But laughing and joking. Observed for 10 minutes, transferred to ER from vaccine site on campus. Triage bp was 145/100, hr of 112. Time elapsed between vitals taken was 17 minutes. EKG performed. Was not informed of results. Monitored for next several hours. Was asked to drink approximately 32 oz of apple and water. Given crackers to eat. Discharged from ER at approximately 1800. Bad headache same night into next day.

Other Meds: Effexor 75 mg Hydroxyzine 50mg

Current Illness:

ID: 1098073
Sex: F
Age: 19
State: KS

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Dose given at 1415. At approximately 2030 on the same day, patient began experiencing upper extremity myalgias, then generalized myalgias, fevers to 104.3 F and chills. Her oral intake decreased and she vomited multiple times. She subsequently presented to the emergency department where she continued to spike fevers. Her vomiting has subsequently subsided.

Other Meds: Adalimumab subQ, ammonium lactate topical solution, calcipotriene, cetirizine, ciprofloxacin-dexamethasone, clobetasol, levonorgestrel/ethinyl estradiol, lorazepam, mupirocin, ondansetron, triamcinolone

Current Illness: Acute otitis media approximately 1 month ago - treated with amoxicillin

ID: 1098074
Sex: M
Age: 52
State: IN

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Significant pain in injection site lasting about 10 hours. At about 10 pm on injection day, had light nausea and some joint pain in shoulders with no fever.

Other Meds: Wellbutrin 300 mg Lipitor 40 mg Lisinopril 10 mg

Current Illness:

ID: 1098075
Sex: F
Age: 50
State: PA

Vax Date: 03/06/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 9 days later the site of the injection is red and warm and irritated. It seems to be a red warm rash at injection site

Other Meds: Symbicort, Singulair, Centrum Silver women, Nasonex, vitamin D, C, Zinc, Krill Oil, Move Free

Current Illness: n/a

ID: 1098076
Sex: M
Age: 34
State: NJ

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 03/14/2021
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: PCN

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

Symptoms: neuritis, expectantly managed, slowly self-resolving.

Other Meds: Vitamin D supplement. MVI Dexilant Singulair Advair

Current Illness: none

ID: 1098077
Sex: M
Age: 45
State: PA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: Extreme chills starting at 11:30pm. Needed to wear layers of clothing and turn up heat to get warm. Wife was hot while I was freezing and shivering uncontrollably, so I know something was wrong with me. The shivering and chills lasted for a couple of hours until about 2:30-3:00am. Then I got really hot. Took my temperature, was at 99.1 degrees. But room was really warm so I turned down the temperature and took off my layers of clothing. Woke up this morning, around 7am, to a headache and aching legs. I took 2 Excederin, but the headache is still there. Legs are feeling better after a couple of hours.

Other Meds: none

Current Illness: none

ID: 1098078
Sex: F
Age: 17
State: NC

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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 reported

Symptom List: Injection site pain

Symptoms: This patient was given the vaccine at an off-site clinic event and received the Janssen vaccine which in indicated for patients 18yr and older however patient is 17 years old. Advised father and patient of incident, no reported side effects or adverse events as of time of communication with patient.

Other Meds: none reported

Current Illness: none reported

ID: 1098079
Sex: F
Age: 78
State: NY

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Aleve, Tylenol, Advil; clindamycin; penicillin in all forms; Keflex

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

Symptoms: I was vaccinated with Pfizer for the first time 11 days ago. Within a few minutes of being vaccinated, I felt nauseated but I did NOT throw up. I have been sick ever since with one thing and another. For the first several days after being vaccinated, I had a sore arm, which I expected. I have also experienced extreme fatigue, chills, nausea, muscle and joint aches, a sore throat (briefly), an occasional headache, tenderness in my left armpit and along the left side of my rib cage, stomach pain and diarrhea and at times, a low-grade fever and sweating. My memory and ability to focus on my work have been affected. Yesterday (March 13), I felt OK all day and thought I was better at last, but after I ate dinner, I vomited and had diarrhea. I told my primary care physician about all of this in an email and she replied that my symptoms were "normal." I'm not so sure. I haven't read of anyone else feeling so sick for so long after the first dose of Pfizer.

Other Meds: Synthroid (daily); vitamin B-12; Vitamin D

Current Illness: None

ID: 1098080
Sex: F
Age: 34
State: PA

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/14/2021
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: Pcn

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

Symptoms: Altered taste and smell. Cannot eat certain things because I cannot tolerate the taste/smell

Other Meds: Zyrtec, flonase

Current Illness: None

ID: 1098081
Sex: F
Age: 69
State: MA

Vax Date: 03/05/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: Six days after the vaccine my injection site felt a little itchy and warm. A few days later I looked at the site and I had a red oval very fine rash and the area was warm and firm. Very mild, not painful at all. No treatment has been necessary. As of today (3-14-2021)I do still have the rash.

Other Meds: Hydrochlorothiazide Atenolol Daily vitamin Calcium Low dose aspirin

Current Illness: None

ID: 1098082
Sex: F
Age: 24
State: IA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 03/14/2021
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: Body aches, chills, low grade fever for 24 hours for both COVID vaccine doses. Improved with rest, fluids, and DayQuil. Of note: as of 3/14 I am 6 weeks pregnant. Did not know I was pregnant at time of vaccination. No birth defects or congenital abnormalities known currently.

Other Meds:

Current Illness:

ID: 1098083
Sex: F
Age: 59
State: MI

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Lethargic, hot and cold chills, body aches, temperature 102+, vomited, weak., extreme headache that lasted for 3 days. Stayed in bed for almost 2 days, drank liquids and took Tylenol.

Other Meds: Xarelto 20 mg, Atorvastatin 40 mg, One a Day Womens 50+ ( all once a day)

Current Illness: None

ID: 1098084
Sex: F
Age: 59
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Starting the night of receiving the vaccine, patient began experiencing what was described as a "chicken pox like rash" that spread to her whole body (arms, chest, stomach, back, legs). Rash was described as red rash that presented as pimples that were itchy. The rash has been getting progressively worse over the last 2 days. In addition to the rash, patient felt tired and had a slightly runny nose.

Other Meds:

Current Illness:

ID: 1098085
Sex: M
Age: 69
State: TX

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Rash and swelling on neck at collar line. Swelling approx 1 inch high at peak and three inches long and wide Itches , some pain in shin on touching vaccination arm, left side

Other Meds: Ramipril guafenisen Areds2 vit k2 vit D3 acetyl-l-carnitine- Alpha-lipoid-acid folic acid aspirib

Current Illness: None

ID: 1098086
Sex: M
Age: 68
State: ME

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 03/14/2021
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: Cephalexin

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

Symptoms: Pruritus I don't recall exactly when symptoms began, but I'm guessing about 2 days after the injection. The itching sensation is limited to my face, including nostrils and eyelids I do my best not to scratch, and have been using saline spray in my nostrils and Visine Dry Eye Relief a few times a day on the affected areas (i.e., nose and eyes).

Other Meds: Medications: Lisinopril--5mg daily Simvastatin--20mg daily Doxazosin--1mg daily Tretinoin Cream--0.025% applied nightly to affected skin (adult acne) Supplements, in all cases one tablet/capsule daily: (Puritan's Pride brand, unless other

Current Illness: None

ID: 1098087
Sex: F
Age: 40
State: LA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: chills, body aches, low-grade fever, headache, muscle aches, pain at injection site

Other Meds:

Current Illness:

ID: 1098089
Sex: F
Age: 39
State: NY

Vax Date: 03/04/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Milk

Symptom List: Pain in extremity

Symptoms: About 8 days after my shot the my arm got really sore (again) and the site is now red, hot and swollen. It was a little itchy but not bad mostly hot and sore to the touch.

Other Meds: 25mg Zoloft and vitamin D and multi vitamin

Current Illness: None

ID: 1098090
Sex: F
Age: 64
State: KS

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: Lortab, Penicillin

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

Symptoms: Within 30 minutes numbness and tightening of left side of face and throat. After an hour a headache set on and then neck pain usually associated when my blood pressure goes high. Upon taking blood pressure 3 hours after vaccine. blood pressure registered 107/190. I felt nauseated with head ache.

Other Meds: Telmisartan HCT 80 -25 mg Timolol Maleate 0.5 0/0 Brimonidine Tartrate 0.2 0/0

Current Illness: N/A

ID: 1098091
Sex: F
Age: 78
State: FL

Vax Date: 02/24/2021
Onset Date: 02/25/1921
Rec V Date: 03/14/2021
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: Shortness of breath, fever, body aches

Other Meds: Atorvastatin, multi vitamin

Current Illness: None

ID: 1098092
Sex: F
Age: 24
State: IN

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Nausea, Chills, Fatigue, muscle/body aches, runny nose Lasted 24 hours

Other Meds:

Current Illness:

ID: 1098093
Sex: F
Age: 52
State: FL

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/14/2021
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 only reaction I had to any medication was Midol when I was a teenager that made my heart race.

Symptom List: Vomiting

Symptoms: dizzyness for 4 days. Was seen by the paramedic on Sunday 2/28/21 at the immunization site and they checked all my vital signs and said nothing was overly concerning they made we wait a bit and then released me. Monday night I felt poorly and went to bed early. Tuesday I went to work, still feeling bad and then the dizziness seemed to worsen. I'm a teacher, the school called the paramedic, they came checked my vital signs again and said it was clearly a reaction to the vaccine, and sent me home. I subsequently slept for two days, and the symptoms are mostly gone. I little foggy still, and infrequent bouts of dizziness when I move my head to quickly. I am concerned about taking the second shot.

Other Meds: None, just daily vitamins, zertec for allergies, and a elderberry gummie

Current Illness: Head Congestion a few weeks prior. However, did not have at the time of the vaccine.

ID: 1098094
Sex: F
Age: 55
State: PA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/14/2021
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: shellfish, artificial grape flavoring

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Received vaccine at 9:25AM. Felt achy around 4PM and two Advil. Felt better. 12:15AM awoke to fever 101.4, chills, body aches and headache. Persisted through night into morning. Switched to 2 Tylenol at 8AM and felt a bit better.

Other Meds: none

Current Illness: none

ID: 1098095
Sex: F
Age: 38
State: IN

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: 1:30am chills/fever/body aches 3:30am-12pm nauseas/vomiting/headache/tiredness

Other Meds: None

Current Illness: None

ID: 1098096
Sex: M
Age: 56
State: IN

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/14/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Extreme fatigue

Other Meds:

Current Illness:

ID: 1098097
Sex: M
Age: 55
State: MD

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/14/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies

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

Symptoms: injection site pain, minor, 36 hours duration, resolved no treatment tiredness, 10 hours duration, resolved - sleep swollen lymph nodes, start within 30 minutes, duration 8 hours, resolved no treatment throat swelling, start within 1 hour, duration 6-8 hours, resolved no treatment dizziness and weakness, start within 2 hours, duration 6 hours, resolved - sleep

Other Meds:

Current Illness:

ID: 1098098
Sex: F
Age: 66
State: GA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/14/2021
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: Iodine

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

Symptoms: Bight blood pressure, never had high blood pressure until the vaccine. This goes for both my husband and myself. Very troubling, we are both now on blood pressure meds to control this side effect.

Other Meds: Synthroid Crestor

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm