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: 1100661
Sex: M
Age: 38
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 03/15/2021
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: Dogs and cats

Symptom List: Dysphagia, Epiglottitis

Symptoms: I woke up just after midnight scratching furiously my entire body though mostly from the waist down. I noticed breaking out in hives on my legs. I had scratched so hard while sleeping that I broke the skin and was bleeding. Through a combination of benadryl and topical otc lotions the hives went down after 8 hours and gone within 24 hours. I still have moderate itching from the waist down which I never experienced prior to my second shot. I use otc lotion throughout the day and still continue to itch. I will at times use benadryl is the itching gets uncontrolled.

Other Meds: Allopurinol-200mg daily

Current Illness: None

ID: 1100662
Sex: F
Age: 66
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: NKDA

Symptom List: Anxiety, Dyspnoea

Symptoms: After receiving the vaccine pt stated she felt her lips swelling, her throat itching, and that she was SOB. Pt assisted to cot, and sat down. pt cont to c/o on swelling in her lips, itchy throat, and sob, she also started breathing more rapidly. At 6:08pm epi 0.3mg given via auto injector, VS HR87, R30, BP140/90, O2SAT 98%, Ambulance call as soon as ambulance called. Pt began to hyperventilate and further c/o of difficulty breathing, sob, and her lips swelling. 2nd dose of epi 0.3m given via auto-injector per protocol. VS P98, R30, BP140/70, O2SAT 98%

Other Meds: Metformin, high blood pressure medication

Current Illness: none known

ID: 1100663
Sex: F
Age: 64
State: TX

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
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: Sulpha Keflex Biaxin

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

Symptoms: Fever, chills, headache, extreme joint pain. Lasted six hours until I took Tylenol. I took Tylenol every six hours for 24 hours, was very tired with body and joint aches.

Other Meds: Levothyroxin 75 Atenolol 100 mg Meloxicam 15 mg B12 1000 mcg D3 50mcg Probiotic Hair Skin and Nails vitamins Women's Alive vitamin

Current Illness: None

ID: 1100664
Sex: M
Age: 72
State: MO

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 03/15/2021
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: I?ve been taking blood pressure medicine for approximately 12 years and all has been well, The medication has consistently maintained me in the normal, that is safe, range. Approximately a day and a half after the injection I experienced a spike in blood pressure. This had never happened before. My BP then consistently maintained 145/90 or so until now, after the initial spike, which was a little higher. Believing that this was an auto immune response to the vaccination, I was hoping my blood pressure would return to normal. Alas it has not. I have notified my primary doctor and expect to hear from her tomorrow. Although there are other factors involved, age, slightly over normal weight, not the best heart healthy food, I don?t believe this is a coincidence. It makes me wonder about the safety of getting a second injection. Since the shot I have also experienced an increase in thirst.

Other Meds:

Current Illness:

ID: 1100665
Sex: F
Age: 44
State:

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: MSG

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

Symptoms: Awful crippling stomach pains Indigestion despite being on medication to prevent reflux. This pain had me doubled over in pain. Since then I?ve had stomach pains every day, diarrhoea and discomfort upon eating. Repeated indigestion.

Other Meds: Cocodamol 30/500 Naproxen Omeprazole 20mg x2 Methocarbamol Tramadol 50mg modified release Mebevarine Venlafaxine Nytol

Current Illness: None

ID: 1100666
Sex: M
Age: 36
State: KS

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: Chills, fever, cold sweats, muscle tightness, inability to sleep, fatigue, legathargy, headache. These symptoms lasted from 12-36 hours. Acetomenophen was used to treat some of these symptoms. Bed rest and fluids helped alleviate symptoms.

Other Meds: Leviteracetam

Current Illness: None.

ID: 1100667
Sex: M
Age: 67
State: NY

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: No

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 100 degree F fever at 11:00pm

Other Meds: Atenolol, atorvastatin, levothyroxin,amlodopine.

Current Illness: None

ID: 1100668
Sex: F
Age: 31
State: WA

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Arm became extremely sore on day 8, felt like I had been punched. On day 9, a red raised rash appeared that?s warm to the touch and feels like a bruise.

Other Meds: None

Current Illness: None

ID: 1100669
Sex: F
Age: 26
State: IL

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: My symptoms started at 4:30pm on Friday, March 12 and lasted until about 5:30pm on Saturday, March 13. My symptoms included headache, pressure in the ears, body chills, fever of 100.3, fatigue, loss of appetite, and body sweats.

Other Meds: N/A

Current Illness: N/A

ID: 1100670
Sex: F
Age: 51
State: CO

Vax Date: 03/01/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Arm turned red from shoulder down to elbow, skin was hot to the touch, itchy, and muscle was swollen and hard. Lasted 3 days.

Other Meds: Losartan, fenofibrate, tamoxifen, busbirone, metoprolol

Current Illness: None

ID: 1100671
Sex: F
Age: 35
State: TX

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: At 2:00 AM the next day, I started to violently shake from chills. I took 2 Alieve and within an hour the chills lessened. At around 4:30, my body began to ache. I then got very tired and got a severe headache. Then I ran 101 fever for about 18 hours. Chills, body aches, soreness in the injection spot, and lose of energy remained until the next day. When I the next morning, I didn?t have anymore symptoms. I was a little tired, but much better.

Other Meds: Elderberry, folic acid, biotin

Current Illness: None

ID: 1100672
Sex: F
Age: 29
State: CA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: Have reacted to Penicillin in the past

Symptom List: Rash, Urticaria

Symptoms: Acute but intense fever, chills, and body aches. Had difficulty walking, sitting, eating, and using the restroom (physically, no internal issues like vomiting, constipation or diarrhea). Was more significant than any "real" flu I have ever had in the past. Could only sleep. Symptoms decreased by the next day, but still fatigued. Fully healed by third day. *For clarity's sake, I had tested negative for SARS-COV-2 the day prior.*

Other Meds: Vitamin C occasionally.

Current Illness: None

ID: 1100673
Sex: F
Age: 24
State: CA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin/penicillin

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

Symptoms: I received my second dose at 12:15pm on 03/06/2021. By about 9-10pm I began feeling chills. I went to bed and my body wouldn?t warm up under the covers. I woke up around 1:16am feeling very hot. I was running a fever of about 102F. After removing the covers and using a cold compress it dropped to the 99F range and fluctuated quickly between about 98.7F-99.9F. I continued to have chills and feel very cold during this fluctuation. When I would stand to go to the bathroom my body would be very weak and I would get almost lightheaded. I fell asleep by about 3:30am. The following morning my fever was completely resolved. I continued to feel weak during the first half of the day with some mild intermittent nausea. By the second half of the day my side effects resolved entirely.

Other Meds:

Current Illness:

ID: 1100674
Sex: F
Age: 21
State: OR

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: The day of the shot I experienced a moderate headache throughout the evening as well as soreness at the injection site. The day after I received the shot I experienced severe muscle fatigue and a red rash, bruising, and swelling around the injection site.

Other Meds: Birth control, Buspirone

Current Illness:

ID: 1100675
Sex: F
Age: 61
State: MS

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: I haven't been able to walk nor stand without very sharp pain in my left lower side.I Been experiencing really bad spasms whenever i stand or sit down.

Other Meds: Wellbutrin 300mg Oxycodone 10mg Jardance25mg

Current Illness: Depression,Asthma and sleep Apnea

ID: 1100676
Sex: F
Age: 57
State: NM

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient received 2nd Covid vaccine on 2/19/2021, shortly after patient states she did not feel well, like she was going to faint. Patient became pale, diaphoretic, pupils dilated and was unresponsive. I stayed with patient and supported her head/airway as she was seated in a chair. Dr. arrived, ED staff arrived and stretcher arrived, patient started to wake up and we assisted her to sit on the stretcher. Patient was alert , talkative and her color was better. She had a small emesis x2. Patient then laid down on the stretcher and stated she was feeling better. Patient was taken to the ED via stretcher, she was alert and responsive.

Other Meds: unknown

Current Illness: none

ID: 1100677
Sex: F
Age: 49
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/15/2021
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, tetanus toxoid, erythromycin, naproxen sodium, propoxyphene, metoprolol, tramadol

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

Symptoms: Noted: Left Clavicular Lymph Node swelling approximately (3) days prior to vaccine #2. Saw PCP on 2/11/21, who encouraged completion of series and ordered ultrasound of neck and chest, and basic blood work. Took vaccine #2 on 2/12/21 at @ 3pm. Approximately 13 hours thereafter, fever spiked to 104.9, delirium, fatigue, muscle pain, chilling, neck and upper arm pain, limited ROM in neck, systemic lymph tenderness and edema, sore throat and headache. Reported symptoms to PCP. Encouraged to take Tylenol. 2/18/21, developed dysphasia, dizziness when extending neck, laughing or coughing, pressure on esophagus, and food getting stuck when swallowing/choking. 3/01/21, ultrasound neck and chest revealed lymphadenopathy. PCP ordered CT Chest, abdomen, and pelvis. 3/3/21, symptoms continued to exacerbate. Consult with internal medicine physician who added CT of the neck, CXR, blood and urine. 3/7/21, CT of neck, chest, abdomen, and pelvis. CT of neck revealed 3.6 cm mass on thyroid. PCP ordered ultrasound of thyroid for 3/15/21.

Other Meds: Benicar HCT 40/25mg

Current Illness: sinusitus

ID: 1100678
Sex: F
Age: 68
State: MD

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Ceclor antibiotic (sulfcated medications) dust mites, mold, some southern grasses and trees

Symptom List: Ear pain, Hypoaesthesia

Symptoms: day 1 - itching of injection site day 2- red, warm to touch circular red rash day 3-7 red warm to touch circular rash, hard lump, itchy, 5-6 cm day 8-14 red warm to touch irregular rash , 10 cm welt, slight swelling toward elbow mottled reash Treatment: cool compresses, Tylenol day 2-7 3-12-21 to doctor started on Zyrtec 10 mg 2x day, topical steroid fluocinonide .01 % cream 2x day: dicloxacillin 500 mg oral #40 cap 2x day

Other Meds: bupropion HCL ER 1x 150 mgs; famotidine 40 mgs 1x: zinc 50 mgs 1x: Vit D3 5000 1x: Vit C 500 mgs 1x: L-methyfolate 15 mgs 1x: .75 ml of liquid 5000 formula vegan Methylcobaladmin B-12

Current Illness: mild asthma mitral valve prolapse Acid reflux- GERD

ID: 1100679
Sex: F
Age: 25
State: CA

Vax Date: 03/06/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: At 4:45pm on March 14, 8days after receiving first dose, I noticed a red bump on my left arm (arm where the vaccine was injected). It was tender and warm to touch with something solid being felt under the surface. Around 9:30pm, the same bump became itchy.

Other Meds: None

Current Illness: None

ID: 1100680
Sex: F
Age: 27
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 03/15/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies:

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

Symptoms: Headache, low-grade fever, nausea, and muscle aches began a few after injection and continued until about 72 hours after injection

Other Meds:

Current Illness:

ID: 1100681
Sex: F
Age: 65
State: NM

Vax Date: 03/06/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Adhesive on bandaids and EKG leads

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

Symptoms: At 8 days after the shot , the sight was itchy, red, warm to the touch and hard and swollen!

Other Meds: Eliquois, Metoprolol, Propafenone, Roustavastin, Levothyroxine, OTC:Vit D3

Current Illness: NO

ID: 1100682
Sex: M
Age: 73
State: AZ

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Unevaluable event

Symptoms: >24 hours after the vaccine, the patient noticed increased swelling at injection site; >48 hours after the injection, he noted redness and warmth, and sought care. The initial vaccination was done. He had no signs of serious allergic reaction: no wheezing, no fever, no shortness of breath, no nausea, no vomiting, no hives. His examination showed a localized area of erythema, swelling and soreness over the right deltoid.

Other Meds: Hydrochlorothiazide, lisinopril, doxycycline

Current Illness: None

ID: 1100683
Sex: F
Age: 62
State: OH

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Reflex Walnuts Brazil nuts Macadamia sure Search fish

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

Symptoms: Itching Red swallow arm rash on arm and neck

Other Meds: None

Current Illness: COPD

ID: 1100684
Sex: F
Age: 47
State: CA

Vax Date: 03/06/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: Sulfonamide

Symptom List: Injection site pain, Pain

Symptoms: Swelling and redness about 2 in. All around injection site. Warm to touch and itchy

Other Meds: Wellbutrin Celexa Daily vitamin

Current Illness: No

Date Died: 03/12/2021

ID: 1100685
Sex: M
Age: 72
State:

Vax Date: 03/05/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: Death 1 week later. No other information available.

Other Meds:

Current Illness:

ID: 1100686
Sex: F
Age: 44
State: GU

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/15/2021
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: Administration error, patient received first dose of Pfizer 02/16/2021. Patient did not develop any adverse reaction at the time of visit.

Other Meds: None

Current Illness: None

ID: 1100687
Sex: F
Age: 73
State: AZ

Vax Date: 03/09/2021
Onset Date:
Rec V Date: 03/15/2021
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: ,MARCH 11TH HAVING CONSTANT COUGHING AND SCRATCHIY THROAT EVERY 5 MINUTES THOUGH IT WAS ALERGIES/COLD - BUT SITUATION BECAME WORSE SINCE MARCH 11TH

Other Meds: AMLODIPINE BESYLATE LOSARTAN - LEEEVOTHYROXINE - LIOTHYRONINE - CARBIOP/LEVODOPA -

Current Illness: none

ID: 1100688
Sex: F
Age: 34
State: WI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Demerol, Zithromax, Morphine, Vancomyacin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 1st injection was given in Quad like my PCP had told them they need to do because of my reactions. 2nd injection a RN lead at the clinic told me that I had to get it in my arm or it was not effective, I explained my previous reactions to injections and she stated only to be done in the arm. Last day for 2nd vaccination so I got it. Within the 30 min I told her I had numbness of my top teeth and roof of mouth, let me go back to work after the 30 min. 90 min later I was having red splotches all up and down my arms, 2.5 hours later my throat was starting to each and redness was up and down both arms and chest. ED admission, Pepcid and Benadryl had zero effect, was given a dose of Epi intramuscular in the quad which after 3 min took effect and after 5-7 min all symptoms started clearing up, throat itching and swelling resolved.

Other Meds: Adderall XR, Eliquis

Current Illness: none

ID: 1100690
Sex: M
Age: 41
State: TX

Vax Date: 03/09/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: My husband developed a low-grade fever, chills, sore throat, Mild cough, and extreme fatigue. He also tested positive for COVID. He had COVID test a day prior to vaccine and tested negative.

Other Meds: None

Current Illness: None

ID: 1100691
Sex: F
Age: 69
State: CA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Cannot take many meds including: antibiotics, antidepressants, Allergic to adhesives and mosquitoes, gnats, molds, grasses.

Symptom List: Nausea

Symptoms: Immediately, I had a cough, which is odd. But I do have intermittent cough, and this may have triggered it. It is not covid but cough of long-standing. The next day I had sore arm, muscle pains, cold body temperature (97.1 F), and wheezing. Wheezing was new and it hurt and worried me. Intense fatigue. Wheezing has resolved but the rest still there and it is 11 days since vaccine

Other Meds: Vit C, D, fish oil,

Current Illness:

ID: 1100692
Sex: F
Age: 47
State: OR

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: food intolerance to wheat, milk, eggs

Symptom List: Injection site pain

Symptoms: 14 hours after vaccination, fever and body aches began. Fever lasted 20 hours and was 101-104.7 at the highest with fatigue and body aches. Fever broke beginning Day 3 with heavy sweating through my clothes and foul odor. Headache and fatigue from Days 3-4. Nausea and Fatigue Days 4-9. Today is Day 10 and it's the first day I haven't felt nausea and overly tired.

Other Meds: vitamin D multi-vitamin omeprazole

Current Illness: none

ID: 1100693
Sex: M
Age: 64
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Painful injection site, sick stomach, fever, earache, headache, After 24 hours from injection I developed a bloody taste in mouth, severe bloody nose.

Other Meds: Plavix,lisenopril,Lantis,insulin

Current Illness: None

ID: 1100694
Sex: F
Age: 44
State: WV

Vax Date: 01/13/2021
Onset Date: 01/17/2021
Rec V Date: 03/15/2021
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: None

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

Symptoms: 5 days after my 2nd dose of the Pfizer covid vaccine, I broke out with a rash on the right side of my neck. I recieved the shot in my left arm. The doctor put me on a 7 day dose of Valtrex. I had to also use Terrasil over the counter lotion. The shingles were gone by March 1, 2021.

Other Meds: Hydrochlorize

Current Illness: None

ID: 1100695
Sex: F
Age: 63
State: OH

Vax Date: 03/06/2021
Onset Date: 03/07/2021
Rec V Date: 03/15/2021
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 known

Symptom List: Tremor

Symptoms: Woke up with ringing in the left ear. Has continued now as ringing in my head.

Other Meds: Anastrozole OsteoMD

Current Illness: None

ID: 1100697
Sex: F
Age: 60
State: CA

Vax Date: 03/06/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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 as far as I know

Symptom List: Erythema, Pruritus

Symptoms: Rash, itching, swelling and firmness surrounding injection site, not circular but more on the right side of the injection site when looking down towards it. Area is warm to the touch. This is the first day of the symptom and no treatment by a doctor has been recommended; however, I take AllerClear in consistently and didn't take any this morning -- I took one this evening around 10:30pm.

Other Meds: Red Yeast Rice with CoQ10, Apple Cider Vingear tab, Emergen-C Immune Plus, Kirkland Allerclear

Current Illness: None as far as I know

ID: 1100698
Sex: F
Age: 27
State: CA

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: N/a

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

Symptoms: Fever, muscle aches, tender skin, started the night of and passed by the next evening. Nausea lasted about an hour. Facial rash, bumpy and itchy started the 2nd day and is ongoing.

Other Meds: Generic nuvaring

Current Illness: N/a

ID: 1100699
Sex: M
Age: 65
State: CA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: cipro sulfa

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

Symptoms: sore arm, body aches head ache, not severe like a mild flu

Other Meds: norco,lipitor,aspirin81mg, guessefin, vitamin d, advair, blood pressure med, depression med

Current Illness: none

ID: 1100700
Sex: F
Age: 67
State: CA

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: eggs Contrast Etc...

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I came to see my Mom today and found her in bad shape. She was weak and had chills and said she felt on a cloud like she was dying. Her home health spoke to the Doctor on call who advised her to go to the hospital. The wound on her head may have been infected, or a possible UTI, or a vaccine reaction. But she had a marked difference in her wound per the home health nurse. She had chills and chest pain. She also had zero energy and felt like she was going to pass away. All I know is that isn't was a Pfizer vaccine given.

Other Meds: many, please contact Doctoe for list of meds.

Current Illness: cancer, advanced SCC that metastasized into lung, AFib

ID: 1100701
Sex: M
Age: 34
State: NY

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
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:

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

Symptoms: Severe anxiety, nervousness, panic feeling, pacing, shaking, aches, chills, irritability, headache. Unable to function mentally due to severe irritability. Experiencing similar symptoms to when actually tested positive for COVID 19 in March of 2020.

Other Meds:

Current Illness:

ID: 1100702
Sex: F
Age: 52
State: TX

Vax Date: 02/26/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
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: None known

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

Symptoms: COVID arm - hot, red and purple uneven bordered reaction at injection site. 3 inches by 4 inches

Other Meds: Levothyroxine, imipramine, propranolol

Current Illness: N/a

ID: 1100703
Sex: F
Age: 20
State: VA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: Pt presented to the medical department after a single episode of syncope that occurred the day after receiving her vaccine. Upon evaluation, she stated that she had not eaten for an entire day prior to her episode of syncope. She also reported diffuse body aches and a headache. She was given a shot of toradol and 2L of IVF and her symptoms improved.

Other Meds:

Current Illness: Anemia, suspect iron deficiency

ID: 1100704
Sex: F
Age: 30
State: FL

Vax Date: 03/12/2021
Onset Date: 03/15/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Lactose, pollen

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

Symptoms: axillary lymphadenopathy on the left side (same as shot site) approx 48 hrs after 1st dose

Other Meds: Vit. B12, D3, Cryselle, biotin

Current Illness: NA

ID: 1100705
Sex: F
Age: 58
State: NY

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/15/2021
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: Penicillin, Codeine Seafood (shellfish, fish), berries, cherries, walnuts, pecans, macadamia nuts Latex

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

Symptoms: Migraine headache, severe body ache pain, runny nose, swollen glands in the neck, arms, legs, feet, and hand swelling.

Other Meds: NONE

Current Illness: Recovering from rectocele repair surgery completed on 12/28/2020. Prescribed Dyesapam 5 mg, taken 72 hours before receiving 1st dose of the COVID-19 vaccine. Hip joint space narrowing, prescribed Celebrex 200 mg, taken 48 hours before receiving 1st dose of the COVID-19 vaccine.

ID: 1100706
Sex: M
Age: 28
State:

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: NKDA

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

Symptoms: PT states getting the second covid shot yesterday with increasing fever and chest tightness to the middle of the chest without radiation. States shortness of breathe only with "wearing the mask". States shortness of breath is better when it is off

Other Meds: UNK

Current Illness: N/A

ID: 1100707
Sex: F
Age: 37
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: NKDA

Symptom List: Vomiting

Symptoms: PT states chest pain starting 20-30 minutes ago with chest tightness and shortness of breathe radiating through the back (got J/J vaccine 1430). PT states pain has since gotten better (taken broken tailbone medication- oxycodone 5mg at 1900/2000).

Other Meds: UNK

Current Illness: N/A

ID: 1100708
Sex: M
Age: 19
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/15/2021
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: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt states taking Johnson at Johnson vaccine at 1000 with headache x5 hours with chills/sweating, with N and being light headed starting 1600. Denies taking medication.

Other Meds: UNK

Current Illness: N/A

ID: 1100709
Sex: F
Age: 31
State:

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
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: Bodyache and headache since she got J&J shot yesterday . Had 100.5'F temp 20mins PTA. Denies URI symptoms, chest pain or difficult breathing.

Other Meds: UNK

Current Illness: N/A

ID: 1100710
Sex: F
Age: 44
State: NV

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 03/15/2021
Hospital: Y

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: Slight right facial numbness half hour post administration lasting 30 mins. Chills and Rt arm site pain and swelling on the first night. 2nd night, chills and increased swelling, pain to right arm site with slight weeping, warm to touch and redness. Throughout the first two weeks, I would have intermittent chills and right arm site redness, swelling, pain, warmth was gradually getting better but did not have any fever the first 13 days. The night of 2/15/2021, I felt the chills, body aches and went to sleep. All night I felt I was about to get a fever. I was in bed until 1pm the next day on 2/16/21 when I started to have the severe tremors with my chills, back spasms, abdominal pain, and nausea. I got out of bed, took my temp and it was 101.5 F orally. I tried to take Tylenol but I could not because as soon as I sipped some water, I started vomiting yellow emesis first and then later on I was already vomiting greenish bile. I was getting weaker, lethargic and my tremors and chills were getting worst as well as my back spasms and abdominal pain. My husband, then brought me to the ER around 2:30-3pm. I was admitted in ICU for septic shock with unknown source on that day, 2/16/2021. I was on levophed drip via right chest central venous catheter for 48 hours and was given multiple antibiotics until discharged to home on 2/20/21. I developed red facial rashes more prominent to the right side on the second day of admission. Two days after discharge, I had headaches for two days with right shoulder pain. But, on the next day which was the 3rd day post hospitalization, I broke out with generalized reddened, raised, itchy and burning rashes. My husband brought me back to the ER on that day on 2/24/21. ER MD loaded me with dexamethasone steroid IV and Benadryl IV and sent me home with oral dexamethasone and anti-histamine orally. I saw my primary MD on 2/26/2021 for hospital follow up and referred me to Infectious disease MD and Endriconologist. On March 3rd, I was started on insulin SQ due to my blood sugars running 300?s to almost 400. As of now, my MD is still adjusting my insulin dosage due to persistent high blood sugar readings of 300-400 mg/dL.

Other Meds: Trulicity SQ Metformin Pravastatin Bystolic Eye vitamin Farxiga Loratadine Naproxen

Current Illness: None

ID: 1100711
Sex: F
Age: 32
State: CA

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Post-vaccine symptoms were typical for week 1 but continued into week 2 with nausea, severe headaches and exhaustion/lethargy off and on. It felt like when I was a covid long hauler. Week 3 persistent mild headache.

Other Meds: Omeprazole, Clonazepam, Flonase, Lo-Loestrin Fe

Current Illness: None

ID: 1100713
Sex: F
Age: 43
State:

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
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: codeine, iodine (shellfish)

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

Symptoms: swollen, red, hot, welted injection sight (3.14.2021). Hives on arms, chest and back (3.15.2021)

Other Meds: synthroid, welbutrin, topamax, prylosac

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm