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: 1101256
Sex: M
Age: 71
State: IL

Vax Date: 02/01/2021
Onset Date: 02/12/2021
Rec V Date: 03/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Severe gout flare-up after two and one half years without any gout flare ups. The pain lasted in excess of three weeks and seemed to be clearing up as I headed for my second dose. A day after the second dose the flare-up returned at a less severe level and continues to this day.

Other Meds: None

Current Illness: None

ID: 1101257
Sex: F
Age: 39
State: NY

Vax Date: 02/08/2021
Onset Date: 03/08/2021
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: Gluten sensitive

Symptom List: Anxiety, Dyspnoea

Symptoms: I did have significant side effects with the second vaccine (dizziness, fever, headache, fatigue). However, I am writing because on March 8, 2021, 4 weeks after the 2nd vaccine, I began experiencing a sore throat. My 2 year old tested positive for COVID that day due to exposure at day care. My symptoms worsened to include head congestions, runny nose, headache, and some chest congestion and cough. On March 13 I tested positive for COVID 19 at a healthcare facility. On March 15 my primary care provider asked me to reach out to you and also a local health facility (which I did, leaving a message with a member of the staff).

Other Meds: Chinese herbs for fertility, vitamin D, probiotic, cod liver oil, liver supplement, spirulina supplement, NAC for endometriosis, prenatal vitamin, COq10,

Current Illness: None

ID: 1101258
Sex: F
Age: 39
State: DC

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: Tetracycline

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

Symptoms: 10 weeks pregnant at time of vaccine, EDD October 1, 2021 Developed fever in the evening and overnight - generally in the 99.3-99.8 range with one reading of 100.5. Managed with tylenol and cool compresses. The next day was heavily fatigued and slept most of the day.

Other Meds: Flonase, prenatal vitamins

Current Illness: None

ID: 1101259
Sex: F
Age: 60
State: CT

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: seasonal

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Within 15 min of receiving vaccine patient felt she had severe dryness in her mouth and throat. she felt a lump in her throat and tingling of her tongue. For the next one hour she was monitored. Her BP was in the 150/85 range, P from 94-84 bpm range and pO2 was between 94 - 96%. she was given 25 mg Diphenhydramine PO and was sent home independently. since her symptoms had improved. She was referred to the clinic's allergist and encouraged to contact her primary care provider.

Other Meds: atorvastatin 10 mg

Current Illness: Pt did not report any

ID: 1101260
Sex: M
Age: 63
State: NC

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: IM
Vax Site: LA

Lab Data:

Allergies: penicillin, shrimp

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

Symptoms: Fever, chills, muscle and bone ache, severe fatigue, nausea - just like regular covid

Other Meds: paroxetine, Norvasc, zolpidem, Celebrex, colchicine, metropolol, allopurinol, atorvastatin

Current Illness: none

ID: 1101261
Sex: F
Age: 73
State: MI

Vax Date: 02/04/2021
Onset Date: 03/10/2021
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: Developed COVID. Detected by PCR. Had fever, chills, muscle aches, runny nose, nausea, headaches, fatigue, loss of taste and smell.

Other Meds: Lisinopril, Lopressor, norvasc, aspirin 81mg

Current Illness: Developed COVID

ID: 1101262
Sex: F
Age: 21
State: CO

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Slight headache and sore arm at site of injection three hours after the shot (3/12). The morning after, about 16 hours after the shot, I had severe body aches and pains, a severe headache, fever, chills, and was extremely fatigued with worse pain in the arm at the site of injection (3/13). This lasted until I woke up the next day, about 40 hours after the shot, I felt physically weak the next day and still had arm soreness at the site of injection but no pain, headache, fever, or chills (3/14). Felt completely back to normal, still some slight pain on the arm at the site of injection, about 64 hours after the shot (3/15).

Other Meds: None

Current Illness: None

ID: 1101263
Sex: F
Age: 47
State: NC

Vax Date: 03/05/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NK

Symptom List: Pharyngeal swelling

Symptoms: Delayed secondary reaction at injection site. Red rash, hardness underskin, irritation

Other Meds: Pentasa, Calcium, multivitamin

Current Illness: None

ID: 1101264
Sex: F
Age: 19
State: NC

Vax Date: 03/13/2021
Onset Date: 03/15/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Swelling of the left side of the face. Instructed to take NSAIDS when needed.

Other Meds: Junel 1.5/30

Current Illness: none

ID: 1101265
Sex: F
Age: 49
State: NY

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

Lab Data:

Allergies: sulfa drugs and aspirin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: feverish the morning after the vaccine, chills, body aches, tiredness the day after the vaccine

Other Meds: Montelukast, Estradiol, Mometasone Furoate Nasal Spray, Vitamin D, and Claritin

Current Illness: none

ID: 1101266
Sex: F
Age: 61
State: IN

Vax Date: 02/04/2021
Onset Date: 02/12/2021
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 known

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

Symptoms: Injection site was raised, bumpy and itchy for approximately two days

Other Meds: None

Current Illness: No

ID: 1101267
Sex: F
Age: 62
State: IN

Vax Date: 02/28/2021
Onset Date: 03/03/2021
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: latex

Symptom List: Rash, Urticaria

Symptoms: Day 1 soar arm, day 2 fatigue, day 3 stomach pain diarrhea (lasting 10+days) day 4 congestion mild headache light headed dizzy runny nose ( still have 10 days later} unable to function normally, spending most of the last 8+ days in bed. Day 13 racing heart day 14 itchy skin and blotches on my arm knees back and butt. (took some benadryl and put anti itch cream on. that resolved overnight). Day 15 I am still light headed very fatigued.

Other Meds:

Current Illness:

ID: 1101268
Sex: F
Age: 31
State: AK

Vax Date: 01/08/2021
Onset Date: 01/09/2021
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: zpack

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

Symptoms: 1/8 vaccination 1/9 04:30 I woke up, temp was fine. When I went to work, I didn't feel well. When I got there, I looked sick. Couple hours later, I started feeling SOB, weird, 'off'. I took my O2 was 90%, pulse 238. I went home; temp was 101.8, my O2 was 84-86, HR 130 @ resting. Lasted for about a week. O2 did go up to 91. My PCM gave me a beta blocker, Heart medicine (still taking daily and hoping to get off) I do have continuous swelling on my legs, which comes and goes.

Other Meds: birth control, multivitamin, vit D, fish oil, vit C, levothyroxine, metformin

Current Illness:

ID: 1101269
Sex: M
Age: 37
State: DC

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

Lab Data:

Allergies:

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

Symptoms: Nausea (vomited one time), chills, fatigue, vertigo, fever, aches, bowel issues

Other Meds:

Current Illness:

ID: 1101270
Sex: F
Age: 45
State: FL

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

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

Symptoms: muscle aches, palpitations, "feels like heart is accelerating and decelerating", chest pain, nausea, vomiting, has hx of GI upset Referred to see primary physician STAT.

Other Meds:

Current Illness:

ID: 1101272
Sex: F
Age: 55
State: AZ

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

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

Symptoms: I experienced an elevated and irregular resting heartrate ranging from 67 beats per minute to 180 beats per minute on the nights of March 5, 6, and 7, 2021, the three nights following the vaccine . My normal resting heartrate is in the 70s.

Other Meds: Estrogen and progesterone by prescription Elderberry syrup, dietary supplement, non-prescription

Current Illness: None

ID: 1101273
Sex: F
Age: 34
State: NC

Vax Date: 03/14/2021
Onset Date: 03/14/2021
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:

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

Symptoms: After administering vaccine, pt stated tingling in fingers, lightheadedness, slight high heart rate. BP was taken (162/90). called 911 pt was then cared for by EMS, BP normalized and pt went home

Other Meds:

Current Illness:

ID: 1101274
Sex: F
Age: 45
State: IL

Vax Date: 03/14/2021
Onset Date: 03/14/2021
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: N/A

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pt stated that after vaccine she felt dizziness. Pt stated that after being assessed & sitting in ambulance she felt better and signed release. Refused transport.

Other Meds: Sertraline 50mg

Current Illness: N/A

ID: 1101276
Sex: M
Age: 65
State: MA

Vax Date: 03/13/2021
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: PCN, Antipar, silicone

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: almost 24 hours to the minute after receiving the vaccination i had fever, chills, extreme nausea, headache, muscle pain , weakness. even touching my eyebrows hurt. it lasted 10 hours during which time I did not take any medications, eat or drink anything. I did not seek treatment and by morning I was wiped out but all symptoms had resolved.

Other Meds: clonozipan 0.5mg QD Vitamin D, amlodipine resylate 5mg QD MSM Pure

Current Illness: NONE

ID: 1101277
Sex: F
Age: 26
State: IN

Vax Date: 01/04/2021
Onset Date: 01/25/2021
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: None

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

Symptoms: The adverse event began as a feeling that there was an air bubble stuck in my throat. It then manifested into feeling like there was swelling in my throat. Eventually, there was external swelling on the left side of my throat. This lasted for a couple weeks, and would happen off and on. I visited the Nurse Practitioner at my doctor's office, and she confirmed that there indeed was some minor swelling in the lymph node on the left side of my throat. She ordered an ultrasound for my head/neck, but because of the cost, I was unable to get the ultrasound. The swelling has since subsided. I made the correlation that the swelling was on the same side as both of my Moderna injections, so I figure the swelling is due to the COVID vaccine.

Other Meds: Lo Loestrin Fe and Zyrtec

Current Illness: None

ID: 1101278
Sex: F
Age: 47
State: TX

Vax Date: 01/25/2021
Onset Date: 01/28/2021
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: Tetracyline; Reglan , compazine

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

Symptoms: after 2nd dose had extreme flu like sx; nausea/body aches/fatigue/headache/chills had blood work done by my Rheumatologist and my WBC dropped down to 2.3; repeat testing 4 weeks later WBC went back up to 5; Rheumatologist assumed it was Methotrexate that I take; but previous numbers were normal; He wanted me to stop Methotrexate but I didn't ; asked to have lab checked again since I felt soo bad with 2nd dose.

Other Meds: Tylenol/Motrin

Current Illness: none

ID: 1101279
Sex: F
Age: 54
State: IL

Vax Date: 01/08/2021
Onset Date: 01/14/2021
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: PCN, Sulfar, Z-Pak

Symptom List: Unevaluable event

Symptoms: cough, fever, headache, dizziness Covid Positive

Other Meds: Tylenol

Current Illness: none

ID: 1101280
Sex: F
Age: 66
State: NJ

Vax Date: 03/15/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient complained of tightness in throat, tingling on tongue, difficulty breathing approximately 32min after receiving injection. Given epipen x1, still complained of symptoms 12min later, she was given a 2nd epi pen and transferred by EMS to a ER.

Other Meds:

Current Illness:

ID: 1101281
Sex: F
Age: 66
State: TN

Vax Date: 02/24/2021
Onset Date: 03/06/2021
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: no

Symptom List: Injection site pain, Pain

Symptoms: pt states that 10 days after she received the vax she developed 5X2 itchy red whelp at the injection site. She called the pharmacy and she was told to use cortisone and apply an ice pack.

Other Meds: oxycodone 10mg, morphine 60mg, atorvastatin 20mg, omeprazole 40mg, Trintellix 10mg, butalbital-apap-caffeine 50-300-40

Current Illness: no

ID: 1101282
Sex: F
Age: 54
State: KY

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: SYR
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: Bell's Palsy left side, eye and mouth droop. Eye, ear and face pain. Doctor prescribed Prednisone and Valtrex. Systems are still present along with pain and discomfort.

Other Meds: Levothyroxine, Losartan, Amlodipine, Citalopram, Trazodone

Current Illness: N/A

ID: 1101283
Sex: M
Age: 68
State: IL

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/15/2021
Hospital: Y

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: Pulmonary embolism with onset 1-2 days following 2nd dose of Moderna vaccination. No other precipitating events found

Other Meds: Multi vitamins

Current Illness: None

ID: 1101284
Sex: F
Age: 54
State: NE

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Tiredness started about 3 hours after the vaccination. Twelve hours after the vaccination I have extreme achiness of the whole body. This included chills from time to time along with low energy and extreme tiredness along with loss of appetite. This lasted for about 36 hours.

Other Meds: Multivitamen

Current Illness: none

ID: 1101285
Sex: F
Age: 57
State: IL

Vax Date: 03/05/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: scopolamine patch

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The first day I received the vaccine on 3/5, I was dizzy and tired and had arm pain. On 3/14 I noticed a raised red rash at the injection site size of a palm of the hand. This morning 3/15 I feel nauseated, have a headache , fatigue and chills.

Other Meds: atorvastatin

Current Illness:

Date Died: 03/14/2021

ID: 1101286
Sex: F
Age: 80
State: CA

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

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: Large Stroke

Other Meds: Aspirin 81mg, Metformin 100mg, Gllipizide 10mg, Simvastatin 40mg, Lisinopril 10mg.

Current Illness: None

ID: 1101287
Sex: M
Age: 65
State: FL

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: RA

Lab Data:

Allergies: Strong pain meds example: morphine, oxycodone etc..

Symptom List: Nausea

Symptoms: my underarm at my armpit is very swollen and over into my chest. my chest is starting to swell. my wife says she sees swelling in my arm and I feel soreness in my back. its all annoyingly painful. wife also sees swelling on the side of my face ( left side)

Other Meds: amitriptyline, levothyroxine, lisinopril, meclizine, ibuprofen.

Current Illness: No

ID: 1101288
Sex: F
Age: 51
State: AZ

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: The day after the vaccination, I was extremely tired and my whole body ached. I also had a headache all day, even after taking Tylenol.

Other Meds: Levothyroxine, Sertraline, Lisinopril, Zyrtec

Current Illness: None

ID: 1101289
Sex: F
Age: 21
State: FL

Vax Date: 03/09/2021
Onset Date: 03/10/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Initially had localized redness, quarter to a half dollar sized swelling, on 3/10/2021. Patient received an iron infusion at 15:00 on 3/10/2021. Around 2:00 on 3/11/2021, patient felt a chill, her temperature was 100.4 F orally. Temperature further increased to 103 F around 13:00 on 3/12/2021. What happened as a result of the adverse event? (doctor visit, ED or urgent care visit, hospitalization, life threatening illness, disability/permanent damage, death, none of these): none of these, took OTC apap last night and this morning and just took ibuprofen after the 103 F reading. Spoke with patient's mother, who stated that the is feeling fine. The patient's temperature is currently 98.6 degrees Fahrenheit, and initially came back to normal at 02:00 today (3/13/21). The patient experienced elevated temperatures before that time (02:00), of note was at 22:00 on 3/12/21, at which time the patient had a temperature of 102 degrees Fahrenheit. A later temperature after 22:00 on 3/12/21, and before 02:00 on 3/13/21, was recorded, which was 101 degrees Fahrenheit. The patient's mother stated that the daughter may have COVID based upon speaking with her doctor, so she inquired if her daughter should be tested for the presence of antibodies against COVID-19. Patient's mother also inquired if there was a need for the second shot if it was seen that her daughter had antibodies against the virus. Advised the mother that her questions would be looked into for answers, and that she would be called back with those answers.

Other Meds: plaquenil lexapro vitamin D asa 81 mg vitamin C cetirizine

Current Illness:

ID: 1101290
Sex: F
Age: 63
State: NC

Vax Date: 03/02/2021
Onset Date: 03/10/2021
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: Sulfa drugs peanuts

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

Symptoms: Itchy injection site followed by red patch, lasting for 3 days

Other Meds: Levothyroxine 100 mcg

Current Illness: none

ID: 1101291
Sex: M
Age: 71
State: NC

Vax Date: 02/15/2021
Onset Date: 03/01/2021
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: Ibuprofan

Symptom List: Tremor

Symptoms: 16 days after immunization, I started having increased Tinnitus and hearing loss. These condition s still exist today(3/15/2021)

Other Meds: none

Current Illness: none

ID: 1101292
Sex: F
Age: 45
State: CO

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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:

Symptom List: Erythema, Pruritus

Symptoms: Physician who received the Pfizer-BioNTech covid-19 vaccine has had subsequent neurologic and systemic complications requiring loss of work and multiple visits with specialists.

Other Meds:

Current Illness:

ID: 1101293
Sex: M
Age: 87
State: GA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
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: No

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

Symptoms: I was disoriented, didn't know where I was, I had no hand/eye coordination, difficulty with numbers and letters and showed slight cognitative impairment. I called the hospital and was told it would get better in 24 hrs but it didn't so I went to the ED and was admitted from 01/14/2021 through 01/17/2021 with a diagnosis of having a stroke. I am currently going for cognitative therapy.

Other Meds: N/A

Current Illness: No

ID: 1101294
Sex: F
Age: 43
State: NJ

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

Lab Data:

Allergies: n/a

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

Symptoms: Pfizer-BioNTech COVID- 19 Vaccine EUA: Vaccine recipient experienced an allergic reaction following vaccination. EMS treated with diphenhydramine and decadron. She refused to go to the hospital.

Other Meds: n/a

Current Illness: n/a

ID: 1101295
Sex: F
Age: 48
State: NY

Vax Date: 02/22/2021
Onset Date: 03/13/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: On 3/13/21 I started to notice a buzz sound in ny head when trying to take a nap. A High pitch sound like static. It hasn?t gone away since then. Im seeing an ENT on 3/16/21 to have this checked. About 25 minutes after my covid shot I felt a strong cold feeling on the top of my head for about 30 -60 minutes . It went away. Now I wonder if this was also related.

Other Meds: None

Current Illness: None

ID: 1101296
Sex: F
Age: 73
State: MI

Vax Date: 02/04/2021
Onset Date: 03/10/2021
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: None

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

Symptoms: Developed COVID. Fever, chills, muscle aches, runny nose, cough, nausea, headaches, fatigue, loss of taste and smell

Other Meds: Norvasc, Lopressor, aspirin 81,

Current Illness: None

ID: 1101297
Sex: F
Age: 69
State: OH

Vax Date: 02/13/2021
Onset Date: 02/20/2021
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: no

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

Symptoms: 7 days after I got the shot, my arm swelled up where the shot was given, was very sore and it itched. Lasted about 3 days.

Other Meds: Levothyroxin, D3, Immuplex

Current Illness: no

ID: 1101298
Sex: F
Age: 36
State: TX

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: None known

Symptom List: Pain in extremity

Symptoms: Fever and chills with nausea reportedly started around 5:45pm on March 12, 2021. Ibuprofen taken that night around 8pm which seemed to help the chills and fever. Hives developed around 8pm March 13, 2021. Hives have continued into March 15, 2021.

Other Meds: N/A

Current Illness: Covid-19 - 2/10/2021

ID: 1101299
Sex: M
Age: 65
State: IN

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: headache, body ache, chills, fatigue

Other Meds: lipitor. aspirin, multi vitamin, resvetrol, naproxson

Current Illness: None

ID: 1101301
Sex: F
Age: 30
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/25/2021
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

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

Symptoms: Recieved vaccine dose 1 on 1/5/21, recieved dose 2 on 1/25/21. Was exposed to COVID19 on 3/10/21, developed symptoms (chills, body aches, sore throat, runny nose, weakness) on 3/12/21 and tested positive for COVID on 3/13/21 via rapid and PCR. Still recovering from symptoms on 3/15/21 (still body aches, weakness, runny nose, congested feeling). Health Department and lab facility unable to hold specimen for variant testing. Per CDC guidelines, reporting this since I am a healthcare provider and was fully vaccinated since 1/25/21.

Other Meds: None

Current Illness: Small Intestinal Bacterial Overgrowth (SIBO)

ID: 1101302
Sex: M
Age: 52
State: NJ

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: Sulfa medications

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

Symptoms: Hives on lower back, sides of torso, under both arms pits/shoulders, inner thighs, and behind the knees. Itchy and becoming painful on third day of symptom.

Other Meds: None

Current Illness: None

ID: 1101303
Sex: F
Age: 74
State: WI

Vax Date: 02/17/2021
Onset Date: 03/08/2021
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: Metformin, abatacept, atorvastatin, rosiglitazone, epinephrine/lidocaine combo (hyperventilation), canaglifolozin, adhesive tape, latex, sulfa antibiotics

Symptom List: Vomiting

Symptoms: Pt received both Pfizer COVID-19 vaccines on 1/27/2021 and 2/17/2021. Pt reported a cough on 3/8/2021, around the same time her daughter was admitted inpatient for COVID-19 (had not received vaccine yet). PCP tested her for COVID-19 via SARS-CoV-2 PCR on 3/8/2021 and it was positive. Pt has only had mild symptoms thus far.

Other Meds: Ascorbic Acid, B complex vitamins, celecoxib, clindamycin 1% lotion, dulaglutide, duloxetine, ezetimibe, furosemide, hydrochlorothiazide, insulin aspart, insulin glargine, lisinopril, Lutein-Zeaxanthin, multi vitamin, pantoprazole, tocilizu

Current Illness:

ID: 1101304
Sex: F
Age: 69
State: IN

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Worst Headache ever For 2 days, Achy, Fatigue (but better than Covid).

Other Meds: Omeprazole, Bupropion, Atoravastatin, Citalopram, Melatonin, Zyrtec

Current Illness: N/A

ID: 1101305
Sex: M
Age: 89
State: KY

Vax Date: 01/31/2021
Onset Date: 03/11/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Symptoms: shortness of breath, cough, increased wbc.

Other Meds: isosorbide, Levemir, Novolin, folic acid, Ventolin, levothyroxine, protonix, phospha, ferrous gluconate, metoprolol, Risperdal, trelegy, loratadine, finasteride, potassium chloride, Lasix, azelastine, Montelukast, donepezil,

Current Illness: none

ID: 1101306
Sex: F
Age: 57
State: AL

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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Caused a flare up of rosacea on both sides of my face and nose. I had bumps and redness. I noticed it the day after the injection. Today is day 3 and it is slowly getting better but still there.

Other Meds: Pravastatin, calcium with D3 supplement, D3 supplement, probiotic.

Current Illness:

ID: 1101307
Sex: M
Age: 74
State: FL

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: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: I got out of bed at my normal time of 5 AM and proceeded to the bathroom to urinate, feeling fine. Just before starting to urinate, I started sweating profusely and shaking and so turned around and sat down on the toilet. I then sweat even more as if I was in the shower, and shook violently. I then started feeling very nauseous, but I was shaking so badly that I had to very carefully hold the toilet to turn around to kneel down in front of the toilet. I heaved a number of times, but nothing came up. I finally stopped shaking and sat on the floor in front of the toilet for a while, and the sweating got less. After a short time, I got up and walked slowly to a recliner, about 30' away. The nausea had gone away by then and the sweating had subsided. My wife brought me blanket and I rested till 7:30 AM. I had a cup of coffee about 8 AM, and a bowel of cereal at 9 AM. I have been fine ever since then, no more reactions, thank goodness. That one was horrible.

Other Meds: Liquid tylenol, one a day multiple vitamin

Current Illness: Nonw

ID: 1101308
Sex: F
Age: 40
State: NM

Vax Date: 02/25/2021
Onset Date: 02/25/2021
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: h/o severe allergic reaction to vancomycin, PCN

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

Symptoms: Patient reported "my throat is closing up", then devoped generalized pruritis, more tightening and dyspnea. Epinephrine 0.3IM and EMS called. She refused transport. She called her primary care office who also urged her to go to ER 15 minutes later symptoms recurred along with anxiety EMS administered Epi IM, benedryl and solumedrol IV. She then refused transport again and departed. 10:22 - 114/81 P-111 02 98% 10:31 137/70, 102, 99% 10:40 130/80, 106. 98%

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm