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: 1101431
Sex: M
Age: 45
State: IL

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

Lab Data:

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: FEELING FUNNY, QUEEZY AND NERVES

Other Meds: "FEELING FUNNY" QUEEZY, NERVES

Current Illness: NKA

ID: 1101432
Sex: U
Age:
State:

Vax Date:
Onset Date:
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Both injections caused fever, chills, migraine like headaches the following day and for 4 days . Disabling headache. body aches, lethargy.

Other Meds:

Current Illness:

ID: 1101433
Sex: F
Age: 54
State: FL

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

Lab Data:

Allergies: an injectable migraine medication, but could not name the medication

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

Symptoms: 54 year old female received the Jannsen COVID-19 Vaccine Lot# 1802070 at College on 03/12/2021 @ 08:00. On 03/12/2021 @ 14:30 pt started experiencing headache, body ache, fever (103.1F), chills, and nausea. Pt took temp, was 99.1F @15:00 and 103.1F @ 17:00. Pt took vitals @17:30, BP-100/66, HR- 134 bpm. Pt took IBU for fever on 03/12/2021 @ 15:00 and Ondansetron (Zofran) for nausea on 03/12/2021 @ 16:30. Pt takes Diovan(Valsartan)/HCTZ 320/25 mg, Amlodipine (Norvasc) 10 mg, and Vitamin D. Pt is diagnosed with Hypertension and Fibromuscular Dysplasia. Pt has allergies to an injectable migraine medication, but could not name the medication. Since the pt took IBU @ 15:00, and the pt's temp increased from 99.1F to 103.1F, from 15:00 to 17:00; the pt was advised to immediately seek medical attention at an urgent care (pt did not want to go to the ED) and to not be/go alone. Pt was also advised to take Tylenol instead of IBU in the future. SPI was consulted and Dr. was notified.

Other Meds: Diovan(Valsartan)/HCTZ 320/25 mg, Amlodipine (Norvasc) 10 mg, and Vitamin D

Current Illness:

ID: 1101434
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies: Allergic to penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chills, fever, body ache, intense injection site pain, eye pain, dizziness, mild skin irritation throughout body, fatique

Other Meds:

Current Illness:

ID: 1101435
Sex: F
Age: 41
State: FL

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:

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

Symptoms: cellulitis and left arm pain

Other Meds:

Current Illness:

ID: 1101436
Sex: F
Age: 34
State: LA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: Pine nuts Seasonal (grass, trees, pollen) and dust mites

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

Symptoms: Tingling lower lip; 5-minute duration

Other Meds: Levothyroxine (150mcg)

Current Illness: UTI one week prior

ID: 1101438
Sex: F
Age: 81
State: FL

Vax Date: 03/02/2021
Onset Date: 03/03/2021
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: pt states that she developed headache, chills, and could not move. She stayed in bed in 48 hours. Headache and chills subsided in 24 hours and fatigue that for 48 hours. She says had the coronavirus in Sept 2020. She says she still has fatigue that comes and goes since getting the vax. Pt will contact PCP regarding getting the 2nd dose.

Other Meds: Eliquis

Current Illness: no

ID: 1101439
Sex: F
Age: 30
State: NC

Vax Date: 03/13/2021
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: penicillin

Symptom List: Pharyngeal swelling

Symptoms: Injection site soreness and somewhat severe flu-like symptoms starting the evening after the vaccine. Flu-like symptoms included chills, sweats, fever, achy muscles, dry cough. Symptoms persisted all night and most of the next day. Symptoms were treated with Dayquil, which helped a lot. Symptoms seem gone today, approximately 30 hours after symptom onset. Injection site tenderness persists, but is only noticeable if I poke it.

Other Meds: Prenatal vitamins

Current Illness:

ID: 1101440
Sex: F
Age: 38
State: MN

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: Amoxicillin-Pot Clavulanate Cephlexin Clindamycin Azithromycin Cefdinir Doxycycline

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Approximately 48 hours after receiving the 2nd dose of the Moderna vaccine, I experienced extreme itching and an almost burning/tingling sensation in my back. After about 5 minutes, I was covered in hives from my neck down to my hips. The top of my head felt sensitive, but we couldn't see if there were hives under my hair or not. It appeared on the bottom half of my neck, across my shoulders down to about mid-arm, a couple splotches on my forearms, across my breasts and stomach, full back, and even the top of my pelvic area. I did not notice any major areas on my legs. I took 3 doses of Benadryl throughout the day for the reaction and ibuprofen for the itching and sensitivity. Still pink and sensitive 24 hours later, though not itchy or as red anymore. Only really remains on my chest and stomach and minimally on my forearms.

Other Meds: Pristiq - 100mg Wellbutrin XL - 150mg Inderal LA - 120mg Bentyl - 20mg Vitamin D - 125mcg Magnesium - 250mg

Current Illness: N/A

ID: 1101441
Sex: M
Age: 18
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After mass vaccination event on Friday March 12, while entering data, I noted that client had received his boost vaccine one week early. Client notified of error. Denies any current side effects. Given info that there is no recommendation to acquire a 3rd dose at this time. Also spoke with mother who stated client was having fever today (Mar 14). Information restated for mother.

Other Meds:

Current Illness:

ID: 1101442
Sex: F
Age: 57
State: IL

Vax Date: 03/15/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: PCN

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

Symptoms: Hives, itching, anxiety Tx. Benedryl 50mg IM Epinephrine 0.3mg IM Outcome: Transport to ED by EMS

Other Meds: none

Current Illness: None

ID: 1101443
Sex: M
Age: 58
State: AZ

Vax Date: 03/01/2021
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: Penicillin

Symptom List: Rash, Urticaria

Symptoms: Severe body aches, fever (up to 102 for 2 days). Head ache and vomiting

Other Meds: Tylenol

Current Illness: Covid related pneumonia

ID: 1101444
Sex: M
Age: 22
State: CA

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: throat swelling 40min after administration felt same symptom 3 days later as well

Other Meds: pt states on drive homeWed, felt throat swelling. Mom took pt to urgent care to be seen. They prescribed 2 claritin today, and 1 at bedtime. On sat, pt started feeling the throat swelling again, was given additional antihistamine. The d

Current Illness: none

ID: 1101445
Sex: F
Age: 38
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sea food

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

Symptoms: Low fever (37,7? celsius), body pain, headacke and diarrhea appear 12 hours after vaccine and course for about 8 hours. After that, no more symptoms until now (35 hour from the vaccine).

Other Meds: Vitamin complex - centrum + Vitamin D

Current Illness:

ID: 1101446
Sex: F
Age: 76
State: FL

Vax Date: 01/08/2021
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: N/A

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

Symptoms: None

Other Meds: Lasix, Fluticaseone Propionate, Lidocaine Patch, Potassium Chloride, hydrocodone, Morphine, Nystatin, Levothryroxine, Gabapentin, Tizanidine, Atorvastatin, Acetaminophen

Current Illness: Patient resides at a care care and was sent to Hospital 3/14/21 due to vomiting/abdominal pain. Patient tested positive at Hospital.

ID: 1101447
Sex: M
Age: 49
State: VA

Vax Date: 03/04/2021
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: On the day of the shot I had a little soreness in my arm but on day 2 I couldn't lay down on that arm because it hurt. For 4 days I had to have a nap during the day because I ran out of energy. However, since that shot I feel like I have been living in a "brain fog" because I can tell I'm processing things slower and it's not getting better.

Other Meds: None on the day of the vaccination. Normally I take Allegra and Pseudafed for allergies. Vitamins - Geritol, C, D3, joint pill (Sam's Club brand "Joint Health" - cartilage and potassium chloride, boron glycinate and Hyaluronic acid),

Current Illness: none known

ID: 1101448
Sex: M
Age: 20
State: DC

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: NSAIDS, Sulfa medications

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

Symptoms: fever, sweats, chills, headache, body aches, loss of feeling in limbs. Took 500mg of Tylenol once every 4 hours.

Other Meds: None

Current Illness: n/a

ID: 1101449
Sex: F
Age: 33
State: NJ

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: Pfizer-BioNTech COVID- 19 Vaccine EUA: Vaccine recipient has a history of vasovagal reaction when getting injections or blood. Her mother was holding the patient, assisted her to the floor, protecting her head, turned her to the side to protect her airway. Patient experienced loss of consciousness for a few seconds and then came back. Her mother described this as "normal" and patient had many work ups. EMS came to assess the patient and patient was placed in wheelchair and taken to observation.

Other Meds: n/a

Current Illness: n/a

ID: 1101450
Sex: F
Age: 63
State: OH

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Around 12 noon, approximately 20 hours after receiving second dose of Moderna Covid 19 vaccine I started feeling lightheaded, was unable to concentrate and felt like I was going to pass out, leg muscles became achy and rubbery feeling. Sat down and put my head down to avoid collapsing. Sat for about 15 minutes like this and became very warm and began sweating profusely. Felt nauseous and had dry heaves. Stood up and put my head down on our sink. (I was at work at the time as a retail pharmacist) Stayed in this position about another 10 minutes. Finally my head felt like it was starting to clear so I stood up and was able to walk around the department. Went back to my workstation and was able to concentrate but then felt very chilled to the point where I started shaking. This lasted about 20 minutes. Shaking gradually stopped but then I felt very tired. Was able to finish my shift 2 hours later, was able to drive home but felt very tired and was having muscle pain in my lower legs (thighs to ankles) and developed a mild headache. Took one Aleve (naproxen sodium) tablet around 4pm that afternoon. Started feeling somewhat "normal" later in the evening around 8pm. Woke up Sunday 3/14/21 and felt fine.

Other Meds: none

Current Illness: none

ID: 1101451
Sex: F
Age: 71
State: NY

Vax Date: 03/13/2021
Onset Date: 03/13/2021
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: Penicillin Bactrim Sulpha

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

Symptoms: Chills and fever (104.5 , 103.8 for 10 hours then 102-103 second night now 100.2 11:27 am 3/15/2021

Other Meds: Levothyroxine. Valsartan Furosemide. Amlodipine Advil Supplements stopped 3/10/2021

Current Illness: None

ID: 1101452
Sex: M
Age: 47
State: TX

Vax Date: 01/06/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Pityriasis rosea

Other Meds: Valacyclovir Levothyroxine Escitalopram Allergy drops

Current Illness: None

ID: 1101453
Sex: F
Age: 37
State: FL

Vax Date: 03/04/2021
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: Amoxicillin, Cefazolin, Clindamycin, and Arithromycin

Symptom List: Unevaluable event

Symptoms: 37 year old female (DOB: 06/06/1983) received the Moderna COVID-19 Vaccine Lot# 030A21A at the Church on 03/04/2021 @ 13:00. On 03/12/2021 morning, pt reported arm is red, raised, swollen at injection site, about the size of golf ball size, warm to touch, and the pt's temp. was 99.6F. Pt is allergic to Amoxicillin, Cefazolin, Clindamycin, and Arithromycin. Pt only takes vitamins. Pt was diagnosed with GERD, but has not taken medication for over a year. Pt had reaction to pertussis vaccine when pt was an infant, which resulted in a break out of a rash head to toe. Pt was advised to place warm compress on arm, apply hydrocortisone cream, and if symptoms worsen or do not resolve in 1-2 days to seek medical care and have arm examined. was consulted and Dr. was notified.

Other Meds: Pt only takes vitamins

Current Illness:

ID: 1101454
Sex: F
Age: 59
State: NC

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: LA

Lab Data:

Allergies: Codeine

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

Symptoms: Adverse Event: 12 hrs after receiving the shot I had severe side affects that came on quick . Chills, fatigue, muscle and body aches through out which made me very unstable, massive headache, constant running nose, nausea and diarrhea. I also had a low grade fever as well as my heart bpm were erratic. The chills were so bad that 3 comforters and a heating blanket would not help. During the time I was so cold I also had numbness in my finger tips and toes. Treatment : solid bed rest, electrolyte fluids, Tylenol and Advil, several boxes of tissues Outcome: Day three of reporting this information. I still have all the systems above except I no longer have the chills or fevers.

Other Meds: Atorvastain (Lipitor) - 10mg 1x Topiramate 50mg - 2 pill 1x Famotidine (Pepsid) - 40mg - 1x Throid NP 1.5 gr - 2 pill 1x Trazodone 50mg - as needed for sleep Saxenda - 2.4 injectable - 1x

Current Illness: none

ID: 1101455
Sex: M
Age: 52
State: FL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
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: SSRI's. Cannot take these antidepressants.

Symptom List: Injection site pain, Pain

Symptoms: minor side effects: felt like someone punched me in the shoulder with brass knuckles. whole body aches and fatigue and all flu-like symptoms. Major Side Effects/Adverse Side Effects: day 1- increased suicidal ideations, major depression, major fatigue, felt like all psychiatric medication stopped working. I felt suicidal. Felt like Killing myself because of it. resolved after 3-4 days. Stomache was also very upset. only ate rice and crackers and applesauce. Day 5- back ache for 2-3 days. I believe that the vaccine made the psychiatric medication I take daily to stop working! My concern is that other psychiatric patients may not know these side effect exist and that they will be getting this vaccine and then be found dead because of it.

Other Meds: Depakote HCL ER, Mirtazapine HCL, Clonazepam, Baby Aspirin, Pravastatin, Folic Acid, Calcium carbonate with vitamin D, Lisinopril, Levothyroxine, docusate sodium, simethicone, Mylanta Prescription Strength, rectal cream

Current Illness: No

ID: 1101456
Sex: F
Age: 85
State: TX

Vax Date: 02/25/2021
Onset Date: 02/26/2021
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: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Diarrhea & extreme fatigue started the day after the second vaccine. She is experiencing extreme fatigue as of 03/11.

Other Meds: NORVASC, SOTALOL, LAMICTAL, ATIVAN, CARBIDOPA-LEVOPA, SEROQUIL, ROPINIROLE HCL, LEXAPRO, POTTASSIUM, ZERELTO, VIT. D2

Current Illness: COUGH & COLD SYMPTOMS, & A PE TUBE PLACED IN ONE EAR ON FEB. 18TH

ID: 1101457
Sex: F
Age: 70
State: TX

Vax Date: 01/14/2021
Onset Date: 01/16/2021
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: Asprin, Nsaids

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

Symptoms: Reaction 48 hours after injection. Looked like a sunburn from head to toe. On 1/23/21 contracted covid. This was confirmed on 1/25 Second injection on 2/4/25 had to be cancelled

Other Meds: Vitamin B, Magnesium, B Complex, Niacin

Current Illness: None

ID: 1101458
Sex: F
Age: 87
State: KY

Vax Date: 03/05/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patients mother came in reporting low sugars in the 30's twice a day starting the day after the vaccine was administered. Patient was self titrating insulin and drinking sunny D to bring the sugar back up. Spoke to patient a week later and was told the sugars have started to rise back up.

Other Meds: Norco 7.5 mg, Xanax 0.5 mg, Hydralazine 100 mg, Zoloft 100 mg, Isosorbide mononitrate ER 120 mg, Prevacid 30 mg, Plavix 75 mg, Gabapentin 600 mg

Current Illness: None

ID: 1101459
Sex: M
Age: 84
State: NJ

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

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: tachycardia (fast heart rate) over nite, high blood pressure for 2 hrs, itching

Other Meds: pravastation, low dose Aspirin

Current Illness: prostate cancer, heart desease

ID: 1101460
Sex: F
Age: 46
State: CT

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

Lab Data:

Allergies: NA

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

Symptoms: 11:50 that evening, severe chills, arm sore, headache. Next day felt achy, chills et in again 2:00pm and 10:00 102.4 fever.

Other Meds: levothyroxine prevastatine vitamin D3

Current Illness: NA

ID: 1101461
Sex: F
Age: 71
State: MA

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: Enoxaparin, Felodipine, LATEX, Lisinopril, Diclox, Erythromycin, Gemfibrizol, HCTZ, Omeprazole, Colace, Statins, Amlopidine, Magnesium

Symptom List: Nausea

Symptoms: pt reports waking up the next morning with "amnesia" "didn't know where I was, forgetful, " numbness radiating down her vaccinated arm, neck soreness

Other Meds: labetalol, losartan, 81 aspirin, levothyroxine, metformin, glipizide, rosuvastatin

Current Illness: stress, insomnia

ID: 1101462
Sex: U
Age:
State: NY

Vax Date:
Onset Date:
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:

Symptom List: Injection site pain

Symptoms: Fever, chills, headache, bodyache (muscle sore) under armpit very painful.

Other Meds:

Current Illness:

ID: 1101464
Sex: F
Age: 23
State: CT

Vax Date: 03/03/2021
Onset Date: 03/08/2021
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: Paxil, Nickel skin rash allergy

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

Symptoms: Lymph node swollen under left arm (injection arm) starting on day 5 after vaccine and lasting at least a week

Other Meds: Zoloft 200mg, Kyleena IUD

Current Illness: N/A

ID: 1101465
Sex: F
Age: 65
State: IL

Vax Date: 03/01/2021
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: RA

Lab Data:

Allergies: Compazine (Reaction was incontrollable shaking)

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

Symptoms: Shortness of breath, chills, headache, dizziness occurred with quick onset in the evening on Friday. The symptoms resolved by the morning. Patient felt fatigued for the next 24 hours on Saturday. No symptoms remained by Sunday morning. Patient did not check temperature on Fri. On Saturday morning checked temperature and no fever detected. (Patient Has not had a COVID test)

Other Meds:

Current Illness:

ID: 1101466
Sex: F
Age: 44
State: IL

Vax Date: 12/29/2020
Onset Date: 01/05/2021
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: No

Symptom List: Tremor

Symptoms: It was hot and swollen. About 8 days later, it was really swollen. I drew a circle around it, went to the doctor because it had grown outside of the circle. I went to the doctor and was diagnosed with celulitis and was treated with an antibiotic. There is still some discoloration at the injection site.

Other Meds: No

Current Illness: No

ID: 1101467
Sex: M
Age: 22
State: OK

Vax Date: 03/04/2021
Onset Date:
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: He began feeling flush and shob and his heart was racing. Then his throat got scratch and felt like it was closing.

Other Meds: N/A

Current Illness: N/A

ID: 1101468
Sex: F
Age: 41
State: OK

Vax Date: 03/08/2021
Onset Date: 03/15/2021
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: penicillin

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

Symptoms: "Moderna COVID-19 Vaccine EUA" - at minute 14 after the vaccine I got really light headed and funny feeling, my heart was racing but I was not having any trouble breathing. The nurses at the site monitored me until my vital signs returned to normal. I was very tired for a few days after and had a headache. Sevens days later, 03.15.2021, I woke up to my arm being tender again and noticed a big red spot/rash right by the injection site of the vaccine.

Other Meds: women's daily multi vitamin, vitamin D and birth control

Current Illness: n/a

ID: 1101469
Sex: M
Age: 87
State: UT

Vax Date: 02/25/2021
Onset Date: 03/05/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: was dx with Bells Palsy by his physician and Optometrist.

Other Meds: Multiple medications daily

Current Illness: None

ID: 1101470
Sex: M
Age: 61
State: LA

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

Lab Data:

Allergies: PCN, VISTARIL

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: PT REPORTED AFTER RECEIVING VACCINE HE WAS A LITTLE FATIGUE & ONCE HE GOT HOME HE REPORT SEIZURE ACTIVITY. HE STATED FOR APPROXIMATELY 40 MINUTES "HE WAS JUST IN A DAZE & STARING" AND AFTERWARDS HE WAS FINE.

Other Meds: PRESCRIPTIONS

Current Illness: N/A

ID: 1101471
Sex: F
Age: 68
State: WI

Vax Date: 02/15/2021
Onset Date: 02/28/2021
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: Nickel

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

Symptoms: Had sore arm days 1-5; day 7-12 COVID arm; day 14 started to have tight muscle around mid section and back; then started to have partial loss of taste and smell up to this time. I had a COVID test and tested negative. I do not have any other kind of infection or cold.

Other Meds: Levothyxine, Metoprolol Succ ER, daily vitamin, zinc, vitamin D and K, Biosil, Calcium

Current Illness: No

ID: 1101472
Sex: F
Age: 25
State: FL

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

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

Symptoms: Chills started at 7:30 the night of the vaccine followed by Fever, Headache, and Body Aches. Nausea & Tiredness through Monday.

Other Meds: Junel Fe

Current Illness: N/A

ID: 1101473
Sex: F
Age: 68
State: IN

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: None

Symptom List: Pain in extremity

Symptoms: Chills, body aches, no temperature. Lasted until sometime early Sunday morning.

Other Meds: Raloxifene HCL 60 mg Nitrofurantoin MCR 50 mg

Current Illness: None

ID: 1101474
Sex: F
Age: 24
State: AR

Vax Date: 03/14/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Pain at injection site, headache, fever; treated with 400 mg ibuprofen

Other Meds: Sertraline 150mg

Current Illness: None

ID: 1101475
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies: Pecans

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

Symptoms: Fever, severe body aches, weakness. Reaction lasted about 36 hours

Other Meds: Imitrex 100mg

Current Illness: None

ID: 1101476
Sex: M
Age: 33
State: PA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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 indicated

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

Symptoms: Patient was standing and felt dizzy/light headed and fainted in the store roughly 3 minutes after vaccination.

Other Meds: none indicated

Current Illness: none indicated

ID: 1101477
Sex: M
Age: 55
State: PA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Patient developed a rash and proceeded to ER where he was treated and sent home. Patient returned home and then had some difficulty breathing so returned to the hospital where is was admitted for treatment and observation.

Other Meds:

Current Illness:

ID: 1101479
Sex: F
Age: 77
State: AL

Vax Date: 03/04/2021
Onset Date: 03/11/2021
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: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient developed 3 inch circumference erythema swelling and itching of left upper arm. It appears injection was not given in deltoid muscle, as the injection site was 3 inches above elbow (vaccine was given at Walmart )

Other Meds: lexapro, coreg, estradiol, lisinopril/hctz, lovastatin

Current Illness: none

ID: 1101480
Sex: F
Age: 43
State: TX

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: The only known allergies are lactose and Demerol.

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

Symptoms: On-going pain, redness, itching and burning sensation at the injection site as well as stiffness, discomfort, tingling, mild numbness and joint pain, and headache from the day of injection, at the time of writing this report including the days in between injection and reporting. Initial swelling an hour after injection on 3/11/21 was the diameter of a quarter; swelling as of 3/15/21 is approximately 4.5 inches in diameter. The surface temperature of the injection site remains approximately 98.1 degrees. In addition, I am experiencing noticeable numbness and tingling on the left side of my body including facial muscles surround eye, mid face, left hand radiating out to all 4 fingers, left thigh, and left calf. I am experiencing joint and muscle pain on the left side of my neck, left shoulder, left upper arm, left elbow, left hip, knee and ankle.

Other Meds: Metoprolol Succinate, Lisinopril, Amlodipine besylate

Current Illness: None

ID: 1101481
Sex: F
Age: 43
State: IL

Vax Date: 03/03/2021
Onset Date: 03/10/2021
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: no

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Shingles. I started having symptoms 8 days after vaccine. Never had shingles or any other skin rash, I am relatively heathy individual.

Other Meds: Adderall

Current Illness: No

ID: 1101482
Sex: F
Age: 37
State: TX

Vax Date: 03/13/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Fever Headache Nausea Body aches Joint pain Chills Sweats Fatigue

Other Meds: Spironolactone Escitalopram

Current Illness:

ID: 1101483
Sex: M
Age: 61
State: MD

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: No allergies

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

Symptoms: Headache, cold chills, body aches, and fever of 100?F. The effects lasted for 10 hours and was back to normal by morning.

Other Meds: Lisinopril 5mg once a day, Pravastatin 20mg once a day, Aspirin 81mg every other day, fish oil 1000mg every other day, multivitamin once a day, and glucosamine 1500mg

Current Illness: No illnesses

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm