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: 1101883
Sex: M
Age: 43
State: OR

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

Lab Data:

Allergies: Slight allergy to almonds and walnuts and sesame oil. Allergy to a rare form of wasp, but not bee stings.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Had a sudden onset fever which reached 103 the evening of the injection. There was muscle soreness, fatigue, my pulse was above 80 all night and reached 100 during the peak of the fever. By the next morning, the fever had dropped to 100, fatigue remained and a slight headache appeared. The headache was gone by noon, the fatigue remained all day. The evening after the injection, a slight fever returned and then stopped. Two days after the injection, there were no further averse reactions other than slight soreness in the injection site. I am no longer fatigued and feel fine. Hope this information helps.

Other Meds: None

Current Illness: None.

Date Died: 03/10/2021

ID: 1101884
Sex: F
Age: 30
State: NM

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 03/15/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: History, patient received 1st COVID-19 Pfizer vaccine on 1/28/21 and 2nd Pfizer COVID-19 vaccine on 2/17/21 Unsure if any relation but patient was treated in our urgent care on 3/8/2021 18 day post receipt of 2nd COVID-19 vaccine unresponsive. Patient received ACLS support for unknown cause with suspected neurological/respiratory/cardiac complications. Patient was transferred to higher level of care.

Other Meds: Unknown

Current Illness: None

ID: 1101885
Sex: M
Age: 27
State: WA

Vax Date: 03/14/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Nausea, vomiting, headache, fatigue, achey body, fever.

Other Meds: Vitamin D

Current Illness:

ID: 1101886
Sex: F
Age: 62
State: RI

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe tinnitus in right ear about one hour after second dose, now lasting nearly 2 weeks.

Other Meds:

Current Illness:

ID: 1101887
Sex: F
Age: 67
State: NC

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: Sulfa drugs

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

Symptoms: Red rash/itching/knot at injection ste

Other Meds: Hydrochlorothiazide, Amlodipine, Move Free, Benadryl, Tylenol Arthritis, Montelukast, Mometasone, Azelastine

Current Illness:

ID: 1101888
Sex: F
Age: 52
State: VA

Vax Date: 03/12/2021
Onset Date: 03/15/2021
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: Nose bleed (never had a nose bleed before)

Other Meds: prevacid, pepcid ac, align probiotic, melatonin

Current Illness: None

ID: 1101889
Sex: M
Age: 71
State: CO

Vax Date: 03/06/2021
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: None except sugar...

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Symptoms started approx. 11 days after vaccine. Head 'ache', pressure for several days, chills, fever, disoriented(head fog), dizzy, fatigue, extreme 'sore' throat(not your normal sore throat). Now...has 'COVID tongue'. Red patches(no soreness)

Other Meds: Levothyroxine, lowest dose Multi Zinc Vitamin D3 Vitamin C w/bioflavnoids Vitamin B-complex Nutritional super greens... herb and mushroom complex formulas to numerous to list. Have autoimmune disorder. Digestive enzymes

Current Illness: None... Pre-existing undiagnosed autoimmune disorder(possibly). Four years, numerous tests,Specialists, second and third opinions with no diagnosis.

ID: 1101890
Sex: F
Age: 42
State: GA

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: allergic to garlic/onions

Symptom List: Pharyngeal swelling

Symptoms: low-grade fever (99.5) for 24 hours, swelling and redness (2 inches x 4 inches) around injection site, skin is painful to touch (even fabric of shirt) for over 3 days and still persisting

Other Meds: Sumaden face wash

Current Illness: none

ID: 1101891
Sex: F
Age: 60
State: IL

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: LA

Lab Data:

Allergies: No

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 3:30 At home, exerienced tachycardia, palpitations, headache; Drove self to hospital ED; Had hypertension, monitored for several hours. Was diagnosed with Adverse reaction to vaccine and to follow up with PCP on 3/15/2021

Other Meds: No

Current Illness: No

ID: 1101892
Sex: F
Age: 34
State: OH

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: slight dizziness/light-headed and fatigue

Other Meds:

Current Illness:

ID: 1101893
Sex: F
Age: 58
State: IL

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: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: - dizziness, nausea, throwing up, and passed out for approximately 2-3 minutes approximately 17 hours following vaccine - headache, muscle and joint pain, chills, feeling tired, weak, and unwell from 8 hours following vaccine until 48 hours following vaccine

Other Meds: none

Current Illness: none

ID: 1101894
Sex: M
Age: 61
State: KS

Vax Date: 03/04/2021
Onset Date: 03/09/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: 5 days after receiving vaccine, hives appeared from shoulders, down to legs. Hands were itchy and warm. These symptoms continued off and on for 5 days. Symptoms mostly appeared in the late evening.

Other Meds: none

Current Illness: none

ID: 1101895
Sex: F
Age: 63
State: NE

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

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

Symptoms: Tightening in my throat, that was eased with Benadryl. Shot area swollen large lump for 3 days. Light-headed. Felt lethargic for Friday, Saturday and Sunday, following the shot on Thursday.

Other Meds: Multi-vitamin

Current Illness: Allergies with sneezing

ID: 1101896
Sex: F
Age: 39
State: LA

Vax Date: 03/11/2021
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: Penicillin, erythromycin, levofloxacin

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

Symptoms: Sore throat, body aches, fatigue Treating with over the counter medicine for 2 days

Other Meds: Januvia, Losartzan HCTZ, Trulicity, Pantoprazole, Farxiga, multi-vitamin

Current Illness:

ID: 1101898
Sex: F
Age: 32
State:

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: 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: syncopal episode, diaphoretic, waited 15 minutes, cleared.

Other Meds:

Current Illness:

ID: 1101899
Sex: F
Age: 37
State: WI

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Pain in the injection site began about 3 hours after the dose was given. This worsened throughout the night and caused me to be awake in pain most of the evening. The pain in the injection site arm continued for 2 days. I experienced a stiff neck the day of the shot. This went away by the 2nd day. Then, 5 days after receiving the shot I began to experience pain in my underarm, like I had been bruised inside my armpit, of the same arm that received the shot. This pain in my armpit lasted for 4 days.

Other Meds: Cyclobenzaprine 10 mg once daily at night.

Current Illness: None

ID: 1101901
Sex: M
Age: 51
State: IN

Vax Date: 03/12/2021
Onset Date: 03/15/2021
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: Sulfa Theophylline

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

Symptoms: Severe chills; fever (101?); tightness in chest; body aches. All seem to have substantially resolved within 8 hours of onset.

Other Meds: Metformin Lisinopril/HCTZ Pravastatin Amlodipine Aspirin Fish oil Levemir Novolog

Current Illness: None

ID: 1101902
Sex: M
Age: 74
State: IN

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: Beets (severe rashes), statin meds (severe muscle cramping)

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Extreme nausea with vomiting Loss of desire to eat for three days Chills Foggy thinking Tiredness Feeling unwell

Other Meds: Amlodipine Besylate 5 mg tab, Losartan Potassium 100 mg tab,

Current Illness: Covid positive test 1/8/2021, negative test 2/10/2021

ID: 1101903
Sex: M
Age: 73
State: TX

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: chills, body aches, sore arm

Other Meds: Losartan Metoprolol Levothyroxine Hydrochlorthiazide

Current Illness: none

ID: 1101904
Sex: F
Age: 79
State: MA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
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: No

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

Symptoms: Cold chill, severe fatigue, body aches, lasted one day.

Other Meds: statin, Fiber Calcium, Multi Vitamin, Fish Oil, Turmeric, Glucosamine baby aspirin

Current Illness: no

ID: 1101905
Sex: F
Age: 47
State: IN

Vax Date: 03/05/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

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

Symptoms: Patient was vaccinated on 05MAR21 @ 0420 and returned to the clinic on 13MAR21 to report a "knot" in her left arm that itched and was warm to touch. She also reported cold chills. She was evaluated by one of our registered nurses and was given Benadryl 25 mg po. She is to follow-up with our onsite nurse as needed.

Other Meds:

Current Illness:

ID: 1101906
Sex: F
Age: 35
State: TX

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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 that I am aware of

Symptom List: Unevaluable event

Symptoms: Chills, felt like i had a fever, headache, normal joint pain, Joint pain eventually turned into lupus flaring in the pelvis, , intense pain in the scalp (felt like i could not touch my hair), vomiting

Other Meds: 2.5 mg of Prednisone, 200 mg Hydroxycholoroquine, Omega 3, COQ10, baby asprin, glucosamine, Calcium, Collagen, Tumeric, Glutathione Acetyl, Klonapin (.5 mg)

Current Illness: None

ID: 1101907
Sex: M
Age: 72
State: MD

Vax Date: 03/05/2021
Onset Date: 03/10/2021
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: Penicillin

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

Symptoms: 5 days after injection: Slight swelling of both eyes and dull headache. Anomaly lasted 3 days.

Other Meds: Thyroxine 112mcg

Current Illness: None

ID: 1101908
Sex: F
Age: 78
State: FL

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Soreness at the site of injection no redness at the site. Rash on back and chest , itching . neck itches also Caller states got the Moderna vaccine at around 1030 today. About 30 minutes ago noticed some itching and a fine rash on the upper back and chest. No respiratory symptoms. Took a claritin 10mg. if no response an symptoms worsen call 911 or go to the nearest er.

Other Meds: olmesartan 20/12.5 hctz bystolic 5mg

Current Illness:

ID: 1101909
Sex: F
Age: 72
State: IA

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: SYR
Vax Site: LA

Lab Data:

Allergies: Codeine and Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: I had chills for 2 hours. headache. fever of 101.6. vomiting all over the place. I couldn't even drink a sip of water. cramps. leg pain. pain inbetween my shoulders. I could barely stand up, I was very weak. I went to the hospital and got a few shots to help with the vomiting. (Finigan) and medicine for the cramps and muscle aches. Fatigue and headache still lingers.

Other Meds: Gabapentin

Current Illness: a couple weeks before I didnt feel good for about 3 days. nothing major.

ID: 1101910
Sex: F
Age: 64
State: NY

Vax Date: 03/01/2021
Onset Date: 03/03/2021
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: To give context to the adverse event, in early November 2020 I was diagnosed with Bell's Palsy of unknown origin on the left side of my face. I was tested for COVID-19 and it came back negative. It resolved itself in about a month. About 8 hours after receiving the COVID-19 vaccine on 3/9/21 (about 6:30 p.m., I started to feel a slight headache. Because I had just had the vaccine, I was trying to avoid taking any pain medication, so I did not take anything for it. The headache got worse throughout the evening, and by 10 p.m. I would describe it as a moderate headache. It was primarily concentrated on the left side of my head towards the front, on my forehead and above the eyebrow. I went to bed without taking any pain medication. About 3 hours later, at about 1 p.m., I woke up, and the headache was much more intense. It felt like all the nerves around the left side of my face, including the nerve along my jaw line leading to the 7th cranial nerve that causes Bell's Palsy, were throbbing. I grew concerned about getting Bell's Palsy again, so at that time I took one ibuprofen Advil. After taking it, the headache subsided, although I continued to have a dull headache throughout the night and the next day. Patient received the vaccine Monday March 1st around 2:30pm. Patient began to feel arm soreness around 5pm, woke up at 3am the following morning with a severe headache and spent the next day resting. Wednesday morning March 3rd, the patient reported extreme fatigue, dizziness and feeling "woozy". As she was walking around the store, around 8:30am, patient had to request help as she almost fainted. Patient went home quickly after, reported dizziness until 3pm. Patient's friend who is a nurse came to her home to check her vitals, confirmed they were normal and encouraged fluids/rest. After resting further Wednesday/Thursday, patient returned to work Friday morning and has been fine since. Patient did not take any medications prior/during/after incident.

Other Meds: Multivitamin, biotin, Calcium, Vitamin c, Vitamin E, fish oil

Current Illness: none

ID: 1101911
Sex: M
Age: 87
State:

Vax Date: 01/27/2021
Onset Date: 03/04/2021
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: losartan - rash bisoprolol - unknown NSAIDS - unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Despite having received both COVID vaccination doses as of 1/27/2021, patient tested + for COVID-19 on 3/9/2021, roughly one week after exposure to his grandson who was positive.

Other Meds: unknown

Current Illness:

ID: 1101912
Sex: M
Age: 48
State: DC

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Colophony, latex and Percocet

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: On day 8, my right arm where the injection was administered developed a rash and the area became swollen. At times I felt a burning sensation in the area. It has lasted 3 days so far and the arm still swollen and itchy.

Other Meds: Telmisartan tab, 40mg.; Rosuvastatin Calcium tab, 5mg.; Elidel topical cream. Multivitamins for men and B complex 50.

Current Illness:

ID: 1101913
Sex: F
Age: 61
State: SD

Vax Date: 03/03/2021
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:

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

Symptoms: 8 days after vaccine, developed burning sensation of skin which has changed locations in upper and lower extremities. Lasts hours at a time and changes location. Also developed diarrhea, vomiting, body aches, chills 8 days after the vaccine.

Other Meds:

Current Illness:

ID: 1101914
Sex: F
Age: 55
State: MD

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: aspirin, motrin, benadryl, amoxicillin

Symptom List: Nausea

Symptoms: About 5 minutes after injection I had stiffness in right hand and neck and shoulders. The stiffness started to go away at 20 minutes later. 15 minutes after I left test site (35 minutes after injections, my tongue, lips, and face started swelling and had trouble swallowing an hour later). I ate a frozen popsicle and the swelling in tongue and lips started to go down. Hours later I took my blood pressure medicine (Lisinopril) I started to have tightness in face and jaw area, burning sensations in ears, jaws and back of my head and headaches. I contacted health care provider after hours number. They scheduled a video appointment with doctor. The doctor advised me not to take blood pressure and any other medications for another day and to put warm compressor on shoulders to relieve some of the tightness in jaws. I was also advised to call 911 or immediately come to healthcare facility if swelling re-occurred. A follow up appointment with primary care provider is scheduled on 3/17/21. I do not have any symptoms at the time of this report, March 15, 2021 at 1:23 pm.

Other Meds: Lansoprazole 1 tab two hours prior to vaccine Hydroxychloroquine 200 mg (2 tablets) taken 1 hour prior to vaccine Lisinopril 10 mg, five hours after vaccine Tylenol arthritis, 9 hours after vaccine

Current Illness: No illness but other health conditions

ID: 1101916
Sex: F
Age: 44
State: TN

Vax Date: 01/24/2021
Onset Date: 02/01/2021
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: Sulfa Keflex

Symptom List: Injection site pain

Symptoms: Began having noticeable muscle pain in my chest in the first part of 2/2021. I continued to think it was just muscle pain. Symptoms worsened with severe sharp/stabbing pain with movement and breathing that radiated to my back. Went to the emergency room 3/7/2021. Dx of multiple small pulmonary artery webs that may represent sequela of pulmonary thromboembolism. There is also a 2 mm nodule in lower R lobe of lung. Eliquis dose increased to 10 mg BID x 7 days then decrease to 5 mg BID.

Other Meds: Losartan - 100 mg QD Eliquis - 2.5 mg BID HCTZ - 12.5 mg PRN Omeprazole -40 mg QD Vitamin B complex - 1 tab daily

Current Illness: SOB in December. CT completed and was clear

ID: 1101917
Sex: M
Age: 71
State: MD

Vax Date: 01/03/2021
Onset Date: 01/06/2021
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: levaquin

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

Symptoms: Third day after first vaccine noted pain in soft palate and obserrved redness and central white ulceration. It improved over next week only to reappear after second vaccine and in this case took 6 weeks to disappear. It was painful and verified by two dentists who saw lesion. I also develop three days after second vaccine, pain in right calf region and numbness in my right foot involving lateral toes and heel region. the pain disappeared within hours but the numbness has remained, now 6 weeks ater though is less than initially, After both the first and second vaccinations, I had hemorrhagic sinusitis that lasted at least two weeks with significant drainage resulting in cough. I had two negative Covid tests after first vaccine to confirm this was vaccine related and I had not contracted Covid.

Other Meds: tamsulosin atorvastatin

Current Illness: none

ID: 1101918
Sex: F
Age: 44
State: TN

Vax Date: 03/10/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: Fever, chills, body aches, headache. Began approximately 6 hrs after injection. Took Ibuprofen until symptoms subsided. Symptoms lasted approximately 24 hrs.

Other Meds: Spirinolactone, Berberine, Vitamin C, Magnesium, CoQ10

Current Illness:

ID: 1101919
Sex: F
Age: 56
State: VA

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: none

Symptom List: Tremor

Symptoms: fever, chills, headache, muscle aches, fatigue

Other Meds: none

Current Illness: none

ID: 1101920
Sex: F
Age: 44
State: IL

Vax Date: 03/06/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, Squid Ink

Symptom List: Erythema, Pruritus

Symptoms: The Tuesday (3/9) following my second vaccine (administered 3/6), I started to experience burning pain and sensitivity on the right side of my body, on the right side of my right breast and in my right underarm. This pain has continued, and on Sunday (3/12), I had a visible rash on my right side of my upper back, under my right underarm and between my breasts. The rash has gotten worse, and today (Monday) I called my internist and was advised to go to Urgent Care, which I did and they diagnosed me with shingles.

Other Meds: None

Current Illness: None

ID: 1101921
Sex: F
Age: 30
State:

Vax Date: 03/15/2021
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:

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

Symptoms: shortness of breath, difficulty breathing, improved with time, cleared.

Other Meds:

Current Illness:

ID: 1101922
Sex: F
Age: 61
State: SC

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: 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: I lost consciousness for several minutes. I had some tremors coming out of it, and vomiting. Otherwise, expected arm soreness, tiredness, etc. for a few days.

Other Meds: Fish oil, Tumeric, Zantac

Current Illness: None

ID: 1101923
Sex: F
Age: 30
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None aware of

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 2-3 hours after my initial shot I had severe heart racing, palpitations and shortness of breath. They came in waves for about 10-20 minutes and stopped. 2 nights a later I had another short episode.

Other Meds: Prenatal, lactation support her an supplement (just started taking day prior to vaccine), elderberry and probiotic.

Current Illness: None

ID: 1101924
Sex: F
Age: 83
State: TX

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: tongue swelling with ACE Inhibitors per reporting Physician on 3/15/2021 Latex - dermal reaction only (no issues with other vaccines)

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

Symptoms: Tiredness first two days after injection Tongue swelling on 3/15/2021

Other Meds: Unknown

Current Illness: Unknown

ID: 1101926
Sex: F
Age: 28
State: OR

Vax Date: 02/23/2021
Onset Date: 02/24/2021
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: penicillin, mold

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

Symptoms: Blurred vision, numbness on left side of body, restlessness

Other Meds: none

Current Illness: none

ID: 1101927
Sex: M
Age: 67
State: FL

Vax Date: 03/08/2021
Onset Date: 03/09/2021
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: Penicillin

Symptom List: Pain in extremity

Symptoms: Arm swelling, pain developed 1 day after.

Other Meds: Norvasc Pro-Air Bupron Imbruvica Metoprolol Succinate Paliperidone palmitate Pantoprazole Prednisone (20 mg) Trazodone

Current Illness:

ID: 1101928
Sex: M
Age: 70
State: MI

Vax Date: 02/12/2021
Onset Date: 02/15/2021
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: None

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

Symptoms: 3 days after vaccination, noticed joint pain in right arm and hand. By 5 days after vaccination experienced immobilizing pan in both shoulders, hips, knees and hands.

Other Meds: Citalopram 20 Mg, Lisinop/Hctz 20-25m, Amlodipine 10 Mg

Current Illness: None

ID: 1101929
Sex: M
Age: 29
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Corn and Weeds

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

Symptoms: Around 1:00pm received the Pfizer COVID- 19 vaccine at the group home administered by staff. About 10 minutes after getting the vaccine begin to develop an allergic reaction on both arms. The staff observed for about 15 more minutes and advised if condition worsens to seek medical attention. The group home administrator was contacted. As a precaution was taken to . While at the Urgent Care more hives developed on his arms, neck and buttock area. He was evaluated by the doctor and two injections were given. Benadryl 50 mg intramuscular and Solu- Medrol 125mg intramuscular. He was observed by the doctor and nurses for 30 minutes after the injections, the reaction improved. was prescribed Benadryl 25mg 1 capsule every 12 hours for 5 days and Prednisone 20mg 3 tablets daily for 4 days. was discharged and is at home in stable condition with close supervision. will follow up with his Primary Care Physician as scheduled. is doing well. Skin has cleared.

Other Meds: Depakote ER, Trileptal, Risperdal, Trihexyphenidyl, Fluticasone, Docusate, Ocean Spray, Montelukast, Trazodone, Lactulose

Current Illness:

ID: 1101930
Sex: F
Age: 32
State: NY

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

Lab Data:

Allergies: none

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

Symptoms: very very painful arm and shoulder, cannot move arm on its own, muscle in arm is throbbing and very very painful, unable to lift or do anything will left arm

Other Meds: none

Current Illness: none

ID: 1101931
Sex: F
Age: 61
State: IL

Vax Date: 03/09/2021
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: none

Symptom List: Vomiting

Symptoms: Paresthesia in lower legs bilaterally from mid calf to feet started 3d after second dose COVID vaccine.. symmetric. Neuro exam was neg.

Other Meds: levothyroxine

Current Illness: none

ID: 1101932
Sex: F
Age: 43
State: WA

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

Lab Data:

Allergies: Erythromyacin, sulfa drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Delayed hypersensitivity reaction, occuring at day 8 after injection, with redness, itchiness and hot to the touch. (No pain).

Other Meds: Vitamin C, Vitamin D

Current Illness: None

ID: 1101933
Sex: F
Age: 82
State: NC

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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: Lisinproil and Mangoes

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

Symptoms: March 7, 2021 at about 6:30 p.m. I had two spells where I had no control over my body. I fell and could not get up. I had no strength and was unable to get up. Each time it only lasted a few seconds or minutes. It was sort of like I fainted but stronger. I had spent most of the day resting as I had a very bad headache but that was about gone when I had the two spells. I had also had a small patch of hives (fever and swelling) about the size of my hand at the site of the shot. That lasted about a week after each shot. I thought this was something I should report. Thanks.

Other Meds: Carvedilol, Pravastatin, Letrozole, Ibrance and Flax Seed

Current Illness: None

ID: 1101934
Sex: F
Age: 44
State: NC

Vax Date: 03/03/2021
Onset Date: 03/11/2021
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: I have developed rashes with Cipro and Z-packs.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Covid arm rash at injection site appeared a week after injection. Rash was warm and mildly itchy. Rash has cleverly persisted for 4 days (and is still present).

Other Meds: Wellbutrin Crestor HCTZ Albuterol

Current Illness: N/A

ID: 1101935
Sex: F
Age: 37
State:

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: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: difficulty swallowing, tongue feels swollen, evaluated by EMS, refusal to transport

Other Meds:

Current Illness:

ID: 1101936
Sex: F
Age: 69
State: FL

Vax Date: 03/04/2021
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: Benadryl, Levsin, Acidphex, Cipro, Flagyl, Augmentin Bactrim Non-celiac gluten sensitivity

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

Symptoms: On day #11 post-vaccine (3/14/21), woke with red welts on left arm (approx 3 inches by 4 inches wide), swelling, and itching at site of vaccination. Allergic to Benadryl..so took Claritin and Advil; put cortisone cream on site. On day #12 post-vaccine (3/15/21), welts expanded to one big red welt on left arm. Less swollen than day before. Still mildly itchy.

Other Meds: Prescritions: Synthroid, Crestor, Testosterone cream, Herlectin (Herceptin) injections Supplements: protein shake supplement, MCT powder, D-mannose, multi-vitamin, collegen , Juice Plus, B-12, Oncoplex, Vit C, Probiotic, Immunotix, Calcium

Current Illness: Post mastectomy reconstruction surgery 5 weeks prior

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm