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: 1102377
Sex: F
Age: 39
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Gluten

Symptom List: Dysphagia, Epiglottitis

Symptoms: Severe body aches and muscle aches. Jaw tension. Lymph nodes in neck swollen 72hrs later. Lung pain. Ear pain

Other Meds: Effexor 150mg Multi vitamin

Current Illness: No

ID: 1102378
Sex: F
Age: 81
State: OH

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Unknown

Symptom List: Anxiety, Dyspnoea

Symptoms: Complaints of left groin pain

Other Meds: Unknown meds, reports diabetes

Current Illness: Diabetes, poor circulation

ID: 1102379
Sex: F
Age: 36
State: AZ

Vax Date: 03/11/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: This is a positive one, and I can hardly believe it. My irregular pupil dilation independent of each other, occuring for 12 years corrected itself! I swear this is not a joke. I'm flabbergasted. The longer explanation: Something I never talk about, partially because I am scared, is an issue with my eyes that started when I was 19. I am now 36. My right pupil will dilate quite irregularly from my left. A bright light will correct it, but then it will start again after. I've mentioned it to eye doctors, and they brushed it off. Research only has scary answers, with no help, so I have learned to live with it. It used to make me dizzy, nauseous, and I'd lay down. But over the years I've adjusted, and it doesn't bother me. I received the first dose of the Pfizer vaccine on 3/11. Last night, 3/14, I became dizzy and faint. Today, I still felt that way. I was splashing cold water on my face, when I realized, looking in the mirror, my pupils were exactly the same size! And maintained that same diameter. I keep checking, but, so far, it's consistent. I assume the dizziness, lack of balance, and slight faintness today is my body getting used to this, as it's been compensating for the difference for 12 years. So, is this a positive side effect? A coincidence? The vaccine is the only recent change, and nothing else has effected this issue over the years.

Other Meds: Lexapro, Hydroxyzine

Current Illness:

ID: 1102380
Sex: F
Age: 88
State: MI

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: NONE

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: PATIENT REPORTED TO PHARMACY WITH DROOPINESS OF RIGHT EYE ON 3-12-21 AND WAS TOLD TO PURCHASE OTC EYE DROPS FOR IT. THE NEXT DAY (3-13-21) SHE CAME TO PHARMACY WEARING EYE PATCH ON RIGHT EYE. SHE SAID SHE WENT TO HOSPITAL ON 3-12-21 AND WAS TOLD DIAGNOSED WITH BELLS PALSY, NO PREVIOUS HISTORY.

Other Meds:

Current Illness:

ID: 1102381
Sex: F
Age: 58
State:

Vax Date: 02/25/2021
Onset Date: 02/28/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Large, 2 inches, red blotchy patch injection site; hot to touch, itchy; lasted about a week.

Other Meds: Tylenol 3, Lyrica, Celebrex

Current Illness:

ID: 1102382
Sex: F
Age: 67
State: AL

Vax Date: 03/10/2021
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: Penicillin, Sulfatrim

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

Symptoms: low fever, chills, generally feeling bad and pain in upper left abdoman under rib that was similar to kidney stone, intermittent not constant, lasting all night and next day.

Other Meds: Ergocalciferol, Estradiol, Indapamide, Meloxicam, Lovastatin, Zyrtec, Claritin, omeprzole, D3, Multi-vitamin, Turmeric, Fish oil, Ared.

Current Illness:

ID: 1102383
Sex: M
Age: 88
State: IA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: Codeine Erythromycin Ibuprofen Levofloxacin Lorazepam Penicillin Sulfa Drugs

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient states it started the day of shot with shoulder, arms, hip stiffness and so bad it was very difficult to get around. Presented to ER on 2/21/21 stating he hadn't felt good all week. C/o weakness, dizziness and shortness of breath and pain on right side ribs from coughing. Diagnosis: Pneumonitis, Hypoxia

Other Meds: DSS Hydrochloride Eliquis Meclizine Miralax Toprol Mirapex Singulair Breo Ellipta Zyrtec

Current Illness: None known

ID: 1102384
Sex: F
Age: 72
State: NJ

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: Pharyngeal swelling

Symptoms: About 24 hours after receiving the vaccine, I heard an unfamiliar low, breathy, wisking sound in the left side of my head. It occurred on and off for 8 or so hours , while alarming me somewhat until it finally stopped but not really distracting me much. From what I learned, it appeared to be tinnitus.

Other Meds: venlafaxine 37.5 mg adderall 10 mg levothyroxine 100 mcg calcium/magnesium melatonin omega 3 fish oil

Current Illness: none

ID: 1102385
Sex: M
Age: 63
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: Food allergy: Shrimp; Almonds

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Chills and muscle aches and injection site soreness for about 48 hours; no fever or other symptoms

Other Meds: None

Current Illness: None

ID: 1102387
Sex: F
Age: 50
State: IL

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

Lab Data:

Allergies: Provogil, prozac, raspberry flavoring, onions

Symptom List: Diarrhoea, Nasal congestion

Symptoms: The next day after receiving vaccine I had weakness and fatigue. The second day after receiving vaccine I could not move in the morning. I went to the ER both days. I was admitted to hospital at the second ER visit. I received 3 days of high dose IV steroids. Improvement of symptoms.

Other Meds: Selegiline, Baclofen, Spironaldactone, dalfampridine, Xyzal, montelukast, multi vitamin, biotin, magnesium, vitamin D. Ocrevus infusion every 6 months (last dose 12-30-20).

Current Illness: None

ID: 1102388
Sex: F
Age: 67
State: NC

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: Bee stings, Thorazine, long acting Prozac

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

Symptoms: Heart rate increased to 150 BPM in middle o night. Woke me up. Took 1 propanolol ,20 mg. HR decreased WNL within 45 minutes Had flu like symptoms for next 3 days. Vomited in middle of night, 2 nights later.

Other Meds: Synthroid, mirtazipine, trazodone, clonazapam, geodon, Liothyronine, propranolol

Current Illness: Fibromyalgia, Graves? disease, migraines, depression,

ID: 1102389
Sex: F
Age: 50
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Penicillin, cephalosporin, latex

Symptom List: Rash, Urticaria

Symptoms: Muscle pain and body aches, sensitive to cold.

Other Meds:

Current Illness:

ID: 1102390
Sex: F
Age: 66
State: IN

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

Lab Data:

Allergies: Latex adhesive, Erythromycin, Codiene

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

Symptoms: Intense arm ache evening after the vaccination. Woke the next morning with a splitting headache and fever. Headache subsided after taking one Tylenol, but fever maintained through 03/10/2021. It took 2 more days before it finally returned to normal.

Other Meds: Metformin, Maxide, Zocor, Cozaar, Trulicity

Current Illness: None

ID: 1102391
Sex: F
Age: 40
State:

Vax Date: 03/07/2021
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: None

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

Symptoms: Rash and itching at injection site

Other Meds: Levothyroxine, methylphenidate, vitamin d

Current Illness: None

ID: 1102392
Sex: F
Age: 54
State: TN

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: 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: SHORTNESS OF BREATH ,PRESSURE IN CHH EST, NAUSEA, FEVER 101-102, SWOLLEN NECK GLANDS

Other Meds: MONTELUKAST, ARMOUR THYROID, LOW DOSE ASPIRIN, ZYRTEC, MULTIVITAMINS

Current Illness: POST COVID BRONCHITIS

ID: 1102393
Sex: M
Age: 62
State: TN

Vax Date: 02/03/2021
Onset Date: 02/20/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Loss of hearing and hearing acuity in both ears

Other Meds: Fluconazole

Current Illness: None

ID: 1102394
Sex: F
Age: 67
State: MN

Vax Date: 02/02/2021
Onset Date: 03/09/2021
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: IV contrast, morphine, iron dextran, doxycycline

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

Symptoms: Pt has had vaccine breakthrough on 3-9-2021

Other Meds: none

Current Illness: none

ID: 1102395
Sex: F
Age: 46
State: SC

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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: penicillin, codeine and vicodin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient complained of dizziness and being hot

Other Meds: na

Current Illness: na

ID: 1102396
Sex: F
Age: 51
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Complained of "Left arm tingle"; no other symptoms; Observed 30 minutes in recovery; symptoms subsided by the end of 30 minutes.

Other Meds:

Current Illness:

ID: 1102397
Sex: F
Age: 56
State: WA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: On same day after vaccination at 2:15 pm, by 10:00 pm feeling flu-like symptoms: tired and very achy, and an upset digestive system. This lasted for approximately 36 hours. The evening of the day one day after (March 12), felt symptoms of a minor cold in the nose (itchy, drippy, tangy taste) which moved to chest cold symptoms the following morning (March 13), also minor. Those symptoms lasted about 24 hours then subsided.

Other Meds: none

Current Illness: none

ID: 1102398
Sex: F
Age: 45
State: NC

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Intolerance to Tomatoes and Strawberries (hives)

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

Symptoms: I had no side effects until several hours later when I went to bed and woke up at 3:00am with pain in my breast on the right side. It feels like a pulled muscle but is also in the same area as a breast tumor that was removed decades ago. My right arm and right breast are tender to the touch and I have occasional sharp pain I the breast. No feeling of lumps though.

Other Meds: Insulin Cembalta Farxiga Cholesterol Statin B Vitamin D Vitamin Supplemental Vitamin

Current Illness: Diabetes Type 2, Anxiety Disorder, ADHD, High Cholesterol (hereditary)

ID: 1102399
Sex: F
Age: 47
State: OH

Vax Date: 03/01/2021
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: Effexor

Symptom List: Unevaluable event

Symptoms: Redness, swelling and pain about five inches in diameter down arm

Other Meds: Zofran, Lactulose, Miralax, Vitamine D, Levothyroxine, Oxycodone, Furosemide, Senna, Metolazone, Gabapentin, Duloxetine, Diazepam, Zanaflex, Lisinopril, Ginsing, Retevmo.

Current Illness: Metastatic papillary thyroid carcinoma, arthritis, hypertension,

ID: 1102401
Sex: M
Age: 29
State: IN

Vax Date: 03/01/2021
Onset Date: 03/03/2021
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: Dairy (casein), pollen, mold allergies without anaphylactic reaction.

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

Symptoms: Right arm was sore enough that patient stayed home from work the following day. An itchy, welty rash about 5 inches in diameter surrounding the vaccination site appeared the day after that. It persisted for about a week. (No band aid was applied, post-injection.)

Other Meds: Lamictal, Keppra, EPIDIOLEX, Leucovorin (folinic acid), Carnitine, various vitamins.

Current Illness: none

ID: 1102402
Sex: F
Age: 51
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Severe back spasms

Other Meds: None

Current Illness: None

ID: 1102403
Sex: F
Age: 74
State: FL

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: 74 years old female (09/04/1946) got her moderna vaccine on 03/03/2021 @1300. patient reported that on 03/06/2021 @0400 she woke up with cloudy vision on both eyes. patient reported on 03/06/2021 she went to the eye doctor to check on her eyes. Patient reported 03/07/2021 she developed a black plaque on her left eye lead to vision loss in the left eye. patient was send to the hospital stayed there for 3 days she was diagnosed with stroke in the eye. patient reported penicillin allergies. patient reported no medical history. patient reported no current medications. patient called, because she wants help to get all her paperwork and the labs she have done during her stay at the hospital, to provide it to her ophthalmologist during her appointment on Monday. patient was instructed to call the hospital or to call the department of health to get the lab results.

Other Meds:

Current Illness:

ID: 1102404
Sex: F
Age: 44
State: OK

Vax Date: 12/16/2020
Onset Date: 12/17/2020
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: No

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

Symptoms: I thought was a sinus infection exp wheezing, headache, achiness. By week two went to ER got tested diagnosed with pneumonia was prescribed two inhalers. On week three started running fever even after two antibiotics.Im recovering still exp shortness of breath at times.

Other Meds: Cyclopentane, Ibuprofen, Lorazepam, Duloxetine, Trazodone, Progesterone, Mitrodrine

Current Illness: No

ID: 1102405
Sex: M
Age: 60
State: NC

Vax Date: 03/04/2021
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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pain, redness, swelling at injection site since day of vaccination. Also fatigue; sleeping 10-12 hours per night since vaccination date.

Other Meds: Mirtazapine

Current Illness: None

ID: 1102406
Sex: F
Age: 65
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Heavy fatigue all day, the next day after second shot (i.e. Mar 14, 2021).

Other Meds: Methotrexate, Levothyroxine, Folic Acid, Vitamin D

Current Illness: Rheumatoid Arthritis, Venous Insufficiency, Hemorrhoids

ID: 1102407
Sex: F
Age: 60
State: CA

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: RA

Lab Data:

Allergies: penicillins, seasonal allergies

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

Symptoms: Patient is a 60 y.o. female who received the Moderna Covid-19 Vaccine, mRNA-1273 (PF) 100 mcg/0.5 mL IM Susp, Lot 044A21A on 3/15/2021. The patient experienced the following reaction(s) during the immediate of observation: 11:38am patient c/o numbness/tingling to mouth; lips and tongue. No swelling noted to face or mouth. Patient denies shortness of breath or difficulty breathing Patient was treated/managed as follows: 11:40am VS BP 118/82, HR 65, RR 18, O2 sat 98% on room air. Patient reports numbness and tingling feeling resolving. 11:50am VS BP 116/86, HR 62, RR 18, O2 sat 98% on room air. Reports feeling better. Patient given educational material regarding vaccine and advised to continue to self-monitor per the CDC guidance. 11:52am Escorted to car by RN.

Other Meds: inhalers

Current Illness: none

ID: 1102408
Sex: F
Age: 73
State:

Vax Date: 03/02/2021
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: RA

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: a delayed skin reaction to the vaccine as described here: In web site.

Other Meds:

Current Illness:

ID: 1102409
Sex: F
Age: 83
State:

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none known

Symptom List: Injection site pain

Symptoms: Patient was sitting in chair after receiving vaccination. Patient leaned down to put her vaccination card into her purse. Upon leaning over, patient fell off side of chair. Chair was stationary and did not have side rails on it. Nurse witness called facilitator over to perform assessment. Patient denies injury. Reports falling onto her left wrist. Patient moving wrist without difficulty. No redness, swelling, or deformity noted upon nursing assessment. Patient denies pain. Cap refill brisk. Patient denies need for further assessment by ED at this time. Patient declined ice pack. Patient denies dizziness at time of fall.

Other Meds:

Current Illness:

ID: 1102410
Sex: F
Age: 50
State: WV

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: Penicillin

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

Symptoms: Extreme headache Extreme neck ache Chills-uncontrollable shakes Fever Muscle spasms Joint pain Ear pain Extreme fatigue Chest pain Skin tenderness all over Injection site pain Symptoms Started 13 hrs after vaccination. Couldn?t lift my my head for 32 hours. Pain was as bad as meningitis I had many years earlier and almost as bad as my actual Covid pain. I was a long hauler from Covid that started on July 24, 2020 and it took 4 months to begin to recover. I was hospitalized for 5 days. I received Covid plasma in the hospital.

Other Meds: Hydrochlorothiazide 50mg Potassium 81mg Aspirin Vitamin D Vitamin C

Current Illness: None

ID: 1102411
Sex: F
Age: 69
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Injection site red and swollen., Nausea and diarrhea. Headache,. Tiredness. Muscle pain. Temperature (102). Severe chills.

Other Meds:

Current Illness:

ID: 1102412
Sex: F
Age: 77
State: IN

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 03/15/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known

Symptom List: Tremor

Symptoms: Approximately 2.5 days following my mothers fist covid-19 vaccine dose, she had a stroke and was admitted to the emergency room. She survived the stroke and following a brief stay at a skilled nursing facility, is still undergoing physical, occupational, and speech therapy.

Other Meds: Atorvastatin

Current Illness: None

ID: 1102413
Sex: F
Age: 79
State: OH

Vax Date: 03/11/2021
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:

Symptom List: Erythema, Pruritus

Symptoms: Patient reported swollen arm, and feeling sick for 4 days

Other Meds:

Current Illness:

ID: 1102414
Sex: F
Age: 72
State: NC

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: sulfa tamiflu

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

Symptoms: 4 hours after vaccine I felt like I was going to pass out and my husband rushed me to ER

Other Meds: levotarisen liptor eye drop multi vitamin fish oil coq10 vitamin c

Current Illness:

ID: 1102415
Sex: M
Age: 21
State: MO

Vax Date: 02/25/2021
Onset Date: 02/25/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: "Moderna" Adverse vaccine reaction possible as began 12 hours post second COVID vaccine dose on Friday. A ER note was generated in a T-Con on a patient who got their 2nd Covid Vaccine and began experiencing chest pain approx. 12 hours post vaccine. Patient did not report to the ER until 28Feb21. It was discussed that he has myocarditis v pericarditis, elevated D-Dimer of 770, swollen lymph nodes, and elevated Troponin. Patient was transferred to Research Medical Center due to no available beds. Patient was referred to a Case Manager and Cardiology. The patient completed a follow up appointment with 509 MDG on 9Mar21 and reported Dull pain that has been affecting sleep. Cardiology reports shows Troponin was elevated to 9.1 decreased to 4.2 and back up again to 13.4. Cardiac revealed late gadolinium enhancement, possibly representing myocarditis and then at discharge possibly myocarditis.

Other Meds:

Current Illness:

ID: 1102416
Sex: M
Age: 92
State: NE

Vax Date: 02/02/2021
Onset Date: 02/28/2021
Rec V Date: 03/15/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 48 hours diarrhea and weakness, unable to keep fluids down, admitted to hospital through ED for diarrhea, stool culture, IV fluids. Discharged after 4 days diagnosis gastroenteritis/norovirus, dehydration and hypokalemia

Other Meds: synthroid, aspirin, lisinopril

Current Illness:

ID: 1102417
Sex: F
Age: 64
State: MI

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: SYR
Vax Site: LA

Lab Data:

Allergies: Lisinopril, Oxycodone

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

Symptoms: Left sided Bell's Palsey

Other Meds: Atenolol 100 mg, Wellbutrin 150 mg, Bentyl 20 mg, Prozac 40 mg, Ditropan XL 15 mg, Xanax 0.25 mg, Cyanocobalamin 500 mcg

Current Illness: none.

ID: 1102418
Sex: F
Age: 38
State: AL

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa

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

Symptoms: Severe body aches fever reaching 101.5 chills headache fatigue felt like severe case of flu Started six hours after shot. Fever lasted twelve hours headache and body aches lasted 2days Day 3 still feel fatigue

Other Meds: None

Current Illness: None

ID: 1102419
Sex: F
Age: 79
State: OH

Vax Date: 02/20/2021
Onset Date: 02/22/2021
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: Began to experience itching on both legs including thighs on February 22, 2021. Raised red spots then began to appear. Itching and spots then appeared on back and both arms a day later, a couple of which bled due to my scratching. Finally looked up on line (with pictures) and it appears it is a Covid rash. Treatment recommended was Benedryl and Cortizone itch cream. Started regiment 03/13/2121. Three weeks later (03/15/2121) it is still itching and raised although my legs are better.

Other Meds: Levothyroxin, Celebrex, LosotranHCL. Vesicare, Multi vitamin, Super B Compples, Calcium, Fish Oil, Vitamin D. Pressser Vision Arends 2, Metrocream

Current Illness: None

ID: 1102420
Sex: F
Age: 43
State: IN

Vax Date: 03/01/2021
Onset Date: 03/08/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: cephalosporins Animals (mainly cats and some dogs) mold grass

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

Symptoms: 7 days after receiving the shot my arm became sore again. Within a few hours it was swollen, hot to the touch, and then very itchy. This lasted for 5 days with symptoms getting better each day.

Other Meds: Dexilant Adipex Symbicort Albuterol Zinc Biotin Vitamin D Vitamin C

Current Illness:

ID: 1102421
Sex: F
Age: 56
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Janssen COVID-19 Vaccine EUA Flu-like symptoms (muscle soreness throughout body progressing to body aches; feeling of being cold rather than having chills, progressing to mild fever (temp not taken); mild headache. Symptoms began at 8:30 p.m., about 9.5 h. after vaccination, and lasted about 16 h. Slight soreness at injection sight still apparent.

Other Meds: Daily multivitamin

Current Illness: None

ID: 1102422
Sex: F
Age: 70
State: OR

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:

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

Symptoms: fever and chills, sciatica inflammation went away

Other Meds: meloxicam, lisinopril

Current Illness:

ID: 1102423
Sex: M
Age: 91
State: OK

Vax Date: 02/20/2021
Onset Date: 02/20/2021
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:

Symptom List: Vomiting

Symptoms: Client received Pfizer vaccine lot number EL9265 IM left deltoid on 2/1/21 and then received Moderna vaccine lot 03120A left deltoid on 2/20/21. His neice states he has not had any reactions initial reactions with the vaccine. She reports he was on hospice due to Congestive Heart Failure and died on 3/5/21

Other Meds:

Current Illness: Congestive Heart Failure

ID: 1102424
Sex: F
Age: 30
State: TX

Vax Date: 03/08/2021
Onset Date: 03/15/2021
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: N/a

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red lump about 2" wide at injection site. Itchy and irritated

Other Meds: Wellbutrin Lexapro Loloestrin Zyrtec

Current Illness: N/a

ID: 1102425
Sex: F
Age: 63
State: CO

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

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

Lab Data:

Allergies: yes kiwi fruit sulfa drugs

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

Symptoms: "Covid Arm" large red area at injection site that is itchy and sensitive to the touch.

Other Meds: none

Current Illness: none

ID: 1102426
Sex: F
Age: 57
State: KY

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Shellfish, alendronate

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Approximately 15 minutes after receiving injection, patient complained of itching around her mouth. She told nurse that she had a shellfish allergy, although no allergies were listed on her consent form. Diphenhydramine 50mg was administered. Patient waited 10 minutes after receiving diphenhydramine before leaving.

Other Meds: n/a

Current Illness: n/a

ID: 1102427
Sex: M
Age: 27
State: MO

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

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

Lab Data:

Allergies: Latex

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

Symptoms: Patient presented with weakness, greater on the contralateral side and most pronounced in the right hand (MRC 3/5). Other symptoms were chills, malaise, diaphoresis, and extreme fatigue. All lasted 24h (03-07-21 to 03-08-21) with no treatment necessary save 1000mg acetaminophen.

Other Meds: Hctz 12.5 mg QD; valsartan 80 mg QD

Current Illness:

ID: 1102428
Sex: F
Age: 68
State: MI

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: RA

Lab Data:

Allergies: Seasonal allergies, Bactrim

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

Symptoms: Severe arm pain followed the next day by severe mid- and lower back pain

Other Meds: Zoloft, Rexulti, Levothyroxine, aspirin, simvastatin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm