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: 1102533
Sex: F
Age: 62
State: CA

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

Lab Data:

Allergies: NO KNOWN ALLERGIES

Symptom List: Dysphagia, Epiglottitis

Symptoms: MEMBER BECAME DIZZY AFTER LEAVING THE OBSERVATION AREA. SHE WAS LEANING AGAIN WALL NEAR TRIAGE 1 AREA AND EMT OBSERVED HER, RETRIEVED WHEELCHAIR FROM TRIAGE 1 AND BROUGH HER FOR EVALUATION BACK TO TRIAGE 1. ON SITE CLINICAL LEAD AND PHYSICIAN ON SITE NOTIFIED. VITAL SITES ASSESSED AND REMAINED STABLE: 149/77 WITH HEART RATE OF 76. CONTINUED TO MONITOR WITH SYMPTOM RESOLUTION FOR A TOTAL OF 30 MINUTES. SHE WAS WHEELED TO FAMILY MEMBER AT CONCLUSION OF RECOVERY BY EMT.

Other Meds: MEDICATION LIST NOT READILY AVAILABLE, STATES SHE TAKES A CHOLESTEROL MEDICATION.

Current Illness: NO ACUTE ILLNESSES AT TIME OF VACCINATION HOWEVER HAS A HISTORY OF IMMUNE COMPROMISE AND PAPILLARY THYROID CANCER

ID: 1102534
Sex: F
Age: 66
State: LA

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

Lab Data:

Allergies: Codeine, e-mycin, sufla

Symptom List: Anxiety, Dyspnoea

Symptoms: Woke up next day with severe bone, muscle & joint pain & headache & fatigue. Felt like a severe fibromyalgia & RA flare. All but fatigued had subsided in 24 hours. Fatigue remained for 48 hours total.

Other Meds: Remeron, doxepin, Cymbalta, amlodipine, carvedilol, valsartan, vitamin D, vitamin B12, folic acid, probiotic, Curcumin, melatonin, glucosamine chondroitin, multivitamin, collagen

Current Illness: None

ID: 1102535
Sex: F
Age: 71
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: Vaccinator reported to clinic supervisor that vaccine leaked out of syringe at needle/syringe connection. Full dose not administered from this needle/syringe (per vaccinator report, most of what was in syringe leaked out). Vaccinator administered another 0.5mL dose of Moderna vaccine to this patient.

Other Meds:

Current Illness:

ID: 1102536
Sex: M
Age: 83
State: MA

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

Lab Data:

Allergies: SHELLFISH

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: CHANGE IN MENTAL STATUS, LETHARGY

Other Meds:

Current Illness:

ID: 1102537
Sex: F
Age: 64
State: OH

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:

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

Symptoms: 3-9-21 6:40PM 'SHARP PAIN IN CHEST X2MIN'. 'ALSO NAUSEA AND FEELS DRUNK'. NO SOB/DYSPNEA. 7:16PM PLACED IN W/C TAKEN TO MEDIC TENT & PLAACED ON CARDIAC MONITOR: NSR NOTED. 7:25PM STATES 'DECREASED NAUSE AND NO CHEST APIN NOW - STILL FEELS DRUNK'. PT DECLINES JUICE AND CRACKERS - STATES SHE WANTS TO WAIT AND TAKE HER DIABETIC MEDS BEFORE SHE EATS'. 7:30PM 'FEELING BETTER' TO EXIT PER W/C TO BE DRIVEN HOME PER DAUGHTER. 3-12-21 1PM TC: STATES 'NO CHEST PAIN , STILL HAS A LITTLE NAUSEA'.

Other Meds:

Current Illness:

ID: 1102538
Sex: F
Age: 44
State: IL

Vax Date: 01/14/2021
Onset Date: 01/14/2021
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: My left arm from first vaccine has not been the same since; muscle weakness and pain. My chiropractor believes as the dosage was given a little lower that my lymphatic drainage did not happen the way it should have. This last Saturday she did ultrasound treatment, massage, and taped up my arm. This has not resolved my symptoms. Not sure what to do at this point. My right arm from second vaccine is fine.

Other Meds: Effexor 75 mg

Current Illness: None

ID: 1102539
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: When I get a mosquito bite, I sometimes have a reaction other than itching. About half the time, the bite area gets red, firm, swells and expands to anywhere from a nickel to a half dollar.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: On day 8 after receiving the injection in my right arm, the injection site became firm and red to about the size of a quarter. Previously on days 3-7 the area was a bluish green purple color, like a bruise. Today is day 11 after my injection and the site is still firm, red and the size of a quarter.

Other Meds: None

Current Illness: None

ID: 1102540
Sex: M
Age: 73
State: MN

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 cephalexan

Symptom List: Pharyngeal swelling

Symptoms: Received the vaccine on Thursday 3/11 3:15PM. Around 2PM on Friday 3/12, noticed that my right jaw was feeling sore when I chewed on things. Didn't think much of it until dinner time when my jaw hurt everytime I took a bite of food. Couldn't think of anything I did to cause it, and assumed it would get better soon. On Saturday, my jaw was still sore when I had lunch, but maybe a little better. But then at dinner time it was back to hurting again. Sunday it was still sore when I had lunch. By then I was starting to attribute it to possibly being the vaccine I received on 3/11, even though there was no mention of this as a side effect on any of the sheets I received when I got my vaccine. I then signed-up to v-safe to see what they might offer. Then I called the on-call nurseline (where I got the shot). An RN called back and we went over everything, and at the end she recommended I go into an Emergency room to get checked out because jaw paint can possibly mean heart issues or other things to be concerned about. I was very surprised about her recommendation, but decided to take her advice. Went to an emergency clinic. While I was in the waiting room, a woman who was also waiting said she heard me talking about the reason I was in and said her husband had experienced the same symptoms after his Covid vaccine that I did! He had a Moderna shot on 2/27 and then several days later his right jaw got sore. He went to the doctor on 3/8 and they said he had TMJ, but the next day his pain went away and he has been ok since. They examined me, took blood for Troponin, did an EKG. All looked OK. I told them about the person in the waiting room and her husband and they said they weren't aware that this was an issue with this vaccine. They sent me home and said to monitor and follow-up with my family doctor if it persists. As of today, I am still having the pain in my right jaw. It has stayed the same since it started - no better/no worse. I suspect of there are 2 of us with this symptom, there are probably many others.

Other Meds: Amlodipine Besylate 7.5mg daily Metoprolol ER 37.5 mg daily Atorvastatin 10 mg daily Low dosage Ecotrin daily Vitamin D 1400 IU daily Restasis drops 1 daily

Current Illness: None

ID: 1102541
Sex: F
Age: 23
State: WA

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

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

Lab Data:

Allergies: unknown

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: pt experience allergic reaction to Pfizer covid vaccine. had facial and tongue swelling., no dyspnea. BP 110/72 98% O2 Pulse 76 and regualr. Lungs clear bilaterally and good volume. PA-C administered 2ml diphenhydramine 50mg/ml. Swelling decreased, vitals monitored by nurse until pt was well enough to leave facility. Pt picked up by her step father.

Other Meds: Unknown

Current Illness: unknown

ID: 1102542
Sex: M
Age: 41
State: NV

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/15/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever, Pain (Mostly My legs), Cough, Shortness of breath, and Phlegm. took Tylenol Severe Cold and Flue and Claritin - D 12 hrs. Lasted 24 hr. Started Saturday Night and ended Monday Morning. Feeling exhausted after the events.

Other Meds: Claritin-D 12 hours, Vitamin C 1000mg, Zinc, B12.

Current Illness: None

ID: 1102543
Sex: F
Age: 51
State: NY

Vax Date: 01/09/2021
Onset Date: 02/06/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: The patient got the second shot and developed severe arm/shoulder pain that night. NSAIDS were taken and a steroid dospak was given. Symptoms remained and referral was made to orthopedic for shoulder. As per patient, he diagnosed her with bursitis as put her on anti-inflammatory medication. The reason for the report is that the patient stated the vaccine was given high up in her arm and believes it was possibly caused by that. The pain has lasted weeks and is now just improving she states on anti inflammatory medicine.

Other Meds: mometasone (NASONEX) 50 mcg/actuation nasal spray 2 SPRAYS NASALLY DAILY AS DIRECTED ? cholecalciferol (VITAMIN D3) 2,000 unit tablet Take 2,000 Units by mouth daily. ? Lactobacillus acidophilus (PROBIOTIC ORAL) Take by mouth.

Current Illness: none

ID: 1102544
Sex: F
Age: 50
State: AZ

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

Symptom List: Rash, Urticaria

Symptoms: skin rash--fairly large, red and itchy

Other Meds: benadryl; melatonin

Current Illness:

ID: 1102545
Sex: F
Age: 69
State:

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: levofloxacin, sulfa, latex, penicillin, varenicline

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

Symptoms: itching

Other Meds: metformin, fluoxetine, pantoprazole, albuterol, triamcinolone topical cream, ciclesonide, guaifenesin, simvastatin

Current Illness:

ID: 1102546
Sex: F
Age: 77
State: AR

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Amoxicillin, Lisinopril, and Sulfamethoxazole-Trimethoprim.

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

Symptoms: Rash spread from injection site on left arm to shoulder and back. Lasted a 3-4 days and although it itched did not take Benadryl.

Other Meds: Losartan, Spironolactone, Carvedilol, Centrum Silver, Vit D, B6, Calcium and Magnesium

Current Illness: None

ID: 1102547
Sex: F
Age: 64
State: MI

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

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

Lab Data:

Allergies: latex- rash, sulfa antibitotics

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

Symptoms: Janssen COVID vaccine was administered on 3/13/21- patient was screened twice and denied receiving any vaccines in the past 2 weeks. after administration it was noted today (3/15/21) that the patient received the Moderna COVID vaccine (one dose) on 3/4/21. I attempted to reach out to patient to discuss and noted that she is admitted to Hospital for a NSTEMI. Per chart notes patient reported symptoms of fever, nausea, malaise on 3/13/21 after vaccination. The next day 3/14/21 developed syncope and chest pain. Patient reported to emergency room and was admitted with NSTEMI

Other Meds: levothyroxine 125 mcg daily, Lisinopril 30mg daily, singulair 10mg daily, Prilosec 20mg daily, Effient 10mg daily, crestor 40mg daily, Zoloft 200mg daily, ALLEGRA 180 mg daily, Ipratropium Bromide (solution) ATROVENT 0.02 % Take 2.5 mL (5

Current Illness:

ID: 1102548
Sex: F
Age: 26
State: NY

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

Lab Data:

Allergies:

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

Symptoms: Heart arythmia

Other Meds:

Current Illness:

ID: 1102549
Sex: U
Age: 51
State: FL

Vax Date: 03/10/2021
Onset Date: 03/10/2021
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: unknown

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

Symptoms: Vasovagal episode within 10 minutes of vaccination. Reported lightheadedness, palpitations BP= 74/40; HR=39. Pt Managed by healthcare workers with IV fluids and bedrest for 20 minutes. Symptoms resolved. Refused transport to ER.

Other Meds: unknown

Current Illness: unknown

ID: 1102550
Sex: F
Age: 47
State: NM

Vax Date: 03/12/2021
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: SULFA MEDICATIONS

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 24 HOURS AFTER VACCINE PATIENT REPORTS HAVING FLU LIKE SYMPTOMS IN ADDITION TO INJECTION SITE PAIN AND SWELLING. FLU-LIKE SYMPTOMS CONTINUED UNTIL PATIENT BECAME REALLY NAUSEOUS, WHILE VOMITING (OR SHORTLY AFTER) PATIENT EXPERIENCED A SEIZURE AND FAMILY MEMBERS CALLED 911. PATIENT RECEIVED A CT SCAN WHILE IN THE HOSPITAL TO RULE OUT CONCUSSION OR BLEEDING ON THE BRAIN. AS OF TODAY PATIENT IS FEELING BETTER, BUT STILL HAS INJECTION SITE PAIN.

Other Meds: ATORVASTATIN 40MG LEVETIRACETAM 500MG ESCITALOPRAM 20MG

Current Illness: NONE

ID: 1102551
Sex: F
Age: 70
State: KY

Vax Date: 03/05/2021
Onset Date: 03/12/2021
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, Sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pharmacist was contacted by patient's daughter over the weekend in regards to her INR level decreasing post vaccination. The INR level had previously been stable for some time around 2.3-2.6 but decreased to 1.7 by 3/12/21 after being vaccinated on 03/05/2021. Daughter contacted Dr. who increased the patient's warfarin an extra 3mg for 2 days. The daughter reports INR is 1.9 on 3/15/21.

Other Meds: Alendronate 70mg, Amlodipine 2.5mg, Aspirin 81mg EC, Atorvastatin 20mg, Furosemide 40mg, Metoprolol tartrate 25mg, Potassium Chloride 20 mEq tab, Warfarin 6mg

Current Illness:

ID: 1102552
Sex: F
Age: 48
State: NV

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: None

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

Symptoms: Fever, arm soreness at injection site, chills, muscle aches, and extremely swollen lymph nodes at left clavicle

Other Meds: Adderall, Sertraline, Valsartin, Trazadone, Chlorthalidone, Gabapentin

Current Illness: High Blood Pressure

ID: 1102553
Sex: F
Age: 52
State: CA

Vax Date: 02/23/2021
Onset Date: 02/25/2021
Rec V Date: 03/15/2021
Hospital: Y

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: sulfat

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

Symptoms: Nausea, Dizziness, Vomiting , headache

Other Meds: Lisinopril 5mg

Current Illness:

ID: 1102554
Sex: M
Age: 74
State: WA

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:

Symptom List: Unevaluable event

Symptoms: Twitch of upper left side lip and lower part of nose left side.

Other Meds: Lantus humalog ramapril

Current Illness:

ID: 1102555
Sex: F
Age: 57
State: AR

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Moderna COVID-19 vaccine EUA sleepless/insomnia for multiple nights no treatment, waiting to resolve

Other Meds: --

Current Illness: none

ID: 1102556
Sex: M
Age: 23
State: CO

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: HE SAID HE WAS HAVING STRANGE FEELINGS LIKE HE WAS HAVING TROUBLE BREATHING, BUT ADMITTED IT MAY BE ANXIETY. I HAD A FRIEND/COWORKER SIT WITH HIM WITHIN SIGHT FOR OVER 30 MIN AND CHECKED IN WITH HIM Q10MIN. HE SAID IT WAS GETTING BETTER AND THERE WERE NO OTHER SYMPTOMS DEVELOPING. HE HAD NO WHEEZING OR DIFFICULTY BREATHING AT THE TIME I RELEASE HIM. I COUNSELED WHAT TO DO IF IT WORSENS OR OTHER SYMPTOMS DEVELOP. HE WAS GOING HOME AND HIS PARENTS WERE THERE AND HIS DAD IS AN EMT.

Other Meds:

Current Illness:

ID: 1102557
Sex: M
Age: 45
State: AZ

Vax Date: 01/27/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: unknown

Symptom List: Injection site pain, Menorrhagia

Symptoms: COVID positive on March 9

Other Meds: unknown

Current Illness: no

ID: 1102558
Sex: F
Age: 88
State: MD

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

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

Lab Data:

Allergies: none

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

Symptoms: Fever - 104 - Chills - body ack - 4 days.

Other Meds: Tylenol, Gabapentin , Simvastatin, Lisinopri, Omeprtazole, Vit D3 - Asprin 80mg, Basaglar 20 units

Current Illness: none

ID: 1102559
Sex: M
Age: 66
State: VA

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

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had the Pfizer vaccine in my left arm on Jan. 23rd. I had no side effects at the time, other than a sore arm, as with any shot. However, two days later I lost all hearing in my left ear. I had no history of ear infections or other ear or hearing problems, except for wax buildup two or three times. On Jan. 26th, I saw an ENT. To my dismay, there was no wax. He prescribed the standard treatment of Prednisone for Sudden Idiopathic Hearing Loss. No change after the first round, so I had a second round, and also had the series of three ear injections with Dexamethasone. Had an MRI, as well, which was normal. A couple of weeks into all this, I began to have a bit of sound-generated static in my ear, and this continues today. (Fortunately, I?ve only had the most minor of tinnitus in that ear, and even it is pretty much gone now.)

Other Meds: Sertraline, Levothyroxine, Lovastatin, Vitamin D3, Melatonin, Aspirin, Fish Oil

Current Illness: None

ID: 1102560
Sex: F
Age: 48
State:

Vax Date: 02/16/2021
Onset Date: 02/17/2021
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: NKDA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: dry tongue and tongue patches noted the next day after vaccine administration

Other Meds: pantoprazole, tamoxifen

Current Illness:

ID: 1102561
Sex: F
Age: 62
State: CT

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

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

Lab Data:

Allergies:

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

Symptoms: Vaccine clinic was using Johnson and Johnson earlier in the day and then changed over to Pfizer for first doses. The vaccinator was used to drawing up 0.5 mL for J&J and drew up 0.5 mL of Pfizer and administered. The mistake was caught right after the dose was administered, patient was notified and stayed an extra 15 minutes to observe for any adverse side effects. After half an hour, patient felt good and went home. Second dose appointment was scheduled as normal.

Other Meds:

Current Illness:

ID: 1102563
Sex: F
Age: 36
State: CA

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

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Pain, redness, swelling

Other Meds: Metoprolol 25mg daily

Current Illness:

ID: 1102565
Sex: F
Age: 36
State: OH

Vax Date: 01/27/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Patient presented to hospital with concerns of numbness in all extremities. Initial symptoms began two weeks prior to hospital admission when patient developed numbness in left arm following working out. Parenthesis progressed into right hand and arm and then finally to lower extremities which originated in feet and progress up the legs.

Other Meds: None

Current Illness: None

ID: 1102566
Sex: M
Age: 74
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
Hospital: Y

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

Lab Data:

Allergies: adhesive tape

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

Symptoms: The patient had an acute heart attack, diagnosed a week later

Other Meds: prednisone, omeprazole, meloxicam

Current Illness:

ID: 1102567
Sex: F
Age: 58
State: NJ

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: None

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

Symptoms: I become Very sick 25 hours after vaccine. High fever 101/102 headache body ache dizzy stuffy nose sore throat cough tight chest heart racing still feeling sick 48 hours after vaccine

Other Meds: Bayer low dose aspirin metoprolol Tartrate. Hydrochlorothiazide

Current Illness: None

ID: 1102568
Sex: F
Age: 29
State: NY

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

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: 10:25am Pt received vaccination, came to recovery and walked to EMS on staff c/o of feeling light headed, dizzy. They sat her in a chair and rolled her eyes back and had a syncopal episode that lasted approx 30 sec. They put her on 4L oxygen. She became diaphoretic, pale and warm. Ice pack to back of neck. VS 116/70 HR 72 Reg. resps 16 reg non labored. 100% SPO2. gave water to hydrate, within 5 min color came back face. diaphoresis ended. Monitored for 30 min. VS before exiting 120/80, HR 88 reg, resps 12 reg NL. provided reassurance. Encourage hydration. V-safe site. Ok'd to leave site. RN 3/9/21 - called pt to check condition left message no call back RN

Other Meds: none

Current Illness: anxiety

ID: 1102569
Sex: F
Age: 48
State: WA

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

Lab Data:

Allergies: Sulfa drugs, iodine, lactose

Symptom List: Erythema, Pruritus

Symptoms: About an hour after receiving the vaccine, I developed a fever, body aches, headache and vertigo. Day 2, I continued to experience these symptoms along with stuffy nose, cough, and tightness in chest. Day 3 (today), I am no longer have a fever, but continue to experience the other symptoms.

Other Meds: Multivitamin, Calcium, Vit D, aspirin

Current Illness: Mild head cold about 3 weeks prior.

ID: 1102570
Sex: F
Age: 76
State: NE

Vax Date: 02/03/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
Hospital: Y

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 drugs

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

Symptoms: "Moderna Covid-19 EUA" Admitted inpatient after ground level fall when she fell after attempting to get out of bed. right hip pain, headache Lab worrk showed stable eectrolytes, but significantly elevated myoglobin, CK, and CKMB and troponin, WBC elevated, admitted for rehydration PT/OT evaluation and pain management

Other Meds: aspririn, brilinta, hydrocodone, losartan, omeprazole, vitamin d3

Current Illness:

ID: 1102571
Sex: F
Age: 69
State: MO

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

Lab Data:

Allergies: ethanol, penicillin

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

Symptoms: patient had lightly red/pink, slightly swollen area about 0.5 to 1 in circumference from injection site. patient reports warm to touch. reports no fever. reports has been getting slightly worse everyday since 3/12 (so for 3 days). let patient know that injection site reactions are common with the vaccine and can commonly last 3 days (1-3 days median per trials). also let patient know that if it continues to get worse over the next day or two, report to doctor.

Other Meds:

Current Illness:

Date Died: 03/12/2021

ID: 1102572
Sex: M
Age: 87
State: TX

Vax Date: 03/12/2021
Onset Date: 03/15/2021
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 known drug allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Was notified by a third party that patient died on morning of 3/15/2021. No other information available.

Other Meds: Clobetasol 0.05% topical ointment, fluocinonide 0.05% topical cream, atorvastatin, daily multi-vitamin, glimepiride, metformin, clonidine transdermal, coumadin, folic acid, furosemide, hydralazine

Current Illness: arthritis, atrial fibrillation, congestive heart failure, diabetes mellitus, high cholesterol levels, hypertension

ID: 1102573
Sex: F
Age: 55
State: WI

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: SYR
Vax Site: LA

Lab Data:

Allergies: melons

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

Symptoms: Sore arm at injection site for 2 days after injection. Moderate-Severe headache for 1 day after injection.

Other Meds: Fish oil

Current Illness: none

ID: 1102574
Sex: F
Age: 21
State: KS

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

Lab Data:

Allergies: none reported

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

Symptoms: approximately 5 minutes after receiving vaccination patients boyfriend said that she was filling light headed. I went to the waiting area to check on patient and take her blood pressure. while taking patients blood pressure she had a short (1-2 seconds long) seizure and lost consciousness. Patient quickly regained consciousness and reported no additional symptoms. EMS arrived on the scene quickly and patient left with them.

Other Meds: none reported

Current Illness: none reported

ID: 1102575
Sex: F
Age: 81
State: TX

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

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

Lab Data:

Allergies: NO

Symptom List: Pain in extremity

Symptoms: DIARRHEA & VOMIT FOR 24 HOURS BODY ACHES & CHILLS

Other Meds: NO

Current Illness: NO

ID: 1102576
Sex: F
Age: 35
State: NV

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

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

Lab Data:

Allergies: Walnut Pecan

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

Symptoms: Around 1030 PM on 3/12/2021 I woke up dry heaving. I then spent the night alternating between a cold sweat and a hot sweat. When I woke up on the morning of 3/13/2021 my whole body hurt. I felt as if I had been run over by a truck. My left arm was very sore from the injection. My left underarm hurt. Across my upper back was sore and tender. My chest felt tight. I was nauseous all day. I took benedryl and Advil and slept most of the day. By 5:00 PM on 3/13/2021 I was feeling better but still hurting. By 3/14/2021 the pain had mostly gone away, but my left underarm is still sore and I am still very tired

Other Meds: Vitamin D Vitamin B12 Vitamin C Iron Multi Vitamin Lisinopril Buspar TriNessa Protonix Claritin

Current Illness: N/A

ID: 1102577
Sex: F
Age: 72
State: TX

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

Lab Data:

Allergies: none

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

Symptoms: fever 102 - 103, chills, muscle & joint pain approx 6 hrs. Fatigue next 48 hrs with body aches'

Other Meds: Maxide 75/50 Prozac 10m

Current Illness: none

ID: 1102578
Sex: M
Age: 73
State: AZ

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: 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: Sudden appearance of chills/shivering which lasted for approximately 30 minutes. In the night, around 2 am, during and after a bathroom visit a feeling of lack of muscle strength/use in both arms and legs which seemed to last for about an hour. General lethergy throughout the following day. Treatment - 2 aspirin, rest. Outcome - now 4 days later and no sign of any problems.

Other Meds: Flovent inhaler for asthma, Nexium, aspirin

Current Illness: None

ID: 1102579
Sex: F
Age: 67
State: OH

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NONE

Symptom List: Vomiting

Symptoms: 3-11-21 4:35PM HAD PFIZER AS FIRST DOSE ON 2-18-21. GOT MODERNA AS SECOND DOSE TODAY. EXPLAINED THAT THERE IS NO NEED TO REVACCINATE. PT VERY ANXIOUS ABOUT IT - COMFORT GIVEN. A/O, W/D, RESP REG WITH EASE. 3-12-21 10AM STATES SHE IS DOING OK - NO ADVERSE REACTIONS'.

Other Meds:

Current Illness:

ID: 1102580
Sex: F
Age: 46
State: MI

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drug allergy HCZ allergy Shellfish

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: First a headache then body aches then fever of 103 for 6 hours with uncontrollable chills. Lasted about 12 hours from onset

Other Meds: Effexor 150mg Vitamin C Multi vitamin Vitamin D

Current Illness: None

ID: 1102581
Sex: F
Age: 58
State: PA

Vax Date: 03/10/2021
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: penicillin

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

Symptoms: Patient reported having a fever of 100 degrees the night of vaccine which continued throughout the next day and subsided within 24 hours. Patient continued to have a low grade fever for five days afterward (99 degrees). Patient reports extreme tiredness which has continued since vaccine and continues until today (3/15/21)

Other Meds:

Current Illness:

ID: 1102582
Sex: M
Age: 71
State: ME

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Irregular heartbeat reported by my home BP Monitoring device in 4 successive sessions 03082021 03:20 PM through 03102021 10:12 AM. I have been monitoring my BP x2 or x3/week since 06142020 without a single report of ?irregular heartbeat' until the day of my 2nd COVID shot 03082021. My PCP recommended I come in for EKG on 03092021 and then for Echocardiogram and Zio Patch at Hospital 03112021. Completed Zio Patch and sent it 03152021 to lab for analysis.

Other Meds:

Current Illness:

ID: 1102583
Sex: F
Age: 75
State: OR

Vax Date: 02/28/2021
Onset Date: 03/06/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Strong itch at the injection site developed a week after the injection and has continued over the 2nd week with no reduction in itchiness. Red ring rash visible about 2.5 " diameter at injection site.

Other Meds: Trazodone, Lorazepam,Latanoprost, Timolol Maleate, Fish O

Current Illness: none

ID: 1102584
Sex: F
Age: 0
State: AL

Vax Date: 03/09/2021
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: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa drugs; shellfish; latex; iodine; Cholesterol medicines caused lupus-like arthritis.

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

Symptoms: Shaky, headache, brief heart flutter, queasy, tired, my joints ached, lower back hurt.

Other Meds: Valsartan-HCT 320 (Diovan); Escitalopram Oxehta (Lexapro); Pantoprazole SOD DR (Protonix); Montelukast (Singulair); Levocetirizine (Zyzal); Chlordiazepo-Amitriptyl 5-12.5 (Limbitrol); Vitamin D; Calcium 600 mg.; Centrum Silver for Women; Pr

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm