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: 1103410
Sex: F
Age:
State: CA

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

Lab Data:

Allergies: Penicillin Nsaids

Symptom List: Dysphagia, Epiglottitis

Symptoms: Developed a DVT blood clot in right leg calf area -after the shot-

Other Meds:

Current Illness: None

ID: 1103411
Sex: F
Age: 78
State: WA

Vax Date: 02/28/2021
Onset Date: 03/05/2021
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: seasonal allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: Large red patch (about 5 inches in diameter) appeared overnight on 3/4 at sight of injection, itchy, slightly sore, hot. On 3/8 the patch started diminishing but still itchy and by 3/10 the side effects were mostly gone. I treated the itch with a cortizone cream.

Other Meds: lisinopril 10mg hydrachlorothiazide 12.5mg levothyroxin 25 mcg cetirizine 10mg, multi-vitamins, calcium, vitamin D3

Current Illness: none

ID: 1103412
Sex: F
Age: 72
State: CA

Vax Date: 02/25/2021
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: Rash covering entire body. Prescribed five-day course of prednisone.

Other Meds:

Current Illness:

ID: 1103413
Sex: F
Age: 69
State: AZ

Vax Date: 02/26/2021
Onset Date: 02/26/2021
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: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extreme fever chills and night sweats Began after the second dose of the COVID 19:vaccine and still continue

Other Meds: Losartan 12.5/100 Zetia 10mg

Current Illness: No

ID: 1103414
Sex: F
Age: 30
State: PR

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

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

Lab Data:

Allergies: No

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

Symptoms: Left Underarm swollen

Other Meds: Sprintec

Current Illness: Migraine, gastritis

ID: 1103415
Sex: F
Age: 44
State: CA

Vax Date: 03/10/2021
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: Erythmycin

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

Symptoms: Swollen injection site - knot Swollen lymph node above collar bone Mouth ulcers on the top of roof and left cheek

Other Meds: None

Current Illness: None

ID: 1103416
Sex: M
Age: 23
State: CA

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

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

Lab Data:

Allergies: Wheat/Gluten

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Janssen COVID-19 Vaccine EUA Headache, nausea, extreme exhaustion, muscle/body aches, fever, dizziness, sensitivity to light and sound (headache), skin sensitive to touch, loss of appetite. Vaccine was administered at 10:38 AM. Symptoms began 10:00 PM 3/10/21. The worst of it was 8 AM to 6 PM 3/11/21. Some lingering mild headaches until 3/13/21.

Other Meds: Fluoxetine HCL; Propranolol ER; Clonazepam; Buproprion HCL XL; Zyrtec; Nature's Bounty D3 50mcg Immune Health; store brand 365 B-50 Complex; MegaFood Men's One Daily multivitamin; MegaFood Magnesium; MegaFood Turmeric Strength for Whole B

Current Illness: None

ID: 1103417
Sex: F
Age: 40
State: CA

Vax Date: 01/20/2021
Onset Date: 01/23/2021
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: No known drug or food allergies.

Symptom List: Pharyngeal swelling

Symptoms: 1) After 3 days of Moderna Dose 1, on 1/23/21, I developed visual disturbances for about 15 minutes, where i have a constant bright round spot in my field of vision (LEFT eye only) that stays even after blinking. (Like the residual bright spot that stays after a camera flashlight flashes you). It eventually resolved without any treatment after approx 15 to 20 min. 2) Also with looking from my left eye, I also see some ripples on my top left corner of my visual field. (like water ripples), and that also lasted about 15 min. I have not encountered any eye issues of this nature before, and i had my last optometrist check in 9/2020 and all was normal. 3) Dizziness was experienced when moving and turning my head ONLY while lying in supine position after both doses. With 1st dose, dizziness lasted about 1 week while lying down, and with 2nd dose, dizziness was experienced for about 1 day only. No dizziness with standing and turning head. 4) Axillary lymph node on left arm (arm that shot was administered) was swollen after both doses that lasted for few days, then resolved. Swelling of lymph node was palpable, about the size of a pea.

Other Meds: Post-Natal daily vitamins

Current Illness: none

ID: 1103418
Sex: F
Age: 44
State: WA

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

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Approximately 24 hours after receiving the vaccine I felt like I had a mild flu with achy body and chills, I was tired and slept. This lasted for about a day. 48 hours after the vaccine my eye sight became blurry, my ears began ringing and my face became tingly around mouth and cheeks. The tingling is intermittent but the ear ringing and blurry vision has been fairly constant.

Other Meds: Low dose prozac Prilosec Magnesium Vitamin D

Current Illness: None

ID: 1103419
Sex: F
Age: 33
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Nausea, elevated BP, anxious -symptoms improved after monitoring for few more minutes and drinking water -of note: pt had just had blood draw earlier in the AM prior to getting vaccine

Other Meds:

Current Illness:

ID: 1103420
Sex: F
Age: 66
State: NY

Vax Date: 02/11/2021
Onset Date: 02/20/2021
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: Swelling over left clavicle, probably lymph node according to my doctor. I still have it. Also-Approximately 10 days after the initial vaccination, my arm had a large red welt that was hot to the touch that took about a week to resolve.

Other Meds: Omeprazole, Anastrozole, HCTZ, Metropolol, Rosuvastatin, Vitamin D3, Melatonin

Current Illness: None

ID: 1103421
Sex: F
Age: 35
State: NJ

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Raw Banana

Symptom List: Rash, Urticaria

Symptoms: Pain at injection site as well as GI Issues such as intense cramping and diarrhea.

Other Meds: Lexapro 5mg, nature made Prenatal vitamin OTC 1 a Day, Milky Mama?s Lady Leche Breastmilk Supplement

Current Illness: None

ID: 1103422
Sex: F
Age: 41
State: TN

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, Steriods,

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

Symptoms: The day after my vaccination I woke up with horrible bone pain like my bones were breaking. Intense dizziness and shortness of breath when getting up and moving around. Muscle pain would come and go all day long. On the second day, the bone pain has lightened up but still very tired and running a fever on and off. I then felt a lymph node the size of a lemon in my left armpit. I couldn't put my arm down because of the size of it. This was 12 hours ago. The lymph node has shrunk a small amount, but I am still having dizziness, weakness, and body aches.

Other Meds: Wellbutrin xl 300, fluoxetine 20, levothyroxine 75, Ibuprofen , omeprazole

Current Illness: none

ID: 1103423
Sex: F
Age: 67
State: MI

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: sulpha

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

Symptoms: Fever, chills. muscle pain and swollen lymph nodes

Other Meds: Lamictal, wellbutrin, seroquel

Current Illness:

ID: 1103424
Sex: F
Age: 56
State: MD

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

Lab Data:

Allergies: Cats, dogs, Grass, mold, trees, dust

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

Symptoms: Flush and Red Face, headache, left arm sore Friday Night Saturday chills and flushed face and headache continues also cannot sleep on left side Sunday same symptoms as Saturday Monday headache and need to take rescue inhaler arm still sore headache still with me body warm but no fever

Other Meds: Symbicort Inhaler Zyrtec Diazepam 5 mg twice daily Tramadol HCL Montelukast Sodium Tablets Valsartan 80 mg 3 times a day Rosuvastatin calcium 10 mg Ibuprofen 200 mg daily Acetaminophen as needed for headache 500 mg Vitamin D3 2000 IU daily

Current Illness: None

ID: 1103425
Sex: M
Age: 55
State: IL

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

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

Lab Data:

Allergies:

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

Symptoms: Skin Rash

Other Meds:

Current Illness:

ID: 1103426
Sex: F
Age: 39
State: NM

Vax Date: 03/15/2021
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: Macrobid

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

Symptoms: 10am-Soreness at site Approx 5pm-Headache, then muscle aches, fatigued, started feeling warm, then nauseous, stomach cramps.

Other Meds: Levothyroxine, oxcarbazepine, vyvanse, trintellix, metoprolol, cyclobenzaprine

Current Illness: None

ID: 1103427
Sex: F
Age: 38
State: CA

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: Tercanozole Wool

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Approximately 3 hours following the vaccination, I started having hives/rashes across my body, starting below my neck, chest, and moving to my arms and stomach and back area. Approximately 7 hours later, hives still remain.

Other Meds: None

Current Illness: None

ID: 1103428
Sex: F
Age: 39
State: OH

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

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Left side of lip swelled up at 8:15 hours after shot with nothing different that I ate or drank and nothing used on lips or face.

Other Meds: AMLODIPINE 2.5 MG TAB ASCE , ESCITALOPRAM 10 MG TAB SOLC , FERROUS SULF 325 MG TAB MAJO and HYDROCHLOROT 25 MG TAB HERI.

Current Illness: None

ID: 1103429
Sex: F
Age: 67
State: AR

Vax Date: 03/06/2021
Onset Date: 03/07/2021
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: Iodine

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

Symptoms: Patient said she passed out 3 times the next day, has felt dizzy all week, and her blood sugar has been elevated.

Other Meds: Unknown

Current Illness:

ID: 1103430
Sex: F
Age: 41
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NONE

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

Symptoms: Patient received Pfizer COVID19 vaccine and went to the observation area. Others in the observation area noted that she had a red rash on her chest. Patient noted that she felt warmth in area but no itching. She denied chest pain, shortness of breath, itching, oral mucosal swelling. She was given diphenhydramine 50m g by mouth one time. She was observed for 40 minutes in treatment area with improvement of redness and rash. Patient was stable when left the treatment area. She was instructed to go to ED if rash worsened or if she developed oral mucosal swelling, difficulty breathing/SOB. Recommended that patient consult her primary care physician and see an allergy specialist before getting her second dose.

Other Meds: HYDROCHLOROTHIAZIDE

Current Illness:

ID: 1103431
Sex: F
Age: 37
State: CA

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: None that I know of. Just seasonal allergies.

Symptom List: Unevaluable event

Symptoms: I had the expected side effects of fever and chills that evening around 8pm on the evening of the vaccine (3/13/21) and it went away by 1am. The next morning (3/14) I felt a bit tired but still had enough energy to go on my usual 8-mile run. Just when I thought the side effects had passed, I was woken up that night by chest tightness and shortness of breath. I had to go to the ER on the evening of 3/14/21and got discharged around 2am of 3/15/21. They did and EKG and they said my heart and lungs are all in great shape and that this is probably just a vaccine side effect. They said they see it more often in Moderna but I guess it can happen with this one too. I just hope I?m not one of the rare cases that ends up in death. I do have a history of allergies and asthma. I?m feeling better though, though I still feel something different in my chest.

Other Meds: Ibuprofen, antihistamines and women's daily vitamins.

Current Illness: None.

ID: 1103432
Sex: F
Age: 52
State: FL

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

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

Lab Data:

Allergies: No Allergies

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

Symptoms: After the shot was given I felt a heaviness in my chest and my throat felt odd. I got a headache and felt sick to my stomach. But the oddest things happened 7 days after the shot. My vaccinated arm became swollen, hot, red, painful and itchy. I also became sick to my stomach and very tired. I read that it is called "Covid Arm"

Other Meds: Fenofibrate 160mg, Triamterene-Hctz37.5/25mg,Venlafaxine ER 37.5, Alprazolam, Metoprolol, Risperidone, Slynd

Current Illness: NONE

ID: 1103434
Sex: F
Age: 28
State:

Vax Date: 02/28/2021
Onset Date: 03/07/2021
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: Amoxicillin (I was under 5 at the time of allergy)

Symptom List: Injection site pain, Pain

Symptoms: I woke up Sunday (3/7/2021) morning at approximately 6:00am and my injection arm was itching very bad. My arm swelled up around my injection sight over the day to about the size of a baseball. It was a red and itchy rash. The swelling went down over the next few days. Oh n Monday 3/8/2021. I woke up at 7:00am and my hands had a bumpy, itchy rash. My feet slightly itched too it not as bad as my hands. I would wake up almost nightly to myself itching my hands raw. They are finally not as itchy today (3/16/2021).

Other Meds: N/A

Current Illness: N/A

ID: 1103435
Sex: F
Age: 66
State: IN

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

Lab Data:

Allergies: Sulfer drugs

Symptom List: Injection site pain, Menorrhagia

Symptoms: Extreme dizziness

Other Meds: Amlodipine-Benazepril 10-20mg, Levothyroxine 150mcg, Metoprolol Succ ER 50Mg, Amoxicilin 500mg and Vitamin D3 5000 IU

Current Illness: None

ID: 1103436
Sex: F
Age: 46
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: Muscle pain, ache all over my body

Other Meds: No

Current Illness: No

ID: 1103437
Sex: F
Age: 81
State: CA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
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: Tetracycline, Sudafed

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: ER doctor diagnosed cellulitis ` gave me 2 antibiotics

Other Meds: Lisinopril, Oxybutin Chloride, Tamoxifen, Atorvastatin, Lexapro, Famotidine, Gabapentin Fish Oil, Omega 3, Calcium, Alpha Lipoic Acid, Cinsulin, Turmeric, Biotin, Glucosamine

Current Illness: Covid 19 - diagnosed Jan 6, 2021

ID: 1103438
Sex: F
Age: 24
State: IA

Vax Date: 03/06/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: n/a

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever, body aches, chills, fatigue - on the evening of the vaccination. Fatigue for 2 additional days.

Other Meds: n/a

Current Illness: n/a

ID: 1103439
Sex: F
Age: 65
State: FL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: sheep/lamb products

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

Symptoms: 17 hours post injection I had terrible back pain!!! Preceded by headache, chills and fever. The pain was excruciating for six hours, finally relenting slowly. After six more hours, all effects but the brain-fog disappeared. Brain-fog lasted three days.

Other Meds: D3 vitamin 1000 IU BID; melatonin 10 mg BID; "Dona" Crystalline glucosamine 1500 mg BID; zinc 50 mg QD; aspirin 81 mg QD; St. John's Wort 500 mg BID; Collagen peptides (amino acid profile) 11 gm QD Benefiber 4 gm QD; and ARED2 Preservisi

Current Illness: none

ID: 1103440
Sex: F
Age: 29
State: PA

Vax Date: 02/22/2021
Onset Date: 02/23/2021
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: Augmentin. Seasonal

Symptom List: Nausea

Symptoms: Low grade fever congestion body aches headaches still to this day

Other Meds: Novolog Wellbutrin xr Zyrtec. B-12. Vitamin D. Prilosec

Current Illness: Diabetes asthma

ID: 1103441
Sex: M
Age: 27
State: NJ

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Unk

Symptom List: Injection site pain

Symptoms: Gi Issues, intense sharp cramps, diarrhea

Other Meds: None

Current Illness: None

ID: 1103442
Sex: M
Age: 74
State: CA

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

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

Lab Data:

Allergies: None

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

Symptoms: Periods of dizziness for 4 hours followed by patient unable to stand, almost passed out, lasted most of day and for two days after feeling of not being connected to surroundings

Other Meds: Losartan 25mg, alfuzosin 10mg, Zomig 2.5 mg as needed, oemprazole 40 mg, nasal decongestant spray, unison sleep tabs half dose.

Current Illness: None

ID: 1103443
Sex: F
Age: 67
State: VA

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: sulfur, Codeine, Penicillin, Gabapentin, Tagratol,

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

Symptoms: All over body rash started day after, still prominent on Monday but not quite as intense.

Other Meds: Lamotrigine 100mg; Nexium 20mg; Pravastatin 80mg; Metpprolol ER Succinate 25mg; Estradiol 0.05mg/day; Vitamin D3 125mcg(5000 IU) daily; Centrum Silver Vitamin every other day.

Current Illness: Trigemial neurogia ,

ID: 1103445
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Rash

Other Meds:

Current Illness:

ID: 1103446
Sex: M
Age: 67
State: MO

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

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

Lab Data:

Allergies: None.

Symptom List: Erythema, Pruritus

Symptoms: Patient felt poorly for the two days following the vaccine. Severe abdominal pain developed by about day #3 after first dose of the vaccine.

Other Meds: Gabapentin, 600 mg, 3X day / Olmesartan, 40 mg 1X day / Cardvedilol, 3.125 mg 2X day / Amlodipine, 5 mg, 1X day / Hydrochlorothiazide, 25 mg, 1X day / Cyclobenzaprine, 10 mg, 2X day / clobetasol cream 0.05 mg%

Current Illness: None.

ID: 1103447
Sex: F
Age: 31
State: CA

Vax Date: 03/07/2021
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: delayed cutaneous hypersensitivity "Covid arm" Itchy at injection site

Other Meds:

Current Illness:

ID: 1103448
Sex: M
Age: 54
State: IL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 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: Patient fainted a few minutes after receiving vaccine. He stated he had a history of doing this with past vaccinations. 911 was called. Patient declined treatment and left store approximately 30 minutes later.

Other Meds: none

Current Illness:

ID: 1103449
Sex: F
Age: 62
State: NY

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:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient received covid-19 vaccine at off-site clinic. As she was walking up to the post vaccination waiting area after receiving the vaccine, she suffered what appeared to be an anxiety attack and fainted. She awoke quickly and was monitored by pharmacy staff. She maintained good blood pressure and was fine afterwards.

Other Meds:

Current Illness:

ID: 1103450
Sex: M
Age: 18
State: NY

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

Lab Data:

Allergies: Pollen

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

Symptoms: Extreme fatigue, resolved within 6 hours. Headache, moderate, resolved in 6 hours

Other Meds: Melatonin

Current Illness: Stomach flu

ID: 1103451
Sex: F
Age: 59
State: OH

Vax Date: 03/10/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Bees

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

Symptoms: Severe vomitting for 4 hours. Fever, chills, body aches for 24 hours. Extremely tired, slept for 48 hours straight.

Other Meds: Lipotor, Celexa

Current Illness: None

ID: 1103452
Sex: F
Age: 41
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Rash around the site of injection, itchy, red, warm and hard to the touch

Other Meds:

Current Illness:

ID: 1103453
Sex: F
Age: 45
State: DC

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Bactrum, Byoxine, gluten, nickle metal, thimerosal

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

Symptoms: Sunday 3am night sweats, two days of heat rash with welting around my neck. three days of headaches and nausea, four days of brain fog, and eight days of fatigue and sleep issues

Other Meds: XYZAL, Prozac, Vitamin D, Doxycycline, Multipurpose vitamin, and Trulance

Current Illness: Minor allergy, shot the week before...

ID: 1103454
Sex: F
Age: 66
State: IN

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Within 1 minute, experienced flushing of face and some swelling of face, accompanied by increased pulse (went from 72 to 99) and frequent PACs (confirmed on Apple Watch EKG app). Felt odd. Flushing, fast pulse lasted for about 5 minutes, then gradually subsided. Feeling of strangeness persisted for several hours. This also occurred at injection 1 on 2/8/21 (Moderna Lot 013M20A).

Other Meds: Toprol XL, losartan, Victoza, vitamin D3, vitamin B12, multivitamin

Current Illness: None

ID: 1103455
Sex: F
Age: 45
State: CT

Vax Date: 03/01/2021
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: Sulfa drugs Benzoyl peroxide (acne medicine)

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

Symptoms: Sometime around March 11th (11 days after shot)my left arm became sore and very itchy around the injection site. When scratching the itch, I noticed that an area about the diameter of a tennis ball was also swollen surrounding the injection site. Today ( March 15) the area is still itchy, and now a red rash about the diameter of a softball has spread out from the injection site. There is also now a small scab where the injection was given, probably from scratching too much.

Other Meds: Lexapro

Current Illness: None

ID: 1103456
Sex: M
Age: 27
State: AR

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

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

Lab Data:

Allergies: Ceften , morphine

Symptom List: Vomiting

Symptoms: Nausea, dizziness, headache, extremely red face, swollen bottom lip, pressure and tightness in chest, oxygen levels dropped, difficult breathing, and heart rate was elevated. Treatment at clinic: Oxygen mask was put on to 4 litters, breathing treatment done, Benadryl, Pepcid, Tylenol, and then eppy shot was given. Ambulance then came to clinic and took my son to the ER. Most of the same thing was done in the ER. Patient still felt bad after 4 or 5 hrs in ER room. So he was admitted to stay in the hospital. He stayed 3 days and 2 nights in the hospital. He had breathing issues, nausea, headaches, and Elevated heart rate for the first 2 days. Wasn?t till the 3 day that he felt well enough to go home.

Other Meds:

Current Illness: Environmental allergies

ID: 1103457
Sex: F
Age: 70
State: MA

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: SYR
Vax Site: LA

Lab Data:

Allergies: Penecillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I woke up around 1:30 am on March 13th with feeling very achy and warm. I took my temperature and it was 101. I took some tylenol and went back to bed and fell asleep waking up again around 3:30 and feeling worse and took my temp again and it was still 101 had not gone down. Too someone tylenol and went back to bed and slept for a few hours and woke up feeling the same and my temp was the same, around 7:00am. I stayed in bed all day not eating much and drinking a lot of fluids. I kept on taking the tylenol to help to keep down the fever, but it still remained high at 101. I slept off and on during the day. The next day March 14th I woke up around 6:30 am and felt a little better and took my temp and it was down to 99.4. I still was kind of tired and my temp remained at 99. most of the day until I took my temp at 5:30pm and it was normal at 97.4. Another thing I experienced was a lack of taste. On March 15 I feel back to normal, except for the lack of taste,.

Other Meds: none

Current Illness: None

ID: 1103458
Sex: F
Age: 72
State: IN

Vax Date: 03/12/2021
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: Kelflex

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

Symptoms: Nausea. Fatigue, pressure back of head, dizzy, jittery, sleeplessness, hot feeling top portion if stomach.

Other Meds: Hydrochlorothiazide Simvastatin Omeprozole Gabapentin Calcium Daily 1 a day vit. Biotin Probiotic Tramadol. ( eve after)

Current Illness: Sciatica

ID: 1103459
Sex: F
Age: 73
State: WA

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

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

Lab Data:

Allergies: Demerol Neosporin Tetracycline

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, Fever (100.4), nausea, fatigue. Lasted thru the entire day.

Other Meds: Losartan Simvastatin Paroxetine Amlodipine Aspirin Calcium Multi-Vitamin Omega-3

Current Illness:

ID: 1103460
Sex: F
Age: 38
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Janssen COVID-19 Vaccine EUA Aches, chills, high fever (103.4) beginning 7 hours after injection. Fever resolved within 24 hours. Fine, itchy rash all over arms, torso, and back of neck beginning 18 hours after injection. Some bouts of dizziness noted beginning 18 hours post-injection. Rash still present as of 4 days post-injection. Some dizziness also remains.

Other Meds: None

Current Illness: None

ID: 1103461
Sex: F
Age: 68
State: NM

Vax Date: 03/05/2021
Onset Date: 03/14/2021
Rec V Date: 03/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, trees, grasses, weeds, molds, dust mites, cats, dogs

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

Symptoms: Sore right upper arm 03/05/2021 to 03/06/2021. No other symptoms until 03/14/2021 when I felt my upper right arm was , and still is itchy. The skin is red where it is itchy. It is about 2'' x 5" rectangle.

Other Meds: Jardiance, Lansoprazole, metFormin HCL, Atorvastatin, Aspirin, Vitamin C, Zinc, CoQ10, D3, Fish Oil, B-12, Melatonin

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm