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: 1104435
Sex: M
Age: 47
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: I had those symptoms in a discontinued manner: slight dizziness during the day, slight headache when I woke up, treated easily with paracetamol.

Other Meds:

Current Illness:

ID: 1104436
Sex: F
Age: 35
State: TX

Vax Date: 03/02/2021
Onset Date: 03/02/2021
Rec V Date: 03/16/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Writer had three unopened syringes and went to get them prefilled at lead nursing station. Upon arrival second lead nurse and other nurse that was sitting there had three total prefilled opened syringes. Writer gave the three unopened syringes to other nurse and got her 2 opened what seemed to be prefilled syringes and one open prefilled syringe from second lead nurse. Writer got patient and proceeded to administer one of the syringes from the other nurse but noticed that although plunger was pulled up the were empty syringes and contained none of the vaccine. Writer explained this to the patient and patient understood and agreed to get the correct prefilled syringe with the correct dosage amount of 0.5ml. Explained that all needles were brand newly opened. The vaccine just had bot gotten drawn up into the syringe yet. Advise patient to sit in observation for 30 minut4es. Patient 16:20 checked on patient who said that she feels normal. At 16:30 checked in again with patient before she departed says that she feels normal she just having soreness in arm which is a normal side effect. Advise she can take Tylenol/ibuprofen and move arm around. Lead nurse was advised before correct dosage syringe and vaccine was given to patient. We both spoke to patient.

Other Meds:

Current Illness: N/A

ID: 1104437
Sex: F
Age: 56
State: GA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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: None

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

Symptoms: 3/15/21-experienced soreness at vaccination site 3/16/2021- extreme fatigue on waking and difficulty completing morning chores (getting ready, making tea etc.); headache and neckache; difficulty moving vaccinated arm up to shoulder level and experienced pain at trying to lift arm; extremely thirsty and drank daily water quota off by 10:00 am -it is usually a struggle to finish my 64 ounces); still feeling very sleepy and tired; feeling sad and crying for no reason; no appetite except for water.

Other Meds: None

Current Illness: None

ID: 1104438
Sex: F
Age: 25
State: FL

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: Ants, mosquitoes

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 103 degree fever, bad headache, cold then hot, achy, cough

Other Meds: Zinc

Current Illness:

ID: 1104439
Sex: F
Age: 36
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
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: Chills, headaches, fever, soreness, body aches. Used Dayquil and Nyquil to relieve symptoms. Received the vaccine on Friday, felt the symptoms late that night and throughout Saturday, but felt better later that evening.

Other Meds:

Current Illness:

ID: 1104440
Sex: F
Age: 36
State:

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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:

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

Symptoms: pt. experiencing burning sensation to bilat. upper extremities, dizziness & burning vision. on-site medics present. Medic administered benadryl 50mg IM to the L arm at 1057. pt declined EMS/ER. Symptoms resolved w/ benadryl. BP: 133/99, HR: 199, RR: 20

Other Meds:

Current Illness:

ID: 1104441
Sex: M
Age: 53
State: UT

Vax Date: 03/09/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: ?COVID arm?. One week after 1st Moderna, my husband woke up with the injection site visibly swollen, red, and also sore.

Other Meds: Repatha

Current Illness: none

ID: 1104443
Sex: M
Age: 62
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 03/16/2021
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: By nightfall on the day of my second dose, I was extremely jaundiced. The following morning, my urine was darker than it has ever been - a dark amber/brown color. These are symptoms that I do experience routinely as someone with CAD. Hemolysis causes these same symptoms, but it seems the vaccine accelerated the hemolysis for some reason. Perhaps it activated complement. Regardless, this event did not last beyond the weekend, and has not been an issue since. I just thought it should be recorded as an adverse event.

Other Meds: none

Current Illness: none

ID: 1104444
Sex: F
Age: 72
State:

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/16/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt received vaccine at 10:47AM. At around 10:55AM pt complained of dizziness and feeling sweaty, and like her "blood sugar was low." Reported her diabetes medications were adjusted the day before. On exam pt was diaphoretic and tremulous. Blood glucose was 35 mg/dL. BP was 223/118 and repeat was 220/118 mmHg. HR was 85bpm and Sp02 was 95%. Pt denied chest pain or shortness of breath. Given 4oz juice and 15min later blood glucose was 72 mg/dL. EMS was called for possible hypertensive crisis and further management of hypoglycemia. Pt was in no acute distress at time of transfer.

Other Meds:

Current Illness:

ID: 1104445
Sex: M
Age: 73
State: VA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: Injection site pain, aches, chills, fever, headache, lose of appetite, diarrhea, fatigue, nausea.

Other Meds: Plavix 75mg, losartan 50 mg, Vytorin 10-40mg, dicyclomine 20mg, Ambien 5mg, aspirin 81mg.

Current Illness: None

ID: 1104446
Sex: M
Age: 68
State: CT

Vax Date: 03/13/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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: pt states on 3/15/2021 he started getting fatigue and chills. He woke up on 3/16/2021 with itching and bumps under the skin on his buttocks that have spread to his stomach, thighs and forearms. Pt states the fatigue and chills are better today. His temp is 97.8. Pt has taken Benadryl for his symptom's. Pt will call and schedule to see his PCP today.

Other Meds: metoprolol 25 mg qd, ezetimibe 10mg qd, pravastatin 40mg qd, omeprazole 40mg, qd, aspirin 81 mg qd, Vitamin D3, Fish Oil, Aleve qd

Current Illness: no

ID: 1104447
Sex: F
Age: 38
State: MD

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: 16 min after administration pressure between ears about 20-25 min after administration slight nausea about 30 min after administration and continuing until 1 hr 45 min after administration periodic trouble swallowing and sensation that throat was constricting about 1 hour after administration chills took 50mg Benadryl at 1 hr 45 min after administration and trouble swallowing and sensation that throat was constricting stopped normal chills, body aches, fatigue continued for 3 days

Other Meds: none

Current Illness: none

ID: 1104448
Sex: F
Age:
State: WA

Vax Date:
Onset Date: 03/01/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: All Quinolones, Oxy

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

Symptoms: Circulatory burning within 10 minutes, blurry vision, chest pressure, confusion & inability to concentrate , extreme weakness & fatigue, extreme focused joint pain, headache, coughing and difficulty breathing requiring multiple nebulizer uses every 2 hours over 2 weeks, headache. Face & body rash, . Persistent exhaustion continues requiring 2-3 hour daily naps & non Fibro brain fog continues at 3 weeks.

Other Meds: Gabapentin, D3, B12, Afrin, Musinex, liposomal C, Zinc, Trazadone

Current Illness: Fibromyalgia, Osteoarthritis , sinus infection

ID: 1104449
Sex: F
Age: 78
State: SC

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
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: Extreme exhaustion for four hours the morning after receiving the vaccine. No treatment; stayed in bed for those four hours, then felt better and got up.

Other Meds: blood pressure, statin, multi-vitamin, vitamin D3/calcium combo; omitted baby aspirin the night before.

Current Illness: None

ID: 1104450
Sex: M
Age: 80
State: NY

Vax Date: 02/11/2021
Onset Date: 03/01/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Swollen lymph node under left shoulder.

Other Meds: Tagrisso, calcium supplement

Current Illness: None

ID: 1104451
Sex: F
Age: 55
State: NY

Vax Date: 03/06/2021
Onset Date: 03/10/2021
Rec V Date: 03/16/2021
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: 4 days post hives. Not resolved with Otc bendryal. Day 5 chest tightening with full body.

Other Meds: Many

Current Illness: None

ID: 1104452
Sex: M
Age: 66
State: NY

Vax Date: 03/05/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: Penicillin, Dilantin, Phenobarbital

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

Symptoms: Anxiety. Severe concern about how I felt at the moment, lying in bed. Started at about 2:30 am. An electric feeling. Hard to describe. I thought I might be having a heart attack. It happened several times, resolving to a normal state after 40 min or so, being ok for maybe 1/2 an hour then returning. After 3 or 4 worrisome crescendos, I decided to go to the Emergency Room at 4:30 am. Observed there, released with analysis being it was anxiety, not a heart problem.

Other Meds: Levothyroxine 75mcg, Restasis 0.4 ml

Current Illness: None.

ID: 1104453
Sex: M
Age: 57
State: PA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/16/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 18 hours after the shot, I started feeling very tired and sore in my muscles. After both shots, I had some pain at the injection site. by the next day, I had recovered from the symptoms.

Other Meds: Simvastatin 10 mg Escitalopram 20 mg Pantraprazole 40 mg Clonazepam .5 mg Daily Multivitamin 2000 mg vitamin D

Current Illness: None

ID: 1104454
Sex: F
Age: 34
State:

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: pt. presents with a headache. HX: DM Type 1; BG: 282; onsite medic present. pt. declined EMS/ER. pt. decided to have spouse come pick her up to take her home. pt. left her vehicle at the vaccination site. BP: 131/78, HR: 86: RR:18

Other Meds:

Current Illness:

ID: 1104456
Sex: F
Age: 55
State: OK

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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 reported

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

Symptoms: Patient was given a dose of Moderna vaccine when her first dose was a Pfizer vaccine. Patient displayed no adverse signs and symptoms and was educated about not receiving an additional dose.

Other Meds: None reported

Current Illness: None reported

ID: 1104457
Sex: F
Age: 28
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Tachycardia- resting heart rate 115-130?s Body aches Headache Low grade fever-101.4 Chills Lightheadedness Symptoms began around 8 hours post vaccination and lasted 12 hours. Most symptoms relived by 600mg Advil

Other Meds: Vitamin D 2000 IU Spironolactone 100mg for PCOS

Current Illness: None

ID: 1104458
Sex: F
Age: 33
State: TX

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: Contrast dye-swelling, hives Codeine - drowsy

Symptom List: Unevaluable event

Symptoms: Nausea and brief dizziness.

Other Meds: Fluticasone Eyedrops

Current Illness:

ID: 1104459
Sex: F
Age: 70
State: OH

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/16/2021
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: Milk allergy

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

Symptoms: Within a minute or two of getting the vaccine my throat felt like it started to close up. It has felt like that since the vaccination and has not let up. The nurse who administered the dose notified someone within the pharmacy. They had me wait an additional 15 minutes and checked on me. No change. I was told to go to hospital if the symptom got worse.

Other Meds: None

Current Illness: None

ID: 1104460
Sex: F
Age: 86
State: IA

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/16/2021
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 known.

Symptom List: Injection site pain, Pain

Symptoms: The second dose was administered, in error, on day 22 (rather than day 28) therefore, given too early. This individual began to experience severe body aches, fatigue and reported having chills on day 2 following the vaccination and lasting 3 days. She remained in bed most of day 2, only getting up to the bathroom. After day 2, she was able to get out of bed with assistance for meals, however, continued to complain of fatigue and some body aches. At this time, symptoms have resolved with exception of still experiencing some body aches in the mornings, making it difficult for her to her out of bed and to breakfast.

Other Meds: unknown

Current Illness: no illness

ID: 1104461
Sex: M
Age: 66
State: AZ

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: Sulfa based antibiotics, garlic, onions.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Irregular heart beat, significant increase in blood pressure. Treatment-now taking Amlodpine Besylate 2.5 mg/day for the high blood pressure. Monitoring and reporting blood pressure at least twice daily to cardiologist.

Other Meds: Rosuvastatin 10 mg/day. Famotidine 20 mg/day

Current Illness: None

ID: 1104462
Sex: F
Age: 23
State: DC

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: The day of and the next couple days after injection, I had typical side effects like soreness in the arm and some fatigue. On the 7th day after my vaccine, I had a red blotch on my injection site about 4 inches wide by 3 inches tall. The blotch was tender and warm to touch.

Other Meds: 1 Tylenol

Current Illness: Non

ID: 1104463
Sex: F
Age: 41
State: NY

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/16/2021
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: red dye

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: mild fever, body aches, headaches, red swollen upper arm rash warm to touch and itchy near injection site, skin rashes on lower left arm, hands, torso, and right arm

Other Meds: none

Current Illness:

ID: 1104464
Sex: F
Age: 56
State: IN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/16/2021
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: Severe lower abdominal/pelvic pain located in the center and left side. Very tender. Pain came and went for several days. Went to the emergency room Thursday (3/10/21) due to increasing pain. Tried Tylenol, tums and Gas-X during this time without and alleviating of symptoms. Pain & tenderness slowly decreased over the course of a week.

Other Meds: Amitriptyline

Current Illness:

ID: 1104465
Sex: F
Age: 73
State: NY

Vax Date: 02/11/2021
Onset Date: 03/02/2021
Rec V Date: 03/16/2021
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, all shell fish, sea scavengers

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

Symptoms: First does had soreness of area of injection overnight., no other adverse reaction. Second does had the same soreness of area of injection overnight, in addition to bodyacnes and soreness, for about a day and a half. After that I continues to experience fatigue, I go to sleep at night and have difficulty getting up in the morning due to feeling very fatigued. It takes about an hour before I can feel like completing my day. During the day I feel like I need a nap. Before the shot I was able to complete my day as normal.

Other Meds: Cholestyramine for Oral suspension USP, Light

Current Illness: none

ID: 1104466
Sex: F
Age: 34
State:

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: itchy across chest and rt. shoulder and back .

Other Meds:

Current Illness:

ID: 1104467
Sex: F
Age: 48
State: NC

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: codeine, tramadol, & seasonal allergies (take shots biwk for allergy).

Symptom List: Injection site pain

Symptoms: chills, uncontrollable shaking (boby would tense up/hurt every time shake. felt like I was having convulses. my teeth would not stop chattering), body felt cold/hot, unable to sleep, and full body achy/sore, and tired feeling. The chills and uncontrollable body shaking happened twice (around 7:00-8:00 pm and sometime in middle night). I took alieve and probably 15 to 30 min later the body shake would stop.

Other Meds: multi vitamin, immune booster/support, vitamin d, probiotic, & botin (took in morning 7:30 am).

Current Illness: none

ID: 1104468
Sex: F
Age: 53
State: MT

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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, Erythomycin, Biaxin, milk, surgical steel

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

Symptoms: Started with nodal swelling within 10minutes of injection. Worsening fatigue as day progressed, developed runny nose and watery eyes, pain in my arm at injection site then spreading to the rest of my body. Took Sudafed for the cold like symptoms that evening and then in the morning. Went to sleep woke in the morning with severe fatigue, nausea, headache. At 11:00 noted that a bitter taste in my mouth that lead to loosing my sense of taste for 6 hours. I started getting a fever, which got up to 102 degrees, took Tylenol for this. At the same time my lips started swelling, then my hands, and approximately around 1900 my buccal lining of my mouth. Took 50mg of Benadryl which helped with swelling and went sleep. Woke up 6 to 7 hours later and took 50mg of Benadryl for good effect. Continue to have mild fatigue, headache and nausea this morning.

Other Meds: Lisinopril, amitriptyline, multivitamin, vitamin D, calcium

Current Illness: Seasonal allergies

ID: 1104469
Sex: M
Age: 82
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 03/16/2021
Hospital: Y

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: Excrutiating leg pain from knee to groin began on day after first shot 1/28/2021 then after 2nd dose was given on 2/24//2021 a massive stroke occured within 8 hours.

Other Meds: Metformin, Clipiside, Forosemide,Alogliptin, Amlodipine, Provestin, Gabepentin, Losartan, Caruedilol

Current Illness:

ID: 1104470
Sex: F
Age: 42
State: VA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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: Patient c/o chest pressure and weakness about 10 minutes after receiving the vaccine. She was placed in supine position, was tearful and lethargic for first 4-5 minutes, never loss consciousness. After 10 minutes in supine position she reported feeling back to normal.

Other Meds: none

Current Illness:

ID: 1104471
Sex: F
Age: 39
State: MO

Vax Date: 03/05/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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: Medications - Methotrexate, remicade, hydroxychloroquine Foods- corn, tomatoes

Symptom List: Erythema, Pruritus

Symptoms: Large raised red rash at injection site, warm to touch 10 days post vaccination 3/16/21 Body aches 12 hours post vaccination

Other Meds: Vitamin D 50,000, phentermine 37.5mg, collagen, fiber supplement

Current Illness: Auto immune inflammatory arthritis

ID: 1104472
Sex: F
Age: 38
State: AZ

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/16/2021
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: None

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

Symptoms: About 12 hours after the second dose, I experienced fever, chills, muscle aches, headache and fatigue. These lasted about 36 hours in duration.

Other Meds: NP Thyroid, Nutrafol.

Current Illness: None

ID: 1104473
Sex: M
Age: 74
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 03/16/2021
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: penicillin, Keflex, cumidin

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

Symptoms: Swollen glands above thyroid, difficulty swallowing, fever and chills at night, headaches

Other Meds: none

Current Illness: none

ID: 1104474
Sex: F
Age: 68
State: GA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/16/2021
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: n/a

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Shortly after receiving her Covid vaccination, patient complained of a weird taste, dizziness and feeling faint. I monitored the patient closely, checked her vital signs and everything was normal. Medical history revealed patient has type 2 DM and HTN. I asked patient if she had taken her meds and eaten breakfast (time was 11:15am at this point). She said she took her meds but hadn't eaten breakfast. I bought her orange juice and a few snacks. In less than 5 minutes after eating/snacking. She mentioned that she was feeling remarkably better. I monitored her for 15 minutes more to make sure she was fully recovered. She was very grateful and felt at ease leaving the pharmacy. I will check on her later.

Other Meds: N/A

Current Illness: N/a

ID: 1104475
Sex: F
Age: 61
State: TX

Vax Date: 03/03/2021
Onset Date: 03/07/2021
Rec V Date: 03/16/2021
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: penicillin, cephalosporins

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

Symptoms: 4 days after second dose, eye symptoms appeared and progressed over a few days until diagnosis of shingles by 3/2/11/21. Acyclovir and prednisone prescribed, worsening symptoms, 4 eye exams to check for virus affecting the eye

Other Meds: Armour thyroid 30 mg

Current Illness:

ID: 1104476
Sex: F
Age: 36
State: WA

Vax Date: 01/09/2021
Onset Date: 01/26/2021
Rec V Date: 03/16/2021
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: No known allergies

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

Symptoms: Miscarriage: LMP 11/17/20, diagnosis of MAB on 1/26/21. Chromosomal testing of the embryo determined cause of miscarriage to be trisomy 12. Prior to this most recent miscarriage I had 3 previous miscarriages and 1 live birth (1 living child). To be clear, I do not blame the vaccine for the miscarriage, the chromosomes of the embryo were determined before I got my first Covid vaccine.

Other Meds: Sertraline 200mg daily Trazodone 25mg nightly Prenatal vitamin

Current Illness: None

ID: 1104477
Sex: F
Age: 73
State:

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/16/2021
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: dizziness, hotflasshes, not feeling good. BS-109; VS 164/72-66; 173/95-72; 171/65-68; 160/65. Dizziness resolved but still doesn't feel good.

Other Meds:

Current Illness:

ID: 1104479
Sex: F
Age: 68
State: MI

Vax Date: 02/26/2021
Onset Date: 02/28/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: nkda

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

Symptoms: Shortness of breath, persistent, without hypoxemia

Other Meds: amitriptyline, atorvastatin, lisinopril, metformin

Current Illness: none

ID: 1104480
Sex: F
Age: 44
State: OR

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 03/16/2021
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: pollen, dust, dogs, cats

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

Symptoms: About 12 hours after the second Covid vaccine, I woke up with chills and severe body ache. When I got up, I experienced a vasovagal syncope. Mild fever, chills and body ache lasted for about 24 hours and resolved fairly suddenly. Only one syncope event.

Other Meds: Dupixent injectable medication, Zyrtec

Current Illness: None

ID: 1104481
Sex: F
Age: 54
State: UT

Vax Date: 03/04/2021
Onset Date: 03/06/2021
Rec V Date: 03/16/2021
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: Corticosteroids, bacitracin

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

Symptoms: Body aches, chills, headache, extreme fatigue for approximately 48 hours. Some body aches and fatigue continued for 10 more days.

Other Meds: Ibuprofen and Excedrin prn

Current Illness: Cold

ID: 1104482
Sex: M
Age: 56
State: MI

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/16/2021
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: Unknown if patient is experiencing side effects due to current COVID-19 infection. However, patient states he is feeling "much better" the day after vaccination.

Other Meds:

Current Illness: Began with symptoms of COVID-19 on 3/14/21: dry throat, fatigue, body aches, subjective fever, fatigue, taste had been "off". Feels much better as of 3/16/21 after being vaccinated on 3/15/21.

ID: 1104483
Sex: M
Age: 32
State: MN

Vax Date: 03/06/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Development of shingles along the waistline. Never had chicken pox nor shingles in my life. Only received the chicken pox vaccine and Moderna c19 vaccine.

Other Meds: None

Current Illness: None

ID: 1104484
Sex: F
Age: 51
State: CA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 03/16/2021
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: n/a

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

Symptoms: Patient experienced large round gray circle on upper arm since first injection

Other Meds: n/a

Current Illness: n/a

ID: 1104485
Sex: M
Age: 37
State: MN

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/16/2021
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: Amoxicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever, Chills, Muscle Aches, Pounding headache, Fatigue, Malaise, Joint pain, stuffy nose, shortness of breathe, chest feel heavy, injections site pain (not red or swollen), sinus congestion, inner ear ache.

Other Meds: sertraline, vitamin D, multivitamin, (January I was in Novavax clinical trial for COVID-19 vaccine- I unblinded and did receive the two doses of active vaccine)-Wife wanted me to get an approved one when time called.

Current Illness: Previous Novavax Vaccine dose 1 (Jan 18) and 2nd (Feb 8) part of clinical trial

ID: 1104486
Sex: M
Age: 81
State: CA

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/16/2021
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: 1hr after vaccine chills started. Within another 1 hr started achey. Cintinued to worsen At 1:30 am he was so weak could barely get to bathroom. Had to hug the walls to walk. Sever pain at this point. All his joints had shooting pain. Started getting better by morning but still very achy and very fatigued. Slept most of day. Ate very little. Probably didn?t drink enough water. Still weak on 3-10-2021. By evening of 10 th seemed normal. This man normally walks 5 miles a day, does 150 push-ups daily. Never sick. Very healthy. Then on 3-17-2021 during the night he got sick again. Joint pain, temperature at 100.4. Severe weakness. Wobbly when walking.

Other Meds: Flomax. Atorvastatin. Lisinopril. Aller-Tec antihistamine. Aspirin 81 mg. D3. Magnesium. Fish oil

Current Illness: None

ID: 1104487
Sex: F
Age: 39
State: CA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/16/2021
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: None

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

Symptoms: Day 1- nausea, mild chills, tired, towards the evening mild tingling hands and feet Day 2- more tingling hands and feet, red hands front and back, sharp upper head pain Day 3- mild tiredness and chills tingling and redness continues Day 4- nausea, tingling continues, at 8:20 pm I start getting a warm burning feeling on both upper part of arms, at 10:00pm in bed, very bad nausea, trembling/jiggerish, very bad chills, heart racing, upper body itching, by 12:00am only itching gone, couldn?t sleep due to other symptoms Day 5- woke up with same symptoms no itching

Other Meds: Losartan/Hithoclorizide 100/25 Metformin 500 Amlodipine 10 Vitamins organic food -iron, multivitamin, d

Current Illness: High blood pressure Pre-diabetes Acid reflux Overweight

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm