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: 1107612
Sex: M
Age: 45
State: NY

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Environmental Allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt started to feel slightly lightheaded about 10 minutes after vaccination, then started to have some tingling in his face. He received 25 mg of oral diphenhydramine with good results within 30 minutes. Pt has a h/o anaphylaxis to allergy shots as a child one time, but then never had a reaction again.

Other Meds: Unknown

Current Illness: Unknown

ID: 1107613
Sex: F
Age: 90
State: NY

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/17/2021
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: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: The evening of the administration hands started to tingle, lasted about half hour. The next morning felt fine at noon the second day started with violent shaking chills which lasted one hour, at that time it slowly started to stop but felt icy cold with sweating. Took 2 tablets of advil 200mg at the beginning of shaking. After shaking slowed down could not talk, stand or hold up hands; she was drooling barely could swallow. She just wanted to lay down and sleep. This lasted about 30-45 minutes. Hands turned BLUE to her wrists lasting 15 minutes. Resolved without intervention. Very tired that evening. Slept for 12 hours. Back to normal the next day.

Other Meds: Synthroid .125 mg qd aspirin 81mg

Current Illness: none

ID: 1107614
Sex: F
Age: 72
State: FL

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/17/2021
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: Sunday night fever 102.3 nausea chills. Fever all day Monday, Monday night, n=experienced night sweats. Tuesday morning still had fever. Left arm sore, large red rash and swollen muscle. Muscle is hard and warm to the touch. Tuesday afternoon fever breaks Wednesday status of left arm remains the same

Other Meds: Imbruvica, Levo thyroxin, Simvistatin Vitamin D

Current Illness:

ID: 1107615
Sex: M
Age: 24
State: DE

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Soreness at injection site a few hours after injection, mild 100 degree fever next morning

Other Meds: None

Current Illness: None

ID: 1107616
Sex: F
Age: 51
State:

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/17/2021
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: Persistent chest tightness and irregular heart rate; transported to ED

Other Meds:

Current Illness:

ID: 1107617
Sex: F
Age: 36
State: CO

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Z-Pak

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

Symptoms: Myalgia, Chills, Fever (100.2), and swollen lymph nodes above collar bone. The lymph nodes became swollen from the first dose and had been getting smaller, but they became larger within 24 hours of the second dose. I first took Tylenol for the pain and felt no relief. At 7:00 am on the 3/16 I took Ibuprofen and felt relief from pain and fever within a couple of hours. I took two more doses of Ibuprofen that day. All symptoms but swollen lymph nodes have resolved on 3/17.

Other Meds: Fish Oil and Multivitamin

Current Illness:

ID: 1107618
Sex: F
Age: 45
State: FL

Vax Date: 03/08/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: I started having a large circular red spot that is hot and itchy yesterday. It?s probably 3? around.

Other Meds: Levothyroxine

Current Illness: None

ID: 1107619
Sex: F
Age: 34
State: PA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: immediate itching and burning over entire body. Within 5 minutes had a pounding headache, light-headed, dizzy, and shortness of breath, hard time breathing.

Other Meds:

Current Illness:

ID: 1107620
Sex: F
Age: 58
State: CA

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/17/2021
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: A few hours after receiving the vaccine, I had the muscle pain in my left upper arm, as expected. This time it felt a bit different and by the evening, I had my daughter check the site because it felt to me as if I had a hard metal plate protecting my arm. Everything looked good. The next day the pain continued, but it was a bit duller. That evening, however, I woke up with intense shoulder pain. I was confused why I was in so much pain. I was on my back and there was nothing obstructing my shoulder. When I got up the morning of 3/13, I was in intense pain and had limited mobility of my left arm. I took 600 mg of ibuprofen, but that didn't help. I went in to see the doctor and she prescribed naproxen and has referred me to physical therapy. In the meantime, I continue to be in severe pain and my left arm (dominant arm :() is extremely limited.

Other Meds: No medications

Current Illness: None

ID: 1107621
Sex: F
Age: 67
State: GA

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/17/2021
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: Chills, fever, aching body "Covid arm" - swelling, itchy, redness, hardness Treatment: Betamethasone Dipropionate Topical Cream and only two Publix Brand Antihistamine tablets taken

Other Meds: ATORVASTATIN 40MG LISINOPRIL 10MG JUICE+ FRUIT BLEND JUICE+ VEGETABLE BLEND

Current Illness: NONE

ID: 1107622
Sex: F
Age: 63
State: NY

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Concerts, levodopa, amoxicillin (sensitivity)

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

Symptoms: 2 cold sores on the outer lip, lower left and lower left-center, with dry, chapped lips which had not been present previous to shot through this winter season. Treated topically with rose ointment and other lip moisturizers, kept clean. Still on last stages of healing 12 days later but no longer spontaneously cracking/bleeding with lip movement.

Other Meds: Premarin Vaginal Cream Bupropion HCL ER Vitamin D Caltrate Minis Biotin

Current Illness: Injury of oral mucosa 4 days prior, being treated topically

ID: 1107623
Sex: M
Age: 70
State: OH

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/17/2021
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: 3-13-21 WIFE STATES PT WOKE UP ON 3-10-21 7AM WITH 'RT SIDE OF FACE SWOLLEN AND BLOODY DISCHARGE WHEN HE BLOWS HIS NOSE'. STILL SWOLLEN TODAY (3/13) BUT A LITTLE BETTER. HE HAS A ROUTINE APPT WITH HIS HEART DR THIS TUESDAY. 3-17-21 8:45AM TC: PT STATES 'HAS BEEN IN THE HOSPITAL X 2 D TO HAVE BALOON ABLATION FOR HX OF A FIB AFTER ROUTINE APPT WITH CARDIOLOGIST (HAS NOT BEEN IN A FIB SINCE ADMMISSION)'. ALSO STATES HIS FACE IS NO LONGER SWOLLEN, STILL HAS BLOODY NASAL DISCHARGE WHEN HE BLOWS HIS NOSE 'LIKE A SINUS INFECTION'. WILL ASK FOR ANTIBIOTIC.

Other Meds:

Current Illness: NONE

ID: 1107624
Sex: F
Age: 33
State:

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: 48 hours of exhaustion, severe body aches 8 hours of 102?F Fever Left Arm Pain-6 days

Other Meds: No

Current Illness: No

ID: 1107625
Sex: F
Age: 49
State: IN

Vax Date: 03/01/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
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: Headache nausea sore arm lethargic

Other Meds: Metformin, glimepiride hyzaar

Current Illness: None

ID: 1107626
Sex: M
Age: 92
State: DE

Vax Date: 03/07/2021
Onset Date: 03/07/2021
Rec V Date: 03/17/2021
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: denied

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

Symptoms: Swelled immediately at injection site, about 1.5inx1.5in, about 1 inch rise. No other signs. Denied any symptoms.

Other Meds: apixaban, atorvastatin, lansanprazole, multivitamin

Current Illness: denied

ID: 1107627
Sex: F
Age: 67
State: NY

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/17/2021
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: I believed I had received the full and appropriate dose of the Pfizer vaccine. Four days later the pharmacist contacted me telling me I had only received a saline solution and would need to get vaccinated again. I inquired how they knew this and received sparse information saying they couldn't tell me ... privacy etc. Then on March 10th I went to another one of their locations and received the first vaccine of Moderna ... I have been super sick since then.. I have had fever, delirium, cognitive impairment ( forget vocabulary MID sentence) severe covid arm, ( worse than the images on line) pain in my left hand, stiffness in my left fingers ( what I assume arthritis might be like) I WANT TO KNOW what WAS IN THE FIRST PFIZER INJECTION: I AM DEMANDING... to find out what was in the first shot, why it was reported to me 4 days later, How the facility knew it was only saline... WAS it TRULY ONLY SALINE or have I been injected with two different doses of vaccines within a 9 day period? I really need to know what it going on.

Other Meds: none

Current Illness: none

ID: 1107628
Sex: F
Age: 56
State: NC

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/17/2021
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: codeine

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

Symptoms: Violent vomiting for about 15 minutes felt a little nauseous into next day

Other Meds: zoloft, lisiniprol, metformin, allegra, fish oil capsule 1000mg

Current Illness: slight cold

ID: 1107629
Sex: M
Age: 48
State: TX

Vax Date: 03/10/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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 to medications. Only known allergy to food is bananas and only slight reaction. Have not eaten in over 10 years.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Both eyes very swollen, watery and itching on evening of 3/16. Appeared pretty quickly. Could be 'normal' allergies, but was quite a bit more of a reaction than I would normally get. I don't believe I've had my eyes swell this much before that I can remember. During day of 3/16 did not do anything outside in or around normal triggers when doing something like yard work. Took Kroger brand max strength sinus relief pills and went to bed. Morning of 3/17 eyes still swollen but not as much...much less watering and itching. Still swollen some at the time of this submission.

Other Meds: prescription: fluticasone propionate & salmeterol inhalation powder 232 mcg, one puff twice daily OTC: Flonase once daily each nostril

Current Illness: None

ID: 1107630
Sex: F
Age: 34
State: MO

Vax Date: 03/09/2021
Onset Date: 03/12/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fatigue, body aches, sore throat, loss of voice, which has lasted about 3 days but still have dry cough, drainage, redness and warmth around injection site.

Other Meds: Keppra, vitamin D, Woman's Multi Vitamin

Current Illness: n/a

ID: 1107631
Sex: F
Age: 30
State: GA

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies: Ketamine, meclizine, gabapentin

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

Symptoms: Three days after A raised red painful rash that is spreading and much bigger than the actual injection site. Pain increasing so far each day as is the size of rash/reddened area

Other Meds: None

Current Illness: None

ID: 1107632
Sex: F
Age: 33
State: IL

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/17/2021
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: Not an allergy per se, but had a reaction to Prozac several years ago and ended up in ER.

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

Symptoms: - HR spiked within first few minutes of shot; fluctuated up to 180 that day. Both hands were immediately weak and aching. Went to ER to monitor for reaction. - Continuing elevated HR episodes for first week; strong left arm pain?couldn?t move or touch for first few days - Panic attack-like responses approx. once per day for first week. Rush of heat through hands, throat, face, rapid HR, dizziness - Increasing joint and muscle pain; also describe as a deep ?bone pain.? Started in feet, wrists/hands and progressed to both legs, hips, back, neck. Acceleration of symptoms starting on or about 3/14. - Saw PCP multiple times for pain; went to ER on 3/16 for severe pain, weakness. Have been confined to bed or in bath with Epsom salts due to pain. Starting steroid treatment and nerve pain treatment today 3/17. - Also experiencing extreme dry mouth and clamminess. For first week after shot, had tingling/irritated feeling in my tongue any time I ate or drank ? no changes in diet.

Other Meds: None

Current Illness: SVT, Ulcerative colitis, mild/moderate recurring joint and muscle pain (no diagnosis yet; no pain immediately prior to vaccine)

ID: 1107633
Sex: F
Age: 73
State: CO

Vax Date: 03/03/2021
Onset Date: 03/14/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: Avandia, Amoxicillin, Clavulanate

Symptom List: Unevaluable event

Symptoms: Pt. site is hot, red, itchy. Induration is aprox. 6x10 cm

Other Meds: N/A

Current Illness: N/A

ID: 1107634
Sex: M
Age: 65
State: IN

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/17/2021
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: Chills, body aches, sweats, headache

Other Meds: escitalopram, metoprolol, lisinopril

Current Illness: none

ID: 1107635
Sex: M
Age: 50
State: WV

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/17/2021
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: Naproxen, codien

Symptom List: Injection site pain, Pain

Symptoms: Blurry vision 5 minutes after the first dose Light sensitive

Other Meds: Flexaril, ibuprofen,

Current Illness:

ID: 1107636
Sex: M
Age: 78
State: IN

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
Hospital: Y

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

Lab Data:

Allergies: NA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pt presented to ED with c/o nausea, shaking, chills and loss of appetite with onset approximately 2-3 hours post vaccination

Other Meds: Norvasc, lisinopril, finasteride, lasix, eliquis, hydrocholorthiazide, metoprolol succinate

Current Illness:

ID: 1107637
Sex: F
Age: 56
State: SC

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/17/2021
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: penecillin

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

Symptoms: Shortly after receiving the vaccine I began experiencing symptoms. I first noticed abdominal cramping. Then I began to get itchy eyes, then tingling in my lips. After that my throat , tongue and the inside of my nose felt swollen and numb. I had a fast heartbeat and I began to get hoarse. My husband drove me to the emergency room. I was treated with a steroid injection and pepcid. Within fifteen minutes of receiving the treatment my symptoms began to subside.

Other Meds: mesalamine remicade

Current Illness:

ID: 1107638
Sex: F
Age: 76
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/17/2021
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: Patient had her BP increased and light headed after vaccine 158/70 HR:86. Patient stated that she had her kitchen stove had caught fire this morning and she was upset about it. Nurse ask if patient about history of anxiety and she stated yes. So she stayed another 15 minutes in the observation area to make sure everything was ok. Nurse rechecked BP 156/75 HR:80. Patient felt better after 5 minutes of first symptoms. Nurse advice patient to seek medical attention if symptoms gets worst. Patient had no pain or general discomfort or dizziness or light headedness increased HR.

Other Meds: None

Current Illness: None

ID: 1107639
Sex: M
Age: 78
State: MD

Vax Date: 03/04/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
Hospital: Y

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: 03/15/2021: Scheduled/planned left total knee arthroplasty. No complications or adverse events noted.

Other Meds:

Current Illness:

ID: 1107640
Sex: F
Age: 43
State: MA

Vax Date: 03/05/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Adhesives

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

Symptoms: Circular red rash around injection site

Other Meds: Zyrtec, Flonase, Singulair

Current Illness: None

ID: 1107641
Sex: M
Age: 38
State: NY

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/17/2021
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: Head ache, chills, low grade fever

Other Meds: Daily multivitaminn

Current Illness:

ID: 1107642
Sex: F
Age: 67
State: MD

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

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

Lab Data:

Allergies: Sulfa, latex, bee stings, fluorescine dye for retinal exam, adhesive tape.

Symptom List: Injection site pain

Symptoms: Chills, malaise, headache, dizziness. Onset a few hours after shot, continue as of today 3/17. I have a scheduled appointment with Dr. on 3/19 and will discuss.

Other Meds: HCTZ, Metoprolol, Losartan, Iron, Vitamin D3, Calcium, multivitamin

Current Illness: None

ID: 1107643
Sex: M
Age: 46
State: WA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 03/17/2021
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, venom from bees and fire ants

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

Symptoms: Headache within an hour of the shot, left work. Muscle spasms in my upper back and neck within 4 hours. Major spasm that prevented me from turning my head or laying down at around 6-8 hours. Upper back, neck, and muscle pain in my head and jaw continue today (3/17/21) but symptoms are slowly decreasing in severity.

Other Meds: Fexofendine, Flo Naze, One A Day Multivitamine for men

Current Illness: N/A

ID: 1107644
Sex: F
Age: 53
State: NJ

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/17/2021
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: Chills, Fever, Fatigue, and JOINT PAIN... which continues two weeks later

Other Meds: none

Current Illness: none

ID: 1107645
Sex: M
Age: 16
State: KY

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
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

Symptom List: Tremor

Symptoms: The patient received the Pfizer covid vaccine for the first shot and was given the moderna covid shot for the 2nd dose

Other Meds: No

Current Illness: No

ID: 1107646
Sex: F
Age: 43
State: NY

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: 3/9/2021 0800: Took dog outside. Upon coming in, I had sever chills and could not get warm the rest of the day and night. 3/10/2021 0630: Upon waking up, arm was very sore 3/11/2021-3/16/2021: Arm was in various stages of redness, swelling, and soreness 3/17/2020: Arm is still raised at the injection site, soreness has lessened.

Other Meds: Levothyroxine Atorvastatin

Current Illness:

ID: 1107647
Sex: M
Age: 51
State: IN

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
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: Chills, fever, aches and pains, sinus headache

Other Meds:

Current Illness:

Date Died: 03/13/2021

ID: 1107648
Sex: M
Age: 89
State: IL

Vax Date: 02/01/2021
Onset Date: 03/08/2021
Rec V Date: 03/17/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Developed leukemia and kidney failure. Died in 6 days.

Other Meds:

Current Illness:

ID: 1107649
Sex: F
Age: 44
State: KS

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: Progress Notes APRN (Nurse Practitioner) ? ? Family Medicine Cosign Needed Expand AllCollapse All COVID VACCINE CLINIC 3/16/2021 Patient Date: 3/16/2021 Subjective Patient is a 44 y.o. female who was seen at COVID Vaccine Clinic today for her first dose of the COVID 19 vaccination. She was given the Pfizer vaccination in the left deltoid muscle. During her 15 minute waiting period after the injection, the patient began to experience headache. She denied rash, hives, difficulty breathing, difficulty swallowing, wheezing, throat tightness, hoarseness, stridor, itching, lightheadedness, dizziness and facial swelling. This provider was notified of patient reaction and she was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to blood pressure abnormality , chest pain and rapid progression of symptoms. PMH includes htn Currently taking lisinopril and hctz. ALLERGY REVIEW OF SYSTEMS: Patient complains of headaches Patient denies chills, fever, malaise/fatigue, facial swelling, sore throat, frequent throat clearing, eyes watering, eyes itching, cough, chest tightness, shortness of breath, wheezing, rash, hives, itching of skin, vomiting, abdominal pain, muscle aches, joint pain and dizziness Previous Reactions: none Objective Vitals Vitals: 03/16/21 1103 BP: 120/88 Pulse: 71 SpO2: 100% Physical Exam Constitutional: General: She is not in acute distress. Appearance: Normal appearance. She is well-developed. She is not diaphoretic. HENT: Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. Eyes: Extraocular Movements: Extraocular movements intact. Conjunctiva/sclera: Conjunctivae normal. Pupils: Pupils are equal, round, and reactive to light. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulses: Normal pulses. Heart sounds: Normal heart sounds. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: She is alert and oriented to person, place, and time. Gait: Gait normal. Psychiatric: Mood and Affect: Mood normal. Behavior: Behavior normal. Thought Content: Thought content normal. Judgment: Judgment normal. Assessment/Plan Treatment included: water, snacks and tylenol Follow up response to treatment: excellent. Patient discharge: Stable to go home and follow up with PCP. Differential Diagnosis: Red flag symptoms (CP, SOB, NVD, Visual/Neuro concerns) Headache VS stable. Exam unremarkable. Monitor at home. Follow up with pcp. Pt walked out with son w/o assistance. APRN Electronically Signed 3/16/2021 11:02 AM

Other Meds:

Current Illness:

ID: 1107650
Sex: F
Age: 71
State: WV

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/17/2021
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: Bacitran Eye Solution CodiClear Codine Sulfa Monistat

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

Symptoms: 3/10/2021-Shot given at 9:30 AM. in the afternoon was very tired and achy. Had a headache and glands felt swollen.Took a 2 1/2 hour nap. 3/11/2021- Flu like feeling. Pounding headache, tired, sore muscles, injection site was sore, low grade temperature.( 99.9, 99.5, 100) 3/12/2021- Headache,feeling tried and unwell. Injection site very itchy and staring to swell 3/13/2021-two areas on the left arm are swollen and very itchy. Top swelling in arm near the injection site. Lower swelling is 2 inches by2 inches large 3/14/2021-Swelling in arm increased to 3 inches x 3 inches at the widest spots. Arm was red, hot to the touch and very itchy. 3/15/2021-Swelling in arm was the same. Call Dr. Was told I had " COVID arm"

Other Meds: Atenolol 12.5mg 2x daily Astepro 0.15 1 spray 2xdaily Dulera 100mcg/5mcg 2puffs 2x daily Famotidine 30 mg 1 daily Fluticasone 50mgc 1 spray 2x daily Hydrochlorothiazinde 12.5.mg 1 x daily Premarin 1 gm 2 x weekly Xiidra 5% 2 x daily Alka-Se

Current Illness:

ID: 1107651
Sex: F
Age: 26
State: NY

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 03/17/2021
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

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

Symptoms: 1 week following the first Moderna injection, the injection site became itchy, red, and swollen. It was tender and painful to the touch. The reaction lasted about 1-2 full days and was fully cleared up by 1/21. I contacted my doctor via telephone on the morning of 1/19 and was relayed a message that the side effects were normal and I shouldn't be concerned. I asked to speak directly to my doctor, which I finally did on 1/21, and by that time the reaction has cleared up.

Other Meds: Escitalopram Topirimate Methylphenidate Cetirizine Vitamin C Vitamin D

Current Illness: None

ID: 1107652
Sex: F
Age: 40
State: IN

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: N/a

Symptom List: Pain in extremity

Symptoms: Fever/chills, intense body aches, headache, occular blurring, muscle weakness, loss of appetite

Other Meds: N/a

Current Illness: N/a

ID: 1107653
Sex: F
Age: 63
State: TX

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: body aches, sweats, vomiting/diarrhea,

Other Meds: extra strength tylenol

Current Illness: none

ID: 1107654
Sex: F
Age: 20
State: FL

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/17/2021
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: Dogs

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

Symptoms: Hives on stomach and arms

Other Meds: None

Current Illness: None

ID: 1107655
Sex: F
Age: 47
State:

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Persistent lightheadedness, chest pressure, and shortness of breath. Transported to ED.

Other Meds:

Current Illness:

Date Died: 03/15/2021

ID: 1107656
Sex: M
Age: 69
State: MI

Vax Date: 03/03/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
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: no known allergies

Symptom List: Vomiting

Symptoms: Patient was found dead on 3/15/2021

Other Meds: Abilify 10mg daily Bumex 1mg daily B12 injection monthly Wellbutrin xl 300mg daily Cardizem 30mg three times daily levothyroxine 200mcg daily metoprolol 50mg twice a day multivitamin xarelto 20mg daily Butrans 15mcg/hr patch weekly midodrin

Current Illness: Unknown

ID: 1107657
Sex: F
Age: 22
State: NY

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
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: Unknown

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt reported to the vaccination area stating that she had a history of fainting after medical procedures, including vaccination. Was with her mom, in case she had an issue. Vaccination without incident. Kept pt at the vaccination area to observe. About three minutes after receiving the vaccination, pt started to shake. Was conversing. Stated she was warm, so got her a cold bottle of water. Stated she was dizzy so helped her to the floor to lay down. She had contractions of her hands, which she stated that they were numb. She recovered from the dizziness, but then had a panic attack. Her BP was normal, but her heart rate became elevated. Had her lay down until she felt better, helping to slow her breathing. After about 40 minutes,p t felt good enough to sit in the recovery area. Ensured she had water and some food to help prevent a blood sugar drop.

Other Meds: anti-anxiety and anti-depressive medications

Current Illness: unknown

ID: 1107658
Sex: F
Age: 43
State: MI

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
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: none

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

Symptoms: Roughly 8 hours later, mild headache that increased, followed by fatigue and sweating. Roughly 20 hours later I have a burning right eye that has continued into the day 3/17/21.

Other Meds: n/a

Current Illness: none

ID: 1107659
Sex: M
Age: 72
State: VA

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
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: None.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Had the vaccine on 3/10/21, and had no issues. On Saturday 3/13/21 he woke up and he had a dark, red, raised rash, several large patches across his stomach, around his right side of his body. Today, 3/17/21 he is uncomfortable with it and it's blistering, painful rash, not itchy. He has not taken anything for it.

Other Meds: Prednisone, Spiriva, ProAir, Vitamin D, low dose Morphine.

Current Illness: None.

ID: 1107660
Sex: F
Age: 46
State: TN

Vax Date: 02/05/2021
Onset Date: 03/16/2021
Rec V Date: 03/17/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Date of 2nd vaccine Feb 5, 2021:A few hours after 2nd round of vaccine I felt tired, achy, & soreness at injection site..symptoms went away within 24 hours......... Date Mar 16, 2021: around 3pm started feeling extremely tired, fatigued ...came home around 4pm, went to sleep, slept over 12 hours, woke up this morning Mar 17th exhausted, fatigued, & my injection site extremely sore like I?ve just had the vaccine in my arm. Not at all normal for me at all. I called health facility & they said just watch for rash or if I get really sick go to dr. But this isn?t normal and needs to be documented

Other Meds: NA

Current Illness: NA

ID: 1107661
Sex: M
Age: 69
State: WI

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/17/2021
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: Major rash lower legs; major swelling all of right foot with pain in right big toe; increased sciatica that had been much improved with pain in lower back

Other Meds: 5 mg enalapril; 5 mg atorvastatin. Both daily. Gabapentin for sciatica. Vitamin D3; Coenzyme Q10; Magnesium tab; Glucosamine-chondroitin tab; multivitamin for over 50; Omega-3 tabs -2; Vitamin C tab

Current Illness: Sciatica and lower back pain; minor grout right toe joint

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm