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: 1107770
Sex: M
Age: 61
State: IN

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: 23 HOURS AFTER VACCINE DEVELOPED LIP SWELLING , BODY PRURITIS, AND BILATERAL BLOTCHY HANDS. ABDOMINAL PERIUMBILICAL PAIN. SYMPTOMS LASTED 12 HOURS. STARTED ON OZEMPIC 7 WEEKS AGO AND HAD SAME ABDOMINAL PAIN 3 WEEKS AGO BUT NONE OF THE OTHER SYMPTOMS. THIS ABDOMINAL PAIN MAY NOT BE RELATED. IMPRESSION: PROBABLE ALLERGY TO MODERNA. PCP WAS NOTIFIED BY VACCINE CLINC. PATIENT ADVISED TO SEE ALLERGIST IF HE CHOOSES TO PROCEED WITH SECOND DOSE OF MODERNA.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1107771
Sex: F
Age: 68
State: OK

Vax Date: 03/03/2021
Onset Date: 03/11/2021
Rec V Date: 03/17/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Got COVID shot March 3, then had some alteration of taste around March 8 or so, then L facial paralysis consistent w Bell Palsy on March 11.

Other Meds: amitriptyline, vitamin D, fluoxetine, Norco, Basaglar, levothyroxine, lorazepam, losartan, metformin, pantoprazole, rosuvastatin, triam-HCTZ

Current Illness:

ID: 1107772
Sex: F
Age: 68
State: IN

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: None

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

Symptoms: Severe arm pain - could not lift arm for 2 1/2 days, injection site bruise, 101 temp first 36 hours, 100.2 next 24 hours, extreme fatigue (slept 18 hours day after injection).

Other Meds: Rouvastatin 10, hydrocodone-acetam 5-325, allopurinol 300, hydralazine 25, omeprozole 20, gabapentin 200, valsartan 320, vitamin D2 1.25, alendronate sodium 70

Current Illness: None

ID: 1107773
Sex: U
Age:
State: AZ

Vax Date:
Onset Date:
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Approximately 3 hours after receiving the injection, I developed chills, body aches, joint pain and extreme fatigue (and a sore arm at injection site). No fever. The only symptoms remaining upon waking the next morning were slight fatigue and a sore arm. All symptoms were gone the next day.

Other Meds:

Current Illness:

ID: 1107774
Sex: F
Age: 69
State: FL

Vax Date: 02/06/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Raw shell oysters and clam. Raw only. I tolerate cooked shellfish.

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

Symptoms: Lips, tongue and inside mouth are swollen. Tastebuds are overly active. Feels like I?ve eaten hot food and burned my mouth. Tongue and lips have a tingle sensation

Other Meds: Keppra, losartin, tricor, eliquis , Crestor

Current Illness: None

ID: 1107775
Sex: F
Age: 68
State: MD

Vax Date: 02/25/2021
Onset Date: 03/15/2021
Rec V Date: 03/17/2021
Hospital: Y

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: 03/15/2021: Presented to the emergency department with left flank pain. The patient was admitted with an obstructing kidney stone with associated hydronephrosis. The patient had a ureteral stent placed and discharged the next day with outpatient follow up.

Other Meds:

Current Illness:

ID: 1107776
Sex: F
Age: 42
State: WV

Vax Date: 02/25/2021
Onset Date: 03/05/2021
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: 7 days after injection: 1. large swollen red patch, itchy, resolved within 36 hours. 2. mild headaches, headaches continues and increased in intensity as time went on. 14 days after injection: dizzyness and mild motion sickness, headaches. mostly resolved by 3/17/21

Other Meds: levothyroxine, vitamin D

Current Illness: None

ID: 1107777
Sex: F
Age: 71
State: PA

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

Lab Data:

Allergies: strawberries, possible reaction to contract dye- anapylactic reaction

Symptom List: Pharyngeal swelling

Symptoms: pt was experiencing extreme anxiety prior to vaccination today, high bp following initial dose with dizzy spells, pt is alert and stable, resting comfortably, pt bp returned to wnl after spending time in the observation tent, observed pt walking- pt is steady, no dizziness, pt felt comfortable to drive herself home.

Other Meds: eliquis, asthma inhaler, famodadine

Current Illness: asthma

ID: 1107778
Sex: F
Age: 66
State: CA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: Unk

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Injection was apparently given in the bicep area as opposed to the deltoid. Patient complained of soreness and swelling thereafter (which is improving by the time she comes in for her second vaccination,) but she still has some limitations in range of motion which inhibits her work as a sign language interpreter. She has had no distal paresthesias or weakness, just soreness surrounding the site which she indicates to be the left inferolateral bicep area where there is a minute reddish (presumed) puncture site and underlying induration.

Other Meds: Unk

Current Illness: Unk

ID: 1107779
Sex: M
Age: 69
State: NJ

Vax Date: 03/06/2021
Onset Date: 03/15/1921
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: Mold

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Small Pox vaccination scar has swollen and itches

Other Meds: None

Current Illness: None

ID: 1107780
Sex: F
Age: 64
State:

Vax Date: 03/01/2021
Onset Date: 03/11/2021
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:

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

Symptoms: severe insomnia

Other Meds: vitamins D, C, B, 5HTP

Current Illness:

ID: 1107781
Sex: F
Age: 35
State: IL

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: HEADACHE, CHILLS, AND SORE THROAT

Other Meds:

Current Illness:

ID: 1107782
Sex: F
Age: 57
State: MI

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Patient was sitting in waiting area post vaccination. A pharmacist from the vaccination area was called over to her because she was not feeling well. As the pharmacist was speaking with her patient fainted. Pharmacist was holding on to her to keep her from falling. I went over and took her BP which was 65/44, pulse 53. After a few minutes patient regained consciousness and was able to give us her information. 911 was also called. Patient reports a history of severe reaction to Penicillin. Patient reports history of syncope at eye doctor's office. Her BP was taken again at 10:20am and was 98/72, pulse 70. 911 arrived and patient chose to be taken to hospital.

Other Meds:

Current Illness: none reported

ID: 1107783
Sex: M
Age: 45
State: NC

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: 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: Numbness and tingling in (L) arm shot taken, and face.

Other Meds: daily vitamin Prescribed hctz/lisinopril but hadn't taken it yet for the day Prescribed sertraline but hadn't taken it yet for the day

Current Illness: none

ID: 1107784
Sex: F
Age: 58
State: MI

Vax Date: 01/09/2021
Onset Date: 01/11/2021
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: demerol - rash penicillin - rash stadol - rash

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

Symptoms: Received first dose of Pfizer vaccine 1/9/2021. On 1/11/2021 developed headache, body ache, sore throat, nasal congestion. PCR positive for COVID-19.

Other Meds: B-complex vitamin, cholecalciferol, estradiol, krill-om-3-dha-epa-phospho-ast, progesterone

Current Illness: chronic fatigue

ID: 1107785
Sex: F
Age: 63
State:

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

Lab Data:

Allergies:

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

Symptoms: Dizzy, headache. Left chest pressure. Said she has an appointment with cardiologist this week. She was seen in Emergency room last week with same complaint and was told it was bone or muscle, not heart. All symptoms resolved when she left.

Other Meds: Prednisone and inhaler for asthma

Current Illness:

ID: 1107786
Sex: M
Age:
State: IN

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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: None

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

Symptoms: Chills, headache, fever, joint pain, muscle pain, zero energy, lack of appetite.

Other Meds: Cosopt, lumigan, estemide, metoprolol, losartan

Current Illness: First vaccine shot reaction lasted 30 hours.

ID: 1107787
Sex: M
Age: 44
State: NC

Vax Date: 03/12/2021
Onset Date: 03/12/2021
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: Hx of anaphylaxis to Haldol.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Moderna vaccine dose 1 was administered at around 1:40 PM. Pt reports itchiness, N/V,and dizziness about 10 minutes after injection. Epinephrine 0.3 mg administered IM LVG 15 minutes post vaccine. S/S resolved for about 5-10 minutes. S/S returned including SOB, with throat/tongue/lip swelling and tingling. Started PT on 2 L O2 via NC. Administered another 0.3 mg of epinephrine IM LVG. S/S did not resolve so another 0.3 mg of epinephrine was administered IM LVG. Patient still reported SOB, generalized itchiness, and throat swelling. 125 mg of Solumedrol was then administered IM RVG. 50 mg of diphenhydramine was administered IVP in the left forearm. EMS was called and patient refused transport to hospital. S/S resolved.

Other Meds: Fluoxetine, Seroquel, and Singulair taken on 03/11/2021.

Current Illness: Patient reports no illness within the past month.

ID: 1107788
Sex: M
Age: 66
State: IN

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Mild flu-like feeling, very tired, no appetite, only wanted to rest and sleep. I check my blood pressure often and during the day after my shot my pressure was high all day, at one point was 160 over 90. As of today, the 17th of March, my pressure has gone down to normal. My symptoms lasted just over 30 hours.

Other Meds: None

Current Illness: None

ID: 1107789
Sex: M
Age: 55
State:

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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:

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

Symptoms: Fever, chills, nausea, vomiting, diarrhea, body aches

Other Meds:

Current Illness:

ID: 1107790
Sex: F
Age: 66
State: KY

Vax Date: 03/01/2021
Onset Date: 03/02/2021
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: None

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

Symptoms: 2 weeks sore at injection site and limited shoulder movement.

Other Meds: Multi vitamin

Current Illness: None

ID: 1107791
Sex: F
Age: 61
State: NY

Vax Date: 03/14/2021
Onset Date:
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: unknown

Symptom List: Unevaluable event

Symptoms: brief swelling at injection site, gave patient loratadine, swelling then started to decrease. Patients son (nurse) claimed to have seen this before and said it was a mild allergic reaction. Called patient next day, said she was fine just a little sore.

Other Meds: unknown

Current Illness: unknown

ID: 1107792
Sex: M
Age: 28
State:

Vax Date: 02/17/2021
Onset Date: 03/17/2021
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: Cold, fever, chills, body ache, no energy. Felt as though patient had a cold. Fever was very high to the point body was sweating. Took Tylenol( one tablet of 500mg) few hours after onset of symptoms. Fever went down after taking Tylenol and was able to sleep well after. Getting better throughtout the day after.

Other Meds: None

Current Illness: None

ID: 1107793
Sex: F
Age: 31
State:

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

Lab Data:

Allergies: Allergic to Gabapentin

Symptom List: Injection site pain, Pain

Symptoms: Headache for 72 hours after injection. Low grade fever, chills, and weakness 24 hours after injection lasting approximately 16 hours.

Other Meds: Oral contraceptive, Lexapro, antihistamine, multivitamin, magnesium, Vitamin D

Current Illness: None

ID: 1107794
Sex: F
Age: 55
State: WV

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: after about 45 minutes, both wrists starting to rash and itch. It spread to my chest, neck, back and stomach. The itch was kind of a stinging itch and my palms were hot. I called the facility and they asked me to come by so they could look at it. They said it was a reaction but not severe enough for an epi pen. They told me to go to my Dr, which had left for the day so I went to MedExpress. My bp on arrival was 150/98. They gave me a shot of Decadron. My bp went down to 120/80 before leaving and my itch had eased a little. They prescribed 5 days of Prednisone and Zyrtec. The next morning, I had a severe headache and could not concentrate, I felt a little itchy and tired. Today, no rash or itch just nervousness on the inside from the prednisone and my hands are still hot sometimes.

Other Meds: Centrum Silver Multivitamin

Current Illness: none

ID: 1107795
Sex: F
Age: 68
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/27/2021
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: sulfa

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

Symptoms: pt stated that both hands and arms started itching. She took Zyrtec and Allegra on them which did not help. She developed a rash on the palms of her hands, bottoms of her feet, upper right arm and right thigh. She contacted her doctor and was told to use Benadryl. This helped very little. Pt went to the doctor where she was given a steroid shot and prescribed a steroid cream to use for 1 week. She was not advised not to get the 2nd dose. She had an annual appt to see her Dermatologist and they drained a cyst that had developed on her back. The doctor thinks this developed from the infection from the rash her body was fighting but was advised to get the 2nd dose. The skins on her hands and feet peeled off so she went back to her PCP. She was referred to an allergist and prescribed her more steroid cream. Pt went to allergist which did a scratch test for 75 different foods and a blood test for blueberries (these were eaten about the time the rash appeared) which were both negative. Pt took the 2nd dose of the covid vax where she only had a little itching and a minor rash. She applied triamcinolone acetonide which helped. Pt says she no longer has any of these symptoms.

Other Meds: Lisinopril, metformin, sertraline, Januvia, rosuvastatin, famotidine, B complex, ginkgo-biloba, multiitem, Vegan glucosamine sulfate,

Current Illness: no

ID: 1107797
Sex: M
Age: 58
State: MD

Vax Date: 03/07/2021
Onset Date: 03/17/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: severe muscle pain on injection site 10 days after getting dose. i could barely move my left arm

Other Meds: telmisartan/amlodipine turmeric

Current Illness:

ID: 1107798
Sex: M
Age: 27
State: GA

Vax Date: 03/13/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Soy

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever starting roughly 12 - 16 hours after injection, lasting at least three days. Soreness and fatigue. Occasional nausea

Other Meds: Antihistamine tablets daily for allergies Tylenol prior to vaccination

Current Illness:

ID: 1107799
Sex: F
Age: 66
State: MD

Vax Date: 03/08/2021
Onset Date: 03/17/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Developed a rash around injection area in left arm 9 days after injection.

Other Meds: Levothyroxin 112 mcg, atenol/chlor 50-25, gabapentin 300 mg 2 tab 3 x day, 81 mg aspirin

Current Illness: no

ID: 1107800
Sex: F
Age: 43
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: RA

Lab Data:

Allergies: no

Symptom List: Nausea

Symptoms: day after i had nausea and fatigue some dizziness. later in the evening i started to develpo a rash on my forarms. The right arm seems to be worse i took a benadryl and have not noticed any improvment. Itching seems to be spreading.

Other Meds: numbatone, xanaflex ,synthroid, valium

Current Illness: had a sinus cold a few weeks prior

ID: 1107801
Sex: F
Age: 73
State:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Extreme arm pain (9 out of 10 on pain scale), hip pain (7 out of 10 on pain scale), and pain in the joints of the fingers (10 out of a 10 on pain scale)...could not bend fingers and woke her up several times throughout the night

Other Meds:

Current Illness:

ID: 1107802
Sex: F
Age: 78
State: TN

Vax Date: 02/12/2021
Onset Date: 02/14/2021
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: Codin

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

Symptoms: 3 days after vaccine experienced fever, extreme muscle pain, extreme bone pain, head ache, chills. 13 days after vaccine experienced extreme swelling in glad under left ear and down the neck under chin. Ear ache in both ears but worse in the left ear. Visited physician next day and was prescribed an antibiotic. Was better in 14 days.

Other Meds: Methotrexate, Hydroxychloroquine, Pantoprazole, Folic Acid, Fish Oil, Calcium , Vitamin D3

Current Illness: Arthritis

ID: 1107803
Sex: F
Age: 37
State: KY

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: allergic to cipro

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

Symptoms: Dizziness, numbness in left arm, heart palpitations, nausea, blurred vision. Began within the hour of the dose. Dizziness, arm numbness, blurred vision lasted less than 24 hours. Heart palpitations lasted 3 days. Breastfed twins also fussy, irritable, trouble sleeping, smaller appetites for three days.

Other Meds: prenatal vitamins

Current Illness: na

ID: 1107804
Sex: M
Age: 58
State: MN

Vax Date: 03/04/2021
Onset Date: 03/08/2021
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: None

Symptom List: Tremor

Symptoms: Severe left arm pain for 2 weeks after injection. Left lateral numbness on the outside of left leg just above, through, and below the knee.

Other Meds: MaxFlow

Current Illness: None

ID: 1107805
Sex: M
Age: 73
State: NY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: Bee stings

Symptom List: Erythema, Pruritus

Symptoms: Chills, general muscle aches and fatigue. These occurred on the day after the vaccination in the early afternoon and continued through bedtime. The next morning they were generally all gone.

Other Meds: Irbesartan, metoprolol, Levalbuterol; lutein, B12, D3, Benadryl

Current Illness:

ID: 1107806
Sex: F
Age: 64
State: MO

Vax Date: 02/22/2021
Onset Date: 02/25/2021
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: LISINOPRIL

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

Symptoms: 3 DAYS AFTER SHOT, LIP SWELL- NORMALLY FIRST STAGE FOR ANAPHYLAXIS SHOT. TREATED WITH CLARITIN TO REMOVE SWELLING. HAD PREVIOUS REACTION BEFORE. STILL UNDETERMINED WHY I STILL GET THAT REACTION AFTER NOT TAKING LISINOPRIL FOR MANY YEARS. 6 DAYS AFTER-TONGUE SWOLLEN ON LEFT SIDE ONLY- TREATED WITH CLARITIN TO STOP SWELLING

Other Meds: Triamterene 37.5 mg / HCTZ 25 MG TABS Amlodipine Besylate 5 MG TABS CENTROM 50+ VITAMINS

Current Illness: NONE

ID: 1107807
Sex: F
Age: 16
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
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: Unknown

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

Symptoms: This 16 year old was given the first dose of the Covid-19 vaccine. No known adverse outcomes. On 3/16/2021 in accordance with agency and manufacturer recommendations and after consultation with the hotline the patient was given the second dose of the Covid - 19 vaccine to complete the series. No known adverse outcomes.

Other Meds: Unknown

Current Illness: Unknown

ID: 1107808
Sex: M
Age: 83
State: MD

Vax Date: 02/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/17/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 03/13/2021: Presented to the emergency department with cough and shortness of breath. The patient was admitted for pneumonia based on CT of the chest showing bilateral infiltrate on the upper part mainly on the right side along with bilateral pleural effusion mainly on the right. The patient is still admitted and has undergone a thoracentesis. Covid-19 negative.

Other Meds:

Current Illness:

ID: 1107809
Sex: F
Age: 32
State: MD

Vax Date: 03/10/2021
Onset Date: 03/17/2021
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: non

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

Symptoms: Red rash measuring 1.5" dia at injection site. Tender, non-itchy

Other Meds: herbal remedy - xiao yao san

Current Illness: none

ID: 1107810
Sex: F
Age: 45
State: MA

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

Lab Data:

Allergies: None

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

Symptoms: Extreme chills, body aches, headache, ear pain. Not accompanied by fever. Began 5.5 hours after injection . Chills subsided 10 hours after onset. Headache treated with ibuprofin 10 hours after onset.

Other Meds: None

Current Illness: None

ID: 1107811
Sex: F
Age: 31
State:

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

Lab Data:

Allergies: NKDA

Symptom List: Pain in extremity

Symptoms: About 20 minutes after injection Itching in throat and cheeks. Bumps in back of throat present. Alert, speaking in full sentences, sensation did not worsen. Gave 25mg Benadryl and symptoms improved.

Other Meds:

Current Illness:

ID: 1107812
Sex: F
Age: 31
State: AZ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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: Aspirin

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

Symptoms: About 45 minutes after the vaccine, I got home and started having bad chills all over my body, headache and feeling really tired. I was very sleep without any strength. The next morning I woke up with my body hurting I couldn't get out of bed and I had a fever, my body was not functioning like it normally does. All I did the next day was sleep, take Tylenol and drink some Gatorade. I went to an Urgent Care, they told me that the side effects were normal, but just back to them If I couldn't walk or symptom worsen. They were looking for if I didn't have any strength in my legs to walk. The lasted about 5 days and I have recovered.

Other Meds:

Current Illness:

ID: 1107813
Sex: F
Age: 82
State: MD

Vax Date: 03/02/2021
Onset Date: 03/02/2021
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: patient stated she has had anaphylaxis in the past from another vaccine

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

Symptoms: Patient called to report that her face got red and swollen within 45 minutes of vaccine and she had a rash on her face and she had a little bit of throat swelling and was speaking like a frog and it was hard to swallow. She said within 3 days her legs started to go numb and especially her thigh muscles and her veins in her left foot were engorged. She said she went to the ER and they rxed 40mg prednisone for 4 days and her papers from the ER read "allergy." When I spoke to her for the second time and advised her she does not qualify for a second moderna vaccine, patient said that when she went to the ER she went for abdominal swelling, leg swelling, leg numbness, and swelling of the left ankle and foot. I confirmed with her that her symptoms have all improved and she said "yes, tremendously." She said she spoke to her PCP and at least one additional doctor yesterday.

Other Meds:

Current Illness:

ID: 1107814
Sex: M
Age: 56
State: VA

Vax Date: 03/01/2021
Onset Date: 03/16/2021
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: No

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

Symptoms: Chills headache fever joints muscle pain fatigue

Other Meds: Allapurnol. Lisninopral

Current Illness: No

ID: 1107815
Sex: M
Age: 29
State: NY

Vax Date: 03/09/2021
Onset Date: 03/11/2021
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: None

Symptom List: Vomiting

Symptoms: 12 hours after my shot I developed a severe headache and fever of 102. This persisted for about 7 hours. Then the fever decreased to about 100.5 for the next 24 hours. After my fever broke, however, I developed a chest cough with some phlegm. This feels like bronchitis and my doctor has prescribed azithromycin. I also feel rolling fatigue, which comes on randomly. The cough and fatigue has persisted so far for 6 days. In addition, though I do not have a fever most of the day, on some nights my fever spikes (last night, reaching 102 for a short period of time while trying to sleep). It has been 8 days since my injection. I have very little appetite (though I can smell and taste fine).

Other Meds: None

Current Illness: None

ID: 1107816
Sex: F
Age: 53
State: NC

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

Lab Data:

Allergies: Just rabbits.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Friday: 3/12/2021: 4:30 PM mild headache and right arm pain, 6:30 PM no headache but then body aches, 8:00 PM chills, all over severe joint and body aches, temperature, chills, nausea, and no sleep due to symptoms that 3/12 Friday night. Saturday: 3/13/2021: Friday PM severe symptoms continued (reasonable left arm pain from injection, severe joint and body aches, temperature, chills, nausea, no sleep due to pain) all day. Sunday: 3/14/2021 (milder systems of those I experienced on 3/13/2021) All symptoms eased up around 8:00 PM Left corner of upper and lower lip numbness and left tip of tongue numbness started at ~5:00 PM) Was able to sleep. Monday: 3/15/2021 tired, left side of upper and lower lip numbness and left tip of lounge numbness continued but went away by 5:00 PM

Other Meds: Vitamin D3 & Multivitamin, Citalopram

Current Illness: None

ID: 1107817
Sex: F
Age: 51
State: CA

Vax Date: 03/05/2021
Onset Date: 03/12/2021
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: RA

Lab Data:

Allergies: Bee strings and bug bites

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

Symptoms: I week after getting the shot my left around around the area of injection swelled, turned red and warm, and was very itchy. 4 days later the swelling went down, but still was itchy and my joints ached.

Other Meds: Lisinopril, vitamens

Current Illness: No

ID: 1107818
Sex: F
Age: 61
State: NC

Vax Date: 03/01/2021
Onset Date: 03/02/2021
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: Mango Pistachio

Symptom List: Injection site swelling, Limb discomfort

Symptoms: To clarify I had tested positive for COVID 1/4/2021 was sick with symptoms for 16 days. Received vaccine on 3/1 experienced within 24 hours fever high as 102.5, exhaustion, aches in legs, pain in back and a severe headache these lasted for about 24 hours. After the 24 hours I experienced 2 days of complete malaise.

Other Meds: Diovan 80 mg

Current Illness: None

ID: 1107819
Sex: F
Age: 74
State: TX

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

Lab Data:

Allergies: iodine,shellfish biaxin pcns, cephalosporins tenorin avelox? servant alltace metoprolol percocet zyrtec gabapentin ceclor crestor dexilant dilaudid sertraline fluconazole bystolic diclofenac sodium

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

Symptoms: weakness started at 9:00-9:30 pm, she said she started having trouble standing up to go to the bathroom. ?hit me like a ton of bricks?. she was able to get back in bed and sleep but she called me at midnight saying she was stuck half on and half off the bed. she was having difficulty sitting up, had tried to get up and got stuck diagonally half on and half off of her bed. her heart rate was 110, but she said that?s not unusual for her. she was sweaty, possibly had a fever, and said she had thrown up. she was having trouble holding her bladder, which she said she usually is able to make it to the bathroom but couldn?t last night. this morning she tried to get up and her feet couldn?t support her and she went down to her knees and got stuck until we got help to get het back up. this morning she is still nauseous, weak, and has a bad headache

Other Meds: albuterol nebulizer coq 10 potassium verapamil prednisone eye gtts moxifloxacin eye gtts ketorolac eye gtts centrum aspirin plavix levo thyroxine lorazepam

Current Illness: recent cataract surgery

ID: 1107820
Sex: M
Age: 19
State: CT

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

Lab Data:

Allergies: None

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

Symptoms: A few minutes after the pt received his first dose of the Moderna COVID19 he began to feel light headed and nearly passed out. Pt was laid on cot. BP 100/60 HR 91 RR 16 O2Sat 99% . EMS called and evaluated pt. Pt reported feeling "much better." Pt signed refusal with EMS for transport to the hospital. RN called pt's mother to come pick him up. Pt was advised not to drive. Pt was given ED precautions and advised to contact his PCP. Pt was also given the contact information to have his second dose at the high risk clinic.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm