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: 1110394
Sex: F
Age: 49
State: IL

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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: Sulfa antibiotics, Hibiclens, bakers yeast

Symptom List: Dysphagia, Epiglottitis

Symptoms: Soreness at injection site, sleepiness, headache

Other Meds: N/A

Current Illness: D.I.S.H, Rheumatoid Arthritis, Osteoarthritis, Asthma

ID: 1110395
Sex: F
Age: 27
State: NC

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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: NA

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe chills starting at 1:30 am 17Mar21 followed by fever/sweats at approximately 3:00 am 17Mar21, Headache and body aches 8 am 17Mar21, vomiting 10 am 17Mar21. Headache and body aches present until 10:30 pm 17Mar21.

Other Meds: NA

Current Illness: NA

ID: 1110396
Sex: M
Age: 71
State:

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/18/2021
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: shot on March 4th. shot site stiff for 36 hours ( not bad). then?.elbow pain in OTHER arm and next morning, no strength in the arm or hand. and?.all joints and tendons from below shoulder hurt (wrist especially). burning sensation in forearm or upper arm at times.

Other Meds:

Current Illness:

ID: 1110397
Sex: M
Age: 73
State: GA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Day of vaccine: sore arm at vaccine site. Second day: Total body fatigue, Light headed, Balance could not stand or walk alone, slept all the following day, no appetite, diarrhea. These lasted the entire second day. Third day: fatigue, light headed, could not stand or walk alone, slept most of the day. Slightly better appetite. Fourth day: appetite is better, he can stand and walk although not very well. Still weak. Improving slowly.

Other Meds: Carbidopa 25/Levodopa 100 SA, Donepezil HCL10, Carbidopa 25/Levodopa 250, Memantine HCL 10 Probiotic, Vitamin B complex, Vitamin C, Vitamin D,

Current Illness: Parkinsons

ID: 1110398
Sex: M
Age: 78
State:

Vax Date: 03/02/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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: Hypertension (systolic over 180). Treatment is addition of a second blood pressure medication. I have had onset of hypertension approximately 2 weeks after the first dose of the Moderna vaccine, and now again 2 weeks after the second dose. Note that I take losarten daily, and this event reflects sudden, uncontrolled hypertension onset two weeks after vaccination while on medication, with no other identifiable causes (sodium/caffeine intake was reduced after first AE).

Other Meds: Losarten

Current Illness:

ID: 1110399
Sex: F
Age: 37
State: CA

Vax Date: 03/04/2021
Onset Date: 03/11/2021
Rec V Date: 03/18/2021
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: Toroidal Zoloft Adhesives (plastic tape, crafting glues)

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

Symptoms: 7 days after extreme soreness at injection sight 8 days after redness, swelling, heat, pain at injection sight. Pain and swelling responded to Advil. 9 days after everything for day 8 plus itchiness and spread of red rash around injection sight. Rash got to be the size of my hand. Went to urgent care and started taking doxycycline 100mg twice a day as prescribed 10 -11 days after swelling and heat went away. Rash redness and itching got worse at injection site. Red itchy bumps around wrists and up forearm to elbow and on lower back began to appear. 13 days after bumps on forearms seem to be improving but a small nickel sizes rash appeared on inside right forearm. Rash at injection has gotten smaller, about palm size. Still itchy

Other Meds: Women's daily vitamin Sugarbear hair gummies

Current Illness: None

ID: 1110400
Sex: F
Age: 60
State: NC

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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: PCN, Zofran, adhesives

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Extreme fatigue, muscle aches, headache, light-headed, weakness. Still very fatigued.

Other Meds: Propranalol, Xeljanz, Gabapentin, Pmeprazole, Duloxetine,

Current Illness:

ID: 1110401
Sex: M
Age: 32
State:

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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: pt. complain of sore throat and tingling of his right hand after the pfizer vaccination The symptoms were resolved and pt. went home in stable condition.

Other Meds:

Current Illness:

ID: 1110412
Sex: F
Age: 35
State: MN

Vax Date: 02/21/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: AMOXICILLIN

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: SARS-CoV-2 positive PCR test following full vaccination series against COVID-19

Other Meds: LEVOTHYROXINE, NOVOLOG, TRESIBA, TRI-ESTARYLLA

Current Illness: UNKNOWN

ID: 1110413
Sex: F
Age: 66
State: CA

Vax Date: 02/14/2021
Onset Date: 03/08/2021
Rec V Date: 03/18/2021
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: Extreme dizziness on March 8th which progressively diminished the next 10 days. After 10 days, dizziness was gone. No specific treatment.

Other Meds: None

Current Illness: None

ID: 1110414
Sex: F
Age: 69
State:

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 03/18/2021
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

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

Symptoms: Not sure exact date started. Thought maybe due to Hand Sanitizer, so used Cortizone cream and tried anti fungal without relief. Small bumps on some inner fingers and dry, rough with some peeling on both insides of fingers and some on right palm. Not on fronts or backs of fingers. Had doctors appointment with my new PMD on 3/9. She prescribed Triamcinolone Acetonide Cream, 0.1%. No more rash, dryness persists but less. Have also used Acquaphor Oint some nights during sleep. At least 3 weeks not completely resolved, but getting there.

Other Meds:

Current Illness: None

ID: 1110415
Sex: M
Age: 76
State: PA

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
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: NKDA , no food allergies

Symptom List: Rash, Urticaria

Symptoms: popular erythematous rash in patches, scattered from right shoulder down the right arm, with mild itching. no edema. no vesicles. no pain. no treatment required. suspicious for early shingles vs "covid arm." started on day 3 after vaccine, and worsened over next several days.

Other Meds: lovastatin, Flonase, losartan

Current Illness: no recent illnesses

ID: 1110416
Sex: F
Age: 64
State: CT

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, nystatin powder, zocor

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

Symptoms: My blood sugar went to 364 and stayed there all day and then that night it was 267 and then it was the next morning 202 and then it went to normal in the low 100s. Hives in the crook of my right arm. Burning, itchy little red bumps. I couldn't swallow but I think that was from the high blood sugar as my mouth was very dry. I felt like I had a really bad cold, my head felt foggy.

Other Meds: lantus insulin, novolog insulin, atenolol, lisinopril, plavix, norvasc, furosemide, nortriptyline, lipitor, levothyroxine, multivitamin, vitamin B complex, magnesium, fish oil, calcium.

Current Illness: NO

ID: 1110417
Sex: F
Age: 69
State: IN

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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: Lyrica and Doxicycline

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

Symptoms: Dizziness, Confusion, Headache 2 days

Other Meds:

Current Illness: Fibromyalgia, hypertension, bilateral leg edema

ID: 1110418
Sex: M
Age: 36
State: SC

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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: Tinnitus in left ear for most of the day. Resolved around 6 PM.

Other Meds: amlodipine losartan

Current Illness: None

ID: 1110419
Sex: F
Age: 52
State: NJ

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: oxycodone, cats and dogs

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

Symptoms: Day 1 = Headache (within one hour of vaccine), sore arm Overnight = Nausea, stomach cramps, vomiting and headache, sore arm Day 2 = Fever 100.8 (took Advil and Tylenol every 4-6 hours), chills, body aches, slightly nauseous, sore arm Day 3 = Fever 100.8 (took Advil and Tylenol every 4-6 hours), body aches, horrible taste in my mouth and coating on my tongue, very pink skin from my waist to my neck, sore arm Day 4 = itchy skin on my back, sore arm

Other Meds: metformin, levothyroxine, simvastatin, ibersartan

Current Illness: none

ID: 1110420
Sex: F
Age: 46
State: PA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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: Ampicillin

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

Symptoms: Flu-Like Symptoms, Muscle Aches, Earaches in both ears, not ringing, but earaches for two days.

Other Meds:

Current Illness:

ID: 1110421
Sex: F
Age: 78
State: RI

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Meloxacam

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pain at site of injection. Swelling of arm down to elbow, chills, aches especially in fingers and wrists, temp 100.2, nose bleed (minor).

Other Meds: Synthroid

Current Illness: none

ID: 1110422
Sex: F
Age: 60
State: VT

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/18/2021
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: fever to 100.4, headache, neck pain for 10 hrs then 3 days later developed fever 100.6 and abd pain, diarrhea,

Other Meds: synthroid, magnesium, b2, metamucil, fish oil, aimovig

Current Illness:

ID: 1110423
Sex: M
Age: 29
State: MN

Vax Date: 02/10/2021
Onset Date: 02/26/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: Cats

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

Symptoms: Minimal Change Kidney Nephrotic Syndrome- was hospitalized on 3/3/21 - 3/6/21.

Other Meds: Zinc, vitamin C, multivitamin with minerals.

Current Illness: None

ID: 1110424
Sex: F
Age: 37
State: SC

Vax Date: 03/08/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: Swelling and heat - feels like a hard knot or lump under skin at injection site

Other Meds: none

Current Illness: none

ID: 1110425
Sex: M
Age: 88
State: FL

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 03/18/2021
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: Unevaluable event

Symptoms: Approximately 2-3 days after the first dose of the Covid-19 Vaccination on 30 Jan 21 I felt soreness on both breasts. After about another week, I noticed that the right breast also had a lump just behind the nipple. It feels round and approximately 1.5 to 2.0 CM in size. Soreness and lump continues to the date of this submission. On 17 Mar 21, the soreness and lump was confirmed by a Physician's Assistant at Family Doctor's office. He placed an order for an Ultra Sound and a referral to a Breast Surgeon, both Pending. Note: 2nd Dose of COVID19 (Pfizer-BioNTech) Vaccine was given on 20 Feb 21, at same location as 1st dose. Lot Number EN6201, Intramuscular, Right Arm.

Other Meds: See Continuation Sheet

Current Illness: None

ID: 1110426
Sex: M
Age: 26
State: NY

Vax Date: 02/17/2021
Onset Date: 02/22/2021
Rec V Date: 03/18/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Persistent ringing in ears. I checked with my primary care and ENT, and I don't any hearing loss or ear damage.

Other Meds:

Current Illness:

ID: 1110427
Sex: F
Age: 68
State: NJ

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: Trouble taking a deep breath when going to bed at 10:00 pm, had trouble all night. Awoke at 3:15am to use bathroom reports feeling the following s/s: out of breath, dry mouth not relieved by water, dizzy when walking to and from bathroom, entire body aches. Got out of bed 2.5 hrs later than typical secondary to fatigued and achiness "like somebody hit me!" Left arm sore all night and currently. Head (mild), dizziness and nausea and felt like passing out occurred when finally able to get OOB and continues at time of call. (10;15am). Now is nervous for her wellbeing. Tried to drink OJ and extra water to help but no relief. RN instructed resident to contact MD re possible need for inhaler refill. Resident reports not wanting to go to ER. RN recommends Urgent Care. Case confirms she is not alone, her adult son is with her and can be heard in background. RN instructed resident to go to ER if SOB occurs or difficulty taking deep breaths increases. Resident with good verbal recall of all instructions provided. She is A/A/0x3 and with no audible distress during call; no SOB noted in speech at time of call.

Other Meds: Omeprazole. 40mg Am Acid reflux Losartin 10mg am Metoprolol Tartrate 25mg am & pm Rovastatin 10mg evening

Current Illness: 03/12/2021 routine colonoscopy and endoscopy at which time she stopped ASA 81mg QD. 03/08/2021 COVID-19 test done pre Colonoscopy- Result negative.

ID: 1110428
Sex: F
Age: 53
State: IL

Vax Date: 03/09/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: Injection site pain, Menorrhagia

Symptoms: Swollen, itching bump on vaccine arm 9 days after injection.

Other Meds: Insulin, synthroid, clonazepam, vitamin c, b12, fish oil, lutein

Current Illness: None

ID: 1110429
Sex: F
Age: 78
State: IL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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: Swollen ankle, lower leg itching, sore swollen arm, shortness of breath, dizzy,

Other Meds:

Current Illness:

ID: 1110430
Sex: F
Age: 61
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/18/2021
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: allergic to anything in the Caine family. ie: Novocaine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 1st dose of vaccine, sore arm on day of vaccination. The 2nd day nausea, headache, dizziness, weakness, fatigue, chills,severe sweating, achy had to take an alieve tablet to stop the headache and nausea in order to get my facilities in order.

Other Meds: multi vitamin, vitamin D-3, Vitamin C

Current Illness: Kidney Stones

ID: 1110431
Sex: M
Age: 72
State: DE

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The following day (after 2nd shot): tiredness, chills, site swelling, site soreness. Rested the entire day. Returned to regular activity the second day after the shot.

Other Meds: amlodipine besylate 10mg 1 tab daily, aspirin 81 mg 1 daily, 1000 mg vitamin C daily, gummy multi-vitamins.

Current Illness: none

ID: 1110432
Sex: M
Age: 67
State: NC

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Severe swelling of right foot and ankle five days post injection

Other Meds: Hctz 12.5mg Lisinopril 30mg Latanoprost

Current Illness:

ID: 1110433
Sex: F
Age: 46
State: IN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: Patient fainted due to an anxiety attack after receiving her 1st covid immunization. An ambulance was called and she was taken to the hospital.

Other Meds:

Current Illness:

ID: 1110434
Sex: M
Age: 60
State:

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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: pt. experiencing some lightheadedness. L. sided neck pain and metalic taste in mouth. Medics present. pt. denies any difficulty swallowing &/or other s/s. Resolved with calming / comfort measures. Advised pt. to go to ER via EMS/ have someone come pick him up d/t increased BP. Pt. refused. Pt. asymptomatic prior to leaving vaccination site. Pt. advised to pull over & call 911 if anything changed / symptoms return- pt. agreeable. Advised to f/u with PCP/ Cardo. pt. communicates understanding. BP 216/117 at 1337 HR: 73; SPo2: 93% - smoker- 0.5 PPD x 27yrs. BP: 206/122 at 1443 HR 1443, HR 71; BP 187/112 at 1448, HR :69; BP 180/109 at 1453 HR: 72; BP: 173/103 at 1458 HR: 72; BP: 176/105: HR 71 at 1503.

Other Meds:

Current Illness:

ID: 1110435
Sex: F
Age: 25
State: MI

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Mild Headache - 12 hours Fever followed by a hot flash - 12 hours followed by a 15 minute hot flash Joint Pain - 12 hours Fatigue - 24 hours

Other Meds:

Current Illness:

ID: 1110436
Sex: F
Age: 62
State: TX

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/18/2021
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: Sudafed, morphine

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

Symptoms: A few minutes after the vaccine my heart began palpatating and I began sweating profusely. My vitals were checked, I was given water and moved to a cooler area of the facility. HR was still elevated but I wasnt feeling as flushed. By 4pm that evening I began having having chills and a fever of 100-100.4 which lasted about 4hrs. Later that evening my HR elevated to 125 with the feeling of feeling I was having a heart attack. By that Wed. my HR was still at 125 in motion and about 75 still so I went to visit my PCP on Thurs and when I arrived the HR was 77 but during the visit it elevated to 125 and blood work was done resulting in my tyroid level elevated and since getting the vaccine my HR had been up and down. When in motion its elevated and when sitting its around 75.

Other Meds: Synthroid 88mg, Olnesartan, Pantroprozol, Caltrate 600, fish oil, b12 sublingual, Multivitamin, Bare Aspirin 81mg, Colace, Probiotic, cranberry, Sublingual allergy drops

Current Illness: no

Date Died: 03/12/2021

ID: 1110437
Sex: F
Age: 76
State: PR

Vax Date: 01/30/2021
Onset Date: 02/09/2021
Rec V Date: 03/18/2021
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: Not reported

Symptom List: Tremor

Symptoms: Since the vaccine was administered on 1/30/2021 the resident was complaining of tiredness. On 2/9/2021 she complains more than usual with fatigue, a lot of fatigue so they make the decision to transfer her to the hospital. In the hospital she was informed that the pain was from a gallbladder stone, also that she has a lung condition and a compromised kidney. A Dr. from Hospital tells POC that the patient was not responding to treatments and was compromised thus prolonging the hospital stay.

Other Meds: Corect 25mg, Ferrous Sulfate 325 mg, Synocril, Norvasc 10 mg, Plavix 75mg, Lipitor 10 mg, Ativan 1mg, Insulin 70/10 10 units. Vitamin C and Tussin.

Current Illness: None reported

ID: 1110438
Sex: F
Age: 67
State: SC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: 10:50 am on 03/17/2021-Patient experienced flushing and warmth in her chest that initially resolved. At approximately 11:00 am, patient experienced unremitting flushing. Decision made to activate Adverse Reaction standing order per protocol. 11:05 am BP was 142/92 and HR was 74. Diphenhydramine 50 mg administered in left deltoid at 11:08 am. At 11:10 am BP was 188/110 and HR 88. At 11:15 am BP 200/120 and HR 92. At 11:20 am BP 208/120 and HR 78. At 11:25 am BP 208/100 and HR 76. Patient remained alert and oriented throughout entirety of event. Denies SOB and chest pain. 11:22 AM emergency medical was activated. At 11:34 AM EMS personnel arrived on scene and assumed care of patient. Patient was transported to Medical center

Other Meds: Percocet

Current Illness: Osteoarthritis

Date Died: 03/18/2021

ID: 1110439
Sex: M
Age: 94
State: RI

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/18/2021
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: aspirin, honey

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

Symptoms: Tolerated Well without complications

Other Meds: N/A

Current Illness: N/A

ID: 1110440
Sex: M
Age: 67
State: IN

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: arm pain, left arm very weak, difficulty standing up (legs weak), difficulty walking (balance), headache, fever, chills, no sleep, left side of body warm/hot, right side cold/normal

Other Meds:

Current Illness:

ID: 1110441
Sex: M
Age: 45
State: NC

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 03/18/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Fiebre, Dolor de cuerpo, y rash (salpullido en el brazo).

Other Meds: vitamins D, B, Omega

Current Illness: No

ID: 1110442
Sex: F
Age: 43
State:

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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: AMOXACILIN

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

Symptoms: NUMBNESS IN FINGERS IN SAME ARM AS INJECTION

Other Meds: BIRTH CONTROL

Current Illness: NOTHING

ID: 1110443
Sex: F
Age: 74
State: FL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/18/2021
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: Penicillan, dust, mold

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

Symptoms: hallucinations with high fever lasting about 36 hours

Other Meds: Anastrozole, Vitamin D3, Occuvite Adult 50+, Turmeric Curcumin

Current Illness: None

ID: 1110444
Sex: F
Age: 41
State: GA

Vax Date: 03/12/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: Pain in extremity

Symptoms: Lump in the armpit, discovered 5 days post vaccination

Other Meds: None

Current Illness: None

ID: 1110445
Sex: F
Age:
State: GA

Vax Date: 03/08/1921
Onset Date: 03/09/1921
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Codine

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

Symptoms: sore red and swollen 2 days later upper arm at injection site became a large red itchy rash then 2 days after that a red rash over my whole body

Other Meds: Hyrochlorothiaide,Losartan,Alvesco,Hydrozine,Montelukas,Simvastain,Citaloprm,triamcinolone,Multy vit,vitc fish oil Vit d3,

Current Illness: Allergies

ID: 1110446
Sex: M
Age: 31
State: NC

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Since the shot I have been having excruciating back pains. Seems the pressure builds up near the center of my back and just throbs and eases a little.

Other Meds: None

Current Illness: None

ID: 1110447
Sex: M
Age: 56
State:

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/18/2021
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: pt. complain of numbness and tingling of his left hand from the site of the vaccination to his fingers. They symptoms were resolved and the patient went home.

Other Meds:

Current Illness:

ID: 1110448
Sex: F
Age: 51
State: NY

Vax Date: 02/27/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: Menstruation cycle delayed 9+ days

Other Meds: Ursodoil Prolia

Current Illness: none

ID: 1110449
Sex: F
Age: 37
State: MN

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: Allergy to ceclor

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Tingling and slight numbness in fingers on both hands

Other Meds: Humira injection (1 prefilled syringe per week), women's multivitamin, calcium supplement, Vitamin D supplement (6000 IU/day)

Current Illness:

ID: 1110450
Sex: F
Age: 76
State: KY

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/18/2021
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: Latex High Shortness Of Breath Levaquin [levofloxacin] High Swelling Sulfa Antibiotics High Hives, Rash Amoxicillin Low Rash Cefaclor Low Irritability Crab (diagnostic) Low Rash Doxycycline Low Other (See Comments) UNKNOWN Erythromycin Low Rash Penicillins Low Rash Prednisone Low Rash Zinc vesicare

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

Symptoms: Swelling of forehead, eyes, and left arm and rash

Other Meds: Outpatient Medications albuterol sulfate HFA 108 (90 Base) MCG/ACT inhaler amlodipine-olmesartan (AZOR) 5-40 MG per tablet Calcium Carbonate-Vit D-Min (CALCIUM 1200 PO) Cholecalciferol (VITAMIN D) 2000 UNITS tablet levothyroxine (SYNTHROID,

Current Illness: Trigeminal Neuralgia

ID: 1110451
Sex: M
Age: 55
State: MI

Vax Date: 03/12/2021
Onset Date: 03/18/2021
Rec V Date: 03/18/2021
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: a minor reaction to eating bananas

Symptom List: Injection site swelling, Limb discomfort

Symptoms: rash with bumps determined 6 days after the shot. minor itchiness

Other Meds: none

Current Illness: none

ID: 1110452
Sex: F
Age: 60
State: WI

Vax Date: 09/24/2020
Onset Date: 09/29/2020
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: ? Lyrica Other (See Comments) dizziness ? Neurontin [Gabapentin] Palpitations Made her lightheaded

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

Symptoms: On 9/29/2020, 5 days after dual vaccine at routine appt in the clinic and 2 hours PTA to ER, she had acute onset headache that was rapidly progressive over 15 minutes. NO focal deficits on exam in ER. CT scan confirmed "Acute diffuse subarachnoid hemorrhage most prominently noted in the suprasellar cistern extending into the fourth ventricle, sylvian fissures, quadrigeminal plate cistern, and cerebellar pontine angles suggestive of the aneurysmal rupture." There was no evidence for aneurysm. BP was elevated to max of 158/92 in ER. She was admitted to the hospital from 9/29/20-10/18/20 with consultations from neurosurgery and PM&R. After hospital admission, she developed vasospasm and was treated with 3% saline and nimodipine. She had 6 total catheter angiograms for diagnosis and IA verapamil infusions for vasospasm. On 10/9/2020, she developed large left cerebellar infarct with small foci of infarct throughout bilateral hemispheres due to vasospasm. She developed hyponatremia and was treated for that. She never required surgical intervention. TSH was normal prior to admission (9/12/20 was 1.99) and during hospital was found to be 0.18 and therefore levothyroxine was decreased to 100mcg. She is overall doing quite well now with ongoing chronic headaches, managed on TCA, and dizziness for which she has seen PT.

Other Meds: ? betamethasone dipropionate (DIPROSONE) 0.05 % external ointment Apply 1 Application topically twice daily as needed for psoriasis. ? celecoxib (CELEBREX) 200 mg oral capsule Take 200 mg by mouth every day. ? Coenzyme Q-10 100 MG oral CAPS

Current Illness: none known

ID: 1110453
Sex: M
Age: 67
State: NY

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/18/2021
Hospital: Y

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: Around 11:35 PM on Thursday March 12, my father dropped his dish and drinking glass. Awokened by the noise, we rushed to him and noticed that his speech was slurred and he was not walking well. His SpO2 was 94 and his heart rate was in the 140's. His blood pressue was elevated. He has suffered a stroke in November 2020 and he was acting like he did on that day. Once he sat down, he could not get himself up. The paramedics and my brother had to help him into the ambulance where they administered oxygen. The paramedics took him to the hospital, where he was admitted to the ICU. An MRI did not reveal any damage to the brain. He was diagnosed with a TIA and discharged from the hospital on Sunday, March 14. I am not sure if the vaccine had anything to do with this episode, but I thought it should be reported just in case.

Other Meds: Seroquel, Cymbalta, baby aspirin, Vicodin, Metaformin, lisinopril

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm