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: 1111483
Sex: F
Age: 58
State: MS

Vax Date: 03/01/2021
Onset Date: 03/13/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Died at Home

Other Meds:

Current Illness:

ID: 1111484
Sex: F
Age: 68
State: OH

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None known

Symptom List: Anxiety, Dyspnoea

Symptoms: Soreness in arm at site of injection with swelling and redness...bad chills, stood in hot shower for 1/2 hour to get warm...then too hot , throwing off covers bad with joint pain and nausea just not feeling well at all on Tuesday night, the day after injection ..woke on Wednesday with a terrible headache, took 2-500 mg of Extra Strength Tylenol which helped but started to feel better late Wednesday afternoon...could not eat Tuesday, to nauseated but kept a bowl of cereal down on Wednesday night... by Thursday I was feeling 100% better...still have swelling and redness at injection site but all other symptoms are gone..

Other Meds: Trospium Chloride-Rosuvastatin Calcium: fish Oil - Osteobioflex -Calcium-Iron - D3- Centrum silver-

Current Illness: None known

ID: 1111485
Sex: M
Age: 25
State: NC

Vax Date: 03/18/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Nausea with vomiting

Other Meds:

Current Illness:

ID: 1111486
Sex: F
Age: 56
State: VA

Vax Date: 03/01/2021
Onset Date: 03/15/2021
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: penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The initial injection was given too high and I had immediate excruciating pain and screamed out and became nauseated and faint. The man giving the shot, took the needle out without ever injecting the vaccine. A paramedic came over and said that the shot had been given way too high and that a nerve was hit. I continue to have pain in my lower arm and hand. They did give me the vaccine in my right arm and it was totally fine with no pain but my left arm is in pain.

Other Meds: Propanolol, synthroid, liothionine, hormone creams

Current Illness: none

ID: 1111487
Sex: F
Age: 88
State: CA

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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Palpitations, BPs 154/88 (oulse 108), 166/83 (pulse 65), O2 sat 96%.

Other Meds:

Current Illness:

ID: 1111488
Sex: F
Age: 70
State: OH

Vax Date: 02/24/2021
Onset Date: 02/25/2021
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: aspirin

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

Symptoms: chills, fatigue, body aches, nausea, headache

Other Meds: fish oil, multi vitamen

Current Illness: None

ID: 1111489
Sex: F
Age: 52
State: FL

Vax Date: 03/11/2021
Onset Date: 03/11/2021
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: n/a

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Dizziness, mild headache to right side of head, blurry.

Other Meds: n/a

Current Illness: n/a

ID: 1111490
Sex: F
Age: 17
State: SC

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: provider at the clinic gave a Moderna vaccine to a 17 year old. Indications are for 18 and over at that clinic. MD on call was notified. No reports of reactions or side effects noted per provider

Other Meds:

Current Illness:

ID: 1111491
Sex: F
Age: 55
State: CA

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: LA

Lab Data:

Allergies: Pollen

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 9:08 am, 5 minutes after receiving vaccine, c/o numbness starting in the upper arm and spreading to fingertips and injection site soreness. Vitals stable, AAOX4, good pulse, skin warm to touch, moving extremity with ease, no burning, tingling or skin discoloration. ongoing monitoring in the recovery area for add'l 15 minutes, stated, numbness was lessening, continue to move extremity freely, dc to self care at 9:35am.

Other Meds: Vitamins

Current Illness: None

ID: 1111492
Sex: M
Age: 68
State: CA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
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: Blood oxygen level dropped to 80% ! Severe chills/shaking Headaches/body aches/joint aches Resting Heart rate increased to minimum 95bpm ( basically same symptoms I experienced with covid -except lower Oxy level)

Other Meds: Amlodipine, statin Meds

Current Illness: Covid hospitalized dec 21 / and long - term after effects Had Severe reaction to both vaccinations!

ID: 1111493
Sex: U
Age: 53
State:

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Confusion, Disorientation, Dizziness, Loss of consciousness

Other Meds:

Current Illness:

ID: 1111494
Sex: M
Age: 25
State: WI

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

Symptom List: Rash, Urticaria

Symptoms: Patient received Pfizer as first dose on 2/17/21 but erroneously was given Moderna as a second dose on 3/11/21

Other Meds:

Current Illness:

ID: 1111495
Sex: F
Age: 76
State: FL

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: Azithromycin

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

Symptoms: Pt experienced soreness immediately after administration, which subsided 03/12/2021. On 03/14/2021 pt started experiencing redness, itchiness, soreness, and warmth at the injection site, which is still occurring. Pt denies fever and denies fatigue.Pt was advised to take Benedryl and Tylenol, and if the symptoms worsen or do not improve in 1-2 days to contact primary doctor and seek medical care. SPI was consulted and Dr. was notified.

Other Meds: Lisinopril/HCTZ 20/25 mg, Pravastatin 40 mg, Flonase, and multivitamins

Current Illness:

ID: 1111496
Sex: F
Age: 70
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: Morphine

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

Symptoms: Arm pain, nausea, severe headache, sleepiness, chills, tiredness

Other Meds: Raloxifene, atorvastatin, metformin, vascepa, atenolol, pantroprazol, digoxin, lisinopril, basaglar, Humalog, gabapentin, multivitamin, vitamin D, magnesium, ceterizine, B 12, low dose aspirin

Current Illness: None

ID: 1111497
Sex: F
Age: 66
State:

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Anaphylaxis

Other Meds:

Current Illness:

ID: 1111498
Sex: F
Age: 71
State: CA

Vax Date: 02/24/2021
Onset Date: 02/25/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Swelling, soreness, heat of a lymph node on left collarbone. No treatment. Did not have a doctor look at it. The heat was gone after one day. The soreness was gone after three days. The swelling took a week to go down. There is still a very small lump.

Other Meds: bisiprolol, methamazol, atorvostatin

Current Illness: none

ID: 1111499
Sex: M
Age: 77
State: MI

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

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

Symptoms: nausea and vomiting, one hour, fatigue one day

Other Meds: lomotil,, amlodipine, metropolol, allopurinol , sodium bicarbonate, Ocuvite

Current Illness: none

ID: 1111500
Sex: M
Age: 50
State: IA

Vax Date: 03/17/2021
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: Demerol

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fatigue, headache, chills, and fever. Treating with tylenol

Other Meds: complete probiotics Eu Natural purge celery seed and tart cherry Melatonin

Current Illness: No

ID: 1111501
Sex: F
Age: 74
State: PA

Vax Date: 03/11/2021
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: NSAIDs kidney allergy; lactose intolerance

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 27 hours after vaccination, a copious, non-stop rhinitis began. I used up an enormous amount of Kleenex, was miserable, and my nose became very sore. The nasal fluid was clear. I had no nasal congestion, no sore throat, no sneezing, no cough, no fever (98.4F all day). I tried 25 mg of diphenhydramine after about an hour of this?zero effect. By 11:30 p.m. I was desperate, and l found a cold & flu nighttime product in my cabinet: each tablet contains 325 mg acetaminophen, 10 mg dextromethorphan HBr, 6.25 mg doxylamine succinate, and 5 mg phenylamine HCl. I took 2 tablets and slept 8 hr uninterrupted. The rhinitis was gone when I woke up.

Other Meds: glipizide, metformin, benazepril, hydrochlorthiazide, esomeptazole magnesium, simvastatin, loraditine, vitamin C, multivitamin

Current Illness: none

ID: 1111502
Sex: F
Age: 60
State: CO

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/18/2021
Hospital:

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

Lab Data:

Allergies: Ativan, codeine

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

Symptoms: Presents to ED after receiving 1st covid vaccine the day prior, now with SOB, nausea, emesis, fever, diaphoresis, "shakiness", "darkness on hands", cough, congestion, abdominal pain, anxiety. Normal immune response, d/c'd home in stable condition.

Other Meds:

Current Illness:

ID: 1111503
Sex: F
Age: 69
State: MA

Vax Date: 02/09/2021
Onset Date: 02/12/2021
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: Penicillin Pepcid

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

Symptoms: I had the shot on a Tuesday and developed blood tests by Friday.

Other Meds: Flagyl Bactrim Elavil- 10 mg Ativan.- 1 mg Pilocarpine- 5 mg twice a day Pepcid- 40 mg twice a day

Current Illness: Diverticulitis previous week

ID: 1111504
Sex: F
Age: 39
State: TX

Vax Date: 03/09/2021
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: sulf, dilantin,tegratol, neurontin

Symptom List: Unevaluable event

Symptoms: Fever, vomiting, migraine, rash at injection site

Other Meds: lamectal, briviact, hydroxychloroquine, prednisone

Current Illness:

ID: 1111505
Sex: M
Age: 37
State: MN

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: Compazine

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

Symptoms: I began getting very flush, was short of breath, and an increased heartrate.

Other Meds: Lipitor, Multi-Vitamin

Current Illness: None

ID: 1111506
Sex: F
Age: 85
State: MA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 03/18/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Calcium Glucophage, Januvia, Nickel, Toujeo.tresiba, univasc,

Symptom List: Injection site pain, Pain

Symptoms: 2/14/21-Immediately after 1st covid vaccine experienced pressure sensation in chest and breast. Great on the right side, went up to the back to neck. The shock sensation went over the top of the head onto face with tingling bilateral. Resolved on 3/3/21. 3/3/21- Severe vertigo-hospitalized for 3 days. On day 1 of vertigo sudden hearing loss.

Other Meds: cranberry, turmeric,probiotic

Current Illness: NONE

ID: 1111507
Sex: F
Age: 51
State: TX

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: SYR
Vax Site: LA

Lab Data:

Allergies: unknown

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient received first dose of Moderna covid 19 vaccine today 3/17/2021 and neglected to inform staff that she had received both doses of Pfizer covid 19 vaccine on 2/6/21 and 2/27/21.

Other Meds: unknown

Current Illness: unknown

ID: 1111508
Sex: F
Age: 82
State: IL

Vax Date: 01/26/2021
Onset Date: 02/07/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: Allergen Reactions ? Celebrex [Celecoxib] Shortness Of Breath ? Iron Angioedema Facial swelling/redness

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

Symptoms: x2 ER visits 2/7/21, 2/8/21 c/o n/v/d; X2 inpatient admissions for small bowel obstruction 2/8/21, 2/16/21; admitted 3/18 swg bed for physical deconditioniong. 3/18/21 Swg Bed admission HPI: 82 y.o. female presents for direct admission to swing bed. Back in the middle of February the patient had a high-grade small-bowel obstruction ended up with laparotomy and lysis of adhesions. She was extremely deconditioned. She came to swing bed here and states here for about 2 weeks. She thought she was ready to go home and be successful at that time. Unfortunately, she has gotten home and found that she can barely take care of herself. She is extremely deconditioned. She thinks she just needs to be built up for another week or 2 and then could be very successful at home. She does have a friend that is helping her, but is worried about getting so weak that she end up hurting herself. I saw her yesterday in the office and thought that another swing bed stay a might be in order.

Other Meds: Current Outpatient Medications: ? ALPRAZolam (XANAX) 0.25 MG tablet, TAKE ONE TABLET THREE TIMES A DAY AS NEEDED FOR ANXIETY, Disp: 270 tablet, Rfl: 1 ? amoxicillin-clavulanate (AUGMENTIN) 875-125 MG per tablet, Take 1 tablet by mouth 2

Current Illness:

ID: 1111509
Sex: F
Age: 16
State: SC

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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Moderna vaccine dose 1 given to 16 year old by provider at a clinic for indications of 18 and over MD was notified, no reports of side effects or adverse reaction noted by provider

Other Meds:

Current Illness:

ID: 1111510
Sex: F
Age: 35
State: PA

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: ASPIRIN, MOTRIN

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 3/18/21-0750 AM received vaccine, patient then experienced extreme itching throughout body and fatigue. Patient states that she was having itching to throat and sneezing. Pt. took claritin around 10 am. Then around 1045 patient states that she started having headache and feels like she is coming down with a cold as well. Patient states that she is still itching from scalp all the way down to her knees. Pt. states that itching is tolerable. Denies hives, denies trouble breathing, denies shortness of breath.

Other Meds: DENIES

Current Illness: DENIES

ID: 1111511
Sex: M
Age: 30
State: AZ

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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: None know

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

Symptoms: Towards the evening of the same day as receipt of the vaccine, I began to experience a growing fever, aches, and headache. By the time 11pm came around I was in a full blown fever which lasted until around 5:30 am the next day. The fever was reduced through the taking of two Acetaminophen pills. Throughout the night, I was unable to sleep due to intense headache pain, I felt exhausted and couldn?t move. I had a fever around 102 degrees Fahrenheit at its peak and maintaining usually around 101.4 degrees. I was nauseous and experienced emotional instability. The adverse affects lasted until the morning with some affects such as the headaches and nausea still currently lingering on to present time (10:48am).

Other Meds: Biktarvy

Current Illness: None

ID: 1111512
Sex: F
Age: 58
State: FL

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: dizziness , throwing up , nausea

Other Meds: ameprazol aprazalam

Current Illness:

ID: 1111513
Sex: M
Age: 24
State: FL

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Unknown

Symptom List: Injection site pain

Symptoms: Patient presented in our Pharmacy in good health but feeling very anxious about receiving his first in series COVID 19 Pfizer vaccination. Patient was able to ambulate on his own after receiving the vaccine. Patient was sitting with his father and stated to him that he didn't feel right. Patient then fainted 10 min after receiving vaccine. 911 was immediately called and Epi pen was not administered. Patient was not transported to the hospital.

Other Meds: Humira

Current Illness: Unknown

ID: 1111514
Sex: F
Age: 64
State: NE

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Tiredness - couple of days; Headache - day; Chills - day; Fever - few hours; Nausea - few hours; Couldn't pee or have a bowel movement - few hours

Other Meds: Glipizide ER 5mg TB24 two times per day metFORMIN HCL 1,000 MG two times per day PARoxetine HCL 20 mg one time per day Timolol Maletae 0.5% SOLN one drop in each eye two times per day Vitamin D3 2000 i.u. per day

Current Illness: None

ID: 1111515
Sex: M
Age: 59
State: NY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: phenobarb,demerol,pcn,narcan, tetracycline,barbituates

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

Symptoms: 2/22/21-Office visit for c/o severe lower back pain 10/10 since woke 8 hours after #1 Moderna Covid vaccination. Radiation to hips/thighs/knees, but not to feet. No pain in arms or neck. Pt tried motrin, up to 800mg w/o relief. Unable to walk to mess hall d/t pain. Also c/o bilat leg weakness. H/o L foot drop; R patellar reflex intact; BIL dorsi/plantar flexion intact. + Tenderness on palpation of muscles of upper legs and lower back. Telemed to Emergency Room; etiology unclear; not typical Guillan Barre; cont. to monitor. lipitor held 2/23/21--No worsening of pain or weakness. Bowel/bladder intact. Labs ordered 2/24/21--Pain still severe; pt feels legs are weaker. Unable to elicit patellar reflex on R. Sent to ER.

Other Meds: metformin, glipizide,asa, lipitor,omeprazole,carbamazepine, za

Current Illness:

ID: 1111516
Sex: F
Age: 65
State: WI

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Approx 6 minutes after administration, pt complained of left arm tingling into hand and fingers, left elbow sharp pains and feeling flushed. As assessing pt, then complained of chest tightness. Denied SOB.

Other Meds:

Current Illness:

ID: 1111517
Sex: M
Age: 66
State: PA

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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: Erythema, Pruritus

Symptoms: Patient developed urticarial within 12 hours of the vaccine and a sore throat. Was screened for strep which was negative. History eliminated other new suspected triggers for allergic reaction other than vaccine.

Other Meds:

Current Illness:

ID: 1111518
Sex: F
Age: 52
State: UT

Vax Date: 03/16/2021
Onset Date: 03/17/2021
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: None

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

Symptoms: Neck pain, headache, vomiting, body aches, chills, fever of 101.6

Other Meds: Pramipexole dihydro tabs 1mg, olmesartan/hctz tabs 20/12.5, thyroxine tabs 50 mcg, atvorstatin tabs 10 mg, nexium 20 mg, potassium 99 mg, fish oil 3600 mg, womens multi vitamin

Current Illness: None

ID: 1111519
Sex: F
Age: 73
State: FL

Vax Date: 02/27/2021
Onset Date: 03/11/2021
Rec V Date: 03/18/2021
Hospital: Y

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

Lab Data:

Allergies: codeine

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

Symptoms: Patient was found to have abnormally low platelet count of 12 two weeks after receiving COVID vaccine. In last few days leading up to ED visit and hospitalization, started to have bruising which prompted blood count draw. Patient has cancer and undergoing XRT, but is currently not on any chemotherapy or bone marrow suppression treatment. Patient was treated with prednisone 40 mg daily and platelets increased to 17 then decreased to 14. The patient subsequently received IVIG and nplate treatment and was discharged with follow-up set up with Hematology outpatient.

Other Meds: eltrombopag, ondansetron, valacyclovir, simvastatin, venlafaxine, raloxifene, omeprazole, calcium carbonate-vitamin D, oxazepam, multivitamin

Current Illness:

ID: 1111520
Sex: F
Age: 62
State: MN

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

Lab Data:

Allergies: sulfates and the metal nickel

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: About an hour after shot in my left arm, my left eye started twitching on and off and is still doing it. I just want it to be known. Hopefully it is going to stop. It is not something that happens to me very often and would have stopped by now. I did have covid end of November, 2020, a few days in December. I also have gotten covid rash twice since having covid.

Other Meds: na

Current Illness: none

ID: 1111521
Sex: F
Age: 26
State: CA

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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: Sulfa drugs Hair dye Shrimp Nickel

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

Symptoms: Hi, I received the Johnson and Johnson vaccine one week ago, Thurs March 11. On friday, I experienced the typical flu like symptoms - chills aches pains and fever. These have slowly gone away, but a week later I still have chills and constantly shake, and diarrhea. The most significant side effect I want to report is extreme vertigo and dizziness and headaches. These have been present for a week now and have prevented me from working and doing daily activities. I constantly feel like Im going to fall over and cannot see clearly. I previously had vestibular migraines, but these have been mostly gone due to going to the chiropractor and taking my supplements. The vaccine brought them back now in full force. I read that this is becoming a commonality among other people and need answers on this. I want to make sure its not permanent or that I will have this as a serious side effect.

Other Meds:

Current Illness:

ID: 1111522
Sex: F
Age: 57
State: MI

Vax Date: 03/17/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: amoxicillin and all cephlasporins wheat dairy products pistachios peanuts chicken breasts shampoos toothpaste soap photosensitivity allergic to sunlight

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

Symptoms: LABORED BREATHING LOSS OF BREATH

Other Meds: synthroid 75 / advair250 bid / lisinopril 20 / ventolin inhaler prn / singulair / lipitor 40 melatonin 3mg / zyrtec / atarax 50 mg

Current Illness: none

ID: 1111523
Sex: F
Age: 60
State: FL

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: Pain in extremity

Symptoms: /o sore arm & fatigue since receiving the vaccine on Friday. Deveolped low grade temp on Monday, taking tylenol & ibuprofen PRN, No other complaints at this time. Advised to continue with Tylenol/ibuprofen and contact PCP if symptoms worsen.

Other Meds: none

Current Illness:

ID: 1111524
Sex: F
Age: 61
State: MO

Vax Date: 03/04/2021
Onset Date: 03/04/2021
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: Codeine , Amitriptyline , Lowertabs

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

Symptoms: Fatigue, Severe headache, muscle pain, severe chills, and fever

Other Meds: Levothyroxine, Hydralazine, Lasix, Carvedilol, Losartan, Citalopram, Klerk-con M20, Omeprazole, Celebrex, Cetirzine, Multivitamin, Calcium, Eliquis, Atorvastatin, B12 , Trulicity

Current Illness: none

ID: 1111525
Sex: F
Age: 50
State: CA

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

Lab Data:

Allergies: nonne

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

Symptoms: very tired about 3 hours after receiving the vaccine. I slept for a 3 hour nap in the afternoon. They next morning I felt very nauseous.

Other Meds: spironolatone

Current Illness: none

ID: 1111526
Sex: M
Age: 61
State: FL

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: NONE

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

Symptoms: fainting, sweating, eyes rolled back, slouched over in chair then perked back up. still complained of dizziness and sweating. called 911 within 1 min of episode and paramedics came to take over. Patient was talking and coherent but sweaty.

Other Meds: UNNOWN

Current Illness: N/A

ID: 1111527
Sex: F
Age: 36
State: CA

Vax Date: 01/07/2021
Onset Date: 03/16/2021
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: Unknown

Symptom List: Vomiting

Symptoms: COVID positive after second dose of vaccine

Other Meds: Unknown

Current Illness: Unknown

ID: 1111528
Sex: M
Age: 50
State: WA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Zocor: severe red like sunburn feeling

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: MADERNA: two days after vaccine I was numb from the waist down and right arm. I went to Hospital at 0930 ER.. As of 18Mar2021 I'm still numb from the wait down and my right arm. Two weeks later after going numb I have an infection on my second toe on my right foot. Looks like the Covid toe.

Other Meds: atorvastatin, verapamil, famotidine, fluticasone, sumatriptan, omeprazole, albuterol,

Current Illness: none

ID: 1111529
Sex: F
Age: 31
State: FL

Vax Date: 03/01/2021
Onset Date: 03/17/2021
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

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

Symptoms: Within 24 hours of first dose, swelling of lips have occurred and are continuing to swell. Tingling and burning sensation present accompanied with itching around lips and face. Benadryl, Claritin and Pepcid are currently being taken to reduce swelling.

Other Meds: Propranolol Pepcid Claritin Multivitamin Clonidine (PRN)

Current Illness: Viral infection

ID: 1111530
Sex: F
Age: 63
State: NE

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Numbness of forehead, jaw and tongue.

Other Meds:

Current Illness:

ID: 1111531
Sex: F
Age: 77
State: NC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
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: None

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

Symptoms: At 11:50 pm on 1/26/2021, I could not swallow even a sip of water. My Esophagus appeared to have closed. I debated calling 911, but had sick animals I couldn't leave. Went to bed and when I woke, I could swallow again. However I had severe hives as well as debilitation itching and swelling of my fingers, hands and later, my toes and feet as well. These symptoms have continued in varying degrees ever since I received my first Moderna vaccination.

Other Meds: Lisinopril - 15mg., Clopidogrel - 75 mg., Levothyroxin - 50 MCG, Melatonin- 5 mg.

Current Illness: None

ID: 1111532
Sex: M
Age: 84
State: NC

Vax Date: 02/26/2021
Onset Date: 03/13/2021
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: bactrim, Lobster, Lipitor, Niacin, Vytorin, Zetia

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

Symptoms: SOB, Hospitalized with covid pneumonia on 3/13/2021

Other Meds: Albuterol, Eliquis, Digoxin, Lasix, Toprol, oxycodone

Current Illness: PMH of end-stage COPD on 2 L oxygen at baseline, biventricular heart failure, with ICD placement, hypertension hyperlipidemia, anemia of chronic disease, GERD, dementia, depression, anxiety, BPH

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm