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: 1117218
Sex: F
Age: 65
State: TN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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: Aspartame, Penicillin, Nitrofurantonin, General Seasonal Allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: TERRIBLE HEADACHE, NAUSEA, BODY ACHES, SINUS CONGESTION

Other Meds: Probiotic, Dexilant DR 60 MG, Citalopram HBR 20 MG, Hydrochlorothiazide 25 MG, Amlodipine Besylate 10 MG, Diclofenac Sod Dr 75 MG, Loratadine 10 MG, Advar, Vitamin D, Atorvastatin 40 MG, Montelukast Sod 10 MG, Hydroxyzine HCL 10 MG, Levothy

Current Illness:

ID: 1117219
Sex: M
Age: 33
State: CA

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 03/19/2021
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: Ibuprofen Excedrin Celery Seasonal allergies Dust Most

Symptom List: Anxiety, Dyspnoea

Symptoms: I sat down for 15 min and felt fine for the rest of the day. The hives started about 30 mins after I had dinner. It started on my shoulders and back, so I took a Benadryl, which was expired. So, I went to get some more and took a second dose around midnight. I won't up with none, but they were back around noon. That happened for a few days with it happening around lunch and dinner. On Tues, they started spreading more, so I went to the doctor. There was no swelling of the tongue. They lessened over the next couple of days. As of today, I have a small amount of itching, but nothing bad. I've also been taking Claritin since yesterday. I have not seen any the same size as before, but I notice that they seem to be worse at night. I took my BP a few times and it was high at those times, but it went back to normal the next day. I will be seeing an allergist in the near future.

Other Meds:

Current Illness:

ID: 1117220
Sex: F
Age: 60
State: WA

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 03/19/2021
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: no

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

Symptoms: Shot site was fine. No soreness. About five days later, I noticed a rash - 4 inches below the shot site. Nothing bad but nothing around the shot site. No itching. No swelling. A little warm to the touch. No treatment. The rash was there for about a week and a half. - about 10 or 12 days.

Other Meds: 20 mg Omeprazole - for acid reflux

Current Illness:

ID: 1117221
Sex: F
Age: 76
State: GA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I had fever, every joint ached extremely painfully

Other Meds: None

Current Illness: None

ID: 1117222
Sex: M
Age: 78
State: CA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 03/19/2021
Hospital: Y

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

Symptoms: Stroke - CVA - craniotomy & evacuation of IHC hematoma.

Other Meds: Amlodipine 7.5 mg, pantoprazole EC 40 mg, hydrocodone 5/325

Current Illness: None

ID: 1117224
Sex: F
Age: 42
State: IL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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: none

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

Symptoms: Tingling in arm, heart racing 128/80, 80, 18 Patient refused transport informed to follow up with PCP if symptoms continue

Other Meds: none

Current Illness: none

ID: 1117225
Sex: F
Age: 63
State: AK

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 03/19/2021
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: Lactose Intolerant Penicillin Demerol -anaphylactic

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I was exposed to Covid-19 in September, but my tests were negative. I had the same chest pain as when I thought I had Covid-19 on the third morning after vaccination. Started in the back with trouble breathing. I was lethargic and tired but I had a lot of trouble breathing for a week. I also took a course of Zithromax and the symptoms resolved after eight days but the tiredness persisted. I gave blood on the day of vaccination after the shot and it may have some effect.

Other Meds: Metformin-prediabetes Synthroid Metoprolol Chlortalidone Losartan Vitamins

Current Illness:

ID: 1117226
Sex: F
Age: 34
State: AZ

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Pharyngeal swelling

Symptoms: Muscle pain Fatigue Headache

Other Meds: Letrolze IBrance 75mg Herbalife (aminogen, cell Activator) Great Value Womens One a Day White Kidney Bean carb blocker supplement

Current Illness: Breat Cancer

ID: 1117227
Sex: M
Age: 53
State: KY

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Since shot constant headache, double/blurred vision right eye, diagnosed as 3 Third Nerve Palsy by primary doctor and ophthalmologist.

Other Meds: Trulicity 0.75 mg/0.5 ml Sopn, amlodipine 10 mg , hydrochlorothiazide 25 mg , jardiance 25 mg , pantoprazole 40 mg, gabapentin 300 mg , losartan 100 mg

Current Illness: No illnesses

ID: 1117228
Sex: F
Age: 65
State: CA

Vax Date: 03/14/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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: Sudafed, penicillin, cipro

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Beginning about 12 or so hours after second shot, developed whole body rash from neck to upper legs. Slightly itchy but more tender than anything. This lasted for about 48 hours. Also, both hands were swollen and extremely itchy. This happened the first and second nights after the injection. Benadryl helped the itching. In addition i had fever to about 100.1 and fatigue.

Other Meds: Sumatriptan, estradiol, norethinace

Current Illness: None

ID: 1117229
Sex: F
Age: 41
State: MI

Vax Date: 03/19/2021
Onset Date:
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: RENIOLIN

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

Symptoms: N /A

Other Meds:

Current Illness: NO

ID: 1117230
Sex: F
Age: 82
State: CA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
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: codeine

Symptom List: Rash, Urticaria

Symptoms: I woke at 1:30 in the morning to a burning throat, head ache, upset stomach, nausea. When I arose I started the dry heaves. This lasted all day. I was also very tired and slept on and off all day. I slept well that night and woke feeling fine but still a bit on the tired side. Thankfully, no more nausea or headache. I had no treatments except what I did for myself which was to drink lots of fluids and have very bland food and little of it. I live alone and have no family near so I take care of myself. I do need to know if I should have the second shot. I have one scheduled but would rather not go through that nasty experience again.

Other Meds: Losartan tabs' Calcium 600mg Vitamin B12 1000mg

Current Illness: None

ID: 1117231
Sex: F
Age: 46
State: OH

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: gluten all forms of pepper celery peanuts soy ibuprofen vicodine morphine biaxin suprax

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

Symptoms: hot itchy welt on upper left arm around where the shot was given. Showed up about 28 hours after second dose of Moderna vaccine

Other Meds: Vitamins B6, B12, C, D, E, Iron, hydroxyzine clonazapam lamictal sertraline Januvia famotidine tirosint

Current Illness: cold and ocngestion

ID: 1117232
Sex: F
Age: 49
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/19/2021
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: NKA

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

Symptoms: Developed abdominal bloating and burping then abdominal cramping and pain

Other Meds: Vitamin D, Multivitamin, Omega 3, Vitamin B12

Current Illness: None

ID: 1117233
Sex: F
Age: 64
State: NY

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/19/2021
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: Sunflower seeds

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

Symptoms: Pt reports some facial drooping in the right eye about 30 minutes after the vaccine. She also reports a numb sensation in the jaw followed by jaw pain. She compares it to a Bell?s palsy type reaction. She drank a lot of water and reports symptoms resolved within 30 minutes and did not return.

Other Meds: Atorvastatin, multivitamin, vitamin c, calcium, coq10, magnesium, fish oil, probiotic

Current Illness: No

ID: 1117234
Sex: F
Age: 72
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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 known allergies reported by patient

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

Symptoms: while patient was waiting the 15 minutes post vaccine in the waiting area she reported feeling tingling in her tongue. she described the feeling as if "brushing her tongue with a very sharp toothpaste". told the patient that we will keep her for an additional 15 minutes to make sure it doesn't get worse or if it gets better. After 30 minutes the patient reported no change. Gave the patient 10ml (25mg) of liquid benadryl ( 12.5mg/5ml sus) which she said she will not take just yet but wait a little longer. took patients blood pressure which was high 160/100 (patient has history of BP) told the patient to wait inside the counseling room where I can keep a direct eye on but will check her BP again in 15 mins. after 15 mins the patients blood pressure was 140/85. she stated that her tongue was feeling a little better but the sensation wasn't completely gone. she said that she feels comfortable leaving and that she will take the benadryl if she felt worse. Tried calling the patient at 6:30pm but patient didn't answer.

Other Meds: unknown

Current Illness:

ID: 1117235
Sex: M
Age: 56
State: CA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 03/19/2021
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 really

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

Symptoms: FIRST ONE I HAD MOST OF MY COVID SYMPTOMS RETURN: HIGH FEVER, CHILLS, BODY ACHES, NIGHT SWEATS, HEAD ACHE. LASTED ABOUT 1 DAY. SECOND SHOT BODY ACHES, CHILLS. LASTED ABOUT 1.5 DAYS.

Other Meds: Finasteride 1mg./day. topical minoxidil on an infrequent basis, maybe 1 ml a week

Current Illness: none

ID: 1117236
Sex: F
Age: 27
State: IL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: nkda

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient stated she felt nervous and anxious inside the tent . More post vaccine. Felt better outside in colder air.

Other Meds: none

Current Illness: none

ID: 1117237
Sex: F
Age: 28
State: TX

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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: I felt very comfortable and stared to sweat cold and felt I could not breath. I lost conscious for some time and my husband was able to hold my before I heat the floor. I felt I needed to use the restroom. Went to the restroom and pooped. I felt better and walk back to the chair and drink a little bit of water. After 5 minutes I started feeling terrible very very sleepy and cold not breath and my hart was going fast. Was loosing conscious again and felt I needed to go to the bathroom. I vomit and had to use the restroom. I still feel very weak and and having difficulty breathing. I'll update if I need too.

Other Meds:

Current Illness:

ID: 1117238
Sex: F
Age: 50
State: TX

Vax Date: 03/11/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Food allergies.... all nuts

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

Symptoms: Covid arm started 1 week after injection.... red rash in a circle around the injection site. Slightly warm to touch, itchy, slightly raised bumps. Applied cool wash cloth. Not severe. Next day slightly less noticeable.

Other Meds: None

Current Illness: None

ID: 1117239
Sex: F
Age: 74
State: CA

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/19/2021
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, sulfa antibiotics

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

Symptoms: Rash treated with Benadryl

Other Meds: Allopurinol 100 mg QD Amlodipine 10 mg QD Aspirin 8 1mg QD Atorvastatin 40 mg QD Calcium 500 +D Levothyroxine 50 mcg QD Valsartan-HCTZ 320-25 mg QD

Current Illness:

ID: 1117240
Sex: F
Age: 51
State: OH

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/19/2021
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: Headache. Began the evening of the injection and has worsened over the next 7 days. Feels like head is in a vice grip. Combination of 3 ibuprofen and 2 Excedrin Migraine every 4 hours makes the pain tolerable, but after about 4 hours, the pain returns with a vengeance.

Other Meds: Synthroid, birth control, multivitamin

Current Illness: None

ID: 1117241
Sex: F
Age: 66
State: MA

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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: latex

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

Symptoms: Joint pain, Onset on 3/1721 - mild. Increases on 3/18 and 19th.

Other Meds: Hydrochloro thiazide, 10 mg/day

Current Illness: none

ID: 1117242
Sex: F
Age: 68
State: WA

Vax Date: 01/26/2021
Onset Date: 02/10/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Very painful skin rash on back and chest. Still spreading as of 3-12-2021 and preventing sleep. Doctor prescribed triamcinolone acetonide 0.1% for two weeks maximum. Still symptomatic after 1 week twice a day but seems to be calming down.

Other Meds: Estradiol, levothyroxine

Current Illness: none

ID: 1117243
Sex: F
Age: 40
State: TX

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: Head ache and fever started the evening of March. Severe vertigo and nausea began sometime overnight or early the next morning. I was bed-ridden most of the day. I took zofran and ibuprofen. From then on the severe vertigo happened only while changing positions such as laying down and getting up. I saw a nurse practitioner on March 16th who told me it was due to ear wax. I received a prescription (meclizine) for the nausea and dizziness and bought an ear wax kit. The next a friend said her husband had the exact same symptoms as I was experiencing and that it was called facility. My husband assisted me with the epley maneuver twice on March 17th. By March 18th the vertigo was gone, with just slight dizziness during the day.

Other Meds: Zoloft- 50mg Vitamin d- 2000iu Vitamin c - 500mg

Current Illness: None

ID: 1117244
Sex: F
Age: 64
State: MI

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
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: NKDA

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

Symptoms: NONE

Other Meds: HCTZ,VIT D, SYNTHROID,MULTI VITAMIN

Current Illness: NONE

ID: 1117245
Sex: M
Age: 40
State: CA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt developed L sided Bell's Palsy one day after administration of vaccine

Other Meds: None

Current Illness: None

ID: 1117246
Sex: F
Age: 36
State: TX

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Pineapple, Iodine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: very lethargic, nausea, severe migraines, cold sweats, severe body aches

Other Meds: Bystolic, Dexalant

Current Illness: Had Covid - 3.5 Weeks Prior to vaccine

ID: 1117247
Sex: F
Age: 51
State: MA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 03/19/2021
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: sulfer drugs onions bandaid adhesive

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

Symptoms: 12 hours after shot cold feet/body pain at injection site aggressive shakes/shivers normally associated with fever for 1.5 hours awoke in am very very tired/lethargic/no appetite for whole day. awoke second day feeling fine.

Other Meds: vit c biotin

Current Illness: none

ID: 1117248
Sex: F
Age: 58
State:

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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: Reaction to vaccine similar to historical reaction to flu vaccine. Starting with cold hand and progressing to coughing fit. Patient took medication recommended by allergist. 50mg Benadryl and 2x puffs albuterol inhaler from home.

Other Meds:

Current Illness:

ID: 1117249
Sex: M
Age: 35
State: AZ

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: JANSSEN COVID-19 VACCINE EUA 12PM Sore deltoid left side up the neck BY 2PM lightheadedness, dizziness, nausea, headache, fatigue BY 4PM Dry cough and chills, BY 6PM Muscle soreness on the entire left side of body By 10PM 101 fever, aching in every joint of body, trouble breathing By 2AM hot and feverish. All symptoms continued through Sunday, many abating by Monday. However, I am still fatigued, coughing, lightheaded, dizzy, and nauseous since then to even now 3/19/2021. Headache comes and goes and slight difficulties in breathing from the normal. COVID rapid result test came back Negative today from facility.

Other Meds: Levothyroxin, Bupropion, Pantoprazole

Current Illness: None

ID: 1117250
Sex: F
Age: 35
State: OH

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Horses, animal dander, environmental, lipitor, dilaudid

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

Symptoms: Within about two minutes my head started feeling "off", my mouth started to go numb, my heart started to race, my face started itching/sweating and I could feel a headache coming on. I had a headache, chills, fatigue, increased body temperature (2+ degrees) and a sore arm for the rest of the day. I woke up this morning with a really sore arm. I could only lift my arm halfway up, due to the deep muscle pain.

Other Meds: Armodafinil, midodrine, linzess, Claritin, zyrtec, Buspar, Singulair, pepcid, omeprazole, Zetia, crestor, warfarin, Lexapro, butrans patch

Current Illness: Ehlers-Danlos Syndrome, POTS, narcolepsy, arachnoiditis

ID: 1117251
Sex: F
Age: 80
State: CA

Vax Date: 03/13/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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: codeine, pennicillian, cipro,

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

Symptoms: 4 days after injection where shot was given it hurt deep. In the morning it was itchy, inflamed and hurt. deep pain in areas down to fingers.. enflamed area has increased still with itching and deep pain along the arm and fingers.

Other Meds: lisinopril, hydrochlorathorazide,baby asprin,hydralazine,atorvastatin, ocuvite.

Current Illness: none

ID: 1117252
Sex: F
Age: 48
State: MN

Vax Date: 03/04/2021
Onset Date: 03/04/2021
Rec V Date: 03/19/2021
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: Redness, hot, inflammed skin at shot location and rectangular patch (1inch x 3inches) below shot location. Both are present 15 days after getting the vaccine.

Other Meds: Seroquel, albuterol inhaler, vitamin D supplement

Current Illness: None

ID: 1117253
Sex: F
Age: 55
State: CT

Vax Date: 03/09/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
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: Rash

Symptom List: Erythema, Pruritus

Symptoms: Swollen nymph node after two days. That subsided and on day 9 after shot rash over whole body - head to legs but most on torso- raised red dots very itchy.

Other Meds: Vitamin D. Magnesium and Cortisol manager

Current Illness: None

ID: 1117254
Sex: F
Age: 42
State: CO

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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: Codine

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

Symptoms: Initially mildly itchy on left arm and neck. Noticed red blotchy rash end of the following day. Worst bright red and itchy end of the second day after the vaccine. Took antihistamine. Nearly resolved by the end of the third day

Other Meds: Bupropion XL

Current Illness:

ID: 1117255
Sex: F
Age: 76
State: MI

Vax Date: 03/01/2021
Onset Date: 03/09/2021
Rec V Date: 03/19/2021
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: Amoxicillin

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

Symptoms: Felt dizzy as we were leaving the facility where I received the shot. Extremely dizzy and light headed for 5 days after that. Called to report the dizzyiness and they sent me to Urgent Care

Other Meds: Metoprolol Tartrate, Triamterene, Vitamin D, C and Clartin, Calcium

Current Illness:

ID: 1117256
Sex: M
Age: 76
State: CA

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 03/19/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: On 2/13/21 at 4 AM, experienced vertigo/dizziness and a second episode, lasting 2-4 minutes, on 2/22/21 At 5 AM. After the second vaccination (on 3/6), frequent episodes started on 3/17 and every day after that.

Other Meds: Multivitamins

Current Illness: None

ID: 1117257
Sex: M
Age: 55
State: NY

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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: NA

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

Symptoms: At 2:57 PM S/P Moderna,, vaccination to right deltoid patient repots numbness to throat and lips and nose. denies difficulty breathing and swollowing. Lungs auscultated and clear lungs. Vital signs within normal range except bp elevated (150/90). Patient continues to report dry throat. Benadryl given as protocol 25 mg (0.5ml) at 3.55pm left deltoid. Patient was continued monitoring maintained. patient reported to live 8 minutes away from the facility so he was asked to call wife to be escorted home. vitals signs were taken times four which were within normal limits.

Other Meds: Singular 10 mg daily

Current Illness: NA

ID: 1117258
Sex: F
Age: 62
State: FL

Vax Date: 03/04/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
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: Codeine, benzoyl peroxide

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

Symptoms: 3/4/2021 redness,warm injection site, itchiness 3/18/2021 redness, warm injection site , itchiness

Other Meds: None

Current Illness:

ID: 1117259
Sex: F
Age: 29
State: MA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Pain in extremity

Symptoms: Patient reported history of queasiness after injection. Patient fell weak, diaphoretic after injection. Patient was escorted to a chair when she fainted and became unconscious for approximately 1 minute, had an episode of incontinence. EMS service was ordered. Patient's BP was recorded by the EMS and was hypotensive. Patient refused to go to ER and was escorted to the car where her family member was waiting to take her home.

Other Meds: Unknown

Current Illness: No

ID: 1117260
Sex: F
Age: 52
State: CA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin (causes a rash), Bee stings (stung twice as a child with severe swelling), narcotics such as Demerol or Hydrocodone caused severe vomiting, Versed and Fentanyl also caused severe vomiting when given for surgical procedure.

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

Symptoms: Chills and Body Aches began the following morning after the injection and by 2:00 pm in the afternoon a large (ping pong ball sized) lump developed in the left axillary area that is very painful. The pain is constant when area is touched or with any arm movement. It feels like a knife is stuck inside my left axilla. I am guessing it may be a lymph node that swelled, but have not had it checked by a doctor. My last mammogram on November 16th, 2020 was clear and no indication of any lumps or swollen lymph nodes. This new lump appeared the following day after my Covid 19 vaccine.

Other Meds: None

Current Illness: None

ID: 1117261
Sex: F
Age: 36
State: PA

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/19/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Moderate soreness I?m at injection site. Still severe to touch. Can?t sleep on it but can exercise with little pain. Continued inflammation. No other side effects noted.

Other Meds:

Current Illness:

ID: 1117262
Sex: F
Age: 25
State: PA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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 reported

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

Symptoms: Patient reported numbness and tingling in hand shortly after administration.

Other Meds: unknown

Current Illness: unknown

ID: 1117263
Sex: M
Age: 69
State: CA

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/19/2021
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: DIZZYNESS, Numbness of hand arm and mouth right side only

Other Meds: none

Current Illness: none

ID: 1117264
Sex: M
Age: 50
State: NJ

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/19/2021
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: Fish (white fish, tuna, salmon)

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Ted rash on arm on day 7

Other Meds: Flonase, robo statin

Current Illness: No

ID: 1117265
Sex: F
Age: 40
State: CA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 03/19/2021
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: Shellfish

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

Symptoms: My arm was sore within an hour. By the evening I was achy and started to get a migraine (which is normal). The next day I was fine with the exception of a really sore arm. It was extremely painful. 24 hours later I started to feel achy again, but I didn't want to take any meds. By the 3rd day, my arm was better. On day 8, I noticed this red, puffy, itchy, raised area that was about 3 inches by the end of the day. I messaged by friend who is an allergist, I put some topical cream on it and it was cleared up in about 3 days.

Other Meds: Topiramate - 150mg Metoprolol - 25mg Flexeril Synthroid

Current Illness:

ID: 1117267
Sex: F
Age: 34
State: IL

Vax Date: 01/08/2021
Onset Date: 01/12/2021
Rec V Date: 03/19/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Symptoms initially started with exacerbation of my ulnar neuropathy (pain, numbness of the left 4th & 5th digits) as well as chest pain. The chest pain was midline and severe enough the evening of 1/12/21 that I sought care in the ED for evaluation. Since that time, I continue to have intermittent but daily episodes of left arm and chest pain as well as intermittent left face, neck, and head pains.

Other Meds: Prenatal vitamin, Calcium/Vitamin D gummy

Current Illness: none

ID: 1117268
Sex: F
Age: 60
State: AZ

Vax Date: 03/09/2021
Onset Date: 03/16/2021
Rec V Date: 03/19/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

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

Symptoms: Covid arm. On March 16 I noticed a lump at the injection site and mild itching. The next day I noticed a big, red circle around the injection site. It was slightly raised. There was a burning/itching feel to it.

Other Meds: Flonase, claritin, multi-vitamin, fiber supplement

Current Illness: None

ID: 1117269
Sex: F
Age: 21
State: WA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/19/2021
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: SHE STATED THAT SHE HAS BEEN TAKING MIRALAX FOR CHRON'S DISEASE BUT ONE TIME, SHE HAD ITCHNESS. DR. STILL RECOMMENDED HER TO RECEIVE VACCINE BECAUSE IT WAS ONLY ONE TIME REACTION.

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

Symptoms: SHE STARTED SWEATING AND FELT DIZZINESS.

Other Meds: REMICADE

Current Illness: CHRON'S DISEASE

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm