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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1118771
Sex: F
Age: 50
State: IL

Vax Date: 03/10/2021
Onset Date: 03/11/2021
Rec V Date: 03/20/2021
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: Lactose, heavy scents

Symptom List: Dysphagia, Epiglottitis

Symptoms: 1st day after the shot, I experienced Muscle aches throughout my whole body, chills, arm pain (couldn't lift my arm), fatigue, and nausea. 2nd day after the shot: fatigue, arm pain (hot to the touch), diarrhea, and headache. 3rd day after the shot: Arm pain fading away, fatigue. 4th day no bruise left and no pain. 8th day after the shot: itchy, pain, hot to the touch 9th day after the shot: itchy, pain, hot to the touch (getting larger in diameter) 10th day after the shot: itchy, pain, hot to the touch (getting larger in diameter) - Today's date 3/20/2021

Other Meds: None

Current Illness: None

ID: 1118772
Sex: F
Age: 50
State: IL

Vax Date: 02/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/20/2021
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: Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: large circular skin rash with itching and blisters where injected; redness and hard as a brick to the touch; elevated temperature; smaller oblong rash appeared beside the large circular rash

Other Meds: none

Current Illness: None

ID: 1118773
Sex: M
Age: 21
State: NV

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: NKA

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

Symptoms: Patient was nervous and afraid of needles during the vaccine process. Patient was asked to sit and wait 15 minutes after vaccine administration but he apparently went to get a soda and fainted at the self-check out stand 1 minute after getting the vaccine. Patient returned to his seat and was okay afterwards. Patient's father was also present during the whole process as he got the vaccine at the same time also.

Other Meds: none

Current Illness: none known

ID: 1118774
Sex: M
Age: 23
State: OK

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: After giving the patient his Covid Vaccine, he tensed up and said he was feeling like he may vomit. He then became very pale and fainted while in the vaccination chair. After a few seconds he regained consciousness. We then helped him to the floor and elevated his legs and placed a cold pack on his neck. He started feeling better instantly but we kept him there for about 5 minutes. We then had him move to a chair and the technician sat with him for an additional 40 minutes. He then said he was fine and that he has fainted before (which was not disclosed) and left.

Other Meds: n/a

Current Illness: n/a

ID: 1118775
Sex: F
Age: 43
State: FL

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Pain in middle of chest from 3/18/2031 at 10:00pm until 3/19/2021 at 3:00am

Other Meds: None

Current Illness: None

ID: 1118776
Sex: M
Age: 63
State: AZ

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
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: Fever 102 Dizziness Chills Slight Nausea

Other Meds: Protonix Atorvastatin

Current Illness: None

ID: 1118777
Sex: F
Age: 37
State: IL

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Significant heart palpitations approx. 16-18 hours post-injection lasting throughout the day

Other Meds: Synthroid, Ocella, Chlorthalidone, Adderall

Current Illness: None

ID: 1118778
Sex: M
Age: 0
State: CA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Pharyngeal swelling

Symptoms: 3 minutes after vaccination, I started to feel warm, sweaty, and tingling sensation. On-site nurses noticed I started to look pale and clammy and took me into evaluation room and checked my vitals. My vitals came back with low blood pressure and low oxygen levels. After resting and a cup of water, my vitals became all normal.

Other Meds: Lipoflavinoid; vitamin D

Current Illness: None

ID: 1118779
Sex: F
Age: 41
State: CA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, tetracycline, morphine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache, chills

Other Meds: Zyrtec Wilexa

Current Illness: None

ID: 1118780
Sex: F
Age: 51
State: IL

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 03/20/2021
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: penecillin dust, pollen

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 3:30pm flushed face (for about an hour) 5:30pm pain at injection site (continued through 5:00pm 3/11/21) 9:30pm muscle aches (continued through 5:00pm 3/11/21) 12:15am 3/11/21 chills and low grade fever 99.9*F (continued through about 10am)

Other Meds: synthroid 24 hour pill

Current Illness: none

ID: 1118781
Sex: F
Age: 45
State: OR

Vax Date: 03/05/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Morphine, contrast dye, penicillin, tomatoes, shellfish

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

Symptoms: Large red ?Moderna Rash? 15 days after first dose. Slightly itchy

Other Meds: Low dose naltrexone, progesterone, co q10, magnesium glycinate, Claritin

Current Illness: None

ID: 1118782
Sex: F
Age: 65
State: PA

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: No

Symptom List: Rash, Urticaria

Symptoms: Day 7 I kept scatching my forehead. This morning I wake up with a large 2" red swollen painful circle where I received the 1st shot.

Other Meds: Multi Vitamin Vitamin D Zinc Biotin

Current Illness: No

ID: 1118783
Sex: F
Age: 42
State: MD

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Hive-like rashes with induration

Other Meds: None

Current Illness: None

ID: 1118784
Sex: F
Age: 68
State:

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Dizziness, muscle aches, headache, chills; tylenol taken after 6 hours; symptoms nearly gone after 24 hours

Other Meds: lisinopril, hydrochlorothiazide, letrozole

Current Illness: none

ID: 1118785
Sex: F
Age: 58
State: WI

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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: 3/18 1pm headache, fatigue, sore arm. 3/19 2pm vomiting, headache, chills, body aches, upset stomach, sore arm. 3/20 8 am vomiting, headache, chills, body aches, upset stomach, sore arm

Other Meds: None

Current Illness:

ID: 1118786
Sex: F
Age: 76
State: FL

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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 known

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

Symptoms: I got the modera shot 3/17/21 in the early afternoon.All seemed to be going fine until 3/18/21 my body was very itchy.On 3/19 I called my dr. who suggested an antihystamine.That night I had a low grade fever.3/20 my skin was less itchy,so far no fever ,but tired.

Other Meds: amitriptaline,crestor,zanaz,bupropion hcl,aloe vera victoza

Current Illness: none

ID: 1118787
Sex: F
Age: 28
State: MI

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: None

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

Symptoms: Fever of 102-103 degrees, muscle aches and all over body pains, chills, delirious, fatigue, headache/migraine, light sensitivity.

Other Meds: Iron, Metformin, Pristiq

Current Illness: None

ID: 1118788
Sex: M
Age: 63
State: MO

Vax Date: 03/14/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
Hospital: Y

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

Lab Data:

Allergies: penicillin, adhesive tape, eggplant

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I experienced acute vertigo and nausea three days after vaccine. I was treated at the ER at Hospital on Wed. 3/17/21, and discharged on 3/19/21. The diagnosis was Unilateral Vestibular Hypofunction; it was the same side I got the shot on (left). I was treated with meclizine and given outpatient eye-hand exercises to do. The symptoms have faded, but not disappeared as of today, 3/20/21.

Other Meds: Losartan 100 mg. , Valacyclovir, Vitamin D 5000 units, 81 mg aspirin

Current Illness: none

ID: 1118789
Sex: F
Age: 32
State: CA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On Thursday March 11, 2021 I received my first dose of Pfizer COVID vaccine. Within about 5 second after administration I began to feel severe arm pain spreading from the injection site down to my fingers that were tingling and numb. Then within about 20 seconds of the vaccine I fainted. The fainting spell was brief, a few seconds, but the symptoms that continued after were long lasting. My blood pressure after was about 80/50, I was diaphoretic, pale, had moderate arm pain (tingling, numb, painful to move) and severe nausea. I was also light headed. These symptoms lasted through the night but I felt overall improved the next day other than fatigue and lingering arm pain. Then on March 16, 2021, 5 days later, I woke up with extreme fatigue. Over the course of the day I then began to get a headache. I got back in bed and then in the afternoon started to feel moderate arm pain again at the injection site and down the entire arm. Then severe nausea set in again along with more diaphoresis, chills and light headedness. The symptoms this time again lasted through the night and I felt better again the next morning.

Other Meds: birth control

Current Illness: None

ID: 1118790
Sex: M
Age: 59
State: FL

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: None Known

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

Symptoms: Following vaccine during observation period, pt reported feeling faint. Team examined pt. VS taken BP 140/90,BGL 134, ECG Sinus Bradycardia with PVCs. Health team called 911, responded and initiated care of paint. Health team departed.

Other Meds:

Current Illness:

ID: 1118791
Sex: F
Age: 68
State: CA

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/20/2021
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:

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

Symptoms: 36h after first vaccine dose, started experiencing rash all over lower extremities. Rash still present on 3/19/21. PCP advised against 2nd vaccine dose. No show on 3/19/21 appointment.

Other Meds:

Current Illness:

ID: 1118792
Sex: F
Age: 26
State: MN

Vax Date: 03/11/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: Last night my upper arm began to itch at the injection site. I noticed it was red and hot to the touch. Today there is a small hot area around the injection site with a hard, hot, red rash spanning further down my upper arm, about five inches. It is hot and itchy to the touch

Other Meds: None

Current Illness: None

ID: 1118793
Sex: F
Age: 53
State: NY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
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: Penicillin

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

Symptoms: Fevers, headache, muscle ache, nausea

Other Meds: L-lysine, biotin, vitamin C, iron

Current Illness: None

ID: 1118794
Sex: M
Age: 39
State: MO

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
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: tingling of hands/feet; redness of hands in glove fashion; purplish discoloration of toes with left 4th toe red and swollen; elevated blood pressure

Other Meds: advil

Current Illness: none

ID: 1118795
Sex: F
Age: 66
State: MA

Vax Date: 02/24/2021
Onset Date: 03/10/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: IVP dye Sulfa drugs Vicodan Erithromycin

Symptom List: Injection site pain, Menorrhagia

Symptoms: TWO WEEKS AFTER INJECTION,: Very large red raised rash area extending up to shoulfer and approx. 5" around area. Itchy, somewhat painful.

Other Meds: Nitroturantoin mac caps 50 mg: 1/day Singulair (montelukast sidium tabs) 10 mg: 1/day Atorvastatin 20 mg: 1/day Advair 500/50: 1 inhalation/day Fluticasone proprionate 50 mcg: 1 use/day Famotidine Acid Reducer 20mg: 2/day Restasis .0

Current Illness:

ID: 1118796
Sex: F
Age: 48
State: TN

Vax Date: 03/16/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: None

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

Symptoms: Four days later, patient developed single blisters on her right side of body. Valacyclovir is being used to treat shingles.

Other Meds: North/e ES/fe Montelukast Sod Tab 10mg Trazodone HCL Desloratadine Tab 5mg Multi vitamin

Current Illness: None

ID: 1118797
Sex: F
Age: 65
State: CA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/20/2021
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: throat tightening, heaviness in chest, dry cough, sore left arm, sore throat

Other Meds:

Current Illness:

ID: 1118798
Sex: F
Age: 64
State: WI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Anaphylaxis to Bee Stings and Latex Swelling with Morphine and Sulfa Drugs

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Please stated that she felt hot, short of breath, and her tongue was tingling. Epinephrine given to Right outer thigh @ 1445 and Pt. sent down to Emergency Dept.

Other Meds:

Current Illness:

ID: 1118799
Sex: F
Age: 30
State: MN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Akathisia from dimenhydrinate Dairy intolerance

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

Symptoms: Extreme fatigue, somnolence, muscle/body aches, brain fog, joint aches

Other Meds: Once Daily: Fluoxetine 20 mg Zyrtec 10 mg Apri birth control Iron supplement 25 mg Omega fish oil supplement Phd women?s multivitamin

Current Illness: None - seasonal allergies

ID: 1118800
Sex: F
Age: 56
State: OR

Vax Date: 03/05/2021
Onset Date: 03/12/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa, tramedol, prednisone, and molds

Symptom List: Nausea

Symptoms: Massive lump at injection site 7 day after vaccine, lump pain and itching

Other Meds: Lorazepam, Lamictal, neurontin, aspirin, potassium, estradiol, hydroxyzine, spironolactone, bumetanide, baclofen, atorvastatin, omeprazole, duloxetine, magnesium-oxide, d3, b6, b12, zinc, elderberry, benedryl

Current Illness: None

ID: 1118801
Sex: F
Age: 56
State: KY

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain

Symptoms: Itchy injection site. Rash began and then a round ring swelling and soreness faded after about 4 days. On day,9 noticed return of ring of redness. Maybe a little swollen but not itching

Other Meds: Levetracetam, zyrtec

Current Illness: No

ID: 1118802
Sex: F
Age: 53
State: PA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Pressure headache, malaise beginning about one hour after shot. Still experiencing this over 24 hours after shot.

Other Meds:

Current Illness: None

ID: 1118803
Sex: F
Age: 60
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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:

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

Symptoms: Ten minutes after first vaccine dose, felt cross-eyed. AO x 4. BP 163/82 (pulse 76), O2 sat 100%.

Other Meds:

Current Illness:

ID: 1118804
Sex: F
Age: 61
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Sulfa drugs

Symptom List: Tremor

Symptoms: patient experienced burning sensation, nauseous, weakness few minutes (around 5-10mins.) after receiving shot while seated and in waiting observation area.

Other Meds: N/a

Current Illness: N/a

ID: 1118805
Sex: F
Age: 57
State: AZ

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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 complained of racing heartrate, tingly feeling throughout body, feeling faint, tightness in throat, but she did not have trouble breathing. Got numbness left side of face, is improving at this time. Spent an hour being monitored by EMTs after calling 911.

Other Meds:

Current Illness:

ID: 1118806
Sex: F
Age: 43
State: CO

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: Wellbutrin

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

Symptoms: Extensive diarrhea, mild vomiting, intense sweating during the hours with these symptoms, around 2:30am-4am

Other Meds: Diabetes meds (metformin, jardiance), vascepa, synthroid, sertraline, trulicity,

Current Illness:

ID: 1118807
Sex: F
Age: 51
State: WA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: NEEDLE SEPARATED FROM SYRINGE DURING ADMINISTRATION. IT IS UNKNOWN WHAT VOLUME OF VACCINE ENTERED PATIENT AND HOW MUCH WAS LOST.

Other Meds:

Current Illness:

ID: 1118808
Sex: M
Age: 74
State: OR

Vax Date: 03/07/2021
Onset Date: 03/08/2021
Rec V Date: 03/20/2021
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: sensitive to penicillin , allergic to sulfa, ARB's Ace inhibitors, sulfa, dairy

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: headache next day, swollen tonsils starting two days and lasting 4 days, fatigue, malaise.

Other Meds: insulin, farxiga, chlorthalidone, amlodopine, doxizosin, OMEPRAZOLE, FENOFIBRATE ,BUPROPION

Current Illness: none

ID: 1118809
Sex: F
Age: 73
State: PA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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: IVY DYE

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

Symptoms: INCREASED HEAR RATE NERVOUSNESS TROUBLE BREATHING

Other Meds: UNKNOWN

Current Illness: ARTHIRITIS

ID: 1118810
Sex: M
Age: 48
State: UT

Vax Date: 03/10/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
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: Gentamicin eyes

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

Symptoms: * All of skin feels warm sensation to burning in left arm; sensation not crawling, not tingling, not numb, not shooting pain, not pricking of pins and needles. * Upper body muscles tingling. * Muscles relaxed to weakness or numbness. * Feeling tired, sleepy, fatigue. * Forehead pressure; not congestion, headache, or fever. * Eyes tired and burning.

Other Meds: Ibuprofen

Current Illness: Swollen Left Ankle

ID: 1118812
Sex: F
Age: 52
State: CO

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: 2 lumps developed 15 hours after shot on right neck near collarbone; lumps about 1.25? apart; 3/20/21 and lumps still there but slightly smaller and less painful

Other Meds: multivitamin; probiotics and birth control

Current Illness: None

ID: 1118813
Sex: F
Age: 19
State: MA

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Bad body aches, fever, ear aches

Other Meds: Insulin- humalog

Current Illness:

ID: 1118814
Sex: F
Age: 51
State: CO

Vax Date: 03/13/2021
Onset Date: 03/16/2021
Rec V Date: 03/20/2021
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: Patient reported facial paralysis starting 4 days after COVID dose

Other Meds: lantus, metformin, glimepiride, atorvastatin, aspirin, levothyroxine

Current Illness: None

ID: 1118815
Sex: M
Age: 59
State: WA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/20/2021
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: Muscle soreness, chills, joint pain for first 24-36 hours. Joint pain continued for 60 hours. Residual joint pain in formerly broken toe has continued for 3 days, though has gradually lessened.

Other Meds: None

Current Illness: None

ID: 1118816
Sex: M
Age: 50
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/20/2021
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:

Symptom List: Vomiting

Symptoms: 3/20/2021 Pt was observed post Covid-19 immunization for 30 minutes based on pre-vaccination screening . During the observation period, he experienced an adverse reaction with the following symptoms: tighenting around face and mouth. Assessment : Time of assessment 1702. Alert and oriented. Redness noted around mouth, no swelling noted, Actions taken: BP at 1702, BP- 149/94, P- 102, O2- 100 GIVEN WATER Medications administered: FAMOTIDINE 20 MG PO X 1 BY NP, Benadryl 25 mg PO x 1 by NP Disposition: Reports no further symptoms of adverse reaction after observation for , minutes. Discharged home. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 3/20/2021 4:39 PM 0.3 mL 12/11/2020 Intramuscular

Other Meds:

Current Illness:

ID: 1118817
Sex: F
Age: 37
State: NV

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 03/20/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Had a flushing throughout body a few minutes after vaccine Had significant dizziness and lightheadedness especially when going from laying down to sitting or standing for about 2 weeks after 2nd vaccine.

Other Meds: Prenatal Vitamin c Fish oil

Current Illness:

ID: 1118818
Sex: M
Age: 57
State: SC

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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:

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

Symptoms: Had to use the bathroom every hour (#1), chills, severe headache, coughing, fever through the night and next day so far. Diahrrea the second day.

Other Meds: Baby aspirin, acidophilus, fish oil, amygdalin, vitamin A, vitamin D, zinc, colloidal silver

Current Illness:

ID: 1118819
Sex: F
Age: 49
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/20/2021
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: LUE/L face tingling. Vitals wnl.

Other Meds:

Current Illness:

ID: 1118820
Sex: M
Age: 58
State: IN

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/20/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Around 2 hours after receiving the vaccine I became tired the next day after I woke up I was very dizzy for about 3 hours in the morning around 5:00 that evening on the 21st everything seems to be cleared up and gone I've been fine ever since

Other Meds: Corvistat multivitamin fish oil

Current Illness: None

ID: 1118821
Sex: F
Age: 71
State: HI

Vax Date: 03/07/2021
Onset Date: 03/09/2021
Rec V Date: 03/20/2021
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: epinephrine causes palpitations

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

Symptoms: redness and itching in left upper arm extending over most of the lateral upper arm.

Other Meds: metformin, atorvastatin, pantoprazole, lisinopril

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm