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: 1120735
Sex: F
Age: 25
State: TX

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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: Grass, trees, pollen, mold, dust, pet dander, sunflower, legumes, clams, eggs, hazelnut, peanut, lactose intolerance

Symptom List: Dysphagia, Epiglottitis

Symptoms: Severe chest pain that felt like it was moving from injection site into left upper chest. Pain then moved to middle of chest then to right side and back and forth from 1:30am to 3:30am. Pain then became constant in left upper chest area near collarbone. BP started at 156/95 around 1:45am then decreased to 127/87 around 2:30am

Other Meds: Metformin, atorvistatin, womens daily multivitamin, cranberry supplement, digestive supplement, generic excedrin, claritin

Current Illness:

ID: 1120736
Sex: F
Age: 56
State: TX

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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: ?Jansen COVID-19 Vaccine EUA Migraine Headache (horrible) for at least 24 hours. Body aches. Took ibuprofen felt better, drank a lot of water and liquids.

Other Meds: None that

Current Illness: None

ID: 1120737
Sex: M
Age: 74
State: WI

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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: Hazel nuts, pepto bismal

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

Symptoms: Groggy and scrambled brain. Achy.. Hearing non-existent pounding sounds.

Other Meds: Lyrica, Wellbutrin, Lipitor, Synthroid, Lexapro, Flomax, Namenda

Current Illness:

ID: 1120738
Sex: F
Age: 19
State: WA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extreme chills starting around 9:00 PM, no fever Around 11:00 PM, extreme vomiting Around 11:45 PM vomiting again

Other Meds: Biocidin Lexapro Propranolol Spironolactone B12 Digestive enzymes Calm magnesium powder L-glutamine powder

Current Illness:

ID: 1120739
Sex: F
Age: 60
State: IN

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
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: Headache that felt different the a normal one. Lightheadedness. Chills and fatigue. All symptoms started between 2 pm and 6 pm on March 20. Acetimenaphen was taken to reduce symptoms. All symptoms gone by 6 pm on March 21.

Other Meds: Trintellix. Trazadone

Current Illness: None

ID: 1120740
Sex: F
Age: 59
State: SC

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/21/2021
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: Morphine

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

Symptoms: Joint and muscle a Aches, fever. Headache. General feeling unwell.

Other Meds: Mobic 15mg HZtz 25 mg zetia Multivitamin Fiber

Current Illness: None

ID: 1120741
Sex: F
Age: 57
State: IN

Vax Date: 03/01/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
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: Caux 2 and prevacid drugs

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever with chills bad headache achy all over my body just took tylenol for headache and rested in bed for 2 days

Other Meds: Citalopram 10mg. And daily vitamins

Current Illness: None

ID: 1120742
Sex: M
Age: 28
State: OH

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
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: pt. felt light headed after receiving

Other Meds: none

Current Illness: none

ID: 1120743
Sex: F
Age: 51
State: IL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient developed sudden shortness of breath, hypoxemia, requiring hospitalization. CT chest showed diffuse ground glass opacities, that looked like ARDS. She required up to 80% FiO2, 60 L/min high flow, but was able to be weaned to venti mask 12L with steroids within 24-48 hours

Other Meds: Hydroxycholoroquine, azathioprine

Current Illness:

ID: 1120744
Sex: F
Age: 74
State: MI

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 03/21/2021
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: Sulfa, naproxen, Qvar

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pain on right side of rib cage and right side of right breast. Pain for approximately 1 week prior to seeing primary care MD.

Other Meds: Budesonide, Anoro Ellipta, Atenolol, Azithromycin, multivitamin, Caltrate, vitamin D3, Align probiotic

Current Illness: none

ID: 1120745
Sex: M
Age: 39
State: NC

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/21/2021
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: I only have one kidney. And it swelled up. I'm now feeling pain around it.

Other Meds: Vitamin C

Current Illness:

ID: 1120746
Sex: M
Age: 65
State: AZ

Vax Date: 03/15/2021
Onset Date: 02/15/2021
Rec V Date: 03/21/2021
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: Was seen by my doctor diagnosed with Bells Palsy prescribed 20mg Prednisone and valacyclovie , my need to see a nerve specialist, and is scheduled for a CT scan. 30 min after shot my nose was numb then in the morning my month was numb I call (doctor) and made an appointment to see a doctor

Other Meds: Olmesartan Medoxomil 40 mil 1 tab daily, Alogliptan 25 mg 1 daily, Amlodipine besylate 5 mg 1 daily, Metformin hel-ray 500mg 2 a day,Aspirin 81mg 1 daily, Fish oil 180mg 1 daily, Red yeast rice 1200mg 1 daily, vitamin D, Glucosamine, Daily

Current Illness: About 30 min after Pfizer EN 6206 2nd dose my nose got numb in the morning my lips were numb then the side of my face started drooping. I called my Doctor and scheduled a appointment. My Doctor said I got Bel Pulsi from the shot i am on Prednizone and Anti inflammatory.

ID: 1120747
Sex: F
Age: 72
State: OR

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: peanut oil

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

Symptoms: Patient came to the pharmacy at 1:05pm to notify us of sharp pain in the left hip bone area starting 10 minutes after the vaccination. She was unable to get assistance at the vaccination clinic and came to pharmacy for documentation. still getting pain at the pharmacy counter.

Other Meds: unknown

Current Illness:

ID: 1120748
Sex: F
Age: 29
State: FL

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/21/2021
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: hydrocodone (nausea and vomiting)

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

Symptoms: Heart palpitations leading to insomnia. Palpitations occur sometimes during the day, but get worse at night.

Other Meds: multivitamin, probiotic, calcium magnesium & zinc, turmeric

Current Illness: none

ID: 1120749
Sex: F
Age: 61
State: OH

Vax Date: 03/08/2021
Onset Date: 03/09/2021
Rec V Date: 03/21/2021
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: The patient described red, chapped lips, with a small amount of swelling, that started the day after receiving the Covid vaccine. She states that her lips remain very dry and there appears to be a red outline around the edges of her lips. Stated she will be calling her doctor on Monday.

Other Meds:

Current Illness:

ID: 1120750
Sex: F
Age: 65
State: SC

Vax Date: 03/02/2021
Onset Date: 03/04/2021
Rec V Date: 03/21/2021
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: Two days following injection I was quite dizzy and very sluggish. This lasted for a good week. To this day I am very tired. Injection site was very red for two weeks. My body continues to feel ?heavy?. My dizziness comes and goes.

Other Meds: One A Day vitamin

Current Illness: None

ID: 1120751
Sex: F
Age: 62
State: MI

Vax Date: 03/01/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
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: Trees, mold

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

Symptoms: Rash, itching

Other Meds: Allegra, blood pressure

Current Illness: None

ID: 1120752
Sex: F
Age: 47
State: KS

Vax Date: 03/14/2021
Onset Date: 03/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: patient reports noticing a lump below right clavicle. It is not tender but is slightly warm to touch. It has not changed since patient noticed.

Other Meds: unknown

Current Illness: patient indicates none

ID: 1120753
Sex: M
Age: 28
State:

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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: Injection site soreness and fever over night.

Other Meds: N/A

Current Illness: none

ID: 1120754
Sex: F
Age: 57
State: UT

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Painful, swollen, hot, rock hard injection site. Temp 102.5, extreme chills, body aches , nausea and headache. Hurt to open mouth the following day because jaws were so sore from clenching my teeth with the chills. Skin hurt to touch, took a shower to try and warm up and the water hurt when it hit my skin. Eyeballs hurt and felt hot and dry.

Other Meds: Synthroid, Vitamin D, iron supplement

Current Illness: N/A

ID: 1120755
Sex: F
Age: 63
State: NY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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: Pollen

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

Symptoms: Slight pain in left forearm and hand. Hand felt like I had squeezed a ball a thousand times in a row. Feeling lasted apx 15 minutes. No pain since.

Other Meds: Estradiol, Progesterone, Lexapro. OTC ZyrtecD.

Current Illness: None

Date Died: 03/20/2021

ID: 1120756
Sex: M
Age: 66
State: CA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Unevaluable event

Symptoms: On Friday night, 3/19/21, patient spiked a fever, had shortness of breath, and had blood coming out of his nose and mouth per patient's daughter-in law. 9-1-1 was called, paramedics arrived at the home at 5AM on Saturday, 3/20/21 per patient's daughter. Patient died.

Other Meds: Unknown

Current Illness: Unknown

ID: 1120757
Sex: F
Age: 70
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/21/2021
Hospital: Y

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: n/a

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

Symptoms: Following the day of my 2nd dose of Moderna vaccine I lost consciousness shortly after getting up in the morning, collapsed, hit my head on metal drawer handle in the kitchen, required 8 staples on a gash on backside of my head and a two-day hospital stay.

Other Meds: Tirosint 75mcg (Levothyroxine Sodium), multi-vitamins, turmeric, fish oil, Co-Q10, Vit D3

Current Illness: n/a

ID: 1120758
Sex: F
Age: 58
State: CA

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
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: Darvocet

Symptom List: Injection site pain, Pain

Symptoms: Patient reported mouth, tongue and throat feeling tingling and numb. No reports of trouble breathing. Patient's mouth or lips did not appear to be swollen upon visual inspection. Patient was given Benadryl 50mg PO, without any improvement in the patient's symptoms (per patient report).

Other Meds: Excedrin, Cymbalta, Robaxin, Percocet

Current Illness: Fibromyalgia

ID: 1120759
Sex: M
Age: 72
State: VA

Vax Date: 02/17/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Shrimp, aspirin, yellow jacket sting (got treatment for last one so no longer allergic)

Symptom List: Injection site pain, Menorrhagia

Symptoms: Numbness in lower lip and numbness and slight trembling in right side of face (similar to Bells Palsy?) after four days of being administered the first shot in the right arm. After a video consult with my PCP it was recommended that I go to the hospital and get a CT scan to rule out a possible minor stroke. The CT scan was negative. The numbness became better after two weeks but has not subsided. After consultation with the doctor in charge of the vaccine operation for the site it was decided that I go ahead and take the second shot but instead of the right arm I should take it in either the left arm or the left thigh. The second shot was administered in the left thigh. I experienced the typical symptoms on the second day - fever, chills and aches and pain but they went away towards the end of the second day. However, exactly on the fourth day I experienced increased numbness in my lower lip and on the right side of my face. Today is the fifth day and it is still there. I expect that this numbness will continue for several weeks as it did with the first shot and so far it has not subsided after the first shot and has now increased after the second shot. I am totally convinced that this is a direct result of the vaccine.

Other Meds: Multivitamin, prostrate supplement, garlic, fish oil, Vitamin D supplement, turmeric

Current Illness: None

ID: 1120760
Sex: F
Age: 51
State: IA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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 known

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

Symptoms: Sudden ringing ears with intense headache and dizziness. Sudden strange taste in mouth with difficulty swallowing. Disorientation. Close to passing out. About 3 hours after vaccine I was intensely nauseous.

Other Meds: Singular, Xyzal, Atorvastatin, Breo.

Current Illness: None

ID: 1120761
Sex: F
Age: 63
State: PA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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: PCN, adhesive tape

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills, fever (100.4), fatigue, headache, slight stomach queasiness, body aches, swollen fingers, decreased appetite Took anti-paretics (three doses) t/o next day. Symptoms resolved in just over 24 hours.

Other Meds: HCTZ, Levothyroxine, Pravastatin, Amlodipine, Multi vitamin, Fish oil, Vitamin B-complex with C, Vitamin D, Magnesium, Cranberry, Turmeric

Current Illness: None

ID: 1120762
Sex: F
Age: 40
State: FL

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Environmental allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Around 4:30PM started having headache and shivering. Around 9PM started having body ache all over.. Continued throughout the night. Next morning at 7AM only headache and soreness of neck continued. All symptoms were gone around 6PM on 3/18/21

Other Meds: Adderall, Probiotic, Vitamin D, Sunosi

Current Illness: None

ID: 1120763
Sex: M
Age: 70
State: VA

Vax Date: 02/16/2021
Onset Date: 03/01/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Tinnitus only.

Other Meds: Statin (40mg), Allegra, various vitamins

Current Illness: NoneNo e

ID: 1120764
Sex: M
Age: 22
State:

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Patient received the Pfizer Vaccine at around 3:00 PM. Patient proceeded to sit at the observation area for15 min. for monitoring with no s/s of adverse effects. Patient proceeded to go back to work at the factory. Nurse was flagged down by staff stating patient came back because complaint of dizziness and headache. Patient was offered to lay down. Ice pack was placed on the back of patients neck. Nurse encouraged fluids. VS were taken and noted to be stable. Patient was monitored for 30 mins before departure. Nurse instructed patient and patient mother on signs, Symptoms of Severe Adverse Reactions to report to health care provider or to go to the emergency room. Patient/Family verbalized understanding.

Other Meds:

Current Illness:

ID: 1120765
Sex: F
Age: 57
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/21/2021
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: Red large spot 3 inch diameter at sight of injection. Sore, itchy, hurts sometimes to move arm. Red for 3 days went away now has come back on day 10 just as painful if not more.

Other Meds: Ibuprofen

Current Illness: None

ID: 1120766
Sex: F
Age: 21
State: TX

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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: Minutes after receiving the first dose of the Moderna vaccine, patient complained of difficulty breathing. I asked if she was wheezing and she said no. A doctor in the clinic came over and even though it wasn't time for patient and her sister to leave (based on 15-minutes after receiving the vaccine) he initially suggested that they might be fine to go, but after patient told him of her symptoms and at my urging he decided to have her stay a little longer. I think it was at this time that he had someone check her pulse. I don't know what the pulse reading was. He stepped away and shortly afterwards patient started complaining that her throat felt strange and was making it hard to breathe. The doctor immediately came back over, found patient was having difficulty breathing and holding herself upright in the chair. I held her by the shoulders to keep her from falling while the doctor also steadied her and asked a worker in the room for an epi-pen. The worker didn't seem to react much to the request so he told her louder that he needed an epi-pen. She started searching her area and the doctor started yelling across the room to others that he needed an epi-pen. It seemed like others initially took the demand less urgently than they should, but eventually someone came with an epi-pen. By this time I don't think patient was very conscious, if at all. Sometime during this time the doctor also instructed someone to call 911. The doctor tried using the epi-pen but at first he had some kind of cap on it that prevented it from working. He removed the cap and not finding an easy way to have a sterilized injection site he injected the epi-pen through patient's jeans. Soon afterwards a cot was brought out and workers had me step aside as they took patient and put her on the cot. Patient seemed to gradually become more aware of her surroundings and it wasn't long before she appeared to me to be fully conscious once again. They checked her blood pressure and pulse and maybe did other tests during this time. Eventually the ambulance arrived and patient was very clear with everyone that she did not want to incur the expenses of riding in the ambulance and I offered to bring her wherever they suggested that she should go. They watched and evaluated her for a while and eventually had her sign the form declining the ambulance transportation. They suggested that she make an appointment with her doctor but did not suggest that we take patient to an emergency room. We departed and patient did not afterward seem to experience any symptoms from the vaccine other than some of the general feelings of being sick, soreness at the injection site, etc. that others report with the Moderna vaccine.

Other Meds: Clonadine in the evenings to help with sleep. Concerta.

Current Illness: None

ID: 1120767
Sex: M
Age: 29
State: TN

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
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: tree nuts

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

Symptoms: patient received their first dose of the Pfizer covid immunization. during observation, the patient got extremely red and lost consciousness. upon waking up, the patient began having cold sweats and lost color in this face, the patient then lost consciousness again and began shaking. 911 was called. the patient was moved to the ground with the help of a fellow team member. blood pressure was taken and was 106/62. heart rate was around 60. patient began getting color back but remained on the floor until the paramedics came.

Other Meds: none

Current Illness: unknown

ID: 1120769
Sex: M
Age: 75
State: AR

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/21/2021
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: Very tired and very weak. Lasted about 48-60 hours

Other Meds:

Current Illness: Non

ID: 1120770
Sex: F
Age: 59
State: NY

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/21/2021
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: Sulfer, Eggplant

Symptom List: Erythema, Pruritus

Symptoms: Ringing in my ears since a day after I got the shot , Have had the condition previously but this has been exacerbated significantly since the vaccine. Sensation in tip of my tongue. Left eye feels like it is a bit burry . Hands and feet very cold . Has gotten better after the 5th day. Was tired for 5 days after vaccine.

Other Meds: Zyrtec, Omega 3 , Vitamin D, Vitamin C,

Current Illness: None

ID: 1120771
Sex: F
Age: 48
State: CT

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/21/2021
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: Tetracycline and seasonal allergies

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

Symptoms: Metallic taste in mouth, severe fatigue, muscle, joint, and nerve pain, nausea

Other Meds: Bactrim, Tylenol, mucinex

Current Illness:

ID: 1120772
Sex: F
Age: 61
State: MS

Vax Date: 03/01/2021
Onset Date: 03/08/2021
Rec V Date: 03/21/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Ears-ringing, and headaches started after about a week of second vaccine. Still occurring off and on 20 days after vaccine. Not continual and some days worse than others.

Other Meds: None

Current Illness: None

ID: 1120773
Sex: F
Age: 65
State: CA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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: 4 bouts of diarrhea from 4:00pm to 8:00pm, occurring on the second day after vaccination. No medical treatment needed. Hydrated with smart water (electrolytes) and slept 10 hours that night, with no further diarrhea in the night. Ate light for the rest of Thursday and all day Friday.

Other Meds: Propranolol: 20mg/day Vitamins: C, multivitamin, calcium/magnesium/potassium, glucosamine

Current Illness: None

ID: 1120774
Sex: M
Age: 77
State: NC

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 03/21/2021
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: possible penicillin

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

Symptoms: Mild soreness and swelling at injection site plus slight itching. No rash or discoloration. Dissipated by the third day. Had no noticeable reaction to the first dose.

Other Meds: Aspirin; Naproxin; Magnesium; Vit D; Multivitamin

Current Illness: NA

ID: 1120775
Sex: F
Age: 30
State: OH

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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: Vicodin

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

Symptoms: Redness and itching to left arm that started approximately 30 minutes after administration. Redness and itching spread across body into a generalized rash. Itching to throat but no respiratory issues- no shortness of breath or trouble breathing. Took two Benadryl tablets and a Pepcid tablet around 745pm when I got home.

Other Meds: Lexapro, Buspar, Vitamin D3, Claritin-D.

Current Illness: None

ID: 1120776
Sex: F
Age: 57
State: MT

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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: Not severe, normal for me to have sickness following shots. With this one I was extremely tired, and had a slight headache. Everyone else I know that has had it has not had any side effects at all. Completely better 100% the next morning 3/20/2021 I am just providing this information so you can make note of it in your data, and for no other reason as I am well at this time.

Other Meds: Carvidilol, Losartan, baby aspirin, Vitamin D, Calcium, Multi-Vitamin

Current Illness:

ID: 1120777
Sex: M
Age: 60
State: TX

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: Slight allergy to codine

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

Symptoms: Upper left side chest discomfort. Pain persisted moderately for 3-4 days, and slowly began fading. By 10 days the pain had almost completely ended. About 19 days after shot I had an unusual bruise appear on my right foot, which was not due to any impact, and has just a little pain

Other Meds: Synthroid 50mg Amlodipine Besylate 5 mg

Current Illness: None

ID: 1120778
Sex: F
Age: 21
State: NY

Vax Date: 02/23/2021
Onset Date: 03/07/2021
Rec V Date: 03/21/2021
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: On March 7, 2021 my daughter experienced extreme tiredness. I called 911 and paramedics said it may be the effects of vaccine. I was concerned because this symptom came on 2 weeks later. On 3/6/21, I took her to urgent care because I didn't feel comfortable with her extreme tiredness. I was told the same thing. On 2/23/2021, the day that she was supposed to get the second vaccine, she awoke at 12 midnight and was having a full blown psychotic episode. She was make loud noises, hitting the wall, etc. I then took her to the emergency room. My major concern was because my daughter has Down syndrome, a seizure disorder and had heart surgery at three months old (atrio ventricular canal defect).

Other Meds:

Current Illness:

ID: 1120779
Sex: M
Age: 25
State: OH

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
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: Immediately after receiving his vaccination, the patient reported developing body vision, reading in his bilateral ears, as well as lightheadedness. He was taken by EMS to a private section of the arena monitored. HR was 60, BP 85/42. Three minutes later, his heart rate was 89 beats per minute and his and BP was 105/64. Blurry vision and bilateral tinnitus resolve within 2 to 3 minutes, and his lightheadedness had resolved by 20 minutes after onset. He subsequently developed a headache after 20 minutes of monitoring.

Other Meds: None

Current Illness: none

ID: 1120780
Sex: M
Age: 80
State: PA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 03/21/2021
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: PATIENT REPORTED SHORTNESS OF BREATH FOUR HOURS AFTER RECEIVING VACCINE.

Other Meds:

Current Illness:

ID: 1120781
Sex: F
Age: 50
State: IN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/21/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: COVID Arm, large red knot on right arm hot to the touch. Nausea and 100.4 fever for 24 hours. COVID Arm has been present for 3 days so far, but starting to go away

Other Meds: None

Current Illness: None

ID: 1120782
Sex: M
Age: 48
State: MD

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
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: NKDA

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

Symptoms: Dizziness

Other Meds: Lisinopril 2.5 mg tab daily, Metformin XR 500 mg tice a day

Current Illness: Reported history of positional vertigo

ID: 1120783
Sex: M
Age: 58
State: MA

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/21/2021
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: Body aches. Fatigue. Nausea. Headache. Earache. Couging. For 1 week

Other Meds: Atenolol Atorvastatin

Current Illness:

ID: 1120784
Sex: F
Age: 39
State: NY

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/21/2021
Hospital:

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

Lab Data:

Allergies: PCN. ASA.

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

Symptoms: FOLLOWING ADMINISTRATION OF PFIZER VACCINE PT DEVELOPED SWOLLEN TONGUE. HX MULTIPLE ALLERGIES AND MULITPLE INCIDENTS OF ANAPHYLAXIS. CARRIED EPIPEN. EPI-AUTO INJECTOR 0.3MG IM X 1. TRANSFERRED TO HOSPITAL ED IN THE BUILDING FOR EMERGENCY MEDICAL ASSESSMENT. NO SOB OR DIFFICULTY BREATHING. NO ITCHING OR RASH. PT CALM.

Other Meds: UNKNOWN

Current Illness: NONE KNOWN

ID: 1120785
Sex: F
Age: 62
State: WA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/21/2021
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: Vaginal creams

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

Symptoms: Moderna COVID-19 Vaccine EUA ---3/16/21 and 3/17/21 just felt fatigue. On the morning of 3/18/21, my mouth, felt like cotton mouth. My teeth felt tender and sore. My lips and tongue felt really strange. It felt like I had dental work done and the numbing was starting to wear off. Tingling, and very sensitive to food texture (never lost sense of taste). When I ate, the food texture all tasted like mush. This went on for several days, and just today (3/21/21), I am beginning to feel more normal (just slight symptoms).

Other Meds: Citalopram 20 mg daily, Hydrochlorothiazide 25 mg daily,Losartan 25 mg daily, Pantoprazole 40 mg daily. Aspirin 81 mg daily, Vitamin D3 1,000 unit daily, Multivitamin with minerals daily, Fibercon 625 mg day, B-1 1,000 mcg daily.

Current Illness: IBS

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm