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: 1122371
Sex: F
Age: 39
State: TX

Vax Date: 03/11/2021
Onset Date: 03/13/2021
Rec V Date: 03/22/2021
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: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Sat after receiving vaccine, I've been having headaches daily and pain in my left arm. It hurts to lift weight bearing things. The pain is in my forearm and bicep deep in the muscle. Excruciating pain when gripping and lifting things. Weakness in the left arm.

Other Meds: Escitlopram, Hydrochlorothiazide, Bupropion Hcl, Buspirone Hcl, Losartan, Amlodipine Besylate

Current Illness: None

ID: 1122372
Sex: F
Age: 44
State: MA

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: 4AM Headache, dripping sweat but not feeling hot or cold. Took Tylenol. 10AM Felt like I had a slight cold, upset stomach. 11AM Felt more like a mild case of the flu, body aches, chills.

Other Meds: Losartin 50mg

Current Illness: None

ID: 1122373
Sex: F
Age: 55
State: MA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 03/22/2021
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: Chocolate peanuts Sulfa Arithamysin

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

Symptoms: I did have a hard red lump at the site of the injection. The main reason I went for medical treatment, I woke up I believe the second day and had double vision. I went to urgent care, and they thought maybe it was an eye infection and gave me medication. I had the medication and did that for a few days and then I went to see an Optometrist and told me to take eye drops. I did that and it got better. The I got the second shot and it happened it happened all over again. My doctor ran blood work and has extremely low white blood count.

Other Meds:

Current Illness:

ID: 1122374
Sex: M
Age: 34
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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: Began feeling weak and feverish at 10pm. Woke up next morning with a fever and cold chills, along with muscle fatigue, light sensitivity, headache, and heavy breathing. Fever reached a max of 101 through the day. Continued until the next morning, where the symptoms lessened, but didn't go away until about 7pm.

Other Meds: None

Current Illness: None

ID: 1122375
Sex: F
Age: 67
State: LA

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient received vaccine on March 11, and reports that she began experiencing arm soreness immediately afterwards. She was reporting soreness with pulsating pain for the first 2 to 3 days, now reports a constant dull and achy pain that is worse with activity and movement. She has been using Tylenol, which she reports does help reduce pain symptoms. She denies any reduction in her range of motion, but states pain symptoms are more prominent with movement. She is also reporting daily headaches that occurred starting the day after getting the vaccine. Patient reports headache is bilateral in nature with a dull, aching quality. She states headache starts within 10 to 20 minutes of waking up. She takes Tylenol to help with headache symptoms, which does seem to relieve the headache. Some days, she reports headache comes back in the afternoon or evening. She denies any nasal congestion, vision problems, tinnitus, postnasal drip or sinus pressure. No balance, near syncopal, or syncopal problems. Denies any sensory or motor impairment accompanying the headaches.

Other Meds: Amlodipine 10 mg, atorvastatin 10 mg, benazepril-HCTZ 20-12.5 mg, metoprolol tartrate 25 mg, aspirin EC 81 mg, Vitamin D3 2000 IU,

Current Illness: N/A

ID: 1122376
Sex: M
Age: 63
State: CT

Vax Date: 03/11/2021
Onset Date:
Rec V Date: 03/22/2021
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: Unknown

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

Symptoms: This adverse event report pertains to an administration error which is leading to recipient needing to be re-vaccinated. On 3.11.21 vaccinator believes this individual may have received either an 'empty syringe' injection or possibly a sub-therapeutic dose. This has been reported to the recipient. Per published guidance from the CDC (reiterated by Moderna) and per guidance of Immunization Program and the medical advisor Dr. the attempted dose should be repeated. Moderna report # MOD21-053497. Dose # 1 will be administered/readministered on 3.23.21 .

Other Meds: Unknown

Current Illness: Unknown

ID: 1122377
Sex: F
Age: 45
State: IN

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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: Within 10 minutes of receiving the injection, as I was scheduling my second dose and then while I was waiting, my left should (upper left side of my back) started aching. I do not normally have any kind of a response to any vaccine, so I didn't immediately connect this pain with my COVID-19 vaccine, however, it continued to get progressively worse and ultimately became my entire arm, shoulder, neck and head. I had a lot of difficulty sleeping for the next two nights and I noticed yesterday morning (Sunday, 3/21/21) that my left clavicle was completely obscured by significant swelling (I assume lymphnodes). Golf ball-sized swelling. Today (Monday, 3/22/21) the swelling continues to be significant and I think maybe covering more area. Not as pronounced of a lump, but more of a squashed, larger lump, if that makes sense?

Other Meds: Modafinil - 200mg twice daily Methylphenidate, 5mg twice daily Naproxen Sodium - 440mg daily

Current Illness: COVID-19 (detected Feb 19, 2021)

ID: 1122378
Sex: F
Age: 57
State: MI

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Shellfish

Symptom List: Pharyngeal swelling

Symptoms: She complained of a scratchy throat. On site EMS was called vitals BP 153/99 HR 80 99% O2 GB 113 mg. She was given Diphhenhydramin 25 mg orally. She was released to go home.

Other Meds: PreDiabettes, HBP

Current Illness:

ID: 1122379
Sex: F
Age: 61
State: MI

Vax Date: 03/12/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
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, methotrexate, melatonin, sun, environmental. Intolerance to norco, amlodipine, lisinopril

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Rash and redness on face and ears started on 03/18. Neck and hands started few days later. Raised, severely itchy, skin dryness that is peeling, painful. Injection site is raised, warm to the touch. The reaction on the arm was noticed on 03/21.

Other Meds: HCTZ, Tylenol 8HR, Zyrtec, Omega XL

Current Illness: Diverticulitis flare

ID: 1122380
Sex: F
Age: 43
State: NH

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
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: mold, seasonal, tetracycline, Biaxin, walnuts, chipotle

Symptom List: Diarrhoea, Nasal congestion

Symptoms: VR stat burning from arm through chest, tingling tongue

Other Meds: Advair, Singular 10mg, lisinopril, atorvastatin, Wellbutrin, Zoloft, Xanax

Current Illness: sinus infection

ID: 1122381
Sex: F
Age: 40
State: MI

Vax Date: 03/12/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Allergic to tree nuts and shellfish.

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

Symptoms: Left arm is inflamed, bright red, warm to the touch, itchy, sore. Outer ring is spreading.

Other Meds:

Current Illness: NA

ID: 1122382
Sex: M
Age: 28
State: NE

Vax Date: 12/29/2020
Onset Date: 02/28/2021
Rec V Date: 03/22/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Became deaf in my left ear on Feb 28th.

Other Meds: None

Current Illness: None

ID: 1122383
Sex: F
Age: 43
State: NJ

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/22/2021
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: 1) Fever 103 degrees (the fever got over after 1.5 days). 2) Reduced sense of taste (over a week) 3) Tiredness ( a week) Did not take any medicine

Other Meds: None.

Current Illness: None.

ID: 1122384
Sex: F
Age: 52
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/22/2021
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:

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

Symptoms: c/o chest tightness, throat swelling and flushing

Other Meds:

Current Illness:

ID: 1122385
Sex: F
Age: 62
State: CA

Vax Date: 03/02/2021
Onset Date: 03/16/2021
Rec V Date: 03/22/2021
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: Covid arm

Other Meds: Metformin, lisinopril, nexium, crestor

Current Illness:

ID: 1122386
Sex: M
Age: 65
State: OH

Vax Date: 03/10/2021
Onset Date: 03/01/2021
Rec V Date: 03/22/2021
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: NKA

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

Symptoms: Pt. developed red, swollen arm at vaccination site and urticaria all over his body.

Other Meds: Vitamin C, Atorvastatin, , Vit. D3, MVI, Omega 3, Omeprazole, Metamucil

Current Illness: None

ID: 1122387
Sex: M
Age: 71
State: MN

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
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:

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

Symptoms: Second Pfizer covid dose given 5 days too early

Other Meds:

Current Illness:

ID: 1122388
Sex: F
Age: 17
State: IL

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Started having difficulty breathing Her throat started to close up

Other Meds: Tylenol Immune C plus zinc and vitamin D One a Day For Her Teen

Current Illness: None

ID: 1122389
Sex: M
Age: 39
State: CA

Vax Date: 12/28/2020
Onset Date: 02/01/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Intolerance to erythromycin; causing nausea and vomiting.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Bilateral tinnitus. I have periodically noticed tinnitus throughout my life, but it has been persistent over the past few months. It won't necessarily wake me up, but if I wake up in the middle of the night, it has a tendency to keep me up. It is less noticeable with white noise or some other ambient sound(s) and doesn't necessarily seem to affect my hearing.

Other Meds: Intramuscular Testosterone Cypionate, 80mg/wk, multi vitamin, vitamin D ~6,000 IU/day, fish oil ~4g/day, creatine monohydrate 10g every other day.

Current Illness: None/flu like symptoms after second dose of Moderna vaccine which included high fever, chills, headache, night sweats, etc. Onset of these symptoms was about 8 hours after that second dose and began to subside about 24 hours after second dose with full recovery about 48 hours after second dose.

ID: 1122390
Sex: F
Age: 61
State: NY

Vax Date: 02/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Dust mite and bees

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

Symptoms: Recurring deep nightmares dreams , light headaches

Other Meds: Altovastin, Valsarten, folic acid,!dicyclemin, cymitodim(famotodine). Vit d3,b12, c and cranberry pill.

Current Illness: None

ID: 1122391
Sex: F
Age: 79
State: NE

Vax Date: 03/17/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital: Y

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: Medication allergies: Acetaminophen, Atorvastatin, Codeine, Hydrocodone, Nifedipine, Rosuvastatin

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

Symptoms: Pt. presented to ER on 3/19/2021. Family reports that pt. received her Covid vaccination on 3/17/2021. Since then her stomach started hurting and pt. is lethargic. Pt. did not open eyes when asked questions and was quite pale. Son reports increased confusion last day or two. Pt. reports that she started feeling ill immediately after receiving the injection. Complains of generalized weakness and fatigue. Denies dizziness or lightheaded. C/o abd. pain. Denies nausea, vomiting, but admits to diarrhea. Denies fevers, cough congestion. She is alert to place and name, but unsure of date at time seen in ER. When seen in ER she was afebrile, but hypoxic and hypotensive. Initial saturations were in mid 80's, but dropped to low 60's. With a non-rebreather mask she maintained at 90%. BP 60's systolic but with fluids increased to 90's . No rectal bleed or hematemeis. Diagnosis of septic shock, anemia, elevated LFT's, pneumonia, and UTI.

Other Meds: Amlodipine, ASA, Furosemide, Levothyroxine, Meclizine prn, Multivitamins, Nitro prn, Pantoprazole, Aldactone, Valsartan, Carvedilol

Current Illness: unknown

ID: 1122481
Sex: F
Age: 34
State: CA

Vax Date: 03/13/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
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: large red hive, hard to the touch, appeared at injection site 7 days after 1st dose. It is itchy, but can be soothed by anti-itch cream.

Other Meds: none

Current Illness: none

ID: 1122482
Sex: M
Age: 46
State: FL

Vax Date: 03/10/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Approx 9-10 days after injection, the injection site became raised, red and itchy. The following morning an extensive rash appeared on both arms, torso, and thighs looking like a severe hives reaction. As of today, day 3 of the rash, there has been some spreading on the torso sides and back. No trouble breathing or swelling of lips, eyes or throat, just very itchy, patchy rash.

Other Meds: Rosuvastatin 20mg daily, Omeprazole 20mg daily, Ibuprofen as needed

Current Illness: None

ID: 1122484
Sex: F
Age: 41
State: KY

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Injection site pain, Pain

Symptoms: Low back pain began about 6 hours after shot. Next morning, 12 hours after shot, woke with muscle aches, headache, chills and sweating. Approximately 18 hours after shot, hives began to appear at wrists, thighs. About the same time, diarrhea occurred twice, and severe dizziness occurred. Likely brief loss of consciousness occurred, resulting in fall due to sudden dizziness upon standing. Hives became progressively worse, became severe and full-body. Called doctor, who instructed us to go to ER for IV steroids and additional care.

Other Meds: Blisovi (Birth Control)

Current Illness: Mild residual Covid symptoms, resolving. Initial positive Covid test was 12/20/20.

ID: 1122485
Sex: F
Age: 51
State: FL

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Severe swelling and injection site area.

Other Meds: N/A

Current Illness: N/A

ID: 1122486
Sex: M
Age: 40
State: CA

Vax Date: 03/16/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
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: Peanuts, legumes, poultry

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Severe headache & migraines without relief for approximately 72 hours.

Other Meds:

Current Illness:

ID: 1122487
Sex: F
Age: 53
State: AL

Vax Date: 03/12/2021
Onset Date: 03/16/2021
Rec V Date: 03/22/2021
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 known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Woke on 4th day after first vaccine with nausea, vomiting, headache, fatigue, lethargy, dizziness, weakness. In the evening, hands, wrists, feet, and ankles began itching and showing large, red welts; took Benadryl. Woke on 5th day, itching and red welts began spreading all over body, including head and ears. Continued taking zyrtec, benadryl, and cortisone, which helped somewhat. On 6th day, these medications were not controlling the itching and welts/hives. By evening, all was worsening and throat was swollen. Went to ER on night of 3/18/21, where I received IV treatment to stop the reaction. ER also prescribed 4 days of prednisone and recommended that I not take the second Covid-19 vaccine.

Other Meds: multivitamin, calcium, biotin, zyrtec

Current Illness: none

ID: 1122488
Sex: F
Age: 57
State:

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: Grapefruit, artificial sweeteners. Celebrex, Lyrica, Cymbalta, Feldene, Ultram, Percocet, codeine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Headache - substantial, lasted from night of vaccine through following day. Mostly gone after 2 days. Fever (100+) - started afternoon after the day of vaccine (approx. 24 hours), intermittent throughout next 2 days. Moderated with Acetaminophen. General tiredness, low energy.

Other Meds: Prevacid (30 mg), Probiotic, Calcium supplement (600mg), Lisinopril 10mg, Atorvostatin, Montelukast

Current Illness: N/A

ID: 1122489
Sex: F
Age: 31
State: TX

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
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: Cymbalta, prednisone

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

Symptoms: stomach pain, nausia, vomiting & diahhrea

Other Meds: Metformin, Venlafexin, singular, Orilissa, Zyrtek,

Current Illness: Yeast infection, UTI

ID: 1122490
Sex: F
Age: 30
State: TX

Vax Date: 03/11/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: ?Covid arm? I have a rash on my upper arm around the injection site, which itches and is sore.

Other Meds: None

Current Illness: None

ID: 1122491
Sex: F
Age: 62
State: CA

Vax Date: 03/08/2021
Onset Date: 03/15/2021
Rec V Date: 03/22/2021
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: Shingles on inner buttocks right side 1 week after vaccine. Taking valacyclovir for 7 days

Other Meds: B12, vitamin C & D3

Current Illness: None

ID: 1122492
Sex: F
Age: 76
State: MI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: EMPLOYEE WAS GIVEN SECOMD DOSE OF MODERNA BUT SHOULD HAVE RECIEVED PFIZER.

Other Meds:

Current Illness:

ID: 1122493
Sex: M
Age: 17
State: GA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 03/22/2021
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: There was no adverse reaction. We are reporting that we administered the vaccine to someone that is under the age of 18. This person volunteers at our clinic.

Other Meds:

Current Illness:

ID: 1122494
Sex: F
Age: 32
State:

Vax Date: 03/06/2021
Onset Date: 03/06/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: c/o twitching/jerking/clammy skin with minimal responsiveness to commands immediately after vaccine administration

Other Meds:

Current Illness:

ID: 1122495
Sex: F
Age: 44
State: PA

Vax Date: 03/13/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
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: sensitivity to gluten

Symptom List: Erythema, Pruritus

Symptoms: Day after injection - swollen left hand 8 days after injection - injection site firm and red, about the diameter of a baseball

Other Meds: METOPROLOL SUCC ER 50 MG TAB and 25 MG TAB HYDROCHLOROTHIAZIDE 25 MG TAB

Current Illness: none

ID: 1122497
Sex: M
Age: 72
State: VT

Vax Date: 02/25/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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: penicillin

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

Symptoms: Patient developed scalp sensitivity with rash, blotchy red hypersensitive symmetrically over temples and scalp. 3 weeks an d1 days after the first COVID vaccine. He sought medical attention at the emergency room 3-21-2021

Other Meds: none

Current Illness: none

ID: 1122498
Sex: F
Age: 44
State: NY

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
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: Shot at 10:30 AM Thursday, experienced intense soreness in right arm (far worse than the 1st shot in left arm) and by mid-afternoon headache. Overnight woke with fever, chills, headache and sore arm making sleep impossible. Ill all day Friday - fever, chills, fatigue, no appetite, headache, arm soreness. Friday evening awoke with intense pain in right arm pit, breast, upper ribs - extremely swollen lymph nodes (size of avocado). Extremely tender and sore. Pain continued throughout Saturday, Sunday, and now into Monday. Also still fatigued and feeling run down.

Other Meds: Wellbutrin 450 MG.

Current Illness:

ID: 1122499
Sex: M
Age: 0
State: MI

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/22/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Dose 1 was administered in the biceps region of the right arm. Patient had a scar from skin sloughing at the site of band-aid removal. Granulation tissue formed and healed well. He did not experience any adverse effects otherwise and have advised vaccine team to administer in the deltoid region since it appears from photos that there was sufficient muscle mass to administer there.

Other Meds:

Current Illness:

ID: 1122500
Sex: M
Age: 55
State: SC

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/22/2021
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: NONE

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

Symptoms: CHILLS AND BEING TIRED CONSISTENLY FOR 3 DAYS TOOK TYLENOL. STILL HAVE CHILLS AT TIMES AND TIRED

Other Meds: AMLODIPINE 5 MG,ELIQUIS 5 MG (BECAUSE OF BLOOD CLOTS DO TO COVID IN JANUARY 2021), ZRYTEC,OLMESARTAN MEDOXOMIL 40 MG, LORAZEPAM 0.5 MG, KRILL 500 MG AND EZETIMIBE 10 MG

Current Illness: NONE

Date Died: 03/19/2021

ID: 1122501
Sex: M
Age: 89
State: LA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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: ASPIRIN; PENICILLINS

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

Symptoms: Patient expired next day

Other Meds:

Current Illness: large right pleural effusion about 1 month ago

ID: 1122502
Sex: M
Age: 74
State: WY

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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: Injection site pain Headache Chills Muscle pain Slight fever

Other Meds: Levothyroxine na 137mcg taken once daily

Current Illness: None

ID: 1122503
Sex: F
Age: 46
State: MA

Vax Date: 03/12/2021
Onset Date: 03/21/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Prominent hot itchy rash at the site of the injection (aka "covid arm"). Immediately preceded by hives in the corresponding armpit area.

Other Meds:

Current Illness:

ID: 1122504
Sex: F
Age: 71
State: NJ

Vax Date: 03/09/2021
Onset Date: 03/10/2021
Rec V Date: 03/22/2021
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: Shell fish, cats, snd Iodine

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

Symptoms: Woke up with my right eye partially closed. Mid afternoon, I had light pain behind right eye which then radiated up into my head. Suddenly, I also felt very tired and achy with chills but no fever. That continued until I went to sleep that night. The next morning my eye was partially closed but much better then the former afternoon and evening. Also, there was no more headache, aches or chills. My right eye seemed to close a little more as the day went on. Better every day and completely open in about a week.

Other Meds: MEDICINE 1. SERTRALINE (ZOLOFF) 2. SIMVASTATIN 3. LEVOTHYROXINE 4. FAMOTIDINE VITAMINS: 5. CALCIUM In Evening 6. MULTI WOMENS VITAMINS 7. BIOTIN 8. PROBIOTIC 8. VITAMIN D 9. VITAMIN B

Current Illness: Indigestion

ID: 1122505
Sex: F
Age: 31
State: FL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Numbness in left arm and left hand, heat waves, chills, sweating of palms and feet, lightheaded, dizziness, restlessness. Began within 5 minutes of getting the vaccine. After about 4 hours, initial symptoms went away. For the next 48 hours, chills, body aches, fatigue, and left arm soreness.

Other Meds: Zyrtec, Singulair, Prozac

Current Illness:

ID: 1122507
Sex: M
Age: 19
State: MI

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 03/22/2021
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: 1/12/2021 patient developed chills, cough, headache, nasal congestion. Tested positive for COVID.

Other Meds: ibuprofen

Current Illness: none

ID: 1122508
Sex: M
Age: 51
State: NY

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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: Approximately eight (8) hours after the J&J vaccine was administered, the patient (me) experienced chills, low-grade fever(98-99) and generalized body aches. 400mg of OTC ibuprofen was taken an hour after these symptoms started. Slight improvement of chills/aches. Fever abated approx 10 hours later. However, at 4pm the next day (so ~22 hours after administration of vaccine) the same symptoms recurred. They were less severe, and abated overnight, with a total of 600mg ibuprofen given in divided doses (200mg at 6pm and 400mg at 11pm).

Other Meds: None.

Current Illness: None

ID: 1122509
Sex: F
Age: 57
State: PA

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/22/2021
Hospital: Y

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: In childhood penicillin, difficulty tolerating sulfur drugs, tetracycline allergies to pollen, grass, eggplant, chamomile, tree nuts

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

Symptoms: Almost immediately felt vertigo like" bed spins". Then tongue began to swell against lower teeth, soon was unable to walk due to vertigo, then chills and extreme nausea like I would vomit but I did not.

Other Meds: Buproprion

Current Illness: none

ID: 1122511
Sex: F
Age: 32
State: OH

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/22/2021
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: Penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Moderna COVID-19 Vaccine EUA. Shot injection site was on left top arm/shoulder. Time of shot, no issues. Issue progressed thought out first day and have continued for at least three days. Tender/soreness in injection site. Redness, est 1.5 inches diameter around injection site. Along with itching at injection site. Itch is not all the time or persistent, comes and goes. First dose.

Other Meds: NA

Current Illness: NA

ID: 1122512
Sex: F
Age: 43
State: ND

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/22/2021
Hospital:

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

Lab Data:

Allergies: CODEINE, DEMEROL, MORPHINE, VICODIN- ALL GI SYMPTOMS

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

Symptoms: Patient had gotten her second covid vaccine this morning at 10:30. Around noon today she felt that her throat was closing but was able to eat and drink fine and without difficulties. Patient noticed about 1655 that the roof of her mouth is numb. Patient then started noticing numbness going to the left side of her face on her way home and came to the ER. She noticed the numbness to the left cheek and jaw bone. She denies numbness to her upper forehead, nose or jaw line.

Other Meds: 1. Cyclobenzaprine 10 mg 1 tablet by mouth at bedtime. 2. Cymbalta 30 mg 1 capsule by mouth once a day delayed-release. 3. Topamax 50 mg 1 tablet by mouth twice a day. 4. Singulair 10 mg 1 tablet by mouth once a day.

Current Illness: NONE

ID: 1122513
Sex: F
Age: 22
State: PA

Vax Date: 01/11/2021
Onset Date: 01/14/2021
Rec V Date: 03/22/2021
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: n/a

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

Symptoms: 1/11 vaccination 1/14 I started getting rapid HR; consistently higher then normal and elevated when in motion; taccychardic. 1/15 PCM; EKG, abnormal. Persisted thru the weekend. Improved that Sunday. 1/19 Cardiologist. They did an EKG in office; normal.

Other Meds: n/a

Current Illness: n/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm