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

Date Died: 03/14/2021

ID: 1127466
Sex: M
Age: 63
State: OH

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 03/23/2021
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 allergies listed on screening form. Denied any allergies

Symptom List: Dysphagia, Epiglottitis

Symptoms: Received call from his exwife that patient had passed away. Death Certificate states date of death as March 14, 2021. Causes of death are listed a. Cardiac Pulmonary Arrest. b. Myocardial Infarction

Other Meds: not known

Current Illness: unknown

ID: 1127467
Sex: F
Age: 35
State: CO

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: Pregnancy: LMP 09/04/2020, DD 06/11/2021; First pregnancy; early in pregnancy experienced PR rash due to unknown virus confirmed NOT COVID-19; I have two prior hospital histories due to complications from regular seasonal flu; got COVID-19 vaccine around 1:30 PM; felt a little dizzy, came home and was so tired stopped working; around 7 or 8 PM suddenly had extreme chills and shivering, by 10PM had fever of 101.4 and called on-call nurse who instructed 1000mg Tylenol every 6 hours and staying hydrated; 3AM diarrhea; 6AM nausea followed by vomiting; continued three doses of Tylenol; fever dropped to 99.8 by 11AM; kept down BRAT foods and sugar water; had extremely intense headache/could not look down; symptoms all faded by 5PM and stopped taking Tylenol. Was not able to do usual activities for another day due to fatigue, nausea and diarrhea. By Sunday March 21, 9AM I felt 100% back to normal.

Other Meds: DAILY: Olly prenatal vitamins; Hum nutrition probiotics; Every 2-3 days: Nexium 24 hr extended release

Current Illness: None

Date Died: 03/18/2021

ID: 1127468
Sex: F
Age: 73
State: WI

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/23/2021
Hospital: Y

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: NONE

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

Symptoms: Severe lethargy after receiving the shot. Constant sleepiness and malaise, nausea, confusion, loss of appetite, dizziness, Blood vessels/clots formed in her eyes. Acute renal failure and eventually death on March 18, 2021.

Other Meds: LOSARTAN 100 MG HYDRALAZINE 50 MG LOVASTATIN 20 MG METFORMIN 1000 MG OMEPRAZOLE 20 MG FUROSEMIDE 20 MG INSULIN GLARGINE 100 UNIT/ML

Current Illness: NONE

ID: 1127469
Sex: F
Age: 70
State: PA

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: None known

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 13 hours after injection while sleeping had strong urge to go to the bathroom, bowel movement, resulting in massive diarrhea. During process, became very dizzy and felt nauseous and faint. Attempting to get up from toilet, and getting assistance from husband in an adjoining bedroom, made it to a second bathroom, passing out, again, complete empty of bowels severe diarrhea again while passed out on floor. Unconscious for about one minute, until revived by husband. Sweating, faint, very low BP. Taken to hospital by husband after getting composure admitted for observation due to apparent dehydration from massive diarrhea event. Results possible cardiac instability, dehydration from diarrhea, vegas nerve activity with Discharge the next day 03/22/2021 with follow up with cardiac Dr and primary, ongoing

Other Meds: Synthroid, Pravastatin

Current Illness: None

ID: 1127470
Sex: F
Age: 73
State: SD

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: No allergies

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

Symptoms: The vaccine felt more like a punch than a prick. There was a dull ache immediately though not unlike any other vaccinations. I waited the 15 minutes then left and did some shopping the next 2 hours before returning home 11 miles away. I was very tired and didn't feel like eating or drinking anything and went to bed early, around 9pm. I woke as usual the next morning around 8am but felt nauseous sp? I was able to eat or drink anything the rest of the day and felt very tired. I slept most of the day. By evening I was able to eat a bowl of stew and went to bed. When I walked the next day, the 21st, I felt fine and rested and had my appetite back. The small ache from the vaccination though was no more than felt from the first vaccine, lasting about 2 to 3 days.

Other Meds: On Tums before sleeping at night, or occasional aspirin

Current Illness: No illnesses

ID: 1127471
Sex: F
Age: 32
State: NJ

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 03/23/2021
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: ? Sulfa (Sulfonamide Antibiotics) Hives shortness of breath

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

Symptoms: Pt is a 32 y/o female who is an employee of who got her covid vaccine earlier today and reports to the ED for headache and tingling to the left side of the body and feet. PT says she felt ok right after the shot and then started with a headache and weakness and tingling. PT denies any CP, SOB, difficulty swallowing, dizziness or any other concerning signs/symptoms. Encounter Diagnoses 1. Acute nonintractable headache, unspecified headache type 2. Paresthesias

Other Meds: ALPRAZolam (XANAX) 0.25 mg tablet 11/24/20 Historical Provider, MD azelastine (ASTELIN) 137 mcg/spray (0.1 %) nasal spray azelastine 137 mcg (0.1 %) nasal spray aerosol Historical Provider, MD cephalexin (KEFLEX) 500 mg capsule

Current Illness: No known

Date Died: 03/06/2021

ID: 1127472
Sex: M
Age: 70
State: CA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 03/23/2021
Hospital: Y

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

Lab Data:

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever, low oxygen saturation, severe encephalopathy, kidney failure, bilateral pulmonary infiltrates, sepsis, tachycardic, acidotic, intubated on ventilator since admission, paralyzed/sedated, ABG results showed high CO2 and O2 retention, edema, electrolyte imbalance, ARDS, low hemoglobin and hematocrit levels, blood transfusion needed

Other Meds:

Current Illness:

ID: 1127473
Sex: F
Age: 67
State: CA

Vax Date: 02/13/2021
Onset Date: 02/16/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: allergic to pollen, grass, beef, sometimes codeine, and latex on skin

Symptom List: Pharyngeal swelling

Symptoms: About 3 days after the first vaccination I started to notice a slight humming or buzzing in my ears at night. Mostly noticeable when I go to bed not enough after the first shot to keep me from sleeping so didn't think much of it. After the second shot it is more noticeable even during the day. Not so much to be disabling but I do notice it and I have never had this happen before. I had normal side affects for first and second shots otherwise, sore arm, some fatigue and slight chills more so after the second shot as it these symptoms lingered for almost a week but nothing too severe and those are gone now but the humming/buzzing noise is still there in the background. Is there something I can do to help alleviate this or will it go away on its own?

Other Meds: claritin, ,multivitamins, vitamin C 1000 mg and Vitamin D 2500 mg

Current Illness: I was treated with antibiotics cephalexin for UTI symptoms a few weeks prior to the first vaccine February 13th then Metronidazole Vaginal for BV after additional testing. I completed the medication a week prior to vaccine 2nd shot March 6, 2021.

ID: 1127474
Sex: F
Age: 17
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: patient had no adverse event, but was not quite 18 years old

Other Meds:

Current Illness:

ID: 1127475
Sex: F
Age: 45
State: TX

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: Opoids

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 10 - 15 minutes following the vaccine (administration), the patient became nauseous, lightheaded, and developed mild chest tightness

Other Meds: "No Medications"

Current Illness: no acute illnesses

ID: 1127476
Sex: F
Age: 33
State:

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Patient complained of light-headedness, generalized chills, warmth to body, and palpitations at 10:04 immediately after receiving vaccination. She did not eat breakfast. States she had similar reaction after receiving the first dose, which self-resolved after a minute. At 10:05, she was hypertensive and given water. At 10:25, patient verbalized feeling better and was able to ambulate without dizziness. At 10:33, she developed chills, mild rigors, and throat tightness. Blood sugar on low end of normal, tachycardic, and hypertensive, so patient was given an oatmeal bar and transferred to ED. Upon evaluation in ED at 10:49, patient stated symptoms had resolved. Patient was discharged at 12:22.

Other Meds:

Current Illness:

ID: 1127477
Sex: F
Age: 64
State: IL

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
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: Gluten and dust allergies; maybe tetracyline. Known side effects to compazine.

Symptom List: Rash, Urticaria

Symptoms: Covid symptoms - fever [highest 100.1], chills, headache, fatigue

Other Meds: Multiple vitamin; pseudophenedrine, Vitamin D

Current Illness: None

ID: 1127478
Sex: F
Age: 66
State: CA

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Shrimp

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

Symptoms: Half dollar size of Petechia rash just below injection site. And two small patches on left arm.

Other Meds: Benazepril,hydroxychloroquine, leflunomide, omeprazole

Current Illness: None

ID: 1127479
Sex: M
Age: 17
State: WA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/23/2021
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: No medical symptoms. Under 18.

Other Meds:

Current Illness:

ID: 1127481
Sex: F
Age: 51
State: IL

Vax Date: 01/24/2021
Onset Date: 01/28/2021
Rec V Date: 03/23/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Tinnitus in left ear. Has continued after second dose

Other Meds: Vitamin D, B12 and Zinc

Current Illness: None

ID: 1127482
Sex: F
Age: 69
State: CO

Vax Date: 03/09/2021
Onset Date: 03/09/2021
Rec V Date: 03/23/2021
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 noted

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

Symptoms: Patient had adverse reaction to shot #1 including rash, increased heart rate, nausea so she decided that she wanted to get Moderna instead of Pfizer. Appointment was scheduled and she received her 2nd shot Moderna. Side effects included 3 days of severe symptoms of fatigue, nausea, vomiting, chills, fever and over all severe body aches. Aside from the above, no other reactions noted from 2 different vaccines. Patient was called and educated.

Other Meds: none noted

Current Illness: none noted

ID: 1127483
Sex: F
Age: 64
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: HCTZ, Pepper, Albuterol, Benzodiazipine

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

Symptoms: Patient received Pfizer vaccine and waited 30 mins as directed. Patient left and ambulated to car. Started having chest pain with shortness of breath. Patient came back into clinic to inform nurse she was having symptoms. Patient having 4-5/10 chest pain. Initial vitals were BPL 170/94, HR:64, and O2:98% at 1435. Patient observed by nurse with education given about elevated blood pressure. EMS activated and arrived at 1445. Upon arrival, 12 lead EKG done and care transferred to EMS with report given. Daughter notified about mother's condition. SOB went away but chest pain lessened. Taken to Hospital Emergency Dept.

Other Meds: Lisinopril 10mg, Lovastatin 10mg, Vitamin D3 2000U, Carvedilol 625 mg, Aspirin 324 mg, Paquenil 200mg, Robaxin 500mg, Tramadol 50mg, Humalog,

Current Illness: None

ID: 1127484
Sex: F
Age: 34
State: CA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Coconut, penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Headache, fatigue, chills, sweats, body aches, joint pain, skin pain lasting 72 hours

Other Meds: Maxalt, Zoloft. Birth control, Tylenol

Current Illness: No

ID: 1127485
Sex: M
Age: 27
State: WA

Vax Date: 03/20/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: Loss of taste and smell

Other Meds: Zinc, biotin, vitamin D, collagen

Current Illness: None

ID: 1127486
Sex: F
Age: 44
State: TN

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Atropine eye dialation drops

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

Symptoms: The morning after my dose I woke up feeling like I would pass out while laying in my bed. I believe I did since I know the feeling after waking up. Ringing in ears and sweaty. I then began to vomit and contributed vomiting most of the day if I stood up I got dizzy. I could not hold anything down in my stomach. I had fever of 100.0 about 6 pm I began to be able to have a small amount of food in my stomach.

Other Meds: Trintellix 20 mg

Current Illness: None

ID: 1127487
Sex: M
Age: 31
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/23/2021
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: NKA

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

Symptoms: No reaction, but identified during a provider encounter

Other Meds: Member received Covid19 Vaccination Moderna on 3/18/21. Patient received three vaccines on 3/17/21 which is contraindicated to vaccine administration. Patient answered no to receiving immunizations within the last 14 days.

Current Illness:

ID: 1127488
Sex: F
Age: 58
State: MA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Unevaluable event

Symptoms: patient became clammy weak and almost fainted after shot she appeared pale and disoriented we call 911 and EMT came checked vitals her blood pressure was low and they took her by ambulance to hospital

Other Meds: unknown

Current Illness: nka

ID: 1127489
Sex: M
Age: 55
State: AK

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
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: NKDA

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

Symptoms: Pt states he has been experiencing a daily headache "severe, sharp pain starting from the neck, going up the head and wrapping around to the front of the head." He is also experiencing dizziness, vertigo, and brain fog. The vertigo occurs while seated as well as when up. Of note, he did have COVID on 2/4/2021. This was treated at home and was tolerated moderately well. He received his FIRST Moderna vaccine on: 2/18/2021 and experienced severe sickness (nausea); fever, headaches, chills, sweating, and painful extremities, but this was reported to (vaccine provider) as was told these were normal side effects.

Other Meds: Lipitor, Cymbalta, Neurontin, Glucophage, Protonix, ibuprofen

Current Illness: daily headaches, mental fogginess, dizziness since initial vac

ID: 1127490
Sex: F
Age: 67
State: OK

Vax Date: 03/10/2021
Onset Date: 03/16/2021
Rec V Date: 03/23/2021
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

Symptom List: Injection site pain, Pain

Symptoms: Fever, chills, severe nonstop headache, including my entire face, nausea, complete body ache, fatigue, weakness, sudden sweating and severe nausea, extreme weakness disableing my ability to walk upright to even get to the bathroom. This lasted 3 days 03/16/2021 through 03/18/2021. Sever symptoms decreased to managable levels by 03/19/2021, except for off and on nausea. Fatigue, lack of energy and weakness still remain as of the report 03/23/2021

Other Meds: none

Current Illness: none

ID: 1127491
Sex: F
Age: 60
State: GA

Vax Date: 03/21/2021
Onset Date: 03/21/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs

Symptom List: Injection site pain, Menorrhagia

Symptoms: Red swollen eyes, runny nose, congestion, fatigue, and small amount of shortness of breath. Lasted about two days

Other Meds: Levothyroxine Revostatin

Current Illness: None

ID: 1127492
Sex: M
Age: 16
State:

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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:

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

Symptoms: Patient slipped through registration w/ DOB. Pt is only 16 years old and vaccine is not indicated or approved for this age. Did not realize pt received the vaccine until it was being entered into the computer. Family contacted immediately and dose 2 of the series WILL NOT be given until authorized by state/manufacture

Other Meds:

Current Illness:

ID: 1127493
Sex: F
Age: 28
State: CA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
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: Erythema of bilateral facial cheeks and right neck. Of note, patient had mild facial erythema after first vaccine dose. Received Benadryl 50 mg pO.

Other Meds:

Current Illness:

ID: 1127494
Sex: F
Age: 33
State: NM

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: Ciprofloxacin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: It started about 20 minutes after vaccination. I started to feel a rush of heat like a hot flash and my heart was racing while I was driving home. My cheeks and lips were swelled up. My tongue was starting to swell but I could still breathe. I was wheezing so I took a Benadryl and then took another four hours later. I felt very light headed for the rest of the day. The light headedness and dizziness stayed for a few days with a headache. I did not have second dose on the recommendation of my doctor. I ended up contracted Covid-19 three weeks after the vaccine.

Other Meds: Metformin Prenatal Vitamins

Current Illness:

ID: 1127495
Sex: F
Age: 66
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 03/23/2021
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: Sulfa drugs

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

Symptoms: Racing heart, fatigue, headache, felt like fire bursts under my skin mostly in arms and legs. Had these adverse effects on and off for over a week. The second week after the shot felt numbness in my face. After about one month these events are mostly gone. Still have occasional fire bursts under my skin but only one or two not my entire arms or legs.

Other Meds: none

Current Illness: none

ID: 1127496
Sex: M
Age: 70
State: PA

Vax Date: 03/04/2021
Onset Date: 03/16/2021
Rec V Date: 03/23/2021
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: Patient developed symptoms of a cough and low grade fever on 3/16/21. He was diagnosed on 3/19/21 with double pneumonia and is taking a course of a z-pac and has two more days left to complete the therapy. He follows up with the physician on Thursday. The patient said he is feeling better now. I asked him to have the Dr. clear him to get the vaccination upon the follow up.

Other Meds: None disclosed

Current Illness: None disclosed

ID: 1127498
Sex: F
Age: 15
State:

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Patient slipped through registration w/ DOB. Pt is only 16 years old and vaccine is not indicated or approved for this age. Did not realize pt received the vaccine until it was being entered into the computer. Family contacted immediately and dose 2 of the series WILL NOT be given until authorized by state/manufacture

Other Meds:

Current Illness:

ID: 1127499
Sex: F
Age: 52
State:

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: After getting COVID vaccine, R eye vision was blurry and felt like she was hearing a loud fan. Denies SOB, chest pain, fever/cold, swelling in face/throat, itchiness. No rash. Sx resolved after 30min after vaccination.

Other Meds:

Current Illness:

ID: 1127501
Sex: F
Age: 51
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 03/23/2021
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: Unsure

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

Symptoms: I got Moderna 2nd dose on 02-12-21. When I got home, I felt light headed and spent the rest of the week in bed with flu like symptoms and arm pain. After this, I began to experience pain and pressure in chest and lung areas. I'm still light headed. I still have the chest and lung symptoms and have cardiology and pulmonology appointments. Dr suggested I file a report about my symptoms.

Other Meds: L-thyroxine 100mcg

Current Illness: Hypothyroidism

ID: 1127502
Sex: F
Age: 45
State: OH

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: Shellfish, penicillin, codeine, doxycycline

Symptom List: Tremor

Symptoms: 5 minutes after vaccine patient felt anxiety attack in chest, bottom of throat/ chest felt tight, heart raced, shaking and sweating, hands trembled, light headed, felt both hot and cold at same time. Patient alerted pharmacist and sat down in chair. 23 minutes after vaccine patient not 100% but better, feel fuzzy in head, shaky and feel sweaty but not sweating, carpet looks weird (patient states has hallucinations from other drugs). 25 minutes after vaccine patient light headed, vision not perfect. 28 minutes after vaccine patient's body feels warmer 32 minutes after vaccine patient feels unbalanced, body warm, legs heavy. 36 minutes after vaccine patient's feet feel heavy, feel more normal, temperature difference, sweating stopped, feel more like herself. 39 minutes after vaccine patient's feet feel smidge heavy, feel like herself. 41 minutes after vaccine patient left observation.

Other Meds: Bupropion XL 300mg, Vitamin C

Current Illness: None

ID: 1127503
Sex: F
Age: 63
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: Pt reported a bruise about 4-5 inches under the injection site on the same arm. (EMT) was notified. After speaking to administrator, it was determined that the bruising was on the arm prior to patient receiving the injection.

Other Meds: N/A

Current Illness: N/A

ID: 1127504
Sex: M
Age: 17
State: WA

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/23/2021
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:

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

Symptoms: 1st Dose: only mild pain and swelling at injection site for a few days. 2nd night had heat flash and chills temporarily with constant brain fog for a week coming and going. 2nd Dose: after 4 hours, extreme fatigue throughout body, brain fog, confusion, and lethargic. Extreme brain fog 11 hours after vaccination. The next day strong fever and stronger symptoms from the day before. The 3rd day felt back to normal. 4th day had a mild brain fog moment.

Other Meds:

Current Illness:

ID: 1127505
Sex: M
Age: 43
State: WA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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: Non

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

Symptoms: Pain in the chest, left side pain reduced over last 3 days, but still there, not gone completely

Other Meds: Olmesartan Medoxomil Tablets for High Blood pressure

Current Illness: None

ID: 1127506
Sex: F
Age: 64
State: AZ

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: 15 hours after vaccine had severe chills, 101.2 fever, pounding headache. Lasted for about 5 hours severely, then off & on for the next 11 hours. Experienced extreme fatigue.

Other Meds: Estradiol, progesterone, telemisartan, creastor, hydrochlorothiazide, Allegra, turmeric, multivitamin.

Current Illness: None

ID: 1127507
Sex: F
Age: 76
State: WA

Vax Date: 03/18/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
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:

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

Symptoms: red itchy arm

Other Meds:

Current Illness:

ID: 1127508
Sex: F
Age: 27
State: NJ

Vax Date: 03/12/2021
Onset Date: 03/14/2021
Rec V Date: 03/23/2021
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: Succinylcholine

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

Symptoms: Chronic nausea, dizziness, headaches, migraines, food/smell aversion (not pregnant)

Other Meds: Fetzima

Current Illness: None

ID: 1127509
Sex: F
Age: 65
State: OR

Vax Date: 03/05/2021
Onset Date: 03/13/2021
Rec V Date: 03/23/2021
Hospital:

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

Lab Data:

Allergies: penicillin Erythromycin Tetracycline Keflex Neomycn

Symptom List: Pain in extremity

Symptoms: 8 days after vaccine arm started to hurt around vaccine area. The next had a rash and itching to the shoulder. Lasted about 4 days. Was able to treat it with topical cortisone.

Other Meds: Los arrangements Metropolis B12 Vitamin d

Current Illness: none

ID: 1127510
Sex: F
Age: 83
State: OR

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: Pt complained of swelling in tongue and itching in tongue, mostly on L side. Given 25 mg PO benadryl with symptoms resolving prior to leaving

Other Meds:

Current Illness:

ID: 1127511
Sex: F
Age: 47
State: TX

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/23/2021
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: nkda

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

Symptoms: painful left arm immediately x 3 days. Symptoms improved. On day 7, left arm pain and mild rash

Other Meds: armoid thyroid

Current Illness: nothing

ID: 1127512
Sex: M
Age: 54
State: PA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: Dizziness

Other Meds: Warfarin -multi vitamin-81 baby aspirin-vitamin c

Current Illness: None

ID: 1127513
Sex: M
Age: 72
State: AL

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 03/23/2021
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: Penicillin

Symptom List: Vomiting

Symptoms: Coughing started two days after first vaccine. Treated for pneumonia. Four weeks later C T Scan showed pulmonary fibrosis.

Other Meds: Xarelto Simvastatin Carvedilol Losartan Amidorone Omeprazole Ezetimibe Trazodone

Current Illness: None

ID: 1127514
Sex: F
Age: 61
State: SC

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 03/23/2021
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: Around 11, 11:30 the pain woke me up because it was so bad. It was hot and there was a big lump under my left arm pit (was very tender). I did not go to sleep like that. I did not have any symptoms by the time I went to bed. I also felt hot, and then cold, then hot, then cold, I would feel too hot and then too cold, freezing, I could not keep my temperature under control. I had to call in at work during the weekend I was feeling so bad. I had a lump under my armpit the size of a fist and I could not close my arm completely. It was huge and painful. I decided to go to a clinic over the weekend (unsure if Saturday or Sunday) to seek medical care and they ran some labs and a CBC to check for infection. All results came well no infection. They suggest to keep taking Tylenol. By Monday or Tuesday I started feeling well enough to return to work. The lump was still present and took about a week to go down. The injection site also was sore for a while, about a week also like the lump.

Other Meds: Ametripolin (sleeping tablets), ropinorol (muscle relaxer for restless legs), Alive multivitamin women's 50 plus, clidobenzapen, hydrocodone, ametrex (migraines)

Current Illness: None

ID: 1127515
Sex: M
Age: 26
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/23/2021
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: na

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

Symptoms: Patient was waiting for the 15mins post vaccine. Three minutes into waiting, patient slumps and falls out chair. He hit his head and turned face down, he then began to start seizing. During this time we held his head, to ensure he did not continue to hit the floor. A team was called, and the team attended to the patient. Patient's vitals were taking and he was stable. To take precaution, he was placed on oxygen to ensure he was comfortable during transfer. When picking the patient off the floor with the staff, patient began seizing once more before being transferred to the ED.

Other Meds: na

Current Illness: na

ID: 1127516
Sex: F
Age: 45
State: NC

Vax Date: 02/25/2021
Onset Date: 02/26/2021
Rec V Date: 03/23/2021
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: seasonal allergies, Allergic to Sulfa drugs

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA around 2:30 am began having chills, and muscular aches both of which continued for approximately 18 hours. around 7:30 am began also having headaches which persisted for about 12 hours. Also had fatigue, possible due to not sleeping well due to sx. Around 10:00 am began having difficulty concentrating, headaches, muscle aches and chills intensified. Around 11am confirmed fever of 100 d F, took Tylenol which lessened chills. General malaise continued through evening, 8pm, took another Tylenol, by 9 pm began having series of intense and persistent (nonstop) heart related symptoms (chest pounding, tachycardia, shortness of breath,) which continued for several hours. (exact time unknown, I am guessing it lessened around 2am or so.) Following am, all symptoms gone. (might have continued to have some intermittent heart stuff as that has been ongoing every day, but non-stop intense cardiac feelings were not continuing by morning.

Other Meds: Losartin-potassium; Omeprazole; Wellbutrin; Zyrtec; Astepro/Azetaline (nasal antihistamine;) Nasocort; immuno-globulin? - (a sublingual serum formulated for allergies in lieu of allergy shots;) Tumeric-Curcumin; Multivitamin; Magnesium;

Current Illness: heart issues (MF PVCs, atrial tachycardia, skipped beats, bradycardia plus another thing which testing has not determined, possibly neurological, possibly cardiac) first showed up after COVID illness in November (November 12ish - informed of positive COVID19 test, November 31ish- first day of first week felt fully recovered from COVID (fever, fatigue, cough, headaches, loss of taste/smell) Dec 5 - woke up with racing heart, cardiac symptoms have continued since then

ID: 1127517
Sex: F
Age: 53
State: CA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/23/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Shortness of breath several days after first vaccine dose. Advised against receiving second vaccine dose.

Other Meds:

Current Illness:

ID: 1127518
Sex: F
Age: 58
State: FL

Vax Date: 03/08/2021
Onset Date: 03/19/2021
Rec V Date: 03/23/2021
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: Wheat, codeine, morphine

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

Symptoms: On day 10, large oval rash, hot, red, swollen and itchy. Dr advised to use topical antihistamines

Other Meds: Ozpempic, met formin, pravastatin, Lexapro, Jardine, tyenol

Current Illness: Lumpetomony 3/16/21

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm