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: 1131679
Sex: F
Age: 43
State: MN

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Covid arm and swelling of under arm lymph nodes

Other Meds:

Current Illness:

ID: 1131680
Sex: F
Age: 69
State: IN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/24/2021
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, seaweed

Symptom List: Anxiety, Dyspnoea

Symptoms: monday march 22nd shot at 10am , severe chills by 12midnight, took 1 tylenol every 6 hours through tuesday and feeling tired, slept by evening, starting to feel better and wednesday ok . did not call a dr.

Other Meds: valsartin 160mg, hydrochlorothiazide 25mg, b complex, ocuvite, vitamin c, womens 50+multivitamin, vitamin d, vit dc , co Q 10, vitamin-E

Current Illness: none

ID: 1131681
Sex: M
Age: 33
State: NY

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/24/2021
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:

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

Symptoms: Ringing in ear, hearing temporarily disappearing from one ear. Lasts about a minute and recurs about every other day.

Other Meds:

Current Illness:

ID: 1131682
Sex: M
Age: 61
State: FL

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I felt fine all day and that evening but over night while sleeping l developed severe chills. It resolved over the course of the next day.

Other Meds: Atorvastatin 20 mg OTC: Vitamin D; Folic Acid;, Aspirin 81 mg

Current Illness: None

ID: 1131683
Sex: F
Age: 54
State: OH

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Penicillin and Sulfa Medications

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

Symptoms: About 43 hours after receiving the vaccine, I began experiencing a severe headache and nausea. Two hours later I began vomiting, profusely. After the vomiting subsided, I was extremely fatigued.

Other Meds: One A Day Women's Daily Vitamins, Vitamin C and Vitamin B-12

Current Illness: None

ID: 1131684
Sex: F
Age: 55
State: AZ

Vax Date: 03/03/2021
Onset Date: 03/04/2021
Rec V Date: 03/24/2021
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, Zithromax, erithromiacin, bacitracin

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

Symptoms: The first 3 days I could not get out of bed without crawling, extreme muscle weakness and pain dizziness extreme mental fog, malaize, low cognitive functioning drowsy, slept day and night the first 3 days symptoms still evident to lesser degrees 18 days post inoculation

Other Meds: Trazidone, calcium, vitamin E, CoQ10, escatralopam, folic acid, fish oil, women's daily vitamin, melatonin,

Current Illness: none

ID: 1131685
Sex: F
Age: 40
State: CA

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/24/2021
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: After 12 days, I am still experiencing a lot of tenderness in my arm. It is slightly red and swollen at the injection site and I have overall felt rundown for 12 days now.

Other Meds: Glatirmer Tri-Lo Sprintec Alprazolam Lamotrigine

Current Illness: none

ID: 1131686
Sex: F
Age: 36
State: TX

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Not known- yes to environmental allergens and atopy

Symptom List: Pharyngeal swelling

Symptoms: Developed uncontrollable chills, night sweats, severe headache and dizziness, nausea, diarrhea and insomnia. Body aches in neck and lower back - then the next day took Tylenol and had severe fatigue and tiredness. Now 5 days later still have brain fog and dizziness and fatigue

Other Meds: Famotidine 20 mg once daily

Current Illness: Tendinitis and suspected GERD- difficulty swallowing

ID: 1131687
Sex: U
Age:
State:

Vax Date:
Onset Date:
Rec V Date: 03/24/2021
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: Moderna COVID-19 Vaccine Localized rash on left shoulder near vaccination sight.

Other Meds:

Current Illness:

ID: 1131688
Sex: F
Age: 57
State: NY

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 03/24/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: started approx 1:30 AM - shakes (felt like a convulsion) vomiting, diarrhea, shortness of breath, chest tightness - no fever

Other Meds: coreg CR 40 mg

Current Illness: none

ID: 1131689
Sex: M
Age: 59
State: AL

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/24/2021
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: First thing I noticed was frequent trips to the bathroom. (EVERY TWO HOUR) All LARGE amounts of urine. The Second one is that Eye SITE was made a drastic change to the point I can barely see!

Other Meds:

Current Illness:

ID: 1131690
Sex: F
Age: 40
State: MO

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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: Sulfa

Symptom List: Rash, Urticaria

Symptoms: Covid arm- rash showed up a week later - hard smooth itchy bump about 2 inches in size.

Other Meds: None

Current Illness: No

ID: 1131691
Sex: F
Age: 51
State: GA

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Left arm swollen with big red hot knot. It was medium size early today now it?s spreaded wider and hurts

Other Meds:

Current Illness:

ID: 1131692
Sex: M
Age: 60
State: IN

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: I have hives on my wrist, eyebrows and forehead.

Other Meds: vicks zzzQuil

Current Illness: none

ID: 1131693
Sex: F
Age: 28
State: MI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/24/2021
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: Beef, Pork, amoxicillin, keflex, ciprodex latex

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

Symptoms: First my lymph nodes and arm did swell which is normal however 6 hrs later my arm was 3xs it?s normal size and I had hives all over my body.

Other Meds: None

Current Illness: None

ID: 1131694
Sex: M
Age: 53
State: CA

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
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: Wide variety of outdoor pollen, dust and dander. only allergic to black olives and oatmeal.

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

Symptoms: I was very fatigued. I could not even eat anything because of how tired I was until 8 pm. I also had a pounding headache. I felt like I had the chills. I thought I had a fever but when I checked, it was 98.7. My left arm was very sore in that area. The next day I felt a lot better and the soreness in my arm was a lot less.

Other Meds: Serevent Diskus 50mcg, arnuity ellipta 200mcg, Pentoxifylline er 400mg 2 tabs a day, simvastatin 10mg 1 pill a day, glipizide 10mg 2 a day, enalapril 10mg 1 a day, famotidine 40mg 1 a day, cetirizine 10mg 1 a day, hydrochlorothiazid 25mg 1

Current Illness:

ID: 1131695
Sex: F
Age: 69
State: AZ

Vax Date: 03/11/2021
Onset Date: 03/21/2021
Rec V Date: 03/24/2021
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: Severe pain in spine, neck, chest, and arm. Started about 10 days after the vaccine. Sore throat, lack of sleep, and lack of hunger or thirst.

Other Meds:

Current Illness:

ID: 1131696
Sex: F
Age: 63
State: MA

Vax Date: 03/06/2021
Onset Date: 03/15/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: sulpha based antibiotics

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 10 days after injection (03/15/2021) developed an increasing patch of red, raised rash, warm to the touch. Eventually covered most of the upper arm from shoulder to elbow, wrapping to the inside of the arm. Itching and discomfort, but no fever. Severe symptoms lasted 5 days before decreasing in intensity. Today (03/24/2021) appears as a slightly itchy discolored area on the arm. Advised by doctor to take Benadryl and apply hydrocortisone ointment.

Other Meds: levoxyl B vitamin complex Zinc Vitamin D

Current Illness: none

ID: 1131697
Sex: F
Age: 63
State: AZ

Vax Date: 12/19/2020
Onset Date: 01/04/2021
Rec V Date: 03/24/2021
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: at 2 1/2 weeks after first injection had severe asthma attack that caused right posterior chest pain, fatigue, chills- increased use of albuterol with nebulizer 3 times per day

Other Meds: lisinopril, crestor, sertraline, lamictal, addrell xr, vitamin D, albuterol, vitamin b12

Current Illness: none

ID: 1131698
Sex: F
Age: 46
State: TX

Vax Date: 03/15/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Strawberry allergy

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

Symptoms: Swollen arm injection site and hives 9 days after 1st vaccine.

Other Meds:

Current Illness:

ID: 1131699
Sex: F
Age: 55
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient brought to the attention of charge nurse @ 1430. Patient returned to the site after receiving the vaccine at 1120 at Medical Center. Patient waited in observation after vaccination without incident. Patient stated that she was wearing pants and did not notice redness to her legs and back until about an hour after vaccination. Patient and her husband decided to come back to the site for help. Patient presented with slightly red rash to legs and back and stated she felt a headache, slight dizziness and nausea. Patient guided to chair and vitals assessed. BP 101/84, Pulse 62, SaO2 96%, Resp 18, lung sounds clear. Patient given 25 mg of Benadryl and water, tolerated well. Patient agreed to wait 30 minutes on site. Nurse left to observe patient. Vitals @ 1500, 155/84, Pulse 63, SaO2 98%, T 98.3 F, redness and nausea improving. Patient tolerated medication well. After 30 min patient stated skin redness significantly improved and is no longer nauseous. Vitals before leaving site, BP 135/81, P 62, SaO2 98%, Temp 98.1, Resp 16, lung sounds clear. Patient educated to seek medical attention if side effects continue or worsen. Patient left site with her partner without incident.

Other Meds:

Current Illness:

ID: 1131700
Sex: F
Age: 34
State: GA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Lamictal

Symptom List: Unevaluable event

Symptoms: A bright red rash measuring approximately 4x3inches developed at injection sight 8 days after vaccine. The rash was hot to the touch and tender.

Other Meds:

Current Illness: No

ID: 1131701
Sex: F
Age: 66
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/24/2021
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: Fentenol

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

Symptoms: Chills, headache, nausea, vomiting, phlegm in throat, loose stools, eye sockets hurt, could not keep any liquid/solid in system, lasted 48 hours

Other Meds: None

Current Illness: none

ID: 1131702
Sex: F
Age: 43
State: CA

Vax Date: 03/22/2021
Onset Date:
Rec V Date: 03/24/2021
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: Metronidazole, seafood, gelatin, nsaids

Symptom List: Injection site pain, Pain

Symptoms: Hoarseness, scratchy throat, runny nose, rash on left arm and small rash on stomach. Pain in left arm, swelling

Other Meds: Hydrocodone, levothyroxine, multivitamin, Benadryl, Claritin

Current Illness: UTI day of vaccination

ID: 1131703
Sex: F
Age: 50
State: GA

Vax Date: 03/24/2021
Onset Date: 03/24/1921
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Sulfate, codeine, morphine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Low grade fever, body ache and tinnitis

Other Meds: Diabetes med, cohlestorol med, tylonol, benadryl

Current Illness: Lupus

ID: 1131704
Sex: F
Age: 65
State: NV

Vax Date: 03/12/2021
Onset Date: 03/21/2021
Rec V Date: 03/24/2021
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: codeine

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

Symptoms: I was assuming that I breezed through the vaccine, only mild arm soreness and fatigue and then on day 9 my arm began horrible itching and was sore to touch and felt warm. When I got home, I removed my shirt to find that I had a large rash that developed at the vaccine site. I immediately applied hydrocortisone creme and started googling this event to find out that there was a condition known as delayed covid vaccine rash. The hydrocortisone creme was only slightly effective, it still itched like crazy. The next day I phoned my doctors office and asked if they could prescribe an ointment that is stronger than the over the counter ointment. He prescribed Triamcinolone Acetonide USP, 0/1%. At first I didn't feel that the itching and swelling were subsiding but finally today, 5 days after onset, the ointment is working. I still have the rash and it is still warm to touch but I think that it is improving. At the initial onset of the rash I started getting chills for the next few days and started feeling fatigued. I don't feel like I'm suffering from fatigue today but earlier today I was getting chills. It appears that the chills are subsiding this evening.

Other Meds: restasis (dry eyes), calcium with D3, biotin, Inhaler as needed-Ventolin

Current Illness: none

ID: 1131705
Sex: F
Age: 26
State: IL

Vax Date: 03/01/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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: Immediately after the vaccine was administered, the patient experienced paleness, lightheadedness, dizziness and weakness for about 15-30 minutes. Patient was able to state correct name, date of birth, current president and today's date. Pt denies respiratory distress. BP 102/78. Patient able to drink water and ambulate to private observation area. Pt declined transportation to hospital for further evaluation. Pt reports symptoms resolved. Pt able to return to work. Pt advised to call doctor is symptoms return and to call 911 if difficulty breathing. Pt instructed to continue to hydrate with fluids and to rest.

Other Meds:

Current Illness:

ID: 1131706
Sex: F
Age: 51
State: SC

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Gluten intolerance (celiac sprue) Sulfa medicines

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Injection site redness Injection site pain Injection site edema Injection site itchy

Other Meds: None

Current Illness: None

ID: 1131707
Sex: F
Age: 39
State: PA

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/24/2021
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: n/a

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

Symptoms: mild fever, chills, over heated, nausea, diarrhea, body aches

Other Meds: n/a

Current Illness: n/a

ID: 1131708
Sex: F
Age: 63
State: AZ

Vax Date: 01/09/2021
Onset Date: 01/10/2021
Rec V Date: 03/24/2021
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: chills, extreme fatigue, severe sore throat, shortness of breath rhinorrhea, cough that lasted more than one month

Other Meds: lisinopril, crestor, sertraline, lamital, addrell xr, vitamin d, vitamin b12, albuterol

Current Illness: asthma attack after 1st vaccine

ID: 1131709
Sex: F
Age: 67
State: MD

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Strawberries; Bee Stings; Wasp Stings

Symptom List: Injection site pain

Symptoms: Flushing, hives, rash, itching, lips swelling tingling, high BP dose 1 - 209/107 high BP dose 2 188/87. Symptoms began 30 -40 minutes after vaccines.

Other Meds: Benadryl

Current Illness: None

ID: 1131710
Sex: F
Age: 43
State: WI

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Neoprene

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

Symptoms: Covid Arm- day 7, area of injection site swollen, red, and warm to the touch

Other Meds: Sertraline, Norgestimate-Eh Estradiol, Potassium, Multi Vitamin, Tamarac, Vitamin C, Glucosamine, Probiotic.

Current Illness: None

ID: 1131711
Sex: M
Age: 65
State: FL

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/24/2021
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: none

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

Symptoms: I awoke with severe body aches, including headache, low grade fever and general "malaise" or fatigue that lasted throughout the day. I felt almost completely normal the next day.

Other Meds: Tamsulosin

Current Illness: none

ID: 1131712
Sex: M
Age: 41
State: GA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 03/24/2021
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: Persistent sore arm for over a month now

Other Meds:

Current Illness:

ID: 1131713
Sex: F
Age: 57
State: TX

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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: Erythema, Pruritus

Symptoms: Raised rash at site of injection, approx 3 inch diameter. Very itchy

Other Meds: None

Current Illness: None

ID: 1131714
Sex: F
Age: 50
State: CA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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: Chlorhexidine

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

Symptoms: Large red welt that grew in size throughout the day, injection site is red, warm to touch, itchy Applied cortisone to area several times throughout the day, took two benadryl at 7 pm

Other Meds: Letrozole Multi vitamin Vitamin C Vitamin D Calcium Magnesium Biotin Beet root powder Uqora

Current Illness: None

ID: 1131715
Sex: M
Age: 21
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/24/2021
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: 2ml of normal saline was used to dilute vaccine instead of 1.8ml of normal saline.

Other Meds:

Current Illness:

ID: 1131716
Sex: F
Age: 49
State: CA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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: Itchy, dull pain, and redness rash

Other Meds: Levemir, januvia, metformin, novolog, vitamin D, multivitamin, victoza, lisinopril,, atorvastatin

Current Illness: None

ID: 1131717
Sex: M
Age: 33
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/24/2021
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: 2ml of normal saline was used to dilute vaccine instead of the recommended 1.8ml of normal saline.

Other Meds:

Current Illness:

ID: 1131718
Sex: F
Age: 68
State: WA

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/24/2021
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: Intolerances to eggs, dilaudid, levaquin, fosamax

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

Symptoms: The evening of the inkection I felt nauseated. The next morning I had fever and chills (100 F) and fatigue. The next morning I had lymphedema on the rt side of my jaw and down my anterior neck. The next day I developed a large ulcerated area at the back of my throat on the right with intense ear pain. I went to the clinic and a covid test was done (I don't have the results yet). Today (7days after the injection) I returned to the clinic because my throat ulcer had gotten larger and spots were appearing on the roof of my mouth. I again ran a low grade fever. I was again diagnosed with either a viral infection or an unusual immune response to the vaccine.

Other Meds: Melatonin at night to sleep.

Current Illness: None

ID: 1131719
Sex: F
Age: 54
State: MD

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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, sulfa, codeine, morphine, latex

Symptom List: Pain in extremity

Symptoms: nausea, muscle pain, body aches, fever, headaches, fatigue

Other Meds: phentermine, , fluoxetine, mirtazapine, atorvastatin, metformin, gabapentin, oxcarbamezipine, vitamin d-3,

Current Illness: nausea, vomiting,, diarrhea body aches and pain

ID: 1131720
Sex: F
Age: 63
State: KY

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: Sensitive to Benadry. Melatonin,Pepcid

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

Symptoms: This was my first dose of the vaccine. 12 hours after injection I had chills so bad my teeth chattered, head ache, body aches, temperature of 101.7, weak and very fatigued for 24 hours. Temp came down to 99 with Tylenol. 36 hours after injection I sweat so badly that my clothes and bed sheets were wet. Temp continued to be 99 until about 45 hours after injection. Injection site was sore even without pressure for 5 days. Red rash around injection site for 7 DAYS. I went through 6 treatments of chemotherapy for ovarian cancer last year and this vaccine response was every bit as bad as chemo!

Other Meds: Letrozole, Calcium, Vit D

Current Illness: Finished chemotherapy for ovarian cancer Nov 4, 2020. On Letrozole now for maintenance therapy.

ID: 1131721
Sex: F
Age: 64
State: AZ

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
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: Customer received vaccine and shortly began to feel dizzy, lighted-headed, and fainted while seated. She became responsive and was sweating stating she did not feel well. Customer complained of feeling nauseated, hands were cramping and difficult to move. Finger tips were tingling. She sat in our waiting area and was observed for over 30 minutes. She began to feel better after 15-30 minutes.

Other Meds:

Current Illness:

ID: 1131722
Sex: F
Age: 62
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/24/2021
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: 2ml of normal saline was used to reconstitute the vaccine instead of the recommended 1.8ml.

Other Meds:

Current Illness:

ID: 1131723
Sex: F
Age: 67
State: CA

Vax Date: 02/28/2021
Onset Date: 03/05/2021
Rec V Date: 03/24/2021
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: Tinnitus has gotten much louder.

Other Meds: Glucophage; Zoloft; Irdasartan; Lamotrigene ; Vitamin D; Iron; Magnisium

Current Illness: None

ID: 1131724
Sex: M
Age: 30
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 2ml of normal saline was used to reconstitute the vaccine instead of the 1.8ml. No adverse effects identified.

Other Meds:

Current Illness:

ID: 1131725
Sex: M
Age: 50
State: CA

Vax Date: 03/18/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Extreme sweating, especially under the armpits. I've never had this before. Both armpits have what looks like a red skin rash. Also, my toes are extremely cold.

Other Meds: 300 MG Wellbutrin per day 50 MG Sertraline per day

Current Illness:

ID: 1131726
Sex: M
Age: 0
State: AZ

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/24/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Upper body rash 7 hours after no burning and no itching, same on 03232021, and not severe just a red blotchy rash again no heat no itching, just not sure if it was the vaccine first shot.

Other Meds: Advil,omeprazole

Current Illness:

ID: 1131728
Sex: F
Age: 43
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/24/2021
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: Headache (migraine type for 10 days), double dose of Advil and Tylenol 4-5 times a day. Headache subsided after 10 days. Blood pressure dropped by 60 points (typically I have high blood pressure 140/110, it dropped to 80/60) on the first night after injection. light headed the first night.

Other Meds:

Current Illness:

ID: 1131729
Sex: F
Age: 55
State:

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/24/2021
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:

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

Symptoms: 2ml of normal saline was used to reconstitute the vaccine instead of the recommended 1.8ml. No adverse effects reported.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm