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: 1131767
Sex: F
Age: 21
State: TX

Vax Date: 03/17/2021
Onset Date: 03/18/2021
Rec V Date: 03/25/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chest discomfort, throat tightness, tremor

Other Meds: None

Current Illness: None

ID: 1131768
Sex: F
Age: 39
State: TX

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: Morphine, Sulfa Drugs

Symptom List: Anxiety, Dyspnoea

Symptoms: Heart racing/pounding Loss of feeling in hands Bone pain/muscle pain Memory issues/confusion Repetitive movements/ticks in feet Nausea Exhaustion Fever/chills

Other Meds: Vyvanse 60mg

Current Illness: None

ID: 1131769
Sex: F
Age: 21
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
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: None

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

Symptoms: Within an hour after getting the vaccine, I began to feel nauseous and had diarrhea. Upon calling the health center, they said that I may have eaten something bad. Around 6pm the same day, I started sweating but I was freezing, and had a headache and muscle pain. I had a 101 fever and that persisted until the next day (3/24/21). It is currently (3/24/21) and I have noticed sharp chest pains on the right side of my chest throughout the day, especially when exerting forces breathing (such as riding my bike or walking up stairs, or getting into and out of bed). I still have a slight fever and feel very cold, but I in fact, still have a slight fever of 100.4

Other Meds: Vyvanse Celexa

Current Illness: None

ID: 1131770
Sex: F
Age: 48
State: MA

Vax Date: 03/12/2021
Onset Date: 03/16/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Dizziness, headache, ear pain

Other Meds: Ambien CR Ativan Lexapro

Current Illness: Ear infection

ID: 1131771
Sex: F
Age: 86
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: NSAIDs, contrast, PCN, lisinopril, sulfa

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

Symptoms: She received vaccine #2 on 02/04/2021. In the wee hours of the morning 02/05/2021, she had at least two episodes of seizure. she was found gurgling, hypoxic, jerking of arms.

Other Meds: Donzepil, duloxetine, losartan, gabapentin, lansoprazole

Current Illness: cachexia

ID: 1131772
Sex: M
Age: 24
State:

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Adhesive, ginger, nutmeg

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

Symptoms: Excessive ear wax production; acne; immense pain at injection site and in shoulder of that arm; nausea; excessive hunger; feeling/acting inebriated

Other Meds: Venlafaxine, metoprolol tartrate, metformin, testosterone cypionate, lamotrigine, zyrtec.

Current Illness:

ID: 1131773
Sex: F
Age: 51
State: CA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Red itchy arm with raised bumps at shot site

Other Meds: Fish oil 1000 mg, Calcium 600 mg, super B complex, women?s daily multivitamin, vitamin E, vitamin C, iron 65 mg

Current Illness: None

ID: 1131774
Sex: F
Age: 24
State: WI

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Pharyngeal swelling

Symptoms: Itchy, red at site of injection

Other Meds: Welbutrin Zoloft Vitamin D Zyrtec

Current Illness:

ID: 1131775
Sex: F
Age: 44
State: AZ

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Injection site was itching all morning and later turned into hot red rash, sore to the touch, about 3? in diameter.

Other Meds: Multivitamin 10 mg Lexapro

Current Illness: None

ID: 1131776
Sex: F
Age: 41
State: NC

Vax Date: 03/12/2021
Onset Date: 03/20/2021
Rec V Date: 03/25/2021
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: Na

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Mild (so far) rash that occurred on the arm of the injection site with an onset 8 days following the shot. Rash has continued to expand in size for the last 5 days since onset, with mild but increasing itching and swelling and is located in close proximity to the injection site (but not emanating from it).

Other Meds: Aldactone 15mg 3xqday

Current Illness: Na

ID: 1131777
Sex: F
Age: 38
State: NV

Vax Date: 03/16/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Latex, almonds, bananas, penicillin

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

Symptoms: Raised, itchy, hive-like red spot; soreness. Taking Benadryl

Other Meds:

Current Illness: Possible sinus/tooth infection

ID: 1131778
Sex: F
Age: 42
State: CA

Vax Date: 03/13/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Sensitive to shellfish and iodine

Symptom List: Rash, Urticaria

Symptoms: Hives the night of 3/13. Queasy and hot within 15 min of injection Headache within the hour of injection. Bruising of arm and sore arm in the days that followed 3/13 Fatigue 3/14 and 3/15 "covid arm" appeared on 3/14 at 9pm PST measuring approx 6 inches by 3 inches / welt, raised skin, hot to touch.

Other Meds: None

Current Illness: None

ID: 1131779
Sex: F
Age: 27
State: CA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin.

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

Symptoms: I noticed I was itchy right below the injection site on my arm in the morning. I was itching it like it was a bug bite. I left it alone for hours, but it is larger and red, a little swollen, and a little bit painful. I took ibuprofen.

Other Meds: Venlafaxine, bupropion, metformin, synthroid, spironolactone, finasteride, June birth control, vitamin d, vitamin b, vitamin c, zinc, alprazolam, omega- 3, nutrafol.

Current Illness:

ID: 1131780
Sex: F
Age: 52
State: CA

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/25/2021
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: Erythromycin, Tetanus Shot

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

Symptoms: A headache developed about 1/5 hours after vaccine. The headache turned into a migraine. The alternating headache/migranin continued for 4 days. I also had bowel issues for the first 24 hours folling vaccine. No pain in arm at injection site. When I woke (4:30am) on 3/24/2021, the injection site area was very swollen, had raised red rash and was warm to touch. I sent an email to my doctor and applied ice which did not help. Around 11:30am, the swelling and rash had increased, the the area was tender to touch. I contacted advice nurse and was told to elevate the effected area. I received emails from my doctor's office instructing me to apply ice and that I could take an antihistamine.

Other Meds: prodaxa, famotidine, B-12 (5000 mcg), metoprolol, hydrocodone,

Current Illness: None

ID: 1131781
Sex: F
Age: 26
State: NV

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Patient was vaccinated, moments later she had lost consciousness. Administering technician notified pharmacist immediately. When patient was approached she was regaining consciousness. Boyfriend said she was out for about 30 seconds. She vomited and moments later was feeling better. She was monitored until 9pm. Patients blood pressure was taken sporadically for about 1.5 hours with numbers ranging from 76/57, to 190/146. Last BP reading was 101/76. She said she was well enough to go. Gave patient card and told her to call for any other AE or questions/comments. Patient stated she has a history of syncope, especially when in medical atmosphere.

Other Meds:

Current Illness:

ID: 1131782
Sex: M
Age: 69
State: HI

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 03/25/2021
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: Xylene, adhesive tape

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

Symptoms: Pt has had tinnitus for decades, he's used to it. Directly after shot, it became approx 4 times louder - noticeably much louder. This was reported on V-Safe, but V-Safe has d/c requesting reports after day 8. Tinnitus continues about 2x louder now 9 days later, and has been that loud since subsiding from 4x over the initial few days.

Other Meds: Descovey, diclofenac 3%, multivitamin

Current Illness: None

ID: 1131783
Sex: M
Age: 65
State: CA

Vax Date: 03/08/2021
Onset Date: 03/12/2021
Rec V Date: 03/25/2021
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: Penicillin, (stomach pains),

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

Symptoms: 4 days after receiving vaccine I started getting palpitations. Like I was skipping a beat. It is still happening but has reduced by about 50%

Other Meds: Lovaza, red yeast rice, vitamin d, b12, b complex 100, digestive enzymes, beta sitosterol, probiotic

Current Illness: None

ID: 1131784
Sex: F
Age: 48
State: CA

Vax Date: 03/04/2021
Onset Date: 03/18/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Allergic to sulphas

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Swollen lymph node over collar bone

Other Meds: Levothyroxine

Current Illness:

ID: 1131785
Sex: F
Age: 49
State: HI

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: dizziness; increased heart rate, increased blood pressure, shaking

Other Meds: none

Current Illness: none

ID: 1131786
Sex: F
Age: 17
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient received the vaccine at the age of 17and 10 months when the required age is 18 years old. She was 2 months short of the requirement and I have to report this.

Other Meds: None

Current Illness: None

ID: 1131787
Sex: F
Age: 26
State: CA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Headache, body aches

Other Meds:

Current Illness:

ID: 1131788
Sex: F
Age: 63
State: VA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: aspirin

Symptom List: Unevaluable event

Symptoms: Soreness in Arm started almost immediately. Very tired throughout day. Then around 3:00PM arm got very sore and hurt to move. At 12:15AM developed severe chills. took tylenol and seems to be working

Other Meds: Losartan took at 12:30PM Escitalopram 12:30PM Doxycycline 12:30PM

Current Illness: none

ID: 1131789
Sex: F
Age: 41
State: PA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Doxycycline

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

Symptoms: Fever of 102.1 after Tylenol, body aches, chills, headache

Other Meds: Tradjenta, B-12, D3, Crestor

Current Illness: None

ID: 1131790
Sex: M
Age: 31
State: CO

Vax Date: 03/15/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Rash, abdominal pain, vomiting, facial and hand swelling

Other Meds:

Current Illness:

ID: 1131791
Sex: M
Age: 45
State: NY

Vax Date: 03/17/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: ?COVID Arm? - red itchy rash around injection point along with tightness. Roughly 2-3 inches wide.

Other Meds: Zinc, Quercetin, Vit D, Vit C, NAC, Magnesium, Fish Oil

Current Illness: None

ID: 1131792
Sex: M
Age: 27
State: CO

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/25/2021
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: Cephalosporin antibiotics, Elemental Nickel (skin contact)

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

Symptoms: First dose: Fatigue- days 2,3; Status Epilepticus day 8 (other triggers suggested as cause). Second doe: 24 hours of EXTREME PAIN in areas of previous chronic pain requiring extra doses of pain medication and equivalent to pain levels experienced immediately after major orthopedic surgery.

Other Meds: Tapentadol Hydrochloride, Mixed Amphetamine Salts, Candesartan + Hydrochlorothiazide, regular caffeine, regular nicotine

Current Illness: Trigeminal Neuralgia, CRPS, ADD, Deppression, Anxiety, Controlled Hypertension, Insomnia, MPFL Reconstruction recovery, Patellofemoral Pain Syndrome, (Cont.). Full Medical Chart Can Be Provided If Needed

ID: 1131793
Sex: F
Age: 51
State: NH

Vax Date: 02/09/2021
Onset Date: 02/23/2021
Rec V Date: 03/25/2021
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: gabapentin, all statins, lisinopril, norvasc, lamictal

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: exacerbation of psoriatic eczema outbreak to include bilateral upper and lower extremities, all of back, abdomen and chest, buttocks, eyebrows, scalp and hair line. Increased itching that is unrelieved by any cream/lotion to include triamcinolone. Hair loss to include large clumps after washing and increased shedding when dry and/or brushing.

Other Meds: levothyroxine, adderrall, Aleve, Iron

Current Illness: seasonal allergies

ID: 1131794
Sex: F
Age: 67
State: WA

Vax Date: 03/02/2021
Onset Date: 03/06/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfa; Tomatoes, Verapamil

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Feverish and woozy/dizzy starting 3/6/21 following 3/2/21 vaccine. Continues (today is 3/24/21). Pretty much bed-ridden. App't with naturopath will be 3/31/21.

Other Meds: Bioidentical Estradiol and Progesterone, Cobalt, Allegra, Aten

Current Illness: N/A

ID: 1131795
Sex: M
Age: 42
State: VT

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Pcn

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

Symptoms: Severe Headache, Extreme inflammation in already injured neck and upper body bringing current pain level to 10. Fever, chills, naseau, dizziness, tiredness.

Other Meds: None

Current Illness: Tbi/C5/6 Fusion Radiculopathy/constrictive Bronchiolitis/Migrane/Upper Body injuries and Pain

ID: 1131796
Sex: M
Age: 40
State: CA

Vax Date: 03/15/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Nine days after vaccination, developed redness, inflammation, and itchiness at vaccine site. Only previous side effects were fatigue and soreness at vaccine site in the 24 hours after vaccination.

Other Meds: None

Current Illness: None

ID: 1131797
Sex: F
Age: 66
State: GA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/25/2021
Hospital: Y

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

Lab Data:

Allergies: morphine

Symptom List: Injection site pain

Symptoms: Right Unilateral Cranial Nerve 7 Paralysis, 6 hours after administration of vaccine, associated symptoms included diarrhea, emesis Treatment included prednisone and valacylovir

Other Meds: Benicar, pravastatin, insulin humalog, aspirin, gabapentin

Current Illness:

ID: 1131798
Sex: M
Age: 27
State: CA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Headache, swollen muscles, dizziness, blindness, sweating, flushing, feeling dehydrated, weakness, muscle fatigue, eye soreness, sore neck.

Other Meds:

Current Illness:

ID: 1131799
Sex: M
Age: 30
State: IL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: penicilin

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

Symptoms: fever, headache, dizzy, chills, cough

Other Meds: Focalin 30, Dexmethylphenidate 10, citalopram 40

Current Illness:

ID: 1131800
Sex: F
Age: 45
State: WA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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 reported

Symptom List: Tremor

Symptoms: Guest patient, reported feeling dizzy, complained of being very weak after receiving her first dose of Pfizer Vaccine - (Lot #ER8712), administered in the LD at 14:37 hours. Guest complained of feeling ? ?the loss of strength?, to the upper part of her body and that she ?just wanted to close her eyes and sleep.? EMS activated to the Observation Area. Vital Signs assessed: B/P-110/60, P-74 (reg), R-18, T-98.5, 100%, and blood glucose reading of 94. EMS completed further evaluation and guest was released at 14:53 hours reporting that she was no longer experiencing the above complaints/or symptoms. She was offered and accepted water and more observation time. Client reported ?I am back to normal.? Client observed sitting talking on a cellphone and appears to be no apparent distress.

Other Meds: Unknown

Current Illness: Unknown

ID: 1131801
Sex: F
Age: 53
State: CA

Vax Date: 03/21/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
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: sulpha

Symptom List: Erythema, Pruritus

Symptoms: ?Pfizer-BioNTech COVID-19 Vaccine ? Tremendous pain #7 left wrist and hand. Couldn't make a fist and couldn't grip anything. This pain lasted 2 days. I took advil and iced which didn't ease the pain. I'm on day 3 and still have slight pain when I use my left hand?

Other Meds: none

Current Illness: none

ID: 1131802
Sex: F
Age: 55
State: NY

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: latex, bee sting, ciprofloxacin

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

Symptoms: Pt seen at ED for anaphylaxis after Moderna Vaccine pt received 1st Moderna COVID19 vaccine at pharmacy today, within 2 mins felt throat closing, itching, SOB. had slight hives on abdomen. received epi-pen and po benadryl at pharmacy. was given additional epi-pen , iv solumedrol, iv benadryl in ED. discharged after improvement and 6 hr observation

Other Meds:

Current Illness:

ID: 1131804
Sex: F
Age: 30
State: CA

Vax Date: 03/16/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Injection site is extremely Itchy with a red lesion about 3 inches across that is firm and painful at

Other Meds: Prozac (40 mg)

Current Illness: None

ID: 1131805
Sex: F
Age: 30
State: WA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 03/25/2021
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: Caffeine, tea tree oil, percocet, vicodin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Decerebrate posturing, loss of consciousness for ten seconds, wheezing, atypical seizure, eyes rolled back, EMS called, supplimental oxygen administered Went to ED, given ativan, zofran, 1L LR bolus and neuro assessment by PA-C Severe nausea for 5 days, slept off and on for five days, dizzyness for five days, brain fog for 5 days

Other Meds: Magox, potassium, the pill, lexapro, daily vitamin gummy,

Current Illness: None

ID: 1131806
Sex: F
Age: 58
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Heart beating a little fast. Nothing done yet

Other Meds: None

Current Illness: None

ID: 1131807
Sex: M
Age: 25
State: KS

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: Slight allergy to fruits and veggies with a pit inside.

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

Symptoms: Woke up shaking violently throughout my whole body, at first I thought it might be because I was cold but my blankets were notably warm and my body temperature was at a good level.

Other Meds: N/A

Current Illness: None

ID: 1131808
Sex: F
Age: 45
State: GA

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 03/25/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Subacute thyroiditis, treated with propanolol, dexamethasone, tylenol, ibuprofen.

Other Meds: Advil, tylenol, excedrin

Current Illness:

ID: 1131809
Sex: F
Age: 79
State: NY

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Felt very cold on first day of vaccination. Insomnia. Soreness. Fever of 101 24hr after injection. Slight headache. Fatigue.

Other Meds: Clonazepam, Aspirin

Current Illness: No

ID: 1131810
Sex: F
Age: 31
State: DE

Vax Date: 03/17/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Started developing an itchy rash around injection site one week after vaccination. Only symptom immediately after vaccination was a sore arm. Along with the rash, the area is hot, red and inflamed. Symptoms have persisted for 12 hours at the time of this report. Able to provide an image of the vaccination card with the lot number - hand writing was difficult to interpret.

Other Meds: Amlodipine 5mg

Current Illness: None

ID: 1131811
Sex: F
Age: 55
State: CT

Vax Date: 03/11/2021
Onset Date: 03/14/2021
Rec V Date: 03/25/2021
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: Percodan, Cipro and Sulfur Drugs

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

Symptoms: Throat closing off, tongue swelling.

Other Meds:

Current Illness:

ID: 1131812
Sex: M
Age: 27
State: CA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: The female medical employee, who was administering the vaccination. The Pfizer Vaccination. Opened a shot syringe. That had an empty vile. The syringe did not have the dosage of vaccine. The female medical employee, documented on my immunization card the sticker Lot number #EN6204, but the vaccine Lot Number (the syringe received) was not the Lot Number indicated on the immunization card. Why? The female medical employee, called over the military personnel whom was being the security for the vaccination site. The female military personnel was holding an open unit syringe vile dosage of the vaccine. The female medical employee showed the empty syringe vaccine to the military personnel. She said, "The dosage fell out." The female medical employee, took the open package, of the syringe vile, that contained a measured dose of the vaccine. Which is not considered the full dosage, or considered a safe dosage of the vaccine, because the package was opened. Not in front of the patient. And. Was open, when the military personnel, who was holding this vile, was walking, with the open package, around without proper medical gear. The medical employee. Quickly took out the syringe. Didn't explain which and what that syringe was, and just injected the dosage into my arm. I know, that practice was malpractice. I know I experienced malpractice. And. It's obvious the Government is going to do anything about it. This is not a petty situation. I don't know where that needle from. What has been introduced to that open syringe package. I did experience very bad side affects: headaches, muscle pains, tiredness, fatigue, weakness, low strength, dizziness, partial blindness, overwhelming stress, back pain, joint pain, spinal pain, chills, fever like symptoms, nausea, spontaneous pain, soreness in the arm, swelling throughout my body, difficulty breathing, short breaths.

Other Meds:

Current Illness:

ID: 1131813
Sex: F
Age: 35
State: GA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Whole stomach cramps Aching kidneys Fever Chills Dizzy

Other Meds: No

Current Illness: No

ID: 1131814
Sex: F
Age: 55
State: CA

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/25/2021
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: celiac disease, lactose intolerance

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

Symptoms: Moderna COVID?19 Vaccine EUA; immediate nausea, dizziness, headache; a few hours later, pain at shot location, body aches, strong thirst, moderate fatigue. Following day, nausea and dizziness went away; headache, body aches, thirst, and fatigue continued, pain at shot location stronger. Two days later, headache eased; body aches, thirst, and fatigue continued, pain at shot location lessened. Three days later, headache and fatigue; pain at shot location minimal.

Other Meds: iron, calcium, vitamin D

Current Illness:

ID: 1131815
Sex: F
Age: 41
State: PA

Vax Date: 03/15/2021
Onset Date: 03/24/2021
Rec V Date: 03/25/2021
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: Cipro

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Swollen lump at injection site showed up after 9 days post injection. Started as a small red circle and grew all day. Hot & itchy. My arm aches.

Other Meds: Iron, Ativan prn, citalopram

Current Illness: None

ID: 1131816
Sex: F
Age: 69
State: OH

Vax Date: 02/26/2021
Onset Date: 02/26/2021
Rec V Date: 03/25/2021
Hospital:

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

Lab Data:

Allergies: I am not sure

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

Symptoms: Broke out in hives and swelling in face and itching

Other Meds: Atenalol sp high blood pressure

Current Illness:

ID: 1131817
Sex: F
Age: 52
State: CT

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/25/2021
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: None

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

Symptoms: Sore arm evening of the shot. Woke up next morning at 4:15 a.m. sneezing and stuffy nose. Have sneezed several times so far and still have a very runny nose. Clear liquid. Can still smell and taste.

Other Meds: Muti-Vitamin, Fish Oil, Vitamin D.

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm