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: 1137830
Sex: F
Age: 24
State: TN

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Amoxicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Blood in urine, period came three weeks early

Other Meds: None

Current Illness: None

ID: 1137831
Sex: M
Age: 58
State: MN

Vax Date: 02/23/2021
Onset Date: 03/01/2021
Rec V Date: 03/26/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Hospitalization within 6 weeks after receiving vaccine.

Other Meds:

Current Illness:

ID: 1137833
Sex: F
Age: 67
State: MI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/26/2021
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: Nyquil cold and Flu, morphine

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

Symptoms: fever 102F max, headache, body aches, symptoms subsided after a day and a half

Other Meds: Losartan50mg, atorvastatin 20mg, chlorthalidone 25mg, centrum silver women, vitamin D 3000 mg

Current Illness: none

ID: 1137834
Sex: F
Age: 16
State: KS

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: No adverse event, no symptoms

Other Meds: Unknown

Current Illness: None

ID: 1137835
Sex: F
Age: 53
State: MI

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient was covered in head to toe rash. She tried OTC Benadryl, oatmeal bath and creams. Ended up getting a seriod injection in office and prescription sent to pharmacy

Other Meds: Wellbutrin, trazodone, estradiol

Current Illness: none

ID: 1137836
Sex: F
Age: 60
State: NY

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Reactions To; Keflex, Doxycycline, Sulfur, Penicillin, ambien, ativan, benadryl, xanax, zoloft, melatonin

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

Symptoms: 10 am 3/25 - chills, headache, cough, aches, pains temperature steady at 103.9. extremely tired vaccinated arm swollen and sore 10/26 - headache, chills, temp steady at 99..9, extremely tired, vaccinated arm swollen and sore

Other Meds: Humalin R U-500, Trulicity, Quinapril, Amlodipine, Escitalopram, Pantoprazole, Folic Acid, Ropinirole, tramadol, Aspiring, Crestor,Symbacort, Ventolin, Claritan, Magnesium, Calcium, Vitamin D, Multi vitamin.

Current Illness:

ID: 1137837
Sex: M
Age: 25
State: MD

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Extreme fatigue; nausea and vomiting; 103.4 F fever; joint and muscle soreness; uncontrollable shivering

Other Meds: None

Current Illness: None

ID: 1137838
Sex: F
Age: 23
State: TN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: Headache - 7:00PM on day of vaccination (03/24/2021) Headache, chills, body aches, fever, nausea - 5:00AM day after vaccination (03/25/2021) Only lasted 24 hours, ended around 7:00PM on 03/25/2021.

Other Meds: Pro-zac

Current Illness: Sinus Infection

ID: 1137839
Sex: M
Age: 35
State:

Vax Date: 02/17/2021
Onset Date: 03/15/2021
Rec V Date: 03/26/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Member tested positive for COVID before and after vaccination.

Other Meds: Unknown

Current Illness: Pt had been positive for COIVD Oct 2020.

ID: 1137841
Sex: F
Age: 76
State: MO

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Levaquin, epinefrin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 02/25 I had my first dose- within the 15 minutes after I felt dizzy and lightheaded. it subsided enough for me to drive home. I was tired for a few days. injection was very high up in my shoulder and about 3 weeks after I had tenderness in my elbow. My physical therapist said it was due to the injection being too high. 03/25- halfway home I had a significant headache. It diminished but I then got very very sleepy. I napped and then made dinner. 03/26 I was doing normal things and I felt cold, then my hands were very cold. I ate lunch but was very sleepy just before lunch. I then had a fever, My temp is 101.1. I have had a little drainage from one side of my nose.

Other Meds: Calcium, Multivitamin, Vitamin D, Probiotic

Current Illness: No

ID: 1137842
Sex: F
Age: 30
State: OH

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Palpitations Nausea Dizziness

Other Meds: Metoprolol

Current Illness: None

ID: 1137843
Sex: M
Age: 73
State: UT

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 03/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Patient was inadvertently given Moderna vaccine for 2nd dose of mRNA COVID-19 vaccine series instead of Pfizer. 1st dose of vaccine given was Pfizer (Lot # EL9267) on 2/12/2021. Patient was notified of error.

Other Meds:

Current Illness:

ID: 1137844
Sex: F
Age: 46
State: MD

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

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

Lab Data:

Allergies: seasonal allergies

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

Symptoms: Delayed onset chest tightness with SOB - took own albuterol 2 puffs with resolution. No airway involvement. Normal pulse, oxygen and BP

Other Meds: HCTZ, albuterol

Current Illness:

ID: 1137845
Sex: F
Age: 70
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/26/2021
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: No

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

Symptoms: I had my 2nd Pfizer Covid shot on 3/23/21 at 10:20 am. By 11:55 pm on that same day I began to feel chilled. By 2:30 am on 3/24/21 I had a temperature of 101.2 f. and took 1 Tylenol 500 mg.. I slept very poorly. By 11 am on 3/24/21, I still had a 100 degree fever and chills with a slight headache. No left arm muscle ache however. I took another Tylenol 500 mg at that time. By 5 pm on 3/24/21, my fever went up to 100.2 and I took another 500 mg Tylenol. I went to bed at 9 am, slept poorly but woke up at 7 am with a normal temperature of 98.

Other Meds: Vitamin C 500 mg, Vita min D 500 mg, Multi vitamins, Tumeric 500 mg

Current Illness: No

ID: 1137846
Sex: M
Age: 65
State: MI

Vax Date: 01/22/2021
Onset Date: 02/15/2021
Rec V Date: 03/26/2021
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: Head itches worsens at night. Skin sometimes feels like sun burn

Other Meds:

Current Illness:

ID: 1137847
Sex: F
Age: 59
State: TX

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/26/2021
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: gluten, dairy, opiate derivatives

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

Symptoms: Immediate severe pain and swelling at injection site. Lasted approximately 72 hours. Fever, loss of appetite, chills, flushed skin, lethargy within 1 hour of receiving vaccine. Lasted approximately 72 hours. Visible enlargement of veins in wrist and along chest within 1 hours of receiving vaccine and lasted approximately 48 hours Overall sense of itching 24 hours after vaccine. Lasted 72 hours

Other Meds: None

Current Illness: none

ID: 1137848
Sex: F
Age: 25
State: AK

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 03/26/2021
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: naproxen; shellfish; and some tree nuts

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

Symptoms: About 10 minutes after the second dose, I noticed the hives and irritation come on my throat, neck and my arm. I talked to the people who were monitoring and they gave me 50 mg of Benadryl and they kept me for 45- one hour. They Benadryl took about 20-30 minutes to for having the hives and irritation go away. After that happened, I went home and I started to get body aches and feeling very fatigued; a little bit nauseous. I did have some soreness and swelling on my arm after vaccine that lasted two or three days. The fatigue and body aches lasted for one day. The hives and irritation on my throat and neck and arm didn't come back after the dose of Benadryl. I had a doctor appt on Feb 8 about the side affects of the vaccine - he told me if hives came back to take Benadryl.

Other Meds: multi-vitamin

Current Illness: Adverse symptoms after dose 1 of the Pfizer vaccine

ID: 1137850
Sex: F
Age: 70
State: WV

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: progesterone, but easiest, bee stings

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Muscle and joint aches

Other Meds: Lisinopril,synthetic,Pro vast stain.

Current Illness: none

ID: 1137851
Sex: F
Age: 66
State: IN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Vomit headache exhaustion

Other Meds:

Current Illness:

ID: 1137852
Sex: F
Age: 59
State: OH

Vax Date: 03/08/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital: Y

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

Lab Data:

Allergies: penicillin

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

Symptoms: thrombocytopenia

Other Meds: insulin, entresto, demadex, coreg, cephalexin

Current Illness: diabetes, cellulitis, cardiomyopathy, sleep apnea

ID: 1137853
Sex: F
Age: 70
State: CO

Vax Date: 02/08/2021
Onset Date: 03/23/2021
Rec V Date: 03/26/2021
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: Demerol, morphine

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

Symptoms: Marked elevation in AST and ALT noted on routine screening.

Other Meds: benazepril 20 mg daily, biotin 5000 mcg daily, vit d3 5000 units daily, fexofenadine 180 mg daily, Synthroid 100 mcg daily, trazodone 50 mg daily

Current Illness: none

ID: 1137854
Sex: F
Age: 28
State: TX

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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, lidocaine

Symptom List: Unevaluable event

Symptoms: Patient's lips blistered; hands, lips, nose and vagina became swollen. Patient had hives on arms, lower extremities were extremely tender, patient felt poking sensations over the body (felt like needles). Nose and throat became dry and patient felt out of breath and extreme fatigue. Patient had low blood pressure and extreme sweating. Patient went to urgent care and was given a steroid injection to reduce swelling and was diagnosed with bronchial spasms. Patient received a butanol treatment.

Other Meds: loloesterin

Current Illness: n/a

ID: 1137855
Sex: F
Age: 44
State: TN

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: erythromycin, cephalexin, sulfa drugs

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

Symptoms: Fever, chills, diarrhea, nausea, headache

Other Meds: spironolactone, levothyroxine, loloestrin, tizanidine, fluoxitine, Clonazepam, aspirin, Lamotrigine

Current Illness:

ID: 1137857
Sex: F
Age: 40
State: OK

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/26/2021
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: Client was given her second dose before reviewing her vaccine card on her previous dose. She received her dose 3 days earlier than the earliest it should have been given. She did receive the appropriate second dose but to soon.

Other Meds:

Current Illness:

ID: 1137858
Sex: F
Age: 55
State: WA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: grass, evergreen tree's, dust mites, cat hai

Symptom List: Injection site pain, Menorrhagia

Symptoms: Achiness through upper torso plus a lump in arm pit of left arm. Rubbed self down with arnicare for achiness the day following shot, cleared up that situation within. Iced the lump at the same time but still tender on 2nd day continue to ice off and on.

Other Meds: Zyrtec, Lorsartan, Nortel

Current Illness: none

ID: 1137859
Sex: M
Age: 67
State: MI

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Tinnitus/ hearing loss

Other Meds: Flomax

Current Illness: None

ID: 1137860
Sex: F
Age: 72
State: WV

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: Allergic to statins

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient complained of lips and tongue tingling; denied any shortness of breath; Benadryl (5cc) administered. Advised to go home and go to bed. After reaction started, she admitted that she has this happen after any type of vaccine received. Did not advise of this when completing questionnaire - only acknowledged allergy to statin.

Other Meds: Unknown

Current Illness: No

ID: 1137861
Sex: M
Age: 55
State: CT

Vax Date: 03/13/2021
Onset Date: 03/23/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 3/23/21 pt developed red circular rash the size rash the size of a grapefruit around the injection site on the right arm. 3/25/2021 pt developed a red circular rash the size the size of a grapefruit on his right bicep. 3/26/2021 pt went to PCP where he was told he thought he had dermatitis and was told to take cortisone cream. Pt still has some pain redness in the arm.

Other Meds: No

Current Illness: No

ID: 1137862
Sex: F
Age: 74
State: ME

Vax Date: 02/27/2021
Onset Date: 03/01/2021
Rec V Date: 03/26/2021
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: Dust mites, sulfa anytype,

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

Symptoms: Small node on left clavicle appeared on second day after vaccine. Noticed after 54 hours after receiving Covid 19 Vaccine

Other Meds: Valsartan-Hydrochlorothiazide 80-12.5 mg, Pantoprazole, Lexapro oxalate 5 mg, Singulair 10 mg , Montelukast Sod 10 mg Florastor 250mg capsule, Biotin 10000mcg, B-12 1000mcg tab, Vitamin D3 200 unit, Peppermint oil caps 50 mg, Alleg

Current Illness: None

ID: 1137863
Sex: M
Age: 71
State: WI

Vax Date: 03/03/2021
Onset Date: 03/10/2021
Rec V Date: 03/26/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1137864
Sex: M
Age: 35
State: PA

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

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

Lab Data:

Allergies: Thimerisol

Symptom List: Injection site pain

Symptoms: Two minutes after receiving his vaccine he started to get lightheaded and dizzy, cold sweats, nausea, and he was bradycardic. Ammonia was used while he was in the POD. He was removed from the cell and brought to the medical observation area. His blood pressure on arrival was 119/68, heart rate 71, pulse ox on room air was 99%. Patient was placed in trendelenberg for about 10 minutes. His follow up blood pressure was 113/68 @ 2:49. About 5 minutes later hw as placed in a semi fowlers position with his follow up blood pressure was 127/62, HR 72. , subsequent in a sitting position was 113/68 HR 74, and in a standing position 125/64. Patient reported his symptoms have resolved.

Other Meds: Allegra

Current Illness: None

ID: 1137865
Sex: F
Age: 27
State: CO

Vax Date: 03/05/2021
Onset Date: 03/16/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: Seafood

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

Symptoms: Bad rash all over my body. Tiny bumps/hives

Other Meds: Prozac and birth control

Current Illness: N/A

ID: 1137867
Sex: M
Age: 37
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: PT. RECEIVED JANSSEN COVID VACCINE AFTER RECEIVING FIRST AND SECOND DOSE OF MODERNA VACCINE

Other Meds: REMERON, ZYPREXA,DEPAKOTE

Current Illness: NONE

ID: 1137868
Sex: M
Age: 17
State: MI

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: unknown

Symptom List: Tremor

Symptoms: no adverse events. patient was not 18 by 3 months and i was told this need to be reported

Other Meds: unknown

Current Illness: unknown

ID: 1137869
Sex: M
Age: 26
State: IN

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/26/2021
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: Erythema, Pruritus

Symptoms: Arm soreness. Began within 20 minutes after injection, continued for 3 days. Treated with ibuprofen, which helped reduce soreness.

Other Meds:

Current Illness:

ID: 1137870
Sex: M
Age: 38
State:

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: During vaccine administration, needle became separated from syringe and remained in patient's arm. Needle was gently removed with harm to the patient. Full dose was given.

Other Meds:

Current Illness:

ID: 1137871
Sex: M
Age: 67
State: IN

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
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: Ceclor

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

Symptoms: Extreme Flu-like symptoms. Massive headache, nausea, muscle aches. Coincidently, happened to have a previously scheduled blood draw for the next day at my doctor, listed previously. I got extremely nauseous, began sweating profusely and passed out right after the draw (have never had a blood draw reaction). 56 hrs since my shot and I still feel poorly, but better.

Other Meds: 5mg Cilais

Current Illness: None

ID: 1137872
Sex: F
Age: 67
State: TX

Vax Date: 02/27/2021
Onset Date: 02/27/2021
Rec V Date: 03/26/2021
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: Moderna COVID-19 Vaccine EUA. 30 hours of aches, extreme tiredness, and fever.

Other Meds: Losartan , Livalo, synthroid, Vit D, Vit C, baby aspirin

Current Illness:

ID: 1137873
Sex: M
Age: 44
State: NY

Vax Date: 02/08/2021
Onset Date: 02/11/2021
Rec V Date: 03/26/2021
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: Bells palsy; Soreness; Neck pain; A spontaneous report was received from a consumer concerning a 44-years-old, male patient who received Moderna's COVID-19 vaccine (mRNA-1273) and experienced soreness/ pain, bells palsy/ facial paralysis and neck pain. The patient's medical history was not provided. No relevant concomitant medications were reported. On 8 Feb 2021, prior to the onset of the events, the patient received the second of two planned doses of mRNA-1273 (Batch Number: 039K20A) intramuscularly for prophylaxis of COVID-19 infection. On 11 Feb 2021, the patient experienced soreness, bells palsy , and neck pain. No treatment information was provided. The patient received both scheduled doses of mRNA-1273 prior to the events, therefore action taken with the drug in response to the events was not applicable. The outcome of the events, soreness, bells palsy, and neck pain was not reported.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the start date of the events, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1137874
Sex: F
Age: 61
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: Influenza vaccine, ibuprofen,lyrica, pregabalin, erythromycin, horizant, penicillins

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

Symptoms: Pasting clinicians note below: Patient is 61 year old female with hx of anaphylaxis presenting for Covid-19 vaccine, Dose #1. She developed itching in there throat within 30 minute waiting period. She was taken to Rapid Response Room. Symptoms progressed from itchy throat, to congestion in throat/upper chest, clearing her throat, watery eyes. Then dry cough. No nausea, no vomiting, no light headed feeling. No facial swelling No hives. OBJECTIVE: Vitals - 154/97, 105, 100%RA Neck - Supraclavicular mild retractions, end inspiratory stridor CV: tachy, regular, no murmur pulm - diminished breathe sounds throughout, no wheezing. Speaking full sentences. Assessment/ Plan: Anaphylaxis to Covid-19 Vaccine: - emergency responders - epi 0.3 mg IM administered to L mid outer thigh at 9:35 am by me - epi 0.3 mg IM administered to R mid outer thigh at 9:41 am because symptoms not subsiding by me -benadryl 50 mg IM x 1 L deltoid by RN 9:45 am - Itching in throat subsided but still retracting and clearing throat so albuterol 3 puffs given at 9:50 am Vitals stable entire time (see midas report) EMS arrived to transport to local hospital.

Other Meds: N/A

Current Illness: n/a

ID: 1137875
Sex: F
Age: 64
State: TN

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

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

Lab Data:

Allergies: Azathioprine Pregabalin Gabapentin Sinemet Medrol Dose Pack Penicillin Vitamin D2

Symptom List: Pain in extremity

Symptoms: Arm red and swollen from injection site to elbow. Red patches on arm Headache over 48 hours Flu like symptoms

Other Meds: CellCept Cymbalta Flexeril Primidone Ropinirole Restoril

Current Illness: Fibromyalgia Autoimmune Hepatitis/overlaping PBC Osteoporosis Asthma Right Aortic Valve Stenosis

ID: 1137876
Sex: M
Age: 65
State: FL

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: Penicillin.

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

Symptoms: Got his vaccine, stayed 30 minutes, had no problems. He went to bed, woke up and has mild persistent headache, mild persistent fever, achiness, body aches all over, flu-like symptoms, not much appetite. He did take Ibuprofen for the symptoms and is starting to feel a little better. The headache is gone, the arm is less sore.

Other Meds: Rosuvastatin, Lisinopril, daily baby aspirin, multiple vitamins.

Current Illness: None.

ID: 1137877
Sex: M
Age: 67
State: OH

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/26/2021
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: allergic to paw-paws

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

Symptoms: low grade fever, headache, multiple body aches including neck, back, abdomen, hips and legs,mild diarrhea, frequent and painful urination and worsening of asthma.

Other Meds: vitamin and mineral suppiements

Current Illness: none

ID: 1137878
Sex: M
Age: 56
State: TX

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: Penicillin

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

Symptoms: Syncope lasting 2 minutes

Other Meds: Tylenol, Gabapentin

Current Illness: Hypertension, Spinal Stenosis

ID: 1137879
Sex: F
Age:
State: NY

Vax Date:
Onset Date: 01/22/2021
Rec V Date: 03/26/2021
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: Diagnosed with Bells Palsy after first dose of vaccine; A spontaneous report was received from a physician concerning, a female patient of unknown age, who received Moderna's COVID-19 vaccine (mRNA-1273) and diagnosed with Bell's Palsy after first dose of vaccine. The patient's medical history and concomitant medication was not provided. On an unknown date, approximately 3 weeks prior to the onset of the events, the patient received their first of two planned doses of mRNA-1273 (Lot number: unknown) intramuscularly for prophylaxis of COVID-19 infection. On 22 Jan 2021, approximately 3 weeks after receiving mRNA-1273, patient was diagnosed with Bell's palsy by an emergency room physician. No treatment information was provided. Action taken with mRNA-1273 in response to the event was not reported. The outcome of the event, diagnosed with Bell's palsy, were considered unknown.; Reporter's Comments: Based on the current available information and temporal association between the use of the product and the onset date of the event, a causal relationship cannot be excluded.

Other Meds:

Current Illness:

ID: 1137880
Sex: F
Age: 68
State: SC

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/26/2021
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: Tetanus

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Severe headaches, 5 days, fever, chills, on and off for first 3 days, nausea, 5-6 days, weakness, fatigue, 5-6 days, brain fog, 6-7 days, joint aches,6-7 days, dizziness and loss of balance, still have but not as severe , full body thrush, day 2-5. Extreme soreness at injection for 4-5 days

Other Meds: None

Current Illness: Dizziness and Loss of balance after 1st vaccine shot Feb 13 2021. Continued on and off until second shot and after 2nd shot.

ID: 1137881
Sex: M
Age: 35
State: TX

Vax Date: 03/20/2021
Onset Date: 03/22/2021
Rec V Date: 03/26/2021
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: NKFA, NKDA

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

Symptoms: Classical Bell's Palsy symptoms, right side of the face. Treatment began with valtrex and prednisone on 03/23/2021. No decrease (or increase) in symptoms so far.

Other Meds: Abilify, Clonazepam, Propranolol ER, Lithium ER, Naltrexone, Cogentin, Focalin, Pristiq, Augmentin, Tirosint

Current Illness: Thrush

ID: 1137882
Sex: M
Age: 77
State: GA

Vax Date: 02/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/26/2021
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: stroke like symptoms: severe ataxia, left side flaccid, could not walk, could not understand spoken word, fever 100.2F, hands contracted, could only speak 2 or 3 words. symptoms lasted about 4-5 hours intensely, not recovered until next day.

Other Meds: Vimpat Dilantin Keppra Atorvastatin Melatonin Gas X

Current Illness: focal motor seizures from sub dural hematoma 8/2017, no seizures since November 22, 2020

ID: 1137883
Sex: F
Age: 51
State: MO

Vax Date: 03/12/2021
Onset Date: 03/13/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: sensitivity to avocados and latex.

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

Symptoms: mild fever, chills - 12-24 hours after shot, lasting 24 hours hard, sore, swollen arm - 2 hours after shot. lasting 4 days patchy rash on chest - 12-24 hours after shot. 14 days and still active

Other Meds: benedryl, tylenol

Current Illness: none

ID: 1137885
Sex: F
Age: 31
State: CA

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 03/26/2021
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: Amoxycillin Senalyl Morphine

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

Symptoms: I had a mild headache for about 6 days. On day 7, I had a temporary vision cut for 43 min and then it returned in full, but I had a severe migraine and nausea. They did CT imaging and labs. Everything was clear. I was medicated with IV pain meds and anti-nausea meds. I continued to have a mild headache for a few days, but it eventually resolved.

Other Meds: Keppra - partial non-focal seizures

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm