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: 1138971
Sex: F
Age: 67
State: AR

Vax Date: 03/10/2021
Onset Date: 03/26/2021
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: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Large red area covering most of my upper left arm. No itching. Appeared 16 days after shot. The shot hurt , my arm has been very tender only at the injection site.

Other Meds: None

Current Illness: None

ID: 1138972
Sex: F
Age: 57
State: GA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Blood pressure and heart rate increased to 163/100 and heart rate was 105. I almost passed out and was very dizzy and disoriented. Fatigue for 7 days and heart rate is still elevated. Also experienced green bulging veins in hands and feet.

Other Meds: Sam-e; iron; lutein; multi-vitamin

Current Illness: None

ID: 1138973
Sex: F
Age: 41
State: NH

Vax Date: 03/08/2021
Onset Date: 03/09/2021
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: enrthomycin

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

Symptoms: 24 hours later, I developed issues with my throat. I have spasms that feel like my throat is tightening up. This has been going on for 3 weeks. I have trouble swallowing and i constandly feel like something is stuck in my throat.

Other Meds: levothyroxine advair albuterol (as needed)

Current Illness: none

ID: 1138974
Sex: F
Age: 21
State: NC

Vax Date: 03/18/2021
Onset Date: 03/26/2021
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: Shellfish allergy

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Rash at injection site eight days after shot. Mild itching. Taken antihistamine and using topical steroid to treat.

Other Meds:

Current Illness:

ID: 1138975
Sex: F
Age: 78
State: AR

Vax Date: 03/23/2021
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: None

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

Symptoms: Wednesday I noticed a redness around shot site., Thursday the area got brighter red and covered a larger area. Friday it started itching and got darker red and covered 3 1/2 inches by 2 inches. If it gets worse, I will visit my doctor.

Other Meds: multivitamin, Vit C & D, Zinc, & Omeprazole DR 40 mg.

Current Illness: None

ID: 1138976
Sex: F
Age: 30
State: MA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
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: Penicillin

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

Symptoms: On 1/22/21, I had dermal filler injected into my upper left eyelid. I received the Moderna COVID-19 Vaccine 3/25/21 @8:30am. Around 9:00pm on 3/26/21, I noticed that my upper left eyelid is swollen where the dermal filler was injected.

Other Meds: Spironolactone, oral contraceptive

Current Illness: none

ID: 1138977
Sex: F
Age: 42
State: AZ

Vax Date: 02/19/2021
Onset Date: 03/03/2021
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: Pyrexia, White blood cell count decreased

Symptoms: I had a severe nose bleed. It started at 2 pm. I could not get it to stop. I went to urgent care and they were able to get it to stop. But after I got home it started again. I ended up going to the emergency room to get help. I got home from the ER at 11pm. So my nose was bleeding for over 6 hours. I thought I would submit a report because I just found out a blood relative is one of the 37 who developed ITP after her vaccine.

Other Meds: Escitelopram, Migravent

Current Illness: None

ID: 1138978
Sex: F
Age: 25
State: MN

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: N/A

Symptom List: Pharyngeal swelling

Symptoms: Chills and headache

Other Meds: Sertraline 25 mg

Current Illness: N/A

ID: 1138979
Sex: F
Age: 35
State: OH

Vax Date: 03/04/2021
Onset Date: 03/11/2021
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 known

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Fullness in inner ears, ear discomfort, lightheadedness, dizziness, vertigo-esque symptoms for about a week to 10 days. Significantly/moderately severe for 4 days, then gradually lessening.

Other Meds: Esomeprazole, Ferrous Sulfate, Montelukast, Colestipol, Probiotics

Current Illness: Anxiety, elevated blood pressure for a brief period of time due to an anxiety attack

ID: 1138980
Sex: F
Age: 59
State: NV

Vax Date: 03/19/2021
Onset Date: 03/19/2021
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: None, but sensitive to medication in general

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Terrible taste immediately following injection. My tongue and lips felt weird and tingle sensation in my head and body. Tiered, nausea, chest pain, indigestion and a burning sensation in my stomach.

Other Meds: Amlodipine Besylate

Current Illness: None, except neck pain since presumed case of Covid from March 2020

ID: 1138981
Sex: M
Age: 82
State: OR

Vax Date: 03/17/2021
Onset Date: 03/18/2021
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: He woke up the morning after the vaccine and was so achy he couldn't get out of bed, then he noticed his R ear had lost all hearing and left lost some. Has seen an audiologist and is requiring steroid injections and oral prednisone to reduce the inflammation they think caused it. Audiologist hopes it will return but unsure if will be permanent.

Other Meds: metoprolol tart, furosemide, tamsulosin, glipizide, xarelto, lisinopril, levothyroxine, Swanson's Joint (msm, vit E, glucosamine), NAC

Current Illness: Multiple biopsies for melanoma, several were melanoma and were cut out, including a large one through his forehead.

ID: 1138982
Sex: F
Age: 74
State: IL

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: NKA

Symptom List: Rash, Urticaria

Symptoms: The 2nd dose of moderna vaccine in the series was given at day 21 instead of day 28 +/- 4 days per protocol. The patient has no adverse reactions or issues. The pharmacy manager reached out to the patient to explain the situation, explained that no extra dose is indicated and the patient expressed understanding and no issues.

Other Meds:

Current Illness:

ID: 1138983
Sex: F
Age: 50
State: MN

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: Penicillin and sulfa Walnuts, pecans, hazelnuts and macadamia nuts only

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

Symptoms: Suddenly Lightheaded not dizzy. More like as if I had had my first glass of champagne on an empty stomach. The injection site started to get sore around hour six after the injection. Energy level good and heart rate 83 bmp according to Apple Watch. Blood pressure jumped to 163/ 89.

Other Meds: Vitamin D

Current Illness: None

ID: 1138984
Sex: F
Age: 24
State: PA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: No known allergies

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

Symptoms: Large rash on arm of vaccination. Red, raised, warm, itchy, sore. Monitoring size and taking action if it gets bigger.

Other Meds: Lisinopril, fluoxetine, omeprazole, birth control

Current Illness: None

ID: 1138985
Sex: M
Age: 40
State: TN

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: LA

Lab Data:

Allergies: Benadryl and phenobarbital

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

Symptoms: Blurry halo vision of lights at night. Upset stomach.

Other Meds: Percocet, tizanidine, lisinopril, carbazapine, omeprazole, duloxetine, melotonin

Current Illness: Throwing up earlier in the week.

ID: 1138986
Sex: F
Age: 63
State: ID

Vax Date: 03/01/2021
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: Bananas, avocados, cantaloupe, Novacaine, ingredients in Anbesol, preservatives in non-preservative eyedrops.Erythromycin, and That class of Medication.

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

Symptoms: Rest, chicken soup, Advil, time frame has been two days

Other Meds: Venlafaxine, levothyroxine, lorazepam Multivitamin

Current Illness: None

ID: 1138987
Sex: M
Age: 54
State: MS

Vax Date: 03/26/2021
Onset Date: 03/26/2021
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: None

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

Symptoms: I attempted to give him his vaccination. I stuck him with the needle, but as soon as I did the vaccine expelled from the syringe all over my hands and his arm. None of the vaccine got into his arm. Therefore, I drew him another another 0.5mL of vaccine and injected him. He had no adverse events at the time I filled out the paperwork.

Other Meds: None

Current Illness: None

ID: 1138988
Sex: M
Age: 35
State:

Vax Date: 03/26/2021
Onset Date:
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: The patient felt tingling in the injection arm after injection that lasted for several minutes.

Other Meds:

Current Illness:

ID: 1138989
Sex: F
Age: 47
State:

Vax Date: 03/18/2021
Onset Date: 03/25/2021
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: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: "Vaccine arm" as described on the internet

Other Meds: Duloxetine 60mg

Current Illness: none

ID: 1138990
Sex: F
Age: 21
State: KY

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/26/2021
Hospital:

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

Lab Data:

Allergies: Cephalosporins- Kelfex, omnicef

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

Symptoms: First day I had immediate swelling at the injection site, red circle form around the site of injection following up with an itch that lasted for 3 days. Along on those immediate symptoms I got the injection on my right arm and I experienced pain shooting up from my right arm into my neck and currently still have those pains from time to time when I move my right arm at an elevated angle. Day 4 of the vaccine I woke up one morning with swollen glands, congestion, swollen nasal glands, low grade fever of 100 degree F, very itchy irritated throat and hard to swallow, visited a clinic to see if I possibly had flu or strep but all my test results returned negative, also I had a covid test done and it was negative, I have never contracted covid 19 prior to vaccine and current day. Additionally, symptoms of congestion worsened and I am now experiencing some laryngitis due to the swelling of my lymph nodes, only sinus medication lessens the congestion to manage, I feel very fatigue, and experiencing some migraines. Today only marks 1 weeks since the vaccine

Other Meds: IUD birth control Liletta

Current Illness: N/a

ID: 1138991
Sex: F
Age: 29
State: FL

Vax Date: 03/23/2021
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:

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

Symptoms: Chest pains, high heart rate, jerkiness, restless, muscle / body aches

Other Meds: nonenone

Current Illness: none

ID: 1138992
Sex: F
Age: 47
State: WA

Vax Date: 01/25/2021
Onset Date: 02/08/2021
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: No

Symptom List: Unevaluable event

Symptoms: ongoing bodyache, pain and stiffness involving multiple large joints, fever, chills, fatigue labs noted elevated ESR, CRP, new onset of normocytic anemia. Evaluated by rheumatologist. Currently taking prednisone for presumed polymyalgia rheumatica which is almost impossible for anyone who is young than 50 y/o.

Other Meds: ibuprofen

Current Illness: none

ID: 1138993
Sex: F
Age: 38
State: PA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
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: cephalexin, bactrim

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

Symptoms: I received the shot in my right arm and waited 15 minutes, then walked out to my car. When I got in my car I noticed that my right jaw and cheek felt numb so I went back into the facility and told the nurses and they had me wait an additional 30 minutes. They also submitted a report. During that waiting time a part of my tonight and mouth also felt numb. I did not experience pain, nor swelling. After 30 minutes there was not a change so I went home. It lasted for another hour or two. Did not have other issues or symptoms with my jaw following that. After my first vaccine dose I did have jaw pain and submitted a VAERS report: #243828.

Other Meds: Pre-natal vitamin, magnesium tablet, pro-biotic.

Current Illness: none

ID: 1138994
Sex: F
Age: 35
State: OH

Vax Date: 03/04/2021
Onset Date: 03/05/2021
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: None known

Symptom List: Injection site pain, Pain

Symptoms: Had loss of taste, weird/altered taste, metallic taste in my mouth Friday afternoon through mid-morning/early afternoon Saturday.

Other Meds: Esomeprazole, Ferrous Sulfate, Montelukast, Colestipol, Probiotics

Current Illness: Anxiety and a bout of elevated blood pressure due to an anxiety attack

ID: 1138995
Sex: M
Age: 0
State:

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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: The patient reported vision changes and not feeling normal. Patient returned to baseline after 15 minutes.

Other Meds:

Current Illness:

ID: 1138996
Sex: F
Age: 51
State:

Vax Date: 03/19/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Gluten, corn, peanuts, sulfa, fludrocortisone, compazine, ibuprofen

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

Symptoms: Body wide allodynia and joint pain that feels like pinched nerves.

Other Meds: Zonisamide, Midodrine, folic acid, magnesium, b2, CoQ10

Current Illness: ME/CFS, POTS, chronic vestibular migraine, celiac disease,

ID: 1138997
Sex: F
Age: 47
State: WA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
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: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Starting the day after she had flu like illness that improved then progressively worsened with proximal muscle and joint pain consistent with polymyalgia rheumatica. Being treated with prednisone with improvement in overall symptoms so far.

Other Meds: Ibuprofen

Current Illness: No

ID: 1138998
Sex: F
Age: 20
State:

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: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: None stated.

Other Meds:

Current Illness:

ID: 1138999
Sex: F
Age: 61
State: SC

Vax Date: 03/18/2021
Onset Date: 03/19/2021
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:

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

Symptoms: On Friday 3/19/2021 I woke with my head hurting & a low fever. My head hurt for 3 days also the fever lasted for 3 days.I took tylenol of these symptoms. On Friday night I noticed a red patch on my right arm just below the shot sight. I put alcohol on the area and it is still their. On Sunday the 21st the site was still red but started to itch and it has a rash on it. The site area to the present is still red has a rash and itches.I had a doctors appoint on Thursday the 25th for something unrelated so I did tell my primary doctor.

Other Meds: One A Day Multi Vitamin for Women taken daily

Current Illness:

ID: 1139000
Sex: M
Age: 77
State: NE

Vax Date: 03/03/2021
Onset Date: 03/04/2021
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: BETA BLOCKERS

Symptom List: Nausea

Symptoms: SWOLLEN LIPS BOTH HANDS SWOLLEN SHARP PAIN WITH DEEP BREATHS TIREDNESS COURSE TIME: 2 DAYS

Other Meds: HYDROCHLOROTHIAZIDE 12.5 Mg TAB AMLODIPINE BESYLATE 10 Mg TAB LEVOTHYROXINE SODIUM 100 Mcg TAB

Current Illness: NONE

ID: 1139001
Sex: M
Age: 40
State:

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:

Symptom List: Injection site pain

Symptoms: the patient felt tingling in the vaccination arm.

Other Meds:

Current Illness:

ID: 1139002
Sex: M
Age: 38
State: SD

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:

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

Symptoms: Patient reported feeling like he woke up from a dream. He had dropped everything in his hands at the time, but remained seated. When he "woke up" he reported feeling very dizzy, nauseous, and was sweating. This happed between 10 and 15 minutes post imz. He remained in the post-immunization waiting chair for an additional 30 minutes until symptoms had resolved.

Other Meds:

Current Illness:

ID: 1139003
Sex: F
Age: 65
State: UT

Vax Date: 02/17/2021
Onset Date: 02/24/2021
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: Cephlosporins Ampicillin Z-pack Keflex

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

Symptoms: One week following first dose, several headache, fatigue, diarrhea

Other Meds: Basgular (insulin) Metformin Gilmpride Losartan Januvia Prevacid Allavert Singular

Current Illness: None

ID: 1139004
Sex: M
Age: 52
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Noticed some very mild body ache and a mild headache about 12 hours after the first shot. I took 2 Advil and was fine. Then around 5pm to 9pm I had a slight fever, about 0.5 to 1.0 degree temperature, with some mild body ache. I took 2 more Advil and then slept well the entire night. All symptoms have stopped and have not returned. Overall, I would say on a scale of 0 to 10, 10 being most severe, I would rate these symptoms around 2-3 for those few short hours. I never stopped anything that I had planned for the day. That was all. Feeling great.

Other Meds: None

Current Illness: None

ID: 1139005
Sex: F
Age: 45
State: OH

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, Fluoroquinolones (Cipro, Levaquin, etc), Doxycicline, Sulfa drugs, Fragrance Mix 1 & 2, Cinnamic, Casein

Symptom List: Erythema, Pruritus

Symptoms: Chills, fatigue, aches, red large and hard spot around injection area. Unresolved as of report.

Other Meds: NP Thyroid, Prometrium, LDN, Magnesium

Current Illness: None

ID: 1139006
Sex: F
Age: 30
State: CO

Vax Date: 03/25/2021
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: Severe peanut and tree nut allergy Severe pitted fruit allergy Allergic to melon and citrus

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

Symptoms: Muscle soreness most of day 1 Slight nausea throughout day 1 Had to take ibuprofen to relieve the muscle soreness

Other Meds: Northendrione Duloxetine Amlodphine Linsiprol Loratadine

Current Illness: Chronic sinusitis

ID: 1139008
Sex: F
Age: 65
State: MN

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 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: Chills, fatigue, fainting. Cut head during fainting episode on 3/26 which required urgent care to close the wound with stapes.

Other Meds: None

Current Illness: None

ID: 1139009
Sex: M
Age: 36
State: VA

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Pollen - eye irritation, congestion, sneezing Raw Fruit - mild mouth and throat itching Raw Vegetables - mild mouth and throat itching Lactose Intolerance for Milk / Ice Cream - severe bloating, mild constipation

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Mild headache approx 4 hours after injection. When waking to alarm at 0600 on 25Mar21, noticed that bed was wet from sweating. Foread was hot to the touch, ague, severe headache, light and noise sensitivity. The room was cold, I turned up the heat in the house and put on sweatpants, socks, thermal shirt, hoodie, and beanie and could not get warm. Began drinking water (1.5 gal by end of day at 2300). No appetite for the entire day, nausea set on after eating a bowl of oatmeal around 1030. Had several episodes of dry heaving, but no vomiting after eating. Ate again at around 1900 - chicken broth and a peanut butter sandwich, nausea set on at around 1945, dry heaving, but no vomiting. Spoke with PCM on symptoms and continued to monitor. On 26 Mar21, cold sensation had abated, continued drinking water. Headache, light sensitivity, nausea, and body aches for the entire day, headache has remaind constant - 6 out of 10. Nausea at a 4. Body Aches varied between 4-7. Around 1100, I noticed that my neck had stiffened and it felt as if I had a tension headache. I used a theracane, heat, and an ice pack to try and relieve the tension with no success. I have tried relaxation techniques learned from VA to manage pain with no success. As of 2146, stiffness is around a 6, headache is a 7, body aches 3, nausea while sitting 1, while walking 4.

Other Meds: Hydromorphone - 2mg / 3 x day as needed for severe/breakthrough pain Tizanidine HCL - 4mg / 2x day for pain mgmt Bupropion (SMK-C) 12hr SA Tab - 150mg / 2x day for smoking cessation Venlafaxine HCL 24Hr - 37.5mg / 1x day for depression and

Current Illness: None I quit smoking on 15Mar2021 and had coughing to include daily coughing fits lasting 1min +. Rescue inhaler not prescribed at this time.

ID: 1139010
Sex: F
Age: 42
State:

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: the patient felt arm tingling after injection.

Other Meds:

Current Illness:

ID: 1139011
Sex: M
Age: 51
State: FL

Vax Date: 03/01/2021
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: No

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

Symptoms: Severe fatigue and body aches. Headaches and chills.

Other Meds:

Current Illness: None

ID: 1139012
Sex: F
Age: 43
State: VA

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillian, Sulfa drugs, Ciprofloaxcin

Symptom List: Pain in extremity

Symptoms: Severe chills and body aches with a fever of 102.8 the night of the vaccination until the morning, approximately 12 hours. The day after the vaccination, fever dropped to 101, with continued body aches and fatigue. On the third day, fever subsided, but body aches and fatigue lingered. Injection site became red, raised and very sore almost immediately, and continued into the third day.

Other Meds: Pantoprazole, Zonisamide, Gabapentin

Current Illness:

ID: 1139013
Sex: M
Age: 45
State: CO

Vax Date: 03/19/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: N/A

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

Symptoms: COVID arm

Other Meds: N/A

Current Illness: N/A

ID: 1139014
Sex: F
Age: 24
State: NY

Vax Date: 03/08/2021
Onset Date: 03/08/2021
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: no

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

Symptoms: itchiness at injection site about 7 days after 1st does. Red circle on arm for about a week after. Itchiness only lasted briefly but took about another 7 days for red circle to go away on arm

Other Meds: no

Current Illness: no

ID: 1139015
Sex: F
Age: 38
State: IN

Vax Date: 03/18/2021
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: amoxicillin, nitrofurantoin, ciprofloxin

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

Symptoms: delayed rash on arm at injection site

Other Meds: multi-vitamin

Current Illness: none

ID: 1139016
Sex: F
Age: 49
State: NY

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin (mild), eggs (mild), raw apples and melons (mild), environmental

Symptom List: Vomiting

Symptoms: Muscular aches, exhaustion for several days. In the past I?ve had occasional vertigo and that has gotten severe since the vaccine shot. Also have been suffering tinnitus since the shot, which I thought was just the sound of my lamps or air filter but it?s worse at night wearing ear plugs. Both conditions have been increasing since the vaccine and it dawned on me this evening that it could be vaccine-related.

Other Meds: Klonopin

Current Illness:

ID: 1139017
Sex: F
Age: 47
State: NY

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

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

Lab Data:

Allergies: Some antibiotics

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Low fever, severe body aches, chills, fatigue, weakness, some nausea.

Other Meds: Lialda, sertraline, multivitamin, iron.

Current Illness: N/A

ID: 1139018
Sex: F
Age: 40
State:

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: RA

Lab Data:

Allergies:

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

Symptoms: the patient felt light headed after administration.

Other Meds:

Current Illness:

ID: 1139019
Sex: F
Age: 32
State: VA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa drugs, alpha gal, dust, pollen, mold

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fatigue, body ache, nausea, dizziness, brain fog, headache. Symptom onset 24 hours post injection. Symptoms lasted approximately 48 hours.

Other Meds: Allegra 180mg 2x daily Propranolol 10 mg 1x daily Escitalopram (lexapro) 15 mg 1x daily Flonase 1x daily Vitamin B12+D3 250 1x daily

Current Illness: N/A

ID: 1139020
Sex: F
Age: 71
State: AL

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: RA

Lab Data:

Allergies: ?

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

Symptoms: PATIENT STATE HER MOUTH WAS SWELLING. PATIENT APPEARS IN NO APPARENT DISTRESS. PATIENTS VITALS CHECKED WITHA BP OF 137/62, HEART RATE OF 63 AND A 97% O2 SAT. PATIENT OBSERVED AN ADDITIONAL 15 MINS. PATIENT STATES FEELS FINE AND RELEASED.

Other Meds: ?

Current Illness: ?

ID: 1139021
Sex: F
Age: 64
State: GA

Vax Date: 03/23/2021
Onset Date: 03/26/2021
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: Actifed and rocephin

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

Symptoms: I have a really bad sore throat that actually started the night of March 25th however it got worse tonight, March 26th around 7:30 pm. It hurts to swallow.

Other Meds: Carvedilol

Current Illness: Rheumatoid Arthritis, HBP

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm