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: 1139491
Sex: F
Age: 45
State: NY

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: I had my second vaccine on Monday, 3/22, and woke up at 1am on Thursday 3/25 with extreme chest pain, shortness of breath, sweating and chills. I went to the ER, and they discovered two blood clots in my lungs. I've never had pulmonary embolisms before, so this is a very strange coincidence. I am in cancer treatment, so my risk of PEs is higher, but the timing is too close for me not to think that the second vaccine traumatized my immune system, causing the PEs.

Other Meds: Levothyroxine, Vit D, Vit B, Iron supplement, and in my off-week from taking Xeloda for stage 4 breast cancer.

Current Illness: Stage 4 breast cancer

ID: 1139492
Sex: M
Age: 59
State: OH

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: 100plustemp,chills,joint pain,backache,2days

Other Meds: Xyzal, accetaminafin

Current Illness: none

ID: 1139493
Sex: F
Age: 52
State: CA

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/27/2021
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: Minocin, Phenobarb, crab

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

Symptoms: Vaccination was 10:30 am. Around 6:30 pm, my right knee started to throb. I took an epsom salt bath, where my upper back started to hurt. I went to sleep around 8:00. I woke up around 10 pm unable to open my eyes all the way. I believe they were swollen nearly shut. I could see a slit of light coming in from outside. I couldn't move my left hand at all (left arm is where I received vaccination). I held it up to the outside light, and it was swollen. The light coming in from outside hurt my eyes. I couldn't see enough to call for help. Around 1:30 a.m., the swelling went down enough for me to open my eyes. I have never seen them look so bloodshot. It was scary. I could move my hand again as well. I spent next day in bed resting. Monday, I noticed a small rash on my right shoulder. I went to work and was there about 20 minutes before I started feeling hot and dizzy. I went home and spent the day in bed. I was able to go to work the next day, Tuesday, without problem. One week after vaccination, the rash on my shoulder went away, but a small rash broke out on my right shin. This one was deeper. One week later, there are just a couple of small scabs left in the spot on my shin. I feel my energy level is close to normal.

Other Meds: Equi-fem, Osteo B-Plus, ADHS, Folic Acid B12, Collagen C, Retin-A topical.

Current Illness: None

ID: 1139494
Sex: F
Age: 38
State: GA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies (environmental)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Dizziness and syncope 10 hours following vaccination

Other Meds: Zyrtec, Singulair, Effexor, multivitamin

Current Illness: N/A

ID: 1139495
Sex: F
Age: 40
State: GA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Dizziness

Other Meds: Unknown

Current Illness: Unknown

ID: 1139496
Sex: F
Age: 41
State: TX

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: None

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

Symptoms: Fever, chills, headache, muscle aches, tiredness, naseau - symptoms stared at 3:30 am on 3/26/21 - temperature of 101.9 at 6am, took 2 caplets of Extra Strength Tylenol - temperature of 100.1 at 12pm, took 2 tablets of Extra Strength Tylenol - temperature of 100.3 at 7pm, took 2 tablets of Extra Strength Tylenol - took 2 Extra Strength Tylenol at 1am, did not take temperature, went to sleep - woke up at 8:45 am on 3/27 feeling fine

Other Meds: Daily Multi Vitamin, Fish Oil, Aller-Tec, Aller-Flo, Aurovela Fe 1.5/30 birth control pills

Current Illness: None

ID: 1139497
Sex: F
Age: 35
State: NC

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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: Erythromycin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Low grade fever, body chills, headache, injection site pain

Other Meds: Wellbutrin XL

Current Illness: None

ID: 1139498
Sex: F
Age: 62
State: WI

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Pharyngeal swelling

Symptoms: Fever of 104.2 at highest, chills, body aches, nausea, diarrhea. Body aches began 13 hours after shot given, chills started 15 hours after shot given, at around 10 a.m. that same morning began taking my temperature because teeth were chattering , fever went from 100.6 to 104.2 in 30 minutes. Called doctor, but did not receive call back so called ambulance when temp reached 104.2. Ambulance crew came but fever dropped to 101.4 and after consulting with doctor and emergency room decided not to transport. Continued with body aches, fever, chill, nausea until 10:00 p.m.. Next morning had some residual body aches particularly in both arms and intense fatigue.

Other Meds: Gabapentin, fluoxetine, omeprozole, claritin, cycobenzaprine, turmeric, multivitamin for women, Phillips fiber gummies, naproxen, acetaminophen

Current Illness:

ID: 1139499
Sex: M
Age: 73
State: TN

Vax Date: 02/10/2021
Onset Date: 03/12/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Left sudden hearing loss several days after vaccine. Hearing nearly completely recovered 5 weeks later after transtympanic steroid injection.

Other Meds: Lantus Novaolog Norvasc Nexium HCTZ Lipitor Glucophage Zoloft Crestor

Current Illness: no other known acute illness

ID: 1139500
Sex: M
Age: 43
State: NV

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fever, headache, sore arm

Other Meds: Vitamin D, calcium, coconut oil

Current Illness: None

ID: 1139501
Sex: F
Age: 64
State: TX

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: aspirin, singular, bacterium, chamomile tea.

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

Symptoms: After a 30 minute wait from the shot upon driving home I had a feeling of a very tight grip on the back of my neck at the base of my skull. It was really tight. My ears itched. This lasted 20 minutes. That night I had severe bone and muscle pain in my upper legs. I cried all night. the next day I started taking Tylenol. This helped. My upper legs still hurt but I can stand it now.

Other Meds: Synthroid .05mg, Claritin recitals.

Current Illness:

ID: 1139502
Sex: M
Age: 54
State: VA

Vax Date: 03/18/2021
Onset Date: 03/24/2021
Rec V Date: 03/27/2021
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: Clindamycin Metronidazole Cephalexin

Symptom List: Rash, Urticaria

Symptoms: Mild itching on upper left arm about 6 days after Moderna 1st shot on Thursday, March 18. On Saturday, March 27, redness can be seen on upper left arm and mild itching continues.

Other Meds: Escitalopram (10 mg pill, once per day); Vitamin D3 pill once a day.

Current Illness: None

ID: 1139503
Sex: F
Age: 63
State: FL

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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

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

Symptoms: Rash

Other Meds: Estradiol 1 mg. 1Xday

Current Illness: None

ID: 1139504
Sex: M
Age: 46
State: SC

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Tiredness, headache, muscle pain, chills, fever, feeling unwell, and swollen lymph nodes. Ongoing for the last 6 days

Other Meds:

Current Illness:

ID: 1139505
Sex: F
Age: 65
State: TX

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: Lemon, kiwi, sometimes strawberries

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

Symptoms: Had slight headache and pain in back of neck on 26, assumed back of head was sinus, tool Sudafed, had taken acetaminophen about every 12 hours since evening of 25th,. Woke in the night of 26 which was early am of 27 with collarbone on right side hurting with a knot on it about the size of a nickel. Around 8 am on 27 th it seemed to spreading down and up into my neck, slight pain, more like an ache. Called Er in hospital told I could come to the emergency room if I thought I needed to, couldn?t give any advice on the phone but gave me this site.

Other Meds: Lovastatin Tab 20 mg-1 a day, metoprolol succinctness ER tab 25 mg at night 1a day, OLM MED/AMLO/HCTZ sub for Tribenzor 40-5-12.5mg 1a day, all The Supplimental I take once a day- Lansoprazole 15 mg, probiotics , L-Lysine 1000 mg, CO Q 1

Current Illness: Sinus

ID: 1139506
Sex: F
Age: 59
State: FL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 03/27/2021
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, sulfur, sulfites, Novocain

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

Symptoms: Night of dose 2 at 1100pm - chills; at 2:00am - chills stopped fever 100.5 & HA started; at 7:00am increase HA, nausea; at 10:00am fever increased to 102.5 (self treated with tylenol); at 1:00pm - exhausted slept until 5:00pm; woke up body rash (looked like a sunburn); slept from 7:00pm until 3:00am (24 Feb21) - woke with body covered in sweat - fever broke (98.7); at 5:00 am rash stopped getting worse, nausea gone; rash took 2 days to resolve, fatigue took 3 days to resolve, still getting HA on occasion

Other Meds: Metoprolol, fish oil, vitamin B complex, motrin, ASA,

Current Illness: none

ID: 1139507
Sex: M
Age: 33
State: OH

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: Denies

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

Symptoms: Pt became light-headed 5min after recieving vaccine. A witnessed syncopal episode occurred with LOC for 3sec. Pt was AOx4 after the event. Vitals WNL. Evaluated and monitored by Medical staff and EMS. Pt fully recovered after 20min of observation and released.

Other Meds: Denies

Current Illness: Denies

ID: 1139508
Sex: F
Age: 50
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever and muscle ache 2 days

Other Meds: Levothyroxin, Cetirizine hydrocloride

Current Illness: None

ID: 1139509
Sex: F
Age: 72
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 03/27/2021
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: Headache, Severe Chills, Fever and total body aches - started about 8 hours after receiving vaccine and symptoms lasted for about 48 hours. Total Tylenol and stayed in bed.

Other Meds:

Current Illness:

ID: 1139510
Sex: F
Age: 30
State: OK

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: At approximately 2330 (03/26), I gradually began to feel chills, neck stiffness and soreness, body aches, headaches, and profuse sweating. I took 600 mg of a NSAID at 0900 today (03/27), after waking with the same symptoms in a puddle of sweat.

Other Meds: Azo Urinary Tract Defense- Antibacterial protection (four tablets/daily), Azo Daily Probiotic (one capsule/daily), Phenazopyrid (200 mg/daily).

Current Illness: None

ID: 1139511
Sex: F
Age: 55
State: WI

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: atorvastatin, codeine, fenofibrate micronized, hydrocodone, morphine, naproxen (aleve), simvastatin, environmental, latex

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

Symptoms: A few minutes after the injection patient developed left eye itching and throat scratchiness (approximately 0905). Vitals at 0913: 104/74 BP, 74 HR, 98.3 temp, 100 % oxygen saturation. Gave 50 mg oral Benadryl at 0916. Vitals at 0918: 100 % oxygen saturation, 111 HR, 133/71 BP, chest heaviness noted at this time. Vitals as of 0923: 114 HR, 100 % oxygen saturation, 122/83 BP. Patient transported to Emergency Room.

Other Meds: 50 mg oral Benadryl given at 0916

Current Illness:

ID: 1139512
Sex: F
Age: 54
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Bacitracin

Symptom List: Unevaluable event

Symptoms: 8 hours after injection: aching left arm, sore at the injection site. 24 hours after injection, aching left arm, hot lump at the injection site, headache, fever of 99.5, tiredness. Symptoms lasted about 12 hours.

Other Meds: Acyclovir Vitamin D Collagen Biotin Vitamin C Restasis

Current Illness:

ID: 1139513
Sex: F
Age: 60
State: MD

Vax Date: 03/01/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Aspin's

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

Symptoms: I feel a lump under my arm, and my shot area is still swollen

Other Meds: levothyroxine75mcg, 1 per day Metformin HCL ER 500 mg,4 per day Montelukast SOD 10mg, 1 per day Valsartan HCTZ 160-25 MG TAB, 1 per day Turmeric & Ginger Alive! women's 50+

Current Illness: None

ID: 1139514
Sex: F
Age: 40
State: NC

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa drugs

Symptom List: Injection site pain, Pain

Symptoms: 41 hours after the second dose, I have a hot, itchy rash all over my torso.

Other Meds: Trazadone, Zanax, buspirone, multi vitamin, DHA

Current Illness: None

ID: 1139515
Sex: F
Age: 59
State: TX

Vax Date: 03/02/2021
Onset Date: 03/08/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: penicillin, horse serum (old DPT shots), fluorescein eye dye, latex including all plants containing latex such as sunflowers, cross-reactivity allergy with raw vegetables and fruits such as kale, squash, spinach, snow peas, carrots, celery, blackberries, apples. Also allergic to wheat, soy, almonds. (All food allergens produce itchy mouth, 2-4 hour stomach ache, itchy rectum. Eating celery also produces diarrhea as well.) Lactose intolerant.

Symptom List: Injection site pain, Menorrhagia

Symptoms: I don't know if my issue is a reaction to the vaccine, but within a week of my first COVID shot, the fingers on both hands turned red, but the knuckles remain white. The redness is more pronounced when I'm exercising or using my hands. My PA performed a CBC, urinalysis, a sedimentation rate, an antinuclear antibody test and others, All were negative. My fingers remain red. They aren't itchy. I've never experienced red fingers previously.

Other Meds: Insulin 25 units daily, fish oil, red yeast extract, Q-10 enzyme, multi-vitamin

Current Illness: None.

ID: 1139516
Sex: M
Age: 53
State: MO

Vax Date: 03/01/2021
Onset Date: 03/11/2021
Rec V Date: 03/27/2021
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: Sulfa medications

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

Symptoms: 101.4 Temperature/fever, aching joints severe, malaise, no appetite, diarrhea, migraine, nausea, heart palpitations, breathing difficulty, dizziness, unable to move, unable to sleep regular times, severe exhaustion.

Other Meds: Nothing taken

Current Illness: Nothing

ID: 1139517
Sex: F
Age: 64
State: IL

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Penicillin, Zithromyicin , Cortisone, Erthomyicin Keflax

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 8 days later rash and redness & minor swelling on injection site

Other Meds: Benadryl and vitamin D

Current Illness: None, just allergic reaction to allergins inside house, causing post nasal drip

ID: 1139518
Sex: M
Age: 30
State: KY

Vax Date: 02/28/2021
Onset Date: 02/28/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Mild reaction to Amoxicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Rapid heart rate, dizziness

Other Meds: Finasteride

Current Illness:

ID: 1139519
Sex: F
Age: 51
State: IA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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: Cherry - rash, swelling Strawbery - rash, swelling

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

Symptoms: Pfizer COVID-19 Vaccine EUA Patient presented 3/23/21 for medical monitoring of ""feeling lightheaded"" s/p COVID - 19 vaccine # 1. Reports not eating prior to her vaccine this morning. Past medical history is significant for DM, type II, obesity and asthma. BS via fingerstick = 165. Patient was monitored for a total of 30 minutes. Patients vital signs remained stable. Patient reported improvement in symptoms prior to being discharged.

Other Meds: Albuterol Chlorthalidone Fluticasone Metformin Nabumetone Medroxyprogesterone Ondansetron

Current Illness:

ID: 1139520
Sex: F
Age: 35
State: UT

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: Nausea

Symptoms: Sore arm, fever 101, muscle stiffness at injection site, body aches

Other Meds:

Current Illness:

ID: 1139521
Sex: M
Age: 65
State: WA

Vax Date: 02/27/2021
Onset Date: 02/28/2021
Rec V Date: 03/27/2021
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: Injection site pain

Symptoms: Headache, Chills, Fatigue, Pain at injection site. Time Course: 48 hrs.

Other Meds: Nexium 20 mg, Co-Q-10

Current Illness: N/A

ID: 1139522
Sex: F
Age: 66
State: IA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient complaining of loss of equilibrium, blurred vision, and headache.

Other Meds: Venlafaxine ER 75mg daily

Current Illness: None

ID: 1139523
Sex: F
Age: 70
State: CT

Vax Date: 02/18/2021
Onset Date: 03/11/2021
Rec V Date: 03/27/2021
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:

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

Symptoms: Very sore at injection site. Diagnosed with shingles on arm, extremely painful arm. As of this date, arm still very sore and seems lumpy!

Other Meds: Plavix Hydrochlorizide 81 aspirin Rosuvastatin Metoprolol Metformin

Current Illness:

ID: 1139524
Sex: F
Age: 67
State: IL

Vax Date: 03/15/2021
Onset Date: 03/16/2021
Rec V Date: 03/27/2021
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: Muscle pain (all body muscles). Joint pain (including jaw & fingers) Headache (persistent - especially forehead after tylenol or ibuprofen) Tiredness Feeling very unwell Treatment: Tylenol (650 mg, 2 tabs tid); and Ibuprofen (200 mg, 2 tabs qid) Outcome: All events, except headache & tiredness resolved following 9 days of treatment (3/25/2021). Headache & Tiredness finally get to bearable level on Day 11 (today; 3/27/2021).

Other Meds: Multivitamins Baby Aspirin

Current Illness: None

ID: 1139525
Sex: F
Age: 36
State: VA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: While driving home experienced sudden numbness on right side of face/ear. Numbness of tongue and tingling of tongue and throat along with a metallic taste in mouth. Took Benadryl around clock and symptoms improved, but still mildly present this morning.

Other Meds: No

Current Illness: No

ID: 1139526
Sex: F
Age: 47
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: No

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

Symptoms: Moderna COVID-19 Vaccine Headache started at six hour following vaccination and persisted through the night. Pains in lower back, knees, and fingers started in the middle of night and persisted through the night. At about 24 hours following vaccination, I?m experiencing moderate to sever pains in lower back, joints, and fingers.

Other Meds: No

Current Illness: No

ID: 1139527
Sex: F
Age: 39
State: CA

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: NKA

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

Symptoms: Circular red and itchy rash at injection site measuring approximately 2.5inches

Other Meds: None

Current Illness: None

ID: 1139528
Sex: M
Age: 36
State: IA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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: Amoxicillin - rash

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pfizer COVID-19 Vaccine EUA Patient became sweaty and hot and felt like his right arm was tingling got to the medical obs. Patient was monitored for a total of 30 minutes. Patients vital remained stable. Reported improvement in symptoms prior to being discharged.

Other Meds: None

Current Illness:

ID: 1139529
Sex: F
Age: 38
State: IA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: n/a

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

Symptoms: complained of feeling faint, only had tea with sugar for breakfast Cleared by NP after symptoms resolved

Other Meds: OTC vitamins

Current Illness: n/a

ID: 1139530
Sex: M
Age: 63
State: NY

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/27/2021
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: None

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

Symptoms: Muscle aches, headache and 103 degree fever (chills and shaking)

Other Meds: Valsartan, Pantoprazole

Current Illness: None

ID: 1139532
Sex: F
Age: 44
State: PA

Vax Date: 02/25/2021
Onset Date: 03/01/2021
Rec V Date: 03/27/2021
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: Pain in extremity

Symptoms: Bells Palsy

Other Meds:

Current Illness:

ID: 1139533
Sex: F
Age: 33
State: PA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Clindamycin

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

Symptoms: 3/23/21 - 8:00 pm day of 2nd dose started fever, chills, body aches, dizziness, nausea, malaise, and headache. Dizziness was worst while standing, could not walk far distances or stay upright very long. Fever went as high as 102.5. Took ibuprofen as directed for fever,/pain, but fever still stayed in the 100-101 range until the morning of 3/26/21. 3/27/21 - currently injection site is red, swollen, and painful to the touch. Malaise still lingering

Other Meds: Ocrevus infusion January 2021 Vitamin D 5000 mg daily

Current Illness:

ID: 1139534
Sex: F
Age: 33
State: NM

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Sulfa, gluten

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

Symptoms: Severe fever (103), nausea/vomiting and debilitating myalgias/arthralgia. Symptoms are lessening with 800mg ibuprofen, TID, but persistent.

Other Meds: Multivitamin, St. John's Wort, SAMe, omega-3

Current Illness:

ID: 1139535
Sex: M
Age: 64
State: FL

Vax Date: 03/01/2021
Onset Date: 03/04/2021
Rec V Date: 03/27/2021
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: CEPHALEXIN

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

Symptoms: RED RING (ABOUT 4-5 INCHES) AT SITE OF INJECTION, STILL THERE ON 3/10

Other Meds:

Current Illness:

ID: 1139536
Sex: F
Age: 42
State: IL

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/27/2021
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: NKA

Symptom List: Vomiting

Symptoms: 42 YOF c/o tingling in her face. Refused further treatment. No swelling, rash noted.

Other Meds: B Solonet C

Current Illness: None

ID: 1139537
Sex: F
Age: 45
State: WI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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: Sulfa medications

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt's nose started getting itchy 5-10 min after injection. I asked her to stay for 30 min just to observe. A few minutes later she reported her feet feeling numb/tingly as well. We gave her some water because she said her mouth was dry. Shortly after she felt weak and faint, as well as flushed. We had her lay down with an ice pack but she said it wasn't improving as asked for us to call 911. Tried to make contact with her the next day but had to leave a voice mail.

Other Meds:

Current Illness:

ID: 1139538
Sex: F
Age: 25
State: IN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
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: Nuts, kiwi, seasonal

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

Symptoms: I slowly started getting body aches about 5 hours after the shot. About 12 hours after body aches were terrible and a fever started. The next morning, body aches and fever have somewhat subsided compared to last night, but now I have level 7 pain in my left armpit and nausea.

Other Meds:

Current Illness: Hypothyroidism, prolactinoma

ID: 1139539
Sex: F
Age: 15
State:

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/27/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: The patient received the Pfizer COVID vaccine but was not the minimum age of 16 to receive. She was 15 at the time of administration.

Other Meds:

Current Illness:

ID: 1139540
Sex: F
Age: 29
State: GA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/27/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Benadryl IV, hydrocodone, propofol, oxycodone, tramadol, exalgo ER, zonegran, most SSRI?s

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

Symptoms: About 3-4 hours after the vaccine (3/25/2021 at 4:20pm) at approximately 8pm, I began to become exhausted and had a mild headache of a 1/10 pain. I thought the symptoms could be because I had worked almost a full work day. The next morning of 3/26/2021 at 6:30am, I woke up with injection-site pain (3-4/10 pain) and a worse, but still mild, headache (3-4/10 pain). As the day progressed, I began to feel warm and clammy but had no fever. I took acetaminophen at approximately 7:00pm on 3/26/2021. By the time I woke up on 3/27/2021 at 9am, I felt symptom-free.

Other Meds: ClearLax

Current Illness: None

ID: 1139541
Sex: F
Age: 41
State: IA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/27/2021
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: penicillins - unknown

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

Symptoms: Pfizer COVID-19 Vaccine EUA 3/23: The patient presents with facial swelling and facial swelling. Patient a 41 y/o female with a history of HTN and anxiety presents to the Emergency Department with facial swelling in her left cheek that began today after she received her first dose of the Pfizer COVID-19 vaccine. She had a panic attack prior to getting vaccinated today. She was also feeling anxious while receiving the vaccine and states that she experienced a tingly sensation on the inside of her cheek as well as having a dry mouth. The patient denies trouble swallowing and eating, sinus pressure, shortness of breath, rashes, and dental issues. She notes that she has gone to the bathroom more frequently today but is not experiencing any diarrhea. Additionally, she has taken hydroxyzine for her symptoms. She is allergic to penicillin.. The onset was abrupt. The course/duration of symptoms is constant. Location: Left cheek. The character of symptoms is swelling. The degree at present is minimal. The exacerbating factor is none. The relieving factor is none. Risk factors consist of none. Prior episodes: none. Therapy today: prescription medications including hydroxizine. Associated symptoms: Dry mouth and tingly sensation on the inside of cheek. Associated injury none. She states she had a panic attack upon sitting down in the chair to receive her COVID shot in her left arm. She had to take her anxiety medication there and then later in the day. She states she felt as if the inside of her cheek was swollen and scratchy this made her very anxious and decided to come in to get checked out. She denies any hives any abdominal pain nausea vomiting shortness of breath chest pain or redness at the injection site. She feels mildly improved from an anxiety standpoint now compared to the onset but still mildly anxious. She has a very normal physical exam no neck tongue or lip swelling there is no redness at the injection site she has no hives abdomen is soft and tender or buccal mucosa is unremarkable ultimately patient reassured discussed it is important she get her 2nd COVID shot. She understands return precautions for signs of allergic reaction. She received no medications.

Other Meds: Hydroxyzine 25 mg PO QID Labetalol 100 mg PO BID Multivitamin 1 tab PO QD

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm