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: 1139595
Sex: F
Age: 40
State:

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Started my period while breastfeeding- not sure if this is a problem but wanted to report

Other Meds: No

Current Illness: No

ID: 1139596
Sex: F
Age: 53
State: IN

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Pollen, cherries, plums, nectarines, mango, plums, soy, garden mites, hay fever

Symptom List: Anxiety, Dyspnoea

Symptoms: Facility asked to stay for 15 minutes to track for any adverse events. Left the hospital after 20 min. While driving home approximately 25 after the shot, left hand tingling, left arm numb. Approximately 10 hours pain between shoulder and elbow like someone punched me hard, also nasal congested. The next day I have symptoms like a cold: Nasal congested, voice sounds like I have laryngitis, nasal phlegm is yellow, coughing yellow phlegm, sneezing. Feeling of exhaustion

Other Meds:

Current Illness:

ID: 1139597
Sex: F
Age: 73
State: MI

Vax Date: 03/10/2021
Onset Date: 03/13/2021
Rec V Date: 03/27/2021
Hospital: Y

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: Contrast dye, PCN, Latex

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

Symptoms: Heart Attack: taken by ambulance to hospital ER: symptoms were weakness, pounding, racing heart, uncontrollable shaking

Other Meds: Lopressor, Klonopin

Current Illness: None

ID: 1139598
Sex: F
Age: 40
State: FL

Vax Date: 03/21/2021
Onset Date: 03/23/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever, body aches, inflammation of vaccine site limiting arm mobility, tiredness

Other Meds: None

Current Illness: None

Date Died: 03/15/2021

ID: 1139599
Sex: M
Age: 72
State: FL

Vax Date: 03/10/2021
Onset Date: 03/14/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Patient was found deceased in his own home on Monday, March 15, 2021. He was found on the floor in a sitting position with three fingers of his right hand on his right carotid. It appeared that he was getting ready for church, which was a routine event. Although patient was a diabetic, he never had episodes that were life threatening, and was always able to manage to remediate with insulin or food. Patient last spoke to a neighbor at 2:30 a.m. on Sunday, March 14th, who said he appeared to be just fine and they scheduled a date with their dogs on Sunday afternoon. A sheet of instructions found on the kitchen counter at the home informed us that he had a COVID vaccine at the VA Hospital on Wednesday, March 10th. He was documenting side-effects of very sore right arm and low blood sugars. that was unusual because if he was able to manage he wouldn't have noted it. It was apparent that something sudden happened such that he was unable to get to help and his heart rate must have been of concern. We believe that patient suffered onset of some sort of cardiac event, blood clot, high heart rate, or heart attack, that was associated with the vaccine on Wednesday and 4 days later he was suddenly gone, unable to call for help (he has family close by in this community). We want healthcare providers and individuals to be able to make informed decisions about giving/taking the vaccine when there is another health issue such as diabetes to consider. We lost a brother, a father, a friend and a dedicated veteran unnecessarily.

Other Meds: insulin and medication for prostate issues

Current Illness: None

ID: 1139600
Sex: F
Age: 25
State: GA

Vax Date: 03/04/2021
Onset Date: 03/05/2021
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: Almost immediately felt warm sensation in left forearm near the elbow that started to become itchy. Then, a day later I noticed my arm was swelling about 3-5 inches from the injection site. Where it was swelling it became red, hard, and warm to the touch. My arm continued to itch in the said area and the size and symptoms persisted for about 2 weeks. I started doing cold compresses and taking Tylenol after week 2, the symptoms seemed to slowly subside over about 3-4 days. I total it took about 2 and a half weeks to rid of the side effects.

Other Meds: Omeprazole (Prilosec)

Current Illness: None

ID: 1139601
Sex: F
Age: 49
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itchiness starting in my shoulders then moving both up my neck and down my back until I was very itchy from head to toe. Fever of 99.5. Felt like an allergy attack with runny watery eyes and itchy ears. Throat felt itchy and dry.

Other Meds: Fluoxetine Pantaparozole

Current Illness: None

ID: 1139602
Sex: F
Age: 61
State: IN

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, codeine

Symptom List: Pharyngeal swelling

Symptoms: 14 hours after receiving vaccine chills for 24 hours, fever low grade 12 hours, eyes burning, horrible headache that just doesn't want to go away not even tylenol helped, nausea, fatigue, arm pain , arm pits swollen and hurt, heart rate elevated for 48 hours. The first shot I had all of this but didn't have headache. This second shot was much worse.

Other Meds: Symbicort, Spiriva these are inhalers. Levocetirizine,low dose aspirin,omerazole,estradiol patch, vitamins B,C,D3,Zinc,Calcium

Current Illness: 28 days prior I had the first shot and was sick 14 hours later. Chills,fever, body aches, fatigue, nausea, arm pain,swollen arm pits,large red swelling 2 inches below shot,eyes burning

ID: 1139603
Sex: F
Age: 42
State: MN

Vax Date: 03/14/2021
Onset Date: 03/14/2021
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: Sulfa medications

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Slight fever (3/14/21) Fatigue (3/14 - 3/16/21) Headache (3/14 - 3/16/21) Significant arm pain ? more than injection pain (3/15-3/20/21) Itchy splotchy rash on left arm (3/22 - present)

Other Meds: None

Current Illness: None

ID: 1139604
Sex: F
Age: 31
State: OH

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: Mellon/kiwi

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I am 19 weeks pregnant due August 19th. Side effects included migraine/headache and muscle/joint aches.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 1139605
Sex: F
Age: 40
State: TX

Vax Date: 03/19/2021
Onset Date: 03/20/2021
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: None known

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

Symptoms: Very sore/tender breasts (both) and experienced what felt like a milk letdown sensation although I have not breastfed in over six years. Symptoms started the Saturday after the vaccination and have persisted since then. I have not yet been relieved of these symptoms but have not taken anything for relief.

Other Meds: Nystatin and Triamcinolone Acetonide Cream (combination)

Current Illness: None

ID: 1139606
Sex: F
Age: 43
State: IN

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Extreme muscle aches, fatigue, loss of appetite. Lasted about 8 hours.

Other Meds: None

Current Illness: None

ID: 1139607
Sex: F
Age: 73
State: FL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: Sulfa

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

Symptoms: was not reported to pharmacy

Other Meds: multi vitamins, Losartan, HCTZ, Synthroid, Zoloft, Metformin, Lipitor, Claritin, Hydrocodone, Tramadol, Mobic

Current Illness: None

ID: 1139608
Sex: F
Age: 32
State: CO

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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: Penicillin, Benadryl, barium solution, gluten allergy

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

Symptoms: I was fine from 10am until 3:30pm on the day of injection. I started to feel feverish and chills at 3:30 and it progressed into a 99.2 fever with all over body aches and a headache and chills. I took alkasletzer cold medicine with Tylenol in it to help with the fever. It got the symptoms down where I could move and stood in the hot shower for 30 minutes to help warm me up. I felt slightly better and still had fever symptoms and severe body aches. I started feeling unable to move due to the fever symptoms again around 9pm and took 2 extra strength Tylenol that eventually worked and I had some nausea with that. I hadn?t been able to eat because of the symptoms and the nausea could have been from taking meds on an empty stomach. I finally felt able to eat around 10pm and had some food and went to bed. I could barley sleep all night and was tossing and turning due to fever. My nose started to get runny around 10pm before I went to bed. I woke up the next day and still had the fever symptoms, body aches and the worst headache I have ever had, a 10 on the pain scale. I took another 2 extra strength Tylenol and went to sleep for 2 hours. I woke up and could tell the fever had broken and my head was still in pretty severe pain- about a 7 on the pain scale. I was incredibly fatigued the entire day and felt hot and cold throughout the day. I was incredibly weak and needed a lot of rest. I still didn?t sleep well through the night and woke up friday feeling fatigued. I expended some energy in the am at the dog park and had to sleep for 3 hours during the day which is atypical for me. I woke up Saturday morning (today) still feeling a headache and exhaustion. I will see how the rest of the day goes and am hoping to feel better and don?t know when the symptoms will stop.

Other Meds: None

Current Illness: Cold with a fever on 2/26/21

ID: 1139609
Sex: F
Age: 62
State: IL

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Corn and corn products, by-products, and derivatives

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

Symptoms: Shot given March 25, 2021. Next day: March 26, 2021 - Cold-like symptoms nasal congestion, runny nose, tired. Following day: March 27, 2021 - Allergic reaction increased to itching palate, nasal passages, slight asthma, congestion, runny nose. Treatment: Self administered OTC allergy medication Zyrtec. One dose 10mg. Allergy symptoms subsided in two hours except nasal congestion.

Other Meds: None

Current Illness: None.

ID: 1139610
Sex: F
Age: 19
State: OH

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: Any cillin medication (amoxicillin)

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

Symptoms: Very nauseous to the point of vomit

Other Meds: Sertraline, aripiprazole

Current Illness: none

ID: 1139611
Sex: F
Age: 46
State: MI

Vax Date: 03/25/2021
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:

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

Symptoms: Red raised firm area approximately 2 inches below injection site appeared 2 days after vaccine.

Other Meds:

Current Illness:

ID: 1139612
Sex: M
Age: 52
State: VA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Vicodin, too many foods and airborne allergies to list. Basically I've ben told I should be the "boy in the plastic bubble" and not of this Earth. Every 7yrs my allergies worsen. I should have an Epipen on me at all times but cannot afford on S.S. Disability.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Constant tearing of left eye with painful irritation in upper left corner of eyeball. Itchy tongue and roof of mouth. Duration of about an hour after washing face and flushing eyes with warm tap water. Rinsed mouth with antiseptic and drank plenty of water. Things I know to do when anything I've ingested sparks the warning signs with the tearing up of the left eye. Since I cannot afford Epipens, I wonder if it would have helped if I was not able to breath during this reaction?

Other Meds: 1 x OTC Low Dose Aspirin 81.mg daily. 1 x DEVA Vegan Multivitamin and Mineral Supplement daily.

Current Illness: N/A

ID: 1139613
Sex: F
Age: 37
State:

Vax Date: 03/18/2021
Onset Date: 03/26/2021
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: Rash at injection site that appeared nine days after vaccination.

Other Meds:

Current Illness:

ID: 1139614
Sex: F
Age: 47
State: GA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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: Benazapril

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

Symptoms: I have a rash that is still present at the injection site . It's red itchy and still sore. Headache and ocasional nausea.

Other Meds: Metformin 500mg Ferrous sulfate 325mg vitamin c chewables prednisone 10 mg 1 tablet taken 2 days prior

Current Illness: sinus and seasonal allergy

ID: 1139615
Sex: F
Age: 49
State: IN

Vax Date: 03/25/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Fatigue, sore arm, achy, chills,

Other Meds: Claritin, vitamin C, Vitamin E, Biotin, D3, multivitamin, echinacea, black cohosh

Current Illness: None

ID: 1139616
Sex: F
Age: 38
State: NJ

Vax Date: 03/04/2021
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: N/A

Symptom List: Unevaluable event

Symptoms: On day 8, my arm became hot, swollen, itchy, and sore. After researching, it sounds like Covid arm. This lasted for another week.

Other Meds: Lamictal Ubrevly

Current Illness: No

ID: 1139617
Sex: F
Age: 72
State: MD

Vax Date: 03/24/2021
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: fluoroquinolones (Ciprofloxacin) induced paroxysmal atrial fibrillation Augmentin (drug induced hepatitis) Macodantin (petechia rash below the knees) Epinephrine (fast heart rate) Demerol, Codiene, Dilaudid, causes severe vomiting

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

Symptoms: After receiving the first Moderna vaccine on Feb 24, 2021, I noticed that my toes started to turn purple sporadically. Aproximately 14 hrs after receiving the 2nd Moderna Vaccine I experienced a SEVERE pounding headache and SEVERE muscle pain especially lower back no relief after taking NSAID's or Tylenol. Non stop sever pain for 24 hrs. Discoloration purple toes still persistent. Extreme fatigue and no appetite. 72 hrs after 2nd dose of Moderna still very fatigue. Sever pounding headache and severe muscle pain gone.

Other Meds: Alprazolam 0.25mg PRN Etodolac 500mg PRN Clarithromycin 500mg one hr before dental work. Diclofenac 1% knees PRN Estradiol 0.01% cream Meloxicam 15mg tab knee pain PRNASA 81 mg daily Zinc 50 mg daily Magnesium 200mg daily Vit K2 1 tab dail

Current Illness: none at time of vaccine

ID: 1139618
Sex: F
Age: 32
State: WI

Vax Date: 03/22/2021
Onset Date: 03/23/2021
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: Methotrexate

Symptom List: Injection site pain, Pain

Symptoms: Severe body aches, weird taste in mouth, chest tightness, difficulty breathing, fever, chills, the next day I think I hallucinated during the fever and extreme body aches. Most symptoms lasted 24 hours but the rest of them continued.

Other Meds: Tylenol

Current Illness: None

ID: 1139619
Sex: F
Age: 60
State: OH

Vax Date: 03/13/2021
Onset Date: 03/20/2021
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: Bee Stings

Symptom List: Injection site pain, Menorrhagia

Symptoms: 1 WEEK AFTER 1ST SHOT I STATED TO GET RED RASH THAT IS WARM ABOUT THE SIZE OF A SOFTBALL AND AT 1ST IT WAS AROUND SHOT AREA AND NOW 2 WEEKS AFTER SHOT IT SEEM TO BE ABOUT AN INCH LOWER.

Other Meds: lansoprazole hydrochlorothiazide lisinopril fluticasone

Current Illness: None

ID: 1139620
Sex: F
Age: 73
State: IA

Vax Date: 02/24/2021
Onset Date: 02/27/2021
Rec V Date: 03/27/2021
Hospital: Y

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

Lab Data:

Allergies: Levofloxacin - anxiety Sulfa drugs - unknown

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

Symptoms: Pfizer COVID-19 EUA Vaccine Pt received first COVID vaccine 2/25/21. Tested positive for COVID late February. Reported to ED 3/5/21 with near syncope. Patient was seen emergency department laying in bed. The patient had a noticeable scalp laceration to posterior parietal area. After being symptomatic with COVID-19 for a few days, the patient reports getting up at 5:00 a.m. to use the bathroom, feeling lightheaded, then ended up on the floor, she reports sitting on the floor and then hit her head at some point, but was not entirely sure of this timeline. She states she ended up moving to the living room when she noticed that her head was bleeding a lot and her fiance called 911. She reports a history of syncopal episode in 2001 when she had influenza and apparently the story was much the same as this time, but she actually lost consciousness in 2001. Admitted to observation. 3/7: 73-year-old female recent COVID-19 infection admitted on 03/05/2021 for an episode of syncope probably secondary to bradycardia versus volume depletion. Paramedic on arrival at home reported bradycardia with heart rate in the 30s but has been normal since admission. The CT angiogram of the chest done at the emergency room showed bilateral infiltrates compatible with recent COVID-19 infection. No PE. However patient has no respiratory symptoms and O2 saturation is perfectly normal. Urinalysis was suggestive of infection and subsequent culture was positive for E coli and it is pansensitive. She was admitted to hospital for overnight observation. She was commenced on IV Rocephin and azithromycin. The EP cardiologist was consulted and she recommended and echocardiogram and it revealed mild global hypokinesis with LVEF of 45-50% but patient denied any prior history of cardiac problem. On re-evaluation this morning the vital signs remains normal. Patient has not had any episode of bradycardia since she presented to the emergency room. She will be discharged home follow up with the EP cardiologist for further evaluation. Patient does not need outpatient oral antibiotics as IV Rocephin for 3 days should be adequate for uncomplicated UTI.

Other Meds: Bimatoprost

Current Illness:

ID: 1139621
Sex: F
Age: 18
State: LA

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

Lab Data:

Allergies: toradol, sulfonamide

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient received the 1st dose of the Pfizer Covid Vaccine (Lot: ER8732, EXP: 7/21) on 3/27/21. Shortly after the injection the patient's arm started itching and a rash developed. Patient was dizzy, hot, and had an elevated blood pressure. Patient was transported to Emergency Department by EMS.

Other Meds: ativan, alprazolam, setraline, methocarbamol, propanolol , vyvanse, hydroxyzine, gabapentin, fioricet

Current Illness:

ID: 1139622
Sex: F
Age: 33
State: IA

Vax Date: 03/24/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: seizure, resolved

Other Meds: insulin effexor

Current Illness: none

ID: 1139623
Sex: F
Age: 24
State:

Vax Date: 03/25/2021
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:

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

Symptoms: Extreme abdominal pain, extreme fatigue, diarrhea spanning approx. 24 hours, fever, nausea

Other Meds: Loryna

Current Illness:

ID: 1139624
Sex: F
Age: 46
State: IN

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: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: Headache, stiff neck, chills, fatigue - 36 hrs after shot

Other Meds: none

Current Illness: none

ID: 1139625
Sex: F
Age: 54
State: TX

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

Symptom List: Injection site pain

Symptoms: Following day: vertigo, nausea, fatigue, chills, throbbing pain in both legs (all over), headache, sore arm, had to urinate every 15 minutes for approximately 12 hours. These symptoms lasted about 48 hours. Morning vertigo or just dizziness every morning since day of shot. Nausea every day since day of shot.

Other Meds: Synthroid, Liotyrine, Testosterone, Estrogen, Progesterone

Current Illness: n/a

ID: 1139626
Sex: F
Age: 46
State: FL

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: Penicillin, Asprin.

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

Symptoms: Heart racing, Sudden onset Headache

Other Meds: N/A

Current Illness: N/A

ID: 1139627
Sex: F
Age: 19
State: WI

Vax Date: 03/19/2021
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: RA

Lab Data:

Allergies: none

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

Symptoms: 2" round raised bump at site of injection, red, tender

Other Meds: Milli

Current Illness: none

ID: 1139628
Sex: F
Age: 66
State: AZ

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Swelling at injection site. Fever of 101.7, nausea, body aches, headache within 24 hours of administered dose. Fever continued for 36 hours. Lingering body aches and headache.

Other Meds: Gabapentin

Current Illness: None

ID: 1139629
Sex: M
Age: 29
State: AZ

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: None

Symptom List: Erythema, Pruritus

Symptoms: Injection site pain and soreness; fast heartbeat; mild itching in left arm day after injection

Other Meds: None

Current Illness: None

ID: 1139630
Sex: F
Age: 37
State: CA

Vax Date: 03/18/2021
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:

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

Symptoms: Covid arm. Mostly pain, red patch, swelling. No itch yet.

Other Meds: Birth control, magnesium, biotin, vit d, omega 3

Current Illness:

ID: 1139631
Sex: F
Age: 37
State: KS

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Currently pregnant at 18 weeks of pregnancy Shot administered at 9.20am in the left arm by pharmacist Signs of fever and chills started at 6pm Chills continued until 11pm (forehead temperature registered at 98 degrees) Sinus headache started at 10pm, remained until following day General feeling of malaise and fatigue 24 hours post-vaccine administration

Other Meds:

Current Illness:

ID: 1139633
Sex: F
Age: 58
State: OH

Vax Date: 03/18/2021
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: Pcn

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Covid arm red circle, hard, itchy, sensitive to touch

Other Meds: Estradiol Lipitor, vitamin d3, calcium, low dose aspirin, occuvite.

Current Illness: 24 hour virus 3 days prior.

ID: 1139634
Sex: F
Age: 37
State: WV

Vax Date: 12/23/2020
Onset Date: 01/03/2021
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: None

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

Symptoms: Menses occurred halfway through my cycle. Which I have always been regular 28 day on the day cycles. This period began with spotting and progressed to a heavy, painful, period with heavy clotting. The clots were bigger than quarters, numerous, and lasted a few days. This was unlike any period I have ever experienced. My periods do not give me any trouble and this one is as so bad. I almost called off work. I had to take a heating pad with me. It was not normal. My next period came early as well and now I?m over a week late. I took a pregnancy test and I?m not pregnant. To be concluded... the conclusion of possible effects are yet to be determined

Other Meds: Trintellix Trazodone

Current Illness: None

ID: 1139635
Sex: U
Age:
State: KY

Vax Date:
Onset Date:
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:

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

Symptoms: I have had a heavy period every other week with large quantities of clots and pain. Periods also last much longer. Currently on period, 7th day, and still no sign of stopping.

Other Meds:

Current Illness:

ID: 1139636
Sex: M
Age: 42
State: TX

Vax Date: 03/16/2021
Onset Date: 03/22/2021
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: For the 36 hours after my vaccine, I had commonly listed side effects; chills, aches, and shivers. These subsided, and I developed a cough for the next 3 or 4 days. This developed into more of a chesty feeling and lethargic feeling. On the 8th day after my vaccine, my symptoms were similar to those in Covid positive cases; chest tightness, dry cough, and chills. I went to get tested, and was found to be Covid-19 positive. Since then, I have experienced severe headaches, continued tight chest, cough, chills, and sweats.

Other Meds:

Current Illness:

ID: 1139637
Sex: F
Age: 39
State: CA

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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: beta blockers and anti nausea meds

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

Symptoms: Patient felt her heart raising her apple watch said 139, brought to EMS room and monitored untill 845 am then discharged in no distress, denied any chest pain nausea, or shortness of breath.

Other Meds: norvasc, protonix, birth control vitamin D and multi vitamin

Current Illness: none

ID: 1139638
Sex: F
Age: 58
State: IL

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:

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

Symptoms: Injection site pain, tiredness, severe headache for two days, muscle pain, chills, joint pain, low grade fever, mild nausea

Other Meds: Synthroid, Pantropazole

Current Illness:

ID: 1139639
Sex: F
Age: 48
State: TX

Vax Date: 12/30/2020
Onset Date: 01/20/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: After my first dose, I felt tired and weak but about three weeks later, I got really sick. I was throwing up and had horrible headaches.

Other Meds: Ozempic

Current Illness:

ID: 1139640
Sex: M
Age: 65
State: CA

Vax Date: 02/12/2021
Onset Date: 02/26/2021
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:

Symptom List: Vomiting

Symptoms: Tinnitus

Other Meds: Enzetimibe 10mg Pantoprazole 40mg

Current Illness:

ID: 1139641
Sex: F
Age: 85
State: IL

Vax Date: 03/02/2021
Onset Date: 03/09/2021
Rec V Date: 03/27/2021
Hospital: Y

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

Lab Data:

Allergies: Adhesive bandages - redness Aspirin - asthma attack Cipro - rash, ruptured achilles Erythromycin - diarrhea Ibuprofen - rash Niacin ER - thrush Clopidogrel - unknown Sulfa drugs - rash Tetracyclines - diarrhea

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Moderna COVID-19 Vaccine EUA 3/12/21: The patient was started on antibitoics outpatient Tuesday for bronchiolitis. Covid test was done, no results yet. Pt daughter stated got better yesterday today confused. 85-year-old woman who presented with 2 days history of cough, chest discomfort and shortness of breath. She reports insidious onset of symptoms 2 days ago cough which was initially dry, then productive of scanty whitish sputum. She also reported associated shortness of breath and pleuritic mid chest discomfort. She denies any fever, chills, nausea or vomiting. She denies any known contact with individual diagnosed with been tested with COVID-19 infection, reports compliance with masking directives. She is up-to-date with her COVID-19 vaccination, 2nd short of COVID-19 vaccine was administered last Saturday. Chest in her primary care physician yesterday and been diagnosed with bronchiolitis, prescribed oral Augmentin and Medrol Dosepak without any improvement in symptoms. She presented to emergency department today and was found to be hypoxic to 82% on room air. At present she has required supplemental oxygen at 5-8 liters/minute. She will be admitted to the hospitalist service for further treatment and evaluation. 3/20/21: She is s/p plasma, antibiotics (aztreonam, vancomycin), no remdesivir due to poor renal function. She has been on decadron 3/12 to date (to complete 10 day course) She was able to be weaned down to 1 L NC oxygen while on admission with improved symptoms. Plan is to discharge to rehab today.

Other Meds: Albuterol 1 puff Q6h PRN Amlodipine 5 mg PO QD Atorvastatin 80 mg PO QD Benzonatate 100 mg PO TID Cilostazol 100 mg PO BID Ezetimibe 10 mg PO QD Fexofenadine 180 mg PO QD Glimepiride 1 mg PO QD Levothyroxine 37.5 mg TuThSaSun, 50 mg all oth

Current Illness:

ID: 1139642
Sex: M
Age: 74
State: IN

Vax Date: 03/11/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa meds, no other allergies

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

Symptoms: 3 incidences since 2nd vaccination: 1. Sudden veritgo with nystagmus 3/13/2021 Duration - 20 mins (7:00 pm) 2. Night sweat, vertigo 3/17/2021 Duration - 20 mins (2:00am) 3. Sudden vertigo 3/27/2021 Duration 20 mins (10:00am)

Other Meds: L Thyroxine 75mcg - 1x daily Aspirin - 81mg - 1x daily Zinc - 30mg - 1x daily Copper - 2mg - 1x daily Vit D - 5000 IU - 1x daily Occasional Advil when needed

Current Illness: None

ID: 1139643
Sex: M
Age: 63
State: NY

Vax Date: 01/16/2021
Onset Date: 01/29/2021
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: NONE

Symptom List: Injection site swelling, Limb discomfort

Symptoms: DEVELOPED TRANSIENT EAR/JAW (THROAT?) PAIN APPROX 7 DAYS POST VACCINE. DEVELOPED RIGHT SIDE FACIAL WEAKNESS/PARALYSIS ON 1/29/21. SYMPTOMS INCLUDED DIFFICULTY CHEWING FOOD, ASSYMETRIC SMILE (NO MOEVEMENT OF RIGHT SIDE OF MOUTH), SPILLING OF LIQUID FROM RIGHT SIDE OF MOUTH WHEN DRINKING AND ALSO TEARING, WEAKNESSOF RIGHT EYE. SAW MY DOCTOR ON 2/7/21 HIS IMPRESSION WAS OF POSSIBLE BELL'S PALSY (FACIAL PARALYSIS) . STARTED ME ON VALACYCLOVIR 1 GR TID ON 2/8/21 . REFERRED TO NEUROLOGIST WHO I SAW ON 2/9/21 PERFORMED NEURO EXAM AND REFFERED ME FOR MRI OF HEAD TO RULE OUT STROKE, mY SYMPTOMS IMPROVED SOMEWHAT ON 2/10/21 AND CONTINUED TO GET BETTER COMPLETELY BY 2/14/21. MRI DONE ON 2/12/21 INDICATED NO SIGN OF STROKE.

Other Meds: LEVOTHYROXINE LOSARTAN ATROVASTATIN CETIRIzINE MELATONIN INSULIN METFORMIN VERAPAMIL

Current Illness: NONE

ID: 1139644
Sex: F
Age: 52
State: TN

Vax Date: 03/22/2021
Onset Date: 03/23/2021
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: Sulfur antibiotics, Cipro, Demerol, Methyl Folate

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

Symptoms: Lightheadedness, vertigo, increased tinnitus, imbalance, vertigo, migraine, watery eyes, vertigo upon sudden movement

Other Meds: Clonazepam, Probiotic

Current Illness: None

ID: 1139645
Sex: F
Age: 59
State: CA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Iodine,

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

Symptoms: complaint of itchy throat, tightening. patient had similar reaction with first dose. Patient self-medicated with ventolin and diphenyhydramine 50 mg with relief of symptom.

Other Meds: Zyrtec BID, Levothyroxin

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm