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: 1140324
Sex: F
Age: 58
State: CA

Vax Date: 03/14/2021
Onset Date: 03/21/2021
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: Penicillin, Sulfa, Ceflex

Symptom List: Dysphagia, Epiglottitis

Symptoms: Rash around injection site and on upset arm 8 days after shot

Other Meds: Montelukast, Advair, DHEA, Progesterone, Vitamin D3, Vitamin C, Probiotics, D-Mannose, Cranberry Pills, Calcium, Osteo Bi-Flex, Multivitamin

Current Illness: None

ID: 1140325
Sex: F
Age: 58
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 03/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Diagnosis - Acute myeloid luekemia Treatment was chemo. Symptoms- back pain, leg pains, shortness of breath, forgetfulness , red spots on arms

Other Meds:

Current Illness:

ID: 1140326
Sex: F
Age: 54
State: KS

Vax Date: 03/23/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Paxil

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

Symptoms: Next morning had unwell feeling took 3 advil was fine around 4:30 pm same day 3/24 felt unwell again took 3 advil felt better again. Next morning 3/25 woke up at 4 am had pain and swelling in left arm pit took 3 advil no change. On 3/27 still had swelling and pain. Went to Dr and they gave me a prednisone shot and pills to follow for next several days and told to notify vaccine clinic.

Other Meds: Advil

Current Illness: None

ID: 1140327
Sex: F
Age: 57
State: IL

Vax Date: 03/23/2021
Onset Date: 03/24/2021
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: Penicillin, Lavender oil

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Following the second vaccine - I was feeling fine - woke up next day with flu like sympthoms and dull headache / chills on and off all day - Only Lasted that day - had Shot on Tuesday - experienced these symptoms on Wednesday - Felt totally fine by Thursday and continue to feel perfectly fine. - Did not feel ill enough to contact my doctor.

Other Meds: Metoprolol Tartrate, Prasugrel, Aspirin, Ramipril, Atorvastatin,

Current Illness: N/A

ID: 1140328
Sex: F
Age: 50
State: MI

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: LA

Lab Data:

Allergies: None known

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

Symptoms: Elevated heart rate after receiving vaccine; lessened, but still present days later.

Other Meds: None

Current Illness: None

ID: 1140329
Sex: M
Age: 52
State: PA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Keflex

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

Symptoms: Achey, chills, fever, general feeling poorly approx 22 hrs after vaccination

Other Meds: None

Current Illness: None

ID: 1140330
Sex: F
Age: 46
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Bactrim

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Headache chills nausea fever from 5pm through the following day

Other Meds:

Current Illness: None

ID: 1140331
Sex: F
Age: 32
State: AZ

Vax Date: 01/18/2021
Onset Date: 02/01/2021
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: Celexa Acid citrate destroys solution Penicillin

Symptom List: Pharyngeal swelling

Symptoms: Developed arm pain that is mild but occurs when lifting arm above head especially with heavier objects or when brushing hair. Have a lump beneath injection site that when pressed on is tender and has nerve pain associated with it down arm into hand.

Other Meds: Zoloft Vitamin d Bislovi

Current Illness: None

ID: 1140332
Sex: F
Age: 60
State: CT

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Ten days after receiving the first dose of the Moderna Covid 19 Vaccine, I developed a rash on the arm that had the injection. The rash lasted 4 days, it was hot to the touch and red. I had no other side affects, no fever or body aches. Interestingly enough I have blood type B, as does my Mother, who also received Moderna and got a rash.

Other Meds: Multi Vitamin, Vitamin B Complex. Vitamin C, Fiber Gummies, Probiotic Gummies No Over the counter Medications

Current Illness: None

ID: 1140333
Sex: F
Age: 34
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Itchiness; given Benadryl 50 mg PO

Other Meds:

Current Illness:

ID: 1140334
Sex: M
Age: 68
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Percocet

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

Symptoms: A lot of difficulty breathing, catching breath and getting oxygen; stabbing burning pain all over and joints ache; dizziness with eyes wanting to always close and seeing black spots; severe facial pain around bridge of nose and eyebrows; tremendous fatigue and weakness.

Other Meds: too many to list here

Current Illness: neck/jaw infection from COVID19

ID: 1140335
Sex: F
Age: 49
State: NV

Vax Date: 03/16/2021
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: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Arm pain in right upper area where shot was received developed in late afternoon of day of shot (3/16). Upper muscular(right) arm pain increased and persisted for following 48 hrs after initial injection. Injection site was red hot and swollen (swelling approx size of my palm). Upper right arm injection site stayed red hot with mild swelling for next three days then begun to itch (3/22). It is now 3/27 upper right arm still mildly red hot and itchy. some mild muscular pain - all pain localized to upper right arm where injection received.

Other Meds: Topiramate 100mg Pantoprazole SOD DR 40 mg T Magnesium oxide 500mg

Current Illness: Gastritis Erosive esophagitis

ID: 1140336
Sex: F
Age: 40
State: MO

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

Lab Data:

Allergies: CT dye

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

Symptoms: post injection pt notied tingly tongue and felt her lips/mouth were swelling. she had an epipen in her purse that was administered and she felt better within 4-5 minutes

Other Meds: unknown

Current Illness: na

ID: 1140337
Sex: F
Age: 89
State: CA

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

Lab Data:

Allergies: PCN

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

Symptoms: lip swelling, denies any SOB or difficulty swallowing. Adverse reaction treated with Benadryl 25mg IM with improvement within 30 minutes . Disposition Home with VS stable.

Other Meds: Mirtazapine (REMERON) 7.5 mg Oral Tab Take 1 tablet by mouth daily at bedtime Calcium Carbonate-Vit D3 (CALCIUM WITH VITAMIN D) 600 mg(1,500mg) -400 unit Oral Tab 1 TAB PO BID WITH MEALS Dorzolamide-Timolol (COSOPT) 22.3-6.8 mg/mL Opht Dr

Current Illness: n/a

ID: 1140338
Sex: F
Age: 43
State: AZ

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: IM
Vax Site: LA

Lab Data:

Allergies: codeine

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

Symptoms: Diabetic patient did not administer her insulin before coming to get her COVID 2nd dose vaccine. She became lightheaded and nauseous shortly after being given the Moderna COVID vaccine. The paramedics checked her blood sugar at 493mg/dl and the patient administered her own dose of insulin (type unknown). Patient was transported to the hospital and only IV fluids were given by the paramedics.

Other Meds: Insulin (type unkown)

Current Illness: Diabetes

ID: 1140339
Sex: F
Age: 73
State: WA

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

Lab Data:

Allergies: Unknown

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

Symptoms: Client has extensive scar tissue on both arms. First attempt at vaccination today was unsuccessful-- the needle was not entering the tissue correctly. No dose was given in this attempt. Whole syringe and needle with dose inside was wasted. New dose attempted with success in right arm, full dose administered.

Other Meds: Unknown

Current Illness: Unknown

ID: 1140340
Sex: F
Age: 45
State: TX

Vax Date: 03/15/2021
Onset Date: 03/15/2021
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: ceferoxime antibiotic

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

Symptoms: I began immediately having a rapid heart beat and felt light headed. It felt as if my heart was going to beat out of my chest and I could not catch my breath. Paramedics came over to me and I was taken to the hospital by ambulance. I had an abnormal EKG. I was monitored for a short time and released.

Other Meds: daily multi vitamin

Current Illness: none

ID: 1140341
Sex: F
Age: 62
State: FL

Vax Date: 03/18/2021
Onset Date: 03/24/2021
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: Allergies to Penicyllin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Red rash at vaccine site

Other Meds: None

Current Illness: None

ID: 1140342
Sex: F
Age: 25
State: LA

Vax Date: 03/17/2021
Onset Date: 03/25/2021
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: Patient said she noticed a large red area on her arm on 3-25-21 (almost a week after the vaccine). She came to the pharmacy today (3-27-21) and showed me the large red area on her arm. She said it is red, tender, and itching. She said is also warm to the touch. It is a very LARGE area of redness. I told her to watch it and if it got worse to go the ER/DR. It is a very large area. She has not seen a doctor about it yet.

Other Meds:

Current Illness:

ID: 1140343
Sex: F
Age: 61
State: FL

Vax Date: 03/18/2021
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: Redness, itchiness, hives, hardness , and heat at area of injection cropped up 1 week and 1 day after injection. Participated in daily email V-safe checking but they stopped texting the day before new symptoms started

Other Meds:

Current Illness: None

ID: 1140344
Sex: F
Age: 61
State: IN

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa, hay

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

Symptoms: Beginning around 8:00 pm I felt prickly all over my body. Not severe, but uncomfortable. I believe I also developed a minor rash. I took benadryl that night and slept fine. I felt the same way on 3/23/21 and took benedryl again. It seemed better 3/24/21 but came back on 3/25/21 and has continued today 3/27/21. After a walk outside with no jacket it is feeling better, but I can tell it's still there. Called my doctor on 3/23/21 and she recommended benadryl at night and allegra or claritin during the day. And ibuprofen and pepcid. I only have taken the benadryl. She advised not getting the second shot.

Other Meds: Fosamax, duloxetine, magnesium, vitamin B complex, vitamin D, probiotic, omega 3 pills, calcium with D

Current Illness: none

ID: 1140345
Sex: F
Age: 66
State: NY

Vax Date: 03/19/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Unevaluable event

Symptoms: Body aches, headache, slight fever, fatigue lasting....... 24 hours 3 days after injection lower back ache started lasting about 36 hours

Other Meds: Tylenol

Current Illness: None

ID: 1140346
Sex: F
Age: 42
State: CO

Vax Date: 03/21/2021
Onset Date: 03/21/2021
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: Milk allergy

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

Symptoms: Painful joints. Ankle pain lasted 18 hours. Couldn?t sleep.

Other Meds: Birth control

Current Illness:

ID: 1140347
Sex: M
Age: 38
State: NM

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Patient called me about 4 and a half hours after his immunization. He stated his eyes have become sensitive to light . He also stated that his bottom lip and chin started to tingle about fifteen minutes after the shot and then went away. . I recommended that he immediately take a Benadryl tablet and wait a couple of hours I said he can take Benadryl every six hours if he needs to. If his symptoms don't go away after two doses of Benadryl I recommended he go to the Emergency Room and be checked out. Pre -immunization I counselled him on the normal run of the mill possible side effects and how to treat them.

Other Meds: None

Current Illness: None

ID: 1140348
Sex: F
Age: 75
State: OR

Vax Date: 03/12/2021
Onset Date: 03/16/2021
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: Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: About four days after I receive the first Pfizer vaccine I got a bright red itchy rash on my throat lower left jaw and into my neck area, it was difficult to touch it finally went away I tried an expired Halog ointment on which expired in 2017. I only use that once, it left the skin dry on my lower jaw for several days.

Other Meds: Ibuprofen, Synthroid ,Vitamin A

Current Illness: None

ID: 1140349
Sex: M
Age: 80
State: OR

Vax Date: 03/19/2021
Onset Date: 03/24/2021
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: Spironolactone

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

Symptoms: Patient called the office stating that his arm is red and hot and his arm is swollen all the way around. He has been feeling dizzy and nausea and has fallen. He was having a fever of 100.0. Patient was also having arm pain. Patient was advised to go into UC.

Other Meds:

Current Illness:

ID: 1140350
Sex: F
Age: 65
State: CO

Vax Date: 03/19/2021
Onset Date: 03/19/2021
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: sulpha, penicillin, peanuts, almonds, walnuts

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Extremely high fever, 103.5. Bone chattering shakes, vomiting, inability to sleep, overwhelming thirst. Tylenol reduced the fever to a manageable 100. Symptoms persisted for 18 hours. Once the fever reduced, the ability to function slowly resumed. Normal function resumed after 60 hours.

Other Meds: Atorvastatin, Levothyroxine, Estradiol, Amlodopine, Aspirin 81 mg, Vitamin D3, Vitamin E, Calcium

Current Illness: None

ID: 1140351
Sex: F
Age: 72
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/16/2021
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: morphine (rash, trouble breathing, vomiting)

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pain and swelling at site, burning red area, pain up into ear and down into elbow, swelling continued for 10 days, without getting better, patient came to pharmacy, recommended antihistamine tablet and cortisone cream, followed up next day swelling was slightly better

Other Meds:

Current Illness:

ID: 1140352
Sex: F
Age: 37
State: CA

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:

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

Symptoms: Flushing/sweating, tingling, numbness. BP 162/97 (pulse 89), O2 sat 99%. Benadryl 25 mg PO given.

Other Meds:

Current Illness:

ID: 1140353
Sex: F
Age: 55
State: SC

Vax Date: 03/17/2021
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: Sulfa antibiotics

Symptom List: Nausea

Symptoms: Day 8 arm became increasingly sore Started itching and turned red Day 9 red circle tripled in size

Other Meds: Venlafaxine 75 mg Metoprolol 25 mg Claritin Hydrochlorithiazide

Current Illness: N/a

ID: 1140354
Sex: F
Age: 54
State: AK

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

Lab Data:

Allergies: Avocados

Symptom List: Injection site pain

Symptoms: Covid Arm. Started itching last night. It?s red, sore and feels swollen and warm to the touch. Ironically, it wasn?t this sore on the 18th when I got the shot.

Other Meds: N/A

Current Illness: None

ID: 1140356
Sex: F
Age: 29
State: UT

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

Lab Data:

Allergies: Latex

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

Symptoms: Patient Checked back into pharmacy 15 minutes post injection complaining of tingling and numbness in vaccinated arm (Right arm). She was not complaining of SOB or other allergic reaction symptoms. Told patient to keep eye on it and if it worsened to proceed to medical care. I called after 30 minutes and patient said symptoms were about the same. 2 hours post vaccination patient said symptoms were improving but were still present, I referred on to medical care such as an insta-care.

Other Meds:

Current Illness: anemia, asthma, arthritis

ID: 1140357
Sex: M
Age: 26
State: CA

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: IM
Vax Site: RA

Lab Data:

Allergies: NONE

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

Symptoms: ON ARRIVAL TO OBSERVATION AREA SEVERAL MINUTES POST VACCINATION, PATIENT OBSERVED AS PALE AND COMPLAINED OF FEELING FAINT. NP HELPED HIM TO THE FLOOR TO SIT. TRANSPORTED TO TRIAGE 1 VIA WHEELCHAIR. DR. ON SITE WITH PARAMEDICS. THIS REPORTING NP ALSO ONSITE WITH NP FROM OBSERVATION AREA. PATIENT'S MOTHER ALSO IN TRIAGE AREA FOR DURATION OF ASSESSMENT AND STABILIZATION. VITAL SIGNS TAKEN AND OBSERVED WIDENED PULSE PRESSURE INITIALLY. PATIENT REMAINED FULL ALERT AFTER 10 MINUTES. hE WAS OFFERED ORAL FLUIDS INCLUDING WATER AND APPLE JUICE. PATIENT WAS RELEASED TO LEAVE FOLLOWING SITTING UP FROM GUERNEY WITH FEET DANGLING THEN GRADUALLY STANDING FOR A MINUTE OR SO BEFORE BEING RELEASED TO LEAVE WITH HIS MOTHER WITH HIM. HE WAS ADVISED REGARDING VASO VAGAL REACTION TO INJECTION AND THAT WE WILL TAKE PRECAUTION WITH SECOND DOSE OF COVID-19 VACCINE.

Other Meds: NONE KNOWN

Current Illness:

ID: 1140358
Sex: F
Age: 21
State: CA

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: Tremor

Symptoms: Fever of 100-101 F, muscle fatigue

Other Meds: Naturethroid

Current Illness:

ID: 1140359
Sex: F
Age: 33
State: UT

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Seven days after receiving my first Moderna COVID vaccine I noticed ~2in wide (from edge to edge) red blotch centered around the injection site. It is hard, warm, and slightly itchy. There is no pain.

Other Meds: Albuterol Sulfate - as needed Acyclovir - as needed Vitamin D3 5,000 UI - daily L-Glutamine 500 mg - daily Women's one a day multivitamin - daily USANA BiOmega fish oil - daily Micronized Creatine Monohydrate 5g- daily

Current Illness: None.

ID: 1140360
Sex: F
Age: 30
State: MA

Vax Date: 03/23/2021
Onset Date: 03/25/2021
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: None.

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

Symptoms: Became extremely ill about two days after receiving the vaccine. Was unable to keep down liquids or eat. Had severe stomach pain, diarrhea, and chills. Was so sick I was unable to check my temperature.

Other Meds: Daily multivitamin, restasis eye drops.

Current Illness: None.

ID: 1140361
Sex: F
Age: 69
State: PA

Vax Date: 03/17/2021
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: Penicillin Doxycycline

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

Symptoms: Itchy,redness approximately 2-3 inches in diameter from injection site, appeared on 9th day after Covid vaccine, lasting 48 hrs

Other Meds: Aspirin 81 mg, estradiol cream 0.01gram,Centrum Silver women,Calcium 500 2X?s day, Glucosamine Chondroiton,

Current Illness:

ID: 1140362
Sex: F
Age: 69
State:

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:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Anemic, fever, nausea, tired, seeing a pulmonologist monday

Other Meds:

Current Illness:

ID: 1140363
Sex: F
Age: 24
State: NV

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Convulsive syncope upon standing from supine position 22 hours post-dose, lasting 30 seconds. No loss of consciousness.

Other Meds: Levonorgestrel ethynil-estradiol Fluoxetine 60mg QD Spironolactone 100mg QD

Current Illness:

ID: 1140364
Sex: M
Age:
State: CA

Vax Date:
Onset Date: 03/18/2021
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: NO

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

Symptoms: Felt light headed then passed out hit his head on cement floor.

Other Meds: PRN Tylenol

Current Illness: NO

ID: 1140365
Sex: F
Age: 59
State: WI

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: Clavulanic acid, penicillins

Symptom List: Pain in extremity

Symptoms: Patient called the pharmacy with complaints of a burning sensation in the arm that has lasted for over a week. She also mentioned redness that has progressed to the underarm area.

Other Meds: Alprazolam 2 mg, Adderall ER 30 mg

Current Illness:

ID: 1140366
Sex: F
Age: 49
State: WI

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: None

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

Symptoms: Headache, chills, body aches, fever, congestion, loss of taste and smell

Other Meds: None

Current Illness: None

ID: 1140367
Sex: F
Age: 57
State: TN

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

Lab Data:

Allergies: Latex

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

Symptoms: Sore lymph node - left armpit

Other Meds: Amitryptiline

Current Illness: None

ID: 1140368
Sex: F
Age: 46
State: OK

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

Lab Data:

Allergies: pencilin and avacodos

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

Symptoms: nausea vomitting chills fever 103 muscle aches horrible rash body felt like i was on fire has messed up my leg i cant walk its been 3 days now and the pain is off the charts i still have rash and low grade fever my leg has me concerned this is not normal u have not done enough research on this shot with ppl with my health issues and i pray it dont cost me my life over this

Other Meds: 2 alieve

Current Illness: i was fine when i went in abt 4hrs after shot i got fever 103 chills shakes muscle aches starting to feel like i was on fire i couldnt even lay or touch on my right side as night progressed i broke out in horrible rash and then couldnt move my leg from knee down i can t use my leg now its been 3 days i am no better there has not been enough research on this moderna shot with ppl that have pre conditons like myself i wil never take this again in past 3 days i keep prayin rapture would happen so this pain would stop again i was fine when i walked in and boom i wont recommend ppl to get this afer my bad experience

ID: 1140369
Sex: M
Age: 19
State: CO

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: A few seconds after vaccine was administered the vaccinator turned around to notice patient was unconscious. Vaccinator describes 20-30 seconds of full body shaking. Patient then awoke and was Alert and oriented to people, place and time within 2 minutes. He was nauseas and anxious initially. Onsite EMS was alerted immediately and came to access the patient. 911 was also called quickly under the assumption it may have been a seizure. Patient denied any seizure history. Father arrived a few hours later to pick up patients vehicle and dog. Father informed me that patient was doing better at this point and was being prepared for departure.

Other Meds:

Current Illness:

ID: 1140370
Sex: F
Age: 67
State: OH

Vax Date: 03/23/2021
Onset Date: 03/24/2021
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: Penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Very sore arm, body aches, lack of appetite, and extreme tiredness

Other Meds: Thyroid medicine

Current Illness: None

ID: 1140371
Sex: F
Age: 73
State: NJ

Vax Date: 02/19/2021
Onset Date: 02/19/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Had heartburn for 3 days (in addition to incredible chills, dizzy. Vomiting)

Other Meds:

Current Illness:

ID: 1140372
Sex: F
Age: 60
State: VA

Vax Date: 03/18/2021
Onset Date: 03/20/2021
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: Severe cramping, bloody diarrhea, dry heaves. It calmed for a week, now I have cramping and bloody diarrhea again.

Other Meds: Spironalactone

Current Illness: None

ID: 1140373
Sex: F
Age: 71
State: MA

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: None

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

Symptoms: See earlier info for signs, symptoms. Currently fatigued, no longer experiencing other symptoms.

Other Meds: Atorvastatin, 10mcg estrogen, multi-vitamin

Current Illness: After 1st injection of vaccine on 02/26/2021, I felt dizzy and had difficulty breathing for about 40 minutes directly after, then fatigued later in the day through following day.

ID: 1140374
Sex: M
Age: 40
State: TX

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

Lab Data:

Allergies: None

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

Symptoms: Hot/sweaty, chills, vomiting, body ache, diarrhea, exhaustion, can?t sleep

Other Meds: Losartan, Fenofibrate

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm