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: 1141579
Sex: F
Age: 46
State: IL

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Syncopal episode. ALS assessment completed . with Sinus on Monitor. Noted elevated BP with Sugar of 97. Refused transport to the Hospital and signed refusal . Vitals signs set #1 175/97, 90 18, Pulse Ox 100%, Set 2 182/20, 84 18, 100%, Set 3 171/83, 82, 18 100%

Other Meds: none

Current Illness: none

ID: 1141580
Sex: M
Age: 69
State: SC

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: N/A

Symptom List: Anxiety, Dyspnoea

Symptoms: I think the injection may have been subcutaneous and not IM. Is there a test to find out if it was effective? I did not feel the shot AT ALL, and now four days later my arm is hot and swollen on the side closer to the body.

Other Meds: N/A

Current Illness: none

ID: 1141581
Sex: F
Age: 57
State: TX

Vax Date: 03/15/2021
Onset Date: 03/17/2021
Rec V Date: 03/28/2021
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:

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

Symptoms: date started 3/17/21 fever, chills, shortness of breath, fatigue, body aches, lots of coughing, Dr. visit 3/23/21 treatment-1 st Dr visit albuterol, rapid covid test given negative low o2 SATS 80 2nd dr visit Friday 3/26/21 stronger albuterol , prednisone medication for 5 days, steroid injection, low o2 SATS 87 ANOTHER COVID TEST GIVEN WAITING FOR RESULTS

Other Meds: Janumet- Diabeties Losartan- High blood pressure

Current Illness: n/a

ID: 1141582
Sex: F
Age: 50
State: CA

Vax Date: 03/19/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Red rash, heat and tenderness around injection site. Approx 2 inches long by 1.5 inches wide. No treatment yet.

Other Meds: Metformin Atorvastatin Valsartan

Current Illness:

ID: 1141583
Sex: F
Age: 42
State: PA

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

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

Lab Data:

Allergies:

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

Symptoms: Shortly after exiting the vaccination room, the patient felt lightheaded and dizzy and experienced an episode of near-syncope. She immediately lay down on the floor. She was sweating profusely. She remained on the floor for approximately 5 minutes with her legs raised and she started to feel better. She was given a bottle of orange juice to drink and was taken to the waiting area where she was observed for another 25 minutes. Patient stated that she felt fine and left the pharmacy.

Other Meds:

Current Illness:

ID: 1141584
Sex: M
Age: 31
State: TX

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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:

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

Symptoms: Chills, aches all over body, dizziness

Other Meds: Flonase, Zyrtec

Current Illness:

ID: 1141585
Sex: M
Age: 43
State: GA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: Patient was injected accidentally with an empty syringe (0.5 mL of air). Patient was notified immediately and given the vaccine in the same arm.

Other Meds: unknown

Current Illness: none

ID: 1141586
Sex: F
Age: 59
State: MN

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

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: I felt a little light headed a few minutes after the injection. A few hours later, I felt dizzy with vertigo, my ears closed up and I couldn't hear very well. I felt weak. It has been almost 24 hours since I received the vaccine and I still am dizzy with vertigo and I cannot hear. I woke up with a severe headache. My ears are closed as if I am extremely congested. I feel weak, cannot work. Condition is not improving. I am angry. The CDC is not putting out all of the information. That is understandably why people are not wanting to get the vaccine. I see now that many people are having these same symptoms and they are being dismissed. I will not be getting a second shot unless the government wants to pay me for lost wages. This is outrageous. Shame on you.

Other Meds: None

Current Illness: None

ID: 1141587
Sex: F
Age: 66
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Levaquin, & Penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Moderna COVID-19 : (2) Red blotches have appeared on my right arm; (1) on my left arm. Is not raised or above the skin. No increased or decreased sensitivity. Watching.

Other Meds: Levetiracetam 500 mg 2xdaily;Vitafusion Women's Chewable Vitamins; trunature PROBIOTIC 1x;; Hormone Support 2x; Super Blue Green Algae - Protein; Calcium Citrate Magnesium & Zinc; Hylands Leg & Cramp

Current Illness: None

ID: 1141588
Sex: F
Age: 49
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: Large red approximate size of grapefruit raised sore at injection site. Still irritated 72 hours after injection

Other Meds: Medroxyprogesterone 2.5 mg Pregabalin 200 mg Estradiol 1 mg

Current Illness: None

ID: 1141589
Sex: F
Age: 44
State: GA

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

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

Lab Data:

Allergies: none

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

Symptoms: Injection site pain tiredness headache muscle pain chills joint pain nausea feeling unwell

Other Meds: none

Current Illness: none

ID: 1141590
Sex: F
Age: 63
State: PA

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

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: 0925 pt reported feeling dizzy and lightheaded with blurry vision while sitting for 15 minute post observation time. transported via wheelchair to observation area and placed on gurney in trendelenburg position. 0930 BP 156/84 P 121 pox 96%. 0945 pt reports feeling "better" BP141/73 P 103 , placed in supine position. 0950 placed HOB at 45 degree angle with pt reports feeling "well". BP 167/83 P 83. 0956 pt report feeling "heavy headed and vaccine arm tingly" . Drank 3 oz water. Pt reports being T2 diabetic on metformin. did not check BS this am, but ate breakfast as routine. Reports not regularly checking BS with breakfast. Primary care provider called and spoke with pt. at clinic. PCP advised pt to return to home and self monitor and contact their office if not feeling well today. Husband present and verbalized understanding along with pt of PCP instruction . PT reports BP is occasionally high when anxious. 1010 Pt sitting in chair and feeling well w/o furthur c/o dizziness or blurry vision or heavy headedness . States "feeling good to leave". BP 165/81 P 85 pox 96%. Pt left on foot with husband.

Other Meds:

Current Illness:

ID: 1141591
Sex: F
Age: 46
State: CT

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

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

Lab Data:

Allergies: Aspirin, all NSAIDs and sulfa drugs

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

Symptoms: Fever 101 degrees, headache, body aches, fatigue

Other Meds: Junel

Current Illness: n/a

ID: 1141593
Sex: F
Age: 64
State: TX

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: None

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

Symptoms: 1. Severe Headache on day 2...lasting 3 days 2. Itchy raised rash on left forearm on day 2 after injection. Still here on day 4 after injection.

Other Meds: Otc Benadryl

Current Illness: None

ID: 1141594
Sex: M
Age: 74
State: OH

Vax Date: 02/02/2021
Onset Date: 02/16/2021
Rec V Date: 03/28/2021
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: Shell fish Penicillin, Flagyl, Ciporfloxacin, Demerol, Doxycycline Hyclate.

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

Symptoms: Vertigo, dizziness, off balance ringing in right ear. Meclizine 25MG. No longer taking Meclizine but still having feeling of off balance. .

Other Meds: None

Current Illness: None

ID: 1141595
Sex: F
Age: 34
State: TX

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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, ceclore, sulfa, latex

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

Symptoms: Extreme lethargy, could not keep eyes open, could not move left eyebrow or top eyelid the next morning, on and off fever and chills, pain at injection site.

Other Meds: Buproprion Buspirone

Current Illness: None

ID: 1141596
Sex: F
Age: 53
State: TN

Vax Date: 03/20/2021
Onset Date: 03/23/2021
Rec V Date: 03/28/2021
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: Bumps that appear in 3 first site right foot on top 2 nd location right arm above elbow in back 3rd location left arm above hand in rear 4 th location stomach 5 th location left shoulder

Other Meds: Novolog mix 70/30 Metformin Hydrochlorothiazide 25 mg Losartan potassium 100mg

Current Illness:

ID: 1141597
Sex: F
Age: 58
State: NE

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

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

Lab Data:

Allergies: Sulfate-oral or topical, insect bites, bees, wasps strings, grass, weeds, rag weed, trees , mold, red ant bites.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Hives, swelling, itching started at 10:15am.

Other Meds: Meloxiam 15mg, Pantoprazole 40mg, Citslipram 20mg

Current Illness: None

ID: 1141598
Sex: M
Age: 60
State: FL

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Whole body weakness, pain

Other Meds: Omega 3 1G, Metformin 850 mg, B6, B12

Current Illness: None

ID: 1141599
Sex: M
Age: 22
State: IL

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

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

Lab Data:

Allergies: Penicillin?, Augmentin

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

Symptoms: Tingling of the Tongue. 118/74, 88, BS 103 O2 sat 98% Respirations 16

Other Meds: none

Current Illness: None

ID: 1141600
Sex: F
Age: 43
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Red raised 2 inch in diameter blotchy spot. Extremely painful and sensitive even to clothing. Could not raise arm above shoulder level. Mild tiredness. Better today which is 2 days after injection.

Other Meds: Vitamin D Vitamin C Keratin Collagen Multi vitamin CBD oil on occasion Loratadine

Current Illness: None

ID: 1141601
Sex: F
Age: 65
State: NY

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
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: Unevaluable event

Symptoms: Fainted. Felt faint, sat in chair, fainted, woke up on floor with chair tipped over. Nauseated, dizzy, & stiff muscles for several hours.

Other Meds: None

Current Illness: Migraines

ID: 1141602
Sex: F
Age: 58
State: AL

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: None

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

Symptoms: Redness, heat, pain and swelling

Other Meds: HBP, high cholesterol, arthritis meds Daily vitamins, fish oil, CoQ10

Current Illness: None

ID: 1141604
Sex: M
Age: 40
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: Persistent nausea

Other Meds: None

Current Illness:

ID: 1141605
Sex: F
Age: 61
State: NC

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Compazine

Symptom List: Injection site pain, Menorrhagia

Symptoms: One week after vaccine I experienced an itchy rash on the left arm where the vaccine was administered, the following morning I had mild pain radiating down the arm. Taking Acetaminophen for symptoms.

Other Meds: Vitamin D 2000 IU, Potassium 200mg, Clobetasol Propionate 0.05%, Estradiol Cream 0.01%

Current Illness: None

ID: 1141606
Sex: F
Age: 67
State: MN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: Metronitrozal

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

Symptoms: 3:25-21: Noon starting muscle aches, fatigue, nausea and confusion, very thirsty; 4 pm stronger muscle aches, fatigue, stronger nausea, very thirsty and couldn't shake the confusion. 3-26-21: 1 a.m. woke with 102/103 temp. extreme full body aches, extreme fatigue, nausea, very thirsty, confusion and panic (I thought someone was trying to kill me.) heart racing. I had difficulty locating Tylenol, Advil and thermometer. Paced in confusion, began crying. Took 2 extra-strength Tylenol. 3-26-21 8 a.m. temperature 101, full body aches, nausea, extreme thirst, and confusion, paranoia gone took more extra strength Tylenol. 3 p.m. same symptoms. Took two extra-strength Advil. 10 pm same symptoms took two extra strength Tylenol. 3-27-21: 8 a.m. temperature 100, body aches were not as bed, These symptoms continued to 3-28-2021.

Other Meds: Zomig for Migraine. I had not taken any Zomig weeks before vaccine nor any time after vaccine.

Current Illness: None

ID: 1141607
Sex: F
Age: 41
State:

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

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache, neck and back pain, fever, fatigue

Other Meds:

Current Illness:

ID: 1141608
Sex: F
Age: 28
State: NV

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Itchy, swollen, sore, and red at injection site.

Other Meds: Montelukast Symbicort Inhaler Multi vitamin

Current Illness: None

ID: 1141609
Sex: F
Age: 64
State: IN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: NKA

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

Symptoms: 12:00 noon, began to feel nauseous, achy, scratchy eyes. Afebrile. ?Woozy? feeling increased. Uncomfortable to read, watch TV. Slept x 1-2 hours. Symptoms subsided minimally while lying down. Increased upon standing. Could not eat. 9:00 pm, s/sx started to subside. Was able to eat some soup. By 10:00, felt relatively normal, but symptoms minimally returned upon standing. 8:00 next day, feeling normal

Other Meds: Singulair, Duloxetine, propranolol, Candesartan, Lipitor, famotidine

Current Illness: None

ID: 1141610
Sex: F
Age: 20
State: MI

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
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: hot flush, dizziness, symptoms resolved in 30 min

Other Meds:

Current Illness:

ID: 1141611
Sex: F
Age: 68
State: MD

Vax Date: 03/18/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: nka

Symptom List: Injection site pain

Symptoms: Skin inflamed at injection site. Approximately 7 days after injection, the skin rash became itchy and red.

Other Meds: Amlodipine, Crestor, Acyclovir, enteric aspirin, Vitamin C and D, Calcium,

Current Illness: none

ID: 1141612
Sex: F
Age: 58
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: I am allergic to penicillin. I get hives.

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

Symptoms: From the 5th til the 12th, there was a place that was raised, hot and red and was about the size of a dime. On the 12th, it started getting larger and larger. By the end it was about the size of a grapefruit. I went to my Hematologist on 01/15 who suggested I go home and put heat on it. By the next day it was larger. I called the doctor back advised to go to the ED on 01/16. The ED thought it was celulitis and they gave me an IV antibiotic and an oral antibiotic. I then saw my regular doctor on 01/18 who determined it was an allergic reaction to the vaccine and recommended taking an allergy medication. Within 2 or 3 days, it subsided.

Other Meds: No

Current Illness: No

ID: 1141613
Sex: M
Age: 59
State: CA

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 03/28/2021
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: Heart Palpitations (appear to be premature ventricular contractions), foggy head. on and off for two weeks. Anxious feelings and foggy brain accompany palpitations. Feel normal part of the time.

Other Meds: Losartan 100mg and amlodipine 10mg for mild hypertension .5ml/week testosterone

Current Illness: none

ID: 1141614
Sex: M
Age: 63
State: NC

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: No immediate reaction. Five hours after injection upset stomach followed by light headedness, and fatigue. No fever. Loss of appetite. Soreness at injection site which spread from shoulder to elbow of left arm. Chills. Poor night's sleep with most symptoms continuing in morning.

Other Meds: None

Current Illness: none

ID: 1141615
Sex: U
Age:
State: LA

Vax Date:
Onset Date:
Rec V Date: 03/28/2021
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: 11:15 Dizzy 11:30 Swollen tongue, chest pressure, administered epinephrine. I was took to the ER, allergies, inflammation of face, redness of face, ncek and chest.

Other Meds:

Current Illness:

ID: 1141616
Sex: F
Age: 73
State: MA

Vax Date: 03/22/2021
Onset Date: 03/25/2021
Rec V Date: 03/28/2021
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: Red itchy ring around injection site

Other Meds: Crestor and dexilant

Current Illness: None

ID: 1141617
Sex: F
Age: 65
State: IN

Vax Date: 02/27/2021
Onset Date: 03/04/2021
Rec V Date: 03/28/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Turned red few 3 days later lasting a few 3-4 days which turned to a scab and week later have a scar similar to Polio vaccine scar which to the date remains a round scar.

Other Meds: N/A

Current Illness: Finished COVID 19 symptoms on Jan 5, 2021

ID: 1141618
Sex: F
Age: 41
State: CA

Vax Date: 03/13/2021
Onset Date: 03/17/2021
Rec V Date: 03/28/2021
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: Heart beats really rapidly for about a minute a couple times a day. Also, feel small heart palpitations that I've never experienced throughout the day.

Other Meds:

Current Illness:

ID: 1141619
Sex: F
Age: 26
State:

Vax Date: 03/20/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Shellfish

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

Symptoms: About a week after the area at the injection site developed a rash and became swollen, red, and itchy. It has persisted for over a day, but the itching has subsided. It it still warm, red and swollen. I had mild pain under my left armpit as well, similar to muscle tenderness, but it is to painful to the touch, just when I lift my arm or move it in certain ways.

Other Meds: Prenatals

Current Illness:

ID: 1141620
Sex: F
Age: 73
State: IL

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: NKA

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

Symptoms: Gas pain, 1/10 tenderness RUQ 156/80, 80 16 O2 sat 98%

Other Meds: HCTZ, Statin

Current Illness:

ID: 1141621
Sex: F
Age: 56
State: NC

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/28/2021
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: Pain in extremity

Symptoms: Swollen under arm swelling and painful Same arm as the injection site began 24 hours after receiving vaccination (3/21/21) stopped (3/23/2021)

Other Meds: daily multivitamin

Current Illness: none

ID: 1141622
Sex: F
Age: 43
State: FL

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Diclofenac

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

Symptoms: Severe Diarrhea with cramping lasting 2 days (so far) & chills (no fever) - took pepto bismol , hydration, brat diet, rest

Other Meds: Phentermine 37.5 Femynor .25

Current Illness: N/a

ID: 1141623
Sex: F
Age: 64
State: IN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: NKA

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

Symptoms: Woke the following morning tired with an upset stomach. I suffered fatigue with stomach pain the remainder of the day. Ate very little. The following day I had the same symptoms plus I was feverish (100.6). and I had a headache. Unable to eat all day. Drank only a little. Stayed in bed the entire day. The third day (today) the fever is gone. Fatigue and mild stomach upset only remaining symptoms.

Other Meds: Omeprazole

Current Illness: None

ID: 1141624
Sex: F
Age: 84
State: ID

Vax Date: 02/20/2021
Onset Date: 02/23/2021
Rec V Date: 03/28/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Vomiting (5 episodes), body aches and pains, severe headache, extreme weakness and fatigue. Vomiting lasted about five hours, body aches and headache for 36 hours. Weakness and fatigue for almost five weeks.

Other Meds: Too many to list

Current Illness: None

ID: 1141625
Sex: F
Age: 74
State: GA

Vax Date: 03/05/2021
Onset Date: 03/06/2021
Rec V Date: 03/28/2021
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: Fresh pineapple, walnuts, Swiss cheese Achromycin, Cymbalta, Lidocaine, Prilocaine (more than 3%), Buspirone

Symptom List: Vomiting

Symptoms: By March 6, fever, increased blood pressure and pulse, regular headache, upset stomach -- The fever subsided on March 7 but then came back that night. I also developed ocular migraines (not a regular headache) on March 7 and 8. These include aura and interrupted vision. I do get this kind of migraine from time to time. My temperature is also running a little low.

Other Meds: None taken at vaccination time. I take Synthroid, Losartan, and Pravastatin every day.

Current Illness: None

ID: 1141626
Sex: F
Age: 66
State: AZ

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/28/2021
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: Motrin, avocado, dogs, cats, trees, grass

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Swelling of lips, face, eyes. Worse on the left side

Other Meds: None

Current Illness: None

ID: 1141627
Sex: F
Age: 34
State: NC

Vax Date: 03/23/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
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: None that I know of

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

Symptoms: The first two days, I was fine besides my arm hurting. Starting on Friday, there was some discomfort under my armpits. I'm prone to anxiety - so on Friday night I was extremely anxious and didn't sleep until 3am. On Saturday, the armpit pain became worse especially at night. Again didn't sleep until 4am. There is swelling and pain still on Sunday morning. I've iced and put a warm compress on them which is helping slightly but the swelling and pain is still there.

Other Meds: None

Current Illness: None

ID: 1141628
Sex: M
Age: 72
State: VA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/28/2021
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: Seasonal

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Client shared that after the vaccinator gave the vaccine, they squired some out prior to placing it in the sharps bin. Client shared the vaccinator said "sometimes there's some trapped in there" Completed VAERS report with client. No other treatment provided.

Other Meds: BP meds, Sinus medication, Anti anxiety medication

Current Illness: N/A

ID: 1141629
Sex: F
Age: 42
State: TN

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/28/2021
Hospital:

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

Lab Data:

Allergies: Zpack antibiotics

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

Symptoms: Bright red rash started on my neck 1 day after vaccine. It is spreading over my chest, torso, and sides. The rash is becoming brighter and itchy now in the 3rd day. It is not responding to hydrocortizone cream or oral doses of Benadryl.

Other Meds: lexapro 5mg zyrtec 10 mg

Current Illness: none

ID: 1141630
Sex: F
Age: 36
State: VA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/28/2021
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: Shell fish

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

Symptoms: 11;58 patient has had the vaccine and waiting in observation. patient C/O throat feeling " scratchy." Patient's voice is slightly horse. Patient ambulates to a quiet place w RN. Patient reports she is allergic to shellfish. 12:00 vitals ; 110/70, A- 90, 18, 100%. patient's arms and hands are with red splotches. Lungs clear and no change in throat symptoms. patient received 25 mg P.O. Benadryl with water. 12:10 vitals; 110/80, A- 84, 18, 100% No change in patient's condition. Patient is able to carry normal conversation. 12:30 Vitals ; 110/72, A-86, 18, 100% . Red splotches , scratch throat, and voice changes have resolved. patient reports feeling her normal. Patient has been instructed to seek medical attention if symptoms return. Patient states understanding. 12:40 Patient ambulates independently out of building.

Other Meds:

Current Illness: 11;58 patient has had the vaccine and waiting in observation. patient C/O throat feeling " scratchy." Patient's voice is slightly horse. Patient ambulates to a quiet place w RN. Patient reports she is allergic to shellfish. 12:00 vitals ; 110/70, A- 90, 18, 100%. patient's arms and hands are with red splotches. Lungs clear and no change in throat symptoms. patient received 25 mg P.O. Benadryl with water. 12:10 vitals; 110/80, A- 84, 18, 100% No change in patient's condition. Patient is able to carry normal conversation. 12:30 Vitals ; 110/72, A-86, 18, 100% . Red splotches , scratch throat, and voice changes have resolved. patient reports feeling her normal. Patient has been instructed to seek medical attention if symptoms return. Patient states understanding. 12:40 Patient ambulates independently out of building.

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm