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: 1143695
Sex: M
Age: 21
State: TX

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 03/29/2021
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient states that on day of vaccine, after receiving vaccine he felt tired, didn't feel well. Around 8pm that evening, he began having chills and didn't sleep well. On 19MAR, patient states he felt tired and vision got blurry while driving. Last thing he remembers is EMS personnel in ambulance stating that BP was very low. Patient states that while trying to brake prior to accident, he felt like he couldn't move his foot and stayed on the accelerator because he couldn't move his foot. MVA 19 Mar 2021. States following his COVID vaccination on 18 Mar, he had fevers, chills, and body aches that night and into the next day. While driving to work on 19 Mar at 0900, he struck another vehicle from behind while traveling 40mph. States his vision went blurry and he was unable to move his leg off the accelerator. He was wearing his seatbelt and the airbags deployed. Denies any LOC. He was taken via ambulance to. Imaging performed, as above, unremarkable. SM denies any issues today and feels well, besides neck pain. Unremarkable neurologic exam in clinic, no focal neuro deficits. MACE completed and showed a 2 point improvement from yesterday. Discussed importance of physical and mental rest, limit caffeinated products. Light indoor duty and no PT for next 3 days. Will f/u on Friday, 26 Mar 21.

Other Meds: Flexeril, Vitamin D supplement

Current Illness: n/a

ID: 1143696
Sex: F
Age: 55
State: MA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
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: amoxicillin morphine- oxy

Symptom List: Anxiety, Dyspnoea

Symptoms: after a few hours my right side of my face went numb, last about 24 hours

Other Meds: Levothyroxine vit D Vit B12 Glucosamine

Current Illness: no

ID: 1143697
Sex: M
Age: 48
State: AZ

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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: None

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

Symptoms: Dizzy and equilibrium problem upon waking up almost 40hrs after first dose. Can?t drive. Unbalanced. Slightly nauseous.

Other Meds: None

Current Illness: None

ID: 1143698
Sex: F
Age: 52
State: CA

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Mushrooms

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Both eyelids are swollen. Left eyelid is more swollen then right.

Other Meds: Vitamin - Womens one-a-day

Current Illness: none

ID: 1143699
Sex: F
Age: 35
State: NY

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Tylenol, Lactose

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

Symptoms: About a day after the vaccine injection, I started breaking out in a slightly raised, flaky, itchy rash around my neck and some dime sized spots on my right arm.

Other Meds: Cymbalta

Current Illness:

ID: 1143700
Sex: M
Age: 53
State: NE

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
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: No known allergies

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

Symptoms: Rash and Hives appeared on left arm and neck within approximately 3 minutes of receiving the vaccine. 25mg oral diphenhydramine given approximately 14 minutes after receiving the vaccine. Patient was monitored by healthcare professionals; rash and hives resolved within approximately 45 minutes.

Other Meds: Zyrtec, Symbicort

Current Illness:

ID: 1143701
Sex: F
Age: 84
State:

Vax Date: 02/25/2021
Onset Date: 02/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Bloody stool

Other Meds:

Current Illness:

ID: 1143702
Sex: M
Age: 64
State: AZ

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
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: Severe Headache, Mild Fever (99.2 F), Body Aches, Chills, minor red rash at injection site, pain in Rt arm at injection site. Started around 3 pm on 3/28/21 and progressed until oral administration of 200 mg of Ibuprofen along with oral administration of 500 mg of Acetaminophen at 4 pm. Another 500 mg of Acetaminophen administered at 8 pm.

Other Meds:

Current Illness: none

ID: 1143703
Sex: M
Age: 37
State: WA

Vax Date: 03/14/2021
Onset Date: 03/15/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies: Crustaceans

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Diagnosed with Vestibular Neuronitis, Labyrinthitis, Nystagmus Severe dizziness, nausea, and vomiting on 3/15/21

Other Meds: None

Current Illness: None

ID: 1143704
Sex: F
Age: 56
State: IL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 03/29/2021
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: SEVERE HEADACHE

Other Meds:

Current Illness:

ID: 1143705
Sex: M
Age: 35
State: NY

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: As was sitting in the kitchen, he fell forward but my wife & daughter were able to break his fall so he went to the floor gently. When he got up he began throwing up a little bit.

Other Meds: Methylphenidate 20mg; omeprazole dr 40mg

Current Illness:

ID: 1143706
Sex: F
Age: 71
State: NY

Vax Date: 03/27/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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: red dye 40

Symptom List: Rash, Urticaria

Symptoms: * hours later, chills, then tiredness and loss of appetite.

Other Meds: none

Current Illness: none

ID: 1143707
Sex: F
Age: 36
State: NY

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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, codeine, morphine

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

Symptoms: swollen, painful lymph nodes in base of neck and under arm all on left side of body.

Other Meds:

Current Illness:

ID: 1143708
Sex: F
Age: 80
State: ND

Vax Date: 03/03/2021
Onset Date: 03/13/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1143709
Sex: M
Age: 68
State: IN

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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: Sulfa drugs

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

Symptoms: Sensation of chills and shivering began approximately 15 hours after injection. Symptoms worsened and broadened to include generalized body aches, headaches, loss of appetite, and overall listlessness which persisted for approximately 30 hours but were ameliorated with Tylenol. Reddened area appeared on left upper arm, approximately 10cm long by 8cm wide and separate from the site of injection. The closest point of the reddened area to the site of injection was separated from it by approximately 2cm. The reddened area was neither painful nor manifested itching. Gradual reduction in redness and swelling noted as time progressed, but is still visible five days post-injection.

Other Meds: Terazonsin 2mg Lisinopril 20mg Aspirin 81mg

Current Illness: None

ID: 1143710
Sex: F
Age: 69
State: MI

Vax Date: 02/16/2021
Onset Date: 03/22/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies: Codeine (skin crawling)

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

Symptoms: Received Pfizer-BioNTech vaccine on 1/26/21 and 2/16/21. Presented to ED with fatigue and shortness of breath. Was found to have a GI bleed and was tested for COVID-19 prior to admission to hospital for treatment. Was admitted from 3/22/21 to 3/27/21 and reported only mild COVID-19 symptoms during stay.

Other Meds: Tylenol, Tudorza, albuterol, vitamin c, aspirin, atorvastatin, azelastine nasal spray, benzonatate, hair skin & nails gummies, calcium plus vitamin d, cranberry, cetirizine, chlorthalidone, fluoxetine, advair hfa, gabapentin, meloxicam, mon

Current Illness: Left hip replacement on 3/17/21

ID: 1143711
Sex: F
Age: 45
State: MI

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 03/29/2021
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: penicillin, levaquin, pollens

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

Symptoms: Originally, slight itching starting a little over an hour post vaccine. By the end of the day, a pink raised welt, smaller than a quarter appeared. This continued to grow over a couple of days to about 3-4" across -warm, raised darker than surrounding skin, itchy. After about day 5 it started to subside.

Other Meds: metformin, singulair, synthroid, metoprolol, cosar, fenofibrate, vit D, vit B complex, prilosec, magnesium, wellbutrin

Current Illness: none

ID: 1143712
Sex: M
Age: 73
State: AR

Vax Date: 03/04/2021
Onset Date: 03/18/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Sulpha antibiotics

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient noted extreme hearing loss in right ear beginning two weeks after 2nd Pfizer Covid Vaccine dose. The next day hearing loss was total in both ears. Patient reports he cannot even hear himself talk.

Other Meds: Xarelto, Nyquil HBP

Current Illness: a few episodes of vertigo

ID: 1143713
Sex: F
Age: 79
State: FL

Vax Date: 03/04/2021
Onset Date: 03/05/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 1st dose: Syncope 2nd dose: rash (Chest and injection site, lip edema)

Other Meds: Tylenol

Current Illness:

ID: 1143714
Sex: M
Age: 50
State: PA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient had a vasovagal response. He became lightheaded. He laid down on stretcher. Gave him juice. Symptoms improved.

Other Meds:

Current Illness: None

ID: 1143715
Sex: F
Age: 45
State: MD

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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: PCN. Motrin

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

Symptoms: Anaphylaxis type reaction with chest tightness and throat fullness. Pt had reaction first dose with Benadryl IM used with a lot of anxiety . Second dose very anxious gave Epi x 2 and Benadryl with pt going out via 911. Pt was awake and talking BP 175/106, P81 O2sat 98%

Other Meds:

Current Illness: Srpgens

ID: 1143716
Sex: F
Age: 66
State: TX

Vax Date: 03/19/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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: Eight days after receiving my Moderna Covid 19 Vaccine my arm at the injection site swelled and became hot to touch and red. I also started feeling like I was going to faint. The redness has spread on my arm but the redness is subsiding. The feeling faint lasted for about 8 hrs. I feel better today. I did not notify my physician since I started feeling better. I took a Zyrtec when I noticed my arm turning red.

Other Meds: Prolia, Caltrate, Vitamin C, Multivitamin

Current Illness: None

ID: 1143717
Sex: F
Age: 50
State: TN

Vax Date: 03/19/2021
Onset Date: 03/21/2021
Rec V Date: 03/29/2021
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: NKA

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

Symptoms: Approx two days after the 2nd vaccine, I developed bilateral, very high frequency tinnitus. It has remained persistent and seems to be getting louder over time. It is even audible in the presence of background noise. I?m considering the use of a steroid dose pack to try and reduce this auditory side effect.

Other Meds: Bupropion Meloxicam

Current Illness: No illnesses prior to or during vaccination period

ID: 1143718
Sex: M
Age: 52
State:

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: My friend stated he felt like he had COVID-19 all over again. Aches in the bones.... fatigue..... Made him feel like a truck hit him just like it did when he had COVID. These side effects only lasted for 1 day.

Other Meds:

Current Illness:

ID: 1143719
Sex: M
Age: 59
State:

Vax Date: 02/04/2021
Onset Date: 03/14/2021
Rec V Date: 03/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1143720
Sex: F
Age: 62
State: MS

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Felt bad upon awakening, on Saturday morning (3/27/21) left arm sore at injection site and in joint of left shoulder and elbow, developed fever of 101.5, took acetaminophen and returned to bed. Fever broke about 8 pm, awoke Sunday felling drained, tried and sore all over.

Other Meds: Naproxen Cetriziline

Current Illness: None

ID: 1143721
Sex: F
Age: 70
State: FL

Vax Date: 03/23/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
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: woke up to a lump in her arm and a red line and very itchy. She put Neosporin on it and a cold compress.

Other Meds: Omeprazole Metformin Atorvastatin Lisinopril Levothyroxine MVI ASA 81mg

Current Illness:

ID: 1143722
Sex: F
Age: 64
State: VA

Vax Date: 03/18/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: sulfa, amoxicillin, codeine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Redness and swelling at the injection site

Other Meds: Metformin, Vitamin B12, doxycycline, Metronidazole gel, probiotic, multi-vitamin, fish oil, loratadine, calcium, red yeast

Current Illness: N/A

ID: 1143723
Sex: F
Age: 51
State: NC

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/29/2021
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: amoxicillin itching/rash tetanus vaccine unknown reaction

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

Symptoms: Received 1st dose Pfizer vaccine 2/24 and reports sx (SOB/Chest pain) started after getting vaccine. Also reports a dose of benadryl helpful. Veritor neg, PCR negative. Tetanus vaccine listed under allergy/advReactions with "unknown" reaction. Discharged from ED same day.

Other Meds: unknown

Current Illness: unknown

ID: 1143724
Sex: F
Age: 54
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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: 1st symptom extreme pain in neck and shoulder of arm injected. Next 4 days, headache, nausea, body aches, loss of appetite, fatigue

Other Meds: Venlafaxine 150mg x1, alprazolam .25mg x1, lisinopril 20/25 x1, omeprozole 20mg x1

Current Illness: None

ID: 1143725
Sex: F
Age: 56
State: PA

Vax Date: 03/19/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: Iodine [CT scan contrast dye]

Symptom List: Injection site pain

Symptoms: Rapid heart rate, elevated BP, rash on neck & face, headache, numbness on lips & tongue. Monitored for about 45 mins until heart rate & BP went down. Took Benadryl. Headache lasted 24 hours. On 3/22 started experiencing outbreak of hives, red dots (looked like chicken pox), extreme itching - mainly on torso and down legs. Saw family doc 3/23 prescribed Methylprednisolone 4mg, Trimcinolone and continue with Benadryl. As of today 3/29 outbreak continuing hives, itching and red marks on torso, buttocks, thigh.

Other Meds: Crestor 40mg Aspirin 325mg Losartan Potassium 100 mg Diltiazem 240 mg Chlorthalidone 25 mg

Current Illness: none

ID: 1143726
Sex: F
Age: 45
State: GA

Vax Date: 02/09/2021
Onset Date: 02/22/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: MY HAIR IS FALLING OUT, I AM LITERALLY ALMOST BALD. STILL GOING ON,

Other Meds: NONE

Current Illness: NONE

ID: 1143727
Sex: F
Age: 47
State: MI

Vax Date: 03/22/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
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: Bactrim

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

Symptoms: This is a continuation of temporary VAERS report ID 384198 filed on 3/26/21. This update was reported to Vaers reporter by phone at 10:30 am on 3/29/21. Client returned to the Urgent Care on 2/28/21 because site had become hard, hot, and red. Client states "it was the size of a baseball, you could tell it was infected". At Urgent care physician diagnosed cellulitis. Client was prescribed Keflex BID for 7 days (she thinks the dosage was 300mg). At time of the phone call client does feel her arm feels better than it did yesterday although still red and swollen, with pain at a 4 on a 10 point scale.

Other Meds:

Current Illness:

ID: 1143728
Sex: F
Age: 36
State: TX

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
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: I became dizzy, weak and faint, to where I called 911 and was assessed. I then have been having SOB since 3/28/2021

Other Meds: OTC Zyrtec

Current Illness: None

ID: 1143729
Sex: M
Age: 31
State: CA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
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: nka

Symptom List: Erythema, Pruritus

Symptoms: Patient states he felt a "head rush" and then lost consciousness and fell out of his observation chair to the floor. Immediately had return of consciousness and sat up and returned to the chair. Observed and released to family and instructed patient to be taken to local Urgent care for evaluation. No obvious injuries from the fall. Patient reported his back teeth felt jagged. VS were stable

Other Meds: unknown

Current Illness: unknown

ID: 1143730
Sex: F
Age: 40
State: MI

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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: PCN

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

Symptoms: Patient became nauseated shortly after receiving 2nd dose. Onsite EMS was called vitals HR 16 BP 85/54 100% O2 BG 87. Adrenaline IM give a per the doctor. She did not have any adverse reaction to the 1st dose 3/4/21 Patient was transported to the hospital.

Other Meds:

Current Illness:

ID: 1143731
Sex: M
Age: 48
State:

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/29/2021
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: After receiving the 1st dose of Pfizer COVID-19 vaccine, the patient moved to the observation area. After 5 min, patient reported feeling light-headed and tried to stand up. The patient sat down on the floor and leaned against the wall. Patient was able to stand and walk to the provider room for closer observation. Patient felt hot and looked pale. The provider placed a blood pressure cuff on the patient, at which point the patient slumped forward and stopped breathing. A carotid pulse was not able to be appreciated. The patient was pulled to the floor, positioned airway open and was given oxygen. BP was 96/40. Blood sugar was checked (104) and the AED pads were placed. EMS was called. AED advised no shock, patient had a pulse and was breathing. Patient gradually became alert, though reported not feeling well. Patient was disoriented and was not aware of passing out nor the current event. Repeat BP 115/50. Patient began vomiting (~300-400 mL). Patient left with EMS to be evaluated at local Emergency Department. Of note, patient reports history of vasovagal syncope events 2/2 to various situations.

Other Meds:

Current Illness:

ID: 1143732
Sex: M
Age: 19
State: PA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/29/2021
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: NKDA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient felt chilled and cold.

Other Meds:

Current Illness:

ID: 1143733
Sex: F
Age: 55
State: WI

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 03/29/2021
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: Previdsid for Gastic Reflux- gave you hives

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

Symptoms: 8 hours post injection Patient reported pain in chest, feeling like her heart was working extra hard. Checked her fit bit in the morning and her normal heart rate is 60 but dropped down to 40bpm during episode. Also felt flushed.

Other Meds: Vitamin D 2000 iu, Vitamin C with Zinc

Current Illness: Sinuses, was taking Sudafed

ID: 1143734
Sex: F
Age: 27
State: NY

Vax Date: 03/06/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
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: Cefzil, sulfa

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

Symptoms: Shingles on my right back and leg. Diagnosed by doctor that it was shingles.

Other Meds: Zyrtec, align probiotic, lo estrin birth control

Current Illness: N/A

ID: 1143735
Sex: F
Age: 74
State:

Vax Date: 01/06/2021
Onset Date: 01/26/2021
Rec V Date: 03/29/2021
Hospital: Y

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: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1143736
Sex: M
Age: 28
State: IL

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies: ceclor, augmentin

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

Symptoms: Later that evening he got a fever as high as 102.7, the following morning it was 102.4 and had bad body aches throughout the whole body, he was unable to move his body due to the pain, the mother call ER and they told her to call the Pharmacy and the pharmacy said to take ibuprofen and Tylenol, that night he just sweat out the fever, He also had shortness of breath

Other Meds: multivitamin

Current Illness: frostbite on toes,

ID: 1143737
Sex: M
Age: 46
State: IL

Vax Date: 02/24/2021
Onset Date: 02/25/2021
Rec V Date: 03/29/2021
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: FATIGUE AND COUGH

Other Meds:

Current Illness:

ID: 1143738
Sex: F
Age: 58
State: NC

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 03/29/2021
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: Left eyelid swollen and twitching, severe headache, body aches, fatique, fever 101.9, chills, diarrhea and cough all began on 03/17/2021. Severe headache, body aches, fatique, fever 100.1, chills and cough on 03/18/2021. Severe headache, body aches, fatique, fever 98.8 and cough 03/19/2021. No symptons on 03/20/2021. Tested positive for COVID by Rapid Atigen and by PCR COVID Test

Other Meds: Vitamin C, Vitamin D3, Zinc, Flaxseed, Citracal, Omeprazole 20 Mg , Symbicort, Hyoscyamine Er 0.375 Mg, Losartan 100 Mg, Clonazepam 0.5 Mg, Albuterol Sulfate Hfa 90 Mcg/actuation Aerosol Inhaler.

Current Illness: N/A

ID: 1143739
Sex: M
Age: 57
State: IN

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/29/2021
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: None

Symptom List: Vomiting

Symptoms: Skull crushing headache that started about 12 hours after injection and lasted for about 18 hours. After 48 hours from injection, headache is 90% improved. Took Advil, but that did nothing for headache. It was the worst headache that I can ever remember having. Extreme muscle pain in various parts of the body started at same time as onset of headache. This, too, died out as the headache got better. Slight nausea on day #2. No fever. Was steady at 96.6 throughout these adverse reactions.

Other Meds: Daily multivitamin Claritin

Current Illness: None

ID: 1143740
Sex: F
Age: 68
State: FL

Vax Date: 03/04/2021
Onset Date:
Rec V Date: 03/29/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Date and time adverse event started: 2 weeks ago; Patient took Tylenol which helped alleviate symptoms

Other Meds: atorvastatin, omeprazole

Current Illness:

ID: 1143741
Sex: F
Age: 41
State: IL

Vax Date: 03/24/2021
Onset Date: 03/27/2021
Rec V Date: 03/29/2021
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: Aspirin, NSAID, Bees

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

Symptoms: Saturday morning- hives on body - got benadryl and 40 mg prednisone Saturday 10 am tongue swelling and hives on tongue - epi pen Sunday morning - more hives- benadryl and extra strength pepsid Hives all over body still (Monday, March 29)

Other Meds: Ritilin, Vitamin D, Vitamin B Complex, Alpha Lipoic Acid, Smarty Pants Multi-vitamin for women

Current Illness: none

ID: 1143742
Sex: F
Age: 69
State: ME

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 03/29/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa , penicillin, thimerosol

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever 99.9 to 102 for 3 days. Chest rash evening of shot until next morning. Severe headache, dizziness, nausea, fatigue for 4 days. Stomach pains for 3 days. Took 2 Tylenol q 6 hours for 3 day which reduced fever. . Took 1 Advil for severe headache which increased indigestion.

Other Meds: Allegra, 81 Mg aspirin

Current Illness: N/A

ID: 1143743
Sex: F
Age: 88
State: PA

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient began feeling hot and dizzy minutes after receiving injection. She was not 100% alert and then was unresponsive for about 7min. Patient had tachycardia. Ambulance was called and patient became more alert after laying down, drinking juice, and resting. Patient was transported to ED.

Other Meds:

Current Illness:

ID: 1143744
Sex: F
Age: 51
State: IL

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 03/29/2021
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: Sulfa antibiotics, tetracycline, MSG, Sodium Metabisulfite, shellfish, mushrooms, mold, SSRIs, Ondansetron hcl, Atropine, Ranitidine, Tizanidine, Fluconazole in dextrose, Ciprofloxacin, chlorphen-pe-acetaminophen, NSAIDs, Nitrofurantoin Monohydrate Macrocrystals, magnesium salicylate, metronidazole, metaclopramide, antihistamines- diphenhydramine type

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

Symptoms: 3/23 10:40 am felt hot all over. Continued 36 hrs, and off and on since then. 3/23 11:00 am very tired. Unresolved but improving at this time. 3/23 11:30 am urinating unusually large amounts. Continued 48 hrs in large amounts before import. Became dehydrated. Urination became normal again 3/27. 3/24 evening nausea, diarrhea lost appetite, chills low grade fever (99.2), heart pounding. Fever, diarrhea, heart pounding and chills ended morning of 3/25. Nausea ended evening of 3/25. Lost appetite continued through 3/28.

Other Meds: Estradiol, vitamin D, probiotic , Tums

Current Illness: Seasonal allergies (mild)

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm