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: 1147229
Sex: F
Age: 59
State: FL

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
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 that I am aware of

Symptom List: Dysphagia, Epiglottitis

Symptoms: No side effects at time of injection. 5 days later on 3/28, my lymph nodes on right side of face/neck became swollen. Today is 3/30 and they remain the same, swollen.

Other Meds: none

Current Illness: none

ID: 1147230
Sex: M
Age: 72
State: MN

Vax Date: 02/26/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
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: No known allergies

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient tested POSITIVE for COVID 19 4 weeks after receiving second dose of vaccine.

Other Meds: Metformin, Tamsulosin, Lisinopril, Gabapentin, Aspirin, Pravastatin, Canagliflozin

Current Illness:

ID: 1147231
Sex: F
Age: 46
State: IN

Vax Date: 03/18/2021
Onset Date: 03/23/2021
Rec V Date: 03/30/2021
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 known

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

Symptoms: Swollen and painful lymph node in armpit in same arm as injection.

Other Meds: Doterra essential oil vitality vitamin pack

Current Illness: None

ID: 1147233
Sex: M
Age: 41
State: CA

Vax Date: 02/23/2021
Onset Date: 03/04/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: swollen lymph node in left underarm approximately size of tennis ball. pain in left underarm lymph node like muscle tear

Other Meds: venlafaxine

Current Illness: none

ID: 1147234
Sex: M
Age: 83
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 03/30/2021
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: Resident began to feel ill at 2:30 am the night after he received 2nd dose of COVID vaccine. Suffered from weakness, chills, and nausea. Felt ill for approximately 2 days, but then symptoms subsided.

Other Meds:

Current Illness:

ID: 1147235
Sex: F
Age: 29
State: CA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
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: Naproxen

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

Symptoms: Began menstrual spotting the next day and heavy bleeding the following day. I just had my period 2 weeks before that. My period comes every few months because I am on Nexplanon. I haven?t bleed this heavy since I was a teenager.

Other Meds: Nexplanon

Current Illness: Lupus

ID: 1147236
Sex: M
Age: 42
State: VA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: He reports that his first symptom started the same day and he received the vaccination around 3 pm. He started to feels symptoms around 8 pm pain around hip area bilaterally. On the following day he experienced upper back pain/shoulder pain/abdominal pain. He reports to intermittent feelings of bloating/constipation following vaccination and took stool softeners which led to loose bowel movements. About 4-5 days after the vaccination the patient noted improvement in all his symptoms.

Other Meds: 1) DICLOFENAC NA 1% TOP GEL APPLY 2 GRAMS TO AFFECTED ACTIVE AREA DAILY AS NEEDED FOR PAIN * PLEASE USING DOSING CARD FOUND INSIDE OF BOX 2) EMPAGLIFLOZIN 25MG TAB TAKE ONE TABLET BY MOUTH EVERY ACTIVE DAY 3)

Current Illness: None

ID: 1147237
Sex: F
Age: 89
State: CO

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: gabapentin, ibuprofen, mirtazapine

Symptom List: Pharyngeal swelling

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: patient presents to emergency department (ED) reporting unremitting dizziness after receiving vaccination sixteen days prior. Dizziness is worsened by rising and associated with disequilibrium and vision changes. Vital signs all within normal ranges. Patient denies respiratory, gastrointestinal, and dermatologic symptoms. Physical exam is normal. Patient monitored, symptoms improved with hydration and good oral intake, and patient discharged stable to home with follow-up in place.

Other Meds: acetaminophen, carboxymethylcellulose ophthlamic, diclofenac optical, duloxetine, famotidine, levothyroxine, polyethylene glycol, senna

Current Illness: neuropathic pain (back), hypothyroidism- thyroid over suppressed requiring dose adjustments and labs

ID: 1147238
Sex: M
Age: 26
State: TX

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

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

Lab Data:

Allergies: n/a

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: right facial swelling and upper right lip swelling

Other Meds: Gastro Health herbal supplement , culturelle probiotic Gentle move stool softener Bactrim DS vitamin c zinc

Current Illness: n/a

ID: 1147239
Sex: F
Age: 62
State:

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
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: body aches, chills, h/a. Took tylenol.

Other Meds:

Current Illness:

ID: 1147240
Sex: F
Age: 52
State: TN

Vax Date: 03/09/2021
Onset Date: 03/11/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: swollen lymph nodes, pain from bicep down to wrist, entire arm swelling, left breast pain, red rash under left arm

Other Meds:

Current Illness:

ID: 1147241
Sex: F
Age: 27
State: NC

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: My lymph nodes in my left armpit became swollen the following day, Friday, 3/26, but it was not too bad. We are now on 3/30 and they are still swollen and quite tender.

Other Meds: N/A

Current Illness: N/A

ID: 1147242
Sex: F
Age: 56
State: TX

Vax Date: 03/20/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: penicillin

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

Symptoms: After 6 days, the left arm at the injection site, became hot and itchy with a round, firm, red spot. I am reporting that the it has grown and is still showing these signs after 3 more days.

Other Meds: Vitamins - Zinc, C, B, D and melatonin

Current Illness: none

ID: 1147243
Sex: M
Age: 69
State: AL

Vax Date: 03/15/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
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 known

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

Symptoms: Developed Bell's palsy on left side of face

Other Meds: metoprolol succ er 25mg; lisinoptril 20 mg; pravastatin 10 mg

Current Illness: none

ID: 1147244
Sex: F
Age: 56
State: FL

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 03/30/2021
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: NKDA

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

Symptoms: Benign positional vertigo and tinnitus that started the evening of 03/13/21.

Other Meds: ProAir HFA 108 MCG/ACT, Fluticasone Nasal Suspension 50 MCG/ACT, Hydrocodone/Acetamin 7.5/325MG, Lisinopril 10MG, Meclizine 25MG, Methocarbamol 500MG,

Current Illness: NONE

ID: 1147245
Sex: F
Age: 22
State:

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: felt feverish, chills, h/a. out of work x1 day. Took tylenol x1 week

Other Meds:

Current Illness:

ID: 1147246
Sex: F
Age: 38
State: MS

Vax Date: 03/08/2021
Onset Date: 03/08/2021
Rec V Date: 03/30/2021
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: Sulfa drugs in particular Bactrim, Latex allergy, Lactose intolerant

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

Symptoms: On the day of getting the shot it burned badly. About an hour later a knot formed at the injection site and my skinned turned red. On March 12, my arm was still red, feverish and the knot was still present. I went to the doctor on March 15 where he examined the knot. It was still feverish sore to touch and starting to turn the color similar to a bruise. He put me on an antibiotic because it seemed infected. I finished the antibiotic and as of today March 30, the knot is still present. It doesn't hurt to touch it anymore but I still have a hard mass a little bigger than a quarter at the injection site and the bruising color is still present. I go for an ultra sound of the knot on tomorrow, March 31.

Other Meds: Tazodone 50 mg, Citalopram 40 mg, Centrum Multivitamin, Hair/Nail/Skin supplement, ashwagandha supplement, energy vitamin supplement

Current Illness: None

ID: 1147247
Sex: M
Age: 51
State: AZ

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

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

Lab Data:

Allergies: n/a

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Syringe came apart in the administrator's hand as he was injecting my left arm. Some vaccine ran down my arm and was lost. The paramedic administering the injection told me "this happens all the time" and that I "only need a quarter of it (the dose)." I don't know how much vaccine I actually got and am concerned I didn't get a proper second dose. County Health Department referred me to the CDC. The CDC referred me to VAERS. I need *somebody* to take ownership and tell me what to do.

Other Meds: n/a

Current Illness: None

ID: 1147248
Sex: F
Age: 49
State: TN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: numbness down left arm into pinky and ring finger; numbness up left arm into neck and face; nausea

Other Meds: lisinopril vyvanse fluoxetine fish oil lo loestrin fe

Current Illness: none

ID: 1147249
Sex: F
Age: 53
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 03/30/2021
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: Immediate mild dissociation (derealization) upon getting injection along with a drop in serotonin levels. By hour six after injection, total dissociation (depersonalization-derealization) and significant drop in serotonin levels. Loss of balance, formation of coherent speech. The total dissociation lasted for about four hours.

Other Meds: Pantroprazole DR 40mg L-Thyroxine 50mcg x3 days, 75mcg x4 days Sertraline HCL 150mg Telmisartan 40mg Montelukast 100mg Atorvastatin 20mg Valacylcovir 500mg Metoprolol 50mg

Current Illness: none

ID: 1147250
Sex: F
Age: 59
State: CT

Vax Date: 03/30/2021
Onset Date: 03/01/2021
Rec V Date: 03/30/2021
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: penicillin ceftin levoquin

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

Symptoms: severe knee pain

Other Meds: levoxyl prozac

Current Illness: none

ID: 1147251
Sex: M
Age: 44
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
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: Unevaluable event

Symptoms: 3:03PM: Patient received Pfizer Covid vaccine and went to waiting room for 15-minute observation period 3:17 PM: Nurse Called to waiting room; patient states of warmness and dizziness, alert with eyes half open 3:17 PM: Non-responsive to name; head back and nonresponsive; Eased to floor; remains non- responsive for approximately 22 seconds. Opens eyes and responds to name. 3:18 PM: NP present. Neuro assessment completed. Pt remains alert and responsive, skin warm and moist. B/P 132/78 3:24 PM: Remains alert and oriented; states of feeling better; assisted to sitting position 3:25 PM: B/P 110/62 Pulse remains strong at 68, denies dizziness; placed in chair with supervised presence in waiting room 3:35 PM: Offered juice and granola bar; eating without discomfort 3:40: B/P 112/62, 68 and regular, skin warm and dry; encouraged to find ride home or back to work 3:50 PM: B/P 118/72, pulse 72 and regular, continues to state of feeling weak, oriented and alert 4:08 PM: Walked around waiting room without dizziness or dyspnea. Pulse 78 and regular; B/P 112/62 4:18PM: walking around room without discomfort or change in consciousness; B/P 116/72, pulse is 72 and regular. 4:30 PM: Remains alert, skin warm and dry, Pulse 74 and regular.

Other Meds:

Current Illness:

ID: 1147252
Sex: F
Age: 34
State: CA

Vax Date: 03/17/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
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: On 03/26/21 at approx. 1730 pm, 9 days post vaccination, HCW reported noticing a small light pink rash over left deltoid muscle area. Per HCW, rash has increased in size. Rash is asymmetrical in shape and currently measures 130 mm x 70 mm or approx. 5x3 inches. Area is warm to touch. No swelling, pain, break in skin integrity. HCW denies presence of rash elsewhere on body. Denies itching/scratching area. Had mild pain initially at injection site that resolved 1 day post injection. Denies CP, SOB, or N/V. PLAN: Coordination for further evaluation. HR Coordinator notified and will coordinate an appointment for the HCW to be evaluated at Health Clinic.

Other Meds: None

Current Illness: None

ID: 1147253
Sex: F
Age: 65
State: OH

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/30/2021
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: 1110 Was leaving facility after second dose Pifzer vaccine. She complained of tingling of body, shakiness of hands, and not feeling right. BP 128/72 P82 R 18 Pulse ox 98%. Denies difficulty breathing or sense of swelling of face 1115 Given Benadryl 25 mg per request but requested to take with yogurt as cannot swallow pills with water. No difficulty swallowing or further complaints. 1120 BP 133/78 P70 R20 Pulse ox 97%. States feels tongue is thick but feels secondary to biting tongue. Shakiness has improved slightly. Hands cool to touch, skin warm and dry. 1140 BP 138/78 P 70 R 20 Pulse ox 97%. States feeling better and ready to go home. Denies further complaints. Anxious to be discharged. Ambulated to bathroom with no dizziness and escorted to car with husband.

Other Meds:

Current Illness:

ID: 1147254
Sex: F
Age: 47
State: MO

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

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

Lab Data:

Allergies: Tysabri & Sulfer meds

Symptom List: Injection site pain, Menorrhagia

Symptoms: Severe left foot & leg drop (I can barely walk), extreme left arm numbness, bladder incontinence ( I can't hold my bladder), extreme fatigue. All these symptoms lasted approx. 9 days and the left foot & leg drop did not come back to what it was before. I'd say it came back approx. 90% to how it was before.

Other Meds: Baclofen 20mg. Escitalopram 10mg, Dalfampridine 10mg ER, Modafinil 400mg, D3 50mcg, Vitamin C 200mg

Current Illness:

ID: 1147255
Sex: F
Age: 62
State: NY

Vax Date: 03/27/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
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: penicillin

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

Symptoms: pt states that she developed chills, severe headache and vomiting for a day and a half. She continues to have a headache. She has been taking Tylenol, aspirin, ibuprofen, alka seltzer. Pt will contact her PCP regarding her symptoms.

Other Meds: Synthroid, Trulicity, Farxiga, Metformin, allopurinol, propranolol , Cymbalta, Abilify, tizanidine, potassium, Vitamin B and D, omeprazole, hydrocodone,

Current Illness: none

ID: 1147256
Sex: F
Age: 49
State: CA

Vax Date: 03/25/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
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: On day 2 after the vaccine I started to have very bad neck pain and headaches. The pain would move around my head, neck and spine with different intensities. It is now 5 days after the vaccine and since day 2 the pain has increased and I am also having nerve pain come and go in my face, hands and feet.

Other Meds: Vitamin D, Multi vitamin, magnesium, melatonin

Current Illness:

ID: 1147257
Sex: F
Age: 74
State: MI

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 03/30/2021
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

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: chills, body aches lasting 48 hrs very red, painful, hot arm with itching on vaccination arm treated with Benadryl with symptoms continuing as of today

Other Meds: Losartan, Propranolol, Levothyroxine, Lansoprazole, Cevimeline, Restasis, Estradiol, Gabapentin, Pravachol, Eliquis, Magnesium Oxide, Alpha-Lipoic Acid, Lioresal, Melatonin

Current Illness: scleritis right eye

ID: 1147258
Sex: M
Age: 61
State: IL

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/30/2021
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

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

Symptoms: Tinnitus, ringing in ears

Other Meds: None

Current Illness: None

ID: 1147259
Sex: M
Age: 47
State: MD

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/30/2021
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: Fatigue, myalgia, joint pain, chills, headache during first 72 hours. Rash at injection site starting on day 6 and still present on day 8.

Other Meds: Vitamin D

Current Illness: none

ID: 1147260
Sex: F
Age: 35
State: NC

Vax Date: 03/03/2021
Onset Date: 03/03/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: She reports a history of urticaria after childhood receipt of PCN, Ceclor, doxycycline, erythromycin, mobic. she denies anaphylaxis symptoms and is unsure of timing of receipt to urticaria onset. She denies a history of food intolerance or allergy She denies a history of allergy to natural rubber, latex or stinging insects.

Symptom List: Injection site pain

Symptoms: 35 yo female with a history of heart failure (EF 35%) dx 2020, reports AE after Covid vaccine #1 (3 MAR 2021) at drivethrough event characterized by onset of dizziness and CP 6/10, feeling cold 10 minutes after vaccine receipt. She denies, pruritis, urticaria, oral/face/throat/tongue swelling, flushing, red/watery eyes, cough, wheeze. She was transferred to ER with neg eval and released. She states CP continued until that evening, but was consistent with CP she intermittently experiences baseline. She reports mild dizziness continued for two days. She had mild site pain. She had increased fatigue for a few days and resolved. She reports a history of presyncope after blood draws. She denies previous AE after vaccine. She was treated with IVF, ASA 325, torrodol 30 mgs and zofran 8 mgs. No repeat event with second dose receipt.

Other Meds: metoprolol 25 KL vitamin D & B supplements.

Current Illness: none

ID: 1147261
Sex: F
Age: 48
State: SC

Vax Date: 03/17/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
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: Site of injection red, swollen, itchy. Raised patchy rash present.

Other Meds: Estrogen patch

Current Illness: None

ID: 1147263
Sex: M
Age: 68
State: MI

Vax Date: 03/19/2021
Onset Date: 03/25/2021
Rec V Date: 03/30/2021
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: No sense of taste and minimal smell

Other Meds: losartan 100mg

Current Illness: none

ID: 1147264
Sex: F
Age: 60
State: AZ

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
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: Swollen lymph node under left armpit. Painful and burning feeling.

Other Meds: Vitamin D, Biotin, B-12, Aspirin 81mg, Magnesium Malate, Triamertene, Buspirone

Current Illness: None

ID: 1147265
Sex: F
Age: 40
State: LA

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 03/30/2021
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: soy

Symptom List: Erythema, Pruritus

Symptoms: 1/7 vaccination 1/8th Evening, I had a flare up. I felt like I was having fever and chills. Nauseous. It took about 2 1/2 weeks for my body to recover. I was feeling so sick. My boss had turned out COVID+. I had COVID test 1/10/2021; negative. I was put on Neuroval and mobic. Sent back to PT for 4 weeks longer because the pain was so bad.

Other Meds: simponi-aria, gabapentin, tramadol, triptyline, perimetazine, norbixin, Buspar, fish oil

Current Illness: infusion for 12/30/2020 spondylitis

ID: 1147266
Sex: M
Age: 66
State: OH

Vax Date: 03/11/2021
Onset Date: 03/11/2021
Rec V Date: 03/30/2021
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: Mouth began to quiver/drool; was able to walk inside from outdoors; had been happening about 2 =3 minutes before I realized what was happening. Was standing so had him continue to do so while I held onto him to let the event pass. Recovered within 5 minutes with no adverse affects. Has been 1.5 years since any previous seizures so wanted to report this for fyi.

Other Meds: levetiracetam, baby aspirin, metoprolol, lisinopril, amiodarone, vitamin D, calcium, fish oil, finasteride

Current Illness: none

ID: 1147267
Sex: M
Age: 74
State: CO

Vax Date: 03/20/2021
Onset Date: 03/21/2021
Rec V Date: 03/30/2021
Hospital: Y

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: Had vaccine about 9:35 am on 3/20/21. In the middle of the night about 2:30 am 3/21/21 He should signs of paralysis on right side of his body and was not able to walk. Went to the emergency room on 3/21/21. Admitted to the hospital. MRI was done about 8:00 pm on 3/21/21 and results were blood clot on left side of the brain caused a stroke. Paralysis of right side of his body and changes in speech. Transferred Rehabilitation Hospital 3/24/21. Possibility of second stroke, and another scan done 3/29/21. Waiting for results

Other Meds: Metoprolol Rosuvastatin Vitamin d Proair

Current Illness: None

ID: 1147268
Sex: F
Age: 76
State: CA

Vax Date: 03/15/2021
Onset Date: 03/15/2021
Rec V Date: 03/30/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: I was not able to climb the 3 stairs to the front of my house by 10 am, getting weaker and weaker every hour. Also losing mental clarity. Awoke at 12:30 am feeling that every cell in my body had frozen; my skin was encasing glaciers of ice that were bumping around each other, causing great pain with every movement. I was surprised to hear myself gasping. I was looking at the scene inside my body. The frozen tension in my body, cell to cell, was crippling. Could not move. I kept appealing to my cells to relax, relax, relieve the tension and the ice would melt. Despite many down jackets, blankets, heating pad, could not warm. Extreme pain everywhere. Got sicker and sicker throughout the day, (super dizzy), fell twice on my back, fever soared. Fuzzy thinking. Threw up all day Tuesday. Very loose uncontrollable bowel. Friend who is working here (renovating the apartment) got Tylenol, etc for me. The second time I fell I couldn?t get up and lay on the floor for over an hour until friend reappeared and gently helped me rise and return to couch. I could not even attempt going back to my bed on the other side of the houseand have been in the office couch since Monday evening. Have continued with wearing 2 sweaters, down jacket for the last 24 hours plus blankets and heating pad. Called doc who said this is ?normal? but my condition is much more ?dramatic?. If not better today (Tuesday) to get to emergency, but this am fever is down and I am able to walk a bit. Dizzy headaches and difficulty walking continued for another week and a half. Weakness still evident. Visited doctor Wed March 24 as still had symptoms, dizzy headaches, fuzzy thinking, brain fog, back injury due to falling when extreme dizzy on 16th.

Other Meds: None

Current Illness: none

ID: 1147269
Sex: F
Age: 17
State: NC

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Administration error. Patient wasn't 18 at time of administration so off labeled use.

Other Meds: N/A

Current Illness: N/A

ID: 1147270
Sex: F
Age: 47
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 03/30/2021
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: Next day, had mild fever, headache, chills, tired, sore left arm 2nd day after vaccine, developed rash on upper body, itchy, red bumps on torso mostly

Other Meds: Allegra

Current Illness:

ID: 1147271
Sex: F
Age: 37
State: AZ

Vax Date: 03/28/2021
Onset Date: 03/29/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Pain in extremity

Symptoms: Low grade fever and headache

Other Meds: Birth control and Zyrtec

Current Illness: None

ID: 1147272
Sex: F
Age: 24
State:

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Nausea- 8 hours following the vaccine and lasted until 29 hours after Vomit- one time about 9 hours after the vaccine Frequent Bowel Movement- every time I ate for 36 hours after vaccine, however stool was solid Sore arm- started 6 hours after and lasted until 48 hours after Ear ache in Right ear- started 12 hours after and lasted until 24 hours after

Other Meds: Zoloft 100mg Adderall 10mg Albuteral Sulfate inhaler

Current Illness:

ID: 1147273
Sex: F
Age: 63
State: MI

Vax Date: 03/24/2021
Onset Date: 03/27/2021
Rec V Date: 03/30/2021
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: C: Hives Had vaccine on wed and broke out with rash on Sat HPI: Patient presents with recent onset of skin rash. Rash has moved to different areas of the body. Rash is erythematous, raised and very itchy. Patient is not sure about what caused the rash. Denies an insect bite, recent exposure to new meds, cloth, cologne, food or other allergens. No recent use of new meds. No trouble breathing, no wheezing, no cough, no chest pain, no palpitations, no dizziness. No problem swallowing or swelling in the tongue or throat. No recent Hx of upper respiratory infection or other illnesses. under sterile conditions the the buttock was prepped with alcohol prep and patient was given a combination of decadron 4mg im with depo medrol 40 mg im Patient tolerated the injection well witho side effect prescribed for steroids to take benadryl and zyrtec will repeort possible adverse effect to regulatory authority.

Other Meds:

Current Illness:

ID: 1147274
Sex: F
Age: 41
State: KY

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/30/2021
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: MACROBID, EFFEXOR, LEXAPRO, ZOLOFT, ADHESIVE, AMOXICILLIN, BIAXIN, NEOSPORIN, PEANUT- CONTAINING DRUG PRODUCTS, TRANSPORE TAPE,

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

Symptoms: EXPERIENCED WARM TINGLY FEELING IN THROAT

Other Meds: WELLBUTRIN, NEURONTIN

Current Illness: BENIGN LIPOMATOUS NEOPLASM OF SKIN,

ID: 1147275
Sex: F
Age: 17
State: NV

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 03/30/2021
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: Participant is 17years of age and should not have been administered the Moderna vaccine according to the manufactuer's guidelines. The participant sat in post op for 15 minutes with no adverse reaction. Mother was present the entire time.

Other Meds:

Current Illness:

ID: 1147276
Sex: F
Age: 48
State: ND

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 03/30/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Numbness and tingling in face. It lasted until around 3pm on 3/2/2021. It was like you had been given novacane at the dentist. Onset was about 2 hours after the vaccination. It was forehead through neck. By the next morning it was nose and nasal passages to chin.

Other Meds: Novolog Paroxetine

Current Illness: None

ID: 1147277
Sex: F
Age: 73
State: GA

Vax Date: 03/04/2021
Onset Date: 03/10/2021
Rec V Date: 03/30/2021
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, Cipro

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

Symptoms: Injection site swollen, reddness, itching. Pt. was seen and dx with Rash and was given steroid injection, and prescribed Prednisone

Other Meds: Amlodipine Besylate 5MG, Losartan 100MG, Metoprolol 25MG, Pravastatin 40MG, Ativan 0.5MG, Adderall 20MG, Zyrtec 10MG

Current Illness: None

ID: 1147278
Sex: F
Age: 67
State: WI

Vax Date: 03/12/2021
Onset Date: 03/18/2021
Rec V Date: 03/30/2021
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: Buzzing in ears and feeling of water and fullness in ears. Have not been to Dr. as of yet. Almost seems like a low motor sound constantly in both ears.

Other Meds: Vitamin D, Fish Oil, Multiple Vitamin, Calcium Synthroid, Atorvastatin

Current Illness: None

ID: 1147279
Sex: F
Age: 25
State: TX

Vax Date: 03/11/2021
Onset Date: 03/16/2021
Rec V Date: 03/30/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Due date is July 7th, 2021. This is the first pregnancy. I had a high resting heart rate and elevate BP for one day. BP was 148/78 and HR was 135 on March 10th. I went to my doctor's office and she has me monitoring my BP and HR every day.

Other Meds: Prenatal, Diclocylomine, Stool Softener, Albuterol inhaler

Current Illness: No

ID: 1147280
Sex: F
Age: 23
State: TX

Vax Date: 03/11/2021
Onset Date: 03/15/2021
Rec V Date: 03/30/2021
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: Latex, metal, pollen, trees, plants, grass, animal fur/dander, dust, foods containing latex (melons, bananas, avocado, kiwi, soy)

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

Symptoms: Had strep on the 15th of March On the 26th of March, was having issues swallowing, went to urgent care. Nothing was able to be figured out, follow up tests to come.

Other Meds: Zyrtec, probiotic supplement, multivitamin, singular, benadryl

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm