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: 1148485
Sex: M
Age: 24
State: AL

Vax Date: 03/26/2021
Onset Date: 03/28/2021
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: Allergic to Doxycycline.

Symptom List: Dysphagia, Epiglottitis

Symptoms: Starting at 12:30am on Sunday, I started experiencing severe chills and headaches. I normally sleep through the night with no issues whatsoever (I'm a healthy 6'1" 170lb 24-year-old guy with no co-morbidities) but had a restless night where my fever eventually rose to 101 degrees Fahrenheit. This continued throughout the next 48 hours with my fever fluctuating between 99.5 and 101. I woke up 5-6 times both nights completely drenched in sweat.

Other Meds: Topical acne medicine: Sodium Sulfacetamide 10% and Sulfur 2% Emollient Cream. I work out a lot and as a precautionary health measure I take the following three supplements once a day: Vitamin C tablets (NatureMade), Vitamin D pills (Natur

Current Illness: None.

ID: 1148486
Sex: F
Age: 61
State: IN

Vax Date: 03/23/2021
Onset Date: 03/23/2021
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: None that I know of

Symptom List: Anxiety, Dyspnoea

Symptoms: Day 1 sore arm shoulder to fingers also teeth, arm warm to touch. Day 2 red blotchy spots like hives on arm also on chest and stomach area just below breast and under breast. Day 3 red blotchy spots turned into red like pimple looking that itched, day 4 upset stomach with diarrhea all day, day 5 red blotchy spots on chest area have now turned into red spots like a pimple looking rash that itch. Day 6 red spots that itch on my legs behind my knees. Day 7 most all of the above is gone but still have the red pimple looking rash on my chest area and behind the knee area they have now developed scabs and do not itch as bad. My doctor recommended I report these affects with you.

Other Meds: Venlafaxine 150MG, Cetirizine 10mg, multivitamin, vitamin c, vitamin d

Current Illness: None

ID: 1148487
Sex: F
Age: 33
State: PA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: dust, hay fever

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

Symptoms: nausea, taking pepto bismol,

Other Meds: Wellbutrin, Diamox, Yasmine

Current Illness:

ID: 1148488
Sex: M
Age: 37
State: CO

Vax Date: 03/22/2021
Onset Date: 03/29/2021
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: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Large Swollen golf ball size diameter swelling and discomfort that was hot to the touch. Treated with warm compress at first and then Iced for 20 minutes every hour with 600 mg of Ibuprophin and some antihistamine.

Other Meds: One a Day Men's.

Current Illness: None

ID: 1148489
Sex: F
Age: 48
State: KY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
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: Latex

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

Symptoms: Headache, joint pain, fatigue, muscle fatigue and weakness, exhaustion, difficulty word finding Treated with vitamins and steroids Ongoing

Other Meds: Pantoprazol Sertraline

Current Illness: None

ID: 1148490
Sex: F
Age: 36
State: CA

Vax Date: 03/03/2021
Onset Date: 03/03/2021
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: strawberries

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

Symptoms: I broke out in hives on my inner forearms that I noticed just before I was about to go to bed. There were a few on my body and my thighs, but they were mostly concentrated on my arms. During the day, they would seem to go away but every night they came back for about 2 weeks. I called my doctor, who told me to speak to a pharmacist. I spoke to 2 different pharamacists who both told me to have my doctor prescribe me an Epipen just in case and to take Benadryl. I got the 2nd Pfizer shot on March 26, and my hives have been much worse. They are big blotches and are itchy, on the back of my neck, sides of my body, arms, and forehead. I have spots that are painful to the touch on my hands and bottom of feet.

Other Meds: Nuva ring, acidophilus, Trace Minerals B12, Vitamin C, D

Current Illness: none

ID: 1148491
Sex: F
Age: 21
State: CT

Vax Date: 03/09/2021
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: Penicillin, mycoprotein

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 2 red rash-like bumps near injection site, disappeared within a week on its own

Other Meds: doxycycline hydrate 100mg, biotin supplement

Current Illness: -

ID: 1148492
Sex: M
Age: 32
State:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient felt numbness in her vaccinated hand while driving home followed by sweating. Once home he started to feel better. No shortness of breath, difficulty breathing, rash or hives were reported. Once the follow up call was made, patient stated he feels fine.

Other Meds:

Current Illness:

ID: 1148493
Sex: F
Age: 66
State: MN

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Sulfa, oxycodone, another antibiotics that is unknown.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Rash, dizziness, syncope, fever/chills, nausea, hives, fatigue. Went to ER received Benadryl, and epinephrine, methyl prednisone inj, pepcid inj. rested and continued Benadryl and prednisone for 5 days. Now feeling good.

Other Meds: simvastatin, escitalopram, topiramate, Calcium,

Current Illness: none

ID: 1148494
Sex: F
Age: 62
State: CO

Vax Date: 03/24/2021
Onset Date: 03/29/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Woke up with severe vertigo. Could not walk, threw up several times in the course of six hours. Slept most of the afternoon, but was very nauseous could not stand up all day. In the evening started feeling slightly better and could walk to the bathroom unassisted.

Other Meds: Myrbetriq Losartan Synthroid Atorvastatin

Current Illness: None

ID: 1148495
Sex: F
Age: 27
State:

Vax Date: 03/19/2021
Onset Date: 03/23/2021
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: N/A

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

Symptoms: I has pain under my arm pit and left by swollen lymph nodes. I had pain for about 6 days and still have a little bit of pain. It is getting better.

Other Meds: Birth control

Current Illness: N/A

ID: 1148496
Sex: M
Age: 66
State: CA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: Soreness, some pain, some swelling around injection site (upper left arm); Soreness in the upper left arm

Other Meds: Lisinopril 10mg; multivitamins

Current Illness: none

ID: 1148497
Sex: M
Age: 63
State:

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

Lab Data:

Allergies: None

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

Symptoms: Patient reported pain in center of black and vision blurry approximately 10 -15 min. Patient with poor color and sweaty. Patient Pulse OX 77% , HR 50. 1555 - Epinephrine 0.3mg administered IM left thigh. Oxygen (full face mask) applied at 15L. Patient pulse ox 98%. Patient report still feeling poorly. 1402 - Benadryl 100 mg IM Right Deltoid administered. 1406 - B/P - 125/82 Pulse Ox 98% HR - 56 Oxygen slowly decreased to 5 L. EMS transported to ER

Other Meds: Patient taking Lisinopril, Omeprazole and Metoprolol

Current Illness: None

ID: 1148498
Sex: M
Age: 25
State: FL

Vax Date: 03/17/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Apples, peppers, dust, pollen.

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

Symptoms: Pain, Fatigue, Chills, Body Ache I used Advil to ease the pain I doesn?t last long.

Other Meds: Vitamin D and Iron

Current Illness: None

ID: 1148499
Sex: F
Age: 37
State: NJ

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

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

Symptoms: Nausea

Other Meds:

Current Illness:

ID: 1148500
Sex: F
Age: 72
State: CT

Vax Date: 03/16/2021
Onset Date: 03/18/2021
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: None

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

Symptoms: Skin on left front under breast and left side of back aligning with the area in front is sore - there is no rash, no spots - just a sensitivity in a small area both front and back

Other Meds: Simvastatin 20 mg. Zioptan eye drops and Co-Sopt eye drops for glaucoma

Current Illness: None

ID: 1148501
Sex: F
Age: 35
State: CA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
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: Ceclor

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

Symptoms: Around 9pm began have extreme chills and aches. Could not sleep. Still have chills, aches and a migraine. Was so uncomfortable didn?t get out of bed until 2. Took extra strength Tylenol at 6:30. Did nothing for headache and chills came back at 10:30. Took Norco at 12:30 and was able to get a little sleep. Woke up and felt good enough to get out of bed and check temp. Temperature was 102.2 at 3:00. I think my temperature was well over 102 last night because of how uncomfortable I was.

Other Meds: Levothyroxine. Zyrtec. Multi vitamin

Current Illness:

ID: 1148502
Sex: F
Age: 79
State: NC

Vax Date: 03/26/2021
Onset Date: 03/27/2021
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: Coding, adhesive, Tobradex

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Swelling from injection site to 2 inches above elbow, very itchy. Swelling/hot skin around entire upper arm. By third day, swelling had migrated past elbow to upper forearm, still itchy.

Other Meds: Tylenol

Current Illness:

ID: 1148503
Sex: F
Age: 56
State: KS

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: patient stayed for 15 minutes after the shot and then left. She said she tasted metallic and tingle in lips/mouth so she drove back to the store and came inside. We gave her 50mg diphenhydramine PO. She had BP of 178/96 and pulse 107. She seemed to calm down but we had already called paramedics. They arrived and she became frantic and asked for EpiPen. They monitored her EKG and asked her many questions. She demanded to go to the ER so they put her on a stretcher and left. Her pulse did get up to 150 when she was most frantic however her oxygen saturation stayed 100% through entire time. She was instructed to slow her breathing and remain calm.

Other Meds:

Current Illness:

ID: 1148504
Sex: F
Age: 41
State: GA

Vax Date: 03/17/2021
Onset Date: 03/24/2021
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: I didn?t have any immediate reactions, but around March 24th the infection site became really itchy. It?s been itching since. It?s not all the time, but about 1/4 of the time it will itch on and off throughout the day. I don?t have this issue anywhere else and it is at the site of the Covid vaccine injection that I had on March 17th. I do not have any rash or redness. The reaction is not major, but I have read about ?Covid arm? as I was googling why the site may be itching, and what I read is that the itching has happened in the moderna vaccine but none have been reported with the Pfizer vaccine. So I wanted to report this happening to me as I had the Pfizer vaccine. I have not sought any medical attention for it as it is not causing any other issue apart from itching at the moment. It is still ongoing.

Other Meds: Adderall Ventolin inhaler Spironolactalone Abilify Escitalopram Vita fusion women?s multivitamins

Current Illness: None

ID: 1148505
Sex: M
Age: 55
State: TX

Vax Date: 03/16/2021
Onset Date: 03/19/2021
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: No

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

Symptoms: Postherpetic Neuralgia relapse. Pain treatment

Other Meds: Contact me for more info

Current Illness: Post Herpetic Neuralgia

ID: 1148506
Sex: F
Age: 59
State: TX

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Patient had already received a single dose of Pfizer vaccine on 1/14/2021. Screening questions were answered by nurse (I asked her as I was prepping vaccine) and I didn't look at paperwork until after.

Other Meds:

Current Illness: None

ID: 1148507
Sex: F
Age: 74
State: MD

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

Lab Data:

Allergies: None

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

Symptoms: Mild nausea, extreme fatigue, migraine

Other Meds: Cymbalta, lexapro, aimovig injector, sumatriptan, synthroid, multivitamin, vitamin D, magnesium taurate, melatonin, l-theatnine, B-complex vitamins

Current Illness: None

ID: 1148508
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: mild swelling of left side of face and redness on upper chest area. Denies SOB, chest pain, denies swallowing problem. Seen and cleared by EMS

Other Meds: estrogen

Current Illness:

ID: 1148509
Sex: F
Age: 17
State: TX

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

Lab Data:

Allergies: NKDA per father

Symptom List: Injection site pain, Menorrhagia

Symptoms: Scheduling error occurred and patient was given vaccine outside of recommended age group. No adverse reactions observed on 3/30/21 at clinic, patient's parents notified and will continue to monitor.

Other Meds:

Current Illness: none per father

ID: 1148510
Sex: M
Age: 74
State:

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

Lab Data:

Allergies:

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

Symptoms: Severe aches around pelvic girdle making it difficult to sleep at night. Also very sore arm.

Other Meds:

Current Illness:

ID: 1148511
Sex: F
Age: 44
State: CA

Vax Date: 03/30/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient reported muscle weakness and dizziness starting at 1415. Vital signs at this time were as follows: 117/75 mm Hg, Pulse 90 bpm, oxygen saturation 98%, and respiratory rate 18 bpm. RN noted muscle weakness in extremities, and sweating. Patient reported dizziness and feeling like she would pass out. Vital signs at 1420 were as follows: 114/75 mm Hg, pulse 109 bpm, oxygen saturation 99%, and respiratory rate 20 bpm. Patient reported not eating food, or drinking water recently. Patient was provided water and candy, and had persistent numbness and weakness in extremities. Paramedics were called to assess patient. Paramedics assessed and found patient not meeting medical necessity (vital signs WNL). Patient signed medical wavier paramedics provided. Vital signs were as follows: 117/73 mm Hg, Pulse 91 bpm, and oxygen saturation 99%. Patient reported "feeling better, and wanting to go home." Paramedics escorted patient to her car, along with her husband. Patient was provided information to call medical professional if symptoms worsen.

Other Meds: None

Current Illness: Patient was in a car accident month prior

ID: 1148512
Sex: F
Age: 27
State: CO

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever (~101) Aches Chills Diarrhea Nausea Pain at injection site Chest pains

Other Meds: None

Current Illness: Nonep

ID: 1148513
Sex: F
Age: 35
State: CA

Vax Date: 03/20/2021
Onset Date: 03/24/2021
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: Mild allergy to Ibuprofen

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

Symptoms: There have been 3 separate adverse events. 3/20/21 - 3/23/21: Left arm that had the injection was so sore I could not lift above the shoulder. The pain subsided after 3 days. 3/24/21 - Ongoing: Swollen and painful lymph nodes under left arm. 3/30/21 - Ongoing: Swollen and painful lymph node the size of a marble under left collarbone.

Other Meds: Junel 1/20 Birth Control, Zyrtec Allergy

Current Illness:

ID: 1148514
Sex: F
Age: 60
State: CA

Vax Date: 03/23/2021
Onset Date: 03/23/2021
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: metformin

Symptom List: Nausea

Symptoms: felt nausea and dizziness on day of vaccine. 2-3 days after sore throat, hard to swallow, 5 days after vaccine lost voice and/or voice change. no fever at any time

Other Meds: celexa, Wellbutrin, nortryptaline, gabapentin, avostatin, mirapex

Current Illness: none

ID: 1148515
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Warm face and two fingers on right hand; anxiety

Other Meds:

Current Illness:

ID: 1148516
Sex: M
Age: 50
State: MD

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: Fever 101.8, generalized body aches, chills, sweating, fatigue, starting 24 hours post vaccination

Other Meds:

Current Illness: none

ID: 1148517
Sex: F
Age: 38
State: IL

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: nkda

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

Symptoms: c/o numbness/ tingling around mouth and SOB chest pain x 2 minutes after vaccine. No swelling or facial flushing noted.rash not on patient not typical of patient . Patient felt numbness and tingling resolved but not chest pain/ SOB. 121/85,83,98% o2 RA . Patient transported to ED for unresolved chest pain and rash. Transported to hospital

Other Meds: inhaler (asthma)

Current Illness: n/a

ID: 1148518
Sex: F
Age: 42
State: CO

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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: no

Symptom List: Tremor

Symptoms: Lower part of arm was injected; my arm was sore about 12 hours after the vaccine. On Thursday, the 21st, I thought I was coming down with UTI with blood in my urine, and frequent urinating . I scheduled an appt for the 25th - but they wouldn't see me because I had COVID symptoms. Saturday, 23rd - started feeling unwell; next day, I felt like I got hit by a bus - achy, fever, cough out of nowhere - like a pneumonia cough and then my watch kept giving me alarms of my heart rate was too low. My oxygen was from 70-80 for about a week. I had an inhaler - and I used that. I used BOOST oxygen - and that helped my pulse oxygen level go up. My doctor, on Tuesday, the 2nd, (a virtual appt) put me on a couple of different antibiotics - for atypical pneumonia for one of them for COVID - Doxycycline; Decadron; and the other one was for Macrobid; Diflucan for UTI for two or three weeks I was recovering. I was sick for about four days more than my official isolation period - so off work for about 2 1/2 weeks. I went back to work on the 10th. Still to this day - I get a low heart rate alert. I delayed the second vaccine. Had the second vaccine on March 16, at 03:00PM.

Other Meds: one prescription - for anxiety - 10 mg - Celexa - one and a half tablets daily (so 15 mg daily); Sumatriptan - for migraines - I don't think I had to take any the week of the vaccine

Current Illness: no

ID: 1148519
Sex: M
Age: 60
State: UT

Vax Date: 03/09/2021
Onset Date: 03/14/2021
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: possibly naprosyn

Symptom List: Erythema, Pruritus

Symptoms: I received my vaccine on a Tuesday morning, and five days later on Sunday morning I woke up with very swollen checks--my head looked like a pumpkin. When my girlfriend saw me in the afternoon, she said, "I'm taking you to the emergency room!" But, I told her that I had no fever and no other symptoms, so we should wait. The swelling was bad enough that my jaws ached and my cheeks felt like they were going to burst, but if I didn't chew any food, the swelling would subside slightly, and my jaws would stop aching. I read online that people with botox who get the vaccine can have facial swelling and a 24 hour course of benadryl will knock down the swelling. I have never had botox injections, but I took some benadryl for two days, which made me feel really tired. I ate only soup and yogurt, so that I didn't have to chew any food. I don't know if the benadryl had any effect, but over about 5 days, the swelling subsided, then I could eat again without causing my jaws to swell up.

Other Meds: atorvastatin (20 mg, once per day) famotidine (20 mg, once per day)

Current Illness: None

ID: 1148520
Sex: F
Age: 58
State: NJ

Vax Date: 03/16/2021
Onset Date: 03/23/2021
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: Penicillin, Keflex, Biaxin, Z-pak

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

Symptoms: Tinnitus/Ear ringing increased but was intermittent after first vaccine on Feb, 11, 2021 and became constant and much louder approximately a week after second vaccine 3/16/21 - it is now constant, never goes away and is primarily in my right ear.

Other Meds: Omeprazole, Allegra, Singulair, Amlodopin, Metoporol, Vitamin D

Current Illness:

ID: 1148521
Sex: F
Age: 17
State: MN

Vax Date: 03/25/2021
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: LA

Lab Data:

Allergies: No known allergies

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

Symptoms: Patient given 1st dose of Moderna at age 17. Scheduling system did not flag her DOB as ineligible as it normally does. Patient's only symptoms were mild to moderate fatigue lasting one day and mild to moderate injection site soreness. No other symptoms reported. Patient's mother reports that patient is "still doing very well" as of today, 3/30/2021. Public Health will notify patient's primary care provider.

Other Meds: Buspirone 5mg, Fluoxetine 40mg, Albuterol MDI, Hydroxizine and Larissia

Current Illness: None

ID: 1148522
Sex: F
Age: 53
State: TX

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Upon administration of vaccine (1252pm) patient stated she felt dizzy. Patient moved to high observation area. Vs 118/73 hr 60 sat 99% temp : 36.1. Vaccine administered by LVN.

Other Meds:

Current Illness:

ID: 1148523
Sex: M
Age: 55
State: PA

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: None

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

Symptoms: Customer running a low grade fever and feels clammy.

Other Meds: Cyclobenzaprine 5 mg 1-2 every 8 hour

Current Illness: None

ID: 1148524
Sex: F
Age: 54
State: ME

Vax Date: 03/30/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NONE

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

Symptoms: Within 2 hours I experienced tinnitus in both ears and it has been active ever since.

Other Meds: NONE

Current Illness: none

ID: 1148525
Sex: M
Age: 63
State: NY

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: Pain in extremity

Symptoms: I experienced ringing sensation to my ears, tinnitus. I have referral to see ENT in beginning of May 2020.

Other Meds: Advorstatin, Clorzalodome, Lodapine, Fuorsemide, Levothyroxine, Lisinopril, Zolpidom, Metformin, Diclofenac, Allopurnol, baby aspirin, multi vitmains

Current Illness:

ID: 1148526
Sex: F
Age: 30
State: OK

Vax Date: 03/30/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Diarrhea, approx 6 hours after vaccination.

Other Meds: Zoloft 150mg/day Prenatal Vitamins

Current Illness: None

Date Died: 03/01/2021

ID: 1148527
Sex: F
Age: 95
State: IL

Vax Date: 02/05/2021
Onset Date: 03/01/2021
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: Sulfa meds

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

Symptoms: Overall decline, Hospice, Crisis Care, Expired

Other Meds: amlodipine, atorvastatin, clopidogrel, digoxin, lisinopril, warfarin, acetaminophen

Current Illness: L Hemiparesis, Debility

ID: 1148528
Sex: F
Age: 60
State: UT

Vax Date: 03/19/2021
Onset Date: 03/19/2021
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: No allergies proper. Extreme sensitivities

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

Symptoms: Sensitivity started within four hours of dose. Autistic sensitivities to maximum. Scrambling of all senses including proprioception to the point of not being able to move from standing or sitting. By hour seven, all sensory inputs were too overwhelming to do anything but shut down and sleep. 911 was not an option because they don't let you sleep, and ERs are overwhelming already, before maximizing all inputs. 7.5 mg hydrocodone for overwhelming pain and sensitivity, allowed sleep. On waking, sensitivity was lessened, but the pain started, 18 hours after the vaccination. Emotional lability for three days. Average aching of arm and injection site were not above expected levels. "Brain fog" and lack of ability to articulate (another autism symptom) started within that first seven hours, and diminished over next ten days. Not yet gone as of today Dry mouth; overproduction of thick 'chunky' mucus that wouldn't cough out, treated with guaifenesin, lasted three days. Shortness of breath and cough associated with that mucus also diminished after three days. Not completely gone ten days later. Excessive thirst, onset two hours after vaccine, lasted two days. Hyperalert (can't sleep without drugs), hyperactive despite weakness, and hypervigilant (extreme startle reflexes) lasted three days as well. Sleep was achieved with hydrocodone and THC. All over body pain, feelings of immune mobilization (coming down with) for two days were not above expected levels. No fainting or other collapse at time of injection, or later. Knowing that severe over-stimulation is exacerbated in a medical setting, it was decided not to seek medical support for three days of systemic symptoms that would have easily merited hospitalization.

Other Meds: Potassium Cl 20 mEq/day; THC 3.25 mg/day; Magnesium Cl 1800 mg/day; multi vitamin; garlic extract; turmeric curcumin; flax oil.

Current Illness:

ID: 1148529
Sex: F
Age: 52
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Most antibiotics

Symptom List: Vomiting

Symptoms: Large burning rash, somewhat itchy, but mostly painful like shingles pain. Swollen lymph node under arm. Swollen arm from shoulder to elbow

Other Meds: Thyroid, estrodiol, bupropion, lipitor

Current Illness: None

ID: 1148530
Sex: F
Age: 74
State: WV

Vax Date: 03/12/2021
Onset Date: 03/15/2021
Rec V Date: 03/30/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa, celebrex

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: According to Dr, the patient started feeling bad 2-3 days after vaccine and tested positive for Covid-19 on 3/15 and is now in the ICU.

Other Meds: unknown she gets them at another pharmacy and she couldn't relay her list

Current Illness: unknown

ID: 1148531
Sex: F
Age: 30
State: CA

Vax Date: 03/24/2021
Onset Date: 03/26/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: I lost my memory on Friday, March 26, at 10 pm. I do not remember what I did Wednesday-Friday, and the information I am providing is what my family and boyfriend have informed me about. I received my second Pfizer dose on Wednesday, March 24, at 11 am on my right arm. At 8 pm, I had a horrible migraine, body ache, and 101 fever. On Thursday, the fever was gone, and I just had a body ache and severe headache. On Friday, the body ache was gone, but the migraine was still present. I drove to my boyfriend's house at 8 pm. At 10 pm I informed my boyfriend that for 5 minutes I forgot where I was and that I forgot his room. He told me that I complained of a pounding headache that felt like it took over my whole head. My boyfriend said to me that I had body chills and that my head was warm, but my hands were freezing. The last thing I said to him before I lost my memory was that the headache was getting worse. A minute later, I started panicking because I forgot my birthday and my name. He said that I had brain fog and that I lost my memory. I was in a dream-like state and looked confused. I thought I was ten years old and could not remember certain family members or who I was. I was informed I lost my memory for 12 hours. On Saturday, I woke up and did not recall what happened the previous night. It felt like I woke up from a long sleep. My headache was still present, and my head felt foggy. I have tried to remember those three days, and when I try, the headaches become severe. I reported this to my doctor, and she informed me that I need to report this since the same thing happened to my mother. She received the first Pfizer vaccine on March 3, at 11 am, and on March 7, she lost her memory. The only difference between my mother and I is that she lost her memory after the first vaccine, and I lost my memory after the second vaccine. I lost my memory for 12 hours, and for her, it was 24 hours. We both lost three days, and when we try to remember, we get headaches.

Other Meds: Acetazolamide 500 MG

Current Illness: IDIOPATHIC INTRACRANIAL HTN

ID: 1148532
Sex: F
Age: 56
State: SC

Vax Date: 03/23/2021
Onset Date: 03/23/2021
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: Amitriptyline, Azithromycin, Gataflaxin, Guaifenesin, Prednisone, Sulfa, Hydrochlorothiazide bee stings

Symptom List: Injection site swelling, Limb discomfort

Symptoms: two hours after vaccination I experienced injection site felt like it was hit with a bat, tired, dizzy, headache, muscles and joint pain every where like I had the flu, chills, nausea, face and throat swollen and knots on throat, my mouth had sores on my gums, I had a cough and had to take medication for that, sore throat, my fever was up and down.

Other Meds: Vitamin D

Current Illness: no

ID: 1148533
Sex: F
Age: 29
State: MD

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

Lab Data:

Allergies: N/A

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

Symptoms: DURING THE 20 MINUTE WAIT AFTER THE VACCINE, PATIENT REPORTED A TIGHTNESS IN HER CHEST AND WAS HAVING DIFFICULTY BREATHING. WE CALLED 911 AND HAD THE PARAMEDICS CAME OUT. WE KEPT OUR EYES ON HER BUT DID NOT ADMINISTER ANY MEDICATIONS AS SHE WAS TALKING TO US AND STILL ABLE TO BREATH ON HER OWN. PARAMEDICS TOOK HER TO THE HOSPITAL FOR OBSERVATION.

Other Meds: N/A

Current Illness: N/A

ID: 1148534
Sex: M
Age: 60
State: PA

Vax Date: 03/25/2021
Onset Date: 03/29/2021
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: Codine

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

Symptoms: Severe hives outbreak all over the body 4 days after second dose of Pfizer vaccine. Hives started in groin and armpit then expanded to forearms, knees, neck, eyes, hips, back, tailbone area, head, and was severe in the hands and wrists. Also -- The evening and through the night after the second dose (given at 8:35 AM) side effects included headache, chills, fever, muscle aches.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm