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: 1151547
Sex: F
Age: 70
State: FL

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: Ceftin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Swelling, redness and pain at injection site 2 days after injection.

Other Meds: Women?s multivitamin, quercetin , vitamin C with echinacea, curamed, zinc

Current Illness: Common cold

ID: 1151548
Sex: F
Age: 63
State: NY

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/31/2021
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: Tetanus vaccine

Symptom List: Anxiety, Dyspnoea

Symptoms: dizziness, flushing, swelling of tongue and lips tightness in chest, Face and arms turned red, nausea all within 30 minute observation period. All symptoms were completely relieved within 15 minutes after IM Diphenhydramine 50mg/ml given in the office. Patient refused to go to ER to be evaluated.

Other Meds:

Current Illness:

ID: 1151549
Sex: F
Age: 18
State: RI

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: Penicillin

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

Symptoms: Numbness/ dry throat

Other Meds:

Current Illness:

ID: 1151550
Sex: F
Age: 17
State: NY

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient received vaccine and was less than 18 years of age. No symptoms reported following vaccination.

Other Meds: Unknown

Current Illness: Unknown

ID: 1151551
Sex: M
Age: 57
State: UT

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: Immediate swelling around insertion site. Monitored and given Benadryl 25 mg orally x 1.

Other Meds:

Current Illness:

ID: 1151552
Sex: F
Age: 31
State: VA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: Meloxicam

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

Symptoms: Hives on arms and chest. Occurred around 6 hours after injection.

Other Meds: Wellbutrin, lamotrigine

Current Illness:

ID: 1151553
Sex: F
Age: 62
State: PA

Vax Date: 03/18/2021
Onset Date: 03/26/2021
Rec V Date: 03/31/2021
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: Patient reports itchy arm and redness at site of injection. Had a welt the size of a baseball 8 days after administration. Discussed treatment with provider and has taken Benadryl to help with symptoms.

Other Meds: NKA

Current Illness:

ID: 1151554
Sex: M
Age: 25
State: PA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/31/2021
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: Patient was given the vaccine and within 2 minutes patient felt dizzy and diaphoretic, impaired vision " saw snow" patient initially put supine, patient had low blood pressure systolic int he 60 patient was taken to observation and bp on arrival was 140/77, HR was 72 and oxygen was 100% on room air. Patient was put into trendelenberg, he c/o tingling in fingers of his left hand respiration rate was 24, he was pale, approx 10 minutes later his bp was 134/81, pulse 66, o2 sat 100%. He c/o weakness, he was given water and crackers he was still pale. Patient was released from the observation area, his girlfriend picked him up and he left the vaccine site . Patient stated that he does get anxious prior to blood draws and injections

Other Meds: Wellbutrin, Adderall

Current Illness: None

ID: 1151555
Sex: F
Age: 46
State: FL

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: morphine, iodine contrast

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: She had a sudden hot sensation come over her. She felt like she was going to pass out. She was dizzy- heart rate increased to 122, nauseated and developed a very red rash all over her chest and face. She was given 50mg of Benadryl. She waited for an hour at the clinic and did not need to go to the ER. Symptoms subsided.

Other Meds:

Current Illness:

ID: 1151556
Sex: F
Age: 58
State: MI

Vax Date: 01/10/2021
Onset Date: 03/20/2021
Rec V Date: 03/31/2021
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: ace inhibitor - cough

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Received dose #2 of Pfizer COVID vaccine on 1/10/2021. On 3/20/2021 developed headache, rhinorrhea, cough, and body aches. Tested positive for COVID.

Other Meds: hydrochlorothiazide, losartan

Current Illness: none

ID: 1151557
Sex: F
Age: 62
State: IN

Vax Date: 03/26/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: sulfa drugs

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

Symptoms: Starting when I woke up this morning, I had what I'd call mild hearing loss. It varied, moving back and forth between the two ears, throughout the day. It is now 1:30 and is a little better but still there.

Other Meds: Kesimpta for Multiple Sclerosis, biotin, calcium citrate, flaxseed oil capsule, magnesium glycinate, omega-3, K-2 menaquinone, synthroid 112 mcg, solifenacin succinate.

Current Illness:

ID: 1151558
Sex: F
Age: 63
State: MI

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Patient felt syncope/fainting. Onsite EMS was called vitals BP 104/66 BG 104 96% O2 HR 64. Patient treated and released against medical advise.

Other Meds:

Current Illness:

ID: 1151559
Sex: F
Age: 33
State: TN

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Grand mal seizure for 30 seconds occurring 20-30 minutes post-vaccine. No history of seizures in past.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1151560
Sex: M
Age: 44
State: MA

Vax Date: 03/26/2021
Onset Date: 03/30/2021
Rec V Date: 03/31/2021
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: Multiple food allergies, multiple antibiotic allergies. Hx of anaphylaxis

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

Symptoms: Intense pain, warmth, redness at injection site, started 3/30. Diarrhea started 3/31. Runny nose and fatigue also started 3/31.

Other Meds: Pristiq, citalopram

Current Illness: No

ID: 1151561
Sex: F
Age: 42
State: IN

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/31/2021
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

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

Symptoms: Very cold, fever over 101 body aches, feet tiredness and headache. Tiredness.

Other Meds: Amitriptyline 10 mg

Current Illness:

ID: 1151562
Sex: M
Age: 17
State: MN

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Moderna vaccine was inadvertently given to a 17 yo.

Other Meds: Unknown

Current Illness: Unknown

ID: 1151563
Sex: F
Age: 60
State: IL

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 03/31/2021
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: no

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

Symptoms: Recieved 2nd does on 3-13. Got hives on 3-15 and everyday since then they are getting worse. Went to my doc and he put me on steroids for 12 days. This is helping, but I will start weaning down on the Prendisone and will see what happens

Other Meds: none

Current Illness: no

ID: 1151564
Sex: F
Age: 54
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: bactrim levaquin PCN

Symptom List: Ear pain, Hypoaesthesia

Symptoms: fever 101.4, chills, shakes, headache, weak. lasted for 36 hours then I was fine

Other Meds: none

Current Illness: none

ID: 1151565
Sex: F
Age: 67
State: NY

Vax Date: 03/08/2021
Onset Date: 03/10/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: latex, amoxicillin, morphine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: that night at 4 am i got really cold and had flu like symptoms which i understand was normal. lasted about 36 hours. my arm was sore from the vaccine but not bad. don't know when but the muscle pain began to get worse and spread to my left shoulder and then to my left arm pit. the pain was really bad and if i moved my arm wrong it could make me cry. it is now over three weeks and has not changed. my primary care doctor told me to take tylenol and use ice packs which did not help at all.

Other Meds: adderal, baby aspirin, vit. d3, losartin, atorvastatin, levothyroxin, hydrochlorot

Current Illness: none

ID: 1151566
Sex: F
Age: 41
State: NJ

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: Amoxacillin

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

Symptoms: Pain & soreness in arm (injection site), headache, and tiredness

Other Meds:

Current Illness:

ID: 1151567
Sex: F
Age: 69
State: CA

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: sesame seeds, cinnamon, dust

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

Symptoms: Since first vaccine, sore glands on and off, still here. Second vaccine site is swollen, hot, slightly pink/rashy. In front of bicep, also pink/rashy and swollen. (Site is high on arm.)

Other Meds: lisinopril 2.5mg, many anti inflammatory supplements, oils. Am on an anti inflammatory diet. Vegan Keto.

Current Illness: Since first Moderna (02/27/21) swollen glands on and off. Since second Moderna (03/29/21), site is pink/rashy, swollen and hot. Also bicep below is rashy and swollen, well below site.

ID: 1151568
Sex: M
Age: 37
State: DC

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Unevaluable event

Symptoms: Sharp pain in upper L chest beginning within 15 min of immunization. Over next hour and a half, pain became milder and intermittent. Was no rash or skin discoloration. No SOB or sweating or fever or radiation of pain to L arm or jaw.

Other Meds: None

Current Illness: None

ID: 1151569
Sex: F
Age: 33
State: GA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/31/2021
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: MVI OBC.

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

Symptoms: The patient is a healthy 33 yo female who reports AE after receipt of COVID vaccine Pfizer BioNTech (ER8730) 24 MAR 2021 and about 10 minutes after receipt experienced lightheadedness, cold sweats and felt unsteady. Staff checked HR and she recalls being told it was OK. She was briefly monitored and in about 10 minutes symptoms were resolved. She denies pruritis, urticaria, oral/face/throat/tongue swelling, red watery eyes, rhinorrhea, SOB, wheezing, cough, CP, n/v/d. She reports a history of lightheadedness after blood draws. She states she has had them drawn lying down which has resolved the problem.

Other Meds: OBC MVI

Current Illness: none

ID: 1151570
Sex: M
Age: 36
State: OK

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: Fever of 101, chills, severe soreness and stiffness, more chills, headache, nightmares. The fever dropped down to 100 around 11 AM. Chills went away around then, but the other symptoms remain.

Other Meds:

Current Illness:

ID: 1151571
Sex: M
Age: 23
State: AK

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: cough syrup, benadryl

Symptom List: Injection site pain, Menorrhagia

Symptoms: brief episode of vasovagal syncope - onset approximately 5 minutes after vaccine administration, lasted approximately 1 minute, resolved without intervention

Other Meds: no

Current Illness: no

ID: 1151572
Sex: F
Age: 79
State: CA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/31/2021
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: none known

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

Symptoms: Slight feeling of light headedness. By 9:30 pm pounding heart beat, a few skipped beats with an irregular pattern. I could feel my heart beat at the tips of my fingers when I touched something. This lasted for slightly over two hours.

Other Meds: Propranolol 40mg. bid, Lisinopril 5 mg. daily, Primidone 50 mg. daily Ashwagandha, papaya leaf

Current Illness: none

ID: 1151573
Sex: F
Age: 59
State: CA

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 03/31/2021
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: Employee showed up at the Moderna COVID-19 vaccine clinic on 3/18/21 for her 2nd dose. Employee Health Nurse checked her in to receive the vaccine. Before receiving the vaccine, the vaccine administrator explained to employee that she will receive 2nd dose of Moderna. Employee acknowledged. Upon entering her vaccination information into CAIR2 and discovered that she received her 1st dose COVID-19 vaccine from Pfizer. Employee was informed about the mixing of vaccines and was advised to go to ER if not feeling well. Employee experienced the common side effect of vaccine the next few days, but overall "she felt fine".

Other Meds:

Current Illness:

ID: 1151574
Sex: F
Age: 51
State: IN

Vax Date: 03/27/2021
Onset Date: 03/29/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Redness about the size of a baseball on day 2,3&4 after second inoculation. Pain and hot to the touch in the area.

Other Meds: N/A

Current Illness: N/A

ID: 1151575
Sex: M
Age: 61
State: CA

Vax Date: 03/22/2021
Onset Date: 03/26/2021
Rec V Date: 03/31/2021
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: I have had 3 cycles of vaccine symptoms since receiving my first shot 9 days ago. First round of normal symptoms (low grade fever/chills) began approx. 24 hours after first shot. Symptoms lasted for approx. 24 hours. No symptoms for next 2 and 1/2 days and then experienced 2nd round of same symptoms which lasted for approx. 24 hours. And then another 2 and 1/2 days with no symptoms and then experienced 3rd round of same symptoms which lasted for approx. 24 hours. 3rd round of symptoms has just ended as of this morning.

Other Meds: Levothyroxine 88 Mcg daily Paroxetine HCL 30 MG daily Lisinopril 10 MG daily

Current Illness: none

ID: 1151576
Sex: F
Age: 30
State: IL

Vax Date: 02/26/2021
Onset Date: 02/27/2021
Rec V Date: 03/31/2021
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: Injection site on arm swelled up and was red. It was hot to the touch and tender. This symptom start around 20 hours after injection and lasted a little over 24 hours.

Other Meds: None

Current Illness: None

ID: 1151577
Sex: M
Age: 30
State: CO

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain

Symptoms: Patient felt lightheaded and was sweating around 10 minutes after receiving vaccine. He was in front of pharmacy and dropped to his knees. Patient was then sat down again and given water. He stayed there another 30 minuets to make sure he felt ok. After that he felt fine. He said he has a fear of needles and that this was normal for him.

Other Meds: None

Current Illness: No

ID: 1151578
Sex: F
Age: 57
State: NY

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: All antibiotics except Biaxin, and Morphine.

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

Symptoms: Got her vaccine, was fine when she left. Then she started getting a little bit of a headache, then it disappeared by driving home. By 6:30 she had nausea, and by 8:30 had vomiting until 3:00 AM, and now the nausea is back 3/31/21. She now has tiredness, chills since midnight. Her temp was 99.8. She has not taken anything for her symptoms. The nausea came back around 9:30 and is killing her. No reactions on the arm itself, just a little warm to touch. She called her doctor and he told her to call us.

Other Meds: Vitamin D.

Current Illness: None.

ID: 1151579
Sex: F
Age: 65
State:

Vax Date: 02/11/2021
Onset Date: 03/04/2021
Rec V Date: 03/31/2021
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:

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

Symptoms: on March 4, 2021 I felt itching on my forehead. It felt like poison ivy but I knew I had not been in contact with poison ivy. On March 8, I saw a dermatologist who confirmed it was shingles. He prescribed Valacyclovir. It lasted for about 1 week.

Other Meds:

Current Illness:

ID: 1151580
Sex: F
Age: 62
State: TN

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 03/31/2021
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: amoxicillin, yellow jackets, honey bees, wasp, atorvastatin, bactrim, cipro, crestor, levofloxacin, omega 3 fish oil, pitavastatin, pravastatin, simvastatiin, welchol

Symptom List: Tremor

Symptoms: pt reported she began to have s/e the evening of 3/26 after receiving injection, reported fatigue, body aches, chills, unable to get out of bed, ongoing x 5 days with no improvement.

Other Meds: allopurinol, buspirone, butalibital-acetaminophen-caffeine, diclofenac gel, eliquis, esetimibe, folica acid, lasix, potassium, gabapentin, humalog, januvia, levemir, lisinopril, metformin, omeprazole, oxybutynin, tramadol, trazodone, venlaf

Current Illness:

ID: 1151581
Sex: F
Age: 57
State: CA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: Reports itching sensation with all vaccinations and inter IM shots

Symptom List: Erythema, Pruritus

Symptoms: Generalized itching to extremities

Other Meds: None

Current Illness: None

ID: 1151582
Sex: F
Age: 60
State: TX

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 03/31/2021
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: Haldol, amoxicillin, allegra, taxotere.

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

Symptoms: High fever 104 overnight. Still have chills today. Had chills, headache, nausea and loss of equilibrium.

Other Meds: Invega, sertraline, geodon, clonazepam

Current Illness: Cancer

ID: 1151583
Sex: F
Age: 60
State: WA

Vax Date: 03/19/2021
Onset Date: 03/26/2021
Rec V Date: 03/31/2021
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: Antibiotics - (have had rash reactions to penicillin, levoquin, clindamycin, coartem) Unknown ground dwelling insect in west Africa - full anaphylactic reaction

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

Symptoms: Immediately post injection slight swelling and soreness about 1 inch around site that resolved completely within a couple days. No other reaction. 1 week post injection area around injection site that was 4-6 inches wide. Approximately half the circumference of the arm was hot, red, hard and swollen. It was moderately painful and itched significantly. Lasted about 3 days and has been slowly resolving (not as red, not or swollen)-still (5 days later) area about 4 inch in diameter that is red, but not as swollen/painful/itchy. Reporting because seemed weird that reaction started a week later.

Other Meds: None

Current Illness: None

ID: 1151584
Sex: F
Age: 48
State: OR

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 03/31/2021
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: Patient reports swollen tongue and urticaria of mouth 30 minutes after receiving the vaccine. Patient self-administered oral benadryl at that time, and self-administered every 4 - 6 hrs for 24 hours. Tongue swelling resolved within 24 hours, but urticaria persisted.

Other Meds: Unknown

Current Illness: None

ID: 1151585
Sex: F
Age: 64
State: IN

Vax Date: 03/29/2021
Onset Date: 03/30/2021
Rec V Date: 03/31/2021
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:

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

Symptoms: Patient called stating she had her 2nd Moderna vaccine on 03-29-2021. She was recently diagnosed with Focal Sensory Seizures. She states that she started having seizures last evening and continues to have them today. Pt states she can not get her physician on the phone even after numerous tries. I advised to have someone other than herself drive her to the emergency room.

Other Meds:

Current Illness: Diagnosed with Focal Sensory Seizures recently per patient

ID: 1151586
Sex: F
Age: 41
State:

Vax Date: 03/02/2021
Onset Date: 03/10/2021
Rec V Date: 03/31/2021
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:

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

Symptoms: A week after my Moderna COVID vaccine shot 1, my arm was sore, itchy, red and rashy, and hot. It started when I got up in the morning and got worse and the day progressed. It lasted about 4 days, although there was still a little itching and redness for several more days.

Other Meds:

Current Illness:

ID: 1151587
Sex: M
Age: 50
State: NJ

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: Severe chills, aches, weakness, migraine, ear ringing. I was back to normal after 3 days, but after 11 days the ear ringing and headaches came back

Other Meds: lipitor, 10g/day

Current Illness: none

ID: 1151588
Sex: M
Age: 71
State: MI

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Large swelling at injection site and left armpit, slight fever, joint ache, weakness, headache

Other Meds: Simvastatin (Zocor generic), daily multivitamin, 1/2 aspirin, Ocuvite, turmeric

Current Illness: None

ID: 1151589
Sex: F
Age: 53
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: Patient reports feeling warm, lightheaded, dizzy, nauseous, anxious and not feeling good. Pt reports she did not take her BP meds and diabetic meds, she did not eat breakfast this morning. BP: 213/125, 199/123, 200/100-(manual reading by EMS), pulse: 98-114, Spo2 99%

Other Meds:

Current Illness:

ID: 1151590
Sex: F
Age: 51
State: MI

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 03/31/2021
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: Patient had generalized anxiety disorder. Onsite EMS was called vitals BP 129/76 BG 99% O2 HR 80. Patient refunded evaluation or care and released against medical advise.

Other Meds:

Current Illness:

ID: 1151591
Sex: F
Age: 36
State: MD

Vax Date: 03/25/2021
Onset Date: 03/29/2021
Rec V Date: 03/31/2021
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: Red, bumpy, itchy rash on underside of left arm (same arm that received vaccine). From wrist to elbow. Cleared up within 3 days, required no medical treatment.

Other Meds: Pre natal vitamins, vitamin E

Current Illness: None

ID: 1151592
Sex: F
Age:
State: NE

Vax Date:
Onset Date: 03/16/2021
Rec V Date: 03/31/2021
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: Most antibiotics, Grapes, Melons, Avocados,

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Sore, hot arm; nausea; some vomiting; horrible headache; fatigue; sleep tired; achy; on 03/19/2021 my heart rate was around 180

Other Meds: Advil, Anastrozole, Atorvastatin, Asprin, Citirizine, COQ10, Vitamin D3, Docusate Sodium, Losartan Potassium, Magnesium, Calcium, CBD oil, Vitamin B12, Bupropion, Furosemide, Metoprol, Omeprazole, Spironolact, Vitamin C w/Manuka Honey, Mult

Current Illness:

ID: 1151593
Sex: F
Age: 68
State: NY

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 03/31/2021
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: Peanuts and Peanut products Hydromorphone

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

Symptoms: Dizziness, slight confusion, lightheadedness severe wheezing (asthma attack) not relieved by rescue inhaler, nausea and vomiting.

Other Meds:

Current Illness: Severe persistent asthma

ID: 1151594
Sex: F
Age: 43
State: LA

Vax Date: 03/20/2021
Onset Date: 03/23/2021
Rec V Date: 03/31/2021
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: No

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Loss smell and taste for a week.

Other Meds: Buspirone,Meloxicam,Mirtazapine,Venlafaxine,Estradiol,Hydrochlorothiazide,Vitamin D3,Areds,Omga-3,LowDose Aspirin

Current Illness: No

ID: 1151595
Sex: F
Age: 40
State:

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: peanut

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

Symptoms: patient having redness, muscle aches, stinging pain going down into arm

Other Meds: none

Current Illness: none

ID: 1151596
Sex: F
Age: 52
State: MI

Vax Date: 01/12/2021
Onset Date: 03/27/2021
Rec V Date: 03/31/2021
Hospital:

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

Lab Data:

Allergies: none known

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

Symptoms: Received dose #2 of Pfizer COVID vaccine 1/12/2021. On 3/27/2021 developed body aches, cough, diarrhea, headache, and nasal congestion. Tested positive for COVID;.

Other Meds: alprazolam, atenolol, buspirone, chlorthalidone, ergocalciferol, estradiol, fexofenadine, ibuprofen, lactobaccilus, loratadine, magnesium citrate, multivitamin, omega-3 fish oil, potassium chloride, triamcinolone ointment, vitamin E

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm