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: 0938923
Sex: F
Age: 37
State: ID

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/12/2021
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: Pcn pineapple

Symptom List: Dysphagia, Epiglottitis

Symptoms: Facial numbness and headache Have had of history of Bell?s palsy he

Other Meds: Lexapro allergy meds allergy shots

Current Illness:

ID: 0938924
Sex: F
Age: 29
State: IA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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

Symptom List: Anxiety, Dyspnoea

Symptoms: During administration, while needle was inserted in the left deltoid and plunger was being depressed, the needle disconnected from the syringe and an unknown amount of vaccine was wasted/administered. Called Agency, there is no current guidance on how to proceed in these situations. No contraindications to giving the dose per Agency. Made judgement call which included education with the patient about no safety data on situations like this, recommended revaccinating. Patient was in agreement, even knowing that there is unknown guidance/safety data regarding these situations. Patient was revaccinated, no further incidents took place. No adverse events occurred after vaccinating, including 15 minute waiting period.

Other Meds: Unaware of any medications being taken

Current Illness: No current illness

ID: 0938925
Sex: F
Age: 77
State: MA

Vax Date: 12/15/2020
Onset Date: 12/15/2020
Rec V Date: 01/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Extremely sore left arm/shoulder for about five days, unable to lift arm . Extreme exhaustion .

Other Meds:

Current Illness:

ID: 0938926
Sex: F
Age: 49
State: PA

Vax Date: 12/29/2020
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Naproxen, Percocet, Vicodin, aspartame, penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Warm red area approximately 3 inches wide by 4 inches long around injection site , spread up towards shoulder and down arm causing forearm to be red and blotchy, treatment to monitor

Other Meds: Synthroid, potassium, pantoprazole, lisinopril, metoprolol, baby aspirin, estroven, borage oil, Coq10, calcium, magnesium

Current Illness: Sinus infection, ear infection

ID: 0938927
Sex: M
Age: 57
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.

Other Meds: unknown

Current Illness: none

ID: 0938928
Sex: F
Age: 70
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/12/2021
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: Egg allergy, yogurt penicillin, Lisinopril

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

Symptoms: Minutes after administration face red, arms, and legs -- red all over body, very hot all over, high blood pressure, tachycardia heart, throat closing. Medication given immediately after reaction in Medical Clinic. Medication given is unknown to pt. Pt was then taken to hospital ER Hospital but left afterwards with ER full with patients to be attended. Pt had nausea and heat in stomach for days after keep liquid diet, fatigue; steroids allergy medication prescribed taking daily.

Other Meds: N/A

Current Illness: N/A

ID: 0938929
Sex: F
Age: 29
State: MN

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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: Hay fever to tree and grass pollen, amoxicillin, bactrum, cats, dust mites, strong smells make me flush like Formaldehyde, carrots, kiwi, latex, cherries, very sensitive skin to perfumes and detergents.

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1/8/21 - 15 minutes after second dose of COVID19 vaccine I had flushing (warm rash like) all over my chest and neck that lasted for about an hour. No itching or hives. 1/9/21 at 3am my heart rate started to increase to about 110bpm while sleeping and continued till 4am. 1/9/21 at 4am my apple watch alerted me to my heart rate was above 120bpm while resting. This is when I realized I was sweating and felt like I had a fever. I drank water and went back to sleep. 1/9/21 5am heart rate was at 135. then 6am 148bpm. 7am around 161bpm. Kept trying to go back to sleep. 1/9/21 8am got up and took an adult benadryl tablet and drank plenty of water. Tried to relax to lower my heart rate. 1/9/21 9am took another adult benadryl tablet and was able to get my heart rate just below 120 while sitting. Then ate breakfast and went back to bed. If heart rate was not going to lower, I was planning on going to the ER. 1/9/21 10am till next day. Heart rate was then under 100bpm. I was then so tired that I slept all day and did not eat anything else. 1/10 I experienced severe body aches, chills and headache. This was all day. 1/11 I woke up feeling mildly nauseous for about 3 hours and then dizzy for about an hour. after that I just had a sore arm. 1/12 Had a mildly sore arm.

Other Meds: Daily Multiviatmin 300mg generic Wellibutrin 10mg generic Zrytrec

Current Illness: None.

ID: 0938930
Sex: M
Age: 34
State: VA

Vax Date: 12/31/2020
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
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: Rash at injection site and blisters on joints on hands

Other Meds: None

Current Illness: None

ID: 0938931
Sex: F
Age: 44
State: KS

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient reported a heavy feeling in the chest, with tightness and fullness as well as difficult breathing. Patient also reported numbness of the lips. Symptoms occurred within 5 minutes of vaccine administration. Epinephrine 0.3mg pen was administered at 11:05 per protocol. One diphenhydramine 50mg capsule was administered at 11:07 per protocol. Patient reported easier breathing and increased heart rate almost immediately. Her throat felt like she "swallowed an ice-cube sideways". Within 10 minutes, the patient reported that her lips and throat felt better, but still tingles. States that it was "like she had recently shaved". A wheelchair was provided by the long-term care facility staff, and the patient was wheeled to the ER within the facility. Patient arrived at ER at 11:18 and pass-off to the ER team was completed around 11:20.

Other Meds: unknown

Current Illness: asthma

ID: 0938932
Sex: M
Age: 43
State: VT

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/12/2021
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: Itchy and erythemic papules on both hands and elbows; most proximal to joints (knuckles). Very few on Palms. Started on dorsal surface and moved distally towards figertipis and joints.

Other Meds: None

Current Illness: None

ID: 0938933
Sex: F
Age: 36
State: FL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Immediately became very dizzy, and my heart started racing. I started to feel discomfort in my throat. and tongue felt lazy in my mouth. I also felt my arms and legs very heavy and a wave like sensation going up and down my body. These symptoms were strongest 2-3 minutes after the shot for about 15 minutes. Then they seemed to fade away, and come back for the next hour. They eventually resolved on their own, and were not severe enough for me to need medical help or treatment, although I did stay in the emergency room in case the throat and tongue discomfort became worse, by the time they got to me, the symptoms had resolved themselves. I woke up the next day with a sore arm, and it remained sore for the next three days. And I also woke up for the next three days with extreme nausea. I would also like to add that I am currently breastfeeding a 5 month old, in case that is important.

Other Meds: none

Current Illness: none

ID: 0938934
Sex: M
Age: 54
State: GA

Vax Date: 01/04/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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: 1. Iodine 2. IV dye

Symptom List: Rash, Urticaria

Symptoms: I have developed redness, swelling, and itching at the injection site that I noticed eight days post injection. The swelling is a hard knot.

Other Meds: 1. Tresiba 2. Novolog 3. Bupropion XL 150mg 4. Pravachol 10mg 5. Lisinopril 20 mg

Current Illness: None

ID: 0938935
Sex: F
Age: 26
State: VA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: By report, EpiPen given at 1410 and repeated at 1430. VS at 1413 HR-145; BP-137/89; RR-20; O2 sat 100%. Other vitals taken through 1431; BP - 121/74; HR - 110; RR - 14 and O2 sat 100%. 1424 - "fingers on left hand tingling"; 1428 - "nausea, throat burning, breathing better, chest heaviness less tightness". 1435 - "rescue squad arrived". Reporter was not present at this event.

Other Meds:

Current Illness:

ID: 0938936
Sex: F
Age: 60
State: NY

Vax Date: 01/21/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Sore arm, headache, body aches , soft stinging stool

Other Meds: Turmeric, pro biotic, bio cleanse , multiple vitamin

Current Illness: None

ID: 0938937
Sex: F
Age: 27
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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: Patient found unresponsive and unarousable in chair. Doctor on site alerted EMS. Smelling salts were used. Patient returned to consciousness. Unresponsive for less that a minute. Oriented to surroundings. Vital signs taken by EMS and doctor. Blood pressure was undetectable. Patient transported to ER via ambulance

Other Meds:

Current Illness:

ID: 0938938
Sex: F
Age: 35
State: CT

Vax Date: 12/18/2020
Onset Date: 12/22/2020
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Penicillin.

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

Symptoms: On day four after the first, 99.5 temp, up to 100.8. Fever, head ache, joint pain. Second vaccination, fever 102, headache, and joint pain. Chills. Migratory migraine. Second vaccine Jan 8th.

Other Meds: Zoloft.

Current Illness:

ID: 0938939
Sex: F
Age: 55
State: MD

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: Employee had an allergic reaction after receiving the covid vaccine 2nd dose. She had rashes and redness all over the body

Other Meds:

Current Illness:

ID: 0938940
Sex: F
Age: 61
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: developed dizziness and vomiting day of vaccine administration

Other Meds:

Current Illness:

ID: 0938941
Sex: F
Age: 57
State: CA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 15 mn post vaccination began complaining of tingling in arms and chest along wth racing heart. EMT called and patient moved over to observation area. Initial BP 179/119 HR 119 O2sat 99. after continued observation ~5 mn pt symtpoms did not resolve. ambulance called to obtain EKG. EKG completed with no ST elevation. BP continued to trend down along with HR. PT observed for additional 20 mn. vitals at d/c 167/99,88, 100%

Other Meds: welbutrin

Current Illness: none

ID: 0938942
Sex: F
Age: 39
State: TX

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/12/2021
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: Supraclavicular lymph node swelling on left side starting second day after vaccine and still present at 4th day post vaccine. Pain in the sternocleidomastoid muscle that is mild. Lymph node is tender. Did have fever 12 hours post shot of 102.3 max but none since. No other lymph nodes swollen.

Other Meds: Buproprion 300mg ER. Zyrtec 5mg

Current Illness: none

ID: 0938943
Sex: F
Age: 32
State: WV

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Patient reported shortness of breath, throat swelling, shaky, tingling in arms and legs approximately 8-10 minutes after administration. I immediately gave patient 2-25mg diphenhydramine caps. Patient felt better but still difficulty breathing, I called 911 approximately 10 minutes following injection. EMS arrived on scene in approximately 4-5 minutes. Checked vitals, BP and heart rate were elevated. EMS transported patient to Hospital.

Other Meds: none

Current Illness: none

ID: 0938944
Sex: M
Age: 52
State: AK

Vax Date: 01/01/2021
Onset Date: 01/01/2021
Rec V Date: 01/12/2021
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 noted

Symptom List: Unevaluable event

Symptoms: About 4 hours after receiving his first COVID-19 vaccine, the patient noted that his cheeks were red. About an hour later, as he was going to bed, the patient's wife said that his chest and back were red. He took one dose of Benadryl, went to bed. He awoke the next morning asymptomatic. He denied having generalized pruritic, hives, angioedema, respiratory, airway, GI, or cardiovascular symptoms.

Other Meds: None

Current Illness: None

ID: 0938945
Sex: F
Age: 21
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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: Recipient experienced dizziness, lightheadedness, and fainted within 15 min of vaccination. She was given a sandwich and orange juice, which she consumed. She felt better within 1 hour. She was picked up by her mom and was driven home.

Other Meds: ??

Current Illness: ??

ID: 0938946
Sex: F
Age: 33
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
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: uticaria to chest lasting for 2-3 hours and then went away

Other Meds: unknown

Current Illness:

ID: 0938947
Sex: U
Age: 44
State:

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
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: Injection site pain, Menorrhagia

Symptoms: Mild headache and temp of 106.6 and went down to 99.5. muscle aches and fatigue.

Other Meds:

Current Illness:

ID: 0938948
Sex: F
Age: 44
State: OK

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
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: Food allergies- soy, dairy, all nuts, sunflower, lentils, cottonwood oil, chickpeas, Vit E; Drug allergies- lisinopril, propofol, amoxicillin, penicillin, augmentin, zithromax, bactrim, alveolox, estrogen, pseudophedrine, sulfa drugs, moxifloxacin, trimethoprim, cephalexin, doxycycline, clindamycin, azithromycin, cephalosporins, lactose, colestipol

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Five minutes after I received the vaccine, my arm was sore and my throat felt a little tight. Then, I started to feel kind of lightheaded and my legs were weak. I let the staff know and they offered me benadryl but I declined. I waited about 35 minutes then I went home. I continued to feel lightheaded and weak for about 4 hours and I also began to fill nauseous. My arm continued to be sore for a few days and I ran a fever of around 100 from the following day 1/9 and I am still running a fever now on 1/12.

Other Meds: Vitamin D, Calcium Vitamin, ibuprofen

Current Illness: none

ID: 0938949
Sex: F
Age: 59
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
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: sulfonamides

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: developed body aches and nausea

Other Meds:

Current Illness:

ID: 0938950
Sex: F
Age: 38
State: VA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Flagyl, MRI contrast dye, keflex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Intense muscle aches and bone aches along with back muscle spasms intense

Other Meds: Hydroxychloroquine, buspar, trazodone, duloxetine, xanax

Current Illness: None

ID: 0938951
Sex: F
Age: 53
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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:

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

Symptoms: Patient was complaining of dizziness and tingling in the arm that she received her vaccine. EMT on site took a heart rate and pulse ox. Complained of tightness in chest, described it as "pain beneath my sternum." Pain was not radiating and centrally located. Increased wait time, patient described feeling better and left by self.

Other Meds:

Current Illness:

ID: 0938952
Sex: F
Age: 50
State: TX

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Nausea

Symptoms: Approximately 11 hours after the vaccination my arm became very sore, to the point that it was difficult to lift it. I then developed body aches and chills. I did not develop a fever that I know of but the body aches and chills continues throughout the night. During the night a severe headache developed as well as generalized weakness. I was unable to sleep and had to miss work the next day. Because the weakness and body aches continue, I plan to miss a second day of work tomorrow. I treated the symptoms with Tylenol.

Other Meds: Estradol 1 mg two times a day Montelukast Sodium 10mg once a day Propranolol 40 mg once a day Gabapentin 300 mg twice a day Multi Vitamin Magnesium SRT Vitamin B complex Omega 3 fish oil Tru Niagen

Current Illness: None

ID: 0938953
Sex: F
Age: 33
State: CO

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain

Symptoms: Rash/inflammation/redness at injection site roughly the size of a small fist. Jan 4- Jan 7 Rash decreased with time and was just a big red mark (roughly bigger fist) that also carried some physical heat-not like the rest of my arm. No sign of rash or redness by Jan 8 Through Dec 27-first week of Jan I seem to have felt nauseated but comes and goes in waves.

Other Meds: N/A

Current Illness: N/A

ID: 0938954
Sex: F
Age: 33
State: NY

Vax Date: 01/10/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: 24 hours after inj L axillary LN enlarged about the size of a baseball very tender and warm to the touch. Also swelling on L side of chest. Taking nsaid ATC but pain and swelling has persisted - pressure radiates to L scapula.

Other Meds: OCP Synthroid Metformin

Current Illness: None

ID: 0938955
Sex: F
Age: 39
State: KS

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
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: Penicillin

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

Symptoms: Shaking from chills and fever, extreme thirst followed by vomiting, moderate headache, body ache, kidney area pain. Fatigue following. Missed work the following day.

Other Meds: Probiotics

Current Illness: Na

ID: 0938956
Sex: F
Age: 64
State: NV

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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: Difficulty swallowing, fever 102, headache, ears plugged, earaches, all joints ache including fingers, ankles, etc., legs ache, shinbones ache, roots of teeth ache, chills, nauseous, dizzy, delirious, ovaries ache, short of breath, brain fog, not able to multitask, vomiting, sore throat, cough, left arm pain

Other Meds: none

Current Illness: none

ID: 0938957
Sex: F
Age: 49
State: WA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/12/2021
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: N/A

Symptom List: Erythema, Pruritus

Symptoms: Mild chills the day after. Muscle aches day 2 (mild). Diarrhea day 3 (mild). Injection site swollen and red and sore (mild)

Other Meds: Daily multivitamin

Current Illness: N/A

ID: 0938958
Sex: F
Age: 30
State: IL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital: Y

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: no

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

Symptoms: Immediately after she felt faint, heart rate 121, felt faint again bp 62/33. Was taken to the ER, within a half hour, she fully recovered. Vitals went back to normal.

Other Meds: Vitamins

Current Illness: no

ID: 0938959
Sex: F
Age: 52
State: MO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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: Lisinopril

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

Symptoms: Itching about 20 minutes after followed by rosy cheeks and blood shot eyes about 1 hour after injection Took 2 Benadryl

Other Meds: Losartaan Htcz Zyrtec

Current Illness: Sinus infection about 1 month prior

ID: 0938960
Sex: F
Age: 29
State: IL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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: L arm numb approximately 5 minutes post injection. After total of 30 minutes arm felt the same. Agency was always within designated limits. First VS - temp- 98.1. HR - 110. O2 saturation - 97%, BP - 131/92. At 30 minutes - BP - 131/102, HR - 106. No other signs or symptoms. To Emergency room ambulatory, for follow up with RN assist.

Other Meds:

Current Illness:

ID: 0938961
Sex: F
Age: 53
State: CA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/12/2021
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: Peaches, Stadol

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

Symptoms: 7 DAYS AFTER 1ST INJECTION, THE INJECTION SITE BECAME RED, HOT TO THE TOUCH, RAISED AND ITCHY. THE AREA IS APPROXIMATELY 4 INCHES X 4 INCHES . ESSENTIALLY, IT IS A LARGE , RED WELT. APPLYING BENADRYL CREAM AND TAKING OTC ORAL ZYRTEC.

Other Meds: None

Current Illness: None

ID: 0938962
Sex: F
Age: 33
State: CO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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: Penicillin - gets a rash

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

Symptoms: Nausea in the 15 minute post-vaccination period

Other Meds: During post vaccination 15 minute period, client reported feeling nauseous and endorsed some anxiety about receiving the vaccination. Client denied difficulty breathing or symptoms of anaphylaxis, No evidence of rash or hives. Client was of

Current Illness: Unknown

ID: 0938963
Sex: F
Age: 65
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
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: Vaccine administration staff did not follow Moderna vaccine instructions for handling leftover vaccine doses. Specifically, Moderna handling instructions state that vaccines should be used within 6 hours of the first puncture or be discarded after 6 hours. We administered this patient Moderna dose that was from punctured of longer than 6 hours. Of note, although the vials have been out of the fridge past 6 hours, they were stored in the fridge at the recommended storage temperature of 2-8 degrees Celsius.

Other Meds: none

Current Illness: none

ID: 0938964
Sex: F
Age: 47
State: PA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
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: Received first dose COVID vaccine at 6:30am on 1/5/21. Developed redness to face, arms, and chest (like a sunburn) at 2pm. Also felt jittery. Spoke to ER physician and advised to take po Benadryl. Took 2 doses before redness cleared. Jitteriness cleared the next day without Benadryl.

Other Meds:

Current Illness:

ID: 0938965
Sex: F
Age: 54
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/12/2021
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: Shellfish seafood latex sensitive rash Gi intolerance to Eurythromycin, Levaquin Dilaudid tachycardia

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

Symptoms: Overnight early am 7th woke up to shaking chills fever >101, muscles, joints aches, headache, nausea sinus congestion Treated fevers for 3 days. Felt horrible missed 3 days wrk and call due to symptoms. Tested for COVID-19 was negative on01- 11-21 FLU test done also NEG..01-11-21

Other Meds: Allegra 180mg q pm, Duloxetine 60mg,q pm Gabapentin 100x2 up to 3xday Alprazolam 0.5 XR q pm, Took 1 Aleve tablet before appointment

Current Illness: On 12-18 Mild concussion head contusion while working injury treated, light duty, then released to FD

ID: 0938966
Sex: F
Age: 27
State: IL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: developed hives on arm along with fever, chills and muscle aches. Self treated and symptoms resolved

Other Meds:

Current Illness:

ID: 0938967
Sex: M
Age: 1
State:

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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: Pt rec'd HIB and pneumoncoccal vaccine at clinic on 1/11/21 on 1/12/21 he developed a maculopapular rash and was seen at this clinic for evaluation I do not know the manufacturer or information for the vaccines

Other Meds: none

Current Illness: none known

ID: 0938968
Sex: M
Age: 35
State: IL

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/12/2021
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: Allergy to some wheat beers and bread

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: About 2 hours after the second dose of the Pfizer vaccine I felt a warm, flushed feeling in my left foot, not unlike stepping in a bucket of warm water. The sensation lasted about 5 seconds and disappeared on its own. Since then, about once per hour I have had the same symptom, with a warm, flushed feeling in my left foot. There is no pain, slight numbness and tingling, but no loss of function or coordination. I can sense that the symptom is about to begin approximately 10 seconds before it starts, because my foot begins to feel swollen. This has occurred about 40-50 times since the injection, and has only gone down slightly in frequency over the past 72 hours, currently it is happening about once every 1.5-2 hours.

Other Meds: None

Current Illness: None

ID: 0938969
Sex: F
Age: 41
State: AZ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/12/2021
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: Covidien and Pork

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

Symptoms: Made felt dizzy, disoriented :15 minutes :50 minutes face, chest and neck became blochey with redness and heart beat was racing or elavated heart rate nd took benydrol after became back of hands and face became flushed red again and took more benydrol and next day face and cheeks was still blouchey and red. Hot flashes and chills .

Other Meds: Birth control Norethindrone 1 tab

Current Illness: No

ID: 0938970
Sex: F
Age: 62
State: AZ

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
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: 20 mins later numbness in face a head. Blood vessel popped in right eye. Dizziness feeling out of sorts. Feels like flu shot.

Other Meds: no

Current Illness: no

ID: 0938971
Sex: F
Age: 32
State: AZ

Vax Date: 01/03/2021
Onset Date: 01/05/2021
Rec V Date: 01/12/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Lost taste and smell 2 days post vaccine along with a positive cover test 3 days post vaccine

Other Meds: none

Current Illness: none

ID: 0938972
Sex: F
Age: 36
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/12/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Shellfish, multiple outdoor allergies

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

Symptoms: Patient received vaccine at 606 pm, began having reaction symptoms at 612 pm, reports symptoms as feeling dizzy/lightheaded, also reports tingly lips. Patient stayed for observation for 30 minutes, once complete, reported still feeling slightly dizzy/lightheaded, but this is a normal reaction for her to vaccines per patient. Offered patient juice, and patient felt OK to leave, no medications given.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm