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: 1152679
Sex: F
Age: 69
State: MS

Vax Date: 03/11/2021
Onset Date: 03/12/2021
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: unknown

Symptom List: Dysphagia, Epiglottitis

Symptoms: patient started the next day with uncontrollable allergies and then on the third day patient had tongue swelling and was unable to breathe she said and is still experiencing all over body itching

Other Meds: unknown

Current Illness: unknown

ID: 1152680
Sex: M
Age: 61
State: GA

Vax Date: 03/21/2021
Onset Date: 03/30/2021
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: Aspirin, Penicillin, Advil

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe pain in left arm - elbow, wrist and forearm. Had same reaction to flu shot in December but didn't correlate it to the shot until this second event

Other Meds: Atorvastatin 40mg Losartan 100mg

Current Illness: None

ID: 1152681
Sex: F
Age: 63
State: IN

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Mosquito venom /bites, Allopurinol, Gabapentin, Bioxin

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

Symptoms: Itching with irritation and blistery rash starting with a hive on my lower lip then clusters of itchy patches under my left arm spreading to my neck, chest , stomach and inner thighs over a course of 4 days. (Basically from my neck to my knees front side only) Was seen at Clinic on Monday 3/29/21. Prescribed Triamcinolone & Zyrtec D.

Other Meds:

Current Illness: Diverticulitis.

ID: 1152683
Sex: F
Age: 49
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: ** NO LOT # PROVIDED FOR THE FIRST DOSE** I couldn't move my arm for 3-4 days. I had body aches, fatigue. I also broke out in hives, I called my Dr. she advised me to take Benadryl. I had a spot under my arm (size of a quarter), looks like a bruise- she gave me medication to help with it.

Other Meds:

Current Illness:

ID: 1152684
Sex: F
Age: 74
State: CA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
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: Penicillin Soy products

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

Symptoms: tachycardia heart valve regurgitation observed on echcardiogram in March 2021 (not present on ecocardiogram done in June 2020) wildly vacillating oxygen saturation from 99 to 83 (after very limited exertion, such as emptying dishwasher) wildly vacillating pulse from 70 - 152 (after very limited exertion, such as emptying dishwasher) shortness of breath extreme fatigue and exhaustion no endurance poor sleep poor appetite Absolutely NONE of these symptoms present prior to second Moderna injection

Other Meds: amlodipine 5 mg thyroxine 88 mcg liothyronine 25 mcg projesterone 100 mg estrogen patch 0.01 mg D-3 40,000 IU per week (for past 5 years) Vitamin A (from cod liver oil) 25 IU (for past 8 months) Zinc 50 mg (alternating days for 3 years) Vit

Current Illness: NONE

ID: 1152685
Sex: F
Age: 32
State: TX

Vax Date: 03/29/2021
Onset Date: 03/30/2021
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: None that I'm aware of

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

Symptoms: 03/29 & 30 & 31/2021 @ 17:15- 12:00: sore arm and sore at injection spot. 03/30/2021 @ 18:00-21:00 (until sleep):full body flu like soreness and lethargy. Dizziness, tiredness, cold sweats, mild headache, uncomfortable tightness (otherwise normal) breathing. Back, knee, ankle, hip, finger soreness and tightness. 03/31/2021 @ 06:45- 16:30 (current time) mild soreness of body muscles. Previous symptoms have significantly subsided.

Other Meds: Metformin, Metroprolol, 5-HTP, Acyclovier, Levonorgestrel and Ethinyl Estradiol

Current Illness: No

Date Died: 03/15/2021

ID: 1152686
Sex: M
Age: 84
State: IL

Vax Date: 02/17/2021
Onset Date: 02/27/2021
Rec V Date: 03/31/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Respiratory distress, Atrial fibrillation, Acute Kidney Injury, COVID 19 positive High flow nasal cannula, BiPAP machine, antibiotics

Other Meds: ASA 81 mg QD, Amlodipin 10 mg QD, Atorvastatin 20 mg QD, Lisinopril 40 mg QD, Metoprolol 100 mg BID, Omepraszole 20 mg QD, Senna 187 mg QD, Warfarin 2.5 mg daily

Current Illness: Hypertension, DM type II, Hyperlipidemia, CKD stage G3, Peripheral vascular disease, Glaucoma, Diverticulosis, colonic polyps

ID: 1152687
Sex: M
Age: 56
State: IL

Vax Date: 03/02/2021
Onset Date: 03/01/2021
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 known allergies on file.

Symptom List: Pharyngeal swelling

Symptoms: Patient had presented to our office for a hospital follow up. He had asked for his second Shingrix vaccine while at his appointment. Since his COVID vaccine had been 03/02/2021 he was able to have the second dose of Shingrix. After giving him the Shingles vaccine, he asked why he still had a hard lump where he received his second Moderna vaccine. I asked the patient where he had the vaccine. He showed me he had his vaccine on the back of his right arm (SubQ). The spot was palpated and was hard to the touch.

Other Meds: Unknown, patient had the vaccine. Patient's medication list states his medications are as follows: Tylenol, Aspirin, Hydrochlorothiazide, Losartan, Nifedipine, simvastatin, triamcinolone. (per patient's medication list)

Current Illness: None to our knowledge, but we were seeing patient for a hospital follow up for sepsis and cellulitis.

ID: 1152688
Sex: F
Age: 42
State: TN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
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: Doxycycline, Almond, Shellfish, Sesame Seeds

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Vaccine 3/22/21, started with fatigue/generally feeling unwell 3/25/21, fever. Received Tdap vaccine 3/26/21. Persistent fever, pain around eye, ear and radiating into her head, nausea. Symptoms continued to worsen, developed chest pain and new onset seizure 3/31/21- Sent to ER for evaluation

Other Meds: Mirena, Lisinopril-Hydrochlorothiazide, Qvar, Proair, Fexofenadine, Nasonex, Ergocalciferol, Cyanocobalamin

Current Illness: None

ID: 1152689
Sex: F
Age: 41
State: AL

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Started running a fever and having chills and extreme joint pain around midnight the morning of March 31. Have continued to run a fever all day(March 31). Fever lowers some when alternating ibuprofen and Tylenol. Also experienced muscle soreness especially in my legs, back and neck. Joint pain that made it difficult to walk and chills. I also experienced moderate pain in my arm at the injection site which interfered slightly with mobility

Other Meds: Tri Sprintec Birth Control Lisinopril 10 mg daily

Current Illness: None

ID: 1152691
Sex: F
Age: 65
State: NM

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: Latex

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

Symptoms: The right side of my face and gums were numb. It lasted 30 minutes.

Other Meds: Levothyroxin Metoprolol Owing Omega-3 Multi vitamin D3 Super B complex Vitamin C Zinc

Current Illness: No

ID: 1152692
Sex: F
Age: 44
State: PA

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: SYR
Vax Site: RA

Lab Data:

Allergies: no

Symptom List: Rash, Urticaria

Symptoms: patient described arm was tingling all the way down to the hands, felt weird. like numb feeling

Other Meds: no

Current Illness: no

Date Died: 03/12/2021

ID: 1152693
Sex: F
Age: 75
State: DC

Vax Date: 02/13/2021
Onset Date: 03/12/2021
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: Lisinopril

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

Symptoms: Patient received dose #1 of Moderna COVID-19 vaccine 2/13/2021. Family member reported patient death 3/12/2021

Other Meds: Taking VESIcare 5 MG Tablet Taking Micardis HCT 80-25 MG Tablet Taking Amlodipine Besylate 10 mg Tablet Taking Levothyroxine Sodium 25 MCG Tablet Start Olmesartan Medoxomil-HCTZ 40-25 MG Tablet Taking Atorvastatin Calcium 80

Current Illness:

ID: 1152694
Sex: F
Age: 80
State: IL

Vax Date: 03/10/2021
Onset Date: 03/14/2021
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: Codeine, enalapril, penicillin

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

Symptoms: Blisters on buttocks

Other Meds: acetaminophen 500 mg oral tablet 1,000 MG = 2 TAB, PRN, PO, TID amLODIPine 5 mg oral tablet 5 MG = 1 TAB, PO, Daily Aquaphilic topical ointment 1 APP, PRN, Topical, BID Artificial Tears ophthalmic ointment 1 APP, Eyelid Margin, Both, Bedtim

Current Illness: N/A

ID: 1152695
Sex: M
Age: 24
State: NM

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: 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: Pt complains of nausea and feeling hot.

Other Meds:

Current Illness:

ID: 1152696
Sex: M
Age: 25
State: NH

Vax Date: 03/23/2021
Onset Date: 03/23/2021
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: Pt received Pfizer Covid 19 vaccine 7 days prior to scheduled second dose due to a miss calculation on timing. No treatment or symptoms reported.

Other Meds: Unknown

Current Illness: Unknown

ID: 1152697
Sex: M
Age: 67
State: HI

Vax Date: 03/18/2021
Onset Date: 03/24/2021
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: Not aware of any

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

Symptoms: A week after my second Moderna vaccine shot, I started to experience pain in my abdomen area under the skin surface. The pain became progressively worse. I thought I had shingles but no rash or blisters. I took a blood test on 3/30/21 and it was negative on shingles. I was examined by a doctor on 3/31/21 and she is scheduling an appointment with a neurologist at the local hospital, due to inflammation of my spinal chord. She said she wants to rule out transverse myelitis.

Other Meds: vascepa, carvetoral, losarton, baby aspirin

Current Illness:

Date Died: 03/07/2021

ID: 1152698
Sex: M
Age: 68
State: NC

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 03/31/2021
Hospital: Y

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

Lab Data:

Allergies: na

Symptom List: Ear pain, Hypoaesthesia

Symptoms: stroke -venous thrombosis

Other Meds: atorvasatin,trazadone,nexium, allopurinol

Current Illness: gout,hyperlipedemia

ID: 1152699
Sex: F
Age: 64
State: GA

Vax Date: 03/08/2021
Onset Date: 03/31/2021
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: unknown

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient was administered her second Moderna vaccine 1 day outside of the grace period of 4 days.

Other Meds: unknown

Current Illness: unknown

ID: 1152700
Sex: F
Age: 45
State: VA

Vax Date: 03/05/2021
Onset Date: 03/07/2021
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: codeine, aspirin, kiwi

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

Symptoms: Diffuse hives lasting approximately 15 hours on face, neck, torso, bilateral arms, back of both knees and bilateral axilla. Patient had other typical post vaccine symptoms of headache, dizziness, nausea and joint pain.

Other Meds: Zyrtec, Zoloft, Norethindrone Acetate, Pantoprazole Sodium, Singulair, Acyclovir, Ambien, Flonase

Current Illness: none

ID: 1152701
Sex: F
Age: 34
State: SC

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: patien took some benadryl and the itching ( on her neck and truck) went away; did follow up after an hours patient is stable

Other Meds:

Current Illness:

ID: 1152702
Sex: F
Age: 63
State: PA

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

Lab Data:

Allergies: Codeine, NSAIDS, sertraline

Symptom List: Unevaluable event

Symptoms: Fever, Severe Headache, body ache, constipation

Other Meds: Incruse inhaler

Current Illness: None

ID: 1152703
Sex: F
Age: 72
State: MO

Vax Date: 02/24/2021
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: Penicillin, amoxicillin, tetnus, latex, clindamycin, bee venom

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

Symptoms: I had a slight fever, then sub fever then a fever, 96.7, 99.5 then 101.2 I had chills and sweats , muscle aches and fatique. I rested for two days and had a liquid diet for. The fever broke on the second day, still weak and fatiqued second day and then no problems after that. I had a normal fever and my taste returned. So it lasted for two days. I got sick on 25th and 26th of March.

Other Meds: Fluticasone-Propionate Nasal Spray- 50mc Multi-Vitamin, Vit D, Vit C, Biotin and Magnezium Rosuvastiatin-5mg Hydrochlororhozine-25mg Voltaren cream - 4 times a day Pid Mybetriq-25 mg

Current Illness: None

ID: 1152704
Sex: F
Age: 24
State: SC

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Patient said she felt that she was going to pass out. We sat her on the floor, applied a cool compress to head and wrists. A couple minutes later she was feeling better, but she was asked to remain sitting for another 10 mins to monitor her. She claimed to be dehydrated, and had not eaten much of anything today. Her friend brought her some water and food. After eating a bit and drinking the water she said she was feeling almost normal. We provided a motorized cart for her even though she said she was fine to walk. I gave the patient a follow up call a few hours later and she claimed to be feeling fine.

Other Meds: n/a

Current Illness: none

ID: 1152705
Sex: M
Age: 31
State: MI

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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: PATIENT HAD SEIZURE IN WAITING AREA AFTER RECEIVING FIRST DOSE OF COVID VACCINE. PT BECAME RESPONSIVE, EMS WAS CALLED AND MANAGED PATIENT AFTER

Other Meds:

Current Illness:

ID: 1152706
Sex: F
Age: 54
State: GA

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

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

Symptoms: 3/25/2021 started with fever/chills. 3/26 & 3/27 Continued fever/chills, headache, body aches, no energy. Same symptoms on 3/28 and experienced some dizziness and shortness of breath later that evening if I got up to do anything . On Monday 3/29 still having fever/chills, headache, fatigue and mild shortness of breath. On Tuesday 03/30 still having fever, fatigue and shortness of breath. Went to work, nasal swab done to test for COVID it was negative but I still felt so bad I came back home. 3/31 had Fever this am, had headache all day, fatigue but shortness of breath has decreased.

Other Meds: None

Current Illness: None

ID: 1152707
Sex: F
Age: 49
State: CA

Vax Date: 02/19/2021
Onset Date: 02/20/2021
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: I started sweating immediately and it continued through the night and had a fever for 101 and lasted the whole next day. I had body aches I couldn't get out of bed and bad fatigue. Three days later my left thumb went completely numb and tingly. The Dr. said that patients had reported this and could last up to four months to go away. My left foot went numb a week later and lasted a 1/2 hour. On March 4, both my hands went numb while I was driving and lasted about 45 minutes. The left food has gone numb off and on.

Other Meds:

Current Illness:

ID: 1152709
Sex: M
Age: 62
State: CA

Vax Date: 03/19/2021
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: no

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Bell's Palsy going for follow up care

Other Meds: Metformin levothyroxine

Current Illness: n/a

ID: 1152710
Sex: F
Age: 24
State: CA

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

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

Symptoms: Very dry nose or very congested/runny nose. Mostly dry, but occasionally very drippy. Crusted blood at nasal entrance, though no big bleed has currently occurred as of writing this.

Other Meds: Birth control pill. Daily vitamin

Current Illness:

ID: 1152711
Sex: F
Age: 67
State: OR

Vax Date: 03/03/2021
Onset Date: 03/10/2021
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:

Symptom List: Nausea

Symptoms: One week after receiving the vaccine, developed a rash on my arm around the injection site. It was roughly 4-5 inches in diameter. Very Itchy. Applied Hydrocortisone 1% ointment for a few days to help with the itching. Then switched to applying lotion. Rash went away after about 1 week.

Other Meds: Atovastatin Calcium 10 Mg/day Baby aspirin 81 mg/day Alendronate Sodium Tablets (Fosamax) 70mg/week Estradial Vaginal Tablets 10 MCG 2x/week Calcium with Vit D3, 600mg daily Vitamin C 1000mg daily

Current Illness:

ID: 1152712
Sex: F
Age: 53
State: IN

Vax Date: 03/25/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Seasonal allergies

Symptom List: Injection site pain

Symptoms: Headache, chills, joint/body ache, fatigue, low grade fever started on 3-26-2021 & are still present as of 3-31-2021

Other Meds: HYDROCHLOROTHIAZIDE 25mg tablet METFORMIN HCL 850 MG TABLET SPIRONOLACTONE 50 mg tablet VENLAFAXINE HCL ER 150 MG cap PHENTERMINE 15 mg cap

Current Illness: None

ID: 1152713
Sex: F
Age: 39
State: NY

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

Lab Data:

Allergies:

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

Symptoms: Headache taking Tylenol Nausea taking nothing

Other Meds: Albuteral

Current Illness:

ID: 1152714
Sex: M
Age: 31
State: WA

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Tingling - much like the sensation of novocain wearing off - from the injection site on my left shoulder to my left cheek. The sensation is most noticeable on my left shoulder ( injection site), left neck, and left cheek (from jaw to cheekbone)

Other Meds: Mycophenolate, ibuprofen

Current Illness:

ID: 1152715
Sex: F
Age: 85
State: IL

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

Lab Data:

Allergies: unknown

Symptom List: Tremor

Symptoms: Patient sitting in chair passed out sternal run performed lowered to floor sternal rub performed again responsive breathing shallow lost bowels pulse weak ammonia salts used and EMS called

Other Meds: unknown

Current Illness: unknown

ID: 1152716
Sex: M
Age: 20
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: None

Symptom List: Erythema, Pruritus

Symptoms: While in observation, patient reported feeling nauseous and was mildly diaphoretic. Vilas taken, 95/58 bp at the time. Patient then began to complain of chest pain. Vital signs taken again, as vital signs were being taken, pt reported relief from both nausea and chest pain. pt observation extended to 30 minutes. @ more vitals completed, all within normal limits. Pt refused further evaluation by md. Patient left facility with no complaints and a steady gait.

Other Meds: None

Current Illness: None

ID: 1152717
Sex: F
Age: 52
State:

Vax Date: 03/31/2021
Onset Date: 03/31/2021
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: Shellfish

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

Symptoms: Patient developed itching on thighs, tops of ankles, arms, and ribs. Patient did not develop any shortness of breath. Benadryl liquid 25mg was given at onset of itching. Itching resolved 10 minutes after Benadryl administration. Patient left facility with no complaints.

Other Meds:

Current Illness:

ID: 1152719
Sex: F
Age: 17
State: CA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
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: NONE

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

Symptoms: MODERNA VACCINE ADMINISTERED TO 17 YEAR OLD PATIENT (3 DAYS BEFORE 18TH BIRTHDAY) (PROTOCOL FOR MODERNA IS 18 YEARS AND OVER).

Other Meds: NONE

Current Illness: NONE

ID: 1152720
Sex: F
Age: 64
State: MD

Vax Date: 03/23/2021
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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 8 days after vaccination redness, slight inflammation at injection site, itchiness at site occurred. Ongoing for 10 hours

Other Meds: HCTZ , Risedronate Sodium, Atorvastatin, Multivitamin, Citracal Petites

Current Illness: None

ID: 1152721
Sex: F
Age: 42
State: IN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Latex

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

Symptoms: The night of my vax , i started to feel hot and sweaty. I checked for fever. Was only 98.9. Roughly 30min later, i started feeling cold sweats. These went into feeling hot again. Nxt day, o had cold sweaty off and on and was cold. These cold sweats have continued. Unfort my blood glucose monitor needed new batteries so, until today, i could only go by how i normally feel if my BS is high or low. Cold sweats are high. Today i checked and it was 163. I have not changed ANY of my diet. I also have not had issues with my BS going up and down like this before.

Other Meds: Metformin, lipitor, adderall, celebrex,omeprazole, zestril, b6, emgality

Current Illness: No

ID: 1152722
Sex: M
Age: 73
State: MN

Vax Date: 03/28/2021
Onset Date: 03/30/2021
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: Tricyclics

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

Symptoms: Sore, swollen injection site -- continues 3rd day Nausea -- OK after 1st day Headache -- continues 3rd day Fatigue -- continues 3rd day Body Ache -- continues 3rd day Stiffness -- continues 3rd day Slow thinking -- OK after 1st day Labored breathing -- OK after 1st day

Other Meds: Fish Oil Multi Vitamin Baby Aspirin Lyrica 75mg Ropinirole .5mg Prochlorper 10mg Pravastatin 10mg

Current Illness: Tendonitis in ankles

ID: 1152723
Sex: M
Age: 59
State:

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: ASPIRIN

Symptom List: Pain in extremity

Symptoms: PT ARRIVED TO THE E.R. DUE TO HAVING LARGE RASH TO LEFT FACIAL REGION AND FELT SICK POST 2ND MODERNA SHOT. DENIES SOB, CHEST PAIN, OR DIZZINESS AT THIS TIME. RECEIVED CLARITIN 10MG/ DECADRON 6MG IN THE E.R.

Other Meds: NONE

Current Illness: NONE

ID: 1152724
Sex: F
Age: 50
State: CT

Vax Date: 03/27/2021
Onset Date: 03/27/2021
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: Gluten sensitivity, almonds, peanuts, eggs

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

Symptoms: Dry and tight throat.

Other Meds: None

Current Illness: None

ID: 1152725
Sex: F
Age: 49
State: WA

Vax Date: 03/21/2021
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: Flagyl

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

Symptoms: On Sunday March 28 (one week after vaccination), discovered a painful lump in my left armpit. The lump has decreased in size but it still painful to palpation today (Wednesday March 31st). On Tuesday, March 30, developed an erythematous circular rash approximately 5 cm in diameter centered over the site of the injection. No pruritis or pain with the rash.

Other Meds: None

Current Illness: None

ID: 1152727
Sex: F
Age: 60
State: MI

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:

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

Symptoms: High blood pressure 160/109 ten minutes after shot. Still elevated at 154/94 on recheck 5 minutes later. Patient reports a "pounding" heart. HR was also elevated. Patient reports this happened last time as well.

Other Meds:

Current Illness:

ID: 1152728
Sex: F
Age: 64
State: IN

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Chills, fever, muscle aches, headache, sore arm...all symptoms lasting 24 hours

Other Meds: Hormone replacement including estradiol, testosterone and progesterone Statin Multi-vitamin Prevagen

Current Illness: None

ID: 1152729
Sex: M
Age: 21
State: TX

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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NO KNOWN

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: INCREASED HEART RATE AND BLOOD PRESSURE, NEEDING HOSPITALIZATION

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1152730
Sex: F
Age: 41
State: WI

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

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

Symptoms: I got four blotches on my right leg 2 by knee and 2 on chin. Did a virtual visit with doctor. They think it may be a bug bite of some kind but since it was within 24 hours of vaccine they wanted me to report it.

Other Meds: Vitamin C, D, E, B, and allergy pills

Current Illness: none

ID: 1152732
Sex: F
Age: 25
State: GA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no known allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient fainted briefly. Her face was flushed. time was 2:45 PM.

Other Meds: unknown

Current Illness: unknown

ID: 1152733
Sex: M
Age: 62
State: CO

Vax Date: 03/24/2021
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: RA

Lab Data:

Allergies: Sulfa

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

Symptoms: Patient started feeling warm and dizzy around the last few minutes of waiting for the vaccine 15 minute window. About 13 minutes after the vaccine was administered. We provided the patient with water and informed him to sit and wait a few more minutes.

Other Meds: hydrocodone/apap, metoprolol, lisinopril, amlodipine, ibu, fish oil, vitamin D, vitamin C, omeprazole, calcium, magnesium, centrum men's 50+

Current Illness: no

ID: 1152734
Sex: F
Age: 51
State: NY

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin niacin delaudin

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

Symptoms: Fever muscle aches fatigue severe headache nausea

Other Meds: Losartan, , metoprolol, baby aspirin , colchicine , potassium chloride , levothyroxine, fish oil, Hydrochlorathozide, atorovastain

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm