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: 1155477
Sex: F
Age: 64
State: NY

Vax Date: 03/20/2021
Onset Date: 03/22/2021
Rec V Date: 04/01/2021
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: Penicillin, Neomycin, Nickel, Histamine in food, Persimmon

Symptom List: Dysphagia, Epiglottitis

Symptoms: Redness between the toes, halfway through the toe affecting the bottom half only. Toes feel very warm.

Other Meds: Probiotics, Magnesium, Calcium with vitamin D, B-complex, vitamin E, Zinc

Current Illness: None

ID: 1155478
Sex: F
Age: 38
State: MN

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Cephalosporins (nausea & vomiting) Latex (contact only) Prozac (throat tightening)

Symptom List: Anxiety, Dyspnoea

Symptoms: Pt received 2nd dose of the 21-day Pfizer vaccine today. While in observation, pt reported feeling light-headed and scratchy throat. Observers alerted medical staff who escorted pt to recovery room for support and continued observation. BP: 150/79 @ 10:00am/ 1135/70 @ 10:30am SPO2: 100% on RA Pulse: 79 Administerd 25mg Benadryl, PO Pt reported feeling improved after about 10 minutes. We continued observation of pt for another 30 min. Of note: pt is currently receiving chemotherapy infusions. I will attempt to find her oncologist and ml the chart, if possible. Compass report and VAERS report filed. RN

Other Meds: Celexa 10mg Paraguard IUD Herceptin 150mg IV (listed as historical, given 3/22/21)

Current Illness: Anxiety Neoplasm of L Breast, primary tumor staging: Tis Ductal Carcinoma in site (DCIS)

ID: 1155479
Sex: M
Age: 66
State: TX

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Very sore shoulder at site of injection. I could not raise my arm without sever muscle pain.

Other Meds: Metoprolol, Eliquis, Furosemide, Lisinopril, Crestor

Current Illness: none

ID: 1155480
Sex: F
Age: 15
State: TX

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: ASYMPTOMIC

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 1155481
Sex: F
Age: 55
State: IL

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Had an allergic reaction to an arthritis medication that caused a rash on her buttocks

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

Symptoms: While sitting during the observation period, client states she began to have tingling on the right side of her tongue which lasted for 3-4min. She did not say anything to staff at vaccination clinic. Later in the evening she noticed her arm getting sore. Upon waking up this AM , her harm was sore, swollen, warm to touch. States pain is about a 3 on pain scale of 1-10. She also has an itchy rash on buttocks, which occurred the last time she had an allergic reaction to an arthritis medication. When asked to describe the rash, she said she could not see it. Denies fever. Client advised to contact physician to notify of s/s.

Other Meds: Benedryl q noc Amitriptyline Levothyroxine Citalopram

Current Illness: None

ID: 1155482
Sex: F
Age: 61
State:

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

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

Symptoms: Approximately 5 minutes post vaccination, patient complained of throat tightness and difficulty speaking. EMS was activated. Pt was given 50mg Benadryl. Patient was then re-evaluated and symptoms improved. Patient reports allergies to nuts and fish but no other known allergies. Patient refused transport by EMS and released in greatly improved condition with precautions

Other Meds:

Current Illness:

ID: 1155483
Sex: F
Age: 24
State: AZ

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Sulfa medications

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I got hot and my throat started to close up before I got dizzy and nauseous. Then my heartbeat spiked and I got really loopy and uncoordinated while having trouble breathing. That night I got the chills and a fever of 102.

Other Meds: Concerta, estarylla, omeprazole, iron, D3, allerclear

Current Illness: N/A

ID: 1155484
Sex: F
Age: 50
State: WI

Vax Date: 03/21/2021
Onset Date: 03/28/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Lamictal

Symptom List: Pharyngeal swelling

Symptoms: 2" diameter rash at injection site. The rash is itchy, raised, red, hard and warm to the touch. I first noticed it Sunday evening but it was just a little itchy. It has progressively become bigger but hasn't grown in the past 2 days. It doesn't hurt unless touched and I feel fine otherwise.

Other Meds: Fluoxetine - 30mg Bupropion - 300mg Propranolol - 20mg LISINOPRIL/HYDROCHLOROTHIAZIDE - 20-12.5 PREVIFEM 0.25/35 Albuterol

Current Illness: None

ID: 1155485
Sex: F
Age: 65
State: OK

Vax Date: 01/14/2021
Onset Date: 01/17/2021
Rec V Date: 04/01/2021
Hospital: Y

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

Lab Data:

Allergies: No

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: About 3 days after the vaccine my daughter mentioned to me that I was not breathing right. It was harder to breathe and I could not even take a shower that I would be out of breath. My daughter checked my pulsox and it was 85. I couldn't really walk or do anything so my daughter transported me to ER and lots of labs were done so since my D Dimer was too high they did a CT scan and it showed some blood clots in my lungs. They admitted me because they were concerned with the location of one of them. They did some heart tests too and put me on Eloquis and then sent me home. I stayed for 2 days. Then they scheduled me FUs with a heart doctor and a pulmonologist.

Other Meds: Cymbalta, Pravastatin, Sulfazine, Metformin, Rhenofibrate, Pepcid, Xyzol, Nasonex, Vitamin D3, Vitamin B12, potassium, centroid

Current Illness: No

ID: 1155486
Sex: M
Age: 44
State: CA

Vax Date: 03/13/2021
Onset Date: 03/15/2021
Rec V Date: 04/01/2021
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: Unsteady feeling in my head and body, like a shaky feeling and headaches. Been experiencing this for almost 3 weeks now.

Other Meds: None

Current Illness: None

ID: 1155487
Sex: F
Age: 58
State: CA

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

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

Lab Data:

Allergies: Wheat

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

Symptoms: Patient complained of numbness and tingling in right hand radiating up to forearm Patient refused medical transport to hospital and signed AMA form

Other Meds: None

Current Illness: None

ID: 1155488
Sex: M
Age: 46
State: MO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Since the first does, I have been experiencing intermittent tinnitus. The increase in occurrence seems related to being vaccinated.

Other Meds: Metformin, glipizide, insulin, meloxicam

Current Illness: None

ID: 1155489
Sex: F
Age: 16
State: FL

Vax Date: 03/16/2021
Onset Date: 03/16/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Moderna COVID vaccine given to underage (16 years old) patient

Other Meds: NA

Current Illness: NA

ID: 1155490
Sex: F
Age: 75
State: FL

Vax Date: 03/18/2021
Onset Date: 03/18/2021
Rec V Date: 04/01/2021
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: 3/29-Fatigue and loss of appetite: Started 03/18/2021 evening Pt called doctor 03/29/2021 morning and doctor advised pt to make an appointment if still experiencing symptoms in one week.

Other Meds: levothyroxine, simvastatin 10mg qd, alendronate 70 mg weekly, warfarin 5mg qhs, aspirin 81 mg qd, and vitamins

Current Illness:

ID: 1155491
Sex: F
Age: 55
State: NJ

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
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: Bells Palsy Blurry sight-3/30/2021 Couldn?t move mouth-3/31/2021 Couldn?t close right eye- 4-1/2021

Other Meds:

Current Illness:

ID: 1155492
Sex: M
Age: 21
State: NC

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: no.

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

Symptoms: Profuse shaking to the point of no control, fever, bone pain, fast heart rate

Other Meds: Creatine in the morning.

Current Illness: no.

ID: 1155493
Sex: F
Age: 31
State: NY

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: none

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

Symptoms: dizziness, brought to cot, she stated she usually feels dizzy following vaccinations

Other Meds: none

Current Illness: none

ID: 1155494
Sex: M
Age: 58
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Slightly light headed when standing up or bending over for two days now

Other Meds:

Current Illness:

ID: 1155495
Sex: F
Age: 79
State: MD

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Numerous allergies including basil, cilantro, coriander, mint, lemon grass, latex, black tea

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Immediately after injection Lips tingled and swelled. difficulty swallowing, On day after: two days of intense headaches, followed by two days of flu-like symptoms and 99.0 fever and heart palpitations, and for the next two weeks intense frequent diarrhea and continuing heart palpitations, which continue to current date.

Other Meds: Olmesartan, Levothyroxine, Prevastatin, Iodoral, Vitamin D emulsion, Gabapentin, CoQ10, Vitamin C

Current Illness: None

ID: 1155496
Sex: F
Age: 69
State:

Vax Date: 03/20/2021
Onset Date: 03/20/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: eggs; insect venom/saliva; anesthesia, latex; calcium pills from Costco; lemongrass; some hair dyes and some makeup.

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

Symptoms: double vision (cleared in ~10 minutes); numbness in left arm, left hand, left side of face; extreme sleepiness (made it home then slept for ~ 14 hours - still sleepy the next day; diarrhea; rash on face and hands appeared (still clearing); pain at injection site only lasted 2 days and it wasn't all that bad (did NOT take any over the counter drugs until March 31, 2021)

Other Meds: none

Current Illness: none

ID: 1155497
Sex: F
Age: 46
State: WI

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Shell fish, bees, latex

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

Symptoms: Client received the COVID 19 Janssen injection at about 6:15. Client indicates "about 15 minutes later, she felt her throat tighten and was a little SOB". Reports she also has allergies to shell fish and bees that produce the same symptoms. Indicates she does not have an epi-pen and benadryl seems to alleviate her symptoms. At about 6:25 the client took two benadryl. Reports that after about 30 mins her symptoms were remarkably improved. Before bed client reports taking two more benadryl. Indicates "she woke up in the middle of the night and her throat tightness and breathing were normal, but she had the chills and body aches. When client was interviewed at 11:00a on 04/01/2021, she felt much better and was leaving for work.

Other Meds: Multi-vitamins, Zinc, Vitamin D

Current Illness: No

ID: 1155498
Sex: F
Age: 28
State: WA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Unevaluable event

Symptoms: I started getting spots on my toes - red spots. I had heard of COVID toes - and I thought it looked similar to that. It started on one foot. I had two spots for about a week and one morning I woke up I had 10 spots on both feet. Started out small and they got bigger and bigger and they turned into scaly sores. I took pictures to document how my feet looked. They were itchy sometimes. I went to on about January 23rd to Medical Center ER and they prescribed a cream and I'm not remembering the name of it - a steroid cream. The cream did nothing. It took about one month for all of the spots to go away.

Other Meds: Oxicam; Multi-Vitamin; Vit D; calcium

Current Illness: no

ID: 1155499
Sex: U
Age: 49
State: NC

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 04/01/2021
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: sulfa

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

Symptoms: 1/9th vaccination By Wed, 1/13, I started to heavily bleed / abnormal cycle; 16 days. 1/17 rash, itchy. Lasted for a month. From my neck to my ankles. It wasn't flared up the whole time but took that whole time for scabs to go away. Scarred on body. Tried to treat with Benadryl. 1/19 (unknown exact date) contacted PCM; 1st visit in person, 2nd appt telehealth, 3rd was referred to dermatologist. Six days of a steroid pack for treatment.

Other Meds: n/a

Current Illness: n/a

ID: 1155500
Sex: M
Age: 61
State: OH

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/01/2021
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: Demerol

Symptom List: Injection site pain, Pain

Symptoms: Shortly before going to bed I became feverish (102.5 degrees) and had a headache. Was able to sleep, and by morning the fever was down to 100 degrees. I still felt very tired and headachy. I got up and had a small dish of cereal and then slept most of the morning. By the afternoon the fever was gone, however had a headache and fatigue. Took a Tylenol about 4 pm (24 hours after receiving the injection). Headache cleared by the end of the day. Still somewhat fatigued 72 hours after receiving the injection. Stayed hydrated through the whole period.

Other Meds: Vitamin D, Zinc

Current Illness: None

ID: 1155501
Sex: F
Age: 61
State: PA

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Allergic to sulfa drugs, experienced prior adverse reactions to fluoroquinolones (Cipro, Avelox), experienced Adverse reaction to metoprolol. Experienced adverse effects from keflex. I react poorly to most prescription medications. I take no prescription medications since stopping metoprolol in August of 2020.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Approximately 6 hours after injection, I started experiencing light headedness, fatigue, chills, nausea, and a general feeling of unwellness. I laid down to rest at 8:00 pm and started feeling neck pain in the large vertabra at the base of my neck. The pain has increased since March 17th and has traveled to the trapezius area all on the right side. I am coping with the pain by using my at home TENS unit, but it's pretty much constant and actually makes me feel nauseated. I haven't injured myself, nor did I ever have this pain in the past. My other effects disappeared after a few days, but this neck and trapezius pain remain.

Other Meds: none ( but I do take a B12 shot monthly)

Current Illness: none

ID: 1155502
Sex: F
Age: 54
State: MD

Vax Date: 03/24/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Tetanus

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

Symptoms: I woke up this morning with the injection site being itchy. It is also swollen. There is a rash about 3 inches in diameter around the spot of the injection. I can touch the spot with no issues.

Other Meds: NONE

Current Illness: None

ID: 1155503
Sex: F
Age: 64
State: IN

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Thimerosol. Bacitracin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 5 minutes after injection, fogginess and sleepy. Sort of like being drunk. Did not want to talk. Lethargy and weakness. High BP. This was a much shorter time than after 1st one. Next day: left arm/hand/fingers had uncontrollable muscle movements, beginning about 9:30 am.

Other Meds: Lisinopril. Metropolol. Hydralazine. Meloxicam. Farxiga. Vitamin D. Multi-vitamin/mineral. Dealing Leomefolate.

Current Illness:

ID: 1155504
Sex: M
Age: 70
State: CA

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: fever, body ache, chills

Other Meds: Metopolol Febuxostat

Current Illness:

ID: 1155505
Sex: M
Age: 17
State: MA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Administered outside EUA approved age limit

Other Meds:

Current Illness:

ID: 1155506
Sex: F
Age: 26
State: CA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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 and Azithromycin

Symptom List: Nausea

Symptoms: Patient reported history of tongue swelling after receiving the 1st dose of Pfizer COVID-19 vaccine. Patient consulted MD and MD recommended patient to receive the 2nd dose of vaccine. Patient declined premedication with Cetirizine . Approximately 5 minutes after receiving the vaccine, patient reported swelling in tongue. Patient remained talkative and was able to speak in full sentences. O2 sat decreased to 90%. Patient placed on 02 via nasal canula at 2 lpm. BP 129/72, HR 88, O2 sat 96% on 2 lpm of O2 via nasal canula. Patient Benadryl 50 mg was attempted to be given IM however at least 50 % of the medication leaked out of the injection site. Patient continued to breath comfortable but talked with shortness of breath. 2nd dose of Benadryl 50 mg given IM. Patient continued to be monitored . Patient released home with sister and will be observed at home overnight.

Other Meds: Metroprolol, Singulair, Albuterol, Spiriva, Wexella, Lipitor Benadryl prn, Epi Pen prn

Current Illness: None

ID: 1155508
Sex: F
Age: 35
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
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: Injection site pain

Symptoms: Pain at injection site, swelling at injection site, redness at injection site, fatigue, nausea

Other Meds: Metformin ER, Hydroxyzine Pamoate, Bupropion XL, Cetirizine, Zaditor, Vitamin C, Ferrous Gluconate, B12, Mirena IUD

Current Illness: None

ID: 1155509
Sex: F
Age: 63
State: TX

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: merthiolate

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

Symptoms: pt states after she got the second dose her middle knuckle became red and purple, like a bruise but no pain associated with it. She had redness and itching on both cheeks. She had body aches and chills with no fever but she felt very hot. Pt took 2 extra strength Tylenol. the next day the next day all symptoms were gone.

Other Meds: none

Current Illness: no

ID: 1155510
Sex: F
Age: 51
State:

Vax Date: 03/26/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Red itchy rash. Started in lower extremities and spread to entire body.

Other Meds:

Current Illness:

ID: 1155511
Sex: F
Age: 84
State: NJ

Vax Date: 03/24/2021
Onset Date: 03/27/2021
Rec V Date: 04/01/2021
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: Augmentin

Symptom List: Tremor

Symptoms: pain In stomach throwingup for 2 days brown liquid followed by diarrhea

Other Meds: spriva

Current Illness:

ID: 1155512
Sex: M
Age: 81
State: FL

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
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: Erythema, Pruritus

Symptoms: Fever, fatigue, headache, weakness, muscle pain, chills, feeling unwell, behavioral changes.

Other Meds: Eliquis, d3, zinc,, vitamin, b12, glucosamine chondrites

Current Illness: Knee pain

ID: 1155513
Sex: F
Age: 58
State: IA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
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: n/a

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

Symptoms: In addition to soreness in injection site plus shoulders/neck/left arm an ulcerous skin lesion occurred that rapidly deepened despite cleaning it with rubbing alcohol and covering it with Neosporine and bandaid. 2 days after the vaccine I went back to doctor and was prescribed an antibiotic. This lesion occurred on the lower right arm, about 4 inches above the ulna. FYI, 5 1/2 years ago I had a bad ulcerous skin lesion after an insect bite within 4 inches of the injection site. However, that healed quickly after antibiotic treatment. I have never had any lesions otherwise and generally heal easily and quickly after scratches, etc.

Other Meds: n/a

Current Illness: n/a

ID: 1155514
Sex: F
Age: 27
State: OH

Vax Date: 03/24/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Painful and itchy red rash at injection site began 8 days after injection. Took Benadryl as advised.

Other Meds: Junel Fe 1/20 Zyrtec

Current Illness:

ID: 1155515
Sex: F
Age: 49
State:

Vax Date: 03/17/2021
Onset Date: 03/20/2021
Rec V Date: 04/01/2021
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: left elbow pain, left upper arm pain, numbness and tingling in left hand / fingers, subjective weakness left arm and left hand grip

Other Meds: Humira, Lo-loestrin, Prozac

Current Illness:

ID: 1155516
Sex: F
Age: 27
State: MI

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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 reported chest pain that started on 3/30/21 at an unknown time after receiving covid vaccine. Vital signs were stable and EKG was normal at time of presentation on 3/31/21. Suspected that complaint is unrelated to vaccine.

Other Meds:

Current Illness:

ID: 1155517
Sex: M
Age: 53
State: IN

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Sharp pain in groin area that would last 1-2 seconds and intermittent on frequency. It seems like it might be where a lymph node is located. Frequency has reduced since day of vaccination

Other Meds: Adderall, Omeprazole, Amlodipine

Current Illness: none

ID: 1155518
Sex: F
Age: 20
State: OK

Vax Date: 03/16/2021
Onset Date: 03/17/2021
Rec V Date: 04/01/2021
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: Pain in extremity

Symptoms: MODERNA EUA--The patient complained of having a rash on her face the day after receiving her first Moderna dose on 031621. She denied any fever, itching, shortness of breath or wheezing. She was also noted to have some bruising under her left eye. The initial encounter with the healtcare provider occurred two days post-vaccination via virtual visit on 031321. She was followed up in person on 031921 at which time her rash was improved after taking Benadryl. She reported some pain of her lower left eyelid that continued but no vision changes. Another virtual visit was conducted on 032621 at which time all symptoms had resolved without further sequelae.

Other Meds:

Current Illness:

ID: 1155519
Sex: F
Age: 51
State: VA

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Several hours after receiving the 1st vaccine, began to feel very dizzy. Checked blood sugar and it had spiked to 319, which is highly unusual for me. I kept an eye on it to ensure it did not increase further. Within a few hours it did go back down so medical treatment was not necessary. I just wanted to to report this so people with diabetes can be informed that this might happen.

Other Meds: Turmeric Curcumin supplements Metformin Multivitamin Potassium Duloxetine Triamterene Topiramate Omeprazole Folic Acid Oxybutynin

Current Illness: None

ID: 1155520
Sex: F
Age: 51
State: FL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/01/2021
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: 1015 syncopal episode BP 126/78 P 56 SpO2 99% 2lpm NC, loss of bladder, sternum rub done 1020 nausea, moved to recliner 1024 dizzy, BP 116/73 P73 SpO2 99% 3lmp NC 1025 accu-check 87 1029 vomiting 1031 BP122/78 P 78 SpO2 3lpm NC 97% 1033 BP 105/69 1035 to Urgent Care with staff * husband reports similar episodes with different medications*

Other Meds:

Current Illness:

ID: 1155521
Sex: F
Age: 60
State: NJ

Vax Date: 03/27/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Site soreness immediately following vaccine which dissipated quickly. HOWEVER, 4 days AFTER vaccine experienced extreme vertigo, dizziness, nausea which required an ER visit. Side effects still lingering next day.

Other Meds: Synthroid

Current Illness: None

ID: 1155522
Sex: F
Age: 65
State: CA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Patient came in for 2nd dose of Moderna vaccine. Due to malfunction of syringe (not completely screwed on), vaccine was seen leaking out when injected and it is unknown how much vaccine patient received. Consulted lead at vaccine clinic and situation explained to patient. Another dose will not be administered at this time. Patient is ok with this and sent to observation.

Other Meds:

Current Illness:

ID: 1155523
Sex: M
Age: 77
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/01/2021
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: pennicillin, shell fish, ionic contrast

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: chronic nausea, made worse by eating

Other Meds: hctz, enalapril, aspirin, crestor

Current Illness: none

ID: 1155524
Sex: F
Age: 70
State: CA

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/01/2021
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: NKDA

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

Symptoms: Pt. states she started to spit blood approximately 12 hours after Covid 19 vaccines. It happened both times. 1st dose given on 2/25/21, reporting second dose from 3/25/21 because pt. sought ER care at . She states the blood was coming from throat area, not vomiting. She just spit out blood and blood clots. Dr. will send her to ENT to rule out lesion.

Other Meds: ASA 81 mg daily Losartan 100mg daily Metformin 500mg twice a day Ergocalciferol 1,250mcg daily

Current Illness:

ID: 1155525
Sex: M
Age: 55
State: CA

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I was woken up at about 1:15AM with major night sweats and vividly scary dreams of scary faces . I opened my eyes and I was still seeing the scary faces that were scaring me and causing me to yell and move around in bed while asleep. I girlfriend said I was yelling and moving around a lot prior to waking up. Once awake, I was still seeing the visions for about 2 minutes until I turned on the light and my eyes adjusted to the brightness. When I turned the light off and tried to go back to sleep, the faces appeared again. I was not able to go back to sleep and ended up getting out of bed and going out on the couch to watch TV to avoid being in the darkness and closing my eyes. I'm not one to dream very often and this was certainly and vividly scary night.

Other Meds: None

Current Illness: None

ID: 1155526
Sex: F
Age: 62
State:

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Caller stated she had a red line going down from elbow to wrist on opposite arm than was vaccinated on Monday. She stated it is not painful or itchy but did take Benadryl yesterday. She denies any other symptoms. She got vaccine at a Center. No lot number was available at the time of this documentation.

Other Meds:

Current Illness:

ID: 1155527
Sex: F
Age: 16
State: WI

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/01/2021
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: unknown

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

Symptoms: They made initial contact with young lady when she entered the holding area (as they do with every car). Their second contact came when the mother showed up on scene. At that time the patient reported that at one point her vision began to get dark on the peripherals and she may have passed out. She stated she turned on her hazard lights (four-way flashers) at that point. Our personnel never noticed a vehicle not progressing forward at any point. Our personnel then removed her from the line for evaluation: She no longer had any complaints, vitals: BP 106/57 P-64 and regular SPO2-99% and did not want transport to the hospital. The patient and mother were given instruction of things to watch for and what warranted calling 911. They report the mother and patient had no concerns upon their departure. Further, there were 4-6 personnel in the 15-minute holding area yesterday. They are constantly on foot moving between all the cars.

Other Meds: unknown

Current Illness: unknown

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm