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: 1156759
Sex: U
Age:
State: NE

Vax Date:
Onset Date:
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever, almost fainted, really dizzy, my vision went black, got very weak, heart very accelerated

Other Meds:

Current Illness:

ID: 1156760
Sex: F
Age: 21
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: n/a

Symptom List: Anxiety, Dyspnoea

Symptoms: Sore arm, chest pain, fatigue, nausea, headache, fever, vomiting, chills (shaking)

Other Meds: multivitamin

Current Illness: n/a

ID: 1156761
Sex: M
Age: 49
State:

Vax Date: 03/24/2021
Onset Date: 03/24/2021
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:

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

Symptoms: BP 150/98. HR 96. Chest tight Throat felt tight at first now continues with chest tightness. Pt felt like chest is getting better after few minutes History of possible vasovagal reaction after getting shot

Other Meds:

Current Illness:

ID: 1156762
Sex: F
Age: 51
State: CA

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Sore arm, terrible headache, fatigue and generally not feeling well - like I was about to get the flu

Other Meds: Fluvoxamine Bupropion Lamictal Levothyroxine Spirolactine

Current Illness: None

ID: 1156763
Sex: F
Age: 39
State: VA

Vax Date: 03/22/2021
Onset Date: 03/29/2021
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: None

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

Symptoms: Rash/welt at injection site: about a 3in diameter spot at injection site was slightly itchy, slightly swollen, very firm feeling, felt hot to touch and sensitive to touch (like a bruise).

Other Meds: None

Current Illness: None

ID: 1156764
Sex: F
Age: 38
State: HI

Vax Date: 02/02/2021
Onset Date: 03/28/2021
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: Mangos, bees, adhesive

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

Symptoms: No symptoms at the time of injection. Diagnosed with Bell's Palsy on 3.28.21.

Other Meds: Depo

Current Illness: None

ID: 1156765
Sex: F
Age: 60
State: TX

Vax Date: 03/12/2021
Onset Date: 03/19/2021
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: Penicillin Codeine

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fatigue- 36 hours Fever (100-102) -48 hours Chills - 48 hours Sore/red arm at injection site - 1 week

Other Meds: Synthroid Losartan Rosuvastatin

Current Illness: None

ID: 1156766
Sex: F
Age: 62
State: OH

Vax Date: 03/29/2021
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: Pharyngeal swelling

Symptoms: Headache, body aches, chills, fatigue and dizziness.

Other Meds: Toprol, losartin, simvastatin, vitamin D

Current Illness: None

ID: 1156767
Sex: F
Age: 64
State: CA

Vax Date: 03/11/2021
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: lactose intolerant

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: About 6 days after 2nd shot I noticed red spots on my legs (below the knee) and tops of my feet on both legs, They are bright red, do not itch and are not raised. It is now three weeks and they are not going away. Had a video call with Dr. this morning and showed him, he asked Diff w/o Pit and I answered no new soaps or anything else. So he ordered an ESR blood test and a CBCwith Diff w/o Pit.He also said to contact the CDC which In tried to do on the phone.

Other Meds: Metformin HCL 500 mg twice a day, Linsinopril HCTZ10 12.5mg one a day, and Calcium with Magnesium & Zinc

Current Illness: none

ID: 1156768
Sex: F
Age: 30
State: IL

Vax Date: 03/22/2021
Onset Date: 03/22/2021
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: no

Symptom List: Diarrhoea, Nasal congestion

Symptoms: soreness in arm, 8 hours after the injection I had a temperature of 100.4, body soreness especially in back and spine, experienced shakes followed by sweating, loss of appetite/nausea, difficulty standing/moving. I used ice packs down spine to ease soreness, took a melatonin around 10pm, woke up at midnight and vomited, took 500 mg of Tylenol (symptoms lessened after Tylenol), continued to take Tylenol every 4-5 hours until symptoms were gone, approximately 24 hours after injection.

Other Meds: Lo-loestrin, valacyclovir 500 mg tablet

Current Illness: no

ID: 1156769
Sex: F
Age: 78
State: TX

Vax Date: 03/24/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: penicillin strawberries

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

Symptoms: Covid Arm. Large red area appeared at injection site 7 days after second shot was administered. (Second Covid shot administered on March 24. Sore arm and some fatigue the next day. Covid Arm appeared on March 31). Slight soreness. This is the second day and it is still there. I understand that it will fade and isn't dangerous.

Other Meds: Synthroid Vitamin D

Current Illness: root canal that was still draining

ID: 1156770
Sex: F
Age: 78
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: bactrim

Symptom List: Rash, Urticaria

Symptoms: Pt developed palpitations, headache, dizziness and nausea after receiving vaccine. BP 192/81, repeat 206/86. HR decreased from 106 to 90; regular rhythm and rate. O2sat 99 RA. Lungs CTA. Denies chest pressure, tightness, sob. Also reported throat discomfort; benadryl 25 mg po x1 given. Sent to ER.

Other Meds: amlodipine 2.5 mg tid, clonidine 0.1 mg 1/2 tab bid, benazepril 20 mg bid, simvastatin 10 mg

Current Illness:

ID: 1156771
Sex: M
Age: 83
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: verapamil

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

Symptoms: Hives with generalized itching. Clinioc nurse administered Solu-Medrol inj 125mg and benadryl injection 50mg. After 10 minutes Itching had stopped but hives remained. patient left facility

Other Meds: tamsulosin, metoprolol, isentress, lisinopril, multivitamin, prezista, norvir, amlodipine, lamivudine, gabapentin, aspirin,

Current Illness: Hypertension

ID: 1156772
Sex: F
Age: 66
State: NY

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: 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: Began with tinnitus at both ears on the morning of March 31, 2021. On the morning of April 1, the left ear lost hearing and tinnitus appeared to better. In the afternoon around 12 noon felt nauseated, dizzy. At about 4:00p.m. vomited and felt the sky spinning with eyes open.

Other Meds: Coumadine, furosemite, and metroprotol

Current Illness: None

ID: 1156773
Sex: F
Age: 61
State: FL

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: Bananas, avocados, raw carrots, onions and milk (lactose intolerance) Bactrim (antibiotic),

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

Symptoms: Feeling of heat in mouth, numbness in mouth, swelling in throat (not severe), difficulty swallowing (not severe), tongue swelling, Day 3 post injection: hives on upper left arm just above elbow, Day 4: headache (severe), numbness/tingling in jaw, neck and face, swelling of lower legs.

Other Meds: Aspirin, magnesium supplement

Current Illness: Iatrogenic botulism from Botox injected 8 years earlier - caused difficulty swallowing and long term nerve and muscle damage. Biofilm issue now causes relapses from over exertion, stress, massage.

ID: 1156774
Sex: M
Age: 29
State: FL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
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: Adverse reactions to something in Cocoa Butter lotion - hives

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

Symptoms: Extreme joint aches - my wrist and my ankle - mainly: Extreme tendonitis feeling. Nothing I normally experience. Felt extremely inflamed - I couldn't do push ups. My right ankle swelled up pretty extreme. I had not been running or anything. Sometimes it would hurt my foot, and another day my right wrist would bother me and then the next day the other wrist. My knees bothered me a little bit too. It was an achy, dull pain. My knees sometimes bother me anyway but this was a bit different. I called my PCM - she told me that I could take Motrin or Ibuprofen - and use cold compress or apply heat. My ankle was just one night and it went away the next day. My wrists bothered me for about a full week or so. That was pretty hindering - I couldn't pick up my children. For the first dose - I had an extreme level of fatigue for about 24 hours - the first 48 hours after vaccine. I felt bodily and mentally tired. I stayed in bed and hydrated for two straight days. The second vaccine I had no reaction.

Other Meds: Adderall XR 10 mg; Proteins - workout supplement

Current Illness: no

ID: 1156775
Sex: F
Age: 37
State: WA

Vax Date: 01/04/2021
Onset Date: 01/14/2021
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 known

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

Symptoms: Ten days after my first dose of Moderna I developed a large round red rash (up to 5 inches) around my vaccination site. It was swollen, hot to the touch, itchy and sore. I went to my family physician day 11 after vaccination to double check that it was a reaction or if it could have been a skin infection- since it had developed so late after receiving the vaccination. They confirmed it was a delayed cutaneous hypersensitivity to the vaccination. Prescribed prednisone and to take claritin/benedryl at home. After 3 days of prednisone the rash went away. I had the rash for days total.

Other Meds: Multi vitamin, vitamin d, methimazole

Current Illness: None known

ID: 1156776
Sex: M
Age: 61
State: LA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
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: Some opioids

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, chills, sweats, nausea, headache

Other Meds: N/A

Current Illness: None

ID: 1156777
Sex: F
Age: 17
State: ME

Vax Date: 03/31/2021
Onset Date: 03/31/2021
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: None Reported

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Healthcare staff attended vaccine administration provided by Public Health Nursing Nurse Manager from facility was sent JANSSEN EUA prior to the day of vaccine administration and asked by PHN review and give EUA to eligible staff and residents for review prior to administration date. Staff to receive the vaccine was selected by their facilities Nurse Manager. Staff presented with completed consent form and received JANSSEN vaccine despite being 17 years old

Other Meds: None Reported

Current Illness: None Reported

ID: 1156778
Sex: M
Age: 24
State: FL

Vax Date: 04/01/2021
Onset Date: 04/01/2021
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: none known

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

Symptoms: patient's vaccine was administered at 3:40pm, he disclosed that he had passed out after a vaccine previously so I advised that he could wait 15 minutes in the post-vaccination area but not to drive for 30 minutes. At 3:44pm the patient was waving at me indicating that he felt dizzy so I ran out there and he asked for ice and said he was feeling lightheaded and seeing black spots. I asked him to lay on the floor with his feet elevated in a chair. He stayed that way for a few minutes and said he was feeling better, and we were able to get him a cool pack. He sat up on the floor and put the cool pack on his neck. After a few minutes he was feeling better so I allowed him to remain seated in the chair until 4:10pm. Store management came to get a statement from him and he ended up staying in the pharmacy area for approximately 1 hour post-vaccination. He waved and thanked us when he left.

Other Meds:

Current Illness: none disclosed

ID: 1156779
Sex: F
Age: 53
State: NY

Vax Date: 01/28/2021
Onset Date: 03/18/2021
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:

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

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose:1/07/2021.pfizer Lot#EL3248 2nd dose:01/28/21.pfizerLot#EN5318 Diagnosed Covid positive: 03/19/21 Exposure:Unknown Symptoms:Cough,Headache, body aches.

Other Meds:

Current Illness:

ID: 1156780
Sex: F
Age: 37
State: GA

Vax Date: 03/17/2021
Onset Date: 03/24/2021
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: Amoxicillin

Symptom List: Unevaluable event

Symptoms: 7 days after vaccination start getting rashes and itching on my feet, arms and legs, went to urgent care, have a steroid injection and methylphednisolone 4mg and Zyrtec,one week already taking the medication and still have rashes on my feet .

Other Meds: Fluoxetine 40mg Levothyroxine 50 mcg Dicyclomine 20mg Biotin gummies 6000mcg

Current Illness: N/a

ID: 1156781
Sex: F
Age: 27
State: MO

Vax Date: 03/26/2021
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: LA

Lab Data:

Allergies: Amoxicillin

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

Symptoms: About five hours after the vaccine injection, at around 11 PM, I began to feel cold and achy, which soon led to body chills all over. It felt like I could not get warm no matter how many extra blankets I added. This soon led to a fever. I was in an out of sleep for the next few hours and woke up around 2:30 AM. At that point the fever had broken and I was sweating. I still had body aches, which I think was due to my body being tensed up for some many hours, and I had a splitting headache, as well. At around 4:30 AM, I woke up again, with a very sore arm a terrible headache still. I got up and took 400 mg of Ibuprofen and went back to sleep. At 7 AM my alarm went off and all adverse effects seemed to be gone other than a sore arm. The sore arm last for about 6 days.

Other Meds: Birth control - Low Ogestrel

Current Illness: N/A

ID: 1156782
Sex: F
Age: 72
State: MN

Vax Date: 02/26/2021
Onset Date: 03/11/2021
Rec V Date: 04/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1156783
Sex: F
Age: 48
State: WA

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

Lab Data:

Allergies: Sensitive to Codeine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Mild headache; Sensation of random but frequent, almost rapid, fluctuating air pressure in left ear causing left eye to water and want to close with fluctuation, and psychologically distressing. Some intermittent ringing in left ear. Intensity decreased over the course of about two hours to the point I could go to bed and just fall to sleep, hoping it would be gone by morning, which it was. My "awake" experience lasted about 2.5 hours.

Other Meds: lisinopriL 20 mg tablet amitriptyline 50 mg tablet escitalopram oxalate 20 mg tablet gabapentin 300 mg capsule amitriptyline 50 mg tablet metoprolol succinate 25 mg extended release (24 hr) tablet RenewLife Ultimate Flora Women's Care Prob

Current Illness: NA

ID: 1156784
Sex: F
Age: 59
State: FL

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

Lab Data:

Allergies: N/a

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

Symptoms: Right ear clogged and slight pitched sound. Checking with doctor. She had left the office foe the day

Other Meds: Hydroxyurea, Atorvastatin, Amlodipine

Current Illness: None

ID: 1156785
Sex: M
Age: 34
State: CA

Vax Date: 03/27/2021
Onset Date: 03/27/2021
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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Face swelling, sweating, and dry heaving

Other Meds: None

Current Illness: None

ID: 1156786
Sex: F
Age: 40
State: MD

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Latex-mild

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Developed fatigue within 5 hours. Developed severe full body aches, chills, night sweats, headache, fatigue, restlessness, and sore muscles 11 hours after injection. As of 31 hours post-vaccination, side effects continue.

Other Meds: Multivitamin, Zyrtec, omega 3-6-9, Flonase

Current Illness: None

ID: 1156787
Sex: M
Age: 39
State: NY

Vax Date: 01/20/2021
Onset Date: 02/24/2021
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:

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

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose:12/30/21.pfizer Lot#EL0142 2nd dose:01/20/21.pfizerLot#EL3247 Diagnosed covid positive: 02/26/21 Exposure:Unknown Symptoms:Cough, Headache, fatigue

Other Meds:

Current Illness:

ID: 1156788
Sex: F
Age: 59
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Hayfever

Symptom List: Nausea

Symptoms: About 17 hours after the shot I experienced nausea , vomiting, chills and aches. This last for about 24 hours. I still feel weak but am better.

Other Meds: Vitamin D, Multi, Fish Oil

Current Illness: None

ID: 1156789
Sex: F
Age: 68
State: MA

Vax Date: 03/06/2021
Onset Date: 03/09/2021
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: donnatol

Symptom List: Injection site pain

Symptoms: The first 3 days i had intermittent body aches, chills, and headaches. I started developing sores under tongue, looked to be Plica Fimbriata- tongue tags, on day 4 after vaccine 2. Called Primary care and sent photo on March 11th, 2021. Could not get an appt to be seen until March 19th... until then i took L-Lysine - HCL, 600 mg amino acid pills, which a neighbor recommended. Symptoms disappeared by day 13 after vaccine, when i had an appt with an otolaryngologist at Medical Center. He saw no signs of any problems then. i have stopped taking the amino acid now, but occassionally my tongue gets sore and i resume. no long term condition at this time.

Other Meds:

Current Illness:

ID: 1156790
Sex: F
Age: 57
State: FL

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillin; latex

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

Symptoms: Chills, fever as high as 102.2 that night. Tylenol brought down fever and stopped chills until it wore off, and chills a fever of 100.2 came back during early morning. The next day (3/31) had fatigue, mild headache, general achiness, and fever stayed below 100. On 4/1, symptoms have subsided.

Other Meds:

Current Illness:

ID: 1156791
Sex: M
Age: 33
State: NY

Vax Date: 02/02/2021
Onset Date: 03/16/2021
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: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose:1/12/2021.pfizer Lot#EL3248 2nd dose:02/02/21.pfizerLot#EN5318 Diagnosed covid positive: 03/16/21 Exposure:Home Exposure Symptoms:Asymptomatic

Other Meds:

Current Illness:

ID: 1156792
Sex: F
Age: 53
State: NY

Vax Date: 01/28/2021
Onset Date: 03/18/2021
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: Tremor

Symptoms: VAERS completed because of being Tested positive for COVID-19 infection 14 or more days after being fully vaccinated. 1st dose:1/07/2021.pfizer Lot#EL3248 2nd dose:01/28/21.pfizerLot#EN5318 Diagnosed Covid positive: 03/19/21 Exposure:Unknown Symptoms:Cough,Headache, body aches.

Other Meds:

Current Illness:

ID: 1156793
Sex: F
Age: 41
State: IN

Vax Date: 03/28/2021
Onset Date: 03/29/2021
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:

Symptom List: Erythema, Pruritus

Symptoms: I felt arm pain and i had an extremely sore throat and cough. everything else has gone away but i still have a bad cough.

Other Meds:

Current Illness:

ID: 1156794
Sex: M
Age: 46
State: PR

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: NO KNOWN

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

Symptoms: LIKE A SYNCOPE, EXCESSIVE SWEATING, PALE, FAINTED,LOW PRESSURE, NUMB FINGERS HANDS, VOMITS

Other Meds: NO KNOWN

Current Illness: NO KNOWN

ID: 1156795
Sex: F
Age: 38
State: SC

Vax Date: 03/22/2021
Onset Date: 03/22/2021
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, morphine, Biaxin, Flagyl, animals, seasonal

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

Symptoms: I passed out about 10 min after receiving the vaccine. The nurses said my BP dropped and kept me an hour after receiving the vaccine. Within 3 hours of receiving the vaccine I felt nauseous and had arm pain around the injection site. Two days after the injection the arm pain was gone but the nausea remained and I began having severe stomach cramps w/gas and feeling light headed. The nausea, body aches, stomach cramps and gas remain on day 9 and the night of day 9 I woke up shivering and drenched in sweet while having a nightmare. It is day 10 and I have nausea, stomach cramps, fatigue and mild body aches.

Other Meds: Duloxetine, Imitrex, prenatal, probiotic, coq10, cranberry, glucosemine/chondroitin, digestive enzymes

Current Illness: Migraines

ID: 1156796
Sex: F
Age: 17
State: UT

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

Lab Data:

Allergies: None known of

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: We waited the 15 minutes after the shot before leaving. On the drive home, throat became "scratchy" - her description. And her nose started to bother her. She took a Benadryl, a two hour nap, and then she was fine. She's never had an allergic reaction to anything, but it seems like she may have just had her first. I received the same vaccination at the same time, and no reaction at all for me.

Other Meds: None

Current Illness: None

ID: 1156797
Sex: F
Age: 41
State: ME

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: None

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

Symptoms: This minor reaction will not prevent me from going through with my second shot. I experienced pain at the injection site for about 27 hours. I also experienced nausea and vomiting the day after my injection for about 2 hours. I stayed hydrated and drank lots of chicken broth. After those few hours of nausea and vomiting, I felt perfectly fine and still feel perfectly fine.

Other Meds: Methocarbamol, gabapentin, Novolog insulin, losartan, Liptor, Valerian Root, Amitriptyline, Trazodone, Dayvigo, Suboxone, Tylenol, Ibuprofen, Saphris, Mirtazapine, Lansoprazole, Estradiol patches, Centrum Complete multivitamin

Current Illness: Pulled muscles in my neck and shoulder

ID: 1156798
Sex: F
Age: 33
State: MA

Vax Date: 03/06/2021
Onset Date: 03/06/2021
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: NKDA

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

Symptoms: Initially three days after flu like symptoms, body aches, sweat, chills cough, fever, nausea. On 03-23-2021, when I woke up the entire left side of my face and head was extremely sensitive. My hair was sensitive, left side, and I also had a fever. My left ear hurt, left side of my tongue, nasal cavity hurt. Strep test was performed was negative, Covid test was negative performed at an urgent care. My symptoms have gotten better but my symptoms to my head are still present nut not as severe.

Other Meds: Vitamin D, multi-vitamin, Novalog (insulin)

Current Illness:

ID: 1156799
Sex: F
Age: 93
State: TN

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: IM
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Second Dose given early, Due on 4/9/2021,

Other Meds: unknown

Current Illness: None known

ID: 1156800
Sex: F
Age: 49
State: OR

Vax Date: 03/12/2021
Onset Date: 03/13/2021
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: Penicillin, Ceclor (Childhood Hives to both)

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

Symptoms: I experienced Covid arm for 3 days starting day 9 after the first dose. After the second dose, I experienced significant swelling, heat, itching and redness the size of a mango and raised 1/3 to 1/2 inch at the center. This developed on the day after the injection and did not fully subside for 10 days. Upon swelling going away, the skin over the entire area scaled, dried and flaked off like a burn.

Other Meds: None - Ibuprofen (OTC strength) after

Current Illness: None

ID: 1156801
Sex: F
Age: 53
State: NJ

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

Lab Data:

Allergies: N/A

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

Symptoms: Chills and shaking until 4:00 AM. Along with chills, symptoms of head cold. Slight runny nose, slight pain in both ears and throat. Feverish feeling, ears, face, and feet hot. By 4:00AM chills subsided and headache began. Also, urinated a lot during the night, but was not drinking. Very uncomfortable and couldn?t sleep. Symptoms as of 5:00 PM: slight headache, post nasal drip, stuffy feeling head. Much better than last night.

Other Meds: Probiotic, multivitamin, chloride

Current Illness: None

ID: 1156802
Sex: F
Age: 42
State: MN

Vax Date: 01/21/2021
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: UNKNOWN

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

Symptoms: Patient received PFIZER vaccinations on: 12/31/2020 and 01/21/2021 Patient tested positive for COVID-19 on 4/1/2021

Other Meds: UNKNOWN

Current Illness: UNKOWN

ID: 1156803
Sex: M
Age: 25
State: DC

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

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Low-grade fever, fatigue/tiredness, body aches.

Other Meds: None

Current Illness: None

ID: 1156804
Sex: M
Age: 51
State: TN

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

Lab Data:

Allergies: NA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Received his first Pfizer dose (EL9262) on 3/10/21 and was given a Moderna second dose on 4/1/21 accidently. Has been informed on the incident. The clinic manager conducted the investigation and found that the event was human error. The clinic process of keeping the vaccinations separate are in place. There are a list of Pfizer second doses on each table to ensure these individuals receive the correct vaccination. The nurse retrieved a Pfizer dose from the bag (away from Moderna) and placed it on the table and told the administering nurse this is a Pfizer second dose, here is the Pfizer vaccine. The nurse still picked up a Moderna vaccine from the other end of the table. The nurse noticed when the bandaid was being placed on his arm that the Pfizer dose was still on the table. When she inquired the administering nurse stated it was Moderna. The clinic will speak to the administering nurse again to identify any barriers and continue to evaluate the processes to ensure this does not happen again.

Other Meds: NA

Current Illness: NA

ID: 1156805
Sex: M
Age: 84
State:

Vax Date: 02/18/2021
Onset Date: 03/10/2021
Rec V Date: 04/01/2021
Hospital: Y

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

Symptoms: Hospitalization within 6 weeks after receiving vaccine

Other Meds:

Current Illness:

ID: 1156808
Sex: F
Age: 45
State: FL

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

Lab Data:

Allergies: gluten, penicillin, sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: within 5 min pain in ears 30 min neck and jaw pain 45 min ringing in ears next day - joint and muscle pain, headache, fatigue day two slurring speech, nose burning day 4- ears ringing and fatigue, dizzy

Other Meds: tyrosint, np thyroid

Current Illness: none

ID: 1156809
Sex: M
Age: 42
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: RA

Lab Data:

Allergies:

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

Symptoms: Chills, fever, body ache

Other Meds: Losartan Atorvastatin Tramadol Fenofibrate Clopidigrel

Current Illness:

ID: 1156810
Sex: F
Age: 65
State: AL

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

Lab Data:

Allergies: No

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

Symptoms: Nausea

Other Meds: No

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm