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: 1157823
Sex: M
Age: 60
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: Due to hx of allergy pt request to stay 30minutes post vaccination. During that time he c/o persistent chest tightness. Denies SOB. Vitals obtained @ 1104 BP 185/106 HR 72 SpO2 98%, @ 11:11 BP 181/108 HR 69 SpO2 99% , @ 1118 175/117 HR 72 SpO2 96%, and @ 1122 BP 183/112 HR 70 SpO2 98%. HOB elevated . BP remains elevated RRT called at 1120 they arrived 1125. Patient relaeased to RRT at 1125 to ER. Last BP 180/ 113 HR 76 SpO2 100%.

Other Meds: denies

Current Illness: none

ID: 1157824
Sex: M
Age: 61
State:

Vax Date: 03/08/2021
Onset Date: 03/25/2021
Rec V Date: 04/01/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Tested COVID positive on 3/25/2021 after receiving both doses of COVID vaccine on 2/8/21 & 3/8/21

Other Meds:

Current Illness:

ID: 1157825
Sex: F
Age: 42
State: MD

Vax Date: 01/15/2021
Onset Date: 01/21/2021
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: Latex

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

Symptoms: I took Tylenol prior to vaccination. About 5 or 6 hrs later, I had heaviness in my arm and mild headache. I took Tylenol again and I was fine. I started having headaches, so I checked my BP. It started spiking to like 168/100 and 180/110. I went to cardiologist and he did an ECHO, checked the carotid in my neck and a doppler to check for blood clots. Everything was normal. He prescribed a new BP med (Losartan - 50mg once a day) and diuretics (HCTV - 12.5 mg once a day in the morning). My BP was stabilized, but then it started to increased again, so he increased my Losartan to twice a day. Now it's stabilized.

Other Meds: Tylenol Propranolol - 10mg Asa - 81mg

Current Illness:

ID: 1157826
Sex: F
Age: 43
State: NY

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: Nut and nightshade allergies, sensitivity to aspirin.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I started to develop a headache and extreme fatigue about 4 hours after getting the shot. By 6pm I started getting severe chills and body aches. About 2 hours later the chills were alternating with fever and I could barely stand because I felt so weak from the muscle aches. I was in so much physical pain I didn't sleep at all that night. The fever lasted until late afternoon the next day (about 24 hrs total), and the body aches lasted until late afternoon the day after that (about 48 hrs total).

Other Meds: Vitamin C.

Current Illness: N/A

ID: 1157827
Sex: F
Age: 52
State: MN

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: LA

Lab Data:

Allergies: unknown

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

Symptoms: Fever, chills, body aches, headache from 8:30 p.m. day of shot until 12 noon day after. Headache still current.

Other Meds: Omeprazil Probiotic Vitamin D Vitamin B-complex

Current Illness: none

ID: 1157828
Sex: F
Age: 34
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: PATIENT FELT LIGHT HEADED AND LIKE SHE WAS GOING TO FAINT, was monitored and released

Other Meds:

Current Illness:

ID: 1157829
Sex: M
Age: 67
State: FL

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: nausea, vomiting, fever, chills

Other Meds:

Current Illness:

ID: 1157830
Sex: F
Age: 64
State: CA

Vax Date: 03/27/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin Most Mycin drugs Most Cyclin drugs Formaldehyde sensitivity Nickel allergy

Symptom List: Pharyngeal swelling

Symptoms: Rosacea flare up within 10 minutes of injection. Face bright strawberry red. Entire body became hot and had to fan myself (not a hot flash) Approximately 45 minutes later left ear started tingling and then pain followed and only in left ear. An hour after the shot ( and back home) started feeling tingling in lips and face. Face swelled up and smoothed out wrinkles. Lasted about 2 hours and then subsided. Also metallic taste in mouth during swelling of the face. Metallic taste lasted as long as the face swelling which was about 2 hours. Loose stools and tummy upset which is still going on.

Other Meds: None

Current Illness: None

ID: 1157831
Sex: F
Age: 52
State: WA

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: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Blurred vision, twitching of eyes, vomiting, numb lips, fever 102, pain in nose, ears and throat, pain in hands and feet, severe headache, tinnitus, fatigue, chills, skin crawling, rash and swelling and pain and skin peeling at inje toon sire.

Other Meds:

Current Illness:

ID: 1157832
Sex: M
Age: 27
State: WI

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

Lab Data:

Allergies: none

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient was at first lightheadedness. denied shortness of breath/throat swelling---he was moved to the floor and monitored. He was feeling ok to sit back up in chair. About 5 minutes later he said he was feeling nauseous and wanted to lay down and elevate his legs again. He laid there for about 10 minutes no shortness of breath or nausea. He then wanted to stand up. This made him feel better. He remained in the waiting area for observation. Patient was feeling good to go home. I did follow up with him about an hour later. He did make it home and was feeling better.

Other Meds: unknown

Current Illness: unknown

ID: 1157833
Sex: F
Age: 54
State: MD

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NKA

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

Symptoms: Awoke feeling dehydrated and very thirsty. One hour later experienced extreme nausea and vomiting followed by fever of 101.4 with chills/body aches and extreme fatigue. Symptoms decreased after one dose of OTC analgesics and continued to improve over next 48 hours.

Other Meds: Celexa, Trazodone, Collagen with Chondroitin, Probiotics

Current Illness: None

ID: 1157834
Sex: F
Age: 49
State: PA

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Penecillan

Symptom List: Rash, Urticaria

Symptoms: I got the second shot at 3 pm and by 2 am I had a temp of 100 and body aches and felt like I had the flu. It is now 8 pm- 29 hours after the injection and I still have a fever and a migraine. Haven?t gotten out of bed

Other Meds: None

Current Illness: None

ID: 1157835
Sex: F
Age: 64
State: CO

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: Amoxicillin, Erythromycin, Imuran, Cymbalta, iodine surgical scrubs

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

Symptoms: Respiratory tightness in chest for five days. Took Benadryl three times a day for five days. It eased the tightness in chest.

Other Meds: None

Current Illness: None

ID: 1157836
Sex: F
Age: 29
State: MA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Red swelling at site of injection, warm the the touch. Chills, low grade fever, body and neck aches.

Other Meds:

Current Illness:

ID: 1157837
Sex: F
Age: 21
State: IL

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Augmentin

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

Symptoms: Sore throat, headache, chills, fever of 101.4, body aches - lasted 12 hours, took OTC Motrin

Other Meds: Zoloft 25 mg once daily

Current Illness: None

ID: 1157838
Sex: F
Age: 58
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Morphine

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

Symptoms: S:The pt walked in, C/O tongue numbness O: Appearance: alert, well appearing, and in no distress and oriented to person, place, and time. A: The patient received 1st Covid-19 Moderna Vaccine at 1526, at 1550 c/o mild numbness to tongue 2-3/10, 1615 c/o lips numbness and tingling, P: VS taken, BP elevated, stated took BP rx in AM but does not know what he took. 1610 walked pt over to nurse clinic triage area, 1615 report given to RN. 1617 Benadryl 50mg IM RD administered. Electronically signed by: RN 3/31/2021 4:36 PM (R.N.), R.N. Start Time 3/31/2021 4:48 PM Filed at 3/31/2021 5:33 PM Status: Addendum male who has completed a 45-minute observation period with the following signs and symptoms of an adverse reaction: #1 Covid-19 Moderna Vaccine in series administered. o Action(s) taken: See SOAP note below o Allergy to COVID-19 vaccine documented in Allergies activity: o Patient advised to discuss second dose considerations with a clinician (M.D.), M.D. Start Time 3/31/2021 5:14 PM Filed at 3/31/2021 5:20 PM Status: Sign when Signing Visit Patient requested chart be copied to primary care physician. Chart reviewed and nursing notes noted. Patient had mild tingling sensation to tongue and lips after covid vaccine. Agree with assessment and treatment by RN and nursing staff. Patient was much improved and stable at time of discharge. His wife will drive them home. Dr advice allergy-- ok for patient to receive second vaccine but recommend monitoring 30 minutes post vaccine. I did notice his blood pressure was mildly elevated. Nurse, please schedule patient for bp10. Thank you.

Other Meds:

Current Illness: HYPERLIPIDEMIA (From Hx) ESSENTIAL HTN Create Overview 03/23/2019 (M.D.), M.D. Sort Priority: Unprioritized Change Dx Resolve MYCOBACTERIUM AVIUM COMPLEX Create Overview 01/29/2016 (M.D.), M.D. Sort Priority: Unprioritized Change Dx Resolve Other SITUS INVERSUS (From Hx) Overview total DEXTROCARDIA (From Hx) CAD, PRESENCE OF STENT Edit Overview 03/23/2019 (M.D.), M.D. Sort Priority: Unprioritized Change Dx Resolve Overview LAD, DES 4/14. KARTAGENER SYNDROME Create Overview 05/18/2019 (M.D.), M.D. Sort Priority: Unprioritized Change Dx Resolve HX OF ADENOMATOUS COLONIC POLYPS Edit Overview 07/26/2019 (M.D.), M.D. Sort Priority: Unprioritized Change Dx Resolve Overview Diminutive tubular adenomas. Colonoscopy 7/25/2019. Recommended interval 8 years if colorectal cancer screening/surveillance is still indicated clinically at that time. ORGANIC ERECTILE DYSFUNCTION Create Overview 08/04/2014 (M.D.) Sort Priority: Unprioritized Change Dx Resolve HX OF GASTRITIS Create Overview 03/24/2019 (M.D.), M.D. Sort Priority: Unprioritized Change Dx Resolve DIVERTICULOSIS OF COLON Create Overview 07/25/2019 (M.D.), M.D. Sort Priority: Unprioritized Change Dx Resolve INTERNAL HEMORRHOID Create Overview 07/25/2019 (M.D.), M.D. Sort Priority: Unprioritized Change Dx Resolve CH

ID: 1157839
Sex: F
Age: 67
State: FL

Vax Date: 03/30/2021
Onset Date: 03/30/2021
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: Skin allergies -- lanolin, perfume, acetate, etc. Codeine Allipurinol Loritab Vibamycin Sulfa (muscle relaxants and prescription anti-inflammatories)

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

Symptoms: On Tuesday, immediately after injection, I experienced numbness in my left hand, which has continued off an on. I attributed this to ongoing neck issues, so didn't think much of it, because I have it off and on. Numbness in right hand started about four hours after injection. This caught my attention. Extreme pain and redness in left arm started about three hours after injection. I could not use my left arm or lift it up. I applied ice for 10 minutes on and off every 15 minutes for a little over an hour before going to bed. It grew worse throughout the night. Fever started about six hours after injection and climbed to 101.1 before bedtime. Fever vacillated between 99.9 and 101 for about 16 hours on Wednesday. My neck hurt and I felt as if I had the full blown flu, but I couldn't sleep. No appetite. Wednesday afternoon, I developed pain in the right wrist and weakness in wrist and hand. It is painful to perform simple operations; for example, it is impossible for me to open a pop top can of soup. Left hand weakness and pain developed today, Thursday morning; pain in right hand, but especially the wrist, has worsened.

Other Meds: Levothyroxine .75 mg Torsemide 10 mg Progesterone 100 mg DHEA 50 mg OmegaPure fish oil Probiotics Vit. D3, C, E Fluocinonide Olmsartan 40mg Meclizine 25 mg Tylenol

Current Illness: None

ID: 1157840
Sex: F
Age: 44
State: CT

Vax Date: 03/06/2021
Onset Date: 03/14/2021
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: Dramamine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 8 days after receiving the first dose of the Moderna COVID-19 vaccine, I noticed my left arm/shoulder area was suddenly itchy. I looked at it and noticed I had a red skin rash. It expanded over the next 24 hours to be ~5" H x ~3" W. Then it quickly faded. In total the skin changes were present for about 48 hours. They occurred on the same arm where I had received the vaccination, but not directly around the vaccine site itself (I had a small bruise where the vaccine was administered, and the rash was not in the same location.)

Other Meds: women's vitamin, Vitamin D3

Current Illness: n/a

ID: 1157841
Sex: F
Age: 85
State: OK

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 04/01/2021
Hospital: Y

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

Lab Data:

Allergies: atenolol, erythromycin, benzathine, keflex

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: a week after injection she gained 10 lb water weight, then over the next 2 weeks an additional 20 lb of water weight. She had decrease in activity, anorexia, and was found to have multiple bilateral pulmonary emboli.

Other Meds: Aleve, aspirin, Allegra, temovate cream, lasix, allopurinol, b12 IM injection, klor-con, evista, b complex, multi-vitamin, cromolyn eye drops, Nexium, Synthroid

Current Illness:

ID: 1157842
Sex: F
Age: 61
State: MO

Vax Date: 03/11/2021
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: None

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

Symptoms: Hissing running in ears constantly

Other Meds: Synthroid

Current Illness: None

ID: 1157843
Sex: M
Age: 74
State: CA

Vax Date: 01/09/2021
Onset Date: 01/18/2021
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: NKA

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

Symptoms: After receiving 2nd Pfizer COVID vaccine on 1/9/21, he developed bilateral ptosis and diplopia on around 1/18/21. He was diagnosed with myasthenia gravis based 2/12/21 evaluation and serologies. Symptoms have essentially resolved as of follow up in clinic without treatment. He took Mestinon at low dose for only several days but stopped as symptoms were already resolving steadily.

Other Meds: glucosamine, multivitamin, omega-3

Current Illness: None

ID: 1157844
Sex: M
Age: 21
State: ID

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:

Symptom List: Unevaluable event

Symptoms: Pharmacy staff was alerted by patient's girlfriend that he had passed out. I went to the waiting area where she was propping him up in a chair. Patient was not responsive and completely limp. Together we lowered him to the floor where he quickly began to regain consciousness and tried to sit up. Patient was fairly alert within 1-2 minutes. Patient was given water, ice packs for the back of his neck and forehead, and ED was called. Patient stated he was feeling much better and did not need EMS, but due to store policy they were called. Patient relayed a history of fainting after receiving tattoos, that was not notated on his form. Patient remained on floor until EMS arrived about 20 minutes later and checked on patient. Patient's heart rate and BP were taken by EMS laying down, sitting, and standing and was cleared by EMS to leave.

Other Meds:

Current Illness:

ID: 1157845
Sex: F
Age: 42
State:

Vax Date: 03/26/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: I was fine for about 10 hours after the vaccine. Then started with sleeplessness, traveling pain in my joints, hip, neck, and back. That pain persisted for 24 hours. The pain all over my body and in my joints resolved, but I started with an intense stabbing pain that started in my lower back any time I'd bend over or extend my torso. The pain traveled up my back until the evening when it settled between my shoulder blades and the base of my neck. The next day, my back and neck were stiff and painful. I called the doctor and he said it was likely that the spine was inflamed and should go away by day 5. The pain receded, but last night I noticed a very distended and bloated belly. I'm petite and it is not usual for me. I now also have a mental fog that is concerning me. When driving carpool for my son's soccer practice (a route I do ever week), I made several wrong turns and only was made aware I was going in the right direction when the kids told me. I still have stiffness in my neck and back and a headache. None of these symptoms did I experience before the second vaccine shot.

Other Meds: None

Current Illness: None

ID: 1157846
Sex: F
Age: 38
State: OH

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

Lab Data:

Allergies: Ibuprofen

Symptom List: Injection site pain, Pain

Symptoms: Face tingling, lips swelling, throat tightening, tongue swelling (moderate anaphylaxis reaction) and rash on neck, chest and abdomen.

Other Meds: Seasonal allergy otc antihistamine

Current Illness: N/a

ID: 1157847
Sex: F
Age: 73
State: FL

Vax Date: 03/10/2021
Onset Date: 03/11/2021
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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Rash with white boarder next to vaccination site. Spread like a streak down to elbow. The pain was "like an electrical shock" that extended to the ring and pinky fingers of the left hand. 3 weeks later she is having numbness and tingling in the fingers "kind of like they are asleep." Pt took Tylenol the rash has disappeared but the pain and tingling remain.

Other Meds: Nexium

Current Illness: None

ID: 1157848
Sex: F
Age: 64
State: NM

Vax Date: 03/25/2021
Onset Date: 03/28/2021
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: None

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

Symptoms: Tinnitus, hissing in both ears

Other Meds: Levothyroxine 100 mg, magnesium, AREDs 2

Current Illness: None

ID: 1157849
Sex: F
Age: 72
State: VA

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: LA

Lab Data:

Allergies: Some but unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Feel feverish but normal temperature. Feel disoriented.

Other Meds: Pantoprazole,bupropion,meloxicam,lorazepam,loratadine,depakote,atorvastatin,metoprolol,metformin,nateglinide

Current Illness: None

ID: 1157850
Sex: F
Age: 57
State: TX

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: history of anaphylaxis to vicodin, entracep, cipro, cefprozil, augmentin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Client was vaccinated at 1611 on 4/1/21. Nurses were notified of client itching around 1645. Client was still onsite doing 30 minute wait time. Upon examination, client stated her face was itching around her eyes. Her tongue also felt thick and throat felt dry. Began slurring her words due to thickness of tongue. Also began having hives on arms. EMS called at 1649. VS at 1649: 142/92, 98%, 85 BPM. 0.5mg epi given at 1650 in R arm IM. VS at 1653: 140/90, 97%, 77 BPM. 50mg Benadryl given IM in L arm at 1658. 98% and 75 BPM at 1658. Client stated her tongue felt a little better and hives started to resolve. EMS arrived at 1700. Client transported via EMS to hospital at 1704.

Other Meds: BP medication, all others unknown

Current Illness: unknown

ID: 1157851
Sex: F
Age: 35
State: TX

Vax Date: 03/06/2021
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: RA

Lab Data:

Allergies: none

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

Symptoms: Shingles

Other Meds: none

Current Illness: none

ID: 1157852
Sex: F
Age: 60
State: AZ

Vax Date: 03/30/2021
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: None

Symptom List: Nausea

Symptoms: Nausea, sweating,sick to my stomach, sick for about 4 hours and started to feel better after laying down

Other Meds: Blood pressure medicine

Current Illness: None

ID: 1157853
Sex: M
Age: 45
State: VA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: Tinnitus in both ears almost immediately after first shot, worsened almost immediately after the second one. I still have it today and it's not getting any better.

Other Meds: None

Current Illness: None

ID: 1157854
Sex: F
Age: 50
State: CA

Vax Date: 03/30/2021
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:

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

Symptoms: Vomiting black, low oxygen saturation, nausea, diarrhea, arm pain

Other Meds:

Current Illness:

ID: 1157855
Sex: F
Age: 61
State: MI

Vax Date: 03/18/2021
Onset Date: 03/21/2021
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: penecillin

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

Symptoms: Joint pain, headaches, nausea, diarrhea, muscle aches, pain and rash at injection site, tiredness. Oral Tylenol, fluids, and bed rest. On going, headaches lessened, no need of medical intervention at this point.

Other Meds: Lisinopril, Metformin, Hydrochlorot, Omeprazol, Synthroid, Allopurinol, Tramadol, Zinc, Magnesium,Ceterizine.

Current Illness:

ID: 1157856
Sex: F
Age: 31
State: NY

Vax Date: 03/20/2021
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: unknown

Symptom List: Tremor

Symptoms: second dose was administered 11 after the first dose

Other Meds: unknown

Current Illness: unknown

ID: 1157857
Sex: F
Age: 45
State: TN

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: None

Symptom List: Erythema, Pruritus

Symptoms: Extreme body ache, extreme headache, nausea and vomiting.

Other Meds: None

Current Illness: None

ID: 1157858
Sex: F
Age: 39
State: PA

Vax Date: 03/31/2021
Onset Date: 03/31/2021
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: Bactrim, iodine, IV contrast, morphine, kiwi

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

Symptoms: Around 8:05am, patient began to feel r arm parasthesia, nausea, and lightheadedness which lead to a syncopal episode with dyspnea. Within 30 minutes started having a tremor that subsided within 2 hours

Other Meds: Singular, Flonase, astelpro

Current Illness: None

ID: 1157859
Sex: F
Age: 23
State: SC

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/a

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

Symptoms: The next morning it felt like I had Covid again. I had injection site pain, body aches, low grade fever, chills, nausea the entire next day. I am now on day 3 after the injection and can barely stay awake. All symptoms other than nausea have subsided. I am trying to maintain normal daily activities, but I took a 3-hour nap today, tried to go to the gym later and almost fell asleep on the treadmill.

Other Meds: N/a

Current Illness: N/a

ID: 1157860
Sex: M
Age: 63
State: ME

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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Aches, pains, chills, modest temperature, significant headaches, joint pain, insomnia, exhaustion

Other Meds: Symbicort, Omeprazole

Current Illness: None

ID: 1157861
Sex: F
Age: 64
State: CO

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: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin, Sulfa

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

Symptoms: Fatigue, headache, lethargic,some head stuffiness

Other Meds: Lisinopril, symvastatin

Current Illness: None

ID: 1157862
Sex: F
Age: 47
State: MO

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: latex

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

Symptoms: Pt called at 6:30 stating that they had developed hives post their first administration of the covid vaccine, no other issues than a bilat. rash (hives) on upper arms. pt took benedryl before calling and stated no signs of anaphylaxis and will follow up with their dr in the am

Other Meds: unknown

Current Illness: unknown

ID: 1157863
Sex: F
Age: 76
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
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: Sulfa antibiotics, Isofavones, Soy

Symptom List: Pain in extremity

Symptoms: Acute-onset vertical binocular diplopia found on 2/19/21 exam by me to be a left fourth nerve palsy. By follow up on 3/19/21 the diplopia has essentially resolved and the left fourth nerve palsy was measured to be nearly resolved as well.

Other Meds: lisinopril 5 mg daily, levothyroxine 125 mcg daily, Bit D3, Lipitor 40 mg daily, ASA 325 mg daily.

Current Illness: none

ID: 1157864
Sex: M
Age: 23
State: CA

Vax Date: 03/31/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Fatigue; general malaise; minor headache; minor chills

Other Meds:

Current Illness:

ID: 1157866
Sex: F
Age: 56
State: GA

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

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

Symptoms: Pfizer Dose 2 was administered in left arm. After the needle was inserted and removed, there was liquid running down my arm. I was immediately concerned as this was not the experience i had when I received Dose 1. Also, I was aware that vaccines dont usually produce any liquid residuals on the surface of the skin. The 'nurse - male' rushed to answer my concern by stating that this happens sometimes as there may be residue left in the vaccine needle. He reassured me that I had at least gotten 'some' of the vaccine so I would be OK. Needless to say, I am still concerned that I did NOT in fact get all of the vaccine and have no idea how much of it I did get.

Other Meds: none

Current Illness: none

ID: 1157867
Sex: F
Age: 62
State: WV

Vax Date: 03/11/2021
Onset Date: 03/18/2021
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: seasonal, 'hayfever' on occasion

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

Symptoms: About the 18th of March (one week after vaccination) sore gums and sores inside my mouth began to appear. They gradually became worse until my whole mouth was sore (difficult to eat and swallow). I rinsed often with mouthwash and by Tuesday the 21st it was improving and better by Wednesday the 22nd.

Other Meds: lisinopril and generic lovaza

Current Illness: none

ID: 1157868
Sex: M
Age: 27
State: MI

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Sore arm

Other Meds:

Current Illness:

ID: 1157869
Sex: M
Age: 69
State: FL

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: SYR
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Within two minutes after administration, patient became weak, wasn't able to hold his head up very well, and was vomiting. The vomiting was not profuse, only a very small amount. He started to feel better quickly. EMS was called, arrived within five minutes, checked on him, and they all decided he could go home.

Other Meds: Unknown

Current Illness: Unknown, recently had a cardiac surgery

ID: 1157870
Sex: F
Age: 63
State: CT

Vax Date: 03/23/2021
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: RA

Lab Data:

Allergies: None

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

Symptoms: Eight days after the first vaccine, on March 31st, 2021, approximately 2:15pm at the area where the vaccine was given to me was itchy and felt hot and hard. I looked at it and it was red and hard pimple like texture to it. Today is April 1, 2021 and has not grown in diameter but is still very itchy, red, hot, hard, and pimple like.

Other Meds: Lansoprazole DR, Metoprolol, Telmisartan HCTZ, Rosuvastatin C

Current Illness: None

ID: 1157871
Sex: F
Age: 68
State: MO

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

Lab Data:

Allergies: Erythromycin, pistachios, turkey, nickel

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Fever, chills, achy , sore arm about 24-36 hours

Other Meds: Pantoprazole, hydrochlorothiazide, fish oil, Centrum Silver, biotin, calcium +D, Zyrtec, ibuprofen, Voltaren, Flonase

Current Illness: None

ID: 1157872
Sex: M
Age: 17
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: During a vaccine clinic, a 17 year old patient was inadvertently given the Janssen Covid-19 vaccine which is approved for 18 years and older. The patient was observed for the required 15 minutes post vaccination; no adverse events observed.

Other Meds:

Current Illness:

ID: 1157873
Sex: M
Age: 43
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: No allergies to anything

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

Symptoms: Sore and practically immobile arm starting 4 hours after injection. Treated with Advil. I could lift my arm the next day and recovered the third day. Inside of mouth felt sore and inflamed starting approximately 8 hours after injection. Lower face and lips swollen at approximately 10 hours after injection. Treated with Benadryl for 2 days. My breathing and swallowing was not effected so I did not seek medical treatment. Swelling disappeared 2 days after injection. Indigestion started 1 week after injection. Treating with occasional otc antacid. I have never had indigestion before.

Other Meds: Fish oil (omega 3)

Current Illness: No illnesses

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm