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: 1160423
Sex: F
Age: 28
State: IN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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: Fever (101 F), Exhaustion, Body Aches, Nausea

Other Meds: Birth Control

Current Illness: None

ID: 1160424
Sex: F
Age: 33
State: CA

Vax Date: 01/13/2021
Onset Date: 03/21/2021
Rec V Date: 04/02/2021
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: none

Symptom List: Anxiety, Dyspnoea

Symptoms: Type 1 DM

Other Meds: Type 1 Diabetes after COVID 19 vaccine She had not felt well ever since then - no other viral infection

Current Illness: none

ID: 1160425
Sex: F
Age: 39
State: TX

Vax Date: 03/28/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: After three days, I have nausea, dizziness, sever headache, fever and chills, nightmares and fatigue. Today is the fifth day after my first shut and Ive not got better. I am pale and very tired. I would like to know these side effects are normal? and how long might last?

Other Meds:

Current Illness:

ID: 1160426
Sex: M
Age: 68
State: MT

Vax Date: 02/22/2021
Onset Date: 03/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Moderate psoriasis breakout

Other Meds:

Current Illness: Psoriasis

ID: 1160427
Sex: F
Age: 70
State: IN

Vax Date: 03/22/2021
Onset Date: 03/22/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Biaxin Seasonal allergies Low level allergy to cats

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

Symptoms: I became dizzy and nauseous about an hour following the shot and developed a headache about the same time. On the second day, I developed a fever which reached 102.1 F twenty-eight hours after the shot. My temperature decreased to 100 F by the evening of the same day and was normal by the next morning. The dizziness, headache and nausea continued for a total of four days, and I felt tired throughout that period.

Other Meds: Amlodipine-Valsartan 10-160mg Montelukast SOD 10 mg Gabapentin 600 mg 2xday Probiotics Allegra Oscal - calcium One-a-Day multi-vitamin

Current Illness: None

ID: 1160428
Sex: U
Age: 82
State: NY

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

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Staff called medical for a pt. Upon arrival PT unconscious GCS-3 w/ snoring respirations. More resources were called for. Airway was maintained. Pt regained consciousness and brought to medical for further evaluation. PT shocky w/ low B/P. 911 was called . PT was conscious but not alert. PT started vomitting. PT lose consciousness briefly. Ambulance arrived & care transferred. Time from 20 min from shot to ambulance.

Other Meds: Unknown

Current Illness: None

ID: 1160429
Sex: F
Age: 45
State: SC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 04/02/2021
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: IVP Contrast Dye

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Ear canal pain/discomfort noticed about 1 week after my 2nd dose of Moderna COVID-19 vaccine. Cannot tolerate wearing a mask on my ears any longer after wearing a mask for almost a year. Also, my period is 3 weeks late. I'm not pregnant because I had tubal clamping on 6/8/2015.

Other Meds: Vit. D, Vit. C, Aleve PRN, Ibuprofen PRN

Current Illness: None

ID: 1160430
Sex: F
Age: 25
State: TX

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Pharyngeal swelling

Symptoms: High fever (102)- resolved after 24 hours Severe body pain- resolved after 36 hours Chest pain Nausea No appetite All began 9 hours after vaccine

Other Meds: Estarylla

Current Illness:

ID: 1160431
Sex: F
Age: 57
State: NJ

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Seasonal only

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pain in muscle day/day after. Went away. Close to two weeks after shot, periods of dizziness began. Don't know if related or not but isn't a usual thing in my life. Has been lasting close to a week so far. Sometimes severe, sometimes not at all.

Other Meds: escitalopram daily, alprazolam prn, vitD3

Current Illness: None

ID: 1160432
Sex: F
Age: 60
State: RI

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: pt says the vax was not given in the top of the left arm but down lower in the arm. She developed a hot, swollen, and hard spot at the injection site. On the second day she has a white circle around the red circle around the injection site that resembles a bull eye. Pt has not had any medication for her symptoms at this time.

Other Meds: Tylenol 500mg, alprazolam,

Current Illness: allergies

ID: 1160434
Sex: F
Age: 44
State: IL

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

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

Lab Data:

Allergies: Novacaine

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

Symptoms: Nausea 10 mins after vaccine . Rash noted across face and chest indicating allergic reaction. Pt transported to HCF

Other Meds: unkown

Current Illness: none

ID: 1160435
Sex: M
Age: 62
State: MN

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: Vanilla, Scallops, Cantaloupe

Symptom List: Rash, Urticaria

Symptoms: Janssen COVID-19 Vaccine Body ache, fatigue, cold or flu like symptoms. Ate lunch and took 500mg Tylenol and one aspirin and feel better.

Other Meds: Atorvastatin 80mg, Lisinopril-HCTZ 10/12.5mg, Aspirin 325mg Occasionally: Calcium Magnesium Zinc Zinc 50mg D3 50mcg Melatonin 5mg Airborne Vitamin C Gummie

Current Illness: None

ID: 1160436
Sex: F
Age: 52
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 04/02/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: My shot was 11 am 2/12. By 5:30 I was achy and tired. By 9 pm I was running a temperature of 101. I took tylenol and went to bed. I woke with a temp of 103 and incredible body aches and chills. The temp, aches and chills continued through the evening of 2/14. My temp ranged from 101 to 103 while on Tylenol. By 2/15, I felt mostly well, just some residual fatigue.

Other Meds: atorvastatin, lisinopril, saxenda, esomeprazole, multi vitamins

Current Illness: none

ID: 1160437
Sex: M
Age: 31
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: Amoxicillin, Lactose intolerant

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

Symptoms: Woke up with large headache and nausea, chills and hot flashes. Severe throat pain and fatigue with chills throughout the day, arm pain and lymph node swelling, joint pain

Other Meds: Multivitamin, Spirulina, Chlorophyll, Flaxseed oil, apple cider vinegar gummies, elderberry, sea moss, ashwagandha, probiotic

Current Illness: none

ID: 1160438
Sex: F
Age: 64
State: PA

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/02/2021
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, Eggs, Chicken, MSG, Shellfish

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

Symptoms: My immediate reaction was blurred vision, then pain down my right arm. Next my pulse rapidly increased, and my breathing was labored. My finger tips of both hands felt almost numb, and my hands turned red. I became very lethargic, and both legs became very weak. I remained in the facility for 1.5 hours under the care of a RN. I went home and it took approximately 4 hours for me to recover. 3 days later I woke up with a metallic taste in my mouth that lasted 2 days.

Other Meds: none

Current Illness: no

ID: 1160439
Sex: F
Age: 39
State: MN

Vax Date: 03/16/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Patient received single dose vaccine injection 03/16/2021, now COVID 19 positive

Other Meds:

Current Illness:

ID: 1160440
Sex: F
Age: 28
State: NY

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 1404 Pt reports increases of palpitations and chest pain. Pt with hx of POTS, depression anxiety and asthma. Pt reports did not take beta blocker today because she had a spirometry testing today and was told not to take medication. Pt also reports she does not have medication with her today. Pt has fitness watch and records and shows HR of 147. CP is in center of chest-no radiation or numbness noted. Pt is alone and is driving. Pt given water to drink--tolerated without complications. 1416 Pt reports feeling better but sill with tach and anxiety continues. Pt asst to medical examination-minimal assistance. 1419 EMS activated per pt request-report given to EMS and NP completed handoff. Completed by, FNP

Other Meds: Metoprolol, Zoloft, MDI inhaler

Current Illness: NONE

ID: 1160441
Sex: F
Age: 28
State: WI

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient reported having a brief wave of nausea after waiting 10 minutes in observation. When she got up to leave when her observation period was over, she reported tinging in her lips. 13:18 138/80, pulse 70, resp 20...tingling in lips 13:50 Pulse 72, Resp 12. Feeling better. Drank some water. Lip tingling present but faint. Reports she has to "focus to know it is there". Pulse reg, lungs clear, mentation clear, no stridor, no rash, no lip or tongue swelling. Call placed/Voice message left for follow up on 3/26. No return call received.

Other Meds: Levothyroxine 100 mcg every AM

Current Illness: None reported

ID: 1160442
Sex: F
Age: 71
State: MA

Vax Date: 02/19/2021
Onset Date: 03/23/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: None, except intolerance to scallops (nausea and vomiting only?and no reaction to any other shellfish: lobster, oyster, clam, shrimp all perfectly well tolerated) Seasonal allergies (rhinitis, itchy eyes); allergic to mold (itchy eyes, wheezing)

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Left arm very sore after injection #1 01/29/2021, so injection #2 02/19/2021 in R arm. Mild AE, fatigue, GI upset for 2 days. About 3/24/2021, developed diffuse hives bilateral elbows & upper arms, spreading over next week to thighs, ankles, flank; now general. Intense pruritus, sleep disruption, clothing irritates, unable to focus on anything else. No prior history of allergic rash or hives. Derm consult 4/1/2021: ?hypersensitivity reaction? no cause known. Oral antihistamines, topical corticosteroids. Modest transient relief, new lesions occurring today.

Other Meds: Diazepam 2.5 mg qhs (long-standing) Visbiome probiotic, 2 capsules daily (for 18 months) VitaminD3 1000 mg daily (for 18 months)

Current Illness: None

ID: 1160443
Sex: F
Age: 58
State: SD

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/02/2021
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: Fever, sweating, blisters/rash, bloody nose, extreme joint pain, nausea, pain in neck, spine, collarbones, shoulders, lower back

Other Meds: None

Current Illness: None

ID: 1160444
Sex: F
Age: 37
State: NY

Vax Date: 03/28/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
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: NSAIDs, latex, suspected acetaminophen allergy

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

Symptoms: I believe the vaccine was administered incorrectly. The shot was very superficial, and did not feel like it entered my muscle. The pharmacist pinched my skin up prior to administering. I did not feel any pain in the moment, nor have I had any muscular sensations whatsoever since then. No bruising, stiffness, nothing of the sort as has been reported by others I know who have received the vaccine. I had no systemic reactions either, aside from a mild "buzz" in the first few minutes right after I received the vaccine. At first I thought the superficial administration was perhaps related to the brand. Most people I know have received the Moderna shot. I consulted CDC resources to find that all COVID vaccines are intramuscular, and that is where I realized I may have received it incorrectly. I understand per CDC guidance that another dose is not to be administered in replacement. I would like to know how or if the pharmacy will be alerted to this potential error, especially since I am scheduled to receive the second dose there later this month.

Other Meds: Rainbow Light: Age 35+ Prenatal Vitamins, DHA, Calcium

Current Illness: None

ID: 1160445
Sex: F
Age: 57
State: NC

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/02/2021
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: Patient received dose outside of the recommended 6 hour window of puncture.

Other Meds:

Current Illness:

ID: 1160446
Sex: M
Age: 60
State: ME

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: fatigue,headache,muscle pain,chills,nausea,fever. bed rest and tylenol

Other Meds: none

Current Illness: none

ID: 1160447
Sex: F
Age: 26
State: MI

Vax Date: 01/12/2021
Onset Date: 03/29/2021
Rec V Date: 04/02/2021
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: Allergies to pollen

Symptom List: Injection site pain, Pain

Symptoms: Received first Pfizer COVID 19 Vaccination 12/21/20. Received second dose 1/12/21. Mother was positive for COVID19 on 3/29. I started to display symptoms 3/30. Symptoms included cough, stuffy nose, runny nose, lethargy and mild headache. No fever, loss of smell or taste, nausea, vomiting or any other symptoms classic to COVID 19. I work as a Registered Nurse. I contacted employee health and was tested for COVID 19. I had a positive result 4/2/21. My mother had not received any aerosol generating procedures during the time prior to or after her positive result.

Other Meds: Daily: Celexa: 20mg, Cerrizine Hydochloride 10mg, OTC: Calcium supplement, Magnesium supplement, multivitamin, Omega 3.

Current Illness: Anxiety

ID: 1160448
Sex: M
Age: 50
State: OH

Vax Date: 03/19/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
Hospital: Y

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

Lab Data:

Allergies: Adhesive tape, amlodipine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient reports feeling unwell for approximately 2 weeks, but began having fevers, body aches, and chills about 5-6 days prior to ED presentation. Also reports cough and headache. Patient hypoxic to 87% requiring 2L O2 via nasal cannula. Patient febrile at 101.4 F. Patient to be admitted to the hospital. The patient has received dexamethasone, along with medications for symptom management including acetaminophen, ketorolac, and benzonatate.

Other Meds: Clonidine, ibuprofen, losartan-hydrochlorothiazide, metoprolol succinate

Current Illness:

ID: 1160449
Sex: M
Age: 42
State: CA

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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

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

Symptoms: 1 ? I had really bad headaches the night the vaccination was administered. 2 ? The next morning I had a REALLY bad ocular migraine when I woke up. The duration was 24-36 hours.

Other Meds: ZYRTEC-D was taken that morning after vaccination at 8:40 AM 04/01/21

Current Illness: None.

ID: 1160450
Sex: M
Age: 59
State: ND

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Day of shot, 9 hrs later chills, 18 hrs later fever of 103 Day 2, fever 102, chills, fatigue, body aches Day 3, fever 101.3, chills, fatigue, body aches, rash at injection site, arm pits, feet, headache, unable to sleep, stomach ache Day 4 , no fever, very weak, headache, same rash, can not concentrate, stomach ache

Other Meds: Ratorvasta 80mg, Amlodipine Besylate 10mg, Lisinopril 20mg

Current Illness: none

ID: 1160451
Sex: F
Age: 21
State: PA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: Patient became dizzy and disoriented aprox 3 minutes after shot. ems help refused pt fully recovered after 30 minutes

Other Meds:

Current Illness:

ID: 1160452
Sex: M
Age: 79
State: NY

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/02/2021
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: Swelling of cheek and eye area. No hives or difficulty breathing. Patient stated it lasted about 3 days then stopped.

Other Meds:

Current Illness:

ID: 1160453
Sex: M
Age: 0
State: MI

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

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

Lab Data:

Allergies: NKA

Symptom List: Nausea

Symptoms: Tingling sensation at injection site that traveled down arm and to chest. tachycardia "sense of doom" light-headed.

Other Meds: Albuterol inhaler (hasn't used in months)

Current Illness: Denies

ID: 1160454
Sex: F
Age: 59
State: MO

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain

Symptoms: Fatigue, Onset w/i 3 hours of vaccination, Duration approx 40 hours Fever 102.7*, Uncontrollable Chills, Onset approx 24 hours after vaccination, Duration approx 7-8 hours

Other Meds: Losartin 25mg OD, Metformin 500 mg BID, Warfarin 6 mg OD, Glimepiride 4 mg OD, HCTZ 25 mg OD, Verapamil 180 mg ER OD, Paroxetine 27.5 mg OD, Levimir 150 u BID, Atorvastatin 10 mg OD, Buspirone 7.5 mg OD, Potassium 99 mg OD, Fish Oil 1040 mg

Current Illness: None

ID: 1160455
Sex: M
Age: 32
State: VA

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: Bees an sulfa drugs

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

Symptoms: Racing heart(panic attack feeling), flush feeling in skin, intermittent body aches. Insomnia,

Other Meds: None

Current Illness: None

ID: 1160456
Sex: F
Age: 71
State: MI

Vax Date: 03/24/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
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: Tetracycline, Codeine. Wheat, corn and some nuts. latest reaction was to morphine given after surgery, which turned out to be a severe corn reaction.

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

Symptoms: Went to bed on fourth night after shot with symptoms from shot seemingly resolved. Woke up the fifth day and got out of bed to discover intense pain in right leg. Nothing like a charley horse cramp. Small nodule about the size of a pea, located 6 inches up from outside ankle bone. ? inch beneath skin. Great difficultly putting weight on right leg, created acute feeling of pinching or twisting pain. Level of pain (1-10) was an eight [note: my definition of the ?worst pain imaginable? has been altered after being stung by a tarantula hawk wasp]. I hobbled to the bathroom and took two aspirin. Hobbling around on flat surfaces gradually reduced pain to a level 3-4, though I had trouble walking up and down steps for the remainder of the day (level 5-6). Fifth day, the pain level on flat surfaces was down to 1-2, on stairs, 2-3. at end of sixth day, no pain on flat surfaces, 1-2 on stairs. No pain by evening. I took two aspirin in morning and two in afternoon during this period. Seventh day, I woke up to find pain returned as I got out of bed (level 4) but was walked out within in three to four hours. I had talked with my sister (an extreme case of Factor five leiden, which I do not have) and felt this was not a blood clot, but went in to the doctor?s because my husband and I were about to leave on vacation. She ordered a Doppler and ultrasound (which showed no blood clot) after telling me this type of muscle/nerve pain was just starting to be reported in patients after the vaccine. She had seen an earlier patient who had swelling and inflammation, which showed no other explanation after testing than post-vaccination reaction. I felt no lump, heat, or tenderness pushing on the skin. Doctor requested I report it on-line.

Other Meds: Mirapex on rare occasions. Flonase and Zyrtyc during allergy season. Vitamins, minerals, herbal supplements.

Current Illness: no other problems.

ID: 1160457
Sex: F
Age: 66
State: NY

Vax Date: 02/22/2021
Onset Date: 03/19/2021
Rec V Date: 04/02/2021
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: cats and dogs ambilify - several more rare side effects. don't know if thats an allergy

Symptom List: Tremor

Symptoms: Four days after 2nd shot my arm became more painful and itchy. It continued to increase and became obvious it was a rash. Small bumps appeared and spread further away from the injection site but close and extended around my upper arm about 3 inches wide and 4 -5 inches long. This became very itchy. As of today it is no longer itchy but from scratching the spots are still visible. The little scabs from scratching will go away.

Other Meds: Lexapro, Lamictal, Klonopin, Mobic

Current Illness: None

ID: 1160458
Sex: F
Age: 16
State: CA

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

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

Lab Data:

Allergies: NKA

Symptom List: Erythema, Pruritus

Symptoms: Menveo vaccine given on left deltoid at 10:44am by LVN. A few minutes after administration, patient stated that "she felt funny" Per LVN, patient looked pale. LVN gave patient water. Patient stated her arms feel "prickling" and then heavy. LVN told patient she would grab MD. Dr. walked into room and noticed patient was lethargic, laying on her back, bilateral eye twitching, hands stiff/shaky. Patient stated, "can't move my hands, my stomach/legs hurt". Dr, called 911. Vital signs: BP 152/92 on right arm, heart rate-116. BP rechecked, 138/85, heart rate-109. 911 responders arrived and placed patient on gurney. Patient complaining of dizziness, bilateral leg/arm numbness, not in respiratory distress.

Other Meds: none

Current Illness: none

ID: 1160459
Sex: F
Age: 55
State:

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/02/2021
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: Penicillin

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

Symptoms: Left arm swelling and redness, persisting for 2 weeks

Other Meds:

Current Illness: None

ID: 1160460
Sex: M
Age: 66
State: SC

Vax Date: 03/22/2021
Onset Date: 03/24/2021
Rec V Date: 04/02/2021
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: Day of second shot, pt arm felt sore. 2 days later pt start feeling flu like symptoms. 6 days after shot pt starting feeling numbness down right side. Had to go to ER and was informed he was having a stroke.

Other Meds:

Current Illness:

ID: 1160461
Sex: F
Age: 57
State: IL

Vax Date: 02/10/2021
Onset Date: 02/26/2021
Rec V Date: 04/02/2021
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: Succinychlin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Ringing in ears and headaches. Diagnosed with tinnitus. High pitch ringing in both ears. Never stops. Did not have this before vaccine.

Other Meds: None

Current Illness: None

ID: 1160462
Sex: F
Age: 39
State: TX

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
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: N/A

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

Symptoms: Extreme body aches, headache, fever all lasting three days or more

Other Meds: N/A

Current Illness: N/A

ID: 1160463
Sex: F
Age: 80
State: VT

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/02/2021
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: vancomycin, cephapine, rafampin

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

Symptoms: Vertigo, nausea, dizzyness, vomitting, hearing loss. All symptoms lasted 48 hours. Went to Urgent care and was givenMeclizine 12.5mg and Ondansetron 4mg. Dizziness and nausea lessened over the next 3 days. Went to ENT doctor - Hearing test on 3/29/21 revealed total loss of hearing in right ear. Hearing in left ear was diminished before vaccination and that was about the same after the vaccination. ENT injected steriod into right ear on 3/31/21. Second steriod injection on 4/2/21. No improvement in hearing so far. Dizziness continues off and on. Still unstable and needs to use a walker.

Other Meds: FUROSEMIDE 20mg Glimepiride 1mg Methimazole 5mg Buspirone HCL 7.5mg Breo Ellipta 100-25mcg/lnh Alprazolam (Xaneax) 0.5mg SERTRALINE HCL (Zoloft) 100mg Pepcid(Famotidine) 20mg Eliquis 5mg Cozaar(Losartan) 100mg Metroprolol 50mg Potasi

Current Illness:

ID: 1160464
Sex: F
Age: 64
State: IN

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pain in extremity

Symptoms: Approximately 24 hours after 2nd dose had muscle aches all over body. Chills. Slept all day. Next morning all aches were completely gone. Had no side effects from 1st dose.

Other Meds: amlodipine besylate 5mg paroxetine 20 mg

Current Illness: none

ID: 1160465
Sex: M
Age: 49
State: IL

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/02/2021
Hospital:

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

Lab Data:

Allergies: celiac disease

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

Symptoms: 1800 hrs at work(same day as shot 1), started feeling nausea, vomited several times from 1815-1830. started with chills and sweating then and extreme fatigue. 1845 started vomiting again until about 1900 when it ended with violent vomiting and retching. Left work early, freezing the whole way home. fell asleep on the couch in clothes, sweatshirt and two blankets due to chills. Slept for 2 1/2 hours, woke up feeling much better. next day had slight headache and slight lethargy.

Other Meds: Adderall, sertraline, multivitamins, glucosamine, levothyroxine, atorvastatin, prilosec

Current Illness: N/A

ID: 1160466
Sex: M
Age: 35
State:

Vax Date: 03/31/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: SINUS CONGESTION, SINUSITIS, SINUS HEADACHE

Other Meds: Atorvastatin

Current Illness:

ID: 1160467
Sex: M
Age: 85
State: CA

Vax Date: 03/20/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
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: Patient passed suddenly at home on 03/28/2021 8 days after his first vaccine.

Other Meds: Amlodipine 5mg, Donepezil 5mg

Current Illness: none

ID: 1160468
Sex: F
Age: 61
State: OH

Vax Date: 03/23/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: 4-2-21 TC: PT STATES SHE HAS A RASH TO HER LT ARM AT THE INJECTION SITE. NO HEAT, NO PAIN, NO SWELLING. NO SOB, NO DIFFIUCLTY SWALLOWING. WILL SELF MONITOR AND F/U WITH PCP PRN.

Other Meds:

Current Illness:

ID: 1160469
Sex: F
Age: 75
State: NY

Vax Date: 03/25/2021
Onset Date: 03/28/2021
Rec V Date: 04/02/2021
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: Penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt received 2nd dose moderna covid vaccine on march 25th and has felt fatigue, dizziness and headache starting 4 days after the dose until today when she is presenting to the urgent care (4/2/2021). Pt has been taking tylenol with no relief. Reports symptoms gradually improving. Not feeling dizziness anymore. Prescribed Amoxicillin-Pot Clavulanate Tablet, 875-125 MG, 1 tablet, Orally, every 12 hrs, 7 days for acute left otitis media.

Other Meds: Pantoprazole, Metoprolol, Atorvastatin, Tempazepam

Current Illness: HTN, HLD, GERD, Anxiety, bilateral tympanic membrane rupture

ID: 1160470
Sex: F
Age: 51
State: MN

Vax Date: 03/13/2021
Onset Date: 03/13/2021
Rec V Date: 04/02/2021
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: no

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

Symptoms: Saturday-Tuesday: Severe headaches, body aches, fatigue, oral gums extremely sore, sore/painful arm, Covid arm on days 10-11: 3x5 inch red patch center below injection Wednesday: Severe headaches, oral gums extremely sore and by evening right wrist starts to severely hurt (feels sprained); an hour later left wrist also hurting. Hours later both wrists, hands and all fingers extremely painful and cannot move them or bend joints; inflammation starts. Slight joint paint in right knee, left inside hip, right top of foot and right shoulder (subsides within 24 hours). Talk to medical staff at midnight due to extreme pain in hands. Thursday: wrists/hands/fingers very painful, badly inflamed, skin is red/shiny stretched and swollen; headaches continue, jaw and gums issues now seem secondary. Sunday: headaches less and movement in hands starting to improve.

Other Meds: women's multi vitamin vitamin D

Current Illness: none

ID: 1160471
Sex: F
Age: 35
State: TX

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/02/2021
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: Penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I got the vaccine shot 3/25. The next morning 3/26 @ 6:34 I woke up with a massive migraine. I took some meds for the migraine with very little relief. I decided to go to the emergency room Saturday night at the hospital. Hours later I was released still in pain because they found nothing wrong from my labs. Monday 3/29 I went to hospital for help in the out patient clinic because my bottom lip was numb and the right side of my face was swollen and throbbing. I was prescribed clindamycin and naproxen in hopes that whatever the issue was would go away because they still don't know why all of a sudden this has happened. I have been taking my prescriptions since prescribed and there is no difference or relief. My mouth is so swollen I can't really eat. I wasn't feeling any of this ever before until the next morning after receiving the covid vaccine.

Other Meds: None

Current Illness: None

ID: 1160472
Sex: F
Age: 45
State: MN

Vax Date: 01/12/2021
Onset Date: 04/01/2021
Rec V Date: 04/02/2021
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: Patient completed vaccine series on 01/12/2021 and has tested positive for Covid 19, symptomatic

Other Meds:

Current Illness:

ID: 1160473
Sex: F
Age: 52
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/02/2021
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: PEANUT ALLERGY

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

Symptoms: PATINT WAS LIGHT HEADED AS SOON AS SHE WAS VACINATED PUT HER HEAD DOWN BETWEEN HER LEGS FOR A FEW MINUTES AND THEN SAID SHE WAS GOING TO LIE DOWN IN THE CAR . HER HUBAND TOOK HER TO THE CAR AND A FEW MINUTES LATER IS CALLING OUT TO US THAT HIS WIFE WAS NOT BREATHING WE GAVE HER AN EPIPEN AND CALLED 911

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm