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: 1171394
Sex: F
Age: 63
State: MN

Vax Date: 03/18/2021
Onset Date: 03/19/2021
Rec V Date: 04/06/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Information not available

Symptom List: Dysphagia, Epiglottitis

Symptoms: See patient's account of the event below. Patient is not an established patient and did not receive care for her symptoms at our facility: On March 18th I received my 2nd Moderna vaccination. On Friday the 19th at approximately 4 pm I began to have the symptoms of an immune response in my body. Sat the 20th was spent in bed with chills, body aches, fever, stiff neck, and bad headache. On Sunday I was having pain on inhalation along with everything else. Monday the pain resolved into left side lung pain on inhalation. Tuesday the 23rd I called my provider who directed me to go to the Emergency Dept. I drove to Superior Hospital. After being accessed I was transported; with pericarditis and the additional mentioned immune response symptoms, and a pronounced heart murmur. On Wednesday the 24 I shook uncontrollably with chills for 4 hours and 2 min and went into atrial fib for about 12 minutes, resolved with medication. Thursday the 25th I woke to all symptoms being gone. I was released on Friday the 26th with the statement my issues had resolved themselves. I was told to report this to where I got my vaccine so it could be passed along.

Other Meds: Unknown, not an established patient at our facility.

Current Illness: Information not available

ID: 1171395
Sex: F
Age: 57
State: MI

Vax Date: 03/25/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
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: 10 days after vaccination, I developed a large red circular rash around the injection site. The rash is approximately 7 inches by 4 inches, is warm to the touch, slightly swollen and sore. From what I have read, this should resolve itself. I simply wish to report it in order that the CDC can have valid data for statistics.

Other Meds:

Current Illness: None

ID: 1171396
Sex: M
Age: 28
State: PA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Sweating. Complained of being dizzy. He feels this way when he gives blood. EMT observed and monitored. Patient responded to water and no other intervention needed.

Other Meds: Medication for ADHA

Current Illness: none

ID: 1171397
Sex: F
Age: 22
State: VA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: lactose intolerant

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 1/15 vaccination 1/22 At 3am, I woke up and my R arm burned and itched so bad. I went to brush teeth and saw arm; swollen R arm, tender to touch, and tingle if raised. I called my PCM. Set up a telehealth appt. She looked at it and stated to take a antihistamine. By Sat morning, it was gone.

Other Meds: multivitamins

Current Illness:

ID: 1171398
Sex: F
Age: 64
State: MT

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Grass, Novocain

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

Symptoms: 3/29/2021 metallic taste in mouth, 15 min after leaving the clinic. Tingling in lips and chin. 3/30/2021 hives, mouth sores on roof of mouth. went to ER received steroid and magic mouth wash. patient is at home recovering at this time.

Other Meds: none

Current Illness: none known

ID: 1171399
Sex: F
Age: 73
State: IN

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 04/06/2021
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: Had stroke (Thalamus) on 9/28/2020 and had some numbness on right side, but after 2nd shot the numbness got MUCH WORSE and spread to other areas on right side that were previously not affected. It is still very bad and doesn't seem to be getting better with time.

Other Meds: Lipitor, Cozaar, Levothyroxin, Folbee, Plavix, Vitamin D

Current Illness:

ID: 1171400
Sex: F
Age: 64
State: IN

Vax Date: 03/01/2021
Onset Date: 03/01/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Moderna For 4 days after getting vaccinated, unbalanced dizzy spells, fell while getting up off of my bed, no appetite, sore swollen lymph nodes under right arm. Injection site sorry and swollen for 5 days.

Other Meds: None

Current Illness: None

ID: 1171401
Sex: F
Age: 16
State: FL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Severe hives on arms, legs, and torso. Elevated temperature of between 99-100 F. Began at 11:00pm on Apr 5, 2021, about 12 hours after vaccination. Hives severity continues to increase on Apr 6, 2021 as of about 24 hours after vaccination. Has not yet recovered. Monitoring.

Other Meds: Zyrtec

Current Illness:

ID: 1171402
Sex: F
Age: 66
State: GA

Vax Date: 03/24/2021
Onset Date: 03/24/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Adverse reactions to augmintin, amoxicillin, lisinopril Allergic to shellfish & bee stings, seasonal allergies - dust, mold, tree & grass pollen

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Severe pain in arm, severe aches and joint pain over entire body, back ache, high fever, dizziness, lightheadedness, cough, extreme fatigue. Lasted 2 1/2 days.

Other Meds: Valsartan, Carvedilol, Levothyroxine, Lexapro, multivitamin, biotin, low dose aspirin, calcium & vitamin D

Current Illness:

ID: 1171403
Sex: F
Age: 38
State: ID

Vax Date: 03/26/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
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, Nuts, Environmental Allergies

Symptom List: Diarrhoea, Nasal congestion

Symptoms: On Sunday April 4th I came home from church and the injection site was all red. The night of March 3rd my entire body was really itchy. I let my doctor know and showed her a picture. She told me to take Benadryl and that did help the rash. This morning April 6th, I noticed a lump below the injection site. I have started to massage the lump and that has seemed to go away.

Other Meds: Zoloft, Focalin

Current Illness:

ID: 1171404
Sex: M
Age: 41
State: FL

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: I have different a number of recurrent episodes of mollaret's meningitis from hsv2 infection since 2007 however it's been about 4 years since the last episode prior to receiving the 2nd dose of the moderna vaccine. I received the 2nd dose on the night of April 2nd and had typical low grade fever, aches, and chills which started on April third and subsided by April 4th. The morning of April 6th, I began to notice the usual symptoms of a mollaret's meningitis episode and by the night of the 6th it was the worst episode I have had since the original in 2007 when I was hospitalized for it. For reference, the episodes had been getting less frequent and less severe as time went on.

Other Meds: Effexor, gabapentin, rapaflo

Current Illness: NA

ID: 1171405
Sex: F
Age: 16
State: OR

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/06/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Vaccine given to a 16 year old female patient. Patient was not at the age to receive vaccine.

Other Meds:

Current Illness:

ID: 1171406
Sex: F
Age: 68
State: FL

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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

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

Symptoms: Achy, light headed @ 3 a.m....went to kitchen to take Tylenol , took it & then passed out on the kitchen floor. I landed on my bottom & then I was aware of what happened. Only happened once, & was feeling somewhat better by around 11. Husband was concerned, so this is why I'm sending this your was

Other Meds: Pravastatin 20mg Alendronate 70mg weekly Vit D3 1,000 daily Calcium Citrate + D3 600 mg daily 750 daily

Current Illness: Fibromyalgia Raynards Syndrome Osteoarthritis Osteoporosis

ID: 1171407
Sex: F
Age: 48
State: MS

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 04/06/2021
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: n/a

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

Symptoms: About 15 minutes after receiving Moderna vaccine and as she was attempting to stand from sitting position Complain of dizziness and difficulty breathing, attempted to assist but fell to floor. Continue complain feeling little SOB and anxious - holding chest. 911 called B/P 160-80, HR 99

Other Meds: BP med, diabetic med

Current Illness: HTN, DM

ID: 1171408
Sex: F
Age: 75
State:

Vax Date: 03/04/2021
Onset Date: 03/21/2021
Rec V Date: 04/06/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Developed COVID 2.5 weeks after first vaccination. Presented to ED due to SOB; imagine test showed pneumonia, tested covid 19 +, treated with remdesivir, dexamethasone, and O2 resulting in improvement over 5 days. Upon discharged home with home oxygen and follow-up with PCP.

Other Meds:

Current Illness:

ID: 1171409
Sex: F
Age: 44
State: SC

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/06/2021
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: Fever, body aches

Other Meds:

Current Illness:

ID: 1171410
Sex: F
Age: 38
State: NC

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 04/06/2021
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: heavier period along with cycle starting 3 days early after first dose

Other Meds:

Current Illness:

ID: 1171411
Sex: F
Age: 29
State: CA

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: ?COVID arm? red rash at injection site 2? in diameter slightly raised, firm, red, painful to touch

Other Meds:

Current Illness:

ID: 1171412
Sex: F
Age: 17
State: VA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: multiple allergies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt reported having an uncomfortable scratchy feeling in back of throat. Pt has experienced anaphylaxis in past and was anxious about experiencing it again. Pt moved away from waiting area to be evaluated by RN. RN Assessed pt. Lung sounds clear, Pt denies having difficulty breathing, O2 sat remained 98% or better for the duration. BP initially 141/89 while sitting with HR at 75. Pt laid down with feet propped on chair. Vital signs reevaluated 15 min later: O2 98%, BP 118/89, HR 77. Pt still reports itchy throat but does not have difficulty breathing. Contacted on-call physician, recommended pt be evaluated at ED or urgent care. Pt parent refused ambulance; opted to drive pt to ED for further evaluation.

Other Meds: yes, did not disclose. Medications for Eczema

Current Illness: eczema

ID: 1171413
Sex: F
Age: 48
State: SC

Vax Date: 04/04/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I have a large knot around the injection site, there is a red rash and it is hot to the touch. I am also itchy allover. Yesterday I felt like I was getting a cold. Today it is better but the itching allover my body is insane. No idea if related but felt like I needed to share.

Other Meds: Cymbalta, Zoloft, vyvannse

Current Illness:

ID: 1171414
Sex: F
Age: 59
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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: Localized rash on the left cheek. No itching or swelling.

Other Meds: Pantoprazole Alendronate Simvastatin Alprazolam

Current Illness:

ID: 1171415
Sex: F
Age: 26
State: MA

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/06/2021
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: Unevaluable event

Symptoms: Severe outbreak of pityriasis rosea, still worsening after 11 days

Other Meds: Citalopram 40mg, nexplanon birth control implant

Current Illness: None

ID: 1171416
Sex: M
Age: 26
State: CA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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: Patient received injection became diaphoretic and disoriented. Was responsive to questioning. Transported via wheelchair to EMS, Doctor at bedside vital signs taken: 103/67, pulse 52. Patient was given water and allowed to rest. Denies chest pain shortness of breath or nausea. He reports not getting much sleep last night and drove 2 hours to get his injection this morning. He was discharged in stable condition @ 8:35am.

Other Meds: none

Current Illness: denies

ID: 1171417
Sex: F
Age: 67
State: PA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/06/2021
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: PCN, shellfish, IV dye, Berries

Symptom List: Injection site pain, Pain

Symptoms: Flushed feeling. Symptoms resolved.

Other Meds: linaclotide, clopidogrel, fluorosemide, prednisone, amiodarone, nitroglycerine, ferrous gluconate, pantoprazole

Current Illness: none

ID: 1171418
Sex: F
Age: 86
State:

Vax Date: 02/22/2021
Onset Date: 03/10/2021
Rec V Date: 04/06/2021
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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Developed COVID after first dose of vaccine. Pt arrived to vaccine clinic on 03/13 for her second dose. Had symptoms consistent with COVID since 3/10- sore throat, fevers, body aches, diarrhea, congested. Tested positive for COVID 3/14. Received bamlanivimab on 3/15. Was referred to ED 2 hours after monoclonal infusion after presyncopal episode. Cardiac workup done and was negative. Admitted for monitoring received IV hydration and supportive care (no supplemental O2)

Other Meds:

Current Illness:

ID: 1171419
Sex: F
Age: 20
State: AR

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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: No Allergies

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

Symptoms: Patient said that she had a burning sensation down her back and into her leg and arm on the side that the shot was administered. That sensation went away after 1 to 2 hours. Her left arm also was twitching during that time period. This morning, 12 hours after vaccination she is nauseated and has a headache. She has not taken any medication.

Other Meds: None

Current Illness: None; allergy symptoms

ID: 1171420
Sex: F
Age: 38
State: NJ

Vax Date: 03/26/2021
Onset Date: 03/26/2021
Rec V Date: 04/06/2021
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: n/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I felt like a shitcocles fucjtangles for 12 days after the vaccine. I had a fever for 3 days, chills for 12, excessive body aches for 12 days,--incredible brain fog for 12 days which got worse, not better, on day 12--congestion, runny nose, and congested chest with crushing pain, wheezing, lack of appetite, night sweating.

Other Meds: Paxil, Heather, Aimovig

Current Illness: n/a

ID: 1171421
Sex: F
Age: 80
State: MA

Vax Date: 03/31/2021
Onset Date: 04/03/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Resident was on Macrobid for UTI, received 2nd dose of Pfizer, presents with blotchy red rash on body, no respiratory symptoms noted, no pain, no itching or irritation. Patient is stable

Other Meds: Macrobid

Current Illness: UTI

ID: 1171422
Sex: F
Age: 22
State: CA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/06/2021
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: Nuts, Penicillin

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

Symptoms: Instant dizziness, pain in the neck area, loss of arm motion, Violent shaking at night, fever 101.8. Body aches, headache, sensitivity to light, low grade fever for 48 hours. Felt slightly better taking Advil for 48 hrs.

Other Meds: None

Current Illness: None

ID: 1171423
Sex: M
Age: 18
State: NE

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
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: Body aches, headache, restlessness through the night, sore arm, weak legs, normal temperature, but feels very hot

Other Meds: None

Current Illness: None

ID: 1171424
Sex: F
Age: 51
State: WI

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: penicillan

Symptom List: Injection site pain

Symptoms: Mild headache, body aches, tiredness all day of 4/4. (about 26 hours) Redness and swelling in entire upper arm 6:00am 4/5 and continuing yet today. 4/6.

Other Meds: Tamoxifen

Current Illness: none

ID: 1171425
Sex: F
Age: 69
State: CO

Vax Date: 12/31/2020
Onset Date: 03/27/2021
Rec V Date: 04/06/2021
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: Person was positive for COVID 19 on 3/29/21. 4 months after vaccine completed

Other Meds:

Current Illness:

ID: 1171426
Sex: M
Age: 28
State: MI

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: unknown

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

Symptoms: seizure

Other Meds: unknown

Current Illness: unknown

ID: 1171427
Sex: F
Age: 53
State: VA

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
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: Tremor

Symptoms: The first 72 hours - body fatigue and significant arm soreness alleviated by napping and 500 mg acetominophen 72+ hours - chills, stomach upset, burping (indigestion) with sour taste in mouth, headache and sinus pressure (cheekbones aching), ear pain, congestion. 500 mg acetominophen helped the headache and sinus pressure. Took 'nighttime cold and flu relief' (325 mg acetominophen, 15 mg dextromethorphan, 6.25 mg Doxylamine succinate) at 7pm.

Other Meds: Ginkgo Biloba, 120 mg; Vitamin D3, 1000 IU; multivitamin; Loratidine, 10mg; Duloxetine, 60 mg;

Current Illness: None

ID: 1171428
Sex: M
Age: 43
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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 known

Symptom List: Erythema, Pruritus

Symptoms: While waiting 15 minutes after receiving the shot patient suffered a seizure roughly 5 minutes after receiving the vaccine. Seizure lasted approximately 10 seconds. Paramedic was on site and assisted in monitoring the patient until ambulance arrived. While waiting patient was sweating, nauseas and 'didn't feel well'. Patient suffered a second smaller seizure before the ambulance arrived. Patient was monitored and taken to ER.

Other Meds: Vitamins

Current Illness: None Known

ID: 1171429
Sex: M
Age: 63
State: NC

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 04/06/2021
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: Tegretol

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

Symptoms: I have a psoriasis rash, and maybe another rash mixed in. My joints have been sore. I can't sleep because of the itching. I'm taking Orencia and was taking that at the time of the outbreak (I forgot to put that in the medicines that I take) that's given to me by my rheumatologist. He also prescribed lorazepam to deal with the excessive itching. Then I saw a dermatologist he gave me some shots in my skin, but there was so many of them it couldn't continue I would be a pin cushion. He also gave me some cream that really isn't working. Seems like it's getting worse instead of better.

Other Meds: Vitamin b vitamin a, psyllium husk, lipitor, isosorbide,fluoxetine,spironolactone,carvrdilol,estreto, Belinda, lansoprazole, aspirin

Current Illness: None

ID: 1171430
Sex: F
Age: 24
State: TX

Vax Date: 04/01/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
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: No

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

Symptoms: On 4/4 I experienced fullness and loud ringing in the left ear. I woke up in the morning with light tinnitus in both ears. Very uncomfortable even though it is not too loud.

Other Meds: No

Current Illness: No

ID: 1171431
Sex: M
Age:
State: IN

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/06/2021
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: Biaxin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient got dose #2 of vaccine on 02APR21 at 1552. At 1740, patient complained of headache, dizziness, nausea and warm to touch. He laid down on a cot, had snacks and water. B/P 136/69, HR 70, O2 sat. 97%. He was observed by an RN for an additional 30 minutes before sitting up for 10-15 minutes at which time he stated he felt better. At 2000, he returned to the vaccine room complaining of nausea and extreme fatigue. He was given Benadryl 25 mg po. O2 sat. 98%, HR 94. Patient sent home.

Other Meds:

Current Illness:

ID: 1171432
Sex: M
Age: 34
State: NY

Vax Date: 04/04/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
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: no.

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

Symptoms: Rash on both arms. Swollen lips. Swollen, itchy hot ears.

Other Meds: Colace. Ibuprophin.

Current Illness: no.

ID: 1171433
Sex: F
Age: 78
State: NY

Vax Date: 04/01/2021
Onset Date: 04/03/2021
Rec V Date: 04/06/2021
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: trees, lobster lidocaine

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

Symptoms: fever for 55 hours. 101.1 to 103.4,last temp 4pm Sunday 99.8. vomiting , severe body pain, chills, shaking, no taste, weak, sweating . took tylenol and advil. called my pcp she said it should last about 24 hours. As of tuesday 4/6/21 still very tired.

Other Meds: olmarsartan, toporol, hydralazine, eliquis on chemo. b12 d3, magnesium,

Current Illness: cancer

ID: 1171434
Sex: M
Age: 30
State: FL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
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 2 minutes after receiving the vaccine, the patient lost consciousness while driving to observation. He continued traveling through the barricades, hit a curb and ran into a light pole and secondarily hit a tree with the back end of his car. He immediately regained consciousness and denied having any head, neck, or back pain. He relayed that he is terrified of needles and shots, and has a history of passing out from receiving shots in the past. He also informed us that he has not had anything to eat or drink since dinner the night before. His vitals were as follows: BP 123/87, HR 104, EKG; Normal Sinus Rhythm. His girlfriend was in the backseat without a seatbelt and she had a hematoma on her forehead. Her vitals were: BP 138/90, HR 98, GCS-15. They both denied transport to the hospital and relayed that they would wait for the tow truck and seek medical evaluation at an urgent care center after.

Other Meds:

Current Illness: none

ID: 1171435
Sex: F
Age: 53
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies: Seafood, peanut, dye contrast

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

Symptoms: Itching throat, feeling of funny sensation in the throat BP: 170/108; 144/96( rechecked) HR: 86 Sp02: 100% Patient self administered her Benadryl 25mg prior to EMS arrival. Patient refused to go the hospital. Seen and cleared by EMS.

Other Meds: EpiPen and Benadryl

Current Illness:

ID: 1171436
Sex: F
Age: 60
State: FL

Vax Date: 03/18/2021
Onset Date: 03/20/2021
Rec V Date: 04/06/2021
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: PATIENT RECEIVED 1ST DOSE 3/18/2021. On 03/20/2021 patient states she had an allergic reaction where her throat was very tight and had some difficulty breathing and swallowing. Two days later on 03/24/2021 she had huge blisters on both lips and her nose. Patient states her nose and lips felt numb. She states lips were three times the size. Last week on 03/28/2021 her whole body started itching from head to toe. The vaccine site was very inflamed and she had huge welts on her chest area and belly and lots of burning. Patient has a tele visit with Dr. on 3/30/2021 and was prescribed prednisone and benadryl. Patient states she has no history of any allergies whatsoever.

Other Meds:

Current Illness:

ID: 1171437
Sex: M
Age: 37
State:

Vax Date: 03/14/2021
Onset Date: 03/14/2021
Rec V Date: 04/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: tingling and numbness in the injection arm

Other Meds:

Current Illness:

ID: 1171438
Sex: M
Age: 19
State: OH

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/06/2021
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: Within 5 minutes of administration patient started to feel very light headed, then started to have sweats, said he started to fell odd all over, patient remained fully conscious, ems was called and patient left with them

Other Meds:

Current Illness: unknown

ID: 1171439
Sex: F
Age: 76
State:

Vax Date: 03/01/2021
Onset Date: 03/07/2021
Rec V Date: 04/06/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Received dose and tolerated it well. Over last week increasingly SOB, diarrhea and weakness. Of note family contact tested positive for She was admitted to the hospital - c Patient admitted to COVID unit as PUI, tested positive for COVID on 3/7. Required O2 and intubated with ICU admission. She remained intubated for 12 days. Her ICU course was complicated ARDS with severe hypoxemia, A.fib with RVR, mod-severe PFO with R to L shunt, spontaneous intraperitoneal bleed, septic shock, renal failure and ultimately multi-organ failure. Family made decision to transition to comfort measures only. She died shortly after extubation.

Other Meds:

Current Illness:

ID: 1171440
Sex: F
Age: 71
State: CA

Vax Date: 04/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/06/2021
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: shellfish, aspartame, mushrooms

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

Symptoms: pt states after about 4 hours after taking vax she developed a headache. She says the headache keeps getting worse and worse. She took Tylenol and went to bed. the next day the headache was so severe the next day that she could hardly function. she tried to flush out the vax by drinking lots of water and not eating any food. She took Tylenol and slept most of the next 36 hours. After 3 days she still has a headache but started eating again. Today she is feeling drained and still has a headache.

Other Meds: none

Current Illness: none

ID: 1171441
Sex: F
Age: 51
State: TX

Vax Date: 03/01/2021
Onset Date: 03/02/2021
Rec V Date: 04/06/2021
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: Pollen, mold, grass, cats

Symptom List: Injection site swelling, Limb discomfort

Symptoms: tired, chills, achy, headache

Other Meds: Losarton 100, HTCZ 25, Levothyroxine 125, Vitamin C, Vitamin D3, Zinc, B-12

Current Illness: Hashimoto's Thyroiditis and Graves Disease and High Blood Pressure

ID: 1171442
Sex: M
Age: 41
State: CA

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/06/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: I received the shot at about 3 pm on April 2nd. That night my arm was very sore. Took a couple ibuprofen. On Saturday my arm was still sore so took some more Ibuprofen. Sunday I was feeling fine until about 8 pm when I started to get a little dizzy. On Monday when I woke up I could barely raise my head. Everything was spinning. I was very dizzy and my mouth was dry. I had no concept of time. 2 mins would feel like 2 hours and 2 hour could feel like 2 mins. I started to feel a little better around 4 pm. Today I still feel a little hazy in the head.

Other Meds: Finasteride, Minoxidil, Ibuprofen

Current Illness: None

ID: 1171443
Sex: F
Age: 17
State:

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/06/2021
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:

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

Symptoms: Patient administered vaccine, not the appropriate age. Patient 17 years old at time of vaccination.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm