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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1172387
Sex: F
Age: 23
State: FL

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt felt nausea following receiving Pfizer vaccine. Pt is a diabetic and insulin pump dependent and felt hypoglycemic. Pt provided juice by paramedic and monitored by EMS and medical provider for over 30 minutes. During this time she was also drinking water. Pt felt better and left in good condition with family.

Other Meds: Insulin pump dependent

Current Illness:

ID: 1172388
Sex: F
Age: 49
State: NY

Vax Date: 04/02/2021
Onset Date: 04/03/2021
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: Vertigo 4 days straight

Other Meds: Daily vitamin D and collagen vitamin

Current Illness: None

ID: 1172390
Sex: F
Age: 64
State:

Vax Date: 03/23/2021
Onset Date: 03/30/2021
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: Sulfa

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

Symptoms: One week subsequent to vaccine, eye stye in left eye. On 13th day, eye stye in right eye. Blurred vision in both eyes, itchy eyes. Watery nose- need to blow nose regularly.

Other Meds: 1 tab/wk of Vitamin D, 1 tab/day Calcium, 1 tab/week Vagifem, 1 tab/day pentoprazole, 1 tab/week Teva Alendronate, 2 tab/day Diclofenac Misoprostol

Current Illness: none

ID: 1172391
Sex: F
Age: 60
State: GA

Vax Date: 03/23/2021
Onset Date: 03/24/2021
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: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 12 hours following injection, nausea leading to vomiting and heat flush. Fine immediately following vomiting.

Other Meds: Premarin, Rosuvastatin Calcium, Benadryl

Current Illness: None

ID: 1172392
Sex: F
Age: 38
State: CO

Vax Date: 03/22/2021
Onset Date: 03/29/2021
Rec V Date: 04/06/2021
Hospital: Y

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

Lab Data:

Allergies: penicillins

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

Symptoms: Moderna COVID-19 Vaccine EUA: seven days after vaccination patient developed painful, pruritic rash at injection site that spread to chest, stomach, back, limbs, lips, and scalp. Initially seen at an urgent care where administered methylprednisolone, initiated prednisone, and symptoms worsened. Patient subsequently went to a dermatologist that initiated Valtrex and mupirocin. One day later patient presented to emergency department because rash continued to worsen and become more painful. No fever, chills, nausea, malaise, oral erosions, or ocular symptoms and vital signs within normal ranges. Patient admitted and diagnosed by dermatology with erythema multiforme (dusky, targetoid appearance with central blister, pale ringe of edema, and peripheral erythematous halo) secondary to herpes labialis. Initiated antivirals, topical steroids, oral antihistamines, and moisturizing cream. Patient discharged to home one day later improved and medically stable with dermatology follow-up in place.

Other Meds: bupropion, vitamin D3, citalopram, vitamin B12, fexofenadine, hair-skin-nails supplement, multivitamin, omeprazole, pramipexole, teriflunomide, norgestimate-ethinyl estradiol

Current Illness: mild atopic dermatitis

ID: 1172393
Sex: F
Age: 74
State: MA

Vax Date: 03/01/2021
Onset Date: 03/01/2021
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: Codeine Erythromycin, Tetracycline, Vicodin Premarin

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

Symptoms: Pt received Moderna #1 on 3/1/202 Pt received Moderna #2 on 3/29/2021 Pt reported on 4/6/2021 that she experienced lip swelling after both vaccines- no other sxs Pt had not reported sxs before 4/6/2021 Pt reported sxs by phone was not examined Did not have appt

Other Meds: Atorvastatin,Escitalopram,Trazodone,Levothyroxine,Topamax,Linzess,Pulmicort,Singulair

Current Illness: Pt had UTI 2/16 was Rx'd Bactrim DS X 5 days

ID: 1172394
Sex: F
Age: 30
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: sulfa, amoxicillin, kiwi & watermelon

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1328 - patient c/o "hard to swallow", felt heart racing & dizzy 1330 - BP 166/115 HR 130 SPO2 100% 1356 - BP 156/116 HR 105 SPO2 100% 1340 - BP 174/108 HR 81 SPO2 100%; allegra 60mg given PO 1348 - BP 149/106 HR 92 SPO2 100% 1356 - BP 152/103 HR 99 SPO2 100%

Other Meds: Flonase & Adderall & ProAir inhaler

Current Illness: denies

ID: 1172395
Sex: F
Age: 37
State: MO

Vax Date: 03/29/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: The injection site became red, warm, and very itchy. It has been going on for two days now. I have taken some benadryl at times and it seems to help.

Other Meds: Ritalin, lexapro, buspar

Current Illness: none

ID: 1172397
Sex: F
Age: 54
State: NH

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

Lab Data:

Allergies: Bee Venom IV contrast media Tramadol Amoxicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt developed hives/rash to upper chest and shoulders shortly after injection. There was no airway involvement, SOB, edema or other symptoms. BP 170/90, HR 80, and SP0297%. She was given 25mg of benadryl. EMS services and ER evaluation was offered but the pt declined. She elected to continue observation here at the site and then departed at appx. 220pm. She was improved and symptoms were nearly resolved when she departed. She was given instructions to follow up with her PCP to discuss possibly receiving the Jannsen vaccine.

Other Meds: Lisinopril Topamax Gabapentin

Current Illness: none

ID: 1172398
Sex: F
Age: 63
State: TX

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Began with about 1 by 2 inch red area and rash centered on injection point on Sat. By Tuesday rash is gone but injection point still there and red area grown to about 2 by 4 inch down arm and toward body. Less sore by Tuesday but still sore.

Other Meds: Trintellix 10mg Lamotrigine 200mg Spironolatone 100mg Mucinex Claritin Fonaise Multi 65+ proactive

Current Illness: None

ID: 1172399
Sex: M
Age: 49
State: TX

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: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Fever, extreme soreness at injection site, chills, achy ness Just took Tylenol and tried to sleep it out. Ongoing at this time

Other Meds: Quinapril tabs, Dilitiazem , Lovastatin tabs , Claritin , Tylenol

Current Illness: None

ID: 1172400
Sex: F
Age: 56
State: NY

Vax Date: 03/09/2021
Onset Date: 03/09/2021
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: Tetracycline Peanute

Symptom List: Rash, Urticaria

Symptoms: Swollen lips and face/ tingling Difficulty swalling Difficulty breathing VERY thursty Very soar throat Racing heart rate High blood pressure Went to the ER. They were able to lower my racing heart with a beta block. Still suffering elevated heart rate and high blood pressure. No prior history of heart problem or high blood pressure.

Other Meds: none

Current Illness: I got a cortisone shot in my arm for a Frozen shoulder on 2/26/2021. I called the doctors office to see if it was alright to receive the vaccine. They said yes, it is fine.

ID: 1172401
Sex: F
Age: 48
State: TX

Vax Date: 04/01/2021
Onset Date: 04/02/2021
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: iodine

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

Symptoms: Day 0: pain at injection site, redness, heat, swelling, itching plaque on injection site Day 1: onset of flu-like symptoms (low-grade fever, chills, body aches, extreme fatigue); growing redness, heat, swelling, itching plaque on injection arm. Treated with OTC corticosteroid cream, ice packs, ibuprofen. Day 2: fatigue, chills, body aches, growing redness, heat, swelling, itching plaque covering ~1/2 of outer arm. Treated with OTC corticosteroid cream, ice packs, ibuprofen. Day 3: fatigue, growing redness, heat, swelling, itching plaque on injection arm covering >3/4 of outer arm. Treated with OTC corticosteroid cream, ice packs, ibuprofen. Day 4: fatigue, growing redness, heat, swelling, itching plaque on injection arm; covering all of outer arm. Treated with OTC corticosteroid cream, ice packs, ibuprofen. Day 5: fatigue, growing redness, heat, swelling, itching plaque on injection arm; covering all of outer arm, circling to inner upper arm. Treated with OTC corticosteroid cream, ice packs, ibuprofen.

Other Meds: Claritin-D, Cetirizine Hydrochloride, cholecalciferol, melatonin, Sero-Vital, Halobetasol Propionate

Current Illness: pustular psoriasis

ID: 1172402
Sex: F
Age: 53
State: NY

Vax Date: 03/23/2021
Onset Date: 03/26/2021
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: Enbrel Latex

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

Symptoms: First Night - vision was distorted Sleeping - pain of the entire left arm Next Morning - unable to stand, unable to "walk" straight, feeling nauseous, hurt all over, strong body shaking chills Thursday/Friday - short of breath for seven days with left side chest pain, continued chills Had EKG, Cat-scan, follow-up bloodwork Currently prescribed High Doses of Steriods for approx. 10 days

Other Meds: Advill (as needed) Ambien Amlodipine Leucovoran Methotrexate Cyclobenzaprine Desipramine Nexium Prednisone (5 mg once a day) Zoloft Zyrtec

Current Illness:

ID: 1172403
Sex: F
Age: 69
State: OR

Vax Date: 03/13/2021
Onset Date: 03/14/2021
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 known

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

Symptoms: The day following the shot, I was extremely tired in the afternoon, took a 4 hour nap and then went to bed at the normal time, still tired. Woke up the next morning with no symptoms.

Other Meds: 100 mg Sertaline, daily vitamin

Current Illness: None

ID: 1172404
Sex: F
Age: 40
State: MI

Vax Date: 03/24/2021
Onset Date: 03/27/2021
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: Penicillin, Keflex, hazelnuts, latex, Bactrim, Zpack

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

Symptoms: I received the injection on Wednesday, by Saturday I was feeling very sick. I had a fever of around 102.5 on average and was feeling very weak. By Monday I was so weak I had to go to the doctor. In the dr. office I had a syncope event with tongue out, convulsions. Dr called 911 and was transported to the hospital via ambulance. The dr at the ER tested for Covid (negative) and stated this was a moderate adverse reaction to the vaccine. It took me a full 8 days to be able to not sleep all day and get some strength back.

Other Meds: 75mg Effexor XR, 25mg Hydrochlorithiazide

Current Illness: none

ID: 1172405
Sex: F
Age: 74
State: PA

Vax Date: 04/02/2021
Onset Date: 04/02/2021
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: IODINE DYES DARVON CODIENE PCN SULFA ERYTHROMYCIN MEDROL ASPARTANE LISINOPAL NITROGLYCERINE LAMACTIL TEGRATOL MEVACOR REGLAN NO MRI NO IODINE DYES NO ASA NO COUMADIN ------------------------------------------------------------------------------- \MADIN

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

Symptoms: TODAY IS DAY 3 POST VACCINE NUMBER ONE...STILL HAVE MODERATE DIARRHEA AND MODERATELY SEVERE HEADACHE. ALSO HAVE BRUISED KNUCKLES ON MY HANDS BUT I DO HAVE VON WILLIBRANDS DISEASE TYPE I SO I AM NOT CERTAIN BRUISING IS FROM VACCINE BUT I HAVE NEVER BRUISED MY KNUCKLES BEFORE.

Other Meds: none that morning TRULICITY REPATHA PLAVIX ANASTROZOLE AMLODIPINE LEVOTHYROXINE NORVASC EFFEXOR ER ALLOPURINAL METOPROL COLCHICINE TRAMADOL PLAQUINAL

Current Illness: NONE

ID: 1172407
Sex: M
Age: 40
State: NC

Vax Date: 03/31/2021
Onset Date: 03/31/2021
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: Lactose Intolerance

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient received first dose Pfizer COVID vaccine and was sitting in observation area. Nurse came to get me and patient was found lying on the floor. Patient was cool, clammy, eyes closed but easy to arouse. Patient's friend states he sometimes has a seizure associated with feeling like this. Patient alert and oriented, able to converse, and states he did not fall but sat down in floor prior to lying down. 1119 VS: 98% RA, pulse 69 and regular, b/p 118/72. Ice pack applied to patient along with fanning of patient. Patient states feeling better and brought to sitting position without difficulty. Patient offered juice which he was able to drink without difficulty. Patient assisted into wheelchair and brought back to observation area. 1128 VS: 98% RA, pulse 79 and regular, b/p 122/72. Patient no longer clammy, able to converse and follow directions without difficulty. Patient states he is feeling much better, able to stand without feeling dizzy or lightheaded. Friends present with patient and will drive patient home. Patient transported to car via wheelchair. Able to transfer into car independently.

Other Meds: None

Current Illness:

ID: 1172408
Sex: F
Age: 42
State: MA

Vax Date: 04/04/2021
Onset Date: 04/05/2021
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: sulfa, seasonal, peaches, plums, nectarines,

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: pt states that she got a terrible headache and she started throwing up next morning and did not stop for at least 12 hours. she had 100.1 fever and diarrhea. Pt spoke w/ her PCP on 4/5/2021 and she was told to give it some time that she would feel better soon and to drink plenty of water. Pt was not able to keep water down until early today 4/6/2021. Pt says she is exhausted and very weak but all of her symptoms have subsided.

Other Meds: Pulmicort inhaler, nasal spray

Current Illness: none

ID: 1172409
Sex: F
Age: 61
State: GA

Vax Date: 04/05/2021
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: NKA

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

Symptoms: Client called reporting red hives that began yesterday after returning home after her 2nd Moderna Covid vaccine had been administered. Client reported having hives that resemble mosquito bites that began forming on both elbows, then broke out behind left ear and down the left side of her neck, client reports itching and having to take allergy pills and putting Benadryl cream on the hives. Client denies having any difficulty breathing or swelling or itchy throat. Client was advised to report to her primary care physician's office for further evaluation and possible treatment, voiced understanding.

Other Meds: unknown

Current Illness: Cancer remission x 1 year

ID: 1172410
Sex: F
Age: 44
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: PCN

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

Symptoms: itching. treated with PO Benadryl 25mg

Other Meds: citalopram, Inderal, Lipitor, estrace

Current Illness:

ID: 1172411
Sex: M
Age: 26
State: KS

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

Lab Data:

Allergies: NKA

Symptom List: Unevaluable event

Symptoms: Patient experience syncope approx 10 minutes following vaccine. Episode was lasted less than five seconds and patient was coherent nearly immediately after losing consciousness.

Other Meds: No

Current Illness: no

ID: 1172412
Sex: F
Age: 55
State: MN

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: LA

Lab Data:

Allergies: no

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

Symptoms: After the dosage, I had pain for 10 minutes in my left foot 25 mins later, then pain for 10 mins in my right foot after that, then my arm started to hurt at 7pm, I did not laying on that side when I slept that night it was so painful. Next day I started to get Lethargy as the day went on and fever of 100.8. When I woke up Sunday the fever was gone, but I suffered with Chills all day on the 3rd day, on the fourth day, I woke up and my lungs hurt when I took a deep breathe and every joint hurt when I moved, and I had a Migraine headache and still severe lethargy. I spent most of day 3 & 4 sleeping. When I woke on the 5th morning I had some lung pain, but every other side affect was gone.

Other Meds: Trazadone, Women's Alive 50+ multi-vitamin, Benadryl, High Absorption Magnesium.

Current Illness: allergies - season, pollen and flowers

ID: 1172413
Sex: F
Age: 53
State: MO

Vax Date: 03/30/2021
Onset Date: 04/06/2021
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: Penicillin

Symptom List: Injection site pain, Pain

Symptoms: Developed a itchy red rash at injection site a week following my 1st COVID-19 vaccine. The rash is about 1-2" diameter, raised about 1-3mm. Currently experiencing this rash, will continue to monitor and seek treatment if it worsens.

Other Meds: None, only daily women's multi-vitamin

Current Illness: None

ID: 1172414
Sex: M
Age: 33
State: MA

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: PT received covid vaccine and immediately experience vasovagal syncope, showing signs of clammy skin. EMS responded to vaccination table to evaluate and treat. Pt was hypertensive as well. EMS treated PT at vaccination table until PTs condition improved and PT was able to get up on his own and walk to observation area to continue the duration of his observation period. PT declined transport.

Other Meds:

Current Illness:

ID: 1172415
Sex: F
Age: 61
State: NH

Vax Date: 03/28/2021
Onset Date: 03/28/2021
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: Medications: Allergic to clindamycin, possible allergy to penicillin. Foods: Possible allergies to wheat, seafood, and shellfish. I am gluten free by necessity but no allergy has been proven. Allergic to wool, dust, and various things in nature. I have cold urticaria. I am also lactose intolerant.

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

Symptoms: Almost immediately I could feel the vaccine moving down my arm into my hand first affecting my elbow and then affecting my 4th and 5th fingers. Next, my throat became irritated and I started coughing if I tried to speak. After the irritation subsided I realized that I was breathing more easily too, so I do think my breathing was somewhat affected. Next I felt fatigued, very tired. This was followed by my forehead feeling warm to the touch. My temperature was normal and my heart rate also checked out fine. Then my face turned very red and the skin on my face was puffy. I stopped at a clinic but they had a long line so I went home and took 10 mg of loratadine. The redness on my face and the puffy appearance resolved soon after taking the allergy medicine. All of those symptoms resolved within about an hour and maybe 15 or 20 minutes from getting the shot. The red, puffy skin on my face is what concerned me the most. Nothing in particular was swollen, just the skin looked a bit puffy.

Other Meds: Magnesium supplement, Vitamin D supplement

Current Illness: None

ID: 1172417
Sex: M
Age: 14
State: PA

Vax Date: 03/04/2021
Onset Date: 03/04/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: While entering data into the database, our team member noticed that the patient was only 14 years old. He registered using our automated scheduling system with the date of birth of 3/20/1947. Upon arrival, the patient's date of birth is documented on the consent as 4/12/2006. We checked in and there is no patient listed with a birthdate of 3/20/47. The 14-year-old is in the database with an extensive vaccination history. His mother appears as if she completed the paperwork and signed the consent for him. Patient scheduled for 2nd on 4/2 but didn't arrive. We were going to discuss the incident with the guardian.

Other Meds:

Current Illness:

ID: 1172418
Sex: F
Age: 35
State: ID

Vax Date: 03/25/2021
Onset Date: 03/31/2021
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: NKDA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: At injection site, a red oblong welt has raised up. It is painful to touch, and looks like hives. No other reactions noted.

Other Meds:

Current Illness: None

ID: 1172419
Sex: F
Age: 33
State: CA

Vax Date: 04/04/2021
Onset Date: 04/04/2021
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: No

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

Symptoms: Nausea, vomiting, chest pain

Other Meds: OTC Multi-vitamins

Current Illness: No

ID: 1172420
Sex: F
Age: 57
State: CA

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:

Symptom List: Nausea

Symptoms: Flushing/sweating. Vitals wnl/stable, given water and orange juice.

Other Meds:

Current Illness:

ID: 1172421
Sex: F
Age: 55
State: VA

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: n/a

Symptom List: Injection site pain

Symptoms: Pt had covid vaccine #2 at approx 9 am. Within 10 min had roof of mouth swelling and skin crawling, ear itching. No airway compromise. Declined epi pen administration Benadryl given at 932 Sx began resolving within 10 min. OBJECTIVE: Alert nad 125/82 95% 16 pulse 94 Initially sl flushed no hives. Op clear Voice indicated soft tissue swelling No respiratory distress. CV: Regular rate and rhythm, no murmurs. Pulm: Bilaterally CTA no wheezing. repeat vitals at 950 119/71/88/98% By 10:20 sx improving 119/71/, 88, sat 98% By 1030 near complete resolution of symptoms, throat swelling improved, minimal itching. Repeat prior to discharge at 101/66 80, 98% 1045 pm Epi pen ordered for emergency use, Husband picking up at clinic.

Other Meds: unknown

Current Illness: none.

ID: 1172422
Sex: M
Age: 74
State: NC

Vax Date: 03/06/2021
Onset Date: 03/10/2021
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: Zylopren, pollen, cat hair, Ciprofloxacin

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

Symptoms: Burning all over, sores on legs got worse, confusion and balance problems

Other Meds: Metformin, Lantis, Glipazide, Tramadol, Asprin

Current Illness: none

ID: 1172423
Sex: F
Age: 44
State: PA

Vax Date: 03/25/2021
Onset Date: 04/06/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: The day after the vaccine on 03/25, had some mild pain left arm where vaccination received that went away after 2-3 days. Today, on day 12 I've started experiencing significant pain in my left arm, radiating down from shoulder and numbing my fingers, and where and RED RASH that are also itchy, several spot on left arm.

Other Meds: birth control pills

Current Illness:

ID: 1172425
Sex: F
Age: 36
State: OH

Vax Date: 03/24/2021
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: n/a

Symptom List: Tremor

Symptoms: Small raised lump in arm more than a week after injection. Lump was warm and itchy. Started Friday and into Saturday. By Sunday it stopped itching. By Monday, no more issue.

Other Meds: Zoloft, melatonin, magnesium,

Current Illness: n/a

ID: 1172426
Sex: F
Age: 32
State: FL

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: PCN- Swelling and Hives.

Symptom List: Erythema, Pruritus

Symptoms: Patient is a 32 year old female who presented to community Center for her first dose of the Pfizer vaccine. She admits to a history of newly diagnosed Hypertension. She currently states she takes a combination of 2 high blood pressure medications, but she is unsure of the names of her meds. She denies taking her blood pressure medications today and said she normally takes them in the evening. Patient received her first dose of Pfizer in her left arm. During observation she asked for her BP to be assessed due to c/o a pounding headache. VS were taken and the first reading was 179/120 HR 109, followed by a second BP reading of 200/120, HR 106, then final HR was 84. It was explained to the patient that she is currently in a hypertensive crisis and should be taken to ER STAT for further treatment. Patient agreed with medical advice and paramedics was called and she was taken to the ER. Patient denies diplopia, dizziness, N/V, weakness, syncope or any symptoms of COVID-19. Patient notified observation staff at 1403 hours and EMS & patient out time 1425 hours.

Other Meds: 2 meds for Hypertension; Unsure of names but states it is a combination; possibly a calcium channel blocker with ace inhibitor.

Current Illness: N/A

ID: 1172427
Sex: M
Age: 63
State: CA

Vax Date: 03/30/2021
Onset Date: 04/04/2021
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:

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

Symptoms: FOR 3 DAYS KNOW I HAVE SEVERE HEAD ACHE , NAUSEA AND LOST APETITE

Other Meds:

Current Illness:

ID: 1172428
Sex: F
Age: 63
State: LA

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

Lab Data:

Allergies: NKA

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

Symptoms: Patient describes symtoms related to "Covid Arm" . Redness, swelling, and itchy in three different areas at or below injection site down to elbow. Advised patient to apply topically benadryl and if necassary also take oral benadryl. Also told if condition worsened or signs of lips swelling, throat swelling, or wheeze; go to er or urgent care immediately. But, Covid arm is one of the possible side effects and should subside in 5-10 days.

Other Meds: Atorvastatin, Alendronate, Losartan

Current Illness:

ID: 1172429
Sex: F
Age: 33
State: FL

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pt notified RN that she vomited following influenza vaccine, but still wants to get the Pfizer vaccine. Following administration, pt felt nauseated and EMS notified. Blood sugar 121. Pt monitored by medical provider and EMS for 45 minutes. During that time, pt vomited once. No meds given. Pt stated she felt better and left with family in good condition.

Other Meds:

Current Illness:

ID: 1172430
Sex: M
Age: 31
State: TX

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: 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: Chills, fever, body aches, disoriented

Other Meds: N/A

Current Illness: N/A

ID: 1172431
Sex: F
Age: 50
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Peanuts Mango Gynetomycin Keflex Sulfa Metrogel

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

Symptoms: 1. Rash developed about 90 minutes after the vaccine across my neck, up onto my left side of my jaw, and up through my left temple area. The rash also started to appear in the middle of my back. This rash started to feel tight and felt my throat tightening. 2. 26 hours after the vaccine-I spiked a fever. My regular temperature is 97.4. My temperature climbed to 99.9 for 6 hours. 3. The redness on my neck, face, and middle of my back. The bumps have not reduced after 6 days. I have a burning sensation all over my face, neck, back, and now my legs and arms. It is spreading.

Other Meds: Xarelto Lisinopril Dyclomine Prevacid Metoprolol Flecanide

Current Illness: none

ID: 1172432
Sex: M
Age: 63
State:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: sever chills and shakes approximately 10hrs after vaccination lasting 4-6hrs followed by fever with body aches within 24 hrs symptoms subsided by 48 hrs after vaccination 3 200 mg tabs ibuprofen taken

Other Meds:

Current Illness:

ID: 1172433
Sex: F
Age: 48
State:

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:

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

Symptoms: Within 10 minutes, developed SOB and diaphoresis and malaise Monitored patient for 30 minutes. Took vital signs.

Other Meds:

Current Illness:

ID: 1172434
Sex: F
Age: 61
State: KS

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

Lab Data:

Allergies: .Avocado, Cantaloupe, Adhesive, Latex

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

Symptoms: MS worsened greatly. Unable to function without significant help.

Other Meds: Baclofen, Cymbalta, Synthroid, Estradiol, Valium, Linzess, Tylenol, D3, Multiple Vitamin, Zinc, Calcium

Current Illness: None

ID: 1172435
Sex: F
Age: 21
State: FL

Vax Date: 03/25/2021
Onset Date: 03/25/2021
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: Started with a headache 5 hours after the vaccine. Got worse and worse and got dizziness, weakness, fever (got worse and worse up to 103), and nausea.

Other Meds:

Current Illness:

ID: 1172437
Sex: F
Age: 50
State: CT

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

Lab Data:

Allergies: penicillin, asprin, sulfur

Symptom List: Vomiting

Symptoms: sore arm for 3 days

Other Meds: 5mg amlodepene/20mg benezole

Current Illness:

ID: 1172438
Sex: F
Age: 58
State: MD

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

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

Lab Data:

Allergies: Motrin, PCN, Lyrica

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Severe swelling at the site, lump, hives forming, tender to the touch, aches, chills, extreme fatigue

Other Meds: Lisinopril, Vit D, Fiber, Vit C, Hair/Nails/Skin supp, Hydrochlorot, Metphormine, Prastatine, Aspirin

Current Illness: None

ID: 1172439
Sex: M
Age: 72
State: ND

Vax Date: 03/31/2021
Onset Date: 03/31/2021
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: Wool skin issue

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

Symptoms: Within a couple a hours after receiving vaccination left eye became blurred and had double vision. Has not been relieved at this time.

Other Meds: Concerta, Wellbutrin, Seroquel, Amlodipine, levothyroxine, Lipitor, many supplements

Current Illness: none

ID: 1172440
Sex: F
Age: 26
State: NY

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

Lab Data:

Allergies: Penicillin, Latex

Symptom List: Injection site swelling, Limb discomfort

Symptoms: facial burning / itching, itching redness of ears, face, palms of hands and soles of feet. Trouble breathing. Epinephrine was offered but declined, benadryl 25mg was given, symptoms did not subside.

Other Meds: Bystolic 10mg OCP

Current Illness: none

ID: 1172441
Sex: F
Age: 78
State: NY

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/06/2021
Hospital: Y

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

Lab Data:

Allergies:

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

Symptoms: Received Covid vaccine on 4/2 and then starting 4/3 starting experiencing nocturnal chest pain. Found to have bilateral pulmonary embolism on evening of 4/5.

Other Meds:

Current Illness:

ID: 1172442
Sex: F
Age: 60
State: TX

Vax Date: 03/11/2021
Onset Date: 03/29/2021
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: none

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

Symptoms: Rash over most of the trunk area, head and neck.

Other Meds: Goli

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm