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: 1179709
Sex: F
Age: 37
State: NY

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Redness, itching, swelling at injection site

Other Meds: Prozac

Current Illness:

ID: 1179710
Sex: F
Age: 66
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever 99.8? at onset, low-grade continues 98.9?. Muscle aches, injection site and throughout body. Fatigue and irritability. Taking Tylenol (listed above) and resting lots.

Other Meds: Daily Supplements: SeroVital, Vitamin D PRN: Tylenol 8 Hour Arthritis, Tumeric

Current Illness: None

ID: 1179711
Sex: F
Age: 50
State: MO

Vax Date: 03/26/2021
Onset Date: 03/27/2021
Rec V Date: 04/08/2021
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: No

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

Symptoms: Shingles (pain and burning started 24 hours after injection, rash appeared 5 days later, still currently experiencing symptoms)

Other Meds: Levothyroxine Fish Oil Adderall

Current Illness:

ID: 1179712
Sex: F
Age: 64
State: NY

Vax Date: 03/25/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever, diarrhea, stomach upset. Swelling redness, inflammation, severe itching at vaccination site

Other Meds:

Current Illness:

ID: 1179714
Sex: M
Age: 38
State: CT

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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 known

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

Symptoms: Approximately 6 hours after the vaccination I started to experience minor flu-like symptoms including low grade fever & chills. By 12 hours after vaccination my symptoms were more severe and included fevers 101.5, headaches, severe body aches, chills, dizziness, nausea, and hearing sensitivity. By 36 hours after vaccination my symptoms had mostly subsided with just minor dizziness and nausea remaining.

Other Meds: prilosec OTC, 10 Mg Daily

Current Illness: None

ID: 1179715
Sex: F
Age: 42
State: TX

Vax Date: 04/03/2021
Onset Date: 04/03/2021
Rec V Date: 04/08/2021
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: potentially phenobarbitol

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

Symptoms: About 8 minutes after the shot I started to feel "off" which progressed into lightheadedness and thought I was going to pass out. I alerted the pharmacy team right about the 10-minute mark when they increased instead of getting better. Had to sit down, hard to form thoughts, hard to talk without feeling nauseous. Got very hot, had to remove the top layer I was wearing, and put my head down in my hands bc I felt like I was going to get sick. Then around 11:05, the hot flashes turned into a cold sweat, still with the pass out/nausea feeling. Around 11:08 my lower back and hands felt like they were shaking but they weren't. Was given a small bottle of water. At 11:14 the nausea and sweats had passed but it felt like my hands were shaking so badly as if holding a jackhammer. It also felt that my hand muscles were trying to stretch my fingers flat and up, while I was actively trying to cusp my knees. The shaking started to appear in my lower calves but then everything subsided and I was OK to stand up/leave around 11:20. I had some slight brain fog for a few hours and was tired, but was fine come Sunday (aside from site injection swelling and sensitivity that cleared up by Monday).

Other Meds: Bupropion Hcl XL (300mg/day)

Current Illness: n/a

ID: 1179716
Sex: F
Age: 28
State: MA

Vax Date: 12/24/2020
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Asymptomatic Covid 19 breakthrough after both vaccines

Other Meds: Lamictal

Current Illness:

ID: 1179717
Sex: F
Age: 38
State: IN

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: mammal products or by products (Alpha Gal Syndrome)

Symptom List: Pharyngeal swelling

Symptoms: 6p - body aches and chills 100.9 8pm - 101.8 ibuprofen 600mg taken 12a woke up drenched in sweat body aches severe next day no fever but severe body aches still shortness of breath is worse tightness in chest is back Wednesday 8p diarrhea

Other Meds: depo-prevera

Current Illness: none

ID: 1179718
Sex: F
Age: 64
State: TN

Vax Date: 03/15/2021
Onset Date: 03/30/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: mild allergy to avacado/red skins & few other foods. mild allergy to penicillin - sometimes get a rash

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Two weeks after receiving the vaccine I went to the ER with excruciating pain in my chest. Was diagnosed with a pulmonary embolism. My son who is 33 yes old had the same result after his first Pfizer vaccine in the exact same time frame - yesterday.

Other Meds: pravastatin 20 mg 3x/week

Current Illness: none

ID: 1179719
Sex: F
Age: 43
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: PCN and tree nuts

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I knew my arm would hurt. But the day after my first shot I started off with cold sweats, drenched in sweat. Really hot, then by 9 am I was very cold, chills, felt like I was running a fever, but checked several times and was not running a fever. Body aches started soon after I got cold, joints aches and then just plain throbbed and hurt. The headache was not sever but was present all day. I couldn't lift my arm when I work up that morning, it remained like a lead wait till today 4/8/21 when I woke up. I felt exhausted and had bouts of vertigo on and off all day 4/7/21. Felt nauseas. Neck was stiff. My muscles were stiff and sore like I just ran a marathon. I feel 100% better today 4/8/21 but the day after my shot on 4/7/21 I was down for the count and I couldn't function normally. I felt like I had a lead blanket weighing me down. I hope I will get a super human power. I will get my 2nd dose but I worry if it will be worse than the first. Oh and I am extremely hungry and craving sweets (which will make me fat btw). I talked to friends who also had the same reaction, didn't call my doctor. Thinking this might be normal for women and the moderna shot. I am reporting to have my voice be heard.

Other Meds: Adderall 20 mg

Current Illness: none

ID: 1179720
Sex: F
Age: 54
State: IA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Janssen COVID-19 Vaccine EUA 5 minutes after receiving the shot, I was sitting in my car waiting for the 15 minute monitoring period, and I passed out. Help responded and I came out of it, and proceeded to vomit 4-5 times. Felt weak, dizzy, nauseous. My mom came to drive me home. Slept the rest of the morning and had some feeling of tightness in my chest in the late afternoon and evening. Thursday morning when I woke up, my arm was sore but I felt mostly better (still a bit of tightness in the chest). Did not seek medical attention at this time - just monitoring symptoms as of Thursday, 4/8/21.

Other Meds: Vitamin B-12 (1000mg once a day) Atorvastatin (cholesterol - 20mg once a day) Melatonin (10mg once a day)

Current Illness: None

ID: 1179721
Sex: F
Age: 51
State: CO

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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: Augmentin; contact allergies to BHT, PolyEthylene Glycol, many fragrances

Symptom List: Rash, Urticaria

Symptoms: After onset at 6:45, fever rapidly increased to over 102 by 8pm. Muscle aches and soreness accompanied fever. Very thirsty. Fever stayed near 103 overnight until I took tylenol somewhere between 2-4 am. By 5 am the fever was down to 101.5. Fever stayed between 101-102 most of the following day (4/6/2021), dropping to 99.5-100 around 6pm. Stayed low grade under 100 through the night and was back to normal by the morning of 4/7/2021. I felt mostly normal on 4/7/2021 aside from severe muscle tightness in gluts, hamstrings, and thighs, with soreness in my lower back (unknown if that is related to the vaccine, but it was not present before 4/7/2021). Today, 4/8/2021 the muscle tightness & soreness remains but the fever is still gone and I feel otherwise normal.

Other Meds: B12 monthly injection Latanoprost once/day one drop each eye

Current Illness: None

ID: 1179722
Sex: F
Age: 54
State:

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/08/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: strong metallic taste (3 days) resulting in severe nausea (3 days), swollen blood vessels in head, legs, chest (3days), lightheadnesss lying down/dizziness standing and moving (3 days), joint pain in left hip, knees and toes (3days), swelling and pain in left arm (4days), hot flashes (1 day) Treatment: ice chips, gatorade ice chips for nausea, ice packs for swelling, Tylenol for pain I had moderate Covid in January 2021.

Other Meds:

Current Illness:

ID: 1179723
Sex: F
Age: 75
State: IL

Vax Date: 03/12/2021
Onset Date: 03/24/2021
Rec V Date: 04/08/2021
Hospital: Y

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:

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

Symptoms: Patient presented to ED on 3/27/21 with 3 day history of weakness and diarrhea. COVID test was positive following 1st COVID vaccination. Patient diagnosed with diverticulitis with secondary cystitis. Patient was treated with antibiotics, steroids, oxygen, and remdesivir. Patient recovered and discharge to home.

Other Meds:

Current Illness:

ID: 1179724
Sex: F
Age: 39
State: MO

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: I started vaginal bleeding like I had started my period again. I had already had my period for the month of March. It lasted for a week just like a normal period.

Other Meds: Lexapro 10mg 1 tab po daily

Current Illness: None

ID: 1179725
Sex: M
Age: 54
State: AZ

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: No

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

Symptoms: Headache, chills, body aches, low grade fever. Increase water intake, ibuprofen, bed rest

Other Meds: Zyrtec for seasonal allergies.

Current Illness: None

ID: 1179726
Sex: F
Age: 36
State: WI

Vax Date: 03/25/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: amoxycillin

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

Symptoms: Large red rash appeared on upper left arm on Wednesday, April 7th around 5pm. Slightly itchy, but mostly just very very hot. It is raised up like a welt with the diameter of about 3 inches. There are a few smaller surrounding welts with diameters of 1/2 inch, all slightly connected.

Other Meds: N/A

Current Illness: N/A

ID: 1179727
Sex: M
Age: 52
State: WA

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Mangoes, no other food or drug allergies

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Localized rash, on the left arm, near axils and front of shoulder, flat, small red marks, non-itchy, not warm/hot to touch

Other Meds: Testosterone cypionate, 1.4mg IM, weekly; arimidex, 0.25mg PO twice weekly, Seed Probiotic 2 caps PO QD, Ritual MVI, 2 caps PO QD, Lisinopril 10mg PO QD, Allegra 180mg PO QD

Current Illness: None

ID: 1179728
Sex: M
Age: 40
State:

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: IV Morphine- severe histamine reaction

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Injection site muscle spasms

Other Meds: Cayenne supplement- 450mg twice daily Niacin supplement- 500mg once daily

Current Illness: None

ID: 1179729
Sex: M
Age: 30
State: NE

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin and lactose intolerance.

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

Symptoms: I currently have a fever above 101 degrees Fahrenheit and severe muscle aches.

Other Meds: Psyllium Husk Fiber

Current Illness: None

ID: 1179730
Sex: F
Age: 36
State: PA

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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: N/A

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

Symptoms: Vitreous hemorrhage in left eye, ongoing vision disruption.

Other Meds: Humalog Insulin, Losartan

Current Illness: N/A

ID: 1179731
Sex: F
Age: 58
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: April 6th, Sore arm at site of injection at 10pm, awakened at 3am with severe headache that lasted all day took aspirin, headache was not relieved, experienced fatigue and body aches.These symptoms lasted 24 hours. April 8th sore arm with no other problems, feeling great.

Other Meds: None

Current Illness: None

ID: 1179732
Sex: F
Age: 67
State: ME

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: the shot was fine the side effect was sick to my stomach and head ache.

Other Meds:

Current Illness:

ID: 1179733
Sex: M
Age: 30
State: NY

Vax Date: 02/01/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
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: Wheat, Tree nut allergy

Symptom List: Injection site pain, Pain

Symptoms: Because of my celiac condition, I avoid eating products with wheat and gluten in them. However, occasionally it is unavoidable, such as with traveling. Typical reactions include fatigue, headache, mild brain fog, irritability, and watery bowel movements for up to 3 days following ingestion. However, since receiving the Moderna vaccine I have encountered wheat products 3 times; in all three cases the reaction was much more severe and included whole-body ache for 5-7 days, insomnia for 2-3 days, dry heaving for 24 hours, extreme sensitivity to motion/motion sickness for up to 3 days, intense gastrointestinal discomfort for up to 7 days, constipation and diarrhea, severe congestion, shortness of breath, elevated heart rate, confusion or disorientation, and an overall elevated level of symptoms lasting from 4-7 days depending on the amount ingested.

Other Meds: Multivitamin OTC Vitamin D, B Complex, Calcium, Magnesium

Current Illness: N/A

ID: 1179734
Sex: M
Age: 43
State: OH

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: - 36 hours after vaccine administration I start to experience loud ear ringing; - few hours later the ringing reduced in intensity and stays constant until now; - it is a high frequency noise in both ears; - audiogram revealed high frequency hearing loss and ENT found the external ears to be normal; - I have received no treatment or any other type of care;

Other Meds: none

Current Illness: none

ID: 1179735
Sex: F
Age: 53
State: FL

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Sulfa sensitivity

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

Symptoms: Hard and red round spot near injection site. Hot to the touch. Not sure if related but also throwing up this morning.

Other Meds: Lisinopril ACV gummies

Current Illness: Cold like symptoms 10 days prior

ID: 1179736
Sex: F
Age: 27
State:

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

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt felt rapid heartbeat and stated her pulse can fluctuate between 150-160 BPM due to cycles of anxiety. Vitals assessed. 148/92 BP, 130 PR, 98% O2 room air. Patient asked to be moved outside. Pt escorted by EMT. patient listened to relaxing music and used breathing techniques. Patient also went to bathroom to splash cold water on her face. Pt refused medication and transportation. Pt monitored and reassessed at 1215. 142/80 bpm, 125 PR, 99% O2. Pt stated feeling more relaxed and stated she wanted to leave . Pt left facility with steady gait at 1218 with family.

Other Meds: None

Current Illness: None

ID: 1179737
Sex: F
Age: 55
State: IN

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Body aches, 100.5 temp, itchy face

Other Meds: Vitamin, Claritin, D3, zinc, aspirin

Current Illness: Seasonal allergies

ID: 1179738
Sex: F
Age: 61
State: NJ

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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: IV Dye, Iodine, Shellfish

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

Symptoms: Pt reported after her 1st dose 3 weeks prior, approximately 40 minutes after leaving the clinic she felt her tongue swell and throat thick. Reports taking a Benadryl and contacted PCP. Pt presented to clinic on 4/5/21 with paperwork from PCP stating patient to receive 2nd dose of vaccine "benefits outweigh risks." PCP did not recommend premedicating for 2nd dose. After receiving 2nd dose approx 15 minutes later, patient reported feeling of tongue swelling. Patient took her own Benadryl 50mg PO. At 2:28PM, pt reports feeling full throat. Placed on monitor, Pulse Ox 96%, HR 90's, BP 189/119. Pt transported to Emergency Room. Was able to speak clearly on arrival in ED, Dexamethasone 10mg IV push and famotidine 20mg IV Push administered. Patient symptoms resolved, diagnosed with minor vaccine reaction and discharged to home with instructions to f/u with PCP.

Other Meds:

Current Illness:

ID: 1179739
Sex: M
Age: 60
State: TX

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Adverse event: Severe headache Treatment: Tylenol Outcome: Relief

Other Meds: Simvastatin - 20mg Pantoprazole - 40mg

Current Illness: None

ID: 1179740
Sex: F
Age: 68
State: MD

Vax Date: 02/02/2021
Onset Date: 03/15/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin based meds and some sulfa drugs

Symptom List: Injection site pain

Symptoms: Muscular pain (severe at times) in the upper (deltoid) areas of both arms, leading up into the shoulders and neck on both sides. Also, pain in backs of thighs, extending from top of thighs to backs of knees. Very painful to sit for any length of time. Limited motion in arms, as well as inability to bend over without experiencing pain.

Other Meds: Losartan Potassium; Metoprolol; Airborne; Vitamin D3; Zyrtec

Current Illness: Hypertension

ID: 1179741
Sex: F
Age: 52
State: CA

Vax Date: 02/04/2021
Onset Date: 02/06/2021
Rec V Date: 04/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, cephalexin

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

Symptoms: Birth in 1988, 7 lbs 5 .5 ounces Developed a bruise approximately the size of a quarter at the injection site that lasted 3 weeks. No other symptoms and did not seek any treatment.

Other Meds: Asmanex, fluticasone, monteleukast, famcyclovir

Current Illness: None

ID: 1179742
Sex: F
Age: 57
State: AL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: None

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

Symptoms: Received injection approximately 11:15 a.m. on April 7th 2021. At approximately 2:00 p.m. begin to feel a flush like feeling of warmth in the face. Very mild headache developed, which strengthened to moderate throughout the afternoon. Arm soreness begin to develop. Took ibuprofen 400 mg at approximately 9:00 p.m. headache subsided. At approximately 7:00 a.m. , April 8th 2021, headache developed to moderate condition. And 8:00 a.m. took ibuprofen 400 mg at 9:15 a.m. headache subsiding.

Other Meds: Multi vitamin, zinc, vitamin D3, vitamin C, tumeric, glucosamine chondroitin, calcium, magnesium, boswelia extract, folic acid.

Current Illness: Frozen shoulder

ID: 1179743
Sex: F
Age: 42
State: OH

Vax Date: 03/24/2021
Onset Date: 03/26/2021
Rec V Date: 04/08/2021
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: Bactrim (nausea) Certain antibiotics

Symptom List: Tremor

Symptoms: Hives, generalized.

Other Meds: Losartan, heart disease medication, boospar, lexipro, Insulin

Current Illness: None

ID: 1179744
Sex: M
Age: 64
State: TN

Vax Date: 02/08/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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: NA

Symptom List: Erythema, Pruritus

Symptoms: Received 1st does of Pfizer vaccine on 1/16 and 2nd dose on 2/8/21, tested positive for COVID-19 on 4/5/21 during a routine screening test, reported asymptomatic

Other Meds: NA

Current Illness: NA

ID: 1179745
Sex: F
Age: 34
State: TX

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Seasonal allergies.

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

Symptoms: She got the vaccine, did had a little sore arm, but nothing else. She went to bed and when she woke up that her eye was watering and bump like under it, and when she wiped her eye she noticed it. It is still there, and it's only at the corner of the right eye. Every once in a while it starts to water and drain. She has to be careful to wipe he eye as when she touched it it hurts. She does not think that it's the eye, and has never had watery eyes. No other reactions other than the eye and the soreness of the arm. She has not taken anything or put anything in her eye.

Other Meds: Did not take any that day.

Current Illness: None.

ID: 1179746
Sex: F
Age: 40
State: IL

Vax Date: 03/30/2021
Onset Date: 04/06/2021
Rec V Date: 04/08/2021
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: Codeine; wine spirits

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

Symptoms: Seven days after vaccine, injection site became sore, very hot, and swollen. On day 8, injection site also developed a knot about the size of a marble. Throughout the day it continued to swell and grew larger than a golf ball. Injection site also began to itch a great deal on day 8. At bedtime, applied benzocaine to surface and took Benadryl. Today, day 9, injection site is still sore and swollen, but not has hot and not as itchy. So it appears to be improving. Will follow up with Dr. and report again if it doesn't continue to improve.

Other Meds: Birth control: levonorgestrel/ethinyl estradiol; Zegerid; Mylanta; Align; hydroCHLOROthiazide 25 mg tablet; lisinopriL 20 mg tablet; ergocalciferol 1,250 mcg (50,000 unit)

Current Illness: none

ID: 1179747
Sex: F
Age: 55
State: TX

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: Compazine

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Massive headache Chills Body aches Back pain

Other Meds:

Current Illness:

ID: 1179748
Sex: F
Age: 66
State: MI

Vax Date: 03/24/2021
Onset Date: 03/25/2021
Rec V Date: 04/08/2021
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: Flexeril, Tramadol, Imipramine, Droperidol, Metoclopramide

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

Symptoms: the next day after shot, had a sore red arm, swollen and hot to touch. lasted for over a week.

Other Meds: Miralax, Zofran, Metroprooll, Colace prn, Norco prn, Nexium, Pepcid, verapramil, Linxzess, Lorazepam prn

Current Illness: Abdominal pain, hiatal hernia, gerd

ID: 1179749
Sex: F
Age: 53
State: TX

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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: Prevacid

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

Symptoms: Within 2 hours of injection, slight itching, upper body only. Each day, itching has become worse, all over body itching, no rash. I?ve been taking Benadryl daily, but itching doesn?t completely subside. I do have just slight bump at injection site.

Other Meds: Metformin, singular, Jardiance, Trulicity, Zyrtec

Current Illness:

ID: 1179750
Sex: M
Age: 33
State: MT

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Janssen COVID-19 Vaccine EUA: experiencing headache, fatigue, muscle aches, fever. Took 1000mg Tylenol and all symptoms except headache are relieved within 1 hr of medication ingestion.

Other Meds: none

Current Illness: none

ID: 1179751
Sex: M
Age: 53
State: TN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/08/2021
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: headache, fever, nausea...shot done at 4:45 pm on the 7th symptoms started 6 am on the 8th

Other Meds:

Current Illness:

ID: 1179752
Sex: M
Age: 55
State: NY

Vax Date: 03/26/2021
Onset Date: 04/01/2021
Rec V Date: 04/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none known

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

Symptoms: pruritic rash on left and right forearms (appearing like poison ivy), treated with hydrocortisone cream

Other Meds: sleep aid 50 mg diphenhydramine

Current Illness: none

ID: 1179753
Sex: M
Age: 80
State: TX

Vax Date: 03/17/2021
Onset Date: 03/17/2021
Rec V Date: 04/08/2021
Hospital: Y

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

Lab Data:

Allergies: no known allergies

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

Symptoms: Patient started having rash on his feet the same day and it was getting all over his body and also started swelling. he was even hospitalized. dr recommended not to get the second dose of covid vaccine

Other Meds:

Current Illness: nothing mentioned

ID: 1179754
Sex: F
Age: 36
State: VA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 04/08/2021
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: no

Symptom List: Vomiting

Symptoms: About 1 week after receiving vaccine, noticed persistent redness and swelling below injection site. It was also itchy. Called nurse advice line the following day who recommended being seen by primary care doctor for possible cellulitis. Had appointment with the doctor on 19 Jan and the doctor also diagnosed with cellulitis and prescribed antibiotics. Shortly after, articles began coming out about COVID arm and I realized that's exactly what I had. within 3-4 days after the doctor's appointment, my symptoms were completely cleared.

Other Meds: multivitamin, probiotics

Current Illness: chest cold 2 weeks prior

ID: 1179755
Sex: M
Age: 50
State: NM

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/08/2021
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: none

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Injection sight pain Chills Muscle Aches - day 2 Headache - Day 2 and 3 Fatigue - Day 1,2,3+ Coughing Lung pain Shortness of Breath Chest Pain

Other Meds: Losartan, Nabivolol

Current Illness: none

ID: 1179756
Sex: F
Age: 28
State: TX

Vax Date: 04/02/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Amoxicillin, Tramadol

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

Symptoms: Red rash and knot on left arm and very itchy when touching

Other Meds: None

Current Illness: None

ID: 1179757
Sex: F
Age: 65
State: OH

Vax Date: 03/09/2021
Onset Date: 03/16/2021
Rec V Date: 04/08/2021
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: PCN

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Hives, itching, and pain around injection site

Other Meds: Lisinopril Metoprolol Lasix Celexa Turmeric Co-Q 10

Current Illness: None

ID: 1179758
Sex: F
Age: 20
State: MN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Syncopal episode appearing as a vasovagal response from receiving the vaccine. Patient fainted and fell back onto her head. Unconscious. When patient woke up she was very confused and alarmed. EMS was called and brought her to the hospital. BP, O2, resp normal

Other Meds: NONE

Current Illness: NONE

ID: 1179759
Sex: M
Age: 27
State: NY

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/08/2021
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: Seasonal

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

Symptoms: Muscle Aches, Fever of 102.4F , cold sweats, eye pain, extreme fatigue

Other Meds: Vitamin D3, Vitamin B12, Acetaminophen prn

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm