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: 1190444
Sex: M
Age: 30
State: KS

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Patient states allergy to ibuprofen (nausea)

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient was feeling faint, had shallow breath, headache, and nausea. Patient was given a snack (at 10:51) and patient started feeling less sick and headache was gone by 10:56. Patient was given water (at 10:58) and started to feel more alert.

Other Meds: Was in hospital two days prior (schizophrenia) and "overdosed" on clozapine (was given 200mg at bedtime and dose was repeated next morning per client). Other medications: cephalexin, esomeprazole, fluoxetine, Briviact, Advair inhaler, fluti

Current Illness: No known illnesses present at time of vaccination and up to one month prior. recently discharged from the hospital for treatment of schizophrenia.

ID: 1190445
Sex: F
Age: 69
State: CT

Vax Date: 03/27/2021
Onset Date: 03/30/2021
Rec V Date: 04/10/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Three days after my 2nd shot of Maderna I started experiencing skin sensitivity on my right arm. This continued to get worse and 2 days later I was getting pain in the arm. 3 days later I noticed a rash and some pimples. That is when I went to the urgent care. At that point I was told most likely it was the Shingles and that I caught it early. I was given Valacyclovir to take for 7 days. The following day the pimples turned in blisters and were very itchy. Also, the pain in my arm at night at times was almost unbearable. I was on advil to help this. A week after starting the Valacyclovir I was feeling better during the day. Sleeping was still difficult since the pain seem to come after I laid down. Again. I needed to take advil on a schedule to be able to get some rest. As of today, 4/10/21, everything is drying up. Because of the intense pain in my arm, I still need to take the advil at bedtime.

Other Meds:

Current Illness:

ID: 1190446
Sex: F
Age: 42
State: IL

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Imitrex Morphine Aspertame

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

Symptoms: Left arm pain at injection site 4pm on 4-8-21 Low grade fever 3am- 8pm on 4-9-21 Chills 6am-8pm on 4-9-21 Body Aches 3am 4-9-21 to 830am on 4-10-21 Headache 3am on 4-9-21 and currently still have

Other Meds: Omeprazole 40mg twice daily Cetirizine hydrochloride 10 mg once daily Fluticasone propionate spray once daily

Current Illness: None

ID: 1190447
Sex: F
Age: 33
State: MN

Vax Date: 04/03/2021
Onset Date: 04/13/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Received first dose of Pfizer at about 27 weeks pregnant (due date 7/5/2021). Had extreme pain in arm for first 24 hours after dose. Made a sling to keep arm from moving/extending which caused pain. A few days later on 4/13, I started having sharp, stabbing pains in my lower abdomen in the late afternoon. Over the course of the night pain got worse. Pain came and went every 30-40 minutes and would last from 1-10min. On morning of 4/14 had diarrhea for about five hours in the morning. Stabbing pain in lower abdomen continued throughout the day. Did not eat throughout the day until around 6:00PM at dinner time. At around 9:00PM went to the ER and was redirected to labor and delivery unit. Was examined for signs of early labor and there were none. UTI, STI tests were run and came back negative. Was given Tylenol and some sort of thick, white liquid containing lidocaine. About 40 minutes after taking meds pain was almost gone. Was sent home with instructions to take Tylenol if pain returned. So far has not as of 4/10/2021.

Other Meds: prenatal vitamins, unisom

Current Illness: none

ID: 1190448
Sex: M
Age: 67
State: PA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient came in for a vaccination however after receiving a dose of Moderna vaccination, patient informed staffed that he already received vaccination. Researched records and patient received two doses of Pfizer vaccination from Agency.

Other Meds: Metformin 500mg, Pravastatin 80mg

Current Illness:

ID: 1190449
Sex: F
Age: 47
State: IA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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--has never had allergic reaction to anything

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

Symptoms: Approximately 5 minutes after vaccine administration, the patient informed me she was having difficulty breathing. She was gasping for air but able to speak. As we pulled an epipen from our emergency kit, I asked the patient to remove her mask to assess for swelling of lips and tongue--no swelling of lips or tongue were present. We administered an epipen and called 911. The patient's symptoms resolved within a minute. The patient did not have any more difficulty breathing while waiting for the paramedics. When paramedics arrived, they assessed the patient who said she felt perfectly fine. The patient remained symptom free and paramedics cleared the patient to leave the pharmacy and return home.

Other Meds:

Current Illness:

ID: 1190450
Sex: F
Age: 67
State: IL

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Chills, fever, headache, muscle aches, diarrhea

Other Meds: losartan, hydrochlorothiazide

Current Illness: None

ID: 1190451
Sex: F
Age: 50
State: OR

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: headache, body aches, extreme fatigue, pain at injection site, fever under 100 degrees, itchy Eyes , sore throat

Other Meds: aleve, Wellbutrin, adderall, progestrone, asprin, fish oil,

Current Illness: none

ID: 1190452
Sex: F
Age: 51
State: CA

Vax Date: 04/02/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Itching developed at day 6. By Day 8, patch of erythema measuring 3x3 inches.

Other Meds: None

Current Illness: None

ID: 1190453
Sex: M
Age: 84
State: IL

Vax Date: 02/25/2021
Onset Date: 04/04/2021
Rec V Date: 04/10/2021
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: Vicodin.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Some taste loss, muscle aches, weak stomach, fatigue, headache, general malaise, sleepiness,

Other Meds: Venlafaxine225, Omeprazole40, Finasteride,5, Terazosin10, Pravastatin80, Valacyclovir500, Furosemide60, Montelkast10, Aspirin81.

Current Illness: Asthma, Diabetes II, Genital Herpes.

ID: 1190454
Sex: F
Age: 54
State: TN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: The afternoon following my shot I crashed. Fatigue, body aches, could barely lift the arm I got the shot in. Sudden head ache, sore throat, burning eyes, fever of 100.3, runny nose. Felt like I had the regular flu. I took Advil about five hours in to these symptoms, it helped, continued with the Advil every four hours. Was better the next day but no energy. About the same time (3:00) on Friday, felt the same fatigue, little head ache but not fever. It is now Saturday and I still have no energy.

Other Meds: multivitamin, plus vitamins C, D, E, Biotin and Turmeric. Ambien for sleep.

Current Illness: recently have had inconclusive bloodwork showing a low blood cell count, getting rechecked on April 19.

ID: 1190455
Sex: F
Age: 64
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: tingling on left side of face, numbness in left arm, blurry vision. Evaluated by EMS-Refusal to transport.

Other Meds:

Current Illness:

ID: 1190456
Sex: M
Age: 30
State: CA

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

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

Symptoms: Intractable hiccups for 11 hrs Fever of 100.8 Body aches Pain at injection site

Other Meds: None

Current Illness: None

ID: 1190457
Sex: F
Age: 25
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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:

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

Symptoms: Patient reported dizziness and wanted to lie down.

Other Meds:

Current Illness:

ID: 1190458
Sex: F
Age: 43
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Raglan, contrast dye

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

Symptoms: Throat tightness

Other Meds: Zofran, Ventolin

Current Illness:

ID: 1190459
Sex: F
Age: 70
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: shaky, high BP. Evaluated by EMS-Transported to Emergency room/department or urgent care.

Other Meds:

Current Illness:

ID: 1190460
Sex: F
Age: 61
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Ceclor, Nubain, EES, sulfa medications, codeine, mushrooms, latex sensitive

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

Symptoms: Fever, severe headache, severe nausea, hand tremors

Other Meds: Cosentyx injectable, Leflunomide, Valsartan, Levothyroxine, Maxzide, Potassium chloride, Dicyclomine, Famotidine, Lansoprazole, Sertraline, Hydrocodone.

Current Illness: None

ID: 1190461
Sex: M
Age: 30
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Patient came to the pharmacy to get COVID vaccination. After the vaccination he felt a bit anxious and slipped. He recovered in less than a minute and felt good after it. We took care of him. We observed him for more than 30 minutes. He felt really well after that minute. It was not a adverse reaction to the medication. He said he felt anxious with flu shot as well

Other Meds:

Current Illness:

ID: 1190462
Sex: M
Age: 43
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Extreme fatigue, headache, body aches, fever 102?, chills, pain at injection site.

Other Meds: Topamax

Current Illness:

ID: 1190463
Sex: F
Age: 47
State: AZ

Vax Date: 04/01/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: 4/9/21 redness around vaccine area ,sore swollen and muscle feels hard ,also itchy

Other Meds: One a day prenatal vitamins, Gemfibrozil 2 times a day

Current Illness: none

ID: 1190464
Sex: M
Age: 33
State: MI

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital: Y

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: Anaphylaxis to Bee stings, Peanuts, a flu vaccine in 2013, and Pfizer COVID19 vaccine in 2021. Hives and blisters to medical adhesives Hives to pine trees and pine sap Bleach causes migraines and a skin irratant

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

Symptoms: At 6:49pm the Pfizer COVID19 Vaccine was administered and at 7:00 the patient reported his tongue was swelling and thought he needed an epi-pen. pharmacist asked the patient to come in the the clinical services room for assessment. patient was seated and asked if he was certain he needed an epi-pen. In about 30 seconds, the patient's speech was slurred, difficult for him to speak due to his tongue swelling up. He removed his cell phone and the pharmacist administered 1 dose of Epi-Pen 0.3mg. The patient stated he felt jitters. At 7:15pm, the patient's blood pressure was 156/106 mmHg and pulse was 80. At 7:20pm, the blood pressure was 137/95 mmHg and pulse was 80. Patient refused EMS transportation and his boyfriend drove him to Hospital. He arrived at Hospital and had over 30 minutes to wait before vitals were taken. At 8:28pm, his blood pressure was 126/83 mmHg, pulse was 80, and temperature was 98.2. He was told he would have a 4-5 hour wait. He decided to leave hospital due to the overwhelming experience at check in.

Other Meds: Valtrex 1 gram 1 tid Adipex 37.5mg 1qd Norflex 100mg 1bid Tramadol 50mg 1-2 q 6-8h Naproxen 500mg 1bid with meals Valium 5mg 1bid prn anxiety Nexium 20mg 1qd Omeprazole 20mg 1bid Amoxicillin 500mg 2bid Clarithromycin 500mg 2bid

Current Illness: None.

ID: 1190465
Sex: F
Age: 20
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Generalized weakness. Evaluated by EMS-Cleared.

Other Meds:

Current Illness:

ID: 1190466
Sex: F
Age: 70
State: PA

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/10/2021
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: She reported that the side effects started around noon on the day that she received the vaccine (her appointment was at 10 AM on Tuesday April 6th). Patient reported lots of stomach and trunk pain (she was unable to walk straight up and had to leave work early) but she did not report any nausea, vomiting, diarrhea or constipation. Patient reported a fever at a maximum 103.6F at 2:30 PM Wednesday April 7th but it ranged from 99.9F to 101F otherwise. She reported taking Tylenol throughout the day and hydrating but she said that she didn't eat Tuesday into Wednesday because she lost her appetite and was in pain. She said the trunk pain was causing her difficulty in breathing. By 7:00 PM Wednesday, all of her symptoms were resolved and she felt fine.

Other Meds: Omeprazole 20 mg QD, Singulair 10 mg QD, Calcium tablet, daily multivitamin, aspirin 81 mg

Current Illness: none

ID: 1190467
Sex: F
Age: 31
State: MN

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Yellow Fever, Typhoid and Hepatitis A Vaccines

Symptom List: Injection site pain, Pain

Symptoms: Lips started tingling, Left side of face felt droopy but did not look droopy to others, Sweating then extreme cold, face was red, dizzy, head pain on the left side and mottling of the hands. When I got home my lymph node in my neck swelled up on the left side and remains swollen today. Teeth also hurt after eating anything. Extreme tiredness and nausea.

Other Meds: None

Current Illness: None

ID: 1190468
Sex: F
Age: 44
State: IL

Vax Date: 03/11/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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: Period started 2 weeks earlier. Period was heavier than it has been in 20 years.

Other Meds: None

Current Illness: None

ID: 1190469
Sex: F
Age: 17
State: NE

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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:

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

Symptoms: Patient fainted within 5 minutes of administration. She came to very quickly and felt nauseous. We monitored and had her drink water. Advised mother to call PCP on Monday

Other Meds:

Current Illness:

ID: 1190470
Sex: F
Age: 35
State: FL

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills, body aches, high fever over 100F . Currently using ibuprofen and Tylenol to minimize the fever along with cold compress. Pain and weakness in the arm of the injection site. Also using Tylenol and cold compress.

Other Meds: Tylenol and ibuprofen

Current Illness: None

ID: 1190471
Sex: F
Age: 22
State: IN

Vax Date: 04/08/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: Sulfa allergy

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Headache, body aches, chills, nausea, vomiting

Other Meds: Birth control, Singulair, Adderall

Current Illness:

ID: 1190472
Sex: F
Age: 37
State: NJ

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: A lot of body pain, chills, nausea, a great desire to cry, prick sensation in various parts of the body, fever once, neck very tense and with prick. Constant headache. Weakness, dizziness

Other Meds: None

Current Illness: None

ID: 1190473
Sex: F
Age: 25
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: About three hours after my shot I developed severe muscle cramps in my lower back all the way up to my mid back, this pain lasted 24 hrs. Around 5pm the day after my shot I had a 101 degree fever, a headache and still the severe back pain. I took Tylenol when I noticed I had a fever and went to sleep. I felt much better on Saturday the 10th, two days after my covid shot, but I did notice redness around the injection sight and still had a slight headache and fatigued.

Other Meds: None

Current Illness: None

ID: 1190474
Sex: M
Age: 47
State: WA

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain

Symptoms: about 3 hours post shot, mild headache,. about 7 hours after severe chills, lasted 4 hours, switched to overheated, low grade fever 101. resolved with acetametaphine. All symptoms resolved with 24 hours.

Other Meds: 5mg altace (blood pressure meds)

Current Illness: none

ID: 1190475
Sex: F
Age: 31
State: OH

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: difficulty breathing and feeling like "throat is closing" within minutes after being vaccinated. Medics started IV, administered 50mg Benadryl via IV, and transported to ER for further evaluation.

Other Meds:

Current Illness: none reported

ID: 1190477
Sex: F
Age: 57
State: MN

Vax Date: 03/31/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Sulfa

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

Symptoms: Red rash around injection site

Other Meds: Sertraline 25mg, multi vitamin, vitamin D, calcium, fish oil

Current Illness: None

ID: 1190478
Sex: F
Age: 25
State: IN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Tremor

Symptoms: Fever, chills, nausea. Lasted about a day.

Other Meds:

Current Illness:

ID: 1190479
Sex: F
Age: 67
State: OR

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Sulfa,

Symptom List: Erythema, Pruritus

Symptoms: Severe chills, muscle aches, injection site pain, swelling, redness, itching, extreme fatigue

Other Meds: Lisinopril, ursodiol, estradiol, latanoprost Vit C, D3, E, fish oil, Elderberry, calcium, Glutathione Recycler, Upper Camber Tea Pills, Similase GFCF, Bacillus Coagulans

Current Illness:

ID: 1190480
Sex: F
Age: 43
State: MI

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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: Levaquin, agmentinin,

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

Symptoms: Woke up and soon lost my smell and taste. Headache, left arm was sore, legs were aching and felt weak. Chills but no fever

Other Meds: Synthroid, vyvanse, cymbalta

Current Illness: None

ID: 1190481
Sex: F
Age: 55
State: IN

Vax Date: 04/07/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: All histamine and most foods

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

Symptoms: Hives, swelling, pain

Other Meds: Xolair

Current Illness: Chronic Urticaria

ID: 1190482
Sex: M
Age: 33
State: MD

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Muscle soreness at injection site starting immediately after. Within 8 hours: headache, fever, chills, tiredness, and inability to sleep

Other Meds: Cymbalta 20mg, lotatadine 1 tablet, multivitamin

Current Illness: None

ID: 1190483
Sex: F
Age: 61
State: CA

Vax Date: 03/16/2021
Onset Date: 03/20/2021
Rec V Date: 04/10/2021
Hospital: Y

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

Lab Data:

Allergies: Penacillin

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

Symptoms: 4 days after vaccinated I had massive pulmonary embolism in both lungs.

Other Meds:

Current Illness: Hashmoto

ID: 1190484
Sex: M
Age: 69
State:

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
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:

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

Symptoms: Pt said the veins in his hand on the arm where the shot was given bulged up to his elbow and turned purple. He also had neck pain.

Other Meds:

Current Illness:

ID: 1190485
Sex: F
Age: 61
State: PA

Vax Date: 04/09/2021
Onset Date: 04/09/2021
Rec V Date: 04/10/2021
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: Forty minutes after the shot, my mouth, lips, neck, gums, and tongue became numb and I had difficulty swallowing. This came on immediately. I started having shortness of breath and chest tightness. I acknowledge that the shortness of breath could have been due to panic, but the allergic reaction came first and was most definitely real. I also have muscle twitching on my left hand, which started after the shot. I've had it now for 28 hours. I got the shot on my left arm.

Other Meds: None

Current Illness: None

ID: 1190486
Sex: M
Age: 65
State: IN

Vax Date: 04/07/2021
Onset Date: 04/07/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: This is more a concern regarding the injection of the vaccine,: My right arm developed a red, hard, painful/tender area approximately 4 inches wide and 5 inches long where the injection was given. The area of injection was black and blue. I did not notice this at the beginning as I figured what I was feeling was normal. On the second day, my wife wondered if the injection may have been given subcutaneously versus in the muscle. No treatment was done. This lasted until today 4/10, where now this area of the arm is back to normal, and only the black and blue area is evident where the injection was given. My wife and I would just like to ensure that I will get adequate coverage from the vaccine if it was not administered in the muscle. We would like to ask for next steps. Do you think it was given in the muscle? Should I receive another vaccine after this one, since this was my second one? Or, is there a way to determine if I built up enough antibodies to get the coverage from the vaccine at 95%, which I believe is the coverage for 2 doses of the Moderna vaccine? My wife stated she will also call her physician on Monday to ask the same questions. Thank you.

Other Meds: Vitamins, 80mg Asa preventative, Tamsulosin

Current Illness: None

ID: 1190487
Sex: F
Age: 38
State: CA

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Levaquin, Zofran, Amoxicillin, Tuberculin PPD, Dermaplast Topical, Benzocaine, Cilantro, Celery, Carrots, Cumin, Coriander, Parsley, Dill, Fennel, Cabbage

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

Symptoms: Received vaccine at 4:10pm on Thursday 4/8/21. 2 hours later, at 6:15pm, I noticed mild tongue swelling which slowly continued to worsen. I pulled out my Epipen but was not having any difficulties breathing and my tongue was only mildly swollen still, so I took Zyrtec at 8pm (which I usually do), and continued to monitor. Zyrtec seemed to slow the progression of tongue swelling slightly but at 10pm, I started having a dry cough and wheezing. I took Albuterol and Benadryl and that worked to stop the tongue swelling. Please note, the reason I don?t use Epi immediately is because I have Reynaud?s and it is contraindicated. So I use other rescue meds first if I can. My O2 sats remained above 95%, so I was not in full anaphylaxis. I did not eat anything or come in contact with anything within those 2 hours that would have caused the allergic reaction, so I am positive it was the vaccine. I also have a red, raised itchy bump at the site.

Other Meds: Lo-loestrin, Allegra, Flonase, Vitamin B12, Vitamin D

Current Illness: None.

ID: 1190488
Sex: M
Age: 72
State: MO

Vax Date: 03/13/2021
Onset Date: 03/14/2021
Rec V Date: 04/10/2021
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 allergies listed for the patient

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

Symptoms: patient's wife reported that patient has a rash on both sides of his back on either side of the spine. has been there since he received the vaccine on 3/13/21. said she had been treating with oral over the counter benadryl but rash still present. patient's wife also states that he is now experiencing an "itching" sensation on his finger tips. she states almost nerve like. I instructed patient's wife to contact his doctor and that I would report the adverse reaction.

Other Meds: isosorbide, atorvastatin, furosemide,

Current Illness: none

ID: 1190489
Sex: F
Age: 35
State: TX

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
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 Tramadol Delaudin Tryptans Gabapentin

Symptom List: Vomiting

Symptoms: Tingling from head to toe

Other Meds: Lisinopril 20mg once a day Pantoprazole 10 mg once a day ATENOLOL 100 MG TWO TIMES A DAY

Current Illness: Sinus infection

ID: 1190490
Sex: F
Age: 72
State: OH

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient reported COVID arm (red, itchy, swollen arm) with symptoms appearing 8 days following vaccination

Other Meds:

Current Illness:

ID: 1190491
Sex: M
Age: 59
State:

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: post vaccine pt complained of redness on arms and legs. pt has multiple medical issues and multiple prescriptions. pt also complained of lightheadedness and neck pain. pt denied breathing issues and mouth tingling. given Benadryl. Symptoms improved.

Other Meds:

Current Illness:

ID: 1190492
Sex: F
Age: 53
State: MN

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Sulfa drugs

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Mins after shot = sore arm at injection site Next Around 3 am = shivering and severe muscle aches, severe headache, very tired, nausea, dizziness, flu-like symptoms through the day and evening Following morning around 4:30 am = woke up soaked in sweat. Severe headache and nausea persists. Stomach pain. Dizziness and very tired still. Felt like passing out at one time while out at a store. Ringing in ears.

Other Meds: Valacyclover, Flonase, Biotin, SkinnyFit supplement drink, chlorthalidone, fexofenadine

Current Illness:

ID: 1190493
Sex: F
Age: 45
State: IN

Vax Date: 04/02/2021
Onset Date: 04/04/2021
Rec V Date: 04/10/2021
Hospital:

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

Lab Data:

Allergies: NO

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

Symptoms: major breathing issues tight chest right arm numbness pain shooting down right arm right arm pit pain neck/shoulder and back pain

Other Meds: Birth Control

Current Illness: none

ID: 1190494
Sex: F
Age: 72
State: WA

Vax Date: 03/09/2021
Onset Date: 04/08/2021
Rec V Date: 04/10/2021
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: Sulpha Niacin

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

Symptoms: Itchy red rash under breast and panty line

Other Meds: antihistamine

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm