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: 1210279
Sex: M
Age: 51
State: NY

Vax Date: 03/22/2021
Onset Date: 04/05/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Arm is extremely painful and swollen. Difficult to move arm

Other Meds: Clopidogrel, lisinopril, atorvastatin. Eliquis, metformin Glipizide, levothyroxine, bupropion, trifluoperazine, lorazepam

Current Illness:

ID: 1210280
Sex: F
Age: 74
State: TX

Vax Date: 04/06/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
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: milk, seasonal

Symptom List: Anxiety, Dyspnoea

Symptoms: fever the evening of the 2nd shot and lasted for about 8 hours

Other Meds: acetaminophen

Current Illness:

ID: 1210281
Sex: F
Age: 51
State: MO

Vax Date: 04/02/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
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: shopko cough syrup (1980s), paxil (2005)

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

Symptoms: sudden feeling of dizzyness. started by feeling wobbly, just something that felt "off". within an hour i felt like my balance was off. standing and sitting didn't feel quite enough, started to feel that hotness and start of naseau, but laying down to left side and then sitting up seemed like a head rush. then within maybe another 20 min, definite dizzyness. when looking up to the ceiling, visibly looked like world spinning. but not as visible looking down. no change in vision though. felt okay to lie down and sleep. pretty intense for a couple of hours. but better by morning. worked from home as usual. felt mildly wobbly when moving around fast or animated. all gone by 6pm/supper. ate fine all day. drank fine.

Other Meds:

Current Illness: None

ID: 1210282
Sex: F
Age: 52
State: OR

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/14/2021
Hospital: Y

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

Lab Data:

Allergies: clindamycin penicillin V

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Disseminated shingles - first lesions appeared hours after vaccine - painful, itchy rash over L inner thigh, which progressed to include additional lesions on her left foot and right trunk. When she had first lesions on thigh, was prescribed oral acyclovir. When she developed additional lesions on other parts of body, was admitted to hospital for IV acyclovir, infectious disease consult, ophthalmology consult.

Other Meds: prednisone 2.5mg daily (usual dose is 5mg daily, was decreased to 2.5mg daily in prep for vaccine) methotrexate 10mg weekly Humira 40mg every 2 weeks amlodipine folic acid losartan

Current Illness: n/a

ID: 1210283
Sex: F
Age: 62
State: KS

Vax Date: 03/05/2021
Onset Date: 03/16/2021
Rec V Date: 04/14/2021
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: NKA

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

Symptoms: Patient says that 2 days post vaccination that she was having difficulty breathing. They admitted her in the hospital and she said she had inflammation around her heart.

Other Meds: Tramadol 50 mg

Current Illness:

ID: 1210284
Sex: M
Age: 28
State: IA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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:

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

Symptoms: Patient within 5 minutes started to feel funny and then passed out/blacked out. According to wife he did shake for less than 15 seconds in his arm and a bit in his head. They were in the car, so she tilted the seat back for him and came in to get us. Within the 30 seconds that she was gone he was awake and sweating profusely. We gave him an ice pack, 25mg of liquid benadryl, and kept him laying back in the seat. At 5 and 15 minutes mark the patient was checked on and he was completely fine. After 20 minutes the patient had stopped sweating and reported to be feeling 98% better.

Other Meds:

Current Illness:

ID: 1210285
Sex: F
Age: 42
State: OR

Vax Date: 03/23/2021
Onset Date: 03/28/2021
Rec V Date: 04/14/2021
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: Patient had prolonged period that normally lasts just a few days but it lasted 14 days.

Other Meds: fish oil, multivitamin

Current Illness:

ID: 1210287
Sex: M
Age: 45
State: AZ

Vax Date: 03/31/2021
Onset Date: 03/31/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Headache vomiting shortness of breath and pain in my bones tiredness

Other Meds:

Current Illness:

ID: 1210288
Sex: F
Age: 25
State: IN

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Rash at injection site 7 days later

Other Meds: Welbutrin Claritin Birth control Levothyroxine

Current Illness:

ID: 1210289
Sex: F
Age: 45
State: CA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillin (as a baby, resulting in rash)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Injection site pain began around 12:30 PM Pacific Time, approximately 3 hours after vaccination. Mild headache began around 4:00 PM Pacific Time.

Other Meds: Garden of Life mykind Organics Women's Multi 40+ vitamin; Ester-C 1000mg dietary supplement; Nutrafol Women nutraceutical supplement; Arazlo 0.045% lotion; fexofenadine HCI tablet 180mg 24-hour

Current Illness: N/A

ID: 1210290
Sex: F
Age: 36
State: NM

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: PCN--- >Anaphylaxis

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

Symptoms: Covid-19 Vaccine Clinic I was notified by EMT that they had given Benadryl IM to this patient. I went to evaluate patient who was sitting in a quiet corner attended by EMT and her husband. BP 150s/104, O2 100% RA Patient reported that about 5 mins after 2nd MOderna vaccine today, she felt itchy eyes and noticed that her eyes were swollen and she notified EMT on site. They had given her Benadryl IM. She reports that she has h/o Anaphylaxis reaction to PCN. 3/12/21 Moderna 1st vaccine- given, patient noted getting tongue swelling and onsite EMT at BTR gave her Benadryl IM. Pt observed 30mins, Doctors note stated pt did not thave throat/tongue swelling lung exams clear. He observed her during the episode and checked on her 3hrs later and pt noted to be felt fine. She reports that a week later, she had tongue swelling, went to ER where she was given Epi pen and admitted to ICU for 2 days. No intubation. Sent home on Prednisone taper- dosage unknown but she reports she is still taking 2 tabs daily. She reports she was told by her Hospitalist that she could go ahead for her 2nd Moderna vaccine dose. Gen: watery eyes, eyelids slightly swollen, very obese Throat: no tongue swelling, tonsils enlarged touching her palate Mallampati-Class III Pulm ctab no c,w,r Breathing comfortable, speech coherent, normal CV rrr About 10 mins of observation by this MD, I had consulted with our other on-site providers and we all agreed to give her Epi injection due to her prior history and current eye swelling immediately after vaccine was administered from EMS. Patient noted she felt shaky but denies sob/chest pain/throat pain/tongue swelling. She was not coughing. I accompanied patient to womens restroom for patient to void. EMS officer called EMS who came to pickup patient. Patient requested to be taken to Hospital ER. During the entire stay, patient denied feeling short of breath/chest pain/throat swelling. Treated in ER: IV Decadron/Benadryl/Famotidine and discharged in few hrs with discharge meds: Prednisone taper, Famotidine and Epi pen prescription 4/14/21 Called to checked on patient and she reports took 2 days to settle down to feel normal but no throat swelling or any allergic reactions. States she is feeling well now. She followed up with her PCP (who is not from our facility).

Other Meds: Prednisone taper

Current Illness: 3/12/21 Moderna 1st dose followed by sensation of throat swelling/tickling, given Bendaryl IM at site - one week later--- >throat and tongue swelling, seen at ER--- >admitted in ICU per patient x2 days but denies intubation and sent home on prednisone taper. Pt notes that she was told by Hospitalist that she can get her 2nd vaccine.

ID: 1210291
Sex: F
Age: 49
State: GA

Vax Date: 04/06/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
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: Percocet

Symptom List: Rash, Urticaria

Symptoms: Horrible Pain in left breast. First occurred at 2 am 4/8. Loss of vision occurred at 3:05. Fell backwards onto floor 3:05 am. Diarrhea, nausea, labored breathing and sweating profusely. Unable to walk. 3:05 am. Thought was having stroke.

Other Meds: Ibuprofen

Current Illness:

ID: 1210292
Sex: F
Age: 61
State: OH

Vax Date: 03/10/2021
Onset Date: 03/10/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, codeine,sulfa drugs, iodine (old formulation), latex

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

Symptoms: Swelling, tenderness at site. Headache within 5 hours. Muscle aches. Abdominal cramping and back pain all within 5 days (3/10-3/14 )of vaccine.Passed out on 4/10/21 while walking, noted fatigue on 4/8 until 4/13.

Other Meds: Metformin, alogliptin, atrovastatin, propranolol, gliptizide, pantoprazole

Current Illness: None

ID: 1210294
Sex: M
Age: 64
State: SC

Vax Date: 03/19/2021
Onset Date: 04/09/2021
Rec V Date: 04/14/2021
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: None

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

Symptoms: It started from the chest and went abnormal serve pain couldn?t walked. Went to the emergency room and gave me pain.

Other Meds: None

Current Illness: None

ID: 1210296
Sex: M
Age: 36
State: NC

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: Penicillin

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

Symptoms: Difficulty breathing and chest tightness on left side of body

Other Meds: None

Current Illness: None

ID: 1210297
Sex: F
Age: 57
State: ID

Vax Date: 04/08/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Patient awoke in the middle of the night (1:20am) with severe discomfort in the neck and throat. Excess saliva. As the pain persisted the pain radiated to the left arm/shoulder. We sought help at our local emergency department where she was found to be in new onset atrial fibrillation. A battery of tests were ordered including a troponin which was noted to be: 1.48. She was transported via ambulance to the hospital to be admitted and undergo left heart cardiac catheterization with the presumptive diagnosis of NSTEMI.

Other Meds: Ibuprofen Tums

Current Illness: No illnesses at the time of vaccination, nor the month prior

ID: 1210298
Sex: F
Age: 59
State:

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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: poinsettia, sulfa

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

Symptoms: left hand tingling, sensation of difficult breathing

Other Meds: KCl, furosemide, sumatriptan,pantoprazole

Current Illness:

ID: 1210299
Sex: F
Age: 63
State: CA

Vax Date: 04/06/2021
Onset Date: 04/07/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient woke up with fever( temperature unknown) , nausea when waking up she proceeded to do daily activities, felt light headed which caused her to faint.

Other Meds: metformin 500mg and atorvastatin 10mg

Current Illness:

ID: 1210300
Sex: F
Age: 56
State: CA

Vax Date: 03/13/2021
Onset Date: 03/22/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Severe Headaches Blurry Vision Fatigue/Weak

Other Meds: Thyroid T-3 Progesterone Tylenol

Current Illness: None

ID: 1210301
Sex: F
Age: 58
State: MA

Vax Date: 04/11/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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: Within several minutes of the injection, I noticed a strange taste in my mouth. A few minutes later my tongue became swollen. Shortly after that I noticed that swallowing was different than normal. I was still able to breathe normally but thought I should tell someone. I notified the person who have me the shot and she told me a nurse practitioner would come talk with me. I told the NP about the strange taste and that I felt like my tongue was swelling up and that swallowing was more difficult than usual. She asked me a bunch of questions and then told me she would give me a Zyrtec tablet to take home with me in case I needed it later. I stayed for another 20 minutes and since it didn't get any worse, I told them I thought I was okay to leave. I took the Zyrtec when I got out to the car and about an hour later the swelling was gone and swallowing was normal again. On Monday I notified my PCP of what happened and asked her if I should get the second dose in 3 weeks. She told me should would consult with an allergist and get back to me.

Other Meds: fluoxetine, multivitamin, calcium supplement, turmeric

Current Illness: None

ID: 1210302
Sex: F
Age: 24
State: CA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: NA

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

Symptoms: Patient Allergies: NKA 14:53 patient received the covid vaccine Pfizer Lot:EW0162 Expiration:7/21 dose 0.3ml in left deltoid, then slid off the chair, nurse caught her and slid her to the ground provided support for her head, ensure the area was clear, she went unconscious for 15 seconds then regain conscious, vitals were taken, BP-133/89, Pulse-81, SPO2 97%, numeric pain scale 0/10. Patient was A &O x 4 person, time, place, and situation-----------------------------------------------RN 14:56 reassessed vitals BP-131/68, Pulse- 71, R-16 even and unlabored, Spo2 98%, numeric pain scale 0/10, she was A&O x 4 person, person, place and situation, patient denies chest pain, denies shortness of breath, denies hx of going unconscious, she was moved to a chair for observation, will continue to monitor------------------------------------------------------------RN 15:07 contacted to alert her of the situation and to follow next step of protocol, will continue to monitor the patient-------------------------------------------------RN 15:15 patient denies any chest pain, denies shortness of breath, denies dizziness, A&Ox4 person, place, time, and situation-----------------------------------------------------------------RN 15:24 reassessed the patient vitals BP-108/63, Pulse-70, SPO2-99% , numeric pain scale 0/10, denies chest pain, denies shortness of breath, denies dizziness, A&Ox4 person, place, time, and situation, had patient raise for chair slowly reported no dizziness, had patient walk back and forth w/ no assistance, observed a steady and even gait, patient denies any dizziness, provided education to follow up with primary care or head to urgent care, if patient starts to experience shortness of breath or anaphylaxis to call 911, both patient and partner verbalized understanding, the partner verbalized that he would be driving the patient home---------------------------------------------------------------------------------------------------------------------------------

Other Meds: NA

Current Illness: NA

ID: 1210303
Sex: F
Age: 55
State: MD

Vax Date: 12/22/2020
Onset Date: 01/11/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Eurythomycin; Avolox

Symptom List: Unevaluable event

Symptoms: Worsening of tinnitus after vaccination.

Other Meds: Atorvastatin; Vitamin D; Calcium; Fish oil

Current Illness: None

ID: 1210304
Sex: F
Age: 25
State: PA

Vax Date: 04/12/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: I began to get sharp pains in my chest and my chest felt heavy through the course or the day as if something was weighing on my chest. I?ve also been experiencing back pain near the top of my back down to right near where my bra strap hooks together.

Other Meds: None

Current Illness: None

ID: 1210305
Sex: F
Age: 75
State: VA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: azithromycin and cephalexin

Symptom List: Injection site pain, Pain

Symptoms: She had dizziness right after the vaccine.

Other Meds: cholesterol and thyroid medications

Current Illness:

ID: 1210306
Sex: F
Age: 40
State: IL

Vax Date: 04/08/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
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: Easy bruising

Other Meds: Alprazolam Alprazolam 0.25 mg Take one tablet by mouth every night at bedtime as needed Imitrex Sumatriptan succinate 25 mg Use as Directed-Take one tablet at onset of migraine. May repeat one time in 2 hours if no relief Mirena Levon

Current Illness: None

ID: 1210307
Sex: F
Age: 35
State: IL

Vax Date: 03/30/2021
Onset Date: 04/05/2021
Rec V Date: 04/14/2021
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: Cipro/peanuts

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

Symptoms: 2-3 days after I had hives (itchy) show up on my hands and it's spreading. I've also had recocurring migraines which started on Friday April 9th and have continuted to occur. When I bend or tilt my head, the pain gets worse and I'm unable to cook, move around or function. It feels much worse than a headache.

Other Meds: Omeprazole, Montelukast, Prenatal Vitamin

Current Illness: none

ID: 1210308
Sex: F
Age: 50
State: AZ

Vax Date: 03/29/2021
Onset Date: 03/29/2021
Rec V Date: 04/14/2021
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: Compazine, Theophylline, Ibuprofen, Milk

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: shortness of breath, cough, itching at the library...I was sent to the EMT who ran an EKG, gave me some water, checked vitals...Was recommended to take some benadryl. Took benadryl mg po within 30 minutes after leaving. 3 days later, I awoke itchy and short of breath with a cough. I again took benadryl mg po without relief, so 30-45 minutes later ttook another mg benadryl po.

Other Meds: Plavix, Low-dose ASA, Bumex, Aldactone, Mg, Allegra

Current Illness: na

ID: 1210309
Sex: F
Age: 45
State: IN

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: Metallic taste starting about 3 hours post 2nd vaccine Milder condition 24 hours after 1st dose, lasting several days.

Other Meds: No

Current Illness: None

ID: 1210310
Sex: F
Age: 67
State: AZ

Vax Date: 03/31/2021
Onset Date: 04/01/2021
Rec V Date: 04/14/2021
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: Latex, Contrast media, Erythromycin, Thimerosal

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

Symptoms: Severe joint and muscle pain throughout body. Fever of 101. Sore throat, earaches, headaches. All of these lasted for approximately 26 hours.

Other Meds: Acyclovir, Duloxetine, Levothyroxine, Clonazepam, Buspirone, Vascepa, Metoprolol, Levetiracetam, Rosuvastatin, I-Caps, Calcium, Vitamin D3, Magnesium, Co-Q10

Current Illness:

ID: 1210311
Sex: M
Age: 19
State: TX

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: Nausea

Symptoms: Patient immediately felt heaviness in arm along with nausea

Other Meds: no

Current Illness: no

ID: 1210312
Sex: F
Age: 64
State: OH

Vax Date: 03/30/2021
Onset Date: 03/31/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Levaquin, Erythromycin, Latex

Symptom List: Injection site pain

Symptoms: Felt mild weakness after administration. 22 hours later had rapid heart beat while standing of 140+/ min. Would slow somewhat with lying down. (100-120/ min) Temp of 100.3. Took Tylenol every 6 hours.Forced fluids and rested. Resolved within 6 hours.Developed sporadic hives on torso for next 24 hours. No breathing problems and stable BP through the event. Reported Event to FMD and Allergist next day. General mild weakness for next 7 days.

Other Meds: Vitamin C, D, Zinc Flax, Simvastatin, Multivitamin, Calcium, Probiotic

Current Illness:

ID: 1210313
Sex: F
Age: 47
State: MD

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: NSAIDs

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

Symptoms: VERY swollen tender arm at injection site. Swelling and pain started about 24 hours after injection.

Other Meds: Progesterone, Melatonin, Probiotic, Vitamin D3

Current Illness: None

ID: 1210314
Sex: F
Age: 45
State: TX

Vax Date: 03/29/2021
Onset Date: 03/31/2021
Rec V Date: 04/14/2021
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: The day of vaccination: Chills, temperature and severe headache. The next day: Blurred vision and dizziness for a few seconds. At 11 days: Blurred vision and dizziness for a few seconds

Other Meds: None

Current Illness: No

ID: 1210315
Sex: F
Age: 53
State: NY

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/14/2021
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: Seafood Penicillian Levoquin Sulfa drugs Aspirin

Symptom List: Tremor

Symptoms: About 10 minutes after receiving the dose, I felt a tingling wave come over me - my head and upper body- and then my left arm and hand started trembling. It lasted less than a minute.

Other Meds: Omeprazole 40 mg capsules- 1 capsule by mouth before breakfast

Current Illness: none

Date Died: 04/03/2021

ID: 1210317
Sex: M
Age: 58
State: OH

Vax Date: 03/17/2021
Onset Date: 03/22/2021
Rec V Date: 04/14/2021
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: Sulpha Diabetic meds i.e . Metformin , Januvia, etc,

Symptom List: Erythema, Pruritus

Symptoms: We both got our shot at the same time on March 17, 2021. Then on March 22, 2021 at 9:20 PM my husband suffered cardiac arrest and a seizure. His heart was revived however, due to lack of oxygen to his brain he suffered brain damage and never regained consciousness and passed on 4/3/21 with acute respiratory failure.

Other Meds: Warfarin Metoprolol Keppra Rosuvastatin Hydralazine Lantus insulin

Current Illness: none

ID: 1210318
Sex: F
Age: 60
State: GA

Vax Date: 03/29/2021
Onset Date: 04/02/2021
Rec V Date: 04/14/2021
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: None

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

Symptoms: I felt fine following vaccination so kept appointment to donate blood 3 days later. I've donated many, many times in past without any side effects. It was uneventful. The following AM, I felt exhausted, dizzy, had mild headache, thirsty, and had minimal nausea. And when I tried to do my daily walk of 3 miles, I was SOB on hills so I stopped. I had no F/C, cough, CP, palpitations or resp symptoms at rest. I pushed fluids and rested. I held my BP meds thinking I was a bit dehydrated and maybe my BP was low. After 4 days of no improvement, I went to see my internist. Exam, ECG and CBC, Chem 7 were all normal. BP was mildly elevated so I restarted my meds. These symptoms slowly resolved over next several days and now I feel back to normal. So I don't know if these were delayed side effects to COVID vaccine or due to the blood donation. I'm a bit worried about receiving the #2 vaccine.

Other Meds: Citalopram, Nexium, ASA, Bupropion, Rosuvastatin, HCTZ, Lisinopril

Current Illness: No illness but I donated blood on 4/1/21 in the afternoon.

ID: 1210319
Sex: M
Age: 38
State: CA

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: N/A

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

Symptoms: Patient was fine during the injection, during the observation period that patient became dizzy and diaphoretic. His O2 sat was 98% on room air, 76 HR, 16 resp. He was fine after a couple of minutes and no intervention was needed.

Other Meds: N/A

Current Illness: N/A

ID: 1210320
Sex: M
Age: 19
State: OH

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: pt had syncopal episodes after vaccination. pt is unsure of LOC or if he hit his head. no signs of hematoma or laceration noted to posterior head. pt vital signs stable HR 80 BP 122/70 7:35. vitals signs at 7:40- HR 81, BP 118/76. pt sts he is having difficulty thinking and answering questions, c/o headache.. report called to ED. pt stable on discharge, walked pt to brothers car. reported.

Other Meds: none

Current Illness: none

ID: 1210321
Sex: F
Age: 63
State: VA

Vax Date: 03/17/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: multiple foods, soy, beans, peanuts Nonsteroidals, plastic water bottles numb 1 recyclable , latex, botox, IVP dye and skin related prep, amoxicillin, ponstel, dilaudid, morphine, neurontin, vioxx, cymbalta MRI contrast , droperidol, Baxter products

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

Symptoms: within 5-10 min, full body rash, itching, nausea, headache, several hives on trunk

Other Meds: elderberry, vit C and D, dessicated adrenal supplement, FE, bupropion, estradiol xyzal, progesterone, Methocarbamol, trazadone, levoxyl, armour thyroid, oracea

Current Illness:

ID: 1210322
Sex: F
Age: 56
State: FL

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: Penicillin Dairy products

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

Symptoms: 11:46 am. Patient complained of dizziness and nausea. 11:48 BP 168/98; p.78. R 14. O2 Sats 97% . Provided Water, cereal snack. VS 12:05 BP 150/90 - P. 70 R16. SAT 98%. Resolution of s/s at 12:15. Discharged home.

Other Meds: None

Current Illness: None

ID: 1210323
Sex: F
Age: 44
State: PA

Vax Date: 03/18/2021
Onset Date: 03/24/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: Minocin, Septra, ceclor

Symptom List: Pain in extremity

Symptoms: Bell?s Palsy - onset six days later - trip to ER to learn diagnosis I?ve never had Bell?s Palsy before.

Other Meds: Low dose aspirin, pramipexole, pregabalin, lamotrigine, sertraline

Current Illness: None

ID: 1210324
Sex: F
Age: 45
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Fever, chills, intense shaking, could have been a siezure, headache

Other Meds: Multivitamin, lorazepam, amphetamine salts

Current Illness:

ID: 1210325
Sex: F
Age: 19
State: FL

Vax Date: 04/09/2021
Onset Date: 04/12/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: high blood pressure, fatigue, anxiety, chest pain

Other Meds: lo loestrin fe

Current Illness:

ID: 1210326
Sex: F
Age: 54
State: SC

Vax Date: 03/01/2021
Onset Date: 03/25/2021
Rec V Date: 04/14/2021
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: Nil

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

Symptoms: Headaches, body pain, bitter taste, nausea Taking Counter pain reliever

Other Meds: Headaches, Nausea, Bitter taste, body aches, sometimes chills, Low energy,

Current Illness: Back pain

ID: 1210327
Sex: F
Age: 27
State: FL

Vax Date: 04/05/2021
Onset Date: 04/05/2021
Rec V Date: 04/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Noticed rash on both arms a few inches from armpit same day as vaccine. Next day, I noticed more rashes. Rashes have kept coming up all over body. Aside from fever, chills, fatigue, and migraine on Monday night, I haven?t had any other symptoms (besides rash). Doctor said it looks like I have Erythema Multiforme.

Other Meds: No

Current Illness: None

ID: 1210328
Sex: F
Age: 44
State: MD

Vax Date: 04/07/2021
Onset Date: 04/14/2021
Rec V Date: 04/14/2021
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: About a week later injection site is hard, itchy, warm to touch & slight rash around

Other Meds: Insulin & Nuva Ring birth control

Current Illness: Mine

ID: 1210329
Sex: F
Age: 25
State: MD

Vax Date: 04/06/2021
Onset Date: 04/10/2021
Rec V Date: 04/14/2021
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: Sulfa Varicella Vaccine

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

Symptoms: Hair loss starting 5 days after vaccination, leading up to complete hair loss on day 7.

Other Meds: methylphenidate hcl 30 mg cr

Current Illness: None

ID: 1210330
Sex: M
Age: 63
State: IA

Vax Date: 04/09/2021
Onset Date: 04/11/2021
Rec V Date: 04/14/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severely swollen neckline lymph nodes, particularly large on injection site side (2 days after injection, til current ). Bulging along clavicle area, and swollen nodes. Fever (one day after shot, only) and significant redness and soreness around injection site (2 days after injection)

Other Meds: Losartan Pot , Panloprazole, Spironolactone, Rosuvastatin, Celecoxib, Bayer Aspirin, Krill oil, Melaleuca multivitamin

Current Illness:

ID: 1210331
Sex: F
Age: 35
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: First day after dose, 3pm very painful arm. Stiff and cannot raise high. 10pm chills. Cannot sleep comfortably 2nd day after dose 6am temp is 100.4.

Other Meds:

Current Illness:

ID: 1210332
Sex: F
Age: 57
State: CA

Vax Date: 04/13/2021
Onset Date: 04/13/2021
Rec V Date: 04/14/2021
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: no known allergy

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

Symptoms: Pt felt her blood pressure going up and dizzy. feeling hot and anxious. Pharmacist called 911 and paramedic team came and checked her condition. Pt stayed with paramedic team for 30 minutes in the pharmacy parking lot then pt felt ok after 30minutes sent home. On the next day 04/14 we called pt to check her status at 5 pm, pt got no symptoms anymore and feel good.

Other Meds: Gabapentin 300mg 1 capsule three times a day Flonase Nasal spray 1 to 2 sprays each nostril twice a day clotrimazole 1% topical cream Levothyroxine 25mg 1 tablet a day hydroxyzine 25mg take 1/2 tablet every 8 hours if needed for anxiety

Current Illness: nerve pain anxiety

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm