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: 1243905
Sex: U
Age: 16
State:

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

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient was under the age of 18 years old. No side effects/adverse events reported.

Other Meds:

Current Illness:

ID: 1243906
Sex: F
Age: 51
State: CO

Vax Date: 04/09/2021
Onset Date: 04/10/2021
Rec V Date: 04/22/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: About 12 hours after the vaccine I developed Extreme fatigue, nausea, vomiting, diarrhea, dizziness, headache and cold chills. I slept for over 20 hours the day after the vaccine. I could hardly get out of bed and only did so to vomit. Unable to stand without feeling like I was going to pass out and unable to eat and drink until Monday.Finally able to get out of bed Monday afternoon for a couple of hours and keep a few spoonfuls of soup down and water. Tuesday I was still very tired, no energy and chronic headache but able to eat small amounts of food. As the week progressed I improved everyday but continued to have a bad headache until Sunday the following week and ears feeling like they were plugged up.

Other Meds: Tylanol

Current Illness: None

ID: 1243907
Sex: F
Age: 59
State: MI

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

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

Lab Data:

Allergies: None

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

Symptoms: COVID Arm Red, swelling and itchy

Other Meds: 81mg Aspirin

Current Illness: None

ID: 1243908
Sex: F
Age: 28
State: OR

Vax Date: 02/02/2021
Onset Date: 02/21/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I was 4 weeks pregnant at the time of my second dose. I miscarried at around 7weeks 6 days. It was suggested due to potential Triploidy but I thought it would be informative that you know.

Other Meds: 10mg Lexapro and prenatal vitamins

Current Illness:

ID: 1243909
Sex: M
Age: 56
State:

Vax Date: 02/23/2021
Onset Date: 03/19/2021
Rec V Date: 04/22/2021
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:

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

Symptoms: ED/hosp within 6 weeks of COVID vaccine

Other Meds:

Current Illness:

ID: 1243910
Sex: F
Age: 48
State: CA

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/22/2021
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: Cortisporin ear drops Tdap vaccine- got chills

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

Symptoms: I got the J&J covid vaccine on 4/10/2021 at 11:40am. Later on that day, my left arm was sore so I took Tylenol. After my shower that night around 10pm, I felt cold/shaky/chills & had really weird dreams. The next morning (4/11/2021), I slept in late & was very tired when I woke up. I also had a headache, fever (100.2F) & nausea. Took 2 Tylenol 500 mg each & these symptoms went away later that night. Two days after the vaccine, on 4/12/2021, I woke up with itchy red rashes all over both of my legs & feet (~30 small-med size). Took 2 doses of Zyrtec & Benadryl 50mg twice that day so it wouldn?t itch so much. Also applied mometasone ointment to rashes. On 4/13/2021, I did a video visit with a doctor. She said my rashes were probably due to an immune response to the J&J covid vaccine (meaning it is working) & it didn?t look serious since it was only on my legs. She said to continue the Zyrtec up to 2x/day, Benadryl every 6 hrs if needed, & apply mometasone steroid ointment for the rashes 1x/day. On 4/14/2021, the rashes have improved and I had less than 10 rashes on my legs. Since I still had some rashes, I continued to take 1 Zyrtec 10mg in the morning & applied mometasone ointment to the rashes. On 4/16/2021, the rashes had resolved.

Other Meds: Pristiq, Zyrtec, vitamin D, Nutrafol hair supplements, vitamin C

Current Illness: None

ID: 1243911
Sex: F
Age: 24
State: IN

Vax Date: 04/16/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: Peanut oil

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: First there was a mild headache now she is throwing up can't even keep water down for 24 hours now.

Other Meds: None

Current Illness: none

ID: 1243912
Sex: F
Age: 50
State: MI

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

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

Lab Data:

Allergies: Copaxone

Symptom List: Pharyngeal swelling

Symptoms: A little more than 5 minutes after receiving vaccine she felt flushed, dizzy and her blood pressure elevated to 155/80. She was given Benadryl and monitored. Her symptoms did not worsen or improve. She went home. Symptoms included a low grade headache and feeling "foggy headed" Blood pressure remained elevated. Symptoms took hours to resolve. She only had expected side effects in AM of arm soreness.

Other Meds: Trokendi, Effexor XR, fingolimod, bilberry, Vitamin D,

Current Illness: none

ID: 1243913
Sex: M
Age: 66
State: TX

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/22/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient received a J&J dose even after getting a full Pfizer 2 doses. Patient is fine, reporting because of DSHS requirement

Other Meds:

Current Illness:

ID: 1243914
Sex: M
Age: 50
State: IN

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: No

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Strong body aches

Other Meds: No

Current Illness: No

ID: 1243915
Sex: M
Age: 36
State: NY

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: During the evening on the day after my 2nd dose I experienced a fever up to 100.9 and when I woke up the following morning my arm was more than sore like the day before. I softball size raised red spot surrounded the injection site (slight off center, a bit lower where the injection site is more at the top of the softball sized spot). The injection site was very itchy, and the large red spot was hard, raised, and itchy. I looked up what this was and saw that is was extremely similar to "COVID Arm" and saw that is was atypical, but ok and that it should go away in a couple days to weeks. Which it did, at this point I feel a slight sore tingle around the injection site, but no more red spot or itchiness.

Other Meds: Multi vitamin and Alprazalom.

Current Illness: None

ID: 1243916
Sex: F
Age: 42
State: NY

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: Unknown

Symptom List: Rash, Urticaria

Symptoms: Patient experienced dizziness and heart palpitations. Went home to rest. Had a fever in the evening.

Other Meds: Unknown

Current Illness: Unknown

ID: 1243917
Sex: F
Age: 49
State: CA

Vax Date: 04/13/2021
Onset Date: 04/14/2021
Rec V Date: 04/22/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: constant headache, low grade fever since day after vaccine. "covid eye" developed on day 8

Other Meds: metformin, ozempic, naturethroid

Current Illness: none

ID: 1243918
Sex: F
Age: 19
State: TN

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: Vasovagal Syncope w/Subsequent Head Injury - Approximately 10 minutes after vaccination, the patient sustained sudden onset of lightheadedness and lost consciousness. Fell from seated position in her chair to floor. Sustained contusion/abrasion injuries to left periorbital region. Appropriate clinical actions undertaken and IVF started. Patient stabilized and transferred to ER via EMS.

Other Meds: Celexa, Pepcid AC

Current Illness: N/A

ID: 1243919
Sex: F
Age: 66
State: IN

Vax Date: 03/29/2021
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies: None known

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

Symptoms: Patient presented one week pos vaccination with 2 days of easy bruising and petechiae. Platelets were 4K. Seen by doctor of hematology. Started on steroids with improvement to 21K and discharged. Came back a week later with presyncope and chest tightness. Platelets again 4K. Treated with IVIG

Other Meds: aspirin atorvastatin carvedilol evista fluoxetine methimazole

Current Illness: coronary artery disease multiple sclerosis hyperthyroid hypertension osteoporosis

ID: 1243920
Sex: M
Age: 17
State: IA

Vax Date: 03/23/2021
Onset Date: 04/20/2021
Rec V Date: 04/22/2021
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: Amoxicillin

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

Symptoms: None

Other Meds: None

Current Illness: None

ID: 1243921
Sex: U
Age: 16
State:

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

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: Patient was under the age of 18 years old. Side effect: sore arm, better now.

Other Meds:

Current Illness:

ID: 1243922
Sex: F
Age: 39
State: FL

Vax Date: 03/23/2021
Onset Date: 04/17/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Not really an adverse event - Dr. was diagnosed with Covid on 4/17/21 despite completing vaccination

Other Meds: None

Current Illness: None

ID: 1243923
Sex: F
Age: 72
State: NY

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: PCN, IV Contrast

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: patient had dry mouth and throat tightness, headache and feeling warm immediately following vaccine. Benadryl given, patient observed and symptoms resolved within 30 minutes.

Other Meds: no

Current Illness: none

ID: 1243924
Sex: F
Age: 54
State:

Vax Date: 03/19/2021
Onset Date: 03/20/2021
Rec V Date: 04/22/2021
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 Bactrim

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

Symptoms: Sore arm for a week. Fever of 102 l, chills and aches and nausea began roughly 15 hours later and lasted for roughly another 15 hours.

Other Meds: MSM/Glucosomine, Tumeric, Vit B, Biotin, singular. Prevastatin, ibuprofen, folic acid, benadryl

Current Illness:

ID: 1243925
Sex: F
Age: 41
State: MD

Vax Date: 04/04/2021
Onset Date: 04/04/2021
Rec V Date: 04/22/2021
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: None

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

Symptoms: 20 minutes after my second shot, I developed wheezing at the base of my throat. It did not escalate to full anaphylaxis but remained a steady wheezing feeling for a number of hours after. It dissipated be evening but returned 4 days later along with tingling in my lips that comes and goes. It continues on and off 2 weeks post vaccine. I do not have any other illnesses or reasons to think this other than a side effect from the vaccine. I do not have a history of asthma either.

Other Meds: None

Current Illness: None

ID: 1243926
Sex: U
Age:
State: RI

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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 reported

Symptom List: Unevaluable event

Symptoms: pt complaint of lightheaded/dizziness pt felt like "passing out" pt had perspiration on brown as well as loss of color in skin. pt was brought to observation area wher vitals were taken. pt claimed "for a moment if felt like i couldn't breath." pt was coached to breath and try to relax. pt bp 105/51 hr 61 spo2 96% rr 18. pt, after a few minutes "felt much better". pt was was released once feeling better. pt like experienced vasal vagal response. pt had denied any chest tightness or swelling in throat or mouth. pt was able to ambulate with escort out of facility.

Other Meds: none reported

Current Illness: none reported

ID: 1243927
Sex: M
Age: 29
State: PA

Vax Date: 04/10/2021
Onset Date: 04/11/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: N/a

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

Symptoms: The night following my vaccination I ended up with a fever of over 100 degrees Fahrenheit and also suffered from a severe headache and sore throat. The fever and headache subsided after 24 hours, but the sore throat and ulcers on my gum line remained for the next 3-4 days. 9 days after I had gotten the vaccine, I started suffering from what I thought was a significant MS relapse. The left side of my face went numb and started drooping, my legs went completely numb, and my vision went blurry.

Other Meds: Low dose naltrxon 3 mg, Vitamin D, Omega 3, Multivitamin

Current Illness: N/a

ID: 1243928
Sex: M
Age: 0
State:

Vax Date: 04/07/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: None known

Symptom List: Injection site pain, Pain

Symptoms: Both Erythremato-papular and vehicular rashes

Other Meds: Please contact my GP.

Current Illness: Please contact my GP

ID: 1243929
Sex: F
Age: 71
State:

Vax Date: 03/17/2021
Onset Date: 04/01/2021
Rec V Date: 04/22/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: ED/hosp within 6 weeks of COVID vaccine

Other Meds:

Current Illness:

ID: 1243930
Sex: F
Age: 28
State: WI

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: No known drug allergies

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

Symptoms: Patient received Moderna COVID vaccine in the immunization room. There were no apparent immediate adverse effects following the injection, and the patient was instructed to wait in the lobby for 15 minutes to monitor for adverse effects or allergic reactions. Approximately 5 minutes after the injection, the patient lost consciousness and exhibited a stiff posture in the waiting lobby and EMS was called. Patient appeared to be not breathing for approximately 10-15 seconds and was carefully laid on the floor where she started breathing again. At no time was there no pulse. Patient regained consciousness after about 1 minute and expressed feeling confusion with the situation and numbness in the mouth but no other symptoms. EMS arrived on the scene promptly 2 minutes after being contacted and took over care of the patient. After the situation resolved, the patient was contacted on the phone and seemed to be feeling much better.

Other Meds: None

Current Illness: None

ID: 1243931
Sex: U
Age: 16
State:

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

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient was under the age of 18 years old. No side effects/adverse events reported.

Other Meds:

Current Illness:

ID: 1243933
Sex: F
Age: 20
State: MI

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient received Pfizer for second dose, but reported Moderna for first dose.

Other Meds: unknown

Current Illness: unknown

ID: 1243934
Sex: F
Age: 62
State: MN

Vax Date: 01/27/2021
Onset Date: 03/27/2021
Rec V Date: 04/22/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Received Pfizer vaccines on 1/6/21 and 1/27/21. Tested positive for COVID-19 by PCR on 3/27/21. Symptoms of cough and sore throat.

Other Meds:

Current Illness:

ID: 1243935
Sex: M
Age: 65
State: AL

Vax Date: 03/31/2021
Onset Date: 04/08/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Oxycodone

Symptom List: Nausea

Symptoms: Patient developed sweilling his left calf about 10-14 days after second dose of his vaccine. He had an ultrasound which demonstrated deep venous thrombosis of the left calf.

Other Meds: Simvastatin Metoporlol Telmisartan-hydrocholorathiazide Famotidine

Current Illness: no acute Hypertension GERD

ID: 1243936
Sex: M
Age: 52
State: GA

Vax Date: 04/07/2021
Onset Date: 04/16/2021
Rec V Date: 04/22/2021
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: Swelling and itching of area near and around injection site. This happened within a week to 10 days after injection and continues today. No fever... No abnormal effects besides swelling and itching.

Other Meds: CAREDILOL 12.5MG NIFEDIPINE 30MG

Current Illness: END STAGE KIDNEY FAILURE (DIALYSIS) DIABETES

ID: 1243937
Sex: F
Age: 41
State: MO

Vax Date: 04/03/2021
Onset Date: 04/08/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Severe tinnitus. Both ears have been ringing loudly, constantly for weeks following the vaccine. It has now been at least 2 weeks. Primary physician has referred me to ENT.

Other Meds: magnesium, D3, fish oil, vision supplement, multi-vitamin

Current Illness: no

ID: 1243938
Sex: M
Age: 29
State: NC

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient experienced lightheadedness and syncope starting about 5 minutes after vaccine. After lying down for 20 minutes and drinking some soda patient stated feeling back to normal.

Other Meds:

Current Illness:

ID: 1243939
Sex: F
Age: 66
State: IL

Vax Date: 03/20/2021
Onset Date: 03/29/2021
Rec V Date: 04/22/2021
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: Sulfa - hives, rash Cindamycin and augmentin - stomach sensitivity

Symptom List: Tremor

Symptoms: I can't say for sure but 9 days after receiving the vaccine, my condition called Erythromelalgia flared up terribly, which involved uncomfortable to intense burning of the outer ears 24/7 with no relief. It calmed down for a couple of days and then came back with other symptoms, including the burning ears, and parts of my neck and face. In addition to that, my eyes were bloodshot and had drainage coming from them and in the morning, it appeared that they had like a lining of film over them. Skin is peeling due to all the burning in the areas described. Several different treatments were tried but none has slowed down the flare-up. After another trip back to the NP, she said that it was inflamation and gave me a steroid shot along with prednisone tablets. I also went to an optometrist who found some things wrong with my eyes and prescribed some steroid eye drops. Before the vaccine, we pretty much had the Erythromelalgia under control with meds but this time, it's been hard to get things under control and more tolerable.

Other Meds: Gabapentin, Venlafaxine, Doterra Supplements, Vitamin C, Vitamin D3

Current Illness: Erythromelalgia - burning of the outer ears

ID: 1243940
Sex: F
Age: 52
State: CA

Vax Date: 04/20/2021
Onset Date: 04/20/2021
Rec V Date: 04/22/2021
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: Erythema, Pruritus

Symptoms: Pt received 2nd Pfizer dose at 1212 32 min after receiving vaccine, Pt complained of feeling something stuck in her throat and chest pressure denying and chest pain. Pt refused administration of Epinephrine and she self administered her inhaler. Pt vitals at 1239 BP 129/92 P 58 R 16 SAT 99% ED came to transport pt to ED for further evaluation ED administered medications: EPINEPHrine Inj 0.3 mg (ADRENALIN) ? diphenhydrAMINE Inj 25 mg (BENADRYL) ? methylPREDNISolone Sod Succ (PF) Inj 125 mg (SOLU-Medrol PF)

Other Meds:

Current Illness:

ID: 1243941
Sex: F
Age: 54
State: TX

Vax Date: 04/14/2021
Onset Date: 04/14/2021
Rec V Date: 04/22/2021
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: NKDA

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

Symptoms: Severe pain to injection site radiating down arm and up to the neck; HA; sore throat; disorientation; vertigo; general malaise; difficulty swallowing; voice disturbance; throat tightness; nasal congestion. OTC Benadryl x 3 doses over 48 hours. Symptoms resolved

Other Meds: Ibuprofen, gabapentin, cyclobenzaprine, Otezla, Vit D, Multivitamin

Current Illness: none

ID: 1243942
Sex: M
Age: 56
State: PA

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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 reported

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

Symptoms: Patient is a 56 y.o. year old male with PMH of COPD, CAD, DM, HTN, HLD presenting to the ED for cough and shortness of breath. Symptoms started one week prior to arrival. Patient states cough more frequently and productive of clear-yellow sputum. Dyspnea worse with exertion. Symptoms noticeable shortly after receiving first dose of pfizer COVID19 immunization today. Chest tightness though denies chest pain. No leg pain/swelling. Patient has been compliant with previously prescribed trilogy.

Other Meds: albuterol (2.5 mg/3 mL) 0.083 % nebulizer solution albuterol (ProAir HFA) 90 mcg/act inhaler amLODIPine (NORVASC) 5 mg tablet aspirin (ECOTRIN LOW STRENGTH) 81 mg EC tablet atorvastatin (LIPITOR) 10 mg tablet atorvastatin (LIPITOR

Current Illness: Ineffective esophageal motility Esophageal reflux Hyperparathyroidism (HCC) Type 2 diabetes mellitus without complication, without long-term current use of insulin (HCC) OSA (obstructive sleep apnea) Moderate COPD (chronic obstructive pulmonary disease) (HCC) NSTEMI (non-ST elevated myocardial infarction) (HCC) Essential hypertension AKI (acute kidney injury) (HCC Insomnia Abnormal findings on esophagogastroduodenoscopy (EGD) History of colonic polyps Anemia Suicidal ideations Urinary frequency History of esophageal stricture History of cocaine abuse (HCC) Hyperlipidemia Lipoma of breast Vitamin D deficiency Bipolar 1 disorder, depressed, severe (HCC) Constipation Morbid obesity with BMI of 40.0-44.9, adult (HCC) Bipolar 1 disorder (HCC) Chest pain

ID: 1243943
Sex: F
Age: 63
State: CA

Vax Date: 03/25/2021
Onset Date: 04/09/2021
Rec V Date: 04/22/2021
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: Bee stings

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Delayed severe allergic reaction: hives to R neck, R axillary, needle type rash to torso, severe burning and itching. Both hand swollen and red, angioedema to R face and lips, SOB lasting 7 days.

Other Meds: Omeprazole 20 mg bid Naproxen 500 mg bid Look for daily Biotin 10,000 mcg every other day Fish oil daily

Current Illness: Chemotherapy secondary to breast cancer

ID: 1243944
Sex: F
Age: 27
State: VA

Vax Date: 04/17/2021
Onset Date: 04/17/2021
Rec V Date: 04/22/2021
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: codeine, some antibiotics

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

Symptoms: Symptoms started that night with extreme fatigue. Extreme fatigue the next day, followed by fly/stomach flu symptoms the next two days. Not a huge deal, just reporting so there's info out there:) Just took Tylonel and drank a lot of fluids, as I would if I had the flu.

Other Meds: zyrtec, slynd (10 mg), probiotics

Current Illness: None

ID: 1243945
Sex: F
Age: 40
State: PA

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: iodine, shellfish

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

Symptoms: Generalized itching feeling after receiving second dose of Pfizer vaccine, water given, 50 mg po Benedryl given at 10:15 am, VS as follows: 10:15 HR 88, R 20, 188/80, O2 96%; 10:22 HR 85, R 19, 173/108, O2 96; 10:37 HR 75, R 20, 160/106, O2 99%

Other Meds: unknown

Current Illness: unknown

ID: 1243946
Sex: F
Age: 69
State: WI

Vax Date: 03/23/2021
Onset Date: 03/23/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Amoxicilli Clindamycin ciprofloxacin Bactrim Aspartame Morphine Oxicoden Cilantro

Symptom List: Pain in extremity

Symptoms: At about 5:30 pm on day of vaccine I Became extremely hot, no fever, face became bright red and puffy , ears were burning down into throat. Called primary doctor , advised to go to emergency room, There I was Given 2. Benedryl, About 15 minutes later I Began shaking violently and babbling uncontrollably. I was given a sedative , observed and sent home. Redness lessened but then increased again the following evening but not as extreme.

Other Meds: Cortizone shot to hip on 3/22/2021 at 4:30 pm Sertraline Omeprazole Certirizine Florastore Multivitamin +65

Current Illness:

ID: 1243947
Sex: F
Age: 34
State:

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
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: S/P COVID19 vaccne today, pt was monitored in obs. unit. After 15-20 minutes, she c/o itching on her Left arm (injected arm). No rashes or hives on arm/trunk. No swellimg. Lungs clear to auscultate. VS stable. Benadryl 25mg po given and improvement. BP 119/79 - pulse 64 - 100% RA

Other Meds:

Current Illness:

ID: 1243948
Sex: F
Age: 31
State: IN

Vax Date: 04/15/2021
Onset Date: 04/16/2021
Rec V Date: 04/22/2021
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: Tree nuts and grapefruit

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

Symptoms: Chills started around 3am. Mild fever started around 8am and it lasted all day. Joints, muscle aches and headache all day. Acetaminophen helped with all of these, but I was in bed all day.

Other Meds: Modere Lean System Pink B12 vitamins

Current Illness: None

ID: 1243949
Sex: M
Age: 66
State:

Vax Date: 03/04/2021
Onset Date: 03/23/2021
Rec V Date: 04/22/2021
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:

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

Symptoms: ED/Hosp within 6 weeks of COVID vaccine

Other Meds:

Current Illness:

ID: 1243950
Sex: F
Age: 61
State: GA

Vax Date: 03/01/2021
Onset Date: 03/30/2021
Rec V Date: 04/22/2021
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: Antihistamines

Symptom List: Vomiting

Symptoms: Woke up early the night of the shot with severe pain in left are below shoulder where shot was given. My arm has been painful to move..I thought would eventually go away but never did. Three weeks later still very painful and makes my job even more painful to do. It's a continual ache and hard to move.

Other Meds: I took Ibuprofen that day

Current Illness: None

ID: 1243951
Sex: M
Age: 39
State: NJ

Vax Date: 04/08/2021
Onset Date: 04/08/2021
Rec V Date: 04/22/2021
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: Ceclor

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pulsing in the ear two hours after the shot and every day since.

Other Meds: Allegra

Current Illness: None

ID: 1243952
Sex: M
Age: 36
State: NH

Vax Date: 04/20/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
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: Iodine

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

Symptoms: Fever, headache, chills, body ache, weakness

Other Meds: No

Current Illness: Thyroid

ID: 1243953
Sex: F
Age: 57
State: CA

Vax Date: 04/16/2021
Onset Date: 04/18/2021
Rec V Date: 04/22/2021
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: Shellfish

Symptom List: Injection site swelling, Limb discomfort

Symptoms: About two days after receiving the vaccine, pain and burning feelings from fibromyalgia returned. They have been under control for several years under medication, but the medication has not helped, even with an increase in dose recommended by the doctor. The pain seems to be getting worse daily.

Other Meds: Lyrica, Mirtazapine

Current Illness: Fibromyalgia

ID: 1243954
Sex: F
Age: 37
State: ND

Vax Date: 04/22/2021
Onset Date: 04/22/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies: Allergy to flu vaccine

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

Symptoms: Patient denied any allergies or reactions to medication prior to vaccination. Patient received COVID-19 Moderna vaccination. 5 minutes after receiving vaccination patient c/o swelling tongue, tingling in mouth, shortness of breath, and dizziness. After assessing patients tongue, noted swelling and administered 0.3mg auto-injector epinephrine. 911 was called and ambulance was dispatched. After about a minute or two after epi patient's tongue was not as swollen and it was easier for patient to breath. Patient still had burning and tingling of the mouth and throat. Patient then made us aware that has had to have epi after an influenza vaccine and was also hospitalized a couple weeks ago for a medication reaction. Patient was taken by ambulance to local ER. Full outcome unaware at this time.

Other Meds:

Current Illness:

ID: 1243955
Sex: M
Age: 30
State: CO

Vax Date: 04/21/2021
Onset Date: 04/21/2021
Rec V Date: 04/22/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Patient had just received the Pfizer vaccine. I called patient back for lab draw when he complained of feeling like he was going to vomit. He was wobbly upon standing. We helped patient into bathroom as he still said he needed to vomit. Patient sat down on toilet and rested until he didn't feel nauseated. Patient stated he was ready to have his blood drawn. As we got him seated in the draw chair, The RN came back in. I explained that the patient became ill from the vaccine after she had left. She asked if he felt better now, he said yes and that was all that was stated/done.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm