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: 0949559
Sex: F
Age: 33
State:

Vax Date: 01/04/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
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: large red, swollen skin reaction slightly lower than injection site.

Other Meds: none

Current Illness: none

ID: 0949560
Sex: F
Age: 45
State: CA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: 1/2 dollar size hard injection site area, red, burning, itchy and splotchy

Other Meds: none

Current Illness: none

ID: 0949561
Sex: F
Age: 33
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
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:

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

Symptoms: Went to stand up after 15 mins of observation. Felt flush, hot, dizzy. Heartrate was irregular per observation RN who was checking pulse. Went to ED, EKG and bloodwork normal, released home.

Other Meds:

Current Illness: kidney infection

ID: 0949562
Sex: F
Age: 32
State: IN

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Unknown

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Tightness in upper chest: Blood Sugar=66 Gave Apple juice and crackers, Blood Sugar=67 5min after juice/crackers; then blood sugar decreased back to 66;

Other Meds: Unknown

Current Illness: Unknown

ID: 0949563
Sex: F
Age: 19
State: MT

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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

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

Symptoms: I have developed a localized rash around the injection site. It has not spread yet though is a bit hot. Its raised and splotchy.

Other Meds: Vitamin C, Vitamin D, Zinc, and Lo loestrine Birth Control

Current Illness: N/A

ID: 0949564
Sex: M
Age: 47
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/15/2021
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: Shell fish, Deep fries foods.

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

Symptoms: My blood pressure went up to 170/106 and my heart was beating over 100 about 45 minutes or one hour after I was vaccinated, and I also felt nausea. Nurse called 911, and I was transported to emergency. About 1.5 hour later, my heart was even beating more quickly, and I could hardly talked and difficult to breathe. This happened when I walked to the restroom by myself and came back. After they did some medical tests, gave me medication for allergy (the doctor gave me this since he was not sure if it was my allergy reaction to the vaccines), injected 2 IV bags and rest for few hours, my blood pressure went down to about 140/9x and heart beat back to normal. I was released from ER on the next day at 4:00am.

Other Meds: No

Current Illness: No

ID: 0949565
Sex: M
Age: 24
State: WI

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: NKDA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient is an employee at a Pharmacy and at onset of symptoms, was visibly pale, unable to stand or walk without help, and cited having excessive dizziness. Did NOT develop hives, rash, or dyspnea during observation in pharmacy for 2 hours.

Other Meds: Metoprolol Tartrate 25mg tablet-1 tab twice daily

Current Illness:

ID: 0949566
Sex: F
Age: 29
State: KS

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pharyngeal swelling

Symptoms: Jan.13th- Diarrhea, extreme fatigue, extreme nausea, body aches, congestion, rash under eyes and on nose (itchy and burning). Jan14- extreme fatigue, nausea, loss of appetite, rash continues but no itching, light on burning, body aches, cold, could not get warm, temp stayed around 96.0-97.0 Jan 15- fatigue, nausea, extreme congestion, sweats, symptoms of a fever over night and during day. Cold sweats, shakes, cold then hot, body aches, fatigue. These happened off and on through the day. When started feeling crappy took temp and it was 99.6-99.8. When feeling cold temper drops down to 97.0 scratchy voice voice congestion, runny nose, little sore throat, when swallowing pills or hard texture foods, sometimes drinking something. Overall feeling of a cold. I think it?s important to note that I had Covid-19 in the month of November and received my first vaccine December 22nd. I had side effects after the first shot but not nearly as bad as this time. I am nurse in a doctors office if that matters at all. I am still feeling under the weather but wanted to get these down before I forgot them.

Other Meds: Synthroid Wellbutrin

Current Illness: None

ID: 0949567
Sex: F
Age: 28
State: CA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Allergies to trees, grass, dogs/cats, dust mites (for which I undergo immunotherapy shots)

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Facial swelling, especially around the eyes (no history of facial injections or fillers). Symptom was present upon waking the day after vaccine administration, remained for a couple hours and dissipated on its own

Other Meds: Zyrtec, as needed

Current Illness: None

ID: 0949568
Sex: F
Age: 59
State: WI

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Fish, Lobster (Anaphylaxis), Meloxicam, Vicodin, Chlorohexidine Gluconate Cloth.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Received Vaccine at 1545 - Reported symptoms of throat thickening consistent with her previous anaphylaxis reactions at 1553. STAT team initiated at 1553, VSS, Benadryl 25mg PO given. Transferred to ED by Wheelchair - ED course treated with Pepcid 40mg, solumedrol 125mg and epinephrine 0.3mg IV at 1604 and given 1L bolus of 0.9 NaCl. Patient observed in the ED until all s/sx resolved. Discharged Home with 40mg Prednisone PO daily x4 days. Pt only complaint throughout was throat "thickening". No other s/sx per chart review.

Other Meds: welbutrin, protonix, requip, ultram, nystatin cream, hydroxyzine, metoprolol, trazodone, flector, baclofen, Zofran, Ativan, flexiril, extradiol, lotrisone, desonide, miralax, vitamin d, vitamin b12, calcium/mag/zinc.

Current Illness: URI last month

ID: 0949569
Sex: F
Age: 46
State: NH

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: nka

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

Symptoms: Pt developed numbness in the effected arm right after the injection. Symptoms improved over the course of several minutes and pt reports only minimal numbness in forearm and hand currently. There has been no decrease in motor function. PCP f/u recommended for any continued symptomsl

Other Meds: Ibuprofen PRN progesterin

Current Illness: none

ID: 0949571
Sex: F
Age: 55
State: IL

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: Extreme fatigue, chills, fever and headache all came on 9 hrs after the injection. Extreme chills, and shaking. Severe headache. Unable to work the next day or get out of bed. Fever started again by evening on 1-14 and got to 101.7. Vomiting occurred, along w the same symptoms as described. Today, 1-15, I am feeling SLIGHTLY better. Still have slight headache and sore body. Rash under the arm of where I had the injection. (Weird?) I have Lyme disease, maybe that is why I reacted w an adverse event? I am about half scared to get the second injection.

Other Meds: Paxil for hot flashes 81mg asa Cholesterol HS Daily vutamin

Current Illness: I am healthy. No issues I do have Lyme Disease though so wonder if that is why I am so sick right now.

ID: 0949572
Sex: F
Age: 27
State: IL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I waited 20 minutes after my injection and left facility. While I was driving home around 1:00 pm my left arm started to tingle, I got really hot and a wave of lightheaded/dizziness washed over me and I couldn?t swallow. I pulled over to wait it out and my throat swelling got worse.

Other Meds: Depo Provera Omeprazole Diltiazem

Current Illness:

ID: 0949573
Sex: F
Age: 60
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: Sulfur drugs

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

Symptoms: Neck was severely itchy early morning after vaccine. Looked in the mirror 2 hours after and my neck was all red, only 2 hives but had a long red Mark (looked like a strangulation mark). Woke up today, day 2 after vaccine and looked somewhat better but as the day went on, got itchy and noticed several blotches only on neck area

Other Meds: Advil, Xanax (bedtime), vitamin D, biotin, calcium

Current Illness: None

ID: 0949574
Sex: F
Age: 46
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: unknown, not severe

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

Symptoms: Tachycardia for less than 10 minutes

Other Meds: unknown

Current Illness: none currently

ID: 0949575
Sex: F
Age: 52
State: GA

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
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: Sprycel TKI

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

Symptoms: Exactly 12 days after the vaccine I reported a fine rash with small blisters covering the backs of both of my hands with itching and warm redness in them both (I have pictures) Within an hour it began feverish red itching and slight burning on both of The undersides of my forearms. I was advised by the pharmacists on duty in the covid clinic site to use topical Benadryl cream and or take Benadryl by mouth if it worsened. I was told to seek emergency dept help if any signs of breathing issues presented. The next morning the itching was gone the redness subsided and the rash was markedly better but still raised in the tops of my hands. By 1030am on 1/12/21, I could not detect taste or smell at all. I was advised then to report to employee healthline for further instruction. I was told to leave work and proceed to our employee Covid swab testing drive thru facility for Covid testing and remain home for results the following morning on 1/13/21. At approximately 10am 1/13/21 I was confirmed positive for COVID-19 via the swab results. I was told to quarantine and given a return to work date of 1/24/21 as long as my symptoms were resolved. I am currently in home quarantine still suffering no taste or smell, muscle cramps in legs, thighs and back. Fatigue, Loss of appetite, sinus pressure and headache not relieved with medications.

Other Meds: Imatinib TKI 400mg HCTZ 50mg Aleve 200mg Zyrtec prn Sudafed prn

Current Illness:

ID: 0949576
Sex: F
Age: 0
State: IL

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: none

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

Symptoms: Fever, chills, nausea, diarrhea, pain at injection site, fatigue.

Other Meds: protonix 40mg metoprolol 25mg vitamin D 50,000u Trintellix 20mg Abilify 2mg Fiorinal with codeine as needed

Current Illness: none

ID: 0949577
Sex: F
Age: 49
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: Chills, fever, body aches, swollen lymph nodes occipital and posterior superficial cervical lymph nodes began afternoon 1/14/21

Other Meds:

Current Illness:

ID: 0949578
Sex: F
Age: 32
State: OH

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Benzoyl Peroxide (hives) Doxycycline (possible) PCN (possible)

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Immediate slight dizziness, continued for 1.5 hours, slight headache. Then 1.5 hours post vaccination syncope, fall to floor. ER workup was clear immediately following event, no abnormal testing, labs and ekg all normal. 1 week post vaccine, no other symptoms aside from sore arm.

Other Meds: Daily in evening: 50 mg Zinc, 500mg Vitamin C, Women's Prenatal Multi Vitamin

Current Illness: none

ID: 0949579
Sex: M
Age: 47
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Numbness in arm of injection site, happened with the 1st dose, as well. CG received 1st dose and 2nd dose in different arms. Numbness was limited and resolved shortly without intervention

Other Meds:

Current Illness:

ID: 0949580
Sex: F
Age: 45
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Patient received initial dose of Moderna Covid Vaccine. After 20 minutes, she reported feeling "drunk" foggy. Her VS 143/81 HR 70 02Sat 99%. @ 1432. VS 145/94 HR 66 @1445. Symptoms had resolved.

Other Meds: unknown

Current Illness: unknown

ID: 0949581
Sex: F
Age: 46
State: CA

Vax Date: 01/01/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Lactose Amoxicillin

Symptom List: Unevaluable event

Symptoms: Shortness of breath! Felt like I was going to pass out ! Raised my blood pressure to 189 /90 ! I could have a major anxiety attack ! Felt like my heart was going to explode. Then I was hot and cold numb then not

Other Meds: Atenolol amitriptyline Thyroid medicine Albuterol MenForeman

Current Illness: None

ID: 0949582
Sex: F
Age: 28
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Fatigue, body aches, cough, fever up to 102 lasted whole day so far, chills headache

Other Meds: None

Current Illness: Tested COVID positive on 12/15/2020

ID: 0949583
Sex: F
Age: 24
State: IN

Vax Date: 01/06/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Unknown allergen in hot dogs, sausage, salami, etc.

Symptom List: Injection site pain, Pain

Symptoms: Left arm numb

Other Meds: N/A

Current Illness: N/A

ID: 0949584
Sex: F
Age: 59
State: CA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Bactrim-Sulfamethoxazole, DuraPrep, Morphine Sulfate

Symptom List: Injection site pain, Menorrhagia

Symptoms: On the night of 1/13 she developed an itchy maculopapular rash on her bilateral arms and the back of her neck. She is also complaining of a burning sensation. Recent med changes include taking gabapentin and Augmentin starting 1/6, but she has taken these medications in the past and did not report developing a rash when on these meds before

Other Meds:

Current Illness: 59F PMH HTN, HLD, familial Mediterranean fever (self-reported and diagnosed long time ago), PTSD, generalized anxiety disorder, CVA (2006), somatoform disorder,

ID: 0949585
Sex: F
Age: 26
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: unknown

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

Symptoms: numbness and itching of L cheek (face) w/in 15 min of vaccination, numbness resolved within 15 additional minutes and itching decreased, but persisted into next day at low level. No rash was involved, just a little redness from scratching.

Other Meds: unknown

Current Illness: none currently

ID: 0949586
Sex: F
Age: 70
State: GA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Paxil, codeine, bee sting, venom

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: approximately 2:35pm after the first dose of Covid-19 Pfizer was given, patient's face became red and splotchy. Lip felt numb/tingling. Not itchy and no breathing issues. Gave Benadryl 50mg and the reaction subsided.

Other Meds: unknown

Current Illness:

ID: 0949587
Sex: F
Age: 36
State: CA

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient is reporting a tingling and swelling of the tongue.

Other Meds:

Current Illness:

ID: 0949588
Sex: F
Age: 49
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: unknown

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

Symptoms: Pt presented for initial vaccine @ 1500. At 1520 reported feeling lightheaded. Quickly resolved but patient noted her lower jaw became painful. Resolved in 5 minutes. Then patient reported L arm pain and chest tightness. Resolved in 6 minutes. Patient reported body aches which quickly resolved. Patient had all symptoms resolve by 1700 at which time she reported feeling only fatigue

Other Meds: unknown

Current Illness: unknown

ID: 0949589
Sex: M
Age: 45
State: KY

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: Red, itchy rash at injection site started eight days after vaccination.

Other Meds: lisinopril-HCTZ, Prilosec, Zoloft, Naprosyn, Mobic

Current Illness: None

ID: 0949590
Sex: F
Age: 48
State: IL

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: LATEX ALLERGY

Symptom List: Injection site pain

Symptoms: I had my vaccination around 2PM. Around 2AM, I woke up with chills, severe body ache and my temperature went up to 105.

Other Meds: Multivatamins, Atorvastatin 10 mg daily

Current Illness: N/A

ID: 0949591
Sex: F
Age: 51
State: WA

Vax Date: 01/10/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Phenergren

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

Symptoms: The vaccination 1/10/2021. 6 pm .I began to have symptoms right after the 48 hour mark on 1/12/2021 at 8 pm . I?d be yeah begin having hot flashing episodes ( not menopausal ) with severe diaphoresis, I feel achy. On 1/13/2021 when I woke up for work I felt short of breath slightly, my lungs felt very heavy and congestion, when I arrived at work I started having a dry cough and runny nose and a slight sore throat.When I told my boss she had me thought the employee paperwork and I went to a Clinic

Other Meds: Vitamin D , vitamin C, vitamin iron

Current Illness: None

ID: 0949592
Sex: F
Age: 25
State: IA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/15/2021
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: Arm became incredibly sore about 4 hours after injection. The soreness was so intense that I felt nauseous when I moved my arm or bumped the injection site. About 11 hours after the injection a severe headache began. Roughly 19 hours after the injection muscle fatigue and overall tiredness began, headache remained as well as arm soreness. About 30 hours after the injection all the symptoms above were present in addition to a fever. Currently it is about 54 hours after the injection and only a slight headache and slight arm soreness remain.

Other Meds: Brith control

Current Illness: None

ID: 0949593
Sex: M
Age: 71
State: TX

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 01/15/2021
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: Tremor

Symptoms: Severe nausea and vomiting, unable to swallow water , chills Unable to walk steady. Barely to the bathroom. Dehydration. My physician diagnosed as side effect of Moderna vaccine and prescribed Zofran . Today is 4 th day after symptoms started and relief is little and very slow. Still nauseated and unable to walk steady. Vomiting stopped after one day. Waiting to get back to normal and don?t know how long it will take.

Other Meds: Omeprazole 40 mg Amlodipine. 10 mg Vitamin D, Zinc, tablet containing Calcium, Magnesium and potassium

Current Illness: None

ID: 0949594
Sex: F
Age: 83
State: TX

Vax Date: 01/05/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: None known

Symptom List: Erythema, Pruritus

Symptoms: 10 days after injection i developed itching an a large red circle at the injection site with raised small red papules around the red area No pain only itching Day 2 still red bht papules smaller itching intermittent. I do not feel sick or have s fever. No flu like symptoms.

Other Meds: Levothyroxine 50 mcg Turmeric 1500 mg Quercetin/bromelain Calcium 1200 mgD3 1000iu D3 5000iu Nettle spirulina 1500 mg Spiulina1500mg LArginie 1000mg B12 100mcg Bcomplex Cetirizine hyrochloride 10 mg Probiotic

Current Illness: Hypothyroidism Seasonal allergies Osteoarthritis

ID: 0949595
Sex: F
Age: 45
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: unknown

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

Symptoms: Patient presented for initial covid vaccine. Felt lightheaded post vaccine. VSS. Patient symptoms resolved within 1 hour.

Other Meds: unknown

Current Illness: unknown

ID: 0949596
Sex: F
Age: 64
State: MA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: dilaudid

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

Symptoms: nausea, headaches, muscle aches, chills... ongoing at the time of this writing (24+ hours). NO FEVER

Other Meds: Women's daily supplement with calcium Vitamin B complex Vitamin E Vitamin D Calcium

Current Illness: none

ID: 0949597
Sex: F
Age: 27
State:

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Anaphylaxis- throat closing, feels SOB 15 minutes after vaccine.

Other Meds:

Current Illness:

ID: 0949598
Sex: F
Age: 44
State: NM

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/15/2021
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: none

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

Symptoms: Pt woke with swelling of lips and face morning after first injection. 1 week later had severe redness, swelling, and heat of ears

Other Meds: none

Current Illness: none

ID: 0949599
Sex: F
Age: 28
State: WA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: unknown, not severe

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

Symptoms: numbness/ tingling in both hands, started 6:50 pm (20 minutes after vaccination) resolved by 7:02 pm.

Other Meds: unknown

Current Illness: none currently

ID: 0949600
Sex: F
Age: 28
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Patient was seated in observation area, after 10 minutes she became lightheaded and felt like she was going to faint, observation RN helped CG to put her head down between her knees, symptoms resolved quickly and increased HR came down from 100 to 80, BP down from 140/80 to 110/62.

Other Meds:

Current Illness:

ID: 0949601
Sex: F
Age: 30
State: CA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: After receiving the first covid vaccine on 12/18 in the morning, I had my period about 12 hours later. Throughout my life, my periods are very regular and typically last 6 days. But after the vaccine, my period never stopped. I am still currently bleeding. I've seen a doctor for it and they said its a hemorrhagic corpus luteum cyst. For now the doctor isn?t too concerned, but it?s unusual for my body to be going through this.

Other Meds: N/a

Current Illness: N/A

ID: 0949602
Sex: F
Age: 35
State: CA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/15/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Patient felt numbness on her left cheek and developed hives on her forehead within 4 hours or receiving the Pfizer covid-19 vaccine. Resolved within 24 hours without treatment.

Other Meds:

Current Illness: none

ID: 0949603
Sex: F
Age: 31
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Suprax, augmentin, bee stings

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

Symptoms: Sensation of heat and numbness tingling in Chest up into throat mouth and lips, palpitations, dizziness, elevated heart rate, chills, tingling in extremeties, burning in throat ; started aprroximately two minutes after administration, took benedryl and water, waited another 15 minutes where signs and symptoms started to subside a little bit and thought I was okay but then came back at about 25 minutes post vaccine where it was decided to go to emergency department.

Other Meds: Probiotics, mirena IUD

Current Illness: N/a

ID: 0949604
Sex: F
Age: 38
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: Dust

Symptom List: Vomiting

Symptoms: Patient reported dizziness and was moved into invertable chair, she described feeling weak and lightheaded. Per allergic reaction protocol she was given 50mg of IV benadryl while her BP was checked every 5 minutes. No decrease in BP during episode. Dizziness/lightheadedness did not resolve, per MD and protocol 100mg IV solumedrol was administered while continuing to check BP every 5 minutes. She did not feeling better and could not stand, 911 was called for ambulance to ED for assessment.

Other Meds: none

Current Illness: None

ID: 0949605
Sex: F
Age: 26
State: UT

Vax Date: 01/08/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
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: PCN - unknown reaction

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 8 cm symmetric erythematous, sl raised, hot, tender site reaction 1 week following administration

Other Meds: buspar 15 mg bid, fluoxetine 20 mg daily, amitriptyline 10 mg daily, lorazepam

Current Illness: none

ID: 0949606
Sex: M
Age: 42
State: TN

Vax Date: 12/23/2020
Onset Date: 12/26/2020
Rec V Date: 01/15/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: ER for shortness of breath for 3-4 days; they took x-rays of lungs - clear; inhaler - Albuterol ; tested for COVID - negative

Other Meds: Lecinpro - hypertension

Current Illness: no

ID: 0949607
Sex: F
Age: 78
State: AK

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/15/2021
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: erythromycin, naproxen, penicillin, sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 15 minutes after Moderna COVID vaccine patient experienced dizziness, slight chest tightness, and numbness to her lower lip. She was given benadryl 25 mg. Her dizziness, chest tightness, and lip numbness resolved. She did have elevated blood pressure reading at 1200 was 130/90 1230 was 180/82 it took 2 hours of resting to get her blood pressure down to 152/82

Other Meds: multivitamin, magnesium, vitamin D, melatonin, fosamax 70 mg

Current Illness:

ID: 0949608
Sex: F
Age: 62
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/15/2021
Hospital:

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

Lab Data:

Allergies: Vancomycin erythromycin

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

Symptoms: Woke up with sore throat and nose congestion. Feels like there is a ball of mucus stuck in my throat that I can?t get rid of.

Other Meds: Lisinopril, low dose aspirin, Incruse Elipta, fluticosone

Current Illness:

ID: 0949609
Sex: F
Age: 37
State: CA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/15/2021
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: Gluten

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

Symptoms: 12/30/2020- 5 minutes after receiving vaccination pt c/o throat tingling and tightening. Then 10 minutes later began having headache. Sent to ED- EKG completed, and pt was monitored. Declined Benadryl. Apx 5-7 pm that night when at home pt decided to take a half dose of OTC Benadryl. pt woke in middle of night still with headache-took Advil. When woke in the morning had diarrhea and stomach discomfort- lasted apx 24 hours. Then beginning on 01/04/2021 pt noticed the sensation of having a burned tongue and roof of mouth.- is constant and sensitive to heat. pt reports that intermittently in the evening she is also getting the sensation of tongue and throat swelling- denies any SOB and denies actual swelling just sensation.

Other Meds: Birth Control, Multi Vit

Current Illness: n/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm