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: 1271671
Sex: M
Age: 75
State: SC

Vax Date: 02/01/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital: Y

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: COVID infection s/p vaccination

Other Meds:

Current Illness:

ID: 1271672
Sex: M
Age: 28
State: CO

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Client had syncopal episode after receiving vaccination. Recovered after 15 minutes with juice and rest. Reported he had not eaten anything in the morning and had too much caffeine. No injuries resulted from the fall to the floor.

Other Meds:

Current Illness:

Date Died: 03/20/2021

ID: 1271674
Sex: F
Age: 92
State: MO

Vax Date: 01/13/2021
Onset Date: 03/20/2021
Rec V Date: 04/29/2021
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: Death within 60 days of vaccination

Other Meds:

Current Illness:

ID: 1271675
Sex: F
Age: 46
State: MA

Vax Date: 01/21/2021
Onset Date: 02/11/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies: Shellfish Allergy (severe) Tamiflu allergy

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: No Sid effects until about 21 days after first dose. Severe head pain from base of neck wrapping around head, Facial dropping on one side, rash spider web like, swelling of face of eyes, nose, and lips, neck swelling, inability to turn head, SEVERE confusion, photophobia, impaired motor skills, blurred vision, ringing in ear. Neurologist dx with meningitis---had CT scan at ED clear, no lumbar puncture to confirm meg dx. On 2/25/2021 admitted to hospital. Full work up of lots of testing. All was fine except MRI showed edema on c1-c7 and noted new in appearance from a MRI completed 2/5/2021, slightly elevated WBC, and platelets however improved over 24 hrs. My symptoms continued to improve each day. On 3/26 approx 25 days after second dose same symptoms occurred----sudden acute head pain, facial sores, swelling of face, confusion etc. Today, 4/29/2021 I am much better however my memory recall in not 100%, motor skills not 100% and still have some fatigue compared normal functioning to prior to first onset. I have two neurologist, eye doc, PCP, and had doctors from the clinic involved in my case.

Other Meds: Trazadone, Vyvanse, Multivitamin, Senna, Epi Pen

Current Illness: None

ID: 1271676
Sex: F
Age: 85
State: ND

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 04/29/2021
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: Patient presented to the ED and subsequently hospitalized on 2/18/2021 with fever. Again she presented to the ED and subsequently hospitalized on 2/24/2021 with hypoxia. These visits were within 6 weeks of receiving COVID vaccination.

Other Meds:

Current Illness:

ID: 1271677
Sex: M
Age: 70
State: KS

Vax Date: 04/14/2021
Onset Date: 04/20/2021
Rec V Date: 04/29/2021
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: no

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

Symptoms: Large ITCHY rash about a week after. Still there 2 weeks out and is now "puffy" as if it has fluid

Other Meds: alpha lipoic acid, milk thistle, saw palmetto, inositol, aspirin, multi vitamin, D3

Current Illness: no

ID: 1271678
Sex: F
Age: 21
State: MI

Vax Date: 03/23/2021
Onset Date: 04/05/2021
Rec V Date: 04/29/2021
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: seroquel

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Hepatitis / Encephalopathy (seizures, ADEM, MISC/A) PRESENTING PROBLEM: Fever and chills [R50.9] Hepatitis [K75.9] Febrile illness, acute [R50.9] Acute nonintractable headache, unspecified headache type [R51.9] Seizure (HCC) [R56.9] MIS-C associated with COVID-19 (HCC) [M35.81] Active Issues Requiring Follow-up MIS-C/A - 2/2 COVID-19 infection vs idiosyncratic reaction to J&J vaccine -prednisone taper over 16 days as above -ID will be arranging follow up serial labs (CBC with diff, CMP, Ferritin level, CRP, LDH) -Bactrim prophylaxis while on steroids -Acyclovir 400 mg BID for prophylaxis (hx of recurrent HSV infection of eyelid) - duration to be clarified by ID at follow up -ASA 81 mg daily -TTE w/ normal coronaries. She will need cardiac MRI, to be arranged by adult congenital cardiology Generalized tonic-clonic seizures - witnessed and captured on EEG 4/9. No further events. Continue Keppra 1500 mg BID. outaptient f/u with neurology Abnormal MRI brain - diffuse T2 white matter hyperintensities - non-specific. She will need follow up MRI brain w/ and w/o contrast in 1 month and follow up with neurology clinic ADHD - given insomnia, Senthuri was recommended to avoid vyvanse for now. She will discuss with her outpatient prescriber Anxiety and depression - zoloft increased to 125 mg daily Insomnia - 2/2 trauma from critical illness. Improved with trazodone HS. Elevated EBV PCR - ID will continue to monitor. Nausea/vomiting - resolved. Likey 2/2 gastritis in setting of steroid use. PPI BID x 4 weeks DISCHARGE DISPOSITION: Home without services

Other Meds: acetaminophen, albuterol HFA, beclomethasone inhaler, debrox otic, hydOXYzine, ibuprofen, lisdexamfetamine, mirtazapine, mometasone cream, nitrofurantoin, Junel FE 1/20, ondansetron, oxybutynin, phenazopyridine, miralax, promethazine, sertr

Current Illness: NA

ID: 1271679
Sex: F
Age: 52
State: WV

Vax Date: 04/02/2021
Onset Date: 04/03/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: no allergies

Symptom List: Pharyngeal swelling

Symptoms: Evening of 4/2 starting feeling like I had UTI. 4/3/21 Itching hives on face, neck, arms, back, stomach. Headache. On 4/4 ER shot, steriod fast acting and slow acting then had pill to take for 7 day. Had headache and nausea for more than week after steriod, then developed scratchy throat, sinus. sweaty and chilling went to doctor .

Other Meds: Lyrica 75mg bid and lexapro 20mg qday

Current Illness: No

ID: 1271680
Sex: M
Age: 42
State: VA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
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 bee stings, insect bites, but no food allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 3 hours after injection, felt like hands, arms, and legs were swelling (but they weren't), and had a total brain fog, felt like I was either on drugs or had alzheimers. Paced around my house and backyard in a fog, confused, not clear of thought. Had a hard time spelling words in emails. Symptoms went away within 45-60 minutes and did not return. Since that time felt a little tired but nothing serious. Today I feel completely normal.

Other Meds: Multivitamin, vitamin B supplement

Current Illness: none

ID: 1271681
Sex: F
Age: 36
State:

Vax Date: 03/05/2021
Onset Date: 03/21/2021
Rec V Date: 04/29/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Severe breast first left breast the most the right right half as much and arm pit pain on both equally very painful Maybe a week before period but these are symptoms I?ve never had before during or after period ever I used both heat and Ice on my breast and arm pits to ease the pain very temporarily but the symptoms lasted 1-2 weeks After second shot and around the same time I have the same symptoms but so far much less still too early to see

Other Meds: None

Current Illness: None

ID: 1271682
Sex: M
Age: 43
State: IL

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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 known

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

Symptoms: Left eyelid swollen

Other Meds: None

Current Illness: None

ID: 1271683
Sex: F
Age: 46
State: CA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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: penicillins, sulfa antibiotics, acetaminophen, aspirin

Symptom List: Rash, Urticaria

Symptoms: patient fainted after 20 minutes wait. . when she woke she was worried she was having an allergic reaction so the took 2 benadryl. we laid her down and she recovered in 20 minutes. chief complaint was sore head as she hit her head when she fell. her sister drove her home and after a while at home she began to have chills and shaking. family took her to the er where they diagnosed her with a UTI and gave her antibiotics. she does not have a concussion per the er md. sister says she is fine now.

Other Meds:

Current Illness: turns out she had a UTI that she was unaware of

ID: 1271684
Sex: F
Age: 18
State: MA

Vax Date: 04/20/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Day after was sore but 8 days later I had a rash and the arm was sore to touch and the arm where I got the shot was hot

Other Meds:

Current Illness: N/a

ID: 1271685
Sex: F
Age: 17
State: MD

Vax Date: 04/21/2021
Onset Date: 04/01/2021
Rec V Date: 04/29/2021
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: Patient was Vaccinated with Moderna at age of 17 years instead of 18 years. No adverse effects or symptoms

Other Meds: none

Current Illness: None

ID: 1271686
Sex: F
Age: 66
State: PA

Vax Date: 12/19/2020
Onset Date: 12/23/2020
Rec V Date: 04/29/2021
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: NKA

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

Symptoms: Fever or Chills Cough Fatigue Muscle or body aches Congestion or running nose

Other Meds: calcium carbonate-vitamin D3 (CALCIUM 500 + D) 500 mg(1,250mg) -400 unit chewable tablet CHOLECALCIFEROL, VITAMIN D3, (VITAMIN D3 ORAL) cyanocobalamin, vitamin B-12, (VITAMIN B-12) 2,500 mcg lisinopriL (ZESTRIL) 10 mg tablet multiple vitami

Current Illness: NONE

ID: 1271687
Sex: F
Age: 41
State: IN

Vax Date: 04/21/2021
Onset Date: 04/22/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: Body aches, headache, back pain, chest discomfort, fever, dizziness and fatigue.

Other Meds: Claritin 10 mg

Current Illness: none

ID: 1271688
Sex: M
Age: 83
State: NJ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 04/29/2021
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: Raw fruit apples Pears plums

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

Symptoms: COVID 19 GOT POSITIVE RESULT ON 02/13/2021 FOR TEST COLLECTED 2 DAYS EARLIER AT PHARMACY. COUGH HEAD COLD SORE THROAT LASTED 10 DAYS ... TOOK MOTRIN AND TtYNELOL i MADE A SEPARATE REPORT ABOUT THE FIZZING IN MY HEAD 24/7 CONTINUSLY SINCE fEB 10/21 I showed up for scheduled 2nd Shot on 3/6 BUT HEAD NURSE FROM hEALTH dEPT strongly RECOMMENDED not TO TAKE IT BEFORE MAY 15 2021 TO AVOID A SEVERE REACTION

Other Meds: METROPOLOL

Current Illness: head cold

ID: 1271689
Sex: M
Age: 48
State: NM

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient's Covid-19 vaccine dose #1 was Moderna. Patient inadvertently received the Pfizer COVID-19 vaccine for dose #2 in the series. No adverse reaction noted within the 30 minute post-vaccination observation period.

Other Meds: Levothyroxine, Ibuprofen, Tylenol, Hydroxycut, Multivitamin

Current Illness:

ID: 1271690
Sex: F
Age: 42
State: CA

Vax Date: 04/03/2021
Onset Date: 04/21/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I have had irregular bleeding for more than a week.

Other Meds: Prednisone, 5 mg pack Gabapentin Sertraline Drospir

Current Illness: None

ID: 1271691
Sex: F
Age: 26
State: IA

Vax Date: 04/24/2021
Onset Date: 04/24/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Arm soreness, fatigue, and general bone aches started after injection and lasted for approximately 36 hours. Strong pain in rib bones on injection side (left) started and have continued. Rib pain has decreased over the past few days but has not gone away completely.

Other Meds: N/A

Current Illness: N/A

ID: 1271692
Sex: M
Age: 43
State:

Vax Date: 04/21/2021
Onset Date: 04/25/2021
Rec V Date: 04/29/2021
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:

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

Symptoms: Bell's palsy on day 4 after the vaccine.

Other Meds:

Current Illness:

ID: 1271693
Sex: F
Age: 59
State: MO

Vax Date: 03/12/2021
Onset Date: 03/12/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Body aches, fever, fatigue No treatment, symptoms resolved on own within 36 hours.

Other Meds: lisinopril 2.5mg Prelief Accidophilus

Current Illness: None

ID: 1271694
Sex: M
Age: 16
State: CA

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pt fainting during vaccination. Pallor at vaccination area. Vitals wnl.

Other Meds:

Current Illness:

ID: 1271695
Sex: F
Age: 34
State: NJ

Vax Date: 04/15/2021
Onset Date: 04/15/2021
Rec V Date: 04/29/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Patient was given a expired dose, Pfizer was called and info given to revaccinate the following day in the opposite arm.

Other Meds:

Current Illness:

ID: 1271696
Sex: F
Age: 43
State: IN

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Tree nuts

Symptom List: Injection site pain, Menorrhagia

Symptoms: Tingly feeling in face 45 min after shot and continued but lightened a bit around 4:15 pm and just lips and cheeks tingly Called an spoke with nurse at dr office and they said if not better in 24 hours to call back

Other Meds: Cymbalta, mutivitamin, apple cider gummies

Current Illness: None

ID: 1271697
Sex: F
Age: 42
State: TN

Vax Date: 04/19/2021
Onset Date: 04/26/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Covid arm 7 days after injection at site. Circular swelling with redness and itching

Other Meds:

Current Illness:

ID: 1271698
Sex: F
Age: 53
State: PA

Vax Date: 03/30/2021
Onset Date: 03/30/2021
Rec V Date: 04/29/2021
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: Penicillin, Latex

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Could feel vaccine travel to my shoulder, along the top on my trapezius muscle into the side of my neck muscle. From there it continued to move upwards into the left side of my face causing a numb type of swelling sensation. I massaged my face in downward strokes to try to move it out of my facial muscles. It slowly spread downward into the area of my lymph nodes and into my throat and windpipe. This was the same type of numb swollen sensation. This process probably took about a half hour up to this point. my face continued to feel odd, and my throat remained painful and sore especially in the area of my adams apple, for about 3 to 4 days. I did not experience closing of the trachea. I did not seek medical attention for this reason. My facial muscles and the side of my neck still feel slightly odd at this time. The feeling is a slight numbness and discomfort. I had no other apparent reaction to the shot.

Other Meds: Loratadine 10 mg

Current Illness: knee injury

ID: 1271699
Sex: F
Age: 72
State: PR

Vax Date: 03/11/2021
Onset Date: 03/12/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: sulpha

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Hemorr?gic stroke

Other Meds: Lactulose 10g/15 mm Synthroid 75 mcg Glipizide 10 me Amlodipine besylate 2.5 mg Folic ?cido 1 me Clonidine hcl 0.2 Lorazepam 1mg

Current Illness: diabetes Hipertensi?n Hepatitis C Tiroides

ID: 1271700
Sex: M
Age: 52
State: VA

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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: none at this time

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

Symptoms: Patient was ask to stay 15 minutes post vaccination - aftger 15 minutes - patient indicated that he is feeling dizziness and He was offered water and continued to be monitored for additional 15 minutes- he continued to feel dizziness per patient. His supervisor was contacted as he wanted to go home- unable to continue work- when ask of difficulty breathing - no ; no sign of hive or rashes - dizziness.

Other Meds: none at this time

Current Illness: none at this time per patient

ID: 1271701
Sex: F
Age: 47
State: NY

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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 known allergies

Symptom List: Nausea

Symptoms: flushing face, chest cramping

Other Meds: Red yeast rice extract

Current Illness: elevated cholesterol

ID: 1271702
Sex: F
Age: 50
State: NM

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/29/2021
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; erythromycin; ibuprofen; aspirin; NSAIDS; Betadine; Chlora-prep; Latex; avocados; banana; most fruit except citrus; peanuts/nuts; sea food

Symptom List: Injection site pain

Symptoms: Since my J&J vaccine, I have now been experiencing severe dizziness, light headiness episodes that are worsening. I went to the ER because I have pre-syncopal episodes and also started to experience abdominal pain with diarrhea. At the ER, lab work was performed, as well as a CT scan of the chest and an ultrasound of the abdomen. I feel fatigued and dizzy throughout the days.

Other Meds: Midodrine; Flovent; Levoxyl; ProAir inhaler; EpiPen PRN; zinc; garlic; probiotics; turmeric; ginger; B complex; vitamin C; magnesium; omega 3; vitamin D; MCT oil; cacao powder

Current Illness:

ID: 1271703
Sex: F
Age: 53
State: CA

Vax Date: 03/12/2021
Onset Date: 03/17/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Blood clot in right wrist area: On the evening of 3/17/21, I felt sudden pain in the palm of my right hand, just above the wrist. Then the vein just below my wrist swelled up and turned blue. The next morning when I woke, the vein was no longer swollen, but the area below my wrist had a large bruise, which lasted several days. I contacted my physician that day (3/18) who said just to monitor/observe and come in if continuing issues (which there were not).

Other Meds: None

Current Illness: None

ID: 1271704
Sex: M
Age: 50
State: TX

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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: Same the Soreness and pain was manageable during the evening of the day of vaccination. But next day very early morning (around 4am onwards), situation became beyond manageable. My BP went from regular level (123/82) to (136/110) with severe pain around the eye. Especially from the back of the eyeball. And intolerable headache from both sides and feeling that my eye balls would burst. I noticed swelling around my shot area and also it was very painful to touch

Other Meds: N/A

Current Illness: None

ID: 1271705
Sex: M
Age: 80
State: MN

Vax Date: 03/04/2021
Onset Date: 03/24/2021
Rec V Date: 04/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Patient presneted to the ED and was subsequently hospitalized for NSTEMI on 3/24/21 as well as 4/12/21.

Other Meds:

Current Illness:

ID: 1271706
Sex: M
Age: 28
State: NC

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
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

Symptom List: Erythema, Pruritus

Symptoms: Patient experienced syncope shortly after injection, was placed lateral and legs elevated with quick return to consciousness

Other Meds: none

Current Illness:

ID: 1271707
Sex: F
Age: 29
State: OH

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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: Beginning around midnight the evening after getting the 2nd COVID vaccine, I started having severe body aches and chills/signs of fever. After taking Tylenol around 3am, I was able to sleep until about 8am, when I woke up covered in sweat and shivering. I checked my temperature at that time, with a reading of 100.5?F. I was too sore to get out of bed (body aches, headache) and was extremely light headed when I tried to sit up, so I had no choice but to call off my scheduled work shift for the day. Throughout the morning, my fever continued to increase despite taking Tylenol regularly (2-3 tablets every 4 hours), up to 101.8?F. I was too nauseous to eat, or really to even drink much, despite several spells of feverish sweating followed by chills/uncontrollable shivering. I stayed in bed nearly all day miserable and all but completely incapacitated. I took Xyrem at night (as normal, I take this every night) so was able to sleep most of the night, but woke once again drenched in sweat and shivering, with painful bodyaches and a headache. I took more Tylenol, but was once again forced to call off work in the morning due to my temperature still being high, 101.5?F, and not feeling well enough to stand or work. The body aches, headache, and nausea have continued throughout today as well (two full days after receiving the 2nd vaccine... No adverse reaction to the 1st vaccine)

Other Meds: Wakix, Xylem, Wellbutrin, Singulair, Claritin

Current Illness: None

ID: 1271708
Sex: F
Age: 52
State: GA

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/29/2021
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: Pencillin, pollen

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

Symptoms: 4 hours after the vaccination, my arm began to feel very sore and I was getting fatigued, took 2 Advil. Slept poorly that night, was very chilled. In the morning, had a headache, muscle aches, and chills, throughout the day. Took 2 Advil 4 times throughout the day. Was still feeling poorly at 11pm, teeth were chattering. The next day had no chills or muscle aches, but still had a headache and weakness, along with some overheating (I don't know how else to explain it, would just get hot, but it wasn't a hot flash--though I haven't had those yet). The following day most of the symptoms are gone, my arm is much less sore, though I still feel slightly weary.

Other Meds: none

Current Illness: none

ID: 1271709
Sex: F
Age: 33
State: PA

Vax Date: 04/22/2021
Onset Date: 04/24/2021
Rec V Date: 04/29/2021
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: n/a

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: No side effects other than sore arm for 36 hours. Around 36 hours after vaccine, I developed fatigue, aching body, swollen lymph nodes in my throat - especially on the side where I had the shot - that made my throat sore when swallowing. I had a fever around 100-101 from Sat. 4/24-Mon 4/26, spiking up to 102.6 at the highest point on Sun 4/25 in the AM (3 days post-shot). My fever went away for good the afternoon of Mon 4/26 (4.5 days post-shot). My swollen lymph nodes that caused pain while swallowing took another ~24 hours to resolve (5.5 days post-shot). I rested, lots of fluids, took tylenol and advil, etc. on advice of my PCP.

Other Meds: daily vitamin, sunflower lecithin, claritin

Current Illness: n/a

ID: 1271710
Sex: F
Age: 55
State: CT

Vax Date: 04/02/2021
Onset Date: 04/05/2021
Rec V Date: 04/29/2021
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: adhesive

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

Symptoms: After second dose on 4/2/21 I had a shooting pain go across my forehead, instant migraine behind right eye. Pain then shot down right arm and elbow and right hand began throbbing with pain. I could not find someone, but felt ok after drinking water and sitting for the 15 minutes. I did leave with a slight headache behind right eye that lasted until 4/3/21. On 4/5/21 I woke up with tinnitus. I thought it would go away. It continued to get worse and is now 24 hours a day. I went to my Dr on 4/14/21 and was told to see an ENT. I went to an ENT on 4/26/21

Other Meds: vitamin D

Current Illness: no

ID: 1271711
Sex: F
Age: 50
State: TN

Vax Date: 03/25/2021
Onset Date: 03/25/2021
Rec V Date: 04/29/2021
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: CODEINE, CLINDIMYACIN, GLUTEN, STRAWBERRIES

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

Symptoms: Rapid heart beat-lasted 9 days, increased blood pressure meds until it got better shortness of breath-lasted 2 weeks-used inhaler muscle pain-hasn't went away knee pain and swelling-hasn't went away numbness in right leg-2weeks

Other Meds: PREDNISONE PACK, ATENOLOL, BENADRYL

Current Illness: SORE THROAT

ID: 1271712
Sex: F
Age: 60
State: WA

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

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

Lab Data:

Allergies: Sulfa

Symptom List: Pain in extremity

Symptoms: besides a sore arm , back muscle soreness and canker soar in my mouth and cold sore on my lower right lip

Other Meds: vitamins, losartin and hydrochlorothiazide

Current Illness:

ID: 1271713
Sex: F
Age: 26
State: IA

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: sulfa, penicillin

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

Symptoms: Patient states that starting 40 minutes after her vaccine, she vomited. She has vomited 3 times over the course of 24 hours after receiving the vaccine and has been unable to keep foods or liquids down. She also reports "the worse chills and sweats" she has experienced.

Other Meds: unknown

Current Illness: unknown

ID: 1271714
Sex: M
Age: 55
State: CA

Vax Date: 03/05/2021
Onset Date: 03/05/2021
Rec V Date: 04/29/2021
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: Clindamycin, Penicillin

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

Symptoms: Bilateral facial numbness, persistent, unknown etiology, x2 normal MRI, normal MRA

Other Meds: N/a

Current Illness: N/A

ID: 1271715
Sex: F
Age: 31
State: OH

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Fever, chills, severe headache, fatigue, joint pain, body aches

Other Meds: Birth control, celexa

Current Illness:

ID: 1271716
Sex: M
Age: 56
State: PA

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 04/29/2021
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: PenicillinsHives / Urticaria RituximabHives / Urticaria

Symptom List: Vomiting

Symptoms: Fever or Chills Fatigue Muscle or body aches Sore throat Congestion or running nose

Other Meds: amLODIPine (NORVASC) 5 mg tablet aspirin 81 mg tablet cyanocobalamin 1,000 mcg tablet lisinopriL (ZESTRIL) 20 mg tablet metoprolol succinate XL (TOPROL-XL) 25 mg 24 hr tablet omeprazole (PriLOSEC) 10 mg capsule omeprazole (PriLOSEC) 10 mg c

Current Illness: NONE

ID: 1271717
Sex: F
Age: 18
State: TX

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/29/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 19 years old female presented at COVID clinic (08210) for her second dose of COVID vaccine (Moderna). Patient reported having needle anxiety. Pharmacist confirmed with the patient if she experienced any adverse reaction after she received her first dose. Patient stated after first dose she felt week but nothing major happened. About 8-10 minutes after vaccine was given, patients started having some side effect such as nausea/vomiting and dizziness. she stated that she feels burning up. She denied any shortness of breath. Pharmacist used cold wet towel to rub her forehead and back of her neck. Blood pressure was checked and it was128/80, HR was 70. Store manager and pharmacist manager were notified. One of the technician called patient's mom. Patient stated she had not ate any thing in the morning so she was given water and some protein bar. Patient waited until all symptoms resolved (with supervision of the pharmacist) and after she felt better patient's mom took her home.

Other Meds:

Current Illness:

ID: 1271718
Sex: F
Age: 58
State: IL

Vax Date: 03/05/2021
Onset Date: 03/07/2021
Rec V Date: 04/29/2021
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: All pain meds accept Butorphonal, all treatments accept cipro

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

Symptoms: Hives, vomit, 104.5 fever, chills, body aches, joint pain, swelling, diarrhea, fatigue, nausea, no eating , pain, welts, 4 werks

Other Meds: 20mg. Prednisone, Zyrtec, zofran, Montelukast, topamax, cromolyn, Vit D3, famotidine, levalbuterol, azelastine, mupirocin, hydroxyzine,fluoxetine, buyable-acetaminophen-caff, tylenol, Butorphonal

Current Illness: Crohn?s disease

ID: 1271719
Sex: F
Age: 67
State: OH

Vax Date: 04/16/2021
Onset Date: 04/17/2021
Rec V Date: 04/29/2021
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: Neurontin Lyrica Savella Cymbalta Carafate

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pain radiating from arm up into neck, swollen knot at site, itching, redness, swelling: pt being treated with antibiotics

Other Meds: Rizatriptan Benzoate 10 MG Tablet Disintegrating, Vitamin D (Ergocalciferol) 1.25 MG (50000 UT) Capsule, Flecainide Acetate 100 MG Tablet 1 tablet Orally every 12 hrs , Topamax 50 mg Tablet 1 tablet Orally BID , Trazodone HCl 100mg Tablet

Current Illness: None noted

ID: 1271720
Sex: F
Age: 49
State: FL

Vax Date: 04/27/2021
Onset Date: 04/28/2021
Rec V Date: 04/29/2021
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: Day after vaccine: Chills Fever Body aches High hear rate (160) Second day after vaccine: Irregular heart rate

Other Meds: Diltiazem

Current Illness:

ID: 1271721
Sex: M
Age: 46
State: IN

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/29/2021
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: 101 fever, headache

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm