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: 1273809
Sex: F
Age: 68
State: GA

Vax Date: 03/10/2021
Onset Date: 03/12/2021
Rec V Date: 04/30/2021
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: Brain fog, Full body aches, Pain still on right side of body, reduced hearing in right ear

Other Meds: Blood Pressure medicine, Viatamins

Current Illness: nope

ID: 1273810
Sex: F
Age: 63
State: MN

Vax Date: 04/14/2021
Onset Date: 04/19/2021
Rec V Date: 04/30/2021
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: ceclor pencillian and sulphor drugs

Symptom List: Anxiety, Dyspnoea

Symptoms: Can not stop itching , head and back of hair line just will not go away, also top of feet and turn beet red. Inside of arms with hives that get little red bumps. face and neck and chest turn beet red for no apparent reason face gets hives too.

Other Meds: Sythroid, and vitamins

Current Illness: none

ID: 1273811
Sex: F
Age: 20
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: N/A

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

Symptoms: Intense soreness throughout my whole arm, very congested head, chills, sweating, very sensitive to touch. Lasted for one day.

Other Meds: Levothyroxine and birth control

Current Illness:

ID: 1273812
Sex: M
Age: 50
State: OH

Vax Date: 04/19/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe dizziness that presented at 8am on 4/26/21 with sharp intermittent vertigo (like starting to pass out) that subsided quickly approximately 5 times over a 20 minute period. This graduated to constant dizziness and cloudiness and severe shaking while outdoors. Arrived at ER at about 10am and "room spinning" vertigo began shortly after and at about 11am there was about 5 episodes of severe vomiting over about a 2 hour period. Dizziness did not decrease until enough medication was administered to stop the vomiting and allow a dose of Meclizine 25mg PO to be administered and take effect and decrease the dizziness to barely manageable. Left the hospital in this state at about 6PM. Today is 4 days later and dizziness continues as manageable only with Meclizine 25mg every 8 hours.

Other Meds: levothyroxine 250mcg QD Crestor 20mg QD Nasonex 2 sprays each nostril QD Ibuprophen 600mg QD and prn EC Aspirin 81mg QD

Current Illness: none

ID: 1273813
Sex: F
Age: 39
State:

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 04/30/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: S: RRT called to patient to Vaccination recovery room s/p EpiPen administration. B: Unknown A/R: Upon arrival, pt AOx4 laying in gurney. Per patient and Vaccination RN, patient received 1st dose of Moderna vaccine at 12:47 and then began complaining of itchiness in the back of throat and feeling like her airway was closing. 1 EpiPen was administered at 13:00. HR140, all other VSS. Patient transferred to ED via wheelchair for further workup."

Other Meds:

Current Illness:

ID: 1273814
Sex: F
Age: 26
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: nan

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

Symptoms: Fever, headache, dizziness, muscle aches all over

Other Meds: nan

Current Illness: nan

ID: 1273815
Sex: F
Age: 22
State: MD

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Anxiety, Itchy Throat Vital Signs: HR=61 B.P.=109/74 02:=100% Lungs clear Water offered, 15 minutes observation extended Lungs clear= Bilateral. Patient discharged home at 12:30 p.m.

Other Meds:

Current Illness:

ID: 1273816
Sex: M
Age: 24
State: NC

Vax Date: 04/07/2021
Onset Date: 04/21/2021
Rec V Date: 04/30/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: 24-year-old male patient with no past medical history received Johnson & Johnson Covid vaccine on April 7 presented to ED with abdominal pain and was found to have portal vein, splenic vein, superior mesenteric vein thrombosis. Patient was also found to be thrombocytopenic he was admitted to the stepdown unit placed on bivalirudin. Patient remains hospitalized at the time of this report.

Other Meds:

Current Illness:

ID: 1273817
Sex: F
Age: 45
State: NY

Vax Date: 04/02/2021
Onset Date: 04/02/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: 10 minutes after the injection I experienced a racing heart for 10-15 minutes, then some mild nausea and dizziness and a feeling of an altered state of mind or sense of unreality (like before passing out) for about 45 minutes. After that I felt like I was coming out of the grips of an experience and felt exhausted by it.

Other Meds: Multivitamin Calcium/Vitamin D take each a few times a week

Current Illness: None

ID: 1273818
Sex: M
Age: 69
State: UT

Vax Date: 01/26/2021
Onset Date: 02/11/2021
Rec V Date: 04/30/2021
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: Erythrocin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: First vaccination took place on 1/26/21. Second on 2/23/21. Provider reports that the patient has been hyperglycemic without explanation since the first injection. Has increased units of Lantus.

Other Meds: : Taking Aspir-Low 81 MG Tablet Delayed Release 1 tablet Orally Once a day, Taking Tamsulosin HCl 0.4 MG Capsule 1 capsule Orally Once a day at night, stop date 08/22/2021, Taking Gabapentin 300 MG Capsule 1 capsule Orally three times a day

Current Illness: Orthostasis, Diabetes, Hyperlipidemia.Cirrhosis, cryptogenic - K74.69 (Primary) 2. Nutritional anemia - D53.9 3. Left knee pain, unspecified chronicity - M25.562 4. Right knee pain, unspecified chronicity - M25.561 5. Swelling of right knee joint - M25.461 6. Swelling of knee joint, left - M25.462 7. Type 2 diabetes mellitus without complications - E11.9 8. Long term current use of insulin - Z79.4 9. Balance disorder - R26.89 10. Nerve damage - T14.8XXA 11. Neuropathy - G62.9 12. Protein malnutrition - E46 13. Anemia, unspecified - D64.9

ID: 1273819
Sex: M
Age: 16
State: FL

Vax Date: 04/10/2021
Onset Date: 04/10/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: There were no adverse events. However, the patient inadvertently received the Janssen COVID 19 on April 10, 2021 at the community vaccine event although he is 16 years old. This situation was identified on April 29, 2021 during routine quality checks. Pt.'s parents were notified and a wellness check was completed on pt. Pt. denies any usual side effects or adverse events from the vaccine , 19 days after being vaccinated.

Other Meds: NONE

Current Illness: NONE

ID: 1273820
Sex: F
Age: 58
State: MA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Unsure if related Post Menopausal bleeding ( 12 days)

Other Meds: High blood pressure med, Cholesterol meds, Hormone meds, Thyroid meds

Current Illness:

ID: 1273821
Sex: F
Age: 42
State: MO

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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, prednisone

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

Symptoms: Around 20 minutes after administration pt stated she felt like she was going to pass out. Pt was sat down, given cold water and monitored. Pt stated she felt "heavy and numb," but was not having any trouble breathing or sensation of tongue or lips swelling. She did not appear to have any shortness of breath and did not appear to have shallow breathing, but did appear to have slowed but steady breathing. She said she was having trouble speaking and felt very tired. She looked like she was about to fall asleep so we used smelling salts and called 911 and the pt's spouse. Pt continued to be alert but was having increasing difficulty talking or answering questions.

Other Meds: Atorvastatin 10mg, fluticasone 50mcg nasal spray

Current Illness: none known

ID: 1273822
Sex: F
Age: 63
State: NY

Vax Date: 04/05/2021
Onset Date: 04/07/2021
Rec V Date: 04/30/2021
Hospital: Y

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: penicillin, bactrim, e-mycin

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

Symptoms: Spontaneous coronary artery dissection. heart attack symptoms (chest pain), pain lasted over an hour

Other Meds: tramadol, celebrex, carvedilol, ramipril, aspirin, levothyroxine, claritin, repatha, citalopram

Current Illness: none

ID: 1273823
Sex: F
Age: 38
State: MN

Vax Date: 01/28/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Pt developed s/s of COVID 19 and tested positive

Other Meds:

Current Illness:

ID: 1273824
Sex: M
Age: 83
State: NJ

Vax Date: 03/31/2021
Onset Date: 04/11/2021
Rec V Date: 04/30/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Vitals of patient were taken in mornings after initial dose of vaccine. On the 12th day after said inoculation patient blood pressure dropped from normal 140/72 to 100/58 for period of 2 - 3 days. Patient demonstrated no additional adverse symptoms, i.e., fever, joint pains, respirator distress, headaches, etc.

Other Meds: Multi-vitamin / minerals, metformin 500mg b.i.d.

Current Illness: none

ID: 1273825
Sex: M
Age: 33
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: N/A

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

Symptoms: Around 5:00 pm the day after the shot, I began experiencing some sharp aches/pains in my upper chest and lower abdomen, both on my left-side. Breathing was a little more difficult due to these pains. The symptoms have persisted since that time, although they have been more subdued. Experienced a peak again around noon on 4/30/2021, but is milder again as I submit this.

Other Meds: Floxetine HCL (generic for Prozac) Fluvoxamine Maleate (generic for Luvox)

Current Illness: N/A

ID: 1273826
Sex: F
Age: 30
State: NM

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: Blurred vision in right eye with some distortion; came very suddenly

Other Meds: mini pill iron supplement

Current Illness:

ID: 1273827
Sex: M
Age: 19
State: NJ

Vax Date: 04/26/2021
Onset Date: 04/26/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Received shot sitting down. All was fine. Walked down long hallway to observation room. Spoke to nurse who told us to sit for 15 min. Sat down he started to sweat profusely. Told him to take his sweatshirt off. Continues to sweat his forehead his T-shirt was wet his back was wet. Then he tilted his head back his eyes rolled back into his head. I called the nurse. We got him to a wheelchair and behind the curtain. Before we had a chance to put him on the Exam Table he passed out and started to seize for the count of 3 or 4 seconds. Then he woke up. He said he saw white beautiful light. I am not kidding. He does not joke. Then he said he was fine. Insisted he was fine. His bp was low for the first two readings. Then It came back up to normal. He laid flat for 15 more min. Had some juice. Sat up when It was gone to go. Bp got super high. We waited till It was normal and left.

Other Meds: None

Current Illness: None

ID: 1273828
Sex: M
Age: 32
State: AR

Vax Date: 04/15/2021
Onset Date: 04/17/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: No allergies (pollen)

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

Symptoms: Received 2nd Moderna vaccine on 4/15/21. Woke up on Saturday 4/17/21 with significant "cramp" in left calf. Pain persisted, so patient went to doctor on 4/19/21. Blood work did not "rule out" clot. Doctor ordered venous doppler which confirmed clot. Prescribed 3 month course of Xarelto.

Other Meds: No prescriptions, OTCs, or herbal supplements

Current Illness: No known illnesses

ID: 1273829
Sex: M
Age: 63
State: NJ

Vax Date: 03/12/2021
Onset Date: 04/08/2021
Rec V Date: 04/30/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none known

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

Symptoms: Transient Ischemic Attic T.I.A.

Other Meds: Ambien 10 mg , prevacid 10 mg

Current Illness: none

ID: 1273830
Sex: F
Age: 65
State: SC

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen (Advil, Aleve, Motrin) and Oxycodone (Percoset)

Symptom List: Unevaluable event

Symptoms: 1st inj left me fatiqued with brain fog for 3 days. 2nd inj left me with a fever of 101 degrees and aches the next day and night. Very tired today but fever is very low to almost none.

Other Meds: Tylenol Migraine at 9:30 am to prepare

Current Illness: After 1st co-v injection, I was in bed for 3 days with horrible fatigue, fog brain, sleepy....red hot in site arm.

ID: 1273831
Sex: M
Age: 56
State: TX

Vax Date: 04/29/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: five minutes after 2nd dose shot ,nasal cavities became swollen and stopped up .slightly difficult breathing occurred , 20 minutes after .used afrin nasal spray and nasal cavities returned to normal , breathing returned to normal . 2 hours later stiffness in the neck, and aches in knees and lower back ,treated with Tylenol ,12 hours later slight joint pain ,stiff neck, and sore throat ,treatment with Tylenol 2 500mg tablets .

Other Meds: Flonase nose spray ,zertec pills

Current Illness: seasonal allergies

ID: 1273832
Sex: F
Age: 44
State: IA

Vax Date: 03/26/2021
Onset Date: 03/28/2021
Rec V Date: 04/30/2021
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: No

Symptom List: Injection site pain, Pain

Symptoms: Seizures/Spells. Two days after the vaccine injection I started having seizures/spells. It started with 1 a day for 2 days then increased to multiple spells per day (up to 4-5) I was seen at clinic neurology on April 13th. While there they called Emergency Services and I was transported to Emergency Department for what they believed to be prolonged seizure activity. Dismissed from there with appointment with Dr. who is looking into adverse reactions to Covid vaccine and referral to clinic. After 13 days recovered completely and back to normal activity and workouts.

Other Meds: Prednisone 5mg Lyrica 100mg Topiramate 100mg Hydroxycloroquine 400mg Esomeprazole 40mg

Current Illness: No

ID: 1273833
Sex: F
Age: 28
State: NE

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: 7:00 PM I started feeling tired and a little cold, by 7:30 PM I had horrible body aches and chills and was very tired. I laid down to go to sleep at 8:30 PM and dosed in and out of sleep. Around 10:30 PM I had a fever of 100.7 degree Fahrenheit. Around 12 AM my fever broke and by 1:30 PM I started feeling better. I had a really bad headache all night and into the morning, so bad I could feel throbbing in my teeth. I still have some soreness in my left hip joint and shoulder/neck. I have also had diarrhea once around 12:30 PM today. I did have COVID-19 at the end of December 2020 into January 2020. Not sure if that makes a difference.

Other Meds: Women's one-a-day supplement, Zyrtec

Current Illness: None

ID: 1273834
Sex: F
Age: 68
State: MA

Vax Date: 03/31/2021
Onset Date: 04/03/2021
Rec V Date: 04/30/2021
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: Sulfa drugs

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

Symptoms: On 4/3/21, broke out in small spots all over body; by 4/7/21, the spots were breaking out as large hives all over body; taking Benadryl and applying anti-itch cream; on 4/9, primary care doctor recommended I switch to Claritin and Pepcid; 4/9-4/18 hives were getting worse every day; took 6 day course of Prednisone; hives cleared up after 3 days on Prednisone, but then hives intensified even more on days 4-6 of Prednisone taper; took 40 mg of Prednisone for 2 days; hives reduced; switched to Zertec twice a day and Pepcid twice a day; hives are decreasing but still appearing daily

Other Meds: Citalopram; Centrum Silver 50+ for Women

Current Illness: None

ID: 1273835
Sex: F
Age: 27
State: PA

Vax Date: 03/23/2021
Onset Date: 04/06/2021
Rec V Date: 04/30/2021
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: Peanuts, tree nuts, shellfish

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Missed Miscarriage discovered at routine pregnancy ultrasound on 4/6/2021 (12 weeks 5 days pregnant) Deceased fetus measured at 9 weeks 5 days D&C performed as a result on 4/7/2021 Estimated due date was 10/14/2021

Other Meds: Prenatal vitamins and 81mg aspirin daily

Current Illness: none

ID: 1273836
Sex: F
Age: 47
State: FL

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Environmental Allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 47 y/o female with past medical history of HTN and Hodgkin?s Lymphoma (remission since 2012), presents today with itching to her left chest, back and neck post vaccination. Patient states that this is her second dose in the two-dose series. Patient denies previous reaction with 1st dose or any other vaccinations. Patient received the vaccination to the Left arm. NP and Paramedics at side. Patient provided with a bottle of water and 25 mg Benadryl PO x1. Patient states that she has environmental allergies. Initial vitals patient noted to be hypertensive, 169/89, all other vitals within normal limits (O2 sats 98% RA, 14 Resp, 77 HR). EKG showed NSR. Approximately 20 mins post Benadryl administration patient states that itch to neck, chest and back had resolved. Patient states that she feels sleepy. Patients father will drive patient home. Patient cleared for discharge. Patient BP on discharge 137/88.

Other Meds: Labetalol

Current Illness:

ID: 1273837
Sex: F
Age: 40
State: FL

Vax Date: 04/07/2021
Onset Date: 04/11/2021
Rec V Date: 04/30/2021
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: Morphine

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

Symptoms: Developed Infectious Mononucleosis 4 dats after receiving vaccination.

Other Meds: None

Current Illness:

ID: 1273838
Sex: F
Age: 50
State: KS

Vax Date: 03/19/2021
Onset Date: 03/19/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Gluten

Symptom List: Nausea

Symptoms: Left arm pain at injection site and surrounding deltoid muscle continues to exhibit pain at rest and movement.

Other Meds: Synthroid, Lipitor, Estrogen

Current Illness: None

ID: 1273839
Sex: F
Age: 77
State: NH

Vax Date: 04/28/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
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: Uncontrollable body shaking, high fever, cold and hot sweats, was not aware at times of where I was or what day it was, my husband had to hold me to help stop the shaking.....NOT CHILLS, could not walk, diarrhea. This happened also on March 31st, my FIRST injection.....My heart was beating out of my chest.... very scary. Please don't tell me this is NORMAL!!! I've lost at least 5 lbs. I am petrified to get the booster, if there is one, I WILL NOT GET IT... ANY SUGGESTIONS.

Other Meds: Topamax for fibromyalgia, Lovastatin 20 mg (taken at night (did not take that evening(

Current Illness: None

ID: 1273840
Sex: F
Age: 55
State: AR

Vax Date: 04/05/2021
Onset Date: 04/06/2021
Rec V Date: 04/30/2021
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: I had a lot of pain everywhere after the 2nd dose on 4/6-7/21. On 4/7/21 I had blurred vision most of the day. I had pain in my eyes on 4/8/21. On 4/12 at 12-5PM my body felt hot, but my temp kept showing 98.6; at night since 4/12 I've had chest congestion & coughing. On 4/19 during the day my body felt hot & didn't feel like myself.

Other Meds: Cevimeline (dry mouth) HCL 30 MG Capsule 2x's a day, Midrodrine (Low Blood Pressure & Migranes) HCL 2.5 2 per day, TraZaDone (sleep) 100 mg, Diphenoxylate-atrop 2.5, generic for Lomti 2.5-0.025 mg for diarrhea 2 x per day, Omeprazole 20

Current Illness: Seborrheic Dermatitis 12/1/20,

ID: 1273841
Sex: M
Age: 75
State: UT

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: I received the vaccine on 4/28/2021 at 10:45am. No adverse effects that day, except for minor tenderness at the injection site. On the morning of 4/29/2021, about 7:30, I woke with a fever of 102. I had no appetite, and felt general flu-like symptoms--dizziness, etc. When I took Advil, my fever lessened. At about 1 pm I ate lunch as usual, and took more Advil in the afternoon for fever. At about 5 pm, I suffered a bout of severe muscle weakness, to the extent that I could not get myself to the bathroom unassisted, and required the help of 2 people to get me out of the bathroom and back to a chair in the living room. At the same time I had dry heaves, severe sweating, and physical exhaustion. I immediately fell asleep in the chair, and slept for 2 hours. When I woke, about 7:30pm, I felt a little better. I was able to take some fluids and a little food. I was also able to stand and walk with just a little support. By 9:30 that night I could stand and walk fairly steadily by myself. I slept well, and when I woke up the morning of 4/30, at about 7 am, I felt pretty much normal. I was steady on my feet, and my fever was down. I had a little dizziness on exertion, but fairly minor, and it passed quickly.

Other Meds: alkaline water, calcium, multivitamin, OsteoBiFlex, antihistamine

Current Illness: none

ID: 1273842
Sex: M
Age: 27
State: NY

Vax Date: 04/27/2021
Onset Date: 04/27/2021
Rec V Date: 04/30/2021
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: NO

Symptom List: Tremor

Symptoms: PATIENT FAINTED 5 MINUTES AFTER RECEIVING VACCINE. HE ADMITTED BEFORE GETTING THE VACCINE THAT HE "DOESN'T LIKE SHOTS". WHEN HE CAME TO, HE WAS DIZZY, PALE/GRAYISH SKIN, VOMITED TWICE AND WAS FATIGUED. WE CALLED AN AMBULANCE. THE PARAMEDICS ATTENDED TO HIM AND ONCE HE WAS FEELING BETTER, HE REFUSED TO GO TO THE HOSPITAL.

Other Meds: MANE MUSHROOMS

Current Illness: NONE

ID: 1273843
Sex: F
Age: 56
State: OK

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 04/30/2021
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: Beef, pork, venison, any red meat

Symptom List: Erythema, Pruritus

Symptoms: Anaphylaxis

Other Meds: Clonidine, verapamil, zyrtec, montelukast, hydrochlorothiazide,nitrofurantoin,gabapentin,

Current Illness: Pink eye

ID: 1273844
Sex: M
Age: 42
State: CA

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: 42 year old male who was complaining of itchy throat, feels like - his throat is closing. Able to speak in full sentences. Spo2 on RA 98%. Felt the same way on his first dose of moderna vaccine.

Other Meds: Flexeril, Flonase, Ketotifen

Current Illness: None

ID: 1273845
Sex: F
Age: 46
State: NH

Vax Date: 04/21/2021
Onset Date: 04/28/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: full body rash in the form of red itchy bumps. more prominent on thighs, hips and ankles.

Other Meds: None

Current Illness: None

ID: 1273846
Sex: F
Age: 53
State: NY

Vax Date: 03/23/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: no

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pt has malaise, headache and a swollen right Pre-auricular node 3x4cm, which appeared 36 days after vaccine.

Other Meds: none

Current Illness: none

ID: 1273847
Sex: M
Age: 51
State: MA

Vax Date: 04/05/2021
Onset Date: 04/16/2021
Rec V Date: 04/30/2021
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: Tinnitus

Other Meds: Lisinopril 10mg daily Zyrtec 10mg daily occasionally 50mg sildenafil

Current Illness: none

ID: 1273848
Sex: M
Age: 36
State: WV

Vax Date: 04/29/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: penicillin

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

Symptoms: patient experienced dizziness, broke out in a cold sweat HR dropped to 31, o2 sat dropped to 92 and patient became pale. At this time the patient was laid back in seat and given water to drink cold wash cloth. I continued to talk with him and reassure him while monitoring his vitals to make sure they were coming up. After a couple of minutes the patient was feeling better and HR was 72 and o2 sat was 99 we continued to monitor another 30 minutes.

Other Meds:

Current Illness:

ID: 1273849
Sex: M
Age: 18
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Zithromax

Symptom List: Pain in extremity

Symptoms: Headache, Body Ache, Chills, Fever

Other Meds: Amoxicillin and Ibuprofen

Current Illness: Sinus Infection

ID: 1273850
Sex: F
Age: 76
State: VA

Vax Date: 02/11/2021
Onset Date: 02/22/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Darvon and Penicillin

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

Symptoms: Total body itch with some skin reaction. Continuous throughout day and night. Initially from head (scalp) to knees (Front and Back) and then eventually entire legs.

Other Meds: Tylenol, multi-vitamin ASA, Calcium, Glipizide, hydrochlorothiazide, Janumet, Losartan, verapamil

Current Illness: none

ID: 1273851
Sex: F
Age: 62
State: NY

Vax Date: 04/05/2021
Onset Date: 04/20/2021
Rec V Date: 04/30/2021
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: Penicillin

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

Symptoms: Fatigue started 4/20, then fever and chills and shaking, cough 4/21-24 with runny nose, nausea and ice pick head aches, shortness of breath and wheezing. Rapid Covid test negative on 4/23. Continued coughing and after 4 days of ice pick head aches almost constantly, went to ER on 4/25 at 9:30 am. IV pain meds stopped ice pick headaches after 40 minutes. Meds for cough and urinary tract infection. Discharged from ER after 5 hours. Continue to have fatigue, sleeping most of the day, low grade head ache, nausea, shaking, and one episode of vertical nystagmus.C

Other Meds: metoprolol, multivitamins, B, D, C, iron

Current Illness:

ID: 1273852
Sex: M
Age: 38
State: AR

Vax Date: 04/30/2021
Onset Date: 04/30/2021
Rec V Date: 04/30/2021
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: NKA

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

Symptoms: 0947-Pt passed out after receiving Moderna vaccine. EMS called. Pt awoke spontaneously after 90 seconds. Pt states he has passed out before with blood draws but did not mention before receiving vaccine. P 80 R 16 B/P 84/50. EMS left, pt remains in clinic for observation. 1035-Pt remains alert, only c/o heart palpitations. HR 120's-130's. EMS called to reevaluate. EKG performed by EMS. EMS states pt in Atrial fib and tachycardic. EMS discussed with pt need for cardiac consult to evaluate. Pt declined transfer to hospital. EMS called Urgent Care clinic and spoke with staff. Urgent care agreed to see pt and initiate cardiology consult. 1310-Pt walked to car with staff and drove himself across street to Urgent Care. 1201-Pt called and states he was seen at Urgent care and EKG repeated and he was shown to be in normal sinus rhythm. Blood work drawn. Has appt Monday 5/3/21 with cardiologist. States he was released to go home.

Other Meds: Ginseng supplement daily-took on morning of receiving vaccine

Current Illness: N/A

ID: 1273853
Sex: F
Age: 43
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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:

Symptom List: Vomiting

Symptoms: Tired, low fever and chills

Other Meds: Vitamins, allergy, black cohosh, propanol

Current Illness:

ID: 1273854
Sex: F
Age: 22
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: High fever, body aches, chest pains, back pain, fatigue, sweating, chills, shortness of breath, over sleeping, left arm pain.

Other Meds: Adderall XR 30mg Lezapro 20mg Cranberry pill

Current Illness: Nonexistent

ID: 1273855
Sex: M
Age: 70
State: FL

Vax Date: 03/09/2021
Onset Date: 03/30/2021
Rec V Date: 04/30/2021
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

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

Symptoms: RASH ON BOTH HANDS AND SORENESS AND INFLAMMATION OF ANKLES, KNEES, ELBOWS, AND WRISTS ON BOTH SIDES OF MY BODY

Other Meds: NONE

Current Illness: NONE

ID: 1273857
Sex: F
Age: 82
State: NJ

Vax Date: 03/31/2021
Onset Date: 04/12/2021
Rec V Date: 04/30/2021
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: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Vitals of patient were taken in mornings after initial dose of vaccine. On the 12th day after said inoculation patient blood pressure dropped from normal 139/63 to 100/54 for period of 2 - 3 days. Patient demonstrated no additional adverse symptoms, i.e., fever, joint pains, respirator distress, headaches, etc.

Other Meds: multi-vitamin/minerals tablet, q.i.d; pravastatin 20mg, q.i.d.

Current Illness: none

ID: 1273858
Sex: F
Age: 18
State: IN

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
Hospital:

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

Lab Data:

Allergies: Flagyl

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

Symptoms: Low grade fever 100.4 approximately 8.5 hours after vaccine administered. Severe body aches - complained that bones hurt, especially ribs and legs. Rapid heart beat on. and off for 24 hours. Injection site pain for 30+ hours.

Other Meds: Junel; Metformin

Current Illness: None

ID: 1273859
Sex: F
Age: 17
State: MA

Vax Date: 04/28/2021
Onset Date: 04/29/2021
Rec V Date: 04/30/2021
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: Fainted- Started feeling sick and other common side effects after 7 hours continuing throughout the next day, and passed out at 8pm about 30 hours after the shot. And continuing to feel common side effects throughout night 2 and next day (aprox. 48 hours after shot)

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm