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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 0968324
Sex: F
Age: 28
State: MO

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Fever of 101.7 since the day of shot fever began around 5pm severe body aches, headache, nausea, chills accompanied the fever.

Other Meds: Tylenol, aleeve

Current Illness: None

ID: 0968325
Sex: F
Age: 46
State: MI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
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: unknown

Symptom List: Anxiety, Dyspnoea

Symptoms: Sleepy, tickle cough, and itchy and red all over

Other Meds: unknown

Current Illness: unknown

ID: 0968326
Sex: F
Age: 84
State: WI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital: Y

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: unknown

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

Symptoms: Patient was dizzy and slight disorientation after getting vaccine and was observed on site until 1/22 then she was sent to hospital for stroke like symptoms and is scheduled to return to facility on 1/23.

Other Meds: unknown

Current Illness: unknown

ID: 0968327
Sex: F
Age: 70
State: IN

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I began having severe shaking chills on 01/19/2021 in the evening. I kept being awakened by chilling and covered up on 3 blankets. I took my temperature at 11:00pm and it was 100.3 degrees. My normal is 97.3degrees. Around 1:00 am I was awake with nausea and stomach pain. I did doze off and on all night. I woke at 8:00 and my temperature had gone down to99.4. The nausea eased off. I rested all day. My arm was very sore and in the evening it was red. The next day I had no fever, but my arm was a little swollen and sore. The redness had increased and it felt warm to the touch. This began to subside on Friday and is now still a little red, but not painful. I had suffered with COVID in July. I assume this is why I had a reaction. It was much less severe that the infection.

Other Meds: Levothyroxin 50 mcg; Triamt/hctz 75-50 mg; Benazrpril 40mg; Vita fusion gummy vitamins

Current Illness: None

ID: 0968328
Sex: F
Age: 54
State: CA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Antibiotics, gluten, dairy

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

Symptoms: Moderna COVID-19 Vaccine EUA - within 30 minutes - high blood pressure, dizzy, nauseous, within one hour - fever, joint pain, chills, fatigue - resolved within 24 hours. Arm pain lasted 3 days. On 1/23 - arm pain returned with a rash

Other Meds: Attivan, .5 mg 3x a day, Vitamin D, C, Biotin, Primrose oil, tylenol

Current Illness: none

ID: 0968329
Sex: F
Age: 51
State: CA

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Penicillin

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

Symptoms: Axilary lymph pain and edema in vaccinated arm with pain throughout internal part of arm down to hand

Other Meds: Levothyroxin for Hashimoto's; Apriso for Ulcerative Colitis; Multiple vitamins

Current Illness: None

ID: 0968330
Sex: F
Age: 74
State:

Vax Date: 01/11/2021
Onset Date: 01/15/2021
Rec V Date: 01/23/2021
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: Do not know if the symptoms were related to the vaccine. They started 4-5 days after Pfizer Covid-19 vaccination. Intermittent Scratchy throat, stuffy sinuses, extreme fatigue felt as if I was coming down with or fighting a cold. Symptoms lasted on and off for about 4-5 days. Nothing materialized. After that I felt fine

Other Meds: Olmesartan Baby aspirin Metroplol Atorvastatin Zetia

Current Illness:

ID: 0968331
Sex: F
Age: 31
State: CA

Vax Date: 01/01/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: General allergies - dust, dirt

Symptom List: Pharyngeal swelling

Symptoms: Severe headache, loss of appetite, chills, pain in hips and upper legs, severe soreness in arm, confusion

Other Meds: None

Current Illness:

ID: 0968332
Sex: F
Age: 35
State: MA

Vax Date: 01/12/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Benzoyl peroxide (topical ointment)

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Seven days after first dose I noticed two red swollen bumps about 2-3 inches below vaccine injection site. In the course of 24 hrs the red bumps spread to cover 2?x4? area that was itchy, red, swollen and warm. The patch of swollen skin remain for 2 days and started to dissipate and mostly gone by day 4 after appearing.

Other Meds: No

Current Illness: No

ID: 0968333
Sex: M
Age: 51
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: fever, chills, arm pain, fatigue but mainly swollen lymph nodes continuing to swell for two days

Other Meds: No Medications, Multivitamin

Current Illness: none

ID: 0968334
Sex: F
Age:
State: AR

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Body aches, headache, fever 101.8

Other Meds: triamt-blood pressure 25 burpoion300 sertaline25 pravastatin cholesterol 20

Current Illness: NA

ID: 0968335
Sex: F
Age: 38
State: HI

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
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: Axillary lymph node swelling and pain

Other Meds:

Current Illness:

ID: 0968336
Sex: F
Age: 50
State: TN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Within 24 hours of dose, I had low grade fever, headache, and achiness despite being on ibuprofen around the clock. Sore arm persisted for 5-6 days as well.

Other Meds: Ibuprofen

Current Illness: None

ID: 0968337
Sex: F
Age: 33
State: CA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Headache, myalgias, dyspnea, chest pain

Other Meds: None

Current Illness: None

ID: 0968338
Sex: F
Age: 42
State: PA

Vax Date: 01/01/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Very sore arm for 2 days and a week later I have a large red patch where I received shot and want to touch and slightly sore

Other Meds: None

Current Illness: Papillary Thyroid carcinoma just diagnosed November 2020

ID: 0968339
Sex: F
Age: 29
State: MA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Throbbing at injection sight. Hot and cold. Profuse sweating. Racing heartbeat. Nausea. No appetite. Body aches

Other Meds: None

Current Illness: Tested positive for covid 1/14 and two negative test 1/15 and 1/19

ID: 0968340
Sex: F
Age: 34
State:

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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 in medical record, but pt stated she is allergic to food, plastics, animals- causes rash

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

Symptoms: pt c/o itching on bilateral legs, taken to close observation area where she began to c/o SOB. Epi given IMx1 and pt transferred to ED

Other Meds:

Current Illness:

ID: 0968341
Sex: M
Age: 74
State: NC

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital: Y

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: 24 hours after presentation patient had developed high fevers 104. He presented to the emergency department with symptoms of severe sepsis and respiratory distress. He was intubated, suffered cardiac arrest with return of spontaneous circulation, requiring vasopressors.

Other Meds: ASPIRIN 81 MG CHEWABLE TABLET Chew 1 tablet (81 mg total) daily. ? ATORVASTATIN (LIPITOR) 80 MG TABLET Take 1 tablet (80 mg total) by mouth every evening. ? CLOPIDOGREL (PLAVIX) 75 MG TABLET Take 1 tablet (75 mg total) by mouth da

Current Illness: None known prior to vaccination

ID: 0968342
Sex: F
Age: 71
State: OK

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: penicillin, Muscle relaxers, codeine, tetanus, perfumes.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: fatigue, headache, muscle pain, joint pain, chills, nausea, fever, cough. at this time still having them.

Other Meds: vitamin d3, Tylenol

Current Illness: no

ID: 0968343
Sex: M
Age: 33
State: NY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Gluten Intolerant

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

Symptoms: Fatigue and headache- Lasted approximately 32 hours from onset; Arm pain - lasted approximately 36 hours from onset; Fever/ chills - ongoing as of 08:30pm 1/23/21. Rotating ibuprofen and acetaminophen; Nausea/ vomiting - one instance

Other Meds: Vitamin B2, Magnesium

Current Illness:

ID: 0968344
Sex: M
Age: 85
State: KS

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Had fallen early morning the day after the injection. At approx 12 noon, was eating lunch and became nauseous, diaphoretic, vomiting and ashen. Complained of chest pain. EMS activated and sent to ER for further evaluation. Cardiac work up completed and within normal limits. returned to facility. ER note: ?Very likely musculoskeletal in nature (maybe from recent Covid vaccination?

Other Meds: Unknown

Current Illness:

ID: 0968345
Sex: M
Age: 46
State: GA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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: Unevaluable event

Symptoms: low grade fever chills diarrhea dizziness body ache

Other Meds:

Current Illness: n/a

ID: 0968346
Sex: M
Age: 87
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
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: Pennicillin Sulfa

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

Symptoms: ear Ear Ache and now pain in the canal down to the throat Treated with Tylenol ache

Other Meds: Co Q 10 200mg: multi vitamin: Simvastatin 20 mg: finasteride 5mg: terazozin HCL 1 mg CAP: alogliptin 12.5mg tab:metformin HCL 1000mg Tab: famotidine 20 mg tab: nifedipine (EQV-CC) 90 MG SA TAB: PotassiumChloride 10 MEQSACAP Dulcolax

Current Illness: None

ID: 0968347
Sex: F
Age: 72
State: IL

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Sensitive to various grains. Wheat, oats, corn.

Symptom List: Injection site pain, Pain

Symptoms: Rapid heartbeat, rash, hives, itching, felt flushed, no fever. I still have mild symptoms.

Other Meds: Tirosint, liothyronine, digestive enzymes, thyroid supplements, vit B12, zinc, magnesium glycinate, selenium

Current Illness: None

ID: 0968348
Sex: F
Age: 43
State: NY

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Rashes on the neck, on both arms and shoulder blade

Other Meds:

Current Illness:

ID: 0968349
Sex: F
Age: 37
State: AR

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 01/23/2021
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: 1/7/21: had thee COVID vaccine on 1/5/20 and developed symptoms an hour after administration chills, sweats and bodyaches. Also developed nausea, diarrhea and chest pain. Woke up this morning with cough and congestion. 1/10/21: called this morning to give us an update on her symptoms and see about a COVID swab. states that she is currently hooked up to an IV due to dehydration and no urine output. she has had zofran and pain medication for her severe abd pain. They have strep swabbed and flu swabbed but have not COVID swabbed. Encouraged getting a COVID. She states she will ask them for one and will call us with an update either today or tomorrow. 1/10/21: called and left voicemail stating that she was being discharged. they did COVID 48-72 hours for results. On ABX and Phenergan and Zofran alternating. Got two bags of LR has UTI and Kidney infection. CT with contrast lungs clear. Negative for flu and strep. Strep culture pending. added to spreadsheet since she was COVID tested. 1/14: Called regarding her Covid test. It was reported as negative. is still very sick with fever, sore throat, congestion, nausea. I spoke with Doctor regarding the extent of her symptoms following the vaccine. Doctor recommended that she be seen by her PCP as she has not improved. 1/14: called and went to her PCP as advised by Doctor. now has a UTI and URI. She is on Macrobid and Levoquin as well as Zofran and Phenergan. Her BP was 117/60 and dehydrated. Her PCP told her to monitor her BP and return to ER if not improved and also return to ER if symptoms became worse. will call on Monday 1/18/2020 and update us on her condition 1/17:COVID tests were negative, over 48 hours since a temp above 100.4, 99.1 was the last temp doing better. No more vomiting and no diarrhea. still has a cough and is still on ABX from all of her symptoms. Is on a cough suppressant so recommend her working from home since she is able and will update us towards the end of the week on how she is doing. 1/20: Received the COVID vaccine on 1/5/21. Released yesterday to work from home. No longer has vomiting or diarrhea. COVID, FLU and strep tests negative. Diagnosed with allergic reaction to COVID Vaccine. had kidney infection and UTI. CT of abdomen done with contrast. CXR to r/o pneumonia. continues to have a runny nose, no fever. Continues to have laryngitis and fatigue. called today to get released. Encouraged to call back when she gains more strength and can return. My PCP diagnosed me with a severe allergic reaction to the covid shot. I had the rapid covid test ran twice and the test sent out twice, all 4 tests came back negative. I had the flu test ran and it came back negative. So did the strep culture. I had 2 full lab workups ran and they both came back normal including my vitamin levels. The only thing that was out of alinement was my white cell count was high due to an infection. Today, I am currently running a fever of 99.4. I still have a cough that is rather irritating. I still do not have a voice. I am retaining color back in my skin. I am still tired and weak but have managed to work and do small things around the house such as cook dinner, wash laundry, clean dishes, and shower. These were daily tasks that I wasn't able to do during the first 2 weeks after taking the shot.

Other Meds:

Current Illness:

ID: 0968350
Sex: F
Age: 52
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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, bee stings

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Each event was added with time lapse of 30 min. Within a 2-5 minutes felt dizziness, lightheadedness, and heart racing; within 10 minutes: felt above plus light left arm pain and slight headache, right arm soreness from vaccine shot; within 30 minutes: above plus felt light left leg discomfort. Overnight: left with slight headache, arm/shoulder soreness from vaccine, and light palpitations , left leg discomfort Next day: with one single sharp slight chest pain around 2:30 pm on 1/23/21

Other Meds: prebiotics, probiotics, green superfoods

Current Illness: none

ID: 0968351
Sex: F
Age: 26
State: VA

Vax Date: 01/16/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: A week after I got my first injection of the moderna vaccine the injection site started to swell, become hot and itchy.

Other Meds: Jamunet, Cymbalta,Blackseed oil, apple cider vinegar, Ortho Tri-Cyclen Lo, melatonin

Current Illness: None

ID: 0968352
Sex: F
Age: 50
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: My left arm hurts and I have a small bamp on my clavicle bone, and it hurst under my armpit and is a little puffy. This happended after the COVID19 Moderna vaccine.

Other Meds:

Current Illness:

ID: 0968353
Sex: F
Age: 43
State: AZ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Sulfonamides

Symptom List: Nausea

Symptoms: Throat tightening, very small area of erythema on chest. bBenadryl 50 mg IV, 1L NS IV.

Other Meds: Prevagen, Xyzal, Remeron, Naprosyn, Synthroid

Current Illness: none

ID: 0968354
Sex: M
Age: 80
State: FL

Vax Date: 01/08/2021
Onset Date: 01/14/2021
Rec V Date: 01/23/2021
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: None known

Symptom List: Injection site pain

Symptoms: Acute Gastrointestinal Bleeding per rectum with massive bloody diarrhea, transfer to Emergency room by EMS with IV placement and fluid resuscitation, vital signs unstable, emergency assessment and massive transfusion over next 4 hours of 4 units of PRBC and 2 units platelets, dual 16 gauge IV's, intrarterial line. ER Summary available and can be scanned and sent. Low HgB, Low platelets in 60 k range and multiple consultants and diagnositcs

Other Meds: Diltiazem 120 mg bid, Metoprolol 25 mg qd, Lisinopril 10 qd, Clopidogrel 30 qd, ASA 81 mg qd, Metformin 500 mg bid, Pioglitazone 30 mg qd, L thyroxine 88 mcg qd, Ezetimibe 10 mg qd, Silodosin 4 mg qd; Centrum Silver Multivitamin 1 qd, and

Current Illness: No acute illness. H/O Diverticulosis August 2020

ID: 0968355
Sex: F
Age: 20
State: KY

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: moderate to severe headache, fever, nausea, severe pain in left arm around injection site, body aches, chills

Other Meds: Ned plan on birth control implant

Current Illness: none

ID: 0968356
Sex: F
Age: 78
State: IN

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Lincocin and Cleocin Shingrex Vaccine

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

Symptoms: Friday Evening, (7 PM) after the Thursday PM injection, I experienced extreme chills and all over body aches. I took 2 Coricidin pills and went to bed at 9:30 PM. After 12 hrs. of sleep, I woke up feeling better and have not experienced a return of symptoms.

Other Meds: Simvastatin; Paxil; Synthroid; Hydrochlorothiazide; Losartan; OTC: Coricidin General Vitamin

Current Illness:

ID: 0968357
Sex: F
Age: 45
State: MT

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: sulfa allergies, lactose intolerant

Symptom List: Tremor

Symptoms: rash over upper arm, hot to the touch, itchy, painful, swollen cold compress used as treatment most symptoms cleared up within 72hrs; redness and mild swelling persist as of writing (10 days after first appearance)

Other Meds: Vitamin D3, Centrum multivitamin, OTC Zyrtec, turmeric/curcumin supplement

Current Illness: none

ID: 0968358
Sex: F
Age: 32
State: OR

Vax Date: 01/09/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
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: Seasonal, grass, dust, dust mites, cats, dogs, pollen

Symptom List: Erythema, Pruritus

Symptoms: Initially when receiving the vaccination I was fatigued within a few hours and a very sore arm. After 24 hours I was super fatigued, had chills, and headache, and arm pain was so bad I could b as reply move it. I had a headache and very sore arm for the next 4-5 days. My symptoms subsided until almost 2 weeks later. The area of the injection became raised, hot, itchy, and sore again. It's now been 5 days out from symptom onset and the redness has spread to a large part of my upper arm. It is also still itchy and tender to the touch.

Other Meds: Hydrochlorothiazide, Aller-tec, acid controller

Current Illness:

ID: 0968359
Sex: U
Age: 23
State: DE

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
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: 10 am arm pain at site, 12 noon severe arm pain, 3pm dizziness joint pain weakness, 7pm chills fever (101) headache body pain weakness

Other Meds: None

Current Illness: Mild cold

ID: 0968360
Sex: F
Age: 50
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Within 5 minutes of administration, I experienced increased heart palpitations. To be fair, I experienced random, infrequent heart palpitations before getting this vaccine. When the vaccine was given, I noticed that they were more frequent, and lasted for about an hour, then stopped. Each palpitation only lasted a few seconds.

Other Meds: Vitamin D 2 50,000 units, weekly

Current Illness: none

ID: 0968361
Sex: M
Age: 33
State: DE

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Day 1 was dizziness and haziness, then pain and exhaustion. Night 1 was fever, shakes, chills, uncontrollable bowels. Day 2 was a POUNDING headache in my eyes, sides of my head, swollen lymph nodes, and on my jaw. Night 2 was sweats and nausea. Day 3 was coughing and mucus as well as muscle pain.

Other Meds: None

Current Illness: None

ID: 0968362
Sex: F
Age: 26
State: NY

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/23/2021
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: Amoxicillin

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

Symptoms: Dizziness 2 hours after vaccination, lasted up to 3 hours later. Chills and nausea 3 hours after vaccination, lasted 1-2 hours. Joint pain in hip 1 and 2 days after vaccination. Chills, fever, muscle fatigue 2 days after vaccination.

Other Meds: Lexothyroxine, Humira, ferrous sulfate, folic acid

Current Illness:

ID: 0968363
Sex: F
Age: 33
State: MN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/23/2021
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: None

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

Symptoms: At 11pm had unbearable abdominal pain with chills. Passing gas, having a bowel movement and walking did not help relieve the pain. The pain lasted 4 hours. Every hour made me consider going to the ER because it hurt so bad. I finally passed out from not sleeping. When I woke up 2 hours later for work I was fine.

Other Meds: Vit D 2000 units

Current Illness: None

ID: 0968364
Sex: M
Age: 61
State: WA

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
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: augmentin

Symptom List: Pain in extremity

Symptoms: Pulmonary embolus developed 8 days after second injection. No previous history of vascular events. No known risk factors.

Other Meds: Omeprazole

Current Illness: none

ID: 0968365
Sex: F
Age: 45
State: PR

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: Fish,seafood Environmental allergies

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

Symptoms: Body ache, rash, headaches, joint pain 4 days after cellulitis injected in the arm

Other Meds: Zanaflex 4mg Restoril30mg

Current Illness: Fibromyalgia, Insomnia, Chronic pain,Arthritis

ID: 0968366
Sex: F
Age: 72
State: NY

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Dizziness ..nausea..diarrhea.. faintness

Other Meds: Cholesterol medicine

Current Illness: No

ID: 0968367
Sex: F
Age: 49
State:

Vax Date: 01/07/2021
Onset Date: 01/18/2021
Rec V Date: 01/23/2021
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: Codeine Flu vaccine

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

Symptoms: Rash on my torso and right hip

Other Meds: Vitamin C. Vitamin D Zinc Multivitamin B complex

Current Illness: None

ID: 0968368
Sex: M
Age: 51
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/23/2021
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: Naproxen

Symptom List: Vomiting

Symptoms: My Left shoulder became red at the injection site and swollen. I also have pain and stiffness going from the injection site all the way up to the base of my skull. If I look down at my hands, my cell phone, the ground or even at a desk too long, the left side of my neck gets so stiff that it hurts to raise my head back up to normal height. The muscles in my left shoulder and left side of my neck are so tight that it seems like I have been lifting weights for days. I have not worked out in months. Today is 1/23/21 and I still have the problem. I also had a migraine headache for three to four days after the vaccine.

Other Meds: Metformin, Atorvastatin, Pregabalin, Hydrocodone, Prilosec,

Current Illness: Asthma, Sleep Apnea, Type II Diabetes, Hay Fever, High Cholesterol

ID: 0968369
Sex: F
Age: 28
State: UT

Vax Date: 01/05/2021
Onset Date: 01/19/2021
Rec V Date: 01/23/2021
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: possible allergic reaction to penacilin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: shot was administered on the 12 of january..... immediately after vaccine: pain, swelling, redness, heat, hard lump: this lasted until friday.... Friday Jan , injection site had less redness and swelling but had turned to a bruise........ Tuesday the 19th the area was bright red, warm to the touch, hard, swollen and itchy..... This lasted til wednesday. Thursday the 21 it seemed to get better... Friday it looked just like a bruise like it had the previous friday..,.... Today, Saturday the 23, the area is getting red again, itchy, hot, and the redness is spreading.... almost looks like ringworm. I have had multiple nurses and nurse practitioners as well as a dr tell me it looks like cellulitis?

Other Meds: phentermine and over the counter pro biotic

Current Illness: bacterial vaginosis

ID: 0968370
Sex: F
Age: 56
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/23/2021
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: Fatigue, muscle fatigue since the second day, to the present does not resolve. More on the lower extremities ( bilateral)gluteus and lower back , feel weak .

Other Meds: Losartan, hydrochlorothiazide, Wellbutrin

Current Illness: No

ID: 0968371
Sex: F
Age: 39
State: CA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/23/2021
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: Large rash appeared 7 days afterwards, no prior symptoms. Growing in size.

Other Meds:

Current Illness: none

ID: 0968372
Sex: F
Age: 44
State:

Vax Date: 12/16/2020
Onset Date: 12/16/2020
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: NKDA. Environmental allergies

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

Symptoms: About 10 min after injection I began to feel dizzy, then had 1 faint wheeze at the base of my chest, I became nauseous, then developed rapid palpitations. I BP was checked about 10 min later and I was hypertensive SBP 180s. By the HR was down to about 90 bpm and I felt the palpitations begin to decrease. I was feeling better by about 10 min later and went home. I also had itchiness of the L hand for about 1 hr afterwards.

Other Meds: Microgestin, Losartan

Current Illness: None

ID: 0968373
Sex: F
Age: 36
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/23/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

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

Symptoms: Shortness of breath last whole day on 1/23/2021

Other Meds: Tylenol

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm