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: 0970626
Sex: F
Age: 46
State: NY

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
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: Keflex, Cipro, Amoxicillin, Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Swelling at site of injection, rash as site of injection that spread from day 7 to day 8, itchiness at site of injection, heat production t site of injection.

Other Meds: zyrtec

Current Illness: none

ID: 0970627
Sex: F
Age: 29
State:

Vax Date: 01/13/2021
Onset Date: 01/16/2021
Rec V Date: 01/25/2021
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: Fatigue, chills, headache and muscle aches

Other Meds:

Current Illness:

ID: 0970628
Sex: F
Age: 51
State: OH

Vax Date: 01/05/2021
Onset Date: 01/09/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: none on file

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

Symptoms: Moderna COVID-19 Vaccine EUA right arm developed a ?hot spot?, about four days after my first Moderna COVID shot. It fades, then comes back.

Other Meds: unknown at time of vaccination

Current Illness: none at time of vaccination

ID: 0970630
Sex: F
Age: 45
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chills, fever and muscle aches for 24 hours, I took tylenol and motrin

Other Meds: no

Current Illness: no

ID: 0970631
Sex: F
Age: 30
State: GA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: no

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

Symptoms: 2 or 3 days post vaccine noticed gum swelling behind top front tooth. Went to the dentist on 1/13 found no cause of symptoms via x-ray or visual inspection. Messaged Primary Care Doctor on 1/19 explaining symptoms with no resolution. Did explain this happened post vaccine. Treatment recommended was ibuprofen 600mg 3X's a day. I managed symptoms with ibuprofen but returned back to the dentist on 1/22 since I could not go without the ibuprofen. They visually see no immediate cause, but decided to make mouth guards to see if grinding at night is causing the issue, other possible problem would be I still have my wisdom teeth. Primary Care Dr. suggested I report this in case it was vaccine related since there is no real way to know for sure.

Other Meds: atenolol as needed for anxiety. Uses Level brand- Thrive nutrition products for supplements.

Current Illness: none

ID: 0970632
Sex: F
Age: 75
State:

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
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: NKA

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

Symptoms: Foggy--increased monitoring for 25 minutes.

Other Meds: Fosamax, Fluticasone, Tylenol with Codeine

Current Illness: None

ID: 0970633
Sex: F
Age: 56
State: MN

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
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: fever , chills, headache , body aches, fogginess Missed work x 1 day

Other Meds:

Current Illness:

ID: 0970634
Sex: F
Age: 50
State: TN

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: shellfish

Symptom List: Pharyngeal swelling

Symptoms: Approx 2 hrs following vaccination, patient experienced severe swelling of her tongue and tingling and numbness of her lips. She also experienced numbness in her face bilaterally. She took 25mg of Benadryl and within 30 minutes the numbness had improved and the swelling of her tongue had improved. She did not experience difficulty breathing or swelling of her throat.

Other Meds: beta blocker daily? seizure medication daily? Has MS and takes Ofatumumab treatment monthly. Had treatment 1 week prior to covid vaccination.

Current Illness: none

ID: 0970635
Sex: F
Age: 35
State: IN

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
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, cephzil, rhinocort, lo lo estrin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Swelling, redness to about 1.5 inches by 1 inch. Warm to touch. Sometimes itches

Other Meds: Allegra, multi vit, calcium, biotin, vit d, venlafezine, spironolactone

Current Illness: None

ID: 0970636
Sex: F
Age: 29
State:

Vax Date: 01/13/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Fatigue, chills, headache and muscle aches

Other Meds:

Current Illness:

ID: 0970637
Sex: M
Age: 47
State: MA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: I had Runny nose, itchy throat, head Ache, Stuffy Nose, Achy Body and fatigue.

Other Meds:

Current Illness:

ID: 0970638
Sex: F
Age: 29
State: PA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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: denies

Symptom List: Rash, Urticaria

Symptoms: 1/23/21 10 AM-got out of shower and noticed left arm injection site was red and swollen and noticed it started to spread. Pt. states that the size of her arm swelling and redness is about the size of dollar bill and spreading. Pt. states that her left arm is really itchy. Pt. states that she started experiencing chest tightness on 1/18/21. She was seen by her cardiologist and echo was performed and reportedly normal. Pt. states that her chest tightness is still present and is going to make appt with pcp to have chest tightness evaluated. Pt. denies taking anything for her symptoms.

Other Meds: omeprazole daily

Current Illness: denies

ID: 0970639
Sex: M
Age: 56
State: NY

Vax Date: 01/12/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Severe pain that has extended from injection site to chest and shoulder--went to ED for the pain. Unable to contact employee to get more information.

Other Meds:

Current Illness:

ID: 0970640
Sex: F
Age: 69
State: TX

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
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: penicillin, latex, glue on band-aids

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

Symptoms: Moderna COVID?19 vaccine EUA. On day 8 bright red area, hot to the touch, covering deltoid with hives, itching and swelling. Continues even 3 days later. Using 1% hydrocortisone cream to handle itching.

Other Meds: none

Current Illness: none

ID: 0970641
Sex: F
Age: 56
State: NY

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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: Levaquin

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

Symptoms: less than 24 hours after vaccine developed tachycardia which broke, no fever at that time noted, 24 hours after injection developed rigors and temperatures greater than 104 for going on 48 hours. Severe severe joint pain and arm swelling a injection site with lymph node swelling.

Other Meds: Inderal ER, Amlodipine

Current Illness: none

ID: 0970642
Sex: F
Age: 25
State:

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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: N/a

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA, - headache - chills - fever - swollen lymph nodes (sore throat)

Other Meds: n/a

Current Illness: N/a

ID: 0970643
Sex: F
Age: 64
State: PA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 01/25/2021
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: Penicillin

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

Symptoms: About 3 hours before bedtime she started having decreased sensation of her left hand. Involved her entire left hand from the wrist down. By morning, her numbness had resolved entirely.

Other Meds: Lipitor, Synthroid, Effexor, and Ambien

Current Illness: None

ID: 0970644
Sex: F
Age: 49
State: IN

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: N/K

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Swollen lymph node/gland w/ tenderness in the left arm Pitt

Other Meds: 600 mg of Ibuprofen right before injection and every 6-8 hrs after injection

Current Illness: N/K

ID: 0970645
Sex: F
Age: 22
State: MD

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: nuts

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 6:40: complains of tingling 5 mins after shot, continued for 15 mins on and off; informed MD; stayed another 15 mins for observation, developed a rash on arm; received 25 mg IM of Benadryl. Symptoms resolved by 1855.

Other Meds: n/a

Current Illness: none

ID: 0970646
Sex: F
Age: 53
State: GA

Vax Date: 01/15/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: NKDA

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

Symptoms: First day after does I felt fine. A little soreness at injection site. But overall fine. Did yard work all weekend kind Sat and Sunday. Went to work on Monday was fine. Came home did peloton 45 min and then did more yard work with my husband. That night I became extremely sore and tired went to bed at 9 pm. That next day would be Tuesday the 19th I was tired all morning very low energy. Then by 130pm it hit me like a ton of bricks, extreme fatigue and chills. Drove myself home, almost did not think I could drive the entire way home ( about a 20 min ride). Made it home went straight to bed, body ache, chills, fever101.6 and smashing headache. Called out of work for Wed Jan 20th. I am an RN at an outpatient orthopedic facility. I have not missed a work day in 9 years. I exercise 6-7 days per week. I am never sick! I continue to run fever until Thursday pm. No fever on Friday the 22nd. Just continue with extreme fatigue, smashing headache and dizziness. I decide by Sunday January 24th to go get tested for COVID and did a rapid test and it came back negative. I was told to report my adverse reaction. Today I feel better, first day I have not woken up with a headache. Have developed a slight headache not as bad. Continue with the fatigue. I would like to report this and have someone contact me. I do not know what to do about the second does! This has hit me so hard. Thank you!

Other Meds: Allegra, vitamin C, D3, Zinc

Current Illness: None

ID: 0970647
Sex: F
Age: 46
State: MD

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/25/2021
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: sulfa

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

Symptoms: redness, swelling, pain within 24 hours of injection. Swelling & pain subsided with in 2 days. Raised red mark (approx. 2 inches around was present for almost 2 weeks. Raised mark has subsided, but still faint redness.

Other Meds: multivitamin, Advil prn

Current Illness: n/a

ID: 0970648
Sex: M
Age: 58
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: Gluten, Vicodin.

Symptom List: Unevaluable event

Symptoms: 100F fever from 2pm - 6pm. 98F at bedtime. Normal temperature in the morn upon awaking at 6:30am.

Other Meds: None

Current Illness: None

ID: 0970649
Sex: F
Age: 22
State: MD

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
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: nuts

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

Symptoms: 6:40: complains of tingling 5 mins after shot, continued for 15 mins on and off; informed MD; stayed another 15 mins for observation, developed a rash on arm; received 25 mg IM of Benadryl. Symptoms resolved by 1855.

Other Meds: n/a

Current Illness: none

ID: 0970650
Sex: F
Age: 40
State: FL

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
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: Mushrooms, Singulair, mold, cockroach and dust allergies

Symptom List: Injection site pain, Pain

Symptoms: Patient experienced welt , warm area of vaccine and large reaction on injection sit the following morning after the vaccine was given. She was started on a daily dose of Allegra in the am Pecid around lunch time and Xyzal at night symptoms started to get worse around the fourth day after injection her local reaction increased in size it became about the size of a large orange it became a welt and was very hot to touch. She was applying cold compress as instructed and started applying one percent hydrocortisone cream with no relief. Throughout the following week she noticed when she forgot to take her antistamine at night she could not stop coughing and was sneezing and clearing her throat and the vaccine area had become extremely itchy and had flared up in size and warmness she took flonase nasal spray, 40mg of prednisone and took xyzal to help with the symptoms. She immediately reported the reaction to MD this am.

Other Meds: Flonase sensimist, Allegra, Pepcid, Xyzal, Otc Iron Supplement, took Motrin after the vaccine due to patient feeling warm after vaccine but no fever.

Current Illness: Anemia

ID: 0970651
Sex: F
Age: 51
State: IA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Hives - treated with Benadryl oral and epinephrine 1:1000, 0.5 mg IM. After 10 minutes, she had significant improvement in her symptoms, though some persistent urticaria yet (they are fading more anteriorly than posteriorly). This dose was repeated with essential resolution of her symptoms.

Other Meds: None

Current Illness: none

ID: 0970652
Sex: F
Age: 42
State: NJ

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
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: Avelox, Doxycycline, Influenza Vaccine, Tdap, Valtrex, nuts, and seafood

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

Symptoms: Vaccine recipient received vaccine on 1/21/2021. Approximately 5 minutes after receiving the vaccination developed scratchy throat, hoarseness, and a rash over entire body. Patient self-medicated with diphenhydramine, cimetidine, and a steroid from her own emergency kit. She was sent to the emergency department and she was given an additional diphenhydramine 25 mg and epinephrine 0.3 mg. She has a history of adverse reactions to vaccines in the past. In the ED when she was reexamined her condition improved and she was discharged to home.

Other Meds: Diphenhydramine, prednisone, cimetidine, and epinephrine as needed for allergic reactions.

Current Illness: None

ID: 0970653
Sex: F
Age: 41
State: NY

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Following the 1st dose- arm soreness and pain at injection side. 2nd dose- axilla pain on the right, flu like symptoms, headache, joint pain followed by migraine headache on day 3 post second dose. On Saturday day 4 hives, itching all over the body. Treated with oTC Benadryl 50mg q 6hrs. On day 5 the rash was more severe. Contacted PCP and was prescribed prednisone 20mg daily. Day 6- today, rash slightly improved but still present and itchy. Feeling weak and dizzy.

Other Meds: Vesicare

Current Illness: None

ID: 0970654
Sex: F
Age: 31
State: NH

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: mild allergy pineapple

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Day after injection on 1/13/21 Left arm became "looked like bee sting" red, swollen, sore, hardened area at injection site, day 2 c/o itchiness.

Other Meds: allegra and omiprizole

Current Illness: no

ID: 0970655
Sex: M
Age: 53
State: NJ

Vax Date: 01/13/2021
Onset Date:
Rec V Date: 01/25/2021
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: Nothing

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

Symptoms: Jaw pain it?s random for 5 days

Other Meds: Nothing

Current Illness: Nothing

ID: 0970656
Sex: F
Age: 38
State:

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
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: Nausea

Symptoms: extreme back pain, paralysis down arms

Other Meds:

Current Illness:

ID: 0970657
Sex: F
Age: 43
State: MD

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: Sulfas

Symptom List: Injection site pain

Symptoms: Large elliptical rash, raised and itchy, developed 1 inch below injection site.

Other Meds: None

Current Illness: DAY OF VACCINATION: 5 minutes post vaccination, I experienced tingling in my left hand (vaccination was in left arm) then my right hand. Tingling resolved within 2-3 minutes. I also experienced mild swelling in back top of throat. Swelling lasted aprox. 30 mins and remained mild, then resolved.

ID: 0970658
Sex: M
Age: 62
State: FL

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
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: Benadryl

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

Symptoms: On January 18, 2021, I experienced extreme weakness of both legs to the extent that I was unable to stand. I experienced an exacerbation of baseline numbness over many areas of my body. I had an elevated resting heart rate of over 108 bpm. I was transported by ambulance to that afternoon. I was admitted in the early morning hours of January 19, 2021. I was diagnosed with, "Exacerbation of multiple sclerosis; SIRS (systematic inflammatory response syndrome). I was given multiple intravenous antibiotics. I had a CAT scan. I had a chest x-ray. I had many blood tests. The adverse event resolved on its own. I was discharged January 16, 2021.

Other Meds: Gabapentin Oxybutynin Flomax Vitamin B-12 Ocrevus

Current Illness:

ID: 0970659
Sex: F
Age: 54
State: OH

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/25/2021
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: Started to get hives on my right hand/knuckles, behind my right ear and on the ear/had them on my neck. Also, had a headache.

Other Meds: None

Current Illness: None

ID: 0970660
Sex: F
Age: 60
State: IN

Vax Date: 01/10/2021
Onset Date: 01/10/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: pt stated she is agitated, brain is foggy, severe bone pain, joint pain, right arm completely swollen (this symptom subsided after a little over a week), muscle weakness, both hands are extremely weak, has excruciating pain in left arm and limited range of motion, intensified neuropathy.

Other Meds: Norco 10-325, meloxicam 15mg, trazadone 100 mg, methocarbamol, gabapentin300 mg, walnut-calcium-magnesium-zinc vitamin

Current Illness: nasal allergies

ID: 0970661
Sex: F
Age: 54
State: AL

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/25/2021
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: All antibiotics except doxicycline

Symptom List: Erythema, Pruritus

Symptoms: Extreme pain with swelling of left upper arm at injection site. Pain and swelling continues down arm to hand. Started 1/20/2021 and continues to worsen. Pain unbearable.

Other Meds: bisoprolol norco xanex levathyroxine

Current Illness: none

ID: 0970662
Sex: F
Age: 55
State: MI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital: Y

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: No allergies

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

Symptoms: I had vaccine at 8:30 and 11 i started having palpitations and chest pressure and light headed and diaphoretic while i was at work. i continued to work and didn't go home until close to 4pm, i thought it would go away like the first time but it didn't, i went home and laid down and took a zanax and it didn't go away. the next morning i went to the ER and they put me on a telemetry monitor and i was having bigeminy and palpitations and i thought my heart was going to come out of my chest and was hurting they gave me 4mg of morphine, 2 hrs they gave me more morphine, i was nauseated they gave me Zofran then it finally subsided later but till had bigeminy and chest pressure, they admitted me and i stayed overnight. i had the PVC and bigeminy slowed down i had an echo and it was normal the potassium was low and they gave me kedar, i was still ight headed and nauseated they gave me Zofran prn it was 4-5 doses they gave me IV fluid, my fever with up to 100.4, i was not really eating that 24 hrs because i was afraid to throw up. the doctor gave me meds to take home to manage light symptoms . i went home and felt tired and had more palpitations when i move around too much and I'm still having issues today. i have not gone back to work since the vaccination and have an appointment with cardiologist 2:pm tomorrow and today I will see my PCP at 1pm. I have not recovered and still having issues and very tired.

Other Meds: Norvasc 5mg pm, Neurontin 300mg pm, vitamin c, magnesium 300mg pm, fish oil 2000mg, once a day vitamin, lipoic acid , NAC 600mg

Current Illness: None

ID: 0970663
Sex: F
Age: 58
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: 9:20 Feeling Itchy Heart rate 80 Blood pressure 112/68 9:30 symptoms better, apple juice given 9:37 heart rate 80 blood pressure 108|68 symptoms have stopped 9:40 No rash, hives or difficulty breathing. Works at hospital to inform supervisor for any further problems

Other Meds:

Current Illness:

ID: 0970664
Sex: M
Age: 34
State: PR

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
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: nka

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: after 7 days of received the 1 dose irritation start to show up at up left arm, pain in joints and itching

Other Meds:

Current Illness:

ID: 0970665
Sex: F
Age: 69
State: FL

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
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: sulfa drugs

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

Symptoms: Approximately one week after receiving the vaccine my upper arm started to itch quite a bit. Now, although it doesn't itch too much, the upper arm is covered in what appears to be a red rash.

Other Meds: none

Current Illness: none

ID: 0970666
Sex: F
Age: 29
State: NY

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/25/2021
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: gluten garlic

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

Symptoms: I received the COVID Vaccine yesterday (1/24/21) around 12:10pm. I experienced no effects while waiting the allotted 30 minutes. The next morning, January 25th 2021, I started to experience arm soreness and blurry vision. The blurry vision is worse in my left eye. My vision has not improved after waking up, taking a shower and putting saline drops in both eyes. The best way to describe the sensation is hazy, blurry and sometimes double vision.

Other Meds: Melatonin Buspirone Tri-Sprintec Tablets 28s

Current Illness: N/A

ID: 0970667
Sex: F
Age: 57
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
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, PCN

Symptom List: Pain in extremity

Symptoms: Supraclavicular lymphadenopathy

Other Meds: Lisinopril

Current Illness:

ID: 0970668
Sex: F
Age: 53
State: PA

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Abdomoinal Pain, Nausea and vomiting, body aches and fatigue.

Other Meds:

Current Illness:

ID: 0970669
Sex: F
Age: 29
State: MA

Vax Date: 12/24/2020
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: I was about due to start menstruation around the time of dose 1. I have not menstruated since late november/early december at this point in time. There is no possibility of this delay in menstruation being pregnancy related. I have no other known GYN issues.

Other Meds: Chaste Tree Berry Milk Thistle Magnesium 250mg Vitamin D 2000 mu Phytomulti multivitamin Allergra

Current Illness: none

ID: 0970670
Sex: F
Age: 81
State: GA

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: patient states that initially she had no issued other than a sore arm. 11 days after she received the vaccine the arm she received the vaccine in stated to itch. Patient states that she had been taking Benadryl but arm is still itching. patient states that arm is red but that she doesn't notice an actual rash. Advised patient to contact her primary care doctor to notify him of reaction and for his recommendation of how she needs to treat it. Patient voiced understanding.

Other Meds: Atenolol, HCTZ, Amlodipine, Escitalopram, Baby Asprin, Levethoroyxine, Simvistatin (Since 2001)

Current Illness: None per patient

ID: 0970671
Sex: M
Age: 32
State: PA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
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: N/A

Symptom List: Vomiting

Symptoms: Chills, Headache, Body Aches, Fatigue occurred around 5PM. Fever (103) began around 7:30PM.

Other Meds: Vitamin D, Goli gummies, multivitamin, sertraline, fish oil

Current Illness: N/A

ID: 0970672
Sex: F
Age: 50
State:

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 01/25/2021
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: Employee c/o of itchy throat within 15 minutes of vaccine administration. Employee was observed a total of 45 minutes. After 45 minutes, states throat itchiness is gone. No other symptoms noted. Vital signs = BP 141/86, HR= 72, Puls Ox = 99%

Other Meds:

Current Illness:

ID: 0970673
Sex: F
Age: 77
State: RI

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/25/2021
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: occasionally if I eat shellfish I can get a combination

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

Symptoms: About 10 minutes after receiving the vaccine, I was sitting in a well organized waiting area I started feeling flames in my throat. My throat was literally on fire. I raised my hand as I was instructed to do. I asked for water, they brought me a bottle water, I started to drink it. My throat was having a difficult time swallowing. They brought me over to nursing area. I went into this area and the nurses were there. They made me take my mask off, they took my blood pressure was way lower then normal (110/30). Then they gave me 50MG Benadryl. They called EMS and I refused to go. I had to wait at the clinic until the Benadryl took effect. The "flame" feeling began to lessen. When I got home I took another dose of Benadryl. The "flame" feeling went away but then I was left with a sore throat for the rest of the night and the following morning. It felt like there was an actual fire in my throat that the Benadryl put out but then it felt as if the after effects of a burn in my throat. I do have a call in to my primary care provider and still waiting for a call back.

Other Meds: Norvasc 10 mg once a day,

Current Illness:

ID: 0970674
Sex: F
Age: 45
State: OH

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 01/25/2021
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: n/a

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Immediately after receipt of the vaccine, I experienced significant arm pain that lasted about three - four days. This was not concerning because I also have arm pain when I receive the flu shot. Nearly a week after the injection, I noticed my arm was warm and I also had a rash that was contained to the upper part of my arm. This lasted about two days and then it became itchy as the rash went away. It was not significant enough to seek medical treatment, although I did report it to employee health as directed and they advised over the counter remedies.

Other Meds: Sprintec birth control.

Current Illness: n/a

ID: 0970675
Sex: F
Age: 65
State: GA

Vax Date: 01/01/2021
Onset Date: 01/24/2021
Rec V Date: 01/25/2021
Hospital:

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

Lab Data:

Allergies: Tetanus vaccine

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

Symptoms: Distortion in hearing. Feeling of clogged ears. Sounds are amplified

Other Meds: Estradiol and Norethindrone acetate tablets 0.5mg/0.1mg Pepcid AC Multi vitamin Fish oil, Vitamin D , flaxseed oil, vitamin B12, coq 10, magnesium, calcium, glucosamine chondroitin, probiotic

Current Illness: GERD

ID: 0970676
Sex: F
Age: 34
State: MS

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/25/2021
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: Sulfa, Penicillin, dairy

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

Symptoms: Big red welt on arm at injection site that started the day I got the shot. Hot to the touch. I took Claritin during the day and Benadryl hat night. It grew overnight and was the size of a tennis ball the next day. It was hard and hot to the touch. Over the course of the weekend it grew to the size of a softball and was tender, hard, red and hot to the touch. It is currently still red and itches. It is not as hard and it is still big. I did take Benadryl every night to try and calm it down. I also iced my shoulder.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm