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: 0971613
Sex: F
Age: 50
State: GA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Pcn, Brazilian nuts

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pf,izer-biotech covid-19 vaccine eau Body aches, chills, fever

Other Meds: Vitamins

Current Illness: None

ID: 0971614
Sex: F
Age: 51
State: WA

Vax Date: 01/19/2021
Onset Date: 01/23/2021
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: nickel allergy

Symptom List: Anxiety, Dyspnoea

Symptoms: I received dose 2 on tuesday 1pm, after 12 hours the fever kicked in and lasted 24 hours through late wednesday night rendering me fairly useless. But that's not the event I'm reporting. On saturday, my period started, and it's literally the heaviest period that I've ever had in my life (and it's still going). I'm perimenopausal, and haven't had a period in 5 months, so at first I chalked it up to that, but the timing is suspicious so I asked around - there seems to be a lot of women who have been having off-schedule, very-heavy periods after their vaccinations. I'm a research scientist and I think this is worth investigating to see if it's truly a vaccine effect and what the implications are, especially knowing that covid affects clotting. I've also submitted this info on pfizer's site.

Other Meds: none

Current Illness:

ID: 0971615
Sex: F
Age: 28
State: VA

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Reporter received the first COVID-19 vaccine on 12/30/2020 and waited the recommended 15 minutes for observation. After the observation period, she left the facility and started to notice tightness and what she describes as a "bubble" at the top of her throat. She also noticed a tingling sensation in the top of her lip, but did not notice any swelling. Reporter took 25 mg of liquid Benadryl and within an hour the sensation in her throat began to go away. Reporter received the second COVID-19 vaccine on 1/20/2021 at 08:25 AM. She had proactively taken diphenhydramine following the reaction to her first dose. Around 08:40 AM, she began to feel tightening in her throat and some heaviness in her chest. She was evaluated by a nurse who took her blood pressure (normal), however, her heart rate was elevated (noted this could be that she was nervous following initial reaction and repeat tightness in throat). Around 08:55AM, she began to feel like her tongue was swelling and that she had a "bubble" on the top of her throat. She was taken to the Emergency Department for evaluation. She was given hydroxyzine, famotidine, and dexamethasone in the ED and was discharged and felt stable. She reported a continued odd sensation in her throat the evening of the second vaccination. This feeling resolved the next day, and she reports no additional side effects from the vaccine.

Other Meds: Omeprazole, birth control

Current Illness: None

ID: 0971616
Sex: F
Age: 50
State: MN

Vax Date: 11/20/2020
Onset Date: 11/20/2020
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: n/a (stomach upset with erythromycin)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The injection site felt warm in the evening (after dinner) and started to swell and become hardened. By the next morning, I had a low grade fever (99.5-100) and felt exhausted. Over the next two days, the hardness around the injection site was only slightly raised, but was about 3.5" in diameter. I continued to feel run down and tired with a low fever (99) for the next three days (about 5.5 days after the shot), then started to feel better. I had been told to expect some pain or swelling at the site and suggested that I alternate Tylenol & ibuprofen every few hours, starting as soon as I got home.

Other Meds: amphetamine salts ER (20 mg daily) caps, levothyroxine (75 mcg daily), spironolactone (50 mg daily), Pure Encapsulations magnesium glycinate (240 mg daily), Mirena IUD put in Sep 2017.

Current Illness: n/a

ID: 0971617
Sex: F
Age: 37
State: WA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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: Morphine, Imitrex

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

Symptoms: Extreme exhaustion, nausea, significant headache that has been going since 1/20/21 to present day

Other Meds: Novolog Insulin, Metformin, Levothyroxine, Wellbutrin, Lexipro

Current Illness: none

ID: 0971618
Sex: F
Age: 32
State: OR

Vax Date: 01/13/2021
Onset Date: 01/22/2021
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: Penicillin

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

Symptoms: Delayed reactivity to vaccine. 1/22/2021 - noticed red circle around injection site approximately the size of a dime. 1/24/2021 - the red mark had reduced in color but increased in size to approximately that of a silver dollar. Red outline with purplish red color (light color) in center. Some heaviness/fatigue feeling in arm. Mark still present as of 1/25/2021. Redness did not appear until over one week after initial injection of vaccine. Tenderness at injection site is mild. No treatment taken at this time. No hospital visit.

Other Meds: Fish oil, vitamin C, women's daily vitamin, berberine, hair multivitamin, probiotic, Claritin, 5-HTP.

Current Illness: Seasonal allergies.

ID: 0971619
Sex: F
Age: 62
State: PA

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: LA

Lab Data:

Allergies: denies

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1/13/2021-9am pt. received the moderna vaccine to left arm. Around 3-4 pm patient developed headache, nausea, and could not lift her left arm, muscle aches, and swelling to right eye, Pt. states that she took Arnica on day number two. Pt. states that she cannot say if arnica helped with symptoms or she naturally became better. Pt. states symptoms resolved on 1/16/21.

Other Meds: yes, lisinopril, hctz, zinc, vitamin c, vitamin d, calcium

Current Illness: denies

ID: 0971620
Sex: F
Age: 40
State: CT

Vax Date: 01/14/2021
Onset Date: 01/17/2021
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: Penicillin , aspirin, mushrooms, bee stings.

Symptom List: Pharyngeal swelling

Symptoms: Day 4 after vaccine: headaches, muscle aches and chills. Day 5: same plus add nausea. Day 6: fever, severe muscle aches, sore throat, and extreme fatigue. Day 7&8: non verbal from throat pain. Day 9x: woke up able to move around, headache still present, redness around injection site hot too touch and hard. Day 10: exhaustion and arm pain again. Day 11: rash covering all of chest area.

Other Meds: NONE

Current Illness: NONE

ID: 0971621
Sex: F
Age: 55
State: PA

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Complained of itchy throat and was clearing throat. Then said tongue felt thick and swollen. Po Bendaryl and Epi 0.3mg IM given. EMS called. Pt refused transport after leaving clinic on stretcher.

Other Meds:

Current Illness: none

ID: 0971622
Sex: F
Age: 39
State:

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient developed pretty severe dizziness, headache, generalized joint and muscle pain, chills, temperature of 99.9, nausea and weakness that continued for the next 24 hours.

Other Meds:

Current Illness:

ID: 0971623
Sex: F
Age: 72
State: FL

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: demerol, lisinopril, amoxycillin

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

Symptoms: 1) 12 hr post injection very red and hot at injection site about 8" diameter area 2) 15 hr post injection very minor dizzy spell did not last more than 20 seconds 3) 48 hour post injection, took 200mg advill for red hot injection area 4) 60 hour post injection, beginnings of anaphalaxis - throat swelling, closing. Took one otc 25mg benadryl

Other Meds: progesteron, atenenol,

Current Illness: none

ID: 0971624
Sex: M
Age: 45
State: NC

Vax Date: 12/28/2020
Onset Date: 01/11/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: patient (medical director of Nursing Center) reported on 1/25/21 that after receiving the first dose on 12/28/20, two weeks later he developed two areas with swollen lymph nodes. Both areas occurred on the left arm which is the arm in which the first COVID19 vaccine was administered. The swollen areas lasted one week then resolved.

Other Meds: unknown

Current Illness: diabetes

ID: 0971625
Sex: F
Age: 62
State: ID

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: Amoxicillin, Codeine

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

Symptoms: Allergic Urticaria

Other Meds: None

Current Illness: None

ID: 0971626
Sex: F
Age: 28
State: VA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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

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

Symptoms: Reporter received the second COVID-19 vaccine on 1/20/2021 at 08:25 AM. She had proactively taken diphenhydramine following the reaction to her first dose. Around 08:40 AM, she began to feel tightening in her throat and some heaviness in her chest. She was evaluated by a nurse who took her blood pressure (normal), however, her heart rate was elevated (noted this could be that she was nervous following initial reaction and repeat tightness in throat). Around 08:55AM, she began to feel like her tongue was swelling and that she had a "bubble" on the top of her throat. She was taken to the Emergency Department for evaluation. She was given hydroxyzine, famotidine, and dexamethasone in the ED and was discharged and felt stable. She reported a continued odd sensation in her throat the evening of the second vaccination. This feeling resolved the next day, and she reports no additional side effects from the vaccine. Of note, patient had experienced a similar reaction following her first vaccination (E-number 261589)

Other Meds: omeprazole, birth control

Current Illness: none

ID: 0971627
Sex: F
Age: 34
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: 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: Diarrhea- started around 1am, on and off for 12 hours. Fatigue-from 9am-10pm Muscle soreness-at vaccintion site on left arm, both shoulders, upper back, neck. Lasted all day while awake.

Other Meds: None

Current Illness: None

ID: 0971628
Sex: M
Age: 60
State: IL

Vax Date: 01/24/2021
Onset Date: 01/25/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Moderna COVID?19 Vaccine EUA. On the day after my shot, injection site muscle pain, nausea, flu-like symptoms throughout the day.

Other Meds: Pantoprazole, Escitalopram, Pravastatin

Current Illness: N/A

ID: 0971629
Sex: F
Age: 41
State: NV

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Bactrim

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

Symptoms: At 1410 patient stated they felt their heart beating fast, BP= 171/93, HR= 188, O2 Sats RA= 100%, Temp= 36; at 1420: BP= 152/100, HR= 82, O2 Sats RA= 100%, at 1430: BP= 142/87, HR= 80, O2 Sats RA= 100%. At approximately 1430 patient stated she felt fine and left the facility.

Other Meds: Losartan

Current Illness: None

ID: 0971630
Sex: F
Age: 35
State: TX

Vax Date: 12/29/2020
Onset Date: 12/31/2020
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/a

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 12/29 Vaccine 12/31 soreness in arm. Redness. Started increasing in size to where there was hardening. I started getting chills, fever (100.1, 102.3); ibuprofren / tylenol. Fever for 24 hours. Nausea, vomiting. *prescribed omeprazole. *still feeling 'hot'

Other Meds: n/a

Current Illness: n/a

ID: 0971631
Sex: F
Age: 72
State: GA

Vax Date: 01/13/2021
Onset Date: 01/18/2021
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: NKA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pt advises the area where vaccine was received 2-3 days later site became red/started itching and she also experienced redness down her arm approximately 2-3 from vaccine site. Pt advises she took Benadryl and it helped with the itching but the redness remained. She continues to have some redness but advises it is starting to fade some.

Other Meds: Aspirin 81mg, Meloxicam, Atorvastin

Current Illness: No

ID: 0971632
Sex: F
Age: 38
State: OR

Vax Date: 01/11/2021
Onset Date: 01/13/2021
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:

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

Symptoms: Urticaria development on chest two days after receiving the vaccine and still intermittently present to date (approximately two weeks post vaccine).

Other Meds:

Current Illness:

ID: 0971633
Sex: F
Age: 31
State: PA

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Yes

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

Symptoms: Complained of difficulty swallowing that quickly progressed to difficulty breathing and answering questions. Taken to ER at 1540.

Other Meds: Unknown

Current Illness: Unknown

ID: 0971634
Sex: M
Age: 48
State: CA

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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Arm is very painful. The day after achy, muscle pain, head ache fatigue and chills. Just lasted 4 to 5 hours.

Other Meds:

Current Illness:

ID: 0971635
Sex: F
Age: 77
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
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: Nothing aware of

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

Symptoms: Noticed the next day after the vaccination my arm was sore, then itching with hives. Took Benadryl and put some cortisone on it to stop the itching.

Other Meds: Centrum Silver daily, fish oil, kombucha

Current Illness: No

ID: 0971636
Sex: F
Age: 44
State: WV

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: After initial common side effects (headache, chills, lethargy) lasting no more than 18 hours after injection, I felt great until day 9 post vaccination. Injection site became very inflamed, red, itching, painful. It spread the length of upper arm and around inside of arm. General all over body itching began about 12 hours after initial redness near injection site.

Other Meds: Lisinopril 5mg

Current Illness: none

ID: 0971637
Sex: F
Age: 40
State: PA

Vax Date: 01/17/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Day of had low grade fever, muscle fatigue, and soreness at injection site. 5 days later, left shoulder itching, hard, red and swollen

Other Meds: Nexium

Current Illness: none

ID: 0971638
Sex: F
Age: 69
State: NC

Vax Date: 01/20/2021
Onset Date: 01/24/2021
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: None

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

Symptoms: Mouth swelling Hives on arms and face (forehead and near eyes) Itching mainly on arms , ears , along back hairline

Other Meds: Synthroid, Lipitor, multiple vitamin, vitamin D, calcium

Current Illness: Skin cancer removal

ID: 0971639
Sex: F
Age: 35
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Reported sore arm and cellulitis PCP prescribed antibiotics.

Other Meds:

Current Illness:

ID: 0971640
Sex: F
Age: 40
State: CA

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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Red, warm rash around injection site. Swollen lymph node in armpit of arm where injection was given. All showed up approximately 1 week after receiving vaccine. Trated with antihystamine orally, hydrocortisone topically on injection site, and intermittent cold and warm pack on lymph node.

Other Meds: Rainbow Light Women's One Multivitamin Vitamin D3 50mcg Portia Tab levonorgestrel and ethinyl estradiol tabs 0.15mg/0.03mg

Current Illness: None

ID: 0971641
Sex: F
Age: 12
State: OK

Vax Date: 01/22/2021
Onset Date: 01/23/2021
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: nkda

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

Symptoms: pruritis, erythema, and edema to injection site and arm, measurements: 10x12 cm. pt went home. no s/s of anaphylaxis or any life threatening reaction. no labored breathing or swelling anywhere but injection site.

Other Meds: none

Current Illness: none

ID: 0971642
Sex: F
Age: 72
State: MD

Vax Date: 01/15/2021
Onset Date: 01/22/1921
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: Adhesive causes rash

Symptom List: Nausea

Symptoms: Redness, swelling, warmth and itching at the injection site several days after injection. 2-3 cm diameter approx. still going on.

Other Meds: Dexilant , digoxin , melatonin rosuvastatin

Current Illness: Chronic sinusitis, but no acute flare

ID: 0971643
Sex: F
Age: 80
State: TN

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Latex, Ancef, Nickel

Symptom List: Injection site pain

Symptoms: Pt. left POD after receiving vaccine and waiting allotted 15 minutes. Pt. then returned to POD clinic because was feeling flushed. Pt. also c/o headache. Pt. was noted to be very shaky and have elevated blood pressure upon assessment. BP: 198/92, rechecked 179/82, RR: 16, O2 sats: 98%. Assessed by local EMS. Pt. plans to follow up with PCP.

Other Meds: Keppra, Nexium, Rosuvastatin

Current Illness: None

ID: 0971644
Sex: F
Age: 48
State: AK

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: IM
Vax Site: LA

Lab Data:

Allergies: sulfa

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

Symptoms: sore arm

Other Meds:

Current Illness:

ID: 0971645
Sex: F
Age: 65
State: IL

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin, Shellfish, Aspirin

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

Symptoms: A few hours after the vaccine was administered, patient experienced increased shortness of breath. Baseline O2 requirement is usually 2-3 Liters; required 7L on home O2. Was using nebulizers 2-3 times a day afterward as well (typically uses 1-2 times a month). Patient does not have history of COPD exacerbations that present similarly. Presented to the emergency department and now admitted to the ICU.

Other Meds:

Current Illness:

ID: 0971646
Sex: F
Age: 60
State: MN

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Tremor

Symptoms: Patient received vaccine on 01/13/2021. The night of 01/24/2021 she noticed a rash starting to form around the vaccine injections site. Area is red and inflamed but not warm or itchy.

Other Meds: unknown

Current Illness: no

ID: 0971648
Sex: F
Age: 50
State: MI

Vax Date: 01/02/2021
Onset Date: 01/02/2021
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: Erythema, Pruritus

Symptoms: HIVE LIKE RASH SPREADING FROM LOWER EXTREAMITYS TO HEAD AND NECK, ON GOING FOR A MONTH SEFT TREAT WITH ANTIHISTAMINE WITH SOME IMPROVEMENT. SCHEDULED FOR DERMATOLOGIST VIIST

Other Meds: TRETINOIN, CLARITIN.

Current Illness: NONE

ID: 0971649
Sex: F
Age: 48
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/25/2021
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:

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

Symptoms: 01.15.21 nauseous, headache with Fever with chills. 01.20.21 fever with chills still have chills and body aches.

Other Meds:

Current Illness:

ID: 0971651
Sex: F
Age: 42
State: CA

Vax Date: 01/10/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Dust, animal dander, pollen

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

Symptoms: Sore throat, then headache and nasal congestion with variable gastrointestinal upset

Other Meds: Zyrtec, Flonase, multivitamin

Current Illness: None

ID: 0971652
Sex: F
Age: 35
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
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: Unknown

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Numbness and swelling of the face, throat and hands. No difficulty breathing or swallowing, Denies pain. Pt reports that symptoms are similar to covid illness in November.

Other Meds: Unknown

Current Illness: Diagnosed with COVID-19 approx. 6-8 weeks prior to immunization.

ID: 0971653
Sex: F
Age: 67
State: WI

Vax Date: 01/12/2021
Onset Date: 01/24/2021
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: Morphine, latex

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

Symptoms: Itchy red, swollen rash around injection site appeared 12 days after shot. However, patient tested positive for covid on January 20.

Other Meds: Humira 40 mg injection, Tylenol,

Current Illness:

ID: 0971654
Sex: F
Age: 47
State: AK

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: morphine, reglan, phenergan, novocaine

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

Symptoms: sore arm x4 days

Other Meds:

Current Illness:

ID: 0971655
Sex: F
Age: 37
State: IL

Vax Date: 01/17/2021
Onset Date: 01/25/2021
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: Biaxin, prednosone

Symptom List: Pain in extremity

Symptoms: After the 8th day of the vaccine I have a rash on my arm that is hot to touch.

Other Meds: omeprazole, allegra, vitamin B complex with c and zinc, Vitamin D3

Current Illness:

ID: 0971656
Sex: F
Age: 47
State: GA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/25/2021
Hospital: Y

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

Lab Data:

Allergies: KNA

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

Symptoms: Pain in left arm. Several days later, chest pain, pain on left side of back. Left wrist pain. All would come and go. January 7, bottom lip began tingling and left side of face went numb. Taken to medical center and admitted.

Other Meds: Prozac, Norvasc, Elderberry, Vitamin C, D3, Turmuric, Multivitamin, Vyvanse

Current Illness: None

ID: 0971657
Sex: F
Age: 48
State: VA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: no

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

Symptoms: Day 8 after injection my arm is itchy, red, swallon, welped and warm and sore to the touch.

Other Meds: Singulair ProAir inhaler Paroxetine Paxil

Current Illness: no

ID: 0971658
Sex: F
Age: 44
State: ME

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: SEveral food allergies, prednisone, latex, contrast dye

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

Symptoms: Tingling of palate. started 5-7 min. after receiving the vaccine Difficulty breathing, tachicardia, hypertension lasted about an hour- hour and half but hard to say until benadryl kicked in. TReated in ED with IV benadryl and pepcid . I left the hospital 5 hours later with normal vitals of heart rate in the 60's and b.p. 112/62

Other Meds: symbicort inhaler, vit.d, vit.c, zinc

Current Illness: None

ID: 0971659
Sex: F
Age: 72
State: MI

Vax Date: 01/10/2021
Onset Date: 01/19/2021
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: None.

Symptom List: Vomiting

Symptoms: Had vaccine and on Sunday afternoon she laid down and took a 3 hour nap. Patient does not generally bruise, noticed a 5" long, 2" wide, 3" from her elbow bruise underneath her armpit, blue in color. Noticed it while drying her hair without a robe on. Today, where the shot was given there is a temperature and a bruise surfacing there as well. Went into the health site where she lives and got the fact sheet and our phone #, so decided to report it. It was frightening to her as it was so large. It is still there today, 1/25/21. The one on top at needle insertion is at skin surface approximately 2-2 1/2" long. Never felt her insert the needle for the vaccine, so is shocked that she is having reaction. No treatment for it.

Other Meds: None.

Current Illness: None.

ID: 0971660
Sex: F
Age: 65
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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Subject: Adverse reaction I received the Moderna vaccine at 3:30PM Friday, Jan. 22. Other than a sore arm, I was fine until the next night. About 8:00PM Saturday, Jan. 23 I was overcome with severe chills, hurting all over, nausea and a 101.3 fever. I suffered through the night with the chills ebbing by NOON Sunday, Jan. 24. By 5:00PM I was back to 95% except my arm remains sore and I occasionally feel nauseous. Feel free to text or phone me.

Other Meds: Too long to list.

Current Illness: Fibromyalgia

ID: 0971661
Sex: F
Age: 38
State: OR

Vax Date: 01/14/2021
Onset Date: 01/21/2021
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: n/a

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

Symptoms: hive like symptom on arm. steriod cream and benadryl prescribed by doctor

Other Meds: Dasetta 1.35.28 1 T Daily AM Gabapentin 600 mg 3x Daily AM/NOON/PM 1 T Am& Noon, 2 T Pm Mirtanzipine 15 mg 1 T Daily Pm Duloxetine 60 mg 1T 1x Daily AM Lisinopril 10 mg 1 T Daily AM Glucosamine 500 m

Current Illness: n/a

ID: 0971662
Sex: F
Age: 59
State: AZ

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: On 1/24 I developed a fever, the highest noted was 101.8 however, I did have Tylenol on board. I pre-medicated with Tylenol and continued taking it every 4 to 6 hours for about 40 hours. I also had chills, body aches, nausea, decreased appetite, and headache.

Other Meds: 325mg aspirin every day, gummy multivitamin 2 every day.

Current Illness: None

ID: 0971663
Sex: M
Age: 23
State: NY

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Erythema multiforme on palms of hands, feet, ankles, knees, elbows and face 10 days post vaccine.

Other Meds: None

Current Illness: None

ID: 0971664
Sex: F
Age: 29
State: NY

Vax Date: 01/13/2021
Onset Date: 01/22/2021
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: None known.

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

Symptoms: About 9 days after receiving the vaccine, I started getting redness, bumpiness, and itchiness just around the injection site. The redness has increased over the last day or so. The spot is also hot to the touch. Otherwise, I am feeling fine.

Other Meds: Montelukast, Advair disc, Tizanidine, Sprintec, Vitamin B12, Cranberry pills.

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm