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: 0973841
Sex: F
Age: 55
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: fever/chills, body aches

Other Meds:

Current Illness:

ID: 0973842
Sex: F
Age: 66
State: FL

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/26/2021
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: Sulfa drugs

Symptom List: Anxiety, Dyspnoea

Symptoms: Diffuse rash beginning approx 7 cm below left deltoid injection site. Still present 11 days later, warm to touch, pruritic at times, increasing in area slightly.

Other Meds: HCTZ 25mg daily

Current Illness:

ID: 0973843
Sex: F
Age: 20
State: TX

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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

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

Symptoms: ~15 minutes after injection (while waiting in observation area) patient witness another patient have slight nausea and mild light headedness (which quickly resolved). About 5 minutes after, the patient began feeling nauseated and light headed. I was called to check on here. She was pale and and leaning forward over trashcan. After about 2 minutes of questioning her and getting baseline vital signs, she started to slightly improve. We assisted moving her to an exam room. We had her lay near supine (as moving brought on new wave of nausea and lighteheadedness). She was closely montiroed. About 10 minutes later we began sitting her up, but after only a few symptoms began to return. Laid her back into supine. finally after anothr 30 minutes we were able to fully have her sit up and stand with no residual symptoms other than fatigue. Through out event normal VS HR, BP, O2 (other than slight tachypnea initially). Normal physical exam (other early noted pallor and reticular rash on extremities, which all resolved). Advised patient that on next dose to ask to be given in a location where she can be laid supine and observed for at least 30 minutes after injection.

Other Meds: None

Current Illness: none

ID: 0973844
Sex: M
Age: 34
State:

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 1. Dizziness - Resolved within several hours 2. Injection site reaction - Resolved within 48 hours 3. Neuropsychiatric side effects - Began within about 12 hours from vaccination. Lack of concentration proceeded by vivid dreams overnight. Then began to feel mood disturbance the following morning with profound anxiety and depression as well as continued difficulty concentrating. Depression continued to worsen to the point of crying at the end of the night of 1/25. Vivid dreams continued overnight but today, 1/26, mood disturbance has resolved and back to baseline overall except for mild headache similar to a hangover. No past medical history of anxiety or depression.

Other Meds: None

Current Illness: None

ID: 0973845
Sex: M
Age: 32
State: KY

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Minor body aches started about 12 hours from injection and continued for about 12 hours.

Other Meds: ibuprofen - as I heard this reduced the negative impact of the Moderna vaccine.

Current Illness: None

ID: 0973846
Sex: M
Age: 83
State: IN

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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 & its derivatives Tetanus antitoxin (horse serum) Latex

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

Symptoms: Violent chills the evening of the day of vaccination followed by a day of extreme fatigue requiring bed rest. Condition improved the next day

Other Meds: 10 mg Rosuvastatin 0.4 mg Tamsulosin 5 mg Finasteride 625 mg Fiber therapy tablet Vision Formula 50+ multi-vitamin

Current Illness: None

ID: 0973847
Sex: F
Age: 33
State: NC

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
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: Fish

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The next day, Friday January 22, 2021 around midday both of my legs began to ache in my thighs. Overnight it went away and I was fine Saturday and I worked a 12hr shift 7am to 7pm. Sunday I worked from 7am to 3pm and my legs started to ache when I got home around 4:30pm until 10pm when I went to bed.. I had to take some ibprofen that evening. I was again fine all day Monday. Now today 1/26/2021,my legs began to ache again this morning around 8:30am.

Other Meds: None

Current Illness: None

ID: 0973848
Sex: F
Age: 69
State: FL

Vax Date: 08/14/2020
Onset Date: 08/14/2020
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Iodine and shellfish Lactulose, fructose and gluten sensitive

Symptom List: Pharyngeal swelling

Symptoms: The first dose I was fine. The 2nd dose immediately after receiving it I could feel the pain. Fever, chills, fatigue, pain in my left arm, minimum movement in my left arm, nauseous. I felt like a had the flu. I called the pharmacist and she said it was normal. The flu like symptoms lasted for about 48 hours. I then went and seen a doctor when I developed a rash it looked like a sores, now they are like white blotches on my skin. The fatigue, limited movement and pain in the left arm are still happening as of now, these symptoms Has a call in to the pharmacy for the lot number will call back when she has it. First dose was 11/13/2019

Other Meds: Vitamin B12, Vitamin D3 and Synthroid 1 a day for 6 days then skip the 7th day and repeat, Hyoscyamine as needed for stomach cramping

Current Illness:

ID: 0973849
Sex: F
Age: 32
State: MD

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
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 known allegeries

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Site: Bruising at Injection Site-Mild, Site: Itching at Injection Site-Mild, Site: Pain at Injection Site-Mild, Site: Redness at Injection Site-Mild, Site: Swelling at Injection Site-Mild, Systemic: Anaphylaxis-Mild; symptoms lasted 8 days

Other Meds:

Current Illness:

ID: 0973850
Sex: F
Age: 35
State: GA

Vax Date: 01/11/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
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: Trush in mouth

Other Meds:

Current Illness:

ID: 0973851
Sex: F
Age: 48
State: VA

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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: Chills, rash, sore throat, low grade fever starting one week after the vaccine

Other Meds:

Current Illness:

ID: 0973852
Sex: F
Age: 39
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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: headaches, chills, fatigue, dizziness, fever of 101 at 1:30 am

Other Meds: Plexus products: Metaburn, Slim, Biocleanse, Vitalbiome, ProBio 5, Escilatopram 20 mg

Current Illness: none

ID: 0973853
Sex: F
Age: 55
State: SC

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
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: Chills, joint pain, severe fatigue

Other Meds: Nexium

Current Illness: IBS

ID: 0973854
Sex: M
Age: 37
State: OH

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/26/2021
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: NKDA

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

Symptoms: Raised itchy red rash over left deltoid and left antecubital fossa, a few similar lesions on anterior chest, stomach and right hip. Lesions persisted for one week with some residual papular lesions 18 days later. No systemic symptoms reported for Pfizer-BioNTech COVID Vaccine EUA.

Other Meds: Motrin, Tylenol, Multivitamin

Current Illness: None

ID: 0973855
Sex: F
Age: 17
State: NM

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0973856
Sex: F
Age: 53
State: VA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
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:

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

Symptoms: Dizziness, lightheadedness worse upon standing, HA, sore throat, body aches, muscle aches, bone aches, cold hands, cold toes, facial flushing. Missed work for 2 days and went to urgent care. Treated with APAP, Motrin, and meclizine

Other Meds:

Current Illness:

ID: 0973857
Sex: F
Age: 26
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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: No

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

Symptoms: Sore left arm, shooting pain in legs and arms, body aches, chills just for awhile, splitting headache, fever of 101 a little nauseated

Other Meds: Lexapro, sprintec, and Zyrtec d

Current Illness: No

ID: 0973858
Sex: F
Age: 56
State: FL

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: vancomycin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Left upper arm pain that is involving the entire muscle of the upper arm. Increasingly getting worse, not better. After 7 days the aching is intermittent waves of throbbing. Like a tooth ache. Had to use heat on the arm on day 6 to get comfort during the night. Discomfort when moving of touching the arm. No local swelling or redness.

Other Meds: Multi vitamin, vitaminD, Biotin, fiber

Current Illness: N/A

ID: 0973859
Sex: F
Age: 40
State: OH

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: PCN, Codeine, Adhesive, Seasonal

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Itching to face and chest around 3 hours after administration. Facial swelling noted overnight.

Other Meds: Sertraline

Current Illness:

ID: 0973861
Sex: F
Age: 59
State: GA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: macrobid codeine

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

Symptoms: 1/25/2021- fever, sore arm, and overall fatigue Moderna COVID-19 Vaccine EUA

Other Meds: lipitor diuretic estradiol aciphex allergy medicine OTC Vitamin D OTC Caltrate OTC Magnesium OTC

Current Illness: NA

ID: 0973862
Sex: F
Age: 53
State: VA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
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: Dizziness, HA, sore throat, body aches, muscle aches, bone aches, cold hands, cold toes, dizziness worse when standing, facial flushing

Other Meds:

Current Illness:

ID: 0973863
Sex: F
Age: 73
State: AL

Vax Date: 01/14/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Pencillin Anaphylactic reaction to Wasps, & Yellowjacket

Symptom List: Unevaluable event

Symptoms: Seven days after receiving the vaccine, the area where I received the injection started itching and became red. The red area was approx 3 inches in diameter. I applied Betamethasone cream several times during the course of 24 hrs and had no further problems.

Other Meds: Prescriptions: Restasis, Alendronate Supplements: Calcium Citrate Magnesium & Zinc, Turmeriv Curcumin, Probiotic, Biotin

Current Illness: None

ID: 0973864
Sex: M
Age: 70
State: LA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
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: Morphine, Oxycodone Spinach

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

Symptoms: Error: Booster Given Too Early

Other Meds:

Current Illness:

ID: 0973865
Sex: M
Age: 77
State: MS

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
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: DOXYCYCLINE HYCLATE

Symptom List: Injection site pain, Pain

Symptoms: Rash( raised pink patches and whelps) to back, bilateral arms, buttock, and legs. Characterized by dryness, redness and itchiness. Given Solu-Medrol and Atarax; better by 01/21/2020

Other Meds: ALPHAGAN 0.1% EYE DROPS, ELIQUIS, ATENOLOL, IMURAN, BACLOFEN, DALIRESP, COSOPT, ERGOCALCIFEROL, ZETIA, LUMIGAN EYE DROPS, SINGULAIR, PRIMIDONE, SYMBICORT

Current Illness:

ID: 0973866
Sex: F
Age: 65
State: FL

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
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: Within 15-minutes of vaccination, the patient reported an "other" adverse reaction. There were no other details given by the vaccine administrator or clinical staff who recorded the adverse event.

Other Meds:

Current Illness:

ID: 0973867
Sex: F
Age: 43
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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: penicillin

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

Symptoms: chest tightness, shob, lip tingling, facial edema, peripheral edema, cough - improved w/ 10 mg cetirizine x 1 po vital signs stable

Other Meds:

Current Illness:

ID: 0973868
Sex: F
Age: 47
State: IN

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 01/26/2021
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: Temperature 100.5-102. Swelling of all Lymph nods throughout entire body within 48 hours. EXTREME pain with swelling. 72 hours into time left side of body was swollen to point that clothing and jewelry do not fit. Left under arm and Breast are extra swollen *approximately triple size of right side. Migraine at 30 hours. Stomach pain in right side at 28 hours, also nausea and diarrhea.

Other Meds:

Current Illness:

ID: 0973869
Sex: U
Age: 56
State: VA

Vax Date: 01/14/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Cough, sore throat, nausea, HA, body aches

Other Meds:

Current Illness:

ID: 0973870
Sex: M
Age: 72
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
Rec V Date: 01/26/2021
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: Reported shaking, chills, sever myalgia,fever 102.9F

Other Meds:

Current Illness:

ID: 0973871
Sex: F
Age: 18
State: FL

Vax Date: 01/05/2021
Onset Date: 01/07/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Zithromax

Symptom List: Nausea

Symptoms: Neck pain, chest pain, paresthesia, loss of appetite, intermittent palpitations

Other Meds: Non

Current Illness: Anxiety, abdominal pain

ID: 0973872
Sex: F
Age: 58
State: IN

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Fever, chills, dizziness, all began 23 hours after 2nd dose, subsided 12 hours later at 10 pm

Other Meds: Lisinopril, HCTZ, Meloxicam, Citalopram

Current Illness: None

ID: 0973873
Sex: F
Age: 70
State: TX

Vax Date: 01/11/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
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, NKFA

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

Symptoms: On 1/19/2021 the patient developed a large round area measuring 8.5 cm x 12 cm below area of vaccine injection. The area was erythematous, itchy, with mild swelling. At the beginning it was mildly tender but the tenderness was short living. Patient was initially treated on 1/20/2021 with arm elevation, ice compress and antihistamines. On 1/25/2021 patient symptoms not better yet and oral prednisone added to treatment.

Other Meds: Breo Ellipta, docusate sodium, ipratropium nasal spray, Pepcid, ProAir HFA, Vit D

Current Illness: NONE

ID: 0973874
Sex: F
Age: 68
State: TX

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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: Coedine Floxin Penicillin Biaxin

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

Symptoms: At the time of the shot, I had normal reaction of redness, small hard knot, and soreness. It stated to fade. Then about a week later, it started to get red again with a hardness. It also was itchy. It was not sore at all. I have taken Benedryl and Benedryl cream. It is not itchy now and the hardness is gone. It is about 2-3 inches in diameter.

Other Meds: Livalo Bystolic Olmesartin HCTZ Vitamens E, 7, multi Omega 3 Metabolism

Current Illness: None

ID: 0973875
Sex: M
Age: 83
State: CA

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
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:

Symptom List: Tremor

Symptoms: Systemic: Fever-Severe; symptoms lasted 2 days

Other Meds:

Current Illness:

ID: 0973876
Sex: F
Age: 35
State: PA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Erythema, Pruritus

Symptoms: 7 days after being vaccinated developed swelling, redness, tender, and warmth at injection site.Size of grapefruit.

Other Meds: Junel. Omper, LIscipro, vitamins

Current Illness: No

ID: 0973877
Sex: F
Age: 44
State: NE

Vax Date: 01/12/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
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: codeine

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

Symptoms: After almost 2 weeks exactly from receiving the 1st dose of the vaccination, my right arm around the injection area has a red, warm to the touch "rash". It is not painful, it does not itch. I noticed it yesterday when I woke up and it is still there this morning.

Other Meds: Junel Fe Birth Control, fiber supplements, multi-vitamin

Current Illness: none

ID: 0973878
Sex: F
Age: 61
State: NY

Vax Date: 12/01/2020
Onset Date: 12/29/2020
Rec V Date: 01/26/2021
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: Dogs, cats, dairy

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

Symptoms: Neck on left side became extremely painful and sore and could turn my head didnt sleep the first night and had a slight headache. Everything was fine within 2 days. Like nothing happened. On Day 9 experianced a flash of light out of left eye and a floating blob that came and went throughout the day. Saw Dr and he said this is typical of the aging process. Dont know if it was related just weird it happened now. Arm was sore for 2 Days but nothing major. Other than that i felt fine.

Other Meds: C , D, zinc, selenium, calcium

Current Illness: None

ID: 0973879
Sex: F
Age: 55
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
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: clams and muscles (seafood)

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Moderna COVID-19 vaccine EUA 24 hours of moderate muscle and joint pain. Rest and fluids. Resolved completely without further intervention.

Other Meds: none

Current Illness: none

ID: 0973881
Sex: F
Age: 28
State: FL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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: N/A

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

Symptoms: Woke up at around 1:35am 1/26/2021 with muscle aches and chills. Felt a low grade fever but did not take temperature. Treated with 2 extra strength Tylenol. Woke up at 7:00am 1/26/2021 with muscle aches and chills still present. Fever felt gone. At around 8:30am 1/26/2021, had an episode of diarrhea. Took 3 200mg ibuprofen to treat symptoms.

Other Meds: Junel FE (birth control)

Current Illness: N/A

ID: 0973882
Sex: M
Age: 57
State: FL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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: Fever (100.8), chills, body aches, headache.

Other Meds: Miralax, Flomax, Vitamin D and C, Calcium

Current Illness: None

ID: 0973883
Sex: F
Age: 36
State: VA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
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: Pain in extremity

Symptoms: approx. 4 hours after injection, I had severe chest pain and pressure. I went to the emergency department for evaluation and testing. All tests were normal. One week post injection I still have chest pain, pressure and tightness.

Other Meds: mirtazapine, probiotic, B-complex, Vit. C, Vit. D3, fish oil, magnesium, collagen

Current Illness: Covid + diagnosd on 12/30. Symptom onset 12/27.

ID: 0973884
Sex: U
Age: 21
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/26/2021
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: Employee complaining fever, chills & headache

Other Meds:

Current Illness:

ID: 0973885
Sex: F
Age: 48
State: ID

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/26/2021
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: latex,

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

Symptoms: Red swollen face, swelling in hands fingers. Face was tight and felt as if it were burning. Claritan was provided, issue resolved in about two hours.

Other Meds: celebrex, omeprazole, lomaira

Current Illness: none

ID: 0973886
Sex: F
Age: 50
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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 (nausea)

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

Symptoms: Woke up at 1:50AM due to bilateral kidney pain. Also had nausea and sore arm upon waking. Within an hour, at approximately 2:30AM, all skin became very sensitive/painful to any clothing/contact, also got chills, low back/hip/knee pain, and continued nausea and sore arm. Took 2 extra strength Tylenol (500mg each) around 4:00AM. Few hours later skin sensitivity and chills greatly diminished around 5:30AM. Continued with aching pain in lower back, hips, knees, and feet (feet when walking). Also continued with nausea, sore arm, and minor skin sensitivity. At 8:30AM, still experiencing aching/painful back/hips/knees/feet, nausea, and increased skin sensitivity/pain.

Other Meds: Up and Up probiotic gummies; Vitafusion D3 extra strength gummies; Vistafusion B-12 extra strength gummies.

Current Illness: None

ID: 0973887
Sex: M
Age: 29
State: NY

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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: Soreness around injection site. Swollen Lymph nodes of armpit of same arm of injection site.

Other Meds: None

Current Illness: None

ID: 0973888
Sex: F
Age: 72
State: NC

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/26/2021
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: Sulfa Clindamycin Amoxycillin some sunscreen products insect bites poison ivy, etc

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Moderna COVID-19 Vaccine EUA

Other Meds: Ca - 1200mg Vit D - 1800 mg

Current Illness: None

Date Died:

ID: 0973889
Sex: M
Age: 65
State: CT

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Systemic: Other- unknown, depot store received call from facility on 1/22 that patient passed around 7pm

Other Meds:

Current Illness:

ID: 0973890
Sex: F
Age: 52
State: FL

Vax Date: 12/29/2020
Onset Date: 01/15/2021
Rec V Date: 01/26/2021
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: Headache, dizziness, eye pain and aniscoria that has lasted over a week.

Other Meds: N/A

Current Illness: Abnormal ANA

ID: 0973891
Sex: U
Age: 34
State:

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: I had my injection, the evening of 1/13 at 430PM, and about 2 hours later and generalized nausea. That morning upon waking at 0500 I was dry heaving, running a low grade fever with a mild headache and chills and my arm was in a significant amount of pain/throbbing. My symptoms did not even really begin to alleviate until Friday 1/16 and were not completely gone until 1/17.

Other Meds:

Current Illness:

ID: 0973892
Sex: F
Age: 34
State: MA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/26/2021
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

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

Symptoms: Pt developed headache, fever (8 hrs later), chills, nausea, pain at the injection site, and a splotchy, macular rash (23 hrs later) on bilateral forearms.

Other Meds: Multivitamin Vitamin D-3 Fluoxetine

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm