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: 0973944
Sex: F
Age: 44
State: NY

Vax Date: 01/24/2021
Onset Date: 01/25/2021
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: SHELLFISH,SHRIMP

Symptom List: Dysphagia, Epiglottitis

Symptoms: HAS PETECHIAE IN RIGHT RIB ARE AND BREAST AREA VERY PAINFUL

Other Meds: AMLODIPINE,BUPROPION,FLUTICASONE,HCTZ,LEVOTHYROXINE,LORATIDINE,VIT D3

Current Illness: NONE

ID: 0973945
Sex: F
Age: 61
State: GA

Vax Date: 01/07/2021
Onset Date: 01/20/2021
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: careflax

Symptom List: Anxiety, Dyspnoea

Symptoms: started last week feeling numbness in my right foot. Then went to my right leg and up to my right arm and hand . Then went to the left arm. Starting to have pain in my right hand and leg. The numbness grew daily. When i stand the numbness goes away and then when i lay down or sit down it comes back.

Other Meds: Vitamins,

Current Illness:

ID: 0973946
Sex: F
Age: 34
State: MI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
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: No

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

Symptoms: About 15 min I felt numbness and tingling on my face. Gradually felt it in my whole body by 8:30PM that night, next day I tried to go to work but I had to leave because of the intense numbness and tingling. I also developed left leg weakness and had to even pick up my leg to be able to walk. The NP at my neurologist office (talked over the phone) said it was a pseudo effect due to my MS. My symptoms are still intermittent up to my second dose. It is all over the numbness and tingling, but as it is subsiding it is now flaring up my symptoms from 2 years ago and I feel it on my second side.

Other Meds: Gilinya, Daily multivitamin and vitamin d

Current Illness: No

ID: 0973947
Sex: M
Age: 30
State:

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: severe, aches, chills, felt feverish, h/a, stomach upset. Took tylenol.

Other Meds:

Current Illness:

ID: 0973948
Sex: F
Age: 90
State: CT

Vax Date: 01/18/2021
Onset Date: 01/18/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0973950
Sex: F
Age: 27
State: NY

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: No

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

Symptoms: Severe muscle aches, chills, back pain, nausea, vomiting for 4 days

Other Meds: Orthocyclin, emgality, omprazole

Current Illness: No

ID: 0973951
Sex: F
Age: 50
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: About 20 minutes after receiving the vaccine I developed tingling of my lips and face, including left eyelid. It improved over several hours. I had no swelling or drooping of my face, or trouble breathing.

Other Meds: Apri Hair skin and nails supplement NAC vit B12 iron

Current Illness: none

ID: 0973952
Sex: M
Age: 87
State: FL

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

Lab Data:

Allergies: NONE

Symptom List: Pharyngeal swelling

Symptoms: REDDENED AREA DIRECTY NEXT TO SITE OF VACCINE ADMINISTRATION. DID DEVELOP A "HEAD" THAT RUPTURED HAD A LITTLE DRAINAGE.

Other Meds: ELIQUIS, STATIN, AMIODONE, METOPROLOL,

Current Illness:

ID: 0973953
Sex: F
Age: 62
State: AZ

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: Abdominal pain, Chills, Sleep disorder

Symptoms: All over body puritis, urticaria type rash on shins, abdomen, significant under breasts and cleavage area. Arms and chest covered in bumps (not reddis)

Other Meds: OTC whole plant powder gummies

Current Illness: None

ID: 0973954
Sex: F
Age: 69
State: PA

Vax Date: 01/19/2021
Onset Date: 01/25/2021
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: six data after receiving the vaccine a red itchy sore area at site of injection has developed.

Other Meds:

Current Illness:

ID: 0973955
Sex: F
Age: 64
State:

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

Lab Data:

Allergies:

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

Symptoms: temp aches, vomiting, Out of work.

Other Meds:

Current Illness:

ID: 0973956
Sex: F
Age: 67
State: IA

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Penicillin, Cefazolin, Vancomycin, Ciprofoxacin

Symptom List: Rash, Urticaria

Symptoms: Fast heartrate and elevated blood pressure. Very tired, had to lay down. Hard to sit.

Other Meds: Aspirin 81mg once daily.

Current Illness: None

Date Died: 01/26/2021

ID: 0973957
Sex: M
Age: 81
State: NC

Vax Date: 01/20/2021
Onset Date: 01/24/2021
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: penicillin

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

Symptoms: 5 days after receiving his COVID vaccination the patient had a spontaneous (nontraumatic) subarachnoid hemorrhage which was fatal. The patient had previously been stable on his coumadin dosing with therapeutic INRs for the past several months per his wife. At time of presentation his blood pressure in the ER was elevated to 223/94 and his INR was risen to 3.1

Other Meds: pantoprazole 40 mg daily potassium chloride 10 meq daily sotalol 120mg BID warfarin 2.5mg daily warfarin 5mg weekly furosemide 40mg daily allopurinol 200 mg daily donepezil 10mg daily lisinopril 5mg daily

Current Illness: none

ID: 0973958
Sex: F
Age: 60
State:

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: temp 101.2, h/a, chills. Took tylenol.

Other Meds:

Current Illness:

ID: 0973959
Sex: F
Age: 25
State: VA

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: 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: Fever = 101, left side of body is weak/sore, generalized weakness, lymph nodes swollen on left side only

Other Meds:

Current Illness:

ID: 0973960
Sex: F
Age: 24
State:

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: 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: Headache for 4 days, neck ache for 5 days, chills for 2 hours the same day of administration, arm ache for 4 days, fatigue for 2 days

Other Meds: n/a

Current Illness: n/a

ID: 0973961
Sex: F
Age: 37
State: OH

Vax Date: 01/24/2021
Onset Date: 01/25/2021
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: Anaphylaxis to: Erythromycin Base, Lincosamides, Macrolide Antibiotics, Tetracyclines, Clindamycin, Sulfa (Sulfonamide Antibiotics), Clarithromycin, Azithromycin, Latex (delayed anaphylaxis - more exposure = worse reaction, but always causes delayed/slow progressive anaphylaxis), Cephalosporins, Moxifloxacin, Neomycin Sulfate, Gentamicin, Cephalexin Monohydrate, Sulfa Antibiotics, Clindamycin/Lincomycin, Bacitracin. Amoxicillin-Pot Clavulanate- Nausea And Vomiting Hydrocodone - Nausea And Vomiting Mupirocin (Bulk) -- Dermatitis, Hives, Itching, Rash, Shortness Of Breath, Swelling Bupropion ? hallucinations Cinnamon & raw tomatoes - itching mouth, induce asthma, and terrible reflux

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

Symptoms: 1/25: woke up with a sore arm, no rash 11:30 - started feeling febrile, was 98.7 (ear); rash on arm; arm VERY sore (hard to raise up). HR 70s-80s. BP 141/98 12:30 - significantly worse chills/aches/fever was 99.1 (ear), took 1000mg Tylenol (can't take ibuprofen due to Von Willebrand's) 1:30 - worse s/s - fever 99.7 (ear); 100.5 behind ear 3:00 - raised red rash over entire upper arm and the previous injection site (left arm); similar to hives, but no pustules. Arm pain increased on the right side; fever 101.5 (ear) and 102.1 behind ear 4:00 - rash continued, pain continued, chills/fever 101.7 (ear); HR 110s 5:00 - same, 102.8 fever, HR 110-120s. Called my MD - who denied need for ER (to go if fever is 104+); BP ok. Rash continued 6:00 - Tmax 103.2 (ear), 104.6 behind my ear; HR 110s-120s. Tylenol 1000mg again. 7:30 - Fever coming down; feeling a little better, fever 102 (ear) 9:00 - Fever 99.6; other symptoms are the same 10:30 - fell asleep; fever was around 101 11:15 - Fever 101.7 Midnight - fever 102.3; tylenol again; took famotidine 40 mg and benadryl 37.5mg - kids chewable (this combo works well when I have issues with latex exposure) 4:35 AM 1/26: husband work me up to check my fever - 99.6 8:00AM 1/26: Fever 102.4; HR 90-100s; took tylenol 1000mg ; rash is less severe - on side of injection: localized to injection site us about 2-3 inches; swelling) and noted the other arm is red and itchy -just below site of the injection - improved though 10:00 AM 1/26: Fever finally broke - 98.8 Called healthcare provider (vaccine was though workplace) and they advised to call which then advised me to complete the form online.

Other Meds: Adderall, labetalol, clonidine, allegra BID, fluticasone (glucocorticoid) nasal spray, vitamin C, vit C, B complex, multivitamin with iron

Current Illness: TMJ issues - I grind my teeth and bit through my bite guard. I went to the dentist and am getting another one.

ID: 0973962
Sex: F
Age: 60
State: GA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: Codeine, Iodine, penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pfizer BioNTech COVID-19 Vaccine EUA approximately 10 minutes after receiving her second dose, patient report throat tingling and tightness. Later started to have an intermittent cough

Other Meds: OTC benadryl

Current Illness:

ID: 0973963
Sex: F
Age: 56
State: MN

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Allergic to Tylenol

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient became hot, red, and itchy systemically 15 minutes after receiving the shot. Gave 50mg of benedryl and observed for 45 minutes. Symptoms resolved. Called patient later in the afternoon and symptoms had not come back.

Other Meds: none

Current Illness: None

ID: 0973964
Sex: F
Age: 46
State: OK

Vax Date: 01/09/2021
Onset Date: 01/10/2021
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: sulfas, iodine based dyes, very sensitive to fentanyl

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

Symptoms: Saturday, 01/09/21 1300-received 2nd vaccine Sunday, 01/10/21 0500 -severe left arm pain, began at injection site, radiated: up and across L shoulder blade area, up neck and into head, down to L fingertips 0600 -all above continued, R knee joint pain (sharp/stabbing) 1400 -all above continued except R knee joint pain; spinal pain and intercostal pain began 1900 -all above continued; TMJ, jaw, and 'tooth' pain began Monday, 1/11/21 TMJ, jaw, and 'tooth' pain, nausea, fatigue, night sweat Tuesday, 1/12/21 TMJ, jaw, and 'tooth' pain, nausea, fatigue, night sweat Went to dentist (scheduled appointment on Monday) for cleaning and thorough exam...exam was normal Wednesday, 1/13/21 continuation of symptoms from 1/12/21, but pain worse, ear pain Thursday, 1/14/21 0630 had eaten a full can of chicken noodle soup. Was sitting and working on CEs for work, had taken medications for the day, but added in hydrocodone, half of a 7.5/325mg tablet and ibuprofen 200mg. Felt a severe wave of nausea. Laid my head down on my arms on the table. Do not remember getting up, but remember walking through the kitchen in front of the refrigerator, reaching up to feel my pulse, felt two beats which were too far apart and thought to myself, "I'm going to faint". Apparently I was able to walk about 6 feet further, but I don't remember it. I don't know what time I fainted, but I think I must have fallen. I woke up sometime after 7, disoriented and my head hurt, lying on the kitchen floor. My husband came to my side after I called out to him about 5 times. I was drenched in sweat and very weak. When firefighters arrived they said my heart rate was 'all over the place', from 46 to I don't know what (did not hear). Ambulance arrived around 0730. Glucose was normal. Was taken for evaluation. Was given IV NS (I think 1000mls). Labwork was drawn. CXR, CT, and EKG. ER Dr recommended I follow up with my cardiologist, as she noted mitral valve regurgitation and thought a Holter monitor would be advisable. CXR and CT normal. EKG normal sinus rhythm, but showed anteroseptal infarct of unknown age, confirmed by cardiologist who read the EKG. Also seen by my PCP at 1430, he checked my ears, as they had been hurting as well, said they were clear. Advised alternating tylenol and ibuprofen Q4-6H. Friday and Sunday 1/15 and 1/16 night sweat, TMJ pain, nauseated, headache, neckache, fatigue, shoulders sore, eyes sore, inner ear pain Sunday, 1/17 0500 woke up, lying in bed, dizzy, clammy palms, chest pain (mid-clavicular, just below left breast, stabbing), night sweat, TMJ pain, nauseated, headache, neckache, fatigue, L & R flank pain, BP 115/70, HR 54 Monday 1/18, Tuesday, 1/19, Wednesday 1/20, Thursday 1/21, Friday 1/22, and Saturday 1/23 varying degrees of: fatigue, nausea, dizziness, TMJ, jaw, and 'tooth' pain, palpitations, and ear pain. TMJ and jaw pain worsens with activity.

Other Meds: Nabeumetone, loratidine, sertraline, prenatal mulivitamin +DHA, vitamin C, Flax oil, cranberry capsules, B-complex, Calcium, occasionally arnica montana, ibuprofen, and tylenol

Current Illness: n/a

ID: 0973965
Sex: M
Age: 34
State: NJ

Vax Date: 12/21/2020
Onset Date: 12/21/2020
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: N/A

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

Symptoms: 12/21 RIGHT 1ST AND 5TH FINGER SENSITIVITY TO HEAT SOON AFTER VACCINE. 12/22 2AM FEVER AND BODY ACHES.

Other Meds: N/A

Current Illness: N/A

Date Died: 01/26/2021

ID: 0973966
Sex: M
Age: 82
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: death

Other Meds: Toujeo 300 unit/ml,trulicity 3mg/0.5ml, hydrochlorthiazide 12.5mg, actos 45mg, onglyza 2.5mg, olmeprazole 40mg, repaglinide 1mg, olmesartan 40mg, simvastatin 40mg, amlodipine 10mg

Current Illness:

ID: 0973967
Sex: F
Age: 61
State: PA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
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: hives from penicillin as a child but have taken antibiotics in penicillin family since with no reaction

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

Symptoms: Almost immediately I had a "knot" at injection site. Tender to touch and warm. "Knot" never did go away and was pink. One week to the day later injection site became very itchy, red and warm. Extreme Itching lasted for 2 days. As of today 1/26/2021 there is an approximately 3 in reddened area around injection site, it is warm to the touch and slightly itchy intermittently.

Other Meds: xarelto 20 mg/dai;y trazadone 150 mg/daily venlafaxine HCL ER 150 mg/daily hydrochlorothyizide 25 mg/daily

Current Illness: none

ID: 0973968
Sex: F
Age: 98
State: CT

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

Symptom List: Injection site pain, Pain

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0973969
Sex: F
Age: 25
State: VA

Vax Date: 01/10/2021
Onset Date: 01/10/2021
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: Tired, hungry, fatigue, body aches

Other Meds:

Current Illness:

ID: 0973970
Sex: F
Age: 32
State: PA

Vax Date: 01/15/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Oysters, developed in November 2011

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

Symptoms: Face swelling and redness with lip tingling and tongue tingling later after eating a few bites of a home prepared meal that has been eaten several times before. Started eating around 7 pm, have picture of red and swelling face at 7:11 pm. Contents of meal were shrimp, homemade egg noodles, chicken stock, pork, and romaine. No breathing problems and felt fine besides face warm ness and some anxiety over possibly developing a new allergy, as these symptoms were similar to my adult onset allergies to oysters in 2011. Sought remote care at 7:41, spoke to RN over phone who recommended a video visit, then after video visit was recommended to go to urgent care. Arrived at Urgent Care around 8:50 PM. Had a steroid shot of solumedrol 125 mg to IM the left arm around 9 pm, then took some Benadryl and famotidine at urgent care. Picked up prescriptions for famotidine 7 days, prednisone 4 days, and Benadryl as needed. Taking medications now with careful watching of potentially allergic reaction provoking foods such as shrimp, fish, nuts, and wheat.

Other Meds: Alyacen

Current Illness: None

ID: 0973971
Sex: F
Age: 34
State: AZ

Vax Date: 01/19/2021
Onset Date: 01/20/2021
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: none

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Body aches, joint pain, chills without fever, headache, nausea, fatigue

Other Meds: Levothyroxine, prenatal vitamin, vitamin D, Zyrtec, prilosec

Current Illness: none

ID: 0973972
Sex: F
Age: 51
State: KY

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Overnight woke up with chills and sever pain at injection site; about 5 hrs later swelling at injection sire, continued chills & lethargy

Other Meds: Meloxicam, fatty acid, B12, D3, daily multi

Current Illness: none

ID: 0973974
Sex: F
Age: 74
State: FL

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: 16:45 reports (L) arm numbness starting @ (L) shoulder extending to (L) hand. EMS notified for evaluation. B/P 190/102. P73, Glucose 109 (2? post prandial) O2 sat 100% Pt. refused transport to local hospital.

Other Meds:

Current Illness:

ID: 0973976
Sex: F
Age: 34
State: VA

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: Nausea

Symptoms: HA, fever = 101, body aches.

Other Meds:

Current Illness:

ID: 0973977
Sex: F
Age: 37
State: IN

Vax Date: 01/24/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Injection site pain

Symptoms: Very swollen/painful right armpit lymph node

Other Meds: Lortab Flexeril Trazodone Women's multi vitamin Vitamin D3 Biotin Diazepam Omeprazole Tizanadine Levothyroxine Minipress Flonase Alavert

Current Illness: N/A

ID: 0973979
Sex: F
Age: 43
State: FL

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: Latex, Seafood

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

Symptoms: As soon as patient received vaccination her left arm became heavy, she became dizzy with chest pain on deep inspiration. Patient has a PMHx of anxiety which they believe instigated the side effects. Patient was transported via EMS to Palms of Pasadena hospital with non-urgent acuity.

Other Meds: Metformin, Novac, Topamax

Current Illness:

ID: 0973980
Sex: M
Age: 60
State: MI

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: RA

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0973981
Sex: F
Age: 27
State: VA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
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: Body aches, low grade fever, nausea, vomiting, diarrhea, HA, arm soreness

Other Meds:

Current Illness:

ID: 0973982
Sex: F
Age: 42
State: WA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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: egg whites, dust, ragweed

Symptom List: Erythema, Pruritus

Symptoms: After the vaccination I felt like I was drunk and tired which lasted about 2 days. On day 3 I developed a horrible headache and the muscle behind the eye was throbbing and hurting really bad with nausea associated for about 5 days. It made me feel manic and felt as if I was in a psychotic state which lasted from 12/28-1/26 .

Other Meds: Armour Tyroid, lamictal, Seroquel. effexor,

Current Illness: no

ID: 0973983
Sex: F
Age: 45
State: GA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: unknown

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

Symptoms: "Pfizer-Bio-Tech COVID-19 Vaccine EUA" Individual received the Pfizer Covid-19 vaccine at 8:40 am. She began to feel as if she was having any anxiety attack at 8:45 am. Her vitals were 132/82, 20, 99, 99% RA at 8:50 pm. We administer 2 liters oxygen per nasal cannula. 8:55 am B/P 130/80,20, 102-99 P, 99 % RA. 9 am Benadryl 50 mg given IM in RD. Patient swallowing intact. Individual stated she felt better. 9:05 am vitals 120/72. 18, 74, 99% RA. Individual went home with family with no noted distress.

Other Meds: unknown

Current Illness: unknown

ID: 0973984
Sex: M
Age: 50
State: NY

Vax Date: 01/13/2021
Onset Date: 01/13/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Patient given wrong manufacturer First doe Moderna- second dose Pfizer

Other Meds:

Current Illness:

ID: 0973985
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies: NKDA,

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: fever, chills, body aches to right side of body, Tenderness under arm, Right buttock soreness, Lump near right side of neck, next to clavicle. Ibuprofen for body aches taken sunday , Monday. Today Tuesday 1-26-21 continues with soreness to right underarm, injection site and lump on neck.

Other Meds: pre-natal vitamins, vitamin D

Current Illness: none

ID: 0973986
Sex: M
Age: 70
State: IL

Vax Date: 01/19/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Amoxicillin and Levaquin.

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

Symptoms: After the vaccine, usually has accumulation for mucous in the nose. Scheduled for surgery in May with ENT to expand passageway. Has had nose bleeds before. Woke up blew his nose, felt it running and then had severe nose bleed. Was clotting up and then blew it out. Also had used a chemical using his bathtub and the nosebleeds have occurred every morning for the last 3-4 days. Anytime he gets ready to go to the doctor it stops. Just first thing in the morning upon wakening and only after he blows his nose. Which he called the 24-hour nurse line and she instructed him on how to stop the bleeding, and told him not to blow his nose. He was examined by his ENT in Oct/Nov was told that he was normal other than the balloon procedure. Is going to FU with his ENT.

Other Meds: Simvistatin, baby aspirin.

Current Illness: None.

ID: 0973987
Sex: F
Age: 34
State:

Vax Date: 12/24/2020
Onset Date: 12/24/2020
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:

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

Symptoms: Tingling in head and both arms

Other Meds:

Current Illness:

ID: 0973989
Sex: F
Age:
State: VA

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: Pain in extremity

Symptoms: Sore throat, HA, chills

Other Meds:

Current Illness:

ID: 0973990
Sex: M
Age: 70
State: MN

Vax Date: 01/23/2021
Onset Date: 01/23/2021
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: No

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

Symptoms: Systemic: Chills-Mild, Systemic: Other- Dizziness; symptoms lasted 1 day

Other Meds:

Current Illness:

ID: 0973991
Sex: F
Age: 58
State: DE

Vax Date: 01/17/2021
Onset Date: 01/18/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Approximately 2"x2" irregularly-shaped redness at injection site. Has been warm to the touch at times. Redness appeared to lighten on 01/25/2021, but was darker and itchy on 1/26/2021.

Other Meds:

Current Illness:

ID: 0973992
Sex: F
Age: 43
State: CA

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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: 102 degree temp, night sweats- changed clothing 2 times during night. Throbbing headache. Pain in neck down to including both shoulders.

Other Meds:

Current Illness:

ID: 0973993
Sex: F
Age: 18
State: IA

Vax Date: 01/19/2021
Onset Date: 01/22/2021
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: Seasonal allergies

Symptom List: Vomiting

Symptoms: Very sore arm and armpit, swollen lymph nodes all over, temperature of 100.0-100.3, headaches

Other Meds: Junel

Current Illness: N/A

ID: 0973994
Sex: F
Age: 36
State: IN

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Fever chills body aches headache

Other Meds: Zoloft , trulance

Current Illness: None

ID: 0973995
Sex: F
Age: 30
State: VA

Vax Date: 01/14/2021
Onset Date: 01/14/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Arm pain, joint pain, treated with naproxen

Other Meds:

Current Illness:

ID: 0973996
Sex: M
Age: 72
State:

Vax Date: 01/14/2021
Onset Date: 01/20/2021
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pt had injection site arm pain that started 5-7 days (around 1/20/21) and continues through today 1/26/21. No erythema, warmth, or hematoma. Skin appears normal to per pt. Worse when supine and in AM. Possible nodularity at site although does not report it consistently. Yesterday 1/25/21 was advised warm compresses and Tylenol for pain given pt's cardiac history, as well as PCP follow-up. Today reports decreased arm pain and improvement with heat. Will follow up with PCP as necessary.

Other Meds:

Current Illness:

ID: 0973997
Sex: F
Age: 61
State: NY

Vax Date: 01/17/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: 6 days after receiving the shot in my left arm the area of the shot has become red, hard to the touch and hot to the touch. It's painful and swollen. Additionally, there are red blotches in small areas on the same arm.

Other Meds: Armor Thyroid 60mg Vitamin C 600 mg Multi-Vitamin Magnesium Calcium 200mg Omega 3 2000 mg Pro Biotic 270 mg Iodine 225 mcg Vit D3 10,000 IU - once daily Vit D3 - 50,000 IU - once a week

Current Illness: On December 26th was in ER for possible dehydration further tests are being done.

ID: 0973998
Sex: M
Age: 62
State: NJ

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Chills, headache, low grade fever and pain at injection site.

Other Meds: Tamsulosin .4mg - 1 capsule daily Fexofenadine 24hour - 1 tablet daily

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm