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: 0974176
Sex: F
Age: 71
State: WA

Vax Date: 01/17/2021
Onset Date: 01/24/2021
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: NKMA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Moderate macular rash with localized smaller area of induration - resolved with topical steroids.

Other Meds: None

Current Illness: None

ID: 0974177
Sex: M
Age: 55
State: MN

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Adhesive Tape-Silicones

Symptom List: Anxiety, Dyspnoea

Symptoms: ED visit for palpitations, fevers, chills with admission to the hospital for observation.

Other Meds: atorvastatin (LIPITOR) 80 mg tablet Blood-Glucose Meter (RELION PRIME METER) CPAP dilTIAZem CD (CARDIZEM CD) 240 mg extended release 24 hr capsule diphenhydrAMINE (BENADRYL) 25 mg tablet durable medical equipment (DME) hydroCHLOROthiazide (

Current Illness:

ID: 0974178
Sex: F
Age: 72
State: CO

Vax Date: 01/22/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Hay fever--molds, dust mites, ragweed, Pyridium

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

Symptoms: Woke Saturday to severe vertigo and unable to walk without holding on to something. Lasted about 8 hours before subsiding, but mild dizziness continued through Sunday . Nausea but no vomiting. Profuse sweating that lasted 5-10 minutes. Nausea continued throughout the day.

Other Meds: Lisinopril, Dutrasteride, Minivelle patch, Citracal, fish oil, multivitamin, Ocuvite, Chondrotin

Current Illness: None

ID: 0974179
Sex: F
Age: 62
State: OH

Vax Date: 01/22/2021
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: pencillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Canker sores, red/injection site pain, headaches o 01/24/2021

Other Meds: n/a

Current Illness: n/a

ID: 0974180
Sex: F
Age: 33
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: latex

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

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Other- injection site muscle twitching which was greatly lessened with arm motion/neck massage

Other Meds:

Current Illness:

ID: 0974181
Sex: F
Age: 46
State: NH

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: Tachycardia and chest heaviness started about 25 min after receiving vaccine, Taken to ED for observation, EKG. "Jittery & restless"- given Xanax. Observation for 1.25 hours-symptoms resolved and d/c home. Following day had body aches, fatigue, and fever up to 103.5. No further tachycardia. Took Tylenol and Advil. All symptoms completely resolved within 24 hours.

Other Meds:

Current Illness: None

ID: 0974182
Sex: F
Age: 40
State: PA

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Diarrhea nausea fatigue headache

Other Meds: Humira 40mg Citalopram20mg

Current Illness:

ID: 0974183
Sex: F
Age: 53
State: PA

Vax Date: 01/07/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Experienced Pruritus, redness, skin irritation, hives on bilateral arms, chest, hands Treated with Diphenhydramine 12.5 mg IV, Pepcid 20 mg IV, SoluMedrol 125 mg IV, Normal Saline x 1000 ml

Other Meds:

Current Illness:

ID: 0974184
Sex: F
Age: 81
State: FL

Vax Date: 01/01/2021
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: No known allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Resident was fine Day of the vaccine. The pharmacist stayed after for 30 minutes to check the well-being of the residence. Three days later resident was feeling weak wasn?t able to stand so we had to get a chair for her to sit in which was unusual. We did rapid testing and it was the only positive in the facility.

Other Meds: Vitamin C gummy Pradaxa atorvastatin calcium trazodone metoprolol mirtazapine tamsulosin stool softener acetaminophen

Current Illness: No illness

ID: 0974185
Sex: F
Age: 48
State: NJ

Vax Date: 12/22/2020
Onset Date: 12/22/2020
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 12/22 - HEADACHE. TOOK TYLENOL 12/23 - MILD HEADACHE IN THE MORNING

Other Meds: N/A

Current Illness: N/A

ID: 0974187
Sex: M
Age: 56
State: MS

Vax Date: 12/29/2020
Onset Date: 12/30/2020
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: fever, body aches, headache, weakness. No treatment sought.

Other Meds:

Current Illness:

ID: 0974188
Sex: F
Age: 61
State: WI

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Rash at injection site, and sore arm

Other Meds: Zinc, vitamin D

Current Illness:

ID: 0974189
Sex: F
Age: 31
State: RI

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: IM
Vax Site: LA

Lab Data:

Allergies: Styrofoam

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

Symptoms: Fever of 103, chills, balance loss, body aches, and tiredness

Other Meds: None

Current Illness: None

ID: 0974190
Sex: F
Age: 51
State: MI

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

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: allergic to vicodin, iron infusions, sulfa drugs

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

Symptoms: warmth in the chest; heart began to race and BP elevated. started to feel discomfort in chest and tightness in throat but did not close up. Was given Benadryl and Steiroid. chest x ray given which was normal. EKG taken which was abnormal but told was consistent with an older EKG. Was feeling better and about 90 minutes later felt warmth over my heart, my lips and mouth became tingly and both arms went numb and uncertain if my heart monitor showed abnormal. Was admitted overnight for observation. About 10 hours later had warmth in my chest, heart started beating fast, numbness in arms and around mouth and slight tightness in throat. Benadryl administered and heart calmed after couple of minutes, numbness went away after couple of minutes and tightness in throat went away after an hour. Again about 13 hours later the warmth in chest and heart racing only symptoms. Given another dose of Benadryl. The symptoms only lasted a couple of minutes. I also saw a cardiologist who ordered an echocardiogram just to rule out anything with my heart. It was normal. I was sent home with instructions to use Bendryl oral for 3 days every 12 hours. I was told it could be from vaccine and I was to follow symptoms for 2 weeks and if not better to see cardiologist to look at other reasons. I have taken the Benadryl for 3 days every 12 hours and did not have any other episodes with my heart. I am on day 6 now and I have joint pain and headache.

Other Meds: cipro and lexipro

Current Illness: had beed at tail end of treatment for a UTI. Was on last 4 days of a two week antibiotic treatment

ID: 0974191
Sex: F
Age: 29
State: VA

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: 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: Body aches, fatigue, HA, weakness, increased BP

Other Meds:

Current Illness:

ID: 0974193
Sex: F
Age: 45
State: VA

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: 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: Dose administered in am 1/22/20. That evening client reports muscle pain in upper left arm. Applied rubbing alcohol to upper left arm. In am 1/23 patient could not move left arm due to pain.1/24 Arm pain was improving, could move arm and sleep without disturbance. 1 am on 1/25 client awakened with itching and hives around neck and left upper arm. At 4am, awakened with right sided facial swelling and itching and hives on left arm increased. No exposure to any irritants or medication. Client did not take any medications to treat symptoms. Reports mild dizziness while in waiting area immediately after receiving dose-resolved. Denies oral itching., respiratory concerns, nausea, diarrhea, cough. On 1/26 Injection site is pink, slightly swollen in a 1cm x 1cm region. Client reports left upper arm, right cheek and right neck itch. No hives visible. Upper cheeks and lower periorbital area appear slightly swollen.

Other Meds: lisinopril

Current Illness: +COVID test 11/29/2020-recovered within 10 days

ID: 0974194
Sex: M
Age: 48
State: IL

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

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

Symptoms: Patient called on 1/25/21 and reported to the pharmacist that he was having severe pain in the shoulder that was radiating up to his neck and causing muscle spasms. He reported to his doctor who told him to report to the pharmacy as we administered the vaccination. Patient stated he has tried ice, heating pad, Tylenol, ibuprofen, and has seen a chiropractor with no relief.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 0974195
Sex: F
Age: 66
State: VA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fever, body ache, HA, nausea, chills, tremors, O2 sat = 96%

Other Meds:

Current Illness:

ID: 0974196
Sex: M
Age: 41
State: MD

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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Assessed onsite by EMT for an allergic reaction. Presented with a left swollen lower left eye, vitals sign normal, no rash or hives, no trouble breathing. Patient provided by EMT with benadryl 25 mg, self administered by mouth at 12:08 pm. Patient was reassessed by EMT at 12:15 pm with notable improvement. Released by EMT to caregiver.

Other Meds: Unknown

Current Illness: Unknown

ID: 0974198
Sex: M
Age: 72
State: TX

Vax Date: 01/05/2021
Onset Date: 01/08/2021
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: Nickel

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

Symptoms: Started with normal sore arm, ache, tired the day after. These symptoms went on for a week. Called Dr and they said they last longer in some people. By the week of the 11th my wife and I were both getting worse. By Sunday morning, 1/10 we couldn?t get out of bed. We tested positive for Covid around the 18th My question is we are supposed to get our second vaccination on 2/3/21, a week from tomorrow. Given the first vaccine, then testing positive for Covid, should we get the second shot as planned or should we try to delay a week or so to get more strength. This report is identical for both my wife and myself. Also, we mask, social distance, no restaurants, etc. Thank you

Other Meds: Fish oil, Hydroxychloroquine, Simvastatin tabs, aspirin 81mg, Losartain HCTZ

Current Illness:

ID: 0974199
Sex: F
Age: 42
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: imitrex

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

Symptoms: Premedicated with Benadryl and then had the following response tingling down left arm, right leg, lips and unusual sensation in abdomen, numbness in right hand and tightening around throat. States that she felt the Benadryl was working and symptoms were less than post 1st dose. today she reports severe arthalgia

Other Meds: synthroid, propanolol, emgality injection

Current Illness: none

ID: 0974200
Sex: F
Age: 67
State: CA

Vax Date: 01/16/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Itching, redness, and swelling on the upper left arm at the site of the vaccine injection. Symptoms started on 01/23/21. No fever.

Other Meds: Vitamin D, Vitamin C

Current Illness: None

ID: 0974201
Sex: M
Age: 74
State: FL

Vax Date: 01/22/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: 1st - Upper GI pain - similar to gastritis - pain scale 6/10. Reduced to 2/10 in 4 hrs. 2nd - minor chills during 2-4 hours 3rd - muscle aches beginning at hour 4 - pain scale 3/10 - reduced to zero during sleep overnight

Other Meds: Diovan-HCT 160/12.5, Vitamin C, Omega Oils, Probiotic, Multiple Vitamin, Glucosamine Chrondoitin

Current Illness: None

ID: 0974202
Sex: F
Age: 94
State: MI

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: fever, lethargy, decreased appetite, difficulty walking

Other Meds: acetaZOLAMIDE Tablet 250 MG , prednisoLONE Acetate Suspension 1 % Aspirin Tablet 81 MG Senna-Tabs Tablet Pilocarpine HCl Solution 2 % Brimonidine Tartrate Solution 0.2 %

Current Illness: None

ID: 0974203
Sex: F
Age: 23
State: OH

Vax Date: 01/22/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Full body rash/hives starting 84 hours after receiving the vaccine

Other Meds: Augmentin

Current Illness: none

ID: 0974204
Sex: F
Age: 24
State: CT

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: Unknown

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

Symptoms: Patient commented immediately after she received the injection that it was painful, within minutes of having a seat in the observation area she commented that her left arm was numb down to her fingertips, within mins the pharmacist administered Tylenol, patient commented she was having issues breathing, at 12:07pm the pharmacist administered an epi pen. After, she was brought to a room at the facility for observation. Before we left, the center informed us that they believe she had a panic attack due to her history, we have contacted the patient for confirmation of final outcome but are awaiting a call back.

Other Meds: Unknown

Current Illness: Unknown

ID: 0974205
Sex: F
Age: 29
State: IN

Vax Date: 01/12/2021
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: LA

Lab Data:

Allergies: Gluten Intolerant

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Arm swelling, hot to touch, and soreness within 12 hours after. Soreness and warmth at injection site continued for 10 days. 24 hours after injection, numbness and tingling started and still hasn't resolved 2 weeks after injection. Decreased strength in right arm, pain and discomfort comes and goes through day and night. Arm will go numb for up to an hour making it hard to grasp items, write, type, ect. Took Tylenol and Benadryl every evening, applied ice , stretching and movement to work muscle. Appears that vaccine was given too low instead of 2 in from shoulder, given 6 in from shoulder by pharmacist

Other Meds: Multi-Vitamin, Zyrtec-seasonal allergies, Metformin XR-PCOS, Zoloft-depression/anxiety

Current Illness: None

ID: 0974206
Sex: F
Age: 36
State: TX

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Metallic taste

Other Meds:

Current Illness:

ID: 0974207
Sex: F
Age: 63
State: WI

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:
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: Chills, fever 100.2, and body aches

Other Meds:

Current Illness:

ID: 0974209
Sex: F
Age: 60
State: AL

Vax Date: 12/29/2020
Onset Date: 01/06/2021
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: sulfa, codeine, succinylcholine

Symptom List: Nausea

Symptoms: Left arm was sore for the first two days and the felt fine for days 2-7. On day 8 - I woke up and arm was extremely sore, swollen, hard itching and bright red in a 3-4 diameter area around where shot was given. I took Claritin and two ibuprofens. Swelling started going down within 24 hours. Bright red color and hardness lasted for a few more days. By the time second dose day on 1-26 rolled around left arm was back to normal.

Other Meds: One a Day multi vitamin for women, CoQ10 - 300 mg, Magnesium 400 mg, timed release Vitamin C - 500 mg

Current Illness: none

ID: 0974210
Sex: F
Age: 40
State: NJ

Vax Date: 12/23/2020
Onset Date: 12/23/2020
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: N/A

Symptom List: Injection site pain

Symptoms: 12/23 - FLU LIKE SYMPTOMS (TEMP OF 99.7, CHILLS, BODY ACHES AND SWEATING) WHICH BEGAN AND LASTED APPROX 24-40 HRS AFTER BEING VACCINATED.

Other Meds: N/A

Current Illness: N/A

ID: 0974211
Sex: F
Age: 60
State: KS

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: None

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

Symptoms: At 3:00 am on 1/26/2021, I woke up shaking with chills, had a fever of 103 degrees, felt nauseous and had a severe headache. This continued for about 4 hours after which time the symptoms subsided. Throughout the day I had a mild headache and my temperature did go back to normal.

Other Meds: Citalopran - 20mg

Current Illness: None

ID: 0974212
Sex: F
Age: 39
State: PA

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: RA

Lab Data:

Allergies:

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

Symptoms: 1/15/21 Tingling in lips, fingers and arms 1/16/21 Right sided facial numbness

Other Meds:

Current Illness:

ID: 0974213
Sex: F
Age: 21
State: NY

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

Lab Data:

Allergies: No known allergies

Symptom List: Tremor

Symptoms: I received the Moderna vaccine at 3:50pm on 01/25/2021. Around 3:30am on 01/26/2021 I awoke feeling feverish and nauseous, and my arm at the site of injection was extremely painful. For the next 4 hours, I drifted in and out of sleep as I experienced violent body shakes from chills. Around 7:00am I woke up feeling more nauseous, and my temperature read 99.7 F. I vomited once, just containing stomach acid. After vomiting the nausea subsided but I had a pounding headache with sensitivity to light, joint and muscle aches, and continued pain at the site of the injection, although no redness or swelling was noticeable. The headache and injection site pain improved a little bit with Tylenol. At 11:20am 01/26/2021, I am now experiencing a mild headache and body aches, and my temperature reads 99.1 F.

Other Meds: Fluoxetine (10mg), Beyaz (OC), vitamin B12, liposomal vitamin C

Current Illness:

ID: 0974214
Sex: F
Age: 79
State: FL

Vax Date: 01/11/2021
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: dairy

Symptom List: Erythema, Pruritus

Symptoms: Moderna COVID-19 Vaccine EUA For a couple of days after injection had the usual tenderness at site. Then nothing. Nine days later itching at site and some redness. This has continued through today with redness being very light colored now but still some itching.

Other Meds: multi vitamin, vitamin C 500 mg, vitamin E 180 mg, (later - calcium 1200 mg, magnesium 500 mg, aspirin 81 mg)

Current Illness: none

ID: 0974215
Sex: F
Age: 57
State: WI

Vax Date: 01/18/2021
Onset Date: 01/21/2021
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: Supposed allergy to macrobid but I don't think that was the cause of my hives, I believe it was something else at the time.

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

Symptoms: Woke up vomiting. Thought maybe it was something to do with the lobster I had for dinner the night before. Vomiting continued throughout the day Thursday. Started to think maybe it was flu bug. I also had constant headache which I thought was from vomiting but it wouldn't go away. I had no other flu symptoms though either. Vomiting stopped on Friday am but nausea continued with headache and is still present today, 01/26/2021. Nausea is gone now. No other symptoms or issues.

Other Meds: Propranolol, Nexium, Vitamin B12,Calcium, Vitamin D3, Magnesium, tylenol arthritis, advil and flonase.

Current Illness: None.

ID: 0974216
Sex: F
Age: 28
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
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: Seasonal

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

Symptoms: Muscle aches, chills, fatigue, malaise, anorexia. All started about 14 hours after injection, lessened within 24 hours after injection, fully recovered 36 hours after injection.

Other Meds: Yaz, zyrtec

Current Illness: none

ID: 0974217
Sex: F
Age: 44
State:

Vax Date: 01/18/2021
Onset Date: 01/19/2021
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: No known drug allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: ED provider notes as follows: Initial Vital Signs [01/20/21 0010] Blood Pressure 136/74 Heart Rate 82 Respiratory Rate 20 Temp 36.7 ?C (98.1 ?F) Temp src Oral SpO2 98 % 44 y.o. female who arrived to the emergency department for Episode of right mid anterior chest pain intermittently ongoing starting around 10 PM this evening. She has had similar episodes in the past thought to be related to her gallbladder. Tonight she took some Pepcid and Tylenol. She denies any shortness of breath, or persistent chest pain, states pain has resolved since arriving in the emergency room. She denies any recent fever however she was recently given the second vaccine dose for COVID, and is having myalgias and symptoms she believes are related to the vaccination. She is requesting a COVID test. Patient denies sore throat, cough or abdominal pain. At this time only symptoms or myalgias. She continues to have no symptoms, her workup is reassuring, low suspicion for severe significant pathology, however would have a low threshold to return to the ER if chest pain would return or any other symptoms were to arise. COVID test came back negative.

Other Meds:

Current Illness:

ID: 0974218
Sex: F
Age: 77
State: OH

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: On 1/26/21 the patient called to report that on 1/23/21 she woke up and noticed a very large red area on her arm where she received the vaccination, it was warm to the touch and sore. She denies muscle pain and is able to move her arm without pain. She states over the next few days following 1/23/21 the redness increased and continued to be warm to the touch. Patient did call and discuss with her physician.

Other Meds: None

Current Illness: None

ID: 0974219
Sex: F
Age: 42
State: WA

Vax Date: 01/08/2021
Onset Date: 01/10/2021
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: latex, penicillins, sulfa antibiotics

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

Symptoms: intermittent feeling of racing heart after first dose of moderna vaccine, lasting about 2 weeks and slowly improving. also at injection site, mild itching, redness starting about 10 days after the injection

Other Meds: ventolin (PRN), atorvastatin 40 mg, chlorthalidone 25 mg, citalopram 40 mg, flonase, flovent, lantus, victoza, lisinopril 10 mg daily, metformin 2000 mg daily, singulair 10 mg

Current Illness:

ID: 0974220
Sex: M
Age: 77
State: MI

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

Lab Data:

Allergies: No known allergies.

Symptom List: Pain in extremity

Symptoms: Noted at 5:37pm on 1/18/2021 with a temperature of 100.0 degrees Fahrenheit. Acetaminophen 650mg once administered. Temperature at 7:03pm on 1/18/2021 was 98.6 degrees Fahrenheit. No other side effects noted.

Other Meds: Prostat AWC 30mL three times daily. Apixaban 5mg two times daily. Diltiazem CD ER 240mg one time daily. Finasteride 5mg one time daily. Magnesium Oxide 400mg one time daily. Metformin HCL 1000mg two times daily. Multivitamin Tablet one time

Current Illness: None noted.

ID: 0974221
Sex: F
Age: 36
State: TX

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Metallic taste

Other Meds:

Current Illness:

ID: 0974222
Sex: M
Age: 37
State: KS

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

Lab Data:

Allergies: none

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

Symptoms: I had muscle aches, chills, fatigue, headache. All symptoms were mild. They lasted for about 24 hours after starting, or about 36 hrs after receiving the vaccine.

Other Meds: none

Current Illness: none

ID: 0974223
Sex: F
Age: 65
State: MA

Vax Date: 01/16/2021
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: non

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

Symptoms: Redness on left arm starting on 1/24/2021. Itchy. Warm.

Other Meds: Effexor daily

Current Illness: sinus infection w abx use. ended 2 days prior to vaccine.

ID: 0974225
Sex: F
Age: 26
State: NE

Vax Date: 12/28/2020
Onset Date: 12/30/2020
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: No Known Allergies

Symptom List: Vomiting

Symptoms: 12/29: severe joint pain which prevented me from working (used OTC ibuprofen for symptom management), moderate sore arm, mild headache, mild nausea 12/30: severe facial nerve pain in right cheek onset in evening when I laid down in bed followed by a pins and needles tingling feeling. Went to clinic in morning of 12/31 due to lingering facial paresthesia. Was tentatively diagnosed with a mild/incomplete Bell's Palsy or a trigeminal neuralgia. Important to note that I did NOT have facial weakness or drooping. Was advised to not get the 2nd dose of vaccine. Did not receive any prescription medications. Facial paresthesia resolved within two days.

Other Meds: Kyleena IUD and OTC ibuprofen as needed

Current Illness: COVID-19 onset Dec 13 but fully recovered at time of vaccine

ID: 0974226
Sex: M
Age: 31
State:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Pt. reported that he had a horrible headache from his first shot in this series and he wanted to go to the ER before the headache became severe. Pt. was given ketorolac in the ER.

Other Meds:

Current Illness:

ID: 0974227
Sex: F
Age: 39
State: WI

Vax Date: 01/13/2021
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: RA

Lab Data:

Allergies: amoxicillin, sulfas

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

Symptoms: transient lingual papillitis

Other Meds: Lorazepam 0.5 mg, buspirone 30 mg, norethindrone 0.35 mg, ibuprofen and acetaminophen

Current Illness: none

ID: 0974228
Sex: F
Age: 43
State: OH

Vax Date: 12/29/2020
Onset Date: 12/31/2020
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: No

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I had a sore arm 12 hrs that lasted three day. Two days after I noticed a rash on my chest, neck and face that was itchy red and raised. The next day, spread down my stomach, back, thighs and both arms.

Other Meds: I take zyrtec and pepside.

Current Illness: No

ID: 0974229
Sex: F
Age: 69
State: NY

Vax Date: 01/16/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: 10 days after the injection i noticed while taking a shower that my left arm had a red spot that looked like i had a sunburn. it feels swollen or hard. Not panful or itchy

Other Meds: Synthroid

Current Illness:

ID: 0974230
Sex: M
Age: 92
State: VT

Vax Date: 01/18/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital: Y

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

Lab Data:

Allergies: Brimonidine, Prednisone

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

Symptoms: Patient had a fall at extended care facility, patient had worsening cognitive function. CT reveals subdural hematoma

Other Meds: ASpirin 81mg, Symbicort, vitamin C, finasteride, synthroid, losartan, fish oil, multivitamin, tamsulosin, Spiriva, trazodone

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm