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: 0922429
Sex: F
Age: 33
State: MO

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Sulfa medicine

Symptom List: Dysphagia, Epiglottitis

Symptoms: Body aches, fever over 100.4, joint pain, chills

Other Meds: Lisinopril, 10mg Levoxyl, 300mg Prozac, 40mg

Current Illness: N/a

ID: 0922430
Sex: F
Age: 29
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Experienced minor chills about 11 hours post vaccination (7:00pm) and took 1000mg acetaminophen and went to bed at 9:30pm. Woke at 11:30pm with uncontrollable chills, nausea, headache and muscle spasms (shaking). Took 1000mg acetaminophen and was able to get back to bed at 2:30am. Had a vivid/stressful dream ongoing off and on all night about completing a task I couldn?t understand, was irrational, and completion would lead to the symptoms subsiding. Woke back up at 4:00am with chills and shakes and a headache and took another dose of acetaminophen. Relaxed at 5:00am and got out of bed. Took 600mg ibuprofen for significantly sore injection site that feels very deep and even goes into the arm pit.

Other Meds: 1000mg acetaminophen 30 mins prior to vaccine

Current Illness:

ID: 0922431
Sex: F
Age: 47
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: NKDA, NKFA, NKA

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

Symptoms: Itching, redness , bruising ,raised area at site of injection that was one week delayed

Other Meds: Birth Control, Lavender Tea, Hibiscus Tea, Goji Berry Tea, Mint/green Tea

Current Illness: NONE

ID: 0922432
Sex: F
Age: 49
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: After receiving the injection in the right arm, the patient began to feel pain and burning at the injection site in the right deltoid with spreading down to her hand along with localized redness at the injection site. She was given 50 mg of diphenhydramine and subsequently developed facial flushing and a feeling of numbness/tingling in both arms and hands. At this time, about half an hour had elapsed after the injection, so she was referred to the hospital emergency department from the hospital vaccine pod for additional monitoring. No additional interventions were given in the emergency department, she was discharged home after 3 hours of monitoring. Symptoms had improved with time.

Other Meds: None reported

Current Illness: None reported

ID: 0922433
Sex: F
Age: 33
State: PR

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Tacycardia (HR 145) and SOB

Other Meds: Prolaire, Duoneb, Claritin, Zyrtec, Topiramate, Butalbital, Multi-vit w/iron,

Current Illness: Chronic bronchitis flair-up

ID: 0922434
Sex: F
Age: 39
State:

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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:

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

Symptoms: temp 99.5, fatigue, body aches, headache

Other Meds:

Current Illness:

ID: 0922435
Sex: F
Age: 50
State: OH

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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: Morphine and Dilaudid

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Shortness of breath and elevated heart rate

Other Meds: Vit. D 2500 units, protonix 40 mg daily; zinc 220mg daily, Vitamin C 500 mg daily

Current Illness: None

ID: 0922436
Sex: F
Age: 59
State:

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, contact allergy

Symptom List: Pharyngeal swelling

Symptoms: 2hrs after the vaccination -slight headache and nauseated Noticed the redness/ stiffness of the area 1/01/2021 and lasted 3days

Other Meds:

Current Illness: Hypertension/diabetes

ID: 0922437
Sex: F
Age: 40
State: LA

Vax Date: 12/23/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Morphine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Tingling in fingers Fingers contracting without pain, only tingling

Other Meds: Vitamins B-12 9Injection and by month), C, D, B1 Iron, Multi Vitamin

Current Illness: N/A

ID: 0922438
Sex: F
Age: 57
State: GA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: Mushroom, Cherries, Morphine, Bactrim

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Nosebleed

Other Meds: Nadolol(migraine mgmt)

Current Illness: None

ID: 0922439
Sex: M
Age: 51
State: MA

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

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

Lab Data:

Allergies: NKA

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

Symptoms: Client reported mild itching in left arm approximately 10 minutes after receiving vaccine. No shortness of breath noted, alert and oriented with no known drug allergies and no history of anaphylaxis. Vital signs taken at 0705 reported as: BP 138/83, P 65 bpm, O2 99% on room air, temp 98.0 degrees Fahrenheit, all within normal limits reported from client. Stayed for 15 minutes longer and reported subsiding of itching in arm. Client discharged from area.

Other Meds:

Current Illness:

ID: 0922440
Sex: F
Age: 34
State: MD

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
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 known

Symptom List: Rash, Urticaria

Symptoms: At the time of injection, patient felt pain and a "zinger" at the injection site that traveled up into the left shoulder and down the left arm. A numbness and tingling sensation has continued in the left arm and then all over the body- bilateral upper and lower extremities intermittently since time of injection until current. The sensations are occurring randomly about every 1 minute. No associated muscle weakness or any other neurological changes. Patient has been referred to a neurologist for further evaluation and management.

Other Meds:

Current Illness: None known

ID: 0922441
Sex: F
Age: 63
State: MD

Vax Date: 01/01/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Fever, chills, nausea

Other Meds: Amlodipine, atorvastatin, cefuroxime

Current Illness:

ID: 0922442
Sex: F
Age: 13
State: MA

Vax Date: 12/28/2000
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: None known

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

Symptoms: A rash appeared at the injection site a week after receiving the injection

Other Meds: Claritin and birth control

Current Illness: None

ID: 0922443
Sex: F
Age: 32
State: GA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
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: Shellfish

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

Symptoms: Vaccine administered on 12/29, severe burning while injecting and for 5-10 seconds after injecting. 12/30 noticed lesion on upper arm in area of injection- erythematous, warm, pruritic, raised area, about 4x4cm. No change until 1/5. 1/5: 7.5x4cm lesion, increased pruritus, warm, erythematic, and 3-5 pin-head sized vesicles with clear exudate formed on the medial side of lesion. Pregnancy history- 4 pregnancies in past 12 months with no live births. 2 miscarriages and 1 ectopic. LMP 12/12/20, patient was pregnant at time of injection but unaware.

Other Meds: Prenatal Vitamins, CoQ10, Florastor probiotic, Vancomyacin, zyrtec

Current Illness: C. Diff

ID: 0922444
Sex: F
Age: 44
State: CA

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
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: Reglan

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

Symptoms: increased frequency of known recurrent syncope

Other Meds: Midodrine Lysteda Levothyroxine Ivabradine

Current Illness: syncope

ID: 0922445
Sex: F
Age: 55
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: Sulfa drugs

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

Symptoms: Severe body Aches, chills, fever , diarrhea , joint pain ; the body aches and fatigue lasted about 48 hrs , the fever about 2 hours, I took Tylenol.

Other Meds: Rosuvatsatin, amitriptyline , gabapentin

Current Illness:

ID: 0922446
Sex: F
Age: 36
State: ME

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Allergy to Penicillin and Sulfa antibiotics

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Redness, swelling, and pruritus at injection site 1 week post vaccine. Lymphadenopathy developed shortly after injection site reaction, starting in right axilla. Lymphadenopathy has extended up right side of neck and posterior right skull, as well as down right rib cage. Patient was also lightheaded and dizzy. Conservative treatment to this point, including topical as well as oral benadryl, ibuprofen, and acetaminophen. As of the writing of this description, symptoms are ongoing without any response to treatment.

Other Meds: None

Current Illness: None

ID: 0922447
Sex: F
Age: 34
State: OH

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: adhesive and latex

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Swollen neck, head "heavy" dizzy, thick tongue, flushed red rash to neck and chest.

Other Meds: Zofran, protonix

Current Illness:

ID: 0922448
Sex: M
Age: 27
State: VA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: chills, fatigue, high arm pain, nausea

Other Meds:

Current Illness:

ID: 0922449
Sex: F
Age: 24
State: VA

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: NKA

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

Symptoms: I developed a red painful rash almost that had heat coming off of it, I asked one of the Doctors at work to take a look at it and she determined that it was cellulitis. She told me to report my side effect to the CDC.

Other Meds: Paxil 20mg omeprazole Fexofenadine

Current Illness: None

ID: 0922450
Sex: F
Age: 44
State: OH

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: I developed warmth, redness, and itching at the injection site 10 days after vaccine

Other Meds: Paxil

Current Illness: None

ID: 0922451
Sex: F
Age: 62
State: PA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Congestion and low grade fever. Generally not feeling well

Other Meds:

Current Illness:

ID: 0922452
Sex: F
Age: 25
State: OH

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: Cefzil, nystatin

Symptom List: Injection site pain, Pain

Symptoms: On 1/5/2021, a week after receiving the vaccine, a 2cmx3cm hive appeared at the injection site (rt deltoid). Raised, warm to touch, itchy. at time of reporting, approx 12 hrs later, there is minimal improvement. Took 1 benadryl at 2330 on 1/5. Mild discomfort and tingling throughout triceps on rt arm. I did not experience any side effects other than injection site soreness for 72 hrs after receiving the vaccine.

Other Meds: Topamax - 50mg 1xdaily

Current Illness: None

ID: 0922453
Sex: F
Age: 31
State: MA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
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: Injfection site still red, warm to touch , 9 days after injection

Other Meds: metformin effexor

Current Illness: none

ID: 0922454
Sex: F
Age: 35
State: PA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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:

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

Symptoms: She experienced a rash and a low grade fever

Other Meds:

Current Illness:

ID: 0922455
Sex: F
Age: 65
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: methylprednisolone, penicillin, sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: patient's ear's turned red post vaccination. she also reported itchy sensation. she was monitored for 30 minutes post vaccination and did not received any medical treatment, was sent home and advised to seek medical care if symptoms worsened.

Other Meds: not known

Current Illness: not known

ID: 0922456
Sex: F
Age: 57
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Seafood

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient reported a tingling sensation going down left arm and leg. VS were taken and patient was told to practice deep breathing and drink water. Resolved after 30 minutes

Other Meds:

Current Illness:

ID: 0922457
Sex: F
Age: 28
State: MD

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Penicillin

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

Symptoms: Arm was sore immediately, became extremely sore by 6AM the next morning Muscle aches, general feeling of unwellness, malaise/fatigue started at 6AM the next morning Minor headache at 6AM the next morning

Other Meds: Adderall XR 20 mg

Current Illness: None

ID: 0922458
Sex: M
Age: 66
State: LA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Thimersol

Symptom List: Nausea

Symptoms: Absolutely no problems after the vaccination until about 24 hours later: Then sudden onset malaise, fever, myalgias (including injection site pain which was not previously present) arthralgias, headache, nausea, malaise to the point where I could not continue to work. I went home, took 600 mg ibuprofen, 25 mg of benadryl and slept for 4 hours. I felt better when I woke up and feel good today, as if nothing happened

Other Meds: ASA 81/d Atorvastatin 40/d eyedrops: Timolol, Kertolac, Prednisolone

Current Illness: None

ID: 0922459
Sex: F
Age: 65
State: KY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Cefador - antibiotic

Symptom List: Injection site pain

Symptoms: The day following the injection of the vaccine work up with nose running and had a fever up to 102 degrees.

Other Meds: Zoloft

Current Illness: Had Covid 11/15/20 - 12/17/20

ID: 0922460
Sex: M
Age: 32
State: FL

Vax Date: 12/22/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
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

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

Symptoms: Chills, Body aches, Cough

Other Meds: Flonase, Allegra, MV, Vit D supplement

Current Illness: Gastroenteritis, URI (not Flu or COVID based on negative lab results)

ID: 0922461
Sex: M
Age: 23
State:

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Moderna COVID-19 Vaccine

Other Meds:

Current Illness:

ID: 0922462
Sex: F
Age: 41
State: VA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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/ NKA

Symptom List: Tremor

Symptoms: pain at injection site, muscle weakness, aching muscles, fatigue

Other Meds: Wellbutrin, fluoexetine, seriously, Tylenol arthritis

Current Illness: none

ID: 0922463
Sex: F
Age: 53
State: MI

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Eight days after receiving vaccination deltoid muscle at and below injection site became red, tender, warm and indurated. Possible activating factor was taking a hot bath.

Other Meds: Tumeric, collagen, vitamin A, B, D, omega 3, estrogen patch

Current Illness: None

ID: 0922464
Sex: F
Age: 38
State: SC

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
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: Penicillin, Seafood

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

Symptoms: A couple minutes after injection I felt flush over my chest area. It lasted about 30 seconds then my heart started racing. My iwatch heartrate notified me that my heart rate was 162. This lasted for about 7 minutes. My throat felt a little scratchy but not to where I had anaphylaxis reaction to seafood.

Other Meds: Synthroid and Effexor

Current Illness: none

ID: 0922465
Sex: F
Age: 29
State: FL

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Myalgia, chills, headache starting 1/6/2021 at 6 am Local pain and swelling starting 2 hours post vaccine

Other Meds: Venlafaxine ER 75mg daily

Current Illness: None

ID: 0922466
Sex: F
Age: 44
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient reported tinnitus post vaccination, denied dizziness or lightheadedness. Drank water and was observed, after 15 minutes felt better and was discharged

Other Meds: Junel 1.5/30 mg/mcg

Current Illness:

ID: 0922467
Sex: F
Age: 60
State: IN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: CODEINE, ASPIRNE, SULFER,

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

Symptoms: INJECTION SITE REDNESS, NAUSEA, FEELING UNWELL, HEADACHE, FAST HEART BEAT, SLIGHT ITCHING, DIZZINESS, TIREDNESS, MUSCLE PAIN, CHILLS ALL BY 13:30PM AND LASTED FROM 1.04.21 AND CURRENTLY ON 1.06.21 STILL TIRED, DIZZY, HEADACHE, CHILLS AND ITCHY BUT IS BETTER THAN ON 1.04.21.

Other Meds: OMEPRAZOLE DR 20 MG CAPSULE 1 TIME A DAY, ADVAIR 250-50 DISKUS BLISTER WITH DEVICE 1 PUFF TWICE A DAY, ALLOPURINOL 300 MG TABLET 1 TIME AT BED TIME, HYDRALAZINE 50 MG TABLET 2 TABLETS TWICE A DAY, MOMETASONE FUROATE 50 MCG SPRAY 1 SPRAY T

Current Illness: HBP,GOUTE, LOW POTASSIUM, ACID REFLUX, ALLERGIES, ASTHMA

ID: 0922468
Sex: F
Age: 46
State: PA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: No

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

Symptoms: About 3 hours after I received the vaccine, my arm started to hurt. Then I started running a fever and some chills, along with body aches. I felt nauseous. I started feeling cramping in my stomach. Yesterday, my temp was just 99.4, face was really red. Felt over heated all day long. When they gave me the shot, after 20 mins I could feel my right nostril burning, and like I could taste a metal taste and taste the actual shot. At 9am, my temp was 100. I took a tylenol.

Other Meds: No

Current Illness: No

ID: 0922469
Sex: F
Age: 23
State: NJ

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies and mild asthma

Symptom List: Pain in extremity

Symptoms: Large rash (few cm) started on day 10 of the vaccine administration, woke up to it being red and itchy. It was slightly raised. Over the days the rash faded away and the itchiness faded.

Other Meds: Multivitamin Vitamin B12 Vitamin B-2 Vitamin D Zinc Supplement Biotin supplement Magnesium supplement NSAIDs as needed for migraines

Current Illness: NA

ID: 0922470
Sex: F
Age: 37
State: WA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
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: Diarrhea Sore arm at site of injection 1 day tension headache

Other Meds: Propranolol

Current Illness: no

ID: 0922471
Sex: F
Age: 38
State: NY

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: Betadine

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

Symptoms: Severe left axilla pain started 5 days after shot given

Other Meds: Venlafaxine XR 150 mg, Cetirizine 10 mg, Excedrin Migraine

Current Illness: none

ID: 0922472
Sex: M
Age: 2
State: SC

Vax Date: 12/15/2020
Onset Date: 12/18/2020
Rec V Date: 01/06/2021
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 known

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

Symptoms: Patient developed an abscess on his right thigh at the injection site. The abscess needed to be drained by an HCP and the swabbed. The fluid was captured and sent to a lab and results came back positive for MRSA. The abscess has subsided however a large red spot remains at the injection site.

Other Meds: None

Current Illness: None

ID: 0922473
Sex: F
Age: 38
State: GA

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Penicillin

Symptom List: Vomiting

Symptoms: Chills, shivering, body aches, joint aches , treated with Motrin with improved symtpoms

Other Meds: none

Current Illness: none

ID: 0922474
Sex: F
Age: 31
State: FL

Vax Date: 12/01/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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: no known allergies

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Swollen Lymph Node above left clavicle.

Other Meds: Multi-Vitamin.

Current Illness: Sinus infection

ID: 0922475
Sex: F
Age: 56
State: VA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: Codeine, Hydrocodone

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

Symptoms: I was not able to sleep that night for I started having muscle pain, The muscle pain became do bad i was close to tears. Beyond muscle pain I also had joint pain an a headache. Also fatigue and lost of appetite. I continually took Tylenol, Advil and Robitusen Cold and Flu. I am on day 2, still have not eaten. The muscle pain is starting to ease up but not very exhausted.

Other Meds: Multi Vitamin

Current Illness: none

ID: 0922476
Sex: F
Age: 53
State: OH

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Moderna COVID-19 Vaccine EUA: On 12/30/2020, I just had slight tenderness/soreness at the injection site. On 1/5/2021, I noticed tenderness under my left arm pit. On 1/6/2021, I felt itching on my left arm at the injection site--the injection site looks raised, bumpy, and welt-like. On 1/6/2021, I placed Cortisone cream on the injection site and following instructions to report side effects. I will continue to monitor.

Other Meds:

Current Illness:

ID: 0922477
Sex: F
Age: 72
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Slight allergy to strawberries and nuts

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

Symptoms: Bumps on sides of tongue first than on the top. Dry throat

Other Meds: Avapro, advil

Current Illness: none

ID: 0922478
Sex: F
Age: 51
State: MA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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: Started with fever of >101, body aches, chills, headache around 1am. Fever relieved with Tylenol at 7am. Body aches lessened, chills continued, headache lessened. Started again with fever, body aches, chills around 4pm. Took Tylenol again. Symptoms lessened. Felt better following morning, symptoms resided. Also very sore upper left arm x4 days

Other Meds: Methimazole 5mg, Atenolol 25mg, Multivitamin, Calcium 500mg

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm