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: 0976170
Sex: F
Age: 34
State: NY

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

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

Lab Data:

Allergies: Sulfites

Symptom List: Dysphagia, Epiglottitis

Symptoms: Jan 8 2021 I felt tingly all over, could literally feel it go from the left to the right side, in my ears a In the car my uterus hurt. currently I feel heavy and my right ear and jaw kinda hurt Now pain is in my forehead. And in my jaws. Now it?s in the top of my head. I feel like an anchor is weighing me down. Feel it in the top of my nose Calves are itchy with bumps Face itchy( chin) Belly itchy with bumps Jan 9th Sore left arms and same rash Please see my updates on the app

Other Meds: None

Current Illness: None

ID: 0976171
Sex: F
Age: 48
State: CA

Vax Date: 01/01/2021
Onset Date: 01/16/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Delayed itching/swelling of left arm (1 week after vaccination); diarrhea and abdominal pain (ongoing x 10 days since vaccine)

Other Meds: None

Current Illness: Possible gluten intolerance, hypertension, migrane

ID: 0976172
Sex: F
Age: 41
State: CA

Vax Date: 01/26/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Adhesive Tape Contrast Dye [Ivp Dye, Iodine Containing] Gadolinium [Gadodiamide] Hydrocodone Latex Monistat 1 (Tioconazole) [Tioconazole] Povidone Iodine Betadine [Povidone Iodine]Rash Dilaudid [Hydromorphone Hydrochloride]

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

Symptoms: Patient received her Vaccination today. She reported dizziness and foggy head feeling and felt like her BP was high at 0520 pm. She has h/o HTN which is controlled as per pt with medication as noted in her records. Pt has taken her BP today as well. Pt denied headache, nausea, vomiting, abdominal pain, rash, shortness of breath, chest pain, dysphagia, wheezing. Pt was monitored for over 30 mins given her recorded allergies in past VS checked at 0520 pm:BP: 129/76 HR: 76 sats : 100% VS checked at 0535 pm: BP: 121/72 Hr: 73 sats : 100% Pt remained stable and reported that her sx have improved and left in stable condition at 0535 pm.ER precautions given to pt - if her sx worsen or new sx start which were discussed with her she will need to go to nearest ER or call 911.

Other Meds:

Current Illness: HTN

ID: 0976173
Sex: F
Age: 22
State:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever, migraine, body aches

Other Meds:

Current Illness:

ID: 0976174
Sex: F
Age: 67
State: CO

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

Lab Data:

Allergies: none

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

Symptoms: injection site was slighty sore for 2 days and then i was fine. 9 days later woke up with a very sore, warm at touch, red with a itchy rash and lump. lasted one day and and continues to get better. Is this normal and can i get the second shot,

Other Meds: losartan 100mg , atenolol 25mg , prilosec

Current Illness: none

ID: 0976175
Sex: F
Age: 65
State: AR

Vax Date: 01/07/2021
Onset Date: 01/14/2021
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: Clindamycin

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

Symptoms: My arm around the injection area was swollen and hot. I had red lines and pain. The next day the red lines became a large red rash on my arm, front, and both sides. Used first anti-itch ointment and ibuprofen. I stopped using the ointment and started taking benadryl and ibuprofen. It slowly went away. It finally was completely gone on January 24, 2021.

Other Meds: Multi-vitamin, Omega 3, Flaxseed, aspirin, Vitamin D, Calcium Citrate+D3

Current Illness: No

ID: 0976176
Sex: F
Age: 52
State: MA

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Chills, fever, feeling unwell, fatigue Took 2 Tylenol

Other Meds:

Current Illness:

ID: 0976177
Sex: M
Age: 29
State: IL

Vax Date: 01/14/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Augmentin Sulfa drugs Cat Dander Ragweed

Symptom List: Pharyngeal swelling

Symptoms: After initially receiving the vaccine. I had soreness at the injection site for about 2 days. On the night of January 18th, my left are started to itch at the injection site. Next morning I had a rash from my tricep area to about my elbow. On the 20th the rash covered my entire tricep and appeared at the same spot on my right arm. On the 21st, the rash started to travel down my left forearm. On the 22nd, the rash traveled down my right forearm and had spread down to my left hand as well. On the 23rd, the rash reached my right hand. The rash has only been my located on my left and right arms and nowhere else. As of today, mild improvement has been noted on my left tricep area. Right hand has worsened slightly. Steroid ointment was prescribed. Have not begun using medication yet.

Other Meds: One a day Men's complete multivitamin Cetirizine HCl Tablet, 10mg - Generic allergy Manufactured by ASSURED

Current Illness: None

ID: 0976178
Sex: M
Age: 67
State: FL

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

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

Lab Data:

Allergies: penicillin morphine

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Redness and swelling at vaccination site - upper left arm

Other Meds: amlodipine 2.5 mg oral tablet Lisinopril 40 mg , 1 per day Niacin 500 mg D3 125 mcg 65mg raw iron daily B-12 1000 mcg Multivitamin Elderberry syrup Probiotic Ginkgo Biloba 120 mg Lions Mane (mushroom power)

Current Illness: none

ID: 0976179
Sex: F
Age: 38
State: CA

Vax Date: 01/23/2021
Onset Date: 01/23/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Tingling in left check

Other Meds: Probiotic

Current Illness: None

ID: 0976180
Sex: F
Age: 70
State: AZ

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

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

Symptoms: None stated.

Other Meds: none

Current Illness:

ID: 0976181
Sex: F
Age: 24
State: NJ

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: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Several episodes of emesis and nausea 24 hours following second dose.

Other Meds:

Current Illness:

ID: 0976182
Sex: F
Age: 60
State: IA

Vax Date: 01/26/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: 1 hour after vaccine -itchy injection site and small rash starting on top of left arm, took 50mg of Benadryl 1 hour after Benadryl- rash was spreading to the whole arm , neck and intermittent labored breathing started patient was taken to hospital and received 2 doses of epinephrine and nebulizer treatment

Other Meds:

Current Illness:

ID: 0976183
Sex: M
Age: 32
State: NM

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

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

Symptoms: patient presented for first COVID 19 vaccine. Immediately after injection patient became dizzy, foggy, diaphoretic, blurred vision, nausea and had one episode of vomiting. After patient had emesis episode patient immediately returned to baseline and felt better. Patient stated that he normally had some type of reactions after injections. Patient was observed for a full 30 minutes and given water. 1225 patient check on and a this time had made a complete return to baseline. Patient discharge home after his full 30minute observation period ended at 1230

Other Meds: Unknown

Current Illness: Unknown

ID: 0976184
Sex: F
Age: 50
State: GA

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

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

Lab Data:

Allergies: None

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

Symptoms: On day 7 after injection, my arm became red, itchy and rash late afternoon. By 3am that night, it was hot and red. The following day, redness expanded and arm remained hot all day. Went to urgent care - diagnosed with cellulitis and given keflex. At the time of this report, only one dose of antibiotic has been taken

Other Meds: Ortho tri cycles lo Fish oil Calcium, vitamin d Xiidra gets

Current Illness: None

ID: 0976185
Sex: F
Age: 53
State: NY

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

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

Lab Data:

Allergies: Seasonal (all seasons). History of food allergies and history of adverse reactions to drugs.

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

Symptoms: Roughly 7-8 min after the vaccination, my pulse began racing. It was 152. I requested help. My blood pressure had also skyrocketed. EKG was ok. No swelling, no itching, no difficulty breathing. However, blood pressure was significantly higher than anything ever experienced. Hour later was still 169/92 (my norm is 110 or 120 over 70), and pulse rate still around 112-114. Not yet resolved. 9 hours later, pressure is coming down, but still 137/81 with pulse still at 99 while just sitting) usually in 70s.

Other Meds: None on the day of vaccination. Vitamin B-12 normally taken daily.

Current Illness: None

ID: 0976186
Sex: F
Age: 48
State: NM

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

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: MACROLIDES AND KETOLIDES, TRIMETHOPRIM, SULFA ANTIBIOTICS, PENICILLINS

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

Symptoms: ABOUT 10 MINUTES AFTER THE INJECTION THE PATIENT COMPLAINED OF ITCHINESS AND SWELLING IN THROAT. PATIENT WAS GIVEN ABOUT 60-70 MG OF LIQUID DIPHENHYDRAMINE AND WATCHED AT THE PHARMACY. AFTER ANOTHER 20-30 MINUTES, THE ITCHINESS AND SWELLING WENT AWAY PATIENT WAS RELEASED. PATIENT WAS SPOKEN TO VIA PHONE CALL ABOUT 60-90 LATER AND IS DOING WELL.

Other Meds: UNKNOWN

Current Illness: NONE/UNKNOWN

ID: 0976187
Sex: F
Age: 43
State: IA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Polydipsia polyurea headache fever drowsiness all In that order over the course of 30 hours

Other Meds: Probiotics

Current Illness: None

ID: 0976188
Sex: F
Age: 45
State: IN

Vax Date: 01/20/2021
Onset Date: 01/24/2021
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: N-said pain relievers

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I experienced a cool feeling around my neck area, almost like I had rubbed Vicks Vapor Rub on my neck about 30 minutes after receiving the vaccine. 3.5-4 days after the vaccine, I developed a rash. First on my neck, (Sunday) the next day on my face, (Monday) and now the rash is all the way around my neck into my hairline at the back of my neck (Tuesday). It?s itchy and feels hot.

Other Meds: Topamax for migraines Vitamin D Benadryl occasionally

Current Illness: None

ID: 0976189
Sex: F
Age: 52
State: MD

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

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

Symptoms: Within about 24 hours of getting the shot, I began to feel dizzy. My head felt as if it were spinning and felt worse upon movement, especially bending. The feeling subsided about 48 hours after the initial symptoms.

Other Meds: escitolopram; topirimate; vitamin b12

Current Illness: heart palpitations starting about two to three weeks prior to vaccination, but was seen by cardiologist prior to vaccinations and had bloodwork, ekg, holter monitor and echocardiogram which all came back normal, except for occasional skipped heartbeats.

ID: 0976190
Sex: F
Age: 52
State: CO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
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: Sulfa, cats

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

Symptoms: Fever of 99.and chills. Lasted approximately 24 hours. Took Advil and Tylenol before fever got higher and it helped with symptoms.

Other Meds: Levoxyl, ortho-novum, biotin,

Current Illness: none

ID: 0976191
Sex: F
Age: 52
State: NY

Vax Date: 01/26/2021
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: I received the Covid-19 vaccine at noon today and at 7:30 pm I began having significant bilateral facial numbness, left side greater than right side with lower lip numbness greater than upper lip numbness.

Other Meds:

Current Illness:

ID: 0976192
Sex: F
Age: 28
State: IN

Vax Date: 01/24/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: I had a fever in the middle of the night, but no pain at the injection site. On Monday, January 25 my arm and part of my back felt like they were burning/itching and were sensitive to clothing and clothing tags. Not anything major or that i'm too concerned about, but wanted to know if any others have experienced this as well. My skin isn't red and there's no rash- it is only hypersensitive to touch. I don't have any food allergies or any allergies to medicines. I've never had adverse reactions from a vaccination before and my skin is typically not sensitive to anything.

Other Meds: metformin insulin lamictal abilify valium adderall magnesium

Current Illness: none

ID: 0976193
Sex: F
Age: 30
State: KY

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

Lab Data:

Allergies: N/a

Symptom List: Injection site pain, Pain

Symptoms: Itchy skin rash on body.

Other Meds: Prilosec Ortho-novum

Current Illness: Uti

ID: 0976194
Sex: F
Age: 26
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: I have not been officially diagnosed, but I typically have a bad reaction to penicillin.

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever of 101, aches, headache, sore throat, and extreme fatigue.

Other Meds: 25 mg Zoloft, Nikki birth control, and Zyrtec.

Current Illness: NA

ID: 0976195
Sex: M
Age: 71
State: WA

Vax Date: 01/20/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: Keflex/cephalexin, sulfacetomide sodium eyedrops

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

Symptoms: On 5th day after vaccination, woke in the morning with severe headache, then developed prickly shivering. In the mid-afternoon, explosive diarrhea developed and continued until mid-evening. Headache had continued but moderated throughout day, very minor by following morning. No other symptoms persisted.

Other Meds: Ingested once daily unless noted: doxycycline IR/DR 40 mg twice daily, cetirizine 10 mg, Breo Ellipta, multivitamin, fish oil, vitamin D3, citrucel. Topical: ivermectin 1%, ketoconazole 2%.

Current Illness: None

ID: 0976196
Sex: F
Age: 44
State: HI

Vax Date: 01/12/2021
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: LA

Lab Data:

Allergies: Amoxicilin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Hives starting on the shoulder/chest area spread over limbs and face.

Other Meds: Over the counter daily vitamin gummy

Current Illness: None

ID: 0976198
Sex: F
Age: 78
State: MD

Vax Date: 01/13/2021
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: None.

Other Meds: Metoprolol ER Succinate 25mg, tab.1 PO..... Xarelto 20mg tab 1 QD

Current Illness: None

ID: 0976199
Sex: F
Age: 60
State: CA

Vax Date: 01/17/2021
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:
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: PATIENT CAME IN PHARMACY , SHOWING RED PATCHES ON HER LEFT ARM. SHE SAID IT STARTED ON 01/25/2021. THE RED PATCHES WERE ITCHING AND FELT WARM , ACCORDING TO PATIENT. PATIENT SAID SHE CONTACTED VAERS AND WERE TOLD THAT IT WAS NORMAL TO HAVE THAT REACTION AND IT WAS OKAY TO GET SECOND DOSE.

Other Meds:

Current Illness:

ID: 0976200
Sex: F
Age: 61
State: VA

Vax Date: 01/19/2021
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: RA

Lab Data:

Allergies: cephalosporins and decongestants

Symptom List: Nausea

Symptoms: Five days after vaccine, noticed slight itching at injection site, continued off and on until tonight, the seventh day after the vaccine, the injection site itchy and became red and swollen; looks like an elevated hive 1.5 inches across arm and 1 inch in height. Site is warm to touch.

Other Meds: levothyroxine sodium 50mcg 1xdaily lisinopril-hydrochloro 10-12.5 1xdaily escitalopram oxalate 20mg 1xdaily zolpidem tartrate .5mg 1xnightly MegaRed Superior Omega-3 Krill Oil 350mg 1xdaily low dose aspirin 81 mg 1xnightly melatonin 6mg 1xn

Current Illness: none

ID: 0976201
Sex: F
Age: 36
State: CT

Vax Date: 01/14/2021
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: For a few days after the vaccine, my arm was sore but it went away after a few days but then I developed a rash on the arm around the area of the injection site. It is red, warm to touch and slightly puffy and itchy.

Other Meds: Prozac, wellbutrin xl, synthroid, singulair, multi-vitamin

Current Illness: N/a

ID: 0976202
Sex: F
Age: 67
State: CA

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

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

Lab Data:

Allergies: Lactose intolerant...allergic to dust, mold.

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

Symptoms: Sore arm after second day as well as sore lymph nodes. Tylenol and symptoms were gone. 1/25 and 1/26 developed itch on arm that had the injection. Swollen and somewhat hot. Applied topical triamcinolone and took a Claritin. Itch was gone but still swollen.

Other Meds: None

Current Illness: None

ID: 0976203
Sex: F
Age: 24
State: OH

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

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

Lab Data:

Allergies: Sulpha drugs

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

Symptoms: Significant swelling, a large lump/knot at site of injection

Other Meds: Progestin birth control

Current Illness: None

ID: 0976204
Sex: M
Age: 38
State: NY

Vax Date: 01/23/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Light allergy to Tree pollen and dustmite

Symptom List: Tremor

Symptoms: Tingling sensations that show up sporadically in legs, back, hands and face and has lasted three to four days by today. These come and go out of nowhere but are increasing in duration.

Other Meds: None

Current Illness:

ID: 0976205
Sex: F
Age: 28
State: PA

Vax Date: 01/21/2021
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: Allergic to Aleve

Symptom List: Erythema, Pruritus

Symptoms: Delayed injection site reaction, beginning approximately 9-10 days after vaccination was administered. Large bright red oval developed on arm near injection site. Hot and itchy.

Other Meds: Birth control, sprintex

Current Illness: None

ID: 0976206
Sex: F
Age: 35
State: NJ

Vax Date: 01/15/2021
Onset Date: 01/22/2021
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: sulfa drugs

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

Symptoms: Itchy, warm red rash formed at injection site a week later. Pain intially. Put on antibiotics 1/24. Rash still there but not painful, still itchy and now it is 1/26.

Other Meds:

Current Illness:

ID: 0976207
Sex: F
Age: 66
State: DE

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

Lab Data:

Allergies: Amioderone

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

Symptoms: Fever101 Deep body aches Chills Headache Slight Nausea Lasted approximately 30 hours. When symptoms finished, was completely back to normal the next day.

Other Meds: Carvedilol, Rosuvastatin, Cefadroxil, 81mg aspirin

Current Illness: NONE. I had been on cefadroxil for 5 days prior as part of a longer dose owing to an infection in a cut I had on my ankle.

ID: 0976208
Sex: F
Age: 54
State: VA

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Several hours after receiving the COVID vaccination I began to experience severe generalized body aches, fever 103.5, Pulse 126, Oxygen 94,

Other Meds: Mycophenolate (Cellcept) 3 tabs BID

Current Illness: Diagnosed with COVID on 12/08/2020. Symptoms included fever, body aches, shortness of breathe, severe cough, congestion, headache, nausea, diarrhea, fatigue and weakness x 3 weeks.

ID: 0976209
Sex: F
Age: 26
State: OH

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

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

Lab Data:

Allergies: N/A

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

Symptoms: Developed red patch/rash at site of vaccine-right arm. 8 days post vaccination. Occasionally itchy and swollen, heart rate higher that day than normal. Lasted 2 days and then cleared up completely.

Other Meds: Vitamin D3, magnesium, pre/probiotic, melatonin

Current Illness: N/A

ID: 0976210
Sex: F
Age: 39
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

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

Symptoms: pt c/o of SVT. She is an MD. She c/o of tickling & lump in throat, refused Epi. Transferred to ER.

Other Meds:

Current Illness:

ID: 0976211
Sex: F
Age: 54
State: MI

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

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

Lab Data:

Allergies: N/A

Symptom List: Pain in extremity

Symptoms: Severe headache, swollen and severely painful cervical lymph nodes, sore throat, sneezing, extremely runny nose, severe fatigue, burning eyes and lie grade fever which started approximately 23 hours after vaccination and were mostly resolved 30 hours later. Completely gone the next morning (41 hours after vaccination)

Other Meds: Motrin 800, multivitamin, calcium with vit D, green tea, co Q10, saw palmetto, pumpkin seed extract

Current Illness: N/A

ID: 0976212
Sex: F
Age: 48
State: VA

Vax Date: 01/14/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Oxybenzone

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

Symptoms: Noticed red rash to arm 12 days after injection. No pruritus. Area slightly warm to touch but no pain Could have been there earlier but never thought to examine the site due to the absence of pain after day 2 and lack of pruritus.

Other Meds: Magnesium glycinate, vitamin D, biotin, krill oil

Current Illness: None

ID: 0976213
Sex: F
Age: 49
State: GA

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 01/26/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Two weeks to the day after shot, I experienced headache and nausea. My arm started to swell and ache. A huge painful rash was on my arm around injection site. I had no symptoms at all prior. My arm was not even sore before.

Other Meds: Metoprolol, amlodipine, citalopram, metformin, Ritalin, colestipol,zyrtec, cefdinir

Current Illness: Sinus infection

ID: 0976214
Sex: F
Age: 40
State: NC

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

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

Lab Data:

Allergies:

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

Symptoms: severe flu like symptoms starting the next day, 1/24/21. Fever of 102.3 at the highest. Treated with Tylenol after consulting with the nurse at the hotline.

Other Meds:

Current Illness:

ID: 0976215
Sex: F
Age: 56
State: MD

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: topical neomycin

Symptom List: Vomiting

Symptoms: received second vaccine at 9 am on 1/19/2021, developed headache around 4 pm took 2 extra strength Tylenol, headache got more sever around 7 pm , ice pack to head was used on head, took more Tylenol before going to bed, Woke up in morning 1/20/21 with even more severe headache, and starting vomiting, continued to vomit all morning, Could keep down any water or crackers or anything, continued to vomit with severe headache, Called Medstar COVID line and was instructed to MMMC ED for evaluation. Once in ED was provided IV fluids, anti nausea meds and pain killers. Vomiting finally stopped on 1/21/21 by late afternoon. Felt much better by 1/23/21 and able to begin eat normally and only mild headache . Currently all better, no issues

Other Meds: multi vitamin

Current Illness: none

ID: 0976216
Sex: F
Age: 42
State: CA

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

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

Lab Data:

Allergies: Tetracycline Penicillins

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: After injection, developed immediate soreness and swelling to site of injection. Symptoms resolved within 3 days. On day 7, developed redness, swelling, and mild itching. Also developed mild tingling to left arm.

Other Meds: Quercetin Vitamin D Zinc Multi-vitamin Melatonin Glucosamine-Chondroitin Vitamin C

Current Illness: None

ID: 0976217
Sex: F
Age: 48
State: UT

Vax Date: 01/15/2021
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

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

Symptoms: Hives and rash about 9 days after the injection. The hives and rash are not at the injection site. They are all over my back, chest, neck and scalp. I am taking 20mg a day Zertec and 40 mg Pepcid as well as 2.5% hydrocortisone cream.

Other Meds: Simponi 50 mg every 28 days. Methotrexate 2.5mg x4 once a week and folic acid 1mg.

Current Illness: None

ID: 0976218
Sex: M
Age: 39
State: OH

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Tingling in my fingers. Opposite side of body of injection. Shortness of breath. Fatigue.

Other Meds: None

Current Illness: Bronchitis

ID: 0976219
Sex: F
Age: 51
State: AZ

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

Lab Data:

Allergies: none

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

Symptoms: Injection site (upper left arm) started itching and a rash occurred.

Other Meds: Prescription: 10 mg lisinopril .1 mg levothyroxine

Current Illness: none

ID: 0976220
Sex: M
Age: 62
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/26/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Swelling of hands and feet

Other Meds: metformin, amlodipine, ezeetimbe, valsartan, atorvastatin

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm