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: 0977464
Sex: F
Age: 36
State: PA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Full body aches, GI issues, extreme exhaustion, headache

Other Meds: Prevacid, Synthroid, Prenatal vitamin, Miralax

Current Illness:

ID: 0977465
Sex: F
Age: 41
State: OK

Vax Date: 01/15/2021
Onset Date: 01/17/2021
Rec V Date: 01/27/2021
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: NKDA

Symptom List: Anxiety, Dyspnoea

Symptoms: Vaccine at 9 am 1-15-21, by 7 pm experiencing fatigue, chills, sweats for the next 24 hours. 1-17-21 at 2am woken up by itching, covered in rash/hives from head to toe, took benadryl. Severe headaches began and continued until around the 25th, treated with tylenol and ibuprofen with little relief. Morning of 1-18-21 developed thrush and treated with nystatin. Noted increased fluid retention and swelling, rash still present. From the 17th to 21st noted a 10lb weight gain due to fluid, rash present until 21st, swelling continued to increase. Noted increased SOB, and chest pressure, went to ER at 9pm 1-23-21 when at #28lb weight gain was noted. Sx began to subside over the next few days with weight slowly coming off.

Other Meds: Metoprolol, multi vitamin, D3, calcium, probiotic

Current Illness: None

ID: 0977466
Sex: F
Age: 39
State: TX

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
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: Compazine, rocephin

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

Symptoms: Shortly after getting the vaccine (within 20 minutes)- headache, minor aches in muscles. 45 minutes after vaccine- more severe muscle soreness. 12 hours after vaccine- full body muscle aches (pain in all muscles like a post-run lactic acid build up), joint pain throughout entire body with radiating pain in joints from toes to fingers to neck. Chills (no fever) Nausea Inability to sleep

Other Meds: Estarella (estrogen)

Current Illness: back pain due to car accident

ID: 0977467
Sex: F
Age: 30
State: MA

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: About 10pm I developed chill but was already taking tylenol and motrin because I had a headache. About 1am I developed a fever of 101.5 which had went to 102.1 and for 24 hrs I could not get it down below 101. On Tues I woke up at 2am soaked in sweat but the fever had broke for about 12 hrs. I developed another fever of 100.5 but it went away with no medication. I felt better the next day but the fever returned later along with SOB and because the fever returned it prompted me to go to the urgent care where a chest xray was done. The xray showed my lungs were inflamed. On 1/19 I developed the same SOB, chest tighness and another fever of 101. I reached out to my doctor and had an office visit where another xray was done but normal and was started on the Flovent enhaler to help with the SOB and breathing.

Other Meds: Level Thyroxin, Prenatal, Albuterol, A, B, C and Zinc Vitamins

Current Illness: COVID

ID: 0977468
Sex: M
Age: 25
State: WI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: I received the 2nd dose of my Pfizer COVID-19 vaccine on 01/25/2021 at ~7:30am, at around 2:00pm I noticed I had generalized fatigue, a general sense of feeling cold, and the muscles in the back of my neck were sore, which was causing a tension-like headache. The fatigue gradually increased throughout the day. I attempted to go to bed around 11:00pm and I was so cold my entire body was shivering to a point where my whole body was shaking. I also began noticing muscle cramps throughout my body as well, primarily located in my calves. Eventually fell asleep around 2:00am (symptoms were preventing me from falling asleep), when waking up noticed the symptoms had resolved.

Other Meds: Sulfasalazine

Current Illness: n/a

ID: 0977470
Sex: F
Age: 26
State: IL

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: None

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

Symptoms: Sore arm day off and for 48 hours following, severe abdominal pain approx 36 hours after injection

Other Meds: Vitamin D, Fish Oil, multivitamin

Current Illness: None

ID: 0977471
Sex: F
Age: 38
State: MO

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: Administered 1 mL instead of 0.5 mL

Other Meds:

Current Illness:

ID: 0977472
Sex: M
Age: 69
State: SC

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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: Patient presented to waiting room after having COVID 19 vaccine #1, feeling short of breath after 5 minutes in waiting room. Color pale, skin diaphoretic. Laid patient in clinic room bed; BP 142/82 Pulse 60 (Patient avid swimmer)Pulse Oximetry 92%. O2 per nasal cannula at 2L. Patient has leukemia and received monoclonal antibodies last March. Pulse oximetry fluctuated from 92%-97% with O2 on. 911 called and report given and taken to ED per stretcher per ambulance Patient at discharge not short of breath alert and oriented and BP 138/72-62.

Other Meds:

Current Illness:

ID: 0977473
Sex: F
Age: 56
State: MA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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. Seasonal allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Temp

Other Meds: Furosemide. Synjardy. Atorvastatin. One a day multi vitamin

Current Illness:

ID: 0977474
Sex: F
Age: 41
State: OH

Vax Date: 01/18/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: Nine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Red, rashy, itchy

Other Meds: Citalopram, multi vitamin, vitamin d, probiotic, glucosamine, spirulina, turmeric

Current Illness: None

ID: 0977475
Sex: F
Age: 64
State: MN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Chills, Fever, body ache and headache

Other Meds: Vit. C , calcium and Vit. D3 and baby aspirin 4 out of 5 days

Current Illness: Cellulitis from the previous vaccine after 2 weeks. Antibiotic was taken

ID: 0977477
Sex: M
Age: 32
State: CA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: Fever of 99.3F Body aches Chills Great left arm pain at injection site

Other Meds:

Current Illness:

ID: 0977478
Sex: M
Age: 1
State: FL

Vax Date: 11/12/2020
Onset Date: 12/09/2020
Rec V Date: 01/27/2021
Hospital: Y

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

Lab Data:

Allergies: no allergies

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

Symptoms: Patient received MMR and Varicella vaccine on 11/12/2020 and Hep A and flu vaccine on 12/03/2020 Pt developed easy bruising and petechiae on 12/09 dx Idiopatic Thrombocytopenia on 12/17/2020 treated at Med Ctr

Other Meds: None

Current Illness: None

ID: 0977479
Sex: F
Age: 55
State: CT

Vax Date: 01/18/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: started with redness and itching at site of injection and around the area on Saturday 1/23/21. It is still itching today, not as red.

Other Meds: Lisinopril hctz 20/12.5, multi vitamin

Current Illness:

ID: 0977480
Sex: F
Age: 32
State:

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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: severe neck pain, not resolving with OTC medications

Other Meds: sertraline 150 mg daily

Current Illness: none

ID: 0977481
Sex: F
Age: 36
State: TX

Vax Date: 01/14/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: I had minimal symptoms at time of shot. My arm was sore for a few days and I was pretty tired. But 12 days later my arm has begun to swell, it is warm to the touch, and is red all around the area where the vaccine was injected.

Other Meds: Prozac, vitamin d, Roex immortale for women, iron, Children?s multivitamin, famotidine, methyl b12, occasionally omega 3 and probiotics.

Current Illness: Postpartum OCD

ID: 0977482
Sex: M
Age: 32
State: NC

Vax Date: 01/19/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
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: Non

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

Symptoms: Patient received first dose of Moderna on January 19, 2021. 48 hours later upon waking from sleep patient had myalgias, arthralgia in all distributions, and a frontal headache. Patient was instructed to rest and increase fluid intake and Ibuprofen as this was likely a known adverse reaction to COVID vaccination. At 72hrs from vaccination patient began to have fevers Tmax 101.9 orally. Continued rest, hydration and ibuprofen, started Tylenol. At 96hrs from vaccination patient began to have a dry cough, diarrhea, severe fatigue and inspiratory chest pain. Patients myalgias and arthralgias continued, and Tmax increased to 104.5 orally. At this time bedside ECHO, iSTAT chemistry, COVID antigen, COVID antibody and COVID PCR, Rapid Flu, and Viral Respiratory Panel were obtained. Administered 1.5 liters of lactated ringers, Toradol 15mg and Tylenol 975mg and patient was isolated. EKG, troponin and Chest Xray were obtained 12 hours later (108 hours from vaccination) at which time the patient reported improvement by 95%. Patient was afebrile and chest pain free. Only symptom at that time was fatigue. After another 12 hours of rest/sleep (hour 120 post vaccination) patient reports no symptoms and 100% well. See below for lab/rad/test details.

Other Meds: Vitamin D, Zinc, Mg, Multivitamin, Creatine, Fish Oil, Protean, Collagen

Current Illness: None

ID: 0977483
Sex: F
Age: 47
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Morphine and Biaxin.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Mild headache started at 10:00 PM on 1/25/21. In the morning around 6:30 am, 1/26/21, fever of 99.5, body aches, fatigue, no appetite. At 11:30 am, fever up to 100.9. 8:00 PM on 1/26/21, fever was up to 103.2, severe body aches continued, was in bed all day long, felt like she was dying. Today, 1/27/21, diarrhea. Fever has resolved, no body aches, no headaches, just the diarrhea. Did not take her Tylenol on Monday due to conflicted reports, but did take Tylenol when her fever got up to 100 and continued to take it every 6 hours and is continuing that now.

Other Meds: Zoloft, vitamin B complex, vitamin D, multivitamin, Tylenol for the last 2 weeks due to recent knee surgery, Eliquis.

Current Illness: None.

ID: 0977485
Sex: F
Age: 76
State: AL

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies (all year round)

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: A few hours after receiving the vaccine my arm was sore. It has stayed sore since then, Yesterday it was bothering me so I looked and noticed there was knot about the size bigger the a dime but smaller then a quarter. Slightly red area the injection site and has been itching. Feels warm to touch. I haven't really bad or anything. Since Saturday I have been trouble with my stomach which isn't anything unusual. It seems like it is upset.

Other Meds: Omeprazole 40 MG one a day, Lisinopril 2.5 MG one a day, Simvastatin 20 MG one a day, Alprazolam .1 MG one a bedtime, Lumigan 1 drop in each eye at night, Calcium with vitamin D, Q10 100MG one a day, 3 veggie vitamins and 3 fruit vitamins

Current Illness: sinus problems but has them all year round

ID: 0977486
Sex: F
Age: 73
State: ME

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: shellfish, fentanyl, naproxen

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

Symptoms: tingly lips 30 min after vaccine. Patient felt upper lip was slightly swollen but hard to tell. No respiratory distress. Benadryl 50 mg given orally 45 minutes post vaccine. Patient asked to leave 60 minutes post vaccine, felt symptoms were not progressing, knows what to do if they progressed.

Other Meds: atorvastatin, metformin, victoza, aspirin, calcium/vit D

Current Illness: none

ID: 0977487
Sex: F
Age: 61
State: NC

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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: Mushrooms

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

Symptoms: Monday afternoon, January 25, I started feeling achy and chilly. Just not well. I work 5 a.m. to 1:30 p.m. I went straight home from work. I took shoes off and got in bed. I was very cold and felt that the coldness was from inside out especially in my hands. I covered with a sheet and 3 blankets with an extra blanket to my feet and used winter gloves on my hands. I got up at 5 p.m and felt better. Tuesday morning, January 26 at 3 a.m. when I got up to shower, I noticed a soreness and large swelling under left armpit, ? lymphadenopathy. All others symptoms had passed. Continues to be the same on today, January 27. Seeing MD on Thursday, January 28.

Other Meds: 1. Celecoxib (Celebrex) 200 mg cap takes 1 daily in a.m.; 2. Vitamin D2 50,000 IU Taking one per month on 15th day of month; 3. Bayer Aspirin Low Dose 81 mg once per day in morning; 4. Non Drowsy Claritin-D 12 hour 1 per day in morning;

Current Illness: none

ID: 0977490
Sex: F
Age: 37
State: MO

Vax Date: 01/21/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Plaquenil

Symptom List: Unevaluable event

Symptoms: Very hard induration at site of injection. Site also had redness, heat, and itching for 3 days following injection. Systemically experienced chills, muscle aches/soreness, and fatigue. Of note, the vaccine administrator said they were going to hold the injection in place for 10 seconds following the injection per instructions to do this this way, which I had never had occur before. I have also never had a vaccine reaction before. Unsure if the local site reaction could have been worse due to this practice.

Other Meds:

Current Illness:

ID: 0977491
Sex: F
Age: 73
State: VT

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 01/27/2021
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: pt states she woke up during the night after the vax and her armpit was sore under the left arm and noticed lymph node swollen. Pt called and made apt w/ PCP on 1/26/21. She noticed two 3x3 red spots on left arm just below the injection site on the day of her appt. Pt states today the left armpit and injection site is swollen. Her PCP told her to keep her on it and keep her next scheduled apt for FU.

Other Meds: vitamin C, D and calcium

Current Illness: none

ID: 0977492
Sex: F
Age: 34
State: TX

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Pain

Symptoms: 2:15PM At approximately 2:10PM on 1/6/21 in observation area patient raised her hand. Writer and several other staff approached patient asking what was wrong. Patient appeared to be clammy, and stated: "I feel kind of dizzy, and now my hands feel tingly." Writer immediately alerted charge RN. Other staff stayed with patient and helped drink water, deep breathe. V/S checked. BP 142/97 HR-96 (apical) RR-17. Over a few minutes patient began to state she felt less "dizzy" and was starting to feel better. Patient being closely monitored for additional 15 minutes. Writer will re check V/S and patient before advising to leave observation. 2:30 BP 130/96 HR-72. Patient states: "I feel a lot better." Patient asked to wait an additional 10 minutes to be monitored. Patient in compliance. RN aware and did assess patient. Patient cleared to leave at 2:40PM 2:44PM Patient felt well enough to leave. Patient observed walking out of facility with no complications, no further concerns.

Other Meds:

Current Illness:

ID: 0977493
Sex: F
Age: 50
State:

Vax Date: 12/26/2020
Onset Date: 12/26/2020
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: lightheadness, dizziness, & hypotension

Other Meds:

Current Illness:

ID: 0977494
Sex: F
Age: 38
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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: none

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

Symptoms: Around noon, the injection site pain started. Around 5:30pm, fatigue, body aches, fever and chills set in and continued through the night. Upon waking the next day at 9am, fatigue, body aches, and chills were lessened significantly. Around 2:30pm, I took 2 advil and the body aches and chills went away shortly after. Fever/sweaty feeling continued into the evening and overnight. Woke up the next morning feeling much better (thank god!) and all symptoms gone.

Other Meds: none

Current Illness: none

ID: 0977496
Sex: F
Age: 39
State: IL

Vax Date: 01/01/2021
Onset Date: 01/14/2021
Rec V Date: 01/27/2021
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: penicillin, buspirone, erythromycin, tramadol, kiwi

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: At approximately 8 days post vaccine she developed headache, nausea, ringing in ears. Objectively had a ring shaped rash around the site of vaccine that was described as itching and burning. The ring was approximately 7cm in diameter. This was treated on a visit prior to ED arrival with clindamycin and prednisone, and it worsened despite those treatments.

Other Meds:

Current Illness:

ID: 0977498
Sex: M
Age: 17
State: MN

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient was 17 years old at time of vaccine

Other Meds: Escitalopram 10mg - 1 1/2 tab, Guanfacine 4mg ER 1 tab

Current Illness: None

ID: 0977499
Sex: F
Age: 64
State: MO

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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: 12 hours after vaccine began having chills, fever, body aches and headache. Temperature up to 102. This lasted about 12 hours. About 34 hours after vaccine started chilling again, took ibuprofen and it stopped. Also had red, warm to the touch, hardened area about an inch below the vaccine site. It is about 2 inches in diameter and sore to the touch.

Other Meds:

Current Illness:

ID: 0977501
Sex: F
Age: 60
State: TX

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: Sulphur

Symptom List: Nausea

Symptoms: 26th 0130-can't move, all joints bones-Can't get out of bed. No eating. Poor voiced quality. She's been vomiting. When I asked her the Lot# and manufacturer-she said-stop yelling- don't get frustrated-began to cry-I softy asked the question again Lot# and Manufacturer. Told to go see her PCM.

Other Meds: Vaginal Estrogen

Current Illness: none

ID: 0977502
Sex: F
Age: 25
State: KY

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Injection site pain

Symptoms: Patient received Moderna on 01/20/2021 and states that left arm was sore until Thursday, 01/21/2021. Patient woke up on 01/27/2021 with 45mm red knot at the injection site, with surrounding swelling. No tenderness to touch, but patient states pain is radiating to hand. Site is warm to touch.

Other Meds: Sprintec Oral Contraceptive daily Citalopram 40mg PO daily Prenatal Vitamin PO daily

Current Illness: NA

ID: 0977503
Sex: F
Age: 37
State: DC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: First round of moderna vaccine received 28days prior when I was not pregnant. After first dose, I had a lard red, indurated but painless bump on my arm for a week. I became pregnant about two weeks after first dose and this, the second dose, was given at four weeks pregnant (due date oct 1 2021). Side effects included fever, chills, muscle aches, very sore arm, light-headedness, tachcardia.

Other Meds: None

Current Illness: None

ID: 0977504
Sex: M
Age: 37
State: IL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: NKDA

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

Symptoms: Shivering, hot flashes, sweats, fever

Other Meds: Multivitamin, Zertec

Current Illness: None

ID: 0977505
Sex: F
Age: 42
State: GA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: Bactrim and Prinivil

Symptom List: Tremor

Symptoms: Cellulitis-like reaction to the injection site that is red, swollen, firm, hot to touch, and has a burning sensation a week after vaccine administration. Have taken Benadryl, ibuprofen and have been prescribed an antibiotic,

Other Meds: Omeprazole, Fiasp insulin, Synthroid, Elderberry gummies

Current Illness: head-cold Dec 29th-31st 2020

ID: 0977506
Sex: F
Age: 41
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/27/2021
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: Amoxicillin

Symptom List: Erythema, Pruritus

Symptoms: After the first dose I began to shake uncontrollably and I had uncontrolled muscle movements in my whole body. I had the chills and a headache as well as muscle aches and a sore throat. After the second dose I had the chills again, headache, fever, sore throat, severe fatigue, muscle aches, runny nose that lasted over 24 hours.

Other Meds: Hydroxyzine 25mg, Dicyclomine 10mg, Ziprasidone 20mg, Fluoxetine 40 mg, Vitamin D 2000IU, Multivitamin

Current Illness:

ID: 0977507
Sex: F
Age: 64
State: CT

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/27/2021
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:

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

Symptoms: At the time of 1st dose shot (approx. 1pm) on Friday 01/08/2021 slight irritation at injection site. Approximately 12:30-1:00 AM on 01/09/2021 woke up, turned my head and experienced room spinning dizziness for about 2 minutes. Had to remain completely still to stop the room spinning. For the next 2 days (until the morning of Monday 01/11/2021) I experienced on and off room spinning dizziness at unpredictable intervals. Usually didn't last longer than 2 minutes but had to remain completely still to stop the spinning. Starting on Monday 01/11/2021 had "normal" dizziness along with some flu like symptoms, headache, tiredness, soreness/achiness and extreme soreness and pain in my left upper arm where I received the vaccine shot. I stayed out of work because of the on-going dizziness. These symptoms continued until Saturday 01/16/2021. I took an antihistamine on Saturday night and finally woke up Sunday 01/17/2021 with no dizziness.

Other Meds:

Current Illness:

ID: 0977508
Sex: M
Age: 32
State: MI

Vax Date: 01/11/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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: Woke up in morning ~14d following my 2nd Pfizer COVID vaccine with fairly significant bilateral tinnitus. I am an otherwise healthy 32 y/o male with no relevant PMH and never with tinnitus prior to this. It continues to persist for 2 days. No other relevant sx to report. Seemed worthy of reporting given the likely timing of my peak antibody response at the 14d mark and general vaccine monitoring concerns of cross reactive antibody responses.

Other Meds: None

Current Illness: None

ID: 0977509
Sex: F
Age: 50
State: IN

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Blisters along lower gum line and bottom lip.

Other Meds:

Current Illness: No

ID: 0977510
Sex: F
Age: 62
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
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: Cephlasporin Antibiotics

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

Symptoms: Woke up at 5am 1/26/21 with Headache, body aches, ax temp 100.4. Left arm pain with enlarged lymph nodes left axillary area. Fatigued. Headache became debilitating around noon. Extra strength Tylenol decreased temperature and body aches but did not help with headache. Fatigued all day. 1/27/21 10amFatigued, headache, body aches gone.

Other Meds: None

Current Illness: None

ID: 0977511
Sex: F
Age: 69
State: NY

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 01/27/2021
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: shellfish, bee venom, red ant venom

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

Symptoms: immediate local injection site inflammation & urticaria lasting 4 days, later in day and over next 2 days minor throat swelling and feeling of facial fullness, all symptoms resolved without treatment over 4 days

Other Meds: None

Current Illness: none

ID: 0977512
Sex: F
Age: 42
State: MI

Vax Date: 01/06/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
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: Pain in extremity

Symptoms: Herpes Zoster (Shingles)- tingling, rash, sharp shooting pains all on left side of face. Acyclovir 1 GM tablet TID

Other Meds: NuvaRing

Current Illness: None

ID: 0977513
Sex: F
Age: 34
State: IN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/27/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Diarrhea, Nausea, Headache, Fatigue, Body Aches started at 4am Tuesday 1/26 and still ongoing today presently. Cough is starting today.

Other Meds: None

Current Illness: None

ID: 0977514
Sex: F
Age: 33
State: TX

Vax Date: 01/25/2020
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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: About 8-10 minutes after the injection, my vision got blurry. It was very brief- only a couple minutes long. If it had lasted until the end of my 15 minute post-injection observation period, I would have reported it then, but it didn't. I decided to include it here, because later in the day, I had another reaction. About 12 hours after the dose -around 7PM- I started getting chills and body aches and abnormally fatigued. The chills were intense almost as soon as they come on. The body aches were mild for the first couple hours and progressed to intense. Both symptoms lasted continuously for about 12 hours, then around 7AM they started to wane. I'm not sure if I should list insomnia as a reaction, but despite how exhausted I felt, I could not sleep. It could have also been just general discomfort that kept me from being able to sleep. Through most of the following day I had mild aches and waves of chills. By the time I went to bed that night (last night at the time of writing this), the symptoms had mostly cleared and so far have not returned.

Other Meds: none

Current Illness: none

ID: 0977515
Sex: F
Age: 39
State: OH

Vax Date: 01/12/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
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: nkda

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

Symptoms: arm became red

Other Meds: symbicort, certizine, citalopram, levothyroxine, omeprazole, loestrin, risperidone

Current Illness: none

ID: 0977516
Sex: F
Age: 52
State: MO

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/27/2021
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:

Symptom List: Vomiting

Symptoms: this is a report of my personal experience I received the 2nd dose of the Moderna Covid Vaccine Wednesday January 20th at approximately 4:30pm Cox North. The injection was painful, the person administering the injection inserted the needle VERY slowly, and then pressed the plunger VERY slowly. However, other than injection site pain, I had no symptoms at that time. I then went home and went to bed for the evening at approximately 6:30pm. The following morning, Thursday January 21st, I woke up at 5am (normal time). Before getting up, my stomach felt "funny" mild nausea. When I stood up, I experienced weakness, mild lightheadedness, and nausea; and sat back down IMMEDIATELY. I then stood up to walk to the restroom with the intention to take Tums to settle my stomach. I walked approximately 12 feet, put one tums in my mouth and immediately passed out. (my partner reported that I was unconscious for approximately 2 full minutes). When I regained consciousness I was very disoriented. (did not know where I was, what day it was) I could not stand, and could not use my arms. My partner picked me up and physically put me back in bed. I was unable to roll over on my own. (he then called my supervisor to report the event. My supervisor called him back after speaking with the Nurse who advised "bed rest and hydration") I slept on and off for the next 5 hours. at which time I attempted to sit up. I was unable to remain upright, but could sit in a recliner at that time. I was unable to hold a bottle of water on my own until approximately 2pm. I had no headache, no fever, no nausea (after the initial 5am experience) but DID experience extreme muscle weakness until approximately 2pm Thursday January 21, 2021. (too weak to chew food) Friday January 22nd, I felt "fine", but still mild tiredness. ( I was told by our office manager that I should fill out an RL to report my experience)

Other Meds:

Current Illness:

ID: 0977517
Sex: F
Age: 30
State: MA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 01/27/2021
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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The chills began about 8pm. I had a fever which went to like 101 so I took tylenol but the fever went up a little higher. I fell asleep and woke up about 11:30pm with a 103.4 fever so I stayed awake a little and took ibuprofen and tylenol throughout the night. When I woke the next morning the fever was 101 but went down to like 99 later that evening. The fever finally broke about 11am the next day but returned later that day for a little while. I was so tired I slept like a solid day and woke up yesterday feeling sluggish and developed another 100.3 fever last night, took motrin and I feel better today.

Other Meds: Level Thyroxin, Prenatal, Albuterol, A, B, C and Zinc Vitamins

Current Illness: COVID

ID: 0977518
Sex: M
Age: 76
State: FL

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 01/27/2021
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: tetraciclina, morfina y mariscos

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

Symptoms: dolor fuerte de garganta, dolor de cabeza y al dia siguiente abundante tos y flema por la nariz

Other Meds: metformon, irbesartan, famotidine, rosuvastatin vitamina C , gabapentin, naproxen, vitamina B-12, coenzime Q10 y omega XL

Current Illness: Artritis, bronquitis cronica, diabetes, reflujo gastrico y neuropatia en miembros inferiores

ID: 0977519
Sex: F
Age: 33
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/27/2021
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: Approximately 12 hours after shot I experienced high fever, chills, body aches and headache. Symptoms lessened with Tylenol and have since returned. Fever now low grade, body aches and headache are mild.

Other Meds: None

Current Illness: None

ID: 0977520
Sex: M
Age: 23
State: MA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/27/2021
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: Patient received Covid-19 Moderna vaccine @ 0750, no adverse reaction noted after 15 min of receiving vaccine. Patient reported back to work & noticed Right upper chest/shoulder to mid chest on opposite side of where vaccine was given (L deltoid) flat, red rash w/ 7 small bumps ?hives w/ some itching. No difficulty swallowing, wheezing, SOB or tightness in chest Page to Allergy team, verbal order for 10mg PO cetirizine, no further workup needed and patient can return back to work

Other Meds:

Current Illness:

ID: 0977522
Sex: F
Age: 48
State:

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/27/2021
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:

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

Symptoms: Sore Arm, Fatigue, General feeling of sick, Hives,

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm