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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 0979298
Sex: F
Age: 60
State: TX

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: Ibuprofen

Symptom List: Dysphagia, Epiglottitis

Symptoms: C/o muscle aches, calf cramps, (B) feet numbness, cough, nausea, diarrhea, all began after #2 vaccine. No problems with #1 vaccine Tx antiemetic, H2 blocker, anti histamine, Tylenol push fluids

Other Meds: Tylenol

Current Illness: Hidradenitis

ID: 0979299
Sex: F
Age: 74
State: CO

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: azithromycin, bismuth subcitrate-metronidazole-tetracycline, tramadol, amoxicillin, codeine, levofloxacin, loxapine, peanut, pyridostigmine

Symptom List: Anxiety, Dyspnoea

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: Soon after receiving vaccine patient felt flushed. Vital signs taken and all within normal ranges. Patient observed for thirty minutes after vaccination and at end of observation period stated they felt a sensation of throat closing. No rash, shortness of breath, or uticaria noted. Patient took one dose of diphenhydramine 25 mg by mouth and symptoms resolved. Repeat vital signs remained within normal ranges and no new symptoms developed. Patient discharged from vaccination clinic to home stable.

Other Meds: acetaminophen, albuterol, certrizine, cholecalciferol, cyanocobalamin, escitalopram, fluticasone

Current Illness: abdominal pain, helicobacter pylori infection, change in bowel habits

ID: 0979300
Sex: F
Age: 46
State: WA

Vax Date: 01/17/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: allergic to amoxi and sulfar antibiotics

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

Symptoms: 8 days from getting vaccine, woke up with arm swollen/painful along with a rash just below the injection site.

Other Meds: none

Current Illness: no

ID: 0979301
Sex: F
Age: 51
State: ID

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

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Client states that on 01/18/2021 after receiving the Covid vaccine client started having cramping in Her R-foot. Finallt was able to sleep. Went to work that morning having some body aches. around 9:00 am states she passed out. Her boss called for the EMT's and they called an ambulance and client was transported to the hospital. Stayed in the hospital ER all day and returned home around 4:00pm that same day. She stated that the medical provider said they could find nothing that could have caused the reaction other than she had received the Covid vaccine the day before.

Other Meds:

Current Illness:

ID: 0979302
Sex: M
Age: 58
State:

Vax Date: 01/15/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Not an adverse event. Reporting because dose given too early.

Other Meds:

Current Illness:

ID: 0979303
Sex: F
Age: 49
State: MA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
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: n/a

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

Symptoms: Around 4pm became tired and had headache. By 8:30pm with chills, muscle ache, headache, fever as high as 103.9, fatigue and headache. Was miserable for about 12 hours. Unable to report to work on 1/26/21 d/t ongoing chills, muscle aches, fatigue and headache. Stayed in bed most of day. Woke up 1/27/21 feeling okay.

Other Meds: spirolactone, celexa, zyrtec, singulair

Current Illness:

ID: 0979304
Sex: F
Age: 59
State: MA

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: VERBAL CONSENT OBTAINED, MONITORED FOR 15 MINPER POLICY, AT THE 15 MIN MARK PATIENT COMPLAINED OF MY BODY FEELS IMMEDIATELY TIRED AND WARM AN HEAVYBP 126/78 HR 74 POX 99 RA, KEPT FOR ANOTHER 15 MIN TO MONITOR

Other Meds:

Current Illness:

ID: 0979305
Sex: F
Age: 35
State: NY

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

Lab Data:

Allergies: no

Symptom List: Pharyngeal swelling

Symptoms: At 8 days post vaccine (shot 1) I developed a large itchy lump at injection site.

Other Meds: zoloft

Current Illness: no

ID: 0979306
Sex: F
Age: 58
State: TX

Vax Date: 12/18/2020
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: IM
Vax Site: LA

Lab Data:

Allergies: broccoli, bananas, latex

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Until 12/26/20 no symptoms whatsoever, and I started feeling congested on the 26th early evening around 6-7PM. The next evening I was actually talking to my sister and I coughed and she brought to my attention about my cough. It was late around 7PM. The next morning, around 4AM I woke up with a terrible ear ache. I called my doctor on the 28th and he suggested a COVID test at his office. On Thursday 12/31/20 in the morning he called me giving me positive results for COVID.

Other Meds: Latanoprost (eye drops) at bedtime

Current Illness: No

ID: 0979307
Sex: F
Age: 80
State: MI

Vax Date: 01/14/2021
Onset Date: 01/16/2021
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: Zithramycin Z pack

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Some muscle aches for a few days in my legs.

Other Meds:

Current Illness:

ID: 0979308
Sex: M
Age: 80
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: My father received Moderna vaccine and next day morning he is got high temperature and body ache. He himself is doctor presently practicing

Other Meds: none

Current Illness: none

Date Died:

ID: 0979309
Sex: F
Age: 51
State: NV

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Systemic: patient had no known medical history per supervisor

Other Meds:

Current Illness:

ID: 0979310
Sex: F
Age: 22
State: AZ

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

Lab Data:

Allergies: Augmentin, Chlorzoxazone, Seafood

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

Symptoms: Patient developed red blotches anterior base of neck, throat feeling tight. Patient shared has anxiety with receiving vaccines, similar symptoms have happened in the past.

Other Meds: Birth control (oral),

Current Illness: N/A

ID: 0979311
Sex: F
Age: 48
State: AL

Vax Date: 01/06/2021
Onset Date: 01/01/2021
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: none known

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

Symptoms: Rash which started and was mild for a few weeks. I stopped taking my Zyrtec and switched to Flonase for nasal allergies and the rash became much worse. I did not associate the rash with the vaccine at the time.

Other Meds: Zyrtec, Vyvanse 70, Estrogen

Current Illness: none

ID: 0979312
Sex: F
Age: 33
State: MA

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: 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: Tested positive for COVID-19 with symptoms of nasal congestion and fatigue

Other Meds: Oral contraceptives: Estarylla

Current Illness: None

ID: 0979313
Sex: F
Age: 57
State: OH

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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Reaction started at 9pm with initial fatigue by 11 pm experienced chills, sweats, restlessness, muscle twitching in abdomen and pelvis, sharp stabbing pain in left mastoid, swelling under left scilla and neck, fever TMAX 102, lasted until 0548 am 01/26/2021. Fever chills and muscle spasm have resolved. Stabbing pain in mastoid lasted until evening 01/26/2021. Continued left axillary swelling and neck swelling. Treated with Motrin Tylenol hydration and rest.

Other Meds:

Current Illness:

ID: 0979314
Sex: F
Age: 41
State: OR

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

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

Symptoms: "The morning after my COVID vaccine, I woke up with numbness, tingling, and pain in my R great toe. The next 48 hours the symptoms got worse, and I had paresthesia in b/l upper and lower extremities, my trunk, and my face. My symptoms resolved for 2 weeks, but returned on Jan 10th. They started the same way with numbness and paresthesia in my R great toe and have progressed since them. I'm currently have frequent episodes of paresthesia all over my body and have developed numbness and pain in my hands. I saw my primary physician on Jan 15th regarding the symptoms."

Other Meds:

Current Illness:

ID: 0979315
Sex: M
Age: 72
State:

Vax Date: 01/08/2021
Onset Date: 01/10/2021
Rec V Date: 01/27/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient received the first dose of the Moderna COVID19 Vaccine on 1/8/21. He reports he had a sore arm for about 2 days, but soon after developed shortness of breath, generalized body aches and extreme fatigue, most of which lasted for 6 to 7 days. The shortness of breath worsened during this time and he also developed a bump in the right neck area. Upon admission his oxygen saturation was 91% and he had a 10 L nasal cannula placed, increasing saturation to 93%. As of 1/27/21, oxygen saturation has improved and pt is now on 5 L nasal cannula, saturating at 99%.

Other Meds:

Current Illness:

ID: 0979316
Sex: F
Age: 54
State: MT

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

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

Lab Data:

Allergies: Albuterol, Codeine, Levaquin, Penicillin, Tramadol, Sulfa, Hydrocodone, Chinese Food, Influenza, Sweet grass, dust from cereal grains

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient reported tight coughing and itching to lips. Vital signs remained stable. SPO2 99-100% on room air. Medicated with racemic epinephrine, solumedrol, pepcid, benadryl. Patient denies any improvement in her symptoms. Monitored overnight as an observation patient. Was then discharged the next day to home.

Other Meds: Ropinirole, Ondansetron, Meloxicam, Levothyroxine, Estradiol, escitalopram, Cetirizine, Benadryl, Wellbutrin, Hydrocodone, Aspirin

Current Illness: Had Right Shoulder arthroscopy on 12/15/20

ID: 0979317
Sex: F
Age: 38
State: MA

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

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

Symptoms: Patient reported feeling of warmth in chest 10 minutes after vaccine administration. She then reported warm sensation and numbness in bilateral hands ~20 minutes after vaccine administration. All symptoms above resolved within 40 minutes after vaccine administration. She remained well appearing throughout observation period and had no evidence of airway compromise, facial swelling or vomiting during 40 minute observation period. Her vitals remained stable throughout: BP 97/61, HR 68 BP 107/70, HR 60

Other Meds:

Current Illness:

ID: 0979318
Sex: F
Age: 95
State: CA

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa, Cephalexin, Beta adrenergic blockers, Nitrofuran class,

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

Symptoms: This hospice patient lives in facility and our team went to give vaccinations to all elderly resident on 1/26/2021. The facility reported to our nurse that patient received Pfizer vaccine at 12;37pm and went unresponsive at 12:55pm and immediately given 1st dose of epinephrine and followed by another doe of epinephrine after (total of 2 doses was given) has an allergic reaction. Patient recovered.

Other Meds:

Current Illness: Dementia, Was Covid-19 positive 6/25/2020 and was still shedding virus after 2-3 months

ID: 0979319
Sex: F
Age: 54
State: UT

Vax Date: 12/18/2020
Onset Date: 12/20/2020
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: LA

Lab Data:

Allergies: I am allergic to dicloxacillin

Symptom List: Unevaluable event

Symptoms: I had a red hot rash on my face that lasted about a week. During the night, I woke to my face covered all over after being clear at bedtime.

Other Meds: I take Synthroid, T3 and Estridiol Patch.

Current Illness: No

ID: 0979320
Sex: F
Age: 33
State: AR

Vax Date: 01/13/2021
Onset Date: 01/24/2021
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:

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

Symptoms: Rash on neck, face, ears, and arms. Difficulty breathing at times.

Other Meds:

Current Illness:

ID: 0979321
Sex: F
Age: 45
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
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: When client returned to health dept for second dose she stated she had redness, swelling, welts, itching & soreness at the site. Also developed enlarged lymph node in neck. Saw Dr. took Benadryl received a topical cream for her site symptoms. 2nd dose not given.

Other Meds:

Current Illness:

ID: 0979322
Sex: F
Age: 26
State: TX

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: Symptoms from the Pfizer vaccine has been numb like feeling in the face, arms, legs, and hands. These symtoms arised Saturday Jan. 23, 2021 (a day after vaccine). Within the next couple of days, symtoms were still present, and presented more frequently throughout the days. Occuring more than 4 times a day.

Other Meds: N/A

Current Illness: N/A

ID: 0979323
Sex: M
Age: 64
State:

Vax Date: 01/04/2021
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:

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

Symptoms: Reporting because this staff member received a dose 1 vaccine for MODERNA at our clinic on 12/28/2020. Then upon receiving second MODERNA vaccine at our site on 1/25/2021, it was noticed in IIS that this staff member received a dose 1 of PFIZER at another clinic on 1/4/2021.

Other Meds:

Current Illness:

ID: 0979324
Sex: F
Age: 51
State: VA

Vax Date: 01/08/2021
Onset Date: 01/18/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: pt reports red, raised bumps that are itching started on 1/18/21 on hands, arms, feet, and elbows. progressed to more over several days. Seen by MD in our office on 1/19/21 who referred her to dermatology for skin biopsy. Biopsy done on on 1/21/21 and path consistent with interstital granuloma annulare. areas are regressing at this time but still itching and red. taking Pepcid and Claritin per MD recommendation.

Other Meds: none

Current Illness: none

ID: 0979325
Sex: F
Age: 69
State:

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

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: HPI: 69 y/o woman with minimal PMH of hysterectomy and cystic mass resection in 2016. She presented with c/o fatigue, fevers, shaking chills, SOB/cough, anorexia, N/V/D for the past 6 days (GI symptoms started 2 days ago). Husband reports she has also had periodic confusion during this time. She received her second COVID vaccine 7 days ago and symptoms started the following day.

Other Meds: Vit D, Calcium, Tylenol, Motrin

Current Illness:

ID: 0979326
Sex: F
Age: 35
State: MI

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/27/2021
Hospital: Y

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: No

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

Symptoms: I had extreme dry eye (both eyes) and previous ablation right occurred 3-6 months earlier.I went on 12/31 I had to get eye drops. Throughout the evening I started to exp pain left continuously eye drops and ice pack. The next morning 1/1 woke up pain was still there went to urgent care. I was told the tissue was reopened from the ablation given antibiotic drops to take 4 drops, Erythromycin and follow up 2 days. I was told to up dosage to 6 drops due to bacteria,recommended to follow up with Opthamologist in April 2021.

Other Meds: No

Current Illness: No

ID: 0979327
Sex: F
Age: 66
State: MA

Vax Date: 01/21/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: PATIENT REPORTED IMMEDIATE TOE TO NECK "IVP DYE TYPE WAVE OF WARM" RESOLVED IN FIRST 5 MINUTES OF OBS. HYDRATE FULLY RESOLVED AT DISCHARGE.

Other Meds:

Current Illness:

ID: 0979328
Sex: F
Age: 30
State: TX

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain

Symptoms: Injection site became swollen, warm to touch, red, and painful. My upper arm felt a tight, burning sensation. As the day goes on, the sensation wears off but i can still minimally feel it.

Other Meds: N/A

Current Illness: N/A

ID: 0979329
Sex: F
Age: 61
State: FL

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

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

Symptoms: Left deltoid soreness began within a couple of hours of injection. By 6:00 pm fever, chills, body aches, and headache began and persisted through the night. Temperature elevated to 102? for approximately 12 hours. Resting heartrate during the night elevated to 99 - 103 bpm (typically 57 -61 bpm). Treatment was acetaminophen and fluids. Symptoms began subsiding 24 hours post-injection. Fatigue and light headedness persisted for 36 hours.

Other Meds: none

Current Illness: none

ID: 0979330
Sex: F
Age: 89
State: IN

Vax Date: 01/14/2021
Onset Date: 01/19/2021
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: Aspirin (ASA), clarithromycin, Penicillins (PCN), sulfamethoxazole-trimethoprim, Sulfonamides (Sulfa)

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

Symptoms: Redness and swelling below the site with warmness to the touch. Per PCP was given acetaminophen and benadryl with improvement.

Other Meds: acetaminophen [OTC] tablet; 325 mg; amt: 2 tabs; oral Benadryl (diphenhydramine hcl) [OTC] capsule; 25 mg; amt: 25 mg; oral cholecalciferol (vitamin D3) capsule; 50 mcg (2,000 unit); amt: 1 capsule clobetasol cream; 0.05 %; amt: small am

Current Illness:

ID: 0979331
Sex: F
Age: 41
State: SC

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

Lab Data:

Allergies: Gluten

Symptom List: Tremor

Symptoms: Fever, severe body ache, vision problems, abdominal pain, motor strength weakness.

Other Meds: Ambien Adderall

Current Illness: None

ID: 0979332
Sex: F
Age: 43
State: TN

Vax Date: 12/28/2020
Onset Date: 01/11/2021
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: Sulfa

Symptom List: Erythema, Pruritus

Symptoms: 2 weeks after the first dose injections I began having symptoms of an HSV2 outbreak, although I am on suppression therapy. I have never had one since my initial diagnosis. I also began having numbness and tingling in both feet and hands. The symptoms continued through the second vaccine dose on January 16. The numbness and tingling in my extremities has become worse. An increased dose of Valacyclovir has been ineffective in treating the HSV outbreak symptoms.

Other Meds: NP Thyroid 45mg qday Valacyclovir 500mg qhs Prometrium 100mg qhs Estradiol 0.075mg/day patch

Current Illness: none

ID: 0979333
Sex: F
Age: 38
State: IA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Levoquin,Amoxicillin,Yaz

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

Symptoms: (per client) Client got weak in her legs and knees, chest slightly tight. decrease in memory. She was taken by w/c to the ER department where she was evaluated. Vitals normal, no oxygen, rest. States she felt better within 5-10 minutes of getting to ER. Was discharged 90 minutes later and returned to work as a nurse. States that she does not think it was a reaction to medication as she was very anxious prior to getting injection and has history of anxiety attacks.

Other Meds: Estrogen,Progestin,Wellbutrin,Sertraline,Trazadone,celebrex

Current Illness: Anxiety

ID: 0979334
Sex: F
Age: 32
State: VA

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

Lab Data:

Allergies:

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

Symptoms: Error: Shoulder Joint Injury (prolonged pain, tingling, etc.)

Other Meds:

Current Illness:

ID: 0979335
Sex: F
Age: 61
State: VT

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

Lab Data:

Allergies: Sulfas Intolerance to narcotics Some adhesives/surgical glue

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Day of vaccine - site soreness that lasted ~2 days; no other issues, no redness, discomfort resolved Day 10 - noticed in middle of the night my left arm was sore at injection site; this morning it is bright red (~3inch diameter) and slightly warm, tender; no fever or other symptoms

Other Meds: Levothyroxine, Niacinamide, Effexor, Vit D, B-Complex

Current Illness: None

ID: 0979336
Sex: F
Age: 58
State: MO

Vax Date: 01/17/2021
Onset Date: 01/20/2021
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: NONE

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

Symptoms: Large uncomfortable lymphadenopathy in L neck/clavicle area, the size of a lemon. It hurt to move my neck, and is very tender to touch. It is still present now, 10 days after receiving the vaccination. I saw my MD today who assured me it is a typical appearance for a lymphadenopathy, but it still bothers me, especially never having had such an occurrence before.

Other Meds: multivitamin, estrogen, Pravastatin

Current Illness: None

ID: 0979337
Sex: F
Age: 36
State: VA

Vax Date: 01/15/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: 6 Days after the vaccine I experience dizziness with passing out feelings, vertigo which lasted over seven days, chest pain?s, heart palpitations

Other Meds: None

Current Illness: None

ID: 0979339
Sex: M
Age: 64
State: SD

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

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: headache, fatigue, aches (missed work)

Other Meds:

Current Illness:

ID: 0979340
Sex: F
Age: 26
State: MO

Vax Date: 01/06/2021
Onset Date: 01/07/2021
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: N/A

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

Symptoms: Body aches Headache Temperature of 100 degrees and higher Shortness of Breath Worsened and suicide thoughts

Other Meds: Metoprolol Ambien Celexa Bospar Melatonin Ompeprozole

Current Illness: N/A

ID: 0979341
Sex: F
Age: 51
State: MA

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

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

Symptoms: Documents reviewed. Vaccine administered, patient tolerated well. Patient reported feeling hot ~5 min after vaccine administration. She reported intermittent throat tingling and L arm itching ~15 min after vaccine administration. BP 122/70, HR 102, O2 98%. Consulted with MD. Patient transferred to ED for further observation.

Other Meds:

Current Illness:

ID: 0979342
Sex: F
Age: 47
State: TX

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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient called pharmacy at 7:00 am on 1/22/2021 stating she has had hives and severe redness / swollen at injection site I asked if she has spoken to physician she said no has taken Benadryl and Tylenol. Told her I would make report and go to doctor if gets worse.

Other Meds:

Current Illness:

ID: 0979343
Sex: F
Age: 40
State: PA

Vax Date: 01/18/2021
Onset Date: 01/25/2021
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: Sulfa

Symptom List: Vomiting

Symptoms: Patient developed urticaria migratory about one week after shot

Other Meds: Amitriptyline, Hydroxyzine, Itraconazole, Wellbutrin, Primidone

Current Illness: Sjogren's Syndrome

ID: 0979344
Sex: M
Age: 37
State: PA

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

Lab Data:

Allergies: No

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Rash/hives developed on both arms and legs approximately two days after receiving the vaccine. No other side effects noted.

Other Meds: Baby aspirin, Prilosec, as well as Vitamin C, Zinc, and D3 supplements.

Current Illness: Finished final round of chemotherapy in the beginning of December 2020.

ID: 0979345
Sex: F
Age: 29
State: NY

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

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

Symptoms: Pt received vaccine @1726 and 5 minutes later she developed tingling to her upper and lower lips. Assessment was normal and at 1757 her symptoms completely resolved and she was released to home

Other Meds: unknown

Current Illness: none

ID: 0979346
Sex: M
Age: 50
State: AZ

Vax Date: 12/30/2020
Onset Date: 12/31/2020
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: Moderna COVID-19 Vaccine

Other Meds: 20 mg zocor and 10 mg singular

Current Illness: none

ID: 0979347
Sex: F
Age: 43
State: MN

Vax Date: 12/22/2020
Onset Date: 12/24/2020
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: None

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

Symptoms: I have had ongoing facial and tongue numbness. I am unsure if my symptoms are vaccine related, however my symptoms did start within 72 hours of receiving the vaccination. As of today, my symptoms remain, but seem to be improving.

Other Meds: Vit D

Current Illness: None

ID: 0979348
Sex: F
Age: 30
State: NC

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

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

Symptoms: About 2 hours after injection noticed white ring about quarter sized encircling injection site. Since that time hypo-pigmented region has not changed and color has not returned to that part of my arm. A white ring remains at injection site.

Other Meds: Norethindrone 0.35 mg daily for contraception

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm