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: 0980073
Sex: F
Age: 40
State: SD

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: headache, malaise, fatigue, runny nose

Other Meds:

Current Illness:

ID: 0980074
Sex: F
Age: 36
State: IL

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

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

Lab Data:

Allergies: nkda

Symptom List: Anxiety, Dyspnoea

Symptoms: patient had her jaw clenched and her upper body contracted, with partial seizure of the upper body, with difficulty breathing. her pulse ox was 86 %. she was given a shot of epinephrine and immediately recovered with pulse ox up to 98%. She was taken to the ER by EMS

Other Meds: none

Current Illness: none

ID: 0980075
Sex: F
Age: 24
State: PA

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

Lab Data:

Allergies:

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

Symptoms: Muscle aches, fever, dizziness, headache

Other Meds: Tylenol

Current Illness:

ID: 0980076
Sex: F
Age: 75
State:

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

Lab Data:

Allergies: bee stings and contrast dye

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt developed left lower lip paresthesia that radiated to L side of face. 911 transfer recommended to which patient declined. Pt has history of TIA, Stroke, CKD, on gabapentin for facial nerve pain.

Other Meds:

Current Illness:

ID: 0980077
Sex: F
Age: 26
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/11/2021
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, sulfa

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

Symptoms: 1 week post vaccination, left arm local red, warmth, inflammation, itchiness. Physician prescribed antibiotics because they weren't sure if it was an infection or reaction due to the late presentation.

Other Meds: Hormonal birth control

Current Illness: None

ID: 0980078
Sex: M
Age: 49
State: AZ

Vax Date: 01/21/2021
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: none

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

Symptoms: Approx. four or five days after vaccinations, developed rash with itch on lower right leg. Rash appear similar to internet photos of moderna rashes (except for location)

Other Meds: none

Current Illness: none

ID: 0980079
Sex: F
Age: 44
State: PA

Vax Date: 01/21/2021
Onset Date: 01/22/2021
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: Pyrexia, White blood cell count decreased

Symptoms: profound myalgia, headache, chills, ear pain

Other Meds: none

Current Illness: URI

ID: 0980080
Sex: F
Age: 56
State: WI

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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: blue dye in pills seasonal allergies bananas make throat itch

Symptom List: Pharyngeal swelling

Symptoms: Had a hot spot in my right palm that lasted 24-48 hours I think pretty soon after for sure on my drive home from work I noticed Right side of face felt funny then numb on cheek, whole side of right head top of scalp to jar and over to right ear x 8-10 days Sore arm, tiredness and fatigue x10 days and some numbness in hand x5 days

Other Meds: Loratidine 10 mg qd Lipitor 10 mg qd Metformin SR 500 mg bid Levothroyxine 175 mcg qd Lisinopril 10 mg qd Cider vinegar gummy Flintstone kids vitamin gummy Probiotic Nature's Valley gummy

Current Illness: none

ID: 0980081
Sex: F
Age: 40
State:

Vax Date: 01/11/2021
Onset Date: 01/18/2021
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: Levaquin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Woke up with rash on left upper arm. Not at the injection site.

Other Meds: Junel 28

Current Illness: N/a

ID: 0980082
Sex: F
Age: 79
State: CA

Vax Date: 01/25/2021
Onset Date: 01/27/2021
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: Celecoxib, Morphine, Rofecoxib

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Nausea, dizziness

Other Meds:

Current Illness:

ID: 0980083
Sex: F
Age: 40
State: CA

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:

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

Symptoms: fever 102.5 chills sweating body aches nausea fatigue

Other Meds:

Current Illness:

ID: 0980084
Sex: F
Age: 67
State: GA

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

Lab Data:

Allergies: Linsinopril

Symptom List: Rash, Urticaria

Symptoms: Slightly swollen 3x3 rash in area where shot was given. Outer edge of rash red.

Other Meds: Metformin ER, Atorvastatin, Carvedilol Hydrochlorothiazide Vitamins: Iron, C, D3, Biotin Tylenol, Advil

Current Illness:

ID: 0980085
Sex: F
Age: 72
State: CA

Vax Date: 01/25/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Resident had an episode of hypoxia and hypotension

Other Meds:

Current Illness:

ID: 0980086
Sex: F
Age: 40
State: MD

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Fatigue, headache, body ache, chills, nausea Started in the morning, faded in the evening

Other Meds: Kariva

Current Illness: None

ID: 0980087
Sex: F
Age: 74
State: CO

Vax Date: 01/15/2021
Onset Date: 01/21/2021
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: statin

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

Symptoms: Redness ,itchy, aware of the arm where was vaccinated

Other Meds: none

Current Illness: none

ID: 0980088
Sex: F
Age: 41
State: TX

Vax Date: 01/11/2021
Onset Date: 01/22/2021
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: Levaquin Penicillin Avocado Banana

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

Symptoms: ?Covid arm? - rash occurred at injection site

Other Meds: Synthroid Zyrtec (maybe for seasonal allergies) Flonase (maybe for seasonal allergies)

Current Illness: Sinus infection 12/31

ID: 0980089
Sex: F
Age: 79
State: PR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: IODINATED CONTRAST MEDIA

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

Symptoms: WITHIN 5 MINUTES AFTER VACCINATION :SWOLLEN LIPS,DIFFICULTY SWALLOWING ,SENSATION OF THROAT CLOSURE, DI FUSE RASH (ARMS ,LEGS ,BACK) ,SWOLLEN NOSE AND FACE AREA AROUND.

Other Meds: LOSARTAN 50MG & CRESTOR 10MG DAILY,PROLIA 60MG/ML

Current Illness:

ID: 0980090
Sex: F
Age: 43
State: VA

Vax Date: 01/18/2021
Onset Date: 01/26/2021
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: I am allergic to all opioids and have a pseudo allergy to latex. Also allergic to bees

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 24 hours after vaccine I had achey and tired. Arm pain lasted 3 days. Perfectly fine day 4-7. Day 8, in the evening my arm started itching. Today is day 9 and it?s still itchy and now a bit swollen, hot to the touch, and hurts when I rub it or bump it. Have not contacted physician yet. Treating with OTC cortisone cream and ice.

Other Meds: None

Current Illness: None

ID: 0980091
Sex: F
Age: 43
State: ID

Vax Date: 01/20/2021
Onset Date: 01/27/2021
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 7 days after, itching at injection site, worsened in red rash

Other Meds: Claritin Flonase

Current Illness:

ID: 0980092
Sex: F
Age: 85
State: OK

Vax Date: 01/18/2021
Onset Date: 01/26/2021
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: Eight days after injection, the injection site was painful and red. Also had higher than normal blood pressure.

Other Meds:

Current Illness:

ID: 0980093
Sex: F
Age: 58
State: CT

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: N/A

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

Symptoms: Morning after the vaccine and into the evening hours - Vaccine was 1/26 @ 11:30am and side effects still prominent on 1/27/2021 @ 8:30pm. Muscle pain in and around the upper arm where the vaccine was administered, still hurts and is tender to touch. Feels like someone punched the area numerous times also pain in upper shoulder and neck. Later in the morning @ around 10:30a throughout the day and into the-night, a headache that comes and goes-located in a strange area, in the lower back portion of the head where the head and neck meet. In addition, low back pain and tired.

Other Meds: amoxicillin, pantoprazole, ashwaganda, D3,

Current Illness: sinus infection

ID: 0980094
Sex: F
Age: 43
State: AK

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: Most narotics, latex, alcohol

Symptom List: Unevaluable event

Symptoms: Got dizzy and been on n off, my throat did feel a lil swollen but i do have allergies.

Other Meds: Propranolol, gumyvites vitmins

Current Illness:

ID: 0980095
Sex: F
Age: 47
State: MA

Vax Date: 01/27/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: sudden onset dizzy and lighthedness(about 25 minutes after shot) symptoms remained for 1/2 hour at which point i took 2 benadryl's. shortly after dizzy and lightheadedness subsided

Other Meds: no

Current Illness: no

ID: 0980096
Sex: F
Age: 27
State: CA

Vax Date: 01/20/2021
Onset Date: 01/26/2021
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: Big red mark with swelling at injection site 4-5 inches in length, 2-3 in width. Feels warm to touch. Itchy when it first appeared, no itchiness about 10 hours later

Other Meds: Dimethyl fumarate, vitamin D3

Current Illness:

ID: 0980097
Sex: F
Age: 80
State: NV

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: SYR
Vax Site: LA

Lab Data:

Allergies: codiene nitrofuritan cefurixime ceftin

Symptom List: Injection site pain, Menorrhagia

Symptoms: High fever 101.7 for two days. Extreme shakes all night on the25th. Advil taken every four hours. Stomach cramps and loose bowels the next day.

Other Meds: Lovastan Losartan Amlodipine

Current Illness: hospital for Covid November 29- December 1.

ID: 0980098
Sex: F
Age: 50
State: TX

Vax Date: 01/27/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Chest pain after 15 min discharge approximately 20 min after vaccine.

Other Meds: Vit D2, Flexeril, Metformin, Nasonex, LInzess, Bepreve

Current Illness: NONE

ID: 0980099
Sex: F
Age: 28
State: TX

Vax Date: 01/25/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Redness at injection site expanded to size of tennis ball, itching, and swelling to deltoid.

Other Meds: Creatine

Current Illness: None

ID: 0980100
Sex: F
Age: 64
State: NY

Vax Date: 01/27/2021
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: RA

Lab Data:

Allergies: Orange juice

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: A cough and then vomiting

Other Meds: None

Current Illness: None

ID: 0980101
Sex: F
Age: 42
State: HI

Vax Date: 01/22/2021
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: RA

Lab Data:

Allergies: Bee stings and honeydew melon

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

Symptoms: Within a few minutes right hand and forearm (shot arm) was numb then tingling and neck got hot. On the drive home developed a headache. No fever. Day 2 migraine like headache most of the day and numb right hand when woke up, shot sight sore Day 3 better slight headache, shot site sore Day 4/5 woke both mornings by migraine like headache that went to neck (neck and shoulder pain) Day 6 okay so far

Other Meds: Daysee birth control, alertec (generic Zyrtec), superLysine+ by Quantum Health, biocell collagen by health logics

Current Illness: sinus infection a few weeks prior

ID: 0980102
Sex: F
Age: 32
State: TX

Vax Date: 01/27/2021
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: RA

Lab Data:

Allergies: Zomig

Symptom List: Nausea

Symptoms: Skin flushing of chest and hands bilaterally, shortness of breath, diaphoresis, numbness of lips. 1/27/2021 at 3:45pm

Other Meds: Vyvanse 50mg

Current Illness: None

ID: 0980103
Sex: F
Age: 39
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Allergy to medication: Necon OCP Allergy to food: Tree nuts, Sesame Seed/oil, Pine Nuts, Pumpkin Seeds

Symptom List: Injection site pain

Symptoms: 3 hours after injection joint pain started, transient lasting 1-2 hours, migratory 1st neck left neck and shoulder, then lumbar back and SI joint bilaterally. Then Achilles Tendon pain Left then Right. Mild, lasting 2 days. 7 days later Left Axillary Lymphadenopathy with tenderness began and lasted for 12 days. Intermittent SI joint pain recurs mild and brief.

Other Meds: Symbicort Xopenex Prenatal Vitamins

Current Illness: none

ID: 0980104
Sex: M
Age: 71
State: FL

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Three to four days after the injection I began to feel muscle and joint aches in my entire body along with fatigue. These symptoms grew in intensity and lasted about seven days, then suddenly diminished and then stopped. Dates: (1) January 8, 2021: injection; (2) January 11 - 13: beginning of symptoms; (3) January 16-17: lessening of symptoms; (4) January 18: disappearance of symptoms. I also experienced soreness in my left arm at the site of the injection. That began several hours after the injection and was much more intense than the soreness I usually experience with flu shots. The soreness lasted about 24 hours, again much longer than my experience with flu shorts. It then suddenly diminished and then stopped--same pattern as the aches and fatigue described above.

Other Meds: Rosuvastatin, 20 mg, daily Fluconazole, 200 mg, once a week Descovy, 200 mg., daily

Current Illness: None

ID: 0980105
Sex: F
Age: 40
State: CA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
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: none

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

Symptoms: I developed R eye redness, pain and photophobia on 1/21 and was diagnosed with anterior uveitis. I am being treated with prednisolone drops and a dilating eye drop. My symptoms have improved significantly with the eye drops. I do not know if this is at all related to the vaccine - I have a h/o one other episode of anterior uveitis in my L eye in 2004, felt to be HLA-B27 associated - however I figure it is worth reporting just in case.

Other Meds: Glatopa, Carafate, Protonix, Vitamin D, Vitamin B12, iron, calcium

Current Illness: none

ID: 0980106
Sex: F
Age: 51
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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: left arm pain, soreness flu like symptoms cold achy stomach pains nausea loose stools

Other Meds:

Current Illness:

Date Died: 01/14/2021

ID: 0980107
Sex: F
Age: 90
State: AL

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: Erythema, Pruritus

Symptoms: Patient noted to have a change in status at 11:23PM that night. Her oxygen saturation had dropped from normal on room air to 82% and required oxygen. She was also noted to be lethargic with altered mental status and not responding verbally. She then began to mottle. Her oxygen saturation worsened to 51% on 4Liters of oxygen by the next day and she expired on 1/14/21.

Other Meds:

Current Illness:

ID: 0980108
Sex: M
Age: 38
State: OH

Vax Date: 01/20/2021
Onset Date: 01/25/2021
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: N/A

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

Symptoms: Delayed widespread rash covering entire body. Rash is sandpaper-like texture with mottled appearance. Severe itching and mild burning sensation. Symptoms began approx 5 days post injection.

Other Meds: N/A

Current Illness: N/A

ID: 0980109
Sex: F
Age: 24
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Tree nuts and peanuts

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

Symptoms: Within 11 minutes of receiving my first dose of the Covid-19 vaccine, I became extremely hot and started sweating. My face turned bright red and my heart rate increased to 152 beats per minute. My respirations became very labored and my blood pressure was 187/97. I was monitored for 30 minutes afterwards. The nurse placed ice packs on the back of my neck to cool down. She continually monitored my vital signs. Upon leaving my blood pressure was still elevated, but improved.

Other Meds: Junel Singular

Current Illness: None

ID: 0980110
Sex: M
Age: 45
State: PR

Vax Date: 01/27/2021
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: NKDA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Chills , chest pain , pain on joints , urinary frecuency , pain on testicles

Other Meds: Amlodipine , Atorvastatin

Current Illness: No

ID: 0980111
Sex: F
Age: 40
State:

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Constant Fever despite taking Tylenol around the clock, 103.1. Chills, syncope, seizure, extreme fatigue, nausea, headache, loss of appetite.

Other Meds: Levothyroxine, Claritin, doxycycline, prenatal vitamins

Current Illness:

ID: 0980112
Sex: M
Age: 32
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Fever, joint pains, body aches

Other Meds: Concerta Cymbalta

Current Illness: Cold

ID: 0980113
Sex: F
Age: 36
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: 12 hrs post injection: stiff shoulders/neck/arm (at injection site) and headache 18 hrs: migraine, muscle pain, chills 24-36 hrs: fever (100-102 Fahrenheit), migraine, muscle pain/fatigue, joint pain, increased skin sensitivity/pain to the touch, chills/sweats, shortness of breath, nausea 37-48 hrs: fever broke, continued headache/muscle pain and fatigue, exhaustion at 51 hrs: headache, muscle stiffness, pain at injection site

Other Meds: None

Current Illness: None

ID: 0980114
Sex: F
Age: 41
State: NC

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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Chills, fever, myalgia, fatigue

Other Meds: Spironolactone

Current Illness: None

ID: 0980115
Sex: F
Age: 26
State: CA

Vax Date: 01/16/2021
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: Sulfa meds

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

Symptoms: Red, warm, blotchy rash on right arm in general vicinity of the injection area. No treatment currently aside from applying Cortisone cream at home.

Other Meds: Zyrtec Flovent inhaler Tri-lo-estarylla

Current Illness: N/A

ID: 0980116
Sex: F
Age: 24
State: CT

Vax Date: 01/20/2021
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: n/a

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

Symptoms: Itchy, red, raised rash measuring approximately 3 inches (h) x 2.5 inches (w) appeared about 5 days after the vaccine was given around the injection site. I have seen people referring to this as "COVID arm". It has been 48 hours and is still itchy and red, but appears to be fading slowly. Additionally, about 24 hours prior to noticing the rash, I developed axial lymphadenopathy on the same side.

Other Meds: Lo lo estrin fe

Current Illness: n/a

ID: 0980117
Sex: F
Age: 50
State: IL

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: Ibuprofen

Symptom List: Vomiting

Symptoms: Chills and headache, fatigue

Other Meds: Multivitamins, krill oil

Current Illness: None

ID: 0980118
Sex: F
Age: 35
State: GA

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Cheek/eye swelling

Other Meds: Adderall 10 mg XR, lo lo estrin, Prilosec 40 mg, Allegra, lexapro, trazadone

Current Illness: Positive Covid PCR test on 1/4/21

ID: 0980119
Sex: F
Age: 73
State: WA

Vax Date: 01/27/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Codeine

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

Symptoms: Headache, chills ,feeling unwell, tiredness

Other Meds: Alopurinol Daily vitamin

Current Illness: Radiation for breast cancer

ID: 0980120
Sex: F
Age: 66
State: GA

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, Erythromycin and Clindamycin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient developed red, itchy rash at vaccination site a week after vaccine was given. Patient said it was also warm to the touch.

Other Meds:

Current Illness:

ID: 0980121
Sex: M
Age: 43
State: AR

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: RA

Lab Data:

Allergies: None

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

Symptoms: Patient reported approximately 3 hours post vaccination that they experienced itching on top of their head. Approximately 6 hours post vaccination they reported the appearance of red bumps/hives on chest, upper arms, back, and ankle along with itching in these areas. Patient reported taking a Benadryl and noticed symptoms improved within 30 -45 minutes. The following morning patient reports itching occurred again but subsided after dose of Benadryl. Patient has spoken to two separate physicians about decision to receive second doses.

Other Meds: Lisinopril/Hydrochlorothiazide, Metoprolol, Fish Oil

Current Illness: None

ID: 0980122
Sex: F
Age: 53
State: WI

Vax Date: 01/01/2021
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: RA

Lab Data:

Allergies: Penicilin Bactrim Sulfa

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

Symptoms: Fever 100.6 Body aches Headache Welt at injection site

Other Meds: Allegra Omeprazole Lisinopril

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm