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: 0983562
Sex: F
Age: 45
State: MN

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
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: penicillin, Ibuprofen, Advil,

Symptom List: Dysphagia, Epiglottitis

Symptoms: After getting the 2nd shot, I started to feel nausea while I was doing the post shot 15 minute wait. Later that day, I began to have pain all over my body, a headache, a low grade fever around 101.5, and chills. I am still experiencing all of these reactions , except for the fever even today , 01/28/2021.

Other Meds: Lantus insulin, Jardiance, Atorvastatin Calcium,

Current Illness: none

ID: 0983563
Sex: F
Age: 47
State: UT

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Extreme soreness in injection site starting at 8:30 P.m the night of injection. Muscle aches and pains, low grade fever, chills, fatigue starting around 8:30 A.M on 1/28/2021. Has not resolved as of yet (4:05 P.M) 1/28/2021

Other Meds: Progesterone, Lexapro, SA Rebuilder, Super C Vitamin and SA Vitamin. Herbal drops.

Current Illness: COVID-19 tested positive 01//2/2021

ID: 0983564
Sex: M
Age: 24
State: CA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
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: severe peanut and tree nut allergy

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

Symptoms: Chills starting at about 11:00 the night of receiving the vaccine, followed by intense fever and nausea. These lasted throughout the night until about 7:00 the next morning. Had an on and off fever throughout the course of the next day and extreme fatigue. By the second day after the vaccination, only fatigue and headaches persisted until about 6:00 in the evening. Then all symptoms ceased.

Other Meds: One A Day for Men multivitamins

Current Illness: N/A

ID: 0983565
Sex: F
Age: 66
State: MD

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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: After drawing up the vaccine, I pushed the plunger down when I was administering and when I did the vaccine came out of the top of the syringe below the needle. This was as if the needle was not on the syringe tightly. This actually happened twice with two different needle and syringes. Then when I changed the type of needle and syringe for the 3rd time the patient received the correct dose. I told the patient the dose did not get into her muscle and if it did it was a very very small amount. So I made sure to give the full 0.5 ml dose the third attempt.

Other Meds:

Current Illness:

ID: 0983566
Sex: F
Age: 64
State: NY

Vax Date: 01/25/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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, no food allergies

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

Symptoms: erythema to injection site 2 days post vaccine. warm compresses. rx for Keflex for cellulitis

Other Meds: Tylenol/Advil for the fever

Current Illness: denies

ID: 0983567
Sex: F
Age: 64
State: OH

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/28/2021
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: Pain at injection site and entire upper arm, moderate back pain, throbbing finger joint pain and fatigue. Mild headache. Ibuprofen 600 mg, heating pad on back, ice pack on arm. Moderate discomfort and pain throughout the day until sleep. Awoke at 3 am and the pain was milder. Slight arm pain in the AM. All discomfort and pain gone by noon on 1/22/21, the second day post vaccination.

Other Meds: duloxitine, prempro

Current Illness: none

ID: 0983568
Sex: F
Age: 70
State: VA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
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: Codeine

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Slight swelling of left side of face ... disappeared within 48 hours

Other Meds: Doxycycline 40 mg for rosacea Fish Oil 600 EC, Turmeric 400 mg, Multi Vitamin, Folic Acid 400 mcg, Calcium 1200 mg, D3 1000iu, Biotin 10,000 mcg.

Current Illness: None

ID: 0983569
Sex: F
Age: 58
State: MI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: denies

Symptom List: Pharyngeal swelling

Symptoms: After getting vaccine, pt. had tingling in her lips and a metallic taste in her mouth. This resolved after Benadryl.

Other Meds:

Current Illness:

ID: 0983570
Sex: F
Age: 51
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Received 2nd dose Moderna at 1615 Headache onset 5 out of 10 at 1622, bp 143/85, hr 73 took Tylenol Headache down to 2/10, bp 152/97, hr 70, medical director updated Reported no other symptoms and reported desire and able to leave for home at 1640

Other Meds: Prilosec

Current Illness: none

ID: 0983571
Sex: F
Age: 31
State:

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
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: ibupofen, shrimp, nickel, silver, gold, cobalt, dust mites, mold, pollen

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 5 weeks pregnant swollen lymph node, golf-ball sized on collar bone, same side as injection. Warm to the touch and moveable, agitated by pressure and palpation.

Other Meds: prenatal vitamin, zyrtec, calicium w/ vit d

Current Illness:

ID: 0983572
Sex: F
Age: 43
State: NC

Vax Date: 01/20/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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: About 16 hours later I had exhaustion, temp of 101, myalgias, headache and right arm pain. Lasted about 24 hours and now is back to normal

Other Meds: Lexapro, OTC multivitamin, vyvanse

Current Illness: none

ID: 0983573
Sex: F
Age: 45
State: WA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Felt suddenly hot, sweaty, dizzy. H20 given, resolved on own stayed 30 min

Other Meds:

Current Illness:

ID: 0983574
Sex: F
Age: 64
State: MI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Latex, natural rubber, bee pollen, morphine

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

Symptoms: Patient received Covid 19 vaccine at 4:00 PM. She has a history anaphylactic reaction from a bee sting. She was advised to wait in observation area for 30 minutes after receiving vaccine. After 20 minutes she complained of being light headed and dizzy. She was given apple juice to drink. Declined crackers. States she ate lunch about 2 hours ago. 4:39 PM VS taken by personnel. BP 126/73, HR 58, pulse ox 100%, Blood sugar 101. 16:45 PM BP seated 110/65, HR 62, 16:46 BP standing 113/60 HR 58. 16:50 PM. Patient states she is feeling better and is fine to drive a short distance home. Advised to return if she has any dizziness while leaving the building. Lead RN, was consulted regarding this patient.

Other Meds: Eliquis, Synthroid, lisinopril, metoprolol, Prilosec, potassium, Tambocor, Biotin, VitD3, EpiPen, MagOxide, Fish oil.

Current Illness:

ID: 0983575
Sex: F
Age: 42
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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: About 3-4 hours after receiving the vaccine my arm was red, hard , swollen , hot and painful at injection site. The area was about the size of a quarter. I took some ibuprofen to ease the pain and swelling as well as applied ice to the area. The next morning 01/28/21 I woke up with the area being more swollen, larger in size as well as all the symptoms stated above but more pain. I have chills , body aches as well as a headache. I iced the area and have been doing Tylenol and ibuprofen to help ease symptoms. I circled the area in case of any changes. By around 2pm I call my doctors office as the pain was more and the area had swelled up to baseball size. Again I have all the same symptoms continuing but more intensified. I was advised to go to urgent care. I went to urgent care and the doctor stated she felt it was cellulitis. She started me on antibiotics and gave me instructions on what to do if it got any worse. By the time I got home from Urgent care and getting my meds my arm had swelled up more. I have started the antibiotics at 7:50pm (01/28/21)

Other Meds: Lexapril, propranolol, hydrochlorithizide ,

Current Illness: None

ID: 0983576
Sex: M
Age: 77
State: MD

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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: NKDA

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

Symptoms: Began having trouble breathing after receiving the vaccination.

Other Meds: Metoprolol Placid Aspirin Itrovastin Advair Albuterol Lipitor Vitamin D Isosorbide

Current Illness:

ID: 0983577
Sex: F
Age: 56
State: MN

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
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: Shell fish, all pollen, cats, dogs, ceftin, augmentin, the sun

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

Symptoms: During night after receiving vaccine woke up due to pain in left arm. Left upper arm red, very warm very painful about a level "7-8" Wobbly - felt difficult to walk, 100.4 fever just felt very out of it shaky and wobbly. Noted red rash on chest and arms, face red and warm. 3:30 am 1/12/20

Other Meds: Levothyroid, Estridiol, Zyrtec, fish oil, Vitamin D3, Steroid inhaler daily, probiotic, magnesium

Current Illness: Covid -19

ID: 0983578
Sex: F
Age: 73
State: TX

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
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: Cats, mold, mederma, oxycodone

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

Symptoms: Strong pain in left arm. Flare-up of all the issues on left side of body, which had been at bay until vaccine: bursitis, pain left hip, sciatica, plantar fasciitis, leg pain

Other Meds: Prolia, Levothyroxin, Rosuvastatin, Dexa steroid shot, Calcium, Vitamin D3, probiotics, fish oli

Current Illness: -

ID: 0983579
Sex: M
Age: 56
State: NM

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Azetazolamide sodium, shellfish

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient received Covid19 vaccine at 3:20pm to the left upper arm, and seated in front of myself (CNP) for monitoring. At 3:40Ppm, he stated that his throat felt tight, and he placed his hands to his neck. He had his epinephrine pen in his pocket. I injected 3mg IM to left upper thigh, and 50mg diphenhydramine IM to right upper arm. 911 was already activated by another staff member. Vital signs were monitored during entire event, and were stable. EMS arrived at 3:45pm, and transported patient to ER. Patient reported that he felt much better when he was taken by EMS.

Other Meds: cetirizine 10mg qd PO, epinephrine 0.3mg IM PRN, brimonidine 0.2% opth tid, dorzolamide 2% opth tid, losartan 25mg PO qd, ventolin HFA 90mcg/actuation inhalation q4-6 hours PRN

Current Illness: None

ID: 0983580
Sex: M
Age: 35
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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: At night all of a sudden I got chills, shaking from the chills, 103 temp, body aches, and a headache the next day.

Other Meds:

Current Illness:

ID: 0983581
Sex: F
Age: 67
State: MI

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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: After injection she felt tingly and burning in her lips. Requested benedryl no rash swelling or other complaints.

Other Meds:

Current Illness:

ID: 0983582
Sex: F
Age: 82
State: VA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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: none

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

Symptoms: Patient observed for 15 minutes, then went to her car with her daughter, then started having slurred speech, right eye twitching and right hand clenching.

Other Meds: apresoline, catapres, inuslin, Lopressor, cozaar, pradaxa

Current Illness: Stroke, HTN, A Fib, COPD, DM2, COPD

ID: 0983583
Sex: F
Age: 52
State: MT

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Fever started at 12 hrs after injection and peaked to 104 24 hrs after injection. Used ice packs and ibuprofen to get it down. As of today I am still feverish with temp around 100. Chills, fatigue', headache, nausea. Drank a lot of fluid and rest. Tachycardia. Pulse was in the 120s all day.

Other Meds: Too many to list

Current Illness: None

ID: 0983584
Sex: F
Age: 57
State: NE

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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: Codeine, Sulfur, Penicillin, Latex

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

Symptoms: Chills, headaches, body aches, lethargic, and weakness

Other Meds: Tylenol

Current Illness: no

ID: 0983585
Sex: M
Age: 77
State: CA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
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: Bactrim, cephalexin, erythromycin, promethazine

Symptom List: Injection site pain, Pain

Symptoms: He was sent to the ER later that day when he complained of headache and palpitations and his blood pressures and heart rate were unusually high. He had at no time any chest pain. At the ER, he had two serial troponins at 0.06, representing a mild enzyme leak. He had no EKG changes concerning for ischemia or arryhtmia but his BP was noted to be in 170/100's which is higher than his baseline in the 140's. It came down on its own eventually. It was determined that if anything, he may have ha some demand ischemia from his hypertension, and that in the future he should at least get a TTE, or if he can tolerate, a cardiac stress test. He returned without any medication changes.

Other Meds: Vitamin C daily, Cranberry tablet daily, Vitamin B12 100 mcg d Additional information for Item 9: Vitamin D 50,000 units q month, levothyroxine 37.5 mcg daily, lidocaine ointment 5% topical 2 times daily, methadone 30mg two times daily, mor

Current Illness:

ID: 0983586
Sex: F
Age: 39
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: My charge nurse told me he was tested positive that evening. Started feeling my throat hurting in the morning. Because of being exposed to my charge nurse I had to go get tested. By 9AM body aches, headache, cough, chills. Fever went down on Thursday 100.8F, hot and cold sweats. I never felt like that before. I also had some GI issues (diarrhea) and a little bit of shortness of breath, just by walking to the restroom I would be very fatigued and when I checked my oxygen it would drop to 88% just by walking from my bed to the bathroom (Wednesday and Thursday was the worst). I still have fatigue and my throat hurts a little bit, I have congestion again and I started feverish again this Tuesday and lots of cough. Low grade fever (99.9F). My employee health told me to not return due to my symptoms until they subside or go get checked. Coughing and sneezing restarted yesterday. I had returned to work on Monday but then by Tuesday symptoms started reappearing.

Other Meds: Vitamin C, D, E woman's multivitamin and Biotin

Current Illness: No

ID: 0983587
Sex: F
Age: 55
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/28/2021
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: complain of metallic taste and sensation in left arm. Symptoms resolve after five minutes.

Other Meds:

Current Illness:

ID: 0983588
Sex: F
Age: 40
State: MD

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Complaint of tingling tongue that was unfounded on exam.

Other Meds:

Current Illness:

ID: 0983589
Sex: F
Age: 55
State: WA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 18 hours after vaccine: body aches, joint pain, headache, fever. Lasted approx 12 hours.

Other Meds: Metformin glimeperide atorvastatin simvastatin aspirin singular

Current Illness: None

ID: 0983590
Sex: F
Age: 61
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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: MORPHINE - SHORTNESS OF BREATH PENICILLIN- ITCHINESS, RASH SEASONAL ALLERGIES- RHINITIS FOOD: OKRA- SWOLLEN THROAT, SHORTNESS OF BREATH, KIWI- EAR ITCHINESS, SWOLLEN THROAT, SHORTNESS OF BREATH LATEX- RASH, BLISTERS, HIVES PINE DUST

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

Symptoms: ABOUT 15 MINUTES AFTER VACCINATION, FELT THROAT TIGHTNESS CONTINOUS

Other Meds: LOSARTAN, LEVOTHYROXINE, PANTOPRAZOLE, CREON

Current Illness: CHRONIC PANREATITIS HYPOTHYROIDISM- HASHIMOTOS DISEASE

ID: 0983591
Sex: F
Age: 68
State: GA

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 01/28/2021
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: Intermittent lip swelling. muscle inflammation at site, rash and itching

Other Meds: Atorvastatin 20mg

Current Illness:

ID: 0983592
Sex: F
Age: 37
State: VA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: denied

Symptom List: Injection site pain

Symptoms: 37yo female received first COVID vaccine lt arm on 1/15/21. She denies any immediate adverse reactions. Day 6 (1/22) she c/o right ear pain. 1/23 continued ear pain with nasal congestion 1/24 symptoms continue with difficulty chewing about 1100am. 1700 c/o tongue -upper lip swelling and rt facial droop, forehead-eyebrow paralysis - to ER where diagnosed with Bells Palsy. ER provider dx viral like illness and bells palsy attributed to viral prodrome. Given tapering dose prednisone, Sudafed for congestion/ear fullness and ophthalmic eye drops. Seen by HCP 1/27 and again 1/28 with improvement of symptoms but facial droop continues. Pt states is better. Prescribed Valtrax Additional information for Item 18: Medical center notified of case and monitoring.

Other Meds: Isibloom (Birth control)

Current Illness: denied

ID: 0983593
Sex: F
Age: 77
State: NY

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: IVP dye

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

Symptoms: Diarrhea

Other Meds: Propranolol Maxzide Wellbutrin

Current Illness:

ID: 0983594
Sex: F
Age: 54
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: VAC. SHOT: 1531, 1540: C/O HEADACHE (2:10 PAIN LEVEL) AND LIGHTHEADEDNESS (FEELING "OFF"). VS: LEFT ARM : 174/102; RIGHT ARM: 160/100; P: 88; O2 SAT R.A.: 95%; T: 98.2. MONITORED FOR 30 MINUTES BY STAFF AND ESCORTED BY RN TO E.R. TO BE FURTHER ASSESSED.

Other Meds:

Current Illness:

ID: 0983595
Sex: F
Age: 50
State: CA

Vax Date: 01/15/2021
Onset Date: 01/16/2021
Rec V Date: 01/28/2021
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: Tremor

Symptoms: Numbness, tingling sensation, weakness of left arm and leg like the Guillain - Barre syndrome (per my primary provider)

Other Meds: Clonidine Hydrochloride - 0.1 mg Simvastatin - 20 mg Losartan Potassium - 25 mg Aspirin 0 81 mg Iron - 130 mg Vitamin C - 1500 mg

Current Illness: Hypertension High cholesterol

ID: 0983596
Sex: F
Age: 32
State: OH

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/28/2021
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: supha; z pac and augmentin

Symptom List: Erythema, Pruritus

Symptoms: (I am breastfeeding.) That day, I started with a sore arm. by 8:00 pm sore to move or touch. (It took about three days to resolve the sore arm.) I had a headache. A couple hours after vaccine I was told I was exposed to COVID. Got tested on 31st - I tested positive for COVID. Got shortness of breath, the bad muscle ache, the loss of smell and taste; coughing, sore throat, headache; fever. I still have headaches and I still have some congestion sometimes. It is getting better but my sense of smell and taste aren't back. Fever, shortness of breath, cough etc lasted 10 days. I was out of work for two weeks. Called the doctor (January 4th, 2021)- for Oxygen levels - were dropping - they were in the high 80's - the doctor let me stay home and monitor on my own as I have a nebulizer and inhaler at home.

Other Meds: Singular; prenatal vitamin

Current Illness: Had gallbladder out beginning of December

ID: 0983597
Sex: F
Age: 76
State: OH

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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: Metmorfin

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

Symptoms: 02:42PM 110/50, HR 80, RR 20 appears anxious Reports doesn't routinely take FSB "I goes how I feel" Needs transportation to return home. Denies eating today. No family. 03:07PM Left ambulated to car independently

Other Meds: Aspirin, colace, 25mg HCTZ

Current Illness:

ID: 0983598
Sex: M
Age: 25
State: TX

Vax Date: 01/18/2021
Onset Date: 01/18/2021
Rec V Date: 01/28/2021
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: pt had immediate chills and rigors after the shot Started with hives the day after. These have been progressive Face started to swell , went to ER twice Started on benedryl, pepcid and prednisone

Other Meds: unknown

Current Illness: none

ID: 0983599
Sex: F
Age: 73
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Feeling of tongue swelling

Other Meds: Vitamin D, Metformin, Metoprolol, Amlodipine, Atorvastatin, ASA

Current Illness: no acute illness

ID: 0983600
Sex: F
Age: 80
State: KS

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
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: Morphine, some kinds of adhesive tape

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

Symptoms: Rash, red area with faint warmth and itchy. Appeared 10 days after shot with noticeable itchiness. No other symptoms at all now and none at all after the injection, not even a sore arm. Shot was on afternoon of the 13th and itch and red area noticed morning of 23rd. Itch not really noticeable now and large reddened area still present. About 4 inches by 6 inches, roughly. Not a problem at all. Have had no fever, aches, soreness after shot or now.

Other Meds: Day of vac: Cymbalta, vitamins C, D, fish oil, magnesium, potassium, calcium in morning. Taken in evening: atorvastin, Metaprolol, baby aspirin.

Current Illness: None

ID: 0983601
Sex: F
Age: 31
State: TX

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: SHORTNESS OF BREATH AND FEVER UP TO 101.6 BEGINNING ABOUT 6 HOURS AFTER INJECTION. SHORTNESS OF BREATH PERSISTED THROUGHOUT THE NEXT DAY. USED INHALER AND IT IMPROVED AND EVENTUALLY SUBSIDED.

Other Meds: Zoloft, Ibuprofen

Current Illness: No illness

ID: 0983602
Sex: F
Age: 19
State: MT

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/28/2021
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: Pain in extremity

Symptoms: erythematous macular rash on R arm, palm. spread to L arm and palm. not pruritic or painful. no other symptoms.

Other Meds: norethindrone/EE 1.5/30, multivitamin, vitamin D, albuterol

Current Illness: NONE

ID: 0983603
Sex: F
Age: 27
State: NY

Vax Date: 01/07/2021
Onset Date: 01/14/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: IThe day after the vaccine in early morning is when I experienced the body aches and chills and low grade temperature, and on 1/9/21 is when all smptoms seemed fine except a noted slight redness around injection site. On 1/14/21, 7 days after the injection, my arm was very itchy at the injection site and I was itching it pretty good as I forgot I had the injection there. I woke up the next morning and itched a little at it again to discover that the area was a red slighty bumpy rash and I had a big hive a few inches below the injection site as well. It remained that way throughout the day and we drew an outline of it with a pen to track if it got any bigger. I refreined from itching it and the next day the redness was still there and had gone outside of the line we traced a little bit on the top. The redness seemed to have gone away around 1/17 or 1/18

Other Meds:

Current Illness:

ID: 0983604
Sex: M
Age: 73
State: UT

Vax Date: 01/14/2021
Onset Date: 01/23/2021
Rec V Date: 01/28/2021
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

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

Symptoms: Cellulitis in right arm at injection site Silken, hot and red

Other Meds: Levothyroxine, atorvastatin, baby aspirin, ibuprofen, turmeric, Tylenol

Current Illness: None

ID: 0983605
Sex: F
Age: 41
State: CA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/28/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Chills, headache, fatigue symptoms from 9 am to 6:30 pm when I slept.

Other Meds: Advil & Tylenol

Current Illness: None

ID: 0983606
Sex: F
Age: 39
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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: none

Symptom List: Vomiting

Symptoms: pt with anxiety after vaccination c/o sensation of palpitaitons and dizziness . pt brought to observation where vital signs were pulse of 111 and blood pressure of 198/109. pt reclined in slight trendelenburg and monitored in a quiet low lit room. exam by physician pt with good coloration cardiac reg rate and rhythm peripheral pulse strong. . pulse and blood pressure decreased without need for medication of fluids. pt at time of discharge feel well. final pulse 80 and final blood pressure 178/95 (pt with h/o hyptension) no orthostatic changes

Other Meds: none

Current Illness: none

ID: 0983607
Sex: F
Age: 31
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Nausea, migraine, Joint pain, body aches, weakness, blurry vision. Tylenol was taken. Zero relief. Excedrin was taken for the migraine. Zero relief.

Other Meds:

Current Illness:

ID: 0983608
Sex: M
Age: 43
State: KY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
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: Headaches, nausea, fever 101, body aches, felt like I had covid for a second time

Other Meds: Atenolol

Current Illness: None

ID: 0983609
Sex: F
Age: 65
State: FL

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/28/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: A red circle 4-5inches developed at the injection site. It felt like a hugh welt under my skin . The welt was gone after about 6 days. The redness remained for two weeks then I applied hydrocortisone cream which has helped and the redness is fading. I wonder if the shot actually went into my muscle or went subcutaneously. When the shot was administered the person pulled my skin very hard outwardly and then injected the needle into this skin.

Other Meds: synthroid, fosamax, lisinopril, biotin, align , calcium,

Current Illness: Hashimoto, osteoporosis

ID: 0983610
Sex: M
Age: 36
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/28/2021
Hospital:

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

Lab Data:

Allergies: Allergic to some tree fruits like apples and cherries.

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

Symptoms: After my first dose of the Moderna vaccine on 12/31/2020 I had symptoms of a urinary tract infection, which I did not think was related at the time and considered it a fluke. Today, however, after the second dose the symptoms are worse (more pain while urinating, lots of blood in urine, frequent urgency). I have an appointment in the morning to see a doctor about the cause but this happened after both vaccine doses.

Other Meds: Multivitamin, occasional Advil

Current Illness: None

ID: 0983611
Sex: F
Age: 33
State: NC

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 01/28/2021
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: Walnuts, topiramate

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

Symptoms: Firm mass at injection site. Gradually increasing in size. Warmth, itching at site. Currently 4cmx2cm. Tender to touch, no discoloration. Symptoms are localized to injection site.

Other Meds: Pepcid, multivitamin

Current Illness: N/a

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm