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: 0986902
Sex: F
Age: 37
State: MD

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever <101 Muscle aches, flu-like symptoms, fatigue, severe headache. EDD 5/12/2021. 25 weeks gestation: No obstetrical issues. No bleeding, cramping or decreased fetal movement.

Other Meds: PNV

Current Illness: None

ID: 0986903
Sex: F
Age: 79
State: MN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Aspirin (ASA), codeine sulfate, donepezil, Sulfonamides (Sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: Redness and warmth around injection site, along with a bruise at injection site.

Other Meds: atenolol, Calcium, Cymbalta, Lisinopril, memantine, myrbtrig, Nexium, requip, Senna Tylenol, Zocor, Zyrtec

Current Illness: na

ID: 0986904
Sex: F
Age: 50
State: MN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Compazine, macrobid

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

Symptoms: Fever, cough, muscle aches, fatigue, metallic taste in mouth, congestion, headache, nausea, abdominal pain. Symptoms improved 1/29 in AM.

Other Meds: BCP, multi vit., Calcium supp.

Current Illness: had covid-19 from 1/7/21-1/17/21.

ID: 0986905
Sex: M
Age: 66
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Climbed stairs 30 min after vaccine given. Developed lightheadedness BP elevated. resolved after 10 minutes.

Other Meds:

Current Illness:

ID: 0986906
Sex: F
Age: 63
State: VA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Client was observed for 15 mins after injection and at 9:55 am she returned to her classroom to teach students. At approx 10:55 am, client complained of nausea, headache, slight blurred vision, BP 180/110. Observed in classroom by RN school nurse and daughter contacted. Daughter arrived to drive client home @ 11:45, client remained with headache, nausea and chills. At 1:00 school nurse called client and client reported h/a had improved with Tylenol, nausea improved also. At 4:30pm, this nurse called client and client reported she had tolerated toast and ginger ale and nausea gone, no more chills, still feeling like a sinus headache, and BP 156/80.

Other Meds:

Current Illness:

ID: 0986907
Sex: F
Age: 66
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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: feldene azulfadene methotrexate chammomile ragweed

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

Symptoms: Dizziness, muscle pain, tiredness, joint pain I woke up to use the bathroom. after relieving myself I stood up and got very dizzy, then I fell down. I fell again after I got myself up.

Other Meds: levothyroxine claritan telmisarten atorvastatin magnesium multi vitamin cannabis vitamin d

Current Illness: none

ID: 0986908
Sex: F
Age: 33
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
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: Unknown

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds: Unknown

Current Illness: Unknown

ID: 0986909
Sex: F
Age: 46
State: RI

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Shellfish Ivp dye Sulfa Flu vax with acute reactIon 11/2018

Symptom List: Pharyngeal swelling

Symptoms: Acute allergic reaction, throat tightness, chest heaviness, IV established, diphenhydramine, 25mg IV, Transported by Ambulance

Other Meds: Pulmacort Epipen Ventolin

Current Illness: Asthma

ID: 0986910
Sex: U
Age: 72
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: L MCA stroke

Other Meds:

Current Illness:

ID: 0986911
Sex: F
Age: 57
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: "Moderna COVID-19 Vaccine EUA". I started with dizziness around 2pm. 9pm started extreme chills, teeth chattering. 1am nausea, sweating profusely, headache. 4:30 am worse headache, light headed, passed out on kitchen floor. Woke up around 1pm on Tuesday and temp was 37.8. Took Ibuprofen for h/a and fever once my stomach felt better. Headache remained until Weds am. I felt great today (Friday).

Other Meds: Preservision 2x/dly, Fish Oil 1200mg dly, Vitamin C 500mg dly, Magnesium 250mg dly. No prescription meds.

Current Illness: N/A

ID: 0986912
Sex: F
Age: 66
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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: Large Red inflamed area on Right upper arm. Second dose of Moderna. After 1st dose noticed arm was hit for 4 days. This time there was swelling, redness and warmth. To: Advil, Tylenol and cool compresses.

Other Meds:

Current Illness:

ID: 0986913
Sex: F
Age: 30
State: WY

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 01/29/2021
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: Patient described the following: Lips swelling - Began the morning of 1/23/2021, self-resolved by the end of the day Rash on chest/face- Began the morning of 1/23/2021, was worse on 1/24/2021, then self-resolved on 1/25/2021 Body aches - Began the morning of 1/23/2021, self-resolved on 1/25/2021

Other Meds:

Current Illness:

ID: 0986914
Sex: F
Age: 28
State: OH

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: NA (none known)

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

Symptoms: Temperature (tmax 102.9) Superficial dermal reaction to vaccination site (L arm) at injection site and extending slightly proximally and distally. Severe body aches/pains Nausea without vomiting Generalized fatigue/malaise

Other Meds: Zoloft Skyla IUD

Current Illness: NA

ID: 0986916
Sex: F
Age: 57
State: LA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
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: Had 2nd Covid vaccination at 11:35 a.m in right arm on 1/25/21. Around 10:15 p.m. starting having chills. Temp was 99.0 degrees. Could not warm up. Could not sleep. Extremely restless. Was awake every hour. Drank water while awake. Had unexplained joint pain in all fingers, both wrists, both knees and both ankles. Temp gradually went up throughout the night. Temp reached 101 degrees around 3 a.m. Took 2 Tylenol at that time. Temp eventually went down to 100 degrees around 6 a.m. Chills subsided. Soreness in right arm. Next morning, temp went back up to 100.9. Still restless but couldn't sleep. Took Tylenol again at 7:30 a.m. Joint pain subsided. Increased fluid intake. Temp went back up to 101 around 3 p.m. Took 2 Tylenol again. Temp went down to 99 around 5 p.m. No more fever, chills or joint pain after that time. Next morning, 1/26/21, extremely tired but no longer had any of the above symptoms.

Other Meds: Claritin, multi-vitamin, vitamin D3, probiotic

Current Illness: None

ID: 0986917
Sex: F
Age: 28
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
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: Unknown

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

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds: Unknown

Current Illness: Unknown

ID: 0986918
Sex: F
Age: 12
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Patient was feeling nervous about receiving vaccines . When the first two vaccines on right arm were placed mom said that patient usually is very nervous and causes her to syncope .when ever she receives vaccines or any blood draws. Mom and I were watching and noticed she had a stare and mom rushed to try to talk to her to keep her awake and I let mom come to her so I can get Physician on duty .Patient was secure and siting while vaccines were being placed and while mom attend her . Patient was siting in back seat and was moved to front seat to lay her and have her feet leveled. Patient never fell and was mained secured. Patients heart rate was 77 and oxygen levels were 99 %. Mom stated that patient only ate a cookie all day. Once patient levels were good mom was telling patient she need to get her final vaccine patients mom authorized to go ahead and give the last vaccine for the day . Patient was alert and fine when final vaccine was giving.

Other Meds: n/a

Current Illness: n/a

ID: 0986919
Sex: F
Age: 51
State: MT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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: patient had a vagal response and partial syncope episode minutes after vaccine was administered. Patient did not recover so 911 was called and ems arrived to take to the emergency room

Other Meds:

Current Illness:

ID: 0986920
Sex: F
Age: 64
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies

Symptom List: Ear pain, Hypoaesthesia

Symptoms: c/o post nasal drip about 20min after injection. Reports history of post nasal drip, takes Zyrtec daily. States drip feels thicker than usual this time. Denies, SOB, chest pain, headache, rash, itching, palpitation, blurred vision. No other complaints. BP: 149/79 Sp02: 98% Room air HR: 80 Seen and cleared by EMS

Other Meds: Metformin Crestor Levothyroxine Triamterene Zyrtec

Current Illness: none

ID: 0986921
Sex: F
Age: 97
State: CA

Vax Date: 01/19/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: chest rash

Other Meds: Paroxetine, Synthroid, vitamin D

Current Illness: None

ID: 0986922
Sex: F
Age: 34
State: CA

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Unsure if vaccine related but am experiencing hives on arms, abdomen and legs

Other Meds: Multi-vitamin, allergy nasal spray-glucocorticoid

Current Illness: N/A

ID: 0986923
Sex: F
Age: 72
State: PA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 01/29/2021
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: Tape Pet dander

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

Symptoms: Left arm was sore day several days after the administration 1/20/21 of the Covid Vaccine. There was no redness, heat or bumpyness of the upper arm tissue. 1/28 itching started and redness in the area of where the Vaccine was given and has continued . There are two small areas hot to touch, bumpy, a little itchy and red--one the size of a quarter and the other the size of a dime.

Other Meds: Omeprazole ASA Vit D3 Multivitamin Presser Vision AREDS 2 Glucosamine Chondroitin Hctz Letrozole

Current Illness: None

ID: 0986924
Sex: F
Age: 62
State: FL

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Topical Latex allergy Ragweed, dust mites, mold allergies Gluten intolerant

Symptom List: Unevaluable event

Symptoms: Arm was slightly sore 6-8 hrs after injection...for 3 days, then totally gone. Which seemed normal. BUT one week after that injection (Friday 1/22) I noticed my arm getting very sore, swollen and hot in the same injection site and several inches below?about the size of my palm. It continued to get more swollen and hotter for a couple of days, then a mild red rash appeared covering the whole affected skin surface by Sunday 1/24 & then it all had slowly, basically, disappeared by Wed 1/27 night.

Other Meds: Myristin, Olive Leaf extract, garlic, ubiquinol, NMN, CuraMed Curcumin, calcium citrate, Magnesium glycinate, vit D & Boron, vit B-12 drops, reacta c, probiotics And 2 different glaucoma eye drops

Current Illness: None

ID: 0986925
Sex: F
Age: 61
State: CA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Whole body confluent macular rash with fever to 100

Other Meds: none

Current Illness: none

ID: 0986926
Sex: F
Age: 65
State: FL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Crestor Iodine CEFTIN

Symptom List: Injection site pain, Pain

Symptoms: Began with chills, pain at site and chills nausea and vomiting

Other Meds: Metformin 500 mg Po twice daily Bispropholol 10 mg Atorvastatin 10 mg Tylenol 600 mg PRN

Current Illness: None

ID: 0986927
Sex: F
Age: 32
State: MI

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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 known allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient complaining of feeling light headed with vertigo and feeling as though she will faint. Vital signs taken and as follows: 126/90, HR 94 pulse ox 100%. patient given some juice, water and a package of graham crackers because she had not eaten more than an apple all day. Patient began to feel an increase in light headedness so patient put in supine position and feel elevated on a chair. Started to feel better in this position immediately. repeat vital signs taken and 130/90 HR 92, pulse ox 100%. Patient did not feel well when back in a sitting position so supine position resumed and Move Team called to evaluate further. Patient continued to feel poorly when in sitting position for about 20 minutes while move team assessed but vitals signs remained stable. Patient refused to go to the ER and signed waiver. Patient began feeling better and decided to go home. Patient said that she would call an Uber instead of driving.

Other Meds:

Current Illness:

ID: 0986928
Sex: F
Age: 41
State: WA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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: Chills, fatigue, cold sweat, fever

Other Meds: Lo loestrin Fe

Current Illness:

ID: 0986929
Sex: F
Age: 58
State: IN

Vax Date: 01/14/2021
Onset Date: 01/19/2021
Rec V Date: 01/29/2021
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: Arm pain at injection sight 6 hours later along with swollen glands. Four days later a migraine hit around 2:00 pm and lasted at least 12 hours. Also swollen shoulders and shoulder and back pain. The following week I experienced sudden shortness of breath that last for approximately 10 minutes while I was at work with profuse sweating on my lower back. The shortness of breath occurred agin the next day while working around the home. and lasted about 5 minutes.

Other Meds: Zoloft, Claritin, Vitamin D and Elderberry chew ables.

Current Illness: None

ID: 0986930
Sex: F
Age: 30
State: NY

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Johnson & Johnson baby oil

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: As soon as the injection was given IM, patient's arm felt numb. Now it is still tingling. Itchy and swollen eyes, ears getting hot, itchiness on scalp and spreading, palpitations/increased heart rate, chest pain, slight straining when breathing.

Other Meds: multi-vitamins

Current Illness:

ID: 0986931
Sex: F
Age: 35
State: CO

Vax Date: 01/19/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Swollen arm with profound erythema. Thought to be cellulitis.

Other Meds:

Current Illness: None

ID: 0986932
Sex: F
Age: 60
State: CA

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: naproxen, Jojoba, Meclizine, mometasone

Symptom List: Nausea

Symptoms: nasal congestion. chest congestion. chest discomfort. Has been persistent to today 1/29/21.

Other Meds: NO prescription meds. mutiple vitamins

Current Illness: Anxiety

ID: 0986933
Sex: F
Age: 44
State: MN

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: eggs

Symptom List: Injection site pain

Symptoms: Had the common side effects: headaches, fevers up to 101.5, severe body aches, fatigue in the the morning after the shot, but also had concurrent severe vomiting and nausea. Vomited approximately 20 times day after the vaccine, starting about 18 hours after the vaccine. Other symptoms were present about 13-14 hours after the vaccine. Vomited continued for 14 hours. Severe nausea continued for 2-2.5 days. No diarrhea. No abdominal pain. Too weak to drive to the ER. Had Zofran at home and took 8 mg of Zofran ODT every 4-6 hours for 36 hours beginning with the onset of vomiting. Missed 3 days of work but was able to orally rehydrate.

Other Meds: Propranolol, Florinef, Proamatine, Xyzal, Albuterol, Prozac, Lamictal, Trazodone, OCPs, Lunesta, Vitamin D, MVI, fish oil

Current Illness: none

ID: 0986934
Sex: F
Age: 33
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds:

Current Illness:

ID: 0986935
Sex: F
Age: 50
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/29/2021
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: bentyl

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

Symptoms: severe headache ,back and neck pain ,body aches ,fever 102.7 . had reaction after first vaccine with chest pain and shortness of breath and decreased oxygen saturation that she didn't have this time. 1/27/21 symptoms less with fatigue and mild baby aches continued

Other Meds: Prozac, Ativan, protoxin, Zrytec, Dicyclomine

Current Illness:

ID: 0986936
Sex: F
Age: 79
State: CA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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: Tremor

Symptoms: A blotchy red rash about 2 inches round - itches - near the injection site

Other Meds: Lisinopril 5 mg Simvastatin 10 mg Vit D

Current Illness: None

ID: 0986937
Sex: M
Age: 51
State: NM

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
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: Erythema, Pruritus

Symptoms: sharp pain in shoulder blades that radiates, tingling in right hip

Other Meds: Lisinopril, Insulin

Current Illness: None

ID: 0986938
Sex: F
Age: 50
State: FL

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 01/29/2021
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: none

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

Symptoms: Stabbing pain in left ear, facial and eye weakness, new onset Bell's Palsy

Other Meds: none

Current Illness: none

ID: 0986939
Sex: F
Age: 78
State: CA

Vax Date: 01/07/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital: Y

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

Lab Data:

Allergies: Propantheline

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

Symptoms: Patient developed cold like s/s on the 11/12 of January 2021. By the 15th of January patient became weak with mild shortness of breath and was sent to the ER. ER sent patient home. Patient was sent back to ER on January 18th as she remained weak with shortness of breath and was unable to get out of bed. On the 19 of January the patient was sent to a SNF for rehab services in which she remains as of today. According to the patient's son the patient is doing better but still requires assist with mobility. Patient is not on oxygen.

Other Meds: None listed

Current Illness: DM type II Anemia Hyperlipidemia

ID: 0986940
Sex: F
Age: 66
State: AL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient was given the vaccine at 10:15 Patient tolerated injection well. She was sent to the observation area for 15 minutes. She began to experience tingling at the injection site. No redness or swelling noted at site. Patient then began to have facial itching. After 3-5 mins she began to have itching in her scalp. She then began having itching in her throat and eyes, denies any difficulty breathing. Vital signs Blood pressure was 130/80 Patient states she does have hypertension. Pulse 68. 911 called and informed of patients symptoms. On the way here . Patient called husband who is a retired Paramedic. He is bringing Benadryl. Paramedics arrive, vital signs stable. Patient denies being transported to Hospital Paramedics stay with Patient until husband arrives with Benadryl. Pt advised per paramedics to take 50mg Benadryl by mouth Patient tolerated well. Patient leaves with husband. 3:45 pm I called patient who states she is doing well. No further itching and is fine. .

Other Meds:

Current Illness:

ID: 0986941
Sex: F
Age: 65
State:

Vax Date: 01/01/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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: Headache, chills, muscle aches and fever 100.8

Other Meds:

Current Illness:

ID: 0986942
Sex: M
Age: 55
State: NJ

Vax Date: 01/09/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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: n/a

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

Symptoms: Patient received second dose too early. Second dose given 1/27 at 11:37 AM Moderna Lot # 032L20A. patient reports no adverse effect.

Other Meds: n/a

Current Illness: n/a

ID: 0986943
Sex: F
Age: 31
State: PA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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, amoxicillin, clindamycin

Symptom List: Pain in extremity

Symptoms: Immediate dizziness, burning/tingling feeling in throat that descended into chest

Other Meds: Montelukast Zyrtec Zoloft Trazodone Buspar Pulmicort Pepcid Vitamin C Multi vitamin

Current Illness: N/a

ID: 0986944
Sex: M
Age: 37
State: NY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Vaccine administration error. It is suspected that a ?? needle syringe was used instead of a 1? syringe IM

Other Meds: Unknown

Current Illness: Unknown

ID: 0986945
Sex: F
Age: 40
State: PA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 01/29/2021
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: Raised Papular red colored rash . Very mildly itchy . Starters near bilateral arm folds ( not involving armpits) ans then spread to abdomen ,thigh, back ans neck

Other Meds: Synthroid

Current Illness: No

ID: 0986946
Sex: F
Age: 35
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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: Liquid penicillin dye

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

Symptoms: Initially severe pain in left arm. Within 24 hours post vaccine hives on thigh and elbow of arm that received vaccine. By Friday hives had spread to stomach, chest, face and both arms

Other Meds: Multivitamin, omega 3, amino acid supplement, melatonin

Current Illness: Adverse effect to first round of vaccine

ID: 0986947
Sex: F
Age: 67
State: AK

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 01/29/2021
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: Keflex, ppd, erythromycin,

Symptom List: Vomiting

Symptoms: A hard knot appeared at the injection site the day of the injection and the arm was sore but not red for 1-3 days. On day 4-6 the injection site became itchy on day 8 the patient reported that the sight became very red and swollen and ached. The span of redness was 10-11 inches

Other Meds: wellbutrin

Current Illness: none

Date Died: 01/25/2021

ID: 0986948
Sex: F
Age: 80
State: GA

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 01/29/2021
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: acetaminophen, atorvastatin, belsomra, benadryl, benzoin, cefazolin, cephalosporins, codeine, cymbalta, darvocet, dilaudid, duragesic, floxin, guaifenesin, hydrocodone, indocin, lovenox, morphine, nafcillin, oxycodone, paxil, sudafed, sulfa, vancomycin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Cardiac arrest on 1/24/21 in the early morning hours then passed away on 1/25/21 around 1:51am in the hospital

Other Meds: Diltiazem CD, Gabapentin, Hydroxychloroquine, Levothyroxine, Omeprazole, Oritavancin, Potassium Chloride, Propylene Glycol Eye Drops, Sertraline

Current Illness: alcoholic cirrhosis, thrombocytopenia, anemia, lymphedema

ID: 0986949
Sex: F
Age: 38
State: NY

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 01/29/2021
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: Percocet

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

Symptoms: Day 8- large swollen area (size of a baseball) at injection site. Red, hot to touch, very itchy. Achy from elbow to shoulder.

Other Meds: Multi-vitamin with iron, calcium citrate, biotin, collagen peptides, colace

Current Illness: None

ID: 0986950
Sex: M
Age: 47
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/29/2021
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: Patient received 2nd dose of vaccine. He had dizziness upon sitting up, flushing all over, and hypotensive. Patient was observed 1801-1830 in vaccination observation area. He was placed in the given water and then placed recumbent position. There was no change. He did improve with juice PO. DR was notified and does not think this is an anaphylactic reaction, but should be transferred to the ED for further evaluation. Patient was transferred to the ED.

Other Meds:

Current Illness:

ID: 0986951
Sex: F
Age: 25
State: CT

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies: PCN

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

Symptoms: Woke the next morning, felt like she was going to pass out, dizzy, wheezing, pulse ox 83. BP 100/60, pale and diaphoretic. TO ED Next day felt aches, chills, diaphoretic, tired.

Other Meds: welbutrin adderal and birth control

Current Illness: History panic attacks

ID: 0986952
Sex: F
Age: 35
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 01/29/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: numbness, tingling and muscle weakness in extremities and face. lasted for an hour or two.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm