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: 0988161
Sex: F
Age: 82
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 01/30/2021
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

Symptom List: Dysphagia, Epiglottitis

Symptoms: Hot Red, Itchy Arm from shoulder to elbow

Other Meds: Premarian cream, Eye vitamins, Calcium

Current Illness: None

ID: 0988162
Sex: F
Age: 66
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Pnicillin G benzathine injection rash below knees and below elbows (not allergic to oral penicillin), Amitriptyline-severe itching

Symptom List: Anxiety, Dyspnoea

Symptoms: 24 hrs after 2nd COVID19 vaccine felt very cold and could not get warm, lead to mild chills. While trying to get blankets, turning up heat, preparing dinner, had abnormal muscle and joint pain upon any movement. No muscle or joint pain while sitting still.. 6 hours after symptoms took acetaminophen 500mg and diphenhydramine 25mg . 9 hrs after onset of symptoms felt fine with no symptoms and slept through the night fine. 48 hrs after vaccine feel completely normal.

Other Meds: Venlafaxine ER 150mg, Armodafinil 250mg, Divalproex DR 250mg, Diclofenac DR 75mg , Gabapentin 300mg, Metaxalone 800mg, Vitamin D3 50mcg, Calcium supplement (calcium carbonate 1500mg, vitamin D 500IU, Vitamin K 40mcg, Iron 1mg, sodium

Current Illness: None

ID: 0988163
Sex: F
Age: 41
State: OH

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: 3-4" circle of swelling, redness and warmth beginning about 6 hours after vaccine. Still present 30 hours after vaccination.

Other Meds:

Current Illness:

ID: 0988164
Sex: F
Age: 36
State: TX

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt felt light headed an nauseous with vomiting x 1 Pt denies pain in ABD, itching or swelling to throat and pain. Clinical impression of vaso vagal response Treatment: Rest, water, Crackers. additional observation time. Pt states she feels tired.

Other Meds: unknown

Current Illness: unknown

ID: 0988165
Sex: F
Age: 30
State: AR

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Augmentin, Ceclor

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

Symptoms: Severe body aches/chills/nausea/headache lasting >24 hours. Symptoms began to subside >36 hours.

Other Meds: N/A

Current Illness: N/A

ID: 0988166
Sex: F
Age: 32
State: PA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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: Fatigue, severe diarrhea

Other Meds:

Current Illness:

ID: 0988167
Sex: F
Age: 38
State: WA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
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: Zoloft. Labeteral

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Hives all over body. No rash near injection site. Hives on feet, arms, ears, neck, legs, arms

Other Meds: Wellbutrin, Collagen supplement, Vitamin C, Propranoral,

Current Illness: None.

ID: 0988168
Sex: F
Age: 26
State: NE

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, biaxin, naproxen

Symptom List: Pharyngeal swelling

Symptoms: Erythematous, indurated, lymphadenopathy, pruritus

Other Meds: Spironolactone

Current Illness: None

ID: 0988169
Sex: F
Age: 70
State: TX

Vax Date: 01/16/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Sulpha drugs

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: On Jan 24 my injection arm started hurting and there was a red oval on my arm around what I assume was the injection site. My arm in that area was warm for a day or two. It?s faded but the oval is still there. Nurse at my school had the same thing happen 10 days after her vaccination but hers was gone the next day. My arm not really sore anymore, maybe a twinge now & again.

Other Meds: Lisinopril, hydroxyurea, omeprezole, Wellbutrin , baby aspirin, daily vitamin, fish oil, vitamin c, calcium

Current Illness: None

ID: 0988170
Sex: F
Age: 66
State: VA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Moderna COVID-19 Vaccine EUA - significant pain on left arm. Pain started to subside by noon on 1/30/21.

Other Meds: None

Current Illness: None

ID: 0988171
Sex: F
Age: 71
State: GA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: codine eggplant

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

Symptoms: An hour after the vaccination, pain, swelling, and heat in right arm at injection site. Too painful to sleep the night after the injection. Could not use right arm without moderate pain. Second day after vaccine, chills, and fatigue. Third day arm still hurt but felt better. Fourth day, headache, more chills and fatigue. Ten days after vaccine, no pain in arm but there is swelling, redness, and mild itching at vaccination site and the skin feels hot.

Other Meds: avorstatin effexsor multivitamin

Current Illness: shingles/one month prior

ID: 0988172
Sex: F
Age: 44
State: RI

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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: Brazil nuts, hazelnuts

Symptom List: Rash, Urticaria

Symptoms: Severe chills, body aches, severe HA, moderate fevers, loss of appetite, localized muscle spasms, rash began about 12 hours after injection and continue for 48 hours

Other Meds: Welbutrin SR, Losartan

Current Illness: None

ID: 0988173
Sex: F
Age: 70
State: FL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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 known

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

Symptoms: Woke up at 3 am with the worst chills I have ever experienced. I can usually do deep breathing or relaxing to calm my chills, but these would not let up. It felt like my body was being squeezed. I was finally able to get up and used a walker to get to the kitchen and took 1000 mg acetaminophen. Without the walker, which I don't usually use, I was afraid I would not be able to stand up or would stumble due to my shaking. By 4 am, the shaking had stopped enough for me to lay back down and I was able to get to sleep. I had a fever of 99.8 when I woke up. Later that morning it was 100.8. By that night it had gone down to 98.7 and the next morning it was my normal 97.6 and I feel great.

Other Meds: Breo inhaler Multi vitamins OPC3 (herbal anti-inflamatory)

Current Illness: None

ID: 0988174
Sex: F
Age: 66
State: WA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Penicillan, sulfa, latex, lactose intolerant, Marijuana, ingredients in AXE Men's cologne

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA Side Effects: Injection site pain, tiredness, headaches, joint pain, feeling unwell, swollen lymph nodes, rough-feeling throat lasting just over 24 hours

Other Meds: Balsalazide, Bupropion, TruNature Probiotic, Vitamin C, D, Calcium Citrate, Adult Multi-Vitamin, Super B Vitamin, L-Carnitine, Alpha-Lipoic Acid, L-Glutamine, Potassium, Magnesium Citrate, Ginger Root, Cinnamon,, Collagen & Biotin

Current Illness: Equilibrium & sinus problems

ID: 0988175
Sex: M
Age: 50
State: PA

Vax Date: 01/23/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
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: n/a

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

Symptoms: Very flu-like. Muscle and joint aches, nausea (no vomiting), severe headache, extreme fatigue, constipation for about 60 hours - 36 hours were serious.

Other Meds: Allopurinol Hydrochlorothiazide Levetiracetam 250mg 3x/d Alprazolam 1mg 1x/d

Current Illness: n/a

ID: 0988176
Sex: F
Age: 29
State: CA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Penicillins/ amoxicillin

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

Symptoms: Red welt over injection site, slowly growing bigger every few hours. It?s hot, sore and itchy. Just started showing as of 1/29/2021...as of now it is the size of a kiwi. When vaccine was administered, doctor must of hit a blood vessel. I bled down my arm.

Other Meds: Birth control- nexplanon

Current Illness: N/A

ID: 0988177
Sex: F
Age: 69
State: IL

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Penicillin, prednisone, Tylenol, most laundry detergent except tide

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

Symptoms: Pain in arm extending about 5 inches around injection site including stiff elbow

Other Meds: Unithyroid , hydrochlorothiazide, ezetimibe, cilostazol

Current Illness: None

ID: 0988178
Sex: F
Age: 34
State: NC

Vax Date: 01/21/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Stabbing abdominal pain, extreme lower and upper extremity fatigue and weakness so much so that I couldn?t use a computer mouse to work. I got tested twice to make sure I didn?t have COVID. All of this started 3 days after receiving the vaccine and is still ongoing, although is slowly getting better.

Other Meds: None

Current Illness: None

ID: 0988179
Sex: F
Age: 58
State: KY

Vax Date: 01/06/2021
Onset Date: 01/14/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Large itchy rash on vaccinated arm appearing 8 days after vaccine. Went away after 2 days. Benadryl taken

Other Meds: Armour thyroid, Zyrtec,probiotic

Current Illness: None

ID: 0988180
Sex: F
Age: 29
State: IL

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

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

Lab Data:

Allergies: None

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

Symptoms: Dizziness, tiredness. Began less than an hour after receiving vaccine. Symptoms have worsened on following day.

Other Meds: MegaFoods Baby & Me2 Prenatal Multi

Current Illness: None

ID: 0988181
Sex: F
Age: 31
State: MA

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
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: Around 3pm, had notable arm soreness. Around 9pm, started having very mild myalgias and mild chills. Overnight, I was awake with sweats and chills, max oral thermometer temperature 101.0. Had moderate myalgias, polyarticular arthralgia (left knee, left ankle), holocranial headache, and pulsatile tinnitus. Got very little sleep. Pertinent negatives: no nausea/vomiting/diarrhea Alleviators: acetaminophen x 2 tabs -- > defervesced, some improvement in myalgias and headache On 1/26, had ongoing myalgias, polyarthritis, headache, fatigue, anorexia. Took the day off from work. Noticed symptoms improving ~2pm. All symptoms aside from arm soreness had almost entirely resolved by ~5:15pm.

Other Meds: None

Current Illness: None

ID: 0988182
Sex: F
Age: 66
State: NC

Vax Date: 01/20/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Codeine

Symptom List: Unevaluable event

Symptoms: On January 29 I had itching on my left arm, where the shot was given. I had splotches of redness. My am was swollen. During the day it felt hot and the itching increased. It was sensitive to my touch. It was not comfortable sleeping on my left side. On January 30 I now have a circle of redness (like the pictures of people on the internet, called Covid arm). My arm still itches. It is still sensitive to my touch. It is not as warm as yesterday.

Other Meds: Losartan HCTZ tablets. One per day Gabapentin . 3 per day

Current Illness:

ID: 0988183
Sex: F
Age: 42
State: GA

Vax Date: 01/14/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
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: Na

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

Symptoms: Pins and needles and numbness feeling in hands, wrists , and feet

Other Meds: Metformin, victoza

Current Illness: Na

ID: 0988184
Sex: F
Age: 61
State: NY

Vax Date: 01/13/2021
Onset Date: 01/24/2021
Rec V Date: 01/30/2021
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: None Known.

Symptom List: Injection site pain, Pain

Symptoms: 10 days after vaccination, my left arm was hot and there was a large (grapefruit) sized red ring at the site of the injection. The 'ring' and heat dissipated on day 15.

Other Meds: Calcium Citrate 2x day, Folate 400, Escitalopram, Atorvastatin , Lutein/Zeaxanthin , Lysine , O.N.E. Multivitamin, Famotidine .

Current Illness: None.

ID: 0988185
Sex: F
Age: 43
State: TX

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: cellulitis in arm given an antibiotic and a steroid right arm is swollen red and hot cause pain to chest back and i developed a lump in a armpit

Other Meds: potassium , vit e , vit d , asprin 80mg

Current Illness: no

ID: 0988186
Sex: F
Age: 38
State: CO

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Depakote

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

Symptoms: Muscle spasms, muscle and limb twitching

Other Meds: Ibuprofen Effexor

Current Illness: n/a

ID: 0988188
Sex: F
Age: 92
State: VA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Moderna COVID-19 Vaccine EUA - Pain on left lymph node (same side where injection was given) at 7am the following day. Pain subsided within 6 hours.

Other Meds: Memantine; Donepezil, Almodepine, Vitamin D,

Current Illness: None

ID: 0988189
Sex: M
Age: 25
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: FATIGUE FOR 3 DAYS POST VACCINATION MENTAL FOG FOR 3 DAYS POST VACCINATION HEADACHE ON 3RD DAY POST VACCINATION

Other Meds: BUPROPION SERTRALINE

Current Illness: ASTHMA, DEPRESSION

ID: 0988190
Sex: F
Age: 81
State: ME

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 01/30/2021
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: Thought to be a histamine response to Augmentin, Cleocin, Vancomycin - itching across top of head as single reaction, not a true allergy

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

Symptoms: Within 2 hours of receiving the first Covid19 Moderna vaccine injection I suddenly became very tired and with strong chills throughout rest of day and throughout the night. No fever that I am aware of. I slept on and off for many hours. It actually continued for 4 days in varying degrees and on Day 5 I woke up that morning feeling like my old self, energized and ready to have a normal day...which I did!!

Other Meds: ES Tylenol x 2 tablets one hour prior to Moderna Vaccine #1

Current Illness: NO

ID: 0988191
Sex: F
Age: 51
State: NY

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
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: Nausea

Symptoms: 102.2 Fever Headache Aches

Other Meds: Lestartin Simvostatin Vitamin C,D,B, elderberry, multi

Current Illness: None

ID: 0988192
Sex: F
Age: 25
State: CA

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

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Low grade fever (99.6), chills, muscle aches. Took Tylenol, helped relieve all symptoms temporarily. Lasted about 24 hours.

Other Meds: Zoloft

Current Illness: None

ID: 0988193
Sex: M
Age: 92
State: TX

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
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: Tested positive for COVID one week after vaccine taken.

Other Meds:

Current Illness:

ID: 0988194
Sex: F
Age: 50
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 01/30/2021
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: Immediate left arm pain, diagnosed by PCR as a SIRVA injury.

Other Meds:

Current Illness:

ID: 0988195
Sex: M
Age: 74
State: NY

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Low Grade Fever - 24 hours

Other Meds:

Current Illness: none

ID: 0988196
Sex: M
Age: 74
State: TX

Vax Date: 01/01/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
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: Fever of 102.1 starting late this morning.

Other Meds: amLodipine aspirin empagliflozin Losartan Metformin metoprolol extended relief pantoprazole rosuvastatin

Current Illness: none

ID: 0988197
Sex: F
Age: 88
State: NV

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 01/30/2021
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: Balloon Circulating Meteformin Metronidazol

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

Symptoms: Mild headache, diarrhea, nausea, vomiting, sore arm

Other Meds: Amlodipine besylate 5mg Buthlbital Famotidine 40mg Folder Furosemide 40mg Levothyroxine .100mg Lisinopril 20mg twice a day Spironolactone 25mg Nortripthline 25mg Simvastain 40mg Temazepam 30mg Alendronate 70mg once a week Tizanidine 2mg Bay

Current Illness: None

ID: 0988198
Sex: F
Age: 40
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Latex

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

Symptoms: Fever 101, chills, body aches, headaches, sore arm

Other Meds: None

Current Illness: None

ID: 0988199
Sex: F
Age: 72
State: KY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Memory issues and a droopy left eye lid about 16 hours after vaccination. The morning of Jan 30 in Hospital to receive evaluation. Memory issues persist, the droopy eyelid a bit better.

Other Meds: 5mg Oxybutynin 2xday;5000mg VitaminD3 1x day;Osteopath Bioflex 2xday;10mg Laratidine1x;Biotin 10,000mcg , 1 x

Current Illness: None

ID: 0988200
Sex: F
Age: 30
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
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, body aches, dizziness, nausea, and low grade fever.

Other Meds:

Current Illness:

ID: 0988201
Sex: F
Age: 38
State: MA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: peanuts

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

Symptoms: on 1/30/2021 pt reported that the previous day she awoke with arm and eye swelling- pt self medicated with Benadryl (dose unknown to reporter) - with effect. Fellow Pharmacist reached out to pt on afternoon of 1/30/2021 at approximately 2pm and pt reported being fine with no additional symptoms being noted.

Other Meds: none reported

Current Illness:

ID: 0988202
Sex: F
Age: 40
State: OR

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

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

Lab Data:

Allergies: No known allergies to medications, food, or other products. Allergies only to pollens, mold/mildew, fur, etc.

Symptom List: Pain in extremity

Symptoms: Nausea almost immediately following shot. Fatigue began approximately 4 hours following shot. Headache, fever, muscle pain, and intense joint pain approximately 14 hours later; took two OTC Aleve. Continued headache, fatigue, muscle, and joint pain with continued use of OTC Aleve. Aleve reduced fever and decreased severity of pain, though it did not relieve it fully the night and day after vaccine.

Other Meds: Dextroamp-Amphet ER 20 mg capsule once/day Allergy Aller-Tec (Certrizine Hydrochloride) 10 mg tablet once/day Alprazolam .5 mg tablet once/day (as needed) Buspirone HCL 10 mg tablet twice/day Montelukast SOD 10 mg tablet once/day Nadolol 10

Current Illness: No other illnesses at the time of vaccination.

ID: 0988204
Sex: F
Age: 48
State: MD

Vax Date: 01/22/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

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

Lab Data:

Allergies: Cechlor

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

Symptoms: Itchy, a bit of swelling, and redness around the injection site.

Other Meds: None

Current Illness: None

ID: 0988206
Sex: F
Age: 55
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Redness, itchiness, pain and indurated area at injection site about 3 in x 3 in, nasal congestion, malaise, fatigue, low grade fever, headache. ( No problem other than mild pain at injection site with 1st dose) Tylenol, ice pack at injection site, Claritin. Injection site pain and redness area slightly improved but still having other symptoms after 2 days.

Other Meds: None

Current Illness: None

ID: 0988207
Sex: M
Age: 31
State: MO

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Client received covid19 vaccine and within a couple of minutes stood up and appeared "disoriented" He did not follow commands initially to sit down. He kept saying he was "dizzy" He was encouraged to sit and put his head down. He did attempt to get up again and became clammy to touch. Breathing not labored.

Other Meds:

Current Illness:

ID: 0988208
Sex: F
Age: 34
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 01/30/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Myalgias, arthralgias, arm pain, fever (100.2), chills, and headcahe severe enough to not be able to work one day.

Other Meds:

Current Illness:

ID: 0988209
Sex: F
Age: 73
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 01/30/2021
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: Penicillin, raeglin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Site soreness. 24 hours had sharp pain in left chest muscle.lastef over an hour. Hurt to take deep breaths. Them couldn't get warm. Shivering. Felt fevered but no elevated temp registered. Lasted about another hour. Tired/weak after. Noal next day.

Other Meds: Advair hfa 115/21, potassium, biso-fum, omeprazole, famotidine, calcium citrate with d3, preservision, xyzal, b12

Current Illness: None

ID: 0988210
Sex: M
Age: 48
State: IN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Swollen lymph gland right armpit

Other Meds: None

Current Illness: None

ID: 0988211
Sex: F
Age: 39
State: CA

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/30/2021
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: PCN, propylene glycol

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Large hard red itchy area appeared 7 days after injection, same arm. Lasted 2-3 days

Other Meds: Multi Vit, D3, Fish oil, magnesium

Current Illness: NA

ID: 0988212
Sex: F
Age: 31
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 01/30/2021
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: Fever, Nausea, body aches, headache, vomiting

Other Meds: None

Current Illness: None

ID: 0988213
Sex: F
Age: 77
State: TN

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 01/30/2021
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: Penicillin

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

Symptoms: One week after injection, the injection site began to itch and turned red with some puffiness about the size of a quarter.

Other Meds: Telmisartin , Pantoprazole, ibuprofen

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm