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: 0923930
Sex: F
Age: 44
State: TX

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

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Symptoms - ? EE reports she waited for 30-minute observation period with no adverse reaction. EE left work to drive home after vaccine and reports approximately 45 minutes later felt ?hot and cold? all over her body and felt ?panicky.? EE reports she pulled over and called her husband. At time of call (approx. 13:33), EE reports still feeling a little ?tingly? on her entire body and ?odd.? EE reports mild shaking to bilateral hands. EE reports last time she ate was at approximately 06:45 this am. Home remedies? - EE was in Starbucks parking lot at time of call and was going to be getting lunch after call. Recommendation? EE educated to eat and drink something, EE verbalized back understanding. EE educated to call vaccine support line for worsening symptoms, EE verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 0923931
Sex: F
Age: 37
State: FL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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: Codeine

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe fatigue, headache, chills, vomiting, tachycardia for 4 days that started the morning after I received my vaccine. I could not hold my head up or hold down fluids. Saw an NP at urgent care and was given zofran. Covid and Flu test were negative.

Other Meds: None

Current Illness: Strep throat

ID: 0923932
Sex: U
Age: 79
State: IN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Patient had chills, nausea, and vomited x3 about an hour post vaccination. Patient was given Zofran 4mg PO. Symptoms resolved.

Other Meds:

Current Illness:

ID: 0923933
Sex: F
Age: 29
State: WV

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: On 1/3/2021 I noticed tenderness at injection site, there was a knot under the skin, on 1/5/2021 the was a red circle around injection site, this area welted up but welting goes away and comes back and is itchy at times, on 1/6/2021 red area is lighter in color, continues to welt up off and on and is itchy at times.

Other Meds: Labetalol

Current Illness: None

ID: 0923934
Sex: F
Age: 61
State: MD

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

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

Lab Data:

Allergies: Morphine, poppy seeds, pineapple

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

Symptoms: I experienced a metallic taste in my mouth about a minute after receiving the vaccine. It lingered for approximately six hours.

Other Meds: Crestor 20 mg, Vit D3 2000 iU, multivitamin - all taken the night before No medications of any type were taken this morning

Current Illness: None

ID: 0923935
Sex: F
Age: 62
State: MA

Vax Date: 12/19/2020
Onset Date: 12/19/2020
Rec V Date: 01/06/2021
Hospital: Y

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: morphine, erythromycin, IV iron

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

Symptoms: I got my shot on the 19th and that evening it was like a light switch and I was so tired I went to sleep at 730pm I had severe chills and fever and had to go to bed. The next day I still wasn't feeling well and I was called in to get covid tested and I went to the ER on the 21st and took a rapid covid test that was positive. I was stable and had good oxygenation and was discharged. I have fever nausea vomiting I also had problems with O2 stat i was in the 80s and realized I was having respiratory failure so I was admitted on the 27th and I've been here ever since. I had kinetic storm and infusions my O2 stats were bad and I was sent to the covid unit and put on high flow oxygen and negative for a PE, I'm still on the covid unit but I feel much better today

Other Meds: tylenol for arthritis

Current Illness: none

ID: 0923936
Sex: F
Age: 49
State: ME

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Initially patient was told to take Benadryl and ibuprofen for injection site reaction pain. In the following days patient has developed urticarial plaque has continued to increase in size since injection (currently 4-6?); pruritic and hot to the touch; feverish since injection; diffuse arthralgias and myalgias; unable to lift left arm due to pain for approximately 3 days; pain continues in arm. Continues to feel poorly, has headache and lethargy. Developed dysuria, hematuria and lower abdominal pain (1/2/21). Experiencing runs of tachycardia in evenings lasting seconds to minutes and then resolve.

Other Meds:

Current Illness:

ID: 0923937
Sex: F
Age: 45
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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, Sulfa, Ambien, Watermelon, Bactrim.

Symptom List: Pharyngeal swelling

Symptoms: Patient received the vaccine in her arm. Then at the 12 min mark, she felt her lips tingling, dry mouth, light headed, flushed, and nauseated. She was taken to the Emergency Dept where she was given a Zofran and still vomited once. Then she got a Benadryl and Solumedrol injections. Then she was observed for an hour and a half. Her temp did go up to 99.2 from around 98.4. HR 90-100s. O2 sats normal.

Other Meds: Wellbutrin 150 Daily, Multivitamin, Claritin.

Current Illness: None

ID: 0923938
Sex: F
Age: 45
State: FL

Vax Date: 12/27/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: I was completely fine for 7 days after the shot, then on the 8th day I started to get a red rash on the site of the shot on my left upper arm, swollen, and the muscles going up to my shoulder and neck started to swell and painful (painful to lift my arm up). For the past 2 days the swelling and rash has doubled in size (grown to 3.5inches in diameter), fatigue, nausea, dizziness.

Other Meds: HCTZ Methy B complex Zinc

Current Illness: none

ID: 0923939
Sex: F
Age: 72
State: CT

Vax Date: 12/23/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: on January 5, I noted a 2-2 1/2 reddened area on my left arm at the injection site. This was 2 weeks after the initial injection. The area was not hot to touch but was mildly itchy. The area has begun to slowly fade.

Other Meds: Synthroid

Current Illness: none

ID: 0923940
Sex: F
Age: 74
State: FL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: allergic to penicillin

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

Symptoms: tinnutis, About 29 hours after my first dose, it began to sound like water running in my right ear. Then on the 6th day after my first vaccine, the same sound began in my left ear. This is the 7th day after my first dose and the sound continues continuously in both ears. Hearing was reduced

Other Meds: No prescriptions Caltrate Areds Ieye vitamin Vitamin D3 magnesium St. Joseph's 81 mg aspirin Biotin

Current Illness: gastroenteritis

ID: 0923941
Sex: F
Age: 20
State:

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: One week after my shot my arm had became itchy and red. Now it is not itchy, but it is red and the swelling spot has grown from a small mosquito bite size to the size of my palm. Very warm to the touch and my right arm is sore.

Other Meds: Birth Control- Syeda

Current Illness:

ID: 0923942
Sex: F
Age: 32
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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

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

Symptoms: The effect I had was extreme fatigue day after the vaccine. I couldn't stay awake until my regular bed time. This continued for 3 days I had to go to bed super early. The following Sunday I started feeling better.(Estimated date of delivery mid Sept. Pt stated she isn't moving forward with pregnancy).

Other Meds: Levothyroxine 75 mcg, Zantac .5(as needed basis),omeprazole 20 mg(as needed basis), Albuterol inhaler (as needed basis)

Current Illness:

ID: 0923943
Sex: F
Age: 53
State: PA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
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: Oxymetazoline Nasal Spray

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

Symptoms: Dizziness Lightheadedness Nausea Monitored for 30 minutes total; no intervention required and released to home.

Other Meds: unknown

Current Illness: unknown

ID: 0923944
Sex: F
Age: 52
State: FL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Silver Dollar size persistent induration, erythema and itching 9 days after injection.

Other Meds:

Current Illness:

ID: 0923945
Sex: M
Age: 42
State:

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Diarrhea and Headache starting 3 hours after first dose.

Other Meds:

Current Illness:

ID: 0923946
Sex: F
Age: 62
State: CA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: NKA

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

Symptoms: Started with body aches and lethargy at about 1800, then progressed to temperature sensitivity-felt cold. I went to bed but awoke hot, then alternated with cold frequently. I began having twitching in my hands which kept me awake. These symptoms continued until morning. Toward the AM, about 0500, I had fluttering sensations in my body.

Other Meds: Vitamin C, Multivitamin, Magnesium, B12

Current Illness: none

ID: 0923947
Sex: U
Age: 54
State: AZ

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Red rash around site, slight swelling and some itchiness.

Other Meds: None

Current Illness: None

ID: 0923948
Sex: F
Age: 39
State: IN

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

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

Lab Data:

Allergies: Ibuprofen

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Patient has hx of anxiety, states she usually takes 0.5 mg, took only 1/2 prior to vaccine clinic. After scheduling return visit, patient sat down and shortly c/o having problems breathing. Line monitor noticed patient and called APRN and EMS. Patient placed in WC and brought to a room. VS monitored, patient called and spoke to husband and after about 30 mi she left. VS normal, no SOB, calmed own.

Other Meds: Xanax, Metformin

Current Illness: DM, Anxiety

ID: 0923949
Sex: F
Age: 28
State: CA

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

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Mild rash- anterior neck and left forearm associated with skin tingling; resolved within 15 minutes with Benadryl 25 mg po x 1 dose

Other Meds: Hydroxyzine, Benadryl prn for eczema

Current Illness: No

ID: 0923950
Sex: F
Age: 36
State: MO

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
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: mushrooms penicillin

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

Symptoms: Day of injection developed a nickel sized raised bump at injection site. 1 week after this red area began enlarging; did not start subsiding until 1/5/2021. See photo taken 1/3/2021: perimeter was red and raised. Itching started on 1/4/2021.

Other Meds:

Current Illness:

ID: 0923951
Sex: F
Age: 65
State: IN

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Codiene, latex

Symptom List: Unevaluable event

Symptoms: Fever, chills, headache, nausea.

Other Meds: None

Current Illness:

ID: 0923952
Sex: F
Age: 45
State: TX

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: Penicillin, Sulfa, Ambien, Watermelon, Bactrim.

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

Symptoms: Patient had tingling around her mouth, lightheadedness, flushed. She went to the ER and they gave her Zofran and she vomited. She had Benadryl and was observed.

Other Meds: Wellbutrin 150 Daily, Multivitamin, Claritin.

Current Illness: None

ID: 0923953
Sex: F
Age: 38
State: IL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
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: Penicillin, sulfa

Symptom List: Injection site pain, Pain

Symptoms: Red, raised, swollen pain at injection site starting from 24 hours post injection and still remaining 7 days post injection.

Other Meds: None

Current Illness: None

ID: 0923954
Sex: F
Age: 65
State: IL

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
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 known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Sugar levels became abnormally high. Over 400. Insulin given to bring level back to correct level but took all afternoon and evening to get it down.

Other Meds: Novolog, Trulicity, Synthroid, linezz, venlafaxine, citracal, prevegen, atorvastin, bupropion, oxybutrin, mrybetiq, Colace,

Current Illness: none

ID: 0923955
Sex: M
Age: 35
State: MA

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
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: Penicillin

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

Symptoms: Patient reports receiving the Moderna COVID-19 vaccine 12/28/20, started noticing itching to left proximal arm with subsequent rash developing to arm 48 hours ago. Patient reports lining rash last night, noted rash extending past lining today. Patient noted some reactive lymphadenopathy, denies any further concerns or complaints.

Other Meds: None

Current Illness: None

ID: 0923956
Sex: F
Age: 42
State: KY

Vax Date: 12/30/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: Fever 101.4. Headache body aches diarrhea ongoing for 3 days now

Other Meds: Losartan. Lexapro. Protonix

Current Illness: None

ID: 0923957
Sex: F
Age: 64
State: AL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: penicillin , lavender, seasonal allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: body aches, fever 1st 24 hrs, diahrea, headache 48 hrs and swelling of eyes, nasal passages and shortness of breath at 50hrs. Treated with antihistines and steroids for a week .Feeling better now but have been extra tired.

Other Meds: lisinopril. levothyroxine, omeprazole,farxiga, metformin, hctz, multivitimin

Current Illness:

ID: 0923958
Sex: F
Age: 30
State: MO

Vax Date: 12/22/2020
Onset Date: 12/25/2020
Rec V Date: 01/06/2021
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: Keflex Augmentin Bee Stings

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

Symptoms: The injection site developed a large bruise. Then a few days later the injection site and the 1-1.5 inches around the site became red, inflamed/swollen, hard to the touch and painful.

Other Meds:

Current Illness:

ID: 0923959
Sex: F
Age: 59
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: 6:15 pm Chilling, cold to touch, afebrile. 10 pm woke up still chilling afebrile. Swelling in right axilla. Tightness around upper arm/axilla area. No redness at injection site. 5 am weakness in lower legs, shakey/jittery, and dizziness. Bp 129/75, HR 65, resp 16, O2 say 96. 9 am dizziness subsided 11 am weakness in legs subsided, axilla swelling subsided, soreness remains.

Other Meds: None

Current Illness: None

ID: 0923960
Sex: F
Age: 47
State: TX

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: 1255 states that feels palpitations , tingling , shaking hands and light headed . VS BP 142/78, HR 108, R 18 SPO2 99% on room air. 1306 : Denies palpitations and shaking hand, BP 138/72 , HR 80 , Spo2 100 on room air, R 17 1315 ; Denies any of the symptoms. 1330: check out vitals at the time of check out VS BP 136/72, HR 72, R 17, SPO2 99% on room air.

Other Meds: Synthroid, Adderall and birth control, Plaquenil

Current Illness: None

ID: 0923961
Sex: F
Age: 46
State: MI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Bactrim, chemical sensitivities and I have several environmental allergies, (trees, dust, dogs.)

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

Symptoms: About 10 minutes after I received the ?Moderna COVID-19 vaccine EUA? I felt lightheaded and my heart started to race. This only lasted for approximately a minute. I sat and waited for about 30 minutes before I left. When I got into my vehicle I noticed that my chest was really tight and I called my husband to talk to me while I drove home. After arriving home and not feeling like my chest tightness was a normal symptom I called my daughter who is an RN and she checked my vitals which were fine. She told me that I should continue to self monitor and if I got any worse to go to the ER. My symptoms chest tightness did not get any worse and felt a little better by the time I went to bed between 10-11pm. The next morning I woke up to get ready for work and felt a lot of the common symptoms like: Fatigue, headache, muscle pain, chills, fever, and my arm was sore. The highest fever that I recorded was 102.4. I still have a fever as I am filling out this form. It is 100.2 and I took 2 Motrin an hour and a half ago.

Other Meds: Zyrtec

Current Illness: No but I tested positive for Covid-19 on 10/25/2020.

ID: 0923963
Sex: M
Age: 60
State: CA

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Low grade fever,Chills, muscle and joint pain. No treatment required. Symptoms resolved on 01/06/21

Other Meds: Turmeric capsules

Current Illness: None

ID: 0923964
Sex: M
Age: 37
State: NY

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

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Itchiness, redness, blotchy arms

Other Meds:

Current Illness:

ID: 0923965
Sex: F
Age: 32
State: NJ

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: Vaccine recipient received vaccine on 1/5/2021. Within 24 hours they developed right arm soreness and describes arm as feeling heavy. At night they became sweaty and feverish. They took Tylenol. This morning reported that arm was still sore/heavy and they have a headache.

Other Meds: None

Current Illness: None

ID: 0923966
Sex: F
Age: 78
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: No

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

Symptoms: from about 9 p m on 01/04/2021 to 10 a m on 01/05/2021 I felt very sick with headache, sore throat and All-over aches

Other Meds: Premarin vaginal cr Calcium Magnesium & Zinc supplement Juice Plus Omega Blend supplement Hair Volume Biopectin Apple extract

Current Illness: No

ID: 0923967
Sex: F
Age: 54
State: AZ

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Red rash, mild swelling at injection site, and some itchiness.

Other Meds:

Current Illness:

ID: 0923968
Sex: F
Age: 39
State: ME

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: flu vaccine question anaphylaxis in the past

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Palpitations and tachycardia up to 120, elevated BP to 150/80 No other symptoms resolved within 30 minutes

Other Meds: none

Current Illness: none

ID: 0923969
Sex: F
Age: 36
State: TX

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
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: N/A

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

Symptoms: 1/3/2021 VACCINATION. BY 6PM, HA. CHILLS AND SHAKING CAME OVER NIGHT. TEMP O F 100.03, TOPPED OUT AT 100.6. 1/4/2021 ABDOMINAL CRAMPING/DIARRHEA. CONVERSED WITH MEDICAL STAFF AND DETERMINED THAT COVID ANTIBODIES HAD A DUAL RESPONSE TO COVID AND LEARNING IT. 36 HOUR AFTER, FEEL BACK TO NORMAL. *FEEL THAT THIS WAS NOT A DIRECT ADVERSE REACTION TO THE VACCINE, RATHER IMMUNE RESPONSE TO RECENT BOUT WITH COVID.

Other Meds: CYNTHROID, IRON SUPPLEMENTS; MULTIVITAMIN; OMEGA 3; COLLAGEN

Current Illness: COVID 12/2020; CLEARED ON 12/21/2020

ID: 0923970
Sex: F
Age: 46
State: IL

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Sulfa

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

Symptoms: Woke up with my arm itching. The injection site was swollen, red, warm, and tingly. It is the size of a 2 inch circle. I took 2 zyrtec and went to work. Called pharmacy and they said to report to VAERs.

Other Meds: Levothyroxine, spironolactone, & wellbutrin

Current Illness: Stomach flu on Dec. 26--GI symptoms

ID: 0923971
Sex: F
Age: 29
State: NV

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/06/2021
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, "myacin" antibiotics, soy

Symptom List: Pain in extremity

Symptoms: Tachycardia, palpitations, flushing, and dizziness 1-2 hours after the vaccination administration. Has persisted since.

Other Meds: Zoloft 200 mg qhs, Quetapine 50-100 my qhs, Norethidrone. 35 mg qhs, Mobic 15 mg prn daily, Clonazepam 0.5 mg prn daily, Claritin, Ibuprofen

Current Illness: Covid November 8th Flu shot December 4th

ID: 0923972
Sex: F
Age: 52
State: NM

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies: Latex, Vicodin, All Melons, Kiwi, Avocado, Pecans

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

Symptoms: Day of Vaccine I had a low grade fever, Injection spot red with little dots, hot to the touch, headache, sleepiness. This went on for 3 days. On Jan. 1, 2021 I started to feel like I was just getting a cold. Took some cold medicine for 3 days. But since Jan. 1 all I want to do is SLEEP. I did not get out of bed for 3 days. I now get up and do what I have to do, but then I have to go take a nap. I sleep for about 2 to 3 hours then get up and do what I need to then back to bed. All I want to do is SLEEP!!! I have gone to see my Doctor and he is telling me that it has to do with the Vaccine. He could not find anything wrong with me.

Other Meds: Omeprazole 20 mg, Zeta 10mg, Clonazepan 2mg, Lisinopril 10mg, Simvastatin 20mg, Lisinopril 10mg, Metoprolol 25mg, Vitamin D 50,000mg, Potassium 99mg.

Current Illness: N/A

ID: 0923973
Sex: F
Age: 38
State: PA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
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: Bactrim Vancomycin

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

Symptoms: Mild Headache; Flushing; Nausea Monitored for 35 mintes Symptoms resolved prior to being released to home.

Other Meds: Unknown

Current Illness: Unknown

ID: 0923974
Sex: F
Age: 48
State: CT

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: Dust, codeine

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

Symptoms: Burning sensation center chest approximately 25 minutes after injection. Also exhausted until next day...falling asleep in ER, in car on the way home, then slept from 6:30 pm until 5:40 am.

Other Meds: Lexapro, Advair, Meloxicam, Singulair

Current Illness: Sinus pain, headache....Negative COVID

ID: 0923975
Sex: F
Age: 50
State: IN

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
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: NKA

Symptom List: Vomiting

Symptoms: Had welt at injection site the size of golf ball with redness spreading from site out about the size of a baseball. Site itched, redness with heat coming out of site for several days. Arm soreness for 5-6 days afterwards. Injection give on 12/22/2020 and today 1/6/2021 there still is soreness at injection site and slight redness of the area.

Other Meds: None

Current Illness: None

ID: 0923976
Sex: F
Age: 55
State: GA

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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: Shellfish/seafood allergy (this is NOT an anaphylaxis reaction, it is gastrointestinal reaction with vomiting and diarrhea).

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Arm red, swollen and bruised at injection site (Day 2-7) Remains red, slightly swollen, bruise improving but now has a red raised welts/bumps at/around insertion site. (Day 8)

Other Meds: none

Current Illness: none

ID: 0923977
Sex: F
Age: 48
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Dairy, gluten, latex, bleach, mold, dust, pet dander

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

Symptoms: I got the vacine today. Unfortunately I did have a reaction, and had to cancel my patient load at work for the day. They said if you have food allergies you might have one, but I was willing to risk it. They observed me for 30 min after. After 15 min it felt like I was having a mild panick attack, but I?m used to that so I just breathed through it. Coughed a few times. After 30 min got up and was whoozy/dizzy, but shrugged it off, got my card and walked slowly to my car, drove 5 min home. By then my hands were shaking hard. It was like being shot with a crapload of adrenaline. I called my sister and when I talked I started sobbing. I don?t know, I just couldn?t stop. But I knew it was just the adrenaline and if I could calm down, I?d get thru it. She was awesome bc she kept her voice soft and low when she spoke, which helps. After 3 hours it has calmed down and I?m just really cold and exhausted and nauseous and only a little shaky. Being quiet and calm is helping. Also sitting on a heating pad bc it?s 74 in my apartment and I?m freezing cold. I?ll be ok by end of day. I got the Moderna vacine and I?m still glad I did and thankful I could get it....but to those who are getting it...symptoms are that it feels like being shot full of adrenaline, you get a panic attack, but my O2 actually went up, not down. Chest pain, panting, high anxiety, shaking, nausea, dizziness.

Other Meds: Nifedipine, Losartan, Hawthorne berry, multivitamin, albuterol sulfate for nebulizer

Current Illness: Asthma

ID: 0923978
Sex: F
Age: 36
State: KS

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/06/2021
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: Chest pain, dizziness, lightheadedness

Other Meds:

Current Illness:

ID: 0923979
Sex: M
Age: 37
State: NY

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

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

Lab Data:

Allergies: bee stings

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

Symptoms: Red rash 1 hr p inj Pfizer vaccine Immuniazation #1. Improved and recuured 1 hr later Recd IM Benadryl

Other Meds: Klonaxepin

Current Illness: NA

ID: 0923980
Sex: F
Age: 46
State: GA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: Compazine (side effect "it twisted my tongue up to my jaw and I had to be put in the hospital.")

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

Symptoms: Pt state "about 30 minutes after receiving the vaccine I started having a metal taste in my mouth. About an hour later I started having tingling in my tongue, throat, and, hands. Then I started having head and hands shaking around the same time. About 1 1/2 hours later I started having a burning sensation in roof of mouth then front side of teeth, tonsils, and gum area. These areas turned red. I did not go to the emergency room and I did not take any Benadryl for this. The upper part of my are where I got the shot it is swollen and hot. This start yesterday and still swollen today. I am still experiencing the head and a little hand shaking today." Encouraged to call md or go to Emergency Room.

Other Meds: Lisinopril and Amitriptyline daily

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm