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: 0991993
Sex: F
Age: 32
State: NY

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 02/01/2021
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: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: , . No symptoms at the time of the vaccine had hives overnight several days later no prior history of hives or food or drug allergies. Patient went to the ED was treated and released. Symptoms have not recurred

Other Meds: ocp, flonase, symbicort, montelukast, albuterol, verapamil

Current Illness: none

ID: 0991994
Sex: F
Age: 68
State: CA

Vax Date: 01/21/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Ache in the arm side of the shot for few days, followed by headache 3-4 days later associated with tremors. Then was seen by a health care provider on Jan 28th, Symptoms worsen, and was admitted to ER on January 31, 2020. The situation persists. She has not shown neurological symptoms prior.

Other Meds: Thyroid Medications Levothyroxine 75 Mg), Cholesterol Medication Atorvastatin 10 mg

Current Illness: Arteritis

ID: 0991995
Sex: M
Age: 21
State: TX

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/01/2021
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: None

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

Symptoms: Body aches, prolonged headache, minor chills starting a few hours after the vaccine was given and lasting through the next day. No treatment was given or recommended, symptoms went away with rest and time.

Other Meds: None

Current Illness: None

ID: 0991996
Sex: F
Age: 31
State: TN

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Oxycodone

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I had a sore arm, mild headache and was tired for about 2 days.

Other Meds: Digoxin, Levothyroxine, Vistolic, Vit. D2

Current Illness: no

Date Died: 01/30/2021

ID: 0991997
Sex: F
Age: 71
State: MN

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: Bactrim/Sulfa, Cyclobenzaprine, Fentanyl, Gabapentin, Lisinopril, Metoprolol, Primidone

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

Symptoms: Resident c/o nausea evening of 1/29 (nausea common for her post dialysis), had a large emesis at approx 2220, 0030 (unusual for resident to vomit)- received Zofran per order. Skin cool and damp, Blood sugar 147 (checked due to h/o diabetes and poor intake). At approx 230am Blood pressured checked and noted to be 52/29. Resident transferred to ER, intubated and transferred to higher level of care where she passed away on 1/30 at 736pm. Resident's medical notes indicated likely shock, cardiogenic in nature, sepsis (source unknown) along with a multitude of other co-morbidities that resident has.

Other Meds: Tylenol, Levemir, Humalog, Trazodone, Prozac, Metoprolol, Eliquis, Plavix, Atorvastatin, Pantoprazole, Dialyvite, Renagel

Current Illness: COVID + diagnosis (12/17/2020) ASYMPTOMATIC Multiple oral extractions completed by dentist on 1/26/2020 ESRD (on 3x week dialysis-last date of dialysis 1/29/2020)

ID: 0991998
Sex: F
Age: 91
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
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: Penicillin- Rash, Beef and Pork- Anaphylaxis

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

Symptoms: Reported multiple episodes of diarrhea for 24 hours.

Other Meds: Unknown

Current Illness: Unknown

ID: 0991999
Sex: F
Age: 37
State: TX

Vax Date: 01/13/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
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: 13 days after receiving my first shot I started with a mild cough. I thought it was allergies associated with changing weather and I wasn?t running fever so I continued to go to work. Two days later I still had no fever, but got dizzy and started feeling bad. I went and got tested that night and tested positive for the virus. My eyes have itch and burned, but I still have never run and fever and didn?t loose my Sense of smell until 5 days after symptoms first started. My cough got worse and I have also had sneezing.

Other Meds: Metoprolol ER 25 MG, Adderall, melaleuca vitamins and lamotrigine 25 mg two times per day.

Current Illness:

ID: 0992000
Sex: F
Age: 45
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 02/01/2021
Hospital: Y

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: Pharyngeal swelling

Symptoms: Liver test abnormalities

Other Meds: nexium, tums

Current Illness: Hep C infection detected

ID: 0992001
Sex: F
Age: 75
State: AL

Vax Date: 01/26/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Rash (itchy, burning, splotchy, light red to chest at night) for the past 4 nights. Only occurring at night, also developed redness like "rosacea" to her face and last night itching to the palms of her hands. Took Benadryl last night with resolution of the symptoms. Has had itching to B legs, noticed "burning pain" to legs, putting a pillow between her legs seemed to help. First night of rash was the worst. Denies wheezing, SOB, throat tightening, problems swallowing, drooling, lip swelling.

Other Meds: 1) Zyrtec 2) Flonase 3) Vitamin D 4) Vitamin B 5) Prevacid 6) Trimethoprim 7) Valtrex 8) Simvastatin 9) Zoloft 10) Warfarin Sodium 11) Losartan Potassium

Current Illness: No known acute illnesses.

ID: 0992002
Sex: M
Age: 96
State: OR

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: NKDA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Error: Wrong Patient (documentation in EMR)

Other Meds:

Current Illness:

ID: 0992003
Sex: F
Age: 31
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
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: temp 101. Redness at injeciton site

Other Meds:

Current Illness:

ID: 0992004
Sex: F
Age: 49
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
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: NKDA

Symptom List: Rash, Urticaria

Symptoms: Patient felt bilateral arms shaky, feels warm. No SOB or CP. VS at 10:40am 145/90 P95 o2sat 97. Feels a little anxious due to symptoms showing. Talked to her for another 5 mins and retook vitals at 11:00am 143/86 P94 o2sat100. She says she feels better, and feels safe to leave on her own.

Other Meds: none

Current Illness: none

ID: 0992005
Sex: F
Age: 41
State: CA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: First one mild head ache. Second one extremely sore arm, full body aches, fatigue fever, sweats. Missed work.

Other Meds:

Current Illness:

ID: 0992006
Sex: F
Age: 51
State: MI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
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: no

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

Symptoms: 1250: presents with heart racing, HR: 144, BP: 142/90, Upper lip numbness, throat tightening, felt flush, complained of dryness to throat, drank a glass of water and tolerated Rapid response called; transferred to Ed

Other Meds: unknown

Current Illness: no

ID: 0992007
Sex: F
Age: 58
State: CA

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Codeine, symbicort

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

Symptoms: A red circle about 2 inches around appeared on day 8, with slight itching, dryness, and tenderness. I had this after the vaccination as well; however, it faded. Not sure why it came back. I found some info about covid vaccine arm. I still have this today and know there seems to be a ring around the edges (the ring is more red than the inside). This is day 11 and I am concerned.

Other Meds: Vitamin D, Calcium

Current Illness: na

ID: 0992008
Sex: F
Age: 57
State: OH

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
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 known

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

Symptoms: extreme pain from the injection site up through my shoulder & neck area on the side where the shot was administered. for about 48 hours I had limited range of mobility. Kind of felt like I was paralyzed on my left side. After about 4 days of anti-inflammatory meds, heat, ice the pain was not as extreme but still remained constant although I do not believe any of the remedies I tried actually helped.

Other Meds: None

Current Illness: None

ID: 0992009
Sex: F
Age: 78
State: CA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
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: Tongue felt funny after injection

Other Meds:

Current Illness:

ID: 0992010
Sex: F
Age: 32
State: IL

Vax Date: 01/24/2021
Onset Date: 02/01/2021
Rec V Date: 02/01/2021
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: On the 8th day after my first Covid vaccine injection, I have a 2in diameter, slightly raised circle at the injection site.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0992011
Sex: F
Age: 30
State: VA

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 1/27/21-red rash noted below injection site LA spreading around arm with pain noted. 1/28/21-Went to ER & received Benadryl & Pepcid. LA from shoulder to wrist was swollen, painful & itchy. 1/30/21-Rash was gone and arm felt fine. 1/31-21-4 pm that day rash was back on LA, area hot to touch, swollen & painful, felt woozy. Noted itching on torso, back, arms & head. Went back to ER & given topical cream. 2/1/21-Now has a slight rash on RA & back reddened. States she is getting 3/4 of her normal breath. (She has asthma).

Other Meds:

Current Illness:

ID: 0992012
Sex: M
Age: 42
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Vaccine administration error. It is suspected that a 1/2? needle syringe was used instead of a 1? needle syringe IM.

Other Meds: Unknown

Current Illness: Unknown

ID: 0992013
Sex: F
Age: 92
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: No Known Allergies

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

Symptoms: Patient had complaints of joint and body aches and pains, generalized complaints of not feeling well and fatigue.

Other Meds: Aspirin delayed release 81mg BID; Calcium+D3 600-20mg--mcg

Current Illness: None

ID: 0992014
Sex: F
Age: 79
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Unevaluable event

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 0992015
Sex: F
Age: 70
State: IN

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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: Fentanyl

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

Symptoms: Where injection was given more pain than normal injection, red swelling with fever in arm Fever 100.9 Chills Nausea Dry Heaves body aches

Other Meds: Losartan 50mg tab (Diovan - Blood Pressure) 1xday Carvedilol 25mg tab (Coreg) - 1 tab 2xday Metformin 500mg tab - 2xday Rosuvastatin (Crestor) 10mg tab - 1xday Hydrochlorothiazide (diuretic) 25m ? 1Xday Aspirin 81mg - 1xday Prevacid 15mg -

Current Illness: None

ID: 0992016
Sex: M
Age: 47
State: TX

Vax Date: 12/26/2020
Onset Date: 12/28/2020
Rec V Date: 02/01/2021
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

Symptom List: Injection site pain, Pain

Symptoms: soreness, fatigue, congestion, night sweats, itchy, rash, difficulty breathing

Other Meds: none

Current Illness: none

ID: 0992017
Sex: F
Age: 52
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: pain from left shoulder to earlobe

Other Meds: none

Current Illness: no

ID: 0992018
Sex: F
Age: 30
State: ND

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: oxycodone

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

Symptoms: First vaccine dose was given on 12/29/2020. Patient had moderate swelling to injection site on first dose and was treated with prednisone. Patient was placed on prednisone as pretreatment for second dose. She took the first dose of prednisone on 1/28/2021. Received the second vaccination on 12/29/2021. Patient called ED nursing station one day after (1/30/21) receiving the second vaccine dose stating she had a fever of 102 and did not feel well. She treated it at home with ibuprofen and Tylenol. Her last dose of prednisone was on 01/30/2021. She went to work on 02/01/2021. Staff said they tried talking to her but it was like she was not hearing them. Shortly after she was found unresponsive in the bathroom. She was brought to the ED. She was responsive to voice but was aphasic and had left sided deficits. In past records, she has had episodes of neurological symptoms that were unexplainable. Unable to obtain an accurate history on her due to aphasia so it is unknown what this could have actually started from. Reporting due to previous reaction to vaccine and recentness of second dose in relation to this incident. Did try Keppra to cover for possible seizure. Consulted with transferring physician and she is not a candidate for TPA. She was transferred out to a facility with higher level of care. During time in this ED, neurological symptoms did not improve.

Other Meds: Short course of prednisone as pretreatment for vaccine. Otherwise, she has no oral medications. Does have IUD.

Current Illness: No illnesses. Patient had moderate arm swelling to first covid vaccination on 12/29/2020. She was given prednisone. She was then pre-treated prior to second vaccination with 3 days of prednisone.

ID: 0992019
Sex: F
Age: 34
State: CA

Vax Date: 01/22/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Moderna COVID-19 Vaccine EUA - 1/29/21 3:00pm Noticed a small (dime sized) bump developed at injection site (left arm). Over a few hours the bump grew to larger than a quarter size and was painful (painful to the touch) and itchy (6:00pm). Also developed muscular pains in arm (discomfort/mild pain to lift arm). Patient took tylenol at 9:00 pm and pain subsided. 1/30/21 The following morning the bump persisted, and decreased in pain (no longer painful to the touch) and did not experience itchiness. 1/31/21 Bump was still large but no longer painful nor itchy. 2/1/21 Bump and symptoms have disappeared.

Other Meds:

Current Illness:

ID: 0992020
Sex: F
Age: 31
State: TN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Oxycodone

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: My left arm was hurting, body aches and a headache was hurting for about 48hrs and all subsided with taking tylenol and ibprophen.

Other Meds: Digoxin, Levothyroxine, Vistolic, Vit. D2

Current Illness: no

ID: 0992021
Sex: F
Age: 67
State: MD

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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:

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

Symptoms: Stomach pain, nausea, weak

Other Meds: Osphena

Current Illness:

ID: 0992022
Sex: F
Age: 64
State: MN

Vax Date: 01/19/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa drugs, Cipro, Codeine, isoniazid, Cephalosporins, soy and deer fly bites.

Symptom List: Nausea

Symptoms: Superficial blood clot in right medial knee area. Aspirin, elevate right leg, compression and heat.

Other Meds: Vitamin B 12 monthly infection, magnesium glycinate and vitamin D.

Current Illness: None

ID: 0992023
Sex: F
Age: 33
State: MI

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Midazolam, Fish Protein, Tomato, Oxycodone, Tramadol, Keppra, Sulfa

Symptom List: Injection site pain

Symptoms: Patient was noted to be sitting on the floor and not responding to staff. Right sided facial drooping was observed by RN. Patient was unable to stick tounge out and was only able to open left side of mouth. Patient was unable to squeeze RN hand with right hand, only the left. Vital Signs were taken T 99.1 P 104 R 16 BP 133/88 SpO2 97%. She was taken to the hospital for further work up

Other Meds: Claritin 10 mg daily, Colace 100 mg twicy daily, Cymbalta 60 mg twice daily, Depro-Provera 150mg every 84 days, Divalproex Sodium 1000 mg twice daily, Gabapentin 800 mg three times daily, Hydroxyzine Pamoate 50 mg three times a day, IBU 60

Current Illness: N/A

ID: 0992024
Sex: M
Age: 62
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
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: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 0992025
Sex: F
Age: 42
State: CA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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: got Vaccine at abt 11 a.m. Hour and half after Injection sharp pain in left arm, 6 pm sharp pain from neck to left leg. Felling Fatigued

Other Meds:

Current Illness:

ID: 0992026
Sex: F
Age: 21
State: MD

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Immediate burning in arm right after receiving shot. 15 minutes after receiving shot began to feel tired and got a headache. Later on in the evening I had discomfort in my chest and had to use my inhaler. Pain in arm worsened over night; couldn't move arm at all. Pains spread into armpit and back. Got up at 3am to my body shivering, thinking I was running a fever I checked my temperature and it was normal but upon standing I had extreme dizziness to the point of almost passing's out, I had to sit down right away. Had nausea and whole body felt very sore an achey. The morning after my shot I woke with a headache, extreme pain in my arm and armpit, soreness all over my body, stomach pains, and my heart rate was high. Throughout the day my symptoms got worse I ran a fever of 102.7 which broke but then came back later on in the evening. The following day my symptoms started to diminish, no fever and body was feeling better, arm pain and headache continued. Now I am on day 4 still experiencing pain in my arm and armpit, slight headache, but chest pains have started. It feels as if there is a brick on my chest, almost like a burning sensation with occasional pains in left breast as well as tightness in the left side of my neck.

Other Meds: None

Current Illness: None

ID: 0992027
Sex: M
Age: 40
State: MT

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: fever, chills, soreness at injection site, tachycardia, insomnia on and off for 3 days

Other Meds:

Current Illness:

ID: 0992028
Sex: F
Age: 51
State: PA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/01/2021
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: Antibiotics

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

Symptoms: The next day and for a week I experienced a large 5? area of swelling, a lump, redness , itchiness and moderate pain at the injection site. I thought it was normal but read an article that said it?s really not. I felt slightly dizzy right after the shot and developed a fever of 102 lasting for about 6 hours beginning about a day and a half after the shot. I?m back to normal and get # 2 on 2/9.

Other Meds: None

Current Illness: None

ID: 0992029
Sex: F
Age: 62
State: WI

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: Fever, chills, headache, fatigue lasting approximately 36 hours. Missed work 1/27 and 1/28/21

Other Meds: NA

Current Illness: NONE

ID: 0992030
Sex: F
Age: 34
State: OK

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/01/2021
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: unknown

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Approx 15 minutes after receiving her second Pfizer vaccine she started c/o stiffness in neck progressing to a headache. she was started on oxygen. 1055 she started c/o tightness in chest. Epinephrine was administered. EMSA called. Client was transported to ER. I have called this client 7 times and sent a letter and she has not responded to me.

Other Meds: unknown

Current Illness: unknown

ID: 0992031
Sex: F
Age: 64
State: AR

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/01/2021
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: Sulfa

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

Symptoms: Moderna COVID-19 VaccineEUA Fever Chills small rash on legs cough rash at injections sight along with swelling on arm and big knot, headache, overall fatigue for a little over 24 hours

Other Meds: omepresole and 81 mg coated asprin

Current Illness: Covid diagnosed on December 18th.

ID: 0992032
Sex: F
Age: 89
State: MT

Vax Date: 01/17/2021
Onset Date: 01/20/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: My blood pressure has always been normal. On the Saturday following my shot on Wed. my blood pressure went to 157 over 125 . Felt terrible like (when you bend over and get up to quick) that feeling stayed constant also a feeling of a constant hot flash. Doctors at ER gave me a through checkup and everything checked out normal except blood pressure. They said be sure and notify you because they think it probably was the vaccination. I am making an appointment with my doctor today .

Other Meds: dulera 200 diltiazem vitamin d

Current Illness: none

ID: 0992033
Sex: F
Age: 25
State: MD

Vax Date: 01/16/2021
Onset Date: 01/16/2021
Rec V Date: 02/01/2021
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: Pain in extremity

Symptoms: 30 minutes after the injection she started having a headache, dizziness and fever. The next day she noticed 2 cold sores on her lips and mouth sores throughout her mouth. She was unable to eat for several days. Symptoms resolved by 1/22.

Other Meds:

Current Illness:

ID: 0992034
Sex: F
Age: 72
State: IN

Vax Date: 01/01/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies: Meloxican

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

Symptoms: Body aches. Severe headache chills. Just home remedies

Other Meds: Tylenol

Current Illness: Had COVID first of January

ID: 0992035
Sex: F
Age: 44
State: CA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/01/2021
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: Anaphylaxis: hives all over her body, lightheadedness, throat closing. Hypotension about 2 hours after the moderna was administered.. She received 2 doses of epipen before paramedics took her to the ER.

Other Meds: none

Current Illness: none

ID: 0992036
Sex: F
Age: 14
State:

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: Patient received vaccine without age verification.Patient was 14 years and 10 months. After 50 hours, patient has sore ULE, but no other symptoms.

Other Meds:

Current Illness:

ID: 0992037
Sex: M
Age: 94
State: OK

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/01/2021
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: bupropion, Carbamazepine, Duloxetine

Symptom List: Vomiting

Symptoms: red, raised area to injection site.

Other Meds:

Current Illness: Pneumonia

ID: 0992038
Sex: F
Age: 60
State: MI

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/01/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Error: Improper Storage (temperature)

Other Meds:

Current Illness:

ID: 0992039
Sex: F
Age:
State: OH

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/01/2021
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: Seasonal allergies, dust, latex, pistachio

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

Symptoms: Immediately within minutes had tingling in back of throat which persists to today Headache began day 1, lightheaded ness, severe chills c shaking, hot flashes with hot hands, nasal congestion, draining, circulatory changes with hand and feet discoloration and skin mottling, diarrhea x 1.5 weeks, swelling in mouth and throat, nausea, loss of appetite, lightheadedness, tingling from head to toe: went to ER for fluid IV/and potassium due to low potassium.

Other Meds: Nasonex, Allegra, vit D, B, C, zinc, iodine 25 mg

Current Illness: 1month prior diarrhea

ID: 0992040
Sex: M
Age: 35
State: WI

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/01/2021
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 states on January 31, 2021, he noticed he had a right earache and right jaw pain. I can open my mouth just enough to eat, which I believe is also contributing to the earache. patient denies chest pain, shortness of breath or hives. patient denies any other signs or symptoms. Patient plans to wait until Thursday February 4, 2021 and if symptoms haven't improved will consult his primary care provider. Patient notified if new or worsening symptoms develop to be seen right away for evaluation.

Other Meds:

Current Illness:

ID: 0992041
Sex: F
Age: 54
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/01/2021
Hospital: Y

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

Lab Data:

Allergies: sulfa shellfish bee venom

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

Symptoms: shortness of breath---in hospital for a few days and inflamatory response

Other Meds: slo mag

Current Illness: no

ID: 0992042
Sex: F
Age: 64
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/01/2021
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: Patient had itching/rash/hives within 15-20 min after vaccine on 1/29/2021. Sent to emergency center by observation but rash was improving. She opted to not stay at emergency center and went home. Took Benadryl 25 mg PO x2, rash resolved. 2nd dose deferred.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm