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: 0994539
Sex: F
Age: 45
State: NC

Vax Date: 01/25/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
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: tahinin, sesame seeds, codeine, sulfa

Symptom List: Dysphagia, Epiglottitis

Symptoms: redness, lump, itchiness, heat, raised lump at injection site on left arm

Other Meds: doxepin 10mg, multivitamins, ketone suppliements, B6

Current Illness: no

ID: 0994540
Sex: F
Age: 35
State: FL

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

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever (up to 102) so far, lower back pain, headache, nausea, shaking chills, achy joints, fatigue, swollen lymph node under injection site arm , dizziness

Other Meds:

Current Illness:

ID: 0994541
Sex: M
Age: 60
State: RI

Vax Date: 01/12/2021
Onset Date: 01/22/2021
Rec V Date: 02/02/2021
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: 10 days after first Moderna Covid 19 vaccination, the patient developed a generalized pruritic morbilliform eruption involving the trunk, bilateral axillae, bilateral inguinal folds. Patient initially seen by his PCP and then the emergency room. He presented to our office 2/1/21 with above findings on a prednisone taper from emergency room.

Other Meds: Milk Thistle 1000mg/day for > 1 year Nattokinase 5000IU for > 1 month Centrum MVI for many years

Current Illness: None

ID: 0994542
Sex: F
Age: 21
State: AZ

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

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Fever, chills, pain

Other Meds:

Current Illness: None

Date Died: 01/31/2021

ID: 0994544
Sex: F
Age: 84
State: TX

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

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

Lab Data:

Allergies:

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

Symptoms: The patient went home around 11 am on 1-31-21 after her vaccine and 15 minute observation period. She was eating breakfast after at home and complained to a neighbor that her teeth hurt and she was nauseated after eating. In the afternoon, she felt dizzy and had diarrhea accompanied with blood. Close to 9 PM, her son went to check on her. The patient was found on the floor--she was unresponsive and had purple lips. Her son called an ambulance and started chest compressions. The patient passed away at the hospital. The doctor has ordered an autopsy, and the results are pending.

Other Meds:

Current Illness:

ID: 0994545
Sex: F
Age:
State: SC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/02/2021
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: Codeine, morphine

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

Symptoms: About 3 hours after the vaccine I started having nausea, headache, chills, diarrhea, body aches a horrible muscle pain. Took 2 Tylenol and slept it off. Woke up next morning with no symptoms.

Other Meds: Blood thinner, Protonic, Lobutreen, Niacin, Multivitamin, Fish oil

Current Illness: No

ID: 0994546
Sex: F
Age: 43
State: MN

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
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: sulfa antibiotics, compazine, macrobid, gluten

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Post vaccine-developed swollen lymph node under Left arm, headache, nausea, lethargy. This resolved by day three. Day 4 started having periods of extreme vertigo, this is happening more frequently and with more severity up to today 2/2/2021 woke with severe dizziness and nausea, fell over when rising from bed. continue to be very dizzy and nauseated

Other Meds:

Current Illness: none

ID: 0994547
Sex: F
Age: 69
State: KS

Vax Date: 10/19/2020
Onset Date: 10/22/2020
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Few after the injections the patient arm sores, stiffness, in the upper left arm that has now lasted a couple months intermittently; and has trouble lifting arm above the head

Other Meds: Levothyroxine 75 mcg Aspirin 81 mg Multivitamin Hydrochlorothiazide 25 mg

Current Illness: None

ID: 0994548
Sex: F
Age: 54
State: OH

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

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

Lab Data:

Allergies: Latex

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I got the shot about 10:15 am everything was good. About 5pm I started with a headache and my arm was hurting a little. Then I felt really bad everything hurt. Around 10pm I had 100.7 fever and my head was still pounding. I took Advil for my head but it did nothing at all. I could not sleep at all. Then around 3:30 Am I finely fell asleep. I woke up at 10 am I hurt a little but no temp it was 98.1

Other Meds: Advil

Current Illness: None

ID: 0994549
Sex: F
Age: 20
State: AR

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/02/2021
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: Chills, dizziness, body aches, inability to stay asleep

Other Meds: None

Current Illness: None

ID: 0994550
Sex: F
Age: 27
State: VA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Shortness of breath; difficulty swallowing; Tightness in chest

Other Meds: Vitamins A, D, C; Zinc

Current Illness: None

ID: 0994551
Sex: M
Age: 30
State: TX

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
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: NO

Symptom List: Rash, Urticaria

Symptoms: I had a malaise, lethargy, nasal stuffiness, body ache, chills started 6 hr after vaccination lasted for the next 48 hr. I took OTC Ibuprofen and Acetaminophen, which helped me to recover slowly.

Other Meds: NO

Current Illness: NO

ID: 0994552
Sex: F
Age: 42
State: MD

Vax Date: 01/18/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: Ciprofloxacin

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

Symptoms: On the 13th day after my first Moderna vaccine my arm was sore like if I had lifted weights. I had a red itchy rash right below the injection area. The rash was very hot to the touch. The soreness lasted for 2 days although the symptoms are lessening.

Other Meds: Levothyroxine

Current Illness: None

ID: 0994553
Sex: F
Age: 36
State: NJ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/02/2021
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: apples, peaches, pears, cherries, plums, almonds

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

Symptoms: I received the shot a little after 5pm. Afterwards my arm hurt, I was tired, and my head hurt - all expected. However at 7pm I could feel something strange spreading across my face. My left side of my face became numb and swollen. I went to urgent care the next day and they said I had inflammation in my facial nerve and prescribed me prednisone. I'll be on the prednisone for another 8 days, tapering. My face and head have continued to be numb and swollen. Today for the first time, it feels a little better. Today is a week since I received the vaccine.

Other Meds: xulane, trazadone, linzess

Current Illness: shoulder impingement, TMJ

ID: 0994554
Sex: F
Age: 25
State: MA

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

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

Symptoms: fever (up to 102), chills, body aches, nausea, vomiting, diarrhea, headache. Symptoms lasted from 10:00pm on 1/26/2021 until 9:00pm on 1/27/2021. Needed an Rx for zofran due to nausea. Was unable to keep down water.

Other Meds: isotretinoin 60 mg daily

Current Illness: None.

ID: 0994555
Sex: F
Age: 29
State: IL

Vax Date: 01/31/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
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: Patient stated she had a numb tongue and ringing in the ears

Other Meds:

Current Illness:

ID: 0994556
Sex: M
Age: 62
State: WA

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/02/2021
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: None

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

Symptoms: Pt had some amazing hallucinations and was actively communicating while I believe he was asleep. He called me on the phone and his voice was slurred and he thought he was being held down by some things that were flying around. I was able to direct him to sit up after ensuring him that he wasn't being held down and eventually get him to walk to the bathroom, turn on the light and look in the mirror and describe to me what he saw (he lives at a different address than I do). By this time, he had "woken" up and his voice was no longer slurred and he was "making sense". My concern was that he had had a stroke or Bell's palsy or something. He was fine and slept well the rest of the night. I will bring him to my home after his second shot just in case this happens again. He hallucinated after his anti-anxiety medications for the first couple of weeks and to a more minor amount with his other medications, again for the first couple of weeks. I am assuming that his brain reacted to the vaccine with hallucinations but I don't know. This may be nothing or it may be something that other patients are experiencing, who the heck knows.

Other Meds: donepezil 10 MG tablet PARoxetine 30 MG tablet lisinopril 10 mg tablet lisinopril 10 mg tablet

Current Illness: None

ID: 0994557
Sex: F
Age:
State: SC

Vax Date: 12/17/2020
Onset Date: 12/17/2020
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: Codeine, morphine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Had a sore arm for about 3 days at the injection site and body aches,

Other Meds: Blood thinner, Protonic, Lobutreen, Niacin, Multivitamin, Fish oil

Current Illness: No

ID: 0994558
Sex: F
Age: 68
State: GA

Vax Date: 01/22/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: Levaquin Sporanox Cipro

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: rash 3 1/2 inches long by 3 1/2 inches wide by injection site on left arm tenderness, itching, swelling, red

Other Meds: Ibesartan Metoprolol Indapamide Clonidine Breo Inhaler Zytec tablet Fasenra Injection Montelukast Rousuvastin Potassium tablet Pantoprazole

Current Illness: Hypertension Asthma Acid Reflux

ID: 0994559
Sex: F
Age: 47
State: VA

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

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

Lab Data:

Allergies: NKDA, NKFA

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

Symptoms: FEVER 100.4, BODY ACHES, HEADACHE, LEFT ARM PAIN - INITIALLY AT INJECTION SITE LATER ON FIRST DAY, AND THEN ON 1/3/2021 NOTICED RED SPOT JUST BELOW INJECTION SITE THAT WAS TENDER AND WARM TO TOUCH, ROUGHLY 3X3 IN SIZE. ALSO FELT PAIN IN ARMPIT, TENDER TO TOUCH, BUT NO REDNESS. SINCE 1/30/2021 TOOK TYLENOL 5OOMG 1 - 2 TABS EVERY 6-8 HOURS AS NEEDED. RELIEVED MOST OF PAIN FEVER AND BODY ACHES SUBSIDED BY DAY 2 WHICH WAS 2/1/2021. HEADACHE AND ARM AND ARMPIT PAIN PERSIST

Other Meds: Lisinopril 10 mg once daily HCTZ 12.5mg once daily

Current Illness: None other than perennial allergies

ID: 0994560
Sex: F
Age: 40
State: KY

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

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

Symptoms: Severe fatigue, over-sleeping, muscle and joint pain, body aches, headache, baseball sized knot and itchy rash at the injection site. Fatigue and body aches lasted over 72 hours from time of shot.

Other Meds: Lisinopril, Levothyroxine, propranolol

Current Illness: NA

ID: 0994561
Sex: F
Age: 44
State: MS

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
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

Symptom List: Unevaluable event

Symptoms: The vaccine was not given in the muscle, it was in subcutaneous tissue. Saturday morning I noticed the shot area was red and about a quarter sized lump had formed. By Monday the lump was the size of a tennis ball. It is a tender, hot, red lump that switches between itching and soreness and sometimes does not bother me at all.

Other Meds: Metformin 500mg 2 times a day Zyrtec 10mg 1 time a day Doxycycline 50mg 1 time a day Bariatric vitamin 1 time a day Calcium 800mg 1-2 times per day

Current Illness: None

ID: 0994562
Sex: M
Age: 58
State: FL

Vax Date: 01/26/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
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: NKDA

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

Symptoms: dose #1 has set off a flare up of left knee arthritic pain - moderate to severe at times- Currently being managed with NSAI and CBD oil

Other Meds: Multiple due to multiple chronic illnesses

Current Illness: DM2 HTN Mild arthritis L knee 28 yr hx of renal calculi

ID: 0994563
Sex: F
Age: 42
State: TX

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

Symptom List: Injection site pain, Pain

Symptoms: Lack of appetite, injection site pain throughout the day. Approx 4pm onset of fatigue and dizziness. Approx 10pm through approx 5am fever, chills, restlessness, joint pain, headache.

Other Meds: Fluoxetine

Current Illness: None

ID: 0994564
Sex: F
Age: 77
State: NY

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
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: Woke up 3 days after the shot, feeling like I had the flu. Felt better after getting up, and symptoms did not reappear the next day.

Other Meds: rosuvastatin - 5mg 2x wk, vitamin D3 - 2000mg every day

Current Illness: none

ID: 0994565
Sex: F
Age: 87
State: WI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
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: Amoxicillin, doxycycline, azithromycin, codeine

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

Symptoms: Patient reports tongue swelling/tingling the day after receiving the vaccine. Patient reports that her tongue swelled/tingled for about 2-3 days after receiving the vaccine, but has fully improved 4 days after receiving the vaccine. Patient used hydrogen peroxide mouth gargle but otherwise did not take any other medication to relieve the swelling. The patient also reports her bottom lip was swollen for one day but that improved and was resolved the next day. Patient is advised to take prophylactic Benadryl before receiving her next dose.

Other Meds: hydrogen peroxide mouth gargle Meloxicam 7.5 mg Atenolol 25 mg

Current Illness: None

ID: 0994566
Sex: F
Age: 33
State: OH

Vax Date: 01/23/2021
Onset Date: 02/28/2021
Rec V Date: 02/02/2021
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: Severe muscle tension in cramping in right arm two hours after injection. In less than 24 hours the muscle cramping had extended up my neck into my face, specifically the masseter muscle of my jaw. I also experienced some numbness on the right side of my face (unfortunately the locked masseter muscle was very noticeable). I was not able to sleep or eat when the pain built; hot and cold temperatures were highly reactive when trying to consume anything. I saw my dentist for an emergency medical appointment on Monday 1/25/2021 with the dentist. I saw Dr. who prescribed a muscle relaxer and assisted me in identifying the masseter muscle as the source of pain and tension as well as exercises that could be done to treat the reaction. While there is no definitive evidence that the muscle cramping is directly related to the COVID vaccine, it is reasonable to suspect that it may have impacted the muscle tension and resulting locked masseter muscle that required clinical intervention. The muscle relaxer was somewhat helpful, however for my body and biochemistry, taking 400mg of ibruprofen every 6-8 hours was much more successful in treating the symptoms.

Other Meds: Birth Control "Hailey 24 Fe Tab Glen" Zyrtec

Current Illness: None

ID: 0994567
Sex: M
Age: 29
State: PA

Vax Date: 01/24/2021
Onset Date: 01/24/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: COVID Vaccine - Ffizer - About 1 minute after, got very sweaty & chills, faint and then threw up

Other Meds:

Current Illness:

ID: 0994568
Sex: M
Age: 76
State: AZ

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

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

Lab Data:

Allergies: None

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

Symptoms: Tingling, numbness in face, arms, hands and down front of both legs. Started second day after shot and starts first thing in morning, continues throughout day and subsides in evening. I?m in my eight day and problem continues. Made calls to my oncologist and MD and solution or advice received as of this time.

Other Meds: Pravastatin, Pantoprazole, Lisinopril, Xtandi. Lupron injection, Xgeva injection.

Current Illness: Prostate cancer

ID: 0994569
Sex: F
Age: 25
State: KS

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/02/2021
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: patient having chill and fatigue at 6:30am this morning. Patient states that she is weak and feels like she could pass out

Other Meds:

Current Illness: none

ID: 0994570
Sex: M
Age: 52
State: IL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/02/2021
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: Afew hours after receiving the inoculation, I was extremely sleepy. I was sleeping at my job, and my boss had me go home early. I went to work the next day, however I was feeling weird, my sense of smell and taste were off, as the day continued I started having a headache, body aches, and general malaise. I went home early, again from work. But when I arrived to my residence I was having severe chills despite my efforts to try to keep myself warm. The chills lasted for more than 24hrs, preventing me from sleeping, my body aches were getting worse, my eyes were extremely red, and I did not feel like eating. Near the end of the day, the chills became sweats, and I was trying to balance between being hot and clammy, to chills. The next day I paid a visit to my primary care doctor. I was tested for covid - which was negative, I was tested for the flu - which was negative, and my lungs were clear so there was no reason for my doctor to believe I have a pneumonia.

Other Meds: Ibuprofen 200mg

Current Illness: none

ID: 0994571
Sex: F
Age: 36
State: MO

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Became very tired that evening, woke up sore (at injection site and my whole body) and with a headache the following day.

Other Meds: None

Current Illness: None

ID: 0994572
Sex: M
Age: 48
State: TX

Vax Date: 12/29/2020
Onset Date: 01/01/2021
Rec V Date: 02/02/2021
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: N/A

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

Symptoms: Severe Pain (Left Kidney), Moderate to Severe Pain (Right Kidney)

Other Meds: Humalog, Atorvastatin, Carvedilol, Ramipril

Current Illness: N/A

ID: 0994573
Sex: F
Age: 74
State: FL

Vax Date: 01/18/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
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: Red circle around injection site

Other Meds: Candestarten Labelalol Creator Prevalite Glimepiride

Current Illness: None

ID: 0994574
Sex: F
Age: 72
State: IN

Vax Date: 01/31/2021
Onset Date: 03/01/2021
Rec V Date: 02/02/2021
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: None

Other Meds: None

Current Illness: None

ID: 0994575
Sex: M
Age: 70
State: KY

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

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

Symptoms: Patient experienced body numbness and tingling immediately after vaccine administration. Resolved on own after approximately 10 minutes. Patient monitored for 30 minutes total, no other issues

Other Meds:

Current Illness:

ID: 0994577
Sex: F
Age: 60
State: FL

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
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: Cephlasporine, any opioid pain based medication, MSG, casein and casein byproducts

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

Symptoms: 2:00am. Chills started first. Then chills got so bad I started shaking uncontrollably almost like seizures. I used slow breathing methods to try to reduce my shaking. I used an extra large heating pad with 4 blankets but could not get my body warm. I felt like i was suffering from hypothermia. I moved my heating pad around to large body parts to try to warm individual body parts to slow my severe shaking. My severe shaking and extreme chills went on for at least 4 hours. I felt nauseous and felt like I might vomit. I got in shower at 6;30 am to get into a hot shower. I could not lift my left leg without extreme pain in my lower left back. The pain in my back then moved to my hips, then my upper right side. I had diarrhea for 2 days and indigestion after eating small bits of food. I took Tylenol gel caps on Sunday morning with a full glass of water and went to sleep at 10:00 am. I woke up with my hip joints and left ear pain.

Other Meds: Vitamin D, Zinc, and Ativan 5 mg.

Current Illness: Allergies with difficulty breathing. Got tested for Covid 19 and was negative.

ID: 0994578
Sex: F
Age: 74
State: NC

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/02/2021
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: clindamycine clonzepam crestor lipator polysporin methrotexate acrolytes fragrances trees molds grasses

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: The first one was some fullness in chest, and I left the clinic and I had some flushing in my face, nothing you wouldn't expect, had some light chills. Around four hours later I had some tingling in my feet and then began to progress up the leg, I began to realize I didn't have feeling in my feet so I began to walk around for about four to five hours, and began to get some relief and and laid down around 2 o clock in the morning, and when she woke up she had numbness in the bottom of her feet. It took about 36 hours for the numbness to go away.

Other Meds: clobestosol propenate .05 as needed Restasis .05 twice daily nitroglycerin as needed .4 mg isosorbide mononitrate 90 mg. amlodipine besylate 5 mg daily pilocaprin 5 mg twice daily montiltus 10 mg daily linzess 145 mg as needed ezetimibe

Current Illness:

ID: 0994579
Sex: F
Age: 78
State: OH

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
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: None

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

Symptoms: Nausea and vomiting for about 10 hours, resolved without medication

Other Meds: Calcium, low dose aspirin, Meloxicam, Melatonin ,Alprazolam, Nexium

Current Illness: None

ID: 0994580
Sex: F
Age: 24
State: CA

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

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

Symptoms: Arm stiffening, cold on left arm only. very warm during night, light headed, body aches to where she could barely get out of bed. Coughing this morning.

Other Meds:

Current Illness:

ID: 0994581
Sex: F
Age: 46
State:

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

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

Lab Data:

Allergies: sulfa drugs

Symptom List: Pain in extremity

Symptoms: 7 days following injection hives developed, awoke on day 8 wit h redness and swelling around injection site.

Other Meds: Prozac, Adderall, multi vitamin.

Current Illness: none

ID: 0994582
Sex: F
Age: 64
State: TX

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

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

Lab Data:

Allergies: NKA

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

Symptoms: After the 1st and 2nd dose,Patient experience covid like symptoms like fever 102,nausea vomiting and severe body aches for 1 1/2 days. After the 2nd dose (01/20/2021) on the 12th day (02/01/2021 develop Bell's Palsy and went to ER for treatment.

Other Meds: Rosuvastatin 20 mg po daily Sertraline 50 mg po daily Levothyroxine 112 mcg po daily

Current Illness: none

ID: 0994583
Sex: F
Age: 44
State: VA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/02/2021
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: penicillin, sulfa drugs, doxycycline

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

Symptoms: Migraine that was so sever just moving my head would make me cry or cause me to throw up. Extreme nausea and chills Lasted for one day

Other Meds:

Current Illness:

ID: 0994584
Sex: F
Age: 82
State: FL

Vax Date: 01/24/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: On February 1 at about 6 AM, I spoke to my husband about his doctor's appointment at 9:00 am each day, then at 7:40 AM, after showering, I asked my husband who was fully dressed, "Where are you going?" He responded, " Did you forget?" There was momentary brain fog and I didn't remember that he had this 9:00 am appointment-- more questions and difficulty with a quick recall for the answers; I and my husband became more and more concerned. As the day progressed and I revisited the episode, I consider that it was an aberrant event that I should report. I am journaling each day in case this or something else occurs.

Other Meds: Vitamin C Airborne Original blend, vitamin A and vitamin E

Current Illness: none

ID: 0994585
Sex: F
Age: 32
State: TX

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/02/2021
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: Felt flush, faint immediately after vaccination, sent to ER - was checked out and released - no admit. Reported improvement prior to leaving.

Other Meds:

Current Illness:

ID: 0994586
Sex: F
Age: 79
State:

Vax Date: 01/18/2021
Onset Date: 01/30/2021
Rec V Date: 02/02/2021
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: Swollen/raised red area around vaccine site that appeared at day 12 after receiving first dose of COVID vaccine. Patient reports it was approx 2" x 6" and very itchy. Patient applied hydrocortisone cream to it for mild relief. Reporting this on day 14 where symptoms have started to resolve. patient's arm is still red and itchy, but symptoms seem to be less severe than at onset

Other Meds:

Current Illness:

ID: 0994587
Sex: F
Age: 34
State: MI

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/02/2021
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: Sulfa, Penicillin, Minocycline

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

Symptoms: Body aches, extreme fatigue, breathing is not difficult, but feels like when you have been walking outside in the cold for a prolonged period of time, elevated rest heart rate of 116

Other Meds: Previfem

Current Illness: None

ID: 0994589
Sex: M
Age: 78
State: OK

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/02/2021
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: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Periodic low grade fever. Received Vaccine 1/22/21 1/25/21 had low grade fever (100.2) took ibuprofen. 1/31/21 had low grade fever (100.2) took ibuprofen 2/2/21 had low grade fever (101.4) took ibuprofen. Concern is the low grad fever coming and going.

Other Meds: lisnolpril, carbodebo levo, meloxican, finerestride, simvastatin,

Current Illness: none

ID: 0994590
Sex: U
Age: 21
State: PA

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

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

Lab Data:

Allergies:

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

Symptoms: Vagal event

Other Meds:

Current Illness:

ID: 0994591
Sex: F
Age: 50
State: MI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/02/2021
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: ASA, PCN, NSAIDS,clindamycin, lyrica

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

Symptoms: R shoulder muscles frozen, unable to rotate R shoulder, to reach or to lift. All ribs and intercostals spasming, painful. Rigors and shaking chills without increased temp

Other Meds: Losartan, cymbalta, trazodone, Tylenol, Norflex

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm