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: 0994693
Sex: F
Age: 54
State: MS

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Roughly 34-36 hours after receiving my first dose of the Moderna vaccine I started having chills and could not get warm. I took my temperature thinking I was running a fever, but temperature was 97.3. I went and soaked in a really hot tub of water trying to get warm. After a little while (20-30 minutes) I started feeling achy all over. I went to bed feeling really horrible with chills and achiness, but I could not go to sleep. Finally, sometime after midnight, I fell asleep. When I woke up the next morning I felt fine. The chills and achiness from the previous night were gone with no lingering effects.

Other Meds: Multivitamins for women Calcium supplement Tylenol for pain Motrin for inflammation

Current Illness: NONE

ID: 0994694
Sex: F
Age: 32
State: GA

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Ceclor, eggs

Symptom List: Anxiety, Dyspnoea

Symptoms: Pt developed itching across chest, left leg, and back approximately 10 minutes after vaccine administered. She also had mild redness noted across her upper chest and lower back. Patient was given Benadryl 25mg PO liquid upon onset. Vitals 110/80, HR 63, O2 sat 99. 15 minutes post Benadryl, patient reports itching is improving as is redness. She was observed for 45 minutes after Benadryl was administer. Vitals remained unchanged. Patient reported no more itching/redness and was sent home via driver.

Other Meds:

Current Illness:

ID: 0994695
Sex: F
Age: 59
State:

Vax Date: 01/27/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: I received the Pfizer 2nd covid injection on Wednesday 1/27/2021 Thursday I was very foggy, and tired. In the evening I was very emotional similar to feeling I would have before getting my period. I have been in menopause for over 8 years. Friday I was still very emotional and very tired. I called out from work.

Other Meds: vitamin D, ARED 2,Zoloft,lisinopril, 80 mg asprin

Current Illness:

ID: 0994696
Sex: F
Age: 21
State: IA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Sulfa Antibiotics

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Ongoing dull pain in right upper arm; sharp pain with elevation. 2.5 cm swelling and firmness. Difficulty lifting arm.

Other Meds: Vitamin B and Vitamin D

Current Illness:

ID: 0994697
Sex: F
Age: 47
State: CA

Vax Date: 12/26/2020
Onset Date: 12/26/2020
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: NKDA

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

Symptoms: On 12-27-20 I was diagnosed with Covid. I saw a doctor the following day.

Other Meds: Synthroid, Advair, Singular, Progestrogen, Estrogen

Current Illness: None

ID: 0994698
Sex: F
Age: 87
State:

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

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

Symptoms: Embolic stroke involving left middle cerebral artery; Impaired mobility and ADLs; Stroke

Other Meds:

Current Illness:

ID: 0994699
Sex: F
Age: 67
State: AR

Vax Date: 01/22/2021
Onset Date: 01/23/2021
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: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: redness swelling at injection site still on 02/02/2021

Other Meds: none

Current Illness: none

ID: 0994700
Sex: F
Age:
State: CA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
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: No known drug allergies. Never had adverse reaction towards vaccines; Earrings containing nickel

Symptom List: Pharyngeal swelling

Symptoms: I took the first dose of Moderna Covid vaccine on 1/14/21. A week later I developed an itchy, red and raised rash around the area of injection. The size is approximately 9cm by 6cm. I put hydrocortisone ointment on it. On 1/22 evening I woke up in the middle of the night with significantly pruritis at 4 different areas of the body including the arm. I had to take diphenhydramine to help with the itchiness and to fall back asleep.

Other Meds: None; MVI; calcium with D (not taken daily)

Current Illness:

ID: 0994701
Sex: F
Age: 33
State: TX

Vax Date: 01/05/2021
Onset Date: 01/17/2021
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: Motrin- Swelling of tongue Macrobid- Vomitting Azithromycin- Flush feeling Zovia- Migraines

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: soreness left arm x4weeks, 2wks after injection injection site swollen and red/feverish, let Dr look at it, she stated to get second dose that it was ok.

Other Meds: Metformin ER 1000mg QD Valtrex 500mg QD Prozac 20mg QHS Pepcid 20mg BID Citranatal 90 DHA

Current Illness: N/A

ID: 0994702
Sex: M
Age: 62
State:

Vax Date: 01/28/2021
Onset Date: 01/30/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: shingles

Other Meds:

Current Illness:

ID: 0994703
Sex: M
Age: 56
State: GA

Vax Date: 02/02/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: DOXICYCLINE

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

Symptoms: FOLLOWING THE Pfizer BioNTech COVID-19 Vaccine EUA, EVENTS: DIAPHORESIS AND SHAKINESS STARTED BY 0953 AM ON 02/02/2021 AND LASTED 15 MINUTES. HEART PALPITATION AND TACHICARDIA STARTED BY 0953 AM ON 02/02/21 AND ENDED AROUND 1025 AM INTERVENTIONS: RELAXATION OUTCOMES: DIAPHORESIS AND SHAKINESS ENDED BY 10:18 HEART PALPITATION AND TACHICARDIA ENDED AROUND 1025 AM PT NOTIFIED TO FOLLOW-UP WITH PCP IF NEW SYMPTOMS OR SYMPTOMS WORSEN

Other Meds: AMLODIPINE, FLOMAX

Current Illness: ENLARGED PROSTATE, URINARY FREQUENCY WITH NO INFECTION

ID: 0994704
Sex: F
Age: 35
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Rash that started in armpit and went across chest and back. Worse on left side. Rash is blotchy , itchy, and burns. Also had diarrhea. Symptoms started on 1/29/2021 and have started to improved.

Other Meds: Metformin 500mg and Spironolactone 100 mg

Current Illness: None

ID: 0994705
Sex: F
Age: 63
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
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: shellfish

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

Symptoms: Nausea and HA one hour after Pfizer vaccine. Fatigue and aches 6 hours to 36 hours.

Other Meds:

Current Illness:

ID: 0994706
Sex: F
Age: 38
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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: NO

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

Symptoms: ARM PAIN, JAW PAIN, A LITTLE WOOZY, BUT THATS IT

Other Meds: ADVIL TOOK MY HUMIRA SHOT THE SAME DAY

Current Illness: NO

ID: 0994707
Sex: F
Age: 71
State: FL

Vax Date: 12/18/2020
Onset Date: 12/21/2020
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: morphine sulfate, betadine scrub, coconut, adhesive tape and now Shingrix

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

Symptoms: after receiving first Shingrix vaccine injection, developed herpes zoster blisters on abdomen with accompanying pain

Other Meds: Levothyroxine, Alprazolam, Omemprazole, Naprosyn, Orphenadrine, Actifed, Flonase, asa 81mg, folic acid, vitamin B12

Current Illness: hypothyroid, migraine headaches, borderline sinus tachycardia

ID: 0994708
Sex: M
Age: 77
State: FL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: Unexplained hyperglycemia with difficult control for several days. Occurred with first and second doses.

Other Meds: Insulin Lispro, Insulin Degludec, Levoxyl, Amlodipine, Valsartan, Simvastatin, Aspirin, Vitamin D, Vitamin B12

Current Illness: None

ID: 0994709
Sex: F
Age: 36
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: Shellfish (anaphylaxis), Cipro (reaction not documented), Keflex (reaction not documented), and Sulfa (reaction not documented)

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

Symptoms: Patient reported tingling lips, scratchy throat, and a mild headache although the headache had been off and on all day. No SOB nor difficulty breathing. Patient reported some chest tightness but felt this may be due to anxiety. No antidote nor supportive treatment given. Symptoms resolved within 30 minutes and patient stayed an additional 15min for observation

Other Meds: Epinephrine pen

Current Illness:

ID: 0994710
Sex: F
Age: 73
State:

Vax Date: 01/26/2021
Onset Date: 01/31/2021
Rec V Date: 02/02/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Acute kidney injury; CHF (congestive heart failure); COVID-19 virus infection; Chronic hepatitis C without hepatic coma; Edema leg; Essential hypertension

Other Meds:

Current Illness:

ID: 0994711
Sex: F
Age: 37
State: MA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: none; seasonal and pet allergies,

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Symptoms started at approximately 8 hours after receiving the vaccination. Symptoms started as headache, muscle ache, fatigue and chills. Overnight I spiked a fever of 102.5 even with fever reducing medications. I also suffered from dizziness and sensation of fainting when standing for more than 15 minutes for the first 48 hours after the vaccine. Severe Muscle aches, headache, and fatigue noted for 48 hours after vaccine and symptoms were mild for day 3.

Other Meds: Probiotics, B-12

Current Illness: none

ID: 0994713
Sex: F
Age: 46
State: OK

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: PCN

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

Symptoms: Client says almost immediately after taking the vaccine she started having blurry vision, face and throat started burning, and her throat started closing. She was given Benadryl 50mg IM After 10minutes her symptoms resolved except for a rash on her body. She was released to a friend to drive her home. She reports taking Benadryl 50mg every 4-6 hours for 48 hours afterwords.

Other Meds: Lithium, propanalol, Ritalin, Amlodipine,

Current Illness: none

ID: 0994715
Sex: F
Age: 70
State: MI

Vax Date: 01/24/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Nine days after injection I have rash at injection site and lump above my collarbone. I feel ok.

Other Meds: Hydroclorothyiazide, Allegra, Flonase, vitamin D3, vitamin C, turmeric, Nettle leaf

Current Illness: No

ID: 0994717
Sex: M
Age: 76
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Reported lightheadedness "feeling woozy" that lasted few minutes after vaccination. No further reactions. Reported improvement after few minutes.

Other Meds:

Current Illness:

ID: 0994718
Sex: F
Age: 56
State: ID

Vax Date: 01/20/2021
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: LA

Lab Data:

Allergies: PCN, Almonds

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

Symptoms: Patient was given her 1st dose of Moderna COVID vaccine at clinic on 1/20/21. Patient states she had no reaction initially but started to develop a rash on 1/28. rash red, raised, itchy and sore. Rash 4 inched long and 2 inches wide. Continues to be red and sore, but no longer raised or itchy. Instructed patient to contact her PCP for further treatment of reaction and recommendation for second dose.

Other Meds: Unknown

Current Illness: Unknown

ID: 0994719
Sex: F
Age: 42
State: RI

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: bee stings, Zofran

Symptom List: Injection site pain, Pain

Symptoms: @ 40 minutes post-dose, numbness in tongue. @45 minutes, progressed to lips, then lips, then throat. Called 911, Pt bought Benadryl gelcaps, took 50mg. Rescue checked vitals, Benadryl started working so throat swelling started to recede. Pt was observed for 30 minutes post-Benadryl dose. Pt took an additional 25mg dose x 2 that evening. Completely resolved the following morning

Other Meds: multivitamin, osteo-bi-flex, curcumim

Current Illness: n/a

ID: 0994720
Sex: F
Age: 38
State: TX

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: N/A

Symptom List: Injection site pain, Menorrhagia

Symptoms: SEVERE ARM PAIN JAW PAIN BODY ACHES CHILLS NO FEVER REALLY BAD NAUSEA

Other Meds: ADVIL TOOK MY HUMIRA THAT DAY TOO

Current Illness: N/A

ID: 0994721
Sex: F
Age: 41
State: NY

Vax Date: 01/14/2021
Onset Date:
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: Penicillin

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

Symptoms: After receiving moderns covid 19 vaccine on January 14. A rash appeared at the injection site on January 23.

Other Meds: None, Multiple vitamin

Current Illness: None

ID: 0994722
Sex: F
Age: 38
State: MI

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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: Vaccine was administered too high in the arm, directly under the shoulder blade. Site was very painful within a couple hours after administration and required pain medication for several days. A few days after administration, noted "popping" in shoulder when moved in circular motion; no decreased mobility noted. 2 weeks after vaccination, the administration site is still painful to touch and shoulder still pops when arm is moved in circular motion, forward or backward.

Other Meds: synthroid, vitamin C, multivitamin, zinc, calcium, vitamin D

Current Illness: none

ID: 0994723
Sex: M
Age: 43
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever, chills, whole body ache, nausea, headache. Symptoms lasted about 24 hours, controlled with over the counter NSAIDs.

Other Meds: None

Current Illness: None

ID: 0994724
Sex: F
Age: 86
State: FL

Vax Date: 01/27/2021
Onset Date: 01/31/2021
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: I have a face rash on either side of my nose, itchy eyelids.

Other Meds: Levothyroxin 75 mcg.

Current Illness: none

ID: 0994725
Sex: F
Age: 46
State: MI

Vax Date: 01/16/2021
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: Na

Symptom List: Nausea

Symptoms: I had blood drawn yesterday in left arm annual health exam and the blood draw site hurt yesterday no big deal but it was more than usual Next day left arm and muscle upper arm aches.

Other Meds: Levothyroxin Cymbalta Atorvistatin Multi-vitamin

Current Illness: Na

ID: 0994726
Sex: M
Age: 71
State:

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

Symptom List: Injection site pain

Symptoms: Angina at rest; Chest pain; Dyspnea, unspecified type; NSTEMI (non-ST elevated myocardial infarction); SOB (shortness of breath)

Other Meds:

Current Illness:

ID: 0994727
Sex: M
Age: 57
State: MA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: chills, sweats, body aches, malaise

Other Meds:

Current Illness:

ID: 0994728
Sex: F
Age: 60
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Fever, headache, body aches

Other Meds: Lisinopril/HTC 10-12.5 mg Latanoprost .005% solution Timolol .5% eye drops

Current Illness: 11/28-12/28/20 Bell?s palsy.

ID: 0994729
Sex: M
Age: 80
State: WY

Vax Date: 01/26/2021
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: hay fever

Symptom List: Tremor

Symptoms: Noticed facial drooping on the left side starting on Friday night and symptoms increasing. Went to urgent care on Monday morning. facial drooping increased over the weekend also lift eye was irritated from lack of moister and did not close or blink without extra effort. wore a patch and lubricated over the weekend. Diagnosed as Bellys Palsy at Lander urgent care medical clinic. Prescribed course of prednisone. Also Erythromycin op mgigm oin akor for the left eye and wear a patch until eye will blink and close normally.

Other Meds: ropinirole , loratadine, d, magnesium citrate

Current Illness: prostate cancer but in the watchful waiting stage restless legs

ID: 0994730
Sex: F
Age: 66
State: NJ

Vax Date: 01/26/2021
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: polysporin

Symptom List: Erythema, Pruritus

Symptoms: intermittent racing heart beat

Other Meds: Per daily: calcium supplements 1200 mg, vitamin & herbal supplements (Vitamin C -1000 mg, Vitamin D3 -125 mg, zinc - 50 mg), herbal blend (elderberry, echinacea, tumeric, ginger - 350 mg)

Current Illness: none

ID: 0994731
Sex: F
Age:
State:

Vax Date: 01/18/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital: Y

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: [Pfizer covid -19 vaccine] treatment under Emergency Use Authorization(EUA): Patient in clinic for 2nd dose of covid vaccine. Within 8 minutes of receiving her injection, pt developed a rash on both arms; pt states both arms are itch and her throat felt as if it were closing. Rapid response called and patient was given Epinephrine per anaphylaxis protocol by LPN at 4:26pm. BP-146/98 p88 R17 Rapid response team arrived at 427pm. 429pm: Assessment: patient stable but felt no improvement in her throat. Pt was transported to ED for assessment.

Other Meds:

Current Illness:

ID: 0994732
Sex: F
Age: 68
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: 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: Reports feeling hot and faint immediately after vaccination, transported to ER where she said after lying down she started to feel better. Does report a history of "fainting spells" No admit - patient was released from ER. Upon follow up she denies any further adverse reactions.

Other Meds:

Current Illness:

ID: 0994733
Sex: F
Age: 75
State: IL

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA. 1.5 hours after receiving vaccine (12pm), I felt a flush/warm sensation in my heart area. My heart rate increased, jumping around a lot. I could see my chest moving up & down. I tried to monitor BP & heart rate w/my heart monitor. BP was up to 154/103, pulse 73 at 12:20; BP 150/92, pulse 70 at 1:00pm. My normal pulse is 50-55. Twice the monitor read ERROR. By 1:30 BP was 128/75, pulse 61 and I felt heart was more calm. By 10:30pm BP was normal, 116/74, pulse 52. By chance I had appointment with my cardiologist the next day, 1/25/2021. He said it was an episode of atrial fibrillation. I have not had that rapid heart rate issue since the stent implant in December 2011.

Other Meds: atorvastatin; bisoprolol; dabigatran; lisinopril; Vitamin C; vitamin E.

Current Illness: none

ID: 0994734
Sex: F
Age: 39
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: Mild pimple looking rash started on 1/5/21. Felt better after few days. Rash/ papules looks like pimple started spreading rapidly all over the body with itching on 1/14. Benadryl PO x 1 dose. Valacyclovir and Zyrtec started on 1/16. Prednisone started on 1/21. Cellulitis 1/22. Keflex PO. Started tapering down prednisone but rash started coming back 1/29.

Other Meds: None

Current Illness: None

ID: 0994735
Sex: F
Age: 68
State: PA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: SULFA

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

Symptoms: Reactivation of Herpetic whitlow distal left index finger. Original outbreak was in 1975. Had never had problem until 1/27/2021.

Other Meds: Synthroid, calcium, vitamin D

Current Illness: none

ID: 0994736
Sex: F
Age: 32
State: IA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
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: Pain in extremity

Symptoms: Chills; muscle pain; headache; nausea

Other Meds:

Current Illness:

ID: 0994737
Sex: F
Age: 30
State: ND

Vax Date: 02/02/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: Mild injection site pain following initial dose 12/22/21. Severe myalgia approximately 12 hrs post 2nd dose vaccine (1/19/21) that lasted for approximately 12-16 hrs.. Body aches in legs/back mostly, chills, low grade temperature (99.2). Mile headache and fatigue lasting until the following day. Returned to baseline approximately 30 hrs post vaccination.

Other Meds:

Current Illness:

ID: 0994738
Sex: F
Age: 79
State: MN

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Wellbutin, All steroids for cholesterol

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

Symptoms: Horrible rash that started in the underarm area and progressed to upper theigh area in about 3 hours. Rash on back, arms, hands, stomach, upper legs. Call the clinic and the lady who answered the phone found a doctor and asked what I should to. The doctor suggested taking Bendryl. I also washed the areas with soap and water which seemed to help. In the morning I took a bath with baking soda; this also eased the rash. I am continuing to take Benadryl, 1 tablet every 4 hours.

Other Meds: At 5 am Ometprozol 40 mg, at 10 am OCUTABS with Lutin 2 mg, vitamin D3 1000 IU, Calcium 600 mg, One a Day vitamin

Current Illness: Bladder infection whe week before vaccination

ID: 0994739
Sex: F
Age:
State: PA

Vax Date: 01/05/2021
Onset Date: 01/24/2021
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: Penicillin, sulfa

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

Symptoms: Went to ER with left facial paralysis. Diagnosed with Bell's palsy day 19 after initial dose of Pfizer vaccine (1/5/21 vaccine given). Not sure what the recommendation is as to whether I should still have the second dose. Doctors at the ER were not sure either.

Other Meds: Metoprolol tartrate; Vitamin d3 Vitamin c Magnesium Zinc

Current Illness: Na

ID: 0994740
Sex: U
Age: 56
State: NY

Vax Date: 01/09/2021
Onset Date: 01/21/2021
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: Prolonged arm soreness and redness which started 1/10; by 1/18, sought medical attention for cellulitis from 1-2 inches below armpit to elbow (prescribed antibiotic), redness and hardness resolved in 1 to 1.5 weeks; 2/1- still has some are soreness, headache, body ache

Other Meds:

Current Illness:

ID: 0994741
Sex: F
Age: 59
State: NJ

Vax Date: 01/23/2021
Onset Date: 01/29/2021
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: Red itchy rash about a week after shot. Lasted about 5 days.

Other Meds: Amlodipine Besylate 2.5 mg

Current Illness:

ID: 0994742
Sex: M
Age: 70
State: WV

Vax Date: 01/23/2021
Onset Date: 01/24/2021
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: NKA

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

Symptoms: On 1/24/2021 states on that Sunday his tongue became numb and developed pain behind right ear. Took ibuprofen, went to bed that even. When he awoke the next morning, Monday, 1/25/2021, the right side of his face was disfigured, puffy, and his mouth was drawn down. He drove to family member approximately 1 hour away and upon arrival, family member took him to local hospital. MRI was completed and returned with diagnosis of Bell's Palsy, which was confirmed by three physicians at the hospital. Was informed may take 6 - 8 weeks for full recovery. Was discharged with prescription for Lacrilube eye drops, Vibramycin, Prednisone (Deltasone), and Valtrex. One 1/29/2021 had follow up visit with neurologist and was told to discontinue Prednisone. Neurologist researched injection follow the 1/29/2021 visit. Client received call from neurologist on 2/1/2021 and was instructed was able to take second dose of vaccine, physician was not 100% sure same issue would not occur with second dose.

Other Meds: Metformin QD; Losartan QD; Glimepiride QD

Current Illness: None

ID: 0994743
Sex: F
Age: 43
State:

Vax Date: 01/05/2021
Onset Date: 01/15/2021
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: "COVID Arm" - Redness, swelling, warm to touch, round in shape. Appeared near/at injection site 10 days after dose. No change in size for 24 hours, reduced/gone within 24 to 48 hours with faint discoloration lasting approximately 5 days total

Other Meds: Metformin, Atorvastin, Levimir, Ozempic

Current Illness: None

ID: 0994744
Sex: F
Age: 63
State: CA

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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: 1/28/21: Tingling at sides of tongue within 10 minutes (had this after vaccine #1, too). A warm rush up the back of my neck. 1/29/21: Pain at site of injection. Chills, fever, aches, extreme fatigue and sleepiness. During night had racing, repetitive dreams. Experienced polyuria, with diuresis resulting in 10 pound weight loss over 3 days. 1/30/21: Extreme fatigue and sleepiness, chills, aches, nausea, diarrhea 1/31/21: Fatigue, headache but only with cough, pain at back of my neck and skull 2/1/21: Fatigue, headach but only with cough, pain at top of my head and toward the front of my skull. 2/2/21: Mild fatigue, head pressure at temples and top of my head and toward the front of my skull. Mild roaring in my left ear, dizziness when I turn my head quickly. Neck is still somewhat stiff. 2/3/21: Anticipate being able to return to work

Other Meds: Lexapro, Hydrachlorathiazide, low-dose aspirin, fish oil, vitamin D, milk thistle, zinc, buspar, singulair

Current Illness: Heart palpitations 01/22/21.

ID: 0994745
Sex: F
Age: 19
State: KY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
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: Lactose

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

Symptoms: Fever of over 101 degrees for 2 days; injection site swelling and soreness, extensive body aches, joint pain, delirium, migraine

Other Meds: Zinc- 50 MG; Vitamin C; Vitamin D

Current Illness: COVID-diagnosed Jan 5th but had symptoms prior to the vaccination.

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm