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: 0996379
Sex: F
Age: 17
State: VA

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Moderna COVID-19 Vaccine EUA- Client registered given dose despite age

Other Meds: unknown

Current Illness: No

ID: 0996380
Sex: M
Age: 89
State: FL

Vax Date: 01/15/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Severe chills

Other Meds: Dofetilide Eliquis Levothyroxine Multiple vitamins Tylenol

Current Illness: None

ID: 0996381
Sex: F
Age: 50
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: Dizziness, light headedness, jitters, tachycardia, high blood pressure; onset from right after injection; lasted 2 hours.

Other Meds: Wellbutrin, Lipitor, Imuran, Excedrin, Zyrtec, CoQ-10, Vitamin D, B-complex, multi-vitamin, Gingko Biloba, Cranberry Extract, Estrogen Cream, Retin-A, Krill Oil, Iron, St. John's Wort, Levothroid

Current Illness: N/A

ID: 0996382
Sex: F
Age: 39
State: CA

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: None reported

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient developed right lower extremity heaviness, numbness approx. 15 minutes post vaccination. EMS was activated, sent to ED.

Other Meds: None reported

Current Illness: Denied illness 2 weeks prior to vaccine

ID: 0996383
Sex: F
Age: 66
State: NJ

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

Lab Data:

Allergies: N/A

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

Symptoms: CLIENT COMPLAINT OF TACHYCARDIA, DIZZINES,NAUSEA,DIAPHORETIC, ASESSED BY MD ALL S/S ARE NEW, BP INCREASED ELEVATED HR WITH PALPATATIONS, SENT TO ER VIA EMT.

Other Meds: AVISTA

Current Illness: N/A

ID: 0996384
Sex: F
Age: 45
State: CA

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

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

Symptoms: Light headed, blurred vision. BP/pulse: 139/92, 63; 145/82, 57. O2 sat 99%-100%. History of anxiety disorder. Stable, discharged to home.

Other Meds:

Current Illness:

ID: 0996385
Sex: F
Age: 68
State: CA

Vax Date: 01/27/2021
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: codeine

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Fever w/night sweats, three days after first dose.

Other Meds: none

Current Illness: none

ID: 0996386
Sex: F
Age: 79
State: CA

Vax Date: 01/24/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa antibiotics

Symptom List: Pharyngeal swelling

Symptoms: Delayed localized swelling, erythema, warmth to the injection site Increased dizziness from baseline Increased head pressure

Other Meds: Hydroxychloroquine 200 mg QD Levothyroxine 100 mcg QD Propanfenone 150 mg QD Co-Q 10 200 mg QD

Current Illness: None

ID: 0996387
Sex: F
Age: 86
State: CT

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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient was given a dose of the Pfizer vaccine that was not yet constituted. She was given 0.3 ml of unconstituted vaccine. We became aware immediately after it was administered and had her remain in the clinic under observation for 40 minutes. Patient did not display any discomfort and reported feeling fine.

Other Meds:

Current Illness:

ID: 0996388
Sex: M
Age: 70
State: HI

Vax Date: 01/16/2021
Onset Date: 01/16/2021
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: light headed, extremely tired, shortness of breath, elevated pulse, and increased pain around the hip replacement

Other Meds: none

Current Illness: hip replacement December 15th

ID: 0996389
Sex: F
Age: 49
State: CA

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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Blurry vision, dizziness, given water and juice. BP/pulse: 102/63, 73; 97/63, 73. O2 sat 100%. 90 minutes later, feeling better and discharged to home.

Other Meds:

Current Illness:

ID: 0996390
Sex: M
Age: 55
State: CA

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: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: patient complained of feeling "tingly and off". At 1610, BP 173/109, pulse 50, 100% on room air, EKG in the field WNL. Denied headache and chest pain. Rested for 30 min. BP 183/105 at 1637. Patient reported feeling normal and agreed to follow up with primary MD or go to ER if symptoms worsened.

Other Meds: Gralise , tramadol, lisinopril, clopidogrel, pramipexole, metoprolol tartrate, atrovastatin

Current Illness:

ID: 0996391
Sex: F
Age: 69
State: PA

Vax Date: 01/27/2021
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 Known

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

Symptoms: Patient described a very bad headache followed by vomiting. They have experienced these side effects from vaccines before and suffer from migraines that also cause this, but they wanted to report the reaction due to the vaccine being new.

Other Meds: Unknown

Current Illness: None Known

ID: 0996392
Sex: F
Age: 47
State: MO

Vax Date: 01/26/2021
Onset Date: 01/28/2021
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: N/A

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

Symptoms: The day following the injection, I experienced mild pain/stiffness at the injection site. The second day after the vaccine, I began coughing. Since then, I've experienced chills, body aches, fatigue, increased coughing and diarrhea, as well as a low fever and a touch of laryngitis.

Other Meds: Humalog, Toujeo, Metformin ER, Jardiance, Lisinopril, Atorvastatin, Dexilant, Zoloft, Zyrtec, Montelukast, Amitriptyline, Tizanidine, Ergocalciferol, Slynd, L-Methylfolate

Current Illness: No illnesses on the day of the vaccination. I think I had a bout of diarrhea in the month before the vaccine, but it lasted less than 2 days.

ID: 0996393
Sex: F
Age: 58
State: PA

Vax Date: 01/01/2021
Onset Date: 01/24/2021
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: Erythromycin; avelox

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

Symptoms: On day 8 injection site began to itch. Developed into hive like area covering entire upper arm expanding down to about 1 inch above the elbow. As of today (2/2) still slightly itchy . Redness and inflammation subsiding. At the same time , lasting 2-3 days, I developed a headache, body wide muscle and joint pain and chills (but no fever).

Other Meds: HRT pellets; progesterone; linzess; baclofen; ultracet; probiotics; magnesium; desiccated thyroid supplement

Current Illness:

ID: 0996394
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: tingling around mouth and dizziness

Other Meds:

Current Illness:

ID: 0996395
Sex: M
Age: 60
State: DE

Vax Date: 01/24/2021
Onset Date: 01/31/2021
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: Penicillin/Ampicillin Vicodin Contrast dye

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

Symptoms: Rash on left upper arm around injection site and up to shoulder. Rash is itchy and warm to touch. Raised area under skin adjacent to injection site.

Other Meds: Gabapentin Advair Baby aspirin Pantoprazole Sodium Venlafaxine HCL ER Iron Multivitamin Fluticosone Proprionate Nasal Spray Nyamyc Powder Simvastatin Montelukast Sodium Bystolic Terazosin Alprazalam prn Ibuprofen prn Acetaminophen prn

Current Illness: None

ID: 0996396
Sex: M
Age: 58
State: NY

Vax Date: 01/20/2021
Onset Date: 01/26/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: I started getting ringing in my ears several days ago, waking me up at about 2 am. Today while at work in my office, the ringing became very loud, and has stated that way all day. I?ve never had this before in my life, other than if because of loud concert or such 20 years ago.

Other Meds: Fenofibrate 45 mg, probiotics, ibuprofen 400 every 4 hours due to tooth pulled 12/10/2021

Current Illness: None

ID: 0996397
Sex: F
Age: 32
State: NC

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: lightheadedness

Other Meds:

Current Illness:

ID: 0996398
Sex: F
Age: 33
State: VA

Vax Date: 01/22/2021
Onset Date: 02/01/2021
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: Allergic to insect stings

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

Symptoms: Blotchy, warm to touch, itchy, raised, red rash at the injection site 2 weeks after vaccination. Rash has grown and is currently 4 inches by 2.5 inches

Other Meds: None

Current Illness: None

ID: 0996399
Sex: F
Age: 74
State: CA

Vax Date: 01/24/2021
Onset Date: 01/26/2021
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: cipro,macrpbit,penecilln,suuuulfa, eurythromiacin

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

Symptoms: mild case of uveitis in let eye being treated with Durezol eye drops and Atropine Sulfate Ophthalmic solution

Other Meds: lisinopril,simvastatin,omeprezol,amlodipine,vitamin D,

Current Illness:

ID: 0996400
Sex: F
Age: 72
State: TX

Vax Date: 01/22/2021
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: LA

Lab Data:

Allergies: Nutrofurantoin Mono; Restasis; Amlodophine; Keflex; Aspirin; Lisinoprill

Symptom List: Unevaluable event

Symptoms: After injection had bump, red & itchy. Went away after a day. Very minor & no problem. Then 1 week later, bump returned along with redness and itchiness. Used Hydrocortizon 1% cream but did not help. Switched to Desonide ointment which helped but bump still remained & redness increased to about 6" in diameter. Itchiness was pretty bad. 4 days later, the redness feels warm and is moving around the arm towards the inner arm. Made appointment with my PCP for Thurs (2 days from today).

Other Meds: Mature Multi Vitamin; Collagen Peptides; Calcium w/Vit D, Triple Action Joint Health, Krill Oil, Aller-Fex (allegra); Allerflo (Flonase); Systane Eye Drops; Atorvastatin; Clobetasol Solution; Montelukast Sod; Losartan-HCTZ; Alesetron Hydroc

Current Illness: None

ID: 0996401
Sex: M
Age: 34
State: UT

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Very painful in arm, worse than the 1st shot. By the evening I have a pounding headache. Headache just gets worse through the night. I start to experience dizzyness and intense nausea. Low-grade fever. Hard to move around and so collapsed several times when I tried to move.

Other Meds: Gabapentin, Finasteride, venlafaxine hydrochloride

Current Illness: Stuffy and clogged nose (dry & swollen nose passage due to winter dry months?)

ID: 0996402
Sex: M
Age: 68
State: FL

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: Avelox

Symptom List: Injection site pain, Pain

Symptoms: Chills, low grade fever, headache

Other Meds: Tamsulosin, baby aspirin, zinc , vitamin d, probiotic, Niacinimide, fish oil, Aleve

Current Illness:

ID: 0996403
Sex: F
Age: 62
State: CO

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: PCN , Sulfa , no allergies to food .

Symptom List: Injection site pain, Menorrhagia

Symptoms: Nausea, fever , aches and pains all over , flu like symptoms , Rash from chin to chest , itchy . still have itchy neck chin to chest.

Other Meds: Gabapentin , Nexium , Women's 1 A Day Vitamin , Cranberry Pill , Vitamin E ,

Current Illness: none

ID: 0996404
Sex: M
Age: 66
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/03/2021
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: Penecillin

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

Symptoms: Pain, chills, aches, headache, fever 99.4.

Other Meds: Simvastatin

Current Illness: None

ID: 0996405
Sex: F
Age: 73
State: WA

Vax Date: 01/25/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: I am not sure I have allergies to medications, but usually I don't get any allergies. I have allergies to metals, but gold, silver, platinum etc. is OK.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had injection site area pain, and I found there was a pain with as like bruise on the back side of left index finger. I don't have any pain at the injection area. About my index finger, It is getting better, but it has still a little pain and a little blue around the second joint area.

Other Meds: Lisinopril 20mg---Prescription one tablet, Vitamin D3 one, Calcium(with Vitamin D3) two tablets

Current Illness: None

ID: 0996406
Sex: F
Age: 32
State: CA

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: azithromycin, amoxicillin, doxycycline

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: post vaccination develop nausea, vomiting and headache

Other Meds: Lantus, regular insulin

Current Illness:

ID: 0996407
Sex: M
Age: 44
State: NC

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:
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: lightheaded, headache

Other Meds:

Current Illness:

ID: 0996408
Sex: F
Age: 45
State: VA

Vax Date: 01/19/2021
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: RA

Lab Data:

Allergies: Fish

Symptom List: Nausea

Symptoms: Red swelling itching around injection site. Spreading beyond injection site.

Other Meds: Lopressor diuretic

Current Illness: None

ID: 0996409
Sex: F
Age: 71
State: GA

Vax Date: 01/16/2021
Onset Date: 01/17/2021
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: NONE

Symptom List: Injection site pain

Symptoms: PATEINT FELT FINE ON THE HOME FROM PHARMACY, STARTED FILLING ILL (NOT QUITE HERSELF) BEFORE BED. SHE AWAKENED AT 5:45 AM. FELT AS IF SHE WAS GOING TO FAINT. SAT DOWN AND PASSED OUT AND HAD A SEIZURE. SLID OUT OF THE CHAIR AND URINATED ON HERSELF AND THE FLOOR. WAS TRANSPORTED BY AMBULANCE TO HOSPITAL.

Other Meds: NONE, MULTIVITAMIN, CALCIUM, D3, VITAMIN E, ZINC AND CLARITIN

Current Illness: NONE

ID: 0996410
Sex: F
Age: 39
State: TX

Vax Date: 01/07/2021
Onset Date: 01/16/2021
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: N/a

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

Symptoms: Rash on arm

Other Meds: N/a

Current Illness: None

ID: 0996411
Sex: F
Age: 51
State:

Vax Date: 01/25/2021
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: RA

Lab Data:

Allergies: Tree nuts

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

Symptoms: Classic COVID arm. Red swollen hot at site swollen lymph node in arm pit slightly itchy.

Other Meds: Spironolactone for acne I do lot have high blood pressure

Current Illness: None

ID: 0996412
Sex: F
Age: 80
State: TN

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

Lab Data:

Allergies: Azithromycin

Symptom List: Tremor

Symptoms: Really bad headaches chills, fever, body soreness,

Other Meds: Levothyroxine, Motrigine, Chlorthalizon, Amlodipine, Sertraline, Omeprazole

Current Illness: no

ID: 0996413
Sex: F
Age: 42
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: tingling in hands

Other Meds:

Current Illness:

ID: 0996414
Sex: F
Age: 20
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: Arm soreness, fatigue

Other Meds: Vitamin D3, Echinacea, Vitamin C, probiotic

Current Illness:

ID: 0996415
Sex: F
Age: 43
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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: On the same day of the vaccine later on around 9pm I got a headache, then about 10 min later my throat felt itchy & dry. then after 10 min after I had body aches, I kept shaking & felt nauseous. Around 10pm I had a fever of 102.4 it continued for about 3am I fell asleep for about 2 hrs. Then I started feeling nauseous again but I never threw up. My arm was hurting a lot where I got the vaccine it was very itchy & it was very hot the itchiness started coming to my face as well this lasted all day long on 12/29/2021. Then on 12/30/2020 the fever stopped the chills where still there. Also on July 2nd I caught covid & since then I was not able to smell since then. After I got the vaccine I was able to smell but it only lasted for about 5 days. The vaccine made a knot the swollenness in my arm & itchiness lasted for about 2 weeks to go away.

Other Meds: No

Current Illness: No

ID: 0996416
Sex: M
Age:
State: PA

Vax Date: 01/20/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Seasonal allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Starting on day 10 after receiving the first vaccine dose, I developed headaches, body aches, low grade temperature (100.1 max), and fatigue. Temperatures returned to normal 2/1/2021. However, other symptoms are continuing as of 2/2/2021. I called my physician, who ordered a COVID/Flu test. Only COVID was available at the testing center, which was performed today and resulted negative.

Other Meds: Vitamins A, D, E, K, B complex, Fosamax

Current Illness: None

ID: 0996417
Sex: F
Age: 74
State: VA

Vax Date: 01/02/2021
Onset Date: 01/07/2021
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: latex

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

Symptoms: Injection arm swelled up above elbow and turned red, very inflamed and itching. Severe itching and inflammation for about 7 days then inflammation subsided. Itching much improved.

Other Meds: multi vitamin, levothyroxin; hyaluronic acid; arthrozene; l-carnitine; l-argininine; baby aspirin; Zyrtec D

Current Illness: none

ID: 0996418
Sex: F
Age: 78
State: NJ

Vax Date: 01/22/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/A

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

Symptoms: C/O OF DIZZINESS A MINUTE AFTER RECIEVING VACCINE. UPPER EXTREMETIES COLD TO TOUCH, AWAKE AND ALERT X4 TOLERATED ORANGE JUICE SYMPTOMS IMPROVED.

Other Meds: N/A

Current Illness: N/A

ID: 0996419
Sex: F
Age: 55
State: MI

Vax Date: 01/22/2021
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: Dairy

Symptom List: Pain in extremity

Symptoms: Red, itchy, rash circuling around the injection site

Other Meds: Zoloft 50 mg/ daily Multivitamin

Current Illness: None

ID: 0996420
Sex: F
Age: 34
State: MS

Vax Date: 01/25/2021
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: Sulfa

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

Symptoms: Over one week after injection I am having itching, redness, a swollen lump at the injection site. This occurred when I got the injection but returned 8 days after the injection.

Other Meds: Xyzal Nexium

Current Illness: None

ID: 0996421
Sex: F
Age: 49
State: HI

Vax Date: 01/29/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: 10-15 minutes after injection experienced nausea, dizziness, tinlging in hands. Felt like she was going to vomit but never did. No SOB, no cough, no dyspnea. Continues to observe for 45 min, nausea continued but was able to walk out to the car.

Other Meds: none

Current Illness: none

ID: 0996422
Sex: M
Age: 57
State: HI

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Staff was noted to have extreme chills after receiving vaccination. Unknown duration.

Other Meds:

Current Illness:

Date Died: 01/10/2021

ID: 0996423
Sex: M
Age: 81
State: WV

Vax Date: 01/04/2021
Onset Date: 01/10/2021
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: Patient had a CVA and passed away suddenly 1/10/21

Other Meds:

Current Illness:

ID: 0996424
Sex: F
Age: 38
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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: shellfish

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: generalized itching

Other Meds:

Current Illness:

ID: 0996425
Sex: F
Age: 62
State: PA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/02/2021
Hospital: Y

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: codeine, Keflex, penicillins

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

Symptoms: fever and facial swelling

Other Meds: Amaantadine, Clonazepam, Depakote, Lithium, Olanzapine, Omeprazole, Oxybutynin, Prazosin

Current Illness: n/a

ID: 0996426
Sex: F
Age: 66
State:

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient got first shot of shingrix on 12/02/20/20. On 02/02/2021 she came in for her second shingrix shot and reported that the only reaction she got from the first shot was a slight irritation on the injection site. The only allergy she reported on her questionnaire was to clindamycin. She was fine after she got the shot and actually waited for her husband to get his shot.. A few minutes after, she fainted and became unresponsive. I administered epinephrine which revived her, and called 911. She said she was okay but very weak. She was taken to the emergency room, and later discharged after a few hours.

Other Meds:

Current Illness:

ID: 0996427
Sex: F
Age: 82
State: CA

Vax Date: 01/29/2021
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: RA

Lab Data:

Allergies: None

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

Symptoms: Dizziness started second day. Now 4 days . No better.

Other Meds: Blood pressure, thyroid, cholesterol.

Current Illness: None

ID: 0996428
Sex: F
Age: 69
State: AL

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin Sulphur

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

Symptoms: Hard Chills, nausea, fatigued, slight cough, headache started early am., very sore arm started 2/1/21 in evening. All symptoms started getting better after 3:30 pm 2/2/2021 which would have been 24 hours since injection.

Other Meds: None at time of vaccine. On 2/2/21, 9:30 am I took my morning supplements: fish oil, Vit C, Curcumin, chromium, probiotic, magnesium,

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm