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: 0997329
Sex: F
Age: 36
State: SC

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: sulfa

Symptom List: Dysphagia, Epiglottitis

Symptoms: Immediate upper pain at injection site. Approximately 3 hours later, feeling of dizziness and feeling lightheaded. 12 hours later, extreme fatigue, increased dizziness and feeling lightheaded. 24 hours later, feeling normal again.

Other Meds: none

Current Illness: none

ID: 0997330
Sex: F
Age: 25
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: Shellfish

Symptom List: Anxiety, Dyspnoea

Symptoms: Fever, chills, body ache, headache, fatigue

Other Meds: None

Current Illness:

ID: 0997331
Sex: F
Age: 70
State: MI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: mold, dust, sulfa drugs, stomach upset with aspirin

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

Symptoms: Sneezing, congestion, headache, pain at injection site. Slight upset stomach. Have taken acetaminophen and Sudafed.

Other Meds: Vitamin B complex, 250 mg. magnesium

Current Illness: none

ID: 0997332
Sex: F
Age: 34
State: VA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Imitrex, z-pack,sulpha

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Developed a rash 2 inches below injection site which went away with Benedryl but returned yesterday which was a week after my shot and a week after the first response . The new rash is larger and in 2 spots on my left arm.

Other Meds: Nuva ring

Current Illness: Cold

ID: 0997334
Sex: F
Age: 49
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
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: Had intense headache for 72 hours straight where I could not withstand any light - the best way I could describe it is my migraine had a migraine. Would get dizzy when I stood up. Nauseous and extreme fatigue for 3 days. Slept for 16 hours within 24 hours of receiving the vaccine, day 2 slept for 12 hours but then was up due to vomiting/diarrhea (for 6 hours) about 56 hours after injection and then slept another 12 hours on day 3 after injection. Had a slight sore throat as well. By day 4 all symptoms had resolved.

Other Meds: Fluoxetine, chlorthalidone, B-Complex vitamin

Current Illness:

ID: 0997335
Sex: F
Age: 49
State: VA

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 02/03/2021
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: None known

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

Symptoms: Lump in armpit muscular tissue. Felt slight pain, discomfort about 5 days, did armpit/breast check and felt lump about the size of a small grape deep in armpit musculature. Mentioned to doctor and she called back advised it could be a lymph node swelling and I have dr. appt next week on 2/10/2021 for my physical so we will see if it is better. It does seem to be getting less hard...softening and spreading out a little.

Other Meds: Culturelle, multi-vitamin

Current Illness: None

ID: 0997336
Sex: F
Age: 57
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: Pyrexia, White blood cell count decreased

Symptoms: 24 hours of fever, left arm pain, achy all over, ears ringing, slight headache, sluggish

Other Meds:

Current Illness: None

ID: 0997337
Sex: M
Age: 39
State: NY

Vax Date: 01/01/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Pharyngeal swelling

Symptoms: Pain at injection site, difficulty sleeping, fatigue whole next day. bed rest, fatigue gone by 6pm day after, arm sore for 3 days

Other Meds: omeprazole

Current Illness: none

ID: 0997338
Sex: F
Age: 54
State: OH

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: There was pain at the injection site which turned into a quarter sized swelling with redness on the morning of 02/02/202 and I was very tired and had total body aches. By 4 PM on 02/02/2021, the swelling had increased and the redness had spread to cover almost the whole shoulder area. Starting around 12:30 PM on 02/02/2021, I developed chills which lasted until approximately 8 PM. My temperature was checked at 4 PM on 02/02/2021 and it was 99.4 and at 7 AM on 02/03/2021, it was still 99.0. At 9:30 AM on 02/03/2021, the welling is going down but the redness is still covering the entire shoulder area.

Other Meds: none

Current Illness: none

ID: 0997339
Sex: F
Age: 31
State: VA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
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: patient had itching to second vaccine just like the reaction from previous vaccine and other medicines.

Other Meds:

Current Illness:

ID: 0997340
Sex: F
Age: 45
State:

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

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

Symptoms: Extreme swelling, redness, and soreness in left arm, can barely lift.

Other Meds: Tylenol

Current Illness:

ID: 0997341
Sex: F
Age: 52
State: CT

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
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: Received vaccine at 1030, My arm instantly began to hurt. Pain radiating to my neck. I had the same painful feeling that I had with the first vaccine dose, Unable to lay down on that arm and unable to push myself up. I would say pain with weakness. My chills, body aches and exhaustion began much sooner this time. Vaccine at 1030 symptoms began by 4pm and lasted over 24 hours. I slept for most of the next day and had a fever to 100.9 at 9pm nearly 36 hours post injection. It's almost 48 hours since I received the vaccine, I am back to work today but not 100% for sure. Taking Motrin helps. Dose #2 was worse then #1. Just a reminder I did have covid 18 in April of 2020.

Other Meds: Benicar, Lipitor, hydrochlorothiazide, Zyrtec

Current Illness: None

ID: 0997342
Sex: F
Age: 24
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: About 12 hours after vaccination, I woke up with chills and sweating with a fever and headache. Fever was at 101. Woke up next morning with my fever maintained at 101 and a pounding throbbing headache. The injection site is also hard and red, with the bump increasing in size. I took Tylenol and slept then woke again at 6pm 2/2 with a 100.7 fever and body aches. Took more Tylenol and went to bed. This morning 2/3 I feel about 90% back to normal. The bump on my arm however is growing in size and more painful.

Other Meds: Ocella, multivitamin, probiotic, vitamin D

Current Illness: No

ID: 0997343
Sex: F
Age: 49
State: OH

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: Nka

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

Symptoms: Adverse event in second dose only. Chills,nausea, fatigue and administration site swollen and red. Two injection sites appeared with second dose.

Other Meds: Lisinopril

Current Illness: None

ID: 0997344
Sex: F
Age: 26
State: MA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
Rec V Date: 02/03/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: left deltoid rash, swelling, warmth, started 8 days after vaccination. seen 1/26/2021, resolved by 1/29/2021

Other Meds: none

Current Illness: none

ID: 0997345
Sex: F
Age: 23
State: MN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: 5-10 minutes post injection, pt reported "I don't feel well" States feels hot/nauseous/weak. Assisted to chair. Had brief (15-20 second) episode of stiffening, apnea, dusky coloring, arched back with stiff extremeties and shaking and loss of consciousness. Spontaneous respirationss returned when stiffness/arching ended, with slow return of pale/pink skin coloring. Able to converse. Remained dizzy, diaphoretic. During event pulse thread and fast. BP 84/42 post return of consciousness. 911 called. Patient transferred via EMS to ER.

Other Meds: Fludrocortisone 0.1 mg 1 tab twice daily

Current Illness: none

ID: 0997346
Sex: F
Age: 60
State: FL

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
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: I received my 2nd dose of the Moderna vaccination on1 /26/2020 @ 3:16 pm. The following day at 10 am I had severe throbbing headache (forehead). I took Tylenol but was unable to work the rest of the day due to the throbbing headache. One week later- 2/1/2021 my arm at the injection site is very bruised and sore.

Other Meds: Estradiol 1 mg daily Medroxyprogesterone 2.5 mg daily Atorvastatin 20 mg daily Trazodone 25 mg daily Aspirin 81 mg daily Vitafusion Women's Gummy vitamin 2 daily Vitamin D 3 50 mcg daily

Current Illness: None

ID: 0997347
Sex: F
Age: 26
State: NC

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Heart palpitations and dizziness and chest pain

Other Meds: None

Current Illness: COVID-19 First symptom 11/20

ID: 0997348
Sex: F
Age: 89
State: IN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Felt fine after shot. Around 3:45pm she was sitting on the sofa, saw a flash of light (which quickly disappeared) and she started vomiting. No fever or muscle aches. She felt better after getting sick and has been drinking/eating light meals.

Other Meds: Simvastatin, lorazepam, Irbesartan and vitamins (not sure which ones)

Current Illness: no

ID: 0997349
Sex: F
Age: 35
State: MN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Seizure occurred about 22 hours after vaccine. Unclear if related to the vaccine or recent changes in medications. Patient does not typically have generalized clonic-tonic seizures but had a 2.5 minute GTC seizure the day after vaccination.

Other Meds: Synthroid Claritin Trileptal multivitamin calcium benefiber cranberry capsule Depakote Ferrous Sulfate C-pantoprazole Miralax Senexon Rufinamide

Current Illness:

ID: 0997350
Sex: F
Age: 67
State: LA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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:

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

Symptoms: Sore arm, fever, chills, felt like hit by truck.

Other Meds:

Current Illness:

ID: 0997351
Sex: F
Age: 59
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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

Symptom List: Unevaluable event

Symptoms: Severe headache, joint aches, chills

Other Meds: Famotodine 40mg , cyclobenzaprine 5 mg , nasonex, Claritin, multi vitamin, 400mg CoQ10, occuvite

Current Illness: None

ID: 0997352
Sex: F
Age: 35
State: MN

Vax Date: 01/25/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
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: Thimerosal, heavy metals, penicillin

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

Symptoms: Swollen lymph nodes both armpits, spreading redness, itchy rash around injection site

Other Meds: Multivitamins

Current Illness: None

ID: 0997353
Sex: F
Age: 65
State:

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: About a week after the shot, and 3 days after original shot pain had diminished, I developed an itchy rash on the vaccinated arm. It has continued for 4 days so far.

Other Meds:

Current Illness:

ID: 0997354
Sex: F
Age: 44
State: KY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: previous serious AE to influenza vaccine

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient received initial dose of Covid-19 vaccine. During observation period, patient reported progressive pruritus in left arm. While evaluating patient, pruritus progressed to right arm. At that time, patient reported significant reaction previously to influenza vaccine with similar initial presentation. At no point did patient report SOB, increased heart rate, or chest tightness. While waiting for transport to ER, patient reported progressive burning while continuing to have pruritus

Other Meds: zyrtec 10 mg

Current Illness:

ID: 0997355
Sex: M
Age: 50
State: NJ

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

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

Symptoms: 6 hours after shot, arm was in pain where i could hardly move, by morning felt like i had flu, by mon afternoon temperature went up to 101.8 before dropping tues evening.

Other Meds: None

Current Illness: 1st dose covid-19 taken on 01/10/2021

ID: 0997356
Sex: F
Age: 66
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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 known

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Very sore arm @ injection site within an hour. Cold chills started about 8 hours later and lasted about 12 hours then lessened. Cold chills returned about 24 hours later and were sporadic. Arm still very sore, 2 days later.

Other Meds: Omeprazole, Levothyroxine, Advil

Current Illness: No other illnesses

ID: 0997357
Sex: F
Age: 33
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Allergic to flu shot and peanuts

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Throat started closing up, itchy. Benadryl and epi pen administered.

Other Meds:

Current Illness:

ID: 0997358
Sex: F
Age: 39
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
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: After receiving the Vaccine on Friday I noticed that I have an enlarged lymph node near my left collar bone. I received the vaccine in my left arm.

Other Meds:

Current Illness:

ID: 0997359
Sex: M
Age: 53
State: OH

Vax Date: 01/06/2021
Onset Date: 01/09/2021
Rec V Date: 02/03/2021
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: Nausea

Symptoms: TESTED POSITIVE 1/9/21

Other Meds:

Current Illness:

ID: 0997360
Sex: F
Age: 43
State: PA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Acetaminophen

Symptom List: Injection site pain

Symptoms: Fever and chills started 6 hours after vaccination dose. Fever measured 102 degrees the night of the vaccination, 100.1 the next day. Headache and nausea accompanied fever for 36 hours. I called Occupational Health at noon the next day to see if I could take Ibuprophen to reduce the fever and they said I could. Fever was reduced after dose, but came back 5 hours later until next dose of Ibuprophen was taken. This lasted for 36 hours until fever finally went away. I then developed a bad sinus infection that lasted for 5 days following the fever.

Other Meds: B12 supplement

Current Illness: N/A

ID: 0997361
Sex: F
Age: 73
State: NC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/03/2021
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

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

Symptoms: Redness at the injection site. then the day after that it got much bigger. Then it went away and then today my arm is red, does not itch

Other Meds:

Current Illness:

ID: 0997362
Sex: F
Age: 70
State: NC

Vax Date: 01/21/2021
Onset Date: 01/29/2021
Rec V Date: 02/03/2021
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: serum sickness to tetanus neomycin

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

Symptoms: no adverse reaction until 7 days after vaccination. 01/28/2021 stiff muscles and joints , extreme fatigue, loss of appitite, fever of 99 or higher continuing into its 6th day

Other Meds: none

Current Illness:

ID: 0997363
Sex: F
Age: 25
State:

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: Minor body aches, along with weakness and exhaustion. Left-sided facial numbness. No fever.

Other Meds:

Current Illness:

ID: 0997364
Sex: F
Age: 53
State: NY

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
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: cephalosporins- unknown, levaquin-anaphylaxis, lotrimin- unknown, penicillins- hives, shellfish- angioedema, sulfa drugs- hives, bees- hives.

Symptom List: Erythema, Pruritus

Symptoms: Patient received second dose of vaccine on Saturday morning. Saturday night had chills and started a fever. Was not able to get out of bed at all Sunday. Had a fever ranging from 103 to 104. Tylenol brought it down to 102 for short periods. Sunday had numbness on the right side of face but did not see drooping. It has mostly resolved except for top lip to my cheek. Fever Monday was between 100-101 and patient was able to stay awake for longer periods. Tuesday had no fever and just feel tired and dizzy. Today entirely better.

Other Meds:

Current Illness: none

ID: 0997365
Sex: F
Age: 29
State: MI

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: Penicillin Sulfa Cephalosporins

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

Symptoms: Extreme body aches, chills, nausea, vomiting, headache, fatigue, joint pain

Other Meds: Trazodone Melatonin

Current Illness: None

ID: 0997366
Sex: F
Age: 55
State: MS

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: N/A

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

Symptoms: Pain redness and swelling at injection site still spreading as of 2/3/2021, Headache, Nausea

Other Meds: Pravistatin 80mg, Cimetidine 800mg

Current Illness: None

ID: 0997367
Sex: F
Age: 69
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Bactrim, sulpha

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Hard swelling and redness at injection site

Other Meds: Benicar, Breo, montelkulast, pantoprazole

Current Illness:

ID: 0997369
Sex: F
Age: 52
State: MD

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: Allergic to Betadine/iodine solutions & Shellfish

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA After 10 minutes of receiving the vaccine, my throat started to swell making it difficult to swallow. A nurse administered 25mg of Benadryl then five minutes later administered an adult dose EPI Pen shot. I was then taken to the emergency room for further observations. Symptom cleared after about an hour after the EPI Pen shot was given.

Other Meds: Levothyroxine 100mcg taken @ 6:30am, 2/1/21

Current Illness: None

ID: 0997370
Sex: F
Age: 77
State: CT

Vax Date: 12/15/2020
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: Penicillin, sulfa-based medication, erythromycin, dye used in contrast x-ray, hayfever

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

Symptoms: Sudden onset in the evening of Feb 1 (17 days after initial dose)--chills, fever, headache, muscle ache, discomfort in upper chest and jaw. Temperature 100.1 which is about three degrees above my normal temp. Night sweats. Following day, malaise, headache, and discomfort when inhaling a full breath. Night sweats again. Today, much better. Able to breath fully without discomfort, not muscle aches or headache, but tired feeling.

Other Meds: Amlodopine, Metroprolol, Simvastatin, Tramadol, Montelukast. Over the counter supplements--low dose aspirin, senior vitamin, calcium

Current Illness: None

ID: 0997371
Sex: F
Age: 27
State: TX

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: Patient present with a rash covering entire body. Also c/o headache, body aches, sore throat, nasal congestion beginning 2.1.2021

Other Meds:

Current Illness:

ID: 0997372
Sex: M
Age: 33
State: NJ

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Site of injection (Left Upper Arm), there is now an infection where needle was inserted. Puss is noted along with redness and hard to touch. Approximately 1/4" in diameter

Other Meds: N/A

Current Illness: N/A

ID: 0997373
Sex: F
Age: 38
State: OK

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/03/2021
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: Chills, headache, body ache, fever, nausea

Other Meds: Zyrtec

Current Illness: None

ID: 0997374
Sex: F
Age: 72
State: GA

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
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: Keflex Sulfa drugs Boniva Augmentin Prednisone

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

Symptoms: Approximately 2 weeks after vaccination, injection site became red, warm to touch, itchy, and swollen, and painful to touch. Area was approximately 2 3/4" long, and 2" wide. Instructed patient to follow up with her PCP. She was instructed to place ice over area.

Other Meds: Prolia injection q 6 months Centrum Silver Calcium Caltrate +D Fish Oil Supplement

Current Illness: none

ID: 0997375
Sex: U
Age:
State: NY

Vax Date:
Onset Date:
Rec V Date: 02/03/2021
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: e

Other Meds:

Current Illness:

ID: 0997376
Sex: F
Age: 33
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/03/2021
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: peanuts, natural mango products, acidic fruits, animal dander, environmental

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: sore arm, lasted approx. 36 hours.

Other Meds: Adderall 20mg immediate release Wellbutrin 100mg

Current Illness: none

ID: 0997377
Sex: F
Age: 33
State: NJ

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: Fever of 99.8 for almost 48 hours even with Tylenol every 4 hours, body aches, chills, fatigue, headache

Other Meds: probiotic, vitamin c, vitamin d, zinc, dicyclomine, tylenol (after vaccine was administered)

Current Illness: none

ID: 0997378
Sex: F
Age: 56
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/03/2021
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: Arthrotec, molds, dust

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Rapid Heart Rate, Light Headed, Headache, Sore Arm at Injection Site

Other Meds: Zyrtec, Zoloft, Singulair, Lisinopril/HCTZ, Januvia

Current Illness: N/A

ID: 0997379
Sex: F
Age: 65
State: FL

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: aspertame

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

Symptoms: 1. Nose felt tingly. 2. Throat started feeling weird - eventually like it was numb. 3. It felt like a tingling sensation in my veins, starting in my head then throughout. This lasted a few seconds. 4. Next, I felt dizzy and could not see well. I did not get sweaty and did not faint. This lasted approximately 5 minutes.

Other Meds: vitamins D, C, B complex, Dhea

Current Illness: None

ID: 0997380
Sex: F
Age: 29
State: NY

Vax Date: 01/21/2021
Onset Date: 01/27/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Moderna COVID-19 Vaccine EUA Rash covering abdomen, sides, and chest. Does not itch or continue on arms or legs

Other Meds: Mirena IUD

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm