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: 0997604
Sex: M
Age: 58
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Chills and fatigue began at 11:45 pm (Feb ) and ended 5:00 am (Feb 2). Mile soreness at the injection site for approximately 24 hours.

Other Meds: None

Current Illness: None

ID: 0997605
Sex: F
Age: 62
State: SC

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

Lab Data:

Allergies: Pepcid (brand and generic)

Symptom List: Anxiety, Dyspnoea

Symptoms: Approximately 1am 1/27/21, woke up with chills and nausea (Both Grade 2 CTCAE Version 5). No meds taken. About 9am 1/27/21, fever began, eventually reaching 101.5 degrees Fahrenheit around 3pm, even with Tylenol ES-2 tabs every 4 hours. Fever and chills subsided around midnight 1/27/2021. Also had body aches, malaise, loss of appetite, and pain at injection site. Nausea subsided 1/29/2021. Fatigue worsened to Grade 2, and stayed at until 1/31/2021. Developed left axillary lymph node pain 1/28/2021, which resolved from Grade 2 to Grade 0 on 2/1/2021. Of note--only side effect after first injection 12/29/2021 (Lot Number 011J20A) was pain at injection site, lasting until 1/1/2021.

Other Meds: Norvasc 5 mg daily; Losartan 100 mg daily; Premarin 0.625 mg daily; Ozempic 1 mg weekly; Indapamide 1.25 mg daily; Fish Oil-2 capsules daily; pravastatin 20 mg daily; vitamins D 5000 IU daily, OTC Col-q-10 daily

Current Illness: none

ID: 0997606
Sex: F
Age: 39
State: MI

Vax Date: 01/28/2021
Onset Date: 01/29/2021
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: penecillan, sulfa

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

Symptoms: I woke up at 1:30 am with a sore arm and went into the bathroom to get some motrin for the soreness. I started to feel dizzy and a bit nauseous...suddenly I woke up on the floor. I had passed out while standing at the counter.

Other Meds: plaquenil, vitamin D, welbutrin

Current Illness: none

ID: 0997607
Sex: F
Age: 22
State: ME

Vax Date: 01/23/2021
Onset Date: 01/28/2021
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: NOne

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Had a lump started right after injection, but on 1/28/21 lump grew to baseball size, it is red, warm to the touch, and itchy.

Other Meds: atenolol

Current Illness: hypothyroidism, anomalies of the aorta excluding coarction, obesity

ID: 0997608
Sex: M
Age: 45
State: TX

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

Lab Data:

Allergies: Codine

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

Symptoms: Muscle pain in both legs, joint pain in both legs, chills, tight chest (used my inhaler 2x with 2 shots each time (albuterol sulfate, 90mcg)) Took first dose of 2 Ibuprofen (200mg each) at 1am then second dose of 2 Ibuprofen (200mg each) at 5am. All symptoms subsided accept for the chest tightness by 730 am on 2/3/2021. Chest tightness is fine and not of concern currently and treated with inhaler.

Other Meds: Adderall 15mg X2 day, Super B-Complex, Adult multi-vitamin, D3 100mcg

Current Illness: none

ID: 0997609
Sex: F
Age: 53
State: NC

Vax Date: 01/25/2021
Onset Date: 02/01/2021
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: amoxicillin

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

Symptoms: On day 4 I started feeling itchy all over. On day 7 a rash appeared on my right arm, on day 8 the rash looked worse- I put eucerin itch relief calming lotion on arm and took a dose of Benadryl. This morning day 9 the area looks much better.

Other Meds: lisinopril 5mg estradiol 1mg medroxydr ac 2.5mg omega 3 100mg Vitamin d 3 100mg

Current Illness:

ID: 0997610
Sex: F
Age: 39
State: FL

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

Symptoms: Received vaccine at 3:30pm 4:30pm fatigue started 0430 AM mild chills that turned into rigors/violent body shaking, frequent urination, increased resp rate and HR 0730 AM took 400 MG Ibuprofen for Rigors and temp 101.4 0900 AM Temp 100.0, chills continue, skin feels hot. 0930AM Twitching/prickling/burning feeling in both hands and feet and mild headache. Took 25 MG Benadryl, 650 MG Tylenol at 0930 AM with no relief of headache, twitching/prickling/burning in hands and feet. Took a hot show for returning chills 1045 AM continued mild headache, continued twitching/prickling/burning in hands and feet. Chills returning. Temp 99.4, HR 101, oxygen saturation 97% on room air.

Other Meds: Triamterene, Aldactone, Vitamin D, multivitamin, COQ 10, Lipitor, Progesterone, Metformin

Current Illness: None, just chronic medical condition of PCOS. Nothing acute.

ID: 0997611
Sex: F
Age: 65
State: FL

Vax Date: 01/27/2021
Onset Date: 01/31/2021
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: methatraxate

Symptom List: Pharyngeal swelling

Symptoms: lower jaw was swollen & numb as well as my part of my nose & tongue

Other Meds: symvastatin, levathyroid, Lialda

Current Illness: arthritis,diverticulous

ID: 0997612
Sex: F
Age: 56
State: MI

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Bad pains in stomach, diarrhea, low grade fever & headache.

Other Meds: None

Current Illness: None

ID: 0997613
Sex: M
Age: 58
State: OH

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: PN

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient is a 58-year-old male with above-mentioned comorbidities presented with feeling hot and faint. Patient was found to have A. fib with RVR which was new onset received IV Cardizem. Patient was kept on telemetry serial cardiac enzymes were negative for acute coronary syndrome. Echo done showed an ejection fraction of 58%. Cardiology evaluation was done by Dr. Cardiology did not recommend any long-term anticoagulation, recommended outpatient follow-up and possible Holter monitor. Patient reverted to normal sinus rhythm) clinically stable. Patient was cleared for discharge per cardiology.

Other Meds:

Current Illness: NONE

ID: 0997614
Sex: F
Age: 48
State: PA

Vax Date: 01/23/2021
Onset Date: 01/24/2021
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: None

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

Symptoms: Headache lasting more than one week, ongoing

Other Meds: Lexapro, Loestrin, Natur-throid

Current Illness: None

ID: 0997615
Sex: F
Age: 55
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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: CT contrast dye

Symptom List: Rash, Urticaria

Symptoms: Dizzy, throat tight, light headed, nausea

Other Meds: Novolog, Lantus, Ramipril, Valtrex, Sertraline, Colcrys, Omega 3, Vitamin C, Vitamin D

Current Illness: Type 1 Diabetes

ID: 0997616
Sex: M
Age: 25
State:

Vax Date: 01/25/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Red, raised rash around injection sight. Noticed 8 days after injection.

Other Meds: Finasteride

Current Illness: none

ID: 0997617
Sex: F
Age: 68
State: NC

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: No

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

Symptoms: Circular rash at the site of the vaccine injection, about the size of a golf ball. Itchy patch of raised bumps.

Other Meds: *Levothyroxine 25mcg *Ibuprofen 200mg Baby aspirin 81 mg B12 1000mcg C 500mg D3 5000IU elderberry + zinc gummy 50mg magnesium 500mg melatonin 5mg turmeric 2000mg

Current Illness: No

ID: 0997618
Sex: F
Age: 46
State: MI

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: 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: Chills, Fever, fatique

Other Meds: None

Current Illness: none

ID: 0997619
Sex: F
Age: 45
State: PA

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: NKDA or food. Seasonal allergies only

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

Symptoms: Within 40 minutes my arm started to ache badly. About 15 minutes after that while I was driving my head started to feel strange - almost lightheaded. Within a couple of minutes my eyes involuntarily went to the left and the right and then my vision went black (this all happened in a matter of seconds). I stopped at a store and felt light headed and confused/brain fog. That continued at home for around 2 hours. The pain in my arm continued to get worse. I woke up several times throughout the night with pain in specific sites. Today I was unable to go to work because of the full body muscular and joint pain, muscular weakness, headache, pain behind the eyes, and feel like I have fluid in my head (kind of like when you have a cold). I had a significant reaction after the first dose as well (1/5/21 Moderna Lot 026L20A) but it was completely different - mainly arm pain, fever, chills, extreme fatigue, and what feels like fluid retention. I gained 9 pounds without changing anything diet/exercise following the injection. On day 10 a large red welt appeared on my arm at the site of the injection. On 2/1 my Endocrinologist sent me for lab work and urinalysis. Those results are not back. I likely would not have reported any of this if it wasn?t for the visual occurrence with the mental confusion and lightheadedness. I have never experienced anything like that in my life.

Other Meds: Always Daily: Armour Thyroid Vyvanse Vitamin D Zyrtec Women?s multi vitamin Started 10 days prior to vaccine daily: Vitamin C Glutathione CoQ-10

Current Illness: None

ID: 0997620
Sex: M
Age: 74
State: PR

Vax Date: 01/16/2021
Onset Date: 02/02/2021
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: Aspirin, eggs

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

Symptoms: Fever, nausea, headache, malaise, weakness

Other Meds: Tamsulosin, Finasteride, Levothyroxine, vitamins

Current Illness: Prostate cancer

ID: 0997621
Sex: M
Age: 84
State: GA

Vax Date: 01/15/2021
Onset Date: 01/20/2021
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: penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 01/19/2020 Has shingles and it starts from his left ear in the back then down his neck in the back and half way down his back and up his left arm at the top. then it circles around to his chest and up to his nipple and half his breast area. went to and gave him something for the shingles.

Other Meds: Crestor, amlodipine, gabapentin

Current Illness:

ID: 0997622
Sex: F
Age: 36
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
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: Within 24 hours I felt flu like symptoms. Complete body aches, chills, fever of 102.8 (highest), sweeting and fatigue. Site soreness was present. Severe headache for 2 days.

Other Meds: none

Current Illness: none

ID: 0997623
Sex: F
Age: 41
State: CT

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: At 1:30 a.m. was vomiting. Recommendation from hospital was to take Tylenol every 4 hours after injection preventatively, which did help.

Other Meds: Xyzal, Pristiq, Birth control, nasal sprays, probiotic, elderberry gummies, vitamin C, vitamin D, multivitamin

Current Illness: None

ID: 0997624
Sex: F
Age: 36
State: TX

Vax Date: 02/01/2021
Onset Date: 02/03/2021
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: Seasonal allergies

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

Symptoms: red rash, mildly raised, slightly itching

Other Meds: Cetrizine 10 mg

Current Illness: none

ID: 0997625
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: none

Symptom List: Unevaluable event

Symptoms: Excessive swelling, induration ,pain and redness

Other Meds: Atorvastatin,Metformin,Aspirin,Fish Oil

Current Illness: None

ID: 0997626
Sex: F
Age: 69
State:

Vax Date: 01/24/2021
Onset Date: 01/24/2021
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: Iodine, Shell Fish, Tylenol

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

Symptoms: Red itchy patch approximately 2 1/2 inches in diameter at or near the injection site noticed 6-7 days afterwards and is still present this date. This is the same area in which I had a very warm sensation 4-6 hours after the injection.

Other Meds: Vitamins: C,D,E; Iron, Womens Multi-Vitamin, FlaxSeed, calcium, Magnesium Citrate; Zopidem.

Current Illness:

ID: 0997627
Sex: F
Age: 20
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Amoxicillin and Ceftin

Symptom List: Injection site pain, Pain

Symptoms: Fever highest of 100.6, headache, fatigue, and body aches all onset about 4 hours following the vaccine. Symptoms were resolved within 40 hours of the vaccine.

Other Meds: Kylena IUD

Current Illness: N/A

ID: 0997628
Sex: F
Age: 30
State: CA

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: SYR
Vax Site: LA

Lab Data:

Allergies: Augmentin

Symptom List: Injection site pain, Menorrhagia

Symptoms: shortly after I received the vaccine I had tingling and stinging. By evening my arm was really sore and I could not touch it without pain. by morning the next day(02/02/2021) I had fever(99.7), headache, body aches(shoulder to hips) joint pain periodically everywhere. the next day(02/03/2021) I woke in a cold sweat. I have been taking tylenol for the pain and fever.

Other Meds: Zoloft Vitamin C Probiotics Concerta Nerethindrone

Current Illness: Covid 01/2021

ID: 0997629
Sex: F
Age: 46
State: MN

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: hayfever

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

Symptoms: Cellulitis, redness, swelling, hard lump, heat, tired, headache, pain

Other Meds: Venlafaxine

Current Illness:

ID: 0997630
Sex: F
Age: 69
State: NJ

Vax Date: 01/22/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Reaction was delayed mild rash at injection site.

Other Meds:

Current Illness:

ID: 0997631
Sex: F
Age: 34
State: MA

Vax Date: 12/02/2020
Onset Date: 12/02/2020
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: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Significant pain now lasting several months. Pt initially unable to lift arm and area continues to be extremely sensitive to the touch.

Other Meds: Prilosec; Monteluast; Symbicort; albuterol; Linzess

Current Illness: unknown

ID: 0997632
Sex: F
Age: 81
State: FL

Vax Date: 01/09/2021
Onset Date: 01/18/2021
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: No

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

Symptoms: Vaccination given on Jan 9, 2021 with only effect a sore arm for one day. On Jan 18, 2021, developed a circular rash, approx 3? long and1 and 1/2? wide in vicinity of the vaccination. Rosy colored, warm with a hard spot in the middle. Painful at first, then itchy. Rash began fading slightly next day, Jan 19, and became itchy but not painful. Lasted several days, continuing to fade and become less itchy. By Jan 23, just very mild pink discoloration and very mildly sensitive to the touch. Then disappeared all together. The entire episode resembled something like a bee bite.

Other Meds: Crestor, vitamins, magnesiuim

Current Illness: No

ID: 0997633
Sex: F
Age: 68
State: IL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
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: Ceclor

Symptom List: Nausea

Symptoms: 1.23~starting with stomach ache and lots of elimination which turned into diarrhea. 1.24~awful diarrhea and stool was black for a few eliminations. Fever, Chills, Nausea, arm sore, headache, fatigue, body ache 1.25 ~ symptoms continued 1.26 ~ more black stool. Dr. advised me to go to ER. They did find blood in stool. 2.1~finally had normal bm and started to feel better

Other Meds: LEVOXYL LIOTHRYONNINE LO DOSE NALTROXONE VITAMIN D, C, ETC

Current Illness: none

ID: 0997634
Sex: F
Age: 65
State: GA

Vax Date: 02/02/2021
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: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: I have not vomited in 4 years. I just felt pain at the injection site on my arm. It is hard to lift my arm up. I am very nauseous and vomited today for the first time in 4 years. The symptoms started last night.

Other Meds: Vitamin D3, Vitamin B complex, Vitamin C, Magnesium, Calcium , Fish Oil, Iron, Potassium, Metoprolol 25 MG, Synthroid 50 MCG, Venclexta 300 MG (chemotherapy medication),

Current Illness:

ID: 0997635
Sex: M
Age: 73
State: NY

Vax Date: 01/06/2021
Onset Date: 01/07/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Employee received Moderna vaccine on 1/6/2021 and Pfizer vaccine on 2/2/2021. No complains except of light pain in the arm and some pain behind the neck.

Other Meds: Prescription meds

Current Illness: No

ID: 0997636
Sex: F
Age:
State: NY

Vax Date: 01/20/2021
Onset Date: 01/23/2021
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: penicillin

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

Symptoms: Woke up very weak. severe achiness in joints and muscles., vertigo. Went back to bed for 6 hrs. Felt a little better.

Other Meds: sotolal, lasix, aldactone,protonix,norvasc,trazodne, calcium with vitd, cranberry, b12, vitc,mvi,, magnesium

Current Illness: CAD, osteoarthritis, HTN,

ID: 0997637
Sex: M
Age: 65
State: WA

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:

Symptom List: Tremor

Symptoms: Approximately 24-36 hours after injection, experienced aches, chills, shooting pain in hands, fever, sweating.

Other Meds:

Current Illness:

ID: 0997638
Sex: M
Age: 52
State: GA

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: Grass pollen Dust mites Brazil nuts

Symptom List: Erythema, Pruritus

Symptoms: approximately 12 hours after vaccine administration, I became cold with bone rattling and teeth chattering chills with severe shivering. I had no fever when I checked my temperature orally. I developed 3 small urticaria with one on my abdomen and one on each thigh. I treated with 50mg of benadryl and 800 mg of Motrin. It appeared to be a euthermic cytokine storm to me ( I am an ICU physician). The symptoms resolved without issue.

Other Meds: None

Current Illness: None

ID: 0997639
Sex: F
Age: 56
State: PA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
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: None

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

Symptoms: Few Seconds of High Pitch Tinnitus night of vaccine - awoke with ongoing low level tinnitus that is not resolved

Other Meds: Methyl B-12 2500mcg Calcium Magnesium 333mg/167mg Vitamin C 1000mg Selenium 200mcg Iron 25mg Vitamin D3 2000iu store brand Probiotic 25 Billion CFU Pregnenolone 30mg Synthroid 200mcg Cytomel 10mcg Vivelle Dot Patch 0.025mg Progesterone Cre

Current Illness: None

ID: 0997640
Sex: M
Age: 64
State:

Vax Date: 01/01/2021
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:

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

Symptoms: 8 days after SECOND dose of moderna vaccine for covid, my husband broke out in a rash. He does have eczema in the cold winter months which we treat with over the counter lotions. At first, he thought the rash was due to the lotion we used because it started shortly after application of the lotion. (However, he has never had a reaction to lotions before over many years of using different brands and formulas). His skin was burning and itching throughout the day. By the time he returned from work, he had raised bumps over his back, upper arms, legs, buttocks, chest and forehead. He found some relief after a shower and use of an anti-flammatory cream (although his skin was still covered in the rash). By the time he woke next morning, it was gone.

Other Meds: Saw Palmetto Calcium

Current Illness: eczema

ID: 0997641
Sex: F
Age: 40
State:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: nausea, trouble swallowing, chest tightness, dizziness. Taken to ED. Given Benadryl 25 mg IV, Epi 0.3 mg subcutaneous, methylprednisolone 125 mg IV. Discharged home with steroids and Benadryl.

Other Meds:

Current Illness:

Date Died: 02/02/2021

ID: 0997642
Sex: F
Age: 62
State: MT

Vax Date: 01/19/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: vibramyacin

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

Symptoms: We were notified 02/02/2021 of patient's death. Unknown cause at this time.

Other Meds: unknown

Current Illness: possible blood clots, not disclosed at time of vaccination

ID: 0997643
Sex: F
Age: 43
State: OH

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Ibuprofen

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

Symptoms: I have pain in my right axillary area, or lymph nodes.

Other Meds: Atoravastatin, chewable aspirin, probiotic over the counter pill

Current Illness: None

ID: 0997644
Sex: F
Age: 83
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
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: Sulphur, some antibiotics

Symptom List: Pain in extremity

Symptoms: 5 cold sores, red blotch on cheek, fever, fatigued, gastro distress, Woke up the next day, 1/23/21 with these events. All was gone the next day except the cold sores which are now healed.

Other Meds: Olmesartan Medoxomil 40 mg, ; Doxazosin Mesylate 2 mg,; Montelukast SOD 10 MG; Trelegy 100 MCG/62.5 MCG/25MG; D3 25 mcg (l000iu);

Current Illness: seasonal allergies

ID: 0997645
Sex: F
Age: 70
State: WA

Vax Date: 01/23/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: none known

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

Symptoms: Moderna COVID?19 Vaccine EUA Approximately 8 days after the injection, I noticed that the injection site was a little bit itchy. When I looked at the site, I discovered that there was a red circular area surrounding the injection site. The redness of the area has been fading some over the past few days but is still slightly present. The itchiness has been very minor.

Other Meds: One-A-Day Women's 50+ multivitamin

Current Illness: none

ID: 0997646
Sex: F
Age: 52
State: NC

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

Lab Data:

Allergies: coumadin

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

Symptoms: Severe leg pain, cramps, left arm sore at the injection site.

Other Meds: Xarelto wellbutrin

Current Illness: cold symptoms, runny nose, sore throat

ID: 0997647
Sex: F
Age: 30
State: CO

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: hep b vaccine (chest rash)

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

Symptoms: immediate injection site soreness, later lethargy and upper body soreness, and continuing full body sore/aches and lethargy

Other Meds: no rxs

Current Illness: no

ID: 0997648
Sex: F
Age: 69
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
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: Patient complaint of numbness to upper lip, no swelling to lip, no itching, no trouble talking, no problems swallowing. Patient monitored from 5:26pm to 6:00pm Pt was given benadryl 25mg PO at 5:29pm 5:45pm Patient stated that lip numbness was gone, "feels like normal" 6:00pm Patient went home with husband.

Other Meds:

Current Illness:

ID: 0997649
Sex: F
Age: 31
State: NE

Vax Date: 01/22/2021
Onset Date: 02/03/2021
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: bactrim, belviq, alfalfa, dustmites, pollens, trees

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 12 days after injection my left arm has a large island shaped type rash that is 4inches long and 1.5inches wide. I noticed for the last couple of days a tiny red spot but thought it may have been a dry skin spot and this morning it turned into a large spot that is hot to the touch but does not hurt or itch.

Other Meds:

Current Illness:

ID: 0997650
Sex: F
Age: 53
State: KS

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

Lab Data:

Allergies: Ragweed, Poisen Ivy, Latex

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

Symptoms: Approximately 4:30 begin notice it was difficult to pull in a breath of air "like I was breathing through a tube". As time went on she describes it that she couldn't get a deep breath. At approximately 4:36 pm used her Albuterol 90 mcg ( 2 puffs) inhaler. It did not give her any relief. At 4:55 took 50 mg of Benadryl. She noticed mucus forming in her throat and tightening in throat. At Approximately 5:15 EMS came to evaluate. BP elevated, 171/110, 174/108, 166/127. while being evaluated she felt like the benadryl started to kick in and she started to feel a little better. Through the night she started to feel somewhat better, headache and some pain in the back of her neck and knee pain was noted in the evening.

Other Meds: Magnesium with Calcium, Zinc, & Vitamin D3 & Potassium

Current Illness: none

ID: 0997651
Sex: F
Age: 85
State: OH

Vax Date: 01/20/2021
Onset Date: 01/29/2021
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: Bactrim

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Moderna COVID?19 Vaccine EUA At at the injection site - red skin irritation in a circular form. Sore, itches.

Other Meds: Lisinopril, Norvasc, Plaquenil, Lasik, low dose aspirin

Current Illness: None

ID: 0997652
Sex: F
Age: 79
State: CO

Vax Date: 01/21/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: Had Moderna Covid vaccine 1/21. 3 days later she had nausea and dry heaves, cough, & clear rhinorrhea. The next day she had a fever, Max 101, poor appetite and nausea. Fever last 3 days, then went away. Still having fatigue 1 week out

Other Meds: Anoro inhaler, Azelastine eye drops, Budesonide, Ca/Mg, Flonase, Vit D2, Vit C, Proair, MVI, Losartan, Floanse

Current Illness: none

ID: 0997653
Sex: F
Age: 42
State: ME

Vax Date: 01/21/2021
Onset Date: 01/22/2021
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: All Cillins, Latex, Raisins and Rhubarb

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

Symptoms: Day 2: Left arm tenderness at injection site, inability to regulate body temperature so felt cold all day and couldn?t get warm, fatigue and small blisters on left ear and right upper leg that eventually hardened, scabbed and diminished. Day 13: large red splotchy area at injection sight that feels hot to the touch and Cystitis (bladder spasms with urgency to urinate constantly with blood in urine as confirmed by a visit to PCP). Male coworker who received vaccine the same day also reporting cystitis.

Other Meds: Emoquette Birth Control Levothyroxine

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm