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: 0998288
Sex: F
Age: 71
State: WI

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

Lab Data:

Allergies: nk

Symptom List: Dysphagia, Epiglottitis

Symptoms: client received injection at approximately 10:45 am. She was sent to the waiting area for her 15 minutes of monitoring and notified the room monitor at 10:50 that she needed to lie down. The nurse was summoned and observed fine tremors; client stated she gets this with injectable meds , but that usually taking gabapentin 300 mg 1 hour prior helps. She was adamant that an ambulance not be called. Taken by wheelchair to first aid room and she lay down on the cot. Advised that if at any point she was unable to converse and remain alert and oriented that an ambulance would be summoned. She continued to have tremors and spasms of varying intensity on and off until approximately 11:10. Vitals remained stable, and she was able to continue to converse. Monitored until 11:40,. At that point she stated she felt completely normal and was escorted to her ride. Advised to check in with regular provider, and to arrange booster at provider's office. She will call if she experiences any further reactions outside of the expected side effects.

Other Meds: gabapentin 300 mg po 1 hr before injection

Current Illness: none

ID: 0998289
Sex: F
Age: 30
State: NC

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: 20 WEEK GESTATION BECAME FAINTY WITHIN 15 MINUTES OF INJECTION, B/P 112/72

Other Meds:

Current Illness:

ID: 0998290
Sex: M
Age: 17
State: MT

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: Unknown

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

Symptoms: Date of birth verified after immunization administered

Other Meds: Unknown

Current Illness: None

ID: 0998291
Sex: F
Age: 24
State: AZ

Vax Date: 01/28/2021
Onset Date: 01/30/2021
Rec V Date: 02/03/2021
Hospital: Y

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: Pericarditis. Burning and stabbing pain in chest, pain shot down into left arm. Lasted days.

Other Meds: Copper IUD

Current Illness: None

ID: 0998292
Sex: F
Age: 63
State: CT

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: IM
Vax Site: LA

Lab Data:

Allergies: Quinolones - Cipro, Noroxin, Floxin, Avelox and Levaquin

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

Symptoms: Pt was designated as a 30 minute wait time due to anaphylaxis to Quinolones. Pt reported at the 30 minutes mark feeling a tingling down her left arm. Observation volunteer evaluated pt. VSS BP 117/78 HR 77 O2 98% mild rash on arm where injection was administered. EMS on site to evaluate. Pt signed a refusal for transport to the ED as she stated she was feeling better and symptoms resolved.

Other Meds: Nothing listed in VAMS

Current Illness: None

ID: 0998293
Sex: F
Age: 42
State: TX

Vax Date: 01/29/2021
Onset Date: 01/30/2021
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: latex

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

Symptoms: 1/29/21 Friday night: Muscle in upper arm knotted up so bad it pinched the nerve and my arm was useless. I had muscle weakness and joint pain down to my wrist. I had to do old physical therapy exercises, ice pack on upper arm, and took tylenol (really wanted to take advil). Saturday evening: I discovered my lymph gland was swollen and very sore under my left arm. Took a hot shower and it helped. As long as I don't wear a regular bra it's ok. Sore to touch or if I moved my arm a lot. Tylenol (again with the advil)and heating pad. Still sore today. Creeps me out. I also, slept all day Saturday. Took a long nap Sunday. Went to the clinic on Monday, back to another clinic on Tuesday-Tuesday was when I had the extreme exhaustion. I napped for 3 hours in the afternoon and was so tired and woozy when I woke up. I had brain fog. Couldn't concentrate or care about much for awhile. Today, I slept in, and feel fineat the moment. Waiting to see if I have that nap exhaustion thing. I plan to walk some and go pick up some Vitamin C and Zinc supplements today.

Other Meds: Lexapro LoLoEstrin Fe Valacyclovir/Acyclovir as needed Klonopin as needed Parafon Fort DSC as needed gummy vitamins vitamin D3 fish oil probiotics

Current Illness: anxiety/depression

ID: 0998294
Sex: F
Age: 35
State: NH

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: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: soy and rice

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: rash, blisters, i am now diagnosed with Shingles

Other Meds: none

Current Illness: none

ID: 0998295
Sex: F
Age: 16
State: AZ

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 0998296
Sex: M
Age: 21
State: CA

Vax Date: 12/28/2020
Onset Date: 01/01/2021
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: No

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I woke up on 1/11/2012 feeling very fatigue and fevreish. I continued to try to rest wasn't feeling better therefore I want to get tested Covid (results positive).

Other Meds: No

Current Illness: No

ID: 0998297
Sex: M
Age: 72
State: AL

Vax Date: 02/02/2021
Onset Date: 02/02/2020
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: NKDA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Pt said eh was dizzy when he came in to get the vaccine

Other Meds: multiple meds taken. pt did not being a list

Current Illness: dizziness, arthritis, heart disease bleeding disorder

ID: 0998298
Sex: F
Age: 75
State: NC

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: No patient-reported adverse events.

Other Meds: Unknown

Current Illness: None.

ID: 0998299
Sex: M
Age: 36
State: MI

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

Symptom List: Rash, Urticaria

Symptoms: Identified after the patient was administered COVID vaccine that their screening form indicated they were treated with passive antibody therapy for COVID19 within last 90 days. Administering clinician coached on inclusion and exclusion criteria and who to contact for any questions that are answered opposite expected result.

Other Meds:

Current Illness:

ID: 0998300
Sex: F
Age: 54
State: IA

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

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

Symptoms: Developed headache, fever and cough on 1/25 unable to come to work 1/26 and 1/17. Saw provider 1/28 was admitted to hospital with fever, pneumonia, dehydration, elevated d-dimer, headache and cough. Given IV fluids, antibiotics, steroids and nebulizers. Discharged home 1/30/2021.

Other Meds:

Current Illness:

ID: 0998301
Sex: F
Age: 56
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: Eythromycin

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

Symptoms: Started with a dry mouth and feeling thirsty then itching/rash on hands and arms. Pulse: 64 BP: 132/80. Gave employee benadryl cream and it helped with symptoms. Employee drank 2-3 bottles of water and in 30-45 minutes was better.

Other Meds: Effoxor 75 mg Ambien Benacar Hctz 60 Airbourne

Current Illness: None Has Had 3 deaths since December

ID: 0998302
Sex: M
Age: 16
State: VA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Client only 16 years old and received vaccine. No adverse effects noted.

Other Meds:

Current Illness:

ID: 0998303
Sex: F
Age: 47
State: CA

Vax Date: 01/30/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: I was disoriented & confused the day after I got my last vaccine shot. I didn?t know how to even send a text message. I?ve had a headache since I got the last vaccine, dizzy, blurred or abstracted vision.

Other Meds: Multi vitamin Doxycycline Zpack

Current Illness: Ear infection

ID: 0998305
Sex: F
Age: 71
State: MT

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

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

Symptoms: Headache & Fatigue

Other Meds:

Current Illness:

ID: 0998306
Sex: F
Age: 69
State: FL

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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Within 15-minutes of vaccination, patient reported lightheadedness and dizziness. EMS managed patient's condition on-site.

Other Meds:

Current Illness:

ID: 0998307
Sex: F
Age: 49
State: TX

Vax Date: 01/29/2021
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: Asthma triad, PCN, all citrus, environmental (all trees)

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Immediately, her eyes started to itch and water. She took a puff on her inhaler. She was observed by onsite paramedics. She was allowed to leave after 30 minutes with no progression of symptoms. Later that evening, she began wheezing and was fatigued. She continued to have symptoms over the weekend. She saw her allergist on Monday Feb 1, who restarted her Singulair and advised to not get the 2nd dose. Her symptoms are improving today, but remain.

Other Meds: Singulair, Synthroid, Breo, ProAir, LexaPro, Vertec, FloNase, probiotic, Cranberry extract, Vitamin D,

Current Illness: Wheezing one week prior to vaccination

ID: 0998308
Sex: F
Age: 35
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
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: Celcor

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

Symptoms: Fatigue, heavy feeling in legs, sore legs and sore joints

Other Meds:

Current Illness:

ID: 0998309
Sex: F
Age: 39
State: CA

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: Amoxicillin

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

Symptoms: Moderna Covid 19 Vaccine EUA

Other Meds: Losartan Fish oil

Current Illness: Cough

ID: 0998310
Sex: M
Age: 60
State:

Vax Date: 01/07/2021
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: LA

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Bell's palsy On 1/11 Patient began experiencing tingling in his left jaw On 1/18 he began experiencing aches in his teeth On 1/22 paralysis of L side of his face, did not spare the forehead

Other Meds:

Current Illness:

ID: 0998311
Sex: F
Age: 73
State: NV

Vax Date: 01/24/2021
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: LA

Lab Data:

Allergies: None known

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

Symptoms: This event occurred 9 days post 2nd Moderna vaccine. I also had a delayed reaction after the first dose documented on v-safe. On 2/2/21: symptoms included fatigue, chills, and fever and night sweats and increase in sleep time. These symptoms also occurred on the day following the 2nd dose. As on the day following the 2nd dose, I self medicated on the evening of 2/2 with one ibuprofen/acetaminophen (125mg/250mg) tablet . No significant symptoms on waking on 2 / 3 / 21 other than mild fatigue.

Other Meds: Estrogen via skin patch 0.025/mg, 81 mg aspirin

Current Illness: No other illness

ID: 0998312
Sex: F
Age: 59
State: KS

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

Lab Data:

Allergies: NKMA

Symptom List: Injection site pain, Pain

Symptoms: Around 3 am on 2/3 2021 this employee started having chills and her right arm ached. She got out of bed at 6 am and had achyness all over with headache and a temp of 101. She was slightly nauseaous but this resolved on eating a cracker. She took Ibuprofen at 6am and slept for 2 more hours and woke up hot. It took her 7 hours to get over these symptoms.

Other Meds: Uncertain

Current Illness: None

ID: 0998313
Sex: F
Age: 76
State: MD

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Probable Covid Vaccine Arm. Itching and redness appeared 8 days following vaccination. Began yesterday, 2 February and continues.

Other Meds: Simvistatim Symbacort Restasis Prevagen Systane Ultra

Current Illness: Dry eye, corneal scarring

ID: 0998314
Sex: F
Age: 85
State: IN

Vax Date: 01/21/2021
Onset Date: 02/01/2021
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: Norco, Tramadol, Sulfa

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

Symptoms: pt developed cellulitis, warmth and redness in the arm the vaccination was received. Pt to start oral antibiotics to treat.

Other Meds:

Current Illness: Breast Cancer, anxiety, HTN, bone mets, chronic GERD, arthritis, diarrhea, frequent falls, HLD, hyponatremia, IBS, PAF, spinal stenosis, urinary incontinence

ID: 0998315
Sex: F
Age: 80
State: WA

Vax Date: 02/03/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: patient reported a metallic taste in mouth but no other symptoms, around 9:46 (11 minutes after onset) the metallic taste was resolving

Other Meds:

Current Illness:

ID: 0998316
Sex: F
Age: 52
State: IL

Vax Date: 01/30/2021
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: NONE

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 4 days after my second injection of Moderna I developed right upper arm swelling, redness and warmth to the touch as well as a fever.

Other Meds: CELEXA, RITALIN, HORMONE PATCH, XANAX, LISINOPRIL

Current Illness: NO

ID: 0998317
Sex: F
Age: 35
State: IN

Vax Date: 02/02/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin

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

Symptoms: Rash

Other Meds: Prenatal vitamin

Current Illness:

ID: 0998318
Sex: F
Age: 45
State: AL

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: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Pt came for second Moderna Vaccine. A few minutes after receiving injection pt reported feeling dizzy, the room was spinning and she was nauseas. Pt ended up vomiting. BP was checked and was 180/120. Pt reported a hx of hypertension. She said she did take her medications this morning and had clonidine at work to take PRN. Pulse was 91 and o2 sat was 99%. Pt was monitored 30 minutes after vaccine. We rechecked pressure and it was 160/110. Pt refused any EMT medical services to be called. She said she could just take her clonidine when she got to work. I called patient this afternoon at 12:33 to follow up. Pt reports feeling better. She said her pressure was down to 150/90 which she said was good for her.

Other Meds:

Current Illness:

ID: 0998319
Sex: F
Age: 47
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Approx 18 hours post-vac, I began to experience joint/muscle pain and fever. Pain and fever escalated over next 24 hours, with fever reaching 101.5F and pain in elbows, hips, knees that severely restricted mobility. Has begun to abate, but joint pain remains.

Other Meds:

Current Illness:

ID: 0998320
Sex: F
Age: 92
State: MN

Vax Date: 01/19/2021
Onset Date: 01/25/2021
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: Augmentin, ciprofloxacin, CONTRAST DYES, ENVIRONMENTAL SUBSTANCES, Lactose, Nexium, Prilosec, Soap, Statins-Hmg-Coa Reductase. ZOCOR

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

Symptoms: PROBABLE CELLULITIS OF ARM AT INJECTION SITE (BLISTERED) WITH WARM ERYTHEMA FROM SHOULDER TO ELBOW. WENT TO ER AND HAD WEEK COURSE OF ANTIBIOTICS.

Other Meds: PER SELF

Current Illness: NONE REPORTED

ID: 0998321
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: RA

Lab Data:

Allergies: None

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

Symptoms: Fever, body/joint aches, painful injection sites do nausea

Other Meds: Prilosec, Pepcid, Lisinopril, Zyrtec, omega oil, doterra vitamin supplements .

Current Illness: No

ID: 0998322
Sex: F
Age: 43
State: FL

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: Sulfa drugs

Symptom List: Tremor

Symptoms: headache, fatigue, body aches, brain fog, joint pain and chest congestion

Other Meds: levothyroxine (SYNTHROID, LEVOTHROID, LEVOXYL) 112 MCG tablet LORazepam (ATIVAN) 1 MG tablet

Current Illness: NA

ID: 0998323
Sex: M
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: shellfish

Symptom List: Erythema, Pruritus

Symptoms: Dose on 01Feb2021 at 11:25am. feeling very tired on 01Feb2021 at 900pm. Woke up on 02Feb2021 at 3:30am with chills, feeling hot, mild body aches, mild headache with 102 fever...took Tylenol and went back to sleep. Woke up on 02Feb2021 at 9am with mild nausea, headache and feeling drained and tired. No fever. Spent all of 02Feb2021 feeling tired with slight nausea. No fever. Took second dose of Tylenol at 3pm on 02Feb2021. Went to bed that night and slept well. Woke up on 03Feb2021 feeling fine with very mild sore arm.

Other Meds: Olmesartan Medox/HCTZ 20-12.5 mg Tab daily Loratadine 10 mg daily Nature's Bounty D3 5000 IU x3/weekly nature made Multi for Him 50+ vitamins x4/weekly

Current Illness: none

ID: 0998324
Sex: F
Age: 22
State: TX

Vax Date: 12/28/2020
Onset Date: 12/28/2020
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: I am not allergic that I know of.

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

Symptoms: I had dizziness, headache, chills, fever of 100.7 .

Other Meds: I take birth control and albuterol.

Current Illness: None

ID: 0998325
Sex: F
Age: 72
State: IN

Vax Date: 01/26/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: none known

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

Symptoms: The vaccine injection site is a "buldge" that is red and has a rash underneath the skin. It is warm to the touch; but I do not have a fever. It itches. The site was find after the injection, but reaction occured at the later date.

Other Meds: prolia, anastrozole, zoloft, aspirin, iron, calcium,vitamin

Current Illness:

ID: 0998326
Sex: F
Age: 40
State: TX

Vax Date: 01/22/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Pineapple

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Swollen & warm to touch & tender all across upper arm. Not just spot of injection site. Approximately 7? across and 1? down. Not severe enough to cause me to contact dr yet. Just to inform of reaction.

Other Meds: Bupropion

Current Illness: None

ID: 0998327
Sex: M
Age: 74
State: MT

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Headache

Other Meds:

Current Illness:

ID: 0998328
Sex: F
Age: 70
State: CT

Vax Date: 01/15/2021
Onset Date: 01/25/2021
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: Gluten

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

Symptoms: Hives covering trunk, itchy arms and hand. Swollen lower lip and fever blister on chin.

Other Meds: Calcium, Vitamin D, Glucosamine

Current Illness:

ID: 0998329
Sex: F
Age: 29
State: TX

Vax Date: 01/13/2021
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: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Began experiencing full body itchiness about 1.5 weeks after receiving her first COVID vaccine dose. She takes benadryl at night to help with the symptoms. When the benadryl wears off the symptoms return. Still experiencing itchiness.

Other Meds:

Current Illness:

ID: 0998330
Sex: F
Age: 38
State: TX

Vax Date: 01/14/2021
Onset Date: 01/15/2021
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:

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

Symptoms: Report rash and itchiness all over day after vaccine given. Treatment Benadryl on day 3 : Outcome complete resolution of symptoms.

Other Meds:

Current Illness:

ID: 0998331
Sex: F
Age: 74
State: FL

Vax Date: 01/20/2021
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: IVP dye, some sutures

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

Symptoms: No adverse event at time of vaccine. It has been 13 days since I got the vaccine and yesterday my right arm became swollen and warm to the touch. It looks a little red but that is all the symptons I have had so far. I don't know if that would be called an adverse event or a delayed side effect.

Other Meds: Metformin, Telmisartan, potassium, furosemide, rosuvastatin, and vitamins B12, C, D3, Zinc.

Current Illness: none

ID: 0998332
Sex: F
Age: 22
State: DC

Vax Date: 01/25/2021
Onset Date: 01/25/2021
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: N/A

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

Symptoms: Chest tightness starting ~4 hours post-injection accompanied by increased HR and mild pain/pressure on deep inspiration. Occurred intermittently for the rest of the evening (1/25/21) and into the next day (1/26/21). Mostly located along the left side of the sternum and at the base of the sternum. In the following 9 days (to today (2/3/21)) symptoms persisted, occurring about once a day and gradually becoming more mild. On day 4 post-injection (1/29/21) enlarged and tender lymph nodes were noticed in the left axillary region and supraclavicular region. They grew in size and increased in tenderness to mild pain until 2/1/21 and have since been steadily decreasing in size and in tenderness although still noticeable in size and uncomfortable today. Symptoms did not prevent me from doing my normal exercise or school activities. No treatment or medications were taken.

Other Meds: Sprintec Ibuprofen - headaches, as needed

Current Illness: N/A

ID: 0998333
Sex: F
Age: 55
State: NY

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: None

Symptom List: Vomiting

Symptoms: Sore, achy neck and lower back x few days

Other Meds: Multivitamin, vitamin D, turmeric

Current Illness: None

ID: 0998334
Sex: F
Age: 55
State: NE

Vax Date: 01/27/2021
Onset Date: 01/29/2021
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: alergic to sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 36 hours after receiving the 1st dose of Pfizer vaccine I experienced extreme dizziness in the morning, nauseous, chills, hot flashes, racing heartbeat and was very weak. Had some lapses in thought process. I did not have a fever. These symptoms persisted for 5 days. On 2-2-21 I started to get a migraine, so took a prescription medication (Sumatriptan Succinate Tablet 50 mg) and this helped with the nauseousness. My symptoms seem to decrease around 3pm in the afternoon, but never completely go away. Each morning, the cycle repeats with dizziness, nauseousness and chills and some thought lapses. It's been one week since my first dose of the vaccine, and these symptoms are lessening but are still prevalent.

Other Meds: Aleve, multi-vitamin, omega 3-6-9, probiotic

Current Illness: sore jaw so was taking Aleve

ID: 0998335
Sex: F
Age: 43
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: RA

Lab Data:

Allergies:

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

Symptoms: at 12 hours: Chills, muscle spasms and ache 12-36 hours: Fever (101), chills, sweating, extreme fatigue, muscle ache, general malaise, headache 36-48 hours: slept 48 hours: some fatigue and muscle aches. No other symptoms.

Other Meds:

Current Illness:

ID: 0998336
Sex: F
Age: 40
State: OH

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: High grade fever 104, chills, severe myalgias, nausea despite Tylenol RTC

Other Meds: Spironolactone

Current Illness: None

ID: 0998337
Sex: F
Age: 54
State: FL

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: RA

Lab Data:

Allergies: Septra

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

Symptoms: I felt fine that day, even did a 2 mile run after work. I slept poorly and the next day was sore all over and very tired. I came to work but was dragging the entire day. Wednesday morning, after a good sleep, soreness was gone, but I was tired early the next afternoon. I was fine Thursday but continued to have sore lymph nodes in the armpit of the arm that got the shot for several days after.

Other Meds: Symbicort, acyclovir, Singulair,

Current Illness: None

ID: 0998338
Sex: M
Age: 77
State: TN

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

Lab Data:

Allergies: None known.

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

Symptoms: General light dizziness. "Seeing was not right." This abated a few hours later.

Other Meds: Ramipril, carvedilol, simvastatin, .81 aspirin, multivitamin, D3, elderberry.

Current Illness: None.

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm