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: 0998339
Sex: M
Age: 68
State: AZ

Vax Date: 01/30/2021
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: Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Soar arm for the first 36 hours. 38 hours after shot woke up and couldn't go back to sleep. 40 hours after shot extreme weakness. My wife had to help me get out of the recliner and get dressed for our trip. Also I was very confused. I was a bit nauseous and did not want to eat. My blood sugar was 226. For the next 6 hours as we traveled, I had to pee every 30-45 minutes. I needed help getting in and out of the rest stops and the vehicle. As we traveled I mostly slept. I did drink a little diet soda, but did not eat. After the 6 hours of travel I felt a stronger and was able to get out of the car and into the houses by myself. For the next 24 hours I felt week, ate very little and sugers ran high.

Other Meds: Gocovri, Sinemet, Nucynta, Farxiga, Tresiba, plus 14 more

Current Illness: 3 day head cold Jan. 18, 19 and 20

ID: 0998341
Sex: F
Age: 43
State: MA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
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: I took the vaccine on 13th Jan. Since yesterday (1/20/21) I had swelling and redness at the vaccine site. Today it became more hardened and swollen and there is inflammation above the left clavicle region. Also I feel itching in the arm where injection was done.

Other Meds:

Current Illness:

ID: 0998342
Sex: F
Age: 62
State: MO

Vax Date: 01/26/2021
Onset Date: 01/28/2021
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: PPD STATINS

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

Symptoms: Rash on trunk of body with nausea and vomiting x48 hours

Other Meds:

Current Illness: Total knee replacement

ID: 0998343
Sex: F
Age: 30
State: MN

Vax Date: 01/04/2021
Onset Date: 01/11/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Recipient reports knot and redness at sight of injection a week after it was administered .

Other Meds:

Current Illness:

ID: 0998344
Sex: M
Age: 50
State: NM

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: None

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

Symptoms: Nausea weakness muscle joint pain headache and fever

Other Meds: None

Current Illness: Had tested positive for covid December 16th 2021

ID: 0998345
Sex: F
Age: 27
State: TX

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

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

Symptoms: Overnight body aches, sore muscles & joints, chills, low grade fever, back pain

Other Meds:

Current Illness:

ID: 0998346
Sex: F
Age: 71
State: VA

Vax Date: 01/29/2021
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: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: about 30 minutes after shot was having extreme fatigued to the point i had to go home and lay down. Bad head ache, chills, upset stomach, Fever of 100.0, extreme soreness at the shot site. A little bit of a cough and stuffy nose. lasted about 3 days. the headache is still lingering.

Other Meds: Vitamins

Current Illness:

ID: 0998347
Sex: F
Age: 82
State: AL

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: Pharyngeal swelling

Symptoms: Nausea, dull headache, dizziness, fever (101.1), soreness at sight of injection

Other Meds:

Current Illness:

ID: 0998348
Sex: F
Age: 48
State: MA

Vax Date: 01/27/2021
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: Penicillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Shingles or HSV1 bilateral systemic rash on back and foot. swelling and vascular changes in eyes. Bi-lateral rib pain cough and chest pain that lasted 5 days headache fatigue for more than 5 days

Other Meds: Valacyclovir 500mg/ 1xday IC Propylthiouracil 50mg BID adderall 20 mg/day

Current Illness: Graves disease ADHD

ID: 0998349
Sex: M
Age: 84
State: NV

Vax Date: 01/23/2021
Onset Date: 01/27/2021
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: none known

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Initially, red rash with severe itching at injection site on left arm, spreading down arm with increasing swelling, itching, and discomfort. Treated with Benadryl cream locally, Benadryl and Tylenol orally for 4 days with improvement. MD visit on 5th day of reaction for evaluation and prescribed Keflex for possible cellulitis. Swelling remains after 7 days but itching and redness decreased.

Other Meds: Irbesartsn 75mg, Finasteride 5mg, Atorvastatin 10mg, tasalafil 5mg, biotin 5000 mcg, Calcium 600+D3 Eliquis 5mg twice a day

Current Illness: none

ID: 0998350
Sex: F
Age: 22
State: MA

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Augmentin

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

Symptoms: headache, body aches (shooting pains in ear, lower back, top of head), low grade fever (100.0) for 3-4 hours, fatigue

Other Meds: Spironolactone 100mg per day

Current Illness:

ID: 0998351
Sex: M
Age: 50
State: NY

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: No none Allergies

Symptom List: Rash, Urticaria

Symptoms: At 10:35am patient received Pfizer vaccination , Patient ambulated to the chair and at approximately 10:40 am patient was sitting in chair appearance pale, diaphoretic, with complaints of dizziness , Patient remain Alert and oriented x 3 no loss of consciousness . Patient stated he have history of known needle phobia . Denies any past medical history. Patient also stated did not receive adequate breakfast or sleep. Water was given and also candy to increase blood sugar. Patient blood sugar and color improved after 10 minutes and also stated to feel back to his normal . Patient able to stand and walk on his own . EMS arrived on scene at 1050 am. Patient RMA. Vital signs 97.4 , 98, 74,112/74.

Other Meds: None

Current Illness: no known illnesses

ID: 0998352
Sex: F
Age: 71
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Within 15-minutes of vaccination, the patient reported a metallic taste in their mouth. EMS monitored patient's condition on-site.

Other Meds:

Current Illness:

ID: 0998353
Sex: F
Age: 31
State:

Vax Date: 12/18/2020
Onset Date: 01/02/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: NKDA

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

Symptoms: Received COVID vaccine on 12/18/2020. On 1/2/2021 started to note inflammation of superior auricular and superior cervical nodes. Rash on left side of head appear around 1/3/2021. On 1/7/2021 diagnosed with shingles.

Other Meds: None

Current Illness: None

ID: 0998354
Sex: M
Age: 45
State: CA

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

Lab Data:

Allergies: Morphine

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

Symptoms: Shortly after my first vaccine I began experiencing left shoulder, arm and hand tingling and cramping/spasming lasting 10-15 seconds each time. This is ongoing and occurs 3-4 per hour.

Other Meds: Pristiq, Trazadone, Gabapentin, Albuterol, Lomotrigene

Current Illness: Minor wheezing from allergies

ID: 0998355
Sex: F
Age: 33
State: CA

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

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

Symptoms: 1st dose: Itchiness all over. Mild rash on arms/chest, flushed, feels hot. Took Benadryl 50mg oral x1 and felt slightly better at 1540 BP152/101 P 85. 1600 she felt weird and looked uncomfortable and decreased energy. 1600 BP 183/105 HR 93. Hives on 2nd day. But recovered. Followed up with PCP. PCP recommended 2nd dose with Benadryl.

Other Meds: Metformin, Lisinopril

Current Illness: no

ID: 0998356
Sex: F
Age: 47
State: MD

Vax Date: 01/14/2021
Onset Date: 01/17/2021
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: continuous headaches

Other Meds: Associate taking tramadol, Ibuprofen, Muscle relaxants, and received IV fluids

Current Illness: none

ID: 0998357
Sex: F
Age: 30
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: About 12 hours after the injection, severe myalgias began affecting the back, hands, and knees primarily. Associated symptoms included headache, intermittent nausea, loss of appetite, fever (up to 102F), rigors, and severe malaise. I began taking Advil 400mg Q6H in order to bring down the fever and help with the severe myalgia. The fever and other symptoms were severe for approximately 26 hours. After 26 hours, the fever subsided and myalgia only remained in the lower back. Throughout this course, there was also severe left deltoid soreness and pain. Approximately 30 hours after vaccine administration, a swollen erythematous rash appeared on the left arm. It continued to enlarge and was warm to the touch. This rash started to migrate down the deltoid and over the bicep and was fully gone about 4-5 days after vaccine administration.

Other Meds: Birth control, multivitamin, biotin gummy supplement, collagen supplement

Current Illness: None

ID: 0998358
Sex: F
Age: 46
State: VA

Vax Date: 01/28/2021
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: Swollen lymph node above left collar bone, overall not feeling well

Other Meds: chlorthalidone, vitamin b-12, vitamin d, ferrous sulfate, multivitamin

Current Illness: None

ID: 0998359
Sex: M
Age: 24
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:

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

Symptoms: Headache, malaise, and night sweats 24 hours post vaccine

Other Meds: Loratadine

Current Illness:

ID: 0998360
Sex: F
Age: 55
State: NV

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: NKA

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

Symptoms: Pt felt nauseous, headache, lips swell, itchy face. dizziness

Other Meds: Refresh Optive 0.5-0.9% Opthalmic Solution

Current Illness: None

ID: 0998361
Sex: F
Age: 74
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
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: NoneNone

Symptom List: Unevaluable event

Symptoms: Fever 101.2 and teeth-rattling chills over a period of 5 hours Sore arm at injection site immediately after shot lasting for a period of 2 days

Other Meds: Simvastatin, Triamterine, Vit. C, Vit. B12, Calcium,

Current Illness: None

ID: 0998362
Sex: F
Age: 45
State: CA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Swollen lymph node 1 week after vaccine

Other Meds:

Current Illness:

ID: 0998363
Sex: F
Age: 34
State: TX

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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: generic seroquel Quetiapine

Symptom List: Injection site pain, Pain

Symptoms: Headache, body aches the evening of vaccination and for 2 days after. Then on 1/31/21 (Sunday) a big red spot warm to the touch, painful and itchy appeard.

Other Meds: Seroquel, Xanax, Trintellex, Hydrochlorothiazide, Lamitrigine, Spironolactone, Temazepam, Famotidine

Current Illness: none

ID: 0998364
Sex: M
Age: 37
State: LA

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: 01/28/21 - bodyaches 01/29/21 - headache and bodyaches 01/30/21 - reticular rash on bilateral upper extremities, chest, abdomen, upper and lower back; burning, itching to rash area; bodyaches, headache; redness with induration around injection area (left deltoid) - He took Tylenol, Ibuprofen, and Benadryl

Other Meds: None

Current Illness: None

ID: 0998365
Sex: M
Age: 46
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient at 8:25 had itching to Left chest and rash on left chest. Patient examined by doctor. Benadryl 50mg IM ordered. Patient was advised to notify supervisor and to not operate any machinery for 4-6 hours. If symptoms worsen, go to ED.

Other Meds:

Current Illness:

ID: 0998366
Sex: F
Age: 45
State: MO

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: NKA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Extreme numbness and tingling in left hand, beginning 15 minutes after vaccination. Numbness was severe enough to interfere with normal activities such as typing, texting, dialing phone. Patient became nauseated and very dizzy (unable to walk unaided) within 1 hour of vaccination. Numbness improved after 24 hours, and was back to normal after 72 hours. Nausea and dizziness lasted for 24 hours. No previous reactions to vaccines of any kind.

Other Meds: Claritin, Zyrtec

Current Illness: None

ID: 0998367
Sex: F
Age: 31
State: AL

Vax Date: 01/07/2021
Onset Date: 01/15/2021
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: penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Day 7 post vaccine: Coughing, chest congestion, fatigue Day 8 post vaccine: Coughing, chest congestion, fatigue, wheezing, injection site became red and hard and was hot to the touch; was tested for COVID-19 and given a topical steroid for the injection site. Day 9 injection site reaction was larger and arm was swollen in the area of the injection and was still hot to the touch and hard. Day 10 injection site reaction was larger again and was still swollen and hot but was less hard. Day 11-15 continued to use steroid cream, did not get larger, perimeter of reaction could still be seen but started to get less red and less swollen. Day16-20 no longer swollen still a red area Day 27 (today) still slight discoloration still exists around the injection site

Other Meds:

Current Illness:

ID: 0998368
Sex: F
Age: 36
State:

Vax Date: 01/29/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: pt may have allergic reaction to COVID injection, pt had second injection this past friday. rash to arms, swelling/tenderness to lt arm. pt on routine allergy medicine at home.

Other Meds:

Current Illness:

ID: 0998369
Sex: F
Age: 78
State: OH

Vax Date: 01/28/2021
Onset Date: 01/29/2021
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: morphine, codene, celebrex, augmentin causes nausea.

Symptom List: Nausea

Symptoms: The day after the vaccine I woke with a sore arm. Similar to a tetnus shot. By afternoon I was nauseated, I took Pepto Bismo before bed. I woke up in the night with diahrea and severe vomiting, the vomiting was so severe that my stomach muscles were sore for three days after the episode. Sorry about the spelling errors.

Other Meds: Senior multi vitamin, tylenol arthritis, biotin, mag oxide, losartan, duloxetine, furosemide, metformin, gabapentin, tramadol, glimepride, levothroxin, carveldilol, vitamin D, pantoprazole, zyrtec.

Current Illness: None

ID: 0998370
Sex: M
Age: 37
State: SC

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: none

Symptom List: Injection site pain

Symptoms: light headed 11 minutes after shoot, sore arm rest of the day. Next day work up really early with muscle aches, fatigue and bad headache. As the day went on got stomach problems

Other Meds: none

Current Illness: Had COVID-19 back in first week of December

ID: 0998371
Sex: F
Age: 63
State: NJ

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: 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: 10 hours after headache fever chills and muscle pain, then a occipital pain that ran across my head and lasted 8 days.

Other Meds: Valsartain 80mg, Levothyroxine 50mcg, Vit c 500mg, D, Curcetin 500mg, Curcumin 500mg, Flax seed oil, Melatonin 300mg

Current Illness: no

ID: 0998373
Sex: F
Age: 49
State: WA

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: Keflex

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

Symptoms: 1st dose was given on 1/6/21. The side effect was injection site pain and muscle pains in all over the body. 2 nd dose was given on2/1/21. Severe side effect happened. Fever with 102.2, tachycardia, palpitations, abdominal pain, chills, muscle and joint pain all over the body(of course, injection site pain).

Other Meds: None

Current Illness: None

ID: 0998374
Sex: F
Age: 21
State: UT

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

Lab Data:

Allergies: lactose intolerant

Symptom List: Tremor

Symptoms: Fever like symptoms: vomiting, body aches, headaches, tiredness

Other Meds: nexplanon birth control implant

Current Illness: n/a

ID: 0998375
Sex: F
Age: 34
State: TX

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

Lab Data:

Allergies: Shellfish/iodine, Amoxicillin

Symptom List: Erythema, Pruritus

Symptoms: 0845: generalized weakness, headache, and all over tingling sensation (hard to put into words,) 0900: noticed difficulty in swallowing and swelling bilateral side of the neck from top of the ear to bottom of neck. Throat felt slightly tight, not all he way around the esophagus; pressure from the sides. 0902 notified the desk that I was having a reaction 0902 was brought back into triage and vital signs were taken: heart rate in the 70's, blood pressure within normal parameters, oxygen was 100% on room air and respirations were within the normal parameters. The 2 nurses did an focused assessment, no hives or rash, swelling present face ( eye, lips, or face) Just swollen in the neck area. 0905 25mg Benadryl po -liquid was given 0915 vital signs were retaken and vital signs were in the same range as previously mentioned. The nurse asked if I could stay to monitor signs and symptoms. 0930: I felt like the swelling was going down slightly. 0955: Was rechecked by the nurses and was released. Was told to monitor symptoms at home and go to the er if anything should change. **times might slightly vary per what is stated, tried the best to my ability to recall the exact time line

Other Meds: Evekeo 5 mg: 2 tab morning, 1 tab afternoon One a day multi-vitamin Flaxseed oil Burspar- 10 mg daily

Current Illness: None

ID: 0998376
Sex: F
Age: 42
State:

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:

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

Symptoms: dizziness (mild) after standing, itching skin (no rash)

Other Meds: buPROPion HCL 75 mg tablet busPIRone 5 mg tablet metFORMIN ER 500 mg tablet,extended release 24 hr metFORMIN ER 750 mg tablet,extended release 24 hr montelukast 10 mg tablet Nikki (28) 3 mg-0.02 mg tablet PARoxetine 10 mg tablet

Current Illness:

ID: 0998377
Sex: F
Age: 47
State: AZ

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

Symptoms: Jan. 30 received vaccine at 9:00 by 1:00 that afternoon low grade fever 99.8, headache, chills, muscle soreness, sinus pain, cough, and my left arm really hurt. Jan. 31, had same symptoms as before but fever of 102.8, continued into the night fever became 99. Monday Feb. 1 woke up on headache or fever but now had a rash at injection site and arm still hurts. Later during the day, low grade fever headache, sinus pain, and cough. Today, Feb. 2 I have rash is less and not a much pain in arm. I have low grade fever off and on through out the day and night. Feb. 3, I still have the rash headaches, sinus pain, and small cough. I do try easily . I have not lost my appetite or sense of smell or taste.

Other Meds: None

Current Illness: Diabetic controlled through diet and exercises. Last A1C was 5.5.

ID: 0998378
Sex: M
Age: 84
State: FL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever, chills, severe stiffness in hip joints

Other Meds: Prevastatin, Carvidelol, Warfarin, Vitamin C

Current Illness: none

ID: 0998379
Sex: F
Age: 76
State:

Vax Date: 01/23/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: sulfa, hydrocodone, sodium lauryl sulfate

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

Symptoms: throat tightness, mild dyspnea

Other Meds: rosuvastatin, methocarbamol, trazodone, buspirone, ibuprofen, fluticasone propionate, lamotrigine, aspirin

Current Illness:

ID: 0998380
Sex: F
Age: 59
State: MA

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

Lab Data:

Allergies: cipro

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

Symptoms: 24 hours after the first shot i got a 101 degree temperature for 1 day then second day 100 degree temp, third day I felt better but tired.

Other Meds: estrogen ring

Current Illness:

ID: 0998381
Sex: F
Age: 33
State: TX

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: Adhesive

Symptom List: Pain in extremity

Symptoms: Injection site swollen, red and itchy

Other Meds: Mirena Buspar

Current Illness:

ID: 0998382
Sex: F
Age: 61
State: NC

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: C/O "TINGLING PIN PRICKS" WITH SLIGHT ITCHING SENSATION, NO SOB, NO HEADACHES B/P 136/100 SYMPTOMS SUBSIDED 10 MIN. LATER

Other Meds:

Current Illness:

ID: 0998383
Sex: F
Age: 53
State: TX

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Ibuprofen, Diflucan

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

Symptoms: swollen lymph node beneath arm that received the injection

Other Meds: NP Thyroid, Omeprazole, Vit ADK5, Flonase

Current Illness: Seasonal allergies

ID: 0998384
Sex: M
Age: 47
State: IL

Vax Date: 12/29/2020
Onset Date: 01/02/2021
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: I do not have allergies to medications or food.

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

Symptoms: After the vaccine, within about an hour after, I started feeling a headache, diarrhea, and extreme fatigue. The next day I still had a headache, fatigue and arm soreness. On the 31st, the symptoms kinda went away. I did notice some SOB when walking. I did see my Pulmonologists and was prescribed a medicine.

Other Meds: I take Humira.

Current Illness: No

ID: 0998385
Sex: F
Age: 37
State: CA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Miconazole

Symptom List: Vomiting

Symptoms: Patient had first dose of Moderna COVID vaccination on 1/5/21 and experienced a syncopal episode approximately 10 minutes post administration. She was found to have a low blood sugar (approx. 70) at the time of the syncope. She had her second dose of Moderna COVID vaccination on 2/2/21. Her starting blood sugar displayed on her pump (type 1 diabetic with insulin pump and continuous glucose monitor) was 172 after approximately 20 minutes her blood sugar had dropped to 92, she ate approximately 100 grams of carbs starting at 10 minutes after the 2nd dose of vaccine. Her blood sugar stabilized and remained in the mid nineties after 45 minutes. Her vital signs were stable and she left stating she didn't feel any signs of low blood glucose. Her pump also indicated that her blood sugar was no longer dropping.

Other Meds: Unknown

Current Illness: None

ID: 0998386
Sex: M
Age: 39
State: TX

Vax Date: 01/15/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Tramadol

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Bell's Palsy

Other Meds: Lamaodil

Current Illness:

ID: 0998387
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: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: aspartame

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

Symptoms: in addition to previous adverse events I reported, I failed to mention that my ears have a buzzing noise and it sometimes keeps me awake at night it is so loud. This happened immediately and is ongoing. Also, I had diarrhea the next day. See #280380 submission. I had spoken with others who had taken the Moderna vaccine, and they said they had no reactions to their vaccine. So, I was very taken off guard when I had the reaction approx 5 minutes after the vaccine was given. It was pretty scary.

Other Meds: Vitamins D-3, B complex, C, DHEA

Current Illness: none

ID: 0998388
Sex: U
Age:
State: TX

Vax Date:
Onset Date:
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:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Chills, headache, temperature of 101.8?, aching, tired, no appetite

Other Meds:

Current Illness:

ID: 0998389
Sex: F
Age: 55
State: TX

Vax Date: 10/06/2020
Onset Date: 10/06/2020
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: medications PCN, Sulfa

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

Symptoms: tried, nausea, abdominal pain, fatigue, body aches

Other Meds: amlodipine, toporal, citalopram, amitryptiline, bi flex, rheumate,

Current Illness:

ID: 0998390
Sex: M
Age: 98
State: CA

Vax Date: 01/27/2021
Onset Date: 01/30/2021
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: many

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

Symptoms: shaking with chills diarrhea for 2-3 hours upset stomach (daytime and during night, trying to sleep) headache thrashing legs during sleep

Other Meds: many

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm