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: 0998806
Sex: F
Age: 60
State: MI

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: Spinach, Shrimp, Penicillin, Cephalosporins, Metoprolol, Diovan, Tricor, ZPack

Symptom List: Dysphagia, Epiglottitis

Symptoms: Migraine type headache, Muscle aches, Fever 102, severe stomach pain.

Other Meds: Losartan, Hydrochlorathyazide, Amlodipine, Bentyl

Current Illness: None

ID: 0998807
Sex: F
Age: 54
State: OH

Vax Date: 12/18/2020
Onset Date: 12/28/2020
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: NONE

Symptom List: Anxiety, Dyspnoea

Symptoms: Impaired right eye vision. 01/29/2021- Retina Specialist diagnosed: Hemiretinal Vein Occlusion Right Eye. Will begin treatment for ocular injections in the next week

Other Meds: Vitamin C 500mg daily Calcium 1000mg with Vitamin D 50mcg daily

Current Illness: NONE

ID: 0998808
Sex: F
Age: 72
State: OH

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Fever chills muscle aches joint aches

Other Meds: Adair, Magnesium, Saw palmetto,, Benadryl, Vitamin B12, Vitamin D, Testosterone cream.

Current Illness: None

ID: 0998809
Sex: M
Age: 43
State: WI

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

Lab Data:

Allergies: N/A

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Lightheaded, Body Aches, Chills, Fever, Fatigue

Other Meds: Daily vitamin and omeprazole

Current Illness: N/A

ID: 0998810
Sex: F
Age: 69
State: FL

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

Lab Data:

Allergies: sulfa

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

Symptoms: A red large oval occurred at site of injection a few hours later. Lasted for about 10 days. Occasional itching. Main issue- I went for scheduled mammogram and breast ultra sound (Jan 26) and 2 axillary lymph nodes were enlarged. (same side as injection). Biopsy was suggested a week later. When I went a week later the nodes had gotten smaller almost normal so no biopsy was needed. It was attributed to the vaccine.

Other Meds: atorvastatin, vitamin D, muli vitamin, coq10,B12,fish oil

Current Illness: na

ID: 0998811
Sex: F
Age: 52
State: CA

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 02/03/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Lightheaded and Dizziness approximately 1 hour post vaccine. Was seen in ED triage and was given meclizine 25mg oral x 1 for allergic reaction

Other Meds: None

Current Illness: None

ID: 0998812
Sex: F
Age: 51
State: CO

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Pt reached out to discuss concerns of of the second Moderna immunization. Pt reported small localized cellulitis around injection site following first injection about a week following as well a high fever about 12 hours. Pt premedicated at home with loratiadine and Tylenol. Pt medicated with 12.5 mg Benadryl elixir prior to receiving second vaccination. 12:22 - pt reports feeling a little itchy - additional 12.5 mg Benadryl elixir provided. 12:35 - Pt reports feeling fine and is going to return to work for the afternoon. Pt instructions given regarding return to the ED and signs and symptoms to watch for. Pt verbalizes understanding states she will reach out for any additional concerns.

Other Meds:

Current Illness:

ID: 0998813
Sex: M
Age: 66
State: MO

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Client states that 24 hours post vaccination he began experiencing nausea, vomitting, chills, lack of sleep, body aches. He states the felt like "he had the flu but it was on steroids and much more severe". He contacted his PCP and he instructed him to not take the second dose.

Other Meds: Unknown

Current Illness: Unknown

ID: 0998814
Sex: F
Age: 69
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Mild tinnitus - remained under observation for 30 minutes.

Other Meds:

Current Illness:

ID: 0998815
Sex: F
Age: 62
State: TX

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin Erythromycin (No others)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: "COVID Vaccine Arm" (or simply "COVID Arm") On day 8 following the vaccination, a bright/dark red "patch" or area suddenly appeared on my upper left arm which was the location of the COVID-19 vaccine injection. The patch/area is slightly raised and about 2x2 inches or so. It was a TINY bit sore to touch but not really painful yesterday. It remains today (day 9) but is not even sore.

Other Meds: Hydrochlorothiazide 25 MG Mimvey 1-.05 MG Omeprazole 40 MG Montelukast 10 MG Allegra (not Allegra-D) Glucosamine-Chondroitin Vitamin B-Complex Vitamin D3 Melaleuca Activate Immune Complex

Current Illness: N/A

ID: 0998816
Sex: M
Age: 81
State: NC

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

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

Lab Data:

Allergies: -caine family of drugs, shelllfish

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

Symptoms: Hives

Other Meds: Amlodipine, Baclofen, Brilinta, Amiodarone, Atorvastatin, Eliquis

Current Illness: none

ID: 0998817
Sex: M
Age: 57
State: FL

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: Upper left arm warm , stiff and really sore near injection site that continues for 20 days following Pfizer shot

Other Meds: Thyroid and Satin

Current Illness: nothing

ID: 0998818
Sex: F
Age: 88
State: IN

Vax Date: 01/22/2021
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: NA

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

Symptoms: Swelling, itching, redness/rash at injection site - occurred 8 days after injection. Saw doctor on 2/2/21 due to concern. Antibiotics were prescribed.

Other Meds: medication for high blood pressure & high cholesterol

Current Illness: NA

ID: 0998819
Sex: M
Age: 71
State: CA

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: NA

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

Symptoms: On 2/3/21 a 71y/o Male arrived to the library to recieve a CoVID Vaccine from County Fire. Pt recieved Vaccine and during 30minute observation period pt began to have symptoms of SOB and Eye irritation. Pt was evaluated by FIre/EMS Staff.Pt c/c was SOB. Pt was evaluated by on site paramedic with no treatment. Pt was offered transport to local hospital but pt refused. Pt Signed AMA after hospital contact. For Further record of pt viitals, information, and care reference EMS PCR HCFA2021-00007716 Incident #HCFA2021-00007716

Other Meds: asprin

Current Illness: NA

ID: 0998820
Sex: F
Age: 50
State: FL

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: Penicillin, Avelox (Quinolone)

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

Symptoms: Five hours after injection, intractable nausea, dry heaving, fatigue, then diarrhea. 3 to 4 days after vaccine, pruritus, erythema, swelling of fingers and hands, arms up to elbows, right shoulder, erythema and pruritus of buttocks, and then feet bilaterally. She was already on cetirizine but added fexofenadine and Benadryl without relief. Symptoms subsided after three days.

Other Meds: Allegra, Diltiazem, Triamterene, Losartan, Dymista, Bisoprolol, Glipizide, hydrochlorothiazide, Metformin

Current Illness: None

ID: 0998822
Sex: F
Age: 69
State: WA

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

Lab Data:

Allergies:

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

Symptoms: Next day of vaccine I had fatigue, muscle pain, lost of appetite, & sore arm. On the 1/28/2021 I started coughing & continued with shortness of breath since dose 1 & I still have coughing its improving but its still there.

Other Meds: Hydrochlorothiazide Amlodipine Vitamin D Baby Aspirin

Current Illness:

ID: 0998823
Sex: F
Age: 64
State: NY

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: latex

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

Symptoms: "Moderna COVID-19 Vaccine EUA" Had Moderna Vaccine #2. on FEb 2,2021 Had no problem with Moderna Vaccine # 1 except a sore arm. Woke up last night at 1:00 am with fever, and when I got up in the morning , I was nauseous and felt like I was going to pass out. Whole body was aching me and took Tylenol for fever, which started at 100 degrees and went up to 101 1/2 by the afternoon. slept and rested and it is 5:10 pm now and I feel little bit better.

Other Meds: effexor xr Vitamin D3, calcium, vitamin high B 100 complex, Vitamin C,magnesium, biotin, multivitamin evista fish oil green tea extract Co -Q-10

Current Illness: none

ID: 0998824
Sex: F
Age: 32
State:

Vax Date: 01/28/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 11:00am the next day began experiencing significant fatigue, then by 1:30pm I had a 100 degree fever that climbed to 102 as the afternoon went on. I took Tylenol at 5:00pm and by 6:30 my fever was down to 100 degrees. By 11:00pm I was down to 99 with no increase in temperature after that.

Other Meds: Prenatal vitamins

Current Illness: None

ID: 0998825
Sex: M
Age: 23
State: OH

Vax Date: 01/21/2021
Onset Date: 01/23/2021
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: Latex, sulfa, propofol, Haldol, imipramine, melatonin, doxacycline

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Grand Mal seizure. 55 hours post vaccine. Lasted 15 minutes and required emergency rescue medication Nayzilam. He has seizure disorder but his seizures are well controlled. Typically only has one post op brain surgery or due to illness/infection. Has less than 10 in his life. Phoned one of his physicians to report the seizure and discuss situation. Was told to just watch for other symptoms or side effects. He recovered from seizure and rescue med. Notified two other doctors of the event the next work day.

Other Meds: Topamax, oxybutinin, baclofen, Senna, potassium citrate, benefiber, famodadine, gentamician bladder irrigation cephalexon, zyrtec, ferrous sulfate

Current Illness: None

ID: 0998826
Sex: F
Age: 59
State: KS

Vax Date: 12/29/2020
Onset Date: 01/02/2021
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: I am allergic to Mycin family and Bactrim.

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

Symptoms: I had severe fatigue, headache, all over body itching , light sensitivity and itching in my mouth. I also had joint pain with swelling and arthritis in my hands.

Other Meds: I take Premarin, Zoloft & Calcium and Zinc.

Current Illness: No

ID: 0998827
Sex: F
Age: 45
State: NH

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Augmentin, Bactrim, Hydrocodone, Pineapple, Apple, Cherry, Lactose, Soy , Gluten

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

Symptoms: Cellulitis( red arm wrapping around entire bicep) , Muscle pain, fatigue

Other Meds: Trazadone, Omega 3, Multivitamin, Metformin, Lorazepam, Levothyroxine, Flonase, Allegra

Current Illness: NOne

ID: 0998828
Sex: M
Age: 73
State: FL

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

Lab Data:

Allergies: Sulfa

Symptom List: Unevaluable event

Symptoms: Muscle spasms and leg cramps Treated with Oxycodone and Cyclobenzaprine

Other Meds: Irbesartan, low dose aspirin, Ubiquinol, Omeprazole, Montelukast, Amlodipine, Atorvastatin

Current Illness: Rib injuries from a fall

ID: 0998830
Sex: M
Age: 44
State: TX

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: Tree Nuts

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

Symptoms: At 15 minutes I felt flushed and a tightness in my throat. I was moved to private observation with nurse for an additional 30 minutes. After the additional 30 minutes, I started feeling better. I was released to go home.

Other Meds: None

Current Illness: None

ID: 0998831
Sex: F
Age: 45
State: WI

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Headache, fever (100.7), body aches, fatigue

Other Meds: None

Current Illness: None

ID: 0998832
Sex: F
Age: 27
State: OH

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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: Chocolate Cinnamon Glycerin Vicodin Amoxicillin Cefzil Flagyl

Symptom List: Injection site pain, Menorrhagia

Symptoms: Shortness of breath and severe Chest pain. Ended up being a pulmonary embolism. Placed on Eliquis.

Other Meds: Prenatal vitamins

Current Illness:

ID: 0998833
Sex: M
Age: 56
State: MA

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

Lab Data:

Allergies: None

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

Symptoms: Fever, beginning on day after shot, lasted 2 days. The second day after shot he fainted upon standing up and hit the wall, nausea, fever, fatigue, chills.

Other Meds: None

Current Illness: None

ID: 0998834
Sex: M
Age: 84
State: IN

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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Tingling in right hand

Other Meds: Unknown

Current Illness: None

ID: 0998835
Sex: F
Age: 65
State: DE

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: raised area over the injection site, warm and painful to the touch with a silver dollar size red rash just below the injection site. This reaction occurred about 7 hrs after the shot was given and lasted approximately 2 days after which all of the reactions disappeared. About 7 days later, a smaller rash reappeared with itching off and on during the day consistently up to this filing. The itch is not intolerable, it is just noticeable, no medication has been applied to relieve the itch. I have had no fever, chills, aches or any other more severe reaction, just this residual rash with occasional itch.

Other Meds: Benicar, 5mg HCTZ, 25mg 2,000 IU vitamin D3 probiotic 200 mg Vitamin C

Current Illness: none

ID: 0998836
Sex: F
Age: 68
State: FL

Vax Date: 01/18/2021
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: peanuts, sulfa drugs, Nexium

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

Symptoms: extreme fatigue ; nausea

Other Meds: levothyroxine, many nutritional supplements daily or weekly

Current Illness:

ID: 0998837
Sex: F
Age: 64
State: OH

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: RA

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: First vaccine administered- Second vaccine- fever, chills, pain at injection site, temperature 103. 4, malaise, joint pain

Other Meds: none

Current Illness: none

ID: 0998838
Sex: F
Age: 39
State: VA

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: Bees

Symptom List: Injection site pain

Symptoms: Same Day Left arm, neck, and back severe pain Next day Fever 101.1 Chills Full body aches Headache Joint pain

Other Meds: Sertraline 100 mg 2 at a time Multivitamin Birth control Vitamin D Vitamin B Zinc Omeprazole 20 mg

Current Illness: None. I did have COVID in December

ID: 0998839
Sex: F
Age: 67
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: LA

Lab Data:

Allergies: perfume

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

Symptoms: Had fever day 2, checked it once 5 minutes after drinking cold soda and eating ice cream and it was 100.8, so it was probably higher, would reduce with Advil for awhile but return. Had all symptoms associated with elevated temp, lethargy, headache, weakness. Also had Leg cramps. Lasted all day, finally broke at 4 am. Lasted about 24 hours. All symptoms gone after 24hours but I was tired from leg cramps and slept most of day 3.

Other Meds: HCTZ 25mg -qd; Topamax 100mg qd

Current Illness: no

ID: 0998840
Sex: F
Age: 37
State: IA

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Started with pain at the sight of injection within hours of receiving injection. Progressed to sore left side of neck, then headache and sinus pain with nausea. Woke up around 11pm feeling achy all over with chills. Temperature was 100.8F. Through the night and the next day, the fever fluctuated with the highest temp recorded being 102.7F. Other symptoms experienced overnight and continuing to present include headache, body aches, sinus pain, nausea, ear pain, slight sore throat, pain at the injection site.

Other Meds: Sertraline Wellbutrin Ceterizine Atarax Pantoprazole

Current Illness: None

ID: 0998841
Sex: F
Age: 34
State: HI

Vax Date: 12/31/2020
Onset Date: 01/04/2021
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: Amoxicillin

Symptom List: Tremor

Symptoms: I just felt body ache, fever, chills and a little bit of nausea. This lasted about 3 days. I had to get a Covid swab and doctor note for clearance.

Other Meds:

Current Illness:

ID: 0998842
Sex: F
Age: 75
State: VA

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Left arm pain, erythema, swelling.

Other Meds:

Current Illness:

ID: 0998843
Sex: F
Age: 45
State: CA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: fatigue extreme extreme headache flu like symptoms fever 100 stiffness in neck nausea body aches

Other Meds:

Current Illness:

ID: 0998844
Sex: M
Age: 18
State: CA

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

Lab Data:

Allergies: ibuprofen- swelling of eyes & face Flu Vaccine- swelling of eyes & face, whelps & itching @ injection site sulfas- reaction unk

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

Symptoms: pt presents w/ swelling bil eyes, no swelling noted to face, no other s/s, pt in no distress, eye swelling subsided w/in 30 mins. A&Ox4. mother with son, released home & encouraged to continue to monitor and report additional or adverse reactions to physician or to call 911 if difficulty breathing, pt will take benadryl po at home. mother states that this happened with 1st dose.

Other Meds: Claritin nightly

Current Illness: none

ID: 0998845
Sex: F
Age: 37
State: WA

Vax Date: 01/27/2021
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:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 5 days after vaccination, developed a rash on face that eventually spread to neck. Rash feels painful like sunburn and is itchy. Skin is dry and scaly

Other Meds: Armour thyroid

Current Illness:

ID: 0998847
Sex: F
Age: 42
State: SD

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

Lab Data:

Allergies: Lamotrigine, Rizatriptan, Phenobarbital, Theobromine, Chocolate

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

Symptoms: Rash to left arm started about 10 minutes after injection

Other Meds: Ciprofloxacin

Current Illness: unknown

ID: 0998848
Sex: F
Age: 65
State:

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

Lab Data:

Allergies: Contrast Dye, past vaccine- unknown name (years ago)

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

Symptoms: About 15 minutes after receiving Pfizer vaccine dose 1 IM LD, pt experienced itchiness and tightness of the throat and breathing difficulty. Pt immediately brought to nearby cots to lay down. BP 130/78, Pulse 92, O2 99. 5 minutes later BP increased to 142/86, Pulse 70, O2 99. Pt began to relax a bit but symptoms were unchanged and Epinephrine 0.3mg x1 given & EMS called. BP 10 minutes later 144/80, pulse 70 O2 99. EMS arrived 10 minutes later, BP 146/90, and brought to nearby hospital.

Other Meds:

Current Illness:

ID: 0998849
Sex: F
Age: 40
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pain in extremity

Symptoms: Patient felt flushed and experienced shortness of breath (history of anxiety, panic attacks). Drank water and felt better in 10 minutes.

Other Meds:

Current Illness:

ID: 0998850
Sex: F
Age: 49
State: NM

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin

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

Symptoms: Chest tightness and lightheaded

Other Meds: Zyrtec

Current Illness:

ID: 0998851
Sex: F
Age: 57
State: MN

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: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: MMR vaccination was accidentally administered via IM route instead of needed SC route. Pt was informed of this immediately, all questions and concerns were answered. Pt sustained no injuries, was monitored for 15 minutes post-vaccination. Pt encouraged to call with questions or concerns.

Other Meds: Metformin Humalog 75/25 Sumatriptan Tylenol Vitamin D3

Current Illness: none

ID: 0998852
Sex: F
Age: 30
State: KY

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

Lab Data:

Allergies: Zoloft. Tobramycin. Lactose intolerant.

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

Symptoms: Fatigue. Soreness at site. Swelling of bicep around puncture site. Redness and heat at injection site. Cough. Sore throat. Nasal drainage. Fever greater than 101. Weakness. Pain and swelling began about 6-7 hours after injection. Cough fatigue onset 12 hours after injection. Nasal congestion and fever onset 24 hours after injection. Treatment: otc tylenol, ibuprofen, trazadone to sleep. Increased fluid intake. Increased rest. Outcome: 48 hours post injection- still febrile. Head congestion. Cough. Weakness and body aches. Swelling decreased at injection site.

Other Meds: Effexor 75 mg daily. Abilify 2 mg daily. Birth control. Tylenol 1,000 mg a 6-8 hours. Trazadone 25 mg prn for sleep. Ibuprofen 800 mg q 6-8 hours

Current Illness: N/a

ID: 0998853
Sex: F
Age: 22
State: CA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
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: Tylenol

Symptom List: Vomiting

Symptoms: Itching around vaccine site a week after- red circle around vaccine site

Other Meds: Trileptal Seroquel

Current Illness:

ID: 0998854
Sex: F
Age: 82
State: TX

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

Lab Data:

Allergies: none known

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Dizziness, severe headache, fainting

Other Meds: Losartan 25 mg, rosuvastatin 10 mg, alendronate 70 mg, famotidine 20 mg, trazodone 50 mg, levothyroxine 25 mcg, multivitamin, calcium, allegra

Current Illness: none

ID: 0998855
Sex: M
Age: 48
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: no known drug allergies single episode of mild posterior orpharyngeal (uvula) swelling reaction to pecans 5+ years ago

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

Symptoms: Peri-oral Angioedema: Mild but obvious angioedema of left lower lip started around 30 hours post-injection on 1/29/21, which subsided overnight and migrated to involve predominantly the right lower lip the following day (1/30/21), which similarly subsided spontaneously over a few hours, followed with very mild (noticeable to patient but less obvious to others) angioedema of the upper lip appearing on morning of 1/31/21, fully resolved by around noon that day and has not recurred.

Other Meds: none

Current Illness: none

ID: 0998856
Sex: F
Age: 56
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 reported

Symptom List: Injection site swelling, Limb discomfort

Symptoms: About 10 minutes after receiving the vaccine, Patient began experiencing chest tightness, shortness of breath, and dizziness. 911 was called. 50 mg of Benadryl was given at 11:00, then 1 EpiPen administered at 11:10 when her symptoms worsened. Pulse ox was taken and was 97%. EMT arrived and the patient was transported to a local hospital. The patient reported feeling better when contacted by a site administrator later that day.

Other Meds: Unknown

Current Illness: None reported

ID: 0998857
Sex: F
Age: 45
State: WA

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

Lab Data:

Allergies: none

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

Symptoms: numbness tingling lips, mouth, tongue Swallowing took more effort - "lump in my throat" Was given benadryl, sx's started improving a couple hours later.

Other Meds: none

Current Illness: none

ID: 0998858
Sex: F
Age: 82
State: GA

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

Lab Data:

Allergies: none

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

Symptoms: The following symptoms began the day after the shot: headache, dizziness, tiredness, fever, complete loss of hearing in right ear, partial loss of hearing in left ear, Hearing loss lasted 6 hours before beginning to improve. Most symptoms were gone by end of 4th day. Tiredness remains along with occasional dizziness.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm