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: 0999167
Sex: F
Age: 25
State:

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

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

Lab Data:

Allergies: Amoxicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Mild anaphylaxis less than 5 min after injection. Symptoms onset immediately, including dizziness, rapid heart rate, tightening of the throat, making breathing/swallowing difficult, ears felt strong pressure/itch. Symptoms went away on their own, but several episodes of similar symptoms/intensity persisted throughout the evening roughly every 30min-1hour.

Other Meds:

Current Illness:

ID: 0999168
Sex: F
Age: 29
State: NJ

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: Sore arm - five hours after vaccine Body aches/slightly elevated temperature- eight hours after vaccine Chills/vomiting - nine hours after vaccine

Other Meds: Sertaline, Gabapentin, Birth Control

Current Illness: Cold (runny nose/congestion) from 1/17-1/19

ID: 0999170
Sex: M
Age: 49
State: CA

Vax Date: 01/27/2021
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: 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: 3 days after vaccine I developed edema in left hand and wrist, unable to make a tight fist+ swollen left neck supraclavicular lymph nodes+ left side/flank/chest (muscular) tightness. Visited PCP. Clear chest Xray, scheduled arm ultrasound to rule out blood clot

Other Meds: Vit D3, VitC, Crestor 20mg

Current Illness: Hyperlipidemia

ID: 0999171
Sex: F
Age: 29
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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chills and muscle aches . Pain at injection site. Fatigue that lasted over 24 hours. Rash at injection site.

Other Meds: None

Current Illness: None

ID: 0999172
Sex: F
Age: 57
State: NY

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

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

Lab Data:

Allergies: none

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

Symptoms: Jan 28 4:30am - woke up to excruciating muscle pain in left leg. As the day progressed, I had the following symptoms: injection site pain, fatigue, headache, muscle pain, chills, fever (ranging from 100.3 to 101.7) nausea, swollen lymph nodes Jan 29 achy, chills, headache, injection site pain, swollen lymph nodes, trouble falling asleep Jan 30 - headache, throat hurt, achy, slight sniffles, got a cold sore, ear pain, trouble falling asleep Jan 31 - ear pain, headache, slight aches, trouble falling asleep Feb 1 - feeling better, some ear pain, trouble falling asleep

Other Meds: biotin - 5,000 mcg daily vitamin D3 - 2,00 IU daily

Current Illness: none

ID: 0999173
Sex: F
Age: 34
State: OH

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

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

Lab Data:

Allergies: None prior to the Moderna vaccine reaction

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

Symptoms: The patient received the Moderna vaccine on January 21, 2021. She waited at the pharmacy for 15 minutes after receiving the vaccine to be sure she would be okay. She felt fine after 15 minutes and so left the store. As she was walking to her car in the parking lot, she started to feel "weird" as if something was very wrong but she could not figure out why she felt this way. She got in her car and drove back to work. The feeling that something was very wrong worsened during the drive and she started itching on her arms and legs approximately 25 minutes after receipt of the vaccination. She did not have a rash or hives but the itching became very intense and spread to her entire body within a few minutes. She started to feel that her throat was tight or swollen but thought perhaps it was due to something else. However, within another 15 minutes she was having difficulty swallowing and her voice changed as she was talking to patients (hoarse). The throat symptoms continued for 30 to 45 minutes and were quite uncomfortable but she did not seek medical attention. They started to resolve after 30 to 45 minutes. However, her intense itching continued for several hours. She took Benadryl but it did not help. All her symptoms resolved after several hours and she slept well. The following day, within 24 hours, she felt her throat swelling again. This lasted for a few hours but she did not seek medical care because she could breathe. She developed a temperature of 100.8 degrees Farenheit which resolved after 4 hours but then the intense itching started again and continued into the next day. She saw her PCP (third day after receiving the Moderna vaccination) and received a steroid shot and started taking Claritin 10mg daily and Pepcid 20mg twice daily which helped some but did not relieve the itching. The itching worsened again on January 26th, 2021 and she was prescribed hydroxyzine 25mg which helps but makes her extremely sleepy. She continues to have varying degrees of itching off and on since then.

Other Meds: Multivitamin, CoQ10, Biotin, Algal-900 DHA, Calcium, Magnesium, Probiotics, Vitamin D3, Slynd birth control, rosuvastatin, omeprazole, Symbicort, albuterol (as needed)

Current Illness: None

ID: 0999174
Sex: F
Age: 37
State: IL

Vax Date: 12/29/2020
Onset Date: 12/30/2020
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: Iodine contrast, augmenton, soy milk

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Daily dizzy spells, frequent near syncope episodes, headaches, swollen inguinal lymph nodes, loss of appetite, fatigue

Other Meds: Daily women?s multivitamin

Current Illness: None

ID: 0999175
Sex: F
Age: 49
State: SC

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

Lab Data:

Allergies: no

Symptom List: Pharyngeal swelling

Symptoms: A burning sensation. The next two days, had soreness, then red, itchy burning around the injection sight and all over. Was also hot to the touch. This went for more than more than seven days, went to doctor. Having, soreness, swollen. Has a red spot at the injection site and a red area around that also, like a bruise.

Other Meds: no

Current Illness: no

ID: 0999176
Sex: F
Age: 61
State: MA

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: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever 102, headache, joint and muscle pain for 24hrs

Other Meds: vitamin d

Current Illness: none

ID: 0999177
Sex: F
Age: 52
State: PA

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

Lab Data:

Allergies: Bactrim, Skelaxin, Versad

Symptom List: Diarrhoea, Nasal congestion

Symptoms: About 15 min after getting vaccine my lower lip started to feel a little tingly. About 45 min after that my chin started to feel a little numby/tingly. Within another hour the numby/ tingly feeling went up the left side of my face stopping at my eye. The feeling was similar to when nova cane is wearing off after dental work. I had this facial sensation until midnight when I went to bed. It also appeared that about an hour after the shot I noticed my tongue looked purpled which did not last long before it appeared to return to normal color. Exactly 2 weeks after the vaccine, my chin became numb and tingly and I felt a funny feeling in my right eye, almost like an allergy feeling. This lasted approximately 2 hours before dissipating. I have never had this happen to me before. On day 4 after the vaccine I did feel like I was getting sick and was fatigued this lasted for about 4- 5 days before feeling better and back to myself.

Other Meds: Tylenol 2 tablets

Current Illness: Sinus Infection approximately 3-4 weeks prior to vaccination

ID: 0999178
Sex: F
Age: 49
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
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: Fatigue, injection site soreness, difficulty concentrating (foggy feeling) for 36 hours

Other Meds: Toporol, pantprolozole, multivitamin, L-Lysine

Current Illness: none

ID: 0999179
Sex: F
Age: 26
State: AK

Vax Date: 01/18/2021
Onset Date: 02/01/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: Mucinex.

Symptom List: Rash, Urticaria

Symptoms: Extreme soreness. Tiredness for half an hour. Strep like symptoms 2 weeks later. Strep test done but negative. Pain in lympth nodes. No fever and mild soreness in muscles. Pressure on forehead and headache that lasted 3 days possible 4 days.

Other Meds: Vitamin D adult gummies nature made.

Current Illness: N/A

ID: 0999180
Sex: F
Age: 40
State: NY

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/03/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: About 3 days after the 2nd vaccine my left arm(site of injection) became red again and slightly itchy. On that night my abdomen became very itchy and the following day it happened again. I recently had surgery and thought maybe it was a reaction to the surgery but the surgery was 4 weeks ago. Tuesday the itchiness spread to different body areas and hives and small red areas and welts began. Today I am itchy, and red on my chest, abdomen, and behind my knees. My old tattoos that are over 10 years old are raised amd bumpy and itchy. The symptoms of itchiness are greatest at night. They are also relieved with topical cortisone cream. The left arm has since stopped hurting. Other than surgery 4 weeks ago nothing has changed.

Other Meds: Multivitamin, biotin, vitamin c, vitamin d, calcium plus d, b12 sublingual, colace, miralax

Current Illness: None

ID: 0999182
Sex: F
Age: 44
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: erythromycin

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

Symptoms: Pt received Pfizer dose #1 and was stable/asymptomatic after 15min monitoring period. she reports on the way to her car she began to feel tingling on the left side of her neck that radiated to the jaw/cheek/lower eye on the left. VSS on check x2. Case discussed with doctor and Pt deemed stable to DC home

Other Meds: Zoloft

Current Illness:

ID: 0999183
Sex: F
Age: 59
State: IL

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

Lab Data:

Allergies: no known drug allergies

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

Symptoms: patient stated the next day after the vaccine, she was itching internally for two days and the left armpit had a stabbing pain

Other Meds:

Current Illness: none known

ID: 0999184
Sex: F
Age: 92
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillins

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

Symptoms: Approximately half way through administration, preassembled needle detached from syringe causing the patient to receive a partial dose of the vaccine. Patient was screened by an RN and evaluated by a physician on site. Infectious disease was consulted and advised the patient should not receive a full dose at this time but should be scheduled to return for the 2nd dose in 28 days.

Other Meds: amLODIPine (NORVASC) 5 mg Oral Tab Take 1 tablet by mouth daily for blood pressure (To replace Felodipine) Alendronate (FOSAMAX) 70 mg Oral Tab Take one tablet by mouth one time per week with a 8 ounce glass of water. Sit upright for 30 m

Current Illness: NA

ID: 0999185
Sex: F
Age: 55
State: FL

Vax Date: 02/03/2021
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: paresthesia bilateral hands and feet with weakness in hands, numbness, dizziness.

Other Meds:

Current Illness:

ID: 0999186
Sex: F
Age: 42
State: FL

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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe itching.

Other Meds: Propranolol, diclofenac

Current Illness: None

ID: 0999187
Sex: F
Age: 74
State: NM

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: Lisinopril

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: The evening of shot #2 on 1/29/21, I got a fever of 100.4. Had serious chills, took hot baths, slept fitfully. Felt tired. Fever continued until 5 pm the next day (Saturday). Didn?t eat much. Fever broke late afternoon on 1/30 and I felt better. Slept better. But was very, very tired the next two days (1/31 and 2/1). Felt normal the 4th day, 2/2. My first shot was on 1/12/21 and I had no reaction other than a sore arm. For 24 hours.

Other Meds: Metropolol, amlopidine, olmesartan, rosuvastatin, 81 asperin, CPAP, synthroid, Co-Q12, tumeric, Citricil, salmon omega, D5000,, salmon omega, multi vit, cinnamon

Current Illness: None

ID: 0999188
Sex: F
Age: 37
State: VA

Vax Date: 02/02/2021
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: Bactrim, advair, Tigen

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

Symptoms: Body aches, dehydration, sniffles, pain at injection site

Other Meds: Zoloft 125mg, prenatal vitamins

Current Illness:

ID: 0999189
Sex: F
Age: 95
State: NC

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

Lab Data:

Allergies: Sulfa, Penicilln, Gantrisin, Methazolamide

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

Symptoms: After sitting in the observation area for 15 minutes she was ambulating to leave the clinic when suddenly noted feelings of air hunger and pressure on her chest. Said she just "felt funny". Was taken to triage room where her O2 levels, pulse, and BP were monitored. O2 level 98-99%, Pulse 65-69 bpm, BP around 160/60. After being allowed to remove her mask and have some water she stated she felt better. Was monitored for 15-20 more minutes during which time BP remained around 160/60. Eventually stated that feeling of air hunger and chest pressure had resolved and she was allowed to leave the facility . No other symptoms noted. Felt fine the rest of the day. No other symptoms noted the following day.

Other Meds: Synthroid, Prolensa(Eye drops), Prednisolone (eye drops), Feosal, Vit B12, Vit D3

Current Illness: none

ID: 0999190
Sex: M
Age: 54
State: MA

Vax Date: 02/03/2021
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: Unevaluable event

Symptoms: patient presented with consent to get Pfizer Covid shot. after admin nurse informed staff that the patient got the Pfizer vaccine 4 days ago. no adverse reactions reported at this time.

Other Meds: none

Current Illness: none

ID: 0999191
Sex: F
Age: 91
State: WA

Vax Date: 01/19/2021
Onset Date: 01/20/2021
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: allergic to nuts

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

Symptoms: gout - had never had gout before

Other Meds: losartan, amlodipine, spironolactone

Current Illness: none

ID: 0999192
Sex: F
Age: 76
State: WI

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Carvedilol, Amlodipine, Hydrocodone

Symptom List: Injection site pain, Pain

Symptoms: According to the staff at the Hospital, the patient was treated in their emergency room for a stroke this morning at approximately 730AM

Other Meds: Atenolol 25mg daily, Atorvastatin 20mg daily at bedtime, Hydralazine 50mg 4 times daily, Hydrochlorothiazide 25mg daily, Lansoprazole 30mg daily, Levothyroxine 75mcg daily, Lisinopril 20mg twice daily, Meclizine 25mg 4 times daily as need,

Current Illness: None

ID: 0999193
Sex: M
Age: 44
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Nkda

Symptom List: Injection site pain, Menorrhagia

Symptoms: Checked sugar when I got home at 5:30pm, sugar was 570. More insulin was used as my sugar is never that high. Experienced blurry vision, and not completely oriented

Other Meds: Novolog lantus trulicity

Current Illness:

ID: 0999195
Sex: M
Age: 60
State: MT

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

Lab Data:

Allergies: bees

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

Symptoms: Rash over whole body, greatest on bilateral legs. Rash is raised and itchy, had some that appeared blistery yesterday. Medical provider gave Hydroxyzine 25 mg, every 6 hours

Other Meds: Zytiga Prednisone

Current Illness: none

ID: 0999196
Sex: F
Age: 62
State: OK

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: Lidocaine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: At 18:20 on 02/03/2021 Patient received Moderna Vaccine 0.5ml in Right Deltoid. At approximately 18:23 patient began complaining of shortness of breath and chest tightness. Assessment of patient showed a heart rate of 116 and SPO2 reading of 89. Patient was place on 2L/hr of oxygen via nasal cannula and encouraged to take deep breaths. Patient stated that " she felt like her throat was closing and she was going to pass out". After noting hoarseness in her voice LPN administered 0.3 Epinephrine via auto-injector and 911 was dialed. Patient was transported by ambulance at 18:35 hrs to Hospital.

Other Meds: Unknown

Current Illness: Parkinson's Disease

ID: 0999197
Sex: F
Age: 56
State: TX

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Latex, sulfa drugs, some anti-fungal medications, crab meat

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The night I go the vaccine, left hand (On vaccinated arm) felt numb and tingly, as if ?asleep,? and swelled overnight. Moving around the next day helped swelling subside. Tonight, 2/3, hand feels cold and a little tingly again.

Other Meds: None

Current Illness: None

ID: 0999198
Sex: F
Age: 66
State: IL

Vax Date: 01/25/2021
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: None

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

Symptoms: Redness and itching on my right arm - appeared at the injection site 8 days after injection. Referred to as COVID Arm on the internet.

Other Meds: None

Current Illness: None

ID: 0999199
Sex: F
Age: 47
State: CA

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

Lab Data:

Allergies: NDA

Symptom List: Nausea

Symptoms: fever, chills, headache from 12 hours post-vaccination through 36 hours. Full recovery after with slight lingering headache and cold sore.

Other Meds: None

Current Illness: None

ID: 0999200
Sex: F
Age: 27
State: FL

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: Zoloft

Symptom List: Injection site pain

Symptoms: Instant facial numbness on left , head rush, and chest pain. fever began 12 hours after injection coupled with body pains and general feelings of being unwell.

Other Meds: Diazepam, Effexor, seroquil

Current Illness: None

ID: 0999201
Sex: F
Age: 32
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Within 18 hours of the vaccine, I experienced: arm pain, fever, sore joints, skin hurt to the touch, UTI sensation when urinating Within 2 days, I experienced: sore joints, skin hurt to the touch, UTI sensation when urinating, sore throat Within 3 days, I experienced: skin hurt to the touch, UTI sensation when urinating, sore throat, sores inside of mouth Within 4 days, I experience nausea and still had sores in my mouth

Other Meds: Tri Previfem birth control pills Zyrtec Welbutrin XL 150mg Sertraline 50mg

Current Illness: none

ID: 0999202
Sex: F
Age: 53
State: VA

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

Lab Data:

Allergies: None

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

Symptoms: Woke up out of my sleep feeling horrible. For about 2 hours, from 3am until about 5am I was very cold with excessive sweating and nausea. Did not vomit, but felt like I would and should. I had explosive diarrhea 4 times, each time thinking I was done, but then urgently having to go again. After the 4th time, I felt completely empty. During those 2 hours I felt horrible and was scared for the fact that I knew it was a result of the vaccine 12 hours earlier. I was able to get back to sleep and felt better the next day. I was tired, but not feeling sick for the rest of the day. I was 100% better the following day.

Other Meds: None

Current Illness: None

ID: 0999203
Sex: F
Age: 23
State: AR

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

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Tremor

Symptoms: Headache within 30 minutes of injection. Next 24 hours included headache, fever, chills, body aches, nausea, lightheadedness

Other Meds: Aurovela, Aller-Tec, Yudai Wan herbs, Xiao Yao Wan herbs

Current Illness: Tested negative for flu and COVID-19, doctor said it was another upper respiratory virus

ID: 0999204
Sex: F
Age: 61
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Splitting headache, chills, fever 101.5, nausea, extreme fatigue started about 18 hours after injection even with Tylenol 1000 mg started immediately after injection + taken every 6 hours. Now alternating Tylenol + Ibuprofen every4 hours. Was late to take last dose, went 6 hours without Med + symptoms returning.. Had left arm pain and continue to hAve injection redness.

Other Meds:

Current Illness:

ID: 0999205
Sex: F
Age: 74
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: Metoprolol

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

Symptoms: Dose #2 of Pfizer Lot # EN5318 1/29/21 @ 1115 Pt reported tongue numbness a few minutes after Pfizer COVID vax#2 was administered. She denies SOB, wheezing, rash or other concerning symptoms.. VSS. Diminished somewhat only to return about 5 min later accompanied with dizziness. MD of Day Dr contacted and recommended Pt be transported via Urgent Care for further evaluation, monitoring and treatment

Other Meds: EPINEPHrine (ADRENACLICK/EPIPEN) 0.3 mg/0.3 mL Inj AutoInjector Losartan (COZAAR) 50 mg Oral Tab Citalopram (CeleXA) 20 mg Oral Tab Atorvastatin (LIPITOR) 20 mg Oral Tab Pantoprazole (PROTONIX) 40 mg Oral TBEC DR Tab Chlorthalido

Current Illness:

ID: 0999206
Sex: M
Age: 46
State: NJ

Vax Date: 01/31/2021
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

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

Symptoms: I developed generalized skin rashes the day after my 2nd dose , fever, chills, weakness. Relieved by taking Tylenol, Zyrtec, Benadryl. Rashes goes on and off. When it reappears theres more clusters and it spread all throughout the body.

Other Meds: Vitamin C, D, B12, Multivitamins

Current Illness: none

ID: 0999207
Sex: F
Age: 60
State: NC

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

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

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Aches in joints and local inj site nausea dizziness severe headache fever chills Tylenol reduce fever some ibuprofen for aches Tramadol for headache Gaviscon for nausea Dehydration from fever The following day 2/2 full body rash redness itching some swelling

Other Meds: Prozac/lorazepam/biotin/calcium /vit d/Turmeric/ glucosamine-chondroiton/meloxicam

Current Illness: None

ID: 0999208
Sex: F
Age: 27
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: severe itchiness to upper body hives

Other Meds:

Current Illness:

ID: 0999209
Sex: F
Age: 54
State: IN

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

Lab Data:

Allergies: Codeine, Bactrim , Penicillin

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

Symptoms: 1st dose, very sore arm. 2nd dose, very sore arm, lump at injection site, pain radiating down to hand, headache, body aches, nausea

Other Meds: Abilify, Zoloft, Wellbutrin, Lipitor, Activella, one a day vitamin, calcium citrate

Current Illness: None

ID: 0999210
Sex: M
Age: 78
State: WA

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

Lab Data:

Allergies: statin drugs,

Symptom List: Pain in extremity

Symptoms: Pain at shot site, chills, low blood pressure, rapid pulse. felling better now. went to doctor was diagnosed with atrial flutter. still gets out of breath and blood pressure jumps around.

Other Meds: Aspirin 80 mg, Modafinil 200mg 2x a day, acetaminophen, atrova

Current Illness: iregular heart rate, sleep apnea,

ID: 0999211
Sex: F
Age: 71
State: MA

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

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

Lab Data:

Allergies:

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

Symptoms: Sore arm first 24-48hrs. Soreness now resolved. Now reports very red, itchy,hard, size of 2 quarters, oval shaped, states it appears to be cellulitis. Stomach upset-nausea, denies diarrhea Taken antihistamine and antibacterial ointment for since 2/2/21with minimal relief.

Other Meds:

Current Illness:

ID: 0999212
Sex: F
Age: 28
State: FL

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

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

Lab Data:

Allergies: Z-pack shellfish

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

Symptoms: Few hours after injection feelings of being unwell, fever and chills 3:00a.m following injection, fever next day.

Other Meds: None

Current Illness: Asthma

ID: 0999213
Sex: M
Age: 49
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

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

Symptoms: About 1 hour after the injection, he noted tingling in his tongue bilaterally. A few hours later, tongue felt numb (both sides) and noted drooling out of his mouth. Drooling is has lessened over the day but still has tongue feeling numb. Per report, RNs checked him at work and had symmetric face and reports no visual changes to his face. No other facial symptoms. Has soreness/aches and fatigue this evening and arm is sore at the injection site but that started later.

Other Meds: Colchicine 0.6, Lipitor 80mg, Indomethacin 75mg, Norvasc 5mg

Current Illness: None

ID: 0999214
Sex: F
Age: 51
State: TX

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

Lab Data:

Allergies: Tallwin; Bactrim

Symptom List: Vomiting

Symptoms: Extreme body aches; heavy legs; fatigue; severe headache; painful arm; knot on site of injection size greater than half dollar coin; extremely red; itching occurred 24 hours after initial vaccine and lasted 48 hours

Other Meds: Metformin; Synthroid; Vitamin C; Vitamin D; Zinc

Current Illness: None

ID: 0999215
Sex: F
Age: 20
State: TX

Vax Date: 01/29/2021
Onset Date: 01/31/2021
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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Hearing loss in right ear

Other Meds: Gianvi

Current Illness: None

ID: 0999216
Sex: F
Age: 37
State: OH

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

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

Lab Data:

Allergies: N/A

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

Symptoms: itchiness, severe abdominal cramping, diarrhea, chills (about 2 hours after vaccine)

Other Meds: Multi-Vitamin Vitamin D Zoloft

Current Illness: N/A

ID: 0999217
Sex: M
Age: 44
State: MN

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: N/a

Symptom List: Injection site swelling, Limb discomfort

Symptoms: It began with sudden fatigue around 5:15. By the evening I felt ?high? for lack of a better word. I was feeling odd. I woke up in the middle of the night with a fever, major chills, and a strong headache. I spent all of today dealing with what feels like the flu and that I was punched in my arm all the way to the bone. I think it is getting a little better but right now I?m lying in bed in the dark with a winter coat.

Other Meds: Buspirone Atorvastatin Omeprazole Allopurinol

Current Illness: N/a

ID: 0999218
Sex: F
Age: 32
State: NY

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: RA

Lab Data:

Allergies: IV contrast dye, shellfish, Biaxin

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

Symptoms: Within five minutes of injection mild headache. Within seven minutes of injection lightheadedness developed. At eight minutes severe burning within chest. This initial onset symptoms did resolve within five minutes, however recurred times for over the course of 20 minutes.. After 30 minutes post injection, right forearm and lower left abdomen with blotchy erythema. Throughout the rest of the day roof of mouth and throat mildly pruritic. Overnight severe diaphoresis. Following day mild Tonsillar lymphadenopathy, hoarseness of voice, sore throat, chest tightness.

Other Meds: Keppra XR Asthmanex Albuterol Benadryl Claritin Zoloft GEM women?s multivitamin

Current Illness:

ID: 0999219
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: Neurontin, imitrex

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

Symptoms: 12 hour post vaccine severe muscle joint pain, headache , nausea with vomiting, extreme Fatigue and muscle weakness.

Other Meds:

Current Illness: Covid diagnosed 1/09/21

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm