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: 1017654
Sex: F
Age: 62
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/04/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Headache, Arthralgia, Fever, Angina, FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, CHEST PAIN Narrative: She was hospitalized on 1/24/2021 in the AM D/C home 1/25/2021 PM for abnormal EKG. She is set up for a stress ECHO with plans follow up with PCP on 2/1/2021. She is fatigued and has headache, chest pain that is stabbing in nature has improved. She has SARS-CoV-2 test pending. CRNP She plans on returning to duty tomorrow at 0730. She is going to bring her work restriction note from her PCP. She has been directed to report to employee health for return duty evaluation CRNP 2/2/2021

Other Meds:

Current Illness:

ID: 1017662
Sex: M
Age: 34
State:

Vax Date: 01/19/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
Hospital: Y

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: Headache Pericarditis Narrative: Diagnosed as idiopathic pericarditis.

Other Meds:

Current Illness:

ID: 1017668
Sex: F
Age: 27
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital: Y

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:

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

Symptoms: Dizziness, Headache, Myalgia, Rash, shaking, pale, diaphoretic, dyspneic, pain at injection site Narrative:

Other Meds:

Current Illness:

ID: 1017685
Sex: M
Age: 74
State:

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 02/04/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Angina MI Narrative: Employee presented to ED with chest pain. Cath showed 99% blockage of LAD and diagonal. Employee transferred to another hospital for w/u for CABG. Prior to assessment for CABG, employee coded. Urgent cath. with multiple stents placed. At time of reporting of event, employee was recovering. Cardiologist instructed employee to complete COVID vaccination series which was done on 1/20/2021.

Other Meds:

Current Illness:

ID: 1420817
Sex: F
Age: 46
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: facial pain, redness, pins and needles like fiberglass been run across face Narrative:

Other Meds:

Current Illness:

ID: 1420828
Sex: F
Age: 39
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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: Fever Narrative:

Other Meds:

Current Illness:

ID: 1420830
Sex: F
Age: 58
State:

Vax Date: 01/05/2021
Onset Date: 01/25/2021
Rec V Date: 02/04/2021
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: Headache Fatigue, Body aches and Joint pain Narrative:

Other Meds:

Current Illness:

ID: 1420834
Sex: M
Age: 58
State:

Vax Date: 02/02/2021
Onset Date: 01/02/2021
Rec V Date: 02/04/2021
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: Headache, Myalgia, Fever, NauseaVomiting, fatigue,chills Narrative:

Other Meds:

Current Illness:

ID: 1420835
Sex: F
Age: 63
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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: Dizziness & Headache Narrative

Other Meds:

Current Illness:

ID: 1420836
Sex: M
Age: 52
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Myalgia, Fever, C/O FATIGUE Narrative:

Other Meds:

Current Illness:

ID: 1420837
Sex: F
Age: 68
State:

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache, Myalgia Fatigue Narrative:

Other Meds:

Current Illness:

ID: 1420839
Sex: M
Age: 59
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Headache FATIGUE, CHILLS Narrative:

Other Meds:

Current Illness:

ID: 1423208
Sex: M
Age: 24
State:

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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: Headache, Fever, NauseaVomiting, Fatigue Narrative:

Other Meds:

Current Illness:

ID: 1423209
Sex: F
Age: 61
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
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:

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

Symptoms: Headache, Myalgia, Arthralgia, fatigue Narrative:

Other Meds:

Current Illness:

ID: 1423220
Sex: F
Age: 51
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Headache, Myalgia & Fever Narrative:

Other Meds:

Current Illness:

ID: 1423221
Sex: F
Age: 41
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
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: Myalgia, Diarrhea & Nausea Vomiting Narrative:

Other Meds:

Current Illness:

ID: 1423222
Sex: F
Age: 52
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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: Chills, fatigue, upset stomach, cramping, chemical taste in mouth Narrative: Chills, fatigue, upset stomach, cramping, chemical taste in mouth; took tylenol.

Other Meds:

Current Illness:

ID: 1423223
Sex: F
Age: 57
State:

Vax Date: 12/03/2020
Onset Date: 12/30/2020
Rec V Date: 02/04/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: CHILLS AND FATIGUE Narrative

Other Meds:

Current Illness:

ID: 1423224
Sex: F
Age: 24
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Headache, Myalgia, Fever, Fatigue Narrative:

Other Meds:

Current Illness:

ID: 1423225
Sex: F
Age: 52
State:

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
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: Dizziness, Headache, Fever, ErythemaMultiform, back pain, golf-ball sized lump at injection site, fatigue. Symptoms lasted 3 days Narrative:

Other Meds:

Current Illness:

ID: 1423226
Sex: M
Age: 66
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/04/2021
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:

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

Symptoms: Myalgia Difficulty moving arm, fingertips were numb/decreased sensation, extreme fatigue-falling asleep while sitting at the desk Narrative:

Other Meds:

Current Illness:

ID: 1423228
Sex: F
Age: 55
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: Headache, Myalgia, Arthralgia, Nausea Vomiting, c/o chills,fatigue. Told to see primary care physician if no improvement Narrative:

Other Meds:

Current Illness:

ID: 1423229
Sex: F
Age: 60
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/04/2021
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: Headache, Myalgia, Arthralgia, Nausea Vomiting, CHILLS Narrative:

Other Meds:

Current Illness:

ID: 1423230
Sex: F
Age: 41
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Headache, Arthralgia, Fever, FATIGUE, CHILLS, PAIN/SWELLING INJ SITE, Narrative:

Other Meds:

Current Illness:

ID: 1423231
Sex: F
Age: 62
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Myalgia, Arthralgia, Fever, Pain, swelling, and redness at injection site Narrative:

Other Meds:

Current Illness:

ID: 1423232
Sex: F
Age: 62
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/04/2021
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: FATIGUE, PAIN/SWELLING INJ SITE Narrative:

Other Meds:

Current Illness:

ID: 1423233
Sex: M
Age: 50
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Headache & Myalgia Narrative: Headache, myalgia.

Other Meds:

Current Illness:

ID: 1423236
Sex: M
Age: 58
State:

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Headache, Myalgia, Fever, Rash & NauseaVomiting Narrative:

Other Meds:

Current Illness:

ID: 1423237
Sex: M
Age: 53
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/04/2021
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: Headache, Myalgia, Fatigue, pain/swelling at injection site Narrative:

Other Meds:

Current Illness:

ID: 1423238
Sex: F
Age: 43
State:

Vax Date: 02/03/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Myalgia, Arthralgia, Diarrhea, NauseaVomiting, Low back pain and fatigue Narrative:

Other Meds:

Current Illness:

ID: 1423273
Sex: F
Age: 43
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/04/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Headache, Diarrhea & NauseaVomiting Narrative:

Other Meds:

Current Illness:

ID: 1003706
Sex: F
Age: 41
State: CA

Vax Date: 01/12/2021
Onset Date: 01/18/2021
Rec V Date: 02/05/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Almost a week after injection, after initial injection site pain had been gone for days, the injection site became slightly swollen and painful again.redness in area as well. Lasted 3 days approx then subsided.

Other Meds: Vitamin c, zinc, elderberry

Current Illness: None

ID: 1003707
Sex: M
Age: 46
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
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: PCN, amoxicillin

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

Symptoms: Reported that he was under dosed. Noted injector did not give full dose. Reported had slight stiff neck over L side of neck x 1 minute within 15 minutes and subsided. Overnight had L side of neck tenderness and subsided the day after.

Other Meds: actifed, flonase

Current Illness: none

ID: 1003708
Sex: F
Age: 42
State: NM

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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: Tremor

Symptoms: I have severe pain and swelling in my armpit and breast area on the side of the injection along with pain, itching and severe swelling at and around the injection site. I have taken does of 800mg ibuprofen with little relief.

Other Meds: Lamictal, citalopram

Current Illness: None

ID: 1003709
Sex: F
Age: 28
State: CA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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: No

Symptom List: Erythema, Pruritus

Symptoms: Extreme muscle soreness/inability to move arm. Giant red raised bruising and itchy at injection site. Swollen lymph nodes under armpit. Fever, chills, sweating profusely and very cold the following night. Rash, itching and pain on arm lasted 7 days, swollen armpit lymph nodes lasted 4 days. Fever and chills for 24 hours.

Other Meds: Birth control, thyroid

Current Illness: No

ID: 1003710
Sex: M
Age: 28
State: MO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: n/a

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

Symptoms: Fatigue

Other Meds: Lexapro

Current Illness: n/a

ID: 1003711
Sex: M
Age: 71
State: IN

Vax Date: 01/22/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: sulfa antibiotic

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

Symptoms: red skin, warm to touch, on upper arm. Injection site (2-inch diameter) slightly raised, larger red&warm area 6-inch diameter below injection site (toward elbow.) No pain, slight itch. No reaction from vaccination was noticed until 13 days later - initially no soreness, itching, or red. No other reaction noticed. Not severe problem, reporting symptoms of Moderna COVID Arm. Not yet recovered, occurred today 2/4/21 - in progress.

Other Meds: metformin, metoprolol, lisinopril, hctz, amlodipine, allopurinol, atorvastatin, klor-con, dutasteride

Current Illness: small hematoma on lower leg (accident)

ID: 1003712
Sex: F
Age: 26
State: MD

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
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: Yellow Dye # 5 & # 6

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Within 12 hours, I experienced moderate to severe nausea, vomiting and diarrhea. In addition, within 24 hours I was experiencing fever >100.4, chills, extreme joint pain and swelling along with enlarged and swollen axillary lymph nodes on the L side. I was extremely fatigued and nauseated for more than there days. Since then, I have had abdominal issues including acid reflux and nausea.

Other Meds:

Current Illness:

ID: 1003713
Sex: F
Age: 65
State: FL

Vax Date: 01/19/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
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: None

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

Symptoms: Large bright red circle with lump in the middle. Was itchy and warm to the touch. Lasted 2-3 days.

Other Meds: Lisinipril HCL 20mg Omeprazole 40 mg Aspirin 80mg Probiotic Calcium 1100mg

Current Illness: None

ID: 1003714
Sex: F
Age: 54
State: CA

Vax Date: 01/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
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: Sulfa - headache

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

Symptoms: ?Covid Arm? - Round, itchy, red circle at injection site.

Other Meds: None

Current Illness: None

ID: 1003715
Sex: F
Age: 72
State: NY

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
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: Large red, itchy bump.

Other Meds: Losartan, Wellbutrin, Lithium, Primidone, Mybetrique

Current Illness:

ID: 1003716
Sex: F
Age: 59
State: VA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Codeine, Sulfa, Ciprofloxacin

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

Symptoms: severe generalized burning pain, tachycardia, elevated blood pressure, dizziness, chest pain, stomach pain, headache daily starting on 01/06/2021 to 01/27/2021; moderate generalized burning pain, tachycardia, elevated blood pressure 1/27/2021 to now; daily use Cymbalta for neuropathy pain; Amlodipine for high blood pressure; undergoing cardiology evaluation, continuing neurology visits; pending endocrinology evaluation

Other Meds: Flovent, Singulair

Current Illness: Peripheral Neuropathy

ID: 1003717
Sex: F
Age: 18
State:

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Rash at injection site and muscle aches. Was achy on the morning of 1/28/2021 with 'bumps' on the chest area. Achiness resolved on 1/29/2021 but rash continued affecting her abdomen as well.

Other Meds:

Current Illness:

ID: 1003718
Sex: F
Age: 72
State: CA

Vax Date: 01/27/2021
Onset Date: 01/01/2021
Rec V Date: 02/05/2021
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: none known

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

Symptoms: . patient received vaccine on1/22/2021 . Patient had skin rash on 1/27/2021 below neck , macular rash which was not itchy or painful. patient did not take any medication for it . no fever. no oral lesions or angioedema she is recovering from it without treatment

Other Meds: Tylenol, Norvasc, aspirin,lipitor,calcium , Prilosec,

Current Illness: none

ID: 1003719
Sex: M
Age: 53
State: CA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Vomiting

Symptoms: Patient was in the list of vaccinated that was probably under dosed by vaccinator

Other Meds:

Current Illness: none

ID: 1003720
Sex: F
Age: 42
State: NJ

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Arm redness pain..couldn't lift my arm...in the middle of the night severe hot and cold feelings..drank fluids and vomit stomach muscle cramps..headache with neck pain ...took Tylenol no help..next day couldn't get out of bed...took advice helped with muscle pain in my stomach not my arm..Thursday was able to hold down fluids but headache is not going away and neck pain

Other Meds:

Current Illness:

ID: 1003721
Sex: F
Age: 25
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Mild pain at reaction site, muscle aches and headache

Other Meds:

Current Illness:

ID: 1003722
Sex: F
Age: 58
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: bactrim shellfish, latex,

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Each vaccine after the vaccine I had an adrenal insufficiency episode. Since it happened with the first dose I took stress doses of steroids before the second dose, I also had COVID 10/2/20

Other Meds: Panhypopituitary on many medications: Cortef, Thyroxine, Thyriodine, ortho tricyclen lo, B12, vitamin D, xarelto,

Current Illness: panhypopituitary

ID: 1003723
Sex: F
Age: 22
State: CA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Peanuts, walnuts, wheat, soybean, sesame sensitivity.

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

Symptoms: Swelling, redness, and hives at injection site.

Other Meds: Glucosamine, vitamin D

Current Illness:

ID: 1003724
Sex: M
Age: 39
State:

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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: OTHER, PERCOCET (OXYCODONE/ACETAMINOPHEN), AUGMENTIN (AMOXICIL

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

Symptoms: 39 yo M with peripheral vertigo. Pt feels like the world is spinning. This is sudden/intense with movement. Ceases when staying still. No vision change. no gait disturbance. HA not sudden/first/worst/different. no cp/sob. no abd pain. no dysuria/hematuria. no rash. no fever. Pt given Meclizine and Zofran and symptoms resolved. Rp given. FU with PCM.

Other Meds: UNK

Current Illness: UNK

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm