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: 0932395
Sex: M
Age:
State:

Vax Date:
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Myalgia Narrative:

Other Meds:

Current Illness:

ID: 0932396
Sex: F
Age: 50
State:

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/06/2021
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: c/o lightheadedness and light headache. Cold pack applied to nape of neck, head down, felt better and returned to work Narrative: c/o lightheadedness and mild headache. resolved and returned to work

Other Meds:

Current Illness:

ID: 0932399
Sex: F
Age: 48
State:

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/06/2021
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:

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

Symptoms: UrticariaPruritus HOT flashes, prickly skin of jaw line to chest EMP was injected in the ER due to a previous flu vax reaction 2 years. She did consequently have a migraine headache upon awakening this AM which prevented her from working. Treated with Benadryl 25mg PO in the ER, monitored via cardiac monitor and then she was discharged with 25mg of Benadryl that she took when she got home at 1630.

Other Meds:

Current Illness:

ID: 0932401
Sex: F
Age: 30
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Myalgia, Fever, CHILLS Narrative:

Other Meds:

Current Illness:

ID: 0932402
Sex: F
Age: 45
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: Headache, Myalgia, fatigue, stomach ache Narrative:

Other Meds:

Current Illness:

ID: 0933628
Sex: F
Age: 25
State:

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 01/06/2021
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: Myalgia, Fever, LYMPHADENOPATHY

Other Meds:

Current Illness:

ID: 0933633
Sex: F
Age: 56
State:

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/06/2021
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, Myalgia, bodyache;chills;ha;sorethroat;nasal congestion Narrative: day 1-5: bodyache;chills 12/31: ha 1/3:ha; chills; sorethroat;nasal congestion

Other Meds:

Current Illness:

ID: 0933639
Sex: F
Age: 52
State:

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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

Other Meds:

Current Illness:

ID: 0933646
Sex: F
Age: 50
State:

Vax Date: 12/31/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
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: Headache, NauseaVomiting, FATIGUE Narrative:

Other Meds:

Current Illness:

ID: 0933649
Sex: F
Age: 40
State:

Vax Date: 12/31/2020
Onset Date: 01/05/2021
Rec V Date: 01/06/2021
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: 5 INCH CIRCL SIZE REDNESS AT INJECTION SITE; ITCHY

Other Meds:

Current Illness:

ID: 0933658
Sex: F
Age: 40
State:

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/06/2021
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: 1/3/21: SWOLLEN, SORE LYMPH NODES TO LEFT AXILLA, INJECTION SITE ITCING, SWELLING, WARMTH, REDNESS & department visit TENDERNESS

Other Meds:

Current Illness:

ID: 0933663
Sex: F
Age: 42
State:

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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: thrombocytopenia, bleeding gums, bruised eyelids Narrative:

Other Meds:

Current Illness:

ID: 0933669
Sex: F
Age: 52
State:

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/06/2021
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: Myalgia, Fever, ErythemaMultiform, pharyngitis Narrative:

Other Meds:

Current Illness:

ID: 0933675
Sex: F
Age: 40
State:

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/06/2021
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 Per nursing: "took Moderna on last Thursday on January 31st,2020. C/o migraine headache on Friday morning. States had sore throat and sore tongue since before taking the vaccine but states feels like it's getting worse. Employee also c/o feels like her to Narrative:

Other Meds:

Current Illness:

ID: 0933682
Sex: F
Age: 45
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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, fatigue Narrative:

Other Meds:

Current Illness:

ID: 0933686
Sex: M
Age: 61
State:

Vax Date: 12/23/2020
Onset Date: 12/29/2020
Rec V Date: 01/06/2021
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: rib pain/shortness breath/Pulmonary Embolus and viral pneumonia Narrative: Development of symptoms beyond the 48-72 window. Tested at time of ER visit Negative for Covid. Repeated Covid NP swab on 01/05/2021. Was not hospitalized overnight discharge home on oral anticoagulant medications.

Other Meds:

Current Illness:

ID: 0933691
Sex: F
Age: 44
State:

Vax Date: 12/24/2020
Onset Date: 01/04/2021
Rec V Date: 01/06/2021
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: SkinRash, Rash, 5cm round red non-raised area. Slightly warm to touch. Denies itching Narrative:

Other Meds:

Current Illness:

ID: 0933697
Sex: F
Age: 69
State:

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/06/2021
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: Myalgia, Fever & ErythemaMultiform Narrative:

Other Meds:

Current Illness:

ID: 0933741
Sex: F
Age:
State:

Vax Date:
Onset Date: 12/31/2020
Rec V Date: 01/06/2021
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, Arthralgia, Fever, Rash & NauseaVomiting Narrative: required to remain out of work and still having arm soreness.

Other Meds:

Current Illness:

ID: 0924783
Sex: F
Age: 55
State: WA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

Vax Type: RV1
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: ROTAVIRUS (ROTARIX)
Lot:
Dose Series: 1
Vax Route: PO
Vax Site: MO

Lab Data:

Allergies: food allergies

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

Symptoms: A week after shot, developed a red, raised, indurated warmer 2 in x2 in area in the area of the injection

Other Meds: none

Current Illness: none

ID: 0924784
Sex: F
Age: 57
State: MI

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
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: CHOCHOLATE, MILK, STATINS, TETRACYCLINES

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

Symptoms: WARM NAUSEOUS, RAPID HEART BEATS , OBSERVED IN CLINIC IMPROVE AND RELEASED. RETURNED 1 HOUR LATER WIT SCRATCHY THROAT AND RED NCK AND CHIN. THEATED WITH BENADRYL AND DECADRON FROM THE ED.

Other Meds: DIPROSOME CREAM, WELLBUTRIN SR

Current Illness: NO

ID: 0924785
Sex: F
Age: 84
State: AK

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfadiazine

Symptom List: Unevaluable event

Symptoms: Patient felt faint/lightheaded. Blood pressure decreased to 96/60. It quickly rebounded and she returned to baseline within 15 minutes.

Other Meds: Combivent, Bacid, aspirin, Buspar, calcium-vitamin D, Coreg, Colace, Airduo, Lasix, gabapentin

Current Illness: CHF, Pharyngoesphageal dysphagia

ID: 0924786
Sex: F
Age: 40
State: NV

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Morphine Lisinopril Metformin

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

Symptoms: Headache, chills, body-ache, fever, nausea, vomiting, and weakness.

Other Meds: Tylenol MVI

Current Illness: GERD HTN

ID: 0924787
Sex: F
Age: 45
State: MI

Vax Date: 01/01/2021
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
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: CLINDAMYCIN. MORPHINE, SULFA

Symptom List: Injection site pain, Pain

Symptoms: CLAMMY SKIN , LABORED BREATHING , DRY COUGH, TREATED WITH BENADRLT . SENT TO ER, PLACED ON DECADRON.

Other Meds: STNTHROID,TOPROL XL,

Current Illness: NO

ID: 0924788
Sex: F
Age: 24
State: HI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient was complaining of vertigo at 11:05 am after vaccination about 10 minutes after; BP:106/60, P:72, R:22, O2:99% Reclined back in seat, gave snack/water, was better when patient closed her eyes. At 11;15, tried to move her outside of car to cot, was unable to move because was too dizzy. Was assessed by Dr., and vertigo got worse with position change and was seeing spots. Hx of migraines about every 3 months. By half an hour after her vaccination, she was unable to move, so family was called to pick her up from clinic. Advised to follow up with PCP today and discuss decision about dose #2.

Other Meds: Unknown

Current Illness: None

ID: 0924789
Sex: F
Age: 40
State: NV

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Morphine Lisinopril Metformin

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

Symptoms: HEADACHE FEVER CHILLS NAUSEA VOMITING WEAKNESS BODY ACHE

Other Meds: Tylenol MVI

Current Illness: GERD HTN NEUROPATHY

ID: 0924790
Sex: F
Age: 31
State: TN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Penicillin, amoxicillin, Tagamet, biaxin, omnicef, crab

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Muscle aches, joint pain, fatigue, nausea, chills, fever, delirium from fever. Symptoms lasted 22 hours.

Other Meds: Melatonin, multi vitamin, vitamin D

Current Illness: None.

ID: 0924791
Sex: F
Age: 40
State: MA

Vax Date: 12/28/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, Avocado, Pinapple, Shell Fish, Almonds, Hazelnut, Brazillian Nut, Eggs,

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Day 8- arm tender and painful/flu like symptoms of feverish and body aches. Bad backache and neck pain. Day 9- arm with redness; hot; painful; swollen. dull headache and neck ache

Other Meds: Zyrtec, Magnesium, Advair, Singulair, Nasacort, Olopatadine

Current Illness:

ID: 0924792
Sex: F
Age: 60
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Latex, penicillin, codeine

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

Symptoms: 1/6/21 - 3pm. Experiencing chills, headache, heart rate at 103/min sitting. - 10:06 pm, chills, headache, fever 99.6 - 10:38 pm, chills headache, fever 100.1 - 11:05pm, chills headache, fever 101.5 -

Other Meds: None

Current Illness: None

ID: 0924793
Sex: F
Age: 32
State: CO

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: allergic to kiwis and mussles (as in shellfish but not all shellfish just mussles)

Symptom List: Nausea

Symptoms: Arm was sore at injection site first two days; similar to when you get flu shot but about 3x worse ( was hard to lift arm). At got better and was normal by day 3. Today, 7 days from day of injection, I woke up with my left arm (injection side) sore and inflamed, arm was warm to touch and hurt when I pushed. There's a mass of dense/sore area, sort of feels like a dense lump. Area around on skin is itchy - has been this way all day. Tonight the swollenness and itchiness is traveling into left armpit as well.

Other Meds: none

Current Illness: none

ID: 0924794
Sex: F
Age: 35
State: WA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: Amlodipine

Symptom List: Injection site pain

Symptoms: At 8:35 AM Pacific Time on 1/6/2021, I removed my long-sleeve shirt and noticed redness and swelling on my upper left arm. This is the site where I received my first dose of the COVID19 (Moderna) vaccine. This is the first time seeing any redness and swelling on the injection site. Before experiencing redness, swelling and slight warm feeling on my upper left arm, I only experienced mild pain and soreness. Mild pain and soreness went away on 1/5/2021. In addition to redness and swelling, my upper left arm feels slightly warm. After taking a shower, I made sure to not put any lotion on my upper left arm. I got dressed, and I took one tablet of Diphenhydramine HCl 25 mg to help reduce redness and swelling. I went to bed at approximately 10:50 AM. I woke up at approximately 6:50 PM and checked my upper left arm. The redness and swelling went down on my upper left arm, but it still feels slightly warm. I will continue to monitor it for the next several days.

Other Meds: Acetaminophen 500 mg, Losartan Potassium 100 mg, Vitamin D, Vitamin C, Fish Oil

Current Illness: None

ID: 0924795
Sex: M
Age: 61
State: KS

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: IV iodine

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

Symptoms: Sore shoulder progressing to bilateral neck and headache over the course of the day 1/6/21

Other Meds: Losartan/hctz Loratidine Aspirin

Current Illness: None

ID: 0924796
Sex: F
Age: 46
State: NE

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
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: Penicillin

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

Symptoms: Moderate body aches, fatigue, headache, low grade fever. Lasted about 18 hours.

Other Meds: Otc ibuprofen, hydrochlorothiazide

Current Illness: None

ID: 0924797
Sex: M
Age: 45
State: IL

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
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 or not known

Symptom List: Tremor

Symptoms: Got fever on 2nd January morning, fever was there continuously till 3rd January. Fever varies 101.3 to 101.5 degree F Took Tylenol twice a day 12 hrs interval (1000 mg/ dose) 4th January morning onwards there is no fever Still I feel Chills, Fatigue and muscle pain moderately exist. My PCP (Dr.) and her nurse denied to schedule appointment in person on 01-06-2021

Other Meds: None

Current Illness: NONE

ID: 0924798
Sex: M
Age: 25
State: WA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
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

Symptom List: Erythema, Pruritus

Symptoms: Slightly larger than golf ball sized swelling and redness at injection site. Swelling and redness only at injection site, no pain or reactions anywhere else.

Other Meds: None

Current Illness: None

ID: 0924799
Sex: F
Age: 66
State: CA

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
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: None

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

Symptoms: Felt immediate pain - like the needle hit the bone. Within half an hour she had severe pain and unable to move or lift her right arm. She took Advil the first day and then switched to Aleve. She has also used the heating pad - which has helped a bit. The pain isn?t as severe now, but she still cannot move or lift her right arm as usual. I emailed her primary doctor, Monday evening, but have yet to receive a response.

Other Meds: Glipizide, Levothyroxine, Lisinopril, and Simvastatin

Current Illness: None

ID: 0924800
Sex: F
Age: 42
State:

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
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: Cytotec Bactrim

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

Symptoms: Wheezing Rapid breathing Throat itching and tightness

Other Meds: Losartan hctz

Current Illness: Cough-took steroids for it until three days before vaccination

ID: 0924801
Sex: F
Age: 35
State: WA

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Amlodipine

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: At 8:35 AM on 1/6/2021, I noticed redness and swelling on my upper left arm as I removed my long-sleeve shirt. I also noticed that my upper left arm was slightly warm after touching it. This is the first time I have experienced redness, swelling and warmth on the injection site. After I got my first dose of the COVID19 (Moderna) vaccine, I experienced mild pain, soreness and muscular/body aches for several days. I longer experienced these particular symptoms on 1/5/2021. To treat the redness and swelling, I took one 25 mg tablet of Diphenhydramine HCl at approximately 10:00 AM. I went to bed 50 minutes later. I woke up at approximately 6:50 PM. I checked my upper left arm and saw that the redness and swelling went down. However, my upper left arm still feels slightly warm. I will continue to monitor my current symptoms for the next few days.

Other Meds: Acetaminophen 500 mg tablets, Losartan Potassium 100 mg tablet (taken by mouth once a day), Vitamin D supplement, Vitamin C supplement, Fish Oil supplement

Current Illness: NONE

ID: 0924802
Sex: F
Age: 28
State: TX

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Significant arm soreness and generalized body aches about 9-10 hours after the vaccine. Lasted about 24 hours and prevented me from performing daily activities or working.

Other Meds: Oral contraceptive pills, biotin and vitamin D supplements

Current Illness: None

ID: 0924803
Sex: F
Age: 49
State: OR

Vax Date: 12/01/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: No known allergies

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

Symptoms: Developed red welt (hive like) at site if injection 9 days after receiving the vaccine. Rash is raised and approx 3X2 inches. It itches and warm to the touch but not painful. I do not have a fever or any other adverse reactions at this time. When I 1st received the vaccine I had pain at the injection site and up/down the arm for approximately 48 hours.

Other Meds: Vitamin C, Vitamin D3, Zinc and Apple Cider Vinegar gummies

Current Illness: None

ID: 0924804
Sex: F
Age: 32
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Pain in extremity

Symptoms: Started heavy period within 4 hours of vaccination. Period isn?t due for 3 more week.

Other Meds: None

Current Illness: None

ID: 0924805
Sex: F
Age: 39
State: AK

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Pt was administered Moderna Covid-19 Vaccine EUA at a Covid Vaccination clinic. Pt experienced dizziness and shakiness and tingly lips. Pt waited at site for approx. 60 minutes and felt well enough to leave

Other Meds:

Current Illness:

ID: 0924806
Sex: F
Age: 70
State: TX

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/07/2021
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: lobster, codeine, erythmycin

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

Symptoms: pain at first, redness. Redness went away after a few days. Redness returned and expanded on arm

Other Meds: Estradiol Montelukast

Current Illness: none

ID: 0924807
Sex: F
Age: 49
State: KY

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, sulfa, morphine, codeine, lortab, Percocet, shellfish and nuts

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

Symptoms: Anaphylactic reaction

Other Meds: Multi vitamin, Vitamin D, Claritin

Current Illness: None

ID: 0924808
Sex: F
Age: 22
State: AK

Vax Date: 01/06/2021
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
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:

Symptom List: Vomiting

Symptoms: Patient passed out about 3 minutes after Moderna Covid19 vaccine EUA administration and came to really quickly and decided to move to a chair. No difficulty breathy per paramedics but when they arrived she passed out a second time and paramedics opted to take patient to hospital for observation.

Other Meds:

Current Illness:

ID: 0924809
Sex: F
Age: 56
State: DE

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
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: no drug allergies ( possible agave food allergy

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I had vaccine at 0800 on Monday morning 1/4/21 by 0100 on 1/5/21 woke up with chills and fever of 39.4 then came tremendous aches in bilateral hips and legs; migraine headache; had fever most of the day; also nauseous unable to eat

Other Meds: none

Current Illness: no illness at the time of vaccination and up to one month prior

ID: 0924810
Sex: F
Age: 61
State: AK

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Patient 3/19/1959 started to feel dizzy and nauseated after her Moderna Covid 19 immunization. Had patient sit for extended observation. Started feeling better around 10pm.

Other Meds: Patient 3/19/1959 started to feel dizzy and nauseated after her Moderna Covid 19 immunization. Started to feel a bit better by 10pm.

Current Illness:

ID: 0924811
Sex: M
Age: 52
State: OH

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Moderate pain at injection site immediately after injection. This spread to involve pain throughout the posterior upper arm for about 6 days before resolving. Did get moderate relief with use of ibuprofen 600 mg PO Q 8 hrs PRN. Received vaccine on 12/23/20 at 6pm. Woke up at 5am to go to work on 12/24/20 and felt flu-like symptoms with subjective fever (did not measure), joint pain, and diffuse myalgias. Symptoms progressed over the next three hours and culminated in about half an hour of significant rigors with uncontrolled shivering. Ibuprofen dose of 600mg orally did help symptoms enough to allow me to finish my shift but I needed two more doses every 8 hours before symptoms resolved in 24 hrs.

Other Meds:

Current Illness:

ID: 0924812
Sex: F
Age: 27
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

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

Symptoms: Roughly 10 hours after receiving 2nd dose of the vaccine, woke with chills and severe body aches. Took 400 mg ibuprofen and put on additional layers and was eventually able to sleep for a couple more hours. Chills improved during mid-day, but body aches remained. Approaching 22-24 hours post vaccine, chills and body aches worsened. Took oral temperature in the evening which read 100.5 F. Took additional 400 mg ibuprofen and fluctuated between hot and cold for the rest of the evening. Awoke the next day(~36 hours post dose) and fever was gone but mild chills and body aches remained. Symptoms virtually gone by early afternoon (slightly before 48 hours after dose).

Other Meds: Oral contraceptive

Current Illness: None

ID: 0924813
Sex: F
Age: 25
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Fever, severe myalgia, chills

Other Meds: Yaz birth control

Current Illness: Nond

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm