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: 1005187
Sex: F
Age: 23
State: ND

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Vomiting began 9pm on 2/4 & hasn?t stopped yet (9am 2/5). Unbelievable body aches, unable to move out of bed, cannot do anything but lay flat on back. Temperature of 102.3. Major fatigue. Chills and heat flashes combined.

Other Meds: Lexapro full dose 1x daily Wellbutrin full dose 1x daily

Current Illness: None

ID: 1005188
Sex: F
Age: 42
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: Report chills, HA, eye pain and muscle pain (leg). Treatment: none, Outcomes: continues to work, does not interfere with ADLs.

Other Meds:

Current Illness:

ID: 1005189
Sex: M
Age: 85
State: NM

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
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: Following the second dose of Covid vaccine, an area of redness formed on the bicep of the same arm with severe itching. Itching has been mitigated by frequent use of topical one percent hydrocortisone ointment along with aloe vera gel.

Other Meds:

Current Illness:

ID: 1005191
Sex: F
Age: 45
State: AR

Vax Date: 01/22/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
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: About 10 days after 1st vaccine, the area around my injection site turned red and is swollen. Dr says area swollen is about 8 inches by 8 inches. It itches at times. It is now day 15 after the vaccine and area seems to be getting worse. It is warm when touched.

Other Meds: Ziprasidone Lipitor Atenolol Effexor XR

Current Illness: None

ID: 1005192
Sex: F
Age: 52
State: OK

Vax Date: 02/01/2021
Onset Date: 02/02/2021
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: sulfa

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

Symptoms: received the vaccine Monday afternoon, Tuesday afternoon started getting a knot, redness with the skin warm at the injection site, Wednesday morning the redness was three time larger, Thursday night another line of redness developed underneath, Benadryl has not helped. it's now Friday and there has been no change.

Other Meds: hydrochlorothiazide, oxybutynin, escitalopram, estradiol, hydroxyzine, Zanaflex, topiramate, euthyrox, bupropion, omeproazole, Robaxin, B12, potassium, D3, folic acid, calcium, cranberry extract

Current Illness: none

ID: 1005194
Sex: M
Age: 84
State: FL

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

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

Lab Data:

Allergies: None.

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

Symptoms: At midnight started with chills, shaking in his shoes. Got up the next morning, was not feeling good. Went out for a little while and realized that he was cold. Went to bed for about 30 hours with a little nausea, but not feeling right. Took Tylenol every 6-7 hours during that interval of time. Feels good now.

Other Meds: Losartan, Dutasteride, Alfuzosin, Simvastatin, Escitalopram, Xarelto, zinc, calcium, vitamin C, vitamin B, fish oil, Garlic, Vitamin D, CoQ10, folic acid, potassium.

Current Illness: None.

ID: 1005195
Sex: M
Age: 85
State: OH

Vax Date: 01/29/2021
Onset Date: 02/01/2021
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: Toradol (Spelling)

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 3 days after the shot he started getting flu-like symptoms. This included headache, diarrhea, tiredness, weakness, severe muscle aches, loss of appetite. Contacted his cancer dr. and was told to stop the Calquence for 3 days, drink 8 - 8oz of water a day (which he could not do and threw up after drinking), and to start taking Immodium, which he did.

Other Meds: Calquence 200 mg 2x's per day, Atorvastatin Calcium 20 mg 1x day, Amlodipine Besylate 5 mg 1x day, Metoprolol 25 mg 1x per day, Vitamin D 125 mg 1x per week, Focus Set OTC 2 pills per day, Vitamin B12 1,000 mcg 1x per day

Current Illness: CLL - Chronic Lymponmatic Leukemia

ID: 1005196
Sex: M
Age: 76
State: VA

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

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

Lab Data:

Allergies: Timolol, (eye drop) , oysters

Symptom List: Pharyngeal swelling

Symptoms: Severe headache, body aches, slight nausea,, complete fatigue unable to function, chills, fever101.6 (highest) total feeling of unwell

Other Meds: Omeprazole DR 20mg, Lialda (mesalamine), tablet 1.2g , Valsartan-Hydrochlorothiazid, 160-25, Escitalopram Oxalate, 10 mg., Atorvastatin Calcium, 10 mg., Lumigan (bimatoprost ophth solution 0.01%), Dorzolamide ophthalmic solution, Azela

Current Illness: None

ID: 1005197
Sex: F
Age: 72
State: TX

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

Lab Data:

Allergies: penicillin, erythromycin, bacitracin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Covid arm developed 8 days after injection - 2 red circles one the size of a half dollar and the other a quarter - they also itched initially and are rough/raised but not huge

Other Meds: Vitamin C, D, L-Lysine, NAC, probiotic, Magnesium, spirulina, digestive enzymes

Current Illness:

ID: 1005198
Sex: F
Age: 28
State: KY

Vax Date: 01/27/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
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: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: purple patches appeared on 1/30/2021 and got worse on 2/02/2021, went to ED, diagnosed with Levido Reticularis. Given methyl prednisone 125mg IM and Ketorolac 60mg IM and a prescription for prednisone. Symptoms decreased after a couple of hours and came back on 2/4/2021. Went to health clinic and received another steroid shot.

Other Meds: Motrin PRN

Current Illness: none

ID: 1005199
Sex: F
Age: 74
State: IN

Vax Date: 01/27/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
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: Itching started on Tuesday Feb 2 and Rash showed up on Thursday Feb 4th just below the shot area the size of a nickel over my old scar of a Polio shot giving to me as a child. Became sick on Thurs. with Diarrhea and vomiting. That is better today Fri. The Rash area is larger today and hot and itching. Have used cortizone 10 for the itching

Other Meds: Synthroid .075mg,, Altorvastatin 10mg,Hydrochlorsthiazide .25mg. Multi Vit, LLysine , B-12, Calcium, Potassium, Biotin every other day, Probiotic, Ginko Biloba, Magnesium, Zinc, D.

Current Illness: Sinsus problems

ID: 1005200
Sex: F
Age: 72
State: MS

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

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

Lab Data:

Allergies: Penicillin

Symptom List: Rash, Urticaria

Symptoms: A rash at ankles and wrist on first day..more on second day

Other Meds: Singular, protonix, Pepcid, B12, D3, multivitamin. Calcium Citrate, E 1000, Turmeric, C 1000,Tylenol, 81mg aspirin,benedryl, premerin cream

Current Illness: None

ID: 1005201
Sex: F
Age: 67
State: FL

Vax Date: 01/30/2021
Onset Date: 01/31/2021
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, codine, prednisone

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

Symptoms: received both shots): first - 1/9; second 1/30 normal arm soreness at first which went away; then yesterday woke up and the arm is very warm to the touch and red about 4in by 3in at the injection site; no symptoms at all after the first reaction

Other Meds:

Current Illness:

ID: 1005202
Sex: M
Age: 51
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Pain in left arm, chill, headache which lasting 2 days

Other Meds:

Current Illness:

ID: 1005204
Sex: F
Age: 92
State:

Vax Date: 01/25/2021
Onset Date: 02/02/2021
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:

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

Symptoms: Moderna COVID-19 Slight swelling at site of shot Rash and slight itching along upper arm eight days after shot. Now four days later - no worse and no hindrance

Other Meds:

Current Illness:

ID: 1005205
Sex: F
Age: 79
State: FL

Vax Date: 02/03/2021
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:

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

Symptoms: Pt received Moderna on 01-05-2021, then Pfizer on 01-09-2021, and then Moderna on 02-03-2021.

Other Meds:

Current Illness:

ID: 1005206
Sex: M
Age: 65
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: No that I know

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

Symptoms: One day after the shot a furuncle swollen on my right axillae, the pain level is 3.

Other Meds: Tylenol

Current Illness: no tht i know

ID: 1005207
Sex: F
Age: 42
State: CT

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

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

Lab Data:

Allergies: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Medication was given in wrong area. Was placed into shoulder joint hitting bone. I know have extreme pain. unable to lift/ move my shoulder. If I try to move my arm/ shoulder I have shooting pain into my neck and down my arm. I also had fever chills

Other Meds: Lexapro 20 mg once a day

Current Illness: none

ID: 1005208
Sex: F
Age: 25
State: IL

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

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 10:50 am: received vaccination, no adverse events immediately afterwards, went back to work. 9pm: felt ill, took temp., temp was 98.6. Then felt nauseous, went to the bathroom to vomit. Felt faint, sat with head between legs for 1 minute, then passed out on the floor. Woke up 30 seconds later and vomited. Still felt lightheaded 10 minutes after adverse event. Called EMS and went to Emergency Room.

Other Meds: none

Current Illness: none in the past month (but had COVID-19 in November 2020)

ID: 1005209
Sex: M
Age: 30
State: NJ

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: NO

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

Symptoms: Nausea, vomiting, diarrhea , headache, abdominal pain, loss of feelings in toes and fingers

Other Meds: NO

Current Illness: NO

ID: 1005210
Sex: F
Age: 73
State: IN

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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, Iodine

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

Symptoms: Severe Headache, Weakness, Lethargic, Sore throat, Sleepy, aching

Other Meds: AMLODIPINE-BENAZEPRIL 5-20 MG Take 1 capsule by mouth every day BUPROPION HCL XL 150 MG TABLET Take 1 tablet by mouth every morning ESCITALOPRAM 20 MG TABLET Take 1 tablet by mouth every day MELOXICAM 15 MG TABLET Take 1 tablet by mouth

Current Illness: na

ID: 1005211
Sex: F
Age: 39
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: Unevaluable event

Symptoms: Symptoms - ?at approximately 8:00 pm began with nausea, chills and fever (Tmax 100). At time of call still with body aches, chills, and HA. Patient reports she called into work today. Last day of work and shift - ?unknown, called into work today Home remedies? - rest Any improvement? - none Recommendation? Patient educated to continue to monitor symptoms at home and to take ibuprofen and Tylenol as directed in the paperwork and to increase fluid intake. Patient educated to manage her symptoms and to adhere to the Illness in the Workplace Policy. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 1005212
Sex: F
Age: 43
State: AL

Vax Date: 02/04/2021
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: LA

Lab Data:

Allergies: None

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

Symptoms: " Moderna COVID-19 Injection site soreness, fatigue, body aches, and chills

Other Meds: Prozac, Vitamin C, Biotin Supplement

Current Illness: None

ID: 1005213
Sex: M
Age: 37
State: IL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/05/2021
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: NKDA

Symptom List: Injection site pain, Pain

Symptoms: temp at 8AM 100.5: PRN Tylenol admin

Other Meds: LEVOTHYROXINE 50MCG

Current Illness: NO

ID: 1005214
Sex: M
Age: 35
State: CA

Vax Date: 02/03/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: I had my vaccine on the 3rd, I had took Tylenol shortly after taking the vaccine, just to be ready for side effects. Later that night my left arm was sore and I had a fever of 102.4 . The next day my arm is sore, and my temperature is 101.4. I took a bath and Tylenol my fever went back up to 102.3. I had a fever all day yesterday. I am taking Tylenol and Motrin every 6 hours. Last night around 2AM I got chills, and my temperature was 103.5. Today when I woke up my temperature was 100.2 and my arm is still sore. I am going to continue taking the Tylenol and Motrin every 6 hours. I am supposed to work tomorrow. I had call out yesterday.

Other Meds:

Current Illness:

ID: 1005215
Sex: F
Age: 43
State: MS

Vax Date: 01/28/2021
Onset Date: 02/01/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Ceclor Amoxicillin Penicillin Sulfa

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

Symptoms: Monday, February 1st at apx. 5:30 pm. I began experiencing dirrreaha, nausea, and headaches. These symptoms come and go And last for periods of 30 min. to 3 hrs.

Other Meds: Depo Provera (injection every 3 months) Kenalog injection in turbinates every 6 months for nasal allergies Generic Allegra HCL 180 MG pseudoephedrine HCL 30 mg Generic Wellbutrin HCL 300 mg Generic Singular 19 MG Vitamin c 500 mg Vitamin

Current Illness: None

ID: 1005216
Sex: F
Age: 35
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: LA

Lab Data:

Allergies:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: injection site pain, tiredness, headache, muscle pain chills, joint pain, feeling unwell, bruising at the site of injection

Other Meds:

Current Illness:

Date Died: 01/30/2021

ID: 1005217
Sex: F
Age: 99
State: IN

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies: Morphine, penicillin, quinidine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Nursing home called 911 for decline in condition. Patient transported to ER where she was admitted to inpatient care and expired 1/30 at 16:13

Other Meds: albuteron, gabapentin, levothyroxine, loperamide, pantoprazole, potassium, pravastatin, triamterine, ventolin

Current Illness:

ID: 1005218
Sex: F
Age: 32
State: OR

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

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

Symptoms: It started with abdominal pain (like hunger pain). I sat down for dinner and took one bit and abdominal pain got worse. I felt like I was going to pass out. I started sweating and my vision was blurry, I had the shakes. The sensation like your low sugar. I was pale and my skin was sweaty . After about 45minutes it cleared up.

Other Meds: NAC (supplement) -600mg/daily Active B- complex Magnesium -300mg/daily Cetirizine- 10mg/ daily Birth control (implant) Tylenol (occasionally) Inbroken (occasionally)

Current Illness:

ID: 1005219
Sex: F
Age: 38
State: TX

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

Symptom List: Nausea

Symptoms: Symptoms - ? Patient reports she began with HA, body aches and chill around 11:00 am yesterday. Patient reports at approximately 02:00 am on 2/5 woke up with fever (Tmax 101) and took 600 mg ibuprofen at 02:30. At time of call no fever. Last day of work and shift - ? scheduled for work today (2/5) at 11:00 am Home remedies? - rest and ibuprofen 600 mg at 02:30 Any improvement? - mild Recommendation? Patient educated to continue to monitor symptoms at home and to take ibuprofen and Tylenol as directed in the paperwork and to increase fluid intake. Patient educated to manage her symptoms and to adhere to the Illness in the Workplace Policy. Patient verbalized back understanding and denied further questions at this time.

Other Meds:

Current Illness:

ID: 1005220
Sex: F
Age: 23
State: MD

Vax Date: 12/31/2020
Onset Date: 01/11/2021
Rec V Date: 02/05/2021
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: initially erythema at injection site for # 1. " muscle twitch & aches " near injection site , diffuse ongoing fatigue, not activity limiting . Muscle " twitching" persisted x 2 weeks after first shot - then resolved. Received second vaccine on 1/28/21 with similar reaction of erythema & muscle twitching' near injection site . Intermittent fatigue. No other neurologic or MSK symptoms.

Other Meds:

Current Illness:

ID: 1005221
Sex: M
Age: 93
State: ND

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

Lab Data:

Allergies: PCN

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

Symptoms: Patient describes area as slightly red below injection site and that it is about 2 inches in diameter. He reports slight numbness and that the area is slightly warm and raised.

Other Meds:

Current Illness:

ID: 1005222
Sex: F
Age: 66
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: None

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

Symptoms: Sore arm, erratic heart rate (jumps between 65 and 100, muscle aches

Other Meds: Magnesium. Atorvastatin, CoQ 10.

Current Illness: None

ID: 1005223
Sex: F
Age: 38
State: IN

Vax Date: 02/03/2021
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: Fever 102.7, chills, body aches, and general malice

Other Meds: Zoloft, Contrave, Vitamins, Zyrtec

Current Illness: Covid

ID: 1005224
Sex: M
Age: 26
State: MA

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

Symptom List: Erythema, Pruritus

Symptoms: Unknown

Other Meds:

Current Illness: None

ID: 1005225
Sex: M
Age: 22
State: VA

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: Sore left shoulder (2 days), Headache (2 days), Nausea (Yesterday), Fever (2 days), Rash around neck and around site of vaccination (Today), Congestion (2 days). I have taken ibuprofen the past 2 days in order to help reduce shoulder pain, and fever.

Other Meds: Ibuprofen

Current Illness: N/A

ID: 1005226
Sex: F
Age: 21
State: IN

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

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

Symptoms: Fatigue/Tiredness beginning at 7:00pm. Chills and body temperature began to rise at 8:30pm. I took ibuprofen to help decrease my body temperature. At 7:45am on 02/04/2021, I had a fever of 101 degrees. I also has chills and a headache at this time. I took ibuprofen and my body temperature went down. The headache lasted until 7:00pm on 02/04/2021.

Other Meds: N/A

Current Illness: N/A

ID: 1005227
Sex: M
Age: 35
State: AZ

Vax Date: 02/04/2021
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: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Systemic: Fainting-Medium

Other Meds:

Current Illness:

ID: 1005228
Sex: F
Age: 37
State: AL

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

Lab Data:

Allergies: penicillin

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

Symptoms: Injection site is inflamed (red and feverish). Tissue has hardened around it. The site itches some but there is no soreness/pain. School system head nurse marked it and we plan to watch it over the weekend to see if it spreads further.

Other Meds: multi-vitamin

Current Illness: none

ID: 1005229
Sex: F
Age: 71
State: PA

Vax Date: 02/04/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: generic of synthroid gave me tingling tongue - 10 years ago Rash: Amoxicillin, Ceftin, Levaquin

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

Symptoms: Moderna COVID-19 Vaccine EUA Tingling/burning tongue, feeling of swelling in lips, about 30 to 40 minutes after injection I waited 15 minutes at hospital, felt fine. On drive home, the tip of my tongue started to feel tingley. Then lips. Instinct told me to use my inhaler (on hand for seasonal use). It helped me to clear my throat, but I did not feel like my throat was closing Lips subsided within 1.5 to 2 hours. Tongue finally subsided fully after about 5 hours, but I still feel a slight feeling today, as if I drank too hot of coffee.

Other Meds: Synthroid : morning of Day before: Claritin, Mucinex 600, Atorvastatin. Montelukast, B12, D3

Current Illness:

ID: 1005230
Sex: F
Age: 30
State: MA

Vax Date: 01/21/2021
Onset Date: 01/23/2021
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: Amoxicillin, bees

Symptom List: Pain in extremity

Symptoms: About 40-44 hours after vaccine, I developed hives on my chest, stomach, back, and torso. Developed numbness in right side of throat, experienced extreme headache, fatigue, and exhaustion.

Other Meds: Levothyroxine Liothyronine Spironolactone Propranolol Vitamin D3 Calcium Garcinia Cambogia

Current Illness:

ID: 1005231
Sex: F
Age: 30
State: IN

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Lactose intolerant

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

Symptoms: Fever of 101 for 24 hours.

Other Meds:

Current Illness:

ID: 1005232
Sex: M
Age: 45
State: MT

Vax Date: 02/02/2021
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: Chills, Body aches, Injection site pain, Swelling

Other Meds:

Current Illness:

ID: 1005233
Sex: F
Age: 75
State: IN

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: None

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

Symptoms: First 12 hours were fine just slight soreness in right arm. Got really tired 10 PM and got chills, went to bed as I tried to get out of bed next morning could hardly walk from very bad knee and hip pain, took acetaminophen and reviewed side effects on paper.. noticed extreme heat in injection site and noticed a swollen red mark about 3.5 inches diameter. Also had headache. Spent most of day laying down and taking acetaminophen, next day about 48 hours from injection time I am much better, except injection site is still red and swollen and a dizzy headache.

Other Meds: Valsartan-HCTZ Amlodipine Besylate Carvedilol Calcium Aspirin Restore Eye Vitamin

Current Illness: Jan 13, 2021 Went to Clinic for sinis infection and sore throat Jan 17 , 2021 Lost sense of teaste and smell Jan 19, 2021. Got Covid test Jan 20, 2021. Received test results :

ID: 1005234
Sex: M
Age: 68
State: TX

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: n/a

Symptom List: Vomiting

Symptoms: pt woke up around midnight with stomach pains on the right side under rib cage, stated that it got to about 6-7 pain level. Pt was able to have a bowel movement, but stated that every time you would try and lay back down that the pain would get worse. Pt will be going to the ER.

Other Meds: aspirin 81mg atorvastatin 40mg zyrtec 10mg clopidogrel 75mg famotidine 20mg fish oil metoprolol succinate er 50mg pantoprazole 40mg tamsulosin 0.4mg testosterone 200mg

Current Illness: no

ID: 1005236
Sex: F
Age: 69
State: TX

Vax Date: 01/26/2021
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: Penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 7 days later, red, itch swollen area around site of injection. Lasted for 3 days.

Other Meds: Wixela, Montelukast, Fluticasone Propionate

Current Illness:

ID: 1005237
Sex: F
Age: 60
State: NJ

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: Seasonal allergies

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

Symptoms: Low grade fever, headache, body ache and severe pain and swelling in right arm (at site of injection) for 1 day, today - 2/5/21 only slight headache and discomfort and swelling in right arm (at site of injection)

Other Meds: L-Thyroxine 125mcg Propranolol 1/2 10mg Valacyclovir 500mg Zoloft 50mg Omega 3 Fish Oil 1000mg Vit D3 1000IU Calcium 600mg Vit B12 500mg Turmeric 500mg AREDS 2 1 tab daily Flonase Zyrtec-D prn Aspirin 81mg (Baby aspirin) Collagen Hydrolysa

Current Illness: None

ID: 1005238
Sex: F
Age: 61
State: TX

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Six hours post vaccination- chills, fever, headache. Twelve hours post vaccination- chills, fever, headache, nausea. Feb 4, 2021 - Swollen lymph node at right clavicle; Swollen right eye; swollen, warm, hard knot in right arm below injection site; headache.

Other Meds: Zocor, NP Thyroid, MVI, HRT, Vit C, Vit D3

Current Illness: none

ID: 1005239
Sex: M
Age: 26
State:

Vax Date: 01/01/2017
Onset Date: 09/15/2020
Rec V Date: 02/05/2021
Hospital: Y

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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: GUILLAIN BARRE

Other Meds:

Current Illness:

ID: 1005240
Sex: F
Age: 30
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Cold sweats all night. The next day: fatigue, migraine, chills, dizziness, nausea.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm