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: 1006576
Sex: F
Age: 43
State: IL

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

Lab Data:

Allergies: Allergy to Sulfa drug Dairy sensitivity - no dairy diet

Symptom List: Dysphagia, Epiglottitis

Symptoms: Palpatations, increased heart rate (double normal resting heart rate), elevated blood pressure, dizziness, shaky, throat became increasingly sore, voice hoarse. Treated with 50 mg benedryl and saline IV drip after sitting in the ER waiting room for an hour+ Heart rate returned to 80-90 beats per within 90 minutes, dizziness subsided, throat returned to normal

Other Meds: N/A

Current Illness: N/A

Date Died: 01/31/2021

ID: 1006577
Sex: F
Age: 94
State:

Vax Date: 01/04/2021
Onset Date: 01/31/2021
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: Patient passed away within 60 days of receiving a COVID vaccine

Other Meds:

Current Illness:

ID: 1006578
Sex: M
Age: 79
State: TX

Vax Date: 01/29/2021
Onset Date: 02/02/2021
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: None

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

Symptoms: Rash on lower back. Treated with Triamcinolone acetonide cream 0.1%.

Other Meds: Valsartin-HCTZ Pravastatin Vitamin D

Current Illness: None

ID: 1006579
Sex: M
Age: 92
State: AR

Vax Date: 12/29/2020
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital: Y

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

Lab Data:

Allergies: Dairy

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Patient received dose 1 moderna 12/29/20, and dose 2 moderna 1/25/21. Admitted to hospital for fall, altered mental status, hyperglycemia on 2/4/21.

Other Meds: Gabapentin

Current Illness: Cellulitis of foot

ID: 1006581
Sex: F
Age: 60
State: KY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
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: none

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

Symptoms: Larm at injection site swelled up and very red and painful for 4 days

Other Meds: multi vitamins, estrace, lexapro

Current Illness: none

ID: 1006582
Sex: M
Age: 46
State:

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

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

Symptoms: First vaccine was Pfizer on 1-15-21 and 2nd dose was Moderna on 2-5-21

Other Meds:

Current Illness:

ID: 1006583
Sex: F
Age: 46
State:

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

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: During the 15 minute observation period post-vaccination, patient was noted to have hives on her neck. Patient was taken to ER. Arrival Vital Signs were WNL. Patient c/o itching, erythema, swollen tongue, changed voice, breathing "a little tight". Epinephrine and DuoNeb ordered. Seizure like episode at 02.04.21 at 1240 BP 209/81, HR 111, RR 24, Pulse Ox 100% on 15% Non-rebreather mask, Rectal temp 98.4 ED MD wrote: "At approximately 12:40pm this afternoon the patient was having what appeared to be a seizure versus severe rigors. She was not verbally responsive and appeared to be apneic with her head shaking in her arms flailing rigidly in an up and down motion. Symptoms lasted approximately less than 2 minutes and patient was not postictal. She was not incontinent. Blood sugar is in the 180s and her rectal temp is normal. I believe this patient is having a severe reaction to her moderna vaccine that she received earlier today. Her 1st vaccine was January 7th and today was her 2nd vaccine for COVID." Teleneurology consult conducted, no documented recommendations. Patient was transferred to higher level of care.

Other Meds: Zyrtec 10mg oral tab 1 tab once a day citalopram 40mg oral tab 1 tab once a day amitriptyline 50mg oral tab 1 tab at bedtime losartan 50mg oral tab 1 tab once a day Symbicort 80-4.5mcg/actuation inhalation HFAA 2 puffs once a day albuterol

Current Illness: None

ID: 1006584
Sex: F
Age: 74
State: MN

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Numbness of lips and nose, upper back pain, light headedness, fatigue, soreness at injection site, and headache.

Other Meds: Sotalol Xarelto Atorvastain Premarin Vitamin D Low dose aspirin Tylenol (took today after vaccination)

Current Illness: None

ID: 1006585
Sex: M
Age: 35
State: MT

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Member developed a rash, starting the evening after receiving the vaccine, first below his waist to his lower extremities,then to his upper torso the next morning. He reported having dizziness,eye irritation along with tongue tingling the following day, prompting a visit at a local walk in clinic. The member was treated with Benadryl which reportedly resolved his symptoms.

Other Meds: none

Current Illness: none

ID: 1006586
Sex: F
Age: 68
State: OH

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

Lab Data:

Allergies: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: c.o. "racing hear and the need to cough" approx. 10 mins after vaccine. feels it may have been from her excitement as she was added on to the clinic at the end of the day and rushed to facility. BP 130/94mmHg, HR 70bpm, no diaphoresis. A&O x3. felt better w/i few mins. husband accompanied her to appt and will drive her home. declined to go to ED. ambulated out w/o assistance.

Other Meds: Synthroid, Meloxicam, Losartan, Vitamin D, Omeprazole, Amlodipine, atorvastatin

Current Illness: none

ID: 1006587
Sex: F
Age: 45
State: AR

Vax Date: 01/29/2021
Onset Date: 02/05/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Fever, Body aches, chills, fatigue, headache

Other Meds:

Current Illness:

ID: 1006588
Sex: F
Age: 28
State: WI

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: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Body Aches, chills, headache, light sensitivity, tired, nausea.

Other Meds:

Current Illness:

ID: 1006589
Sex: M
Age: 74
State: FL

Vax Date: 01/13/2021
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: none

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

Symptoms: I received the two doses of the Pfizer COVID-19 vaccine. I was given the second dose (2/3/21) three weeks after the first dose (1/13/21). Some time after receiving the first dose, I noticed a subtle but definite strange feeling all around my mouth and tongue, like a "film" over everything. I also noticed a loss of taste. I suffered from anosmia and dysgeusia many years ago, but through medical intervention, I gained back over 90% of smell and 80% of taste. Now I've noticed more loss of taste again, and I don't think it's coincidence that it's happened while getting vaccinated. I just hope that I regain taste (which is only 45-50% now maybe) as time goes by.

Other Meds: Eliquis, 5 mg. (1 every 12 hrs.) Diltiazem, 120 mg. (1 in the a.m., 1 in the p.m.) Allopurinol, 300 mg. (1 a day) Theophylline ER Tab, 600 mg. (1 during breakfast) Theophylline ER Tab, 400 mg. (1 during dinner) Stiolto Respimat, 2.5 mcg/2.5

Current Illness: none

ID: 1006590
Sex: F
Age: 20
State: AR

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

Lab Data:

Allergies: penicillen

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

Symptoms: fever, body aches, chills, nausea, vomitting, headache

Other Meds: Birth control and probiotics

Current Illness:

ID: 1006591
Sex: F
Age: 69
State: IL

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

Lab Data:

Allergies: Radioactive iodine

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

Symptoms: Face flush and hot Throat, chest burning Slight tightness in throat and chest Took Benadryl and Pepcid Burning went away before taking benedril in about 45 min. Flush face remained about 2 hrs after taking Benadryl. Tightness in chest subsided after taking Benadryl. Continuing with Benadryl every 6 hrs for 5 days, Pepcid 2x/ day 5 days.

Other Meds: Metroprolol succinate Amlodpine Levothyroxine

Current Illness: None

ID: 1006592
Sex: F
Age: 68
State: PA

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

Lab Data:

Allergies: Morphine

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

Symptoms: Pt came into office today due to rash and lab work - noted by PCP to have petechial rash on injected arm from area of injection down to hand. pt reported this started about 1 day after injection and is present today when reported to PCP.

Other Meds: Vitamin D, Magnesium 250mg, fish oil, glucosamine, multivitamin.

Current Illness: N/A one month prior.

ID: 1006593
Sex: M
Age: 94
State: OH

Vax Date: 01/28/2021
Onset Date: 02/03/2021
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: Unknown

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

Symptoms: Client had some lumps in his throat. They were bothering him on 2/4/21. He did take some Tylenol and gargled with salt water but lumps were still there. He also complained of some chilling but stated that went away. His daughter took him to his primary care doctor on 2/4/21. He stated the doctor told him to continue taking the Tylenol, gargling, and encouraged him to keep walking. He is supposed to contact his PCP if needed.

Other Meds: Unknown

Current Illness: Unknown

ID: 1006594
Sex: F
Age: 71
State: NC

Vax Date: 01/26/2021
Onset Date: 02/02/2021
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: diphenhydramine

Symptom List: Ear pain, Hypoaesthesia

Symptoms: red rash covering the left upper arm, the arm where her covid vaccine was given. treated with a 6 day round of prednisone due to the vast area of the red rash covering her whole left upper arm.

Other Meds: no meds

Current Illness: none

ID: 1006595
Sex: F
Age: 34
State: TX

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Report of left shoulder, arm and neck pain began 20 minutes post vaccination. Treatment: Ibuprofen. Outcome: no improvement.

Other Meds:

Current Illness:

ID: 1006596
Sex: F
Age: 42
State: MO

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: Walnuts, Cat and Dog Dander, Sulfa Drugs and Seasonal Mold

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

Symptoms: Tightness in Throat, difficulty breathing, fatigue

Other Meds: Metformin, Meloxicam, and Lisinopril

Current Illness: No illnesses in the past month

ID: 1006597
Sex: F
Age: 52
State: IL

Vax Date: 01/18/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Rash to neck, face and hands noted on 2/5/2021

Other Meds: synthroid

Current Illness: ear ache : no treatment

ID: 1006598
Sex: F
Age: 66
State: PA

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: Shellfish Erythromycin Norco: Hydrocodone Substance they use for take an MRI

Symptom List: Unevaluable event

Symptoms: Fiber up to 101.3, shaking chills,

Other Meds: Rosuvastatin 5mg Vitamins: B12 - Zinc - Vitamin C -

Current Illness: N/A

ID: 1006599
Sex: F
Age: 72
State: CA

Vax Date: 02/03/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Itchiness, tingling around lower lip. Bilateral arm tingling and lightheadedness. BP 125/74, pulse 64; refused Benadryl.

Other Meds:

Current Illness:

ID: 1006600
Sex: F
Age: 53
State: IL

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

Lab Data:

Allergies: None noted

Symptom List: Injection site pain, Pain

Symptoms: nausea, flushed skin, hives

Other Meds:

Current Illness:

ID: 1006601
Sex: F
Age: 44
State: WV

Vax Date: 01/28/2021
Onset Date: 02/05/2021
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 known

Symptom List: Injection site pain, Menorrhagia

Symptoms: Eight days after the vaccine, my injection site became red, itchy, hot to the touch, and swollen.

Other Meds: Buspirone, Hydrochlorothiazide, Metoprolol, Xyzal, Citalopram

Current Illness: None

ID: 1006602
Sex: F
Age: 25
State:

Vax Date: 01/21/2021
Onset Date: 01/22/2021
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: None

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

Symptoms: Flu-like symptoms, extreme chills ( shivering ), sweats for 2 days

Other Meds: None

Current Illness: None

ID: 1006603
Sex: F
Age: 46
State: GA

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: sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 2/4/2020 vaccination I got this done for work. Cognitive issues; fog. Ate dinner. took bath, body hurting. Woke up crying in sleep, whole body hurt. Everything hurt, cold sweats. Injection site, nodule, swollen. Winded and fatigued. Didn't go to dr this time. First vaccine; Cognitive issues, blurry vision. Went home.

Other Meds: daily vitamin

Current Illness: n/a

ID: 1006604
Sex: F
Age: 22
State: TN

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

Lab Data:

Allergies: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: head to toe pinpoint red rash

Other Meds:

Current Illness:

ID: 1006605
Sex: F
Age: 32
State: TX

Vax Date: 02/03/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Reports shortness of breath, chest pain, headache, and neck pain immediately after receiving vaccine. However she did not report it to the vaccinator. States she experienced the same symptoms after receiving first injection. After first injection she went to PCP lab work done and per employee hgb 7.6 As a result we directed her to local ER. ER did EKG only and per employee was normal. Next day at employee clinic labs and chest xray were obtained.

Other Meds: None

Current Illness: None

ID: 1006606
Sex: F
Age: 63
State: MA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: penicillin, sulfa drugs; lactose intolerance

Symptom List: Nausea

Symptoms: Tingling sensation in my lips and the tip of my tongue about 20 minutes after I got the vaccine. I was given a dose of 25 mg of benedryl and asked to remain in the observation area for an hour. The tingling stopped within the hour and I went home. I was fine the rest of the day but experienced fatigue and a sore throat on Days 2 and 3 after vaccination. I was told to get a COVID test and it came back negative. I am fine now. I will get my second dose on Feb 13th.

Other Meds: zolipidem 5 mg, mirtazapine 15 mg, amlodipine 5 mg, Tylenol Arthritis 8 hour extended release

Current Illness: None

ID: 1006607
Sex: F
Age: 54
State: CA

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfate

Symptom List: Injection site pain

Symptoms: There was about a 1.5cm circle shaped red spot on the arm that received the first dose of Moderna vaccine. On Feb 5th (9 days after) the red shaped spot started to get very big, warm, and also with a bump. It got even bigger the next day (10 cm). It also had the feeling of irritation a lot.

Other Meds:

Current Illness:

ID: 1006608
Sex: F
Age: 51
State: WI

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: FATIGUE, BODY ACHES, FEVER, CHILLS

Other Meds:

Current Illness:

ID: 1006609
Sex: M
Age: 41
State: WA

Vax Date: 02/03/2021
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: NKA

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

Symptoms: Diffuse, mild rash across torso, back, forearms, and groin.

Other Meds: Diffuse, mild rash on torso, back, forearms, and groin

Current Illness: none

ID: 1006610
Sex: F
Age: 32
State: VA

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: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Tremor

Symptoms: Overheated, cold sweats, aches, nausea.

Other Meds: Ibuprofen

Current Illness: No

ID: 1006611
Sex: F
Age: 59
State: GA

Vax Date: 01/26/2021
Onset Date: 01/31/2021
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: general pain in the arm for the first 2 to 3 days feeling of being unwell started 6 days after injection date. no fever. just a feeling of general fatigue that lasted for 2 to 3 days

Other Meds: amlodipine Atorvastatin

Current Illness: no

ID: 1006612
Sex: F
Age: 38
State: NV

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: Ketorolac, Penicillin, Toradol

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

Symptoms: Soon after vaccination experienced numbness developing on tongue. Then progressed from tip of tongue to back of tongue. She felt a little bit of numbness around her lips as well and feels subjectively swollen but no difficulty swallowing or breathing. Employee took Benadryl prior to arriving to the ER due to having numbness on the tip of tongue after 1st COVID vaccination. Received IM Epinephrine, Benadryl 25 mg and Prednisone (Deltasone) 60mg once in ER.

Other Meds: Benadryl, Adderall, Gabapentin

Current Illness:

ID: 1006613
Sex: F
Age: 66
State: MI

Vax Date: 01/27/2021
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:

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

Symptoms: Red itchy swollen patch on upper arm a little below injection site, hot to the touch. About 4" when first noticed (because of itch). Next day less itchy but more sore, still red, swollen and hot. Two days later in the morning, about 6" across, itchy again, still hot to touch, red rim around edge of patch. Two days later in afternoon (now), red patch overall less swollen, but raised redder patch at bottom of main patch, still hot.

Other Meds:

Current Illness: None

ID: 1006614
Sex: M
Age: 65
State: TX

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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe tooth ache 1-2 hours after receiving the injection.

Other Meds: Lisinopril-Hydrochlorothiazide (10-12.5 MG) 1 tablet Once a day, Orally (Blood Pressure) Krill Oil (1250MG) 2 tablet daily, Orally (Tryglicerides) Ezetimibe (10 mg) 1 tablet Once a day, Orally (Cholesterol) Januvia (100mg) 1 Tablet Once a d

Current Illness:

ID: 1006615
Sex: M
Age: 73
State: FL

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

Lab Data:

Allergies:

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

Symptoms: 101 temperature, nausea, vomiting, body aches, chills, muscle aches, body sweats, diarrhea, headaches all day on Feb 4th

Other Meds:

Current Illness:

ID: 1006616
Sex: F
Age: 22
State:

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

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

Symptoms: 11:50 reported dizziness b/p 112/88 pulse 12:11 dizziness gone b/p126/78 pulse80

Other Meds:

Current Illness:

ID: 1006617
Sex: F
Age: 33
State: NJ

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Injection was given much higher than previous injection. Severely sore arm and shoulder, limited mobility of shoulder and arm.

Other Meds: None

Current Illness: None

ID: 1006618
Sex: F
Age: 46
State: OR

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: NKA

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

Symptoms: Chills in the morning, worse right after taking a bath. Feeling extremely tired with headache all day.

Other Meds:

Current Illness: None

ID: 1006619
Sex: F
Age: 57
State: MA

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: Seasonal hay fever

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

Symptoms: Severe dizziness, headache, nausea on 8th day following vaccine.

Other Meds: Dexilant 60 mg Losartan 150 mg

Current Illness: None

ID: 1006620
Sex: F
Age: 72
State: OH

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: n/a

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

Symptoms: Chills, severe muscle aches, injection site irritation.

Other Meds: multivitamin, garlic, calcium with vitamin d, atorvastatin

Current Illness: n/a

ID: 1006621
Sex: F
Age: 45
State: NY

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: cephalosporin, PCN, shrimp

Symptom List: Vomiting

Symptoms: Pt had COVid vaccine #2 at 09:00 am and developed some fevers, body aches, chills and minimal toungue swelling, Treated with Benadryl PO with resolution of symptoms.

Other Meds: Lisinopril, MVI

Current Illness: NONE

ID: 1006622
Sex: F
Age: 52
State: WI

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

Lab Data:

Allergies: Contrast [Iodinated Contrast Media] Venom-honey Bee Sulfacetamide SodiumRash

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Patient reports that her HR is elevated about 15 minutes post Pfizer COVID vaccine #2. HR at 112. States she feels a little dizzy. Reports that, during the day, her resting HR is never "this high". Reports that she had COVID and did not have bad symptoms. Recovered from COVID, but then started to get palpitations. States that she has a rapid heart rate that is 120's after that. Follows up with cardiology. Had a Holter monitor, which showed that she had a lot of PVC's. Currently on metoprolol, which she took today. Heart sounds are regular, no murmurs. VSS throughout monitoring. Dizziness resolved after about 20 min. Left facility of her own accord without assistance.

Other Meds: Take 1,000 mg by mouth Every 6 (Six) Hours As Needed for Pain. ADDERALL XR 10 mg 24 hr capsule 1 mg by mouth Nightly As Needed . cholecalciferol, vitamin D3, 1,000 unit capsule 2 tablets by mouth 3 (Three) Times Daily As Needed for Musc

Current Illness: Palpitations with sinus tachycardia and frequent PVC's

ID: 1006623
Sex: F
Age: 76
State: MS

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

Lab Data:

Allergies: Percodan; penicillin; Keflex; ceclor; cipro

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

Symptoms: RASH with itching started second day after injection then became worse on day #3 after injection pt took Benadryl and prednisone; tx in clinic on 2/5/21 and prescribed prednisone x 10 days, bendaryl and famotidine

Other Meds: Trelegy 100-62.5-25mcg daily; amlodipine 2.5mg; atorvastatin 40 mg; Prozac 40 mg; ASA 81mg; Doxepin 25mg; Daliresp 250mg; Albuterol Inhaler

Current Illness: seasonal allergies

ID: 1006624
Sex: F
Age: 37
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Amoxaceiln

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Covid arm, chills body aches/ joint pain, headache and my chest feels tight

Other Meds: Adderall and atenolol

Current Illness:

ID: 1006625
Sex: F
Age: 53
State: PA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
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: Trimox(penicillin) P-phenylenediamine(PPD) P-aminophenol Nickel sulfate

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

Symptoms: Swollen red arm. Big oval at injection site a week after the first injection. Arm extremely itchy. Lasted about a week. I took Benadryl before bed. Could not take when at work. Put ice on it as well.

Other Meds: Multi-vitamin

Current Illness:

ID: 1006626
Sex: M
Age: 77
State: VA

Vax Date: 01/19/2021
Onset Date: 01/26/2021
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: Swelling and pain in arm for several days. About 1 week after the vaccination, I developed chills, headache, muscle aches,fatigue, swelling of the knees and difficulty walking. I began to improve after 2 days, but recovery was slow.

Other Meds: Methotrexate, folic acid IgG infusion every 90 days. Next one due 2/10.

Current Illness: Cold, cough

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm