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: 1007414
Sex: F
Age: 44
State: KY

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Axillary pain on right side (shot side) Delayed reaction of red, hot, painful, itchy welts at shot site

Other Meds: Ibuprofen

Current Illness:

ID: 1007415
Sex: F
Age: 39
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: None

Symptom List: Anxiety, Dyspnoea

Symptoms: 9 hours after vaccination, extreme exhaustion and weakness, as well as pain at injection site. By hour 10, nerve pain throughout spine and peripheral nerves began, increasing to 10/10 pain. Joint inflammation and pain in all joints in body, as well as fever ranging from 100.0-102, lowered to 100 with tylenol. Unable to get out of bed due to 10/10 pain. Fever lasted for 36 hours.

Other Meds: Tylenol

Current Illness: None

ID: 1007416
Sex: M
Age: 54
State: FL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: NONE THAT I AM AWARE OF.

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

Symptoms: Flu like symptoms. 100.8 fever, chills, sweats and body aches. Onset about 18 and a half hrs. after dose. This lasted approximately 36 hours. I took Tylenol for this and felt somewhat better. I felt worse than when I had the actual COVID-19. The injection site is very painful and still painful to the touch 3 days later.

Other Meds: NONE

Current Illness: NONE

ID: 1007417
Sex: F
Age: 78
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I Just need 2 dose and apponitment

Other Meds: none

Current Illness: none

ID: 1007418
Sex: F
Age: 69
State: NC

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Codeine makes me vomit

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

Symptoms: None stated.

Other Meds: Nadolol, spironolactone, lactulose, Eloquis, Sucralfate, Milk Thistle, Vitamin C, Vitamin B-12, Metformin 2 X a day 500 mg. Montelukast, preservation, Barley Max, (Hallelujah Acres) green drink supplement

Current Illness:

ID: 1007419
Sex: F
Age: 68
State: TX

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
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: Penicillin

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

Symptoms: Lightheaded initially. Felt a little nauseous and tired Then went home and experienced vertigo when I turned my head or bent forward. Still having vertigo off and on since vaccine. I have had vertigo before but usually never lasts this long or has felt quite like this.

Other Meds: Xanax, Paxil, Vitamin D, Multi Vitamin

Current Illness: None.

ID: 1007420
Sex: F
Age: 46
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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: Penicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 102? F temperature, severe headache, severe back ache, nausea

Other Meds: None

Current Illness: None

ID: 1007421
Sex: F
Age: 34
State: CA

Vax Date: 02/01/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pharyngeal swelling

Symptoms: Fever. Body chills. Nausea.

Other Meds: Concerta

Current Illness: None

ID: 1007422
Sex: F
Age: 51
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pain over injection site left deltoid. I took 2 Advil 3 hours before my injection and 8 hours post injection. I felt more tired than usual and went to bed at 8:45 pm. I woke up at 1:30 am (2/5/21) due to chills , body aches and headache . I could not sleep because of the chills. I checked my temperature at 4:00 am and it was 100.4 F. I also started having palpitations. I took Vitamin C 250mg gummies #3 and Advil 200mg at 7:00 am . My body ache, headache and fever 100.3 until 1:00 pm. I took acetaminophen 500 mg . I fell asleep from 2:30-4:00 pm and woke up feeling 50% better, no more headache. I never lost my appetite and I tried to drink more fluids. I took acetaminophen 500mg at 5:00 pm and 9:00 pm. I still have some soreness on the injection Site.

Other Meds: Ibuprofen 200mg capsule

Current Illness: None

ID: 1007423
Sex: M
Age: 70
State: CA

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: None that I'm aware of

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I took the vaccine on January 29th. I felt some soreness the following day, but that went away by the nest day. On February 4, I started to develop itching and a rash about 3 inches in diameter.

Other Meds: Losartan, Norvasc, Lipitor, Advair, Singular Humulin, Glipizide, Metformin Multi-vitimin, vitamin C, vitamin D Omega 3 Fish Oil & COQ10

Current Illness: None

ID: 1007424
Sex: F
Age: 46
State: IL

Vax Date: 12/19/2020
Onset Date: 12/26/2020
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: egg - non-anaphylactic

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

Symptoms: pain and tingling in left arm and hand within 1 week of first dose, tingling/paresthesias in both hands and feet/lower legs 1 week after 2nd dose, daily, worse at night when trying to sleep

Other Meds: vitamin D, nicotinamide

Current Illness: none

ID: 1007425
Sex: M
Age: 32
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: In addition to achiness, I have experienced a numb sensation at the injection site and the entire deltoid muscle that extended towards the elbow. The numbness lasted at least an hour after the injection and a couple of times over the past three days. I have experienced a mild fever (99.8 F) each day since the vaccination, but only in the mornings or late at night. I treated this by taking Tylenol.

Other Meds: Vitamin C, Cholecalciferol, and Fish Oil.

Current Illness: None

ID: 1007426
Sex: F
Age: 44
State: PA

Vax Date: 01/24/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, sulfa, cipro, erythromycin

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

Symptoms: I had typical injection site pain, for 2 days following the shot, and was then fine. I had no other symptoms. Today, 13 days later, I developed moderate pain at the injection site, and throughout the day, have since developed a golf ball sized, hard hematoma-like mass at the site. It is sore and painful, and feels like a very tender bruise. No itching or redness is present.

Other Meds: Otezla, methophenodate, carvedilol, Xarelto, Aspirin

Current Illness: Ankylosing Spondylitis, psoriatic arthritis, fibromyalgia, hyper tension,

ID: 1007427
Sex: F
Age: 34
State: LA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Amoxicillin and nystatin . I think Clindamyosin as well.

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

Symptoms: I am the patient. I do not have the lot number. I received it and was fine initially. I felt a little euphoric in my head. Light headed I guess you could say. After about 10 mins of that I felt a little sensation in my legs. It did not last long. I thought maybe just nerves. After about 15-20 minutes I walked outside to maybe leave. I started feeling a little Soreness (none painful or severe) in my throat. I looked in the mirror and saw two small red patches in the very back of the throat. I looked at my phone to text who followed me and looked back in the mirror to see they had no connected that quickly. With in 10 seconds. I walked back in and they gave me 50 mg of Benadryl. I could still breath and had a good air way. My throat a little tight. I remember feeling this euphoric feeling in my head. After about 15 mins of the Benadryl I was getting bettter. I hung around for a little while and left. I know it was a allergy but honestly considered going back for the second dose of that is how it could be handled again. I felt some small dull none painful sharp pains if that makes sense in my sides and stomach that didn?t not linger. Over all it wasn?t so bad. This is my first day however and if more arises I?ll be sure to let you know. I did experience a very sore arm tonight. To even lift it hurt. Worse than other vaccines. I have never had any reactions to other vaccines.

Other Meds: I was given Benadryl afterwards 50 mg

Current Illness: I was recovering from a allergy in March of last year and a terrible reaction to a product bought online called hyaluronic acid. I think it was not a allergy but rather the size of the molecule they sold. It acts as a irritant at a certain size. Kind of like a allergy. It was awful.

ID: 1007428
Sex: M
Age: 48
State: CT

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
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: NKA

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

Symptoms: Patient complains of tingling and swelling of fingers and toes starting day after vaccine.

Other Meds: atorvastatin 20mg, HCTZ 25mg, lisinopril 40mg, metformin 500mg, rivaroxaban 20mg, dicyclomine 20mg, Vitamin D2

Current Illness:

ID: 1007429
Sex: F
Age: 67
State: CA

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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: Amoxicillin - rash Cephalexin - rash

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

Symptoms: Rash one week following vaccination diagnosed by Derm as Id reaction (autosensitization reaction). No improvement w/ topical steroids and anti-histamines for 2 days then started on prednisone.

Other Meds: Lovastatin 20 mg daily

Current Illness: None

ID: 1007430
Sex: M
Age: 32
State: MN

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/06/2021
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: Sulfa, neosporin, bacitracin, medical adhesive, shrimp

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

Symptoms: Body aches starting around noon on left side, 02/03/21 6:00am left arm sore and swollen at injection site, increasing redness warmth and itching at site, max size to 3cm diameter and firm till 02/05/21, decreasing size and minimal discomfort

Other Meds: None

Current Illness: No

ID: 1007431
Sex: F
Age: 55
State: IN

Vax Date: 01/08/2021
Onset Date: 01/25/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None known

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Rash appeared on right arm near (not on) injection site on 1/25/2021 and faded over 2 days. ?Covid arm? except 17 days after vaccination. Anterior to bicep.

Other Meds: Hydrochlorothiazide, Metoprolol, Losartan, trazadone, Venlafaxin, Atorvastatin, Clarinex

Current Illness: None

ID: 1007432
Sex: F
Age: 39
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 8pm started to feel nauseous with headache. Headache became stronger, sweating, increased respiration (45/min), fever 100.9, dizziness, SOB between 2200-0000. 14 weeks pregnant with chronic hypertension. eDD

Other Meds: Aspirin 81mg (1pill/day) Prenatal Vitamin (1 pill/day) Synthroid 125mcg (1pill/day)

Current Illness: None

ID: 1007433
Sex: M
Age: 30
State:

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

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

Lab Data:

Allergies: None

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

Symptoms: Uncontrolled projectile vomiting

Other Meds: Claritin

Current Illness: None

ID: 1007434
Sex: F
Age: 72
State: KS

Vax Date: 01/28/2021
Onset Date: 02/02/2021
Rec V Date: 02/06/2021
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 drugs

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

Symptoms: Swelling, painful and itchy rash from shoulder to elbow

Other Meds: Synthroid Levethyroxin

Current Illness:

ID: 1007435
Sex: F
Age: 75
State: CA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Onions

Symptom List: Unevaluable event

Symptoms: Dizzy, light-headed, unable to balance, fever, lack of appetite, chills, slight nausea for about 36 hours Tylenol 2x500mg

Other Meds: Prednisone

Current Illness: Recovery from pericardial effusion

ID: 1007436
Sex: F
Age: 47
State:

Vax Date: 01/29/2021
Onset Date: 02/01/2021
Rec V Date: 02/06/2021
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, sulfa drugs, ceclor

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

Symptoms: 3 days post injection i am experiencing moderate achiness/flu-like symptoms. Non-febrile. Mildly severe pain and constant ache in lower extremity joints particularly as the day progresses. Mild to moderate headache. Decreased appetites. Fatigue. At present time, I was not as bad as today but symptoms persist. NOT looking forward to 2nd dose.

Other Meds: Escitalopran One a day women's multivitamin Biotin Calcium Alprazolam Propranolol Cranberry supplement

Current Illness: None

ID: 1007437
Sex: F
Age: 63
State: TX

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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

Symptom List: Injection site pain, Pain

Symptoms: Tachycardia started 40 minutes after administration. Resolved after patient slept. Severe depression and crying bouts, feelings of hopelessness on day 2 and 3.

Other Meds: None

Current Illness: None

ID: 1007438
Sex: M
Age: 84
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/06/2021
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: Injection site pain, Menorrhagia

Symptoms: Black and blue arm near injection which is spreading after 3 days

Other Meds: Warfin

Current Illness:

ID: 1007439
Sex: F
Age: 22
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: N/A

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

Symptoms: Swollen lymph nodes in left armpit. Bruising at site of injection. Bruising and swelling happened same day as dose #2. Advil taken to alleviate symptoms, but side effects still occurring on 2/5.

Other Meds: Yasmin, Zoloft, Buspar, Advil

Current Illness: N/A

ID: 1007440
Sex: F
Age: 65
State: CA

Vax Date: 01/24/2021
Onset Date: 01/25/2021
Rec V Date: 02/06/2021
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: doxycycline tetracycline

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: sore arm and minor rash about 2 inches by 3 inches next day, itchy 2/2/2021 rash extended from top to inside shoulder to 8" down arm stabbing pain, red border 2/2/2021 8 am woke with severe dizziness. Could not turn head or sit up. with help, I was able to sit up by 11 a.m. could not walk one step without assistance from two people 6 pm able to maneuver 5 steps to bathroom with aid from one person grabbing door jam, furniture, toilet 10 pm able to maneuver to bathroom unassisted 2/3/2021 8 am able to walk using walls on side of hall or anything that could provide stabilization 2/4/2021 8 am able to walk 10 feet without assistance, but still wobbly balance improved over the day 2/5/2021 8 am able to walk without assistance, very carefully

Other Meds: Fentanyl patch 25 mcg Lamotrigine 150 extended release oxycodone & acetaminophen 10-325 max 4/day

Current Illness: none

ID: 1007441
Sex: F
Age: 44
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Buspar, Sulfa

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Approx. 14 hours after receiving the 1st part of Covid vaccine my arm became so sore I couldn't move it. It was sore from my neck down to just below my elbow. I began having chills and a low grade temp shortly after that. by 0130, I was dizzy, experiencing diarrhea, with episodes of diaphoresis, and acute nausea. I felt that I had some postural hypotension, was very pale and every time I would get up to walk I felt like I was going to end up on the ground. I remained in bed for approx. 16 hours before I felt like I comfortable even getting up and going to restroom. I still have intermittent dizziness, with syncope to this date. I had to leave work early as well as calling in sick for the next shift.

Other Meds: OTC ibuprofen and Tylenol at time of onset of symptoms

Current Illness: none

ID: 1007442
Sex: F
Age: 40
State: CO

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Redness, hive-like reaction, tender to touch, below injection site

Other Meds: None

Current Illness: None

ID: 1007443
Sex: F
Age: 27
State: IN

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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: Pretty severe nausea began around 2/5/2021 at 9:00 PM and then I woke up on 2/6/2021 at 0300 with severe diarrhea.

Other Meds: Junel

Current Illness:

ID: 1007444
Sex: M
Age: 39
State: CA

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

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain

Symptoms: Purpura on bilateral inner lower legs within 3 hours of vaccination.

Other Meds: metoprolol succinate rosuvastatin amlodipine telmisartan hydrochlorothiazide

Current Illness: NA

ID: 1007445
Sex: F
Age: 65
State: OR

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Gluten

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

Symptoms: The red itchy raised bump on the injection site nine days after the shot.

Other Meds: Horizant Topomax

Current Illness: None

ID: 1007446
Sex: F
Age: 30
State:

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
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: Kiwi, raw eggs

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

Symptoms: Moderna COVID-19 Large red patch on arm where vaccine was given. Site is itchy often. Redness is present with heat on arm.

Other Meds: Synthroid Metphormin Prenatal Zyrtec Vitamin D

Current Illness:

ID: 1007447
Sex: F
Age: 38
State: GA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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: Sulfur based drugs

Symptom List: Tremor

Symptoms: Moderna COVID-19 Vaccine EUA? Fever of 102

Other Meds: Multivitamins, zinc, elderflower, vitamin d, vitamin C, Zyrtec

Current Illness: No

ID: 1007448
Sex: F
Age: 53
State: VA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/06/2021
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: Lactose, Heparin, Latex, some: ground beef, coffee, sugars, aspirins

Symptom List: Erythema, Pruritus

Symptoms: Most Severe to Least: All appeared within a day or two after the injection -- none are normal for me and I have O- blood Loss of smell (10 days - still muted) Blood vessel burst in my right eye (large red stain eye for five days -- still a small line near the top of the cornea) Two (2) to three (3) Days: Coughing Chills Sneezing Runny nose Sore joints Itchy warts on face (four in forehead area) - five days (one small and flatter one still remains)

Other Meds: N/A

Current Illness: Stomach ache and diarrhea caused by off-brand coffee

ID: 1007449
Sex: F
Age: 29
State: VA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: The first day was fine. I had a huge gulf ball size knot at the injection site by the next morning, sore and warm to touch (not too unusual). The second night, and since, I can?t sleep. I have severe restless leg syndrome. My limbs feel heavy, but my legs literally ache to the point into painful when trying to sleep. I felt a bit sluggish the day after, but that has since passed. The restless legs is not letting up.

Other Meds: Citolopram 40mg, levothyroxine 150 mcg, b12 complex, prenatal prescription

Current Illness: None

ID: 1007450
Sex: F
Age: 76
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: HASHIMOTO THYROIDITIS IDIOPATHIC CHRONIC URTICARIA SULFA DRUGS LATEX ALL FRAGRANCES PARABENS GLUTEN BANANAS TARAGON ROSEMARY THYME BLEED W/ASPRIN

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

Symptoms: SWELLING OF INJECTION SITE (~6 INCHES DIAMETER) & TEMPERATURE 106F SORENESS (MODERATE) MUSCLE ACHES THROUGHOUT BODY & JOINT ACHES FATIGUE FEVER (99 - 100.6F (BEGINNING ON DAY 2 AFTER SHOT @ 5:00 A.M.).

Other Meds: TIROSINT (LEVOTHROXINE SODIUM) 75 MCG & 50 MCG ALTERNATING EVERY OTHER DAY OF WEEK NORASC - 5 MG VAGIFEM (ESTRADIOL TABLET) 10 MCG 3X WEEK CETIRIZINE 5 MG/DAILY SUPPLEMENTS AlgaeCal Plus (Brand) 4/day (half am / half pm) Calcium @ 720m

Current Illness: NONE

ID: 1007451
Sex: F
Age: 32
State: NY

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: At about 18 hours after the vaccine started with a terrible headache, took Motrin with no effect. Headache continued for about 30 hours after the vaccine. At 22 hours started with chills and a fever of 103. Alternating Tylenol and Motrin by 30hours fever broke. Sore arm almost immediately after vaccine continues to be sore at 36 hours post vaccine.

Other Meds: Levothyroxine 75mcg

Current Illness: None

ID: 1007452
Sex: M
Age: 33
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/06/2021
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: Reported moderate fever, chills, muscle aches, and fatigue for 2 days following dose 2 vaccination. Then, began complaining of chest pain. EKG abnormal and referred to Hospital for evaluation. Found to have elevated troponins and myocarditis. Then discharged home.

Other Meds:

Current Illness:

ID: 1007453
Sex: F
Age: 32
State: PA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Doxycycline

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

Symptoms: 10 hours post vaccine developed headache body chills and weakness. Along with pain at injection site. 12 hours post vaccine developed low fever 100.8, worsening chills, body aches, and headache and insomnia.

Other Meds: Multivitamin

Current Illness: None

ID: 1007454
Sex: F
Age: 54
State: GA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Chills, low grade fever and headache 36 hours. Strong radiating arm pain and armpit lymph node discomfort continues 60 hours and counting, including a red, swollen tender and itchy area 2 inches below the injection site

Other Meds: Pradaxa, Megace, iron supplement

Current Illness: COVID pneumonia and PE

ID: 1007455
Sex: M
Age: 41
State:

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: na

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

Symptoms: Headache, chills, fever, loss of apatite, body aches 6-8 hours

Other Meds: na

Current Illness: na

ID: 1007456
Sex: F
Age: 86
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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: Nka

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

Symptoms: Fever, severe fatigue, very sore arm

Other Meds:

Current Illness:

ID: 1007457
Sex: F
Age: 71
State: CA

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/06/2021
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: None known. Have environmental allergies

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

Symptoms: Red rash at injection site..very itchy. About 2 inches across. Asthma

Other Meds: Montelukast. Synthroid. Celecoxib. Probiotic. Vitamin D3. Potassium. Magnesium.

Current Illness: None

ID: 1007458
Sex: F
Age: 46
State: FL

Vax Date: 01/01/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
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: Celiac

Symptom List: Vomiting

Symptoms: Headache, fever to 100.2, fatigue, achy joints, large hot lump at injection site.

Other Meds: None

Current Illness: None

ID: 1007459
Sex: F
Age: 61
State: IN

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/06/2021
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: Lortab

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Day after injection I woke up at 4:30 am with sore arm, severe headache,temp of 100.4 that went up to 102 through the day, body aches, slight cough,chills and just feeling terrible. I felt like I had the Covid Virus. Friday 2/5/21 and today Saturday 2/6/21 I am coughing with a throat that feels itchy and as if I am getting sick. I felt GREAT on Wednesday 2/3/21 and Thursday 2/4/21. I did call my Dr. the Day after injection when I was feeling so bad to see what to do about work because I can not take off work.

Other Meds: 1 qd .Centrum Silver,Juice Plus Fruit Blend ,Juice Plus Vegetable blend,1 qd. Fluoxetine 20 mg, 1 qd. losartan, 1qd.omoprazole 20 mg.

Current Illness: NA/ No sickness for more than a year

ID: 1007460
Sex: F
Age: 67
State: VA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/06/2021
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: Antibiotics

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

Symptoms: Within an hour, strong abdominal cramping, diarrhea, nausea. Mouth very dry, choking sensation which resolved quickly. The abdominal pain was very uncomfortable, and that along with diarrhea and nausea lasted nearly a week.

Other Meds: None

Current Illness: None

ID: 1007461
Sex: M
Age: 72
State: FL

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 02/06/2021
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: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Pruritic plaque approximately 1 inch in diameter directly at injection site, Monitored lesion and spontaneously went away sometime in late afternoon.

Other Meds: none

Current Illness: none

ID: 1007462
Sex: F
Age: 26
State: IN

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Sore arm, slight swelling and redness at injection site, red circle slightly bigger than a quarter at injection site all starting day after vaccine. Redness and swelling has started to go down

Other Meds:

Current Illness:

ID: 1007463
Sex: F
Age: 37
State: VT

Vax Date: 01/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
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: Sumac tree

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

Symptoms: Bell?s Palsy , sudden onset, treated with high dose prednisone and valacyclovir 7 day treatment. Unresolved to date

Other Meds: Paragard

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm