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: 1008278
Sex: F
Age: 32
State: NJ

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fatigue, body aches

Other Meds: None

Current Illness: None

ID: 1008279
Sex: F
Age: 49
State:

Vax Date: 01/24/2021
Onset Date: 01/25/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Loss of smell and taste next day after dose number 2. Reports exacerbation of right leg sciatica after both injections, and hip "spasms" not previously experienced with sciatica symptoms.

Other Meds:

Current Illness:

ID: 1008280
Sex: F
Age: 56
State: CT

Vax Date: 02/04/2021
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 known

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

Symptoms: Sudden onset of chills/ shakes. Following day just felt tired and nauseous

Other Meds: Methimazole, rosuvastatin, losartan, vitaminD, coQ10, selenium

Current Illness: None

ID: 1008281
Sex: F
Age: 59
State: FL

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: No.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Headache, cold, fatigue, and low blood pressure.

Other Meds: Calcium and Vitamin D supplements.

Current Illness: No.

ID: 1008282
Sex: F
Age: 43
State: NM

Vax Date: 02/06/2021
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: LA

Lab Data:

Allergies: None known

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

Symptoms: Patient was reported to have possible seizure. She reportedly went to floor on her own . Seizure had ended and had gotten back to her feet by the time pharmacy personnel arrived. Patient seemed not to want to stay in store and left with a family member about 5 minutes after event was reported.

Other Meds: None known

Current Illness: possible epililepsy

ID: 1008283
Sex: F
Age: 67
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: Morphine, codeine, meloxicam, lisinopril, amlodipine besylate

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

Symptoms: On the 5th in the morning my arm was sore had a knot on it ( about the size of a half dollar) and red at shot site. Today the 6th I got up and it still hurts a much larger knot and is still red. I looked it up an it seems to be what they are calling covid arm.

Other Meds: Metoprolol SuccER,mutivitiamin,calcium,vitiaminD,lorantadine

Current Illness: None

ID: 1008284
Sex: F
Age: 27
State: CA

Vax Date: 01/14/2021
Onset Date: 01/22/2021
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: Gluten allergy

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I had a small bump and minor discomfort the day I received the vaccine. The next day it was gone. Eight days later I developed a bright red circular rash around the injection site it lasted for about 2 days and I had a telehealth appointment visit about it. It was rather large.

Other Meds: NA

Current Illness: NA

ID: 1008285
Sex: M
Age: 41
State: CA

Vax Date: 01/01/2021
Onset Date: 01/13/2021
Rec V Date: 02/06/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: First dx of diverticulitis with microperforation

Other Meds:

Current Illness:

ID: 1008286
Sex: F
Age: 69
State: VA

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Nickel size 1/2 inch swelling at injection site. EMS evaluated. Bandaid removed and client did arm exercise and felt better and swelling went down.

Other Meds:

Current Illness:

ID: 1008287
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: Cefprozil, Cipro, ASA, nickel, latex

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Large red swollen area at injection site. Itchy, hot and painful to touch. Have been applying ice pack on and off. Took benedryl capsule. No relief or change yet but tolerable.

Other Meds: Centrum silver multi vitamin for women

Current Illness: None

ID: 1008288
Sex: F
Age: 37
State:

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: 5 hours after second injection had injection site pain, fever, dizziness and syncope. Referred to PCP for further evaluation.

Other Meds:

Current Illness:

ID: 1008289
Sex: F
Age: 33
State: IN

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: SYR
Vax Site: RA

Lab Data:

Allergies: Sulfa based medication

Symptom List: Rash, Urticaria

Symptoms: After about 13 hours I started feeling fluttering heartbeats, body aches, and slight nausea. This continued from 8:00-3:00 when things then got a lot worse. The nausea increased, body chills started, tingling of body, body aches and vomiting. This continued until around 11:00 pm when I finally started feeling well enough to get some rest. I slept through the night and felt much better in the morning. I still feel very tired, weak, and slightly sick but much better than the first day.

Other Meds: Myrorisan and ortho tri cycline lo

Current Illness: None

ID: 1008290
Sex: M
Age: 48
State: IL

Vax Date: 02/06/2021
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: LA

Lab Data:

Allergies: None

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

Symptoms: Started feeling light headed. At initial question set he marked no allergies and no health conditions. After the vaccine he admitted to having hypertension and hasn't taken his meds in 2 days. Checked his BP and gave him water (see below). Monitored him for 30min and he still felt dizziness. Staff recommended he take an ambulance to hospital as a precaution so he agreed to go.

Other Meds: Blood pressure - beta blockers, ace-inhibitors

Current Illness: None mentioned

ID: 1008291
Sex: F
Age: 43
State: MI

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

Lab Data:

Allergies: NONE

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

Symptoms: RAPID HEART RATE

Other Meds: XANAX, ALBUTEROL INHAILOR,PREVACID, MOBIC,PAXIL,ULTRAM

Current Illness: NONE

ID: 1008292
Sex: M
Age: 67
State: NY

Vax Date: 01/31/2021
Onset Date: 01/31/2021
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: None

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

Symptoms: Sore Arm, Little Swelling, Chills, Aching Joints, Slight Fever

Other Meds: Xerelto and Metoprolol

Current Illness: COVID-19

ID: 1008293
Sex: F
Age: 39
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Vioxx, and allergy to soy and gluten

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

Symptoms: After about 30 minutes I experience swelling and tingling to my tongue. I also experienced some dizziness. The swelling and tingling dissipated after about 4 hours, and I took some 20mg PO Pepcid and 10mg Loratidine to see if it would help. After 6-8 hours the swelling and tingling to my tongue was gone. I reported this to my provider Manaku MD, and she recommended it was fine to get my second vaccine, and she would give me a methylprednisone taper pack for the next vaccine. She states she questions if I have an allergy to polyethylene glycol which I did not believe I did? Unsure of where the reaction could have stemmed from.

Other Meds: Rhodiola, ashwaganda, fish oil, multivitamin, Mirena iud, reishi and lions mane mushroom supplement, holy basil, vitamin c

Current Illness: None

ID: 1008295
Sex: F
Age: 32
State: IL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
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: Penicillin, augmentin, shellfish, dairy, gluten

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

Symptoms: Fever, chills, unilateral jaw pain, headache, vomiting

Other Meds: Vitamins A D K, zinc, selenium

Current Illness: None

ID: 1008297
Sex: F
Age: 65
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: Morphine 30 years ago "I had the same reaction but I was at the hospital at the time and they took care of it there".

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Vaccinee was in 15 min observation area and just before that time was up, she called for the Nurses because she "was feeling lightheaded and her hands were tingling". She was talking but seemed alarmed. Lungs were clear BP was 148/98 which is high for her. EMS on site and called over to respond. They transported her to hospital and en route gave Epi and Bendaryl IM, she was further treated at the ER. She was discharged home at about 6pm.

Other Meds: Vitamin D and a Multi vitamin- no other medications

Current Illness: None

ID: 1008298
Sex: F
Age: 38
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:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Client complaining left forearm and hand tingle. Feels like it is falling asleep. EMS evaluated she stayed an extra 10 minutes and given exercise to decrease tension.

Other Meds:

Current Illness:

ID: 1008299
Sex: F
Age: 32
State: AK

Vax Date: 01/26/2021
Onset Date: 01/27/2021
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: See previous ?short term illness?. Super red itchy arm growing in size daily. 11 days after injection still itchy and growing. 3x4 inches in size and circular.

Other Meds: Setraline, suboxone, lantus, metformin, diflucan (for thrush in breasts from breastfeeding), vitamin d, prenatal

Current Illness: My arm starting turning red about an inch in diameter the morning after the shot. It keeps growing bigger in diameter and is soooo itchy. It?s about 3 by 4 inches now and I?m 11 days in. It looks bigger today than yesterday. There also now a little round spot about two inches below it that showed up yesterday. It itches too.

ID: 1008300
Sex: F
Age: 70
State: CA

Vax Date: 01/28/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: keflex, sulfa drugs

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

Symptoms: red itchy rash at injection site 8 days after injection

Other Meds:

Current Illness:

ID: 1008301
Sex: F
Age: 24
State:

Vax Date: 01/13/2021
Onset Date: 01/13/2021
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:

Symptom List: Unevaluable event

Symptoms: Under observation for 30 minutes after vaccine due to history of anaphylaxis after a previous vaccine. No problems until about an hour after injection experienced swelling and itching in throat, tongue and jaw. Seen at ED and given steroids. Following week still having intermittent tongue and throat swelling/itching, as well a diarrhea and chest tightness. Referred to PCP for further evaluation and guidance regarding receiving second dose.

Other Meds:

Current Illness:

ID: 1008302
Sex: F
Age: 70
State: IN

Vax Date: 02/04/2021
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: LA

Lab Data:

Allergies: None

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

Symptoms: Chills aches headache tylonol. Lasted about 24 hours

Other Meds: Ramipril

Current Illness: None

ID: 1008303
Sex: F
Age: 71
State: IN

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: swelling from injection site down to hand with pain and requiring removal of rings except wedding ring that cannot be removed; which normally can be.. I have been taking ibuprofen. Hand writing on card given out is very poor

Other Meds: Synthroid

Current Illness: none

ID: 1008304
Sex: F
Age: 49
State: WI

Vax Date: 02/06/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: hand tremors, light-headed, headache; sent to ED for Eval

Other Meds:

Current Illness:

ID: 1008305
Sex: F
Age: 74
State: MI

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

Lab Data:

Allergies:

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

Symptoms: shot#2 on 2-2-2021 @ 9:45 AM, At3:00PM became very tired,chills joints began aching. 2-3 symptoms continued 2-4 symptoms continued 2-5chills began again at 3:00 PM 2-6 chills dizzines

Other Meds: losartin,hydrochlorothyizide,

Current Illness: none

ID: 1008306
Sex: M
Age: 32
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: Unknown.

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 1112 - Arrived to triage area reporting dizziness/light headedness. Hands moderately cyanotic and generally pale in appearance. Of note, reports drinking alcohol last night. BP 158/131, HR 145, RR 18 1114 - MD at bedside directing care. Trendelenburg performed, ice pack applied to forehead. Analogue pleth suspicious for SVT-like arrhythmia, but no telemetry available on-site. BP 173/86, HR 157, RR 20 1119 - BP 163/86, HR 136, RR 22 1125 - Called 911. BP 179/88, HR 138, RR 20 1127 - Called on-site EMS 1129 - Started L. AC PIV 20ga and initiated NS infusion. BP 174/88, HR 131, RR 20, SpO2 99 1133 - BP 175/82, HR 144, RR 18, SpO2 100% 1138 - BP 168/92, HR 131, RR 18, SpO2 100% 1143 - Gave 50 mg IV Benadryl. BP 167/84, HR 147, RR 22, SpO2 100%. 1144 - EMS arrived on-site and assumed care of patient. ECG shows "probable sinus tachycardia" and "ST junctional depression is nonspecific". 1149 - Transported to hospital by EMS.

Other Meds: Unknown.

Current Illness: Unknown.

ID: 1008307
Sex: F
Age: 63
State: DE

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: right facial numbmess

Other Meds:

Current Illness:

ID: 1008308
Sex: F
Age: 57
State: MI

Vax Date: 02/04/2021
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:

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

Symptoms: Swollen and painful lymph nodes in armpit of left arm

Other Meds: Multivitamin, Vitamin C, Vitamin D

Current Illness:

ID: 1008309
Sex: F
Age: 52
State: CA

Vax Date: 01/17/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Vicodin- hives

Symptom List: Nausea

Symptoms: At day 4 increase large local reaction, felt to be cellulitis due to late onset and increasing size, but in retrospect likely a delayed hypersensitivity reaction (have photo images)

Other Meds: Initially felt to be cellulitis, later thought to probably be a delayed hypersensitivity reaction

Current Illness: none known

ID: 1008310
Sex: F
Age: 28
State: MI

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: Ibuprofen and Ceclor

Symptom List: Injection site pain

Symptoms: Shortness of breath; sensation of pressure in my chest/lungs along with increased resting heart rate (126-136bpm)

Other Meds: Amitriptyline 25mg for migraines

Current Illness: None

ID: 1008311
Sex: F
Age: 54
State: AZ

Vax Date: 02/06/2021
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: LA

Lab Data:

Allergies: Ceftibuten, cephalexin, ciprofloxacin, doxycycline, IV contrast, latex, lactose, macrobid, sulfa

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

Symptoms: Pt complained of chest pain within 5 minutes of vaccine at mass vac event. Pt monitored one on one by Dr. pain 8/10 to 5/10 to 2/10 after 10-12 minutes. no SOB, no deficit, no rash, no abd cramping.

Other Meds:

Current Illness:

ID: 1008312
Sex: M
Age: 69
State: MN

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

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

Symptoms: Injection sight is warm, swollen, and itches 12 days after receiving first dose.

Other Meds: Citalopram Carbidopa/ Levodopa Vitamin B complex

Current Illness: Parkinson's

ID: 1008313
Sex: F
Age: 43
State: UT

Vax Date: 01/21/2021
Onset Date: 01/22/2021
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: Diflucan

Symptom List: Tremor

Symptoms: I was fine until Friday morning when I woke up. I had an intense headache, body aches, chills, and soreness at the shot site. Similar if not worse than when I had COVID-19 in July. It was painful. The vibrations of the car, putting my hair up, and changing clothes physically hurt. I took Tylenol, Aspirin, Aleve, and finally Ibuprofen, at 5pm on Friday 1/22/21. Ibuprofen 800mg was the only thing that helped. I took it every 6 hours until I went to bed Saturday night and was fine after that.

Other Meds: Insulin, Synthroid

Current Illness: None

ID: 1008314
Sex: F
Age: 37
State: IN

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

Lab Data:

Allergies:

Symptom List: Erythema, Pruritus

Symptoms: Friday early morning woke up with a 101.1 fever. Took ibuprofen for it also had headache and nauseous. Every muscle bone and joint just hurt. Throughout thr day fever just kept getting higher, up to 103. Along with by 4 pm walking felt like a chore and the pain was so bad could barely walk without crying. Kept on taking ibuprofen. By Saturday morning fever finally broke woke up sweating at 3 am then again at 9 am. Now just feeling really exhausted, headache and a little sore. A lot better.

Other Meds:

Current Illness: Might have had a breast infection at time of vaccine

ID: 1008315
Sex: M
Age: 54
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: Z-Pack Vibratab 2/25/12 (Tetracyclines) Bactrim 2/28/2012 (sulfa drugs)

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

Symptoms: Felt blah (I know, very technical, lol) Fever (98.8) Chills Took Extra Strength Tylenol (1000mg) and Advil 400mg alternating every 5-6 hours

Other Meds: Lisinopril 10mg

Current Illness: None

ID: 1008316
Sex: F
Age: 25
State: OR

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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, Sulfa antibiotics

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

Symptoms: Vaccine administered: Moderna Lot #025J20-2A @ 1139 am Patient reaction: itchiness + change in swallowing + lightheadedness Action taken: self administered 50 mg PO benadryl pre vaccination per PCP. Approximately 30 minutes post Vaccination symptoms present and throat reported as "swalling is different" self administered an additional 50 mg or personal PO Benadryl / 1200 pm VS BP 139/85 HR 62 spo2 97% RR 13 Outcome: no adverse events noted, patient reports improving symptoms at this time 1241 pm

Other Meds: 50mg pre medication with benadryl , 50 mg post vaccination when symptoms reported as worsening

Current Illness:

ID: 1008317
Sex: F
Age: 67
State: CA

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Red rash where shot was given for 2 days..8 days later rash appeared again. Also headache

Other Meds: Multi vitamin, D3, Advil

Current Illness: None

ID: 1008318
Sex: F
Age: 40
State: FL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
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: None

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

Symptoms: Fever chills muscle pain body malaise

Other Meds: None

Current Illness: None

ID: 1008319
Sex: F
Age: 49
State: PA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
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: None

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

Symptoms: This may be coincidental to being 49, possible coincidental to perimenopausal age, but it was a first irregularperiod whole life so will note. 1/12 First dose vaccine 1/20 menses at normal time no ovulation this cycle 2/2 Second dose 2/3 fever,ache, headache 2/5 menses (normal cycle 28-29 days. This was @ 17 days.) 2/3 approx 2:30pm started with chills, aches, headache, fatigue, fever at 101 lasted approx 12 hours. Took Tylenol at 4pm and fever hovered at99.5- 99.9 then took Tylenol again at 11pm. Fever Gone by 6am. (Normal temp 98.2-98.6) Very short-lived and fine by 2/4

Other Meds: None

Current Illness: None

ID: 1008320
Sex: F
Age: 57
State: TX

Vax Date: 01/20/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Sore throat, body ache, 99 temp highest, lost of taste and smell. Was coughing sneezing and are still coughing. I tested positive on the 25 January.

Other Meds: Zyrtec , thyroid medication Vit C, Vit D, zinc, quercetine, Centrum 50+.

Current Illness: None

ID: 1008321
Sex: F
Age: 31
State: MD

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: NKA

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

Symptoms: Around 5pm on 1/26/2021 I started to have muscle pains. I woke up with chills around midnight. Finally got warmed up and then felt extremely hot, but no fevers. Mild nausea and muscle pains as well. Woke up in the morning with headache, fatigue, muscle pains, and still nausea. Started to feel better that evening and was fine the next day.

Other Meds: Zoloft 200mg, Ambien 10mg, Seroquel 25-50mg, hydroxycine 50mg, omega3

Current Illness: None

ID: 1008322
Sex: F
Age: 79
State: FL

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: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Soreness at the site in injection. Couldn't sleep that entire night. Woke up with sweats and chills. Felt absolutely exhausted the following day with little to no appetite. Slept soundly (unusual for me) that night and felt absolutely fine the next day.

Other Meds: Cal-Citrate 800mg. preservision curcumin 400mg.Vit. D 2300i.u. Losartan 25 mg Carvedilol 3.125 Lorazepam 0.5mg

Current Illness: Slight sore throat

ID: 1008323
Sex: F
Age: 56
State: TN

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

Lab Data:

Allergies: Cipro

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

Symptoms: Finger swelled on left hand and had very high blood pressure 180/120

Other Meds: Vumerity Paxil Vesacare Vitamin B Probiotic

Current Illness: No

ID: 1008324
Sex: F
Age: 20
State: MA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: amoxicillin and injectable dye

Symptom List: Vomiting

Symptoms: 15 min after vaccine, pt started complaining of chest pain and shortness of breath. EMS called and transferred to local hospital

Other Meds: unknown

Current Illness: possible pneumonia in Jan ?

ID: 1008325
Sex: F
Age: 66
State: WA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
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: Sulfa, neomycin, bee stings, QT-prolonging medications, react strongly to sm amts of epinephrine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: I was feeling pretty good until suddenly I felt lousy. My arm quickly started to get sore and my heart rate doubled. It took around an hour for my heart rate to slow down again. By bedtime all I had was a sore arm. That was gone within 24 hours.

Other Meds: Prednisone (5 mg), hydroxychloroquine, omeprazole, pilocarpine, estradiol cream (very low dose), triamcinolone cream, diclofenac gel, rx fluoride toothpaste, potassium, calcium, vitamin supplements including: multi, D, K, B complex.

Current Illness:

ID: 1008326
Sex: F
Age: 42
State: MA

Vax Date: 01/29/2021
Onset Date: 02/06/2021
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: curry

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

Symptoms: 8 days post vaccine the site became swollen, red, hard, itchy, and warm to the touch

Other Meds: prenatal vitamins famotidine

Current Illness: none

ID: 1008327
Sex: F
Age: 63
State: IL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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 that I know of

Symptom List: Injection site swelling, Limb discomfort

Symptoms: None stated.

Other Meds: Fish oil, vitamins c,calcium 600mg

Current Illness: Back pain , heart problems

ID: 1008328
Sex: F
Age: 33
State:

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

Lab Data:

Allergies:

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

Symptoms: Client evaluated by EMS not feeling well BP 148/95, P 121 BS134. Vitals came down to BP 126/86, P104, O2 99, BS 134. Client left feeling better> No reaction after first dose.

Other Meds:

Current Illness:

ID: 1008329
Sex: F
Age: 65
State: MO

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

Lab Data:

Allergies: lemons

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

Symptoms: Vomiting Nausea Dizzy Possible seizure while sleeping

Other Meds: Cozaar 25 mg 1daily (am) Cymbalta 20 mg 1 daily (am) Synthroid 50 mcg 1 daily (am) Prilosec 20 mg 2 daily (am and pm) Zocor 20 mg 1 daily (pm) aspirin 81 mg 1 daily (am) Hydrochloride 10mg 2 daily (am and pm) fish oil 1200 mg 1 daily (am)

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm