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: 1009540
Sex: M
Age: 37
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Patient had a vasovagal response, low BP, Pulse, diaphoretic. 911 called by monitoring nurse but patient refused transport, all vitals were fine and symptoms resolved within 30mins of onset of symptoms.

Other Meds:

Current Illness:

ID: 1009541
Sex: M
Age: 37
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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 had a vasovagal response, low BP, Pulse, diaphoretic. 911 called by monitoring nurse but patient refused transport, all vitals were fine and symptoms resolved within 30mins of onset of symptoms.

Other Meds:

Current Illness:

ID: 1009542
Sex: F
Age: 57
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Shellfish morphine, flu vaccine, droperodol, IV contrast

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

Symptoms: Fever peaked 101, severe body/joint aches, headache, no appetite. Symptoms were really bad on Friday night thru to Sunday morning but still had bodayaches, headache, no appetite on Sunday. Fever down to 100.0

Other Meds: Bariatric Multi Vitamin Viactive Calcium Chewables

Current Illness: None

ID: 1009543
Sex: F
Age: 50
State: PA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Predisone, sulfa, codeine,penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Made me extremely dizzy 5 mins after shot still dizzy 3 days after vaccine made vertigo worse

Other Meds: Zoloft, tylenol, trazodone,abilify, omega 3, apple cider vinegar capsule

Current Illness: Nothing

ID: 1009544
Sex: F
Age: 43
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Unable to move right arm 5 days later, limited range of motion and unable to lift or raise. Pain in right arm that is not subsiding. After vaccine I experienced arm pain, fever and chills x 2 days. All other symptoms have subsided except for the right arm pain, strength and mobility.

Other Meds: None

Current Illness: None

ID: 1009545
Sex: F
Age: 77
State: AZ

Vax Date: 01/30/2021
Onset Date: 01/31/2021
Rec V Date: 02/07/2021
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: pennicillen

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

Symptoms: fatigue, weakness, dizziness for 8 days after receiving vaccine

Other Meds: high blood pressure medicine,synthroid ,metamusil

Current Illness: diabetes. high blood pressure, hashimotos,7 days intocovid 19 disease

ID: 1009546
Sex: F
Age: 24
State: CA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Red raised itchy rash on arm at vaccination site that appeared one week after vaccination.

Other Meds: Sronyx

Current Illness: Not ill

ID: 1009547
Sex: F
Age: 51
State: MO

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Sulfa, Morphine, Hydromorphone, clindamyacin, quinolone antibiotics, contrast dye

Symptom List: Pharyngeal swelling

Symptoms: Within 5 hours of the second vaccination (3pm) fever set in @100.5..throughout the nite the fever continued to rise. At the onset of fever, 650mg of acetaminophen was taken. Went to bed and awoke around 4am with severe chilling/shaking and high fever of 105, took 400mg ibuprofen. Awoke 6am, shaking and chills again, fever down to 103.6. Fever did not break completely until 48 hours after vaccine dose.

Other Meds: Creon 36000, Hyoscyamine 0.375mg, sucralfate 1gram, tolteridine 4mg er, estradiol 1mg, spironolactone 25mg, alprazolam 0.5mg, hydroxychloroquine 200mg

Current Illness: I have had covid...since covid I have had elevated liver enzymes, low lymphocyte and overall wbc. Also increased abdominal pain and pancreatic insufficiency. Also elevated serum creatinine

ID: 1009548
Sex: F
Age: 74
State: VA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital: Y

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

Lab Data:

Allergies: IVP dye; niacin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Metalic taste in mouth, burning sensation of roof of mouth and back of tongue, big rush of heat through body, flushed hot cheeks, burning in chest.

Other Meds: Glimepiride 1mg-1&1/2 per day; Lisinopril 20mg-1 per day; Sotalol 80mg-twice a day; Spironolactone 25mg - 1 a day; Synthroid 88 mcg - 6 days per week; Magnesium - 400mg - 1 per day

Current Illness: None

ID: 1009549
Sex: F
Age: 64
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Chills, headache, extreme fatigue

Other Meds:

Current Illness:

ID: 1009550
Sex: F
Age: 29
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Severe pain at injection site, moderate headache, fatigue and chills

Other Meds:

Current Illness:

ID: 1009551
Sex: M
Age: 30
State: MD

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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: N/A

Symptom List: Rash, Urticaria

Symptoms: Severe chills, trembling and shaking 12 hours after injection. Mild fever, sweating at night, inability to sleep, nightmares. Joint paint, heavy feeling in limbs, swollen supraclavicular lymph node on left side, localized (left side) and sharp feeling headache. Swollen feeling in eyes, discomfort when blinking eyes.

Other Meds: Albuterol

Current Illness: Hemochromatosis; Asthma

ID: 1009552
Sex: F
Age: 51
State: MS

Vax Date: 01/26/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: No

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

Symptoms: Arm rash. Big red circle. I googled the symptoms and it said it was ?covid arm? so thought I would report. Area is hot and itchy.

Other Meds: Bupropion, hydroxichoriquine, estrogen, progesterone, testosterone

Current Illness: No

ID: 1009553
Sex: F
Age: 63
State:

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient started complaining of tongue swelling, same as when she had an anaphylatic reaction to strawberries. Patient was given 1 epi pen at 11:07am in the left thigh at the clinic. EMS transport Patient is a 63 y/o F with h/o environmental allergies and asthma who presents to the ED via EMS for evaluation of an allergic rxn that began at 1030 today. Pt was at hospital and had just received her first COVID vaccine when she developed a facial rash and swelling to her tongue and throat. She also c/o dizziness. She was given Epi, Solumedrol, and Benadryl via EMS with improvement. Pt currently receives an allergy shot monthly for tx of her environmental allergies. She has never used an Epi pen previously. Pt denies fever.

Other Meds:

Current Illness:

ID: 1009554
Sex: M
Age: 57
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Flu like symptoms...fever, chills,aches

Other Meds: Lexapro

Current Illness: None

ID: 1009555
Sex: F
Age: 25
State: MN

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Egg, milk, peanuts, shrimp, codfish

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

Symptoms: Large, red ring around injection site. Itchy, painful and swollen in that area.

Other Meds: Sprintec, Vitamin D gummies, cetrizine HCI 10 mg, Flonase

Current Illness:

ID: 1009556
Sex: F
Age: 71
State:

Vax Date: 01/15/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: Mild site pain, headache, joint pain and fever

Other Meds:

Current Illness:

ID: 1009557
Sex: F
Age: 71
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Flagyl, Axid, Oxycodone

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Fairly severe adverse events started around 3:30AM next morning with shaking chills, temp 102, headache, severe neck pain, nausea, generalized myalgia and arthralgia, axillary tenderness radiating to left hand, profound fatique/malaise, anorexia, and, of course, injection site swelling, redness, warmth and pain. Fever continued to spike at intervals over next 24 hours. I was able to reduce fever with ES tylenol or Ibuprofen, put H/A , neck pain, arthralgia and myalgia were unrelieved, even with hydrocodone /Apap 7.5/325. In short, this was a miserable 24 hours. I did not feel able to get out of bed until 10AM the following day.

Other Meds: lipitor, cymbalta, norvasc, singulair, anoro inh., albuterol inh., zyrtec, nexium, mucinex dm, albuterol neb., diclofenac, xanax, hydrocodone with apap, ASA 81mg, Vits. C, D, Calcium, Folic acid, A, E, B complex, )mega 3 Fish oil, gluco

Current Illness:

ID: 1009558
Sex: F
Age: 84
State: OH

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Tetanus Morphine OxyContin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Round red painful site that continued to spread. Treatment: benedryl and prescription from urgent care .. cephalexin 500 mg

Other Meds: Nothing

Current Illness: None

ID: 1009560
Sex: F
Age: 65
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Ran 100.4 fever and developed red rash over front of neck, around 3-4" wide and high

Other Meds:

Current Illness:

ID: 1009561
Sex: F
Age: 36
State: MN

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: On Saturday (02/06) my left arm was swollen, tender, warm and sore. Also, redness and itchiness and pain in arm pit. Saw a doctor on the same day and was prescribed Benadryl, cortisone cream and ibuprofen. Next day the swelling is down, most symptoms are gone but the pain on armpit and redness.

Other Meds: Women?s vitamins and vitamin D

Current Illness: None

ID: 1009562
Sex: F
Age: 64
State: MO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Keflex

Symptom List: Unevaluable event

Symptoms: Fever (100.6), Chills, Sever headache, body aches, fatigue, tachycardia. All except tachycardia ended by afternoon of 2/5. Tachycardia ongoing. Heart rate raises to ~108 with a mere walk down the hallway of my house.

Other Meds: Chlorthlid, Cat's Claw, Hydrangea Root, Magnesium Glycinate, Zinc, probiotic

Current Illness: NONE

ID: 1009563
Sex: M
Age: 73
State: IL

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Pharmacy technician, thought she was injecting patient with COVID19 Moderna, but she ended up injecting the patient with a blank syringe of 0.5ml of air. When she realized there wasn't any vaccine in the syringe, she informed the patient and he was OK with her injecting his arm again with a syringe filled with 0.5ml COVID19 Moderna. Patient did not show/mention any adverse events.

Other Meds: Unknown

Current Illness: None

ID: 1009564
Sex: F
Age: 71
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Injection site pain, Pain

Symptoms: Extreme sore muscles so that moving hurt. Nauseated. Dry heaves. Slight fever. Slight chills. Headache. Very tired. Not hungry.

Other Meds: Vit D-3, Levothyroxcine, Calcium, Omeprazole, Escitalopram

Current Illness: None

ID: 1009565
Sex: F
Age: 71
State: FL

Vax Date: 01/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None that I know of

Symptom List: Injection site pain, Menorrhagia

Symptoms: Tingling and pins and needles hands feet face and neck Seems like it is getting worse each day.

Other Meds: Losartan, vitamin D, famotidine, biotin

Current Illness: None

ID: 1009566
Sex: F
Age: 27
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Mild site reaction, chills and fever

Other Meds:

Current Illness:

ID: 1009567
Sex: F
Age: 33
State: CA

Vax Date: 01/15/2021
Onset Date: 01/23/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Delayed site reaction including warmth, redness, swelling and localized rash. Began on 1/23 and fully resolved on 1/25 Treated with Benadryl 50mg x1

Other Meds: Birth control Multivitamin Vyvanse

Current Illness: N/A

ID: 1009568
Sex: F
Age: 39
State: NC

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: At or around 2300 on 2/4/2021 I began feeling tense, major body aches, and had a temp of 99.6?. I went to emergency department for nausea vomiting. Dizziness. Seeing stars when moving, and rapid heart beat that would not stop and my chest began hurting. Dr saw me in the Ed where I was administered iv bolus fluids along with the meds: toradol, dexamethasone, pepsid, Benadryl, and zofran. I went home and laid on the couch all evening until the chest pain became so intense I went to new medical center emergency department. I was then given iv fluids along with phenergan, toradol, dilaudid, and Ativan. I got a chest X-ray, ecg, ekg, and a bunch of blood work to rule out things.

Other Meds: Effexor 140 mg ER od;Dextroamphetamine 20mg od;Loaartin 50 mg od ;Tylenol 500 mg 2 prn

Current Illness: None

ID: 1009569
Sex: F
Age: 81
State: MA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Allergies to fish, seafood, gluten, dairy, environmental (dust, mold, pollens), perfume, grcats, stinging insects; migraines triggered by very ripe cantaloupe, strawberries, avocados, mushrooms

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

Symptoms: No side effects on day of vaccination. Next a.m. (Feb. 5): sneezing, stuffy nose, chills, aches; these symptoms lasted until evening of Feb. 6. I take a natural antihistamine during pollen seasons (Natural D-Hist)--started that 3X a day a.m. Feb. 6, and also echinacea and astragalus tinctures 3X a day through Feb. 7. These remedies helped, and I was feeling ok by evening of Feb. 6.

Other Meds: Taken in the morning (regular a.m. regimen): thyroid replacement, multivitamin, calcium supplement, boswellia, L-carnitine, DHEA (10 mg.), probiotic, adrenal support, Ubiquinol (active CoQ10

Current Illness: none

ID: 1009570
Sex: F
Age: 59
State: AZ

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: strawberries

Symptom List: Nausea

Symptoms: It started with a quarter size redness, swelling, and itching. By the third day the swelling and itching went away. Seven days later, I woke up with itching, redness and swelling grown 20mm, the bump feels hard.

Other Meds: Synthroid 112mcg Citracal Pioneer Calcium Magnesium OmegaGenics EPA-DHA 720 Vitamin D3 Carditone Turmeric Calm Multi-vitamin

Current Illness:

ID: 1009571
Sex: F
Age: 78
State: KS

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Strong allergy to any Statin

Symptom List: Injection site pain

Symptoms: The day after I didn't have much energy. Woke up the day after with a little rash which spread all over my body. Secon day energy back but rash was worse, rataher angry red and beginning to itch.

Other Meds: 2nd shingle shot 2/3/2021 area asround the shot tuened pink Exetimibe 10mg Cyclobenzaprine 10mg Dairy Relief Melatonin 10mg

Current Illness: Covid19 about one anda half ago

ID: 1009572
Sex: F
Age: 76
State: MD

Vax Date: 01/21/2021
Onset Date: 01/30/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Starting about 9 days after the first dose, I developed a painful, hot, red itchy rash at vaccine site. It went away after about 3 days, but has returned today. The area is even larger than originally. The arm is NOT painful, but it is very red and itchy.

Other Meds: famotadine, calcium, vitamin D, magnesium, Align (probiotic)

Current Illness: none

ID: 1009573
Sex: M
Age: 89
State: CA

Vax Date: 01/17/2021
Onset Date: 01/24/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Itchiness over front and back of torso also arms.

Other Meds: Cartia XL180 mg xarelto 20 mg lexapeo 10 mg . provastatin 40mg. Urolic 40 mg

Current Illness: None

ID: 1009574
Sex: F
Age: 72
State: FL

Vax Date: 01/25/2021
Onset Date: 02/02/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Itchy red rash on left arm, about 3 inches tall, 2 inches wide...appeared about 1 week after the injection Have applied Benadryl spray, taken Benadryl tablets Rash is much better but still visible

Other Meds: Probiotics, 20 mg statin, vitamin D, vitamin C, fish oil, red yeast rice, 81 mg aspirin

Current Illness: None

ID: 1009575
Sex: F
Age: 57
State:

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Iodine, Shellfish, Chocolate

Symptom List: Erythema, Pruritus

Symptoms: Swelling throat, sores in mouth, swelling eyes

Other Meds:

Current Illness:

ID: 1009576
Sex: F
Age: 39
State: TN

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: None

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

Symptoms: Large ulcers/sores under tongue with fever/fatigue 4+ days after vaccination; had typical post vaccine symptoms 24-48 hours after injection that resolved.

Other Meds: Fluoxitine 10mg

Current Illness: None

ID: 1009577
Sex: M
Age: 59
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Citric Acid, Bee stings

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

Symptoms: Significant intractable body and joint aches from 14-36 hours post vaccine. Chills from 29 hours-32 hours post vaccine. Mild but intractable headache from 24-42 hours post vaccination.

Other Meds: Prilosec 10mg, multi vitamin, Glucosamine , Melatonin 3mg

Current Illness: None

ID: 1009578
Sex: M
Age: 50
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Mango, pistachio

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Had strong flu-like symptoms for 36 hrs after receiving the vaccine which included a 101 degree fever, bad muscle aches, and headache. Felt worse than when I actually had Covid-19.

Other Meds: None

Current Illness: Received a positive COVID-19 test on 4 Dec 2020

ID: 1009580
Sex: F
Age: 68
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Tylenol

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

Symptoms: Aleve, rest. Slept almost 24 hours. Symptoms lasted about 36 hours

Other Meds: Protons Limit or Amlodipine Claritin Multivitamin

Current Illness: Chills, body aches, low grade temp(99.1) , very tired

ID: 1009581
Sex: M
Age: 42
State: VA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Niacin reaction coupled with fever and body aches caused extreme nausea and extreme shivering.

Other Meds: Ceterizine, Niacin, Flax Oil, Multivitamin

Current Illness: None

ID: 1009582
Sex: M
Age: 26
State: CA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: 7 days after receiving the first dose on 1/6/2021 in my left arm, the injection site became swollen, erythematous, itchy, and painful. The symptoms lasted for 7 days. The lot number for the first vaccine was 025J20-2A. 2 days after receiving the second dose on 2/3/2021 in my right arm, the injection site became swollen, erythematous, itchy, and painful. The symptoms lasted are still ongoing. The lot number for the second dose was 010M20A.

Other Meds: None

Current Illness: None

ID: 1009583
Sex: M
Age: 69
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Slight soreness in arm

Other Meds:

Current Illness:

ID: 1009584
Sex: F
Age: 27
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Chills, sweating, headache, body aches, 103.5 fever (highest), fever over 100 for 15 hours.

Other Meds: Fluoxetine, bupropion, birth control

Current Illness:

ID: 1009585
Sex: F
Age: 36
State: ID

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: allergic to wheat, corn, soy, dairy, eggs, nightshades

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

Symptoms: bottoms of both feet turned dark brown third day (normal reactions first and second day like low fevers and fatigue)

Other Meds: ibuprofen, multivitamin, relax max by biotics, iron supplement

Current Illness: colds

ID: 1009586
Sex: F
Age: 33
State: WA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Extreme fatigue next day with mild headache, strong fatigue again 3 days after injection

Other Meds:

Current Illness:

ID: 1009587
Sex: F
Age: 47
State: MD

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 1st Vaccine: soreness in upper arm 2nd Vaccine: Chills, fever, body aches, muscle aches, nausea, dizziness, lethargic, hissing noise from my right ear

Other Meds: 75mg Zoloft

Current Illness: no

ID: 1009588
Sex: F
Age: 33
State: NY

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Shellfish- crustaceans

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

Symptoms: Beginning the day after the shot I started with vaginal swelling which wasn?t terrible that day but by the second day (Thursday) it was severe. I worked that entire day not realizing just how bad it was but by the end of the day I could barely walk out to my car. I was in so much pain and so swollen that by the next day I could not do anything. I went to my GYN first thing that morning (Friday) where they swabbed to send for various tests which have all come back negative so far. I had to return for a re-culture that had come back inconclusive and we are still waiting on those results. I have been given an antibiotic and prednisone which still have not resolved the swelling. I am about 50% resolved and almost 2 weeks later at this point but there is still significant internal swelling which is uncomfortable but not hindering me from working. I was out of work for an entire week and not able to do anything for that entire timeframe.

Other Meds: Balziva- birth control

Current Illness: Nothing

ID: 1009589
Sex: F
Age: 65
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Injection site swelling, Limb discomfort

Symptoms: chills and shakes ~8hrs after shot. increasingly nauseous. muscle aches by 10pm. progressively worse and bad 1-1:30 early next morning. really thirsty and very bad back and stomach pains. found it very painful to move. bedridden for next 36 hours then improved quite quickly. now only slight headache & stomach ache

Other Meds: vitamin D

Current Illness: none

ID: 1009590
Sex: F
Age: 66
State: OK

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Redness, tash, itching at injection site

Other Meds:

Current Illness: None

ID: 1009591
Sex: M
Age: 67
State: NC

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: PCN

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

Symptoms: Very slight headache initially but went away after approximately one hour. Rest of day I felt slightly energized. The next day I felt a little tired.

Other Meds: Atarax 20mg

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm