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: 1009698
Sex: F
Age: 59
State: NC

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: Prednisone

Symptom List: Dysphagia, Epiglottitis

Symptoms: About 20 minutes after getting the shot, I had shortness of breath. I kind of blew it off thinking that I was just nervous. It lasted all that day and into the next especially when walking and talking. My chest felt tight. I took my inhaler yesterday and this morning and am fine now. I didn?t want Togo to the doctor and make a big deal of it.

Other Meds: Fish oil, aspirin, synthroid, Zyrtec

Current Illness: N/A

ID: 1009699
Sex: F
Age: 60
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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulpha

Symptom List: Anxiety, Dyspnoea

Symptoms: One hour after receiving the shot I was extremely exhausted. Slept for 5 hours. Woke up with 99.8. Felt like I had been drugged. Next day felt groggy with headache.

Other Meds: Multi vitamin, omega 3 fish oil, marine peptide collegian

Current Illness: 5 days prior-sore throat

ID: 1009700
Sex: F
Age: 65
State: DE

Vax Date: 01/22/2021
Onset Date: 01/29/2021
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: none

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

Symptoms: One week after injection- in the evening- had intense itching for about 10 minutes at site of injection ( right bicep ), which then completely stopped. The following morning I checked my arm and it was slightly red, warm and swollen at entire bicep of injected site. It was a minimal annoyance that lasted about 48 hrs and did not interfere with any range of motion or sleep at night. As an aside: original injection day and following day was very minimal pain, but I did feel "phantom pain on my other arm ( left ) at same area of bicep...a friend also said this happen to her.

Other Meds: Liothyronine ( generic Cytomel ) 25mcg am and 10 mcg in afternoon levothyroxine 75 mcg in am

Current Illness: none

ID: 1009701
Sex: F
Age: 44
State: MI

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

Lab Data:

Allergies: seafood allergy sulfa drug allergy antibiotic sensitive

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Feeling of queasiness and racing/pounding heart

Other Meds: Norethindrone .35mg tab, 1 daily Vitamin D liquid drops, 50mcg/2000 IU daily taken with water

Current Illness: none

ID: 1009702
Sex: F
Age: 75
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Meds: Asacol (strong allergy) Food: soy, dairy, gluten, corn Products: chemicals (oil based paint, pesticides, etc.)

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

Symptoms: 24 hours after: some dizziness/ nausea Mild cold like symptoms for 1 and a half days after the dizziness (of course sore arm but expected that) 5 days after: sore throat / earache (could be unrelated) 1 WEEK LATER: SUDDEN EXTREME ITCHINESS AND WELT LIKE REDNESS AROUND VACCINE SITE 1 week and 1 day after vaccine: continued itchiness and blotchy rash on upper arm where received vaccine This itchy reaction on arm to vaccine did not appear until a week after!

Other Meds: Concentrated aloe vera supplement (aloe muccilaginous polysaccharides) Multi-vitamin Horse chestnut herb Digestive enzymes

Current Illness: none

ID: 1009703
Sex: M
Age: 77
State: VA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
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: Augmentin Bacitracin

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

Symptoms: Very Sore upper left arm with deep bruises covering significant part of upper left arm below injection site.

Other Meds: Rousvastatin; Lisinopril; Levothyroxine; Multi-Vitamin; Vit C; Vit D3; CoQ10; 81 mg aspirin; Omega 3; digestive enzymes;

Current Illness:

ID: 1009704
Sex: M
Age: 82
State:

Vax Date: 01/25/2021
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:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itchy rash formed around injection site

Other Meds:

Current Illness:

ID: 1009705
Sex: F
Age: 31
State: ID

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Nausea, Light headed, burning and cold sensation in sternum.

Other Meds: NONE.

Current Illness:

ID: 1009706
Sex: F
Age: 55
State: WA

Vax Date: 02/06/2021
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: erythromycin, cephelexin, codeine.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: numbness and tingling of tongue 45 minutes following

Other Meds: None

Current Illness: none

ID: 1009707
Sex: F
Age: 48
State: ID

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

Lab Data:

Allergies: amoxicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Had the second shot around 8:15 am on Feb. 4, 2021. Around 8PM, I started feeling chills and stiff and hot neck. During the night, I did not sleep well. I had aches everywhere throughout my body and developed a fever up to 101.7 F. I also felt nauseated and had a strong headache. I was not able to stand for more than a few minutes at a time and felt very tired. I took ibuprofen around 7 am (2 x 200 mg tablets) due to the headache and body aches. Took a second dose of ibuprofen around 1PM. Third time taking ibuprofen around 8pm. The first time I was able to get out of bed and eat anything was around 8 pm on Feb. 5. Still had body aches, headaches, nausea, and weakness. I did not sleep well during the night of 4-5th or 5-6th. I did drink plenty of water during this time. Feb. 6th - Still had body aches, headache, nausea and weakness. Feb. 7th - morning - started feeling somewhat back to normal.

Other Meds: None

Current Illness: none

ID: 1009708
Sex: F
Age: 67
State: TX

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Lots of lower back pain...

Other Meds: Levothyroxine 0.075

Current Illness: None

ID: 1009710
Sex: F
Age: 52
State: NY

Vax Date: 01/30/2021
Onset Date: 02/05/2021
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: no

Symptom List: Rash, Urticaria

Symptoms: "Covid Arm" red blotch and itchy a week after receiving the first does of moderna

Other Meds: methamazole

Current Illness: no

ID: 1009711
Sex: F
Age: 70
State: NJ

Vax Date: 01/28/2021
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: Sulfa

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

Symptoms: My arm swelled from shoulder to elbow, it was very red and on fire and itchy. For 3 days I took Advil, Benadryl, iced my arm and used Cortisone Cream It finally began to calm done on Sunda,y 2-7-21

Other Meds: Losartan, Levothyroxine, Lipitor, Domperidone, Linzess, Lovaza, Venlafaxine, Restasis, Glucosamine Chondroitin, Centrum Multi Vitamin, Citrical

Current Illness: None

ID: 1009712
Sex: F
Age: 65
State: FL

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

Lab Data:

Allergies: aspartame

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

Symptoms: I previously reported immediate symptoms - I STILL have ringing/buzzing in the ears, to the point that I cannot get sleep.

Other Meds: Vitamins d, b complex, dhea, c

Current Illness: none

ID: 1009713
Sex: F
Age: 50
State: NJ

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: Severe pain in left arm. Inability to lift arm. Pain with any movement. 36 hours.

Other Meds: Omega 3 fatty acid

Current Illness: None

ID: 1009714
Sex: F
Age: 28
State:

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

Lab Data:

Allergies: None

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

Symptoms: Extreme body aches, nausea, headache, trouble walking and speaking, severe kidney/lower back pain

Other Meds: Birth control. Lamotrogin

Current Illness: None

ID: 1009715
Sex: M
Age: 71
State: CO

Vax Date: 01/30/2021
Onset Date: 01/30/2021
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: Chloroquine, Levaquine

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

Symptoms: Muscle aches and fatigue

Other Meds: Amitriptyline 100 mg, Chrome 100 mcg, Cymbals 60 mg

Current Illness:

ID: 1009716
Sex: F
Age: 61
State: OR

Vax Date: 01/28/2021
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: PCN, latex

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Moderna COVID-19 Vaccine EUA. Welt and itching at injection site, measures about 2" by 1" appearing on day 10. Searched adverse reaction and found article. My symptoms were very similar so I'm not worried at this point.

Other Meds: None

Current Illness: None

ID: 1009717
Sex: F
Age: 33
State: NJ

Vax Date: 01/24/2021
Onset Date: 02/03/2021
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: Tamiflu, ceclore, nitrofuritonin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Hives developed on bilateral elbows and on the palm of my left hand. No other exposures to anything during this time period between vaccine and development of symptoms

Other Meds:

Current Illness:

ID: 1009718
Sex: F
Age: 30
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
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: N/A

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

Symptoms: Body aches, headache, fatigue, sunburn feeling of skin (no visible markings)

Other Meds: Ibuprofen, Motrin

Current Illness: N/A

ID: 1009719
Sex: F
Age: 38
State: PA

Vax Date: 02/01/2021
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: Tramadal,

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

Symptoms: Headache, stomachache

Other Meds:

Current Illness:

ID: 1009721
Sex: F
Age: 59
State: NC

Vax Date: 02/04/2021
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: penicillin

Symptom List: Unevaluable event

Symptoms: Received vaccine Feb 4th, Feb 5th I had the regular side effects of pain in injection site, fever, headache. Feb 6th I woke up tp tingling in my left arm. I got up and went into the bathroom and tried to pick something up and my shot arm would not move. It was like a dead limb. When I realized my arm was not moving I looked at it and tried to wiggle my fingers. Nothing worked. After about 5 minutes it started to move again slowly. It felt very leaden and tingly through out the day. On the 7th I tried shaving my legs in the shower. I had trouble getting my shot arm to follow my thoughts. It would go several inches from where I was directing it. Still feels off. Tingling comes and goes.

Other Meds: Metropol Hydrochlorothiazide simvastatin

Current Illness: none

ID: 1009723
Sex: F
Age: 60
State: IL

Vax Date: 01/28/2021
Onset Date: 02/04/2021
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: some body product preservatives; surgical tape

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

Symptoms: Covid arm - large red , tender, itchy 2"x3" spot around injection site at Day 7 post inoculation; lasting about 4 days so far, but almost gone; photo available if needed.

Other Meds: Lexapro, Lipitor, Vitamins (multi, calcium supplement, collagen, fish oil)

Current Illness: now

ID: 1009724
Sex: F
Age: 57
State: TX

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

Lab Data:

Allergies: Baclofen, Stadol, shellfish (sensitivity), ethanol (edema), monosodium glutamate, mold, dust mites, tree pollens, grass pollens, ragweed, cats

Symptom List: Injection site pain, Pain

Symptoms: Sudden onset red, hot , burning rash near or just below the injection side on the left arm, started February 6, 2021 at approximately 5:00 p.m. Continues on February 7, 2021, possibly a little larger than yesterday. Photo was taken today. Topical treatment of cortisone cream, Benadryl, and lidocaine ointment.

Other Meds: lisinopril, propranolol tartrate, levothyroxine, cyclobenzaprine, Imitrex, Xopenex MDI, albuterol 0.83% nebulizer solution, Flonase, Pepcid, Singulair, docusate sodium, Plaquenil, leflunamide, gabapentin, prednisone, alprazolam, Wellbutrin

Current Illness: None

ID: 1009725
Sex: F
Age: 77
State: MA

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: Injection site pain, Menorrhagia

Symptoms: Pfizer-BioNTech Covid-19 Vaccine EUA

Other Meds:

Current Illness:

ID: 1009726
Sex: F
Age: 41
State: CO

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

Lab Data:

Allergies: Percocet

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

Symptoms: Within hours after 1st dose, felt foggy, L arm & neck pain & bad headache. Felt better the next morning. 2nd dose, felt foggy, L arm pain & bad headache hours after. Fatigue the same night, had chills, couldn?t sleep and woke up with a temp of 100.3, sinus & ear pressure/pain, congestion & then a runny nose, headache, L arm & neck pain, felt like I was swallowing rocks, sore throat, diarrhea

Other Meds: Acetaminophen, escitalopram

Current Illness: None

ID: 1009727
Sex: F
Age: 42
State:

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

Lab Data:

Allergies: Clindamycin, Keflex

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Started getting ?Covid Arm? on the day the injection was given. (The second vaccine). (No reaction with first vaccination). Large red, hard, circular area around injection site. Three days after the second injection, I began to develop small red spots on my right arm, same arm that had injection. The spots were similar to allergic reactions I had in past related to medications, so I took a 25mg of Benedryl. By the next morning the rash was on the left arm and all bumps on both arms plus injection site were itchy. At 8am I took 50mg of Benadryl. It did not help so I called my primary care doctor office. They recommended a shot of steroids. It has been 3 hours since my steroid injection with no improvement. I?m still itchy, and injection site looks worse as well as my bumps.

Other Meds: No

Current Illness: No

ID: 1009728
Sex: F
Age: 83
State: CA

Vax Date: 02/01/2021
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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: penicillin, hydrazaline, albuterol

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Warm places on skin. Seems to be various places with pressure on them ie. chair, another body part, socks. There is no pain, no fever. It's just weird. Feels like sitting on the heated seats in my car.

Other Meds: Levothyroxine, Liothyrinine, losartan, atenelol, clonidine, pravastatin, mysoline, ursodiol, incruse ellipta, zoloft, protonix, pepcid, b12, areds 2, probiotic, multivitamin, calcium, flonase, miralaz

Current Illness: None

ID: 1009729
Sex: F
Age: 40
State: OH

Vax Date: 12/24/2020
Onset Date: 01/22/2021
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: NKA

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

Symptoms: After 2nd dose chills started in middle of night. Experienced severe nausea, diarrhea, vomiting with extreme pain in lower back and hips. Intense headache that lasted for over 1 week close to 2 weeks causing me to have to call off work. Large painful lump in left axilla that lasting 2 weeks. Axilla remains to be tender to touch. Also, had sweats after the chills subsided. Thought that my blood pressure was elevated, but now I am relating the elevation to the 1st injection. I have never had hypertension and after 1st dose blood pressure went as high as 160/104.

Other Meds: Effexor Topamax

Current Illness: None

ID: 1009730
Sex: M
Age: 67
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa

Symptom List: Nausea

Symptoms: Diarrhea, weak, very sore

Other Meds:

Current Illness: Ear infection

ID: 1009731
Sex: F
Age: 38
State: CA

Vax Date: 02/06/2021
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: latex

Symptom List: Injection site pain

Symptoms: Local skin erythema and pruritus, fever, body aches

Other Meds: lipitor, spironolactone, dexilant, pro air hfa, qvar, retin a, spiriva

Current Illness: none

ID: 1009733
Sex: F
Age: 22
State: CT

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Severe headache, extreme fever, intense chills, muscle aches across entire body, extreme fatigue... symptoms starting around 2am on 02/06/2021 and still happening today (02/07/2021) in the evening.

Other Meds: none

Current Illness: none

ID: 1009734
Sex: F
Age: 95
State: VA

Vax Date: 01/23/2021
Onset Date: 01/25/2021
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: Codeine

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

Symptoms: Consistent mild nausea for 14 days.

Other Meds: CoQ-10, multi-vitamins

Current Illness: None

ID: 1009735
Sex: F
Age: 67
State: CT

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

Symptom List: Tremor

Symptoms: Day #7 itching, raised red rash - approx 4? diameter, warm to touch around injection site, left deltoid, over next two days erythema increased to size of my hand, remains red, itching less, non-tender...simply increasing in size

Other Meds: Trazadone

Current Illness: None

ID: 1009736
Sex: F
Age: 32
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Breastfeeding infant got fever of 100.4

Other Meds: None

Current Illness: None

ID: 1009737
Sex: F
Age: 29
State: NY

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

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

Symptoms: Pain at injection site that spread throughout the day. Major headache, weak/achy limbs by 4pm. Nausea/vomitting started by 9pm same day and continues to present report. No solid food since day of injection. Struggle to keep down water/gatorade/pedialyte/pepto. Currently feeling weak, shaky, and nauseous.

Other Meds: Gabapentin (mood stabilizer), 900mg/day Wellbutrin XL, 300mg/day Daily probiotic

Current Illness: None

ID: 1009738
Sex: F
Age: 56
State: VA

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

Lab Data:

Allergies: griseofulvin, wellbutrin, seasonal allergies, sugar, flour,

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

Symptoms: Awoke at 414am with itching scalp, palms, eyelids, skin folds (neck, elbows, knees, hips), welts, swelling in eyes, hands, face, neck.

Other Meds: metformin, NP thyroid, lexapro, progesterone, estradial, cont.

Current Illness: none

ID: 1009739
Sex: F
Age: 70
State: GA

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: None

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Fever up to 101.4 Nausea Fatigue Night sweats Chills Body aches

Other Meds: Levothyroxine Rosuvostatin Vitamins

Current Illness: None

ID: 1009740
Sex: F
Age: 68
State: TX

Vax Date: 01/28/2021
Onset Date: 02/07/2021
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: sulfa drugs

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

Symptoms: Red rash on arm where injection was given. It presented itself on Feb 7, 2021. 10 days post inoculation.

Other Meds: Letrozole Metoprolol Citalapram Allopurinol Vit B12 Vit B3 Womens 50+ Multiple Vitamin

Current Illness: None

ID: 1009741
Sex: F
Age: 81
State: TX

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: none

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

Symptoms: patient said on 2.7.21 around 12 pm she got light headed and black out/fainted for a few minutes and blood pressure dropped to 93/56, she felt like it could be vaccine related, no treatment, patient feeling better

Other Meds: N/A

Current Illness: none

ID: 1009742
Sex: F
Age: 66
State: NY

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

Lab Data:

Allergies: Latex, Penicillin

Symptom List: Pain in extremity

Symptoms: Urticaria rash on bilateral thighs 2 days after the vaccine

Other Meds: none

Current Illness: none

ID: 1009743
Sex: M
Age: 69
State:

Vax Date: 01/05/2021
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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies:

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

Symptoms: 4 hours after vaccine, developed aching in joints and muscles which disappeared after 1 day. 15 days later, woke up with all the same COVID-19 symptoms he was sufferering from a few months ago: nausea, aching, feverish, sweating, chills, and brain fog. Some shortness of breath. Patient saw me a few days later feeling like he was dying. He was treated with steroids and vitamin C along with glutathione IV treatment. Started to feel better the next day. A week later, felt nearly back to normal.

Other Meds:

Current Illness:

ID: 1009744
Sex: F
Age: 55
State: GA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
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: Penicillin

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

Symptoms: Immediate pain upon injection and administration of vaccine. Arm was sore but usable until about 5 hours afterward. I was unable to lift arm without assistance. This has progressively gotten better but still have some "nerve" pain associated with moving arm a certain way. Greater than 48 hours after vaccine administration, I had an episode of angioedema (mine is idiopathic) involving left foot, left cheek and lip which moved to right cheek and lip.

Other Meds: Fexofenadine 60mg daily; Pepcid 20mg daily; Hydroxyzine HCL 30 mg at bedtime; Nexium 40mg daily; Vitamin C 1000mg daily; Zinc 50mg daily; Vitamin D 1000 iu daily; Melatonin 3mg at bedtime

Current Illness: None

ID: 1009745
Sex: M
Age: 50
State: AZ

Vax Date: 02/06/2021
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: None

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

Symptoms: Pressure in my head, muscle pain all over body

Other Meds: None

Current Illness: None

ID: 1009746
Sex: F
Age: 75
State: MA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: lisiniprol

Symptom List: Vomiting

Symptoms: Extremely high blood pressure. On 2/5 started 192/82 at 6 PM , first time I checked it on 2/5. Continued up to 216/84 at 11 PM. Called 911.. EMT did EKG which looked OK. Pressure dropped 20 points in 30 minutes. No other symptoms , no pain , no nausea , no fever. Did not go to hospital. 2/6 , had 3 readings , 174/79 , 150/75 and last one at 9 PM , 165/73 . On 2/7 , 1 reading at 2 PM , 142/74. No other symptoms.

Other Meds: None

Current Illness: None

ID: 1009747
Sex: F
Age: 24
State: IN

Vax Date: 02/04/2021
Onset Date: 02/06/2021
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: Novocain

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Woke up sore all over, had extreme fatigue and went in and out of sleep all day, had the chills an a low grade fever of 100. Towards end of night around 9 pm I was still tired but no longer feeling ill

Other Meds: None

Current Illness: None

ID: 1009748
Sex: F
Age: 65
State: OR

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: Sulpha drugs

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

Symptoms: On 2/4/2021 @ 11:10 am, 2nd Moderna Vaccine, Lot Number 057G20A, administered at the Facility. (First shot administered at same location on 1/7/2021.) Feb 5, 2021, 3:46 am Temperature 100.4. feeling unwell 7am Temp: 102.2, nausea, extreme achiness in muscles and joints, base of spine, headache, tired, swollen lymph nodes; redness, hardness and swelling at injection site plus the site felt very warm. Felt extremely sick. Sicker than a bad flu. 9:30 am Temperature 102.7. Husband reread handout on side effects and thought I should not take medication to reduce fever. I asked him to read it because I couldn't think well. I decided to take 500 mg of of acetaminophen at 10 am. 10:25 am temp 100.4 11:30 am temp 101.3 Took 500 mg more of acetaminophen 12 noon Temp 100.4 2:57 pm Temp 100.7 5 pm Temp 101.4 feeling very weak tired, nauseous, achy all over 6:24 pm Temp 102.5 Took 500 mg of acetaminophen 7:14 pm Temp 100.0 9:28 pm Temp 99.5 Feb. 6, 2021 12:55 am (00:55) Temp 101.8 Very nauseous achy, Took 1000 mg acetaminophen 10: 05 am Temp 97.5 a normal reading for me. BP 141/83, a bit high. Feb. 7, 2021 12:38 pm it was 117/81 which is normal for me lately. Temp 98.6.

Other Meds: 3 mg melatonin, 200 mg magnesium both as sleep aids

Current Illness: none

ID: 1009749
Sex: M
Age: 76
State:

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

Lab Data:

Allergies: no

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Woke up the morning after my second injection feeling slightly ill, maybe 75% of what I normally feel like. Did a two mile walk instead of my 4 mile run and continued the day as usual although somewhat subdued. I did have chills off and on all day and a temperature of 99.2 which is high for me. Went to bed and slept 11 hours and I am back to 100% this morning.

Other Meds: fish oil red yeast rice

Current Illness: no

ID: 1009750
Sex: F
Age: 38
State: CT

Vax Date: 01/27/2021
Onset Date: 02/07/2021
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:

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

Symptoms: On the 8th day I had a red splotch near injection site and a little soreness on it.

Other Meds:

Current Illness:

ID: 1009751
Sex: F
Age: 37
State: CA

Vax Date: 01/21/2021
Onset Date: 01/27/2021
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: strawberries, walnuts?

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

Symptoms: On day 6 post-vaccination, I developed a raised, swollen, itchy rash around the vaccine site. The next day it flattened out and became larger and more red. It was about 2 inches x 3 inches. It took about another week for it to start fading. I still see a faint shadow of where the rash was.

Other Meds: Probiotic, multivitamin, Tylenol

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm