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: 0925337
Sex: F
Age: 30
State: MS

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient became flushed and hot. Cheeks, forehead & nose became red. Nervous. Pulse 102. Resp 20. Administered Benadryl. "

Other Meds: None Noted

Current Illness: Asthma

ID: 0925338
Sex: F
Age: 23
State: NJ

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
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: 12/29/20 -Sore arm, 12/30/20-12/31/30 sore arm and headaches 1/4/20- 1/5/20 - body aches and headaches, coughing 1/6/20-1/7/20 head aches, body aches, congestion, tiredness, no taste or smell Tested positive for COVID 19

Other Meds: Larissia

Current Illness:

ID: 0925339
Sex: M
Age: 30
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Sulfa, Penicillin

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

Symptoms: Body aches, chills, sweating, nausea, and general weakness

Other Meds: None

Current Illness: None

ID: 0925340
Sex: M
Age: 34
State: NY

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

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

Lab Data:

Allergies: NKDA

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Few minutes after vaccine, upon arriving to observation area, patient felt briefly dizzy and diaphoretic. reported slightly scratchy throat. Reports not having breakfast. VS HR 104, hypertense, 94% w/ surgical face mask. Noted to have slight blanching erythematous macules on forehead. No pruritus, SOB, stridor, cough, vomiting, abdominal pain, diarrhea. Symptoms resolved within minutes of onset without intervention. RRT called. - no intervention recommended, patient declined transfer or further intervention, opted for observation. Observed x30 minutes without event and discharged to follow up with doctor.

Other Meds: antihypertensive (Altase)

Current Illness: none

ID: 0925341
Sex: M
Age: 58
State: MO

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

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

Lab Data:

Allergies:

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

Symptoms: Facial redness and tingling sensation

Other Meds:

Current Illness:

ID: 0925342
Sex: F
Age: 30
State: CA

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: seasonal allergies

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

Symptoms: 5 days after injection started a light headache. 6 days after injection joint pain, in hips and tailbone. feeling fatigue, nausea. with decreased appetite. Night time of day 6 stomach cramps with diarrhea.

Other Meds: Zyrtec, flonase nasal spray

Current Illness: N/A

ID: 0925343
Sex: F
Age: 58
State: MO

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/07/2021
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: Latex

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Sore arm, following day fatigue , swollen lymph node right neck and sore axilla on right side. Third day, swollen lymph node to left neck lasting several days . Did not prevent me from doing anything.

Other Meds: Protein shakes, multivitamin, calcium with vit D, probiotic, cranberry

Current Illness: none

ID: 0925344
Sex: F
Age: 32
State: GA

Vax Date: 12/20/2020
Onset Date: 12/21/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: Neosporin

Symptom List: Pharyngeal swelling

Symptoms: On 12-21-2020, elevated heart rate and persistent 12-22-2020 with chest discomfort. On 12-23-2020, I went to the emergency room because my chest pain got worse and peaked. The ER blood pressure was also elevated 200/100.

Other Meds:

Current Illness:

ID: 0925345
Sex: F
Age: 40
State: FL

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/07/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: First day out had pain behind right ear, thought it was muscle but went into my head, lasted 4-5 days now I have severe tenitus in right ear and my head has not felt right since. Like my hearing hoes in and out. I thought it would go away but it?s been two weeks. My head feels cloudy and my right eye feels messed up like blurry. No other injury have occurred. This all started a day after the vaccine.

Other Meds: Vitamins

Current Illness: No

ID: 0925346
Sex: F
Age: 64
State: AR

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
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: no

Symptom List: Diarrhoea, Nasal congestion

Symptoms: The following day after receiving the shingles shot I experienced Pain and soreness rightarm and top of neck. A few days later I started having shortness of breathe . I spoke with my primary care doctor and he completed a chest xray and a covid test which came negative.

Other Meds: tirosint 88mcg

Current Illness: 12/23 - Flu like symptoms 99.6 temp 1 day. Symptoms went away after 24 hours

ID: 0925347
Sex: F
Age: 47
State: KY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Began aching all over around 10:30pm the day of vaccine. The following day (January 6), I experienced 102 fever and violent chills, headache, blurry vision and eye pain off and on throughout the day (alternated acetaminophen and ibuprofen). The following day (today, Jan 7), I have a low grade fever and fatigue with some lung pain, labored breathing. I had COVID the end of Oct into Nov. and lab tests the end of Nov showed antibodies but I continued with the vaccine since it was recommended.

Other Meds: buspar 5 mg bid, 125 mcg levothyroxin, daily multivitamin

Current Illness: shingles that began Dec 9 and lasted 7 days-started Valtrex within 24 hours

ID: 0925348
Sex: M
Age: 22
State: MI

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: None

Symptom List: Rash, Urticaria

Symptoms: I have had heavy lungs since the day after receiving the vaccine. It is hard to breathe, and hard to get a full breath. Their is slight discomfort when I inhale.

Other Meds: 50 MG of Sertraline 150 MG of Bupropion

Current Illness: None

ID: 0925349
Sex: F
Age: 40
State: TX

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Headache began 5 minutes after shot. Took 500 mg Tylenol. About 4 hours later began feeling weak and muscle aches. Took 600mg ibuprofen. At 1am had massive headache body aches chills to the core. Took more Tylenol. At 5:30am fever of 100.4 and flu like symptoms. Called into work.

Other Meds: Tamoxifen, biotin, prenatal vitamins

Current Illness: None

ID: 0925350
Sex: F
Age: 62
State: TN

Vax Date: 12/27/2020
Onset Date: 01/01/2021
Rec V Date: 01/07/2021
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: None

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

Symptoms: Nausea, fatigue, chills, soreness at injection site

Other Meds: Nexum, progesterone, estradiol, don peridone,

Current Illness: None

ID: 0925351
Sex: F
Age: 22
State: MI

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
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: penicillin

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

Symptoms: I developed some small areas of rashes all over my body I had a rather large patch behind my right knee and lots of small rashes everywhere concentrated on my arms and lower back. They were all over. I am allergic to penicillin, I don't know and the rash that I got it looked like the one that I get from when I get penicillin. I looked up the ingredients and it seems they have a polyethoglycol like penicillin. I consulted with the nurse at the vaccine station and she suggested cold showers, not get overheated it is not life threatening but it is still going on and some have started scabbing over but they are still here and they are itchy. The nurse also recommended OTC hydrocortisone cream and Benadryl but it has not really effective. I am thinking about going to see my PCP to se of something else can be done about it.

Other Meds: Lexapro 10mg

Current Illness: No

ID: 0925352
Sex: F
Age: 27
State: IA

Vax Date: 12/30/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: n/a

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

Symptoms: Day 6 post shot: low grade fever, Body Aches, Chills, Tiredness, Headache and nausea

Other Meds: Prozac, Ibuprofen, Mucinex night time Cold and Flu, excedrine

Current Illness: n/a

ID: 0925353
Sex: F
Age: 32
State: NJ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: none

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

Symptoms: dizziness, chest pain, shortness of breath

Other Meds: none

Current Illness: none

ID: 0925354
Sex: F
Age: 56
State: OR

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

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 2 hours, after receiving injection, started feeling nausea, slight headache, very slight sore arm; 3-4 hours later took 3 ibuprofen due to the headache. Feeling light headedness. Next morning, sore arm was heavy, headache, body aches, temp 99, and nausea; felt unwell; took 3 ibuprofen. Time off from work to just lay flat and rest for the day.

Other Meds: Citalopram; Lisinopril; Atorvastatin; Claritin-D; Aspirin 85mg; D3; Gelatin;

Current Illness: None

ID: 0925355
Sex: F
Age: 29
State: MI

Vax Date: 12/28/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I began noticing red spots on both breasts, then chest, stomach, back, and right arm have began to increase in burning sensation with no discoloration. It feels like I have a rash but no redness or swelling.

Other Meds: Prenatal and omega-3

Current Illness: N/A

ID: 0925356
Sex: F
Age: 33
State: KY

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: Moderna COVID-19 Vaccine EUA 1/6/21 site of reaction began to itch. Patient did scratch the area and itching persists. Patient looked at injection site where a large swollen (3 inch by 1 inch) reddened and swollen area noted. 1 dose of 25 mg benedryl taken around 11 PM on 1/6/21. As of today site (5inch by 2 inch) swollen area noted with and torso itchy. 1/7/21 reddened splotchy areas noted on chin chest top of legs and persistent itching all over. Arm continues to be warm to touch. All reactions appear to be on skin. No difficulty breathing or other reactions noted.

Other Meds: Zoloft 25 mg daily

Current Illness: None

ID: 0925357
Sex: F
Age: 43
State: OH

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
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: amoxicillin, biaxin

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

Symptoms: Left arm burned where injection was given. Tingling/ numbness in left forearm and hand since injection. Twitching in forearm.

Other Meds: Hydrochlorothiazide, potassium chloride, buspar, levothyroxine

Current Illness: none

ID: 0925358
Sex: M
Age: 57
State: PA

Vax Date: 12/28/2020
Onset Date: 01/02/2021
Rec V Date: 01/07/2021
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 Known Allergies

Symptom List: Unevaluable event

Symptoms: Developed left lower leg discomfort on day 5 post-vaccination with dose 1 of Moderna COVID-19 vaccine. Developed worsening pain, swelling and mild erythema of the left lower leg distal to the knee over the next 48 hours. Seen on 1/05/2021, and STAT venous duplex ultrasound ordered, which revealed a prominent deep vein thrombosis partially occlusive, partially nonocclusive extending from the left femoral vein distally. Started on anticoagulation with apixiban. No signs/symptoms of pulmonary embolus. No precipitating event that would raise risk of acute DVT (He does not have any open areas of his skin concerning for infection in the leg. No recent injury to the leg. No recent surgeries or period of immobility. No prior personal history of DVT, provoked or unprovoked. He does not smoke. He does drink alcohol in small amounts, to moderate amounts on occasion. No history of alcohol misuse or abuse.). He has chronic HIV infection, well controlled. He does have a family history of DVT (his mother had 1 provoked and 1 non-provoked DVT).

Other Meds: bictegrav/emtricit/tenofov ala (tablet) BIKTARVY 50-200-25 mg, Take 1 tablet by mouth daily. famotidine (tablet) PEPCID 20 MG, Take 20 mg by mouth daily. fexofenadine HCl (tablet) ALLEGRA 180 MG, Take 180 mg by mouth daily as needed. triamc

Current Illness: None

ID: 0925359
Sex: F
Age: 23
State: FL

Vax Date: 12/22/2020
Onset Date: 01/04/2020
Rec V Date: 01/07/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: Itchiness, chest pain, cough, chills, sneezing, body aches, headaches, shortness of breath, fatigue and spitting up flem.

Other Meds: Metformin

Current Illness: None

ID: 0925360
Sex: F
Age: 52
State: UT

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: NKDA

Symptom List: Injection site pain, Pain

Symptoms: Cellulitis at injection site

Other Meds: Synthroid

Current Illness: NONE

ID: 0925361
Sex: F
Age: 30
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Injection site pain, Menorrhagia

Symptoms: Fever up to 102, chills, nausea, body aches

Other Meds: None

Current Illness: None

ID: 0925362
Sex: F
Age: 33
State: TX

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
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: sulfa,pcn

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

Symptoms: dec 30, a 50 cent piece size red raise lump about the size of a tennis ball with a blister at injection site showed up. Dec 31 it was red raised, hot to touch, aprox the size of a soft ball, blister about the size of a small pea, as the day progressed it wrapped around the upper part of my arm doubling in size, still red, hot, swollen. Jan1st. redness is lighter but still spreading reaching into inner arm, swelling still prominent. Jan 1st clindamycin was started. Swell still prominent, redness has lightened a bit but still spreading, Jan2nd, swelling still noted, not near as bad, redness has lightened to pink, still able to see outline of swelling. Jan 3 no redness noted, itching started. jan4-7, no redness or swelling itching off and on, scab where blister was.

Other Meds: none

Current Illness: none

ID: 0925363
Sex: F
Age: 39
State: DC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
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: seasonal allergies, allergy to mold, dust and pet dander, no allergies to medications

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Dizziness and weakness - lasting approximately 45 minutes. Slight dizziness continues now (approx 11am) but is subsiding, but continues. Pfizer's information sheet said this may be a sign of an allergic reaction. No medical follow up seems necessary right now, but important to report.

Other Meds: lortidine, flonase, vitamin D

Current Illness: N/A; negative COVID test on 1/3/2021; Returned from travel on 12/30/2020

ID: 0925364
Sex: F
Age: 49
State: PA

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

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

Lab Data:

Allergies: iodine dye , avocado, CT contrast dye (1988)

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Metallic taste in mouth beginning about 10 minutes after injection. Lasted for 1 hour. No treatment. No other associated symtpoms.

Other Meds: valcyclovir, melatonin, magnesium, lithium orotate, zinc, vitamin C, vitamin D

Current Illness: Herpes cold sore 1 week prior

ID: 0925365
Sex: F
Age: 46
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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:

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

Symptoms: Received covid shot 1-4-21. Has chills, body aches and runny nose.

Other Meds:

Current Illness:

ID: 0925366
Sex: F
Age: 51
State: IN

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Sulfa Nuts Milk Eggs Dust Pets

Symptom List: Nausea

Symptoms: Urinary Tract Infection

Other Meds: Advair 250/50 Tamoxifen Montelukast (singulair)

Current Illness:

ID: 0925367
Sex: F
Age: 70
State: ME

Vax Date: 12/24/2020
Onset Date: 01/03/2021
Rec V Date: 01/07/2021
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: Injection site pain

Symptoms: About 10 days after receiving her vaccine, the patient developed redness, swelling and itching at the site of vaccination. It was warm to touch. Patient sought care from PCP, it did not appear to be infected, no antibiotics were prescribed.

Other Meds:

Current Illness:

ID: 0925368
Sex: F
Age: 38
State: NE

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: AT APPROXIMATELY 5PM ON DAY OF VACCINATION, DEVELOPED SORENESS IN LEFT ARM. AROUND 10PM SHE EXPERIENCED EXTREME PAIN, COULDN'T LIFT HER ARM OR MOVE THE FINGERS ON THAT ARM. IT ADVANCED TO HER NECK AND BACK, SEVERE HEADACHE, STATING IT FELT LIKE SHE HAD BEEN HIT IN THE HEAD WITH A HAMMER. SHE ALSO FELT HEART POUNDING AND HAD CHEST PAIN. DESCRIBES ALL THE PAIN AS THROBBING. SHE RAN FEVERS (HIGHEST WAS 100.3) AND HAD CHILLS. DIDN'T GET OUT OF BED UNTIL 11:30 THE FOLLOWING MORNING.

Other Meds:

Current Illness:

ID: 0925369
Sex: F
Age: 40
State: KS

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/07/2021
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: nkda

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

Symptoms: Itching, redness, soreness at injection site, about half dollar size- 1 week post vaccination

Other Meds: Vit C, Vit D, iron co-factors, women's health supplement, magnesium, monolaurin

Current Illness: none

ID: 0925370
Sex: F
Age: 44
State: TN

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: gastrointestinal reaction to some dairy (ice cream, milkshakes, cream cheese)

Symptom List: Tremor

Symptoms: Itching, swelling, redness larger than size of silver dollar on arm at injection site beginning one week after first dose. Began while exercising on 1/6/21 and continues to worsen as of 1/7/21.

Other Meds: Vitamin D, elderberry with zinc

Current Illness: no

ID: 0925371
Sex: F
Age: 39
State: NC

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: Any cillin, sulfa, lasix

Symptom List: Erythema, Pruritus

Symptoms: Hives and itch all over

Other Meds: None

Current Illness: None

ID: 0925372
Sex: M
Age: 31
State: TX

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

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

Symptoms: Patient called to report symptoms of fever 102.3, general body aches and chills started today at 5.30am Treatment modality include taking Tylenol. He will continue to monitor symptoms

Other Meds:

Current Illness:

ID: 0925373
Sex: F
Age: 29
State: MI

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Augmentin

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

Symptoms: Pt presented to our office for redness, swelling and painful site where she had received the COVID vaccine from Moderna on 12/29/2020. She presented today, 1/7/2021 with the adverse event. The size of site was approximately 11cm, hard, and warm to touch. She reports immediately after the vaccine, the injection site was slightly painful and sore but went away until 01/04/2021.

Other Meds: None

Current Illness: None

ID: 0925374
Sex: F
Age: 60
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Ceclor, Demerol, Tree nuts, Neurontin, Tegretol, Ultram

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: "Hot, flushing, took Benadryl liquid po several doses, i had chest tightness and could not take a full breath until the next morning"

Other Meds:

Current Illness: none reported

ID: 0925375
Sex: F
Age: 58
State: CT

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: No known food or medication allergies

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

Symptoms: On day 7 post vaccine (1/6/2021) patient developed itching at the site of the vaccine then was seen today 1/7/2021 for redness and swelling to the site. Patient with 2.5inchx3inch area to lateral arm/lower deltoid region of erythema and induration. Area slightly warm to touch. Area not tender. No abscess or drainage noted. Full range of motion of the extremities noted. Denies any systemic symptoms. Denies any chest pain, difficulty swallowing, shortness of breath, vomiting, dizziness. Patient also endorsed some bilateral lateral pectoral/anterior should soreness - this area slightly tender but patient does endorse exercising and believes it to be related to that. Advised supportive measures at home (warm/cold pack, tylenol or ibuprofen as needed for pain). Patient also given course of keflex 500mg TID for possible early cellulitis. RN will call patient to check on patient in 2 days

Other Meds:

Current Illness:

ID: 0925376
Sex: F
Age: 22
State: MI

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/07/2021
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: About 12 hours after the vaccination I started developing a rash. I noticed it at first behind my right knee and as the hours passed it started all over my body, arms, legs, chest, back. It was very itchy. The next day it did not get any better and I went see the nurse at the vaccine clinic at my work where I received the shot at. she looked at the area on my back and arms and legs and suggested Benadryl and OTC hydrocortisone cream. I have been using it but I still have some rash, some areas it is already drying out and scabbing and I believe it is because one of the ingredients of the vaccine is a polyethylene glycol that is also encountered in penicillin and I get bad rashes if administered penicillin. Nothing life threatening but the itching is very aggravating and the rashes not pleasant to look at.

Other Meds: Lexapro 10mg

Current Illness: No

ID: 0925377
Sex: F
Age: 60
State: IL

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: NIACIN

Symptom List: Pain in extremity

Symptoms: APPROXIMATELY 24 HOURS AFTER THE INJECTIONS I RAN A FEVER OF 100.7, BODY ACHES OVER ALL JOINTS, EXTREME FATIGUE AND HEADACHE ADN THE INJECTION SITE WAS PAINFUL. I HAD THE COVID VIRUS DIAGNOSED 10/23/2020 WITH THE EXACT SAME SYMPTOMS EXCEPT I RAN A HIGHER TEMP

Other Meds: TYLENOL, ASPIRIN, MOTRIN

Current Illness: NONE

ID: 0925378
Sex: F
Age: 38
State: NE

Vax Date: 12/29/2020
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Moderna COVID-19 Vaccine EUA In arm where vaccine was given: pain, redness, swelling, heat Prescribed cephalexin for suspected cellulitis by my PCP. Currently on day two of a seven day course of treatment.

Other Meds: Flonase

Current Illness:

ID: 0925379
Sex: F
Age: 39
State: FL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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 known

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

Symptoms: Moderate to severe itching at all prior scar sites, some decades old. Severe itching/discomfort surrounding Nexplanon implant. Previously broken/fractured bones, and site of 20 year old rotator cuff tear, all throb with dull pain as if they are new injuries. General feeling of malaise, lack of appetite, and mental fogginess. All symptoms continue to persist still 48 hours after vaccination. Also experienced fever of approx. 102 degrees for roughly 24 hours.

Other Meds: None

Current Illness: None

ID: 0925380
Sex: F
Age: 33
State: NM

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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 reported

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

Symptoms: 1420: Vaccine administered. 1425: Reported right arm numbness distal from injection site. Circulation intact. ROM intact. 1452: Complains right arm numbness, right hand cooler to touch than left. 1500: Complains of right arm numbness- temp 97.0 Resp 16 HR- 67 BP- 130/85 1515: Reports somewhat improvement of numbness. Temp- 97.2 Pulse- 78 Resp- 16 BP- 124/86 1530: Reports somewhat improvement of numbness. Temp- 97.5 Pulse- 70 Resp- 18 BP- 114/79 1545: Reports right arm still tingling no more or less than previously reported. Temp- 97.1 Pulse- 74 Resp- 17 BP- 116/79

Other Meds: Unknown

Current Illness: None reported

ID: 0925381
Sex: F
Age: 36
State: IN

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
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: Immediate headache, lightheaded, increase in blood pressure

Other Meds:

Current Illness:

ID: 0925382
Sex: F
Age: 39
State: FL

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
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: penicillin (childhood - reaction unknown)

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Day of vaccine, quarter-sized red mark at site of vaccination - raised, hot, swollen. Each day size of mark increased to day four at 5 inches wide by 6 inches high. Continues to feel warm and painful. Seen in the ED - given Septra DS in case of cellulitis, and tramadol for pain. Some nausea and vomiting day 3. (possibly from the pain) Patient was positive for COVID19 the week prior to Thanksgiving.

Other Meds: birth control, Topamax, Synthroid

Current Illness: no

ID: 0925383
Sex: M
Age: 64
State: WI

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/07/2021
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: No know allergies.

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

Symptoms: Moderate to severe muscle pain at injection site lasting 4-5 days. Overall body aches lasting 2 days. High Fever (over 101) with intermittent periods of chills and then sweating for 48 hours which turned into an nocturnal fever (100.1) the second 48 hours.

Other Meds: Flomax 0.4 mg daily, Zetia 10 mg q HS, Allopurinol 300 mg daily, Vitamin D 2,000 units daily, Aspirin 81 mg daily

Current Illness: Viral sinus infection. Positive Covid one month prior to vaccination.

ID: 0925384
Sex: F
Age: 26
State: AZ

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/07/2021
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: AMOXICILLIN

Symptom List: Injection site swelling, Limb discomfort

Symptoms: PATIENT IS EXPERIENCING BODY ACHES, FATIGUE, NAUSEA, HEADACHE, AND EYE PAIN.

Other Meds: BIRTH CONTROL

Current Illness: NONE

ID: 0925385
Sex: F
Age: 58
State: IN

Vax Date: 01/04/2021
Onset Date: 01/05/2021
Rec V Date: 01/07/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: low grade fever, rapid heart rate, body aches, joint pain, headache, weakness, fatigue, sore arm, light headed

Other Meds: Unknown

Current Illness: Unknown

ID: 0925386
Sex: F
Age: 62
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/07/2021
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: aspirin, floxin, anti thyroid medications

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

Symptoms: Slightly dizzy right after the injection. Chills occured. Wthin 4 hours, pressure in chest which went into an irregular heart beat. I went to sleep woke up no irregular beats but severe chills, loss of appetite for 8 days. Lost 5 lbs. Followed up with medical Dr. She told me to contact you and not to take the second shot.

Other Meds: synthroid, HCTZ, beta blocker, calcium channel blocker, vitamin C, vitaminD3

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm