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: 1010059
Sex: F
Age: 66
State: CA

Vax Date: 01/29/2021
Onset Date: 01/31/2021
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: nkda

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient had lip numbness and mild swelling for 5 hours and then complete resolution of symptoms. No Shortness of breath or itchiness

Other Meds: Amlodipine, Glipizide, Hydrochlorothiazide, Januvia, Lisinopril and Metformin

Current Illness: None

ID: 1010060
Sex: M
Age: 74
State: TX

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Tiredness for 24 hours

Other Meds: elequis, simvastatin, metoprolol, ramipril, flecainide, Ca, Zinc Chelate, Eye vitamin

Current Illness: none

ID: 1010061
Sex: F
Age: 27
State: CA

Vax Date: 01/13/2021
Onset Date: 01/21/2021
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: N/A

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

Symptoms: Experienced the colloquial "COVID arm" symptoms on the morning of 1/21/21, approximately 8 days following my first COVID moderna shot. Skin was slighty raised, itchy, hot to the touch, and red. Symptoms subsided throughout the day and were not present the next day, 1/22/21. No other discomfort or side effects felt.

Other Meds: N/A

Current Illness: N/A

ID: 1010062
Sex: F
Age: 32
State: NC

Vax Date: 12/29/2020
Onset Date: 01/05/2021
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: Sensitive to doxycycline

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Extreme swelling in arm pit lymph nodes, with small bumps around the injection site and back of my arm. The injection site was a light purple. The spots They grew red and increased in amount. They formed a solid plaque in the back of my armpit, deltoid, and back. It was extremely itchy with pins and needles pain.

Other Meds:

Current Illness:

ID: 1010063
Sex: M
Age: 69
State: CA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Fatigue, headaches, decreased appetite, SOB, body aches about 2 days after vaccine administration that has lasted 10 days

Other Meds: Benazepril, metformin, vitamin D, unspecified cholesterol medication

Current Illness: headaches

ID: 1010064
Sex: F
Age: 30
State: NY

Vax Date: 01/31/2021
Onset Date: 02/07/2021
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: sulfonamide derivatives

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

Symptoms: delayed cutaneous hypersensitivity redness, swelling, itching

Other Meds: none

Current Illness: none

ID: 1010065
Sex: F
Age: 61
State: OH

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: PCN

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: About one hour after receiving the vaccine I broke out with hives on my face and chest. Contacted Moderna and was told to contact my healthcare provider. I did a virtual visit and was placed on steroids and an antihistamines. It has been 18 days since my vaccination and still have joint pain that is affecting my walking. I did not have this before and am taking 800mg of motrin every 8 hours.

Other Meds: z quil, vitamin d, vitamin c, zinc

Current Illness: NONE

ID: 1010066
Sex: F
Age: 32
State: PA

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

Lab Data:

Allergies: allergies to cats and dust

Symptom List: Pharyngeal swelling

Symptoms: Small hives in strange parts of the body (opposite arm from shot, belly, inner thigh. Not a rash-- just isolated hives, about five in total. the The specific hives, in a quantity as large as 5 in disparate areas, is unusual for me

Other Meds: levothyroxine 150 mcg, 2x day Citrucel, Junel Fe, once a day omeprazole & zyrtec (OTC)

Current Illness: n/a

ID: 1010067
Sex: F
Age: 54
State: MI

Vax Date: 02/01/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I felt lightheaded immediately after receiving vaccine on 2/01/2021 but it went away after 30 minutes. On 2/07/2021 I started feeling tired with alternating cold/hot spells. After an hour I took my temperature and it was 99.5. I took 2 Tylenol and am waiting for relief.

Other Meds: Gabapentin, Lamictal, Sertraline, Simvastatin, multi vitamin, Vitamin D

Current Illness: None

ID: 1010068
Sex: F
Age: 56
State: MA

Vax Date: 01/28/2021
Onset Date: 02/06/2021
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: Ancef, various environmental: dust mites, cats, dogs

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Covid vaccination arm- red, raised area at the injection site which showed up 9 days after receiving the vaccine.

Other Meds: Symbicort 160/4.5 2 puffs qd, Astelin 137 one spray each nostril qd, Allegra 180mg qd, Famotidine 20mg bid, Folic Acid 1mg qd, MV 1 qd, Vit D3 2000u qd

Current Illness: Asthma, Celica Sprue, Sinusitis, heart murmur

ID: 1010069
Sex: F
Age: 33
State: NY

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: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Rash, itchiness, soreness, and swelling (2? diameter) at the site of the injection, appeared one week after shot was given.

Other Meds: Magnesium Oxide

Current Illness:

ID: 1010070
Sex: F
Age: 75
State: IN

Vax Date: 02/01/2021
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: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: 2/2 8 am to 2/3 8 am . After a restless night, I woke up feeling achy all over. It was hard to get up but I went to the couch for the rest of the day. I ate nothing. I took no meds. I sleep intermittently. At 6 pm I had a fever of 100.1 that lasted about 2 hours. No headache, no actual pain on body or at shot site. Just achy.

Other Meds: Fosomax; Multivitamin Senior; Vitamin c; Vitamin D; Calcium; Metamucil

Current Illness: None

ID: 1010071
Sex: F
Age: 23
State: AZ

Vax Date: 01/29/2021
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: No known allergies

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

Symptoms: When woke up around 8:00 AM (1/30/2021) had low fever (99.4 ?F) that lasted for about 5 hours, body aches (specifically prominent around both calves and knees), left arm (injection site) was sore, slightly swollen and warm to touch. At 12pm, small wave of nausea and abdominal discomfort that lasted for about 20-30 minutes. Stayed in bed and intermittently slept until 12pm when nausea started. Once nausea passed around 12:30 PM, took a singular Advil pill and returned to bed. Awoke a little after 2:00 PM and most of the aches in legs were gone, continued to stay in bed but did not sleep. Finally cooled down at 3:00 PM and checked temperature was normal again (97.8 ?F). Arm was normal temperature at 3 PM as well, stiffness did not go away until 1/31/21.

Other Meds: Wellbutrin

Current Illness: None

ID: 1010072
Sex: F
Age: 20
State: UT

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

Lab Data:

Allergies: All kind of fish, kiwi.

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

Symptoms: On the night I received the COVID-19 vaccine, I had a fever that went up to 103 degrees Fahrenheit. In the morning 24 hours after I had the second dose of the COVID-19 vaccine, I felt a little better from the night's fever and ate instant ramen, oranges, acetaminophen, and a vitamin C tablet. This was at about 8:45 AM. A few minutes or a minute after I swallowed the acetaminophen and vitamin C, I got a severe allergic reaction that led to me going to the Emergency Room. I have eaten these things before and am not allergic to acetaminophen, vitamin C, or anything in the instant ramen. The reaction was first felt by a shortness of breath and I could barely breath. Then, hives started to form on my face and my lips and face became extremely swollen. I then ended up throwing up after my mom gave be a Benadryl pill and I drank another Benadryl after. My face had become less swollen but it was still difficult to breath and hives started to form all over my body so we decided to rush to the Emergency Room. We got to the Emergency Room at about 9:30 AM and the hives on my body were worse. They were able to calm down the reaction by giving me more Benadryl through an IV and steroids. They knew I had the second dose of the vaccine so they did not give me anything that would suppress my immune system. Timewise, it could be the acetaminophen, but I have taken acetaminophen in the past many times before without a reaction.

Other Meds: None

Current Illness: None

ID: 1010073
Sex: M
Age: 90
State: NC

Vax Date: 01/15/2021
Onset Date: 01/19/2021
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: Allergic to Penicillin.

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

Symptoms: Onset of rash (red bumpy, itchy) on right and left forearms and right and left lower legs about 4 days after administration of vaccine dose #1. Rash continue to expand became bumpy and skin was red on both arms beyond elbows and on legs. Rash started to appear on left side of stomach. Saw physician on Monday 2/1/2021 was was prescribed course of 10 mg Prednisone and 10 mgHydroxyzine HCL. After 5 days, not much improvement, then saw physician on Friday 2/5/2021 and was prescribed MethyPrednisolone 4mg dosepk tablets and 25 mg Hydroxyzine HCL. Started dosepk on Friday 2/5/2021 but after 3 days on dosepk, rash has lessened on arms and legs but has spread across torso and some on upper arms.

Other Meds: Prescriptions: Tamsulosin HCL 0.4 mg capsule, Meloxicam 15 mg tablet, Hydrocortisone 2.5% Rectal Cream OTC: Miralax, Senokot, Vit B complex, Zarbee?s Naturals Night Time Cough and Mucous Syrup

Current Illness: Spinal Stenosis of L4 and L5 and C4 and C5, Arthritis in right clavicle and shoulder

ID: 1010074
Sex: F
Age: 59
State: IL

Vax Date: 01/08/2021
Onset Date: 01/10/2021
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: Penicillin, anaphylaxis Compazine, anaphylaxis Sulfa drugs, hives and wheels Diovan, Angioedema

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

Symptoms: 36 hours past the second vaccine, I started having shortness of breath which has not stopped since 1/10/21. Required a trip to the emergency room, three specialists, and high-dose steroids. Treatment ongoing.

Other Meds: PROGESTERONE 700 mg PO q day Lamotrigine 300 mg PO q day Gabapentin 400 mg PO q day

Current Illness: None

ID: 1010075
Sex: F
Age: 50
State: OR

Vax Date: 12/28/2020
Onset Date: 01/04/2021
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: vancomycin, sulfa, fire ants

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

Symptoms: Multiple fasciculations involving trunk>extremities>>face

Other Meds: premarin, bupropion, levothyroxine, hizentra

Current Illness: none

ID: 1010076
Sex: F
Age: 53
State: CO

Vax Date: 02/03/2021
Onset Date: 02/05/2021
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: Sulfa drugs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: After the first dose of the Pfizer COVID-19 vaccine on 1/13/21 I notice some thinning of my hair. After the second dose on 2/3/21 my hair loss accelerated dramatically. It is unknown whether I will go completely bald and/if hair will regrow.

Other Meds: Acyclovir, Levothyroxine, Amlodipine, Atorvastatin

Current Illness:

ID: 1010077
Sex: F
Age: 43
State: OR

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: None known

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 1st dose: soreness in upper right arm for 3-4 days, worst after sleeping/not moving 2nd dose: starting 7 hours post-vaccination - pain in joint, full body muscle aches, lethargy, headache; starting 24 hours later: fever spiked (100) - resolved within approximately 3-4 hours; remaining symptoms resolved at almost exactly 36 hours from when they started

Other Meds: Nuvigil 250mg; Larin 211-20

Current Illness: Unidentified abdominal pain (potentially gallbladder) ending one week prior to vaccination

ID: 1010078
Sex: F
Age: 55
State:

Vax Date: 01/28/2021
Onset Date: 01/28/2021
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: Covid Vaccine given 815am complaining of swollen throat + itchyness. 817 AM Benadryl 25mg po stable vital signs. 817AM feels a rash No prior HX of reactions ,denies feeling hot. 820AM NAD Speaking clearly ,throat feeling slightly better., drinking water no dysphagia 828 AM Drinking OJ, throat feels less swollen states feels no better or worse. 831 AM Feeling much better vital signs stable 118/78,73, 98%,speech clear ,D/C with Benadryl 25 mg po, if needed. Recommended to call PCP re: effects 2nd vaccines

Other Meds:

Current Illness:

ID: 1010079
Sex: F
Age: 26
State:

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

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

Symptoms: Sharp left arm pain from fingertips to neck. Most significant pain in medial arm above elbow with radiating pain to pinky and ring finger to the shoulder and neck. Pain lasted 5+ days (pain worsened until day 3 and began to diminish on day 4). Also experienced body aches and tiredness on day after vaccine was administered.

Other Meds:

Current Illness:

ID: 1010080
Sex: M
Age: 57
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no known allergies

Symptom List: Unevaluable event

Symptoms: rash at injection site

Other Meds: non raised congruent rash on deltoid area of same arm that received the vaccine-rash better now but not completely resolved

Current Illness: none

ID: 1010081
Sex: F
Age: 53
State: IN

Vax Date: 02/05/2021
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: NKDA

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

Symptoms: Fever of 102.6 degrees, chills, body aches arose the morning after the vaccine and resolved by 4 am the following morning.

Other Meds: Rizatriptan, flecainide, propranolol, turmeric

Current Illness: N/A

ID: 1010082
Sex: F
Age: 56
State: CA

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

Lab Data:

Allergies: Penicillin, lidocaine

Symptom List: Injection site pain, Pain

Symptoms: I passed out about 24 hours after the vaccine and fell on the kitchen floor. I passed out a second time about 5- 10 min later when my husband was helping me sit up.

Other Meds: Levothyroxine, fish oil, centrum vitamins

Current Illness:

ID: 1010083
Sex: F
Age: 36
State: NY

Vax Date: 02/03/2021
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: CIPRO

Symptom List: Injection site pain, Menorrhagia

Symptoms: I was sitting down waiting my 15 minutes. About eight minutes in, I started to feel very hot and shaky. I asked for some water and took some crackers. I was extremely nauseous. Then I felt my pulse pounding through my chest and so forceful I felt it in my tongue. I had my Fitbit watch on and looked at my pulse: it was 168 BPM. I called for help. The nurses took my Blood pressure and HR. My normal BP is low - usuall 110/68. When they took my vitals it was 180 BPM & 149/98. I was taken to the ER and monitored. My vitamins returned to normal within a few hours .

Other Meds: Multivitamin, Vitamin D3, Magnesium Supplement

Current Illness: Menatrual period during time of vaccination

ID: 1010084
Sex: F
Age: 74
State: CO

Vax Date: 01/21/2021
Onset Date: 01/22/2021
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: Beta-Blocker, Fillers in medication, Bacterium

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

Symptoms: Pain 3 inches below the injection site with itching and tenderness. Red in color and warm to the touch.

Other Meds: HSO Probiotic Formula, Metoprolol 25mg, Rosuvastatin Calcium 10 mg, Amlodipine 5 mg, Ramipril 10 mg, Clonidine 0.10mg, Gabapentin 100mg, Bayer Aspin, Carisoprodol 350 mg, Vitamin D3, Dmanos,

Current Illness: Not Applicable

ID: 1010085
Sex: M
Age: 87
State: AZ

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: Nausea, Pain in extremity, Pyrexia

Symptoms: Itching , swelling on arms. chest & legs.

Other Meds: Lovastatin 40mg, Naproxen 500mg

Current Illness: none

ID: 1010086
Sex: F
Age: 42
State: NY

Vax Date: 01/12/2021
Onset Date: 01/15/2021
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: My arm began to burn and I noticed a red raised large patch on my arm.

Other Meds: After vaccine Tylenol

Current Illness: None

ID: 1010087
Sex: F
Age: 43
State: CA

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

Lab Data:

Allergies: NKDA

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

Symptoms: Covid Arm - Red Raised Lesion 2 in. By 2 in. At Injection Site, Erythema, Itching, Warm To Touch, Hives.

Other Meds: None

Current Illness: None

ID: 1010088
Sex: F
Age: 54
State: GA

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: IM
Vax Site: RA

Lab Data:

Allergies: Morphine

Symptom List: Nausea

Symptoms: Redness, swelling, heat, and itching left upper arm. within 24 hrs of injection. Symptoms are still present to date.

Other Meds: Acetaminophen

Current Illness: None

ID: 1010089
Sex: F
Age: 40
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Bactrim, Vicodin, percocet

Symptom List: Injection site pain

Symptoms: 2/4/21 7:30pm diarrhea; itching all over body, hives visible to bilateral upper arms, chest, upper back. Benadryl 50mg taken. 2/5/21 awoke at 5am intense itching resumes. No hives, pain all over body, skin hurts; headache with dizziness; diarrhea; remained in bed all day into evening; ibuprofen and Tylenol taken around the clock. 2/6/21 awoke at 6:30 am itching resumes; headache; joints painful; ibuprofen and Tylenol around the clock 2/7/21 awoke at 6:30 am. Itching resumes, mild headache, ibuprofen and Tylenol throughout the day

Other Meds: Ibuprofen and Tylenol post vaccine

Current Illness: None

ID: 1010090
Sex: F
Age: 27
State: MD

Vax Date: 02/01/2021
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: LA

Lab Data:

Allergies: No known

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

Symptoms: Delayed skin reaction. Severe itching at injection site. Small white blister. Hardened area.

Other Meds: Probiotic supplement

Current Illness: No known illnesses

ID: 1010091
Sex: F
Age: 54
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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Headache, dizziness, chills, and joint pain.

Other Meds: Tylenol

Current Illness:

ID: 1010092
Sex: F
Age: 76
State: CA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
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: No

Symptom List: Tremor

Symptoms: Diahrrea - ongoing

Other Meds: Prozac, simvistatin, vitamin D and C

Current Illness: No

ID: 1010093
Sex: F
Age: 82
State: AZ

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: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin and tetanus

Symptom List: Erythema, Pruritus

Symptoms: It started about 14 hours later. (around 10 pm) Chills and then terrible shaking and trembling. That lasted about 3 hours when it slowed down and finally stopped. I slept. in the morning I awoke, with a terrible headache and was completely exhausted. I slept all day. (taking Advil and Tylenol for the headache. Nothing helped. I finally took an Imitrex, when I went to bed again. During the day, when I woke I had about a bottle of water during the entire day and all night . Didn't feel like eating anything. Today I was still tired and the headache was back, but not as bad. I had breakfast and supper and slept in between. Tonight I feel much better.

Other Meds: Atorvastatin, diltiazem, Esomeprazole, mirabegron, over the counter Ibuprofen

Current Illness:

ID: 1010094
Sex: F
Age: 36
State: AZ

Vax Date: 02/05/2021
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: Headache, dizziness, body aches, chills

Other Meds: Birth control

Current Illness: None

ID: 1010095
Sex: F
Age: 37
State: IN

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

Lab Data:

Allergies:

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

Symptoms: Body aches, chills, fever, dizziness

Other Meds:

Current Illness:

ID: 1010096
Sex: F
Age: 45
State:

Vax Date: 02/01/2021
Onset Date: 02/01/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: 1640 Red palms, flushed, arms itch hx sensitive skin feels throat full. denies, dysphagia or dyspnea. Benadryl 25mg po. 1645 Vital signs 160/100,97%,76. 1655 D/C amb. without problems.

Other Meds:

Current Illness:

ID: 1010097
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: Seafood Sulfa Hydrochlorothiazide

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

Symptoms: Body aches Temperature 101 Fatigue Headaches Swelling under eyes

Other Meds: Losartan Amlodipine Pro-Air Montelukast

Current Illness: Sjogrens Hypertension Asthma

ID: 1010098
Sex: F
Age: 60
State: TX

Vax Date: 01/29/2021
Onset Date: 01/01/2021
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: no food allergies

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

Symptoms: my left hurts all the time has not gone away.

Other Meds:

Current Illness:

ID: 1010099
Sex: F
Age: 23
State: PA

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: None

Symptom List: Pain in extremity

Symptoms: After 1st shot on 01/09/21, I only had pain at the injection site. This lasted almost 3 full days. After 2nd shot on 02/06/21, I had most symptoms listed. I got the 2nd dose at 9:03am and once I woke up from a nap at 1pm, most of the side effects had already started. I had severe pain at the injection site where I was unable to dress myself or do normal activities, severe muscle pain and soreness, severe chills, a fever of 102 degrees Fahrenheit, a mild headache, severe dehydration that remained throughout the day and night even though I drank almost 2 gallons of water, stomach pain and bloating, and nausea and vomiting that occurred in the middle of the night at 2am, and extreme fatigue. Even though I had fatigue, I was unable to sleep due to the pain. I finally took pain medicine at 8am on 2/07/21 to help myself go to sleep as well since I was awake for over 24 hours. I slept for 6 hours and woke up still having chills, muscle soreness, a slight fever, a mild headache, and pain at the injection site where I am still unable to lift my left arm and put clothes on.

Other Meds: Birth Control: Junel Fe

Current Illness: None

ID: 1010100
Sex: F
Age: 50
State: PA

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

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

Symptoms: Patient reported tingling left side of tongue. Paramedic notified for assessment. Symptoms resolved without intervention. Paramedic supervision continued during time in observation room. Pt left building at 17:45. VS stable; BP 179/100; P 100; RR 14; Pulse Ox 98% in RA. No medical intervention required.

Other Meds: None

Current Illness: None

ID: 1010101
Sex: F
Age: 51
State: PR

Vax Date: 01/13/2021
Onset Date: 01/20/2021
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: Celebrex Panadol PM Neurontin

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

Symptoms: Induration in axilla of left arm headache fever pain and swelling of left breast pain on both thighs and knees redness at injection site urticaria and warmth generalized body pain eye redness

Other Meds: Metformin 500 Mg Bid Norvasc 5 Mg Demadex 20 Mg Calcium Vitamin D 10,000 Mcg Weekly Complex B

Current Illness: Diabetes Mellitus Type 2 Mitral Valve Prolapse Arterial Hypertension

ID: 1010102
Sex: F
Age: 33
State: IN

Vax Date: 02/01/2021
Onset Date: 02/01/2021
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: Milk

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

Symptoms: It started out as general body aches. Then twelve hours post vaccine I got a fever of 103.4. My fever was consistent for almost 36 hours. After it broke I would be fine and then have hot flashes and then become cold. I had a horrible pain between my shoulder blades that radiated into my left chest. I had a headache that lasted for 4 days. No matter the pain reliever used nothing touched the pain. My head hurt so bad it made me nauseous and dizzy. I had excruciating left sided jaw pain. It hurt to open my mouth. It shot up through my jaw into my teeth. I was unable to chew anything on that side due to pain, but I ate very little.

Other Meds: None

Current Illness: None

ID: 1010103
Sex: F
Age: 43
State: PA

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

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Developed an itchy rash on my trunk, back, arms, neck & bilateral groin. No other symptoms. May not be from the vaccine, but I?m not sure what else could have caused it. I haven?t tried a new food, medication, personal care product or detergent. Took Benadryl.

Other Meds: Zoloft, Wellbutrin

Current Illness: None

ID: 1010104
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies: Not that I know of.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Right after administration, felt a little tingling on my left arm, went away after a few minutes. 25 mins after, I started feeling Nausea throughout the day. Nausea continued till the next day followed by sever chills and body aches (no fever) and redness, tender and hot around the area of injection. Managed with 600mg of Ibuprofen. Felt the same the next morning of 2/7/21, managed with 600 mg of Ibuprofen. Nausea, severe body aches, sever chills, Left arm tingling and soreness. red/hot reaction around the area (half size of a baseball).

Other Meds: 600mg ibuprofen on the clock.

Current Illness: none

ID: 1010105
Sex: M
Age: 38
State:

Vax Date: 01/14/2021
Onset Date: 01/25/2021
Rec V Date: 02/07/2021
Hospital: Y

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: codeine, morphine, sulfa drugs.

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

Symptoms: Eleven days after the vaccination the patient developed 2 days of heartburn followed by a worsening nonproductive cough, substernal chest pain, diaphoresis, palpitations, and an episode of near syncope. These worsened over about 6 days and then slowly decreased. During this time he was referred to the ED and then admitted to a civilian host nation hospital. Echocardiogram and CT scan were performed and a paericardial cyst was discovered measuring 7.4 cm. He was then referred to another facility for evasluation. The pericardial cyst was confirmed, now 6.5 cm and laboratory tests were performed on 4 FEB, but there was at that time no elevation in inflammatory markers. Cardiology and Cardiothoracic Surgery consultations were obtained, but the consultants and the attending physician (who is an infectious disease physician by training) did not think that the crescendo-decrescendo symptoms could be explained by the pericardial cyst, which was likely an incidental finding. A milder cough may have preceded these events by up to a year, and this may possibly be related to the cyst. The heartburn, chest pain, tachycardia, diaphoresis, palpitations, and near syncope may well be adverse reactions of the vaccine.

Other Meds: None. He uses sumatriptan as needed.

Current Illness: None.

ID: 1010106
Sex: M
Age: 86
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Nauseas and diaphoretic. water and OJ provided .Denies tingling, SOB,BP 101/69, EMS notified MAP of 61 systolic 77 multiple low BP. EMS arrived 1415 evaluated MAP 70 SBP 99 no orthos done since he was Hypotensive was taken to ER.

Other Meds:

Current Illness:

ID: 1010107
Sex: F
Age: 40
State: NJ

Vax Date: 01/14/2021
Onset Date: 01/20/2021
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: About a week after I received the vaccine I had a circular rash at the site of injection. It did not itch and it was not painful.

Other Meds: Advil and hydrocodone/acetaminophen

Current Illness: None

ID: 1010108
Sex: F
Age: 64
State: CA

Vax Date: 01/16/2021
Onset Date: 01/18/2021
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: KNA

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

Symptoms: I made a mistake my vaccine was jan 16th not 15th. That evening i was Very tired got a sore arm and fever blister break out on my upper lip 10 hrs after vaccine. Next day Sharp pain in my right big toe joint on day 2, then day 3 burning and stinging pain above my left knee last 6 or 7 hours and also a very sharp pain between my toes like a splinter on the same side as knee pain. I Have felt tired and bad brain fog since vaccine, just have felt really off. Now i am scared to get the second dose. My father had a rare neurological disease after being exposed to chemicals in the army. I then got a cough and had some off color mucous for several days. I am thinking of waiting to get second does, please advise.

Other Meds: Multiple vitamins, bio identical hormones

Current Illness: Runny nose

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm