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: 1011812
Sex: F
Age: 30
State: OR

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: I work up at around 7:45 am on Monday, 2/8, and around 8am I began feeling nauseous, having a headache, a funny taste in my mouth, and feeling out of breath

Other Meds: 300mg/day Lamotrigine ER 20 mg/day Latuda

Current Illness: None

ID: 1011814
Sex: F
Age: 37
State: FL

Vax Date: 01/25/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: Mold& Smuts Amoxicillins Penicillins Cephalexin

Symptom List: Anxiety, Dyspnoea

Symptoms: delayed cutaneous hypersensitivity firmness and redness at the site where the injection occurred , itching, and say the lesion is painful/hot to touch,

Other Meds: Omeprazole, hydrOXYzine HCl 50 MG tablet (as needed for anxiety), spironolactone 50 MG tablet x2 daily, norethindrone-ethinyl estradiol 1mg-20mcg tablet

Current Illness: NA

ID: 1011815
Sex: F
Age: 32
State: OH

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
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: Morphine

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

Symptoms: Fever, chills, headache, terrible body aches - took tylenol and Ibuprofen around the clock. very tired and sluggish for 2 days after vaccine .

Other Meds: Ortho - Novum 7/7/7

Current Illness: N/A

ID: 1011816
Sex: F
Age: 23
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Chest pain, shortness of breath. fever.

Other Meds:

Current Illness:

ID: 1011817
Sex: M
Age: 55
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Soreness at injection site

Other Meds: None

Current Illness: None

ID: 1011818
Sex: F
Age: 75
State: PA

Vax Date: 01/23/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
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: NKA

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

Symptoms: Loss of hearing

Other Meds: Aldactone, aspirin, MVI, lactobacillus, famotidine, furosemide, Ativan, oxycodone, carvedilol, saline nasal spray, symbicort

Current Illness: NA

ID: 1011819
Sex: F
Age: 70
State: CO

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: red swollen itchy left arm on day 8

Other Meds: probiotics with turnermic

Current Illness: none

ID: 1011820
Sex: M
Age: 75
State: OR

Vax Date: 01/31/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: Infliximab (anaphylaxis), Lisinopril (cough), Erythromycin (shaking, nervousness)

Symptom List: Pharyngeal swelling

Symptoms: This gentleman was hospitalized with dyspnea, found to have a leukocytosis and probable right lower lobe pneumonia, hospitalized for IV antibiotic therapy. He is still hospitalized but improving as of the date of this report. His COVID-19 test was negative on the day of admission. He had no symptoms out of the ordinary on the day of his vaccination. I am reporting this as it occurred in the week after his first dose of vaccine though would suspect the timing is likely coincidental rather than directly related to the vaccine.

Other Meds: Tylenol, Aspirin, Atorvastatin, Carvedilol, Vitamin D, Clopidogrel, Cyanocobalmin, Folic acid, Insulin (glargine and aspart), liraglutide, mangesium oxide, methotrexate, morphine ER, ondansetron, oxycodone, pantoprazole, ropinirole, senna,

Current Illness: No acute illnesses at the time of vaccination or in the prior month

ID: 1011821
Sex: F
Age: 41
State:

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient given Moderna booster instead of Pfizer booster.

Other Meds:

Current Illness:

ID: 1011822
Sex: F
Age: 82
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Red pruritic rash surrounding vaccination site.

Other Meds: Hydrochlorothiazide, Vitamin D

Current Illness: None

ID: 1011823
Sex: F
Age: 29
State: TN

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Chest tightness, elevated BP, rash

Other Meds:

Current Illness:

ID: 1011824
Sex: F
Age: 42
State: NV

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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 developed cellulitis at the injection site approximately 1 week after receiving the vaccination. The arm became red, swollen, itchy and warm to the touch. Symptoms began on Saturday evening and have gotten progressively worse. It is now Monday morning and I'm continuing to monitor the symptoms.

Other Meds: Lantus, Ozempic, Atorvastatin, Sertraline, Bactrim

Current Illness: None

ID: 1011825
Sex: F
Age: 62
State: TX

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Pollen

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

Symptoms: I woke up and I couldn't take a deep breathe as the day went on It was harder and harder to breath. It felt like a stabbing pain in my back by my kidney. I hadn't done activity that day. I toughed it out till Monday and went to the walk in clinic. I was given anti-inflammatory and muscle relaxers. Symptoms went away in 24 hours.

Other Meds: Levothyroxine Fish Oil Baby Aspirin Vitamin Vitamin D Zinc Thyroid medication Blood pressure medication Prenatal

Current Illness:

ID: 1011826
Sex: F
Age: 40
State: WA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: I experienced a "rash" on my left arm that grew in size over a few days. It is still growing as I make this report. It is painful to the touch and very hot to the touch.

Other Meds: Ashlyna, Levonorgestrel and Ethinyl Estradiol Tablets USP, 0.15 mg / 0.03 mg Metoprolol Succ Tab, 25 mg ER Lisinop / HCTZ Tab 20-12.5

Current Illness: None

ID: 1011827
Sex: F
Age: 68
State: IL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: nausea, low back pain started on 2/6/2021. nausea is intermittent.

Other Meds:

Current Illness:

ID: 1011828
Sex: F
Age: 30
State: CA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Redness and swelling at the site. Warm to touch. Itchy at the site.

Other Meds: Benedryl, multivitamin gummies, and vitamin d3

Current Illness: none

ID: 1011829
Sex: U
Age:
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: N/A

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

Symptoms: Fever (101.9) and chills Body aches Headache Fatigue (24 hours) Time course: 12 hours

Other Meds: None

Current Illness: N/A

ID: 1011830
Sex: F
Age: 36
State: PR

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/08/2021
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: HEADACHE,SICKNESS,DIARREA

Other Meds: TYLENOL 2 TABS EVERY 4 HOURS

Current Illness: NONE

ID: 1011831
Sex: F
Age: 24
State: TX

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: dizziness, fatigue, tingling in right breast, chills, left arm soreness

Other Meds: not taking any medications

Current Illness: Denies

ID: 1011832
Sex: F
Age: 52
State: NY

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: -raised red, itchy rash from neck to about hips (whole torso) -took benadryl 25 mg the night of reaction(2/7/21) and next morning -took claritin today (2/8/21)

Other Meds: none

Current Illness: none

ID: 1011833
Sex: F
Age: 53
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 02/08/2021
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: Penicillin

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

Symptoms: I woke up next morning heart racing pulse was 94 resting heart rate usually 60. Throughout the day my heart rate went up to 120 which is abnormal for me. I contacted my PCP was told to take Benadryl and rest maybe anxiety. Then went to office visit heart rate was still elevated given holter monitor to wear 48n hrs.

Other Meds: Vit D, Calcium,Zinc, Vit C, Zyrtec

Current Illness: No

Date Died: 02/06/2021

ID: 1011834
Sex: M
Age: 62
State:

Vax Date: 01/27/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Unevaluable event

Symptoms: patient passed away within 60 days of receiving COVID vaccine series

Other Meds:

Current Illness:

ID: 1011835
Sex: F
Age: 35
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
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: anaphylactic to nuts and allergic to grass

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

Symptoms: tachycardia, chills, SOB, shaking, high BP, difficulty swallowing, Medications give benydral 100mg po, claritin 10 mg, pepcid 20mg,. Staff member symptoms resolved after medication and eating.

Other Meds: n/a

Current Illness: no

ID: 1011836
Sex: F
Age: 37
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Delayed cutaneous hypersensitivity reaction starting 7 days after vaccine; itching, red, raised, hot area 3 inches in diameter on upper left arm where vaccine was received. Symptoms slowly went away over 48 hours.

Other Meds: Citalopram 20mg, vitamin D 2000 IU

Current Illness: None

ID: 1011837
Sex: M
Age: 78
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: No known allergies

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pt received his first Moderna injection on 2/6/21. On 2/7/21 he developed chills and fever in the afternoon. Pt woke up on 2/8/21 and had pronounced weakness. Nursing Home/Assisted living reports falls x 2 this am. First at 4 am and the second at 6 am. Pt normally is ambulatory and still capable of driving a car. Reports today generalized weakness. He is having difficulty walking and lifting his extremities. He also is having difficulty lifting his head off the pillow. He reports generalized body aches and lower back pain. He presents to the ER with a rectal temp 100 degrees. His vital signs are normal otherwise. He had a septic work-up in the ER that included labs, urinalysis and imaging. Only abnormal lab was a elevated lactic acid. Pt received IV fluids and was admitted to the hospital for further monitoring. He is routinely tested for COVID in the NH. Last time was Friday 2/5 21 and was negative. The patient had rapid COVID testing repeated in the ER again the results were not detected. He has no swallowing issues and he is able to move extremities but again demonstrates pronounced weakness.

Other Meds: Amitriptyline, Amlodipine, ASA, Hydrochlorothiazide, Janumet, Lisinopril, Lorazepam, Memantine, Metoprolol Suc ER, Omeprazole, Potassium Chloride, Probiotic, Multivitamin, stool softner, Miralax, Acetaminophen

Current Illness: Anxiety, CAD, Constipation, Diabetes, Diabetic neuropathic arthropathy, , hyperlipidemia, Hypertension, Insomnia

ID: 1011838
Sex: M
Age: 37
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: N/A

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

Symptoms: I had an upset stomach, arm soreness in the arm the shot was taken, headache, and chills. Lasted for a little over a day and then I felt almost back to normal but still a little sore in my arm

Other Meds: N/A

Current Illness: N/A

ID: 1011839
Sex: F
Age: 68
State: WI

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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: Amoxicillin, cephalosporins, codeine sulfate, imipramine, lovastatin, naproxen

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: At the 15 min mark patient stated that she was going to sit out in the waiting room just a few minutes longer, patient had experienced some chest tightness. Patient said she wasn't sure if it was from the mask or from the short. Had patient lower mask take some deep slow relaxing breaths, she said it helped a little but was still having the chest tightness. Patient was offered a Benadryl and patient took this. 20 mins later patient was feeling more relaxed and was ready to leave.

Other Meds: Alprazolam, amitriptyline, calcium carbonate, vit d, doxycycline, fluticasone, glucosamine, levothyroxine, loratadine, lorazepam, meloxicam, multivitamin, Patanol, valacyclovir.

Current Illness: None

ID: 1011840
Sex: F
Age: 57
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: No known allergies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt reported feeling itching on arm at site of injection that spread to her back and chest. No visible rash noted, but itching persisted for 30 minutes so pt given Benadry IM.

Other Meds: None

Current Illness: None

ID: 1011841
Sex: F
Age: 73
State: IL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: Penicillin, ANSADS

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

Symptoms: Very sore arm and couldn't raise it up for three days. Nausea, joint achiness, dizziness. I stayed in bed for two days. On day5, my arm is still sore and can barely raise it above head without pain.

Other Meds: Zoloft, Sertraline

Current Illness: None

ID: 1011842
Sex: F
Age: 37
State: TX

Vax Date: 01/25/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Nausea

Symptoms: Red discoloration patch at injection site roughly 2 inches in diameter

Other Meds: Zoloft

Current Illness: None

ID: 1011843
Sex: F
Age: 93
State: FL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Keflex, Codeine, Clindamycin

Symptom List: Injection site pain

Symptoms: At 11:15 -11:30 am the resident received her initial dose of Pfizer COVID -19 vaccine in the front of the facility so that her daughter could encourage her to receive the vaccination she was then returned to the her neighborhood at approximately 1:15 pm the circulating Pharmacist administered a second dose of the vaccine.

Other Meds: Tylenol 325 mg take 2 tablet by mouth 3 times daily ASA 81 mg take 1 tablet by mouth once daily Divalproex 125 mg take 2 tablets by mouth once daily Januvia 50 mg take one tablet by mouth once daily Lactulose sol 10 gm.15 take 2 teaspoo

Current Illness: Diabetes Mellitus, hearing loss, Hyperlipidemia, Dementia, Microvascular reaction, seasonal allergies

ID: 1011844
Sex: M
Age: 72
State: CA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: The reaction is a large, 2 " red and warm circle on the left arm where the vaccine was injected. it started the day after the vaccination and persists until now, ten days after. No other adverse symptoms.

Other Meds: Omega 3-6-9 -- Calcium Magnesium and Zinc-- Men's One Daily-- Vitamin D3-- Vitamin B12-- Iron--Immune 24 Hrs (vitamin C)

Current Illness: NO

ID: 1011845
Sex: M
Age: 41
State: OH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Formaldehyde

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

Symptoms: Roughly 12 hours after receiving the second dose of the vaccination, I began to be restless, especially when trying to sleep. I noticed that my resting heart rate was way above normal (normal = 76-80 bpm). My heart rate after about 10pm rose to about 115-120 bpm and stayed at that level for about 12 hours.

Other Meds: Lisinopril (5mg); Align Pro-Biotic

Current Illness: None

ID: 1011846
Sex: M
Age: 76
State: MI

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Patient went to Emergency Room @ 5PM day following vaccine with difficulty moving eyes and drooping cheek.

Other Meds: Plavix 75mg once daily telmisartan hctz 80-12.5mg once daily labetolol 300mg one twice daily Crestor 5mg daily Potassium er 10meq once daily aspirin 81mg daily levothyroxine 25mcg every morning co q-10 100mg daily vit d3 2,000 IU daily

Current Illness:

ID: 1011847
Sex: M
Age: 52
State: NJ

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Azithromycin

Symptom List: Erythema, Pruritus

Symptoms: About 24 hours after receiving the vaccine, I started with a dull headache (scale of 1-5, 5 being the worst, it was a 1), and onset of chills (scale of 1-5, 5 being the worst, it was a 3 )and flushing. The chills lasted about 4 hours. About 36 hours after receiving the vaccine, I noticed swelling of my lymph nodes under my left arm. (scale of 1-5, 5 being the worst, it was a 4) It is about the size of tennis ball, it is causing discomfort and hard to sleep. It is painful. The flushing, headache and chills all went away.

Other Meds: Proscar .4 MG daily, Vitamin D3

Current Illness:

ID: 1011848
Sex: M
Age: 76
State: LA

Vax Date: 01/31/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Rash and itching on arm and shoulder in area of injection site. Broken skin (not due to scratching) Symptoms still ongoing

Other Meds: Multi vitamin Vitamin C Glucosamine Loratadine

Current Illness: None

ID: 1011849
Sex: F
Age: 73
State: WA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Gluten

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

Symptoms: 24 hours after injection - low blood pressure (90 over 68) rapid heart rate - 110 to 115 for approximately 4-5 hours

Other Meds: metoprolol succinate 50 mg levothyroxine 88 mcg tablet Proomega ldl omega 3 with 1200 mg red yeast rice Potassium 99 mg tablet CALCIUM ANTACID ULTRA MAX ST 1000 MG Chew Omega-3 Fatty Acids (FISH OIL ) B-12 VITAMIN D Aspirin 81 MG tablet

Current Illness: None

ID: 1011850
Sex: M
Age: 66
State: IN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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 Codeine Sulpha Drugs

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Tinnitis since vaccination, moderately severe and not a sufferer of Tinnitis in this long of term period before.

Other Meds: None

Current Illness: None

ID: 1011851
Sex: F
Age: 28
State:

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/08/2021
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:

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

Symptoms: nausea, vomitting, diarrhea, headache

Other Meds:

Current Illness:

ID: 1011852
Sex: F
Age: 67
State: OR

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Codine,

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

Symptoms: approximately 11 hours post vaccination, symptoms of headache and body aches. this was followed by shivering, weakness and a pounding heart. This continued for five to six hours. The shivering eased, leaving the pounding heart, terrible headache and body aches, especially in the neck and shoulders area. These remaining symptoms continued into day two.

Other Meds: Levothyroxine, multi vitamin, D3, calcium,

Current Illness: No

ID: 1011853
Sex: F
Age: 56
State: LA

Vax Date: 02/02/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: Pain in extremity

Symptoms: complaint of increased swelling, pain and redness at injection site and circumference of left are 3 days after second COVID injection right deltoid are measure 18.5inches Left deltoid measured 20 inches with hardness and redness

Other Meds:

Current Illness:

ID: 1011854
Sex: F
Age: 76
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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 known

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

Symptoms: rapid and irregular heartbeat, 132 bpm...blood pressure rose to 151/101 lasted several hours... i took half of a metotropol 12.5mg laid down and hour later heart rate decreased

Other Meds: none

Current Illness: had a cold in early January

ID: 1011855
Sex: M
Age: 61
State: NC

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Rapid heartbeat that lingered for a couple of days. Cold symptoms (runny nose) started 4 days later (may be unrelated)

Other Meds: low dose, high blood pressure medication; multi-vitamin

Current Illness: None

ID: 1011856
Sex: F
Age: 23
State: MN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Cefzil, laxtex (hives for both)

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

Symptoms: high fever (103), body aches, chills, exhaustion, headaches, loss of appetite, very sore arm

Other Meds: B12 pills, iron pills, junel birth control, Zyrtec, flovent

Current Illness: no ilnesses

ID: 1011857
Sex: F
Age: 78
State: ND

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: 2 inch by 3 inch reddened, itchy and swollen area to left arm. Was encouraged to use cool compresses 2/3 times per day and monitor. She was also encouraged to seek medical attention if needed.

Other Meds:

Current Illness:

ID: 1011858
Sex: F
Age: 71
State: TX

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Injection site swelled, was warm to touch and red. Had severe headache, backache, diarrhea, fatigue, chills, lower abdominal pain but no fever. Lasted 24 hours. Question: Will it be safe to take the second dose on March 25?

Other Meds: Vitamin D

Current Illness: None

ID: 1011859
Sex: F
Age: 101
State: MD

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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

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

Symptoms: Moderate energy, numbness, funny breathing sounds on February 7th, 2021. Forgot to do vsafe on February 7th, 2021.

Other Meds: Insulin,

Current Illness: No

ID: 1011860
Sex: M
Age: 81
State: MI

Vax Date: 01/11/2021
Onset Date: 01/22/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Two weeks later post vaccine developed full body Rash

Other Meds: Losartan , metformin , norvasc,

Current Illness:

ID: 1011861
Sex: F
Age: 72
State: SD

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Strawberries and papayas demerol-amoxicillin-bactrim-benadryl-fluroquin-fresh frozen plasma-hydralazine- IV contrast media- kelfelx- latex- flagyl- procardia- tramadol- articificial sweetners

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

Symptoms: Patient states around 12:00pm after eating and swallowing a small piece of chicken she felt short of breathe and could not speak. Her husband performed heimlich maneveur on her and her breathe returned. She reports incident lasted 1-2 minutes.

Other Meds: insulin NPH 21 units-levothyroxine 112mcg- calcium-carvedilol-clopidogrel 75 mg- gabapentin 300mg- magnesium- omeprazole 20 mg- tacrolimus 0.5mg

Current Illness: Leg surgery January 4, 2021

ID: 1011862
Sex: F
Age: 38
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: NONE

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

Symptoms: FEVER 103 DEGREES; HEADACHE; CHILLS; NAUSEA; FATIGUE; BODY ACHES; JOINT PAIN; SWEATING; SHORTNESS OF BREATH.

Other Meds: NONE

Current Illness: NONE

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm