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: 1014390
Sex: F
Age: 69
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Biaxin

Symptom List: Dysphagia, Epiglottitis

Symptoms: On day 2, Feb. 7, 2021 at 7am when I got up to go to bathroom I was dizzy. The dizziness lasted until noon. After that I was fine, had breakfast and drank alot of water.

Other Meds: (1) Calcium tablet 600 mg, (2) tablets Lisinopril 20mg each.

Current Illness: no

ID: 1014391
Sex: F
Age: 28
State: CT

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

Lab Data:

Allergies: Sulfa drugs (rash)

Symptom List: Anxiety, Dyspnoea

Symptoms: Around bed time experienced fever, chills and body aches. Slept about 4 hours and took a Tylenol that helped me. The fever was lingering next day but was under control as long as I was taking it every 6 hours. The fever would get worse around night time. The next night I noticed a red area at the injection site, the size of a dollar, very swollen and bruised. I just used hot compress and hydrocortisone and it kept getting bigger. On the 4th or 5th day I reached out to the telehealth offered by her insurance company and reached out to get their opinion, The MD did a virtual visit and identified it as cellulitis. Keflex was prescribed and it went away right away. The fever had subsided the morning of my 3rd day after the vaccine. I had COVID in November, tested positive 11/12/2020.

Other Meds: Lexapro 20mg, Zyrtec

Current Illness: No - Covid positive early November (tested positive 11/12/2020)

ID: 1014392
Sex: F
Age: 40
State: CA

Vax Date: 02/06/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Around injection site red , raised , hot to touch about 6 in long & 4 inches wide

Other Meds: Tylenol & Ibuprofen

Current Illness: none

ID: 1014393
Sex: F
Age: 43
State: VA

Vax Date: 01/27/2021
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: N/K

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: On the first day of the shot, my arm had minor soreness, which is considered normal for shots. Then, approximately a week later, I began to form bruises on my inner thighs. The bruises were round in shape, red in color, and approximately the size of quarter. There were several bruises lined along my thigh. I have taken pictures as a form of documentation.

Other Meds: Adderall Xanax Vitamin D Buspirone Blood Pressure Medication (unsure of name)

Current Illness: None

ID: 1014394
Sex: F
Age: 19
State: OH

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: IM
Vax Site: LA

Lab Data:

Allergies: Amoxycillin

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

Symptoms: Soreness at injection site began shortly after injection Fever began at approximately 8:00 pm the day of the injection (2/7/2021) self treated with Acetaminophen tablets Headache upon waking up the next morning (2/8/2021) self treated with Acetaminophen tablets

Other Meds: Buproprion HCL XL tablet Escitalopram tablet Propranolol tablet

Current Illness: no

ID: 1014395
Sex: F
Age: 42
State: NY

Vax Date: 01/01/2021
Onset Date: 02/06/2021
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:

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

Symptoms: Stomach very sick 24 hours after vaccine. 8 days after vaccine I got ?COVID Arm? still have itchy rash this is day 3

Other Meds: Meloxicam, Effexor, allergy injections every 4 weeks, Zyrtec

Current Illness:

ID: 1014396
Sex: F
Age: 39
State: TX

Vax Date: 01/29/2021
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: Sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Arm became itchy and hard at vaccine sight

Other Meds: Venlafaxine, Valstartin HTCZ, and Vitamin D

Current Illness:

ID: 1014397
Sex: F
Age: 75
State: CA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
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: None

Symptom List: Pharyngeal swelling

Symptoms: COVID arm rash Red silver dollar size rash began approximately 7days after injection lasting approximately 7-8 days

Other Meds: Levothyroxine Multiple Vitamin, Preservision, Vit C, Vit D, Calcium

Current Illness: None

ID: 1014398
Sex: F
Age: 65
State: NM

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

Lab Data:

Allergies: erythromycin pencillin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache and swollen throat and eyes

Other Meds: omperazole cartia linsinopril Folic acid citalopram Lamotrigine estradiol Prednisone

Current Illness:

ID: 1014399
Sex: F
Age: 80
State:

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

Lab Data:

Allergies:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: A week after vaccination my upper arm near the vaccination site began to itch and feel a bit warm and swollen. This has been going on for 2 days.

Other Meds:

Current Illness:

ID: 1014400
Sex: F
Age: 24
State: NY

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: SYR
Vax Site: LA

Lab Data:

Allergies: Flagyl

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

Symptoms: Chills began at 1:30am on 2/7, after that began to feel nauseous and achy. Checked temperature and it was at 103?F, but went down after taking Tylenol. Chills and cycles of hot and cold continued throughout the night. Also had a headache. Woke up at 7am and checked temperature and was 101 took 2 Tylenol and it went down to normal. Chills, aches, headache, and fatigue all of 2/7. 2/8 had no fever but still felt tired and achey.

Other Meds: Vyvanse, lo loestrin fe

Current Illness: None

ID: 1014401
Sex: F
Age: 39
State: IN

Vax Date: 01/28/2021
Onset Date: 02/08/2021
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: latex

Symptom List: Rash, Urticaria

Symptoms: Rash on both forearms and back. Flat red spots about the size of pencil erasers. Not itchy.

Other Meds:

Current Illness:

ID: 1014402
Sex: F
Age: 56
State: NY

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Penicillin, Cefzil, milk products (lactose intolerant), egg plant, environmental allergies, epinephrine,

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

Symptoms: This was my first vaccine. I had Covid last March. As of Jan 2021 i still had some antibodies in my body. After 12 hours i began to get chills and my skin was very achey. I took advil because when i was very sick with covid and too tylenol every 6 hours it didn't lower my temperature or take away any of my pain. two hours later, i had a stomach ache. While having a bowel movement i fainted onto the floor and ended up with a black eye. i do not pass out from having bowel moments otherwise. My cheekbone was sore to the touch for a week.

Other Meds: levothyroxine 150 mg, omeprazole 20 mg, colestipol 1 gm, doxycycline 50 mg 2X/week, premarin cream, amabelz 1-0.5 tablet, acyclovir 400 mg, fish oil , allegra allergy pill

Current Illness: None

ID: 1014404
Sex: F
Age: 24
State: NY

Vax Date: 01/24/2021
Onset Date: 01/24/2021
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: Amoxicillin - Hives

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

Symptoms: Symptom onset within 10 hours after vaccination: Swelling >5cm at injection site, significant pain and throbbing in extending down the arm of the injection site, swelling extending down to the forearm. Syncope and loss of consciousness occurred with trauma to the forehead and nose causing nose bleed. Unable to determine how long patient lost consciousness. When patient woke up, she was laying in a pool of blood from nose bleed and patient described shaking/rigors that were only relieved by taking Ibuprofen 800mg Q8H for 6 days. Denies fever. Due to syncope and head trauma, patient suffered concussion with symptoms of HA, blurry vision, difficulty concentrating, and fatigue.

Other Meds: norgestimate-ethinyl estradioL (ORTHO TRI-CYCLEN LO, 28,) per tablet adapalene (DIFFERIN) 0.1 % gel CLINDAMYCIN PHOSPHATE TOP multivitamin capsule

Current Illness: None

ID: 1014405
Sex: M
Age: 45
State: PA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
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: Swelling redness in arm 8days after shot swelling is the size of a fist.

Other Meds: Gabapentin

Current Illness: Back stimulator trail test put in

ID: 1014406
Sex: F
Age: 28
State: CT

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

Lab Data:

Allergies: Sulfa drugs (rash)

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

Symptoms: The night I received the second dose I had chills, experienced low grade fever and arm redness at the injection site. Just a dull pain, nothing really major. The redness was much smaller than the first dose, I still have it. And a mild discomfort if I have to stretch my arm above my head or stretch my arm for some reason.

Other Meds: Lexapro 20mg, Zyrtec

Current Illness: No - Covid positive early November (tested positive 11/12/2020)

ID: 1014407
Sex: M
Age: 63
State: OH

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: Zyrtec once made my skin red.

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

Symptoms: Redness, firmness, and slight itching at injection site 2 days after injection. 'Covid Arm'

Other Meds: Levothyroxine 150 mcg, Omeprezole 40mg, Fish oil, Glucosimine/Condroitin 1500/1200 mg.

Current Illness: No

ID: 1014408
Sex: F
Age:
State: OH

Vax Date: 02/04/1921
Onset Date: 02/05/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Red, splotchy, prickly and itchy and warm to the touch. It is about 8"x7" long around vaccination area.

Other Meds: Xarelto, Metoprolol, lovastatin, prilosec, fluticasone, Zytrec

Current Illness:

ID: 1014409
Sex: F
Age: 31
State: WA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
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: Amoxicillin, sulfa, tetracycline, chlorhexidine

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I experienced a delayed hypersensitivity reaction ("COVID arm") after receiving the first Moderna COVID vaccine (1/20/21). Exactly one week after being vaccinated (1/27/21, ~6:30 PM), my arm began to swell up again at the vaccination site and was itchy, warm, and red. The maximum diameter of the swelling was ~12cm. My axillary lymph nodes were also swollen and painful. This lasted for ~8 days with symptoms improving as time went on.

Other Meds: Norgestimate-Ethinyl Estradiol (birth control), multivitamin

Current Illness: None

ID: 1014410
Sex: M
Age: 40
State: CA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Augmentin - shortness of breath

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

Symptoms: Right sided Bell's palsy, onset 1/25/21, course improving.

Other Meds:

Current Illness: none

ID: 1014411
Sex: F
Age: 64
State: AK

Vax Date: 01/05/2021
Onset Date: 01/05/2021
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: cats; dogs

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

Symptoms: I had extremely high blood pressure; my heart was throbbing. I was told to go to ER at work but I didn't and went home and rested. That went on for days. I called my doctor and she put me on Metrozal to help with heart rate and BP and that brought that back down again. I'm taking this every day now in addition to my other blood pressure medicine. It has helped. I had headaches; I had terrible dreams and couldn't sleep. My eyes turned all dark - like when you need to drink water (underneath eyes). Had a terrible thirst. I drink water constantly. I had bruising on various parts of my body - legs; arms etc. It's calmed down with all these symptoms within a couple of weeks.

Other Meds: Hydrochlorothiazide 12 mg; locartin 100 mg; Vit D

Current Illness: broken foot;

ID: 1014412
Sex: F
Age: 62
State: NY

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

Lab Data:

Allergies: yes, lots, bees, antibiotics, penicilan, sulfer, sulfra, etc.

Symptom List: Unevaluable event

Symptoms: 10 minutes after shot I felt, chest congestion and a strange taste in my mouth. I stayed at injection facility for over an hour to make sure I would feel better. Later that evening, I was fine without any marks on injection site. Nine days later I got an itchy, sore arm with a bulls eye, raised red rash larger than a quarter, about 1.75" and a bit warmer than other areas of the arm.

Other Meds: yes, multi vitamins, calcium, vit D

Current Illness: none

ID: 1014413
Sex: F
Age: 61
State: NM

Vax Date: 02/03/2021
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: LA

Lab Data:

Allergies: Scallops (anaphylaxis), IVP dye (anaphalylaxis) Iodine (topical reaction)

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

Symptoms: I woke up early the morning following the vaccine with pain in my left hand. It was hugely swollen and I could not bend my fingers. I went into the bathroom and found the the left side of my face and my left eye were black and blue. The hand then turned black and blue. Today is day 5 following the vaccine and the hand and eye are only marginally better. As background, a year ago I had a benign lipoma cut out on my face, left side just above the brow. The face looked identical then as now. About 18 months ago I had surgery on the left hand to correct a trigger thumb. Again, the hand then looked exactly like it does now. On day three after the vaccine, a knee replacement scar on my right leg had turned purple. No bruising nor sensitivity anywhere else on the knee--just along the line of the scar. That surgery was 10 years ago. Unlike the other surgical sites, it has now returned to normal flesh color.

Other Meds: Prozac, Wellbutrin, Celebrex, Synthroid, Prevastatin, Calcium Citrate, CoQ10, multivitamin, Hormone replacement including bi-estrogen, progesterone, testosterone, DHEA . Periodic use of Lorazapam but not before injection

Current Illness: None

ID: 1014414
Sex: M
Age: 65
State: AZ

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

Lab Data:

Allergies: Codine

Symptom List: Injection site pain, Pain

Symptoms: Nasty gout attack in R foot/ankle 36 hours after injection

Other Meds: Aspirn, metoprol, brilanta, lisinopril, terazosin, amlodipine, atorvastatin.

Current Illness:

ID: 1014415
Sex: M
Age: 79
State: NM

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever, chills, malaise, weakness and myalgias. Self treated with Tylenol and rest

Other Meds: Multi vitamin with vitamin D

Current Illness: None

ID: 1014416
Sex: F
Age: 37
State: FL

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

Lab Data:

Allergies: Levaquine

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

Symptoms: Had eruptions of welts on left upper chest with slight blistering Sight on Rt inner lower leg started on Saturday from a mild blister to a welt the size of your fist that was red and purple bruised with a large blister

Other Meds: None

Current Illness: None Viral Phenrigitsis turned into an URI Tested twice and not covid

ID: 1014417
Sex: F
Age: 94
State:

Vax Date: 01/26/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No know drug allergy

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Left arm swelling, redness, warmth, itching/ pain consistent with cellulitis/ erysipelas

Other Meds: Acetaminophen (Tylenol) 500 MG tab 1,000 mg, Oral, 3 X DAILY Take 2 tabs by mouth 3 times daily. amLODIPine Besylate (Norvasc) 2.5 MG tab 2.5 mg, Oral, 1 X DAILY Take 1 tab by mouth one time daily. Amoxicillin 875 MG tab

Current Illness: None

ID: 1014418
Sex: F
Age: 21
State: AZ

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: RA

Lab Data:

Allergies: Zithromax

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: During administration of vaccine when nurse push plunger to inject vaccine all leaked out around hub of needle. Physician on site was contacted assessment was that client didn't receive a dose of the covi-19 vaccine. Physician advised nurse to give a second injection. Client stated she felt the vaccine in her arm with the second shot whereas nothing was felt during first injection. Observed client for 30 minutes and released without incident.

Other Meds: Pristiq 50 mg po daily

Current Illness: N/A

ID: 1014419
Sex: F
Age: 62
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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:

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

Symptoms: lethargic underarm itchy 20 minutes after injection underarm on left side developed a rash

Other Meds:

Current Illness:

ID: 1014420
Sex: F
Age: 25
State: NY

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: swelling of eye lids, erythema, sneezing,

Other Meds: fluvoxamine 100mg twice a day, orthotricycline (birth control)

Current Illness: none

ID: 1014421
Sex: F
Age: 87
State: CA

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: unknown

Symptom List: Injection site pain

Symptoms: Patient had complaint of feeling faint/uneasy. initial heartrate estimated 90, warm flushed cheeks. After resting, heart rate remained at 80. After 30 minutes patient still felt uncomfortable, heart rate 80 but felt okay to drive home.

Other Meds: unknown

Current Illness: unknown

ID: 1014422
Sex: F
Age: 76
State: CA

Vax Date: 01/26/2021
Onset Date: 02/03/2021
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: Codeine, Penicillins and Sulfa

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

Symptoms: Pt developed Herpes Zoster on Back, Axilla and Breast

Other Meds: Melatonin, Lisinopril, Atorvastatin, Ketotifen Opthal,Systane Opthal, Fosamax, Ferrous Sulfate, Loratadine,Metformin, Polyethylene Glycol, Omeprazole, Levothyroxine, Acetaminophen, Milk of Magnesia, Nizoral Shampoo,Calcium

Current Illness: Migraine, low Back pain, Asthenia, Fatigue

ID: 1014423
Sex: F
Age: 66
State: NJ

Vax Date: 01/26/2021
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: Cipro, levaquin, macrobid, tegretol, trileptal

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

Symptoms: Developed Covid arm 8 eights after 1st Moderna vaccine. It then disappeared after 2 days, but came back bigger and redder the very next week.

Other Meds: Losartan, esomeprazole, simvistatin, amitriptyline

Current Illness: None

ID: 1014424
Sex: F
Age: 51
State: IN

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Tree nuts, coconuts

Symptom List: Tremor

Symptoms: I awoke at 2 AM with severe body pains, nausea, gas, a migraine, and a fever of 100.5. The nausea and gas ended after three hours, and then I developed Chills and sweats. The migraine and fever lasted 12 hours. The body aches chills and sweats ended by 3 AM the following day.

Other Meds: Citalopram, multi vitamin, cranberry supplement, sleeve, anti diarrhea, gas x, otc heartburn medication, otc medication for restless legs syndrome.

Current Illness: Bipolar disorder

ID: 1014425
Sex: M
Age: 74
State: CO

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: Oxycodone-Acetaminophen (Percoset) Ace inhibitors

Symptom List: Erythema, Pruritus

Symptoms: Moderna COVID?19 Vaccine EUA Injected at 8:20 am; 3+ hours later excruciating pain, rapid onset, at injection site. Continued unabated until treating with ibuprofen 600mg at 12;30 pm. Continued nsaid therapy until the following morning, with relief but not elimination of pain. Unable to lift right arm to horizontal, or to use the arm to lift or carry anything over a pound or so. Has continued to present, although mostly reduced as of today. Issues with sleeping, as pain increased with prone position and inactivity. Other attempts at reducing pain and soreness have included light exercise and stretching.

Other Meds: Hydoxyurea 1000mg Eliquis 10mg Atorvastatin 80mg Metoprolol 25mg Furosemide 40mg Losartan 50mg Aspirin 81mg Omeprazole 1-mg Vitamin C 500mg Glucosamine/Chondroitin 1500/1200 mg Coenzyme Q-10 400 mg

Current Illness: none

ID: 1014426
Sex: F
Age: 25
State: NJ

Vax Date: 01/17/2021
Onset Date: 01/22/2021
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, itchy, red, started, small and grew for 3 days

Other Meds: None

Current Illness: none

ID: 1014427
Sex: F
Age: 67
State: MI

Vax Date: 01/27/2021
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: LA

Lab Data:

Allergies: Erythromycin

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

Symptoms: Red rash at injection sight from Feb 3 thru Feb 5. Itching and size was 3?x6?. Took Benadryl orally and used cream. Was gone by Feb 6.

Other Meds: Ibuprofen and B complex vitamin

Current Illness: None

ID: 1014428
Sex: F
Age: 36
State:

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa, peanuts

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dizziness, nausea, vomiting, chills, headache. Began at 5:00 am the day after vaccination and lasted approximately 4 hours.

Other Meds:

Current Illness:

ID: 1014429
Sex: F
Age: 38
State:

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

Lab Data:

Allergies: NKDA

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

Symptoms: Patient received the Moderna vaccine on 2/6/2021 at approximately 11:35 a.m. She was observed for thirty minutes post vaccine and no problems were reported. At 13:27 patient reported having an allergic reaction to the vaccine. She was assessed and found to have hives on the posterior aspect of both arms and the posterior left leg. She was not having any breathing difficulty, lungs were clear and her vitals were normal. She was given 25 mg Bendaryl IM and monitored for 30 minutes more, in which the itching had stopped. This patient went to Urgent Care approximately 4 hours later stating her symptoms reoccurred. She was given one dose of 50 mg Benadryl IM and one dose of prednisone 60 mg PO, monitored, and discharged.

Other Meds: Benztropine Haloperidol Methadone Mirtazapine Polyethylene glycol 3350

Current Illness:

ID: 1014430
Sex: F
Age: 67
State: FL

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

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

Symptoms: Intense itching Mostly aroung the trunk of my body

Other Meds: Bupropion,alprazolam,medical marijuana

Current Illness: 0

ID: 1014431
Sex: F
Age: 70
State: WI

Vax Date: 01/29/2021
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: Nexium, cipro, keflex, latex

Symptom List: Pain in extremity

Symptoms: 3 inch red circle with mold itching. No pain.

Other Meds: Atorivastin, cholchine, omeprazole, fish oil. Calcitrate, curcumin

Current Illness: None

ID: 1014432
Sex: F
Age: 48
State: IN

Vax Date: 02/01/2021
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:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Sulfa

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

Symptoms: Swollen lymph nodes on side of injectiom

Other Meds: Beta blocker

Current Illness: None

ID: 1014433
Sex: F
Age: 53
State: ND

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: Ibuprophen

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

Symptoms: After second dose chills after 24 hours, severe abdominal pain, aches, swelling and redness to left arm, extreme fatigue

Other Meds: None

Current Illness: None

ID: 1014434
Sex: F
Age: 61
State: NY

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: shellfish, red wine, penicillin, mycins

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

Symptoms: facial flushing for 1 hour after shot. Redness on nose and cheeks for about an hour. No hives, no itching. Didn't notice until I left the vaccine site and was on the way home in car because covered by mask. Note I am a very fair skin, freckled red haired woman. I was very, very nervous and had gotten myself to the point of tears. Perhaps the flushing was from that. Have had similar flushing when drinking red wine. Swelling in lymph node in supraclavicular area on same side as shot. Has happened with Flu shot once. Slight fever for a short period of time and fatigue. I continue to have slight shortness of breath from having covid on. 4/3/20. Nothing different.

Other Meds: Olmesartan, verapamil, synthroid, claritin, singulair

Current Illness: no

ID: 1014435
Sex: F
Age: 67
State: VA

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

Lab Data:

Allergies: PENICILLIN

Symptom List: Vomiting

Symptoms: Noticed morning after, that range of motion had been affected. Patient could lift arm up in front of body, but at side, impossible unless helped with other arm. By next day, effect was better, by Monday almost normal. This was more than soreness; actually affected range of motion. Appeared muscular. Muscle weakness.

Other Meds: myrbetriq,, escitalopram, prilosec daily

Current Illness: no

ID: 1014436
Sex: F
Age: 61
State: MA

Vax Date: 09/29/2020
Onset Date: 09/30/2020
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Right breast tenderness and soreness. Lasted 2 wks

Other Meds: levothyroxine

Current Illness:

ID: 1014437
Sex: F
Age: 43
State: MN

Vax Date: 01/29/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa and penicillin

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

Symptoms: Hive around injection site on 8th day after shot. It began as itchy and small and over the course of the weekend into today, Monday, and has evolved to raised, warm, hurts at points to about 3x3 wide. It is localized to the injection arm.

Other Meds: NA

Current Illness: NA

ID: 1014438
Sex: F
Age: 61
State:

Vax Date: 01/13/2021
Onset Date: 01/20/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Initial pain and swelling at injection site. Delayed reaction starting approx. day 7. Rash, itchiness, swelling, redness over large area. Treated with Benadryl and Hydrocortisone. Reaction continued for additional 7-10 days. Patchiness and sensation at injection site 4 weeks later.

Other Meds: Bio-identical hormones, armour thyroid, vitamin D

Current Illness: None

ID: 1014439
Sex: F
Age: 34
State: CA

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Extreme fatigue ? slept 3 hours the afternoon after vaccination, 12 hours that night, another 2h nap Sunday, slept 9h last night (could have definitely slept more) Swelling & Soreness 3+ days. No redness. In and out of low grade fevers and chills for 24h post Woke up next morning with headache and nausea (but I think it was from dehydration from sweating through the chills/fevers during the night) Needed to take acetaminophen every 6h

Other Meds:

Current Illness:

ID: 1014440
Sex: F
Age: 60
State: TX

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: Became weak, chilled and after 12 hours. After 24 hours - symptoms increased and felt fatigued, weak and with body aches. Could not function during the day hardly at all. After 36 hours felt almost no symptoms. Shot given on Tuesday and Thursday night awoke with very high heart rate. 114 BPM - upon arriving at work was given a blood pressure reading of 170/160. I called my doctor and due to not having any other symptoms of stroke prescribed a low dose high blood pressure medication. I took only 2 doses but due to very adverse effects to the medication stopped after 2 doses. My BP was going down as I was checking it. The medication made me feel very dizzy with fatigue and increased heart rate. On Monday morning at 1:00 A.M. - 2/8 I awoke AGAIN with chest discomfort and extremely high BPM - 140. I called 911 and was admitted to the ER. After 3 hours both BP and BPM decreased to a normal range and i was released. Chest x-ray and blood draw were all normal. Continued to experience some dizziness during the day but could function.

Other Meds: Multi-vitamin, Biotin, Omega 3, Aleve as needed

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm