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: 1017883
Sex: F
Age: 29
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: On 2/5/21 patient received Pzifer COVID-19 dose #2 early afternoon at workplace clinic. On 2/9/21 patient reported beginning 2/5/21 early evening she began having overall body rash and body ache that progressed over the next few days to sore/swollen throat, voice loss, nausea, intermittent fever, loss of taste and smell, headache, and diarrhea. Tested COVID-19 negative 2/9/21, still having symptoms. Stated has not seen her healthcare provider but will contact for care.

Other Meds:

Current Illness:

ID: 1017884
Sex: F
Age: 66
State: NY

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
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 known

Symptom List: Anxiety, Dyspnoea

Symptoms: Exhaustion, headache, chills, fever, cough, loss of taste, rash beginning 3hours after the injection and lasting about 48 hours. Treated with bed rest and tylenol. Pain at the injection site treated with ice.

Other Meds: Levothyroxine, amylodopine besylate

Current Illness: None

ID: 1017885
Sex: F
Age: 25
State: CA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
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: Syncope/fainting 14 hours post vaccine. Fever began around 9 hours post vaccine and was 4 degrees above my normal temperature. Extreme chills and shaking, became dizzy and fainted, out for about a minute . Laid on ground for a while, returned to bed and took Advil for fever

Other Meds: Adderall, fluoxetine, Portia

Current Illness: None

ID: 1017886
Sex: F
Age: 40
State: AL

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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: About one week post vaccination, the patient complained of additional swelling, whelps, redness, and fever at the injection site that she did not experience immediately after the vaccine

Other Meds:

Current Illness:

ID: 1017887
Sex: M
Age: 65
State: AR

Vax Date: 01/12/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: IVP dye (radio contrast), Ibuprofen

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

Symptoms: 2021 ICD-10-CM Diagnosis Code H90.41 Sensorineural hearing loss, unilateral, right ear, with unrestricted hearing on the contralateral side. Onset of right side diminshed hearing the morning of Sunday Jan. 31st, 2021. More pronounced by Wednesday am Feb. 3rd, 2021. Seen at the University for Medical Sciences in the outpatient clinic. No significant wax in either canal. Bilateral type A tympanograms. Markedly abnormal audiogram compared to base line obtained by same facility approx. 8 months earlier. 60 DB loss across all hearing ranges right ear only. Left unchanged.

Other Meds: Lisinopril 10 mg daily

Current Illness: None

ID: 1017888
Sex: F
Age: 54
State: TX

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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: Penicillins

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

Symptoms: Low grade fever, headache, sore throat, body aches, chest tightness, fatigue

Other Meds: Multivitamin, vit c, calcium, selenium, methy-protect, citolpram, probiotic, biotin, vit D, COQ10, pravastin, metoprolol, EPA-DHA 720 omega fish oil.

Current Illness: None

ID: 1017889
Sex: F
Age: 89
State:

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient had reaction to Moderna had hives around lips. Patient denied SOB and closing of throat. Administered benadryl 25mg po per protocol. Patient outcome stable. Advised patient to go to urgent care for further evaluation.

Other Meds:

Current Illness:

ID: 1017890
Sex: F
Age: 45
State: FL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: n/a

Symptom List: Pharyngeal swelling

Symptoms: shortness of breath, fever 101.2, generalized body aches in joints, resting heart palpitations,

Other Meds: one a day, vitamin d 5000

Current Illness: n/a

ID: 1017891
Sex: M
Age: 49
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: unknown

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient was given Moderna vaccine at a state hospital and was scheduled for a 2nd dose vaccine by a county representative. Patient had an appointment and came for his 2nd dose of vaccine. The patient received Pfizer vaccine for his 2nd dose.

Other Meds: N/A

Current Illness: unknown

ID: 1017892
Sex: M
Age: 68
State:

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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: Patient has refused second dose of vaccine due to adverse effects of the first. "Flu like symptoms, pain at the injection site."

Other Meds:

Current Illness:

ID: 1017893
Sex: M
Age: 43
State: IL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/09/2021
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: Zyprexa, doxicycline

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

Symptoms: My brother has epilepsy. His seizures can be triggered by low grade fever and exhaustion. He had covid in early October. His seizures are generally well controlled but he had several after the vaccine. I understand that the vaccine did not cause the seizures. The fever caused the seizure. I just think it?s important to neurologists to have this info to see how we can go about mitigating the seizures and if the 2nd dose is necessary. Keeping him hydrated may have helped and also giving him something immediately for the low grade fever. Just knowing these things may help others.

Other Meds: Depakote, keppra, primidone, acetazolamide, minocycline, anti depressant, respridol

Current Illness: None

ID: 1017894
Sex: M
Age: 1
State: OH

Vax Date: 02/18/2018
Onset Date: 02/18/2018
Rec V Date: 02/09/2021
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 at the time of vaccination

Symptom List: Rash, Urticaria

Symptoms: Fever, red rashes, swelling, hives, fatigue & appetite loss were immediate. After 24 hours staring spells began occurring several times a day, loss of speech, Decreased coordination & loss of eye contact.

Other Meds: None

Current Illness: None

ID: 1017895
Sex: F
Age: 72
State: VA

Vax Date: 01/28/2021
Onset Date: 01/31/2021
Rec V Date: 02/09/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: burning on back neck shoulders with rash, red break out on arm and face, tight feeling around the neck area, itching on skin and in ear, has continued off and on for two weeks now

Other Meds:

Current Illness: none

ID: 1017896
Sex: F
Age: 33
State: NJ

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
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:

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA: After receiving vaccination, patient became pale and felt weak. Pt hypotensive. EMS monitored patient for 30 minutes, no intervention required. Patient recovered with no intervention and ambulated out of building with spouse.

Other Meds:

Current Illness:

ID: 1017897
Sex: F
Age: 45
State: WA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; erythromycin; sulpha; amoxicillin

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

Symptoms: Injection spot red the first two days. Day 7 - got an arm soreness - small little hard spot was there at injection site - hot from shoulder to elbow. It became hot and hard and it started to spread quite a bit. Ibuprofen helped. Benadryl didn't help at all. I drew the margins of it and go to ER (ER - but it wasn't documented visit -and they were able to see me quick) and I was diagnosed with a cellulitis - sulpha antibiotics (I couldn't stop vomiting - reaction to sulpha medication); felt so tired and felt the injection site got worse - body aches and injection site - because of delay in treatment with a new antibiotic and my next prescription was Clindamycin. Arm got better after I started Clindamycin. I couldn't take the whole course of the antibiotics - my gut was affected by the antibiotic - was having diarrhea and vomiting. Arm was better though so that's good. I'm just now to the point - in the last week or so that my bowel movements are better. I'm taking probiotics to introduce good bacteria. Did require treatment for vaginal yeast infection - my normal after having antibiotics. I took two Diflucan - and taking vaginal cream for it. Had second dose of vaccine.

Other Meds: No

Current Illness: no

ID: 1017898
Sex: F
Age: 73
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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, swelling, and hot at vaccination site approximately 2 diameter

Other Meds: Crestor, Cymbalta, Trazodone

Current Illness: None

ID: 1017899
Sex: F
Age: 60
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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: Drug Allergies: Codiene, Morphine, Cephalexin, Biaxin (Clarithromycin), Tramadol, Septra(Sulfamethoxazole W/trimethoprim), Nitrofur-macr, Cataflam/zipsor, Diclofenac, Doxycycline, & Zetia; Other Allergies: Silk Tape

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

Symptoms: Headache, Chills w/skin feeling like it was stinging, felt tired and achy all over

Other Meds: amLODPine BESYLATE 2.5mg, Atorvastatin 40mg, Paroxetine 10mg, all once daily, Elmiron 100mg 2-3 times daily; Prelief as needed, B6 100mg 3x's weekly

Current Illness: None

ID: 1017900
Sex: F
Age: 20
State: AL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Severe headache, high fever, fatigue, and sinus drainage 12 hours after vaccination

Other Meds: Mydayis

Current Illness: None

ID: 1017901
Sex: F
Age: 23
State: MN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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: 2/8- 0300 Temperature of 99.1, nausea, body aches. 2/8- 0600 Temperature of 100.4, nausea, body aches. (Tylenol 1000mg taken every 6 hours, Ibuprofen 400mg taken every 6 hours) 2/8- 2000 itching rash on both upper arms, took Benadryl and rash went away. 2/9- 0800 itching rash came back on upper arms, calves and ankles 2/9- 1000 appointment with virtual doctor and they prescribed over the counter Zyrtec, took Zyrtecp and rash went away after about 1 hour

Other Meds: Cryselle Vitamin D Multivitamin

Current Illness: None

ID: 1017902
Sex: F
Age: 67
State:

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: Patient tested positive for COVID 2/8/2021. URI symptoms started before or around the time she received the vaccine.

Other Meds: statin aspirin carvedilol losartan vit-d sevelamer elipta inhaler

Current Illness: none

ID: 1017903
Sex: F
Age: 47
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
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: 1600 patient c/o left hand tingling. left sided neck numbness 1610 patient c/o lips tingling 1610 Benadryl 25mg PO given 1640 Discharged to home with symptoms resolved. Informed to notify PCP. Verbalized understanding.

Other Meds:

Current Illness:

ID: 1017904
Sex: F
Age: 50
State: PA

Vax Date: 01/24/2021
Onset Date: 02/02/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Amoxil causes diarrhea

Symptom List: Unevaluable event

Symptoms: Started with chills, diffuse myalgias and arthralgias on 2/2/21 with subjective leg weakness requiring use of walker. No fever. No URI, UTI , cardiovascular or GI sxs. No rash. Sxs progressed to peak on 2/4 (requiring husband to carry her up steps) then gradually subsided and now with minimal arthralgias, myalgias remaining on2/9/21.

Other Meds: Monteluklast

Current Illness: None

ID: 1017905
Sex: F
Age: 83
State: MA

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
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

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

Symptoms: About 18hours after shot I felt my chest just ?froze-didn?t move? for a few seconds. After that there have been no episodes to the present time .

Other Meds: Metropolis 50, Valsartan 80, Levothyroxin 50, Myrbetriq 25, Multivitamin.

Current Illness:

ID: 1017906
Sex: F
Age: 38
State: WY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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: seasonal allergies animals

Symptom List: Injection site pain, Pain

Symptoms: Fifteen minutes after vaccination patient started to feel dizzy, light headed, fatigued, and "foggy" (decreased mental clarity), patient orientated, denies SOB/difficulty breathing. Pt lungs clear bilaterally, O2 98% on room air, BP 118/80 and HR 80 bpm at 3:12 pm. Pt advised to see PCP for evaluation but unable to obtain appointment. Pt advised to go to ER/urgent care for further evaluation, pt's husband taking her to Urgent Care .

Other Meds: zoloft one a day women's vitamin zyrtec

Current Illness:

ID: 1017907
Sex: M
Age: 34
State: NV

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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 known

Symptom List: Injection site pain, Menorrhagia

Symptoms: 2/5/2021 Tachycardia up to 180 @ home w/ chest pressure about 24 hours following 2nd vaccine dose. Went to ER. Tachycardia resolved with IV fluids in ER. 2/7/2021 Tachycardia @ 162 @ home. Went to ER.

Other Meds: THC

Current Illness: None

ID: 1017908
Sex: F
Age: 41
State: OH

Vax Date: 01/26/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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: Alleve

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

Symptoms: I woke up this morning with my arm very red around injection site, approximately 4 inches around. There was also slight pain, less than days after injection. There was also numbness in the arm. Redness subsided by the end of my work day.

Other Meds: N/a

Current Illness: N/a

ID: 1017909
Sex: F
Age: 30
State: OR

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Saturday evening, started having sharp pins and needles sensation in joints (knees, hips, elbows and shoulders). I couldn?t fall asleep that morning I woke up vomiting. Had a fever of 101.1F. Had a fever all Sunday, got as high as 103.3F. Had large red rash on the arm of the injection site that is hot to the touch, hard, itchy, and feels like a sunburn when you touch it (burns). Had really stiff and sore neck and shoulders, hard to move head from side to side. Headache all day Sunday. Couldn?t sleep Sunday night because of pins and needles in joints again. Got up at around 6am vomiting. Fever of 100.1F. Temp lowered to 99.1 by 7:30pm. Tuesday, no headache or vomiting. Slept through the night without any pins and needles pain. No fever, but really stiff and sore neck and shoulders still. Red spot of arm has grown.

Other Meds: Tylenol, ambien, fluoxetine, omeprazole

Current Illness:

ID: 1017910
Sex: F
Age: 48
State: OH

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: lisinopril-vomiting, theophylline-wheezing

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Golf ball size lymph node enlargement in right neck, right axilla, and right groin areas with severe body aches, lower back pain, chills, fever, nausea. These enlarged lymph nodes were only noted upon physical exam after 2nd dose of vaccine. However, employee did have a mammogram on 2/3/2021 which noted abnormalities in the right axilla area which was the day prior to 2nd dose of vaccine. The severity of the enlargement of lymph nodes became more apparent after the 2nd dose within 12 hours of injection. Thus, causing concern by the Radiologist with the changes noted in the axilla lymph nodes on mammogram imaging and future need for ultrasound surveillance.

Other Meds: Zanaflex, Namenda, Topamax, Cartia XT, Super B Complex, Biotin, Melatonin, D3, Cetirizine, Candesartan, Emgality, Cinnamon, Pepcid, Botox injection every 3 months for migraines, Ubrelvy, Fish Oil, prednisone prn (not taking currently)

Current Illness: none

ID: 1017911
Sex: M
Age: 35
State: CA

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 02/09/2021
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: none

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

Symptoms: Altered mental status and psychosis lasting several days which responded to therapeutic intervention including close psychiatry evaluation, PCP follow-up, and neurology consultation with medications including anti-psychotics (olanzepine 10 mg twice daily) and ramelteon (8 mg once daily at bedtime).

Other Meds: sertraline (200 mg daily) and clonazepam (0.25 mg daily)

Current Illness: none

ID: 1017912
Sex: M
Age: 16
State: TX

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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: Nausea

Symptoms: Moderna COVID- 19 Vaccine EUA Patient received first dose of COVID-19 Vaccine utilizing MODERNA Vaccine on February 9, 2021 at the current age of 16 years. Moderna EUA is for patients 18 years of age and older.

Other Meds:

Current Illness:

ID: 1017913
Sex: F
Age: 27
State: FL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: 1/30: Fever, chills, body aches, arm soreness, dizziness, headache, fatigue, nausea 1/31: Arm soreness, headache, fatigue, nausea, dizziness 2/1-2/4: headache, dizziness, fatigue 2/5: Fatigue, "weirdness" feeling, dry throat 2/6: Dry throat, couch, difficulty breathing 2/7: increase in 2/6 symptoms; weight in chest feeling

Other Meds: Nexplanon Implant; Mylan Birth control; Albuterol PRN, NSAIDs- PRN

Current Illness:

ID: 1017915
Sex: M
Age: 34
State: MD

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: oysters

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

Symptoms: Near syncopal episode, cool and clammy.

Other Meds: none

Current Illness: None

ID: 1017916
Sex: F
Age: 45
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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:

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

Symptoms: legs felt like weights stomach hurt headache for 3 days congested fever chills congestion went into chest

Other Meds:

Current Illness:

ID: 1017917
Sex: M
Age: 17
State: TX

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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: Tremor

Symptoms: Moderna COVID- 19 Vaccine EUA Patient recieved first dose of COVID-19 Vaccine utilizing MODERNA Vaccine on February 9, 2021 at the current age of 17 years. Moderna EUA is for patients 18 years of age and older.

Other Meds:

Current Illness:

ID: 1017918
Sex: F
Age: 71
State: NC

Vax Date: 01/28/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
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 known

Symptom List: Erythema, Pruritus

Symptoms: 10 days post injection, injection site became swollen & itchy & developed a red rash.

Other Meds: Atorvastatin Fosinopril Metoprolol Multi vitamin Vitamin C

Current Illness: None known

ID: 1017919
Sex: F
Age: 78
State:

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies:

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

Symptoms: Patient had reaction to COVID vaccine. Caused swelling lips, hives around the around the mouth and mild numbness. Was given benadryl 25mg, PO and was advised son to take patient to urgent care for further evaluation. Patient denied SOB and closing throat at the time of visited. Patient was in stable health condition before leaving.

Other Meds:

Current Illness:

ID: 1017920
Sex: F
Age: 34
State: NE

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/09/2021
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: Compazine.

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

Symptoms: Symptoms of nausea began day of, were moderate for several days. Did not eat much the day of the vaccine due to these symptoms. Numb feeling, tingling in extremities for 2-3 days post vaccination. Still some occasional numbness and tingling in nose, facial area, and back of head/neck. Diarrhea for a couple of days. Continue to experience mild nausea 1.5 weeks later. Did not have problems with nausea previously. Moderate fatigue for about a week following vaccination. Still noticing mild fatigue, getting tired easily and earlier than usual. Arm was sore from the day after vaccination until about 4-5 days had passed. Still otice an occasional pain when moving arm around a certain way. For 4-5 days following vaccination noticed various body pains. Pain in lower back- not muscle pain but something else. Chest wall pain when breathing in from 1-2 days to about a week post vaccination. Headache for a day. Brain fog feeling, forgetfulness beginning the day after vaccination and was noticeable for about a week. Still noticing this mildly and feeling more lightheaded than usual. Over the last few days, I've noticed chest tightness and some mild coughing. It's also below zero here, so this could be related to weather and dry air, or possibly related to the vaccine. Generally, I recognize that the above symptoms are possible after this vaccination. However, the existing literature seems to suggest these symptoms should last 1-3 days and be mild. My experience has been that they were worse than mild, most lasted at least a week, and some seem to be continuing. I am also breastfeeding a 19 month old. He had a brief bout of redness on about half of his body (underarms, forearms, thighs, knees) for about 30 minutes a week after I received the vaccine. He has never had that before for no apparent reason, and it did not continue, although he has reacted to lotions and certain brands of diaper wipes in this way previously. We have also noticed that he's been more irritable lately- throwing tantrums easily, sleeping more often, and getting inconsolable. We haven't tied this to any illness, although we do recognize that toddlers can through periods where they have more challenging behaviors. This is unusual for him though, he's generally happy and agreeable. I thought I'd mention it just in case there's been some sort of pattern that other breastfeeding moms have noticed.

Other Meds: Postnatal Vitamins- New chapter. Daily Vitamin D supplement.

Current Illness: None.

ID: 1017921
Sex: F
Age: 71
State: IN

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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: K-Flex and Latex or the glue on brandades

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Red, hot or warm to touch, my arm felt sore and this is what made me look at it. It was a larger red mark and I drew a circle around it and its spread outside the circle.

Other Meds: Omeprazole, Famotidine, Verapamil, Nortotriptoline, Gabapentin, Simvastatin, Calcium, D3, Zinc, Biotin, B12, Fish Oil, Vit E, 1 A day, D3, Vit C, Fibercon

Current Illness: No

ID: 1017922
Sex: F
Age: 29
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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: RN administered Pfizer (EL9261, exp 5/31/21) to employee. Patient should have received Moderna. Patient's first dose was Moderna (025L20A, exp 6/25/21) on 1/6/21.

Other Meds:

Current Illness:

ID: 1017923
Sex: F
Age: 58
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
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: Started with a headache on 2/08/21. On 2/09/21 I woke in the middle of the night freezing, chills and body aches. I took Asa 162mg, Tylenol 325mg and Ibuprophen at approximately 11:30am. I took the same medication at 10:30am 2/09/21. At approximately 4:00pm on 2/09/21 I had a fever of 100.3, cold and body aches. At this time 5:59pm I'm feeling better. I called in ill to work do to this sickness.

Other Meds: Wellbutrin XL300mg, Celexa 40mg both in the AM.

Current Illness: None

ID: 1017924
Sex: F
Age: 45
State: WA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/09/2021
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; erythromycin; sulpha; amoxicillin

Symptom List: Pain in extremity

Symptoms: I had body aches; fever; chills; fatigue was Extreme - for 24 -48 hours Got really swollen, red and hot - at injection site; because of the information that Dr had give me before I went right in before it got bad again. Prednisone to treat it - four day course. I took all of it. That resolved the symptoms.

Other Meds: Ibuprofen; benadryl

Current Illness: adverse event of 1st dose of COVID vaccine

ID: 1017925
Sex: F
Age: 72
State: CA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
Rec V Date: 02/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Shell fish, iodine

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

Symptoms: Bright red, itchy, 2-3 inch spot by injection site 8 days after injection. Slowly fading away.

Other Meds: Praluent, cymbalta

Current Illness: None

ID: 1017926
Sex: F
Age: 56
State: AK

Vax Date: 01/25/2021
Onset Date: 02/07/2021
Rec V Date: 02/09/2021
Hospital: Y

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 known allergies

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

Symptoms: patient developed purpuric rash all over body consistent with vasculitis, and severe joint pain and swelling, nausea, vomiting, diarrhea, Fever

Other Meds: HCTZ 12.5mg Ferrous Sulfate 325mg Vitamin C 1000mg

Current Illness: None

ID: 1017927
Sex: F
Age: 61
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
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 Bee stings

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

Symptoms: Itchy all over. 3 days later I am still itchy face and feet in particular.. Bumpy rash develops where ever I am itchy but then subsides.

Other Meds: Lexapro, premerin, prolia,

Current Illness:

ID: 1017928
Sex: F
Age: 49
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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: arm numbness

Other Meds:

Current Illness:

ID: 1017929
Sex: F
Age: 39
State: FL

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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: N/A

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red and swollen at the injection site started one week after vaccination. Redness and swelling significantly subsided three days later.

Other Meds: Multi vitamin, biotin, zinc and D3

Current Illness: None

ID: 1017930
Sex: F
Age: 69
State: CA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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

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

Symptoms: @ 1413 patient reported feeling hot flashes and chills @1416 Vitals were stable with BP 128/62, Pain 0/10, O2 sat 98%, pt denied history of anaphylaxis, no current dizziness, no facial swelling. @1430 Pt. denies any s/s of reaction, reported that she feels much better. Pt stayed an additional 20 minutes to be monitored by medical staff. @1441 pt was discharged and ordered to go to ED if any sudden changes occur

Other Meds: Aspirin 81mg Plavix

Current Illness: n/a

ID: 1017931
Sex: M
Age: 76
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/09/2021
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: Slept all day on 2-5-2021 low grade fever. Very wobbly had to have help getting out of bed and to the bathroom. Was better on 2-6 but still wobbly but not as bad.

Other Meds: Metformin Atorvastatin Lisinopril Glimepiride Baby Aspirin Vitamin D3 Flaxseed Oil Omeprazole Vitamin C Tamsulosin Carvedilol Vitamin B12 Iron

Current Illness: Heart valve transplant Diabetes Type 2

ID: 1017932
Sex: F
Age: 57
State: MN

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/09/2021
Hospital:

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

Lab Data:

Allergies: Nkne

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

Symptoms: Itching , swelling, redness and warm at site of injection

Other Meds: 750 mg vitamin c, hydrochlorothiazide 25mg Glucosamine 4000 Omeprazole otc Calcium 500mg Probiotic/prebiotic

Current Illness: None

ID: 1017933
Sex: M
Age: 33
State: MO

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/09/2021
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:

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

Symptoms: Vaccine Tempature excursion , no treatment and no s/s

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm