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: 1018293
Sex: F
Age: 46
State: CA

Vax Date: 01/30/2021
Onset Date: 01/31/2021
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: Reglan-causes aggitation

Symptom List: Dysphagia, Epiglottitis

Symptoms: Upper and Lower Lip Swelling, swollen lymph node left axillary. Resolved after 36 hours Used Benadryl 25mg every 8 hours I have had lip filler approximately 14 months prior

Other Meds: Cymbalta 30mg day, Focalin 10mg BID

Current Illness: None

ID: 1018294
Sex: F
Age: 31
State: AR

Vax Date: 02/08/2021
Onset Date: 02/09/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Very sore arm later that day. 18 hours after vaccination, chills, aches, loss of appetite. Tylenol taken, and feeling better

Other Meds: Birth control

Current Illness:

ID: 1018295
Sex: F
Age: 17
State: CA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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: NKDA

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

Symptoms: PATIENT IS 17 YEARS OLD...MODERNA IS AVAILABLE FOR 18 YEARS AND OVER. NO ADVERSE EVENT REPORTED, JUST OUT OF AGE RANGE PER MANUFACTURER.

Other Meds: N/A

Current Illness: N/A

ID: 1018296
Sex: F
Age: 26
State: RI

Vax Date: 01/21/2021
Onset Date: 01/21/2021
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: Pseudoephedrine-Acetaminophen (hives and GI intolerance) Doxycycline (rash)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Evening the vaccine was received (1/21/21) developed headache Following morning woke with fever with a Tmax of 103. Chills Nausea, vomiting, generalized body aches Symptoms above resolved within 48 hours (1/23/21)

Other Meds: Sertraline 50mg qd

Current Illness: none

ID: 1018297
Sex: M
Age: 26
State: CA

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

Lab Data:

Allergies: Shell fish Dilaudid Sulfa Codeine Malignant hyperthermia susceptible Ketamine Visipaque

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

Symptoms: Throat started to tighten about 10 minutes after shot. 50mg of Benadryl helped stop it. About 20 hours later, throat tightened again. Benadryl did not help and tongue started to swell. Called doctor and he prescribed Pepcid and Medtral dose pack. Throat still not 100 percent at time of report filing, but it is better than it is much better than before. Vaccine also caused severe nausea and upset stomach.

Other Meds: Zuplenz - 4mg 2x per day MetaMucil - 2 caplets 2x per day Vitamin D - 1,000 IU 1x per day Multivitamin - 1 tablet 1x per day Zyrtec - 10mg 1x per day Myrbetriq - 50mg 1x per day Sodium Chloride - 1 gram 1x per day Imodium - 3 caplets per da

Current Illness: Viral infection, but no sign of infection at time of vaccination.

ID: 1018299
Sex: F
Age: 26
State: OK

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

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

Symptoms: Tongue Swelling, chest tightness, shortness of breath, tachycardia

Other Meds:

Current Illness:

ID: 1018300
Sex: M
Age: 78
State: AL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Within one minute of my injection l felt numbness surround my mouth. Three minutes later I felt flushed. I asked my wife if my face was red and she said, ?yes?. I felt somewhat weak and paramedic called the Dr over. We talked and he determined that I had not eaten. Walked me around car, put me in the passenger seat. My wife then drove. I was a little disoriented late but didn?t complain. Since then I have felt like I did in July 2019 when I had coronial virus. Felt bad, 93oxygen, 77 heart beat which is high for me. Friday I did not get out of bed nor went outside. Sat more of the SamE. Woke up at midnight sat and felt better. I?m better but weak.

Other Meds: Gabapentin 400mg Ozempic Zolipem as needed

Current Illness: NA

ID: 1018301
Sex: F
Age: 91
State: IA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
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: Pharyngeal swelling

Symptoms: dehydration and has reflection of some kidney damage

Other Meds:

Current Illness:

ID: 1018386
Sex: M
Age: 34
State: NY

Vax Date: 02/08/2021
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: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Chills, mild fever, extreme fatigue, body aches, head ache

Other Meds: Vitamin D 1.25 mg capsule, Citalopram 25mg

Current Illness: none

ID: 1018388
Sex: F
Age: 37
State: NY

Vax Date: 02/07/2021
Onset Date: 02/08/2021
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: n/a

Symptom List: Diarrhoea, Nasal congestion

Symptoms: The morning after administration I had extreme hives all over my body, chills, headache and fever.

Other Meds: n/a

Current Illness: n/a

ID: 1018391
Sex: F
Age: 26
State: WA

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: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Localized reaction at injection site noted on Monday night (2/8), muscle is firm and inflamed. Red rash (non irritating) noted 2/9 AM at injection site.

Other Meds: Levora oral contraceptive

Current Illness: none

ID: 1018394
Sex: F
Age: 49
State:

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None known; vegetarian

Symptom List: Rash, Urticaria

Symptoms: Large raised, red, itchy circle about 2.5? in diameter

Other Meds: Baby aspirin, biotin, iron, glucosamine, vitamin D3, selenium complex

Current Illness: None

ID: 1018398
Sex: F
Age: 71
State: IL

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: LA

Lab Data:

Allergies: Sulpha Iodine contrast Strawberries

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

Symptoms: Starting on day 7 post vaccine swelling, raised red mark(size of silver dollar, extreme itching, and right elbow and shoulder soreness.

Other Meds: Lipitor Synthetic Amlodipine Spironolactone Escitalopram B complex Zinc C D3 Calcium Magnesium Biotin Folic acid

Current Illness: None

ID: 1018401
Sex: F
Age: 48
State: AZ

Vax Date: 01/28/2021
Onset Date: 02/04/2021
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: No allergies Celiac disease

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

Symptoms: After a week a red bump appeared at the injection site. The next day it had grown to several inches across. The red raised area was there 3 days then went away.

Other Meds: Centrum multi vitamin Vitamin D 5,000 IU Members mark 10 strain probiotic

Current Illness: None

ID: 1018405
Sex: F
Age: 57
State: NC

Vax Date: 02/06/2021
Onset Date: 02/08/2021
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: None

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

Symptoms: Red rash, swelling, hardness, and tenderness below injection site. Size approximately 4 inches X 2 inches. 2 days ago far.

Other Meds: None

Current Illness: None

ID: 1018408
Sex: M
Age: 47
State: CT

Vax Date: 01/13/2021
Onset Date: 01/14/2021
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: Just over 24 hours after receiving shot, I had a pressure located at the top of my right eye. Not the lid, not the sinus area above, the actual eyeball. I'm an optometrist, so the following day, one of my partners examined me and found no cause. It was uncomfortable for the remainder of the day as well as the next. Saturday, 3 days after getting shot, I felt extreme pressure within the right eye. No vision problems, no pain with eye movements, no peripheral vision loss; just a lot of pressure/soreness. I spoke with a colleague in a specialty eye care practice. Since symptoms continued, though milder the following day, he ordered a CT scan. I had the scan Jan 21 (8 days after receiving first vaccine dose). I took Aleve and a sinus decongestant (though pain did not feel like sinus pain and was not located within sinus area) No other symptoms occurred and it reduced in severity and now asymptomatic since Jan 24.

Other Meds: Vit C, Vit D, Folexin (natural hair supplement)

Current Illness: none

ID: 1018411
Sex: F
Age: 26
State: CA

Vax Date: 12/22/2020
Onset Date: 12/28/2020
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: Metronidazole, Formaldehyde

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

Symptoms: Local reaction - skin surrounding vaccine site erythematous, warm, and indurated for 3-4 days.

Other Meds: Junel 1/20, OTC Zyrtec

Current Illness: None

ID: 1018414
Sex: F
Age: 57
State: AL

Vax Date: 01/27/2021
Onset Date: 02/03/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Rash and swelling, soreness at injection site 8 days AFTER vaccination. Grew larger and worse over course of four days. Resolved itself.

Other Meds: Losartan, krill oil, bioton, rosuvastatin

Current Illness:

ID: 1018417
Sex: F
Age: 30
State: TX

Vax Date: 02/01/2021
Onset Date: 02/09/2021
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: Strawberries

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 8 days after receiving vaccine, swelling and itching on arm near injection site

Other Meds: Nortriptyline, lisinopril, vitamin D3, Vitamin B

Current Illness: N/A

ID: 1018422
Sex: M
Age: 43
State: TX

Vax Date: 01/28/2021
Onset Date: 01/29/2021
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:

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

Symptoms: It has been 10 days and I am still suffering from aching pain mostly in my calves, but the rest of my body less severely. This happened after my first dose, perhaps more severely, but for only about 24 hours. This time it has not gone away.

Other Meds: Zyrtec

Current Illness: Migraines

ID: 1018425
Sex: F
Age: 66
State: CA

Vax Date: 02/02/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Redness below injection site appeared next day, but disappeared within 3 days. I thought it might be adhesive reaction. This evening itchy spot appeared at that same location (size 9 X 3 cm) - small red raised dots within.

Other Meds: Gabapentin, C with D3, multivitamin, Biotin, Lutein

Current Illness: None

ID: 1018428
Sex: F
Age: 47
State: MS

Vax Date: 01/26/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Big red spot around injection sites with a dark red ring around the edge. The area is itchy, sore to the touch like a bruise. Came up two weeks after injection.

Other Meds: Pristq 100 mg, Trulicity, Vitamin D3 5,000

Current Illness:

ID: 1018431
Sex: F
Age: 61
State: AZ

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: LA

Lab Data:

Allergies: Sulfa

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

Symptoms: Feeling like I'm being pricked from the waist down. It's in varying spots and doesn't last long in any one spot. Assuming this is a nerve reaction.

Other Meds: None

Current Illness: None

ID: 1018433
Sex: F
Age: 38
State: NY

Vax Date: 01/27/2021
Onset Date: 02/04/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: I developed Covid arm. I woke up out of my sleep with burning pain, The lump reappeared at the injection site it was hot to the touch itchy and painful with a large red patch Immediately took Tylenol and marked rim with marker to see how and if it got bigger Which it did. This was day nine after the shot. It is now day 12 no more pain but continues to grow in size of red area. No pain just itching Occasionally

Other Meds: Losartan potassium 25 mg -metoprolol 200 mg-fenofibrate 145 mg-Synthroid 150 mg-statin 5 mg-Iron130mg- OZempic injection 1x weekly1.5 -Metphormin 500mg- Vitamin C 1000 mg -zinc 65 mg every other day -vitamin D 3000

Current Illness: None

ID: 1018437
Sex: F
Age: 28
State: CA

Vax Date: 01/15/2021
Onset Date: 01/15/2021
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: NKA

Symptom List: Injection site pain, Menorrhagia

Symptoms: Dizziness, Headache, Chills, Fever ( Mild), Cough , Wheezing.

Other Meds: No

Current Illness: None

ID: 1018441
Sex: F
Age: 47
State: TX

Vax Date: 02/07/2021
Onset Date: 02/08/2021
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:

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

Symptoms: Raised, red, hot, painful golfball size knot at injection site. Severe joint pain, head ache, fatigue and malaise.

Other Meds:

Current Illness:

ID: 1018445
Sex: F
Age: 21
State: AZ

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

Lab Data:

Allergies: Eggs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I received the Moderna COVID-19 Vaccine EUA yesterday. Within the 15 minute waiting period, I didn't have any immediate effects but it did affect me later that night. It first started off with a headache, chills, and a slight fever. Periodically throughout the night, I kept waking up to severe heat flashes, chills, and a fast heartbeat. Regardless of what I did, I couldn't seem to control my heartbeat.

Other Meds: Birth Control and Tylenol occasionally.

Current Illness: None

Date Died: 02/08/2021

ID: 1018448
Sex: M
Age: 90
State: HI

Vax Date: 02/01/2021
Onset Date: 02/06/2021
Rec V Date: 02/09/2021
Hospital: Y

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

Lab Data:

Allergies: oxycodone. penicillin. simvastatin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 2/6/2021 stroke. 2/8/2021 he died

Other Meds: aspirin 81 mg qd. vitamin D. duloxetine, cymbalta 20 mg qd. Jalyn one daily. ferrous sulfate. namenda. spiriva inhaler. zinc 50 mg qd

Current Illness: none

ID: 1018451
Sex: F
Age: 26
State: CA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
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: Metronidazole, Formaldehyde

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

Symptoms: Severe chills, fevers up to 102 F for 24 hours after, nausea, one episode of emesis, fatigue, and body aches. These lasted for approximately 2 days following the vaccine. Mild cramping similar to menstrual cramping 2-3 days following initial symptoms, no bleeding. Mild teeth sensitivity for 2-3 days about the same time frame as uterine cramping.

Other Meds: Junel 1/20, OTC Zyrtec

Current Illness: None

ID: 1018454
Sex: F
Age: 42
State: TX

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

Lab Data:

Allergies: Amoxicillin Augmentin Latex

Symptom List: Nausea

Symptoms: 1 week after receiving Moderna Vaccine #1 redness, itching, warm to touch to injection site .

Other Meds: Levothyroxine Venlafaxine Acetaminophen

Current Illness: Seasonal Allergies

ID: 1018457
Sex: M
Age: 45
State: IN

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Covid Arm, Red blotch, warm rash on upper left arm

Other Meds:

Current Illness: none

ID: 1018461
Sex: F
Age: 38
State:

Vax Date: 02/08/2021
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:

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

Symptoms: Severe: nausea, vomiting and muscle aches for 12 hours

Other Meds:

Current Illness:

ID: 1018464
Sex: F
Age: 35
State: IL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Codeine Penicillins

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

Symptoms: Neck , ear, facial, leg, throat, mouth, numbness along left side of body. Extreme hot feeling in left ear. Nausea. Brain fog, memory/confusion

Other Meds: Muro eye drops Lexapro Levothyroxine

Current Illness: N/a

ID: 1018468
Sex: M
Age: 32
State: AZ

Vax Date: 02/08/2021
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: N/A

Symptom List: Tremor

Symptoms: Moderna COVID-19 Vaccine EUA Headache, fatigue, dizzy, muscle soreness, chills, soreness around injection site.

Other Meds: N/A

Current Illness: N/A

ID: 1018471
Sex: F
Age: 42
State: WA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Macrobid, welbutrin, and latex

Symptom List: Erythema, Pruritus

Symptoms: Very quickly I began to feel nauseous and flush. The nausea was strong and steady most of the night till around 9pm. My L arm kept falling asleep and my whole L side of my leg, I had to repeatedly move them around to wake them up. I had fever like sensations of hot and cold runny nose but no fever, and was tired. I slept fine but woke up to my menstral cycle starting 4 days early, significant joint pain and just sluggish. My hips were very painful most of today till around 2pm I took a nap and felt better. My joints still hurt but the pain is much more manageable now at 7:30pm.

Other Meds: Armour, LDN, baby asprin, allertec, kirkland mulit vitamin & calcium, vitamin D

Current Illness:

ID: 1018475
Sex: F
Age: 73
State: IL

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: none

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

Symptoms: Moderna COVID-19 Vacine EUA Rapid heartbeat 20-25 minutes after injection. Reached 112 pulse rate. The attending nurse monitored me for about 20 minutes taking my blood pressure at least 3 times. We even compared pulse-oximeter reading to be sure my meter was not false. Pulse came down to 89 - normal-ish. I left under my own power minutes later.

Other Meds: Symbicort Losartan Atorvastatin Hydrochlorothiazide Vitamin D Valacyclovir

Current Illness: none

ID: 1018478
Sex: F
Age: 24
State: MI

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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: None

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

Symptoms: The day after receiving the vaccine, my mouth and my face broke out in cold sores. I had my doctor call in Valaciclovir to help me get rid of them it was so bad. I took the Valaciclovir the day after my vaccine, on 1/16/21 and I was STILL breaking out in new cold sores a week later and had to take another dose of Valaciclovir. My arm was so sore and I couldn't move it higher than my hip for two days. I was lethargic for two days and slept for a total of 40 hours over the course of the two days following injection. I also had a headache for about a week after the injection.

Other Meds:

Current Illness: None

ID: 1018481
Sex: F
Age: 71
State: FL

Vax Date: 01/28/2021
Onset Date: 02/04/2021
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: Tree pollen

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Started as itchy splotches around ankles on 7th day after vaccine, each day more splotches on both leg, Took anti itch cream, after 11th day started taking benadryl, after 13 day woke up with splotches over both legs, on left arm and a few on my back. Went to ER. Diagnosis. Hives allergic reaction Prescribed Prednisone 50 mg for 5 days

Other Meds: Calcium supplement; Glucosamine 2000mg

Current Illness: Sinus infection

ID: 1018484
Sex: F
Age: 62
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: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: IVP dye, morphine

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

Symptoms: I was sitting in my sofa watching television and felt this odd dizziness overcome my head. I felt nauseated and hot. I closed my eyes for a few minutes and when I hope Ed the the intense dizziness subsided. I still feel a little dizzy, very tired and switch from feeling hot to very cold.

Other Meds: Vitamin D, xeljanz, Levothyroxine. After the vaccination (6:30 pm) 2 extra strength Tylenol.

Current Illness: None

ID: 1018486
Sex: F
Age: 41
State: TN

Vax Date: 02/01/2021
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: Penicillin (rash)

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

Symptoms: I had a migraine the day after and was fatigued but no way to know if the vaccine triggered that. My arm was sore for about 3 days. It has been itching since the day after but on day 7, I developed a light pink rash. It had darkened on day 8. It is red and hot to the touch and itches badly. I still have the rash, heat and itching at this time. I have taken Benadryl to help with the itching and do not yet know if it has helped. (I just took it before filling this out)

Other Meds: Verapamil Prevastatin Cetrazine Hydrochloride

Current Illness: Migraines

ID: 1018490
Sex: F
Age: 29
State:

Vax Date: 02/02/2021
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: Amoxicillin

Symptom List: Pain in extremity

Symptoms: Day 1-4: swollen lump, bruising and tender to touch at the injection site Day 7: Red raised itchy rash on arm at injection site. Bruise still present

Other Meds:

Current Illness:

ID: 1018493
Sex: F
Age: 42
State: VA

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Bees

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

Symptoms: Painful abdominal cramping; diarrhea; body aches; injection site soreness.

Other Meds: Melatonin; Aimovig; Singulair; Claritin; Zyrtec; Flonase; iron supplement, Protonix; Wellbutrin; Keflex

Current Illness: UTI

ID: 1018496
Sex: F
Age: 72
State: VA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
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: None

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

Symptoms: Redness and warmth to skin starting 1 week after vaccination.

Other Meds: Glucosamine. Meclizine. Turmeric. Valtrex. Voltaren gel

Current Illness: None

ID: 1018499
Sex: M
Age: 39
State: MD

Vax Date: 01/22/2021
Onset Date: 01/22/2021
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:

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

Symptoms: For the next 36 hours, my urine turned a dark amber to brown color. It was darkest in the 12 hours following the injection, and gradually returned to normal color within 48 hours. It was deeply dark, with what I would describe as a alkaline or sharp scent to it. Again, it returned to normal within 48 hours of receiving the vaccine.

Other Meds: Atorvastatin, Fenofibrate, Fish Oil Supplement

Current Illness:

ID: 1018503
Sex: F
Age: 41
State: UT

Vax Date: 02/08/2021
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: None

Symptom List: Vomiting

Symptoms: 2-3 inches around injection site it is very red and firm. Mostly below the site, as if gravity is pulling it down.

Other Meds: Ibuprofen

Current Illness: None

ID: 1018508
Sex: M
Age: 67
State: AK

Vax Date: 02/07/2021
Onset Date: 02/08/2021
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: Trouble urinating - suspect the vaccine further enlarged an already enlarged prostate gland.

Other Meds: Irbesartan; HCTZ; Atorvastatin; Bupropion; multivitamin; citicoline; Vitamin D; docusate sodium; DHA; alpha-lipoic acid; turmeric; ropinirole; Vitamin B12

Current Illness: None

ID: 1018511
Sex: F
Age: 28
State: KY

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

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

Symptoms: Injection site soreness approx 5 hrs later Extreme shaking/chills approx 6-7 hrs later Fever of 102-104 approx 8 hrs later Severe joint/muscle/body pain approx 8 hrs later Cont severe pain, inability to move, elevated HR 140-150, shortness of breath, severe migraine, fever 103-104 the entire next day with the use of 650mg Tylenol q4hrs (02/06/2021). Joint/muscle pain, generalized fatigue, migraine, elevated HR 110-140, fever 102 the entire day (02/07/2021). Irregular HR dropping to 43-51 from 110, shortness of breath, dizzy, generalized weakness, shaking, went to ER for observation (02/08/2021). Symptoms nearly resolve 02/09/2021 with the exception of occasional shortness of breath and mildly irregular HR.

Other Meds: None

Current Illness: Covid 19 + diagnosed January 23, 2021. No longer symptomatic at time of vaccine.

ID: 1018514
Sex: F
Age: 28
State: CO

Vax Date: 01/07/2021
Onset Date: 01/14/2021
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: N/A

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 1 week after receiving 2nd vaccine 8 started to have tachycardia, palpitations, flutters. It has also been a little harder to breath. I got a ZIO monitor placed 2/5/2021 to monitor my episodes.

Other Meds: Wellbutrin 150mg, Advair

Current Illness: None

ID: 1018518
Sex: F
Age: 69
State: GA

Vax Date: 01/26/2021
Onset Date: 02/07/2021
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: NKA

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

Symptoms: rash with small bumps on right and left arms on post vaccine day 10, 11, 12 very itch, red, relieved with antihistamines after about 25 minutes . Today is day 12.

Other Meds: Synthroid QD topical estrogen Elestrin topical compounded Progesterone I swim a mile and a half in chlorinated water 4 x a week.

Current Illness: ear congestion or infection took Augmentin the week before getting the vaccine.

ID: 1018521
Sex: F
Age: 61
State: NC

Vax Date: 01/23/2021
Onset Date: 01/23/2021
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: Adverse reaction: Codeine(nausea); Fentanyl(dose related; stopped/paused breathing); black pepper; seasonal fish products; Flexeril

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

Symptoms: Initially after injection I felt as if a rapid heart beat (but 60 minute pulse count was no more than 80 and was regular). Discomfort in arm began, progressed to inflammation and difficulty in movement of arm especially to lift arm. Used Tylenol or Motrin PRN for relief as well as heating pad intermittently. After 1/23 injection discomfort seemed to lessen but on 2/9 (4 days before second injection due) discomfort still persists. Due to persistence of symptoms seen in Urgent Care diagnosis Adhesive Capsulitis of right shoulder and acute pain of right shoulder. Treatment, Physical Therapy and Ibuprofen. Unable to use steroids due to diabetes. Follow up scheduled 2 weeks 2/16/2021.

Other Meds: Jardiance; Glucophage; Adderall XR; Prilosec; Lisinopril; Simvastatin; Zetia; multivitamin; aspirin 81mg; magnesium; potassium; ferrous sulfate; vitamin C

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm