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: 1019467
Sex: F
Age: 34
State: TX

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Day 8 after shot, swelling came back with redness and swollen around the area of injection site.

Other Meds: None

Current Illness: None

ID: 1019468
Sex: F
Age: 50
State: ND

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
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: two weeks following at the injection site became red, swollen and very itchy

Other Meds:

Current Illness:

ID: 1019469
Sex: F
Age: 41
State: GA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
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: I developed a painful, red, swollen bump on my top knuckle, The swelling went down after the first day, but I continue to have a red bruise-like thing on that spot. It's painful to the touch, much like a bruise, but has not improved or started to heal in any way that I can tell.

Other Meds: None

Current Illness: None

ID: 1019470
Sex: F
Age: 56
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: morphine, zinc, zolpidem, flexeril, Iodine Contrast

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Pt. was requested to be vaccinated in the "high risk clinic" due to PMHX and concerns after the 1st vaccine. Apparently after 1st vaccine had persistent cough for days. Pt. presented for 2nd vaccine and vaccine was administered at 12:31p. Shortly after vaccine, she developed chest tightness, felt like her throat was closing and SOB at 12:42 p. Vitals B/P 145/88, Pulse 104, Resp 28, O2 sat 96%. She was asked to take 2 puffs of her albuterol inhaler and I administered epi 0.3 mg IM to R. thigh at 12:44 pm and Benadryl 50 mg IM to right deltoid. Medical First response was activated and responded within 2 min. She was immediately transferred next door to the ED under the care of Dr. In ED Decadron 10 mg IV and additional diphenhydramine 25 mg IV, and Famotidine 20 mg was administered. She was discharged home later that afternoon with course of po decadron and epipen. 2/5/21- Pt. is not returned to work d/t continued SOB and continues to f/u with PCP.

Other Meds: MVI, Protonix, Vit D, CA, Tumeric, Singulair, Asthmanax, Additional Meds on date of vaccine: Iron, Dulera, Claritin, Levothyroxine, Benadryl.

Current Illness: mastodynia

ID: 1019471
Sex: M
Age: 61
State: TX

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: Severe tendon pain and mild swelling that went down his left arm. Felt like tennis elbow.

Other Meds: Fish Oil Daily

Current Illness: No.

ID: 1019472
Sex: F
Age: 52
State: IA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: History of similar reactions with each flu vac. and therefore she stopped taking flu vacs. 5 years ago. Developed nausea, lightheadedness, headache, and shortness of breath 14 min after vaccine. Vital signs stable on admission to observation area and heartrate regular with apical auscultation. Forty-five min after vaccine, began having some chest pressure and tingling in her arms. Her heart rate irregular at 68 bpm. Employee called her cardiologist who advised her go to the emergency room. No history of angioedema.

Other Meds:

Current Illness:

ID: 1019474
Sex: F
Age: 51
State: FL

Vax Date: 01/21/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
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: event started: 1-21-2021 at approx 6-7pm; left arm tingling and intermittent numbness, then at 1-22-2021 at 2-3am muscles cramps and unable to move toes bilateral feet and a HA and nausea. 1-23-2021 started with confusion, wondered off at a grocery store and was able to think straight while paying at a register. other than that no other episode.

Other Meds:

Current Illness:

ID: 1019475
Sex: F
Age: 31
State: OR

Vax Date: 02/07/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Pharyngeal swelling

Symptoms: Systemic: Rash (other than injection site)-Mild, Systemic: Other- SWELLING OF UPPER LIP-Mild; lasted 1 day

Other Meds:

Current Illness:

ID: 1019476
Sex: F
Age: 48
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Milk thistle

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: All over body / muscle aches - unable to sleep well due to extreme discomfort. Pain started around 8pm and intensified through the night. Started to abate early afternoon next day. Did take extra strength Tylenol 4 times between 8pm 2/8/21 and 2pm 2/9/21. As of today, 2/10/21, still have joint pain in right hand knuckles and mid back / right shoulder blade and at injection site.

Other Meds: NP Thyroid, Prozac, sunosi, baclofen, Ritalin, multi-vitamin, vitamin D3, betaine HCL, lutein with zeaxanthin, theracurmun, fish oil, probiotic

Current Illness: NA

ID: 1019478
Sex: F
Age: 24
State: VA

Vax Date: 01/20/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
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: Menstrual cycle started 11 days early, flow was light compared to normal cycle but lasted longer than usual

Other Meds: Wellbutrin 300 mg Vitamin D supplement

Current Illness:

ID: 1019479
Sex: F
Age: 49
State: IN

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Aspirin

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

Symptoms: Mild Headache and a rash that started on my lip and spread to my cheek, my eye and forehead. The rash it blistery kind of looking, little bit blister and they would open and bleed and then close back up. It was also burning. It start continually spread more. I went yesterday 02/09/2021to a Dermatologist he treated me for a contact kind of dermatitis as if he was unsure if it was linked to vaccine or not. He gave me two steroid injections in the office and prescribed a cream Elidel 1% . The medications seem to be clearing up my face today.

Other Meds: Synthroid 150 MG daily, Alprazolam .5 MG daily at bedtime, Inhaler daily, Hair, skin and nails supplement 5000 MCGs, Milk thistle, Vitamin D3 125 MG, Zinc 50 MG, Vitamin B-12 2500 MCG, Iron 65 MG all taken daily Zyrtec 10 MG daily

Current Illness:

ID: 1019480
Sex: F
Age: 33
State: GA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
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:

Symptom List: Rash, Urticaria

Symptoms: The patient stated that she had joint pain that began the day after she received the first dose of the COVID-19 Moderna vaccine and that she particularly had weak knees. She also stated that she had insomnia and was up all night. She also stated that she had a low-grade fever 02/02/21-02/03/2021. By 02/04/2021 she stated that she was feeling better and that her symptoms were more mild. Today (02/10/2021) she states that she feels better but that she has had some increased pain and insomnia; she estimates, though, that these symtoms that she mentioned today are due to recent medication changes.

Other Meds:

Current Illness:

ID: 1019481
Sex: F
Age: 24
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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: chills, fatigue, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 1019482
Sex: F
Age: 43
State: NC

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/10/2021
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: Bee sting (anaphylaxis)

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

Symptoms: 1 day after COVID vaccine, patient developed a pruritic, painful maculopapular rash that started on her ankles and hips then spread to the rest of her body.

Other Meds: - Ambien 10mg -Take 1-2 tablets by mouth before bedtime - Meloxicam 15mg PO q day PRN - Synthroid 88mcg -Take 1 tablet by mouth daily - Flonase 50mcg - Instill 1 spray in each nostril daily - Ethynodiol /EE 1mg-35mcg- Take one tablet by m

Current Illness:

ID: 1019483
Sex: F
Age: 49
State: ME

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
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: nkda

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

Symptoms: Red, itchy, swollen arm x 10 days at the injection site -about the size of a softball ( Arm very sensitive to touch and clothes on it). After 10 days, arm was no longer swollen but still itchy and red (decreased to the size of a baseball).

Other Meds: Very sore arm after vaccination and was unable to sleep on it. The next morning, my arm was swollen, hurt, and red (about the size of a softball) at the injection site. Swelling went down after 10 days. Arm is still red, itches, and the

Current Illness: none

ID: 1019484
Sex: F
Age: 36
State: NJ

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 02/10/2021
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: NKDA

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

Symptoms: Initially had left arm pain post vaccine. I thought that this was normal vaccine site pain. The pain has subsided but I now have left arm weakness and an inability to lift arm to previous height.

Other Meds: none

Current Illness: none

ID: 1019485
Sex: F
Age: 37
State: PA

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/10/2021
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: Allergic reaction (itchiness) to the TB test.

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

Symptoms: After about 30 minutes, I noticed an itchy patch of skin on my right cheek and mild itchiness under my chin and on my other cheek. It lasted a bit over 24 hours.

Other Meds: Zyrtec, Flonase - both taken the night before

Current Illness: None

ID: 1019486
Sex: F
Age: 35
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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: fever, chills, headache. called in sick to work.

Other Meds:

Current Illness:

ID: 1019487
Sex: F
Age: 71
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: sulfur -rash

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Adverse events experienced and are they still occurring now: yes. reports at around midnight the day of the vaccine she began feeling body aches, HA, decreased appetite, chills, sweating w/no fever but felt warm, fatigue. states she took tylenol that helped.

Other Meds: clonazepam 0.5mg PRN nerve pain

Current Illness:

ID: 1019488
Sex: M
Age: 86
State: IL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: 8 hours post first covid vaccine patient wife called emergency room stating patient began complaining of itching, several minutes later noticed red and pimply bumps all over skin. Extremely itchy and uncomfortable. Denied fever or difficulty breathing or swallowing. Recommended by triage nurse to be seen in ED.

Other Meds:

Current Illness:

ID: 1019489
Sex: M
Age: 84
State: DE

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Syncopal episode at home lasting a couple minutes - taken to ER. Received IVF. No medications received. Fully recovered within minutes of the episode.

Other Meds: amlodipine, atorvastatin, donepezil, isosorbide MN, lisinopril, memantine, metoprolol ER, silodosin, aspirin, melatonin, preservision, naproxen, coQ-10

Current Illness: none

ID: 1019490
Sex: F
Age: 65
State: GA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: red painful rash about 4" in diameter at shot area

Other Meds: prevacid

Current Illness: none

ID: 1019491
Sex: M
Age: 69
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Paper tape

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

Symptoms: Flu like symptoms: chills, muscle and joint aches 28 hours after vaccination. No temperature

Other Meds: Lisinopril, Trazadone, Citalopram, Metformin, HCTZ, Pravastatin

Current Illness: None

ID: 1019492
Sex: F
Age: 46
State: MI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Latex

Symptom List: Injection site pain, Pain

Symptoms: Nausea, headache, body aches, left arm numbness & arm twitching, fatigue, elevated pulse.

Other Meds: Hyzzar/HCTZ

Current Illness: n/a

ID: 1019493
Sex: F
Age: 50
State: NY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: apple, Penicillin, latex

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient received first dose of Pfizer COVID vaccine and after 20 minutes complained of tongue as well as roof of mouth itching. Nurse administered oral diphenhydramine 50 mg x 1 dose

Other Meds: tramadol

Current Illness:

ID: 1019494
Sex: M
Age: 41
State: FL

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
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: None

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

Symptoms: low grade fever, chills, muscle aches in shoulders/neck, headache, light headed. Symptoms started becoming persistent during commute to work beginning at approximately 0630. Symptoms were significant enough to hinder productive work by 1100, went home early. Napped from 1200-1500. Symptoms subsided by 1800.

Other Meds: None

Current Illness: None

ID: 1019495
Sex: F
Age: 32
State: NY

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
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: Headache as soon as waking up - after a few hours, chills and fatigue that had to go home from work and sleep all day.

Other Meds:

Current Illness:

ID: 1019496
Sex: F
Age: 85
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: On 2/9/21 I started running a fever of 100+. My normal temp is 97.3. Too early to tell yet if I will run a fever today. I suspect this is a fairly normal reaction.

Other Meds: Various, but no change.

Current Illness: None

ID: 1019497
Sex: F
Age: 39
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 02/10/2021
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: left sided transient facial numbness x 2 occasions

Other Meds:

Current Illness:

ID: 1019499
Sex: M
Age: 56
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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: Chills Low grade fever General body ache Fatigue Sore injection site

Other Meds: None

Current Illness: None

ID: 1019501
Sex: F
Age: 58
State: RI

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: suffered with fatigue. headache all day long. I feel like im getting the flu. Im hot and cold, i have chills. at the injection site its all red ad hard and hot. sleep all day

Other Meds: Synthroid

Current Illness:

ID: 1019502
Sex: F
Age: 93
State: VA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/10/2021
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: Health RN administered vaccine. At the time PHN withdrew the needle from the arm, the needle was left in recipient's right arm and a unknown amount of vaccine ran down recipients arm. Followed up with recipient the following day 1/31/21. Recipient verbalized arm soreness from the vaccine.

Other Meds:

Current Illness:

ID: 1019503
Sex: F
Age: 70
State: CA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
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: Redness, red bumps, itching. Hydrocortisone cream. No change in symptoms.

Other Meds:

Current Illness:

ID: 1019504
Sex: F
Age: 35
State: OR

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Itching and slightly rough skin 3 inch diameter around injection site starting 2/9/2021 (8 days post vaccination). Continued itching and slightly rough skin on 2/10/2021 with addition of redness.

Other Meds: Omeprazole 20 mg 1/day Nifedapine ER 30 mg 1/day Mono-Linyah 0.25 mg/0.035 mg 28 tablet booster card Source Naturals Vitamin D-3 10 drops/day (50 mcg) Carlson Super Daily D3 + K2 1 drop/day (50 mcg/45 mcg) Whole World Botanicals royal maca

Current Illness: Limited Scleroderma (CREST)

ID: 1019505
Sex: F
Age: 72
State: IN

Vax Date: 02/07/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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: pollen, strawberries,

Symptom List: Erythema, Pruritus

Symptoms: itching at injection site, headache, dizzy spells

Other Meds: metformin, ocaliva, rampiral, hydrochloro high blood pressure, synthroid, meloxican, vitamin d, b12,

Current Illness: type2 diabetes, high blood pressure, primary bilary cholangitis,

ID: 1019506
Sex: F
Age: 62
State: ID

Vax Date: 01/31/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Sulfa drugs

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

Symptoms: About 9 days after vaccination developed 3" diameter red, warm, sore spot at injection site

Other Meds: Loratadine, amlodipine, Eliquis, metoprolol, Trazadone multivitamin, D3, fish oil, vitamin C, magnesium

Current Illness: None

ID: 1019508
Sex: F
Age: 36
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: After she received the vaccine she started to feel itchy and had redness at injection site. She remained itchy for several days, but it would come and go. About two weeks after the shot; she started to break out into hives on her arms, then spread to her legs, back and head. Her palms got red. She took claritin and it gave her short-lived relief. She got prescribed a medrol dose pack, she completed two packs and still no relief. It helped while she was on it then symptoms came back once she stopped. She has an itchy throat, swollen face. She also has diarrhea. Symptoms have no been for over a month and seem to be getting worse. Following up with an allergist and her PCP today. Dr. then prescribed Solu Medrol, IV which she had last week. While, she was receiving the treatment, she felt better. As soon as the IV was done. She started to break out again. Today she came into work, and her eyes were blood shot. She also has pressure in her chest and has a hard time swallowing. She had hives on the inside of the mouth, and alongside her tongue. She will be seeing an allergist and an infectious disease in the upcoming days.

Other Meds:

Current Illness:

ID: 1019509
Sex: F
Age: 20
State:

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: fever. called in sick to work.

Other Meds:

Current Illness:

ID: 1019511
Sex: F
Age: 68
State: NH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
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: PCN (reaction as a child)

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

Symptoms: PT received vaccine at 1020, and remained on site for almost 30 minutes before leaving. While driving home PT started to feel a tightness in her throat and that her face felt warm and swollen. PT returned to vaccination site. PT showed no sign of difficulty breathing and was able to speak in complete sentences. BP: 110/70 Pul: 58 O2: 95 Temp: 97.6 PT was administered 5ml of antihistamine liquid medicine and was observed. After observation for 5 minutes, PT stated that she was feeling lots better and that the medication was working. Gave advice to follow up with PCP or get to hospital if condition worsens. Advised to inform medical team at her next scheduled vaccination of her reaction.

Other Meds:

Current Illness:

ID: 1019512
Sex: F
Age: 51
State: CT

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/10/2021
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: Sulfa based Mango

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

Symptoms: 5+cm red, hot, itchy black and blue area redness increasing in size

Other Meds: multi vit. vit. D

Current Illness: none

ID: 1019513
Sex: F
Age: 59
State: NY

Vax Date: 01/28/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
Hospital: Y

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

Lab Data:

Allergies: Nuts

Symptom List: Pain in extremity

Symptoms: Experienced crescendo and decrescendo abdominal pain with pain scale of 8/10 . CT findings consistent with small bowel closed loop obstruction requiring exploratory laparotomy. Discharged from hospital 5 days after surgery.

Other Meds: None

Current Illness: None

ID: 1019514
Sex: M
Age: 24
State: TX

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Left arm and hand swelling within 15 minutes after first vaccine. Later that evening his left left was swollen also on the same side that he received his vaccine. 2-3 days his injection site was sore.

Other Meds:

Current Illness:

ID: 1019515
Sex: M
Age: 41
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Chills, Subjective fever, Sneezing, Runny Nose. Chills became severe towards evening. Fever broke during night while asleep. Resolved the following morning.

Other Meds: None

Current Illness: None

ID: 1019516
Sex: M
Age: 26
State: NY

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Headaches with exertion. Patient reports extreme L sided head pain when doing any exertion after receiving the vaccine. Denies vision changes, nausea, vomiting, fevers, chills, malaise or any other symptom. Denies hx of migraines or headaches.

Other Meds: None

Current Illness: None

ID: 1019517
Sex: F
Age: 45
State: TN

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
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: PCN, Benadryl

Symptom List: Vomiting

Symptoms: FOR THREE DAYS COULD NOT LIFT MY HEAD WITHOUT VOMITING, HAD A COUGH AND FATIGUE. WENT TO A WALK IN CLINIC ON DAY 4 ENDED UP GETTING COVID SWABBED AND IT WAS NEGATIVE AND TOLD TO REST AND DRINK FLUIDS. HERE IT IS DAY 20 AND I AM STILL COUGHING NON STOP AND VERY FATIGUED BY AFTERNOON I JUST NEED TO REST. I AM USING MY RESCUE INHALER FREQUENTLY DURING THE DAY AND ALSO USING MY MAINTENANCE INHALER WITH MINIMAL RELIEF. MY BACK ALSO HURTS IN MY SHOULD BLADES AND FEELS LIKE SOMEONE HAS PUNCHED ME.

Other Meds: Arnuity Inhaler one puff per day for asthma

Current Illness: only had a cough after first dose for 5 days then better.

ID: 1019518
Sex: F
Age: 46
State: OH

Vax Date: 01/29/2021
Onset Date: 01/31/2021
Rec V Date: 02/10/2021
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: peanuts, depocaine, PCN, ampicillin, codeine, phenobarbital, erythromycin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: hives on bottom of foot, chest and back of leg. Tx: Benadryl tablets, neosporin

Other Meds: keppra, folic acid, laxatives, flonase, oxycontin, percocet, valtrex

Current Illness: none

ID: 1019519
Sex: F
Age: 32
State: PA

Vax Date: 01/13/2021
Onset Date: 01/20/2021
Rec V Date: 02/10/2021
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: N/A

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

Symptoms: PATIENT FEELS BUMP, REDNESS, AND WARMTH AT INJECTION SITE REACTION AFTER ONE WEEK, AND IT FEELS SENSITIVE TOO.

Other Meds: N/A

Current Illness: N/A

ID: 1019521
Sex: F
Age: 65
State: SC

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
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: penicillin, latex, sulfa

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Dizziness, vomiting, muscle weakness, headache, congestion, dry mouth, fever - Symptoms are waning by the fifth day.

Other Meds: Triamterene w/HCTZ , carvedilol, ezetemide, famotodine, microbid, Vitamin D, Calcium, Zinc

Current Illness: UTI

ID: 1019522
Sex: M
Age: 74
State: MO

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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 listed

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

Symptoms: patient compliant of dizzy

Other Meds: unknown

Current Illness:

ID: 1019523
Sex: F
Age: 65
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Flu like symptoms: chills, joint aches. No fever

Other Meds: Tylenol

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm