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: 1019790
Sex: F
Age: 60
State: FL

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

Lab Data:

Allergies: Penicillin, Vancomycin, aloe, paba

Symptom List: Dysphagia, Epiglottitis

Symptoms: Woke up at 4:30 am with fever, chills, extreme body aches, headache and stomach ache. This continued for 48 hours. My temperature got as high as 100.1 with Tylenol. Symptoms were as strong as when I had Covid. On Monday I finally started to feel better. The entire time I was extremely weak and tired. On Tuesday I finally woke up and felt like myself again

Other Meds: HCTZ, BABY Aspirin, Simvistatin, Quinipril, Zyrtec

Current Illness: I had Covid on Dec 25th, 2020 started with symptoms

ID: 1019791
Sex: F
Age: 26
State: AZ

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: Nutmeg and latex free adhesive

Symptom List: Anxiety, Dyspnoea

Symptoms: My radial nerve was hit during the injection and I have had little to no feeling in my left pinky finger since receiving the shot.

Other Meds: None

Current Illness: None

ID: 1019792
Sex: F
Age: 29
State: PA

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: Orajel, Hawaiian Punch, environmental allergies

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

Symptoms: Adverse event: Blurred vision, numbness left side head to shoulder, vomiting, chills, shortness of breath, severe headache, oral mycosis swelling Treatment: Benadryl Outcome: Sent to ER by facility MD, treated and observed at hospital for 1.5 hours released no negative outcome

Other Meds: Flonase inhaler

Current Illness:

ID: 1019793
Sex: F
Age: 73
State: CA

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: COVID-19 vaccine on 2/8/21. Next day had redness and swelling of one side of face. No other reaction. No fever. No pain.

Other Meds: meloxicam, atorvastatin

Current Illness: none

ID: 1019794
Sex: M
Age: 72
State: AZ

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

Lab Data:

Allergies: Sulfa

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

Symptoms: This was (is) modest but I was encouraged to report it: Itching at the site on the arm, reddening of the skin around it (about the size of a quarter). This has continued now for about 18 hours with varying intensity but nothing dramatic. I expect it to ease off over the next day or two.

Other Meds: None

Current Illness: None

ID: 1019795
Sex: F
Age: 53
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Codeine Steroids Bees Ginger Alcohol (the drinking kind)

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

Symptoms: very sore arm - hard to use that arm - still an issue 2 days later Fever between 100 and 102 for 8 hour on 2/9/21 - took tylenol and advil - fever persisted even with meds - was completely gone after 10 hours body aches started around 11:00pm on 2/8/21 and persisted until about 10:00pm on 2/9/21 Headache - began around 5:00am on 2/9/21 - is better today but still have it on 2/10/21

Other Meds: Losartan Potasium 100mg Hydrochlorothiazide 12.5mg Furosemide 20mg Omeprazole DR 40mg Metoprolol Tartrate 50mg Amlodipine Besylate 5mg Potassium CL ER 20MEQ x2 Atorvastatin 10mg Metformin HCL ER 500mg x2 x2 Januvia 100mg Llysine - vitamin

Current Illness:

ID: 1019796
Sex: M
Age: 30
State: UT

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Nausea followed by crampy abdominal pain. Resolved after 36 hours.

Other Meds: None

Current Illness: None

ID: 1019797
Sex: M
Age: 75
State: AZ

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known

Symptom List: Pharyngeal swelling

Symptoms: Received the vaccine in the left arm and had muscle aches then the right arm at same place left arm injection site, it became extremely painful and has continued to be painful. Now day 5-6 I?ve had a continual headache and I never get headaches.

Other Meds: Doxazosin mesylate tabs 4mg, Pravastatin Sod 10mg, Propafenone 225mg, Descovy 200mg - 1 per day, Aspirin 325mg, D3 2000IU

Current Illness: None

ID: 1019798
Sex: F
Age: 55
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/01/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Flu like symptoms including extreme joint pain and achiness, headache which was significant often on, slight fever, a little nausea and decreased appetite.

Other Meds: Atenolol. Celexa. Prilosec.

Current Illness: None

ID: 1019799
Sex: M
Age: 70
State: NM

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Developed a rash on both forearms 2 hrs. after the vaccine while at home. over the course of the next three days it spread to my chest, underarms, lower back, inside both thighs, and lower kegs. Large welts developed in those areas. I contacted a covid nurse and she called me and advised over the counter Benadryl for symptoms and to contact my doctor. I messaged him and sent photos of the infected areas. He prescribed Prednisone 10 mg to take in a five day burst. It has been two weeks now and this rash is just now getting better. I wonder if a second dose is advisable.

Other Meds: Losartan 25 mg, Metoprolol 25mg xl

Current Illness: None

ID: 1019800
Sex: F
Age: 57
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: SYR
Vax Site: LA

Lab Data:

Allergies: PCN

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

Symptoms: Fever/chills/ headache & extreme body aches. Every single joint in my body hurt. Even my fingers and toes. It almost felt like Gout in my toes. It hurt to grip anything tight. For at least half the day on the 9th I had a difficult time walking due to extreme pain in my hips and lower back. Symptoms seemed to decrease in the late evening of the 9th. Today I feel better (2/10) but still have terrible headache and pain in my hips.

Other Meds: Adderal 20 mg. ( prn )

Current Illness: None

ID: 1019801
Sex: F
Age: 97
State: OH

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: MORPHINE, LATEX, TAPE

Symptom List: Rash, Urticaria

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1019803
Sex: F
Age: 64
State: AZ

Vax Date: 02/01/2021
Onset Date: 02/10/2021
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: Latex

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

Symptoms: Oval rash at vaccination site which appeared about nine days after the vaccination. Not painful, just red and slightly swollen.

Other Meds: Hormone replacement (estrogen/progesterone), calcium/magnesium/zinc supplement, vitamin D and B-12

Current Illness: None

ID: 1019804
Sex: F
Age: 45
State: MO

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Codeine, flagyl

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

Symptoms: ~9 days of vaginal spotting (in between menses), and several mild nosebleeds.

Other Meds: Topamax, Trintellix, Spironolactone

Current Illness: No

ID: 1019805
Sex: F
Age: 70
State: NY

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

Lab Data:

Allergies: Penicilliin

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

Symptoms: A purplish spot developed at the corner of my lower lop. Looks like a purpura (?) About 8mm in length. NOT raised, NO soreness

Other Meds: Multi Vitamins, magnesium, potassium, calcium, Vit D,E,C - glucosamine chondroitin, probiotic These have been taken for a long time with no adverse effects

Current Illness: None

ID: 1019806
Sex: F
Age: 77
State: FL

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: Xifaxan, red ants, Demerol,

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

Symptoms: About 2-3 hours later, and my body was just swollen, the back of knees were swollen, my arm and body is swollen. Like the first dose it was my lymphatic system that caused the swelling. I have been having treatment (PT) for my arm 3 times a week to try and get the swelling down. I have seen Doctor on 01/11/2021 and 02/09/2021. Doctor was the one who put in the referral for home health. The PT and RN have been been coming out to my home to see me.

Other Meds: Armor thyroid 120mg, alprazolam 1mg, Abilify 15mg, sertraline HCL 200 mg, Norvasc 10mg, hydralazine 50mg, spironolactone 50, Lipitor 40mg. metoprolol 100mg. butalbital Acetaminophen, Ambien 10mg, Excedrin as need for headaches

Current Illness:

ID: 1019807
Sex: F
Age: 54
State: PA

Vax Date: 01/13/2021
Onset Date: 01/13/2021
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: all sulfur drugs

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

Symptoms: Adverse effect: numbness on the right side of body, facial numbness, oral mycosis numbness Treatment: Benadryl Outcome: Recovered in 2 hours

Other Meds: none

Current Illness: none

ID: 1019808
Sex: F
Age: 35
State: WA

Vax Date: 02/07/2021
Onset Date: 02/07/2021
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: none

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Palpitations and shortness of breath all on 2/7.

Other Meds: unknown

Current Illness: unknown

ID: 1019809
Sex: F
Age:
State: KY

Vax Date: 01/05/2021
Onset Date: 01/06/2021
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: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I experienced nausea and vomiting, chills, ran a fever of 100.1F. I tested positive for Covid 10-27-2020. I also developed migraine headaches and muscle aches and pain for three days. I felt like I had the Covid again. I talked my PCP on the phone three different times.

Other Meds: Prilosec

Current Illness:

ID: 1019810
Sex: F
Age: 68
State: MO

Vax Date: 02/08/2021
Onset Date: 02/09/2021
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: None

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

Symptoms: I developed a large lump in my right armpit in same arm that I received the second vaccine.

Other Meds: None

Current Illness: None

ID: 1019811
Sex: F
Age: 66
State: MD

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

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

Symptoms: arm sore, shoulder pain down to elbow, lymph nodes under arm sore, fever 100.3 lasting one day

Other Meds: Atenolol 50 mg, Hydrochlorothiazide 12.5 mg

Current Illness: A week before scheduled date-pt had a cold.

ID: 1019812
Sex: F
Age: 35
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: Extreme sweating/diaphoresis during the night, extreme muscle pain all over my body, general malaise

Other Meds: Vitamin D

Current Illness: None

ID: 1019813
Sex: F
Age: 31
State: PA

Vax Date: 01/17/2021
Onset Date: 01/25/2021
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: n/z

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

Symptoms: Event: Somewhat painful and fairly swollen lymph node in armpit, close to breast tissue. Treatment: Ultrasound Outcome: Recommend receiving second does of Moderna vaccine on 2/14/21. Follow up in three months with additional ultrasound.

Other Meds: Altavera (birth control)

Current Illness: n/a

ID: 1019814
Sex: F
Age: 44
State: GA

Vax Date: 01/04/2021
Onset Date: 01/11/2021
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: Nickel Codeine Gold

Symptom List: Injection site pain, Pain

Symptoms: Dose 1 on 1/4/2021: Mild fever (99.1 - 99.5) from1/4/2021 to 1/17/2021 Red, swollen, itchy spot covering most of upper arm (between injection site and elbow) beginning 1/11/2021. Mostly faded by 1/15/2021. Did not feel like exercising, but otherwise able to do normal daily activities. Consulted my doctor for advise on getting second dose. She advised OK to get second vaccine and to take antihistamine for 2 weeks and ice after injection. Dose 2 on 2/1/2021: Took antihistamine and iced as directed by my doctor. Also took Tylenol as recommended by vaccination nurse. Mild fever (99.5 - 100.7) from 2/1/2021 to 2/5/2021 Red, swollen, itchy spot covering most of upper arm (between injection site and elbow) beginning 2/2/2021. Mostly faded by 2/7/2021. Did not feel like exercising or doing light housework, but otherwise able to do normal daily activities.

Other Meds: Mirena IUD

Current Illness: None

ID: 1019815
Sex: F
Age: 38
State: TN

Vax Date: 12/30/2020
Onset Date: 01/16/2021
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: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Menstrual bleeding for several days beyond cycle that has been regular for 20 years. First thought to be unrelated until I discovered that many other women had irregular menstrual bleeding after vaccination as well.

Other Meds: bupropion, zolpidem

Current Illness: none

ID: 1019816
Sex: F
Age: 59
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: sulfas

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

Symptoms: loss of balance and difficulty standing up, dizziness, severe headache, nausea, loss of appetite x5 days, patient reports some improvement, but is still "wobbly" when attempting to stand up

Other Meds: albuterol sulfate claritin diclofenac sodium fluticasone propionate gabapentin letrozole multivitamin venlafaxine viactiv vitamin b12 vitamin d

Current Illness:

ID: 1019817
Sex: F
Age: 34
State: CA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
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: N/A

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Swelling and redness on the injection site after 7 days from dosing. No pain.

Other Meds: N/A

Current Illness: N/A

ID: 1019818
Sex: M
Age: 42
State: MT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
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: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Next day developed a headache which lasted well in excess of one week. Shortly thereafter (2 weeks) developed shingles on my right side with extreme pain culminating in an emergency room visit and follow up care by primary physician. Unknown if shingles were related to vaccine.

Other Meds: None

Current Illness: None

ID: 1019819
Sex: F
Age: 48
State: MD

Vax Date: 01/11/2021
Onset Date: 01/13/2021
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:

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

Symptoms: Starting about 2 days after the injection she began experiencing symptoms consistent with the onset of menses (she has not had a menstrual cycle in a number of years). She also had bilateral nipple tenderness and severe left breast tenderness to the point where she needed to take Motrin. She also had what felt like menstrual cramps. The most significant symptoms lasted about 10 days, but are persisting at a lower level. She saw her GYN for a routine appointment and the GYN found masses in both breasts, more noticeable in the left, and uterine pain during the pelvic exam.

Other Meds:

Current Illness:

ID: 1019820
Sex: F
Age: 66
State: WA

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: wheat sensitivity

Symptom List: Nausea

Symptoms: Pain in lower left abdominal region - intermittent stabbing pain beginning the evening of the vaccination (2/7/2021) and continuing through the morning of 2/10/2021 (the time of this writing)

Other Meds: estradiol st johns wort

Current Illness: none

ID: 1019821
Sex: F
Age: 32
State: KS

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

Lab Data:

Allergies: Penicillan INFeD

Symptom List: Injection site pain

Symptoms: Swollen and painful lymph nodes on left side. Appeared upon waking up the day after the vaccine and are still persisting 5 days post-vaccination. The pain makes it so I can not let my arm rest at my side.

Other Meds:

Current Illness:

ID: 1019822
Sex: F
Age: 52
State: MA

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: IM
Vax Site: LA

Lab Data:

Allergies: lactose intolerant allergy to Bactrim (sulfurs)

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

Symptoms: mobility issues...feels like a really bad psoriatic arthritis flair.. unable to move feeling locked in the body taking a long time to loosen up w stretching and move unable to move the left shoulder having difficulty w dexterity...unable to open pill bottles ...unlock locks...put on socks...left side is a lot worse than the right cold...can't get warm took a sick day to rest and get fluids day is just extremely slow moving and not at my baseline even for a flair.... I just pray this is not the future living w paoriasis...bv it's not functional and worrisome... I just figured someone should know of these s&so for.other folks like me I'm usually controlled very well w methotrexate and the otezla supplements and diet and am very active... I'm a nurse working full time and pick up perdiem hrs 2 weekends a month and am an avid walker...and enjoy the outdoors... no hospital or ED needed just rest and time are needed at this time thank you

Other Meds: methotrexate 5tabs 2.5mg qwk folic acid 1x qd q6d nadolol 60mg qd zyrtec 1 tab allergy med qd otezla 40mg 2xd qd colace 1tab qd joint supplement glucosamine 3tabs qd collagen 1gummy qd female multi vit 3gummies qd vit.c gummy 2gummies qd

Current Illness: psoriasis psoriatic arthritis

ID: 1019823
Sex: F
Age: 23
State: IL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
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: Pineapple

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

Symptoms: Woke up day after with a slight pain in chest. As day progressed pain became much worse and when tried to lay down to sleep could not. Breathing in caused pain as well. She went to ER and was diagnosed with Acute Pericarditis. Was in ER for 4 hours and sent home on oral Ibuprofen 600 mg.

Other Meds: Famotidine, BC Pill, Hair and Nail vitamins

Current Illness: None

ID: 1019824
Sex: M
Age: 89
State: MA

Vax Date: 02/05/2021
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: No

Symptom List: Tremor

Symptoms: Vaccine given on 2/5 2021 Adverse reaction started Friday evening: involuntary jerking of right leg. Involuntary jerking of right arm started on 2/8/2021

Other Meds: Simvasatin 40mg 1Xday Aspirin 81mg 1Xday

Current Illness: Tested positive for Covid on 1/12/21

ID: 1019825
Sex: M
Age: 63
State: CA

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

Lab Data:

Allergies: No allergies that I am aware of

Symptom List: Erythema, Pruritus

Symptoms: Approximately 18 hours after receiving the vaccine, I developed a fever ranging from 101-102.4. I had muscle aches and for a short time, blurred vision. After resting for approximately 12 hours, taking Tylenol and drinking water, my symptoms subsided.

Other Meds: Atorvastatin 20 mg once per day; Finasteride 5 mg, once per day;Tamsulosin .4 mg once per day.

Current Illness: No illness at the time of vaccination. I did have diarrhea for two days about 3 weeks ago but it only lasted about 36 hours.

ID: 1019826
Sex: M
Age: 84
State: FL

Vax Date: 01/20/2021
Onset Date: 01/21/2021
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: Gluten intolerant

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

Symptoms: Heavy itching at site of injection and down the arm for approximately 2 weeks Used itch cream and Claritin tablet every few days

Other Meds: Calcium,Vitamin D,Ocuvite,Baby Aspirin,Crestor,Allopurinol,Losarton,Famididine,Tamsulosin,

Current Illness: None

ID: 1019827
Sex: M
Age: 90
State: AZ

Vax Date: 01/25/2021
Onset Date: 01/31/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Vaccine on Jan 25, 2021 Minor seizure on Jan 31. 2021- 4:35pm talking, then staring, "blank stare", didn't recognize either daughter for about 10 minutes. Daughter did stroke tests, all normal. called 911, they saw no stroke symptoms, EKG normal. Within 15 minutes, he was coherent but lethargic. Could not remember 15 minutes prior. Did NOT take to ER. Saw cardiologist next day and then had head CT later that week.

Other Meds: Eliquis daily

Current Illness: NONE

ID: 1019828
Sex: F
Age: 81
State: NC

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Systemic: Anaphylaxis-Severe, Systemic: Other- shortness of breath

Other Meds:

Current Illness:

ID: 1019829
Sex: F
Age: 24
State: TN

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

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

Symptoms: Smelling chemical smells when there aren?t any. Taste has been altered.

Other Meds: Birth control Magnesium Zyrtec Ibuprofen

Current Illness: NA

ID: 1019830
Sex: F
Age: 84
State: FL

Vax Date: 01/22/2021
Onset Date: 01/23/2021
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:

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

Symptoms: face rash, blisters

Other Meds:

Current Illness:

ID: 1019831
Sex: F
Age: 24
State: MN

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

Lab Data:

Allergies: Nickle

Symptom List: Pain in extremity

Symptoms: Nausea: began 11:30 PM 1/21/21, ended 3:00 AM 1/22/21 Vomiting: vomited 4 times between 11:30 PM 1/21/21 and 2:00 AM 1/22/21 Body aches: began 8:00 AM 1/22/21, ended 11 PM 1/23/21 Injection site pain: began 5:00 PM 1/21/21, ended 8 PM 1/22/21

Other Meds: Cryselle birth control, acetaminophen 500 mg tablets

Current Illness: None known

ID: 1019832
Sex: F
Age: 78
State: PA

Vax Date: 01/27/2021
Onset Date: 01/31/2021
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: redniss on arm at injection site, increased in size to 2 x 3 inches red warm to touch, itchy, Advised to apply cool compresses no systemic symptoms, and referred to her pcp

Other Meds:

Current Illness:

ID: 1019833
Sex: F
Age: 66
State: VA

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

Lab Data:

Allergies: Macrobid

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

Symptoms: Swollen Rash Itchy Hot to touch

Other Meds: Levothyroxine 50mcg Fish oil 1000mg Magnesium 250mg Glucosamine HCI 1500 mg w/MSM 1500mg D3 50mg

Current Illness: None

ID: 1019834
Sex: F
Age: 81
State: NJ

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

Lab Data:

Allergies: Albuterol, Lidocaine, Sulfur

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

Symptoms: Patient assessed and monitored by EMS on 2/4/2021 post vaccination: Chief Complaint: Difficulty breathing; tremors Secondary Complaint: Dizziness; full body weakness History of Present Illness: Patient was receiving COVID 19 vaccine. After injection, patient began experiencing labored breathing, full body tremors, and became extremely weak. Patient requested to be checked out. Medical History: Obtained From: Not Recorded Current Medications: None - Reported By Patient Allergies: Albuterol Lidocaine Sulfur Neurological Exam Level of Consciousness: Alert Loss of Consciousness: No Chemically Paralyzed: No Stroke Scale: Cincinnati Negative Mental Present: Oriented-Time, Oriented-Event, Oriented-Place, Oriented-Person, Normal Baseline for Patient Pupils Left, Right Size: Normal, Normal React: Reactive, Reactive Motor, Sensory LA: Normal, Normal RA: Normal, Normal LL: Normal, Normal RL: Normal, Normal Airway Status: Patent Performed By: Patient Outcome: Unchanged Respiratory Effort: Normal Sounds: L: Clear R: Clear Sounds: breath sounds clear all fields Cardiovascular JVD: Not Appreciated Cap. Refill: Less than 2 Seconds Edema: Not Appreciated Pulses Left, Right Carotid: Not Checked, Not Checked Radial: Strong, Strong Femoral: Not Checked, Not Checked Injury Details Reason for Encounter: Injury/Trauma Drugs/Alcohol?: None Initial Physical Findings Assessment Skin: Capillary Nail Bed Refill less than 2 seconds, Dry, Normal, Warm Skin Findings: Skin CTC normal, warm, dry, pink Left Shoulder Findings: Injection site of vaccine; no swelling noted Mental Status: Normal Baseline for Patient, Oriented-Event, Oriented-Person, Oriented-Place, Oriented-Time Impression / Diagnosis Symptoms: Breathing Problem, Tremor, unspecified, Weakness, Tachypnea, not elsewhere classified Impression: Dizziness, Weakness Initial Patient Acuity: Emergent (Yellow) Activity 15:40: HR=98, BP= 106/70, Alert, RA SpO2=99, Resp.= 22 Labored Crew was requested over to RN vaccine station to assess female patient presenting with labored breathing, slight tachypnea, full body tremors, and general body weakness. Patient had just received first dose of Moderna COVID-19 vaccine. Patient is AAOx4, (-)LOC, (-) signs of anaphylaxis. Patient is assisted onto stretcher, secured with straps x3 and side rails raised and brought over to ems triage area. Patient denies any pain, complains of uncontrolled full body tremors. 15:47: HR=78, BP=134/90, Alert, RA SpO2=98, Resp.=20 Labored, Cincinnati Negative Crew assesses, patient shows no signs of anaphylaxis, lung sounds clear in all fields. Patient feels light headed and is lowered to supine position. Patient states she has had an episode similar to present in doctors office a few years ago when administered albuterol, and event had subsided approx. 30 minutes later. 16:01: HR=78, BP=136/p, Alert, Resp.= 18 Labored, Cincinnati Negative Vitals reassessed. Still above normal baseline for patient. 16:10: HR=80, BP=120/p, Alert, RA SpO2=98, Resp.=18 Labored, Cincinnati Negative Vitals reassessed, patient now showing full body involuntary tremors and complains of extreme weakness when moved to fowlers. Patient Cincinnati negative, no signs of anaphylaxis. Patient moved back to supine position. 16:18: HR=76, BP=122/68, Alert, RA SpO2=97, Resp.=18 Normal Vitals reassessed, breathing no longer labored, patient states she feels better and wishes to go to bathroom. Patient is assisted to bathroom with assistance from RN. 16:35: HR=74, BP=126/68, Alert, RA SpO2=97, Resp.=18 Normal Vitals reassessed, patient wishes to walk around and see how they feel, crew monitors. No tremors are noted for several minutes, patient now sitting fowlers on stretcher. Patient is advised that at any time they can call 911 if they feel they don't feel right or are unsure of condition. Patient is always made aware that ems crew does not diagnose and does not have the ability to see and diagnose underlying conditions that a hospital would have the capabilities to do so. After several more minutes of walking and discussion of patient condition, patient wishes to sign RMA , and go home with husband, daughter was waiting at residence. patient signs RMS, AMA, RN signs as witness. Patient care diminished. 2/5/2021 at 11:08am: Public health nurse called patient at for follow-up. Patient stated she was ?not steady on feet for a while? on prior night. Patient stated she started to feel ?back to normal? today. The only symptom patient is reporting today is feeling tired. Received verbal consent from patient to update her HCP, Dr. , about her reaction post vaccine. , RN

Other Meds: None- reported by patient

Current Illness:

ID: 1019835
Sex: F
Age: 70
State:

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

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Vaccine was given too high, into my shoulder. Injection was only one finger width from top of shoulder. Pain at time of injection (3:20 p.m.). Reminded me of the pain one would experience getting a cortisone shot. Three to four hours later pain in shoulder was substantial. Unable to lift arm, at all. Pain continued throughout the night. Twenty-four hours later some improvement in arm mobility and marked pain. Forty-five hours later not yet at full mobility and with slight to moderate pain. Feel more attention to vaccine injection site is needed.

Other Meds:

Current Illness:

ID: 1019836
Sex: F
Age: 71
State: NY

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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: Allergic to Cipro

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Shortness of breath. (Lasted for two weeks). Occurred several times during each day. Mostly when talking Headache Very tired I did not go to doctor during events. The shortness of breath would come and go daily for two weeks. I was able to function. I am concerned if I should get the second shot which I have scheduled for this Friday, February 12, 2021.

Other Meds: Thevothyroxine Amlodipine

Current Illness: None

ID: 1019837
Sex: F
Age: 65
State: FL

Vax Date: 01/28/2021
Onset Date: 01/31/2021
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: No

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

Symptoms: On 01/30/2021 at 08:00 had an extreme headache. Then having extreme difficulty keeping my eyes open, like I was trying to drift off to sleep. Immediately there after, I started vomiting. These symptoms lasted 4 days extremely fast and hard. Tylenol was take for the headache and helped very little. I slept a lot and I couldn?t eat or drink anything witching vomiting it back up. Even my regular meds with a little water came back up. The evening of the 4th day, I was able to keep clear broth down and crackers helped with the nausea some. The following week, I still didn?t feel quite right and kept fighting off sleep. Today is the 10th of February and toe nausea has returned. Getting out of bed, I dry heaved for an hour. I feel if I eat anything it?s going to come back up. My theory is that the side effects didn?t go away the week I felt somewhat better and had resurfaced, starting out slowly like before. I called my primary at the VA and we discussed what I was already doing i.e. a bland diet until I feel better.

Other Meds: No

Current Illness: No

ID: 1019838
Sex: F
Age: 17
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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Error: Too Young for Vaccine

Other Meds:

Current Illness:

ID: 1019839
Sex: F
Age: 71
State: PA

Vax Date: 01/25/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

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

Symptoms: ?COVID arm? rash. Large red rash. Somewhat itchy. Applied cortisone and Eucerin. Looking better several days later. Improving daily.

Other Meds: Valsartan, Atorvastatin, D3, women?s vitamin

Current Illness: None

ID: 1019840
Sex: F
Age: 52
State: OH

Vax Date: 02/02/2021
Onset Date: 02/03/2021
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: did not sleep well due to severe pain at injection site; woke at 6am for work with bad headache; after shower became extremely dizzy (room was "spinning"), had to sit down; could not drive and felt needed to stay home from work; throughout the day lightheadedness, headache and fatigue continued, with low grade temp (99.5), nausea and body aches. Woke next morning and felt much better.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm