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: 1020008
Sex: F
Age: 27
State: PR

Vax Date: 12/29/2020
Onset Date: 12/29/2020
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: Cinnamon and eggs

Symptom List: Dysphagia, Epiglottitis

Symptoms: Patient stated that had an itchy throat and developed a rash through the body. She also reported itchiness through the body.

Other Meds: None

Current Illness: None

ID: 1020009
Sex: F
Age: 74
State: FL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: CIPRO RED YEAST RICE

Symptom List: Anxiety, Dyspnoea

Symptoms: FATIGUE ON 2/7/2021 LEFT ARM UNDER INJECTION SITE VERY RED HOT AND SWOLLEN VERY PAINFUL

Other Meds: MULTIVITAMIN, ALPRAZOLAN .25 1 DAILY, LEVOTHYROXINE SODIUM TAB 0.88MG 1 DAILY,ROSUVASTATIN CALCIUM TAB 10MG 1 DAILY,VITAMIN D/3 2000 UNITS 1 DAILY,LISINOPRIL 10 MG 1 DAILY,OMEPRAZOLE 20MG 1 DAILY, ASPIRIN 81MG 1 DAILY, CVS NATURAL DAILY FI

Current Illness:

ID: 1020010
Sex: M
Age: 67
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/25/2021
Rec V Date: 02/10/2021
Hospital: Y

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:

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

Symptoms: Pt c/o coughing and SOB pt states he received 1st dose of covid vaccine on the 01/22/21 presented to the ED with fever, chills and shortness of breath. He tested positive for covid. In the ED he was hypoxic to 87% on RA. # Hypoxic respiratory failure: 2/2 covid pna. Room air sats 87%, up to 92% on 4L # COVID pneumonia: no suspicion for bacterial etiology. REMDESIVIR administration started on 1/25/21. Transferred to Hospital, (2/3/21) for higher level of care Intubated COVID 19.

Other Meds:

Current Illness:

ID: 1020012
Sex: M
Age: 51
State: TX

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: bee stings

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: I don't have lot number or dose number. It was a Moderna COVID 19 vaccine. I got my first dose on Jan 11, 2021, suffered light headedness the first day, and two days later, while at work I felt like I was going to pass out several times. I also suffered low grade fever and swelling of my lymph glands in my throat. I took my booster on Feb 8, 2021 at 1310, the next morning I was suffering nausea and overall malaise. I waited until fever started to take alternating tylenol and motrin. I was very weak, freezing to death, and fell asleep about 6 PM fully dressed with my coat on under covers. I woke up at 9 pm, still feeling horrible, wondering if it was 9 am or 9 pm, and went back to sleep until 715 am this morning with body feeling like it was ran through a hamburger grinder, no doubt a result of the shivering yesterday. I have not had fever today, but still feeling a little nauseous about eating anything.

Other Meds: omeprazole

Current Illness: none

ID: 1020013
Sex: F
Age: 32
State: MN

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

Lab Data:

Allergies: Intolerance to Alcohol

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

Symptoms: Day after vaccination member states left arm became very painful, warm to touch and hard to move. member stated other normal reactions ( headache, stomach ache that went away). members left arm has a 50+ mm rash that developed anterior of the vaccination site. The day after the vaccination that is still hurting and warm on day 3.

Other Meds:

Current Illness: N/A

ID: 1020014
Sex: F
Age: 47
State: CA

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: Tramadol

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

Symptoms: The vial was punctured at 1551 on 2/8/21. The patient received their dose after the 6-hour time frame. The patient received her dose at 2230 on the same day. The patient has had no reaction since receiving the vaccine.

Other Meds: Olanzapine

Current Illness: N/A

ID: 1020015
Sex: F
Age: 53
State: KY

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Muscle Aches, Weakness, Fatigue, Dizzy Spell (Resulted in fall, broken foot)

Other Meds: Buspar Synthroid Multi Vitamin Vitamin D Vitamin C Glucosamine Fish Oil Prevacid

Current Illness: None

ID: 1020016
Sex: F
Age: 56
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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin, morphine, percocet, sulfa drugs, tamoxofen, exemestane.

Symptom List: Pharyngeal swelling

Symptoms: Vertigo, Migraine ( light, sound sesitivity, movement causing severe crushing sensation, nausea), low grade fever, metallic taste,

Other Meds: Diclofenac Sod 75 mg

Current Illness: None

ID: 1020017
Sex: F
Age: 70
State: MD

Vax Date: 02/10/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Felt dizzy immediately after vaccine. Waited 15 minutes and symptoms resolved without intervention. HR 81, O2 sat 99%

Other Meds:

Current Illness:

Date Died: 02/09/2021

ID: 1020018
Sex: M
Age: 74
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: unknown

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient reported to be unresponsive on the morning after receiving his second dose of Moderna COVID-19 vaccine. Patient had expired during the night.

Other Meds: unknown

Current Illness: unknown

ID: 1020019
Sex: F
Age: 35
State: TX

Vax Date: 02/10/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: NKDA

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

Symptoms: HIVES - on chest and neck

Other Meds: Vitamins

Current Illness: NONE

ID: 1020022
Sex: F
Age: 39
State: TX

Vax Date: 01/21/2021
Onset Date: 01/23/2021
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: red, raised, pimp rash to chest and back 2 days after injection continued up neck and face 1 week into rash. 2 weeks into rash was suggested to use nizoral anti-dandruff shampoo and let set for 5 mins. 2-3 days later rash was resoved.

Other Meds:

Current Illness:

ID: 1020023
Sex: M
Age: 47
State: ID

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:

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

Symptoms: Moderna shot 2 was yesterday. Joints around injection site started hurting within just a few minutes. Heavy pain at injection site. Overnight started getting body chills and heavy pain at joints and body aches. This morning I have a low grade fever and nausea and a cough. .

Other Meds:

Current Illness:

ID: 1020024
Sex: F
Age: 40
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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: blurry vision, kaleidoscope vision accompanied by a headache - entire body soreness, soreness at injection site

Other Meds: none

Current Illness: none

ID: 1020025
Sex: F
Age: 63
State: CA

Vax Date: 01/27/2021
Onset Date: 02/06/2021
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: Sulfa medications

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

Symptoms: Right Sided Bell's Palsy

Other Meds: none

Current Illness: None

ID: 1020026
Sex: F
Age: 62
State: OH

Vax Date: 02/02/2021
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: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Arm redness, 4" round at injection site, warmth, hardness x 4-5 days. Lump under right arm, Muscle aches

Other Meds:

Current Illness:

ID: 1020028
Sex: F
Age: 55
State: IN

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

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

Symptoms: Increasing soreness at site of injection accompanied by mild itch and mild body ache same say as vaccination. Increasing body aches and fever of 100.5 F within the first 24 hours accompanied by fatigue. Possible mild cough with sneezing, but not certain if this is normal seasonal allergies.

Other Meds: Multi vitamin, calcium, krill oil, iron, cetirizine, vitamin D

Current Illness: None

ID: 1020030
Sex: F
Age: 21
State: IN

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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Headache, 2 hours Fever, 5 hours Chills, 18 hours Cold sweats, 8 hours Treated with Tylenol

Other Meds: N/A

Current Illness: N/A

ID: 1020031
Sex: F
Age: 72
State: MI

Vax Date: 01/25/2021
Onset Date:
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: Latex, Medrol, Bactrim, Quinnesafin, Bactrim

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: On my drive home, my face started burning. When I arrived at home the burning increased with redness I reported this information on Tuesday 1/26/21 to the provider of the vaccine. I was told to take Benadryl which I did immediately. On Wednesday, I continued to take Benadryl every 4 hours. On Thursday, my face continued to burn with redness and a rash. I then started to get a low grade fever and it appeared my face was swelling and then we decided to go to Urgent Care. The Doctor said my face was swollen and gave me a 1/2 dose of a steroid shot and a prescription for steroid pills. I saw my Primary Care Doctor 2/8/21 and he said I should not get the second dose of the vaccine.

Other Meds:

Current Illness:

ID: 1020032
Sex: F
Age: 51
State: PA

Vax Date: 02/09/2021
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: Sulfites and any food drink containing trace amounts t of sulfites. Contrast Dye

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

Symptoms: MODERNA COVID-19 VACCINE EUA Vaccine administered at 3:00 Pm. At about 7:00 PM I started to notice my left arm hurting a bit and my left arm was swollen from the injection site all the way to my wrist. Swelling stopped right before the wrist. The skin on my left arm appeared like a veiny red rash, not raised however. I also started to get flushed with hot, red blotches all over my chest and face. Symptoms increased in intensity and didn't seem to be resolving so I took two Benadryl at 9:00 PM. After about 30 minutes the redness and flushing started to improve. Arm pain increased greatly to the point that I could not sleep. I took two Tylenol at 3:00 am and that took the edge off the pain. By the morning , the redness and flushing disappeared from chest and face. Left arm is still swollen and painful as I write this at 12;39 PM on Wednesday 2/10/2021. I had called the doctor on 2/9 but did not get in touch with them until 2/10. They told me to call 911 or go to ER if breathing issues.

Other Meds: Cymbalta, Montelucast, zyrtec, Trazedone (1/2 pill when needed for sleep), Vitamin D3

Current Illness: none

ID: 1020033
Sex: F
Age: 74
State: NC

Vax Date: 01/31/2021
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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Covid Arm

Other Meds:

Current Illness:

ID: 1020034
Sex: F
Age: 74
State: AZ

Vax Date: 01/28/2021
Onset Date: 02/02/2021
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: Unevaluable event

Symptoms: Pain and redness at the injection site of left deltoid s/p had Moderna Covid injection 01/28/21, noticed a bump on her arm 02/02/21 mostly discomfort lop 3/10 w/itching.

Other Meds:

Current Illness:

ID: 1020036
Sex: F
Age: 69
State: AZ

Vax Date: 02/08/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Chlorhexidine

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

Symptoms: Injection site pain, redness, swelling continues today. Nausea, chills, muscle ache, headache for first 24 hours. Headache continued for another 16 hours.

Other Meds: None

Current Illness: None

ID: 1020037
Sex: M
Age: 75
State: MO

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: Lamisil,penicillin,naproxen,k-tech,codeine/opiates,sulfa,erythomycin,clendomycin,darvocet,cipro,levaquin,Food:eggwhites, soy,wheat,rice,barley,potatoes, Dsiry,tree nuts,peanuts,chocolate,palm,coconut,flax

Symptom List: Injection site pain, Pain

Symptoms: Severe dizziness,disoriented,blurred vission, hot

Other Meds: Crestor,Zeita,Lyrica,aspirn,zinc,centrum siver vitamin,CoQ19,calcium citrate +D,valacyclovir,alphagan P,timolol,

Current Illness: Shingles

ID: 1020039
Sex: F
Age: 49
State: FL

Vax Date: 01/08/2021
Onset Date: 01/12/2021
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: Aleve, Advil

Symptom List: Injection site pain, Menorrhagia

Symptoms: on and off chest pains, shortness of breath with little exertion,headaches, lightheaded, back pain (mid area)

Other Meds: Womens Multivitamins

Current Illness: None

ID: 1020041
Sex: F
Age: 67
State: NC

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

Lab Data:

Allergies: amoxicillin pineapple kflex

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

Symptoms: when I got up Saturday morning (24 hours after I received my vaccine) my head was spinning and I couldn't walk straight and almost fell. I ate and felt better but was still dizzy. I was queasy nauseous and I went back to sleep. when I woke up I felt better. On Sunday I felt better but still have dizzy spells. the nausea also comes and goes.

Other Meds: omeprazole 40mg daily etodolac 60mg daily losartan HCTZ anastrozole Vit D Aspirin potassium metformin

Current Illness: no

ID: 1020042
Sex: F
Age: 81
State: MN

Vax Date: 01/13/2021
Onset Date: 01/15/2021
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: duloxetine

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Itching, swelling, redness at injection site. Patient noted symptoms within a day or two. Staff noted redness and swelling on 1/23/21 (10 days after injection). Evaluated in clinic on 1/28/21. Felt to be either allergic response to vaccine or possibly resolving hematoma. Treatment: Benadryl cream.

Other Meds: omeprazole, calcitonin, spironolactone, torsemide, sertraline, acetaminophen, biotene, potassium, Refresh eye drops, meclizine, Symbicort, docusate, vitamin D, warfarin, mirtazapine, atorvastatin. PRN meds: mycostatin powder, senna, lotrimi

Current Illness: none

ID: 1020043
Sex: F
Age: 76
State: IA

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

Lab Data:

Allergies: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Redness, itching at injection site day 2-3; return of redness, itching with 2" warm, red circle at injection site on 2/8/21.

Other Meds: +50 multi-vitamin, Calcium supplement, bupropion, paroxetine, bisoprolol

Current Illness: None

ID: 1020044
Sex: F
Age: 25
State: FL

Vax Date: 01/26/2021
Onset Date: 02/04/2021
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: none

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

Symptoms: I had a rash on injection site appear 9 days after vaccine. It was warm, itchy, painful to the touch and a red streak about 2 inches long.

Other Meds: Zoloft, trazodone, Super B complex, Allegra

Current Illness: none

ID: 1020045
Sex: F
Age: 33
State: CT

Vax Date: 01/01/2021
Onset Date: 01/01/2021
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: RA

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Fatigue, chills , body aches

Other Meds:

Current Illness:

ID: 1020046
Sex: F
Age: 37
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
Hospital: Y

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

Lab Data:

Allergies: Morphine

Symptom List: Injection site pain

Symptoms: Started with flu like symptoms with headache that would not go away after several days ended up in hospital to have lumbar puncture to relieve pressure. Had increased intracranial fluid pressure

Other Meds: Wellbutrin

Current Illness: Initial dose caused fatigue, muscle soreness, and joint pain that subsided after 3 days

ID: 1020047
Sex: F
Age: 48
State:

Vax Date: 01/30/2021
Onset Date: 01/31/2021
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: After vaccination, patient reports swelling to the size of a golf ball over the course of 3 days. Patient went to urgent care. They determined that the vaccine had inadvertently been administered sub-q, not IM, leading to granuloma formation. Urgent care outlined site of reaction and instructed patient to take antiinflammatories until swelling subsides; if swelling increases beyond the drawn border then go to ER. Swelling decreased over the next several days, only small amount of redness remains on 2/8.

Other Meds:

Current Illness:

ID: 1020048
Sex: F
Age: 43
State: KY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
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: NKDA

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

Symptoms: Patient c/o eyes feeling blurry, fuzzy

Other Meds: Tizanidine, Naproxen, Anti-depressant (does not know the name of it)

Current Illness: none

ID: 1020049
Sex: F
Age: 68
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: OCCASSIONAL ALLERGY TO PINAPPLE

Symptom List: Tremor

Symptoms: FEVER, SHIVERING, NAUSEA, HEADACHE,, NECK PAIN, BODY PAIN ESP INJECTION SITE. TOOK TYLENOL AND APPLIED ICEPACKS TO ARM AND FOREHEAD. STAYED IN BED UNDER 4 BLANKETS

Other Meds: LISINIPROL ALLPURINOL VITAMIN D ELIQUIS

Current Illness:

ID: 1020050
Sex: M
Age: 77
State: NY

Vax Date: 02/08/2021
Onset Date: 02/10/2021
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: Erythema, Pruritus

Symptoms: Rash around waistline consisting of small raised red spots. Not itchy.

Other Meds: Dutasteride, glucosamine sulfate

Current Illness: None

ID: 1020051
Sex: F
Age: 41
State: OR

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: whey, oat, grasses and pollens

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

Symptoms: ramsay hunt syndrome appeared day 27/28 after first vaccine, which was also the evening of dose #2

Other Meds: i got second covid shot on 2/6, exactly 28 days after my first shot. by that night, i had a shingles outbreak of the rare Ramsay Hunt variety, though i DO believe it had been triggered already by the prior day. (aka 26 or 27 days after my

Current Illness: none

ID: 1020052
Sex: F
Age: 55
State: MI

Vax Date: 02/09/2021
Onset Date: 02/10/2021
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: IVP Contrast, Vasotec

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

Symptoms: Chills, fever, muscle pain, swelling around injection, headache and body aches, upset stomach, diarrhea

Other Meds: Lyrica,

Current Illness: Optical Neuralgia

ID: 1020053
Sex: F
Age: 86
State: FL

Vax Date: 02/08/2021
Onset Date: 02/10/2021
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: noneknown

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: slight swelling beneath injection site and rash in same area

Other Meds: VIT D AND Magnesium

Current Illness: none

ID: 1020054
Sex: M
Age: 30
State: CA

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

Lab Data:

Allergies: no

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

Symptoms: Around 9:00 that night, I had body aches and tossing and turning then with sleep because of body aches. Next day I was in bed all day the next day because of the severe body aches. Cough got worse for the next few days or so after that. I had some shortness of breath because of the coughing. Migraines started - strong headaches. The first one was the morning after the vaccine. During the next day (third day after vaccine) I had another migraine. Symptoms were acute for three days.

Other Meds: No

Current Illness: Sinus infection; body aches; headaches; my cough had gotten worse again

ID: 1020055
Sex: F
Age: 28
State: CA

Vax Date: 02/09/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: About 6 hours after receiving the vaccine, I started getting body aches. Then after about 3 hours I was feeling super cold, I felt as if I could not get warm 8 was shivering for 2 hours. Then I could barely move because of my body aches, started getting a fever in the middle of the night. I was taking Tylenol and Advil all night to help with the fever and body aches. My lymph nodes in my inner thigh were so sore, it felt like someone had punched me there. I was basically in a fetal position for next 12 hours after coming home.

Other Meds: Tylenol Zyrtec Voltaren gel

Current Illness: None

ID: 1020056
Sex: F
Age: 42
State: NC

Vax Date: 01/05/2021
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: Seasonal alergies

Symptom List: Pain in extremity

Symptoms: I had headaches, had a single event of lip swelling, upper lip. I had a cardiac issue, having PVC, pre-ventricular contractions. I had work up done. I had to get an IV of magnesium. I still have those symptoms intermittently and I am being followed up with my cardiologist.

Other Meds:

Current Illness:

ID: 1020057
Sex: F
Age: 68
State: NY

Vax Date: 01/30/2021
Onset Date: 02/01/2021
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: Codeine Sensitive to dairy and sorbitol

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

Symptoms: Slightly raised red warm rash at injection site

Other Meds: LThyroxin, Bystolic, Hydroxychloroquine, Omeprazole, Simvastatin. Vit E, Biotin, D3, Florastor, Turmeric, Fish oil, Apple cider vinegar, women?s multi vit

Current Illness: None

ID: 1020058
Sex: F
Age: 39
State: AZ

Vax Date: 01/15/2021
Onset Date: 01/17/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: Restless legs for 2 days

Other Meds:

Current Illness:

ID: 1020060
Sex: F
Age: 47
State: IN

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: IM
Vax Site: LA

Lab Data:

Allergies: Codeine Latex Tetanus

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

Symptoms: Muscle pain from the injection occurred and lasted approximately 4 days. In addition, about 24 hours after receiving the vaccine, I began having uncontrolled tremors that lasted about 12 hours. I also had a fever and fatigue which lasted about 3 days.

Other Meds: Metformin Wellbutrin Zoloft Ozempic

Current Illness: Colitis

ID: 1020061
Sex: M
Age: 86
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Tape...no known allergies to foods or medications

Symptom List: Vomiting

Symptoms: For about 12 hours he itched all over. When he got up in the morning his shoulders and ankles also ached. When he moved around the muscle discomfort was relieved, but would come back when he was not moving his joints. Around 10 AM, he sat in a hot tub about 45 minutes, then applied body lotion and was relieved. Neither the itch or muscle aches returned.

Other Meds: Levothyroxine 125 MCG 1 daily Lisinopril 10 MG 1 daily Imipramine HCL 50 MG 1 daily

Current Illness: No known illness

ID: 1020062
Sex: F
Age: 21
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: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin, prednisone, cipro

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: My first dose of the vaccine was on 1/14/2021. I had a mild headache and experienced dizziness and nausea the night of receiving the vaccine. My second dose of the vaccine was 2/8/2021. I felt tired the night of receiving the vaccine and went to bed a 8pm. I woke up at 6:10am on the 9th with a severe migraine, severe nausea and dizziness. I ate a small amount and laid back down. I got out of bed at 9am and noticed both of my eyes and face were swollen and my throat was swollen. At this point I called my doctor and spoke to a nurse on the phone, she was short saying I needed to go to ER. Personally, I did not feel it was necessary at the time so I took a Benadryl and Ibuprofen. Throughout the day I continually got worse experiencing the same symptoms as the morning including sharp chest pain, restricted breathing, a low grade fever of 100.4, severe lower back pain and leg numbness. I took more ibuprofen and placed heat on my back. I took ibuprofen PM and woke up the morning of the 10th feeling better. Still have headache, lower back pain and swelling but is better than yesterday. I will notify my doctor today of the event that occurred yesterday (2/9/2021).

Other Meds:

Current Illness:

ID: 1020064
Sex: F
Age: 40
State: AZ

Vax Date: 01/24/2021
Onset Date: 01/24/2021
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: Shellfish

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

Symptoms: Shortly after receiving the vaccine, I felt a very slight tingle in my lips- so slight that I thought I was imagining it and so I didn't say anything. As I was driving home, I started to feel it more and also felt it in my tongue. When I got home, the only antihistimine I had was claritin, so I took that. Then, I got nervous, felt tightness in my chest and went to the ER. They gave me benadryl and that helped. I stayed in the ER for an hour to be monitored and they said everything was fine.

Other Meds: Claritin, Benadryl,

Current Illness: None

ID: 1020065
Sex: F
Age: 40
State: CA

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

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Arm soreness right after injection and for 2 or 3 days after. On Fri01/ 222021 pain under left arm pit, later that day left deltoid hot and swollen hard to touch , very painful to touch or lift arm.. with 2 giant hives . Later in week same symptoms came back. .Day or 2 came back . now symptoms gone except when I move arm a certain way.

Other Meds:

Current Illness:

ID: 1020066
Sex: M
Age: 56
State: AZ

Vax Date: 02/02/2021
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:

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

Symptoms: Tested COVID positive on 2/8/21 after second dose given 2/2/21 , became febrile 2/2-2/3/21

Other Meds:

Current Illness:

ID: 1020067
Sex: F
Age: 42
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
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: sulfa, shellfish

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

Symptoms: Left arm soreness, headache and low grade fever

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm