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: 1022367
Sex: F
Age: 55
State: PA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: Clouded vision in one eye

Other Meds: Lexipro. Imitrex prn

Current Illness: None

ID: 1022368
Sex: F
Age: 75
State: FL

Vax Date: 01/26/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Approximately 9 days after injection my arm started feeling sore and then a few days later started to itch and a large rash area appx 4"x5" appeared. As of today I still have it and it continues to itch but I have no other symptoms such as headache or chills. The rash seems to be fading today. It was after I went online and saw a picture I realized this was similar to what I have but my rash is not as severe nor does it have the darker "halo" around it. The day after my injection I had a mildly sore arm but that went away until the rash and itch started several days later.

Other Meds: Amlodipine, Tramadol, Omeprazole, Simvastatin, Levothyroxine, Losartan, Gabapentin, Estradiol Aspirin, Aleve, fish oil, alpha lipoic acid, magnesium, Areds 2, ubiquinol, Hydro Eye

Current Illness: None

ID: 1022369
Sex: F
Age: 34
State: AL

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: PCN, amoxicillin, reglan, Ritalin-SR

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

Symptoms: prolonged muscle spasms, SOB not requiring oxygen or hospitalization, dizziness, foggy thinking for 7 days and not resolved at this time.

Other Meds: Effexor XR

Current Illness: none

ID: 1022370
Sex: M
Age: 81
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Severe chills, slight headache, went away after 24 hours

Other Meds: Lipitor 20 mg/day

Current Illness: None

ID: 1022371
Sex: F
Age: 62
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: swelling, redness pain and warmth at site. Fever (101) body aches, fatigue

Other Meds: levoxythyroid

Current Illness: none

ID: 1022372
Sex: F
Age: 21
State: MN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: None known

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

Symptoms: Immediately after receiving covid vaccine, client felt light headed and nauseous. BP 86/42 P 72 R 16 and regular. Pulse was "thready." Client complained of chills and feeling clammy. She appeared very pale. She spit up a small amount of mucous. Nurse applied cold compress to neck and assisted her to lying down. BP taken at 11:05 was 100/ 60. BP taken at 11:20 was 120/80. She drank two packets of juice. At 11:15 she walked over to the observation area and waited an additional 30 minutes. Color was pink an she said she was feeling better. Her final BP was 120/70 and she left the observation room at 11:45.

Other Meds: Unknown

Current Illness: Unknown

ID: 1022373
Sex: F
Age: 30
State: GA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Red painful lump on arm by injection site continues to grow over the past 48 hours including pain in my armpit. I've also had extreme flu like symptoms with whole body hurting (skin, muscles and inside my abdomen and chest). Haven't seen a Dr yet because I don't know how abnormal it is.

Other Meds:

Current Illness:

ID: 1022374
Sex: F
Age: 50
State: NY

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Reported pain at the injection site , extreme fatigue, muscle aches and pain, fevers of 102 for two days fever of 101 for two days, chills, nausea, swollen lymph nodes and a rash on my left arm.

Other Meds:

Current Illness:

ID: 1022375
Sex: M
Age: 48
State: IN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: 24 hours total. Left arm at injection site was sore to touch as expected. Left thight then felt like it recieved to shot after about 5 hours. Fatigue ensued followed by body aches. Over night chills while over dressed. No real fever but sweated about 20hrs in with a flip flop back to chills. after about 36hrs almost all symtoms gone (minus shot site when touched). Now recouping lack of food desire and moving. 48hrs of ick in total but was second shot so done.

Other Meds:

Current Illness:

ID: 1022376
Sex: F
Age: 50
State: OH

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Erythromycin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Flu like symptoms with localized pain and swelling occurring within 24 hours of injection. Developed urticaria, not around injection site, but to left upper arm and chest >2 days after receiving vaccine.

Other Meds: Elavil, Lisinopril, Nexium, Metformin

Current Illness: n/a

ID: 1022377
Sex: M
Age: 41
State: IN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Severe shaking, started 12hrs after shot. Continued 12 hrs after that.

Other Meds: None

Current Illness: None

ID: 1022378
Sex: F
Age: 41
State: OH

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/11/2021
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: Mushrooms

Symptom List: Rash, Urticaria

Symptoms: One week after receiving the vaccine the injection site became swollen and hot with a red area and tender to the touch it lasted 48 hours and then just went away. Treated with Ibuprofen and ice.

Other Meds: Topirmate, Low dose aspirin,

Current Illness:

ID: 1022379
Sex: F
Age: 30
State: NY

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Beginning on Feb 10 at 4:15pm, my left upper arm where vaccine was administered began to itch mildly. Upon waking on Feb 11, I noticed 2-3 centimeters to the right of where the vaccine was administered was a red swollen lesion three inches in diameter. The itchiness has increased from the day before. The lesion is warm/hot to the touch.

Other Meds: Lo Loestrin Fe 1-10 Tablet, CoQ10 supplement

Current Illness: None

ID: 1022380
Sex: F
Age: 64
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
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: Shellfish

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

Symptoms: Other than a sore arm, felt great all day - even had more energy than usual. At 7 p.m., shortly after eating for the first time of the day, I started getting chills and feeling like I was coming down with the flu. By 9 I took 2 tylenol and went to bed. Spent the next day doing nothing and sleeping, but don't know if it was because of the vaccine or just lazy because it was sooo cold outside. By Monday, back to normal.

Other Meds: Levothyroxine Prevacid (30 mg)

Current Illness: None

ID: 1022381
Sex: F
Age: 83
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
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: latex

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

Symptoms: no side effects

Other Meds: levothyroxine, Dilt-XR, Citalopram Hbr elequis

Current Illness: no

ID: 1022382
Sex: F
Age: 33
State: OH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/11/2021
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: SHELLFISH ALLERGY PENICILLIN MEDICATION ALLERGY

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

Symptoms: I RECIEVED MY SECOND DOSE OF THE MODERNA VACCINE FOR COVID-19 SHORTLY AFTER 9AM ON 2/3/21. AT LUNCH TIME I REMEMBER FEELING MY LIPS WERE TIGHT. BY THE TIME I WAS ABLE TO LOOK IN THE MIRROR I NOTICED THAT MY LIPS WERE SWOLLEN. LATER THAT AFTERNOON ONCE I ARRIVED HOME FROM WORK I HAD A RASH ON MY NECK AND CHEST. MY TOUNG MOUTH AND LIPS WERE ALL SWOLLEN AND TINGLING. MY LEFT ARM AT THE INJECTION SITE WAS SWOLLEN RED. AND BY 3PM THAT DAY I HAD A FEVER OF 101.6. THROUGHT OUT THE NEXT FOUR DAYS MY FEVER WOULD REACH AT HIGHEST TO 103.7. THE SWELLING IN MY LIPS CONTINUED FOR SEVERAL DAYS.

Other Meds: N/A

Current Illness: NONE

ID: 1022383
Sex: F
Age: 61
State: IN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: None to date

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

Symptoms: Fever, body muscle aches, headache, pain at injection site.

Other Meds: Lasartan potassium, fish oil capsule

Current Illness: None

ID: 1022384
Sex: F
Age: 37
State: MN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Fever (102.7), chills, headache (did not go away with Tylenol or Ibuprofen), body aches.

Other Meds: None

Current Illness: None

ID: 1022385
Sex: F
Age: 42
State: AR

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Environmental allergies- trees ,grass ,mold pollen

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 5 minutes after receiving vaccine became very dizzy, and flushed with fast heart rate , dropped to the floor near syncope. Laid down and took off mask for air. Was offered water and Benadryl. Drank some water then felt better.. Refused the Benadryl. 10 minutes after someone noticed a possible rash on my forehead. Went ahead and took some Benadryl. Later that night had same feelings.. fast heart rate and dizziness. The next day development flu like symptoms with fever up to 102.9. Took a half Tylenol. The next day just felt achy . The day after that had diarrhea.

Other Meds: Multiple vitamin Vitamin c

Current Illness: None

ID: 1022386
Sex: F
Age: 74
State: OH

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: sulfa

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

Symptoms: Hives on stomach and back

Other Meds: Zocor mobic evista prilosec vasotec Levine vitaminc curamin vitamin d calcium

Current Illness: none

ID: 1022387
Sex: F
Age: 61
State: NJ

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: nkda

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

Symptoms: Patient reports large, red, rash on vaccinated arm approximately 2 weeks after vaccine administered.

Other Meds: telmisartan 40 mg solifenacin 5 mg crestor 5 mg

Current Illness: unknown

ID: 1022388
Sex: F
Age: 65
State: AL

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: Sore arm nausea headaches chills fever

Other Meds: None

Current Illness: None

ID: 1022389
Sex: F
Age: 77
State: MI

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/11/2021
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: Flavored coffee, tea, preservative on lettuce

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

Symptoms: I was sleeping, then woke up and my whole body felt numb. I got up to go to the bathroom and fainted. I fell on the floor and got a bloody nose, cut lip and cut and bump on my head. I had stiff neck for a week afterward.

Other Meds: Tramadol 25mg 4 times a day Omeprazole 1 " " " Vitamin B-12 500 Vitamin D-3 1,000 Magnesium 250 Each one time per day

Current Illness: none

ID: 1022390
Sex: F
Age: 48
State: ND

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 02/11/2021
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: Bactrim DS, doxycycline

Symptom List: Injection site pain, Pain

Symptoms: Right-sided back/flank pain, 8/10 pain, beginning within 48 hours of vaccination. Related ED visit 6 days following vaccination; all labs within normal, no evidence of UTI/kidney stones. Provider diagnosis "possible transient effect of vaccine", could not rule out correlation. Pain resolved within 2 days following ED visit.

Other Meds: ASA 81 mg daily, losartan, hizar

Current Illness: None

ID: 1022391
Sex: F
Age: 42
State: IL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: No allergies. Sensitivity to darvoset and pergoset, makes me sick

Symptom List: Injection site pain, Menorrhagia

Symptoms: MODERNA COVID-19 vaccine EUA Received first shot yesterday (2/10/21 @ 2:42pm) had chills off and on overnight and sore arm. Got up at 6:30 am today (2/11/21), used the bathroom, felt very dizzy and lightheaded, started sweating profusely, tried to make it back to bed, took 4 steps and passed out, hitting my face on dresser. This has only happened one other time, 16 years ago when I was pregnant, flying on vacation and hadn?t eaten, blood sugar dropped and I passed out momentarily. No history of fainting, not diabetic, no health issues whatsoever. Healthy weight, fit and in shape.

Other Meds: None

Current Illness: None

ID: 1022392
Sex: F
Age: 76
State: TX

Vax Date: 12/24/2020
Onset Date: 12/25/2020
Rec V Date: 02/11/2021
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: Antibiotics

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

Symptoms: When I woke up the next morning my arm was super red and itchy, throughout the day it got swoller, redder and developed a fever. About 12n my daughter took the temp of my arm and it was 102 so we made ice packs to help with the pain and swelling. Later she went an bought Cortisone and used the ice packs and Cortisone for about 3 or 4 days when the arm finally begin to get better. My arm was so painful it was almost unbareable to touch.

Other Meds: Sluticasone propinate 50mg, Duloxetine NCL DR 60mg, Monteluxast SOD 10mg, Losartan Potassium 50mg, Levocetirizine 5mg, Zolpidem Tartarte 10mg,

Current Illness: no

ID: 1022393
Sex: F
Age: 49
State: NY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Benadryl and Sudafed

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: First dose no pain with left arm injection, took 10 hours for my injection arm to hurt, soreness lasted 24 hours with no other sx's. Second dose, left arm injection site hurt immediately, went to sit in observation room, started to feel numbness/tingling in left arm, hand and fingers (like it was asleep). No other sx's at this time, Charge Nurse notified and observed me for an hour then released. Pain noted into left arm pit 3 hours (rating pain a "9") after injection, numbness/tingling in left arm/hand/fingers lasted 6 hours. Took 2 Tylenol at 2100 before bed. Woke up at 0250 with chilling, nausea and aches all over. Tingling/numbness gone at 0250. Left arm extremely painful now at 0949 on 2.11.21 rating pain a "8". Hard to lift left arm. No temperature, chilling continues with nausea and generalized muscle aches. Continuing with Tylenol 650mg every 6 hours

Other Meds: At HS, I take a multi vitamin, Vit C, Vit B. Last dose of all 2/9/21 at 2100

Current Illness: None

ID: 1022394
Sex: F
Age: 34
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Headache, chills, and muscle aches. All adverse events went away with an appropriate dose of Tylenol/ Ibuprofen.

Other Meds: None

Current Illness: None

ID: 1022395
Sex: F
Age: 32
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/11/2021
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: I woke up at 1:30am Saturday with severe chills, temperature of 99.7, and headache. This continued all day until Sunday around noon. I also vomited x2 due to nausea.

Other Meds:

Current Illness:

Date Died: 02/11/2021

ID: 1022397
Sex: F
Age: 98
State: KY

Vax Date: 01/16/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: Death 2/9/21

Other Meds:

Current Illness: Resident was end of life/comfort measures which started 7/2/2020. diagnosed with covid 1/20/21. received first vaccination 1/16/21 and second dose 2/6/21. expired 2/9/21.

ID: 1022398
Sex: F
Age: 39
State: KS

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Sometimes gluten products

Symptom List: Injection site pain

Symptoms: Achy all over Headache Nausea Injection Site red/swollen No Energy-Very Exhausted-Tired It took about 3-4 days after injection to start feeling normal again

Other Meds: Phentermine HCl 37.5 MG Lamictal 100 MG BuPROPion HCl ER (SR) 100 MG Lexapro 20 MG HydrOXYzine Pamoate 25 MG Gabapentin 100 MG 2 capsules Linzess 290 MCG

Current Illness:

ID: 1022399
Sex: F
Age: 61
State: FL

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Erythromycin, Hydrocodone, Oxycodone, Morphine, Tramadol-GI Side effects Robinul-Rash Ketek-Eye Swelling SC Imitrex-Violent Vomiting Adhesive-Blisters

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

Symptoms: Injection Site Pain, tiredness, headache severe, muscle pain, chills, joint pain, fever, nausea, feeling unwell, cough

Other Meds: MVI, Loratidine, Vitamin D, Krill Oil, Baby ASA, Simvastatin 20mg daily, Imitrex pro 100mg PRN

Current Illness: None

ID: 1022400
Sex: F
Age: 68
State: IN

Vax Date: 02/02/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: penicillin, griseofulvin

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

Symptoms: One week after receiving the vaccine I awoke with itchiness around the injection site, but saw no rash. Two days later there is a 5 cm diameter reddish area with a rash and swelling that is warm to the touch. I hope this does not prevent me from getting the 2nd dose of the vaccine!

Other Meds: ropinirole HCl, gabapentin, trazadone, omega-3s, gelatin, vitamin D3, Lotemax SM

Current Illness: keratitis - both eyes

ID: 1022401
Sex: F
Age: 30
State: NE

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: Swollen lymph nodes in left armpit causing disturbance in motion and sleep due to pain. Pain/swelling began around 24 hours post vaccination and continued to worsen over next 24 hours. Will try to manage with OTC ibuprofen. Also having symptoms of nasopharyngeal irritation (dry throat/swollen lymph nodes) with drainage and occasional cough occurring in same time frame as other lymph node swelling. Also having mild headache since 12 hours post vaccine continuing through day 2 managed by OTC headache pain reliever (generic excederine).

Other Meds: Yaz, daily multivitamin

Current Illness: None

ID: 1022402
Sex: F
Age: 30
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: ibuprofen

Symptom List: Erythema, Pruritus

Symptoms: Patient is uncertain if she may be pregnant from an encounter in early December. She missed her last period. We discussed the pros/cons of mRNA vaccinations and she elected to be vaccinated. ~15 min after injection, while seated, she reported nausea and lightheadedness. She was taken to lie down flat. Pale, alert. HR=60 thready, RR=20's sweaty, BP 95/58 After 10 min supine, HR=88, RR=20s, BP 132/85 Pallor and malaise resolved. No meds given. Released and reported well.

Other Meds: Sertraline quetiapine prazosin fish oil multivitamin

Current Illness: no

ID: 1022403
Sex: F
Age: 60
State: MA

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Bee sting allergies

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

Symptoms: The injection site became hot, red and swollen 7 days after the injection which was given Jan. 29 th. and It is still red and itchy 6 days after it appeared Feb. 4th.

Other Meds: Multivitamin

Current Illness:

ID: 1022404
Sex: F
Age: 52
State: MD

Vax Date: 01/25/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
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: Lisonpril, Losartin,, Augmentin, tetracycline, flagyl

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

Symptoms: For 2 days after the 2nd shot, eyes were extremely sensitive to light and vision was extremely blurry. Had to work in a dark office to even see the computer screen. Day 3 blurriness subsided but not totally gone. Still have some blurriness but think it may be due to dosage change on Chlorthaladone in late Dec. Both shots really seemed to target my eyes since I was having issues there any way

Other Meds: Levothyroxine--200mcg, chlortalidone 25mg (had been increase from 1/2 tablet a day to 1 tablet in late dec) Tylenol with codeine 7.5 mg per day as needed

Current Illness: A few days after 1st shot came down with pink eye, reported this initially in adverse events. Doctored with pink eye for 2 weeks and had major trouble with seeing. The day following my second shot (Moderna, lot 013L20A I had major problems with eyes again. Had trouble focusing with light. While working on computer had to have lights out because screen generated too much light. With lights out could not see paperwork. Could not tell difference between numbers and a $ sign. VERY, VERY blurred vision. After 2 days blurriness seemed to lessen so some may be attributed to the Chrotalidone but the 2 days after the shot were the worst.

ID: 1022405
Sex: F
Age: 68
State: IN

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: All Statin drugs , lisinoprol, fish oil capsules,Prevacid diclofenec.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Red area, warm 5?-3?... flu like symptoms and a migraine. Feb 11 feeling much better

Other Meds: Premarin, cetrizane,famatodine,bupropion,levothyrroxin, daily vitamin, Zolpidiem, magnesium, triamterene, Xinc d-3 apple cider vinegar

Current Illness: 0

ID: 1022406
Sex: F
Age: 42
State: CA

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/11/2021
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: Latex, erythromycin

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

Symptoms: Fatigue. Aching and stiffness in joints throughout body. Treated with ibuprofen PRN Lasted for approximately 3 days after onset.

Other Meds: None

Current Illness: None

ID: 1022407
Sex: F
Age: 54
State: AZ

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/11/2021
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: premarin

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

Symptoms: Redness/Rash, tenderness on injection arm.

Other Meds: Daily multivitamin

Current Illness: None

ID: 1022408
Sex: F
Age: 63
State: VA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Pain in extremity

Symptoms: Red, itching, swollen and hot injection site from day after injection to current date Headache for 4 days Muscle aches for 3 days

Other Meds: None

Current Illness: None

ID: 1022409
Sex: F
Age: 68
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Within 15-minutes of vaccination, the patient reported dizziness. EMS monitored the patient's condition on-site.

Other Meds:

Current Illness:

ID: 1022411
Sex: F
Age: 49
State: NJ

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 02/11/2021
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: Discomfort/Pain at injection site

Other Meds: none

Current Illness: none

ID: 1022412
Sex: F
Age: 50
State: KS

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/11/2021
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: Amoxicilian Lidocaine Gel

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

Symptoms: The next day and three days after that I had upset stomach, nausea, and felt fatigued.

Other Meds: Atorvastatin Alprazolam Amitriptyline Bupropion Buspirone Cyclobenzaprine Duloxentine Gabapentin Liothyronine Minocycline NP Thyroid Pantoprazole Sucralfate Topiramate Tylenol 3 Vraylar

Current Illness: N/A

ID: 1022413
Sex: F
Age: 25
State: NY

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/11/2021
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: fever 102.8, chills, headache, muscle aches for 24 hours

Other Meds:

Current Illness:

ID: 1022414
Sex: M
Age: 73
State: LA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/11/2021
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: KNA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Terrible headache, advised to take Tylenol or ibuprofren if not allergic to same- unknown outcome at this time.

Other Meds: mobic

Current Illness: none

ID: 1022415
Sex: M
Age: 65
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
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: maybe penicillin coedine

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

Symptoms: I was working and around 10 o'clock my back started aching a little bit, and then mild body aches spread all over my body. I started feeling weaker. When I got home I was weak, and I had chills and fever and I was tired. I woke up a few times in the night with night sweats and chills. I was short of breath.

Other Meds: blood pressure medicine baby aspirin nexproxan (500 mg) chlosterol anti-depressant

Current Illness: None

ID: 1022416
Sex: M
Age: 49
State:

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 02/11/2021
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: headaches, nausea/dizziness, and chills

Other Meds:

Current Illness:

ID: 1022417
Sex: F
Age: 76
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/11/2021
Hospital:

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

Lab Data:

Allergies: Antibiotics

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

Symptoms: The next day after I was so weak and fatigued I couldnt get out of bed. I was literally stayed in bed for 36hr because I was so weak and tired. My arm swole up just as bad as from the previous arm did from the 1st vaccination but this time when healing it was like red and pink streaks were up and down my arm.

Other Meds: Sluticasone propinate 50mg, Duloxetine NCL DR 60mg, Monteluxast SOD 10mg, Losartan Potassium 50mg, Levocetirizine 5mg, Zolpidem Tartarte 10mg

Current Illness: no

ID: 1022418
Sex: F
Age: 56
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
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: Penicillin

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

Symptoms: 1st vaccine received 12/31 at 0730. 2nd vaccine received 2/4 at 1100. Full body rash from neck to ankles. caller adv it is not itchy or painful

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm