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: 1023611
Sex: F
Age: 80
State: MS

Vax Date: 01/13/2021
Onset Date: 01/26/2021
Rec V Date: 02/11/2021
Hospital: Y

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

Lab Data:

Allergies: Cipro Penicillin

Symptom List: Dysphagia, Epiglottitis

Symptoms: Hospitalized with Covid-19

Other Meds: Tylenol #3 Allopurinol 300mg Omeprazole 20mg Cholorthalidone 25mg Metoprolol ER 100mg Trunature Digestive Probiotic

Current Illness: C Diff colitis

ID: 1023612
Sex: F
Age: 54
State: FL

Vax Date: 01/15/2021
Onset Date: 01/21/2021
Rec V Date: 02/11/2021
Hospital: Y

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

Lab Data:

Allergies: Prednisone - causes fast heart rate (not true allergy)

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient received dose 1 of COVID-19 vaccine on 1/15/2021 and dose 2 on 2/5/2021. Approximately 1 week after the 1st dose, patient said she developed a rash. On presentation on 2/10/21, the rash appeared to be petechial in nature. Prior to coming to the hospital, the patient had blood work done at her ALF and was told she had zero platelets and she was sent to the hospital. Admission labs at the hospital on 2/10 also showed zero platelets and immune thrombocytopenia is suspected.

Other Meds: Anoro Ellipta inhaler - 1 inhalation once a day Baclofen 10mg PO QHS folic acid 0.5mg PO daily Lexapro 10mg PO daily Lopressor 25mg PO BID oxybutynin 24hr ER tab 5mg PO daily Pravastatin 40mg tab take 1.5 tabs PO daily Tizanidine 4mg PO Q8H

Current Illness: Patient states she had some shortness of breath before initial dose, was worked up by her primary care with no cause identified and no treatment necessary

ID: 1023613
Sex: F
Age: 42
State: MA

Vax Date: 01/18/2021
Onset Date: 01/24/2021
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: N/A

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

Symptoms: I had a delayed reaction to the first dose of the Covid-19 Moderna vaccine. I got rash in my left arm 7 days after. The area of my arm was a bit swollen, red, itchy but did not hurt at all.

Other Meds: N/A

Current Illness: N/A

ID: 1023614
Sex: F
Age: 67
State: TX

Vax Date: 02/02/2021
Onset Date: 02/03/2021
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: Ancepf.

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Four day incapacitation;followed by 3 days of lessening symptoms of fever, bone and body ache, weakness , headache, mental confusion, diahrea and dehydration

Other Meds: Lansoprazole, Rosuvastatin, Famotidine, Pioglitazone, Vitamin D

Current Illness: None

ID: 1023615
Sex: F
Age: 23
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:
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: Headache, Dizziness, Congestion, Exhaustion, Stomach Pains, Hard to hear out of left ear, and chills.

Other Meds: Viibryd 20mg Oxybutanin 15mg Standard Birth Control Pill; Vitamins and Iron Supplements

Current Illness: Covid positive two weeks prior

ID: 1023616
Sex: F
Age: 44
State: MI

Vax Date: 01/11/2021
Onset Date: 01/11/2021
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: Sulfa, Erythromycin, migraine medicine

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

Symptoms: Tingle to face started about 4 hours after dose, was ongoing a few hours then off and in for 1-2 days. Extremely tired with brain fog started evening of second shot and has been ongoing. Just starting to improve after 4 weeks.

Other Meds: Probiotic, prebiotic, vitamin D3, Quercetin, Acetamintophen, ibuprofen

Current Illness: None

ID: 1023617
Sex: M
Age: 42
State: IL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
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: Amoxicillin

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: I felt burning sensation at the injection site. Experienced tachycardia 200 lasted about an hour and 160 HR 200 lasted about 10 minutes.

Other Meds: Losartan, Rosuvastatin, Fenofibrate

Current Illness: No

ID: 1023618
Sex: F
Age: 44
State: NY

Vax Date: 02/11/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient complained of feeling dizzy, felt hot, tightness in throat and nauseous. Vitals taken twice, patient sat down on edge of cot. Both times vitals were stable. Stated five minutes later that she felt fine, retook vitals, no concerns, patient was discharged by self to home.

Other Meds:

Current Illness:

ID: 1023619
Sex: F
Age: 61
State:

Vax Date: 01/21/2021
Onset Date: 01/24/2021
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: Pt reports is sensitive to some skin care products, lotions, sunscreens, etc.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Pt reports had "glazed, irritated, and itchy" eyes about two days after first dose of Moderna COVID-19 vaccine and that happened off and on between her first dose and second dose of the vaccine. 2-3 days after the second dose experienced the same symptoms listed above as she did after receiving the first dose. Symptoms have continued off and on since receiving second dose of Moderna COVID-19 vaccine. Reports symptoms resolve with Benadryl.

Other Meds: n/a

Current Illness: n/a

ID: 1023620
Sex: F
Age: 36
State: IN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: morphine

Symptom List: Diarrhoea, Nasal congestion

Symptoms: weird/odd taste in mouth only after receiving vaccine. no recent known contact w/Covid infected person and no symptoms of Covid

Other Meds: cymbalta levothyroxine vitamin b

Current Illness: na

ID: 1023621
Sex: F
Age: 41
State: TX

Vax Date: 01/22/2021
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: Gluten

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

Symptoms: Fever, chills, and fatigue that started February 9, were worst on the night of 2/9 into 2/10, and appear to be clearing up as of 2/11. I have not had in-person contact since my shot on 1/22, and get my groceries through no-contact delivery.

Other Meds: Fluoxetine, cetirizine, fluticasone nasal spray, supplements for Vitamin D and magnesium

Current Illness:

ID: 1023622
Sex: F
Age: 44
State: AZ

Vax Date: 01/13/2021
Onset Date: 02/03/2021
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: Peanuts and gadavist both produce an anaphylaxis reaction.

Symptom List: Rash, Urticaria

Symptoms: On 2/3, 2 hours after vaccine, I experienced extreme heat to my face. (The feeling I get when I?m going into anaphylaxis) but anaphylaxis never came. It dissipated after a couple of minutes, but red face and ears all day. On the 7th, I started noticing partial paralysis on the right hand side of my face. It is still there. I have not been around anyone outside of my home since March 2019 nor have those who live with me. The only exception has been when I got my two vaccine doses.

Other Meds: No changes in meds for a year

Current Illness: None. I have been locked in my house since March as have those living in my home. The only two times I?ve been around others was to get my two doses of vaccine- 1/13 and 2/3.

ID: 1023623
Sex: F
Age: 69
State: FL

Vax Date: 02/07/2021
Onset Date: 02/08/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Fever up to 101. Chills, weak, headache, tired, nausea

Other Meds:

Current Illness:

ID: 1023624
Sex: M
Age: 45
State: CA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
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: None

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

Symptoms: Generalized myalgia during the night after vaccination Injection site muscle pain for 36 hrs Generalized pruritus and urticaria/raised red rash after scratching, starting 24 hrs after vaccination

Other Meds: Zyrtec, niacinamide riboside

Current Illness: none

ID: 1023625
Sex: F
Age: 49
State: GA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: sulfa, Chitoki Mushrooms

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

Symptoms: Shortly after I felt very dizzy, light headed and felt numb all over. I developed heart palpatation. I was laid down and was very nauseous, cold, had a headache and got cotton mouthed. I had an elevated HR and BP as well. I laid there for about 30 minutes and finally the all symptoms except the headache subsided and it finally went away after day 3.

Other Meds: singular, crestor, birth control, multivitamin, calcium

Current Illness: no

ID: 1023626
Sex: F
Age: 61
State: ME

Vax Date: 02/03/2021
Onset Date: 02/06/2021
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: N/A

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

Symptoms: Chills, body aches, headache, stomach ache Duration = 60 hours

Other Meds: Vitamin D, Biovin, Magnesium, Juice Plus

Current Illness: cold

ID: 1023627
Sex: F
Age: 28
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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:

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

Symptoms: Severe headache, chills, myalgia

Other Meds:

Current Illness:

ID: 1023628
Sex: M
Age: 48
State: PA

Vax Date: 01/28/2021
Onset Date: 02/07/2021
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: Bell's Palsy

Other Meds: Lisinopril; Prilosec

Current Illness: None

ID: 1023629
Sex: F
Age: 77
State: IN

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: chills, shakiness followed by feeling very warm, sweating and sweaty, Extreme fatigue, body aches, joint pain. Injection site pain. Muscle pain. Nausea--did throw up twice. General feeling unwell. The fatigue has gone on for two weeks now. Starting to get better.

Other Meds: Armour thyroid 90 Ibersartin 300/12.5 multi vitamin calcium Vitamin D

Current Illness: none

ID: 1023630
Sex: M
Age: 53
State: ID

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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: Seasonal

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

Symptoms: He c/o swollen, painful, arm after the recent penumovax vaccine associated with his arm feeling hot to touch, facial swelling, body aches, chills, fever 102F for 5 days.

Other Meds: lisinopriL 40 mg oral tablet [TAKE 1 TABLET BY MOUTH ONCE DAILY] Clairitin metFORMIN 750 mg oral Tablet, Extended Release 24 hr [TAKE 1 TABLET BY MOUTH TWICE DAILY] Multivitamin Vitamin D Glipizide 5mg Tablets, Extended Release [Take 1 t

Current Illness: COVID

ID: 1023631
Sex: M
Age: 69
State: FL

Vax Date: 02/04/2021
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: 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: after a few days i had Little bit of pain in my shoulder, and muscle pain, nausea, headache. over all not feeling well.

Other Meds: omeprazole, propanol, amlodipine, Tamsulosin, nortriptyline, tadalafil

Current Illness:

ID: 1023632
Sex: F
Age: 28
State: OK

Vax Date: 01/12/2021
Onset Date: 01/12/2021
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: Unevaluable event

Symptoms: I experienced hives on my face that same day in the evening around 7:00pm-7:30pm. I applied aloe vera on face and took Benadryl, after 5-10min my face was cleared.

Other Meds:

Current Illness:

ID: 1023633
Sex: F
Age: 60
State: MN

Vax Date: 02/03/2021
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: LA

Lab Data:

Allergies: Spiders, Sulfa (hives), Lisinopril (cough).

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

Symptoms: On Tuesday she woke up with a headache that gradually worsened. The headache was behind the right eye, the right ear, and the teeth on the right side also hurt. Nothing helped taking Acetaminophen; Ibuprofen. She went to sleep around 4:00 am finally, and then woke up 6 hours and the headache was gone. Then you had hives located behind the right ear and down the neck, into the right shoulder. They are also in her scalp. They have now down to the tops of her legs, hips, and back and are spreading. She called her doctor who called her in some prescriptions.

Other Meds: Metformin, Propranolol, Synthroid, Vitamin B12, Vitamin D, magnesium, fish oil, Biotin, zinc, Super B complex vitamin, probiotic, prophylactic Macrobid.

Current Illness: None.

ID: 1023634
Sex: M
Age: 90
State: IL

Vax Date: 02/03/2021
Onset Date: 02/06/2021
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: Ambien

Symptom List: Injection site pain, Pain

Symptoms: watery diarrhea

Other Meds: Albuterol inhaler, aspirin, carbamazepine, citalopram, losartan, melatonin, metoprolol, mirtazapine, rosuvastatin, Tamsulosin, multivitamin

Current Illness:

ID: 1023635
Sex: F
Age: 65
State: IN

Vax Date: 02/03/2021
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: Penicillin, Sulfa

Symptom List: Injection site pain, Menorrhagia

Symptoms: I woke up this morning with a rash at the vaccine site. It was itchy and warm approximately 3 inches long and 1 1/2 inches wide. The rash curved down towards my armpit. I had slight swelling and soreness in my armpit. I relayed this info to doctor and she advised that I take a Benadryl, which I did. She also advised that I take a Benadryl before my second vaccination. I thought it was strange for me to have this rash a week after the vaccination. I only had slight soreness in my arm the 2 days following the vaccination, with no rash at that time until today. The Benadryl seems to help with the itching, and the rash is lighter but still there.

Other Meds: Lisinopril HCTZ 10-12.5, Vitamin D3 3000IU, Prilosec OTC

Current Illness: None

ID: 1023636
Sex: F
Age: 72
State: OH

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient developed cellulitis on the injection site measuring about 8 inches long.

Other Meds:

Current Illness:

ID: 1023638
Sex: F
Age: 58
State: MO

Vax Date: 01/25/2021
Onset Date: 01/28/2021
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: Non-ionic X-Ray contrast dye

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Dose #2 - Nose bleeds following the 2nd Pfizer COVID-19 vaccine beginning a few days later and lasting at least (1) one week; on 2/2/2021 this patient coughed up a pea-sized bright red blood clot; no blood clots noted since that one time and no petechiae noted; severe body and joint aches and pain beginning the next day and lasting 24 hours. No fever noted on any day. Dose #1 - Nausea / diarrhea beginning a few days later and lasting two and one-half (2 1/2) weeks; sore arm same day and lasting at least 3 days. No fever noted on any day.

Other Meds: Multi-vitamin supplements

Current Illness: N/A

ID: 1023639
Sex: F
Age: 49
State: NC

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

Lab Data:

Allergies: codeine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: pt stated she had a headache the day of the vax but the day after she woke up with pain in the armpit. She said the lymph nodes are tender to touch and swollen under her right arm pit. She contacted her PCP and she was told to watch it for a couple of days and if wasnt better to give him a CB.

Other Meds: no

Current Illness: no

ID: 1023640
Sex: M
Age: 76
State: FL

Vax Date: 01/31/2021
Onset Date: 01/31/2021
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: Penicillin, Hydrocodone, Erythromyxin, Nexium, Omeprazole, Kapidex.

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

Symptoms: Numbness in face and tightness in throat.

Other Meds: L-Thyroxine, Tamsulosin HCL, Losartan, Nasonex, Albuterol Hfa Inh, Amlodipinie Besylate, Olapatadine, Ezetimibe, Simvastatin, Pantoprazole, Vitamin D-3, Chelated Zinc, Chelated Copper, Omega 3, Chelated Magnesium, N-Acetyl Glucosamine

Current Illness:

ID: 1023641
Sex: F
Age: 39
State: PA

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin

Symptom List: Nausea

Symptoms: 1st - 4th day - Red circle rash around shot area on right arm, warm to touch, sore, sore to touch, itchy. 5th - 8th day - Pink circle rash around shot area on right arm. 9th - 11th - Red circle rash around shot area on right arm, raised and bumpy, extremely itchy, warm to touch. 12th - present day - Pink circle rash around shot area on right arm, outer circle darker color, slightly raised, itchy, warm to tocuh.

Other Meds: Vyvanse Birth Control Wellbutrin (Generic) Prilosec (Generic) Valtrex (Generic)

Current Illness: None

ID: 1023643
Sex: F
Age: 59
State: IL

Vax Date: 02/01/2021
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: LA

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain

Symptoms: Red patch, itchy, hard swelling, warm to touch, body aches

Other Meds: Buproprion Escitalopram

Current Illness: None

ID: 1023644
Sex: F
Age: 28
State: WA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: About twelve hours after getting the vaccine I got a fever which is fine and expected but then my whole body started shaking. It has not stopped. I s not painful but making it hard to do my job

Other Meds: Buproprion 450mg x1 AM Lamotrigine 150mg x1 AM Both with food

Current Illness: None

ID: 1023645
Sex: M
Age: 71
State: VA

Vax Date: 02/01/2021
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: RA

Lab Data:

Allergies: n/a

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

Symptoms: Redness at injection site about the size of an orange, site is hot, itchy, and hard knot present.

Other Meds: lisinopril

Current Illness: n/a

ID: 1023647
Sex: F
Age: 18
State: IA

Vax Date: 02/05/2021
Onset Date: 02/08/2021
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: N/A

Symptom List: Tremor

Symptoms: Taste Aversions, a lot of things taste spoiled and there is a very odd smell I get randomly.

Other Meds: N/A

Current Illness: N/a

ID: 1023648
Sex: F
Age: 49
State: GA

Vax Date: 01/28/2021
Onset Date: 01/28/2021
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: Sulfa; Chitoki Mushrooms

Symptom List: Erythema, Pruritus

Symptoms: After I got dizzy and immediately laid down. I developed a headache and had general fatigue which lasted about 3 days

Other Meds: Singular; Crestor; Birth control; Multivitamin; Calcium

Current Illness: AE to the 1st vaccine

ID: 1023649
Sex: F
Age: 30
State: MD

Vax Date: 01/26/2021
Onset Date: 02/03/2021
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: Avocado- Lasix- Penicillin - Flu shot (had Guillain Barre)

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

Symptoms: periorbital swelling

Other Meds: multivitamin otc

Current Illness:

ID: 1023650
Sex: M
Age: 73
State: CA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/11/2021
Hospital: Y

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Pt began having a headache and sore arm the day of the shot. The next day the patient complained of worsening headache, dizziness and "feeling like I cannot get my words out and I have to keep re-reading everything out loud to understand". 36 hours later, Patient checked into Emergency room with obvious expressive aphasia and complained of dizziness. Pt received CT scan and results as follows: Acute left parietal intraparenchymal hemorrhage measuring 2.8 cm, with a hematocrit effect, which can be seen in patients on anticoagulation therapy or with underlying coagulopathy. Rounded appearance raises the possibility for underlying mass. Local mass effect. No midline shift or brain herniation. Moderate associated local extra-axial hemorrhagic extension, predominantly within subarachnoid space.

Other Meds: Vitamin B-12 1000mcg once daily Flonase 50cg INH daily

Current Illness: none

ID: 1023651
Sex: F
Age: 44
State: MO

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: Asthenia, Chills, Headache, Myalgia

Symptoms: headache, sore arm, and swollen node(s) in the armpit of the same arm

Other Meds: Losartan; Amlodipine, aspirin, metformin, jolivette

Current Illness: none

ID: 1023652
Sex: F
Age: 49
State: MS

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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: Laavender Oils relieved by Benadryl

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

Symptoms: Shortly after receiving the vaccine patient stated that she felt funny. She was responsive, answered questions appropriately. Skin was warm and dry. She was sitting in a chair and did not require to be moved to a recumbent position. B/P 140/96, HR 76, RR 20. She was give crackers and water. 1:33 B/P 142/84; HR Regular. RR 20. 1:40 P.M. B/P 142/84, HR 80. RR 18. She was responsive. Left ambulatory without assistance but instructed to f/u with PCP is any problems.

Other Meds:

Current Illness: None

ID: 1023653
Sex: M
Age: 51
State: NJ

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

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

Symptoms: Patient with marked axillary lymphadenopathy

Other Meds: Dexilant, Uloric, Losartan

Current Illness: None

ID: 1023654
Sex: F
Age: 70
State: GA

Vax Date: 02/02/2021
Onset Date: 02/03/2021
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: TETRACYCLINE, DOCYCLINE, DILAUDID

Symptom List: Pain in extremity

Symptoms: fever, chills, aches, headache - felt like COVID symptoms. I feel like it set back my recovery from a bad case of COVID. I went back to having the fatigue and weakness. Had COVID right after Thanksgiving (Saturday) through December.

Other Meds:

Current Illness: None - 2 months since COVID

ID: 1023655
Sex: M
Age: 66
State: FL

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Developed two open sores (less than 1/2 inches) near the injection site. Picture attached.

Other Meds: Atorvastatin - 20mg; Vitamin C - 500mg; Vitamin D - 2,000 IU; COQ-10 - 100mg

Current Illness: None

ID: 1023656
Sex: F
Age: 29
State: CA

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

Lab Data:

Allergies:

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

Symptoms: 02/10/2021 pt was vaccinated and the syringe was lose and liquid ran down pt's arm, pharmacist gave a 2nd dose but not a full dose right after, pt experiencing arm soreness, vomiting

Other Meds:

Current Illness:

ID: 1023657
Sex: F
Age: 56
State: CA

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:

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

Symptoms: Client vaccinated with 2nd dose Moderna on 02/10/2021; 2nd dose was due on 02/18/2021. Client vaccinated 1-week earlier. Mother upset because her daughter would not get vaccinated with 2nd dose. We explained it was too soon to vaccinate; due date is 02/18/2021.

Other Meds:

Current Illness:

ID: 1023658
Sex: F
Age: 73
State: WI

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

Lab Data:

Allergies: penicillin, supfur

Symptom List: Vomiting

Symptoms: severe headache , muscle and joint pain. nausea

Other Meds: fluoxetine, fluticasone, calcium-magnesium-zinc, vitamin D multivitamin, omega2, verapamil, fenofibrate, omeprazole, clonazepan, eliquis, lisinopril

Current Illness: none

ID: 1023659
Sex: F
Age: 40
State: IN

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

Lab Data:

Allergies: Prednisone; methylprednisolone

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: weakness and shortness of breath reported during the observation period. Patient taken to ED for observation and evaluation. Pepcid and Benadryl given. Patient discharged home

Other Meds:

Current Illness:

ID: 1023660
Sex: F
Age: 41
State: CA

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: RA

Lab Data:

Allergies: Oats and Decadron

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

Symptoms: After the vaccine was given which was at 5:45 pm and it passed 15 minutes of waiting time, I start it getting dizzy, drowsy, my heart accelerated, anxious. I told the nurse on stand by, what I was feeling and she said to seat down because she was going to check my blood pressure. She checked by BP and it was on 160/80's ranges, was checked 3 times and they were the same ranges. I don't suffer from high blood pressure I told her. So she gave me cranberry juice and water and I stayed for another 30-45 minutes. She rechecked my BP and it went down to 138/70's. I was told if I want it to go to the ER to get check, I told her that I felt much better that the dizziness went away and my accelerated heart had lessen. I feel much better today and BP it's back to normal ranges.

Other Meds: Tylenol 500 mg was taken prior vaccine given.

Current Illness: none

ID: 1023661
Sex: F
Age: 40
State: MA

Vax Date: 01/29/2021
Onset Date: 02/10/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: PCN, prednisone (gives a rash) and some antibiotics. Also have allergies to pineapples, kiwi and some soft cheeses.

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Rash developed at injection site, it was about the size of a standard post it note. A bit itchy, red, swollen. I did take a fluconazole an hour or 2 prior which I have never had any issues with. The rash was only at the injection site and spreading around the injection site. This sis 12 days after the vaccine administration.

Other Meds: Fluconazole started about an hour or two earlier

Current Illness: Possible yeast infection Anemia

ID: 1023662
Sex: F
Age: 76
State: FL

Vax Date: 02/04/2021
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: IM
Vax Site: RA

Lab Data:

Allergies: sulfa drugs, tetracyclene

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

Symptoms: One week after injection---red, slightly raised, patch, approximately 2 x2 inches, at the injection site. Very itchy. Don't know if it will get larger.

Other Meds: valsartan, levothryroxine, atorvastatin, vitamin D, multi vitamin

Current Illness: none

ID: 1023663
Sex: F
Age: 50
State:

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

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

Symptoms: Profound swelling on left arm to elbow. Swelling moved to underarm and left side of chest by second night. Pain is unbearable. Motrin and benedryl taken without relief. Call placed to all support numbers without any further recommendation at that time. To Clinic this am 1/11/2021. Told to be seen in the ER because there is nothing they could recommend at this time and no plan is in place for this reaction to the vaccine.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm