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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1024079
Sex: M
Age: 20
State: TX

Vax Date: 02/06/2021
Onset Date: 02/07/2021
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: Patient developed pleuritic chest pain 5 hours after the injection, which lasted less than 1 day and resolved.

Other Meds: None

Current Illness: None

ID: 1024080
Sex: F
Age: 41
State: KY

Vax Date: 01/20/2021
Onset Date: 01/28/2021
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: Skelaxin

Symptom List: Anxiety, Dyspnoea

Symptoms: Starting 1/27/21 ringing in left ear noted. 1/28/21 headache and left ear pain begins. 1/29/21 Started on Cefdinir for Left otitis Media. Ear pain continued and began to worsen over a week with headache pain in left temple and all the way down through neck. Pain was throbbing and Ibuprofen/Tylenol had to be taken around the clock. On 2/6/21 began Prednisone pack for possible nerve pain. Pain has eased over the past 5 days. Continues now left ear and left neck, however very mild.

Other Meds: Zyrtec 10mg daily, MVI i po daily, Biotin i po daily, Singulair 10mg daily, Spiriva Inhaler PRN, Nuvaring.

Current Illness: COPD minor

ID: 1024082
Sex: F
Age: 75
State: AZ

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: penicillin sulfa drugs newbane

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

Symptoms: No discomfort or anything that first day. That evening it was a little tender. The next morning it there was a red band on my arm and I could feel a bump there. Today is day 8 and it's itching more than ever before. Every now and then it stings a little bit. Not as red as it was, but still red. Its fading a little about around the edges.

Other Meds: almastartin 40 mg daily emlodepine 5 mg daily metroproperol 100 mg 2x daily flecinide (for arythmia) 100 mg 2x daily chlorosorizdine (water pill) 12.5 mg daily eloquis 5mg 2x daily vitamin D 800 mg

Current Illness: None

ID: 1024083
Sex: F
Age: 80
State: IL

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

Lab Data:

Allergies: Seasonal airborne allergies, allergic to perfume, liquid soap, newsprint

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Immediately after the injection, I experienced an irregular small light red patch at the injection site about 3 inches by 2 inches. I had pain and mild itching at the injection site for two days and then the pain and itching stopped and the red patch faded. Seven days later, in the evening of February 9th, the red patch returned and it was darker and became larger - round, about 3 inches across. It was slightly swollen and warm to the touch. It was accompanied by intense itching, but no pain. This skin reaction has been lasting for two days now. My doctor, by phone, recommended Benadryl but I don't have that in the house and we're having a snow storm and I can't go out to get it. I took Extra Strength Tylenol before bed last night and it relieved the itching.

Other Meds: 10 mg Claritin daily, 20 mg Nexium, Daily, Vitamin D 4000 Units Daily, Centrum Silver multi vitamin Daily, Naphcon A eye drops, daily, Systane Eye Drops, daily, Extra Strength Tylenol, as needed

Current Illness: None

ID: 1024084
Sex: F
Age: 24
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: C/O DIZZINESS AND VOMITING WITHIN FIRST 15 MINUTES WHILE ON SITE. RESOLVED IMMEDIATELY AFTER VOMITING. NO OTHER SYMPTOMS AFTERWARDS EXCEPT FOR LEFT ARM SORENESS. DENIES ANY SOB, CHEST PAIN, DIB OR SWELLING OF MOUTH/TONGUE.

Other Meds:

Current Illness:

ID: 1024086
Sex: F
Age: 45
State: PA

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:

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

Symptoms: Left arm felt heavy a couple hours after second COVID vaccine. By evening she had tenderness to left axilla. In am on 2/10/21 she could not move left arm due to swelling and pain in lymph nodes. Woke up 2/11/21 and still couldn't move arm due to discomfort. Also developed a runny nose, slight upper abdominal pain, and slight headache.

Other Meds:

Current Illness:

ID: 1024087
Sex: F
Age: 52
State: VA

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

Lab Data:

Allergies: None known

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itchy rash around the shot area. Started one week after shot.

Other Meds: Trelegy, albuterol, fluticasone, singulair, linzess, vitamins: B12, D, Iron, zyrtec

Current Illness: None

ID: 1024088
Sex: F
Age: 72
State: NH

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: penicillin soy

Symptom List: Pharyngeal swelling

Symptoms: foggy feeling, dizzy, pain from injection site up neck

Other Meds: Prilosec Excedrin

Current Illness: n/a

ID: 1024089
Sex: F
Age: 75
State: MN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/11/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Patient became weak, had the chills, and spiked a fever.

Other Meds:

Current Illness:

ID: 1024090
Sex: M
Age: 76
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Vibramiacin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Sore arm, body aches, chills, low grade fever, took Tylenol every four hours

Other Meds: Lisinapril, Metotoporal, Crestor, 81 mg aspirin, multi-vitamin

Current Illness: None

ID: 1024091
Sex: F
Age: 81
State: NC

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Unknown

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

Symptoms: Pt described the feeling as a lump in her throat when swallowing. "feels like something's there". Pt denied any SOB, tightness in her chest, difficulty breathing, swelling of her tongue or throat. 0929 Pt denied any contraindications to benadryl or Pepcid. Pt gave verbal consent to administer medication. Benadryl and Pepcid administered per COVID vaccine standing order for adverse reactions. 02 98-99% Pulse 86 Pt was monitored for an additional 30 minutes after medication. She gradually felt like the lump in her throat was getting better. She again denied any difficulty with breathing.

Other Meds: Unknown

Current Illness: None

ID: 1024092
Sex: F
Age: 68
State: CA

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: SYR
Vax Site: RA

Lab Data:

Allergies: Demerol atropine kidney die oxycodone

Symptom List: Rash, Urticaria

Symptoms: Server chills, fever all night after shot. Headache, dizzy feeling sick. Eyes hurt. Today bad head ache sweats and exhausted. Called doctor yesterday. Taking Tylenol. Rest and drinking fluids. Arm hurts

Other Meds: Hydrochlorothiazide; Aciphex; Oxybutynni Chloride ER; Montelukast sodium 1; Amlodipine Besylate; Vitamin D3; B-12.

Current Illness: Nothing allergies like hayfever

ID: 1024093
Sex: F
Age: 74
State: IL

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: sulfa , Vicodin Ibuprofen 800

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

Symptoms: I start to itch on face an neck on face day after injection. Had a few hives on my face. today (2nd day), I have itching over whole body

Other Meds: None in last few days

Current Illness: acid reflux, high cholesterol,

ID: 1024094
Sex: F
Age: 62
State: MD

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

Lab Data:

Allergies: latex

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

Symptoms: left upper arm pain and tenderness, have not called or seen a Dr.

Other Meds: NONE

Current Illness: Diabetes 2

ID: 1024095
Sex: F
Age: 60
State: CA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
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: bee venom

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

Symptoms: Body/joint aches, fatigue, headache, chills, labile blood sugar for 2 days. Pain to left arm for 1 week, limited ROM. Lip ulcer (canker sore) 1 week after vaccination (last time I had one was in my 20's)

Other Meds: Metformin, atorvastatin, low dose ASA, lantus, Humulin, mulii-vitamin

Current Illness:

ID: 1024096
Sex: F
Age: 67
State: FL

Vax Date: 01/25/2021
Onset Date: 01/25/2021
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: none

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

Symptoms: Headache, nausea, fatigue, generalized body aches lasting for 7 days. Symptoms mostly resolved after 7 days, still feeling fatigued

Other Meds: acyclovir estrogen vitamins

Current Illness:

ID: 1024097
Sex: F
Age: 53
State: CA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
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: Fever Achy Headache tender at injection site

Other Meds:

Current Illness:

ID: 1024098
Sex: F
Age: 74
State: FL

Vax Date: 01/21/2021
Onset Date: 01/29/2021
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: NKA

Symptom List: Ear pain, Hypoaesthesia

Symptoms: L arm injection site itching, red & slight swelling 8 days following injection. Itching, red & swollen for 3 days.

Other Meds: Alendronate Sodium 70 mg weekly

Current Illness: None

ID: 1024099
Sex: F
Age: 98
State: CA

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

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: I am the discharging physician and did not admit her but based off the information at admit: the patient received her Pfizer vaccine and developed nausea during her observation time but it was not significant enough to cause concern for the family. They took her home in good spirits and she appeared to be doing well until the evening when she became unresponsive. She developed high fevers and came to the ER with low normal O2 saturations and evidence of sepsis. Blood work showed a markedly elevated white count and an elevated lactic acid of 8 along with an elevated renal function and cardiac enzymes without EKG changes (multiorgan failure). Her COVID test was negative. Blood and urine cultures were negative. A CT scan of the abdomen demonstrated no acute findings but likely chronic fecal impaction. CT Head was negative for bleed or stroke. At this time is is unclear as to what was the cause of her symptoms but we believe it was presumed bacterial sepsis but this diagnosis is in question as all her cultures were unremarkable. The family opted on comfort measures rather than aggressive intervention and she was sent home with hospice. Since it occurred so closely after receiving the vaccine I think it was worthwhile to bring it to your attention.

Other Meds: Clonidine 0.2mg patch weekly Plavix 75mg daily Paxil 20mg daily Lipitor 10mg daily Protonix 40mg daily

Current Illness: Unknown

ID: 1024100
Sex: F
Age: 24
State: MS

Vax Date: 12/01/2020
Onset Date: 12/01/2020
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: no

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

Symptoms: 4 or 5 days later I went to urgent care and took a covid test and tested positive, I took alegra D and tylenol to cover the symptoms and was better after 3 days

Other Meds: meloxican, junell birth control, diazol

Current Illness: no, seasonal allergies

ID: 1024101
Sex: F
Age: 61
State: MA

Vax Date: 01/06/2021
Onset Date: 01/19/2021
Rec V Date: 02/11/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Patient received first dose of Moderna COVID vaccine and then developed a reaction called inflammatory ophthalmitis. Was admitted in hospital and treated with high dose prednisone. Is improving and being followed by eye clinic.

Other Meds:

Current Illness:

ID: 1024102
Sex: F
Age: 69
State: MT

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: Unevaluable event

Symptoms: Moderna COVID-19 Vaccine EUA pain at injection site, swelling of lymph nodes in same arm, joint pain, fatigue, headache, fever, muscle pain, pain in jaw and teeth

Other Meds: Effexor, Lorsartin, HCT

Current Illness: none

ID: 1024104
Sex: F
Age: 73
State:

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

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

Symptoms: Patient received COVID vaccine at approximately 1630. Patient verbalized shortness of breath and tightness in chest at approximately 1637. 911 was called. Responders arrived within 3 minutes of placing the call. Responders took the patient to a local emergency department.

Other Meds:

Current Illness:

ID: 1024105
Sex: F
Age: 48
State: AZ

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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: Tetracycline

Symptom List: Injection site pain, Pain

Symptoms: Within 3 minutes my arm started to turn red, and I started to break out in hives. By 20 minutes my hives went across to my chest and right arm. My BP was 168/108 and pulse 84, they hooked me up to vitals. They wanted to send me to the ER for Benadryl but I had more own and took Benadryl (20mg) this was about 25 mins into injection. About 30 mins my arm started to get really warm, you could feel the heat coming off of it. They monitored me for an hour and re-did my BP 158/97, pulse dropped to 80, my o2 stats were 99. They made me monitor for another 18 mins. BP was 155/103, pulse still at 80. They had me get up and walk around and wanted me to take more Benadryl but I didn't have a ride home. . My hives started to improve but were not gone. About 1hr 25mins post vaccine I got on the phone with Employee Health to ask to leave (clinic was closing) , they wanted me to stay and I told them I had a BP machine at home, if it didn't go down they wanted me to go to the ER. My BP did go down about 4 hours later but my arm was still hurting. The hives on my chest went away, but hives on my arm was on and off for about a week. My left arm remained red for about 2 weeks and I ended up getting a really bad rash. When I woke up the next day I had to take a Benadryl and Tylenol. On January 3rd I felt awful like I got hit by a car. On that Wednesday (6th) my arm started to hurt really bad in the middle of the night, it felt like day 2 all over again. It was really painful, it was bright red and life a figure eight going down my arm and I immediately called employee health and they told me to monitor for 24 hours. It got worse and went down my arm to my chest. I went to Friday night to our immediate care (only place we could go), I was given antibiotics for cellulitis. It took about 7 days to go away. They were telling me I couldn't get the second dose because of my reaction and I had to fight to get the second dose.

Other Meds:

Current Illness:

ID: 1024106
Sex: F
Age: 29
State: MA

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: PCN

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pt was found sitting on chair in observation room after receiving her first Covid 19 test (moderna). Pt appears to be weak and pale looking and c/o loss of vision and feeling faint. Pt was t/f to wheel chair and Pt was t/f to medical room 2 and placed on stretcher in trendelenburg position. Pt vital were taken and bp was low at 86/54. Pt was allowed to rest and be were taken every 5 minutes. Pt gradually felt better after 15 mins laying on stretcher in trendelenburg position. Pt felt better and skin color improved . Pt vision was back to normal and all adverse affects were diminished and patient was feeling normal. Bp was 97/66 and pt refused transport to Er and went back to observation room.

Other Meds: Birth control pills

Current Illness: No illness at time of vaccine

ID: 1024107
Sex: F
Age: 50
State: MN

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: developed redness,slight swelling and warm to the touch at injection site one week after injection. the redness is spreading a bit each day. it started out the size of a quarter and now(4 days later) it is about 3 inches across and 3 inches tall.

Other Meds: bupropion xl 150mg , naltrexone 50mg

Current Illness:

ID: 1024108
Sex: M
Age: 84
State: NC

Vax Date: 01/28/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Our triage nurse retrieved a voicemail from patients daughter on 2/10/2021 stating that her 84 year old father was having delirious reactions from his COVID vaccine. She said that she has taken him to the ER 6 times. The nurse called the daughter back and she said that she spoke with someone at Clinic COVID-19 Vaccine Information hotline and was told that they would consult with a doctor and call her back. The daughter also states that patients primary care physician is involved as well. The daughter is concerned because her father is very restless and cannot sleep. The triage nurse encouraged the daughter to call us back if she did not hear from Health Clinic.

Other Meds:

Current Illness:

ID: 1024109
Sex: F
Age: 36
State: IN

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Naproxen

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever began roughly 11 hours after vaccine was administered. Fever lasting roughly 29 hours, treated with Tylenol and Advil. Possible cellulitis also began roughly 11 hours after vaccine was administered. Redness and tenderness continue to spread over the next two days. I was prescribed antibiotic on 2/11/2021

Other Meds: Metformin

Current Illness: Diabetes

ID: 1024110
Sex: M
Age: 84
State: MA

Vax Date: 02/09/2021
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: none

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

Symptoms: shaking chills and total body achiness S/x lasted 48 hours, leaving me somewhat weakened

Other Meds: Plavix75 mg/day, Lipitor40 mg/day, . Vit. D 1000units/day, ,ASA 81 mg./day, Prednisone 2 mg./day

Current Illness: none

ID: 1024111
Sex: F
Age: 55
State: MA

Vax Date: 02/03/2021
Onset Date: 02/08/2021
Rec V Date: 02/11/2021
Hospital: Y

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

Lab Data:

Allergies: Oxycodone Percocet

Symptom List: Nausea

Symptoms: Sore arm first injection as expected. 2nd more sore. Some fatigue. Felt totally fine prior to until my husband turned onto our home street and I started to verbalize that this is not our neighborhood nor our house. I then started to have a seizure which I was told lasted 5 minutes and was turning blue. I was buckled at the time. I have compression fractures of T12 to L2 He called an ambulance and I had a second one. I had ct , mri, mra, eeg, ekg, labs. Treated with muscle relaxants, toradol. Put on keppra. Cannot drive for 6 months. All new onset. Having a lot of back spasms especially in the night My mouth and tongue are sore from biting on it During seizure Foggy thinking and decreased memory

Other Meds: Vit d Mvi Mag prn for sleep

Current Illness: None

ID: 1024112
Sex: F
Age: 24
State: MN

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Headaches, Weakness, Blood pressure changes, occasional tingling in extremities, blurred vision with head movement.

Other Meds: Spironolactone (50mg 1x daily), Topiramate (100mg), Norethindrone (0.35mg), Desvenlafaxine Succinate ER (50mg), NAC (actetyl cysteine)

Current Illness: None

ID: 1024113
Sex: F
Age: 53
State: TN

Vax Date: 01/02/2021
Onset Date: 02/06/2021
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: Morphine

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

Symptoms: Employee received dose one Moderna, and second dose Pfizer. Employee did not have any post vaccine adverse reaction.

Other Meds:

Current Illness:

ID: 1024114
Sex: F
Age: 45
State: MA

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: Sulfa, Quinalones and Penicillin

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

Symptoms: 7 days after the vaccine, itching began on the site of the injection. On day 8 swelling and redness occurred around the injection shot. Slight itchiness, warm to the touch. Red mark the size of a tennis ball.

Other Meds: Zoloft 50mg, Zyrtec, probiotics and Tylenol

Current Illness: None

ID: 1024115
Sex: F
Age: 39
State: VA

Vax Date: 01/28/2021
Onset Date: 02/07/2021
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: Rash on inject site arm, warm to the touch, itchy at times, grew larger very quickly

Other Meds: Spironolactone, sythriod, trazadone, lexapro, Topamax

Current Illness: None

ID: 1024116
Sex: F
Age: 57
State: PA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
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: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: One week after developed hives and itchy rash lightly on upper arm and much more intense from the waist down. The first four days has the most intense itching and welts. By Tuesday the intensity lessened during the day but mainly my feet and ankles were itchy. As of today 2/11 the rash seems to have disappeared. I cannot find any other source- no changes in food, lotions, detergents, etc

Other Meds: Low dose aspirin,zinc50mg,D31000mg, calcium 700, equate daily multi vitamin, esterC 1000mg, glucosamine 1500mg, raw probiotic women?s 50 & wiser

Current Illness: None - did get a headache for about 24 hours after the vaccination- did not use any meds for it

ID: 1024117
Sex: M
Age: 62
State: IL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: Penicillin, Levaquin, Fish

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

Symptoms: After about 24 hours, headache, cough, low grade fever of 100.0, palpitations, general malaise.

Other Meds: Benicar, Buspirone, Clonazepam, Pantoprazole. Metoprolol

Current Illness: None

ID: 1024118
Sex: F
Age: 69
State: TX

Vax Date: 02/03/2021
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: ceprel

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

Symptoms: rash 8 days after vaccine treatment over the counter anti itch cream rash slowly going away

Other Meds: lisinopril alendronate

Current Illness: n/a

ID: 1024119
Sex: F
Age: 72
State: FL

Vax Date: 02/03/2021
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: Sulfates, elastic

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Covid 19 arm rash, itching, swelling, on eighth day after vaccine shot.

Other Meds: Enalapril, zocor, montelukast, progesterone, Guaifenesin. Ester-C, D3, magnesium, probiotic

Current Illness: None

ID: 1024120
Sex: F
Age: 32
State: NJ

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

Lab Data:

Allergies: None

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

Symptoms: Left side numbness from arm to toes. Burning sensation and hypersensitivity

Other Meds: None

Current Illness: None

ID: 1024121
Sex: F
Age: 88
State: TX

Vax Date: 01/20/2021
Onset Date: 01/22/2021
Rec V Date: 02/11/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: SULFA ANTIBIOTICS, NSAIDS

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

Symptoms: COULD NOT STAND OR WALK, KEPT HER EYES CLOSED, LEANING TO ONE SIDE, SHAKING, COULD NOT FEED HERSELF, COULD NOT UNDERSTAND COMMANDS OR CUES, COULD STAND TO CHANGE BRIEF OR PULL HER PANTS DOWN, COULD NOT DRINK...LIKE SHE FORGOT HOW, WOULD NOT STAND TALL WITH SOMEONE HELPING, DID NOT KNOW HOW TO PICKUP FORK. VERY AMBULATORY, FED YOURSELF, DRESSED HERSELF UNDERSTOOD COMMANDS BEFORE THIS HAPPENED

Other Meds: Levothryroxine 75mcg OD, lexapro 5 mg QD, KCL 10mg QD, metformin ER 500 mg BID , vitamin C 500 mg BID, zinc 220 mg BID, metoprolol 50 mg BID, Namenda 10 mg BID, ASA 81 mg QD, simvastatin 40 mg QD , tylenol 500 mg P

Current Illness: UTI, ADVANCED MEMORY LOSS, TYPE 2 DIABETES, ANXIETY

ID: 1024122
Sex: F
Age: 32
State: WA

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

Lab Data:

Allergies: skin sensitivities

Symptom List: Pain in extremity

Symptoms: "Covid arm"; severe pain, swelling, redness, itchiness at injection site, large bump appx. 4 inches in diameter, warm to the touch

Other Meds: Subutex

Current Illness: none

ID: 1024123
Sex: F
Age: 75
State: OH

Vax Date: 01/29/2021
Onset Date: 01/30/2021
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: Food Preservatives

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

Symptoms: Vaccination was given on a Friday and starting Saturday through Sunday patient began having stabbing sharp electrical pain around right knee. Red area developed to right thigh quad and since gone away after three to four days expect redness, warm and swelling to right knee and that has gone away.

Other Meds: Valsartan, Amlodipine, Alendronate, Simvastatin, Potassium, Dry eye drops; Multi vitamin, Chewable Aspirin

Current Illness: N/A

ID: 1024124
Sex: F
Age: 64
State: MD

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

Lab Data:

Allergies: None

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

Symptoms: I've read that what I developed is called "COVID arm." I had a red spot about 2 inches in diameter at the injection site. It was warm and firm to the touch. It hurt a little when pressed. I first noticed it the evening of Feb. 8. It became less red the next day, but even as I write this it still feels a bit firm.

Other Meds: None

Current Illness: None

ID: 1024125
Sex: F
Age: 57
State: OH

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

Lab Data:

Allergies: None Known

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

Symptoms: Within in minutes I had a strong metallic taste in mouth and order in nasal passages. Heart racing and lightheaded. I was given water, observed, and told to call for a ride. Felt better in 15 - 20 min. was tired rest of the day.

Other Meds: None

Current Illness: None

ID: 1024126
Sex: M
Age: 67
State: GA

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

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: 12:00 am till 7:00 am of severe body aches, chills, fever, vomiting 1 series of 4 times. On the up-swing at 7:00 am. Now sleeping and in recuperation.

Other Meds: calcium, zinc, d3

Current Illness: None

ID: 1024127
Sex: M
Age: 78
State: TX

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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Chills muscle aches fever 99.9

Other Meds: None

Current Illness: None

ID: 1024128
Sex: M
Age: 73
State: NY

Vax Date: 01/22/2021
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: Augmentin, IV Contrast

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

Symptoms: About 18 days after the vaccine I noted a 15mm oblong redness and swelling on my left deltoid as well as a flat area or erythema just below that. My vaccine injection site was approximately in the middle of the oblong reddened area. I noticed it while going to take a shower. No pain, tenderness or urticaria. 48 hrs later, it was no longer visible.

Other Meds: Omeprazole, Le Dieci Erbe, Vit D3, Dutasteride, Alfuzosin, B-complex, Magnesium, Centrum Silver, Citracal

Current Illness: None

ID: 1024129
Sex: M
Age: 74
State: OH

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: pt stated he was tired, had a headache, and arm right arm pain around the injection site. Next morning his right arm was hurting more, he had body aches and pains and felt like he had the flu. Temperature was 98.8. He was fatigued so he went back to bed and woke up feeling some better. Pt has not contacted his PCP at this time.

Other Meds: Cerabe Top Cream, Spiriva, Lisinopril, Lora dine, Celebrex, Omeprazole, simvastatin, Vitamen C, B-12, Zinc, Fish Oil, Methocarbamol 500mg,

Current Illness: no

ID: 1024130
Sex: M
Age: 33
State: CO

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

Lab Data:

Allergies: Nka

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

Symptoms: High fever for 1 day (105-107). For the following week, swollen lymph nodes, loss of voice, spiking fevers at night, night sweats, chills, body pain (localized to hips and below, ringing in ears, and insomnia. Some symptoms still ongoing.

Other Meds: Humira

Current Illness: Ulcerative colitis

ID: 1024131
Sex: F
Age: 58
State: WI

Vax Date: 01/26/2021
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: RA

Lab Data:

Allergies: Codeine

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

Symptoms: Very severe headache very severe body aches and appendecitis I am not sure if the appendicitis is related to the shot but I thought I should report that

Other Meds: Lexapro, Protonix, vitamin D, prevastatin, claritin,

Current Illness: No

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm