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: 1028478
Sex: F
Age: 73
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/13/2021
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: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever ,chills, HA, for one day then developed painful dhingles. from my Doctor, given acyclovir , took hydrocodone for pain, then tramadol, nuerontin , had medrol pack, Rash gone as of 2/13 still have nerve pain.

Other Meds: Metropolol, metformin, thrroid, celebrex

Current Illness: No

ID: 1028479
Sex: F
Age: 73
State: FL

Vax Date: 01/13/2021
Onset Date: 01/27/2021
Rec V Date: 02/13/2021
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 Multiple allergies to animals, tree pollen, grass, etc

Symptom List: Anxiety, Dyspnoea

Symptoms: Itching at site and redness progressing over 3 days. At time of doctor visit, area was about 2X3 inches in size. Extremely itchy and red

Other Meds: Lipitor, AREDS-2, Berberine, Quercetin, D-Mannose, Zertec, Fluticasone, Vit D-3, Vit B-12, Azelastine, Klonopin

Current Illness: None

ID: 1028480
Sex: F
Age: 52
State: CA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: No

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

Symptoms: Throat feeling like it was closing 5 minutes after vaccine. Felt like I was going to have trouble swallowing. I took a sip of water & I swallowed easily. The feeling of my throat swelling lasted about 2 hrs & then subsided. Also, felt like I could taste medicine in my mouth immediately after the vaccine.

Other Meds: Nexium, Plant Sterol, Vitamin D, Zinc, Vitamin C

Current Illness: Covid positive January 8, 2021

ID: 1028481
Sex: M
Age: 50
State: ME

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Hazelnuts; PCN

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Shortness of Breath, wheezing,

Other Meds: Lipitor,

Current Illness:

ID: 1028482
Sex: F
Age: 37
State: MI

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: N/A

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

Symptoms: Redness, swelling, tenderness to touch. Diagnosed 8 days post-injection by physician as infection at injection site.

Other Meds: Retinoid (topical skin); Azelex (topical skin); vitamin D; fish oil

Current Illness: N/A

ID: 1028483
Sex: F
Age: 30
State: FL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/13/2021
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

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

Symptoms: Swollen and red tonsils, throat, and uvula. Painful swallowing. Fatigue and headache. Symptoms started 2/2 7-8 hours after receiving the vaccine and are still persisting 11 days later.

Other Meds: None

Current Illness: None

ID: 1028484
Sex: F
Age: 31
State: SC

Vax Date: 01/09/2021
Onset Date: 01/11/2021
Rec V Date: 02/13/2021
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: Bruising and petechiae on legs

Other Meds:

Current Illness:

ID: 1028485
Sex: F
Age: 77
State: MA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: Caller states she had her covid vaccine at 11:30 am, this morning. Approx 4:00 pm , noted a small burning area on left side of her chin. Denies any respiratory distress or swelling. Instructed to put cold compreses to face and call PCP if condition worsens. RN

Other Meds:

Current Illness:

ID: 1028486
Sex: F
Age: 80
State: PA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Latex Bacitracin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Red , slightly itchy rash started one week after the vaccine. Rash is around the injection site, oval in shape, about 2 inches long. 2 days later a white spot developed within the rash.

Other Meds: Vitamins: C,D taken daily Echinacea, Biotin,Probiotics,Caltrate,Elderberry taken daily

Current Illness: None

ID: 1028487
Sex: F
Age: 33
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/13/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 24 hours after: Mild fever 99.7, sneezing u controllably, flu like symptoms enough to make me leave work. Sore arm. Slightly warm to touch, small bruise of injection site about the size of a dime. Took Tylenol to assist with symptoms 48 hours after: Exhausted. Flu like symptoms continue. Took Tylenol. 72 hours: Flu like symptoms almost gone completely but still exhausted. Arm still had bruise but not bad. Able to return to work. 10 days after: redness and warm to touch 11 days after: redness increasing about 2 inches 12 days after: red circle developed, grew in size to 3 inches around injection site. Sore and red and hot to touch.

Other Meds: Clindamycin

Current Illness: None

ID: 1028488
Sex: F
Age: 46
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: na

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

Symptoms: Fever,chills,aches,and crampping

Other Meds: Na

Current Illness: na

ID: 1028489
Sex: F
Age: 50
State: PA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: none

Symptom List: Rash, Urticaria

Symptoms: Regarding dose # in series question - it was my 2nd dose. I don't know how many doses out of that vial. Symptoms - Woke at 5 am with significant body aches, mild head ache and fatigue. by 11 am this turn to chills/fever and more fatigue. Soon I developed nausea. I slept most of the day on and off - waking with the same symptoms. Headache continued. Body aches start to decline by the evening. About 5 pm I threw up. I through up 3 more time that evening - mostly water and bile since I was unable to eat all day. Occasional chills during the night, nausea continue. Today is my second day. Body aches are gone, most of the nausea is gone, I am still very tired. Have slept most of the day and have a lingering headache - like a hang over. Not much appetite but I am able to eat some soup and crackers. I am able to keep Tylenol down now but it is not helping with my headache.

Other Meds: I took 2 500 mg extra strength acetaminophen at 6 am on 2/12/21 and again later that afternoon. Again at 9 am 2/13/21 and 2 pm 2/13/21.

Current Illness: none

ID: 1028490
Sex: F
Age: 35
State: AZ

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Gluten and coconut allergy

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

Symptoms: Starting around 12 hours after injection- Severe, sharp joint pain all over and muscle aches, muscle contractions/twitching, 12 hour fever, mild-moderate stomach cramping and nausea, extreme fatigue and discomfort from body pain. Approximately 24 hours after vaccine, moderate facial dermal fillers (hyaluronic acid) swelling and pain/tenderness upon palpation. Most of the body pain and fever/sweats stopped after about 16-20 hours after vaccine. Took two Benadryl and an antihistamine (I'm 110lbs) at bedtime day 2 for facial swelling and it did not continue to worsen after that. Day 3 today and the facial swelling is still going down and almost gone, with no more pain. Fatigued and worn out from the 12 hour night of no sleep with bad body pains and fever that first night, but otherwise feeling good besides slight migraine. Menstrual cycle just started today (day 3) so I believe the migraine is from that (common for me).

Other Meds: None

Current Illness: None

ID: 1028491
Sex: F
Age: 33
State: SC

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/13/2021
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: Shortness of breath that start the day after 2nd dose of vaccine and has not gotten better with treatment

Other Meds: Camrese Vitamin D Vitamin B Zyrtec Gabapentin Omeprazole

Current Illness: None

ID: 1028492
Sex: F
Age: 55
State: NY

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/13/2021
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: NKA

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

Symptoms: Fever, chills, joint pain, muscle pain, headache, fatigue. Onset 9 hours after shot, lasting for 36 hours.

Other Meds: Synthroid, fluoxetine, estrogen replacement, atorvastatin, Vitamin D

Current Illness: Adverse reaction to 1st dose 12-29-20 began 8 hrs post-vaccine and lasted 48 hours.

ID: 1028493
Sex: F
Age: 70
State: NC

Vax Date: 02/02/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Moderna COVID-19 Vaccine.. Feb. 12 th (day 10) I woke up with a large area around the site of the injection being red, hot, raised and itching. I rubbed hydrocortisone cream on the area. Itching subsided, but not the heat, discoloration or soreness to touch.

Other Meds: Levothyroxin 25mcg, Centrum Silver multi vitamin, B-complex. Zinc, vitamin D, biotin, psyllium, aspirin 81 mg

Current Illness: None

ID: 1028494
Sex: F
Age: 66
State: AK

Vax Date: 01/13/2021
Onset Date: 01/28/2021
Rec V Date: 02/13/2021
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: The list is too long to enter here. Codine, NSAIDS, Latex, Lidocaine; a history of sensitivity to drugs resulting mostly in rashes or large oozy blisters (Codine and Latex contact). Cross reactive latex allergies to some foods.

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

Symptoms: On the day of the vaccine, I had a warm flushing feeling in the back of my neck and head and face within the first 15 minutes. Then a couple of times later in the day. My arm was sore and painful for 3 days following. On 1/28/2021 - two weeks after the vaccination I woke up with my arm being itchy, and exhibiting a large rash with well delineated margins measuring approximately 15cm x 6cm surrounding the injection site and down my arm towards my elbow (anterior). It became warm to the touch and continued that way for about 3 days. After that small blisters began to appear which became intensely itchy. These eventually burst and stopped itching. I used Benadryl on the rash which seemed to help. During this same time I had a series of hot flashes coupled with temperature spikes and drenching sweats. The rash and the hot flashes took slightly over a week to fully resolve. There is a remnant rash still, along with as yet unhealed blisters (scabbed over) (yes still).

Other Meds: Estradiol, multivitamin, probiotic, Claritin, Pepcid

Current Illness: none

ID: 1028495
Sex: M
Age: 76
State: NY

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Right upper arm (from shoulder down to elbow) starting developing a itchy red rash.

Other Meds:

Current Illness:

ID: 1028496
Sex: F
Age: 31
State: PA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: naproxen prednisone

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: itchy, raised, red, hard bump at injection site noticed 9 days after injection

Other Meds: omeprazole 40mg fiber supplement

Current Illness: n/a

ID: 1028498
Sex: F
Age: 68
State: FL

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: The site of the injection became warm and itchy after 8 days from initial injection.

Other Meds: lisinopril

Current Illness: None

ID: 1028499
Sex: F
Age: 51
State: TX

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: Hives all over my body

Other Meds: Metformin, Crestor

Current Illness:

ID: 1028500
Sex: F
Age: 56
State: TN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/13/2021
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: Fatigue, headache, muscle pain, chills, nausea and fever for 36 hours from onset, followed by fatigue and slight nausea for 24 additional hours. The symptoms were serious enough that I could not participate in activities of daily living (could not go to work or get out of bed for the first 36 hours).

Other Meds: none

Current Illness: none

ID: 1028501
Sex: F
Age: 45
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: Penicillin Chocolate

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

Symptoms: Rash to mouth and chest

Other Meds: Flonase Singular Loratadine

Current Illness: Chronic hay fever

ID: 1028502
Sex: F
Age: 42
State: FL

Vax Date: 02/10/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: None

Symptom List: Injection site pain, Pain

Symptoms: Awakened with petachiae on both arms, shoulders to wrists, across stomach, and with a few on chest

Other Meds: Blisovi FE

Current Illness: None

ID: 1028503
Sex: F
Age: 63
State: CA

Vax Date: 02/03/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
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

Symptom List: Injection site pain, Menorrhagia

Symptoms: "Covid Arm".....large red itchy rash at injection site appeared on day 7 and continues now day 10

Other Meds: Inderal

Current Illness:

ID: 1028504
Sex: F
Age: 44
State: MO

Vax Date: 02/01/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: Sulfa

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

Symptoms: Aches, fever chills

Other Meds: None

Current Illness: None

ID: 1028505
Sex: M
Age: 81
State: WA

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/13/2021
Hospital: Y

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: ACEi -> cough

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Unclear if related. Patient vaccinated on 1/22 with first dose of Moderna series (reportedly at his work place) and did well. Then on 2/5 had sudden onset headache found to have significant subarachnoid hemorrhage. Admitted to neuro ICU, EVD placed by neurosurgery. Later went on to develop aspiration pneumonia and MSSA bacteremia. Unclear if initial SAH may have been related to mRNA vaccine.

Other Meds: aspirin 81 mg EC tablet Take 81 mg by mouth Daily. atorvaSTATin (LIPITOR) 80 MG tablet TAKE ONE TABLET BY MOUTH DAILY losartan (COZAAR) 25 mg tablet Take 1 tablet by mouth Daily. Multiple Vitamin TABS Take by mouth Daily.

Current Illness: None

ID: 1028506
Sex: F
Age: 55
State: OR

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Patient has experienced right arm pain and tingling since her Shingrix vaccine in December (roughly two months). It is worth noting that she received the flu shot in the other arm during the same visit. She reports trying acetaminophen/ibuprofen treatment, as well as heat and ice therapy. She reports that the sensation has been fairly constant, and wanted to report it officially. We reached the mutual decision that she will reach out to her doctor for her opinion as well.

Other Meds: Carbamazepine, tizanidine

Current Illness: N/A

ID: 1028507
Sex: M
Age: 76
State: IN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: Sore arm General aches Chills Fatigue

Other Meds: Atorvastatin

Current Illness:

ID: 1028508
Sex: M
Age: 72
State: NJ

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/13/2021
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:

Symptom List: Nausea

Symptoms: moderately high fever, headache for two days, then three days later (Tuesday morning) Signs of TIA - slurred speech, central vision blurry, word recall difficulty

Other Meds: Acyclovar famodine zrtec Multi vitamin d with K2, omega 3 1 gram daily magnesium citrate 200mg 2x daily

Current Illness:

ID: 1028509
Sex: F
Age: 49
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Tired, chills, overall not feeling right, pain at injection site, large red area and bump at injection site.

Other Meds: Vitamin c, d3, zinc, collagen, probiotic, multivitamin

Current Illness: None

ID: 1028510
Sex: F
Age: 50
State: IA

Vax Date: 01/13/2021
Onset Date: 01/19/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Egg whites

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

Symptoms: Several days after receiving the first dose, my arm was red at the injection site, hard, warm, and itchy.

Other Meds: Lexapro, Claritin

Current Illness:

ID: 1028511
Sex: M
Age: 85
State: NV

Vax Date: 01/16/2021
Onset Date: 01/22/2021
Rec V Date: 02/13/2021
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: None

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

Symptoms: My dad got so sick and pass away on 2/11/2021

Other Meds: Aspirin

Current Illness: Enlarged prostate

ID: 1028512
Sex: F
Age: 83
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Enoki Mushrooms, bivalve shellfish

Symptom List: Tremor

Symptoms: Very sick feeling, muscle aches, chills, sleepy, tired, arm pain for 28 hours after vaccine. In bed all day.

Other Meds: Simvastatin, metoprolol, levothyroxine, niacin, magnesium, biotin, docusate sodium

Current Illness: None

ID: 1028513
Sex: F
Age: 38
State: NM

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: 8 days after injection developed erythema (approx. 9cm) and itching at site

Other Meds: None

Current Illness: None

ID: 1028514
Sex: F
Age: 71
State: FL

Vax Date: 02/02/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: Shellfish, clendomyasin, morphine, all sulfa drugs,

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

Symptoms: Redness and circular area around injection point. First occurred on Feb 3 (day of the injection). Red , raised area reappeared Feb 13. Also very itchy and hot to the touch.

Other Meds: Prednisone shot, also given Hydroxyzine tablets (10mg) given 2-12-2021.

Current Illness: Got into poision ivy 3 days after injection, This prednisone injection and hydroxyzine med have caused hot, pink raised rash around vaccine area.

ID: 1028515
Sex: F
Age: 45
State: KY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/13/2021
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: N/a

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

Symptoms: Fever for 48 hours along with body aches and fatigue Swelling, redness and itch at injection site which lasted for a week Large, painful, swollen lymph nodes in armpit of injection arm which lasted for around 9 days

Other Meds: Crestor Dulera Vitamins C and D Fish oil Multivitamin Folic acid Claritin

Current Illness: N/a

ID: 1028516
Sex: F
Age: 40
State: CA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Allergic to either cipro and/or flagyl (was taking both when I had a reaction).

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Second Shot - 3:30pm on 2/11/21 - 10pm on 2/11/21 extremely sore arm 2/12/21 7am (upon waking): - Tired - Over sensitive to smells (particularly bad ones). Very weird. - Mild headache - Ringing/white noise in ears - Couldn?t lift arm more than 1 foot from where it hung by my thigh. 11:45am - Started a low grade fever - Having trouble doing my job (couldn?t always form thoughts or do my job) - left work at 12:15pm - Mild headache and ear issues continued 12:30pm-10pm - Fever between 101.7- 103 (typically closer to 103) - Chills (hands shaking so bad I couldn?t hold things, couldn?t get warm, had to wait for them to subside to text or try and use the remote). It took me 45 minutes to get off the couch to go to the bathroom. - Ear issues continued Fell asleep at 10pm and woke at 4:30am on 2/13/21. Was completely soaked. Like if I had stood in the shower with my clothes on. Clothes clung to my body they were soaking and I had lost about 2lbs (obviously in water). Took temperature but no fever. Went back to bed. Since waking at 8:30am, I am tired, have a small headache and that is all.

Other Meds: Birth control and generic Claritin.

Current Illness: N/A

ID: 1028517
Sex: F
Age: 68
State: AL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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:

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

Symptoms: pATIENT STATED HER TOP LIP FELT KINDA FUNNY. DID NOT NOTICE ANY SWELLING

Other Meds:

Current Illness:

ID: 1028518
Sex: F
Age: 66
State: AK

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: Too many to list. History of drug sensitivity resulting mostly in rashes and blisters (Codine and Latex), NSAIDS, Lidocaine. Cross reactive latex allergies to some foods.

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

Symptoms: On the day of the vaccination almost immediately after my right arm swelled up at the injection site. It looked like a chicken egg trying to burst out of my arm! The nurses immediately applied a cold pack, which seemed to help. At the 15 minute post injection mark, I had the warm flushing feeling up the back of my neck, head and into my face that I had with the first injection. After that I began to feel nauseous. None of these symptoms lasted very long, but I continued to have them throughout the rest of the day. Later that day my arm began to itch, and by morning I had a full blown rash just below the injection site. There were two distinct well defined patches, one above the other down my arm to my inside elbow. All together it measures about 20cm x 6cm. After the first day the small blisters started to appear. This is very much different from the first injection rash which started two weeks after the injection, and the blisters did not appear for several days. As before, the blisters are intensely ITCHY, but Benadryl seems to help. As of today, they have not yet burst. Different from the first injection is a new symptom - sharp and very painful spikes of pain in right elbow and right knee the day of the injection. This was off and on all day long, stopped sometime before the next morning, and have not returned. The pain in my elbow was similar to striking your funny bone. As with the first injection, hot flashes and temperature spikes with drenching sweats off and on; as well as just feeling worn out and tired. These episodes are abating on this fourth day post injection.

Other Meds: Estradiol, Multivitamin, Probiotic, Claritin, Pepcid

Current Illness: none

ID: 1028519
Sex: F
Age: 22
State: NY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Fever, chills, muscular pain, chest pain, shaking, paralyzed, vomiting

Other Meds: Buspirone 15 mg 3x a day

Current Illness: None

ID: 1028520
Sex: F
Age: 73
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Lipitor, phenylpropanolamine, sensitive to milk products

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

Symptoms: Slight nausea for three hours

Other Meds: Bromocriptine multivitamin, B-complex, astralagus, vitamin A, zinc. magnesium, calcium citrate, boron, iron, pregnenolone, L-arginine, grapefruit seed extract, wheat germ oil, beta glucans, ashwagandah, choline, vitamin K, avocado soy unsa

Current Illness: None

ID: 1028521
Sex: M
Age: 76
State: IN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: Vicodin

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

Symptoms: Sore arm at place of shot Aching Chills Fatigue

Other Meds: Atorvastatin

Current Illness:

ID: 1028522
Sex: M
Age: 44
State: TX

Vax Date: 12/23/2020
Onset Date: 01/06/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: No e

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

Symptoms: Developed right scapula area pin 2 weeks after first dose. Became severe the day after the 2nd dose. Then noted right axilla numbness on 1/18/76.

Other Meds: Losartan 100 mg daily Inspra 50 mg daily Lipitor 20 mg daily Nexium 20 mg daily

Current Illness: None

ID: 1028523
Sex: F
Age: 77
State: CA

Vax Date: 01/30/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
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: Sulfa Ibuprofen Codeine Seasonal allergies (no food allergies)

Symptom List: Vomiting

Symptoms: I already described this.

Other Meds: About 9 days after getting my 1st Moderna shot, I noticed itching at or near the injection site. It wasn't until two days later that I noticed a bright red oval-shaped rash with little blisters had appeared about an inch below the injectio

Current Illness: None

ID: 1028524
Sex: F
Age: 57
State: TX

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: NKDA Mild food allergies: Peanuts, tomatoes, oranges. No anaphylaxis.

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red Rash at injection set. Slightly itchy. Approximately 2 inch diameter. Consistent with ?COVID ARM? describes in literature.

Other Meds: Vitamins D3 with K2, Calcium, Zinc with Quercetin, Elderberry

Current Illness: None

ID: 1028525
Sex: F
Age: 39
State: MD

Vax Date: 01/08/2021
Onset Date: 01/11/2021
Rec V Date: 02/13/2021
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: Peaches

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

Symptoms: Muscle twitching that started in the left foot, then spread to calf, leg, arm, and trunk, as well as face and hands. Sometimes accompanied by vibrating sensations, pins & needles. The twitching is constant, never stops, and interferes with sleep. Symptoms increased in degree and severity after 2nd vaccination.

Other Meds: Vitamin D, Rhodiola rosea, multivitamin, glucosamine, gingko biloba, turmeric with black pepper, magnesium. Clindamycin/tretinoin acne cream.

Current Illness: None

ID: 1028526
Sex: F
Age: 60
State: FL

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/13/2021
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: Penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Urticaria on the arm

Other Meds: Insulin Vitamins

Current Illness: Diabetes

ID: 1028527
Sex: M
Age: 57
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Unknown

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

Symptoms: Patient had not been feeling well yesterday after 2nd dose of Moderna (vaccination time unknown) and had told coworkers he was feeling tired today. When walking from car at work (at vaccine site) security observed him fall in parking lot. Hit head, +loss of consciousness. Laceration noted. RNs, MD, Pod Director and Fire rescue were all on site and responded immediately. Denied headache or blurry vision. BP 172/92. Sp02 91% on RA. AA&0x2. Oxygen applied. Repeat vitals 162/88, HR 103, O2 96%. Blood sugar 167. Ambulance called. Transported to ER.

Other Meds: Unknown

Current Illness: Unknown

ID: 1028528
Sex: F
Age: 40
State: MA

Vax Date: 02/03/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: None

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

Symptoms: Redness and slight swelling in the arm at the injection site 9 days after first dose.

Other Meds: Velivet Claritin D B12 vitamin supplements D3 vitamin supplement Women?s one a day multi vitamin L-lysine 1000mg Collegian vitamin supplement

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm