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: 1029190
Sex: F
Age: 40
State:

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: nickel

Symptom List: Dysphagia, Epiglottitis

Symptoms: chills, severe body aches, weakness, headache, fever, nasal congestion X 24 hours some symptom improvement with Tylenol sore left upper arm and axillary area

Other Meds: Asmanex inhaler, Tudorza inhaler, montelukast

Current Illness:

ID: 1029191
Sex: F
Age: 66
State: FL

Vax Date: 01/28/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
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: phenergan, celebrex pineapple

Symptom List: Anxiety, Dyspnoea

Symptoms: several days of heart palpitations over the course of a few days. on 2/11/21 palpitations were constant and strong. went to urgent care. received EKG, chest Xray, cat scan, was transfered to Hospital, to be seen by a cardiologist. He did a nuclear cat scan, stress test, and an echo cardiogram. No definite diagnosis. tests were all negative. will now have a heart monitor for two weeks to see if episodes reoccur.

Other Meds: latanoprost, premarin, acidophilus,,calcium, glucosamine, turmeric

Current Illness: none

ID: 1029192
Sex: F
Age: 69
State: CA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/14/2021
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:

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

Symptoms: Began with general malaise. One night of transient pains perceived as white balls of pain during night of Feb 9. Exhaustion and fever of 100.4 and chills occurred on February 10, and I spent 4 hours in bed during the day. Transient pains again with strange nightmarish perceptions during night of February 10, Some shortness of breath on February 11, and onset of fairly severe chest, lung, and middle body pain, This pain intensified during night of Feb 11, and continued through February 12, but energy returned. Pain diminished by February 13, when I was almost feeling normal again.

Other Meds:

Current Illness:

ID: 1029193
Sex: F
Age: 52
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Muscle pain

Other Meds:

Current Illness:

ID: 1029194
Sex: F
Age: 43
State: AL

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Sulphur drugs

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

Symptoms: Tenderness at site for first three days, then symptoms resolved. Day 7 after vaccine, arm tenderness, aching, itching.

Other Meds: Paroxetine

Current Illness: None

ID: 1029195
Sex: F
Age: 81
State:

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
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: Chills, fever, headache, weak legs all lasting 2 days

Other Meds:

Current Illness:

ID: 1029196
Sex: F
Age: 70
State: NC

Vax Date: 02/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Sulfamethoxazone, Fexofenadine, Loratadine, Diphenhydramine Hcl, Cetrizine, Peppermint Oil, Shellfish Derived, Nut - Unspecified, Peppermint Oil, Peanut, Sesame Oil

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Nothing at the time given.....one week later redness around injection site

Other Meds: Premarin, 0.3 mgn-Levothyroxine 25 MC/G

Current Illness: none

ID: 1029197
Sex: F
Age: 76
State: VA

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Pharyngeal swelling

Symptoms: On day 7 I developed itching and raised welts at the injection site. On day 8 and 9 the itching and raised welts were gone but left a red circle about 2 1/2"x2 1/2". Applied topical Benadryl for the itching. Personal doctor was not contacted.

Other Meds: multi-vitamins, vitamin D, CoQ-10. magnesium, calcium

Current Illness: none

ID: 1029198
Sex: F
Age: 37
State: OR

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Band-aids Penicillin Amoxicillin Chocolate Blueberries

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: At the injection site, it is red, splotchy. The skin is hot and hard. Arm and into the neck is sore and stiff. It started this morning and is ongoing.

Other Meds: Advil

Current Illness: N/A

ID: 1029199
Sex: F
Age: 65
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
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: Peanuts & nuts

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 15 mins post shot, lightheaded. Drank water, then 8 oz orange juice from EMT. Lasted several hours. Then 30 mins post shot, acute sleepiness. Lasted 48 hours. Because of the above, would not have been able to dtive safely (luckily had spouse with me). No other reaction post shot.

Other Meds:

Current Illness:

ID: 1029200
Sex: M
Age: 49
State: IN

Vax Date: 01/13/2021
Onset Date: 02/09/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: macrolides

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

Symptoms: I am a physician who received the second Pfizer COVID-19 vaccine in my right arm on 1-13-21. On 1-14-21 I developed deep aching right sided neck pain distinct from the injection site pain, and this progressed to right cervical radiculopathy, with 12-15 hours of radicular pain radiating from my right neck through my right hand. The best way to describe this is it felt like a tooth ache from my neck to my hand. That is not why I'm writing. I'm writing because around 2-9-2021 I developed a pruritic rash near my right wrist that I originally thought was contact dermatitis, but I could not recall the initial contact. The rash persisted, and 2-13-21 it spread, began to crust, and started burning, consistent with shingles in the C8 distribution. I'm a 49 year old quacks-like-a-duck doctor, and wanted to share my story due to the possible connection between the Pfizer mRNA vaccine and herpes zoster.

Other Meds:

Current Illness: none

ID: 1029201
Sex: F
Age: 61
State: PA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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: penicillin, tetracycline, Tylenol

Symptom List: Rash, Urticaria

Symptoms: cill, temperature (100,5), muscle pain.

Other Meds: none

Current Illness: none

ID: 1029202
Sex: F
Age: 50
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
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: Pain at injection site

Other Meds:

Current Illness:

ID: 1029203
Sex: F
Age: 68
State: PA

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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: No

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

Symptoms: Moderna COVID-19 Vaccine -- rec'd injection on 2/6/21. Shoulder was sore for two days, then soreness went away. However, today (2/14/21) I am experiencing itching at the site of injection along with a 2" radius of swelling and bumpiness under the skin in the surrounding area. I assume I have what is being called "Covid arm."

Other Meds: escitalopram 20 mg; calcium, vit D, magnesium, glucosamine

Current Illness: None

ID: 1029204
Sex: M
Age: 94
State: NY

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: The patient accidentally received a third COVID vaccine. The pharmacist administering the vaccine saw two record cards, questioned the nurse on the floor about it. The nurse told her that the second record card was an error. After administering the vaccine, a representative came and said the patient received a third vaccine. No side effects were reported at the time. But the doctor on staff was to monitor the patient.

Other Meds: n/a

Current Illness: n/a

ID: 1029205
Sex: F
Age: 40
State: IL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: NA

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

Symptoms: Swollen deltoid, nerve pain down left arm and up neck area, sore left hip

Other Meds: NA

Current Illness: NA

ID: 1029206
Sex: M
Age: 28
State: MD

Vax Date: 02/05/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
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: NA

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

Symptoms: Pain in the back that spread to below the front right rib. Pain resulted in shortness of breath and pain on inhalation.

Other Meds: Adderall 15mg XR

Current Illness: NA

ID: 1029207
Sex: F
Age: 59
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: N/A.

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Tiredness, chills, and headaches.

Other Meds: Calcium and Vitamin D supplements.

Current Illness: N/A.

ID: 1029208
Sex: F
Age: 41
State: CT

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Second dose Moderna vaccination side effects I experienced are: 1. Fever 100.7 F -48 hours 2. A fast Heartbeat -5 hours 3. Dizziness -36 hours 4. Weakness- exhaustion -48 hours 5. Myalgia + athralgia - 48 hours

Other Meds: PPIs (NEXIUM) 20mg.

Current Illness: N/A

ID: 1029209
Sex: M
Age: 33
State: FL

Vax Date: 12/21/2020
Onset Date: 12/26/2020
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: On 26DEC ( 5 days after first injection), he started experiencing pain and weakness in the Right deltoid radiating down to the fingertips . Within a week, started feeling similar symptoms in Left extremity. No shoulder/neck pain. Pain starts at the deltoid at the injection site and has caused stiffness, pain, and tightness of the upper extremities alone. Decreased grip b/l. Symptoms have persisted since ( almost a month now) but did seem to resolve while on prednisone, but returned after cessation. No respiratory issues, chest pain, paresthesias, or lower extremity symptoms.

Other Meds: None

Current Illness: None

ID: 1029210
Sex: F
Age: 50
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/14/2021
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: Sulfa

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

Symptoms: Approximately 12 hrs after my 2nd dose, I started to experience chills, fatigue, aches and pains. I was sweaty and uncomfortable. I am not supposed to take Tylenol or ibuprofen due to gastric sleeve surgery and took 1-500 mg Tylenol to ease the discomfort around 9 pm however this did not relieve the aches, pain or chills. I did not take my temperature at this time. I took another Tylenol around 12 am and attempted to sleep however around 4 am I woke up sweaty and chilled and took my temperature with an infrared thermometer and it was 102.5. I took 2 Tylenol and 1 ibuprofen at this time. My temperature decreased to 99 by 7 am and was down to normal by 9 am.

Other Meds: Pantoprazole Sod Dr 40 MG Vyvanase 50 MG Toprimate 100 MG Losarton Potassium 50 MG Multivitamin; Vitamin D

Current Illness: Chronic seasonal allergies which I take OTC Claritin (none at that time); completed 7 days of antibiotics (began 1/12/2021) for an infected blister and subsequent yeast infection (fluconazole 150 mg 1x 1/22/2021). No other.

ID: 1029211
Sex: F
Age: 61
State: OH

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
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: Twitching in left arm of shot in the lower part of arm by elbow crease. Almost constant when resting. Not when moving. Thought it had stopped yesterday afternoon but then woke up this morning with the twitching. Very localized.

Other Meds: Magnesium, C, D

Current Illness: None

ID: 1029212
Sex: F
Age: 48
State: MN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/14/2021
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: Pain at injection site

Other Meds:

Current Illness:

ID: 1029213
Sex: F
Age: 77
State: AZ

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/14/2021
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: only some antibiotics

Symptom List: Injection site pain, Pain

Symptoms: Feb 3, 2021 (day 8) delayed reaction -large over bright red, hard, hot to touch; took tylenol and Benadryl and iced arm; on Feb. 4, the oval was slightly better; on Feb 6 oval was almost faded but still red; Feb 8 slight ring around ova reaction Also, I felt very tired and tended to sleep during the day

Other Meds: none

Current Illness: none

ID: 1029214
Sex: M
Age: 90
State: OH

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital: Y

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Uncle received vaccine on 2/9/21 at 11:30am. Had acute myocardial infarction on 2/10/21 at 08:30am where he proceeded to fall and fracture hip. Transported to emergency department and treated for AMI. Stabilized and taken for surgery to repair hip fracture. To be discharged on 2/15/21 to rehabilitation facility. Up until this point he was very healthy and active, despite his age, living unassisted at home.

Other Meds:

Current Illness: none

ID: 1029215
Sex: M
Age: 73
State:

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital: Y

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: New onset aflutter RVR with hypotension

Other Meds:

Current Illness:

ID: 1029216
Sex: M
Age: 70
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
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: My arm hurts. My arm is hot. My arm is not red so I do not suspect infection. No fever. My arm is hard and swollen.

Other Meds:

Current Illness:

ID: 1029217
Sex: F
Age: 46
State: PA

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: No, but seasonal allergies and did have reaction to allergy shots when they tried to increase the dosages

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: So this is the 2nd round of reaction 24 hours later I started to feel really flushed elevated Hr, shaking feelings weak again and I wasn't able to take a deep breath and fill my lungs. I took 10 chewable benadryl

Other Meds: My first reaction was right after the injection and that was reported yesterday. Received Epi, and was prescribed prednisone 2 20ml tablet, prn benadryl. This morning the reaction came back quickly and I took 125 ml benadryl went to ER.

Current Illness: None

ID: 1029218
Sex: F
Age: 40
State: IL

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/14/2021
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: Raised red bump at injection site on 1/24. Went away after 2-3 days then came back on 1/31.

Other Meds: Lexapro

Current Illness:

ID: 1029219
Sex: M
Age: 29
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: N/A

Symptom List: Nausea

Symptoms: Approx. 8 hours following injection, on Friday, 2/5 at 3:45 p.m., began experiencing the following symptoms: low grade fever (99.1 F); Left arm numbness and pain from deltoid to fingers; severe joint pain in L thumb, Index, and middle fingers; headache; chills; systemic muscular weakness; dizziness/nausea; extreme fatigue. Symptoms began to abate on Sunday 2/7 at approx. 8 p.m., and had completely abated by Monday 2/8 at 6 a.m.

Other Meds: Cetirizine Hydrochloride Tablets, 10 mg/day

Current Illness: N/A

ID: 1029220
Sex: F
Age: 54
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Low grade fever, headache, body aches, fatigue

Other Meds: Tizanidine, hydrocodone

Current Illness:

ID: 1029221
Sex: M
Age: 73
State: NV

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Covid Arm Large red spot near injection site. Sore arm. Warm to touch. Body aches, head ache, and fatigue.

Other Meds: Tamsulosin Allopurinol Pravastatin

Current Illness: None

ID: 1029222
Sex: M
Age: 33
State: NY

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NKDA

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

Symptoms: woke at 3:30 am on Feb 12, 2021 with severe vertigo that caused him to fall with no injury, he could not get up crawled back to bed. Awoke again at approximately 7:00am with feeling feverish, shills fatigue with no vertigo. At 5:00pm patient stood to walk to bathroom, felt chills and flushed and "passed out" and fell hitting his chin on the kitchen table awoke on the floor did not remember passing out or hitting his chin. He stood up did not feel dizzy, just tired continued to the bathroom. No episodes after that just tired. Patient had been taking fluids throughout the day and eating.

Other Meds: none known

Current Illness: None

ID: 1029223
Sex: F
Age: 42
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
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: Tremor

Symptoms: Headache, chills

Other Meds:

Current Illness:

ID: 1029224
Sex: F
Age: 52
State: AK

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/14/2021
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: Cephradine, Latex, Ciprofloxin, Levofloxin, Toridol, Cephalasporins (more on record)

Symptom List: Erythema, Pruritus

Symptoms: Ended up with full symptoms, nausea, vomiting, lightheaded, fatigue, loss of appetite, sore at injrctionsight, ended up at ER with hypomagnesmia, hot/cold flashes. Body aches and cough with sore throat.

Other Meds: Vivatrol injection, same day Diltiazem

Current Illness: None,

ID: 1029225
Sex: F
Age: 77
State: CO

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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 and Bisphosphates

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

Symptoms: Chills, headache for one day, achy feeling, blood pressure below 120 for 2 days, SpO2 between 92-94 for 2 days. Acetaminophen for 1 day at maximum dose for headache, reduced appetite for 2 days.

Other Meds: Amlodipine 2.5 mg and low dose aspirin, vitamin D 3000 mg for osteoporosis, Metamucil, multi-vitamin, fish oil

Current Illness: None

ID: 1029226
Sex: F
Age: 69
State: PA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: unknown

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

Symptoms: Pt reported shortness of breath and wheezing after returning home. Pt sought medical attention from an ER.

Other Meds: unkown

Current Illness: unknown

ID: 1029227
Sex: F
Age: 61
State: LA

Vax Date: 02/03/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Wokke up around 3:00 a.m. 3 nights after vaccine. Violent vomiting 3-4 times, then diahhrea for about half hour. Thought I had food poisoning. Sever headache shortly after. Sunday, slight fever, listless, some muscle aches, joint pain. Sunday night, headaches returned. Monday, slight fever, muscle aches, swollen lymph nodes under right armpit. Some mild muscle aches and joint pain. Monday night, headache again. Tuesday, same symptoms. Wednesday, some joint pain, swollen lymph node, otherwise fine.

Other Meds:

Current Illness:

ID: 1029228
Sex: F
Age: 65
State: CO

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: penicillin

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

Symptoms: Spontaneous rapid heart rate for 15 minutes. Rested. Heart rate returned to normal.

Other Meds: none

Current Illness: none

ID: 1029229
Sex: F
Age: 68
State: MI

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None reported

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

Symptoms: At 11:55 AM, the patient received the 2nd vaccine. At 12:28 PM, the patient pruritius to the face bilateral otipictal region of the head. At 12:34 PM, blood was 112/78. O2 was 93 % which is her home oxgyen, temp 97.6, lung sounds clear throughout. At 12:42 PM, complaint resolved. 12:44 banophen 25mg/ cap, po admistrated once. At 12:58 PM, blood pressure was 125/73, heart rate 70, O2 95%, temp 97.4 degrees.

Other Meds: None reported

Current Illness: Allergist but never diagnosis

ID: 1029230
Sex: F
Age: 65
State: SC

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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 patient did state that years ago she had taken allergy shots but no specific info given

Symptom List: Pain in extremity

Symptoms: Upon receiving vaccine patient stated that her arm felt immediately warm and itchy. I examined the area and it was botchy and some what red. She then said that in the past she had a similar reaction when receiving allergy shots many years ago and would take oral Benadryl. She was not having any breathing issues and declined epipen. I offered and she agreed that oral Benadryl would be ok. I gave her 5ml of generic Benadryl 12/5mg/5ml which is what she stated she usually takes. After sitting for 10 minutes she stated that her neck was itchy so we repeat the Bendryl dose. She did state that she was wearing a cloth mask which was new for her. She thought removing the mask would help which I agreed. I observed her for an additional 20 minutes. She stated she was feeling fine, I again checked injection site and redness was gone

Other Meds: n/a

Current Illness: n/a

ID: 1029231
Sex: M
Age: 76
State: MA

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
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: Loss of taste and smell . Shortness of breath, fatigue, brain fog.

Other Meds: Prednisone, Hydrochlorothiazide ,Lisinopril

Current Illness: PMR

ID: 1029232
Sex: F
Age: 37
State: NY

Vax Date: 02/06/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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: Penicillin

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

Symptoms: Redness, itching, and pain - big patch of red appearing surrounding injection site 1 week later

Other Meds:

Current Illness:

ID: 1029233
Sex: F
Age: 35
State: MN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
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: Headache, pain at injection site

Other Meds:

Current Illness:

ID: 1029234
Sex: F
Age: 53
State:

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Pt developed itching to ears, face and throat a few minutes after injection. 50mg of benedryl injection given immediately at 1248. Reports no difficulty breathing. Improvement noted after benedryl given.

Other Meds:

Current Illness:

ID: 1029235
Sex: M
Age: 70
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The day after my 2nd vaccine, I experienced a headache and mild cough. I took two extra-strength Tylenol and it helped. I took two more Tylenol before bed, and by Sunday morning felt fine.

Other Meds: Oracea, Prilosec, Authrostatin

Current Illness: None

ID: 1029236
Sex: M
Age: 36
State: IA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
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: Carbamezapine - severe skin reaction

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

Symptoms: Night terrors; every night for a period of five (5) nights

Other Meds: Lamotrigine - 150mg every 12 hours

Current Illness: None

ID: 1029237
Sex: F
Age: 47
State: CA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Fever, Nausea, headache, body aches, facial and lymphatic swelling, swelling heat and rash at injection site, blurred vision, and fatigue. Seems like every time I woke up from a nap, I would feel a little better. Kept Tylenol on board and that helped with fever. This morning, 2/14, I am feeling much better, just have the rash and light headache.

Other Meds: Labetalol 200mg 3x daily Joint Free D3 Bayer 81mg Tylenol 500mg x2 PreNatal multis

Current Illness: None

ID: 1029238
Sex: F
Age: 50
State: OR

Vax Date: 02/12/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Penicillins

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

Symptoms: At 40 hrs post vaccine I broke out in a red, painful rash located on my trunk from the neck down and the hips up. The rash is prickly, red, somewhat raised and tender to the touch. It came on suddenly at around 8am on 2/14/21.

Other Meds: 1000 IU Vit. D 2-3xweek, 150mg Welbutrin

Current Illness: None

ID: 1029239
Sex: M
Age: 69
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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 (and any derivative or "cousin" to codeine), penicillan, darvon, demerol

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

Symptoms: achy upon waking up on 2/13 (approx 7a). At laundromat, started to get clammy, and sweaty. Sat down, and next thing I knew I has fainted (approx 7:45-8a). Police were called, then First Aid Squad. Very pale, sweaty and nauseous (threw up 2x). Went to Hospital. Was evaluated in the ED for approx 6 hrs, then transferred to a room for overnight observation.

Other Meds: Simvastatin: 20mg once a day; Hydrochlorothiazide: 12.5mg once a day; Losartan: 100mg once a day; Pentoxifylline: 400mg twice a day

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm