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: 1041736
Sex: F
Age: 71
State: RI

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: Ambien and versed

Symptom List: Dysphagia, Epiglottitis

Symptoms: Pt arrived in observation area with husband after receiving her first Covid 19 vaccine. Pt sat through most of her allotted time to wait but started to feel lightheaded and dizzy. Pt has a significant pmhx that makes her at risk for Covid 19 and wanted to be checked out in medical room. Pt was moved to a wheel chair and moved to medical room. Pt vs were taken and initial bp was 123/50 and was increased to 137/64 a few moments later. Pt sat in the wheel chair and rested while vs were taken every 15 minutes. Pt bp decreased to 104/47 and felt better. Pt was released to observation area and then to check out.

Other Meds: Warfarin, lasix, potassium, mag oxide, levothyroxin, latoprolol, vit d3

Current Illness: No illness

ID: 1041737
Sex: F
Age: 72
State: AR

Vax Date: 02/09/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: about 8 days after vaccination, began to have itching at the injection site, and the next day, pain in the arm. Also, malaise, felt chilled, but no temp.

Other Meds: Singulair, buspirone, effexor, nexium, quinapril, verapamil, celebrex, flomax

Current Illness: None

ID: 1041738
Sex: M
Age: 44
State: ID

Vax Date: 02/05/2020
Onset Date: 02/07/2020
Rec V Date: 02/19/2021
Hospital: Y

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: Cyclobenzaprine caused "edema."

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

Symptoms: -Age 25 dx with DM1 -12/2020 HbA1c 10% on insulin pump -2/5 second dose of Moderna vaccine (in R arm), R hip pain, resolved -2/7 R hand red/swollen, R second and third toes red/swollen -2/9 ED, given prednisone 40mg po qday and diphenhydramine for ?vaccine-related immune reaction. Afebrile, HR 101, BP 144 systolic. -2/10 Rheumatology outpatient visit, afebrile, ?acute polyarthritis of R hand and R foot, prednisone increased to 60mg po qday -2/11 ED afebrile, xrays done, 2g ceftriaxone, colchicine, doxycycline. -2/12 back to the ED. R hand more swollen. R toes perhaps improved. Admitted. -2/12 MRI R hand - "There are small effusions in the second third and fourth MCP joints. There is some subtle synovial enhancement about the MCP joints best visualized on sagittal imaging. May be a small erosion in the fifth metacarpal head. There is some additional synovial enhancement about the lateral wrist. There are some subtle enhancement peripheral to extensor tendons at the wrist consistent with tenosynovitis. No other abnormality is apparent." Given 500mg IV methylpred and 80mg po qday prednisone. Initially improved in first 24hrs and then edema returned. Discharged. No antibiotics. No markers for infection. -2/18 outpatient Rheum. R hand still swollen. Tried 3rd MCP join aspiration without fluid. Rapid taper of oral steroids as not helping. Had steroid injection R extensor wrist and 3rd MCP joint. Acute inflammatory polyarthritis affecting right hand and right foot. ?due to or triggered by COVID vaccine. Patient without h/o similar events/symptoms.

Other Meds:

Current Illness: None.

ID: 1041739
Sex: F
Age: 68
State: MA

Vax Date: 02/05/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: Rash/redness/irritation at injection site 2 weeks after receiving first dose of COVID vaccine.

Other Meds:

Current Illness:

Date Died: 02/13/2021

ID: 1041740
Sex: M
Age: 70
State: MN

Vax Date: 01/06/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Patient died on 2-13-21

Other Meds: Escitalopram, gabapentin, trazodone, atorvastatin, hydrocodone/acetaminophen, ondansetron, lidocaine 5% patch, aspirin 81mg, pantoprazole, finasteride, calcium citrate, cholecalciferol, potassium, furosemide.

Current Illness:

ID: 1041741
Sex: F
Age: 57
State: GA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Sulfa

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

Symptoms: Heat, swelling, redness and pain at injection site; body aches & fatigue despite taking NSAID. 2 days so far unable to perform activities of daily living

Other Meds: Levothyroxine, Wellbutrin, Escitalopram

Current Illness: No

ID: 1041742
Sex: F
Age: 37
State: WA

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/19/2021
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

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: 1/21/2021: Hives, fever, chills, body aches. Hives on face, abdomen, back and legs. Went to emergency room and was given Benadryl, steroids and loratadine via IV. Sent home with Rx for all. Hives improved. Patient stopped taking prescriptions and hives return. Patient returned to ED on 1/31 for similar treatment. Returned to ED on 2/4 for swollen lips, face and allover hives. Given epinephrine. Per patient labs looked "ok". 2/10/2021: no tests done. Patient prescribed loratadine 20 mg BID; singulair 10 mg daily, doxipine 20 mg q hs, benadryl 25-50 mg q 4-6 hours prn. Patient weaned off steroids at this time. Mild to moderate hives return every 2-3 days.

Other Meds: None

Current Illness: None

ID: 1041743
Sex: F
Age: 31
State: PA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: Kiwi

Symptom List: Pharyngeal swelling

Symptoms: None stated.

Other Meds: Birth control

Current Illness: None

ID: 1041744
Sex: F
Age: 41
State: MI

Vax Date: 02/14/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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 known

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I had very mild adverse events at first (fatigue, headache, muscle aches). On the third day, I felt ?normal? again. However on day four, I had headache/head congestion/felt lightheaded upon standing from a seated position. On day five, I have the same symptoms, but also had some anal bleeding (a hemorrhoid?) but no pain. It was gushing and very bright for about 2 minutes first thing in the morning but then was very spotty and mild throughout the rest of the day.

Other Meds: Xanax (as needed), women?s multipurpose daily vitamin, Micronor (low dose birth control), Prozac, trazadone, Zyrtec, lamictal

Current Illness: None known

ID: 1041745
Sex: F
Age: 40
State: MI

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
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: Bees-swollen/red/bruising locally

Symptom List: Diarrhoea, Nasal congestion

Symptoms: about 15 min after vaccination patient complained of itching at injection site, felt warm around neck. She appeared flushed and blotchy around site. SHe was kept for 15 min more. Denied chest or throat tightness. She complained of feelling warmth down left leg. BP 106/70 pulse 74 O2 sat 99%. Patient had not mentioned any hx of bee allergy during consultation, only that she felt faint/sick after receiving Hepatitis A vaccine before.

Other Meds: Prozac, Naproxen, Vitamin D, injections for allergy

Current Illness: none

ID: 1041746
Sex: F
Age: 70
State: NY

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

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

Lab Data:

Allergies: Taxol, vancomycin, gluten (rashes), reglan(jittery), Indocin ( light headedness)

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

Symptoms: 10 minutes after receiving her first dose of Covid vaccine, patient felt dry, itchy throat and had a dry cough. She was brought to us by EMS staff for medical evaluation. BP was elevated. Denies any other symptoms. Face slightly flushed, chest CTA, RRR, able to communicate well, A&O. BP 184/115 left arm, repeat after 10 minutes: 164/102. has hypertension and took her med today. Symptoms resolving and after approx 20 minutes, completely resolved. Patient declines to be transferred to local healthcare facility and agreed to call her PCP once she returned home to notify of BP and possible reaction to vaccine. Feeling much better, she stated her husband was here and she was going home.

Other Meds: Cardizem CD 120 mg po qd

Current Illness: none

ID: 1041747
Sex: F
Age: 34
State: CO

Vax Date: 01/11/2021
Onset Date: 01/12/2021
Rec V Date: 02/19/2021
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: Anterior cervical adenopathy

Other Meds: Multivitamin

Current Illness: None

ID: 1041748
Sex: F
Age: 92
State: OH

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: Third dose of vaccine administered. 1st was on 12/30/20 and 2nd was on 2/9/21 and 3rd on 2/19/21. No adverse affects at this time.

Other Meds:

Current Illness:

ID: 1041749
Sex: F
Age: 48
State: IL

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/19/2021
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: dilaudid

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

Symptoms: presented with fever of 103.3 14 hours after 2nd injection. dry heaves presented with high fever, body aches, soreness at injection site. fever fluctuating between 100.3 and 101.5 for 2 days after despite alternating tylenol and ibuprofen. day 3 and fever is still present and 100.5. other reactions minimal at this time with the exception of tiredness and sore arm.

Other Meds: Albuterol inhaler, armour thyroid 180 mcg daily.

Current Illness: none

ID: 1041750
Sex: M
Age: 20
State: WI

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/19/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: CHILLS, NAUSEA

Other Meds:

Current Illness:

ID: 1041751
Sex: F
Age: 62
State: PA

Vax Date: 01/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: muscles aches and headache 8 hrs after vaccine. severe left arm/neck pain that night. 4 dizzy spells the following day with increase muscle aches, joint pain in ankles, wrists and shoulders/neck, headache, fatigue. Overall not feeling well and joint pain, arm pain lasted 2 1/2 weeks. These adverse reactions has cause me not to get the 2nd vaccine.

Other Meds: Lisinnopril, Simvastatin, CoQ10, Vit D, ASA, Vit B12,

Current Illness: None

ID: 1041752
Sex: F
Age: 62
State: VA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: Unknown

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

Symptoms: Patient received second dose of Pfizer vaccine and after about 20 minutes of receiving dose began to feel dizzy and vomit. Heart rate slightly elevated. Patient was taken to emergency room for further evaluation.

Other Meds: Unknown

Current Illness: Unknown

ID: 1041753
Sex: F
Age: 66
State: MI

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

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

Lab Data:

Allergies: amoxicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient was administered vaccine in the left deltoid. A golf ball size hard bump immediately appeared. Cold compresses were applied and patient remained in the pharmacy for observation for 45 minutes. Patient was allowed to leave after 45 minutes when bump was significantly smaller in size

Other Meds: none

Current Illness: none

ID: 1041754
Sex: F
Age: 64
State: TX

Vax Date: 01/12/2021
Onset Date: 02/02/2021
Rec V Date: 02/19/2021
Hospital: Y

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

Lab Data:

Allergies: UNK

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Three weeks after vaccine patient experienced Headache, Fatigue, nausea, chest pressure, deep, cough. WAs hospitalized 2/3/-2/4 for elevated blood pressure on observation. took next week off to regulate blood pressure. Saw PCP on 2/10 and was released for work on 2/15. Dr., hospitalist at Medical Center, .

Other Meds: UNK

Current Illness: UNK

ID: 1041755
Sex: F
Age: 20
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: None known, but minor local reaction to flu vaccine annually

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

Symptoms: 4 hours post-vaccination: pain and soreness in the arm where the injection was given; soreness got progressively worse for 24 hours and then rapidly improved 12 hours post-vaccination: malaise, nausea, stomach pain, muscle aches, chills (no fever), fatigue, headache, and light-headedness onset; symptoms persisted for 24 hours following onset and improved overnight. 24 hours post-vaccination: axillary lymphadenopathy, currently persistent Overall, adverse effects felt like flu-like symptoms or a severe hangover

Other Meds: Spironolactone 50 mg BID PRN (acne)

Current Illness: n/a

ID: 1041756
Sex: F
Age: 25
State: NJ

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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: NKA NKFA

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

Symptoms: Chills and hot/cold started evening of 6th day post-dose. Morning of 7th day post-dose woke up with headache, fever, chills, muscle aches (neck/shoulder and lower back), and nausea which persisted throughout the day. Max temp was measured as 101.0?F. Morning of 8th day post-dose woke up with a mild headache, fatigue, and lack of appetite. Morning of 9th day post-dose woke up with a headache that resolved by midday. No pain relievers or medication were taken.

Other Meds: Multivitamin, oral contraception

Current Illness: None, other than side effects from first dose of COVID vaccine administered on 1/13/2021 and earlier side effects from second dose administered on 02/10/2021.

ID: 1041757
Sex: M
Age: 80
State: IA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: None

Symptom List: Unevaluable event

Symptoms: Patient developed fever and severe weakness about 24 hours after second COVID-19 vaccine. Spouse called ambulance and taken to the ED. Patient unable to get out of bed by self due to weakness. Patient admitted to observation unit due to fever and fatique for PT and strengthening.

Other Meds: Furosemide,Metoprolol,MVI,Potassim Chloride,Tylenol PM, Cetriz

Current Illness:

ID: 1041758
Sex: F
Age: 29
State: MA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: Medication allergies: SULFA, Macrolide Antibiotics , Doxycycline, Doxycycline Hyclate, Minocyclins, Z-Pack

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

Symptoms: Chills, headache, nausea (comes/goes in waves) and at injection site swollen, sore and red

Other Meds: Birth Control

Current Illness: None

ID: 1041759
Sex: F
Age: 51
State: FL

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: codeine

Symptom List: Injection site pain, Pain

Symptoms: Patient received the incorrect second dose. Patient should have received Pfizer 2nd dose but the vaccinator made an error and administered the moderna vaccine.

Other Meds: n/a

Current Illness: n/a

ID: 1041760
Sex: F
Age: 77
State: NC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
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-19 VACCINE EUA; MY ARM SWELLED REAL BAD TURNED A DEEP RED, VERY PAINFUL, AND AS OF YESTERDAY 02/16/2021 HAD PURPLE SPOTS.

Other Meds:

Current Illness: HIGH BLOOD PRESSURE, OSTEOARTHRITIS, ACID REFLUX

ID: 1041761
Sex: F
Age: 71
State: AZ

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
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: None

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

Symptoms: Bell's Palsy Trigeminal nerve pain in jaw Swollen glands and lymph nodes in neck, throat, right breast, under arm

Other Meds: Losartan Rosuvastatin Hydrochlorothiazide Potassium CL Levothyroxine Vitamin D3 Omega-3

Current Illness: None

ID: 1041762
Sex: F
Age: 44
State: IL

Vax Date: 02/09/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: Sulfa drugs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: My arm is all the sudden red, warm, tender, and a bit itchy at the sight of the injection.

Other Meds: None

Current Illness: None

ID: 1041763
Sex: F
Age: 69
State: CA

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: Benzoin Compound Tincture, tea tree oil, other unknow

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: severe skin rash on buttocks area, burning sensation, developed about 36 h ours after first doze of vaccination, lasted 5 days, treated with mupirocin oitment

Other Meds: levothyroxne tablet

Current Illness:

ID: 1041764
Sex: F
Age: 50
State: MD

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: unknown

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

Symptoms: Patient felt dizzy after her 15 minutes in recovery room when she got up from chair

Other Meds: unknown

Current Illness: none

ID: 1041765
Sex: F
Age: 70
State:

Vax Date: 02/10/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Chills, joint pain, body aches, syncopal episode, diarrhea, headache, malaise

Other Meds:

Current Illness:

ID: 1041766
Sex: F
Age: 26
State: CA

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

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

Lab Data:

Allergies: bees

Symptom List: Injection site pain

Symptoms: tingling to right arm and face, then throat itchiness and nausea

Other Meds:

Current Illness:

ID: 1041767
Sex: F
Age: 80
State: MI

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: This resident sustained 2 seizures, 45 minutes apart, and an elevated temperature of 101 F on 2-19-21. The first seizure occurred at approximately 8:45 am and the second at approximately 9:30 am. The resident does not have a seizure disorder or history of seizure activity other than 1 day after receiving the first dose of the same vaccine on 1-20-21.

Other Meds:

Current Illness: Seizure and fever 1 day after first Covid-19 vaccination administered 1-20-21.

ID: 1041768
Sex: F
Age: 52
State: MI

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/19/2021
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: NKA

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

Symptoms: Client called on 2/18/21 and stated 48 hrs after her vaccine she had extreme fatigue and chills that lasted 24 hrs, and body aches and sweating that lasted 48 hrs. Client felt "foggy" in the brain for 1 week and was tachycardic for this week. 1 week after the vaccination she had dizziness. The symptoms have since resolved. She will not be getting her 2nd dose of vaccine.

Other Meds: Unknown

Current Illness: No

ID: 1041769
Sex: F
Age: 65
State: CA

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
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: MRI contrast, garlic, hot spices, gluten

Symptom List: Tremor

Symptoms: Rash about 10 days later, on upper right arm where shot injected. Rash on and off for days afterwards. NOT serious, just reporting since so much later than shot. No other reason known for rash at that time. Otherwise, just a bit sore at injection site for 1 week after injection. Nothing serious to report, just for public database.

Other Meds: Anastrazole, Pulmicort, Levothyroxine, Nasacort, Astelin.

Current Illness: None

ID: 1041770
Sex: F
Age: 26
State: IA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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: Started to bruise right after shot and was very sore, was red and hot to touch that night. Next day red spot was bigger, swollen, and very hot to the touch. Drew line around spot and was bigger the next day, still red, hot to touch, and swollen. I have had fatigue since shot, a slight fever today, and yesterday was nauseated for a couple hours.

Other Meds: NP Thyroid 60 mg, Nortriptyline 10 mg, Diazepam 2 mg, Zyrtec

Current Illness: Post-Concussion syndrome

ID: 1041771
Sex: F
Age: 66
State: SC

Vax Date: 02/10/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: none

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

Symptoms: reddish rash on arm at site of injection 2" x 3" slight itch at first not now 24 hours later still there

Other Meds: metroplol, lostartan, lexapro, calcium, vit c, vit d

Current Illness: none

ID: 1041772
Sex: M
Age: 32
State: MN

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
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: lost sense of taste and smell 2/15/21 from shot 2/11/21 sinuses clogged 2/13/2021

Other Meds: Multivitamin, Vitamin D,

Current Illness:

ID: 1041773
Sex: F
Age: 52
State: AZ

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/19/2021
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: Nothing ?severe? for food allergies

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Bone and joint aches - especially in lower spine and hips, chills, headache. Whole body ached.

Other Meds: Vitamin D, calcium, multivitamin- Centrum, biotin, Bupropion

Current Illness: No

ID: 1041774
Sex: F
Age: 66
State: IA

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/19/2021
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: no known allergies

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

Symptoms: 2/13/21 -- c/o fatigue; slept most of the day, cold; warmed with blankets 2/14/21 -- chilled, can't warm with blankets; no thermometer available 2/15/21 -- somewhat tired, better 2/16/21 -- visited ED for lymphedema treatment (chronic idiopathic condition) of ankles and mid-calf; treated with prednisone

Other Meds: Aspirin 81 mg; 2 per day Voltaren 1%; apply 5x/day Calcium 500 -- 100 mg chewable, 2 per day Gabapentin 100 mg -- po 2x/day Gabapentin 300 mg - po 1x/day

Current Illness: n/a

ID: 1041775
Sex: F
Age: 72
State: CO

Vax Date: 02/01/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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: gluten

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

Symptoms: Fist size swelling at injection site; 3 day fever 103; weakness; aches muscle and joints;

Other Meds: Enalapril; novolog insulin; basaglar insulin; vitamins; probiotics

Current Illness: none

ID: 1041776
Sex: F
Age: 73
State: FL

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: Donnatol Septocaine . Dairy

Symptom List: Pain in extremity

Symptoms: 9-10 hrs after shot, joint aches, tiredness, fevers from 100-102 for 2.5 days

Other Meds: Lisinopril 20 mg Evamist 1 spray/day Folic Acid 1 mg Levothyroxine 75 mcg. Atenolol 25 mg 2xper day Simvastatin 20 mg Vitamin D3 2000 units

Current Illness:

ID: 1041777
Sex: F
Age: 65
State: IA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: Phenergan, iodine dye, vicodin, aminoglycocide opthalmic drops,

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

Symptoms: Left shoulder/arm pain daily for 2 weeks and intermittently the third week.

Other Meds: Hydrochlorothiazide 25 mg daily Supplements: Calcium, Vitamin D, Turmeric, multi vitamin/mineral

Current Illness: none

ID: 1041779
Sex: F
Age: 63
State: MA

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/19/2021
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: EMYCIN AND SULFOR

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

Symptoms: HIGH TEMP 100 THEN IT WENT UP TO 102 HEADACHE ACHY MUSCLES

Other Meds: NORVASC OXYBUTYIN ZOLOFT PROPANADOL LISINPRIL WERE TAKING IN MORNING PRIOR TO VACCINE

Current Illness:

ID: 1041780
Sex: F
Age: 59
State: WI

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/19/2021
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, NAUSEA, CHILLS, FATIGUE

Other Meds:

Current Illness:

ID: 1041781
Sex: F
Age: 62
State: CO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
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: gluten sensitive codeine compozine phenergan

Symptom List: Vomiting

Symptoms: I woke up with runny nose and constant sneezing, muscle aches and pains. Fever 103 and chills and uncontrollable vomiting. Suspects cerebral edema because of head ache and vomiting. Took 8 mg of dexmetholzone and Zofran. Neither were helpful. I took a shot of emetrex in case of a migraine. Vomiting has stopped but fatigue and weakness persists.

Other Meds: taltz for 1 monthly psoriatic arthritis clonepin Prozac Wellbutrin

Current Illness: None

ID: 1041782
Sex: F
Age: 70
State: CA

Vax Date: 02/08/2021
Onset Date: 02/15/2021
Rec V Date: 02/19/2021
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: Sulfonomide antibiotics (rash), Benzocaine, Tetracaine, Dibucaine, Risedronate Sodium (itching), Codeine (nausea), Alendronate

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: redness around vaccine site post vaccine itching on day 7 rash and increased itching on day 8-9 less itching and no rash on day 10 less redness on day 11

Other Meds: none

Current Illness:

ID: 1041783
Sex: F
Age: 70
State: NY

Vax Date: 02/05/2021
Onset Date: 02/11/2021
Rec V Date: 02/19/2021
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: Back pain, Cold sweat, Headache, Nausea, Vomiting

Symptoms: About 5 days after injection started itching at injection site. Itching continued down the upper arm in the following days. Red rash appeared. 2 weeks later itching and rash are starting to subside. Used cortisone cream.

Other Meds: Aspirin 81, atorvastatin 20 mg, calcium w d, cetirizine hci 10 mg, coq10, duloxetine hci 60 mg, famotidine 40 mg x2, gabapentine 600 mg x2, hydrocortisone crime 2.5%, ketoconazole 2% shampoo, lisinopril 10 mg, metoprolol succ er25 mg, probi

Current Illness: None

Date Died: 01/27/2021

ID: 1041784
Sex: M
Age: 73
State: WI

Vax Date: 01/23/2021
Onset Date: 01/25/2021
Rec V Date: 02/19/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: On the 25th he was home alone, he called 911 and let them know he thought he was having a stroke. EMS arrived and transported him to Hospital. It was massive stroke, he was not able to comprehend anything, he was put into Hospice the following day and passed away on the 27th. There was no autopsy preformed.

Other Meds: Multivitamin, Thiamine, Amlodipine, Cholecalciferol, Donepezil, Folic Acid, Atorvastatin

Current Illness:

ID: 1041785
Sex: M
Age: 22
State: IL

Vax Date: 02/11/2021
Onset Date: 02/17/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies: amoxicillin

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

Symptoms: rash and itchiness all over body

Other Meds:

Current Illness:

ID: 1041786
Sex: F
Age: 25
State: KY

Vax Date: 01/06/2021
Onset Date: 02/04/2021
Rec V Date: 02/19/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Diagnosed with shingles, shingles culture collected 2/4/21

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm