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: 1044703
Sex: F
Age: 77
State: OR

Vax Date: 01/29/2021
Onset Date: 02/04/2021
Rec V Date: 02/21/2021
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: Cymbalta, Papaya,

Symptom List: Dysphagia, Epiglottitis

Symptoms: She developed arm pain, redness & swelling at injection site which lasted for 5 days. 5 inches across area. Pain intense. It reoccurred again at day 10 with more redness, swelling & pain for 4 more days. Went away after about 3 days. Reoccurred with soreness on 22nd day, but this time with some soreness also in right inner wrist. No fever, headaches, or chills. Synopsis- arm pain soreness, redness & swelling off & on for over 3 weeks post vaccination

Other Meds: Atenolol, Premarin,Xanax,Tumeric, B12, Co Q10, magnesium,D3 vitamin, Fish oil, Calcium carbonate,

Current Illness: None

Date Died: 02/21/2021

ID: 1044704
Sex: M
Age: 69
State: WV

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Light headedness, fatigue, nausea

Other Meds:

Current Illness: None

ID: 1044705
Sex: F
Age: 76
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
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: None

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

Symptoms: Arm soreness at injection site, no treatment, gone in 5 days.

Other Meds: Qnapril/HCTZ 20-12.5mg Atenolol 50mg Amlodipine Besylae 5mg

Current Illness: None

ID: 1044706
Sex: F
Age: 40
State:

Vax Date: 02/01/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Pt. Had itching and hives on chest after first vaccine resolved after po Benadryl. Today, pt. had second dose of vaccine with similar results and was given PO Benadryl with improvement of symptoms. Pt. left under own power in stable condition with no further symptoms.

Other Meds:

Current Illness:

ID: 1044707
Sex: F
Age: 71
State: WI

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/21/2021
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: Nausea gastrointestinal issues. Still present today.

Other Meds: None

Current Illness: None

ID: 1044708
Sex: F
Age: 48
State: KS

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
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: Lisinoprel, cephexin

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

Symptoms: Swelling of left side lymph node under my arm

Other Meds: Birth control, blood pressure, multivitamin, cranberry tablet, allertec, probiotic, emergenC

Current Illness: Covid diagnosis on Feb 2, 2021

ID: 1044709
Sex: F
Age: 51
State: CO

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Dairy free for the past 6 years

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: The next day at 9 am I started to feel dizzy and had body aches all over, had a temperature of 100.5 that went down as I slept all day due to fatigue.

Other Meds: NONE

Current Illness: None

ID: 1044710
Sex: F
Age: 70
State: KY

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

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

Lab Data:

Allergies: LEVSINEX (HYOSCYAMINE), PENICILLINS

Symptom List: Pharyngeal swelling

Symptoms: RECEIVED BOTH DOSES OF PFIZER COVID19 ON 01/22/21 & 02/12/21. ON 02/21/21 REPORTED COMPLAINING OF RT EAR PAIN AND SORE THROAT. HAD NEGATIVE COVID19 TEST AND FLU. NOT ABLE TO TEST FOR STREP AT THIAT TIME. DIAGNOSED WITH SORE THROAT, EARACHE ON RIGHT, AND ARTHRALGIA OF RIGHT TMJ. TOLD TO GO TO ER IF NOT BETTER IN 1-2 DAYS AND FOLLOW UP WITH PCP IN 1-2 WEEKS.

Other Meds:

Current Illness:

ID: 1044711
Sex: F
Age: 69
State: NC

Vax Date: 02/03/2021
Onset Date: 02/06/2021
Rec V Date: 02/21/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: On February 6 through February 8 I had severe diarrhea, followed by loose stools for several more days. I lost 5 pounds. It has taken 2 weeks to get my GI tract partially normal again. I was wiped out of energy.

Other Meds: vitamins

Current Illness: none

ID: 1044712
Sex: F
Age: 58
State: WA

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/21/2021
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:

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Red blotches and rash on upper arm with very slight bruising. Lasted from day 7 until day 11 after shot.

Other Meds:

Current Illness:

ID: 1044714
Sex: F
Age: 46
State: MD

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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, bactrim, keflex, ceclor

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

Symptoms: Brief periods of extremely intense dizziness. Dizziness woke me up at 1:30 am, continued all morning, started to subside by afternoon. Very mild dizziness the following day.

Other Meds: Claritin, flinstones chewable vitamin

Current Illness: None

ID: 1044715
Sex: F
Age: 66
State: MO

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Sulfa and latex

Symptom List: Rash, Urticaria

Symptoms: Patient had a delayed reaction "covid arm." Hot to the touch, itchiness, and pain. It has been a week since she received the vaccination. I told her to monitor for a few days with IBU and benadryl at bedtime and if no improvement go to the doctor.

Other Meds: N/A

Current Illness: N/A

ID: 1044716
Sex: M
Age: 77
State: CA

Vax Date: 01/25/2021
Onset Date: 01/29/2021
Rec V Date: 02/21/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: On the fourth day after receiving the first dose of Moderna Covid 19, I started experiencing abdominal which doctors determined was appendicitis. I had laparoscopic surgery for it. Don't know if there is any causal effect between the vaccine and my developing appendicitis. Info online says Pfizer, not so much Moderna, more than double the number of clinical development volunteers developed appendicitis than did those that took the placebo. Am just reporting; don't know if there is a causal effect.

Other Meds: Pradaxa, thyroid medicine

Current Illness: none

ID: 1044717
Sex: F
Age: 88
State: OK

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
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: sulfur drug, codeine, Penicillin

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

Symptoms: Awful rash and itching over entire body starting on day 7. Unable to sleep or even wear much clothing.

Other Meds: Trazadone, Atorvastatin calcium, Ropinirole, Metoprolol succinate, daily vitamin, magnesium, Preser vision, calcium, Benadryl, Nexium

Current Illness: Eye injections being given.

ID: 1044718
Sex: F
Age: 39
State: NV

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: 2/17/21 at 7:00pm; extreme fatigue, massive headache, chills, nausea; couldn?t stay awake, slept for 12 hours. 2/18/21 at 7:00am; difficulty waking; fatigue, muscle and joint pain; moderate headache; nausea; diarrhea; dizziness, minimal relief with Tylenol and Tums. Continued all day. 2/19/21 all day; muscle and joint pain, fatigue, chills; dizziness 2/20/21 all day; headache at least twice and dizzy spells at least four times; fatigue, chills; temperature ranged between 95.4-96.2; nausea; lost of taste 2/21/21 all day, no headache; chills; inability to stay warm, inability to taste (even tried straight sugar and daughters sour candy), dizzy spells so far three times. No loss of smell.

Other Meds: Synthroid 175mcg Eztimebe 5mg Arbonne multivitamin Arbonne probiotic

Current Illness: None

ID: 1044719
Sex: F
Age: 67
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
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: Codeine

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

Symptoms: Immediate pain at injection site that never got severe, but is still tender 4 days post-vaccine. Redness at injection site (5 cm 4 days post-vaccine). Lump at injection site - very hard on date of injection but lessening daily. I will contact my primary care provider on 2/22/21.

Other Meds: Multi-vitamins, calcium, zinc

Current Illness: None

ID: 1044720
Sex: F
Age: 64
State: ID

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
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: sulfa, latex

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

Symptoms: 2/18/21 time around 9pm, sore arm along with red rash, still remains today but better. Had this reaction 1st vaccine 1/18/21 Moderna Lot #011620A. 2/19/21 body soreness, hands hurt, general not feeling well. 2/20/21 Awake at 2:00 am fever, dizziness, unable to walk straight and passed out. Slight temp w/tingling and numbness in both arms from mid shoulder to fingertips. Vison blurred and wavy. Rested all day. Today, 2/21/21 felt better at 8:00, vision better and tingling & numbness gone in arms. Foggy head, unable to focus on numbers. Resting but having to do chores for work week tomorrow. Vision still not 100%.

Other Meds: singular, vitamins a, c, d, e. zink

Current Illness: n/a

ID: 1044721
Sex: F
Age: 68
State: OH

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
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: extreme itching rash with hives. both arms and chest /neck. after 8 days of itch its starting to feel better

Other Meds:

Current Illness:

ID: 1044722
Sex: F
Age: 73
State: AZ

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 12 hours after receiving my 2nd shot. I developed a fever of 102, terrible chills, nausea, headache. Sometime during the next few hours I got itchy and then got a total body rash similar to hives.

Other Meds: Trelegy Elipta, Vitamin D3, Spironolactone 25 mg, meclizine 25mg, aspirin 81 mg, Atenolol 25mg

Current Illness: Vertigo

ID: 1044723
Sex: F
Age: 59
State: NY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
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

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

Symptoms: Fatigue, extreme muscle aches, dizziness, no energy, swollen lymph node under left armpit.

Other Meds: None

Current Illness: None

ID: 1044724
Sex: M
Age: 43
State: CA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/21/2021
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: Cat, mice, rabbit.

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

Symptoms: Headache, soreness on the injection site, overall fatigue, body ache.

Other Meds: None

Current Illness: None

ID: 1044725
Sex: F
Age: 54
State: CA

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

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

Lab Data:

Allergies: bee stings

Symptom List: Unevaluable event

Symptoms: patient on day 3 experience swelling, redness in her left arm at the injection site. very itchy and felt like a knot in her arm. it got slightly better on day 5 but on day 8, swelling came back and it was extremely itchy.

Other Meds: n/a

Current Illness:

ID: 1044726
Sex: F
Age: 86
State: KY

Vax Date: 02/07/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: INVOKANA, CODEINE, GLIPIZIDE, JANUVIA (SITAGLIPTIN), MELOXICAM, NIACIN AND RELATED, AND SULFA ANTIBIOTICS

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

Symptoms: RECEIVED 1ST DOSE OF PFIZER COVID-19 VACCINE ON 02/07/2021. ON 02/20/21 WENT TO URGENT CARE WITH COMPLAINTS OF LOWER BACK PAIN AND LOWER ABDOMINAL PAIN X4 DAYS. DIAGNOSED ACUTE RIGHT FLANK PAIN AND RUQ ABDOMAINL PAIN. SENT TO ER FOR IMMEDIATE EVALUATION. ON 02/20/21 WENT TO ER FOR RUQ ABDOMINLA PAIN THAT RADIATE STO RIGHT FLANK. DIAGNOSED WITH BILARY COLIC AND CALCULUS OF GALLBLADDER WITH OUT CHOLECYSTITIS WITHOUT OBSTRUCTION. ON 02/20/21 ADMITTED INPATIENT TO HOSPITAL.

Other Meds:

Current Illness:

ID: 1044727
Sex: M
Age: 68
State: NY

Vax Date: 02/17/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Cats. Hay Fever.

Symptom List: Injection site pain, Pain

Symptoms: I have a blister on the side of my tongue. It feels like I bit my tongue really severely. Also, my throat has closed up a tad. It never opened up fully after my spine surgeries, and now I can't get the large vitamin down. Of course, if it's a choice between this and falling prey to Covid 19 or 20, I'm good.

Other Meds: Lithium. Baby aspirin. Crestor. Toprol. Multivitamin. Airborne Immunity Boost. Vitamin C. Fiber Powder. Stool Softener. Cannabis.

Current Illness: None.

ID: 1044728
Sex: F
Age: 68
State: TN

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Patient felt a hard lump at site of vaccine the next day, and then about a week later she noticed a red, itchy rash around the injection site.

Other Meds:

Current Illness:

ID: 1044729
Sex: F
Age: 65
State: CA

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Naprosyn amlodipine atenolol ciprofloxacin dairy foods erythromycin Norco msg pcn Percocet soy sauce vinegar Zofran calmoseptine

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

Symptoms: Patient vaccine was part of mass vaccination event. received vaccine, initially right after injection noted palps but hr when checked by rn hr was normal. patient noted she then went to have coffeecake and coffee. 2 hours after vaccine developed throat fullness and tongue swelling. no wheeze no syncope no respiratory arrest

Other Meds: alleve banophen certizine cinnamon Citrucel cod liver oil coenzyme q 10 b complex Pepcid fish oil flaxseed oil derma smoothie (for excema) Lasix oral garlic oral green tea hctz lidocaine ointment lutein magnesium melatonin potassium chlorid

Current Illness: none

ID: 1044730
Sex: F
Age: 66
State: GA

Vax Date: 02/19/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Bactrim

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 2 days after injection total red rash over head, chest, neck, arms, back, stomach, and legs.

Other Meds: Met form in, liserinol, glipsride,pravastatin, across, Tylenol pm, meloxicam

Current Illness: None

ID: 1044731
Sex: F
Age: 32
State: OH

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

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

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Fever Joint pain Weakness Headache

Other Meds: N/A

Current Illness: N/A

ID: 1044732
Sex: F
Age: 76
State: TX

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/21/2021
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: Dramamine,Benedetto- Demerol and Percodan

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

Symptoms: Pain to neck, shoulder joint, front snd back of arm. Severely limited range of motion and unable to Lift arm.

Other Meds: Bisoprolol, amlodipine, hctz, Allegra, vitamins C& D, magnesium, zinc, cholestoff, Quercetin, SBI, HCL abd Digest-Zyme

Current Illness: None except seasonal allergies- Cedar fever

ID: 1044733
Sex: F
Age: 58
State: WA

Vax Date: 01/28/2021
Onset Date: 02/12/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Sulfa Drugs

Symptom List: Nausea

Symptoms: Bouts of moderate dizziness/lightheadedness approx 3-4 times daily began approx 1 week after 2nd dose of Moderna vaccine received. I noted it does not appear related to hunger/lack of food or missed medication dose (sertraline). I have not reported this to my doctor yet. Symptoms cause me to pause what I?m doing at the time until it passes (approx 10-15 seconds in duration).

Other Meds: Sertraline 100 mg

Current Illness: n/a

ID: 1044734
Sex: F
Age: 38
State: TX

Vax Date: 09/02/2020
Onset Date: 09/03/2020
Rec V Date: 02/21/2021
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: Injection site pain

Symptoms: Patient has been having severe pain in left arm after receiving Flublok. Describes sharp pain that radiates from left arm to neck. States this pain has been ongoing since the day after receiving the vaccine in September 2020. She has had an X-ray done and has been doing physical therapy as well as using pain patches.

Other Meds:

Current Illness:

ID: 1044735
Sex: F
Age: 71
State: NY

Vax Date: 02/21/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: ASPIRIN, NSAIDS, Lactose Intolerant, Citrus,

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

Symptoms: Severe itching in both feet, moving up both legs

Other Meds: Valtrex, Metformin, Synthroid, Aciphex, Lotrel, Crestor, Quercetin, CQ10, Fish Oil, Caltrate, Multiple Vitamin,

Current Illness:

ID: 1044736
Sex: M
Age: 75
State: CT

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/21/2021
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: non

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

Symptoms: 4 1/2 days after second shot, develop swelling in right arm pit and breast. That was a week ago. Subsequent a rash has developed and I continue to have temperature (as high as 100.9), chills and significant night sweats. Swelling continues. I get some relief from Tylenol and Ibuprofen

Other Meds: Allipurional, HydroChOROthaiaz, Posstasium Citrate, Tamsulosin, Vitamin D3 Multe vitamin, Ibuprofen and Naproxin

Current Illness: Covid December 2020 - mild case

ID: 1044737
Sex: M
Age: 71
State: AZ

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Tremor

Symptoms: Headache, 12 hrs

Other Meds: Lantus, Humalog, hydrochlorothiazide, Amlod / Benzaprl

Current Illness: Diabetes, High Blood Pressure

ID: 1044738
Sex: M
Age: 78
State: VT

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/21/2021
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: Moderna Covid-19 Vaccine EUA given February 16, 2021 followed two days later with left eye irritation that has persisted until now (February 21, 2021

Other Meds: none

Current Illness: none

ID: 1044739
Sex: M
Age: 34
State: MA

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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: Ortho-Evra, penicillin, latex

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

Symptoms: Full body aches, joint pain, chills, fatigue, arm pain around the injection site, fever of up to 101.2, lack of appetite

Other Meds: Wellbutrin, Nikki, vitamin D, iron, multivitamin, rhodiola

Current Illness: None

ID: 1044740
Sex: F
Age: 48
State: CA

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Penicillin, erythromycin

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

Symptoms: Redness , swelling, itching at the injection site appeared approximately 7 days after injection.

Other Meds: Atorvastatin, omeprazole, krill oil, albuterol inhaler

Current Illness: None

ID: 1044741
Sex: F
Age: 58
State: WA

Vax Date: 01/12/2021
Onset Date: 01/14/2021
Rec V Date: 02/21/2021
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: sensitivity to novacaine

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I experienced sudden onset of two types of arrhythmias and my regular tachycardia; atrial flutter, atrial fib, and SVT. Extremely regularly irregular. A colleague called 911. The paramedic put an EKG on me. They decided to fly me off (via med vac, since I live on an island). On the way to the heli pad, the paramedic administered 5 mg of metoprolol and in 2-3 mins the arrhythmia resolved; about 20-25 min duration in all. However on advice of the physician, they flew me to Bellingham where I stayed for 2 hours. The physician on call was fairly uninformative and I left after 2 hours. This was not supraventricular tachycardia. I have never had this type of arrhythmia before.

Other Meds: none

Current Illness: none

ID: 1044742
Sex: M
Age: 73
State: VA

Vax Date: 02/02/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Redness just below injection site about the size of my hand appearing about 10 days post injection. Becoming slightly larger

Other Meds: Levetiracetam, latanoprost

Current Illness: No

ID: 1044743
Sex: M
Age: 73
State: MO

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
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: Cipro, celebrex, shrimp with horse radish dip.

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

Symptoms: 10 minutes after shot started frequent burbing for 15 minutes. Also felt flush/hot for 45 minutes, with a red face. 60 minutes after shot these symptoms stopped.

Other Meds: Amitriptyline,

Current Illness: None

ID: 1044744
Sex: M
Age: 71
State: MO

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/21/2021
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 Reported

Symptom List: Pain in extremity

Symptoms: Fever for two weeks, nausea without vomit, shortness of breath and difficulty breathing since receiving vaccine, nothing "tasted good" but not complete lose of taste. Stomach is still "weak."

Other Meds: Amlodipine Atorvastine Metoprolo Eliquis

Current Illness: None Reported

ID: 1044746
Sex: F
Age: 70
State: NC

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/21/2021
Hospital:

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

Lab Data:

Allergies: Niacin, heparin, nickel

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

Symptoms: Exasperated pain in osteoarthritc joints and bones. All the fingers on my right hand- normally not painful, were affected. My right hip and right knee flared in discomfort, which made walking difficult. The neck ached, a dull headache resulting. And fatigue, generalized. The next day, pain diminished, fatigue continued for two days.

Other Meds: Lisinopril, HCTZ, tramadol, Vitamin B12, Vitamin D, Vitamin C, turmeric

Current Illness: osteoarthritis

ID: 1044747
Sex: F
Age: 74
State: WA

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 02/21/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: No side effects at time of injection. Around Feb 12, site of injection became red, swollen and itchy. Didn't pay much attention to it. After a couple of days, I began to feel unwell, chilled with body aches, head ache, weak and tired. Symptoms have continued, lessening each day. Today I feel a lack of energy, no body aches yet..

Other Meds: Collagen peptides, multi-vitamin, omega 7, vitamin C, B-complex, vitamin K, vitamin D

Current Illness: None

ID: 1044748
Sex: F
Age: 92
State: FL

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/21/2021
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: Already reported "covid arm". Additionally, rash appeared on left foot, as well as both arms itching. Itching has subsided and rash is disappearing.

Other Meds:

Current Illness:

ID: 1044750
Sex: M
Age: 91
State: NJ

Vax Date: 02/18/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: no allergies

Symptom List: Vomiting

Symptoms: diarrhea - started about 36 hours after receiving the vaccine, about 6 or 7 episodes of very loose stools, lasting about 8-9 hours; took kaopectate, resolved within an hour of taking the kaopectate.

Other Meds: Atorvastatin, lisinopril, furosemide, eplerenone, clopidogrel, levothyroxine, pantoprazole, vit. B12, MVI, terazosin, ezetimibe, citalopram, colace

Current Illness: none

ID: 1044751
Sex: F
Age: 41
State: OH

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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, cipro, penicillin

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Headache and body ache and tiredness started 8 hrs after. 48 hrs later swelling and severe pain in armpit. Alternating Tylenol and ibuprofen and still feel pain.

Other Meds: Effexor, probiotics, Prevacid, multivitamin

Current Illness:

ID: 1044752
Sex: F
Age: 52
State: NJ

Vax Date: 02/12/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Stinging insect venom Lupron - fertility drip

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

Symptoms: On 8th day after vaccine on Saturday 2/20, I started to experience "covid vaccine arm" - a very large (2 inches by 3 inches) red patch on my left arm below the injection site. The rash was hot, hard and very itchy. It was slightly itchy the days leading up to Saturday. I also experienced minor muscle aches that came and went. I iced my arm and applied hydrocortisone cream and later Benadryl cream. In the later evening, around midnight, my face also broke out in a red and hot rash. It did not itch. My eyes felt a bit tight. The rash was mostly on my cheeks. I applied some Benadryl cream to my face as well. I also took 25 mg of Benadryl. The symptom eased within an hour. When I woke on, the rash on my face was hardly visible. The rash on my arm is still visible, but is no longer itchy, hot or hard. I have not had to take additional Benadryl. I plan to call my doctor and allergist on Monday.

Other Meds: Melatonin as needed - 3mg

Current Illness:

ID: 1044753
Sex: F
Age: 66
State: IL

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/21/2021
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: codeine

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Moderna Covid-19 Vaccine EUA 2/13 to 2/14 sore arm at injection site treated with Tylenol 2/19 sore at injection site, raised area near site 2/20 red around injection site, low grade fever, headache Treated with alternating Tylenol and Alleve , ice pack applied to site 2/21 red around injection site, low grade fever, headache Treated with alternating Tylenol and Alleve

Other Meds: atorvastatin, metformin, after vaccination, Tylenol

Current Illness: none

ID: 1044754
Sex: F
Age: 28
State: TX

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/21/2021
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 at birth (hives)

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

Symptoms: Day of injection. No pain at first, then more painful starting 8 hours after shot. 2 days after injection, swollen lymph nodes in left armpit. Continued to get worse. Pain at vaccination site. Day 8- still pain at injection site and lymph node pain still present. ?Covid arm? rash developed (noticed around 4pm). Very swollen but not painful to touch. Have taken Tylenol and ibuprofen intermittently for pain

Other Meds: Birth control

Current Illness: Had mono roughly 11 years ago

ID: 1044755
Sex: F
Age: 58
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/21/2021
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: Reglan, Sulfa, Toradol

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

Symptoms: dizziness soon after injection give. Patient is doing well.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm