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: 1047683
Sex: M
Age: 29
State: IL

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Right jaw/TMJ pain for about 8 days after

Other Meds: Zinc and multivitamin

Current Illness: None

ID: 1047684
Sex: M
Age: 79
State:

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: Moderna COVID-19 Vaccine EUA muscle pain/joint in the right arm, body aches

Other Meds:

Current Illness:

ID: 1047685
Sex: F
Age: 70
State: CA

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
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: sulfa

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

Symptoms: Exactly 1 week after receiving the vaccine, my right upper arm (the one in which I received the shot) started itching a lot. I noticed there was a lumpy swelling under my skin and the skin was red and warm. I have now had the itchy swelling for 4 days and think it is going down a bit. It never hurt, just itched. I am telling you this so you can warn others to expect this mild reaction so they will not worry. I looked it up and it is called "covid arm". It relieved me that I am not alone with this condition. Feel free to contact me with any questions. Thank you!

Other Meds: none

Current Illness: none

ID: 1047686
Sex: F
Age: 67
State: CA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: epinephrine norco vicodine cortisone seafoods

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: got vaccine at 9:45 , 5-6 minutes later on waiting room, started having tingling on my face , got blurry vision , and felt weak, started having fine tremors , my hands became so cold . nurse was called , they took me back . my blood pressure got rose to 155 mmhg and o2 sat 99% . my blood pressure was up for 20 minutes . Then kept me there for one hour , then I had another episode of blurry vision , cold handed and fine tremor. They checked my blood pressure which was uyp again . then I took tylenol and a physicien over there recommended benadryl 25mg po which i took it. then around 1 pm i had another episode of coldness and weakness which was not intense and severe as the first time and resolved on her own in 10 minutes . then they let me leave . of fnote , My left arm got swollen but no redness. swelling resolved in 2 days . meanwhile I continued to have weakness,fatigue and subjective fever for next 48 hours .

Other Meds: multi vitamine , rosuvastatin 5 mg , D3 , biotin , magnesium twice a week , but on the day of vaccination didn't take any of those medications .

Current Illness: none

ID: 1047687
Sex: F
Age: 72
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Adhesive tape; NKDA

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

Symptoms: Received #1 dose as stated. Next day, 1/27/21, 9:00am , had mild joint pain to both legs, & arms, & slightly tired. Shortly after that , while driving, had nausea, & muscle aches to legs & arms. Reaching family members home, could barely carry bags with each arm, due to pain in joints, and to muscles, getting worse. Through the next 6 hrs. had moderate to severe pain to joints, & muscles & gradually severe fatigue. Took 1 Tylenol 650 mg for pain. Also, checked temperature thru out this time, with only mild 99.5 temp. Vaccine site gradually became swollen, with increased pain. Was doing work on computer, but could not continue, so left for my home, & went to bed, to sleep. Lt. Arm started becoming red, with severe soreness & swelling by 1/28/21, 2 days after vaccine. Vaccine was given very high on my arm, almost shoulder area. All Symptoms continued for about 10 days, including to vaccine arm, which continued with redness & soreness for 2 weeks. My physician was notified. She advised NSAID before #2 dose, but I already take NSAID daily (Meloxicam), so don't think I can take another NSAID. I have been taking Tylenol 650mg at least twice a day, for increased joint & muscle pain, since vaccine. My 2nd dose, originally scheduled for 2/23/21 has been rescheduled to 2/27/21 due to no vaccines available.

Other Meds: Metoprolol ER 25 mg Atorvastatin 10mg Escitalopram 10mg Meloxicam 15mg

Current Illness: none

ID: 1047688
Sex: F
Age: 69
State: IL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: At 3:30 pm (2 hours after the injection) my arm at the injection site started to hurt and I felt light-headed and had chills, These symptoms continued, plus I became exhausted and my joints hurt. My stomach was queasy. By the next morning, my joints hurt so much it was difficult to roll over in bed, and all the other symptoms were still there and worse. I did not have a fever. I developed a headache. All I could do was lie in bed; sitting up felt exhausting. By evening of that day, my joint pain was lessening and my stomach felt somewhat better. By the following morning, I felt normal, basically. So in total, about a day and a half of bad reaction.

Other Meds: Trazadone (100 mg, once/day), daily multivitamin, fish oil, glucosamine/chondroitin, calcium

Current Illness: None

ID: 1047689
Sex: F
Age: 89
State: OR

Vax Date: 02/18/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
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: Shingles outbreak on right let and buttocks

Other Meds: metFORMIN 500 mg 24 hr tablet four tablets by mouth every day with breakfast SM ASPIRIN ADULT LOW STRENGTH 81 MG EC tablet one tablet by mouth every day indications: pvd FIBER-LAX 625 mg tablet one tablet by mouth every day indications: bo

Current Illness:

ID: 1047690
Sex: F
Age: 53
State: AZ

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
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: About 12 hours later I had a mild headache, body aches, chills that lasted another 18 hours. 36 hours after the shot I felt a lump under my left armpit and there was visible swelling about the length of my fist. The lump was sore and pain could be felt with touch and with squeezing my arms across my breasts. 4 days after the shot, the lump under my arm isn't very painful but there is still some swelling.

Other Meds: Losartan Potassium tab 100 mg 1x daily Hydrochlorothiazide CAP 12.5mg 1x daily Clonidine HCL Tab .1 mg 1x daily Spironolactone TAB (Aldactone) 25 mg 1-2 daily OTC Magnesium 400 mg 1x daily Potassium Chloride ER 20 meq 1x daily Famo

Current Illness: none

ID: 1047691
Sex: F
Age: 56
State: TN

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

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

Lab Data:

Allergies: Alpha gal syndrome- allergic to meat

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Large red inflamed rash around injection site. Hot to touch. Tender to touch. Pain with range of motion, itching. 9 days post moderna vaccine. Ice and ibuprofen- effective.

Other Meds: Lecythyroxine Lexapro

Current Illness:

ID: 1047692
Sex: F
Age: 73
State: NY

Vax Date: 02/20/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
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: pork and penecillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I was extremely sleepy. I went to sleep Saturday night, got up at 8 am. At 9:30 am I was so sleepy I could hardly walk. I went to bed and slept for 7 hours without waking up. When I got up I felt better.

Other Meds: No medication was previously taken.

Current Illness: no

ID: 1047693
Sex: F
Age: 79
State:

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Heart Palpitations

Other Meds:

Current Illness:

ID: 1047694
Sex: M
Age: 72
State: OK

Vax Date: 01/14/2021
Onset Date: 01/28/2021
Rec V Date: 02/22/2021
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: blue kidney dye

Symptom List: Rash, Urticaria

Symptoms: 2 weeks after receiving the vaccine the inside of mouth (both cheeks and upper and lower lip areas) became numb and possibly swollen. After a couple of days my mouth improved. My mouth was almost well by Feb16. On Feb 10 I received the Moderna covid boster vaccine. On Feb 17 my mouth again became numb and swollen. As of this date 2/22/2021 my mouth is again improving and is nearly well. I visited my Primary Care Doctor on Feb 19, 2021. We decided to wait and see if this gets better on its own. If not I will see an Ear, Nose, and Throat Specialist.

Other Meds: cavedilol, lisinopril, amlodipine, atorvastatin, aspirin,

Current Illness: none

ID: 1047695
Sex: F
Age: 52
State: KY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: 16 hours after injection, had chills, temp 99.8, body aches that lasted about 16 hours. Then had 2 small nosebleeds that lasted less than 1 minute-one about 48 hours after injection and one about 72 hours after injection. About 79 hours after injection, noticed petechiae on bilateral lower legs only . . Notified my PCP the next day. No nosebleed on day 4 after injection and petechiae stable - maybe spread a little but still below the knees. ( Had previous COVID-19 infection that symptoms started around 11/29/2020)

Other Meds: Levothyroxine , Mobic, Excederin prn, Advil prn, Elderberry OTC, MVI, Vitamin D, Calcium, Flonase

Current Illness: Sinus congestion

ID: 1047696
Sex: F
Age: 69
State: IL

Vax Date: 01/24/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
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: None

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

Symptoms: Covid Arm after both vaccinations

Other Meds: Xanax

Current Illness: None. HAD SECOND VACCINATION YESTERDAY (Moderna for both) AND IT APPEARS THAT I HAVE COVID ARM AGAIN

ID: 1047697
Sex: F
Age: 36
State: CO

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
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: Amoxicillin

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

Symptoms: Fatigue, itchy arm,

Other Meds: None

Current Illness: None

ID: 1047698
Sex: F
Age: 29
State: TN

Vax Date: 12/23/2020
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
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: Right arm arm pit swollen where it looks like an extra titty. It?s sore and will ache . I have a tingle that runs down it every once in a while to my little pinky . It?s weaker than my left side . I vaccinated 12/23 12/31 lump in tight armpit came up 1/4 got in with MD she said heat compress soak in Epsom salt baths Tylenol 1/20 came near 29 past 1st shot called to ask if I still needed to take second one she told me no I was sent for blood work I can?t member the date . still there went back to md Had CT done on 2/9 CT reading very vague in my opion and also the rheumatologist opion lol . Just states inflamed lymph nodes benign. She also sent me to rheumatologist due to sed rate elevated. He thinks it?s elevated due to arm swollen. He also told me I need contact y?all cause he dose not think it?s autoimmune even though he checked me throughly and has ran labs today . He said he believes it?s from vaccination.

Other Meds: Sertraline 100 mg Hctz 50 mg Omeprazole 60 mg Potassium 10 meq

Current Illness: No

ID: 1047699
Sex: F
Age: 57
State: NY

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: First 2 days couldn?t move my arm it was red swollen and hard as a rock. The pain was less day 3 redness spot is getting bigger at point of injection still hard to touch

Other Meds: Montelukast one daily

Current Illness:

ID: 1047700
Sex: F
Age: 45
State: MN

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Sore arm, swollen arm pit lymph nodes -day 2 and now. Fatigue-day 2 til now. Nausea and dizziness-day 3. Chills-day 4.

Other Meds: Wellbutrin, claratin, lipator, valtrex, vitamin d, metformin

Current Illness: None

ID: 1047701
Sex: F
Age: 21
State: FL

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Mast Cell Activation Syndrome patient: Known triggers are Brazil nuts, albuteral, augmentin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Besides normal side effects that are well known, I got blood blisters in the gums of my mouth. I have very good oral hygiene and have never had a cavity in my life, and no recent changes to any medications or anything. One of them popped, and it was filled with blood.

Other Meds: ?Banana Bag Oral Solution -- 1 packet -- 1 per day ?Zofran ODT-- 8 MG -- every 8 hours PRN Metaxalone -- 800 MG -- 3 times per day ?Chelated Magnesium -- 400 MG -- 1-2 times per day ?Vitamin C -- 500 MG -- 4 times per day ?Dextromethorphan

Current Illness: Ehlers-Danlos Syndrome Type 3, Dysautonomia/POTS, Complex Regional Pain Syndrome, Primary Immunodeficiency/Hypogammaglobulinemia, Mast Cell Activation Syndrome, Cranio-cervical/Atlantoaxial Instability, Median Articuate Ligament Syndrome, Intestinal Dysmotility, Factor 8, Ventricular Septal Defect, small mitral valve prolapse

ID: 1047702
Sex: M
Age: 20
State:

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
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: Chills and bodyache following the #2 of moderna. Pt is tachycardic. Otherwise unlabored breathing. Steady gaits. 20 yo M w/ no known chronic medical conditions, p/w frontal HA, dry mouth, myalgias, fatigue, and nausea since last night. Received the COVID vaccine yesterday afternoon. No photophobia, vomiting, diarrhea, abd pain, cough/congestion, CP, SOB.

Other Meds: UNK

Current Illness: N/A

ID: 1047704
Sex: F
Age: 29
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
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: no known allergy

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

Symptoms: I took Sumatriptan 50mg 3 hours prior to vaccination because of a migraine attack. Migraine symptoms were relieved in 2 hours but still experienced some side effects of the medication such as dizziness. I got my 2nd dose of Moderna at 18:10, 2/17/21. I started to experience tingling sensation in my head at 23:00. The tingling was unilateral in the left parietal and left occipital areas. On 2/18/21, I experienced dizziness, fatigue, general weakness, bad headaches, and nausea. I took Acetaminophen 600mg at 22:00, and symptoms were gone on 2/19/20. But my migraines were more frequent since vaccination, but i did not take any medication for that. Today (2/22/21), some post vaccination symptoms are back, including headache, dizziness, fatigue.

Other Meds: Sumatriptan 50mg, 3 hours prior to vaccination for migraine attack

Current Illness: migraines

ID: 1047705
Sex: M
Age: 65
State: NJ

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/22/2021
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, penicillin, sulpher drugs, bananas, apricots.

Symptom List: Unevaluable event

Symptoms: Had minor itching/ pins and needles feeling sporadically at different locations of my body starting about 1 hour after vaccine injection. Pins and needles feeling grew less and less each day. All symptoms gone by day 6 after vaccine injection. As a side note, my last flu shot was about 8 years ago and I had the same symptoms after the shot.

Other Meds: Levothyroxine 112

Current Illness: None

ID: 1047706
Sex: F
Age: 48
State: IA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/22/2021
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: erythema, warmth, pain in deltoid in region of the vaccine starting 2 days after. 14x20 cm in diameter. Still with some redness as of 2/19 but improving.

Other Meds:

Current Illness:

ID: 1047707
Sex: F
Age: 70
State: CA

Vax Date: 02/15/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
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: No

Symptom List: Injection site pain, Pain

Symptoms: On Wednesday, February 17, 2021 around 7:00 pm I had a pounding headache that I never experienced before. The next morning headache began again and started vomiting at 7:45 a.m. thru out the morning until 11:30 a.m. I could not eat anything , tried eating a piece of toast & after one bite the vomiting began again. I vomited again at 3:15 p.m. Tried again to eat white rice and immediately began vomiting again. On Thursday morning had a slight headache with no vomiting. Friday I felt OK, just weak from all the vomiting. Saturday morning I felt Okay, then suddenly I felt dizzy and though I was going to faint. My daughter immediately told me that she was driving me to the ER because I was pretty dehydrated. Was diagnosed with dehydration at the ER.

Other Meds: Jardiance 10 MG

Current Illness: Sinus infection on January 29, 2021

ID: 1047708
Sex: F
Age: 65
State: TX

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever, joint aches, nausea, chills, headache

Other Meds: Atenolol, atorvastatin, Acetaminophen/ibuprofen, loratadine

Current Illness: none

ID: 1047709
Sex: F
Age: 79
State:

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
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: PCN,codiene,sulfa, mobic, doxicillin, biaxin, plaqienel levefloxin

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

Symptoms: to ER on 2/19/21 breathing difficulty, hoarse voice , chest pain, skin itchy, headache, edema, body joint pain, elevated B/P

Other Meds: simvastatin, gabapentin,relafen, keflex

Current Illness:

ID: 1047710
Sex: F
Age: 44
State: OH

Vax Date: 02/20/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
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: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Woke up on 2nd day after shot with a red swollen line running from arm pit on injection arm down to elbow on underside of arm, the line is about 9 inches in length and 1/2 inch wide. It hurt to lift arm, getting better as the day goes on. Not other issues.

Other Meds: Lisinopril 10mg, estradiol 1mg, vitamin c 1000 mg, magnesium 400 mg, turmeric curcumin 2250 2x, fish oil 3600mg 3x, centrum, b12 1000mg, potassium 40 mg, loratadine 10 mg, d3 50 mg 2x, by 25 mg, pycnogenol 100mg 3x , flonase 50 mcg

Current Illness: None

ID: 1047712
Sex: M
Age: 51
State: FL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Multiple allergies to foods, pollen, mold based on skin tests

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Indurated red rash that started around the patient?s left eye just over 24hr after the second vaccine dose. It progressed to an ulceration by the weekend (3-4 days post vaccine), then additional rashes developed on the cheek below it. Additional rashes developed on both arms which progress to bullae.

Other Meds: Synthroid 200 mcg once daily Singular 10 mg once daily Repatha IM once every 2 weeks Lisinopril 10 mg once daily Vitamin D 5,000 IU once daily Mycophenolate mofeil (was on 1500 mg/day that was decreased to 500 mg at bedtime then discontinu

Current Illness:

ID: 1047713
Sex: M
Age: 41
State:

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
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: PENICILLIN G

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

Symptoms: fever,chills,bodyache. Fever,chills and bodyache since last night. Wants to get COVID test done. Pt does not want to be seen by ED provide.

Other Meds: UNK

Current Illness: Gout. Seasonal Allergic Rhinitis

ID: 1047714
Sex: F
Age: 71
State: WV

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Cipro, Levaquin, penicillin, Tramadol, Naprosyn, Acetaminophen, Statins, Repatha, Tape Band aids, Padding on braces, Strawberries, Corn and corn products, dust mites, molds, tree and grass pollens

Symptom List: Nausea

Symptoms: Injection site had a hard lump, had and extremely large red circle around the site, and was hot and itchy for about two weeks. Also caused an elevation in blood pressure and fluid retention for about two weeks. Slight headache.

Other Meds: Losartin, Metoprolol ER, Felodipine, Hydrochlorothiazide, As;rin, Lovaza, Vitamin B12, Vitamin D3, Super B Complex, Move Free Ultra

Current Illness: none

ID: 1047717
Sex: F
Age: 70
State: WA

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
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: Bad headache, chills, low fever night of injections. Followed by 2 days of major fatigue and brain fog.

Other Meds: Effexor, K-tab, Pradaxa

Current Illness: none

ID: 1047718
Sex: F
Age: 45
State: TX

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: Codeine

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

Symptoms: Swelling around injection site ongoing and it?s been a week Hardness in the tissue around injection site

Other Meds: Magnesium

Current Illness:

ID: 1047719
Sex: F
Age: 70
State: WA

Vax Date: 02/08/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Rash and pain at injection site. Also warm to the touch. Started today. 14 days after first vaccine.

Other Meds: Baby aspirin. Turmeric. Multi vitamin. Vitamin C and B12

Current Illness: None

ID: 1047720
Sex: F
Age: 65
State: MN

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/22/2021
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: Ongoing right shoulder pain and increased migraines

Other Meds: None

Current Illness: None

ID: 1047721
Sex: F
Age: 62
State: OH

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/22/2021
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: My second dose triggered cluster headaches, which I have not had for almost 40 years. They began the day after my shot and have intensified over the last 12 days

Other Meds: Gabapentin, Zyrtec, Aspirin

Current Illness: None

ID: 1047722
Sex: F
Age: 54
State: NY

Vax Date: 02/06/2021
Onset Date: 02/08/2021
Rec V Date: 02/22/2021
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: Foods (non-anaphylactic) Gluten, Corn, Sweet Potato, Watermelon

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

Symptoms: Starting several days after receiving the second dose of the Moderna Covid-19 vaccine I developed muscle spasms on the left side of my neck which is on the same side that I received the vaccine. This does not feel like anything like I have ever had before. Multiple muscles in my left neck feel very stiff, almost like a dystonic reaction. This continues so far 1 & 1/2 weeks after vaccination.

Other Meds: None

Current Illness: None

ID: 1047723
Sex: F
Age: 31
State: NC

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/22/2021
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, sulfa drugs, valium, tree nuts

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

Symptoms: Shortness of breath, tachycardia (HR 130), and redness all over body.

Other Meds: None

Current Illness: None

ID: 1047724
Sex: F
Age: 18
State: AZ

Vax Date: 02/20/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
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: Amauxacillin and sulfa

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: An hour after my vaccine I noticed that my arm was red where I got the shot. It got bigger and bigger. The biggest is what it is currently at 8pm on the 22 of Feb 2020.

Other Meds: None

Current Illness: None

ID: 1047725
Sex: F
Age: 25
State: MA

Vax Date: 02/13/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
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: Circular shaped rash. Red appearance. Slightly raised edges. Mild inflammation

Other Meds: Xulane Birth Control patch

Current Illness: None

ID: 1047726
Sex: F
Age: 53
State: AL

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/22/2021
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:

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

Symptoms: The day after receiving the shot, my arm hurt and it was swollen at the site of the injection. With each passing day, my arm felt more normal. Nine days after receiving the 1st Moderna shot, I woke up with my left arm hurting and itching at the site of the injection. Upon investigation, I discovered that my left arm was swollen at the site of the injection and that the swollen area had fever. These symptoms lasted for several days.

Other Meds: Losartan Potassium Prilosec Trivora One a Day Gummies

Current Illness:

ID: 1047727
Sex: F
Age: 70
State: NY

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/22/2021
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 that I was aware of.

Symptom List: Pain in extremity

Symptoms: Approximately 14 hours after receiving the vaccine, I woke up at 2:15 a.m. feeling pains in my chest middle and extending through to my upper back. The pain encompassed the span of my upper chest and back from one arm to the other. I experienced very rapid heartbeats that I could feel throbbing from my head to my chest. I was hesitant to move or rise from my bed because of the pain. At 3:40 I called 911. They did an EKG and I was told that my heart was fine. My blood pressure was 180/90. I chose not to go to the hospital but to call my doctor when his office opened up at 9:00 a.m. in approximately 5 hours. My doctor had me come into his office. I had another EKG which was fine and he sent me to have a Cat Scan. the same day which was also fine. My doctor spoke to me and said that he felt that this was due to side effects of the vaccine. I doubled up on my Acid Reflux medicine, taking 80 mg daily for four days through Monday 2/22/2021. I could not sleep well for three days after the vaccine experiencing pain in my chest and could not breathe deeply without feeling it. Then I steadily improved and today I can take deep breaths with little pain. I also experienced muscle pain in my left shoulder and neck but used Mineral Ice on my neck and was relieved in one day.

Other Meds: Omeprazole caps 40 mg. daily Simvastatin tabs 20 mg daily Metoprolol Succinate tabs 25 mg daily Fish Oil 1300 mg daily Iron tabs 65 mg daily D3 1000iu daily Women?s multivitamin dietary supplement gummies

Current Illness:

ID: 1047728
Sex: F
Age: 32
State: CA

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/22/2021
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: Large red itchy spot on arm. Thought it was a bug bite at first. No treatment as I?m currently breastfeeding.

Other Meds: Postnatal vitamins

Current Illness: None

ID: 1047729
Sex: M
Age: 57
State: NV

Vax Date: 02/16/2021
Onset Date: 02/20/2021
Rec V Date: 02/22/2021
Hospital: Y

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: Developed Shortness of Breath about four days after being vaccinated. Went to the ER 2/21. Had bloody fluid removed from around his heart or lung 2/22//2021.

Other Meds: Off methotrexate and Pradaxa: Taking amlodipine, Ertapenem IV 1 gram daily, and Metoprolol Tartate

Current Illness: Atrial Fibrillation, HTN, Chronic pain. Pt has a pacemaker removed in January 2021 secondary to an infection, followed by removal of pacemaker wires and revision of a pacemaker pocket early February 2021. He has been receiving daily IV ABT (Ertapenem )and has Negative Pressure Wound Therapy over the surgical site. Bandages are changed every three days. A PICC in inserted into the left upper arm. He became short of breath within three to four days after receiving Moderna COVID-19 primary. On Saturday, February 20th his wife shared that he becomes winded easily. He was seen Sunday, February 21st for wound care and was later sent by EMS to Hospital. Blood was reportedly found in the left lower lung lobe. He has been flown to Hospital, and today has a pericardial or pneumothoracic tap per his wife.

ID: 1047730
Sex: F
Age: 44
State: IN

Vax Date: 02/12/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
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: KNDA

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

Symptoms: 10 cm erythematous circular rash with raised edges

Other Meds: zinc, vitamin C, vitamin D

Current Illness: None

ID: 1047731
Sex: F
Age: 37
State: NY

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/22/2021
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: Seasonal allergies

Symptom List: Vomiting

Symptoms: Chills, nausea, headache, joint pain 2/7 and 2/8.

Other Meds:

Current Illness:

ID: 1047732
Sex: F
Age: 29
State: DC

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

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The morning after the vaccine, pt noted low grade fever and general weakness, syncope with loss of consciousness for undetermined time period, facial trauma resulting in fractures of maxilla and teeth

Other Meds: Recent Medrol taper, prn maxalt

Current Illness: recent daily headaches

ID: 1047733
Sex: F
Age: 35
State: CA

Vax Date: 02/08/2021
Onset Date: 02/16/2021
Rec V Date: 02/22/2021
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: Penicillin

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

Symptoms: I developed a small hive/bite looking spot around the injection site. It began as about 1inch and has grown to cover the whole upper arm. It is red around the outside and lighter in the middle. Is seems to be growing, it is warm to the touch, and slightly itchy. Not other side effects

Other Meds: Metformin

Current Illness: None

ID: 1047734
Sex: F
Age: 47
State: CO

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Covid arm. Red, hard, slightly swollen and slightly itchy circle around the vaccine area on the left arm.

Other Meds: Orthotrisprentic - oral contraceptive

Current Illness: None

ID: 1047735
Sex: F
Age: 51
State: WY

Vax Date: 01/31/2021
Onset Date: 02/10/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: bacitracin and sulfa- rash

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

Symptoms: Within 15 minutes of receiving vaccine patient developed SOB, was put on oxygen initially and O2 sats improved for about 10 minutes until O2 sats began dropping again at which time patient was transitioned to a non-rebreather and given IM epi 0.3mg.

Other Meds: lisinopril, spironolactone, zoloft

Current Illness: None

ID: 1047736
Sex: F
Age: 51
State: TX

Vax Date: 02/01/2021
Onset Date: 02/03/2021
Rec V Date: 02/22/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: The day after felt very fluish. Very fatigued and had swollen lymph node above right collar bone.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm