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: 1052393
Sex: F
Age: 63
State: CA

Vax Date: 02/16/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Penicillin, sulfa, hydrochlorthiazide

Symptom List: Dysphagia, Epiglottitis

Symptoms: On Day 7, a small and mildly itchy rash developed at the site of my injection and is painful (slightly) if pressed or scratched. Otherwise, my arm has been fine and I have had no other adverse symptoms. website article described what I am experiencing exactly as a condition known as "Covid-arm" which has been infrequently experienced post-Moderna vaccine.

Other Meds: Lisinopril (prescription) Vitamin C, Calcium/D/Zinc, Women's multi, plant-based Omega 3, ashwaganda

Current Illness: None

ID: 1052394
Sex: M
Age: 65
State: TX

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Sore arm, fever 99.3F, chills.

Other Meds: Pravastatin 40mg daily

Current Illness: None

ID: 1052395
Sex: F
Age: 61
State: MI

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/24/2021
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: Ampicillin Bentyl Ciprofloxacin Ceclor Erythromycin Keflex Levbid PCN Wellbutrin Ziac Zithromax

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

Symptoms: Received first COVID vaccination at 3:50pm and 5-10 minutes later began to experience pain and throbbing in jaw and lower molars. pain began moving forward. tongue began to tingle and mouth went numb. Glands were swollen and pain was experienced in both ears, under both eyes and cheek bones. Also experienced pain in the top and back of head.

Other Meds: albuterol 90mcg/actuation inhaler (2 puffs every 6 hours PRN) albuterol 2.5mg/3ml nebulizer solution (3 mLs. by nebulization QID) cholecalciferol (Vitamin D3) 50mcg Cap (2,000 units daily) Famotidine 20mg tablet Folic Acid 1mg Tablet Gabap

Current Illness: Sinus Infection

ID: 1052396
Sex: F
Age: 52
State: NC

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: keflex

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Initial reaction to vaccine was swelling, redness and pain (very sore muscle) at injection site. After 24 hours, and after moving the arm around, pain was gone, swelling was gone after 48 hours. Redness was gone with exception of a "red splotch" surrounding the injection site. Red "splotch" remains 13 days after injection. This "splotch" is enlongated (oval) in shape and measures two inches long and 1.25 inches wide. I have not (13 days from first dose injection) put any creams on the splotch or taken any medication for this or any other condition. Am wondering if the splotch may be a type of permanent scarring, but this will not keep me from getting my second dose.

Other Meds: over-the-counter vitamins

Current Illness: none

ID: 1052397
Sex: F
Age: 78
State: FL

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/24/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Woken up at 0300 by severe headache along with body aches, fatigue, nausea and diarrhea. H/A and body aches lasted for aprox 8-10hrs., continued to have nausea, diarrhea and fatigue for about 24 hrs after initial incident. Symptoms have resolved as of today. Denies any other symptoms.

Other Meds: losartan atorvastatin claritin

Current Illness:

ID: 1052398
Sex: M
Age: 79
State: MO

Vax Date: 02/18/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: NO KNOWN ALLERGIES

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

Symptoms: PT PRESENTED TO EMERGENCY ROOM WITH NOTED RASH THAT CAN BE DESCRIBED AS MACULAR, PAPULAR, URTICCARIAL LOCATED ON THE BODY DIFFUSELY. THERE IS ALSO SWELLING, THAT IS MILD, OF THE RIGHT EYE AND LEFT EYE, MINIMAL SWELLING TO BOTH LIPS. PT STATES THE SYMPTOMS BEGAN 2 DAYS AGO AND HE RECENTLY RECEIVED HIS FIRST COVID-19 VACCINE 6 DAYS AGO. PATIENT DISCHARGED WITH THE FOLLOWING PRESCRIPTIONS: PEPCID 20 MG, 1 TABLET ORAL EVERY 12 HOURS FOR 5 DAYS. PREDNISONE 20 MG ORAL TABLET, 2 TABLETS ONCE DAILY FOR 5 DAYS. VISTARIL 50 MG ORAL CAPSULE, TAKE 2 CAPSULES 4 TIMES PER DAY AS NEEDED FOR ITCHING. PT ADVISED TO FOLLOW-UP WITH HIS PCP IN 3-4 DAYS FOR RECHECK OF TODAY'S COMPLAINTS, DO NOT DRIVE WHILE TAKING MEDICATIONS THAT MAY IMPAIR HIM, AND TO RETURN TO THE EMERGENCY ROOM IF SYMPTOMS WORSEN OR PERSIST OR IF THERE ARE ANY QUESTIONS OR CONCERNS THAT ARISE AT HOME.

Other Meds: TRAMADOL 50 MG, 1-2 TABS THREE TIMES A DAY AS NEEDED METFORMIN 750 MG ORAL, 1 TAB TWICE DAILY DILTIAZEM HCI 180 M, 1 CAP ONCE DAILY GABAPENTIN 600 MG ORAL TAB, 1 TAB THREE TIMES DAILY DICLOFENAC SODIUM (BULK) 50 MG MISCELLANEOUS TWICE DAILY

Current Illness: NONE KNOWN

ID: 1052399
Sex: F
Age: 71
State: FL

Vax Date: 02/17/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Itching at site, hardness and swelling.

Other Meds: Calcium

Current Illness: None

ID: 1052400
Sex: M
Age: 72
State: VA

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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 known

Symptom List: Pharyngeal swelling

Symptoms: For the first 11-12 hours, I had only a mildly sore upper arm. Shortly before 12 hours after the shot, I started to feel nauseous. Rather quickly, I developed stomach cramps and had severe diarrhea and vomiting. I felt stable within an hour. Now, 26 hours after the shot, I feel slightly queasy.

Other Meds: None that day

Current Illness: None

ID: 1052401
Sex: M
Age: 41
State: NC

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/24/2021
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: No known allergies

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Dose 2 of Covid vaccine given 2/18/2021, on 2/19/2021 felt bad, stayed in bed all day and that evening had a sharp pain in chest. chest pain continued intermittent next day and then 2/22/2021 0200 it was a sharp crudhing pain that radiate down his L arm, same arm had the vaccine in, awoke him from sleep

Other Meds: ascrobic acid, famotidine, omeprazole

Current Illness:

ID: 1052402
Sex: F
Age: 37
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Patient complained of being lightheaded with tingly toes.

Other Meds:

Current Illness:

ID: 1052403
Sex: M
Age: 77
State: MA

Vax Date: 02/04/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
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: I've had shingles around the back of my neck for three days so far, diagnosed by by Primary care. Treatment: Prescriptions for Valcyclovir and Gabapentin. As this came out of nowhere just two weeks after my first Covid shot andI have seen reports of a few similar cases around the world, I thought that CDCshould at least have this information as a possible side effect , worth some later research.

Other Meds: Amlodiipine, Hydydralazine,metforminLevothyroxin, Rosuvostatin,81 mg ASA

Current Illness:

ID: 1052404
Sex: M
Age: 61
State: CA

Vax Date: 02/10/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
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:

Symptom List: Rash, Urticaria

Symptoms: approx 5 days after vaccination, pt states he developed itching and swelling around left ear, that then spread left side of arm over the last few days. Lesions were without vesicles or drainage, primarily raised red lesions related to hives. He visited dermatologist who rx'ed antihistamines, benadryl and OTC hydrocortisone. Denies anaphylactic reaction with no SOB, respiratory distress, swelling of tongue, mouth, eyes or lips. As of now, he is no longer itchy but with rash still present. He will have f/u on 3/8 with dermatologist for final opinion about whether he can receive his next vaccine as scheduled on 3/11/21.

Other Meds:

Current Illness:

ID: 1052405
Sex: F
Age: 25
State: CO

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
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: Approximately 9 days after first COVID vaccine patient noted "red, itchy ring" around the site of injection. Symptoms resolved with 48 hours. Received her 2nd vaccine 02/24/2021 with no issues.

Other Meds:

Current Illness:

ID: 1052406
Sex: F
Age: 40
State: OR

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/24/2021
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: n/a

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

Symptoms: Body aches, headache, nausea, severe body chills.

Other Meds: Calcium/magnesium/zinc, vitamin D, Omega 3, multivitamin, all vegan.

Current Illness: n/a

ID: 1052407
Sex: F
Age: 29
State: UT

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/24/2021
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: Fever, swollen lymph nodes, itchy skin, intense body acne (increased swelling and discharge from existing infections), muscle aches, body pain, prolonged fatigue, brain fog, persistent migraines, sweating, chills. All persisted for about a week.

Other Meds: Desvenlafaxine, buproprion, propranolol

Current Illness: None

ID: 1052408
Sex: F
Age: 37
State: MD

Vax Date: 02/21/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: Vicodin (causes seizures) Wheat / Gluten (Hives & Vomiting)

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

Symptoms: I am currently a nursing mother and 24 hours following the vaccine my infant son, born 1/22/2020 (approximately 13 months old) presented with a rash (trunk), nausea and vomiting, lethargy, decreased mobility, and irritability. Approximately 48 hours following my vaccine he presented with a rash on the backs of his shoulders as well as on each of his cheeks as well as a fever of 101.5 degrees. The fever was treated easily with Tylenol and did not return after the 6 hour mark. At 60 hours post vaccine, he was evaluated by his pediatrician in person and evaluated. He was specifically checked for ear infection (negative), strep (negative), and COVID-19 (results not in yet). After the care provider's assessment it was determined that a report should be made regarding the incident and that I should contact the CDC regarding his reaction.

Other Meds: None

Current Illness: None

ID: 1052409
Sex: M
Age: 65
State: CA

Vax Date: 12/22/2020
Onset Date: 12/26/2020
Rec V Date: 02/24/2021
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: covid positive after first dose of vaccine

Other Meds: atorvastatin (LIPITOR) 10 mg tablet

Current Illness: Unknown

ID: 1052410
Sex: F
Age: 59
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Tingling in face, lightheaded, tired, feels "drunk", weak

Other Meds:

Current Illness:

ID: 1052412
Sex: F
Age: 35
State: OH

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Ammoxicillian

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Within 24 hours generalized achy lower half. At one week my arm at the injection site had swollen, it was inflamed and red. It also had significant bruising. It was about 4 inches circular in shape. It continued to grow for about three days. It was itchy and broke out in some places.

Other Meds: N/A

Current Illness: N/A

ID: 1052413
Sex: F
Age: 70
State: TX

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: 4 hours after vaccination had diarrhea for 5 hours, and chills, minor aches. Diarrhea stopped but chills and minor aches continued for 36 hours

Other Meds: Verrapamill

Current Illness: None

ID: 1052414
Sex: F
Age: 39
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/24/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Headache, body ache, nausea, hot and cold flashes

Other Meds:

Current Illness:

ID: 1052415
Sex: F
Age: 53
State: MI

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Aspilet, Midol, Hydrocodone, seafoods

Symptom List: Unevaluable event

Symptoms: Headache, muscle ache, feeling tired, pain at injection site, feeling cold.

Other Meds: None

Current Illness: None but diagnosed with mild Bell's Palsy on October 2020.

ID: 1052416
Sex: F
Age: 66
State: WA

Vax Date: 02/23/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Formaldehyde---bronchospasm; cat dander/fur--bronchospasm

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

Symptoms: Very "Hoarse" voice. Some soreness while swallowing. No difficulty breathing.

Other Meds: Venlafaxine 50 mg; Norvasc 2.5mg; Maxzide 37.5/25 mg; Estradiol 0.5mg; Vitamin D

Current Illness: none

ID: 1052417
Sex: F
Age: 45
State: NY

Vax Date: 01/20/2021
Onset Date: 01/21/2021
Rec V Date: 02/24/2021
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: shellfish allergy

Symptom List: Injection site pain, Pain

Symptoms: Extreme fatigue & muscle weakness x 24 hours. Injection site pain, rash, swelling, itching and redness x 1 week. NSAIDs and antihistamine prn.

Other Meds: Enbrel, Prozac

Current Illness:

ID: 1052418
Sex: F
Age: 42
State: CA

Vax Date: 12/22/2020
Onset Date: 12/24/2020
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: shellfish allergy; morphine sensitivity; sulpha allergy

Symptom List: Injection site pain, Menorrhagia

Symptoms: I had a headache and body aches - about two days after vaccine. That lasted 24th, 25th, 26th. I was fine by the 27th.

Other Meds: Pepsid

Current Illness: no

ID: 1052419
Sex: F
Age: 61
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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:

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

Symptoms: large lump under armpit39x19x23mm enlarged lymph node with edema and inflammation. diagnostic breast mammography performed to get size of lump and diagnosis. ultrasound was done as well follow up is recommended.

Other Meds: pantoprazole,pravastatin,valsartanalbuterol,levosthyroxine,metformin,montelukast

Current Illness:

ID: 1052420
Sex: F
Age: 80
State: FL

Vax Date: 02/23/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Daravon

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: After client received her vaccine, client stated she feels dizzy. Vital signs BP 170/72, HR-65, O2 sat 97.8, temp. 96.8. Client stated she feels better. Client discharged home by EMS.

Other Meds: Coumadin

Current Illness: none

ID: 1052421
Sex: F
Age: 40
State: GA

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: ?Burning? sensation at injection site continuing after administering vaccination.

Other Meds: N/A

Current Illness: N/A

ID: 1052422
Sex: F
Age: 83
State: ME

Vax Date: 01/11/2021
Onset Date: 02/01/2021
Rec V Date: 02/24/2021
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: adhesive tape, contrast media, doxycycline, erythromycin, furosemide, lodine, morphine

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

Symptoms: Patient seen in Emergency Room with intermittent chest pain ~ 4pm on 2/11/21 after receiving 2nd vaccine dose ~ 8:30 am that morning.

Other Meds: Vitamin C, Metformin, Omega-3, isosorbide mononitrate, pantoprazole, cholecalciferol, amlodipine, nitroglycerine, metoprolol, hydralazine, potassium chloride, chlorthalidone, montelukast, famotidine, rosuvastatin

Current Illness:

ID: 1052423
Sex: F
Age: 31
State: NY

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Ancef, nickel, gold, dust

Symptom List: Nausea

Symptoms: Body aches, fever of 100.5, headache, fatigue

Other Meds: Wellbutrin 300mg daily, viibryd 20mg daily, multivitamin, vitamin c, desloratidine 5mg

Current Illness: None

ID: 1052424
Sex: F
Age: 74
State: FL

Vax Date: 02/13/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
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: Sx started 02/21/21 itching, red and slight rough area of skin.

Other Meds:

Current Illness:

ID: 1052425
Sex: F
Age: 72
State: IL

Vax Date: 01/11/2021
Onset Date: 01/18/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Lifetime = NONE

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

Symptoms: MODERNA COVID - 19 VACCINE EUA Day 7 or 8 post- vaccination noted right arm was red / swollen / firm to the touch over a 3 x 3.5 inch area. Strong headache , shoulder / neck pain , and strong fatigue . All symptoms noted here continued for approximately 6 to 7 days. The 3 rd day of symptoms I went to my Family Doctor who advised me to NOT take Dose # 2 of the Moderna Covid-19 vaccine due to possibility of having a worse reaction , possible anaphylaxis reaction . I notified Health Dept. that same day and cancelled my scheduled 2 nd dose vaccine appointment.

Other Meds: Metoprolol ...Lisinopril.... Rosuvastatin .... Metformin .... Metrogel .... Caltrate 600 + D3 ..... ASA full-strength ( 1 daily)

Current Illness: None

ID: 1052426
Sex: F
Age: 55
State: TX

Vax Date: 02/23/2020
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Latex

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

Symptoms: I developed fever 102 comes down to 101, severe headache and today I began having dyskinesia for lack of better words, this has persisted for more than 3 hours. Don?t know what to do or who to call. Message in to new doctor but haven?t seen him yet.

Other Meds: Plaquenal, losartan atenolol synthroid muscle relaxer ? Lasix lyrica Cymbalta Effexor lorazepam

Current Illness: Lupus, waiting for neuro eval for Parkinson?s or MS kidney failure, obesity some kind of tremors now severe. Liver disease new diagnosis.

ID: 1052427
Sex: M
Age: 51
State: MI

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Tremor

Symptoms: HE COMPLAINED OF WEEKNESS. ON SITE EMS RESPONDED. VITALS BELOW. HE WAS EVALUATED AND TRANSPORTED TO LOCAL EMERGENCY ROOM.

Other Meds: ALBUTEROL/QVAR/METFORMIN/LANTUS/CELEXA/SEROQUEL

Current Illness:

ID: 1052428
Sex: F
Age: 74
State: TX

Vax Date: 02/24/2021
Onset Date: 02/24/2021
Rec V Date: 02/24/2021
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: Erythema, Pruritus

Symptoms: Patient complained of being lightheaded with nausea and dizziness.

Other Meds:

Current Illness:

ID: 1052429
Sex: F
Age: 48
State: NY

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/24/2021
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:

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

Symptoms: 1/6 received vaccine at 8p and started feeling sick around 10am on 1/7 chills, fatigue, severe muscle aches and headache temp as high as 103.5 for 72hrs. 1/8 I had diarrhea. I took Tylenol right after I was vaccinated

Other Meds:

Current Illness:

ID: 1052430
Sex: M
Age: 65
State: ID

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/24/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: In the patient's words, about 9 hours after the vaccine, he felt cold, achy, and like he had been stabbed with a pole. He said he didn't have any additional breathing trouble. He was fine the next day. Patient had been hospitalized with COVID-19 last summer and was aware that he would most likely have that type of reaction since his body had made B Cells and T Cells to the virus. He was very knowledgeable and kind.

Other Meds: Bupropion SR 200mg BID, Temazepam 30mg HS, Potassium CL 20mEQ, Escitalopram 20mg, Rosuvastatin 20mg, Flovent 220mcg HFA 2BID, Bevespi 2BID, Albuterol HFA 2q6h PRN, Irbesartan 150, Omeprazole 20mg, Montelukast 10mg,

Current Illness: Moderate Persistent Asthma

ID: 1052431
Sex: M
Age: 65
State: NC

Vax Date: 02/13/2021
Onset Date: 02/15/2021
Rec V Date: 02/24/2021
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: Hydroclorothyazied

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Brain Fog; Abdominal pains; Shoulder Pains, Upper Respiratory discomfort

Other Meds: Lisinopril; Metrolol; Chlorthalidone; NO Supplements taken

Current Illness: none

ID: 1052432
Sex: F
Age: 71
State: AZ

Vax Date: 01/22/2021
Onset Date: 01/22/2021
Rec V Date: 02/24/2021
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: Stadol, injectable Compazene, NSAIDS.

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

Symptoms: Received the vaccine and about 5-7 minutes she felt like somebody put there thumb on the right side of her throat and pushed really hard. This got worse and worse for about 10 minutes and stayed that way for about an hour. She was kept for 45 minutes. Later on it got less and less and by that evening the sensation was gone. On day 29 2/20/21 of the vaccine she started having really crazy dizzy spells, off balance, blood pressure was going up and having the shakes. She went to the ER 02/21/21, which they did a lot of testing, and everything was fine. They did not know if it was due to the virus. She saw her PCP today 2/24/21 and she said that it could be from the vaccine, but again not sure. She called the health dept and told them that she was canceling her appointment and advised that she call us to report the incident. She has also had pressure in her chest, generally overall not feeling well over the last 3 days.

Other Meds: Norvasc, Metoprolol titrate, Benicar. Medications taken that morning.

Current Illness: None.

ID: 1052434
Sex: F
Age: 74
State: FL

Vax Date: 02/15/2021
Onset Date: 02/21/2021
Rec V Date: 02/24/2021
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: adhesives

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

Symptoms: Red, itchy arm near vaccination site

Other Meds: Acyclovir 800mg twice a day; Pantoprazole SOD DR 40mg. once a day Magnesium glycinate. 360mg once a day; multivitamin without calcium, magnesium or iron,, once a day Hema-Plex iron 85 mg once a day Keytruda. 200mg every three weeks, l

Current Illness: none

ID: 1052435
Sex: F
Age: 54
State:

Vax Date: 02/22/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
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: Pain in extremity

Symptoms: 0825 Feeling Shaky skin little red, Pfizer 2nd dose. 0835 Cheeks feeling flushed. Benadryl 50mg given orally. 0842 Cheeks feeling better arms, still flushed NO SOB,NO CP NO NAUSEA 854am Reports no worsening symptoms 910 Feeling better released to go home.

Other Meds:

Current Illness:

ID: 1052436
Sex: F
Age: 67
State: NC

Vax Date: 02/19/2021
Onset Date: 02/20/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: Penisillin, Sulfa, Bananas, Green Peppers

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

Symptoms: Fever,(100.2), Severe Body Aches, Muscles, Bones, Joints, Head Ache. I continued with over-the-counter meds including aspirin. Severe symtoms lasted for about 30 hours

Other Meds: Lisinipril, Equate Immune Support Dietary Supplement, Alka Seltzer Cold Plus

Current Illness: None known

ID: 1052438
Sex: F
Age: 57
State: KY

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: severy boddy soreness.

Other Meds:

Current Illness:

ID: 1052439
Sex: F
Age: 62
State: NJ

Vax Date: 02/15/2021
Onset Date: 02/22/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Red and swollen area at site of injection. Appeared 8 days post shot.

Other Meds: Milk thistle and calcium with Vitamin D

Current Illness: NA

ID: 1052440
Sex: M
Age: 30
State:

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/24/2021
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: Slight rash with COVID-19 dose one. No other documented allergies.

Symptom List: Vomiting

Symptoms: Patient stated he developed rash after about an hour of receiving COVID-19 vaccine dose 1. This time when patient received dose 2, he again developed rash to bilateral upper extremity rash. No respiratory distress noted or reported. Patient discharged at 4:10PM.

Other Meds:

Current Illness:

ID: 1052441
Sex: F
Age: 37
State: GA

Vax Date: 02/15/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: no

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red, itchy, raised rash at injection site

Other Meds: Synthroid, Losartan, Effexor, Lasix

Current Illness: no

ID: 1052442
Sex: F
Age: 75
State: WI

Vax Date: 02/22/2021
Onset Date: 02/23/2021
Rec V Date: 02/24/2021
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: Sulfa I was sensitive to eggs and citric acid as a child, but never as an adult.

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

Symptoms: I had no reaction until the day after the shot, when a rash broke out on my chin. The following day the rash has spread to include my whole face. It's small red spots that itch and burn a little

Other Meds: Rosuvastatin, Lamotrigine, Multi-vitamin, Calcium, Preservision Areds 2

Current Illness: none

ID: 1052443
Sex: F
Age: 58
State: CA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 02/24/2021
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: Unknown

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Covid positive after first dose of vaccine

Other Meds: Unknown

Current Illness: Unknown

ID: 1052444
Sex: F
Age: 42
State: CA

Vax Date: 01/19/2021
Onset Date: 01/19/2021
Rec V Date: 02/24/2021
Hospital:

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

Lab Data:

Allergies: shellfish allergy; morphine sensitivity; sulpha allergy

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

Symptoms: I had feverish symptoms - 99.6. Body aches were worse this time and headache was worse this time than first dose. It lasted until Monday the next week - so that was until January 25th when I finally started feeling normal. Tylenol was taken - 1000 mg - I took it every 6-12 hours. That helped. I also added benadryl - 25 mg - I took that every night because I was having a hard time going to sleep with body aches.

Other Meds: Pepsid

Current Illness: adverse symptoms from dose 1 of COVID vaccine - 2-3 days.

ID: 1052445
Sex: M
Age: 40
State: VA

Vax Date: 02/06/2021
Onset Date: 02/11/2021
Rec V Date: 02/24/2021
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: I started with redness, very sore to touch, a hard knot and hot to touch around and below the injection site. I took some ibuprofen and cold compresses to the site. It went away for a couple of days and then returned with the same symptoms. It is still there as of today, but the knot is gone. I just have redness and heat to that area.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm