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: 0928088
Sex: F
Age: 31
State: CO

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: penicillins, ambien, gluten, lactose

Symptom List: Dysphagia, Epiglottitis

Symptoms: within 5 minutes of the vaccine administration patient had numbness/tingling of her lips, tongue, and face. She was given Benadryl, which she states improved her symptoms and she was able to sleep. This morning (day after vaccine) she states that her tingling feeling has returned to her face, lips and tongue and she feels a globus sensation and constriction within her throat. She has taken a benadryl this morning with no improvement. Patient was recommended to seek care in the ER.

Other Meds: mulitvitamin, fexofenadine, biotin-silicon diox-L-cystine

Current Illness: none known

ID: 0928089
Sex: F
Age: 61
State: VA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
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: Port, Sulfa, Vantin, Lisinopril, Mold,Pollen

Symptom List: Anxiety, Dyspnoea

Symptoms: 01/05/ 2021 Received the Moderna Vaccine Left arm. approx 1 hour later developed Blisters in mouth, lip swollen, itching on entire left arm. Later that evening sore throat, headache, nausea.

Other Meds: Benedryl, Vitamine D, Iburprofen, Tylenol

Current Illness: none

ID: 0928090
Sex: F
Age: 30
State: TX

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/08/2021
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: Allergic reaction: hives, wilts, redness, itchiness, abdominal pain Treated with Benadryl and went away in 30 min or so

Other Meds: Vitamin D, prenatal vitamin

Current Illness: None

ID: 0928091
Sex: F
Age: 44
State: GA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
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: Moderna COVID-19 Vaccine EUA We had at least 7 different patients all receive their Moderna vaccine on the same day complain of the same thing 7-8 days later. They all had delayed injection site reaction, swollen arm, and warm to touch. All advised to use a warm compress and take antihistamines or tylenol/ibuprofen as needed. This appears to be quite a common response. I want to report it but not submitting all 7 patients separately. As far as I know, they have all resolved.

Other Meds:

Current Illness:

ID: 0928092
Sex: M
Age: 36
State: IN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Chills, body aches, tiredness and fever. Rest, fluids and tylenol

Other Meds: None

Current Illness: None

ID: 0928093
Sex: F
Age: 32
State: MI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: Vicodin-Nausea

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

Symptoms: Pfizer-BioNTech COVID-19 Vaccine EUA At 10pm on January 6th she started having chills and a headache. She than started with a fever and body aches. Fever 100.5 on 1/7/21 after Tylenol. Symptoms are still persisting. temp was 99.5 this morning 1 hour after taking Tylenol.

Other Meds: Prozac and omeprazole

Current Illness: COVID + December 18th

ID: 0928094
Sex: F
Age: 49
State: WI

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: Aspirin, Bee stings, Bee Venom

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Nausea, Headache, Fever, Sweats, Sore Arm

Other Meds: Potassium, Lexapro, Flonase, Pantoprazole, Chlorthalidone, Pepcid

Current Illness: None

ID: 0928095
Sex: F
Age: 33
State: MT

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: Pharyngeal swelling

Symptoms: difficulty breathing, light headedness, burning on the left side of chest/was seen in the ER, symptoms subsided

Other Meds:

Current Illness:

ID: 0928096
Sex: F
Age: 55
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Woke up at 0300 next morning and got up to bathroom. Ended up getting dizzy, passing out and dislocating shoulder. Husband found her on floor. As day continued, still was shaky, nauseated, lightheaded and had headache. Finally passed by Thursday evening.

Other Meds: Hydrochlorothiazide daily Potassium twice daily Gabapentin twice daily

Current Illness: No Was really sick in March and thinks was COVID but was never tested

ID: 0928097
Sex: F
Age: 43
State: PA

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
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: pcn, erythromycin, amoxicillin,

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Tuesday night, hot to touch area where it was given, lump, sore until Wednesday like the flu shot, 2 inch red circle around injection site, solid red circle, lump is not visible to the eye but there when touching, placed warm compress on it Wednesday and ice Wednesday afternoon, as of today it is not as sore or hot but is still warm to touch.

Other Meds: Adderall xr, gabapentin, metformin, Prozac, atenolol, protonic, trazadone, singulair, carbamazetine, vitamin iron, vitamin d,

Current Illness:

ID: 0928099
Sex: F
Age: 30
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Nickel

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

Symptoms: Mild chills - onset 8-12 hours after Body aches - onset 8-12 hours after Fatigue - onset 8-12 hours after

Other Meds: Nexplanon implant Magnesium Vitamin B12 Vitamin D3 Riboflavin Biotin Vitamin C

Current Illness: None

ID: 0928100
Sex: M
Age: 30
State: IN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: GI upset ? 10pm 1/6 to 12pm 1/7 Headache, chills, myalgias? 8am 1/7 to 8am 1/8

Other Meds: None

Current Illness: No

ID: 0928101
Sex: F
Age: 56
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Laytex

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

Symptoms: Fever, congestion, breathing issues, headache, backache

Other Meds: Trazadone, Thyroid meds- Synthroid and Liothyrine , Rovastatin, Zoloft

Current Illness: No

ID: 0928102
Sex: F
Age: 36
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: Nka

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

Symptoms: Chills, fever 104.4, nausea, headache, body ache

Other Meds: Tylenol, vit c and zinc

Current Illness: Na

ID: 0928103
Sex: F
Age: 31
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Once I got home from work I started feeling nauseous, throbbing headache, soreness in my arm with a welt on the injection site. Around 11pm I started vomiting violently through the entire night with sweats and chills.

Other Meds:

Current Illness:

ID: 0928104
Sex: F
Age: 50
State: CO

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
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: mushrooms Cidex OPA

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

Symptoms: approx 20 after injection 1420, started getting chills, cold sweat, elevated heart rate, shortness of breath and blocky red rash on neck and torso. immediately drove to urgent care, was not allowed in for treatment due to did not have phone on med to call for appointment. went home, took 50 mg benadryl and pepcid po. had tachypnea and continued blocky rash on neck and torso with chest tightness. took albuterol inhaler. approx 0200 had rigors/ seizure. with continued prior symptoms. took additional 50 mg benadryl and albuterol inhaler. temp 99.0. in am 1/6 called urgent care to make appointment thought neded steroid. they said to go to ED. was afraid to go to ED in fear would be intubated as had before for allergic reaction. took additonal 50 mg benadryl, pepcid and zyrtec along with a shot of epi pen. within minutes, all symptoms ressolved. will be calling place where I got vaccinated today to report. 1/8/21

Other Meds: estridole 0.05 mg patch levothyroxine 113 mcg wixella 500/50 inhaler

Current Illness: none

ID: 0928105
Sex: F
Age: 27
State:

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: Hives, Redness, itchy, leg tremors, nervous 25 mg Benadryl PO administered

Other Meds:

Current Illness:

ID: 0928106
Sex: F
Age: 36
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Gluten, PNC and ceclor

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Pfizer-BioNTech COVID-19Vaccine EUA I received my shot on 01/06/2021 at 0830 a few minutes after receiving the vaccine I became dizzy and lightheaded. I let the nurse in the observation area know and honestly didn't think much of it. It lasted about a minute or two. I was fine for several hours after just experienced the normal soreness and kind of achy tired feeling. Around 1700 I began to itch, my whole right arm and upper torso area was itchy. I did not take any medications for this and it subsided around 2000.

Other Meds: Allegra Multivitamin 81 mg ASA

Current Illness:

ID: 0928108
Sex: F
Age: 25
State: GA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: CELEBREX, TREE NUTS

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: 12/23 VACCINATION 12/24 WOKE UP TO ARM PAIN, FATIGUE, CHILLS, MUSCLE ACHES. TEMP IN AFTERNOON OF 101.0 TOOK TYLENOL; 99.5. TEMPERATURE PERSISTED 3-4 DAYS BETWEEN 100-102. TREATED WITH TYLENOL.

Other Meds: N/A

Current Illness: N/A

ID: 0928109
Sex: F
Age: 48
State: RI

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: N.K.D.A.

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

Symptoms: Not feeling well

Other Meds: Unknown Jardiance 25 mg tablet Unknown Metformin Hydrochloride 500 tablet Unknown ONE TOUCH DELICA LANCETS Unknown ONE TOUCH VERIO TEST STRIPS apply one drop of blood to test strip Unknown Tylenol 325 mg capsule Unknown ven

Current Illness: N.A

ID: 0928110
Sex: F
Age: 41
State: TX

Vax Date: 12/29/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: none

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

Symptoms: "Moderna COVID-19 Vaccine EUA" did well until day 8 about 2pm my arm was itching below injection site, red welp, warm to touch, swelling about quarter size, applied benadryl cream, took zyrtec. On day 9 itching and welp is better but more redness about half dollar size, took benadryl and applied ice pack . Getting better each day will continue antihistamines, ice pack and tylenol as needed. Will follow up with provider if no improvement

Other Meds: omeprazole otc, seasonique birth control, ambien 5mg, multi vitamin, vit c. vit D, zinc.

Current Illness: none

ID: 0928111
Sex: F
Age: 47
State: GA

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Talwin, Celebrex, Enviromental allergies

Symptom List: Unevaluable event

Symptoms: Day of shot soreness in left deltoid that ran from shot site to inner arm started about four hours after shot and lasted 24-72 hours. No redness at that time. Pain went away then returned Day 8. Day 8, today January 8th, woke up to pain again in left arm starting at injection site running to inner arm. Redness is mild at site of injection, as it runs to inner arm gets redder and then ends with a warm, red, swollen lump. Lump is not in lymph node, it is on inner side of left arm.

Other Meds: Tylenol

Current Illness: No

ID: 0928112
Sex: F
Age: 41
State: TN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: Shellfish

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

Symptoms: Red, itchy bumps on several places throughout the body.

Other Meds: Triamterene, Wellbutrin, Metoprolol, Omeprazole, Vitamin D, Magnesium, Potassium, Melatonin

Current Illness: None

ID: 0928113
Sex: F
Age: 25
State: IN

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/08/2021
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: sulfa, errythromycin , latex, adhesive

Symptom List: Injection site pain, Pain

Symptoms: severe arm pain, dizziness (spins) anytime I woke in the middle of the night starting at 12am on 01/01/2020, when trying to get out of bed at 0800 on 01/01/2020 I continued to have severe dizziness to the point I couldn't walk, vomitting, in ability to keep anything down by mouth, muscle pain, severe arm pain in arm vaccine was given. At 2pm I was still having moderate dizziness, nausea, and began to have a headache. For a week I continued to have mild dizziness, headache, extreme fatigue, brain fog, and swollen lymph node pain in the armpit of the arm I received the vaccine in (right side). I continue to have mild brain fog and headache.

Other Meds: Prenatal vitamin and 6400u vitamin D

Current Illness: n/a

ID: 0928114
Sex: F
Age: 56
State: VT

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: 35 minutes After vaccination.... complaints of chest tightness, "funny" tongue

Other Meds:

Current Illness:

ID: 0928115
Sex: M
Age: 68
State: TX

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: No

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

Symptoms: Moderna COVID-19 Vaccine Day 1 after injection, malaise, fatigue, dizziness. Day 2 after injection, major nausea with significant bouts of vomiting lasting approximately 12 hours. when that resolved, severe and recurrent diahrea for another 8 hours. I will decline the 2nd dose.

Other Meds: Xarelto, Lipitor, Coreg, Lasix

Current Illness: None

ID: 0928116
Sex: F
Age: 52
State: FL

Vax Date: 12/30/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: Patient developed pale pink erythema and swelling below vaccination site. Given Keflex and prednisone

Other Meds: Synthroid vitamin d

Current Illness: None

ID: 0928117
Sex: F
Age: 54
State: MT

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: body aches, vomitting for 12 hrs, nausea

Other Meds:

Current Illness:

ID: 0928118
Sex: F
Age: 41
State: KS

Vax Date: 12/31/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: 7 days after vaccine, right arm at injection site area became red, swollen, hot to touch, developed hives, and itched.

Other Meds:

Current Illness:

ID: 0928120
Sex: M
Age: 56
State: CA

Vax Date: 01/04/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Nausea

Symptoms: body ache arm sore chest pain

Other Meds: none

Current Illness: none

ID: 0928121
Sex: F
Age: 48
State: IN

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Contrast Dye

Symptom List: Injection site pain

Symptoms: Rt side of my face was numb for about an hour

Other Meds: Nexium OTC Munti Vitamins OTC Iron OTC Culturell Complex B

Current Illness: n/a

ID: 0928122
Sex: F
Age: 61
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: seasonal allergies - dust, pollen, mites, trees, grasses

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

Symptoms: Moderna COVID-19 Vaccine EUA Began with headache, flushed face then sore arm about 6 hours after injection. Within 2 hours after I had severe chills, worsening headache with severe light sensitivity and nausea, severe heartburn, severe muscle aches, fever of 102.8, fatigue.

Other Meds: Vitamin A, C, D, B-12, multi vitamin, probiotic, biotin

Current Illness: None

ID: 0928123
Sex: M
Age: 32
State: VA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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:

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

Symptoms: employee reported fever and chills beginning 3:30am. He treated w/ Tylenol, no effect and then later took Ibuprofen. At 11:50 am on 1/7 his temp was down to 99.7.

Other Meds:

Current Illness:

ID: 0928124
Sex: F
Age: 44
State: GA

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
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: Moderna COVID-19 Vaccine EUA We had a minimum of 7 reports (likely more) of patients receiving the Moderna vaccine and having injection site reaction starting 7-8 days later. Each complained of the area being swollen and warm to touch and red. All advised to monitor the area, use a warm compress, and use supportive care like benadryl, ibuprofen, and tylenol as needed. As far as we know all resolved. Appears to be a very common reaction to this particular vaccine. I will not be reporting them individually but noted many reports after the first dose in the series.

Other Meds:

Current Illness:

ID: 0928125
Sex: F
Age: 56
State: NC

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/08/2021
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: possible useful numbers???? NDC:58160-0819-12; 58160-0819-12 MFG: Glaxo Smith Kline After a very negative reaction to my first injection in late October, I began taking "preemptive" acetominophen (2 tablets every four hours) immediately after the time of injection. At the time of my 1st injection, I had also had 2 other injections simultaneously (one for flu and the other for TDap). This time, on New Years Eve, my only injection was the Shingrix shot. Within 10 hours of the injection, despite the fever/pain reducer, I began to feel feverish. Within 12 hours I was suffering greatly. High fever, chills, body ache, joint pain (especially my hands, thumbs, knees and hips). I continued taking acetominophen every 4 hours, but the symptoms did not ease until January 2, 2021 at about 10AM. I was left feeling very weak, very worn out; tired, achy, dizzy. My reaction this time was at least as bad as my original injection. (This was still administered at a facility, but a different one in my town. My other prescription number administered on 10/30/20 was RX#0776924-11712. You sent me a follow-up question asking about batch numbers, etc., and the NDC # on the 10/30 prescription is the same as it is on the 12/31 form. I don't know how that is possible since its from 2 different stores many miles apart?) I have honestly never felt so sick, so weak, so afraid that it was nearing the end for me, that I might actually die from this. My breathing was shallow, labored. I did manage to keep hydrated, in small increments, even though I felt incredibly nauseous. My symptoms persisted from 3:00 am on 1/1/21 until 10:00 am on 1/2/21. I would have gone to the hospital, but Covid-19 patients inundating our hospitals ruled that out. Thankfully, I survived.

Other Meds: Senna 8mg/day

Current Illness:

ID: 0928126
Sex: F
Age: 33
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: NSAIDs, amitryptaline

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

Symptoms: Headache and fatigue

Other Meds: Phenergan, Pristiq

Current Illness:

ID: 0928127
Sex: F
Age: 47
State: AZ

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Throat flem, body tingles, EMS screened, increased observation time, resloved in 15 min

Other Meds:

Current Illness:

ID: 0928128
Sex: M
Age: 34
State: MI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: 0

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: headache, achy all over, bruising to under arm, increased fatigue, poor endurance. the morning after is when symptoms started

Other Meds: 0

Current Illness: 0

ID: 0928129
Sex: F
Age: 36
State: PR

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: NO

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

Symptoms: STARTED 1/7/2021 WITH MODERATE LEFT ARM PAIN, CHILLS, NAUSEA, COLD SWEATS, MALAISE

Other Meds: MULTIVITAMINS

Current Illness:

ID: 0928130
Sex: M
Age: 40
State: OH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: None reported

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

Symptoms: Full vaccine not administered. Small amount leaked from injection site- received about 85% of dose

Other Meds: None reported

Current Illness: None reported

ID: 0928133
Sex: F
Age: 68
State: KS

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: She got lump in throat, hives in mouth, no cardiopulmonary sx. We gave her epi

Other Meds:

Current Illness:

ID: 0928135
Sex: F
Age: 49
State: NY

Vax Date: 12/29/2020
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: keflex seldane tincture of benzoin

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

Symptoms: Localized reaction starting 6 days post injection the area about the size of a tennis ball became red, swollen, hard, hot with minimal pain and itching.

Other Meds: none

Current Illness: none

ID: 0928136
Sex: M
Age: 48
State: CT

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: Seasonal

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

Symptoms: Chills, Muscle Aches, Fever 101

Other Meds: Lipitor, ASA, Zyrtec

Current Illness:

ID: 0928137
Sex: F
Age: 60
State: MA

Vax Date: 12/28/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: Allergic to PCN

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

Symptoms: On day 10 after the vaccine, 1/7/2021, a rash developed at the injection site. Initially a red circle about the size of a nickel. Has now spread to about a 2-3 inch area of pink/redness. Occasional itchiness. Slight warmth to the touch. No pain.

Other Meds: Omeprazole, Citalopram, Loratadine

Current Illness: None

ID: 0928138
Sex: M
Age: 42
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: Penicillin

Symptom List: Vomiting

Symptoms: I received the vaccine at 1250 hours on the 6th of January. I woke up around 0130 am on the 7th with extreme body aches and freezing. The body aches were for the most part were in my legs. These extreme body aches and cold chills continued throughout the day of the 7th along with fatigue. I currently at 0957am on the 8th am starting to feel slightly better. I have been able to work with IB Profin and Tylenol on board. I understand this is most likely a common issue but had heard it was more standard with the second vaccination. Additional: My blood type is O- if that is info kept track of and I had COVID in late March of 2020 and tested positive for the Antibodies in May of 2020

Other Meds: Fish oil, Flax oil, Vitamin D, Lycine and B 12

Current Illness: None

ID: 0928139
Sex: M
Age: 37
State: AL

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: Ceclor - hives

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Rash, initial presentation bilateral anterior thighs. Painful to touch. Pain in soles of feet. Joint pain, left knee. 1/7/21 Spread of rash to posterior hands and anterior fingers. 1/8/21

Other Meds: One-a-day multivitamin, fish oil, magnesium, vit D3, sildenafil 60mg PRN

Current Illness: None

ID: 0928140
Sex: F
Age: 44
State: MT

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: fever, neck stiffness, headache

Other Meds:

Current Illness:

ID: 0928142
Sex: F
Age: 37
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: N/A

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Soreness and aching to left arm approximately 3hrs after vaccine. Nausea with dry heaves, body aches, sweats, extreme fatigue, and headache by 7:00 am the next day.

Other Meds: Lexapro 20 MG once daily

Current Illness: Covid 19 positive on 12-26-20

ID: 0928143
Sex: F
Age: 34
State: WI

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Bee venom

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

Symptoms: January 06, 2021 ?11:50am shot received Right arm ?21:00 right neck pain ?22:00 right ear pain ?22:24 right headache and neck pain January 07, 2021 ?07:00 sore throat ?07:00 fatigue, extreme January 8, 2021 ?07:00 fatigue still extreme

Other Meds: Dupilomab; albuterol; atrovent; duo neb; albuterol neb; trazodone; hydroxyzine; lamictal; pregabalin

Current Illness: Asthma; endometriosis; sleep apnea; anxiety; mood disorder

ID: 0928144
Sex: M
Age: 37
State: AZ

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: FELT FLUSED FEELING, LEFT ARM /LEFT HAND TINGLING - LEFT FACILITY AFTER VITAL SIGNS TAKEN BY EMS ON SCENE

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm