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: 0917651
Sex: F
Age: 32
State: IL

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

Symptom List: Dysphagia, Epiglottitis

Symptoms: Fever of 100.5 and severe headache.

Other Meds:

Current Illness:

ID: 0917652
Sex: M
Age: 25
State: PR

Vax Date: 12/24/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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: 1 week and 2 days post vaccination I woke up with a tender reactive axillary lymph node in the left extremity. Around this same time erythema and a mild pruritus was noticed at vaccination site. Area was warm to the touch. No treatment was started.

Other Meds: None

Current Illness: None

ID: 0917653
Sex: M
Age: 33
State: MA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
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:

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

Symptoms: The evening on the day of my vaccination, I started having fever 101 F, chills and myalgia. This happened after the 1st dose of the vaccine. Fever lasted 3 days (up until 1/2/2021) at noon and was ranging between 100.9 and 101. Fever responded well to Advil.

Other Meds:

Current Illness: COVID-19 (3 weeks prior)

ID: 0917654
Sex: F
Age: 27
State: NH

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

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Severe arm pain at injection site Stomach pain Nausea Vomiting

Other Meds: Tri-sprtntec (birth control) Biotin Femdophilus

Current Illness: None

ID: 0917655
Sex: F
Age: 34
State: UT

Vax Date: 12/21/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: On Tuesday 12/28 I started to have severe leg pain in my right leg. The next morning the pain was still in the right leg and had moved up through my right side in my joints to my knee, hip then went to the with shoulder down that arm. My forearm became very painful on 12/30 and started to swell then radiated into my wrist joint and finger joints. 12/31 the pain continued in all those areas and had moved to my left side of my body starting with the left arm following the same course as the right side. On 1/1 the pain has persisted and I am unable to perform any ADL's. I saw an urgent care physician who told me to take ibuprofen. I have been taking ibuprofen and Tylenol with no relief. Now all my joints are swelling in bilateral hands, wrist. On 1/2 my bilateral ankle joints and feet started to have similar pain. Know all my extremities are difficult to use and it is hard to walk due to the pain. Because of the pain in my hands things feel heavier than what they should. I am a medical provider and this almost seems like polyarthralgia rheumatica, I am going to go see a physician on Monday

Other Meds: none

Current Illness: None

ID: 0917656
Sex: F
Age: 30
State: MI

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: N/A

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

Symptoms: Arm became very sore about 10 hours after the vaccine. Around 12 hours later became very sore throughout entire body, had very bad chills, and was unable to sleep. By 9 am I was finally able to sleep one hour and awoke sweating, but chills had subsided. Body aches did not subside until Wednesday morning (vaccine was administered Monday).

Other Meds: Lisinopril, norethindrone, multivitamin, vitamin D.

Current Illness: Covid 19 in November.

ID: 0917657
Sex: F
Age: 33
State:

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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 known at this time

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Around 9 pm after receiving the vaccine, I started having chills, body aches, and a fever. I still have these today.

Other Meds: daily prenatal vitamin

Current Illness: none known

ID: 0917658
Sex: F
Age: 58
State: CO

Vax Date: 12/23/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: PENICILLIN

Symptom List: Pharyngeal swelling

Symptoms: RED BUMPY RASH, ITCHING. AT INJECTION SITE @ 2 X2.5 INCHES

Other Meds: ENBREL, ULTRAM, IBUPROFEN(600MG), CLARITON, VITB12, VITC, VIT E

Current Illness:

ID: 0917659
Sex: F
Age: 68
State: NY

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Kiwi Omnicef Kenalog

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Exhaustion Sleepiness Dizziness Joint pain

Other Meds: Rosuvastatin 10mg Multivitamin

Current Illness: None

ID: 0917660
Sex: F
Age: 34
State: IL

Vax Date: 12/19/2020
Onset Date: 12/20/2020
Rec V Date: 01/03/2021
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: Amoxicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Developed injection site redness circular in shape approximately 3cm in diameter the following day after vaccine administered. Redness, itching and pain at site continued for 5 days. Then developed into a bruise, still have visible bruising at site. Used ice packs to area to alleviate itching.

Other Meds: Prenatal vitamin

Current Illness: None

ID: 0917661
Sex: F
Age: 36
State: MA

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Ceclor, PCN, iodine

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

Symptoms: HSV1 reactivation

Other Meds: Levothyroxxine, MVI

Current Illness: No

ID: 0917662
Sex: F
Age: 51
State:

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
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: Hepatitis B Vaccine

Symptom List: Rash, Urticaria

Symptoms: ?Moderna COVID-19 Vaccine EUA? Itching at site within 10 minutes Nausea, vomiting, diarrhea within 1hour

Other Meds: Synthroid

Current Illness: None

ID: 0917663
Sex: M
Age: 50
State: IA

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Severe nausea, dizziness, light headed, chills, vomiting

Other Meds: Multi-vitamin

Current Illness: None

ID: 0917664
Sex: F
Age: 32
State: WI

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
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: Nickel

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

Symptoms: Pfizer-BioNTech COVID-19 vaccine EUA Moderate injection site soreness and stiffness, mild body aches, chills, headache and runny nose Symptoms started within 12 hours of receiving.

Other Meds: None

Current Illness: none

ID: 0917665
Sex: F
Age: 22
State: GA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
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 known

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

Symptoms: Rash on lower right leg above the ankle appeared the evening of the shot. One spot was visible on the upper left arm the day after the shot. On the third morning after the shot, at 3 a.m., was awakened to a racing heart. The racing heart was on and off until I got out of bed at 7 a.m.

Other Meds:

Current Illness:

ID: 0917666
Sex: F
Age: 60
State: ME

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: cipro, mold, steroids

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

Symptoms: face and neck turned bright red with a rash, body started shaking felt wobbly or off center. Treated with Benadryl.. Next day worse shakes feel lame with knee pain and joint pain. Severe arm pain. on third day still shaking brain for and joint pain

Other Meds: none

Current Illness: none

ID: 0917667
Sex: F
Age: 47
State: AL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
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: Betadine

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

Symptoms: Most horrible fever, chills, body aches, near syncope.

Other Meds: Tylenol

Current Illness: None

ID: 0917668
Sex: F
Age: 45
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Tachycardia and palpitations started when I laid down the bed to sleep for the night.

Other Meds: Vitamins B, C, D and Omega 3

Current Illness: None

ID: 0917669
Sex: F
Age: 30
State: WA

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

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

Lab Data:

Allergies: Allergic to Sulfa medications Allergic to cats, horses, bunnies

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Night sweats beginning at unknown time, noticed upon waking at 6:00 AM. Heart rate about 20 points higher than normal throughout course of sleep as evidenced by Apple Watch data.

Other Meds: Multivitamin Vitamin C + Zinc Vitamin D Vitamin B12

Current Illness: None

ID: 0917670
Sex: F
Age: 68
State: VT

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: After receiving vaccine, c/o burning throat, coughing, face itching, hot flashes.

Other Meds:

Current Illness:

ID: 0917671
Sex: F
Age: 63
State: NJ

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: Woke up with chills, Myalgias, arthralgias , HA , . Next day also developed Rhinorrhea and fatigue. Same symptoms continued for about 48 hrs then felt better but still with some arthralgias and fatigue. I had covid-19 virus in MArch 2020. Felt pretty much the same way post vaccine as I felt then. Wondering if this reaction could be due to fact that I had virus previously and also wondering about second dose? Have there been reports of worse S/E in people who have had virus previously?

Other Meds:

Current Illness:

ID: 0917672
Sex: M
Age: 62
State: IL

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: Unevaluable event

Symptoms: whole body muscle aches, chills, fever over 101, light headed/dizzy (fainted), fatique, some nausea. all disapated within 48 hours of getting shot

Other Meds: HRT, Synthroid, Zolaft

Current Illness: Covid positive on 11/19/2020

ID: 0917673
Sex: F
Age: 45
State: NH

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/03/2021
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: PCN

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

Symptoms: fever, chills, body aches, headache, fatigue lasting 24hours

Other Meds: Biotin, Vitamin D

Current Illness: none

ID: 0917674
Sex: F
Age: 68
State: FL

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: Pro cardio Cardizem

Symptom List: Injection site pain, Pain

Symptoms: Fever (101) Headache Nausea and vomiting Body aches

Other Meds: Prilosec Vit. D3 Zocor Benicat Hct Biotin

Current Illness: Slight short of breath at times after having COVID-19. Hospitalized with Covid from 7/16 -8/5 ICU for 1 week. Not vented. Received remdesivir and plasma plus rocephin lovenox . Eliquis for 3 months after discharge.

ID: 0917675
Sex: F
Age: 31
State: NH

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Latex

Symptom List: Injection site pain, Menorrhagia

Symptoms: Injection at 2 PM left arm Around 5:30 PM that same evening I developed a migraine, then shortly after that I felt shaky nausea vomit Feverish with no fever chills entire body achyLeft arm severely painful unable to lift loss of strength with opening anything these Symptoms went on for about five days then I developed left arm weakness two days after the symptoms went away and neck pain only to the left side

Other Meds: Adderall Synthroid Trintellix Albuterol

Current Illness: Nothing

ID: 0917676
Sex: F
Age: 50
State: TX

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
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: NKDA

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

Symptoms: 7:20 AM - 10 minutes after taking thyroid medication, developed low blood pressure, low heart rate, cramping abdominal pain, chills and hypothermia.

Other Meds: Time of Vaccination medications Taken: -Euthyrox -Cytomel

Current Illness: NONE

ID: 0917677
Sex: F
Age: 53
State: ID

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: penicillin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Right arm pain, nausea, muscle aches, rash/hives

Other Meds:

Current Illness: none

ID: 0917678
Sex: F
Age: 40
State: NJ

Vax Date: 12/30/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: sea fish, morphine

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: red raised pin point skin rash with puritis. upper torso front and back. treated with benadryl and zyrtec and cortisone cream

Other Meds: wellbutrin zoloft vitamin c zyrtec benadryl albuterol inhaler

Current Illness: no

ID: 0917679
Sex: F
Age: 37
State: IN

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

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

Lab Data:

Allergies: none

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

Symptoms: chills and face felt flushed

Other Meds: none

Current Illness: none

ID: 0917680
Sex: M
Age: 66
State: CT

Vax Date: 12/26/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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: About 7 days after injection, left deltoid muscle became swollen, hot and tense to touch. Initially after injection has local tenderness and small swelling but seems to resolve after 2-3 days. Was feeding tired the first two days. Then on Saturday a week after injection, felt a slight itchiness on left deltoid area and then as the day progressed, the swelling became more prominent. Still confine to the deltoid area.

Other Meds: Nifedipine, metoprolol, valsartan, multivitamin (one a day), glucosamine, Vit. B6

Current Illness: None

ID: 0917681
Sex: F
Age: 60
State: GA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Minocin, Dilaudid, almonds

Symptom List: Injection site pain

Symptoms: No symptoms or pain with initial injection. I came home about 2 hours after the injection and took one 200mg ibuprofen and one 500mg acetaminophen and put an ice pack on the site briefly. Later that afternoon I developed pain at the injection site that progressively got worse over the course of the evening so bad that I could not raise my left arm of touch the site. I put an ice pack on again and that night I slept with a heating pad on. I would rate the pain 8/10. When I woke the next day the pain was still there, but not as severe. I got in the shower and let the hot water beat on the injection site and that seems to help a lot. The pain gradually lessened over the course of the day to a 2/10. By the following day (3rd day post injection) the pain had completely subsided. There was no redness or swelling at the site and I did not have any other symptoms other than the intense injection site pain.

Other Meds: None

Current Illness: None

ID: 0917682
Sex: F
Age: 29
State: PA

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Headache, fatigue, hot flashes, diarrhea

Other Meds: Kelnore birth control, adult gummy multivitamin, zinc

Current Illness: None

ID: 0917683
Sex: M
Age: 39
State: TN

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: N/A

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

Symptoms: Loss of taste and smell after 3-4 days after injection

Other Meds: N/A

Current Illness: n/a

ID: 0917684
Sex: F
Age: 30
State:

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: The night of getting the vaccine I was the sickest; fatigue, malaise, body aches, hot and cold sweats, weakness, loss of appetite, dizziness. The day after I had to call into work due to these symptoms. Since then I?ve continued to feel fatigue, throat swelling / scratchiness, dry cough, malaise. Also arm soreness.

Other Meds: Collagen, multivitamin

Current Illness: None

ID: 0917685
Sex: F
Age: 58
State: CO

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: Arm was quite sore for about 24 hours at injection site. Had a Body aches and slight chills for about 7 hours the next day.

Other Meds: Pantoprazol, Famotidine, Calcium, Magnesium,Zinc, D3, B12, C

Current Illness: Tested positive for Covid 1 month prior

ID: 0917686
Sex: F
Age: 28
State: PA

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

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: None

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

Symptoms: Vaccine was taken on 1/2/2021 at 3:30 PM. At 1:20 AM- developed chills, teeth chattering, could not get warm (no fever) 3:20 AM- woke up feeling hot- 101 F developed and headache 4AM- took aleve 6AM-temp 98.7. still a headache. woke up drenched in sweat 8:20AM: still pounding headache. temp 98.8

Other Meds: None

Current Illness: mild sore throat on 12/20/2020. Covid negative

ID: 0917687
Sex: M
Age: 70
State:

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: Fever, Chills, Soreness at injection sight, in early AM 12 hr after injection. Fatigue, Fever 100 F to 101 F with chills off and on until 01/02/20 afternoon. treated with Tylenol. rest helped and fever would break with sweats. Body aches for first 24 hours after symptoms started. gaseous loose BM's. no nausea, no appetite.

Other Meds: Lovaza, losartan, chlorthalidone, Effient, ASA 81mg, Bystolic, Fibercon, Coenzyme Q-10, Crestor, Flomax, vitamins and minerals. Tylenol, hydrocodone, lorazepam prn

Current Illness: percutaneous coronary intervention

ID: 0917688
Sex: F
Age: 42
State: NY

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: After receiving vaccine, c/o heart racing, palpitations, pulse- 100-120, hot flash, scratchy throat, c/o "tonsil swelling"....

Other Meds:

Current Illness:

ID: 0917689
Sex: M
Age: 58
State: IN

Vax Date: 12/16/2020
Onset Date: 12/18/2020
Rec V Date: 01/03/2021
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: CT dye

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

Symptoms: Non-Pruritic Rash on Trunk and Back, Fatigue.

Other Meds: Adderal

Current Illness:

ID: 0917690
Sex: F
Age: 35
State: FL

Vax Date: 12/24/2020
Onset Date: 12/27/2020
Rec V Date: 01/03/2021
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: After getting the shot, my left arm was in pain for 3 days. On the 3rd day I got a swollen an painful left axillary lymph node. On the 7th day of getting the shot I started with fever, chills, body ache, flu like symptoms. Is January the 3rd and I still have flu like symptoms, no more fever dough.

Other Meds:

Current Illness:

ID: 0917691
Sex: F
Age: 25
State: VT

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Has EpiPen for shellfish Hx of rash with IV meds (not specified)

Symptom List: Pain in extremity

Symptoms: After vaccine administration, c/o tingling mouth, jaw tightness, tongue burning sensation on sides of mouth, nausea, dizziness, shaky

Other Meds:

Current Illness:

ID: 0917692
Sex: F
Age: 44
State: TX

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

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

Lab Data:

Allergies: NSAIDS

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

Symptoms: Body aches, fever, soreness at injection site

Other Meds: Levothyroxine, birth control

Current Illness:

ID: 0917693
Sex: F
Age: 58
State: NY

Vax Date: 12/29/2020
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
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: Jack Fruit and Benadryl

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

Symptoms: Headache severe cannot relieve with 800 mg IBUprofen

Other Meds: Farxiga, Lisinopril-HCTZ, Adderall, Cetirizine,Esomeprazole Magnesium

Current Illness: None

ID: 0917694
Sex: F
Age: 39
State: MD

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/03/2021
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: Penicillin

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

Symptoms: Face became numb 25 minutes after vaccine administered. Relief came the next morning 12/22/2020, 0700.

Other Meds: Junel Celexa Multi Vitamin

Current Illness: None

ID: 0917695
Sex: F
Age: 30
State: CO

Vax Date: 12/23/2020
Onset Date: 12/28/2020
Rec V Date: 01/03/2021
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: None

Symptom List: Vomiting

Symptoms: Subscapular lymphadenopathy on left side of the back just behind the left shoulder. 2 swollen, sore lymph nodes noted 5 days after vaccine. So far, still present 7 days later.

Other Meds: None

Current Illness: None

ID: 0917696
Sex: M
Age: 53
State: PR

Vax Date: 12/01/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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: 2 days after injection , the injection site become painfull and resilve un 48 hours, but on 1/2/2021 started to get swollen redness and very hard and firm , also the ventral aspect of the arm felt swollen

Other Meds: Syrtroid

Current Illness: None

ID: 0917697
Sex: F
Age: 38
State: CO

Vax Date: 12/23/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: Allergic to Penicillin and all related drugs, Sulfa Drugs, Codeine, Cefzil, Clindamycin, Humibid Known allergy/food sensitivity to dairy, wheat, & eggs.

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

Symptoms: I woke up on 12/30/20, one week to the day after my vaccine with an itchy red rash on my left arm about 2 inches below the vaccine site. It worsened throughout the day becoming larger, more red, hot and tender to touch. By the end of the day on 12/31/20 the rash was 5-6x bigger than when it started. I saw my PCP via telehealth appt that day and it was determined I likely have cellulitis based on presentation and symptoms. I started taking doxycycline that day and symptoms started to improve.

Other Meds: Zoloft (50mg)

Current Illness: None.

ID: 0917698
Sex: F
Age: 36
State: PA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
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: NO KNOWN ALLERGIES

Symptom List: Injection site swelling, Limb discomfort

Symptoms: PT RECEIVED INJECTION AND WAS ASKED TO STAY FOR OBSERVATION AND WAS INSTRUCTED TO NOTIFY NURSE OF ANY CHANGES IN CONDITION. AFTER APROX 5 MINS PT REPORTED SOME NAUSEA AND ASKED TO BE SHOWN TO NEAREST REST ROOM. WALKED WITH PT TO LADIES ROOM, WAITED CLOSE BY AND CHECKED ON HER TWICE. WAS IN REST ROOM FOR APROX 15 MINS. WHEN SHE EXITED ASSISTED HER BACK TO OBSERVATION AREA. REPORTED DIARRHEA AND CONTINUED NAUSEA. ASSESSED BLOOD PRESSURE. 85/51. CALLED FOR RRT. TEAM ARRIVED AND ASSESSED PT. PT REPORTED CONTINUED NAUSEA, WEAKNESS, CHILLS, AND APPEARED LETHARGIC. PT REPORTED TO ED BY RRT.

Other Meds: NONE REPORTED

Current Illness: NONE REPORTED

ID: 0917699
Sex: F
Age: 36
State: NJ

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Fever. For 2 days Severe Body aches Headache

Other Meds:

Current Illness:

ID: 0917700
Sex: F
Age: 29
State: OK

Vax Date: 12/23/2020
Onset Date: 12/27/2020
Rec V Date: 01/03/2021
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: Penicillin, ceclor, sulfa, metals

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

Symptoms: Itchy rash at injection site starting one week post injection, swollen lymph node in a right arm pit

Other Meds: Corlanor, Prozac, Prilosec, vitamin d, Claritin, singulair, synthroid, Liletta IUD

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm