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: 1406740
Sex: M
Age: 80
State:

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/05/2021
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: Narrative:

Other Meds:

Current Illness:

ID: 1406741
Sex: M
Age: 67
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: HEARING LOSS Narrative: 67 yo white male with PMH of prostate cancer, hypothyroidism, hyperlipidemia, essential HTN, and OA who reported hearing loss in his R ear on 1/8/2021, one day after he received Hepatitis B vaccine. Patient was seen at the audiology clinic who confirmed the patient has bilateral sensorineural hearing loss (SNHL) with left ear being worse than the other (thought patient felt that the hearing loss was more from the right ear). Pt was seen in urgent care that day and was prescribed prednisone 20 mg 3 tablets TID x 10 days. At 5 day follow up via phone call with primary care, pt's hearing improved (not sure if it was back to baseline). Of note, patient was ordered Twinrix but received Engerix B instead. Facility followed appropriate protocol to address this medication error.

Other Meds:

Current Illness:

ID: 1406742
Sex: M
Age: 65
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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: Nausea Narrative: 65 yo male reported nausea and headache during the minutes recover period. This was attributed to COVID PFIZER vaccine, which patient received on 2/3/2021. Vital signs were stable. Patient felt better within half hour and was able to leave (self-resolved). The patient denied any prior severe reaction to this vaccine or to any injectable therapy. Patient has been tested positive for covid 19.

Other Meds:

Current Illness:

ID: 1406743
Sex: M
Age: 83
State:

Vax Date: 01/26/2021
Onset Date:
Rec V Date: 02/05/2021
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: dyspnea (worsened) Narrative:

Other Meds:

Current Illness:

ID: 1406744
Sex: M
Age: 55
State:

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
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: Narrative:

Other Meds:

Current Illness:

ID: 1406826
Sex: M
Age: 68
State:

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/05/2021
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:

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

Symptoms: Narrative: 68 yo white male reported dizziness 6/10 after receiving first dose of COVID PFIZER vaccine during the observation period (15 minutes). Patient denied any other symptoms besides the dizziness. Prior to receiving the vaccine, patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or to any injectable therapy. At time of complaint BP 155/82, HR 64, temp 98.3, RR 18. Prior to leaving, BP was 135/83, HR 62, RR 16 and dizziness also improved 3/10.

Other Meds:

Current Illness:

ID: 1406955
Sex: M
Age: 89
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: Pyrexia, White blood cell count decreased

Symptoms: Tongue sensation/metallic taste Narrative: Patient received first dose of COVID-19 vaccination on 2/4/21. Mild reaction, tongue felt funny, metallic taste, watery eyes, 911 called but he refused to go to the ER for evaluation, RN stayed with him for an hour with EMS, vitals remained stable provider contacted and the patient daughter. He was ok before the RN left).

Other Meds:

Current Illness:

ID: 1406957
Sex: M
Age: 70
State:

Vax Date: 01/18/2021
Onset Date: 01/19/2021
Rec V Date: 02/05/2021
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: pain/discomfort at inj site for 3 days Narrative:

Other Meds:

Current Illness:

ID: 1406958
Sex: M
Age: 72
State:

Vax Date: 01/21/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Narrative: 72 yo male reported feeling dizzy during the 15 minutes observation period post vaccination. Pt received Pfizer Covid19 vaccine on 1/21/2021. Per patient, patient dizziness/lightheadness lasted less than one minute. Prior to vaccination, patient denied any prior severe reaction to this vaccine or its components or a severe allergic reaction such as anaphylaxis to any vaccine or any injectable therapy.

Other Meds:

Current Illness:

ID: 1406959
Sex: M
Age: 75
State:

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
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: Narrative: PATIENT REPORTS SEVERE JOINT PAIN, STARTED A FEW DAYS AFTER SHOT. AFTER 2 WEEKS CAN STILL HARDLY WALK. PT DOES HAVE ARTHRIRIS. BEEN TO ER 2 TIMES FOR PAIN. FELL OUT OF BED AND NOW CAN'T OPEN JAW.

Other Meds:

Current Illness:

ID: 1406960
Sex: M
Age: 48
State:

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/05/2021
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: fatigue Narrative: arm sore, fatigue, diarrhea for 1 week

Other Meds:

Current Illness:

ID: 1406961
Sex: M
Age: 70
State:

Vax Date: 01/16/2021
Onset Date: 01/17/2021
Rec V Date: 02/05/2021
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: FATIGUE Narrative:

Other Meds:

Current Illness:

ID: 1406963
Sex: M
Age: 85
State:

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 02/05/2021
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: fatigue Narrative:

Other Meds:

Current Illness:

ID: 1406966
Sex: M
Age: 77
State:

Vax Date: 01/21/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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:

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

Symptoms: Narrative:

Other Meds:

Current Illness:

ID: 1406971
Sex: M
Age: 46
State:

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: feeling faint, chest pains Narrative: patient was advised to seek treatment in nearest ER

Other Meds:

Current Illness:

ID: 1406972
Sex: M
Age: 75
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: Nausea, Pain, Pain in extremity, Paraesthesia oral, Pyrexia

Symptoms: diaphoresis, flushing, anxiety Narrative: Began feeling symptoms during monitoring period-mildly diaphoretic, dizzy, flushing upon standing. Was anxious about second vaccine. Received monitoring of vital signs for additional 15 min and water provided. Released to home.

Other Meds:

Current Illness:

ID: 1406974
Sex: M
Age: 86
State:

Vax Date: 01/11/2021
Onset Date: 01/13/2021
Rec V Date: 02/05/2021
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: cough and chills and sore throat and "gray sputum" Narrative:

Other Meds:

Current Illness:

ID: 1406975
Sex: M
Age: 76
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
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: Narrative:

Other Meds:

Current Illness:

ID: 1406977
Sex: M
Age: 78
State: UT

Vax Date: 01/08/2021
Onset Date: 02/04/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Headache, Myalgia, Fever, Nausea Vomiting & Fatigue

Other Meds:

Current Illness:

ID: 1406979
Sex: M
Age: 69
State: UT

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
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: Narrative: Other Relevant Hx: Symptoms: Diarrhea Treatment

Other Meds:

Current Illness:

ID: 1406980
Sex: M
Age: 58
State: VA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/05/2021
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: Narrative: Other Relevant Hx: Symptoms: Dizziness & Chills Treatment:

Other Meds:

Current Illness:

ID: 1406981
Sex: M
Age: 60
State:

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 02/05/2021
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: Narrative: mild flu like symptoms the next day after the 1st dose. Pt had Covid in November 2020. Other Relevant Hx: Symptoms. Myalgia & malaise Treatment:

Other Meds:

Current Illness:

ID: 1407024
Sex: M
Age: 78
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/05/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Myalgia, NauseaVomiting & SORENESS AT INJECTION SITE ACETAMINOPHEN 1300 MG ONCE

Other Meds:

Current Illness:

ID: 1407110
Sex: M
Age: 67
State: VA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Narrative: Other Relevant Hx: Symptoms: Diarrhea & Nausea Vomiting Treatment

Other Meds:

Current Illness:

ID: 1407111
Sex: M
Age: 73
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/05/2021
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: Headache & SORENESS AT INJECTION SITE

Other Meds:

Current Illness:

ID: 1407112
Sex: F
Age: 46
State: MS

Vax Date: 01/05/2021
Onset Date: 01/10/2021
Rec V Date: 02/05/2021
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: Patient had positive COVID test 12/18/2020 and had the COVID vaccine 1/5/21. THis may have been too soon, as she presented to ER on 1/10/21 with N/V and new dx of left leg DVT. Could or could not have been related to vaccine vs recent COVID infection, not sure. Other Relevant Hx: Phlebitis & Nausea Vomitin

Other Meds:

Current Illness:

ID: 1007390
Sex: F
Age: 39
State: NY

Vax Date: 01/22/2021
Onset Date: 01/24/2021
Rec V Date: 02/06/2021
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: Seasonal and environmental allergies

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Rash/welt on shot arm developed 2 days later underneath arm not at injection site. Red blotchy not itchy but very tender and bruised feeling.

Other Meds: Zyrtec, singulair, Pepcid, probiotic, multivitamin

Current Illness: None

ID: 1007391
Sex: F
Age: 0
State: OH

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

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: extremly sore arms chills body aches

Other Meds: blood pressure meds cholestrol meds

Current Illness: none

ID: 1007392
Sex: F
Age: 35
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 02/06/2021
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: Exercise induced food dependent anaphylaxis

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

Symptoms: Significant arm soreness 2-3 days

Other Meds: Oral contraceptives and prenatal vitamin

Current Illness:

ID: 1007393
Sex: F
Age: 69
State: CA

Vax Date: 01/28/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: I have developed a rash at injection site on my right arm. It is swollen, itchy, raised and red. Approximately 6 inch diameter area.

Other Meds: None

Current Illness: None

ID: 1007394
Sex: F
Age: 32
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Ibuprofen (vs ?NSAIDS?) Allergy (rxn: angioedema - eyes swell shut)

Symptom List: Injection site pain

Symptoms: Early onset, moderately significant left shoulder joint & localized injection site pain starting within 2 hours after receiving vaccine. Placement of bandaid and confirmed site of vaccine administration) concerning for being given too high up on the left shoulder, very close to /possibly superior to deltoid muscle and very close (if not at) left acromion at anterolateral aspect high up on upper arm/shoulder . Treatment: Tylenol prn for pain

Other Meds: 1) Claritin 2) Synthroid 3) Adderall 4) Yaz 5) Tylenol prn pain 6) Vitamin C 7) FML Steroid Eye Drops (3 wks post-op s/p PRK corneal refractive surgery)

Current Illness: None

ID: 1007395
Sex: F
Age: 35
State:

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: severe pain at the site of injection, numbness and not able to move the arm.

Other Meds: no

Current Illness: no

ID: 1007396
Sex: F
Age: 50
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: My face started to swell and feel slightly numb. I could see my cheeks in my vision and my eyes were very puffy. I didn?t see medical attention because I could breathe normally but I self monitored for a few hours to make sure my breathing was ok. I immediately took Benadryl and continued to monitor. It took about 3-4 days for the swelling to go away by massaging my face and continuing Benadryl.

Other Meds: None

Current Illness: None

ID: 1007397
Sex: F
Age: 20
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: no

Symptom List: Tremor

Symptoms: Moderna COVID?19 Vaccine EUA

Other Meds: no

Current Illness: no

ID: 1007398
Sex: F
Age: 24
State: NY

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/06/2021
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 Abilify

Symptom List: Erythema, Pruritus

Symptoms: On January 21 I received my first dose of Moderna vaccine on my left arm. After the vaccine I had a red lump that was hot and a bruise that only lasted 2 days. Everything was fine until the January 28th when I developed a large red lump during the day while at work that was severely itchy and hot. When I got home from work I had a low grade fever. I made an appointment with my primary care for the next day which was Friday the 29th. My doctor told me she believes I had cellulitis. I was given an antibiotic 2x a day for 7 days. She drew a purple circle around the area and told me that if it goes outside the marked area or I feel any new symptoms, to go to the emergency room. Saturday morning on the 30th i woke up to my entire arm red and hot. I felt like I had a huge sunburn. I couldn?t put my sweatshirt on because it was so hot. The emergency room doctor told me I was fine and to keep taking the antibiotics that were given to me yesterday from my primary care doctor. After the emergency room I went to work and started to feel dizzy and nauseous. My hands became sweaty but the rest of my body was cold. I started having a butterfly feeling in my chest. My Apple Watch alerted me that my heart rate was over 100 bpm. That night before bed I had another low grade fever. On Sunday the 31st I noticed the red area was gone but instead it was a dark purple. I felt okay Sunday besides a rapid pulse. Monday February 1st I woke up out of a dead sleep sweating, butterfly feeling in my chest and dizzy. I tried to take my pulse while laying down but it was so fast I couldn?t keep up with it. I put my Apple Watch on which alerted me immediately that my pulse was 152 bpm. I slowly got up but then I passed out falling off of my bed. I couldn?t get any words out because my heart was beating so fast that I couldn?t breathe. I was sweating horribly and had a hard time walking. Had absolutely no strength in my left hand, my arm was purple/red, cold and numb. My arm felt like someone punched me repeatedly and gave me a dead arm. I called my primary doctors office and they were able to get me in that afternoon. All morning my pulse was spiking and then drastically dropping. About an hour and a half before I went to the doctor everything was fine. I was able to talk but still struggled with breathing while talking. The doctor ordered an EKG which came back clear. My pulse and blood pressure was also fine. The doctor told me she believed all of the symptoms I had were from the medication I take at night (doxazosin-to relax my muscles and help with sleep.) She also told me she believed some of it was my mental health issues taking over. She told me the cellulitis looked fine and sent me home. Later that day I felt exhausted and when I woke up from a nap, I had a fever of 100.5. Took Tylenol and it dropped to 99.5 but wouldn?t go any lower. February 2nd I woke up to a large red ring outside of the purple marker, numb finger tips and butterfly feeling in my chest. All day I received alerts that my pulse was falling and spiking. I sent my primary doctor an email and she told me she didn?t think it was cellulitis anymore, maybe a hematoma but she wasn?t sure. Since January 28th I still struggle everyday with the butterfly feeling in my chest, blurry vision, low grade temps, alerts of pulse, dizziness and breathing difficulties. My arm is always hot, my finger tips are numb and sometimes the strength in my hand is gone. The top of my arm is always a dark purple with red blotches and other times my entire arm is red and hot. When my pulse is very fast, I have a hard time talking, remembering what I was going to say and focusing. I?ve had multiple coworkers ask me if I?m okay because I?ll randomly stop talking and stare off and then I?m alerted that my pulse has either spiked or dropped drastically after spiking. My pulse is never consistent. It is always ranging from 57-155bpm. I realized at first I may have what they call ?COVID arm? but my symptoms haven?t gotten any better. No answers have been given to me or a diagnosis. The first diagnosis that they thought was cellulitis. Then it was ?in my head and behavioral.? Then it was a hematoma. Now it?s an ?I don?t know.? I have tried Benadryl for the itching, ice packs for the days that I?m swollen, Tylenol for the fevers and pain but I never have any relief.

Other Meds: Hydroxizine, Seroquil, Doxazosin, Levothyroxine, Omeprozol, Larissia, Effexor, Lamictal

Current Illness:

ID: 1007399
Sex: F
Age: 33
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Chills, aches, headache, fatigue, cough, sore arm, nausea, dizziness started at 5pm and progressed throughout the night. Continued throughout all of Thursday, the day after the vaccine. Today on Friday I?m feeling much better yet still light headed, fatigued and have a cough

Other Meds: Vitamin C, post natal vitamin

Current Illness: None

ID: 1007400
Sex: F
Age: 66
State: CA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: Sore throat - progressively getting worse as the day goes on

Other Meds: Lisinopril

Current Illness:

ID: 1007401
Sex: F
Age: 66
State: NC

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/06/2021
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: Codeine Sulfa drug Z pack Epinephrine Penicillin V cillian K Doxycycline

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: A bit over an hour after the vaccine my heart rate went to 202 beats. I was not light headed, didn?t feel bad but my heart started beating fast and went to 202bpm . I checked it on my finger pulse oximeter. It lasted about a minute I coughed and bear down and heart rate went back down. The next day I didn?t feel well, red rash about an inch or two below injection site, headache, tired, arm sore and temperature of 99.8.

Other Meds: Did not take any medicine day of vaccine Do take dexilant 60 Vitamin D 3 B 12

Current Illness: None

ID: 1007402
Sex: F
Age: 32
State: AK

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Hives

Other Meds: Lantus, novalog, metoporlol, iron pills, multi-vitamin

Current Illness: None

ID: 1007403
Sex: F
Age: 28
State: NY

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: No known allergies

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

Symptoms: I received my shot at 6:53pm. I went to the waiting room and waited until my time was up, I was released from my observation station at 7:11pm. Staff did ask me how I was feeling I had no signs or symptoms upon being released. I left the facility feeling great had no issues at all. I went to pick up my dinner at 7:45pm drove home. When I arrived home my lips started to tingle, and my face was starting to swell up. I inspected the rest of my body for any rash called my mom and read over the fact sheet that was given to me at time of shot. As per the directions regarding the risk of an allergic reaction I called my primary care doctor because my face was beginning to swell, and my throat started to feel scratchy. My primary care doctor called me back and advise I go to the ER immediately to be monitored for an allergic reaction. I arrived in a Hospital just before 9pm and checked in at the ER. The doctor saw me quickly. By the time the doctor saw me at the ER my face was bright red I had developed a rash all over my chest and back and on the injection site, my lips were swollen and had mild throat swelling. She gave me a high dose of prednisone and 2 Benadryl's. They continued to monitor me for a while until they felt better and discharged me with a epi pen and other meds.

Other Meds: Cryselle, 1 per day Loratadine 1 per day

Current Illness: None

ID: 1007404
Sex: F
Age: 40
State: TX

Vax Date: 01/15/2021
Onset Date: 01/15/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Cipro Bactrium Metformin

Symptom List: Pain in extremity

Symptoms: After injection waited in medical observation due to medical conditions, developed Severe Headache, blurry vision, & Increased Blood Pressure.

Other Meds: Lyrica Jardiance Metoprolol Ozempic ROSUVASTATIN DULOXETINE HCL PRAZOSIN HCL CYPROHEPTADINE HCL

Current Illness: None

ID: 1007405
Sex: F
Age: 78
State: CO

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: Ducloxicillin Sodium, some statins

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

Symptoms: Anal incontinence, sudden for about 2 hours

Other Meds: Metformin, Atorvastatin, Cymbalta, Busipirone, Gabapentin,cont

Current Illness: none

ID: 1007406
Sex: F
Age: 44
State: AZ

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Fever achy body and joints, migraine

Other Meds: Diclofenac pilocarpine hydroxychloroquine DULoxetine ALPRAZolam buPROPion FLUoxetine cyclobenzaprine montelukast Diclofenac

Current Illness: None

ID: 1007407
Sex: M
Age: 75
State: WA

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: NO ALLERGIES

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

Symptoms: PATIENT WAS ADMINISTERED DOSE 1 OF MODERNA VACCINE ON 1-27-2021. Patient reported minor soreness next day. however on 2-5-2021 patient stated he noticed a red rash just below the location of the vaccine administration site

Other Meds:

Current Illness:

ID: 1007408
Sex: F
Age: 40
State: MO

Vax Date: 01/26/2021
Onset Date: 01/27/2021
Rec V Date: 02/06/2021
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: No pain during the first day but onset of red, swollen hard, hot, painful lump that increase in size to a baseball sized lump over the next day, this lasted for about 5 days before it appeared to go away then 7 days from the vaccination a round, hard, tender, itchy, hot, swollen area appeared in the same place and lasted another 3 days, about 4 inches across.

Other Meds: Fluoxetine, omeprezol, midol

Current Illness: None

ID: 1007409
Sex: F
Age: 47
State: CA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Celebrex, Cipro, Compazine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Arm started to feel sore 5 hours after injection But next evening at 8 pm noticed huge red circular rash and darker smaller inside circle like bulls eye. I took photo.

Other Meds: Pulmicort 2 puffs BID Estradiol patch Progesterone pill

Current Illness: None

ID: 1007410
Sex: F
Age: 24
State: LA

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

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

Symptoms: Eczema on hands, swollen arm, nausea, vomiting, fatigue, dizziness

Other Meds: Fluoxetine 20mg

Current Illness:

ID: 1007411
Sex: F
Age: 40
State: NM

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 02/06/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Hive like rash that itched at injection site about the size of a regular sized hand. Back pain that felt like going through labor for 3 days straight. Also pain in the lower pelvic area that felt like a UTI where I constantly had to goto the bathroom, but went to see MD no sign of a UTI and constant headache.

Other Meds: None

Current Illness: None

ID: 1007412
Sex: F
Age: 65
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/06/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Sore arm at injection Fever of 102

Other Meds: Ezetimibe 10 MG Zink 50 mg Vitamin C 500 mg

Current Illness:

ID: 1007413
Sex: F
Age: 46
State: TX

Vax Date: 01/08/2021
Onset Date: 02/04/2021
Rec V Date: 02/06/2021
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: NKDA

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

Symptoms: Started with Bell's Palsy on 02/04/2021

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm