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: 1009288
Sex: F
Age: 68
State: WA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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: Potatoes, red lentils

Symptom List: Dysphagia, Epiglottitis

Symptoms: Within 3 hours of receiving vaccine: muscle aches, headache, chills, stiff and sore arm. Lasting through night into next day. No fever. On a pain scale 1 - 10, pain was a 4 or 5. Im still within the 24 hour window, but didn?t expect side effects this strong. I?m reporting this so that you have data. My hunch is that for my body, the typical amount of vaccine was just too much. This is true for me with other medications and anesthesia.

Other Meds: None

Current Illness: None

ID: 1009289
Sex: F
Age: 60
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: chills, headache, temperature 2.5 degrees higher than baseline, muscle aches, nausea and vomiting, injection site tenderness

Other Meds: None

Current Illness: None

ID: 1009290
Sex: M
Age: 71
State:

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: zinc oxide--hives

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

Symptoms: Thirteen hours after the injection there was a sudden onset of joint and muscle pain as well headache. The intensity was severe enough to prevent sleeping for over eight hours. This was accompanied by chills alternating with feeling hot without a measured fever. Six hours after the onset of pain two 500 mg acetaminophen were taken with some blunting of the pain though minimal improvement. After the initial eight hours the pain in in the joints and muscles subsided over about four hours. The headache that was akin to migraines in the past persisted for another six hours and was eventually relieved by two doses of ibuprofen 600 mg six hours apart.

Other Meds: metforman

Current Illness: none

ID: 1009291
Sex: F
Age: 27
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Muscle aches, headaches, fever

Other Meds: Advil

Current Illness: No

ID: 1009292
Sex: F
Age: 77
State: MA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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: Sore arm started in the middle of the night--still sore two days later. General achiness all over. General tiredness.

Other Meds: Gabapentin, Aleve, Metoprolol, Famotidine, HYdrochlorothiazide, D3, Iron, C

Current Illness: None

ID: 1009293
Sex: F
Age: 45
State: PA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Allergies with anaphylaxis to tree nuts

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

Symptoms: Starting at approximately 8:30 PM on 2/5/2021 and lasting until approximately noon on 2/7/2021, I experienced redness, urticaria, itching, and skin hot to the touch in an area approximately 2" x 3" around the injection site in my left arm. (This was a larger area than on the day of the injection, when I had similar symptoms for approximately 24 hours before they resolved completely.) The symptoms worsened for about 12 hours (approximately 8:30 AM 2/6/2021), at which point, I also developed low grade fever (highest 99.8F orally), chills, muscle aches, fatigue, sore throat, and general malaise lasting approximately 24 hours (until approximately 2/7/21 at 8:30 AM). The cutaneous symptoms decreased throughout the morning of 2/7/2021, resolving by about noon. I did not contact my PCP or seek any other treatment, nor did I use any OTC medicines to treat symptoms.

Other Meds: none

Current Illness: none

ID: 1009294
Sex: F
Age: 36
State: AK

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

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Severe photo dermatitis on sun exposed skin.

Other Meds: Vitamin D3 2000 IUs daily Prenatal vitamin Unisom as needed

Current Illness: None

ID: 1009295
Sex: M
Age: 53
State: OR

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
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: ?Covid arm?. Red rash at injection site.

Other Meds:

Current Illness:

ID: 1009296
Sex: F
Age: 70
State: PA

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Codeine, terramycin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Soreness at injection site for 3-4 days after shot (expected). Eight days after shot, red, warm, tender, irregular-shaped area (like hives, only just in injection area), 4-5" across.

Other Meds: Pravastatin, multi-vitamin for women, 1,000 unit Vitamin D

Current Illness: None

ID: 1009297
Sex: F
Age: 43
State: NJ

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 8 days after initial shot I'm experiencing what started as an itch. The area of injection swelled and is red again. The itchiness is pretty bad and now on day 9 I'm feeling heat and some pain in injection site. I googled symptoms and I think I'm experiencing Covid arm. Oral benedryl and icing the area seems to be helping.

Other Meds: None

Current Illness: None

ID: 1009298
Sex: F
Age: 38
State: WI

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

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

Lab Data:

Allergies: NA

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

Symptoms: Fever 100.1 48 hours so far Sore arm Diarrhea Nausea Headache

Other Meds: Multivitamin Advair Bupropion Sertaline Rutixin

Current Illness:

ID: 1009299
Sex: F
Age: 31
State: MI

Vax Date: 01/31/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: Shingles

Other Meds: Effexor 37.5mg

Current Illness: None

ID: 1009300
Sex: F
Age: 33
State: NC

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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: 2/6/21 my arm began itching at injection sight and was red and round and quite large and remains at this time on the arm at 12:00pm 2/7/21

Other Meds: Effexor /

Current Illness:

ID: 1009301
Sex: F
Age: 37
State: PA

Vax Date: 01/29/2021
Onset Date: 02/07/2021
Rec V Date: 02/07/2021
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: seasonal allergies, eczema

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

Symptoms: On the morning of Feb 7th, 8 days after my first Moderna shot, I found a red ring on my arm, radius about an inch to an inch and a quarter, around the injection site. It's slightly itchy, but mostly looks like I've had a patchy breakout in that circle. At first it looked similar to the "bullseye" that they tell you to watch out for with lyme disease. Throughout the morning, the red ring has filled in with patchy, very slightly raised red skin. I googled it online and found it's called "Covid arm," and seems to be harmless, but I was encouraged by a friend in the medical field to fill out this report. She thought it might benefit future research and that it could be a response connected to my eczema.

Other Meds: "trust your gut" pre and probiotic, Modere "Trim" liquid collagen

Current Illness: sinus infection and bronchitis late December 2020 through early January 2021 (finished up amoxicillin on 1/18/21)

ID: 1009302
Sex: F
Age: 49
State: MD

Vax Date: 02/03/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Seasonal allergies. Highly allergic to animals

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

Symptoms: Within 48 hours had 4 red cyst type spots that grew in size. One on right side front, two on back ride side. Irregular shape. Itch, very sore and painful.

Other Meds: Allegra, Vitamin D, C, B complex, Zinc

Current Illness: none

ID: 1009303
Sex: M
Age: 67
State: WI

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
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: Statins, Carafate, Nissan ER, Singulair, Bees

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

Symptoms: Strong chills, fever (101.8 to 102.5), sweats, strong headache lasted for 48 hours. Took Tylenol for fever till symptoms ended 48 hours later

Other Meds: Co Q-10, Loratadine, Melatonin, B Complex, Omega 3, Zinc, Vit C, Guaifenesin, turmeric/curcumin, Vit D3, AREDS 2, and Fenofibrate 160mg.

Current Illness: None. Note - had Covid in May/June, 24 days in hospital, 9 days on ventilator.

ID: 1009304
Sex: F
Age: 72
State: NJ

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/07/2021
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: None

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

Symptoms: On the same day of the shot, at bedtime I started shriveling and couldn?t stop along with a very bad headache. Took Tylenol and fluids.

Other Meds: Olmesartan medoxomil and simvastatin

Current Illness: None

ID: 1009305
Sex: F
Age: 26
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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: Sore arm, unable to lift arm above shoulder after 12 hours Body aches after 24 hours Low grade fever after 36 hours

Other Meds: None

Current Illness: None

ID: 1009306
Sex: M
Age: 58
State: MN

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: Person received his 2nd dose as a Pfizer, when he should have received Moderna

Other Meds:

Current Illness:

ID: 1009307
Sex: M
Age: 58
State: OH

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Posterior Hip Focused Point Pain after laying down for extended period - Left side Only. Pain relief achieved with Percocet and Flexeril. Pain does not manifest during the daytime with activity, only at night when laying in bed for extended period of time.

Other Meds: None

Current Illness: None

ID: 1009308
Sex: F
Age: 71
State: CA

Vax Date: 01/30/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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: Penicilin , injectable iodine

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

Symptoms: Vaccine COVID arm

Other Meds: PathoPrazole. Estrace atorvastatin vitamin d zinc Vitamin c. Multi vitamin

Current Illness:

ID: 1009309
Sex: F
Age: 55
State: MA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 02/07/2021
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: Patient received first Moderna Covid 19 vaccine on 12/29/2020. The next morning, she had headache, fever, chills,, cough myalgia, dyspnea. Diagnosed positive COVID 19 by her physician. on 1/4/202. On 1/07/2021, she developed rash on her chest. Seen by her physician and diagnosed with shingles. It appears that she was asymptomatic but positive for Covid 19 at time of first dose of Covid 19 vaccine. She went on to get her second Covid 19 vaccination on 1/26/2021. She developed transient low grade fever, chills, nausea and diarrhea. She has returned to work is is symptom free.

Other Meds:

Current Illness:

ID: 1009310
Sex: F
Age: 78
State: AZ

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: On Thursday - four days after the shot, I felt an itch that did not stop. I kept wanting to scratch it. There was also a BIG bruise. I had checked the box on the form that I take Xarelto. The area was also warm to the touch. But Sunday, now, the area is quite HARD, still warm and itchy.I am getting worried about it but did not want to go to urgent care if I did not need to .I am hoping to get advice from the agency.

Other Meds: Xarelto, Multi-vitamin, Calcium Citrate, acetaminophen

Current Illness: none

ID: 1009311
Sex: M
Age: 67
State: NJ

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/07/2021
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: penicillin, I have had the exact reaction to statin drugs

Symptom List: Injection site pain, Pain

Symptoms: Muscle Pain, muscle aches mostly in arms and legs. (The exact reaction I had to statin drugs)

Other Meds: Exetimibe 10MG, CoQ10 100MG, Centrum Silver 1 tab

Current Illness: none

ID: 1009312
Sex: M
Age: 32
State: KY

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

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

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Injection area feels sore

Other Meds: none

Current Illness: none

ID: 1009313
Sex: F
Age: 50
State: WY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: KNDA

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

Symptoms: 02-04-2012 Received injection about 2pm, with in 30 min started with a horrible headache, later in evening around 5 or 6 pm arm started to ache, arm ached with first vaccination. At 1100 pm woke, started shaking, chilling, feet felt like they were on fire, could not get warm, until 0300am next morning. Got up at 0300 with body aches fever, sweats off and on, lethargy which could be from lack of sleep night before felt like I had hot marbles in Left armpit with pain radiating into Left breast and Right breast, then into right armpit and Right groin. Then about 6 am 02-05-2021 skin started to hurt and burn, muscles hurt, upper lip to chin left like I scalded them, still having persistant headache, nausea. Around 0700 am , still having fever and chills, my legs neck started popping with movement, back aches, most likely from all the shivering, noticed rash on left arm at injection site, later that evening rash reddend was hot to touch and started to puff up. Same eveing noticed left armpit was swelling and hurting, right armpit no longer hurt and right groin no longer hurt. 02-06-2021 Left axillary still swollen hurting, rash still present and warm to touch with some itching present. 02-07-2021, Left axillary still swollen, rash still present with slight itching warm to touch, and little bronchial irritation, did use a humidifier last night.

Other Meds: Ultra Potent vit C 1000-Metagenics Zinc Supreme-Designs for Health Bergamot BPF-Ortho Molecular Products Viracid-Ortho Molecular Products Ortho-Biotic-Ortho Molecular Products Mitocore-Ortho Molecular Products

Current Illness: molar extraction

ID: 1009314
Sex: F
Age: 62
State: PA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: Sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: None until 12 hours after injection. 12 hours later, Injection site became very hot, red and swollen. Started with fever, chills, muscle aches, lethargic, unable to sleep, dreaming, Fever started at l00.6, then went up to 101.7 the next day. This lasted around 48 hours, fever is down to normal for the most, but my arm is still very red, swollen and hot. It is about the size of a baseball. My overall feeling is better, but not completely normal.

Other Meds: Atenolol-50 mg/day Hctz-37.5-25 mg/day Quinapril- 20mg/day Levoxyl-112 mcg/day Effector-75 mg/day Omeprazole - 40mg/day Vitamin D 2000 Vitamin E-400mg/2/day Insulin pump -Novolog as needed Trulicity .75 once weekly

Current Illness:

ID: 1009315
Sex: F
Age: 63
State: WA

Vax Date: 01/16/2021
Onset Date: 01/20/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Latex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 1) 3-4 days after vaccination I developed a mild, itchy rash on my abdomen. It lasted about 24 hours. 2) About 4-5 days after vaccination, I developed painful, sensitive toes. The toes turned dark red/purple. The skin was sensitive to touch. The toes felt tingly and hot. This lasted about 3-4 days, but has recurred more mildly and transiently a few times since then.

Other Meds: Estrogen - hormone replacement therapy; Vitamins C, D, B12; NAC; Calcium; CoQ10; D-HIst; Quercetin

Current Illness: None

ID: 1009316
Sex: F
Age: 74
State: TX

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: 30 minutes after injection started noticing numbness and tingling in left arm. It also went to left side of my face. Felt like Novocain after a dentist visit. Also had high blood pressure. 232/100

Other Meds: Lipitor Meloxicam Turmeric Vitamin

Current Illness: No

ID: 1009317
Sex: F
Age: 67
State: IL

Vax Date: 01/28/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
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 had a sore arm at injection site beginning about 8 hours after injection. There was no visible swelling or redness at injection site. The following day I felt fatigued and arm was still very sore. These symptoms left within 48 hours. On February 6, 2021 (9 days after the first dose of Moderna vaccine) I noticed a red blotchy area around the injection site and it got bigger through the day, approximately 2 inch by 3 inch area. It was not itchy and it was not painful but it was warm to the touch. The next morning,, February 7, 2021, the area was noticeably light pink, not as red and not as large. It is gradually going away. I took 1 Benadryl on the evening of February 6 before going to bed.

Other Meds: metoprolol ER 25mg. simvastatin 10 mg. timolol eye drops aspirin 325 mg Centrum Silver Caltrate vitamin D3 2,000 IU CoQ10 100 mg Omega 3

Current Illness: none

ID: 1009318
Sex: F
Age: 36
State: AL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: NA

Symptom List: Injection site pain

Symptoms: At roughly 11:00 p.m., the day after receiving the vaccine, I began vomiting. I tried to drink a glass of water but vomited that up shortly afterward. I vomited a third time maybe an hour or so later. At 2:00 a.m. I got up again and vomited up bile, and then had quite a bit of diarrhea. I don't think it was something I ate within the past day or so because several other people ate the same meals and did not feel sick. It's now 11:00 a.m. the following day and I'm taking it slow and drinking some water that I've so far been able to keep down.

Other Meds: Busiprone, oral contraceptive, alavert, spirinolactone, multivitamin, fiber, probiotic, krill oil, calcium, vitamin D, vitamin B12, pepcid

Current Illness: NA

ID: 1009319
Sex: F
Age: 25
State: WI

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

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

Lab Data:

Allergies: Gel-capsule Advil -hives

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

Symptoms: Hives all over body. Lasted 36 hours. Started at 14:00 on 2/05/2021 until 0800 on 2/07/2021

Other Meds: Opti-greens, Meta-mucin, whey protein

Current Illness: None

ID: 1009320
Sex: F
Age: 73
State: NC

Vax Date: 01/01/2021
Onset Date: 01/21/2021
Rec V Date: 02/07/2021
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: macrobid, bactrim, prednisone, darvon

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

Symptoms: Approximately 6 days after vaccine the injected arm became very itchy and inflamed with large red area around site about 4-5 inches diameter and hard tissue under skin. Soreness and discomfort around area extended into shoulder. . These reactions persisted for about 12 days and have mostly abated, with a small residual red area and occasional itching.

Other Meds: tylenol, vit d, probiotic, lutein, vit c,

Current Illness: IBS

ID: 1009321
Sex: F
Age: 78
State: WA

Vax Date: 01/29/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Redness, itching, swelling around injection site.

Other Meds: Crestor, multi vitamins, curcurum

Current Illness: None

ID: 1009322
Sex: F
Age: 66
State: FL

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

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: Tiredness (no energy) Headache Chills Fever 107 Injection site redness Nausea

Other Meds: Lymparza

Current Illness: Cancer Patient

ID: 1009323
Sex: F
Age: 41
State: IL

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
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: Pcn

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

Symptoms: Cellulitis , one day after receiving the second dose of moderna. Also headache, fatigue, joint paint, nausea, vertigo body aches, fever, chills.

Other Meds:

Current Illness:

ID: 1009324
Sex: F
Age: 53
State: IN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 12 hours after injection I woke up with 102 fever. Left arm so painful I couldn't move it. Migraine headache. And all the muscles and joints in my body hurt (especially my neck and shoulders)

Other Meds: None

Current Illness: None

ID: 1009325
Sex: F
Age: 32
State: IN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Penicillin, sulpha

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe body/muscle aches, mild fever, headache, mild nausea, and fatigue starting 4 hours after vaccine was given and lasting for 24-48hours. Symptoms peaked at 12 hours and become more tolerable from there on out. Injection site soreness started around 6 hours after and is still extremely sore 48 hours post injection. This vaccine has caused the most pain of any vaccine injection I have ever received. Worse than tetanus. It is sore to the touch, swollen, with a small red spot, and even hurts to raise my arm.

Other Meds: Sertraline

Current Illness: I had Covid-19 in October of 2020

ID: 1009326
Sex: M
Age: 45
State: NJ

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/07/2021
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: Raised lesions appearing on the skin 3 weeks post vaccine shot

Other Meds: Mulivitamin

Current Illness: None

ID: 1009327
Sex: F
Age: 34
State: AR

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: N/A

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

Symptoms: Sore arms

Other Meds: Trintellix

Current Illness: N/A

ID: 1009328
Sex: F
Age: 48
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Left arm from injection site to hand is swollen. Injection site became bright red, ball like, skin texture was rash raised, itchy, hot to touch, spread about 6 inches all after 24 hours of vaccination. Approximately 48 hours after entire arm felt as if it the bone was broken. Along with the above I also experienced bone/ muscle aches, chills, headache and a fever of 102. Currently on day 4 post vaccination arm is sore, itchy, warm to touch, raised rash on arm.

Other Meds: Valsarten Qysemia

Current Illness: Tooth extraction 1/4/21

ID: 1009329
Sex: F
Age: 80
State: OH

Vax Date: 01/23/2021
Onset Date: 01/23/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Patient reports allergies to levofloxacin, cyclobenzaprine and tizanidine.

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

Symptoms: Daughter reported that beginning 1-23-2021 after vaccine, patient experienced a red, swollen arm. Swelling present down to elbow of right arm. From 1-24-2021 to 2-6-2021, patient experienced diarrhea and fever. Daughter was concerned that patient was becoming dehydrated so patient was given IV fluids for replenishment. Facility where fluids received and length of stay in facility are unknown at this time.

Other Meds: Tirosint 100 mcg: 1 capsule daily Gabapentin 300 mg: 1 capsule at bedtime Allopurinol 100 mg: 2 tablets daily Lisinopril 5 mg: 1 tablet daily Omeprazole 40 mg: 1 capsule daily Folic acid 1 mg: 1 tablet daily except on day taking methotrexat

Current Illness: Patient was prescribed a seven day course of sulfamethoxazole/trimethoprim DS (1 tablet twice daily) on 1-11-2021. The electronic prescription contained an ICD-10 diagnosis code of R30.9, which indicated painful urination. While outside the frame of one month prior, patient did receive another prescription on 12-14-2020 for a 7 day course of cephalexin 500 mg (1 capsule twice daily) with an ICD-10 diagnosis code of N39.0. This ICD-10 code is indicative of a urinary tract infection.

ID: 1009330
Sex: F
Age: 46
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Approximately 14-15 minutes after receiving vaccine patient complained of heart beating fast. A few minutes later, while being assessed she also stated she felt that she was going to wheeze and had emesis. Noted to be hypertensive at that time with )2 saturation of 100%. Immediately, transferred to onsite Urgent Care, where received albuterol and solumedrol. )2 sat remained at 100% but patient had episodes of HR up to 140s and decision made to transfer her to an outside ED after about 3 hours.

Other Meds: Advair, albuterol, amlodpine, asmanex, benadryl, calcium, celebrex, colace, flonase, Keppra, loratadine, singulair, ?norco, ?omeprazole, CPAP

Current Illness: no new illnesses

ID: 1009331
Sex: M
Age: 66
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: None.

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

Symptoms: Headache, Chills, felt like I had the flu. Body ached all over

Other Meds: Lisinopril, Omeprazole, Sentrum Silver, Preser Vision,Turmeric

Current Illness: None

ID: 1009332
Sex: M
Age: 67
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: Patient states that about 8 hours after receiving vaccine his arm started to hurt. Approximately 12 hours later he states that his arm went numb from his shoulder down to his elbow and he states that his fingers in that hand are freezing cold and appear to have poor circulation. Upon visual, his hand looks swollen. Patient states that he gets some relief with acetaminophen. He does not have a primary care provider and does not intend to follow up with any physician.

Other Meds: Lisinopril 40mg daily

Current Illness: None

ID: 1009333
Sex: F
Age: 46
State: WA

Vax Date: 01/15/2021
Onset Date: 01/22/2021
Rec V Date: 02/07/2021
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: Ergotamine Topiramate

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 1/15-1/16 -localized arm pain from injection 1/22 - felt ill, nauseous & lethargic & arm pain returned 1/23 - woke with big red baseball sized lump & arm pain 1/24 - red lump becomes warm to touch, itches, I run low grade temp throughout 1/25 - redness begins to spread down arm, itches gets hot to touch & arm registers 104 temp with no contact thermometer 1/29 - call doctor for appt, go in for same day Appt. Site infected, doctor says I have Cellulitis & I start to take antibiotics. Doctor marked arm 1/30-2/1- feel run down, dizzy, lightheaded & lethargic. Redness spreads a bit more, but antibiotics helping 2/1 -2/3- redness slowly gets better, but I feel very lethargic & run down, dizzy, lightheaded & body feels heavy. I take two sick days from work.

Other Meds: Trazodone Zyrtec Ajovy injection (week before) for migraines

Current Illness: None

ID: 1009334
Sex: F
Age: 63
State: PA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
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: Always have a reaction when I am administered a tine test. The skin around the test becomes red. The results are negative for TB.

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

Symptoms: Moderna Covid -19 Vaccine EUA, My left arm at the injection site has a 3 inch round area of redness, warmth and swelling. The center has an indentation and is dark red. Began the next morning and it has not changed. I developed pain in some of the joints in my hands, which resolved yesterday. I felt nauseous this morning, but it has passed.

Other Meds:

Current Illness: None

ID: 1009335
Sex: F
Age: 68
State: GA

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

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache. Took Acetaminophen and it went away.

Other Meds:

Current Illness:

ID: 1009336
Sex: M
Age: 71
State: CA

Vax Date: 01/23/2021
Onset Date: 02/03/2021
Rec V Date: 02/07/2021
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: Terrible pain in the lymph nodes on the left side of the neck. Terrible pain in the lymph nodes in the groin area. Acid Reflex in the middle of the night for 7 nights.none

Other Meds: Losartan, Pantoprazole, Hydrochlorothiazide, Astrovastatin, Amlodipine

Current Illness: none

ID: 1009337
Sex: F
Age: 36
State: MN

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
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: Allergies to bees/wasps

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

Symptoms: Pain swelling redness right away. About 5 days later half dollar sized red swollen spot around injection site. Slightly itchy.

Other Meds: Wellbutrin. Zoloft.

Current Illness: NA

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm