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**
PLEASE CHECK BACK SOON
Download the files above while you wait.






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: 1009338
Sex: M
Age: 69
State: FL

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulfa products

Symptom List: Dysphagia, Epiglottitis

Symptoms: I experienced moderate pain at the injection site. Later that evening I experienced severe chills coupled with severe muscle and joint aches and pains. The symptoms began to diminish about 8:30am the next day.

Other Meds: Rampril 2.5mg; Xarelto 20mg; Lansopersole 30mg; MV; Zyrtec

Current Illness: None

ID: 1009339
Sex: M
Age: 30
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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penicillin sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: Woke up with a fever of 101.4 after it had reached 102.2. I took ibuprofen to control fever and body aches.

Other Meds: None

Current Illness: None

ID: 1009340
Sex: F
Age: 38
State: WI

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: vicodin

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

Symptoms: left arm swelling, warmth, pain and redness infection vs reaction

Other Meds:

Current Illness: allergies/asthma

ID: 1009341
Sex: F
Age: 71
State: IN

Vax Date: 01/28/2021
Onset Date: 01/30/2021
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: Ibuprofen, latex

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Large not in arm. With large red circle.

Other Meds: Simvastatin. Lisinopeil. Amlodipine famotidine. Multivitamin Vitamin D3. Acetaminophen. Omega 7

Current Illness:

ID: 1009342
Sex: F
Age: 78
State: HI

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: Respiratory (hayfever type) only

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

Symptoms: Experienced non-serious but severe side effect (pain). Unusual fatigue 7 hrs after injection. Awakened at about 10:30 p.m. (12 hrs after injection) with extreme pain at/around injection site. Very extreme pain. Had me yelling ow!ow!ow! Pain seemed to become generalized across shoulders and to right arm. Most acute phase lasted about 30 minutes. Fatigue and pain gone by next morning. All seemed normal. But every night since (including last night, 2/6/21), in the middle of the night, I have again been awakened by serious (but not nearly as extreme) pain at/around the injection site. Always gone by morning, although slight ache remains.

Other Meds: Raloxifene, Ca, B12, D3, C, low-dose aspirin

Current Illness: None. Received Shingrix 2nd dose vaccine on 01/13/21 with fatigue and severe chills as side effects

ID: 1009343
Sex: F
Age: 32
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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:

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

Symptoms: Body temp 101.5, chills, headache, fatigue.

Other Meds:

Current Illness:

ID: 1009344
Sex: F
Age: 70
State: AK

Vax Date: 01/25/2021
Onset Date: 02/07/2021
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: sulfa, codine, diflucan, macrobid

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: rash on lower right hip raised welt like and very itchy continued into groin hip area. Put steroid cream on and left after several days

Other Meds: lisinopril, estridol

Current Illness: none

ID: 1009345
Sex: F
Age: 56
State: OH

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:
Dose Series: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: latex bandage adhesive

Symptom List: Pharyngeal swelling

Symptoms: Rash on lower back - wide spread, red bumps, itch

Other Meds: estradiol 2mg daily, Losartan HCT 25mg daily, Metoprolol Succ ER 100mg daily, Pravastatin 40mg daily, Fish Oil 1200mg daily, Biotin 10000mcg daily, D3 25mcg daily

Current Illness: N/A

ID: 1009346
Sex: F
Age: 39
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: Food: chicken and banana Medications: metformin, HCTZ (severe), reglan, dilaudid, percocet, carbatrol, fioricet, NSAIDs, Topiramate, acetaminophen

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Headache about 23 hours after injection, described by patient as severe but improved with water intake. Still lingering on 2/7/21 at 12:30pm. Injection site redness, swelling, warmth, and itching that started 2/6/21 around 3pm. Itching is radiating to chest and neck. No other systemic symptoms. Still present on 2/7/21 at 12:30pm. No SOB, chest pain, tightness, difficulty breathing or angioedema.

Other Meds: Abilifym, atorvastatin, b complex vitamins, vitamin d3, flexeril, flovent, gabapentin, xopenex, mirena IUD, lorazepam, metoprolol, singulair, prilosec, botox injections, potassium citrate, ozempic, belsomra, topamax, effexor, vitamin k2

Current Illness: covid diagnosed on 12/30/20

ID: 1009347
Sex: F
Age: 57
State: CO

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Erythromycin - slightly itchy elbows

Symptom List: Diarrhoea, Nasal congestion

Symptoms: COVID vaccination #1 side effects: My left arm felt sore and limited range of motion above my head the following day for about a day and a half. Also, general moderate malaise for about a day and a half. COVID vaccination #2 side effects: Approximately four hours after injection, I started to feel Left arm soreness which increased over four hours and achy lymph nodes in my arm pit and along the left side of my chest. During the next 36-40 hours, I had a temp of 100. 3-8 degrees F. The entire time my joints were moderately achy and sore with general moderate malaise and loss of appetite.

Other Meds: Fish Oil, Plant sterols/stanols, Collagen, Alpha Lipoic Acid, Hyaluronic Acid

Current Illness: None

ID: 1009348
Sex: F
Age: 64
State: CA

Vax Date: 02/07/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Rash about three inches in diameter, in the area of the shot, and slightly itchy. Slightly raised area where the rash is, and warm to the touch. Today, several days later, it is quite faded, but still raised, and only slightly sore.

Other Meds: Wixela; Vitamin D3, Biotin, Vitamin B, Culturelle; the day after the shot (20 hours later), I took three Advil pills

Current Illness: I had a cold about three weeks prior.

ID: 1009349
Sex: F
Age: 76
State: FL

Vax Date: 01/06/2021
Onset Date: 01/16/2021
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: mangoes, Bactrim, Aleve

Symptom List: Rash, Urticaria

Symptoms: tested positive for Covid 19 on 1/17/2021 - fever, chills, slight cold - no problems after 5 days, returned to work after 10 days quarantine with no symptoms. Hospital decline to give me second dose on 2/3/2021 as scheduled, stating I would have to start over in 90 days.

Other Meds: HCTZ, thyroid compound, hormone replacement, daily vitamines

Current Illness: none

ID: 1009350
Sex: F
Age: 43
State: OR

Vax Date: 01/30/2021
Onset Date: 02/01/2021
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: NKA Sensitivity to rice and products contain rice or rice derivatives such as rice syrup. Symptoms of exposure include stomach pain and gastrointestinal distress.

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

Symptoms: Approximately 48 hours after vaccination I began to experience nausea. Within a few hours I began to have stomach cramps of increasing frequency and intensity. Approximately 60 hours after the vaccination I began vomiting. This lasted about 6 hours. The stomach cramps continued and then an intense headache that included both a squeezing and pounding sensation was also experienced. It was difficult to eat anything besides dry crackers and water as any intake was met by more intense cramping. The stomach pains continued for approximately 72 hours and the headache for 48 hours. I was unable to work for 3 days during this time.

Other Meds: Levothyroxin 100mcg once daily Liothyronine 7.5mcg once daily

Current Illness: None

ID: 1009351
Sex: F
Age: 49
State: NV

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Some allergies to egg, latex, environmental, previous bad reaction to flu vaccine, this past year received flu vaccine 100120 and later test positive for Covid 101420.

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

Symptoms: Right after injection redness and pain around site. Within few hours swollen throat, face, major fatigue, chills, felt feverish but only 99.7 degrees, weird pain or schrill, like pulsating, going down left arm to middle fingers. Took Benedryl, advil and used ice on site. Through first night painful left arm, shoulder, aches, chills. 2nd day, swollen face, pain in left arm, reddening around site is larger and tight hard knot in arm. No longer feeling pulsating down arm into fingers just pain, ache and red hot spot. 3rd day, still pain through the night reddening increased again around site and down the arm from shoulder. Had fever spots on face, still 99.6. Called advice nurse who directed me to urgent care. They gave me steroid injection and measured the reddening around site it was 8 centimeters. Checked lymph nodes, tenderness but doesn't appear any bacterial infection in them.

Other Meds:

Current Illness: Bowel problems

ID: 1009352
Sex: M
Age: 72
State: TX

Vax Date: 01/04/2021
Onset Date: 01/05/2021
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: None

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

Symptoms: Sore arm I take Tylenol ,still sore sometime hard to sleep

Other Meds: Celebrex, 100mgx2,levothyroine.088x1,atorvastatin 20mg, allopurinol 300mg x1, finasteride 5mg x1, alfuzosin 10mg x1, lisnopril 40 mg x1, hydrochlorothiazide 12.5 x1, aspirin 81 x1, fluticasone 1 spray

Current Illness: None

ID: 1009353
Sex: F
Age:
State: CA

Vax Date: 01/28/1921
Onset Date: 02/05/2021
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: Codeine

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

Symptoms: One week after first vaccine, left are has a large rash, aches, warm to touch. Fever and headache.

Other Meds: Verapamil, Synthroid,

Current Illness: None

ID: 1009354
Sex: F
Age: 59
State: MO

Vax Date: 01/11/2021
Onset Date: 01/11/2021
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:

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

Symptoms: Hives on back, itch and burn

Other Meds:

Current Illness:

ID: 1009355
Sex: M
Age: 63
State: CO

Vax Date: 02/01/2021
Onset Date: 02/02/2021
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: Muscle pain and cramp like symptoms mostly in legs over night for 6 days, fatigue, loss of weight and appetite

Other Meds: Omeprazole 20mg Ezetimibe. 10mg Sudafed 30mg Nasacort nasal spray D3. 25 mcg B12 1000mcg Ginkgo Biloba 120 mg L-Arginine

Current Illness: None

ID: 1009356
Sex: M
Age: 72
State: FL

Vax Date: 02/03/2021
Onset Date: 02/05/2021
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: Penicillin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Extremely tired and very unusual dreams.

Other Meds: Lipitor (Atorvastatin Calcium 10 MG), Daily Flonase, Fluticasone, 50 mcg. Daily Flomax, Tamsulosin 0.4mg. Daily Norvasc (Amlodipine 10MG) Daily Losartan HCTZ 100/25. Daily Omeprazole 20 MG Daily Tadalafil 20MG One every 3 days

Current Illness: None

ID: 1009357
Sex: F
Age: 68
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
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:

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

Symptoms: Dizziness, Fever, Chills

Other Meds:

Current Illness:

ID: 1009358
Sex: M
Age: 79
State: CA

Vax Date: 01/25/2021
Onset Date: 01/29/2021
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: No allergies

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

Symptoms: On 1/29/21, patient started to feel soreness of left side of toro. On 2/4/21, patient started to see rash of painful area. On 2/7/21, pt came to Urgent Care for evaluation, diagnosed with shingles, and prescribed valacyclovir 1g, one tablet by mouth every 8 hr for 7 days. Patient has history of shingles in 1984. Patient has never have COVID19 illness.

Other Meds: Tirosint

Current Illness: Hypothyroidism

ID: 1009359
Sex: F
Age: 42
State: IL

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: Unevaluable event

Symptoms: Ten minutes after I got my vaccine myarm burned, I felt warm, flushed, and my heart rate went into the 90s. Normal resting is 62. The feeling calmed a little and then came in waves. After about 20 minutes after the vaccine my blood pressure was 154/110., usually it?s normal or low. We tried an ice pack on my neck and then went outside to cool off. The nurse called my doctor and he said to take Benadryl. The cool air and Benadryl calmed down my symptoms and after about an hour my blood pressure was closer to normal and was feeling more like myself. About 6pm all of a sudden I had aches all over, felt nauseous, extremely tired, and felt ill. That lasted about 36 hours.

Other Meds: Symbicort, Singulair, Zyrtec, multivitamin

Current Illness: None

ID: 1009360
Sex: M
Age: 68
State: FL

Vax Date: 02/01/2021
Onset Date: 02/07/2021
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: Left arm has large area of induration, redness, warmth, tenderness. Pruritic.

Other Meds: crestor

Current Illness: no

ID: 1009361
Sex: F
Age: 60
State: CA

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Chills, fever 102.0, malaise, headache. 2 days.

Other Meds: None

Current Illness: None

ID: 1009362
Sex: F
Age: 77
State: CA

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: Tetanus

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever 99.2, muscle aches, sore arm

Other Meds: Lisinopril 10 mg qd, Lasix 20mg qd, Nexium 20mg qd, Align qd, ibuprofen 400mg bid prn

Current Illness: N/Ai

ID: 1009363
Sex: F
Age: 69
State: FL

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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Rash. Itchy warm to the touch. Pain when touched.

Other Meds:

Current Illness:

ID: 1009364
Sex: F
Age: 55
State: WI

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: LA

Lab Data:

Allergies: NSAIDES, prescription pain meds, sulfates

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Chills and insomnia the night after receiving vaccine 11pm to 7am. Then woke very hot with a 100 degree fever, nausea, body aches, headache, fatigue, dizziness. I slept until 2pm & nausea lessened but still had a fever, aches & extreme fatigue. By 2/7 I am still feeling weak & fatigued, no appetite, headache is gone & body aches are less severe. Arm by injection site is still very sore.

Other Meds: Zoloft, Yuvafem, ClimaraPro patch

Current Illness:

ID: 1009365
Sex: F
Age: 53
State: VA

Vax Date: 01/25/2021
Onset Date: 01/26/2021
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: NKA

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Crying, sobbing; onset day after vaccine, lasted 12 full hours, no other known factors than having the vaccine the day prior; but unknown if related to vaccine. Was a highly unusual degree of sadness.

Other Meds: Adderall, buproprion, losartan, chlorthalidone, setraline

Current Illness: None

ID: 1009366
Sex: F
Age: 70
State: WV

Vax Date: 01/28/2021
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: RA

Lab Data:

Allergies: Sulfur Lyrica Symbalta

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

Symptoms: Moderna COVID-19 Vaccine EUA seven days after my injection I had a large four in circle with itchy rash and soreness around the injection area. I understand it?s called Covid arm and I?ve been putting Benadryl gel to decrease the itching.

Other Meds: Tirosint Estradiol Ipratropium Bromide nasal spray Allegra D3 B12 Ester C Vitamin E CoQ10

Current Illness: None

ID: 1009367
Sex: F
Age: 39
State: MA

Vax Date: 01/27/2021
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: Amox, penvk, metformin

Symptom List: Nausea

Symptoms: Original bump from welt never went away but redness and itching stopped. Last night it started getting red and itchy again. This morning it was very red, had gotten larger and was hot to touch. Clinician confirmed it had developed cellulitis.

Other Meds: Peppermint oil, l theanine

Current Illness: None

ID: 1009368
Sex: F
Age: 76
State: CO

Vax Date: 02/07/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NONE

Symptom List: Injection site pain

Symptoms: C/O BILATERAL FACIAL NUMBNESS. NO SOB, TONGUE, LIP OR FACE SWELLING. 0940 BENEDRYL 25MG GIVEN ORALLY. PATIENT OBSERVED FOR APPROXIMATELY 45 MIN. NO PROGRESSION OF SYMPTOMS. PATIENT HOME WITH GRANDSON. INSTRUCTED TO CALL 911 FOR SOB OR FACIAL SWELLING. TO CALL MD IF FACIAL NUMBESS CONTINUES.

Other Meds: UNKNOWN

Current Illness: NONE

ID: 1009369
Sex: M
Age: 70
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Injection site pain Tiredness Headache (pressure) Left arm muscles Chillers Fever 100.4 Injection site swelling Injection site redness Nausea Feeling unwell

Other Meds: Rosuvastatin

Current Illness: Heart monitoring

ID: 1009370
Sex: F
Age: 74
State: IN

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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:

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

Symptoms: Rash and swelling on inside right forearm lasting about 15 min. occurring about an hour to hour and a half after injection.

Other Meds:

Current Illness:

ID: 1009371
Sex: F
Age: 71
State: VA

Vax Date: 01/27/2021
Onset Date: 01/28/2021
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: Fever 102, for 30 -60minutes chills several hours muscle aches 24 hours,hours joint pain 24 hours

Other Meds: NPH Insulin Enalapril Simvastatin Prilosec

Current Illness: None

ID: 1009372
Sex: F
Age: 46
State: MI

Vax Date: 01/22/2021
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: Penicillin, Hydroquinone

Symptom List: Erythema, Pruritus

Symptoms: On 2/1/2021 I noticed a cluster of bumps on my left forehead by my hairline. Flesh colored, not itchy. N 2/3/2021 I developed swollen and sensitive lymph nodes in front of left ear. On the evening of 2/4/2021 rash to forehead now red and sensitive and looking more blister like. Left eye blood shot and eyelid and left face swelling. Shooting pains into head on left side. 2/5/2021 made same day appointment with pap. Shingles diagnosed and started on Valacyclovir. Appointment with Ophthalmologist scheduled for 2/8/2021. Went to ER on 2/6/2021 for left eye pain. No change in treatment. Still to follow-up with eye doctor on 2/8/2021. Not able to work due to pain and nature of worK (around pregnant women and babies<1month old).

Other Meds: Fish Oil, Vitamin D3, Vitamin E, Collagen powder

Current Illness: None

ID: 1009373
Sex: F
Age: 33
State: OR

Vax Date: 02/06/2021
Onset Date: 02/07/2021
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:

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

Symptoms: Moderna COVID-19 Vaccine- 2nd dose after ~15 hours: Fever up to 100.6, chills, body aches, headache, and light-headedness. Fever persists >9 hours. injection site soreness within hours that persists.

Other Meds:

Current Illness:

ID: 1009374
Sex: F
Age: 36
State: MO

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

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

Lab Data:

Allergies: No yes some in household

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

Symptoms: Show all signs COVID-19

Other Meds: My landlord made me leave my home I not sure went to get tested for COVID-19

Current Illness: Cerebral palsy diabetic

ID: 1009375
Sex: F
Age: 70
State: IN

Vax Date: 01/26/2021
Onset Date: 01/28/2021
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: Penicillian, Erthy, Keflex, Lodine

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Large red circle around injection site (COVID Arm), Large bump at injection site.

Other Meds: Atorvastatin 40mg, Cilostazol 50mg, Amlodipine Besylate 10mg, Clopidogrel 75mg, Ezetimibe 10mg, Pantoprazole Sodium EC 40mg, Baby Aspirin 81mg, Excedrin, Tylenol, Sudafeds

Current Illness: None

ID: 1009376
Sex: F
Age: 56
State: WA

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: 011J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Heachache, nausea, fatigue within first 5 days; then rash started 8 days later.

Other Meds: Red rash developed around, near the injection site. No pain or itching. About 2" wide and 3" long

Current Illness: none

ID: 1009377
Sex: F
Age: 38
State: TN

Vax Date: 01/15/2021
Onset Date: 01/21/2021
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: shellfish, cats, bees

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

Symptoms: delayed reaction - hard, raised, itchy welt at injection site. approximately two inches in diameter. lasted three days

Other Meds:

Current Illness:

ID: 1009378
Sex: F
Age: 33
State: NM

Vax Date: 01/30/2021
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: Penicillin amoxicillin

Symptom List: Pain in extremity

Symptoms: My right arm is swollen at the injection spot. Pain and itching. Also a rash about 3 inches around injection spot.

Other Meds: None

Current Illness:

ID: 1009379
Sex: F
Age: 54
State: AR

Vax Date: 01/28/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Zithromax Strawberries

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

Symptoms: On day 8 after my vaccine, my arm became very sore again, like when I received the vaccine. When I looked at my arm, I had a red welped blotch at the injection site. This spot is also itchy. I have had some pain and itchiness going down my arm as well. Approximately 20-23 minutes after I received the vaccine, I experienced heart racing and throat constriction. Both of these symptoms went away. I experienced diarrhea and tiredness the next day (January29).

Other Meds: black cohosh Levocetirizine

Current Illness: none

ID: 1009380
Sex: F
Age: 49
State: IL

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Tape

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

Symptoms: Severe pain in neck beginning within 8 hours of injection. Taking Flexoril, Tylenol, and Motrin with no relief of pain. Severe burning skin sensation throughout shoulder and neck beginning 72 hours post injection. No rash present. Taking Benadryl and rubbing aloe on area with a slight amount of relief from Benadryl. Headache beginning 48 hours post injection. Currently 96 hours post injection with symptoms continuing to worsen.

Other Meds: Levothyroxine, Multivitamin, Vitamin D, Probiotic, Estradiol patch

Current Illness: None

ID: 1009381
Sex: F
Age: 50
State: NY

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: Sulfa, Erythromycin

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

Symptoms: A fever at approximately 1:00am, chills, body aches, jaw hurt, headache, high heart rate

Other Meds: Singulair, Linzess, Zyrtec

Current Illness:

ID: 1009382
Sex: F
Age: 52
State: WA

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: morphine and keflex

Symptom List: Vomiting

Symptoms: My eyes and face swelled up and my left eye has been red, itchy, and sore since then.

Other Meds: atorvastatin

Current Illness: none

ID: 1009383
Sex: F
Age: 75
State: FL

Vax Date: 01/15/2021
Onset Date: 01/16/2021
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: Sulfa, vancomycin, lopressor,

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Second day after shot had severe site pain radiating to upper left arm to left collar bone and left side of neck and left shoulder blade. Lasted several days. First second and third week gradually started having spasm of my entire neck radiating to collarbone and top of shoulder and left top arm and to my top of head. The third week my neck spasm got so severe I could hardly move my head because I would get severe pain. Still having severe stiff neck with pain radiating to head collar bone and top of shoulder. Not sure if these symptoms are related to the vaccine or my neck artritis. My neck Artigas never given me these types of symptoms. MY QUESTION I AM SCHEDULE TO HAVE MY SECOND Injection February 11. Not sure I should take it. My entire life been sensitive to medication. PLEASE ADVISE.

Other Meds: Protonix, Lisinopril, norvasc, yuvaferm, gluccosamine and msm,

Current Illness: Arthritis high blood

ID: 1009384
Sex: F
Age: 27
State: IN

Vax Date: 01/15/2021
Onset Date: 01/29/2021
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: Penicillin

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

Symptoms: Tingling beginning at thumb and pointer finger, progress to forearm and upper arm over 3 days. Swelling began near elbow, redness and pain followed and immobility. Visited ER on 2/3/21 and diagnosed with superficial thrombophlebitis

Other Meds: Prenatal vitamin, collagen peptide powers, micro green powder

Current Illness: None.

ID: 1009385
Sex: F
Age: 73
State: OH

Vax Date: 01/22/2021
Onset Date: 02/04/2021
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: Seasonal Allergies

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Redness, swelling, aching, pain, in the arm where injection was administered.

Other Meds: Synthroid - 88mcgs/daily Vitamin D3 Multi-Vitamin Elderberry Bilberry MSM glucosamine

Current Illness: Hyperthyroidism Osteopenia

ID: 1009386
Sex: F
Age: 53
State: WV

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: IM
Vax Site: RA

Lab Data:

Allergies: Conray contrast dye penicillin/amozxicillin/augmentin trileptal trazadone tetanus Bees

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

Symptoms: Dizziness, nausea and mild confusion within 5 minutes of administration. Increased blood pressure and pulse during this time. Adverse reaction lasted approximately 1 hour. (Similar adverse reaction to dose 1- but less in severity)

Other Meds: Mobic 15mg Metanx Neevo DHA Zovia 1/35e Plaquenil 400mg Synthroid 150mcg Aspirin 81mg Vitamin D3 1000iu Vitamin C 1000mg Ambien CR 6.25 Intermezzo 1.75 Zinc 50 mg Elderberry 1000mg

Current Illness: Prior adverse reaction to Moderna dose #1 reported to VAERS 1/10/21 report #231067

ID: 1009387
Sex: F
Age: 27
State: NJ

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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Cats Dust Seasonal Amoxicillin

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

Symptoms: Bump at vaccination site about 1 week after receiving vaccine, which has become blotchy, red, and hot 10 days after vaccine.

Other Meds: Trazadone Albuterol Olly sleep gummies Ativan Omeprazole

Current Illness: None that I can remember

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm