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: 1009388
Sex: F
Age: 30
State: NY

Vax Date: 01/30/2021
Onset Date: 02/07/2021
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: No

Symptom List: Dysphagia, Epiglottitis

Symptoms: Rash and itchiness at site of injection on the right arm

Other Meds: No

Current Illness: N/a

ID: 1009389
Sex: M
Age: 67
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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Ultracet

Symptom List: Anxiety, Dyspnoea

Symptoms: Dizziness. Started 12 hours after shot. Still present at 48 hours.

Other Meds: Nexium, Pravastatin, Tamsulosin, Dorzolomide/Timolol, Brimonidine, Latanaprost, Lotemax.

Current Illness: Glaucoma

ID: 1009390
Sex: F
Age: 73
State: CA

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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Persistent Swollen tight uncomfortable throat, initially a burning sensation ~ 12 hours, difficulty swallowing cleocin cap and foods, dry cough This is my second day with symptoms

Other Meds: Cleocin 300mg cap tid x 10days (5th day)

Current Illness: Infected tooth #15 (5th day Cleocin 300mg tid x10days) AREDS 2 for marcularly degeneration Tylenol Ex PRN ASA 81mg qd

ID: 1009391
Sex: F
Age: 46
State: IN

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: unknown
Dose Series: UNK
Vax Route:
Vax Site:

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: This happened the first dose, but the second has been far worse. I've had a big pressure in my heart area, painful. It feels like crushing pain. I've been exhausted since and the pain remains.

Other Meds: None

Current Illness: None

ID: 1009392
Sex: M
Age: 21
State: MO

Vax Date: 01/06/2021
Onset Date: 01/07/2021
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 erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Onset of hives in 1/7/2021, occur everyday, worse in the evening. Taking Zyrtec to control symptoms.

Other Meds:

Current Illness:

ID: 1009393
Sex: F
Age: 38
State: TN

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: shellfish, bees, cats

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

Symptoms: flu-like symptoms. Maximum fever of 102.2, body aches, shivering/cold chills, nausea, fatigue. Unable to stay awake for more than thirty minutes on first day. Loss of appetite. Dry mouth. Inability to preform basic tasks. Anhedonia. Severe to moderate symptoms lasting twenty-four hours, mild symptoms persisting.

Other Meds:

Current Illness:

ID: 1009394
Sex: F
Age: 48
State: NJ

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

Lab Data:

Allergies: avocados, codeine

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: fever, nausea, HA, body aches, lasted 2 days

Other Meds: Metoprolol 12.5 mg QD, zolpidem 10mg prn, probiotic gummies

Current Illness: none

ID: 1009395
Sex: F
Age: 68
State:

Vax Date: 02/02/2021
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: Awoke day after receiving vaccination feeling lightheaded and nauseous. Felt faint and had to lie down. Began to experience headache and chills as the morning progressed. Could not work or care for grandchild that day. Started to resolve by next morning.

Other Meds:

Current Illness:

ID: 1009396
Sex: M
Age: 74
State: IL

Vax Date: 02/01/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Chills, low-grade fever, headache day after injection Night sweats 2nd night after injection

Other Meds: Atenolol Pravastatin Vitamin C Temozolomide

Current Illness: Brain tumor

ID: 1009397
Sex: F
Age: 59
State: TX

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

Lab Data:

Allergies: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: A minute after receiving the Pfizer COVID-19 vaccine, started feeling numbness on the right side of the body starting on my arm, minutes later, the sensation had extended up to my right leg and later to my right foot. Ten minutes after feeling this symptom, my right eye started feeling dizzy and shaking, also a feeling of chest pressure, it was hard to breathe normal, I had hoarseness and my throat was itching at the same time my blood pressure went up to 160/89 and tachycardia at 128. All these symptoms lasted for about one hour. After the hour the blood pressure went down some to 134/89 but the general sensation on my body is not back to 100% normal.

Other Meds: ESTRADIOL-PROGESTERONE - ORAL SENNA - ORAL VITAMINC C - ORAL

Current Illness: N/A

ID: 1009398
Sex: F
Age: 44
State: NE

Vax Date: 01/20/2021
Onset Date: 01/21/2021
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:

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

Symptoms: facial swelling and rash and itching, eye lid swelling and itching

Other Meds:

Current Illness:

ID: 1009399
Sex: F
Age: 30
State: OR

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: No allergies but lots of food sensitivities

Symptom List: Rash, Urticaria

Symptoms: 20 minutes after injection, my throat began to itch. I had to "clear" it by coughing. Shortly after, my whole body became itchy - including my face and neck. I did not notice any hives. Symptoms subsided after I took Benadryl and there were no similar symptoms once the Benadryl wore off.

Other Meds: Lamictal, Welbutrin, Venafexaline, Himalayan salt, V-D, v-c, iron, chromolyn, l-tryptophin, methyl-folate

Current Illness: POTS Syndrome, Mast Cell Activation Syndrome, SIBO

ID: 1009400
Sex: F
Age: 72
State: OK

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

Lab Data:

Allergies: Amoxicillin

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

Symptoms: Large swelling, redness, itching below injection site. Swelling lasted 24 hours, redness and itching lasted a week. Area was about a 5 circle.

Other Meds: Simvastatin, Vitamin D, Pepcid

Current Illness:

ID: 1009401
Sex: F
Age: 52
State: NC

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

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: bees, latex, morphine

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

Symptoms: patient started feeling as though her throat was closing and short of breath

Other Meds: metoprolol, trazodone, zonisamide

Current Illness: none

ID: 1009402
Sex: M
Age: 57
State: NY

Vax Date: 02/01/2021
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:

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

Symptoms: Fainted twice. During the second faint had a mild shaking (seizure) he was out for about about 10 seconds then came awake. Sweating and hot. He slept for an hour, then was able to stand, and take the stairs up to bed. I'm calling his doctor tomorrow (Monday).

Other Meds: Sinopril 20mg daily

Current Illness:

ID: 1009403
Sex: F
Age: 46
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Swelling, redness, itching at injection site, chills and muscle aches evening after dose

Other Meds:

Current Illness:

ID: 1009404
Sex: F
Age: 31
State: MD

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: N/A

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

Symptoms: On the day of injection I started with pain, but I on the second day a rash started on injection site, by the third day the rash area grew.

Other Meds: Ibuprofen and loratadine

Current Illness: N/A

ID: 1009405
Sex: F
Age: 33
State: TX

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: Allergic to doxycycline

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills, muscle aches, headache, fatigue about 14 hours after vaccination.

Other Meds: N/a

Current Illness: N/a

ID: 1009406
Sex: F
Age: 57
State: CA

Vax Date: 01/06/2021
Onset Date: 01/09/2021
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: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Pain, swelling, redness, large welt around injection site that lasted approx. 2 weeks. Treated with ice/heat and NSAIDs & antihistamines. Afterwards, no redness or welt, but always hot to touch, and muscle weakness & pain that has impaired daily work functions. Second dose was given in other arm (RT) due to still experiencing these symptoms in left arm 1 month later.

Other Meds: NP-Thyroid, Vit D3, CoQ10, Biotin, Multi-Vit, B12, Krill Oil, Magnesium, Lysine

Current Illness: none

ID: 1009407
Sex: F
Age: 61
State: MD

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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: Shell fish IV Dye Morphine Codeine Raspberries Nsaid Aspirin Phenergan Reglan

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

Symptoms: Pt reports many allergies. Was advised not to get the shot unless done in the ED. Pt spoke to another Nurse with out my knowledge and got the shot.After ten minutes pt began itching all over, Red raised rash began appearing over her body, lips felt tingly. Given Benadryl 50 mgs chewable tabs at approx 10:20am. Emergency services Called and pt went to the ER and was advised that she cannot get a 2nd dose of COVID because it's contraindicated due to severe allergic reaction. Pt went to ED but was not admitted. States Received IV fluids and some medicine that made her sleepy of unknown name. Was sleepy for 3 days after that and all signs and symptoms resolved. Wants to get 2nd dose even though we said not to. Will get in ED.

Other Meds: Waiting on list from pt.

Current Illness: None

ID: 1009408
Sex: F
Age: 72
State: AL

Vax Date: 01/29/2021
Onset Date: 01/30/2021
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: Codeine orally

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

Symptoms: About 24 hours after the injection, I got really sick with aches from the tips of my toes to the ends of my hair. Headache, nausea, pain in all joints and the injection site was extremely sore. It lasted about 6 hours. It was really bad. I have a high tolerance for pain, but this was a level 8 on a scale of 10. The headache lasted two more days. A little lightheadedness and dizzy feelings, but over all good to go and do my daily activities. Friday, 0205/2021, I had major diarrhea and vomiting around 9 PM. Back to normal on Saturday. Today, Sunday, 02/07/2021, I am experiencing itching and burning, with swelling and redness at the injection site and a bit of nausea, with a low amount of diarrhea. I still feel pretty okay with a tiny headache. This entire time from the 6 hours of real pain, I am fatigued and really tired after very little activity. No shortness of breath or coughing though. I get my second shot on 02/26/2021. I also have my 6 month check up tomorrow, Monday, 02/08/2021 with Dr.

Other Meds: Omeprazole; Aromasin; Vitamin D; Hemp jelly beans; CBD oil

Current Illness:

ID: 1009409
Sex: F
Age: 78
State: CA

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

Lab Data:

Allergies: clindamycin

Symptom List: Unevaluable event

Symptoms: Area of swelling and redness and itching. Lasting for two days. Ice applied and antihistamines taken.

Other Meds: sprivia recumate

Current Illness: none

ID: 1009410
Sex: F
Age: 26
State: AL

Vax Date: 02/05/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: About 12 hours post vaccination: stomach cramps and diarrhea, then about 18 hours post vaccination: muscle aches, chills, fever (up to 101.8 at one point), swollen lymph nodes. Now, almost 48 hours later: the muscle aches still remain, and the swollen lymph nodes have gotten worse. There is large, discolored swollen area under my left arm (the arm I got the vaccine in) and it is very very sore. I can?t put my arm all the way down because it is so swollen under there

Other Meds: Singular (for severe asthma), Zyrtec (for everyday allergies)

Current Illness:

ID: 1009411
Sex: F
Age: 69
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Sulphate drugs, neulasta

Symptom List: Injection site pain, Pain

Symptoms: ?Covid arm? red patch with slight swelling,itching,warmth at injection site appearing a week after shot

Other Meds:

Current Illness: Cancer

ID: 1009412
Sex: M
Age: 56
State: PR

Vax Date: 01/07/2021
Onset Date: 01/08/2021
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: No

Symptom List: Injection site pain, Menorrhagia

Symptoms: Pain on left arm and chest, increase in arterial blood pressure and sugar. The employee clinic doctor told me it was not related to the vaccine and it could be inflammation and suggested to make an appointment with my cardiologist, I wanted to let you know what I experienced, I respect my health professional's opinion.

Other Meds: Tribensor, 40-5-12.5, caradura 2mg , Cynbalta, Janumet,50/1000, Tresiba 55units, Jardiance 10mg, vitaminas minerales, Havasu L-Arginina extra extrength , Maca, Saw Palmeto, Teas

Current Illness: Diabetes, High blood pressure, Fibromyalgia

ID: 1009413
Sex: F
Age: 25
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Sore at injection site, full body aches, low grade fever, and persistent headache. Took 400mg Tylenol Q6h for 36 hours. After 36 hours, headache and body aches subsided, pain at injection site was minimal, and fever ceased.

Other Meds: N/A

Current Illness: None

ID: 1009414
Sex: F
Age: 82
State: IN

Vax Date: 02/09/2021
Onset Date: 02/13/2021
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: demoral

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe headache 3 days, nausea 3 days, weakness 5 days, pain upper part of body 5 days, unable to walk w/o assistance 2 days, red feverish arm, on 6th day could be up but only 20-30 min at a time. 9th day back to normal.

Other Meds: levothyroxine, raloxifene, triam/hctz, metoprolol tart, Trazod

Current Illness: none

ID: 1009415
Sex: M
Age: 65
State: LA

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: RA

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 1. One hour after injection severe tinnitus (bilateral) which has persisted 2. FIve hours after injection arm swelling and mod-severe pain at injection site - resolving after 3 days but left with low grade pain 3. Seven hours after injection developed moderate headache, fever to 101 F, and shaking chills that lasted about 4-5 hours, generalized achiness, mod-severe fatigue 4. #1 has persisted, with varying intensity 5. #3 chills stopped after 4-5 hours, took tylenol twice to relieve fever Have persistent low-grade headache 6. I have a photo, injection has given very medially near tendon, remains tender with decreased ROM

Other Meds: Pravastatin, babby aspirin

Current Illness: none

ID: 1009416
Sex: M
Age: 72
State: IN

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: I had about 24 hours of symptoms, starting on the evening of the vax: Bad headache, overall fatigue, body aches, weakness in legs and knees, tenderness on the shoulder at the point of injection. The headache responded to an extra tablet of acetaminophen, beyond my normal 1-a-day dosage. The symptoms are now totally gone after 48 hours. No need for further consultation or a physician call or visit, in my judgement.

Other Meds: Multivitamin, Vitamin D, glucosamine/chondroitin, acetaminophen, pravastatin.

Current Illness: none

ID: 1009417
Sex: F
Age: 65
State: NJ

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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NA

Symptom List: Nausea

Symptoms: Fever 101, Chills, Nausea, Itching, body shakes, weakness, body aches Flu Like Symptom's Lasted 48 hours

Other Meds: NA

Current Illness: NA

ID: 1009418
Sex: F
Age: 70
State: IN

Vax Date: 01/14/2021
Onset Date: 01/15/2021
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: Sulfa Codeine Keflex

Symptom List: Injection site pain

Symptoms: Developed multiple (approximately 15-20) canker sores in my mouth approximately 12-15 hours post injections; low grade fever

Other Meds: Rosuvastin- 5mg 1x/day Buspirone - 5mg 1x/day Omeprazole DR- 20 mg 1x/day Vitamin D - 1000 IU/day Calcium - 1200 mg/day Probiotic

Current Illness: None

ID: 1009419
Sex: F
Age: 30
State: WA

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: None known

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

Symptoms: Vasovagal syncope upon waking and sitting up in bed.

Other Meds: Ritual women?s multivitamin, Zyrtec, Zoloft 75mg

Current Illness: None

ID: 1009420
Sex: F
Age: 33
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: RA

Lab Data:

Allergies: Penicillin

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

Symptoms: Fever low grade 99.9 Dizziness Body aches Loss of appetite

Other Meds: Zoloft

Current Illness:

ID: 1009421
Sex: F
Age: 61
State: MN

Vax Date: 02/03/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Fish Pyridate Milk Penicillin Quinolones

Symptom List: Tremor

Symptoms: Hives and itching x 3 days, started appx 26 hours after vaccination

Other Meds: Flonase nasal spray Meloxicam

Current Illness: None

ID: 1009422
Sex: F
Age: 62
State: SC

Vax Date: 02/05/2021
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: SENSATION OF BURNING OF TONGUE, LIPDS, THROAT AND NOSE WITH PAIN. EXAM FAIRLY BENIGN, NO OBVIOUS ABNORMALITIES OTHER THAN MILD GLOSSITIS. TREATED WITH ANTIFUNGAL AND ANALGESICS

Other Meds:

Current Illness: NONE

ID: 1009423
Sex: F
Age: 39
State:

Vax Date: 02/05/2020
Onset Date: 02/06/2020
Rec V Date: 02/07/2021
Hospital: Y

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: Swelling of lips and tongue

Other Meds:

Current Illness:

ID: 1009424
Sex: M
Age: 52
State: WA

Vax Date: 01/11/2021
Onset Date: 01/27/2021
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: N/A

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

Symptoms: 2 weeks after my second shot, I had a CVA causing complete loss of sensation in my left arm. I am in good health and do not have multiple risk factors for CVA. While the scans showed evidence of a CVA, no underlying cause has yet to be determined.

Other Meds: Multivitamin every few days.

Current Illness: N/A

ID: 1009425
Sex: F
Age: 25
State: NH

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

Lab Data:

Allergies: N/A

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Mild chills and joint pain started in the middle of the night (about 12 hours after second dose). Treated with ibuprofen and resolved about 10 hours after onset. Swelling and lump the size of a quarter at injection site noticed about 10 hours after injection. The next morning size increased to about 4 inches in diameter, skin was hard, hot, and painful to touch. Left armpit is also swollen and mildly painful. Now, (3 days after injection) swelling still present. Still hot and hard to the touch and size remains the same. Pain and redness mostly resolved. Now starting to itch.

Other Meds: Birth control pills

Current Illness: N/A

ID: 1009426
Sex: M
Age: 73
State: FL

Vax Date: 01/15/2021
Onset Date: 01/19/2021
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: On January 19, 2021 (4 days after the vaccine injection) I developed severe itching in the palms of my hands. By the next day, January 20, 2021, I had developed severe hives bilaterally from my groin areas down to almost my knees, as well as on my buttox. I also had severe hives in both armpits. Both hands (palms) and wrists had become swollen and fire-engine red and the itching was maddening. I saw a Physician who gave me an injection of Depo Medrol and a 7 day prescription of Dexamethasone, 4mg , take twice a day and a prescription of Hydroxyzine HCL 25 mg, 4 times a day as needed. The hives began to fade after 18 hours of medication and got fainter and fainter each day, along with relief from itching. Hives were completely gone by the time I completed the 7 day cycle of Dexamethasone. I have not had a recurrence.

Other Meds: Multivitamin, Vitamin D, Vitamin C, Calcium, Osteo-Bioflex, Aleve, Famotidine 20mg, Lisinopril, Metropolol

Current Illness: none

ID: 1009427
Sex: F
Age: 68
State:

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin Cephalosporins

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

Symptoms: Itching at injection site at 8 days post vaccine

Other Meds: Lisinopril Calcium Vitamin D

Current Illness:

ID: 1009428
Sex: F
Age: 48
State: GA

Vax Date: 01/07/2021
Onset Date: 01/12/2021
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: Pain in extremity

Symptoms: After 1st Moderna immunization, I had an exquisitely sore arm for one week. On or about day 5 or 6 after receiving the vaccine I had swollen and tender supraclavicular lymph nodes. The tenderness lasted for about 3 weeks and the swelling remains. After receiving Moderna Covid vaccine #2 on 2/5/2021, the following 16 hours I experienced diarrhea, nausea, muscle aches, joint pain, headache, and decreased appetite. These symptoms were 98% resolved by the following day (today).

Other Meds: Trazodone

Current Illness: none

ID: 1009429
Sex: M
Age: 71
State: PA

Vax Date: 01/25/2021
Onset Date: 02/01/2021
Rec V Date: 02/07/2021
Hospital: Y

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

Lab Data:

Allergies: NKDA

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

Symptoms: The patient started with sudden onset double vision nd ambulatory dysfunction. The patient was taken via ambulance to R/O CVA. MRI results unremarkable. The patient was diagnosed with INTERNUCLEAROPHTHALMPOPLEGIA. Possible cranial nerve 6 palsy.

Other Meds: Simvastatin 20 MG QD Sotalol 120 MG BID Losartan 50 MG QD

Current Illness: None

ID: 1009430
Sex: F
Age: 61
State:

Vax Date: 01/20/2021
Onset Date: 01/20/2021
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: Sulfa drugs

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

Symptoms: Began to have a slight tingling feeling in my bottom lip a few hours after vaccine. Next day, the tingling continued and felt more burning sensation but never severe. However, did contact my primary care provider and they suggested that I take Benadryl to help it. I took it for several days and the tingling/burning feeling stopped completely after about 10 days. I did not have any swelling of lips or tongue but just the tingling/burning sensation.

Other Meds: Clarinex, Multi-vitamin, and Vitamin C.

Current Illness:

ID: 1009431
Sex: F
Age: 61
State: NC

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

Lab Data:

Allergies: Ace Inhibitors Latex Bees

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

Symptoms: Approximately 8 days after receiving the vaccine the upper arm became sore and there are several red blotchy areas on the upper arm. The red blotchy areas are sore when you lightly press on them.

Other Meds: Centrum Silver Multi Vitamin for Women - daily 81 mg aspirin - daily 5 mg Zyrtec - daily Carafate 15 mg Lansoprazole - daily 40 mg Pravastatin - every other day

Current Illness: none

ID: 1009432
Sex: F
Age: 57
State:

Vax Date: 02/01/2021
Onset Date: 02/06/2021
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:

Symptom List: Vomiting

Symptoms: What I describe is not an adverse effect, but I am thinking it might be useful for you to know that I have an unexpected positive outcome that might be of use(?) to some of the long haulers who have been struggling with issues since getting covid19. Before I got very sick from the 2nd vaccine (muscle aches, fever for 24hrs, headache a bit longer) I had sore muscles for months/years - coworker MD thought it was from rheumatoid arthritis, never got it diagnosed, but it was leaving me weaker and more achey every month. After 2nd vaccine I have noticed that my legs are not so achey; indeed, they are much better. It is very weird and so far so good. Perhaps if the long haulers receive immunization, it will have some positive effect on their depressions, inflammations that are lingering. I did not expect this good effect. (I also did not expect to be in the 10% who got more severe effects from the 2nd vaccine.).

Other Meds:

Current Illness:

ID: 1009433
Sex: F
Age: 38
State: TX

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 7 days after the injection I experienced itching at the injection site. After 8 hours the itching turned into burning. Arm is still itching and swollen/red 2 inches around the injection site.

Other Meds: None

Current Illness:

ID: 1009434
Sex: M
Age: 58
State: IN

Vax Date: 02/05/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Headache, chills, body/joint aches, fever up to 103.8, nausea, extremely tired

Other Meds:

Current Illness: Crohns, chronic kidney disease stage 3

ID: 1009435
Sex: M
Age: 69
State: MI

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: crestor

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Chills......also a sore arm

Other Meds: 1200 mg fish oil, 330 mg alpurenol, 1.25 indepimide, 40mg lisenopril, 81 mg aspirin, 50mg zinc, 50k vitamin D weekly, dorzolomide -temelol, 1 drop each eye twice daily, letananprost 1 drop each eye daily

Current Illness: none

ID: 1009436
Sex: F
Age: 66
State: VA

Vax Date: 01/28/2021
Onset Date: 02/04/2021
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: penicillin, neosporin ointment mild allergy to carrot, pork

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

Symptoms: Moderna COVID-19 Vaccine EUA On first day of injection an itchy red, hot, hard lump appeared at the injection site. This reaction lasted approximately 2 days and disappeared. Exactly one week after the injection, the same area became red, itchy somewhat rash like, warm to the touch and a bit lumpy/raised. This area was a bit larger than previously and about 2 inches across by 4 inches long at the injection site on arm below the shoulder. The redness resolved slowly after about 48 hours. It remained somewhat itchy for another day.

Other Meds: fexofenadine 180 mg daily, famotidine 20 mg daily, Montelukast 10 mg daily, Breo inhaler 200/mcg/25mcg once daily, Ventolin 90 mcg as needed, flonase as needed

Current Illness: none

ID: 1009437
Sex: F
Age: 42
State: CT

Vax Date: 02/03/2021
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: Clindamycin

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

Symptoms: ?Moderna COVID-19 Vaccine EUA? Pain throughout the left arm that goes up to the left side of my neck and down to my arm. Around injection site is red, hard, and a patch of bumps and itchy. Fever, headache, nausea, body ache, joint pain, chills, very tired, and sleepy. I have had increased lower back pain. All these symptoms started at around 03:00 am on 2/4 and continue but not as bad as the first day.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm