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: 1009958
Sex: M
Age: 63
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: NKA

Symptom List: Dysphagia, Epiglottitis

Symptoms: Lethargy, Temp to 38.3C x 24 hrs. Resolved by x36 hrs

Other Meds: Omeprazole, Amlodipine/Benazepril, Bupropion, Famotidine ASA 81mg, Beet Root, Multivit, Melatonin

Current Illness: HTN, GERD Adverse rxtn to 1st vaccine injection 28d prior

ID: 1009959
Sex: F
Age: 39
State: UT

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: 025L20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Banana, latex, peanuts, shellfish, codeine, Cipro, doxycycline, keflex, avocado

Symptom List: Anxiety, Dyspnoea

Symptoms: About 3 days after initial side effects / dose (I. E. Nausea, muscle aches, swollen lymph nodes, chills for about 48 hours or less), I got a red itchy welt-like rash around the injection site and it's still there. First injection was in my right arm without side effects.

Other Meds: Adderall, cranberry pills, D3, Magnesium, ibuprofen

Current Illness: No

ID: 1009960
Sex: F
Age: 21
State: MN

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

Lab Data:

Allergies: None

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

Symptoms: After one day of vaccaination, the area near the area of vaccainated begin to swell and pain a lot especially for the whole muscles in the arm. It is still a little bit itch in the skin. After one week of vaccination, the skin of the same area begins to appear small red blocks and begins more itch in the skin.

Other Meds: None

Current Illness: none

ID: 1009961
Sex: F
Age: 40
State: AZ

Vax Date: 01/18/2021
Onset Date: 01/19/2021
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: hives with penicillin, amoxicillin, eurythromyacin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Lightheaded, headache, body aches, sinuses swollen, nauseous, fatigued, loss of appetite. Felt ill until 24 hours post vaccine, then began to feel better. The following day I felt completely normal.

Other Meds: multi-vitamin, calcium +vit D, magnesium glycinate, krill oil, probiotic, hydroxychloroquine sulfate, DIM, amitryptiline, tirosint, sprironolactone.

Current Illness: none

ID: 1009962
Sex: F
Age: 70
State: IN

Vax Date: 01/19/2021
Onset Date: 01/27/2021
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: Sulfa, penicillin, oxycodone, alendronate, etodolate, niacin

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

Symptoms: Intense itching, raised redness about 3? in diameter lasting about 12 hours. Took Benadryl po. Used ice pack at site.

Other Meds: Gabapentin 300 mg bid, multivitamin, calcium plus d, cranberry, zinc, vitamin c, , famotidine, vitamin d, melatonin, latanaprost eye drops

Current Illness: None

ID: 1009963
Sex: F
Age: 76
State: CA

Vax Date: 01/21/2021
Onset Date: 02/04/2021
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: Wheat

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

Symptoms: Rash with hives on left arm. Spread to face, neck , chest. Burning and itchy. I took Bendryl. Applied Triamcinolobe cream with cold damp cloth to all effected areas. Did go to urgent care. Was told it was a reaction. Take Bendryl every 6 hours.

Other Meds: None

Current Illness: None

ID: 1009964
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: Fentanyl and versed, Demerol, Ivp dye

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Chills, body aches, headache, fatigue

Other Meds: Fluoxetine Excedrin D3 Omega 3 fish oil Calcium citrate

Current Illness: Headache

ID: 1009965
Sex: F
Age: 64
State: CA

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

Symptom List: Pharyngeal swelling

Symptoms: redness and swelling on right upper arm/ injection site

Other Meds: Motri n

Current Illness:

ID: 1009966
Sex: M
Age: 42
State: PA

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

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

Lab Data:

Allergies: N/A

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Nausea, body pain, diarrhea, fever, chills

Other Meds: N/A

Current Illness: N/A

ID: 1009967
Sex: M
Age: 38
State: NJ

Vax Date: 01/22/2021
Onset Date: 01/29/2021
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: Injection site shoulder still extremely sore 2 weeks after vaccination. Started taking aleeve and icing, but no improvement. Extremely difficult to lift arm above head.

Other Meds: Humalog insulin Lisinopril Multivitamin Probiotic

Current Illness: None

ID: 1009968
Sex: F
Age: 28
State:

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: solodyn

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

Symptoms: axillary swelling, arm pain and stiffness on side vaccine was given

Other Meds: sertraline, gabapentin

Current Illness: none

ID: 1009969
Sex: M
Age: 38
State: TN

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: Black beans

Symptom List: Rash, Urticaria

Symptoms: Vaccine received at 1600 on 2/4. 14 hours later on 2/5 at 0600, vomiting x 4, chills, fatigue, malaise, nasal congestion. Wife stated I was acting like I did when I had the flu. Took several doses of acetaminophen and naproxen with some relief. 2/6 at 0500, vomiting x 4, cough, nasal congestion, worsening malaise and restlessness, shortness of breath, transient chest pain, mild lymphadenopathy. Acetaminophen and naproxen no longer providing relief. Reported to urgent care clinic due to multiple symptoms not listed in vaccine information, was given ondansetron and promethazine. Recovered at midnight, approx 56 hours later, waking up to sweat-soaked bedsheets.

Other Meds: Ranitidine, Acetaminophen, Naproxen

Current Illness: mild diarrhea on previous morning, likely due to lack of sleep

ID: 1009970
Sex: F
Age: 66
State: NC

Vax Date: 01/13/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: Iodine contrast IV.

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

Symptoms: About 8 days after vaccine I developed a large bright red area about 5-6? x 3-4? located about 3? below injection site. Also the injection site got red the size of quarter. Itchy, swollen, tender to touch. I didn?t have any reaction after injection until this happened. Went away after a few days. A bit discolored. I do have pictures it you want.

Other Meds:

Current Illness:

ID: 1009971
Sex: F
Age: 80
State: AZ

Vax Date: 01/23/2021
Onset Date: 01/24/2021
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: cipro, augmentin

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

Symptoms: Extreme intensification of fibro and polymyalgia symptoms (almost unable to do anything). Need to use a walker and still do. Also leg and foot swelling

Other Meds: levothyroxin, eliquis,prednisone,loperamide, multivitamin, calcium+D3

Current Illness:

ID: 1009972
Sex: F
Age: 81
State: SD

Vax Date: 01/19/2021
Onset Date: 01/20/2021
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: Penicillins, Naproxen, Erythromycin, Ketoconazole, Sulindac, Cefadroxil, Clindamycin, Fenoprofen

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

Symptoms: Left-sided pre-auricular swelling, submandibular swelling. Not witnessed in clinic.

Other Meds: none

Current Illness:

ID: 1009973
Sex: F
Age: 73
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: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Horses, sulfa drugs

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

Symptoms: Seven days after injection I developed a rash on my left arm at the injection site which became swollen and about 3 inches in diameter it lasted for seven days is fading away now seven days later.

Other Meds: Amlodipine besylate Hyophen Vitamins: Citrecal, Kyiv garlic centrum silver, vit. C 599mg vit. D,1000 mg, align probiotic, fiber choice

Current Illness: None

ID: 1009974
Sex: F
Age: 56
State: OR

Vax Date: 02/03/2021
Onset Date: 02/05/2021
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: Penicillin, Sulfur drugs

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

Symptoms: Moderna COVID-19 Vaccine EUA. I received the COVID-19 Vaccine (Moderna) shot in my upper left arm on Wednesday, Feburary 3, 2021. I had a sore arm for a couple of days and I thought that was the worst of the adverse events. But, i was feeling fine when I went to bed on Thursday night. But, when I woke up on Friday, February 5, 2021 at 8:30 am, I had this horrible pain in my lower leftside of my back in my kidney. The pain was so bad that it hurt every time that I would move, pass gas, cough, sneeze, or getting in and out of the car. I couldn't lay flat on my back to sleep . This horrible kidney pain lasted until I got up on Sunday, February 7, 2021 at 8:30 am.

Other Meds: Hydrocortisone, Levoxoil, Florinef, Renal vitamin, Pravasatine

Current Illness: End Stage Renal Disease and on dialysis

ID: 1009975
Sex: F
Age: 27
State: NJ

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: Na

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Moderna Covid-19 vaccine eua Disoriented/ spaced out / lightheaded feeling. Occasional palpitations/tachycardia (not frequent)

Other Meds: Atarax, apri, cymbalta

Current Illness: Na

ID: 1009976
Sex: F
Age: 48
State: IN

Vax Date: 02/03/2021
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: Non-known

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Throughout the day (2/4), I felt very medicated. As it got later into the afternoon of the day, my muscles felt stiff. Into the evening, I felt stiff and could not stay warm. My muscles hurt as I was walking up stairs. I did not have a fever. I went to bed early and still felt unwell the morning of February 5. As the day, went on into the afternoon, I began to feel better and side effects subsided. There have not been any issues since and I have resumed daily activities.

Other Meds: Buspirone Paroxetine Vitafusion Vitamin D3 Gummy vitamins Vitafusion Vitamin Women's Supercharged Multi

Current Illness: None

ID: 1009977
Sex: F
Age: 41
State: MN

Vax Date: 01/29/2021
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: Soy, shellfish, legume proteins

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

Symptoms: Hotness, redness, approximately 2 in he?s in diameter surrounding g the injection site, that appeared one week after the original injection. I also had hotness and redness at time of injection, along with headache and fatigue for 3 days following the initial dose. Those symptoms all went away, until the arm/site symptoms returned.

Other Meds: Novalog insulin

Current Illness:

ID: 1009978
Sex: F
Age: 45
State: NC

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: I have developed a fine red rash over my neck, chest, and there are several patches of rash on my stomach now. This rash has also spread down the right arm a bit. In addition to rash, I also experienced more common side effects of fever, chills, body aches, fatigue and headache since 2/6 , milder now but still present.

Other Meds: Celexa 40 MG, Allegra 180 MG, Vit D 2,000 IU

Current Illness: None

ID: 1009979
Sex: F
Age: 68
State: MO

Vax Date: 01/21/2021
Onset Date: 01/24/2021
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: Aleve, Mophine, codeine,previous

Symptom List: Unevaluable event

Symptoms: With exercise, oxygen saturation drops as low as 79, I had oxygen concentrator at home , was on it 24/7 for 4-5 days,, attached oxygen concentrator to CPAP at night, it has been two weeks, able to be off oxygen during day, since I live alone, still put oxygen on CPAP at night,

Other Meds: Toprol 100mg, Slow K , Folenex(B complex)

Current Illness: Traumatic Brain Injury, Complete hysterectomy, nodules adrenal and thyroid

ID: 1009980
Sex: F
Age: 55
State: AZ

Vax Date: 02/06/2021
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: Penicilin

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

Symptoms: Became faint, profuse sweating, followed by child, headache. Resolved relatively quickly

Other Meds: Sertraline

Current Illness: None

ID: 1009981
Sex: F
Age: 25
State: NC

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

Lab Data:

Allergies: N/a

Symptom List: Injection site pain, Pain

Symptoms: Left eye twitching starting about 48 hrs after vaccine and worsening

Other Meds: N/a

Current Illness: N/a

ID: 1009982
Sex: F
Age: 43
State: WA

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: SYR
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Significant flu-like symptoms: fatigue, chills, nausea, muscle aches, headache, no appetite, low-grade fever (101 degrees when checked). Symptoms started about 20 hours after getting the vaccine. Symptoms started improving after 8 hours; weakness and low appetite continued until about 48 hours after receiving vaccine. Tylenol taken once during course of symptoms for headache relief.

Other Meds: Azathioprine, vit d, fish oil, multivitamin

Current Illness: None

ID: 1009983
Sex: F
Age: 42
State: CA

Vax Date: 02/04/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: This morning after breakfast (around 9:00-9:30am) my right eye started feeling strange, but looked fine. The sensation was a sense of pressure or slight numbness. After about 20 minutes, that sensation disappeared and then my right arm started feeling strange, too, as if my joints were swelling and the ulnar nerve was irritated. The right forearm near the ulnar nerve felt slightly numb to touch, as if I were touching Playdoh, or molding putty. All my joints started feeling swollen and heavy, my knees visibly showing swelling. I?ve done some work to alleviate the inflammation, but my right side arm and joints are still feeling heavy and a little warm, with some lingering weird feeling of Playdoh (molding putty) numbness when I touch the area. The numbness is not so noticeable when I?m not touching the area. It seems that it will go away with time and not too serious, but wanted to report in case others experience the same thing. Also, I should mention that the day after getting the vaccine (2/5/21), in the morning when I woke up (7:00am), I experienced an intense one-sided headache behind my right eye that lasted until I gave myself some acupuncture in the late morning. I also experienced extreme arm pain at the site of the injection the day after the vaccine which lasted until yesterday (2/6/21). This morning when I woke up (7am), I felt some local numb feeling (when I touch it, it feels like I?m touching playdoh) at the injection site on the left arm, with minor soreness.

Other Meds: Probiotic pill, Acyclovir (1 week prior to vaccine)

Current Illness: None

ID: 1009984
Sex: F
Age: 42
State:

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: Sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Initial dizziness then later in the evening fatigue, chills, low grade temperature, swollen hard area around injection site

Other Meds:

Current Illness: Positive Covid result 12/24/2020

ID: 1009985
Sex: F
Age: 63
State: TX

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: I have food sensitivities to garlic and bell peppers

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I experienced arm pain and fatigue the first evening. On Saturday, Feb 6, the injection site is red and swollen and I continued to feel fatigue. As of today Feb 7th I am continuing with the same side effects. I just wanted to let you know of the adverse reaction I had to the 2nd Covid vaccine

Other Meds: Vitamin D, Spironolactone, Biotin, Multi Vitamin for women, Ambien, Fosamax, Progesterone Micronized 200mg, Estrace, Lexapro

Current Illness: No

ID: 1009986
Sex: F
Age: 56
State: MD

Vax Date: 01/11/2021
Onset Date: 01/14/2021
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: Family history of clogged heart arteries; since vaccine tightening and soreness in the chest with shortness of breath. Symptoms have not subsided. 2nd dose scheduled for 7/8/21. I've some apprehension and concerns about taking 2nd dose; I will follow keep the scheduled appointment and discuss with medical staff administering 2nd dose and decide if it is safe to take 2nd dose.

Other Meds: None

Current Illness: None

ID: 1009987
Sex: F
Age: 36
State: UT

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Side effects began the next morning after vaccine, which included fatigue and body aches, sore left arm then the next couple of days were fatigue and headache and now fatigue and nausea with vomiting and chills.

Other Meds: Trintellix, abilify, gaba pentin, Ambien, adderall, clonazapam, pantoprazole

Current Illness:

ID: 1009988
Sex: M
Age: 97
State: GA

Vax Date: 02/02/2021
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: NKA

Symptom List: Injection site pain

Symptoms: Nasal congestion and Bilateral lungs infiltrate - Transferred to hospital on 2/6/2021

Other Meds: Iron, Aspirin, Calcium, Tylenol, Vitamin

Current Illness: NONE

ID: 1009989
Sex: F
Age: 73
State: NJ

Vax Date: 01/28/2021
Onset Date: 01/28/2021
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: Fresh Citrus Fruit

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

Symptoms: Severe muscular pain in the arm where I received the vaccine. Putting on a jacket and lifting my arm are very painful. It's been 10 days and my arm is just as painful. Ice has not helped and neither has Advil.

Other Meds: Metformin, Zoloft, Atorvastin, Vitamin C, Multi-vitamin, Vitamin D-3, Calcium,

Current Illness: None

ID: 1009990
Sex: F
Age: 79
State: AZ

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: Iodine taken for testing purposes. Shell fish.

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

Symptoms: Sore arm 3 days. Fever and exhaustion 2nd day extremely cold. Felt similar to when I had Covid but worse. 3rd day still tired but other symptoms gone.

Other Meds: Hydroxyurea 500Mg 1 2X a day, Irbesartan 300Mg 1 a day Mesalamine 1.2 grams 2 caplets 2x a day. Carvedilol 3.125 mg 1 tab 2X a day. multivitamin Vitamin D Occuvite

Current Illness: Had postive Covid test 12-8-20

Date Died: 02/07/2021

ID: 1009991
Sex: M
Age: 73
State: NY

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

Lab Data:

Allergies: No severe allergies reported on questionaire

Symptom List: Tremor

Symptoms: 73-year-old man s/p first dose of Pfizer at 10:20 AM Ambulated comfortably to exit after 20 minutes in observation but 10:45 collapsed while exiting the building 10:47 CPR initiated 10:49 medical team/EMS found no pulse, agonal respirations, ventricular fibrillation Paramedics and team performed ACLS; of note patient was intubated 7.5 ETT with bilateral breath sounds on ventilation; paramedic reported easy intubation with no apparent throat swelling; 11:02 transported to Emergency Department 11:30 Pronounced dead at Emergency Department

Other Meds: Unknown

Current Illness: Unknown

ID: 1009992
Sex: F
Age: 66
State: TX

Vax Date: 01/25/2021
Onset Date:
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: Extreme fatigue and vertigo the day following the vaccine, vertigo persisted for 6 days

Other Meds: Estradiol patch .05 2 X/Wk Northindrone 5mg 1/2 tab daily Linsinopril 5 mg

Current Illness: none

ID: 1009993
Sex: F
Age: 70
State: NC

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

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

Symptoms: Sore Arm X 8 hours

Other Meds: Metformin, Eliquis, Atorvastatin, Metoprolol. Diltiazem, Lisinopril, Vitamin D,

Current Illness:

ID: 1009994
Sex: F
Age: 30
State: AZ

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: N/A

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

Symptoms: Severe, sharp headache approximately 18 hours after vaccination until 29 hours after vaccination.

Other Meds: Amitriptyline

Current Illness: N/A

ID: 1009995
Sex: F
Age: 59
State: OH

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

Lab Data:

Allergies: Peanuts, Tree nuts, NSAIDs, penicillin.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Adverse event: Anaphylaxis reaction. High blood pressure. Body shivering. Rash on neck and chest. Treatment: dexAMETHasone sodium phos (PF) given at 4:49 pm. diphenhydrAMINE (Benadryl) given at 4:46 pm. famotidine (PEPCID) given at 4:47 pm.

Other Meds: Lisinopril, 20 mg tablet, 1 per day. Multivitamin. Cranberry fruit extract. Estroven complete. Probiotic. CoQ10. Joint health (UC-II Collagen). Krill oil. Allegra Allergy.

Current Illness: None.

ID: 1009996
Sex: F
Age: 18
State: AK

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: 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: First day really tired after shot, slept for 12 hours , next day sever headache, chills, nausea , sore throat , felt like my body was fighting off the flu , next day the chills were gone , headache and sore throat was mainly the problem . Looked at my throat to see my tonsils swollen with pus pockets went to the doctor the next day and got a strep test which came back negative and was told it was probably me having a reaction to the vaccine

Other Meds: None

Current Illness: None

ID: 1009997
Sex: F
Age: 34
State: OR

Vax Date: 01/21/2021
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: NKA

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

Symptoms: My left arm felt heavy, which I thought was probably normal. Then I felt as if the heaviness moved up to my shoulders, neck, and jaw muscles. I kept telling myself it was all in my head. I'm a RN and tried to rationalize the heavy feelings. Then my facial muscles started to feel heavy, with my right side feeling a bit heavier that the left. I received my vaccination. So I was sitting in a car for 15 minutes. I didn't notify healthcare workers because I thought it was psychosomatic and I could move my facial muscles. I drove away and ended up switching drivers with my partner who was with me. The facial numbness continued. After about 30 minutes the sensation of numbness went away.

Other Meds: None

Current Illness:

ID: 1009998
Sex: F
Age: 42
State: GA

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: Allergic to sulfa

Symptom List: Pain in extremity

Symptoms: Received the injection at 10:30 on Friday morning 2/5/21.. I started a regimen of ibuprofen 800mg alternating with Tylenol 1000mg afterwards. I began with a fever of 101.2 at 1:00 am on 2/6/21. Began having severe chills, shaking, and nausea despite taking ibuprofen 800mg alternating with Tylenol 1000 mg. At 5:30 am I had a temperature of 102.4 with sweats and continued body aches, shaking, and nausea. During the day of 2/6/21 my Temperature stayed just around 100.6 and I had body aches and fatigue. During the night my fever went up again to 101.6. On 2/7/21 I have not had fever, however, I have a red raised area where the vaccine was given. I also have a red lacy rash on my neck, chest, arms, stomach, and back. The rash is prickly and itches. It worsened when I got into a warm shower.

Other Meds: Citalopram 20 mg daily, synthroid 100mcg daily, topamax 100 mg daily, Zyrtec 10mg daily

Current Illness: Hypothyroidism

ID: 1009999
Sex: F
Age: 78
State: CA

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

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

Symptoms: Patient states she has been having mild pain that comes and goes. It started after her immunization. During consultation, she motioned toward her right arm, though she received the immunization in the left arm.

Other Meds:

Current Illness:

ID: 1010000
Sex: F
Age: 81
State: OH

Vax Date: 01/28/2021
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: Topiramate, feathers

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

Symptoms: Large, red, rash (2 inches by 2 inches) around injection sight. Sight is warm to touch and slightly painful.

Other Meds: propranolol, citalopram, clonazepam, fish oil, vitamins D, Lisinopril

Current Illness:

ID: 1010001
Sex: F
Age: 58
State: PA

Vax Date: 01/26/2021
Onset Date: 02/02/2021
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: I get hives from penicillin (once when I was a child).

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

Symptoms: I got itchy under the vaccine site and have 2 warm red itchy welts. I reached out to my doctor via email, sent a photo and she then told me to report this.

Other Meds: Progesterone, vitamin D, protandem, zinc, multi vitamins, potasium

Current Illness: None

ID: 1010003
Sex: F
Age: 80
State: IN

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: Fever (100.4 degrees), general weakness, headache, strong pain in the place of injection.

Other Meds:

Current Illness:

ID: 1010004
Sex: M
Age: 66
State: OK

Vax Date: 02/01/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Demerol, Peanuts

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: The joint at the base of my little finger swelled up rapidly, starting at about 2pm. It became extremely painful. Due to swelling and pain, I could not grasp with that hand. That evening, I used ibuprofen and Aleve. The swelling and pain was better in the morning of the next day. Forty-eight hours after onset, the hand was essentially back to normal.

Other Meds: warfarin

Current Illness: None

ID: 1010005
Sex: F
Age: 69
State: PA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
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: Eight days after vaccine was administered, the patient developed redness, swelling, tenderness and itching in the same arm. The area involved was approximately 8cm x 10cm. Symptoms worsened over 24-36 hours and have been gradually subsiding. Not yet entirely resolved.

Other Meds: Metoprolol, Amlodipine, Lisinopril, Atorvastatin, Levothyroxin

Current Illness:

ID: 1010006
Sex: F
Age: 39
State: IL

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

Lab Data:

Allergies: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: After about 15 minutes my face felt tingly. Like a slight numbness to my face. I felt it in my forehead, chin, nose, and cheeks. When I got home I took a Benadryl. After about 3 hours my face felt normal again.

Other Meds: None

Current Illness: None

ID: 1010007
Sex: F
Age: 65
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: penicillin, Sulfa drugs, celebrex, vioxx

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

Symptoms: Extreme itching of arm around injection site began within a minute or tow of the injection. Lasted about 22 minutes. No redness or rash. Slowly faded away.

Other Meds: levothyroid, estradiol, turmeric, Vitamin D3, zinc, evening primrose oil, Co-Q-10, Flo-nase

Current Illness: none

ID: 1010008
Sex: F
Age: 70
State: TX

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: Penicillin, Doxepin

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

Symptoms: Fever...102...started approximately 10 hours after 2nd vaccine...took Tylenol every 6 hours the following day. Fever was reduced but it wasn?t until the next day that it totally left. Diarrhea, nauseated, weak, slept a lot. Am feeling better today ( Sunday) but still a little weak. I had no problems at all with the first Moderna vaccine. No treatment. Symptoms resolved over time.

Other Meds: Alprazolam, Metoprolol tartrate, loratadine, Monteluska,Mirtazapine, Vit. d3 (2000 ), Fish oil 2400, Benadryl, Breo

Current Illness: Asthma

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm