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: 1010109
Sex: F
Age: 34
State: WI

Vax Date: 02/03/2021
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: Bee venom

Symptom List: Dysphagia, Epiglottitis

Symptoms: Headache, tired, dizziness, red hot rash around neck, nausea, diarrhea, side redness and swelling, site itching Immediately after first dose I had rapid heartbeat, dizziness then fever, nausea, diarrhea, muscle aches, sore arm,

Other Meds: Sertreline, Vyvanse, trazadone, birth control, testosterone blocker

Current Illness: None

ID: 1010110
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient received vaccine and minutes later felt dizzy, sweaty, syncopal. VS: BP 106/67; P 80; RR 16; Pulse Ox 100% on RA

Other Meds: None

Current Illness: None

ID: 1010111
Sex: F
Age: 36
State: CA

Vax Date: 01/29/2021
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: Nothing

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

Symptoms: I read they call Covid arm left arm where I got injected it is red swollen feels warm and pain

Other Meds:

Current Illness: None

ID: 1010112
Sex: M
Age: 65
State: CA

Vax Date: 01/31/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Promethazine and Codeine

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: 6 days after shot, a rash, itching and black and blue mark appeared on left arm at site of injection. started on day 6 and still present on day 7.

Other Meds: Metoprolol and Atorvastatin

Current Illness:

ID: 1010113
Sex: F
Age: 28
State: WI

Vax Date: 01/07/2021
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: None

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

Symptoms: Miscarriage - first vaccine at 10 weeks and 3 days with prior proof of heartbeat/movement, second vaccine at 13 weeks and 3 days; learned of miscarriage at 14 weeks 3 days with measurements of 12 weeks 3 days on U/S

Other Meds: Prenatal vitamin, Diclegis

Current Illness: None

Date Died: 02/03/2021

ID: 1010114
Sex: M
Age: 58
State: GU

Vax Date: 01/28/2021
Onset Date: 02/03/2021
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: unknown

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

Symptoms: Patient passed away (Dead on Arrival on presentation to ER) on 02/03/2021

Other Meds: unknown

Current Illness: anemia, NIDDM, ESRD on Hemodialysis, AFib, CAD S/P CABG, COPD , HTN, recently diagnosed with COVID in September, 2020.

ID: 1010115
Sex: F
Age: 42
State: NH

Vax Date: 01/05/2021
Onset Date: 01/12/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Annular pink itchy plaque that appeared at injection site on Day 7 after 1st immunization. Moderately itchy. Resolved on Day 9.

Other Meds: none

Current Illness: none

ID: 1010116
Sex: M
Age: 68
State: IN

Vax Date: 02/04/2021
Onset Date: 02/05/2021
Rec V Date: 02/07/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, C-Flex, Codeine

Symptom List: Pharyngeal swelling

Symptoms: Significant lower back pain and stiffness. Especially around my herniated L5 disc. Much pain and can't stand all the way upright. Slight improvement today(3rd day).

Other Meds:

Current Illness:

ID: 1010118
Sex: F
Age: 91
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Woke up skaking all over body-very violent. Could not control. Arms, legs everywhere. Continued for all day but did decrease a little bit toward evening. Doctor said nothing to do. Called 911, they checked. Blood pressure, heart etc seemed normal. Did not go to hospital because of virus cases being there. Vomited 1 time about 3 hours after I woke up. Second day was much better but extremely tired.Third day was back to normal but body very tired. Back to normal now. Will I have this with second shot???

Other Meds: Moderna 007M20A

Current Illness: Under immune therapy for kidney cancer. But checked with doctor in chcrge--he said OK-go ahead.

ID: 1010119
Sex: M
Age: 32
State: NY

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

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: 24 hours post vaccine I broke out in hives all over my arms and legs. Responded to Benadryl and Zyrtec. 24 hours later I broke out again in hives all over my arms and legs and Benadryl and Zyrtec once again relieved the symptoms. 24 hours later I again broke out in hives, which responded to Benadryl. I have no allergies and have never had an allergic reaction in my life. I have eaten nothing new nor been exposed to anything new - my routine has been the same since before the vaccine. I did not have an allergic reaction immediately following the vaccine. The reaction is only cutaneous with no difficulty breathing but has happened for 3 days in a row.

Other Meds: None

Current Illness: None

ID: 1010120
Sex: F
Age: 40
State: OR

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Right arm redness, swelling and 3 cm area of induration on Day 8 of vaccine

Other Meds: Augmentin Nexplanon Multivitamin

Current Illness: Current Diverticulitis being treated

ID: 1010121
Sex: F
Age: 27
State: PA

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

Lab Data:

Allergies: none

Symptom List: Rash, Urticaria

Symptoms: Patient received vaccine; underwent 15 minute observation period; proceeded to car in parking lot when she described feeling light headed and sweating.

Other Meds: none

Current Illness: none

ID: 1010122
Sex: F
Age: 42
State: NH

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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Intense myalgias, moderate headache, and severe fatigue starting 10 hours after immunization. Lasted for 24 hours and resolved without sequelae. Local injection site tenderness in the first 1-2 days was less severe than with the first immunization in this series.

Other Meds: none

Current Illness: none

ID: 1010123
Sex: F
Age: 24
State: VA

Vax Date: 01/30/2021
Onset Date: 02/04/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Swollen and achey lymph nodes under left arm starting on 2/4/21 and continued to worse up to today, 2/7. On day of 2/7 started experiencing flu-like symptoms, headache, sore throat, and red, raised, and hot patch of arm on injection site.

Other Meds: Birth control- trisprintec

Current Illness: None

ID: 1010124
Sex: F
Age: 50
State: KS

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: 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: c/o arm hurting that evening , had a headache on 1-26 and 1-27 but on 1-27 she also c/o stomach ache and some diarrhea. On 1-30-21 her arm "swelled a little and I had some tenderness." 1-31 deltoid area was bright red and slightly warm to the touch ,not only at the site but all around the site., she c/o it itching. Came into the health department on 2-2-21 arm is better but still remains red and has some itching and warmth to the touch. Has full range of motion. Called her on 2-4-21 stated she is better, no itching, not sore, and no swelling now.

Other Meds: none

Current Illness: sinus and cold s/s in the prior 2-4 weeks

ID: 1010125
Sex: F
Age: 45
State: CA

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

Lab Data:

Allergies: No

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

Symptoms: Covid arm, itching, hardness and redness at injection site

Other Meds: Levothyroxine

Current Illness: No

ID: 1010126
Sex: M
Age: 33
State: CO

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: Covid Arm

Other Meds: Diclofinac, Sulfasalazine, Tylenol

Current Illness:

ID: 1010128
Sex: F
Age: 93
State:

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

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Resident received second dose of C0VID -19 ON 2/2/21 complaint of headache ON 2/3/21.

Other Meds:

Current Illness:

ID: 1010129
Sex: F
Age: 32
State: NY

Vax Date: 01/30/2021
Onset Date: 02/06/2021
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: N/A

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Large red patch on injection site the week after. It itches and it is hard.

Other Meds: None

Current Illness: N/aa

ID: 1010130
Sex: M
Age: 19
State: OR

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

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

Lab Data:

Allergies: none

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

Symptoms: Onset of warm, red, rash at injection site initially, then gradual development of secondary rash below injection site, gradually enlarging, measuring 14 x 14 cm with serpiginous margins, clear center, erythema migrans appearing rash, no scale in center. Full ROM arm, no fever/chills, mild pruritus.

Other Meds: Calan SR Bupropion Finasteride Adderal Desvenlafaxine ER Proair vyvanse Trazadone

Current Illness: Pneumonia

ID: 1010131
Sex: M
Age: 30
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Soreness around injection site, lasting 2 days

Other Meds:

Current Illness:

ID: 1010132
Sex: F
Age: 66
State: TX

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

Lab Data:

Allergies: rash with Celevrex Cough with Lisinopril

Symptom List: Unevaluable event

Symptoms: rash, swelling of face and neck, itching, burning

Other Meds: atenolol cyclobenzine liothyronine levothyroxine paantaprozole

Current Illness: none

ID: 1010133
Sex: F
Age: 53
State: NY

Vax Date: 01/30/2021
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: Nono

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

Symptoms: MY LEFT ARM STARTED ITCHING TODAY. THIS EVENING THERE IS A KNOT IN MY ARM AND A SWOLLEN RED AREA AT INJECTION SITE. IT IS VERY ITCHY AND IRRITATED. PLEASE NOTE I AM NOT TOUCHING/SCRATCHING THE AREA.

Other Meds: propanolol

Current Illness: None

ID: 1010134
Sex: F
Age: 51
State: TX

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: Somnolence Diarrhea Cold sweats Aches and pains all over body Weakness

Other Meds: None

Current Illness: None

ID: 1010135
Sex: F
Age: 30
State: NC

Vax Date: 01/20/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: Severe red and purple raised rash, extremely itchy, behind bilateral elbows, behind bilateral knees, on bilateral calves, bilateral axilla, left wrist. Rash more severe on left side.

Other Meds: celexa 40 mg seroquel 50 mg fish oil creatine monohydrate 5 mg ZMA

Current Illness: none

ID: 1010136
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies: Penicillin, premarin, iodine, sulpha, definity, nitrofurantoin, ibuprofen, doxycycline

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

Symptoms: Sore neck, left side, slightly light headed, pain in left jaw, warm feeling on face to my eye. All symptoms disappeared 2 hours later. No action was taken.

Other Meds: Omeprazol, multi vitamin, krill oil tablet, 85mg aspirin.

Current Illness: None

ID: 1010137
Sex: M
Age: 23
State: GA

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

Lab Data:

Allergies: n/a

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Itchy skin accompanied with small red bumps, mostly on hands and arms, bilateral, not near injection site. Minor discomfort, treatment not initiated.

Other Meds: Fiasp insulin, Toujeo insulin, metformin, miglitol, sertraline, bupropion, Januvia, citicoline, algal DHA

Current Illness: n/a

ID: 1010138
Sex: F
Age: 44
State:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 1408 Numbness and tingling of bilateral cheeks and swelling of fingers. Denies SOB, dysphagia,cough,diziness,syncope,Vital 120/82,82,96%. Given Benadryl 50mg po. 1419 Reports symptoms calming down less sensation of swelling and calming down. 1433 spoke with husband and notified of situation. 1515 Patient exited in stable condition. Agreed and understands of what to do if symptoms worsen or continue.

Other Meds:

Current Illness:

ID: 1010139
Sex: M
Age: 28
State: WA

Vax Date: 02/06/2021
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: Latex, Morphine.

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

Symptoms: 4 hours after vaccine, my left arm began hurting alot. 6 hours after vaccine, my whole body ached, and I could tell something was wrong. 12 hours after vaccine, I woke up shivering uncontrollably and covered in sweat. Throbbing headache and could barely move left arm. 30 hours after vaccine (now), cold sweats have stopped, though I still feel extremely sore, tired, and have a headache.

Other Meds: Marijuana.

Current Illness: N/A

ID: 1010140
Sex: F
Age: 21
State: GA

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

Lab Data:

Allergies: n/a

Symptom List: Nausea

Symptoms: Itching accompanied by small raised red dots on skin, mostly on hands and arms, bilateral, not near injection site. Minor discomfort, treatment not initiated.

Other Meds: Sertraline

Current Illness: n/a

ID: 1010141
Sex: F
Age: 46
State: NC

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

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

Lab Data:

Allergies:

Symptom List: Injection site pain

Symptoms: Left upper arm redness, swelling and pain . Noticed the redness spread to rest of the arm than at the injection site

Other Meds:

Current Illness: None

ID: 1010142
Sex: F
Age: 40
State: MA

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

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

Lab Data:

Allergies: None

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

Symptoms: 7 days after receiving vaccination my arm begin to hurt and itch. Day 8 after vaccination arm developed hives on and around the injection site. No treatment received.

Other Meds: Magnesium, vit D

Current Illness: None

ID: 1010143
Sex: F
Age: 34
State: MD

Vax Date: 01/01/2021
Onset Date: 01/24/2021
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: Peanuts

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

Symptoms: Shingles that began the 24th of January, has spread from my back (left T4 dermatome wrapping around under breast) with fairly severe symptoms. I am a physician, recognized it quickly and began acyclovir but blisters and pain still manifested badly. I have no history of being immunocompromised but I will mention that after the first does of moderna I was extremely fatigued from when I received the shot to when my shingles began, and continue to be fatigued. I am currently breast feeding.

Other Meds: Prenatal

Current Illness: None

ID: 1010144
Sex: M
Age: 72
State: WA

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

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

Lab Data:

Allergies: Penicillins (Anaphyaxis Dermatitis), Prednisone (disoreitation), Hydromorphone, Propoxphene (Anaphylaxis), Clindamycin, Diclofenac, Doxazosin, Lisinopril, peanut( gastric), Propoxphene Hcl

Symptom List: Tremor

Symptoms: Anaphylactic Reaction

Other Meds: amLOPIne 10MG tablet, asprin 81 MG EC tablet, fexovenadine 180MG tablet, hydroCHLOROthiazide 25MG tablet, losartan 25 MG tablet, METAMUCIL ORAL, montelukast 10mg tablet, OXcarbazepine 300MG tablet, pantoprazole 20 mg tablet, Vitamin B-12 o

Current Illness: Gallstones, hypertension

ID: 1010145
Sex: F
Age: 64
State: IA

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: Erythema, Pruritus

Symptoms: Injection site: Bright Redness 2 inches in diameter, hardness, moderate pain, itching ; malaise; nausea; vomiting x 1; headache; chills; low-grade fever; myalgia; fatigue

Other Meds: spironolactone 12.5mg

Current Illness:

ID: 1010147
Sex: F
Age: 55
State: NY

Vax Date: 02/03/2021
Onset Date: 02/04/2021
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: Latex allergy, celiac disease - gluten free

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

Symptoms: After first injection - sore upper arm - resolved in one day After second injection - severe body aches, headache, 100.5 fever, nausea, mild vomiting, mild diarrhea lasting for 36 hours. Stomach upset continuing 3 days later without resolve yet.

Other Meds: Singulair 10 mg, Lexapro 20 mg, Mucinex one regular strength tablet, Women's multivitamin

Current Illness: None

ID: 1010148
Sex: F
Age: 34
State: MD

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

Lab Data:

Allergies: None

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

Symptoms: I am currently nursing. My 3 month old infant who has gone to no outside locations has developed 101 F fever

Other Meds: Prenatals

Current Illness: None, I'm nursing

ID: 1010149
Sex: F
Age: 83
State: CA

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

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: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe headache leading to disorientation and unresponsive condition requiring hospitalization.

Other Meds: Blood pressure medication. Trazadone for sleep.

Current Illness: None

ID: 1010150
Sex: F
Age: 29
State: NY

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: Woke up the morning following the second dose of Moderna vaccine with a fever of 100.0, chills, body aches, and pain and swelling of the injection site. Ibuprofen was taken and resolved symptoms shortly after. The rest of the day I was lethargic.

Other Meds: None

Current Illness: I tested positive for covid-19 01/10/21. Three days after getting my first dose of Moderna.

ID: 1010151
Sex: F
Age: 65
State: GA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
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: Allergic to bee stings, medications- all the mycins, digoxcin, and suspect a peanut allergy. Dairy products causes nasal inflammation, and suspect a peanut allergy and intolerant of chocolate and I am allergic to latex.

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

Symptoms: Wheezing, slight difficulty breathing, I took 2 puffs of my ventilin and Used my Flonase as my nose felt congested and also had a Hall?s cough drop and my breathing and overall. Symptoms improved

Other Meds: Losartin 50 mg.

Current Illness: None, I have been very healthy.

ID: 1010152
Sex: F
Age: 33
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Cedar trees

Symptom List: Pain in extremity

Symptoms: Onset of 102F fever the night of the injection with body aches and chills. for 36 hours. Also large rash/hives on stomach and left flank 48 hours after receiving the vaccination. Rash lasted 2 days.

Other Meds: Vitamin C, D3, Women's Multi Vitamin, Cranberry, Magnesium, baby aspirin.

Current Illness: none

ID: 1010153
Sex: F
Age: 73
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Back pain arm of injection and fatigue for 24 hours

Other Meds: Propranolol 80 mg once daily

Current Illness: None

ID: 1010154
Sex: F
Age: 51
State: VT

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

Lab Data:

Allergies: codeine

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

Symptoms: On the eighth day following the vaccination, I developed a large red circle at the injection site. It is approximately 2 inches long and wide, warm to the touch and slightly itchy. The skin feels lightly elevated and slightly tender to touch. In the past 24 hours it has remained unchanged.

Other Meds: Zoloft-25 mgs daily Levothyroxine- 25mcg daily Vit D- 2000 IU Vit E -1000 IU Multi-vitamin

Current Illness: none

ID: 1010155
Sex: F
Age: 46
State: NJ

Vax Date: 02/06/2001
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: shrimp, soy milk

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

Symptoms: fast heartbeat

Other Meds: none

Current Illness: none

ID: 1010156
Sex: F
Age: 57
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: C/O Tingling, swelling in tongue & lips states had same reaction with 1st dose. Denies Chest Pain, SOB 2 tablets Benadryl 25mg given. Monitored X 20 min ER precautions given. Understood was D/C

Other Meds:

Current Illness:

ID: 1010157
Sex: F
Age: 61
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: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Penicillin Sulfa

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Moderate Dizziness affecting ability to drive

Other Meds: Celexa

Current Illness:

ID: 1010158
Sex: M
Age: 75
State: AZ

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

Symptoms: a very itchy rash (hives-like). developed during the afternoon that I received the injection(Friday) on my face ,neck, arms, hands and legs.....this is sunday evening writing this note.....the rash and discomport continues. I secured some hydrocortisone 1%cream this morning which has provided some relief to the itchiness...;the hive-like welts still remain

Other Meds: lisnopril, metoprolol, amlodipine, asprin, warfarin latanoprost, Prednisolone, timolol maleate, Brimonidine tartrate

Current Illness:

ID: 1010159
Sex: F
Age: 56
State: AK

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: "feeling flushed and tight neck"

Other Meds: none

Current Illness: none

ID: 1010160
Sex: F
Age: 82
State: TX

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: RA

Lab Data:

Allergies: Penicillin, codeine, demerol, iodine

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

Symptoms: 12 hours post vaccination - couldn't lift feet off floor, had to shuffle her feet to walk, headache, brain fog, memory difficulties, body ache, sinus drainage, extreme tiredness, tenderness at injection site, increased shortness over breath 24 hours post vaccine- mild headache, tiredness, joint pain, lethargy, no pain at injection sight, able to walk fine, mild shortness of breath,

Other Meds: Crestor, Estradiol, Cymbalta, Amlodipin, Synthroid

Current Illness: Nasal drainage, discharge and hoarseness

ID: 1010161
Sex: F
Age: 77
State: MS

Vax Date: 01/18/2021
Onset Date: 02/06/2021
Rec V Date: 02/07/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Transiet Ischemic Attack

Other Meds: amlodipine 10mg

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm