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: 1011436
Sex: F
Age: 78
State: TX

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: none

Symptom List: Dysphagia, Epiglottitis

Symptoms: lot not documented in EMR Call center call from adult son queryi8ng if symptoms were vaccine related.. Reported 78 yo mother awoke restless, agitated, could not describe what was wrong. She was Audibly moaning in the background, had difficulty responding to his instructions. Assessment revealed FSBG of 27. corrected with oral juice. Assessment after recovery did not identify any change in habits, had not missed meals, changed medications and is not on insulin; has no history of similar events.

Other Meds: metformin, glipizide, lisinopril ,gabapentin, Tylenol,, Zyrtec, amlodipine, telmasartan,, asa, atorvastatin

Current Illness:

ID: 1011437
Sex: F
Age: 65
State: TX

Vax Date: 02/01/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
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: NKA

Symptom List: Anxiety, Dyspnoea

Symptoms: Pain at injection site x 4 days. As of 8 Feb, 7 days post immunization I still have a red, firm area approximately the size of a 50 cent piece at the injection site

Other Meds: amlodipine, Synthroid

Current Illness: none except mild seasonal response to cedar

ID: 1011438
Sex: F
Age: 64
State: GA

Vax Date: 01/29/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
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:

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

Symptoms: Patient had common side effects starting the day after administration. After approximately 36 hours, the side effects subsided. 5 days later, the side effects started again this time including dizziness which is not listed as a normal side effect of the vaccine.

Other Meds:

Current Illness:

ID: 1011439
Sex: F
Age: 48
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: body aches, headaches and nausea started around midnight with fever and chills starting the next morning took Tylenol every 4 hours for symptoms symptoms continued through to around 1pm on 02/04/2021

Other Meds:

Current Illness:

Date Died: 01/30/2021

ID: 1011440
Sex: M
Age: 78
State: NC

Vax Date: 01/26/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
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: unanticipated death

Other Meds:

Current Illness:

ID: 1011441
Sex: M
Age: 46
State: TX

Vax Date: 01/22/2021
Onset Date: 01/23/2021
Rec V Date: 02/08/2021
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: NONE

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

Symptoms: Patient c/o red swollen, itching, warm, tender.

Other Meds: OMEPERAZOLE ; VALSARTAN; ATENOLOL; BUPROPIONE XL;FLUOXETINE VITAMIN D;TOPAMAX;LUNESTA; TRAZADONE; MELATONIN; ATORVASTATIN; MONTELUKAST

Current Illness: Denies

ID: 1011442
Sex: F
Age: 52
State: IA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
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: Unknown

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient is a teacher. Patient reached out to her school nurse, stating her husband said she looked "flushed". She checked her BP at that time and it was high. Attempted to reach out to patient, left message, have not received a call back.

Other Meds: Hx of HTN, unsure of medications

Current Illness: unknown

ID: 1011443
Sex: M
Age: 44
State: KS

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Eurythromycin

Symptom List: Pharyngeal swelling

Symptoms: I have had fever, chills, body aches, congestion, headaches, slight nausea, loss of appetite, almost every day since the injection. I sleep at night, and wake up around 2am with sever chills, take 800mg Ibuprofen, and within an hour my chills break and I start feeling better. The process repeats itself in the afternoon and then again in the evening. I'm constantly tired and fatigued, and have been unable to exercise or work out since. I'm still experiencing the symptoms as of today.

Other Meds: finasteride, omeprazole, famotidine

Current Illness: Tested positive for Covid on 1/15. Had symptoms of congestion only starting on 1/16 and lasting a week. No other symptoms from Covid. Recovered by 1/23.

ID: 1011444
Sex: F
Age: 59
State: NY

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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, tropical plant-don't know the name

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Sore arm-vaccine site, chills, fever, headache, muscle and bone aches, stiffness, nausea, no appetite, fatigue

Other Meds: CoQ10, D3, Zn, C, QVAR inhaler, Incruse inhaler, montelukast, escitalopram, diltiazem, rosuvastatin

Current Illness:

ID: 1011445
Sex: F
Age: 30
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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: NKA

Symptom List: Diarrhoea, Nasal congestion

Symptoms: After receiving the vaccine, the patient began to feel right sided neck soreness and slight itching, no rash, swelling, or shortness of breath. Additional dizziness and slightly diminished right facial sensation. Prior to receiving the vaccine, she felt anxious. Monitored in the ED and discharged home feeling improved. She declined pepcid, benadryl, and solumedrol.

Other Meds: None

Current Illness: None

ID: 1011446
Sex: F
Age: 37
State: MO

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Peanuts Tree Nuts Sulfa

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

Symptoms: Patient c/o site reaction that occurred 8 days post vaccination. Site is approximately 1.5" in diameter, raised and area is red. The site is not "hot" to touch and patient denies any pain. She does complain of itching and irritation. On day 10 post vaccination the site is approximately 2.75" in diameter. The area is still raised and red. Patient still complains of itching and irritation but denies any pain.

Other Meds: Azelastine Nasal Bifidobacterium-Lactobacillus Zyrtec Vitamin D3 Epinastine Ophthalmic Nasacort

Current Illness:

ID: 1011447
Sex: F
Age: 26
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: N/a

Symptom List: Rash, Urticaria

Symptoms: 5:00pm 2/6 Sore arm and general malaise 10:00pm Fever and muscle aches 2/8 Fever, pain at injection site, swelling of lymph node in armpit of injection, muscle ache, headache, tiredness 2/9 Fever, pain at injection site, swelling of lymph node in armpit of injection, muscle ache, headache, tiredness

Other Meds: Trazadone, Prozac

Current Illness: N/a

ID: 1011448
Sex: M
Age: 88
State: MA

Vax Date: 02/01/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: lysinopril

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

Symptoms: Initial mildly sore arm. Two days later; pain in upper left chest similar to broken rib or damaged muscles activated by motion: breathing, coughing, etc. A week later pain is less and clearly lessening.

Other Meds:

Current Illness: broken right arm

ID: 1011449
Sex: F
Age: 33
State: IL

Vax Date: 02/05/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Swelling in lymph node on left side, underarm.

Other Meds: None

Current Illness: None

ID: 1011450
Sex: F
Age: 66
State: DE

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Clams Penicillin Levoquin Clindamycin Bactrim

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

Symptoms: Moderna COVID-19 Vaccine EUA Rash on right arm at injection site ? 10 days after vaccination; noticed at 7:30 pm 02/07/2021

Other Meds: Rosuvastatin 5 mg/day Lisinopril 5mg/day Aspirin 81 mg/day Centrum Silver Women multivitamin 1/day Vitamin D3 4000 IU/day Vitamin B12 2500 mcg 1x/week

Current Illness: None

ID: 1011451
Sex: F
Age: 36
State: CT

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Bee venom

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

Symptoms: Severe chills, myalgias, neuralgias, low-grade fevers, headaches. Treatments, Aleve 440mg with feverfew 2 tabs. After taking medication, diaphoretic episodes. Symptoms began 9 hours after the vaccine. Severe symptoms continued for 34 hours.

Other Meds: NONE

Current Illness: None

ID: 1011452
Sex: F
Age: 39
State: IA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: Adhesive, Albuterol, Azithromycin Chlorhexidine Towelette, Codeine, Fentanyl Fexofenadine Fluoxetine Gabapentin Homatropine Hydrocodone Hydromorphone Levofloxacin Meperidine Metronidazole Morphine KY-Jelly Oxycodone Pollen Prochlorperazine Sulfamethoxazole-trimethoprim Tramadol

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

Symptoms: 1150: employee received her #2 Pfizer vaccine. 1224: employee complained of some dizziness and a headache. 1231: headache continues. She was brought into the conference room for monitoring 1235: employee states that she has an increase in lightheadedness and dizziness. She states that her throat feels itchy. She denies any pruritus, shortness of breath, wheezing, nausea, or abdominal cramps. BP: 135/88 HR 66 O2100% 1238: Benadry 50mg PO given 1244: employee starts to have bronchospasm with constant coughing. BP 145/92 HR 110 O2 94% 1245: Doctor notified of epi administration. 1st dose of epinephrine 1:1000 given IM 1249: Doctor arrived to conference room O2 98% 1250: 2nd dose of epinephrine 1:1000 given IM 1252: Rapid Response arrival 1255 BP 135/73 HR 101 O2% 99% 1258 3rd dose of epinephrine 1:1000 given IM

Other Meds:

Current Illness:

ID: 1011453
Sex: F
Age: 83
State:

Vax Date: 01/26/2021
Onset Date: 01/26/2021
Rec V Date: 02/08/2021
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: SOB, Hypoxia

Other Meds:

Current Illness:

ID: 1011454
Sex: M
Age: 28
State:

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

Vax Type: PNC13
Manufacturer: PFIZER\WYETH
Vax Name: PNEUMO (PREVNAR13)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: flu like symptoms including, headache, chills, body sweats, fever.

Other Meds:

Current Illness:

ID: 1011455
Sex: F
Age: 61
State: MA

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: penicillin - hives

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

Symptoms: 24 hours after vaccine - erythema, swelling at injection site (2"x2"), gradual onset of headache, nausea, malaise 24-72 hours after vaccine. Erythema, swelling increased in size over next 4 days now measuring 7"x5 1/2"5 days after vaccine. Intermittent nausea, malaise still occurring.

Other Meds: none

Current Illness: NONE

ID: 1011456
Sex: F
Age: 45
State: WV

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: Crustacean shellfish

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

Symptoms: Nine days after injection (around 10pm on 2/6/21), my arm became itchy with two small bumps like mosquito bites. The next afternoon, my arm was still itchy and had grown to the size of quarters. The bite like marks had hardened with a slight pink coloration. The next day, Monday (2/8/21), the knots had grown to half dollar sizes. One knot was completely red with the know at actual injection site had a red circle, slight discoloration of pink in the middle.... however the circle outline was very red.

Other Meds: Humira, Volteran, Plaquenil, Prednisone, Lactase supplements... It had been 7 days since Humira injection at time of vaccination

Current Illness: N/A

ID: 1011457
Sex: F
Age: 75
State: TN

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: NEOSPORIN

Symptom List: Unevaluable event

Symptoms: AFTER RECEIVING MODERNA VACCINE #2, CLIENT BEGAN "FEELING NAUSEOUS AND HOT; FLUSHED FEELING". DENIED TROUBLE BREATHING, NO SWEATING OBSERVED. CLIENT ALERT AND ORIENTED TIMES 5. CLIENT REPORTED ALLERGY TO NEOSPORIN TOPICAL. B/P 150/82, P-108, AND R- 18. CLIENT REPORTS HISTORY OF HYPERTENSION AND GOUT. EMS WAS CALLED. AT 1:00 B/P 148/78, P-100, AND R- 18. CONTINUED TO REPORT FEELINGS FLUSHED AND HOT. STATED NAUSEA IS "BETTER". NO SOB , NO SWELLING OF FACE, TONGUE OR HANDS NOTED. NP NOTIFIED. 1:08- EMS ARRIVED.PHYSICIAN CALLED US FOR UPDATE. 1:15- CLIENT DECLINED EMS SERVICES. 1:18 CLIENT LEFT ALERT AND ORIENTED WITH NO COMPLAINTS WITH HUSBAND.

Other Meds: B/P PRESSURE MEDICATION AND MEDICATION FOR GOUT--Colchicine

Current Illness: NONE

ID: 1011458
Sex: F
Age: 82
State: MD

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Swollen hard red itchy patch in upper arm appeared 9 days after first Moderna vaccine

Other Meds: Lisinopril Atorvastatin Cymbalta generic Hydrochlorathiazide

Current Illness: None

ID: 1011459
Sex: M
Age: 72
State:

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Sob, Hypoxia

Other Meds:

Current Illness:

ID: 1011460
Sex: F
Age: 61
State: PR

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, Albuterol, Latex

Symptom List: Injection site pain, Menorrhagia

Symptoms: 02/01/2021 Vaccination 2nd. dose 02/02/2021 Generalized pain, intense fever at night with chills 02/03/2021 Severe pain in the joints (shoulders, knees, ankles), fever at night 02/04/2021 Severe pain in the joints (shoulders, knees, ankles), fever at night 02/05/2021 Severe pain in the joints (shoulders, knees, ankles) 02/06/2021 Severe pain in the joints (shoulders, knees, ankles) 02/07/2021 Minimal pain in joints 02/08/2021 Elimination of signs and symptoms, coordination of maintenance visit and follow-up next week

Other Meds: Synthroid 0.200 mg + Synthroid 0.137 mg, Losartan/HCZT 50/12.5, Monterlukast 10 mg

Current Illness:

ID: 1011461
Sex: M
Age: 40
State:

Vax Date: 02/02/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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:

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

Symptoms: Patient had dizziness, extreme headache and muscle and join pain as well as diarrhea on the second dose of the vaccine. The symptoms about a day and half.

Other Meds:

Current Illness:

ID: 1011462
Sex: F
Age: 75
State: VA

Vax Date: 01/24/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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 drugs Clindamycin

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Mildly itchy rash appeared early on day 9 after the vaccination. It was near the injection site and was irregular in shape and about 1 1/2 inches wide and about 3 inches long. On day 11 it suddenly doubled in size. It is the same size today(day 12).

Other Meds: Omeprazole

Current Illness: None

ID: 1011463
Sex: M
Age: 75
State: OH

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
Hospital: Y

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

Lab Data:

Allergies: Denies

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Pt presented to clinic stating he lost his keys. He proceeded to receive vaccination and was walked to observation area. No notable events during 15 minute observation. Approx 1.5 hours after observation pt was found in parking lot by sheriff trying to get into his car/calling his wife. Pt was brought inside, B/P was around 130/50 HR initially around 110, Oxygen around 92%, states had light headedness after getting vaccine, states no trouble breathing and feels fine. Was confused and unable to answer questions appropriately. Skin was slightly pale and cold. After approx an hour of observation oxygen dropped to high 80% and heart rate increased to 115+

Other Meds: Per health screening reports "aspirin 81mg everyday for years"

Current Illness: Denies

ID: 1011464
Sex: F
Age: 68
State: PA

Vax Date: 01/01/2021
Onset Date: 01/30/2021
Rec V Date: 02/08/2021
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 reported

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

Symptoms: Before the injection was administered the syringe was examined and needle tightened. After injecting the patient with the vaccine in the left deltoid, the syringe popped apart as soon as I attempted to administer the vaccine. Vaccine contents ran down patient's arm and sprayed on this nurse. Needle removed from patient's left arm with no noted injury. Patient's arm was cleansed with alcohol pads as well as nurse cleaned self off with alcohol and washed hands well. Patient did receive the Moderna vaccine on this date in Right Deltoid with out issue.

Other Meds: None reported

Current Illness: None reported

ID: 1011465
Sex: F
Age: 64
State: IL

Vax Date: 01/22/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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 Milk

Symptom List: Nausea

Symptoms: Arm was red from shoulder down to crease of elbow & warm to touch. Chest pains come and go.

Other Meds: Vitamin C Vitamin D

Current Illness: n/a

ID: 1011466
Sex: F
Age: 27
State: MA

Vax Date: 01/09/2021
Onset Date: 01/16/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Pineapple

Symptom List: Injection site pain

Symptoms: Thought it was just an injection site reaction, red swelling about the size of a dime. A week later my arm swelled up with the size expanding to a little smaller than a clementine and a new dime size patch appeared. Had to visit urgent care twice where they advised me to ice, take benadryl, and prednisone. Consulted allergist who told me it looks like a delayed reaction

Other Meds: None

Current Illness: None

ID: 1011467
Sex: F
Age: 42
State: WI

Vax Date: 01/27/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Dust, mold

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

Symptoms: Dx vestibular neuritis in right ear. Vertigo is constant and going on 7 days now.

Other Meds: Citalopram, indomethacin, cephalexin, CBD

Current Illness: Cellulitis

ID: 1011468
Sex: F
Age: 34
State: NJ

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 02/08/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Shellfish, Fish

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

Symptoms: I had a reaction felt as if something was in my throat and chest tightness difficult to breath.

Other Meds: Jardin, Contrave/,Multi Vit, Vit E

Current Illness: No

ID: 1011469
Sex: F
Age: 51
State: NY

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Tremor

Symptoms: 12 hours after getting vaccinated, I woke up with vicious chills. I took my temp and it was 102.5 F. I became nauseated and then fainted, smacking the back of my head on the bathroom floor. I took naproxen (220mg) for the fever and returned to bed. At around 8am I got up and my fever was 101F and stayed at that temp for 24 hours. I fainted again and blacked out for about 30 seconds. I stayed in bed all day. My fever broke by Sunday morning and I started to feel better by midday.

Other Meds: Losartan 50 mg, Synthroid 150 mcg

Current Illness: none

ID: 1011470
Sex: F
Age: 79
State: CA

Vax Date: 01/29/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Redness and swelling at the injection site and itching.

Other Meds: lisinopril 40 mg. pantoprazole 40 mg. levothyroxine 75 mcg.

Current Illness: None

ID: 1011471
Sex: F
Age: 58
State: MA

Vax Date: 01/23/2021
Onset Date: 01/31/2021
Rec V Date: 02/08/2021
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: NONE

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

Symptoms: Had small bump on arm and soreness for first couple days after shot, which went away. On Sunday the 31st, I woke up with an itchy/burning sensation in area with a larger lump than what I had initially, and some minor redness in the area. I took some Tylenol and applied ice pack, and also put some hydrocortisone cream on area for 2 -3 days. By Thursday Feb, 4th, the area looked and felt much better - no lump and no more itching, no redness. On Friday, Feb. 5th, I woke up to same itchy feeling, and there was a large area that was quite red. I had an appointment with my primary care doctor for an unrelated issue, and she looked at the area and expressed concern since the redness was warm to the touch; however, I

Other Meds: LISINOPRIL W/HCTZ; HCTZ; ESCITALOPRAM; TYLENOL; ESOMEPRAZOLE

Current Illness: NONE

ID: 1011472
Sex: F
Age: 25
State:

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Cough, Limb discomfort, Pain, SARS-CoV-2 test positive

Symptoms: Received covid19 vaccine Wednesday 2/3 ~1430. Worked until 7pm that day and was scheduled to work 7a-7p Thursday. On ride home Wednesday evening began to feel chills and body aches. Later during the night fever 99.8, and lethargic. Called out for shift following day and throughout the day had fatigue, intense back/ muscle aches and chills. Seemed to go throughout the evening 2/4. Woke up feeling better okay to work.

Other Meds: Daily fluoxitine, humalog and basaglar insulin

Current Illness:

ID: 1011473
Sex: F
Age: 69
State: FL

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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, amoxicillin, clindamycin

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I experienced headache, fever. chills, fatigue and weakness. I took acetaminophen to control symptoms and slept most of the following day. I started to feel better around 7:00 pm that evening.

Other Meds: Levothyroxine, Simvastatin. Lisinopril, Metoprolol, Lorazepam

Current Illness: none

ID: 1011474
Sex: F
Age: 45
State: SD

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/08/2021
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: Nickel

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

Symptoms: On the 9th day following my Moderna vaccine, I developed a large raised and itchy rash at the injection site on my left arm. This began to fade after 2 days.

Other Meds: Vitamins D, C, fish oil, prebiotic, probiotic, calcium, iron

Current Illness: None

ID: 1011475
Sex: F
Age: 53
State: NC

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/08/2021
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:

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

Symptoms: Received dose one of vaccine, did not have any initial reaction. Stated usually pre-medicates for vaccines, but did not this time due to recommendation of not doing so with this vaccine. One hour post vaccination, developed cognitive changes- deer in the headlight, unable to think/process information, lasting 4-5 hours. Later that evening, extreme fatigue. Resting respirations labored >20/min lasted most of the night along with chills with no fever x 3days. Dizziness with LOUD ringing in R ear started around 1-2am and lasted one week. Pain in joints/muscles of jaw. Next day both ears were hurting inside (eardrum, middle ear) x1week. HR elevated up to 135 bpm walking to bathroom x 2 days post vaccination. Felt sick/wiped out post vaccine for 3-4 days with no energy with muscle aches/stiffness.

Other Meds:

Current Illness:

ID: 1011476
Sex: F
Age: 41
State: MA

Vax Date: 01/20/2021
Onset Date: 01/27/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Tenderness left arm lymph node (arm of injection).

Other Meds: None

Current Illness: None

ID: 1011477
Sex: F
Age: 34
State: IL

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/08/2021
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: Fever started at 9:00 pm with severe chills and body aches. Vomiting started at 2:00 am 2/04/2021 with 4 total bouts and inability to keep down water. Significant nausea and dizziness upon sitting up. I was instructed to go to urgent care by my PCP and was seen at 5:15 pm. I was given anti-nausea meds. Mild nausea lasting 4 days after injection.

Other Meds: None

Current Illness: Runny nose

ID: 1011478
Sex: F
Age: 50
State: MD

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Headache, neck and shoulder pain. 1 week following vaccine had red itchiness at site of injection.

Other Meds: None

Current Illness: None

ID: 1011479
Sex: F
Age: 69
State: ID

Vax Date: 01/27/2021
Onset Date: 02/07/2021
Rec V Date: 02/08/2021
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: Morphine

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

Symptoms: Patient has a delayed red swollen reddened area at the injection site.

Other Meds:

Current Illness:

ID: 1011481
Sex: F
Age: 28
State: TN

Vax Date: 01/21/2021
Onset Date: 01/28/2021
Rec V Date: 02/08/2021
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: NA

Symptom List: Vomiting

Symptoms: Large hard lump appeared at site of injection. Extremely itchy. With in 2 hours, lump grew to be 3 inches in diameter with a 5 inch diameter redness around from site of injection. Extremely hot to the touch. Lasted 3 days. No fever, vomiting, or diarrhea. Took Benadryl, advil, and used benadryl and cortizone cream.

Other Meds: Lexapro 10 mg

Current Illness: NA

ID: 1011482
Sex: F
Age: 52
State: MA

Vax Date: 01/20/2021
Onset Date: 01/20/2021
Rec V Date: 02/08/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 1-20-21: fever (temp unknown), fatigue, lethargy, flu-like symptoms including aches and pains and continued on for days. On 1-22-21 fever was 102.7F. Cellulitis at site of infection noticed on arm a few days later. Went to walk-in clinic on Saturday 1/23/21 and received a prescription for doxycycline (unsure of dose- take twice daily for 7 days).

Other Meds:

Current Illness:

ID: 1011483
Sex: F
Age: 38
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/08/2021
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: Cold, tingling throughout left arm. Pain in wrist. Nausea and dizziness, body tremors.

Other Meds: None

Current Illness: None

ID: 1011484
Sex: F
Age: 69
State: IN

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/08/2021
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: sulfa macrodaton amoxicillin penicillin

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Just had the shot, waited 20 minutes and left and then went to get groceries and started itching in my neck first and went down underneath my breasts, stomach, and arms around 3:30, 4:00 o'clock. Saturday evening burning and itching is really bad. Put some topical creams on it. Next day itching was less bad but I was sore and tender. Today the itching isn't as bad, but its hot to the touch.

Other Meds: calcium daily vitamin d3 daily blood pressure enderol LA sleeping pill ambien anxiety pill ativan as needed

Current Illness: No

ID: 1011485
Sex: F
Age: 57
State: MN

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Body aches, chills low grade temperature 99 degrees

Other Meds: Aspirin 650 mg daily

Current Illness: None

ID: 1011486
Sex: F
Age: 56
State:

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/08/2021
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: Received 2nd dose of vaccine on 2/1/21. On 2/2/21 and 2/3/21 felt chills, headache, fatigue.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm