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: 1011863
Sex: M
Age: 75
State: LA

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

Lab Data:

Allergies: NKDA

Symptom List: Dysphagia, Epiglottitis

Symptoms: PATIENT WAS ADMITTED ON 2/1/21 TO MEDICAL CENTER. HE WAS PREVIOUSLY INCARCERATED AT FACILITY. WHILE AT FACILITY, HE HAD RECEIVED THE PFIZER INJECTION ON 1/19/21. THE NURSE AT MEDICAL CENTER WAS UNAWARE AND ADMINSITERED THE MODERNA COVID-19 VACCINE. STAFF WAS UNAWARE THAT HE HAD RECEIVED THE PFIZER VACCINE INITIALLY IN JANUARY. NO ADVERSE REACTION NOTED AFTER RECEIVING DIFFERENT MANUFACTURED VACCINE.

Other Meds: LOSARTAN POTASSIUM 50MG BID, VIT D 50,000 U Q WEEK,

Current Illness:

ID: 1011864
Sex: F
Age: 37
State: IA

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

Lab Data:

Allergies:

Symptom List: Anxiety, Dyspnoea

Symptoms: very inflamed, hard lymph nodes on right clavicle and in right arm pit area. started about 24 hours after receiving the second vaccine on the right deltoid. other symptoms included: fever for three days (reached as high as 102.4), aches, chills, fatigue, intense headaches

Other Meds:

Current Illness:

ID: 1011865
Sex: F
Age: 47
State: WY

Vax Date: 02/04/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: codeine, sulfa

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

Symptoms: Swelling of lymph nodes near clavical/neck on injection side (Left side): Second day after injection lasting 4+ days now, headache lasting 4+days now, extreme fatigue. lasting 4+ days now.

Other Meds: cephalexin, ibuprofen, vit D3, Iron

Current Illness: UTI

ID: 1011866
Sex: M
Age: 76
State: CA

Vax Date: 01/24/2021
Onset Date: 02/06/2021
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: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: "Covid arm" A red rash six inches high by four inches wide, round at the top and flat at the bottom. There was no itching or pain. It looked very much like the picture in the link above.

Other Meds: none

Current Illness: none

ID: 1011867
Sex: F
Age:
State: TX

Vax Date: 02/03/2021
Onset Date: 02/04/2021
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: Clindamycin, Tramadole Mushrooms

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

Symptoms: Low grade fever, chills, severe headache, nausea, body aches, increase in blood pressure 140/90

Other Meds: Levothryxin Spiralactone Enalaprin Gabapentin Singular Flonase Zyrtec Flonase Multi Vitamin Vitamin c Biotin

Current Illness: No

ID: 1011868
Sex: F
Age: 62
State: NY

Vax Date: 02/01/2021
Onset Date: 02/07/2021
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: NKA

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

Symptoms: Woke up to a large round rash/hive like on my left arm near the vaccine site. Also a smaller one just below it. It was warm, a little itchy but mostly non specific.

Other Meds: Zoloft 100 mg/ daily; Biotin 5000 mcgs/daily; Vitamin D3 5000 ieus/daily; Vitamin B1 250 mg/daily; B12 1500 ieus biweekly

Current Illness: None

ID: 1011869
Sex: F
Age: 73
State: CA

Vax Date: 01/24/2021
Onset Date: 01/29/2021
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: Pyrexia, White blood cell count decreased

Symptoms: 6in by 5in red, hot, hard, itchy raised area that lasted 11 days.

Other Meds: Atovastatin, Sumatriptan, Topiramate, Paroxetine, Emgality, Calcium, D3, Fish Oil, Glucosamine Ghondroitin, Magnesium, Multiple Vit, Promotol,Bone Up

Current Illness:

ID: 1011870
Sex: M
Age: 78
State: AZ

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: None

Symptom List: Pharyngeal swelling

Symptoms: That evening about 6:30 PM he got upset about something because he wanted a cup of coffee and his wife said no and he got really upset about what was on TV, then became anxious and confused then got very depressed. The next day he remembered what happened and described it as feeling like a zombie.

Other Meds: carvidilol 3.125 mg twice daily eloquis 5 mg twice daily dofetilide 500 mg twice daily omeprazole 20 mg once daily rosubastain 20 mg daily lezothyroxine )thyroid) 100 mcg daily l-lysine 1000 ortho-biotic super D+ 5000 IU vitamin D p

Current Illness: No

ID: 1011871
Sex: M
Age: 76
State: IL

Vax Date: 01/26/2021
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 Peas

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Possibly ?COVID arm?. Large red patch around injection site which showed up 12 days after injection. No pain but some itching. Slightly warm to the touch. The patch has increased in size since first being noticed ( 1 1/2 days ago) Looks very much like those seen on websites describing COVID arm. No other symptoms. There were no reactions at time of injection.

Other Meds: Cholesterol medications Eye drops Tylenol Probiotics

Current Illness: None

ID: 1011872
Sex: M
Age: 23
State: GA

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: Vantin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient had no adverse events after vaccine.

Other Meds: N/A

Current Illness: N/A

ID: 1011873
Sex: M
Age: 70
State: OH

Vax Date: 01/26/2021
Onset Date: 02/01/2021
Rec V Date: 02/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Adverse Event: Red itchy rash on multiple locations on the body. Mostly on the large areas of left, front and right torso and back. Also smaller selected areas on arms and legs. Treatment: Applied OTC topical 1% Hydrocortisone cream to all affected areas to control itching. Bathed twice/day to clean area and reapply topical cream. After second day started taking 24 hour allergy pills (active ingredients 10 mg Loratadine [antihistamine]). Never consulted with a doctor. Outcomes: After taking antihistamine and continued topical treatment, rash started improving (reduced redness and itching). After 6 days of treatment, itchiness nearly gone, rash still is apparent at all sites, progressing towards normal color.

Other Meds: Levothyroxine, Atorvastatin, Lisinopril, multi-Vitamin & suppl

Current Illness: Common cold & nasal congestion.

ID: 1011874
Sex: F
Age: 48
State: SC

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: SYR
Vax Site: RA

Lab Data:

Allergies: Codeine

Symptom List: Rash, Urticaria

Symptoms: Red, heat, knot, swollen and itchy at the site of injection in the left arm. Next day body aches, headache, chills, fever and extremely sore arm at site of injection.

Other Meds: Tylenol 500 D3 1000 vitamin Vitamin C

Current Illness: None

ID: 1011875
Sex: F
Age: 54
State: NJ

Vax Date: 01/19/2021
Onset Date: 02/03/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Red circle that started at injection sight which then started spreading around top of arm, pain, hot to the touch, swollen

Other Meds: Armour Thyroid, Ramipril, Folate, Vitamin C, Vitamin D, Zinc, Turmeric

Current Illness: None

ID: 1011876
Sex: F
Age: 72
State: GA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: Penicillin, Naproxen

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

Symptoms: Patient states that she received her first COVID vaccine (Moderna) on 01/26/2021. 2 hours after receiving the vaccine she had severe abdominal cramping. Patient states that this pain lasted 48 hours. Pt denies having any other symptoms.

Other Meds: Vitamin D, Vitamin C, Vitamin B12, Fosamax

Current Illness: None

ID: 1011877
Sex: F
Age: 62
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: When dose was administered, needle detached from the syringe. This led to some vaccine on the patient's arm and an improper amount of vaccine administered.

Other Meds:

Current Illness:

ID: 1011879
Sex: F
Age: 61
State: CA

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

Lab Data:

Allergies:

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

Symptoms: Nausea, fever, high blood pleasure, heart burn, head ache, sore arm, left leg cramps, fatigue, chills, sore throat, runny nose.

Other Meds:

Current Illness:

ID: 1011880
Sex: M
Age: 69
State: FL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: None

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

Symptoms: Tiredness Slight headache Muscle pain Chills Joint pain Fever Feeling unwell

Other Meds: Simvastain 40mg Synthroid 100 mcg Losartan Pot/Hydrochlor 100-25mg

Current Illness: None

ID: 1011881
Sex: F
Age: 59
State: ID

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Lisinopril caused anaphylaxis, Codeine causes nausea, lactose intolerant

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Patient began having "tingling" in fingertips within 30 minutes of vaccine. Numbness of tongue, roof of mouth, and back of throat started approximately 35 minutes later. No Shortness of Breath, Difficulty Breathing, or problems swallowing. Administered 50 mg Benadryl. Symptoms improved slightly, symptoms did not worsen. Observed for an additional 40 minutes. Went home with husband. Instructed to follow-up with 911 if symptoms worsened.

Other Meds: Sumatriptan, Valtrex (not taken today)

Current Illness: None

ID: 1011882
Sex: F
Age: 66
State: FL

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: No

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Moderna COVID-19 Vaccine EUA Vomiting,diarrhea,arm edema, temperature severe body aches,headaches . Started approx 24 hrs after vaccination. Today is the first day out of bed . I have had COVID . This was worse.

Other Meds: Armor thyroid Baby aspirin Lipitor Co Q 10

Current Illness: No

ID: 1011883
Sex: M
Age: 34
State: FL

Vax Date: 01/21/2021
Onset Date: 01/25/2021
Rec V Date: 02/08/2021
Hospital: Y

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: I had a fever, headache for two days following the vaccine. Two days after I had chest pain and went to the emergency room. I was admitted with elevated troponin and diagnosed with myopericarditis.

Other Meds: Cannabidiol

Current Illness: None.

ID: 1011884
Sex: F
Age: 36
State: PR

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: NONE

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

Symptoms: PAIN ON INJECTION SITE,MUSCULAR PAIN,JOINT PAIN,PAIN ON EAR AND JAWS.

Other Meds: TYLENOL2 TAB EVERY 4 HOURS,ICE BAG,OSCILLOROCCINUAN ONE GRAM ONE DOSE.

Current Illness: NONE

ID: 1011885
Sex: F
Age: 74
State: FL

Vax Date: 01/25/2021
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: sulfa drugs,

Symptom List: Unevaluable event

Symptoms: "covid arm" rash, looking more like a large flat hive.

Other Meds: metformin, lisinopril, glimperide, atorvastatin, venlafaxine er, calcium, one a day vitamin, baby aspirin, loratadine, bisoprolol, magnesium

Current Illness:

ID: 1011886
Sex: M
Age: 80
State: IN

Vax Date: 02/05/2021
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: Shrimp and possibly scallops

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

Symptoms: Roughly 9 hrs after shot malaise. During next 30 hours loss of balance, incontinence, nausea, mild headache. By 40 hours symptoms had diminished and I could eat, although sparingly, again

Other Meds: Diltiazem, benazapril (Tylenol at onset of symptoms)

Current Illness:

ID: 1011887
Sex: M
Age: 34
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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: n/a

Symptom List: Injection site pain, Pain

Symptoms: nausea, fatigue, soreness at injection site.

Other Meds: Weekly Vitamin D2 1.25MG Capsule Daily Citalopram HBR 20 MG Tablet

Current Illness: n/a

ID: 1011888
Sex: F
Age: 38
State: MI

Vax Date: 02/07/2021
Onset Date: 02/07/2021
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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fatigue, body ache, headache, chills, and nausea. Tylenol doesn't help much.

Other Meds: Mirena IUD, daily vitamin, vitamin C

Current Illness: None

ID: 1011889
Sex: M
Age: 82
State:

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

Lab Data:

Allergies:

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

Symptoms: Event: Individual received a 0.3ml dose of undiluted Pfizer Covid-19 vaccine. Outcome: No side effects observed/reported @ 1 hour post-vaccination. One individual reported a brief period of chills/shakes @ 24 hours that quickly resolved. No side effects/adverse effects were observed/reported @ 48 hours post vaccination.

Other Meds:

Current Illness:

ID: 1011890
Sex: F
Age: 52
State: WA

Vax Date: 02/05/2021
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: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe arm pain, still cannot lift/use arm at all. Lethargic on Saturday, day after injection. Nausea on Monday

Other Meds: zoloft, wellbutrin

Current Illness: none

ID: 1011891
Sex: F
Age: 23
State: SD

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I had tachycardia 6 hours after receiving my vaccination. During the night I was unable to sleep due to chills and fever. The next day I had body aches, fatigue, vomiting, lightheadedness. I slept for several hours the day after. Arm was also sore and difficult to move.

Other Meds: Sprintec, Wellbutrin

Current Illness: none

ID: 1011892
Sex: F
Age: 69
State: IN

Vax Date: 02/04/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: I have a large patch of redness, about the size of a large index card....bigger than a dollar bill. Today it is not only painful but hard. It soreness occurred on day 2 ( same day I took a 3 hour nap and then slept 10 hours the same night), the redness on day 3. It is now day 4. I have tried ice packs, ibuprofen, and last night I used a burn cream with Lidocaine that was the most relieving. Today it is still hot and red yet getting better.

Other Meds: Alendronate 70 MG Terbinafine 250MG Premarin 0.5 2X a week Escitalopram 10 MG Tab Zinc Magnesium Vit E Biotin Vit D B complex Multivitamin

Current Illness: none

ID: 1011893
Sex: F
Age: 73
State: NC

Vax Date: 01/29/2021
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: none

Symptom List: Nausea

Symptoms: Itchiness in muscle near injection site, no rash, 3 days and continues

Other Meds: Escitalopram 20 mg qday

Current Illness: none

Date Died: 02/04/2021

ID: 1011894
Sex: M
Age: 70
State:

Vax Date: 12/29/2020
Onset Date: 02/04/2021
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:

Symptom List: Injection site pain

Symptoms: patient passed away within 60 days of receiving COVID vaccine

Other Meds:

Current Illness:

ID: 1011895
Sex: F
Age: 25
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Ammoxicillan Mold Grass Outdoor and environmental pollens/allergens

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

Symptoms: Fatigue: began 3 hours after and lasted for 2 hours Body aches: began 3 hours later and lasted for 2-3 days Hives on face and chest: 9 hours later and lasted for an hour Fever: began the next morning and lasted for 5 hours

Other Meds: Zyrtec 2x/day Pepcid 2x/day Birth control pill 1x/day Probiotic 1x/day Sodium chloride tablet 1x/day

Current Illness: None

ID: 1011896
Sex: F
Age: 41
State: MD

Vax Date: 01/14/2021
Onset Date: 01/18/2021
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: RA

Lab Data:

Allergies: Penicillin

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

Symptoms: Recurrent hives and itchiness all over my body every few days, I take hydroxyzine and that helps but then it starts again a few days later

Other Meds: Wellbutrin and valacyclovir

Current Illness: no

ID: 1011897
Sex: M
Age: 67
State: WA

Vax Date: 01/18/2021
Onset Date: 01/20/2021
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:

Symptom List: Tremor

Symptoms: large aggravation of pre-existing neuropathic pain, especially in feet slight appearance of rash on index finger, right hand

Other Meds: celebrex, losartan, esomeprazole

Current Illness:

ID: 1011898
Sex: F
Age: 45
State: NY

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

Lab Data:

Allergies: NKDA

Symptom List: Erythema, Pruritus

Symptoms: Patient developed itching of tongue and upper lip swelling after receiving the pfizer COVID-18 vaccine. The patient developed symptoms while in the monitoring phase after vaccination. Employee waited 30 minutes after vaccination and then spoke with POD physician explaining the symptoms. POD physician recommended taking some benadryl. The employee was planning to drive home so a 25 mg table of benadryl was given to her to take with her/take on way home. Patient did not take the medication at the POD. Patient stated the symptoms had improved.

Other Meds: Pepcid, sumatriptan, ketoconazole shampoo

Current Illness: None known

ID: 1011899
Sex: F
Age: 65
State: KS

Vax Date: 01/29/2021
Onset Date: 02/08/2021
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: Red rash on and around the injection site. Rash appeared (or was first noticed) 8 days after the vaccination. Flat, irregular shaped reddness.

Other Meds: amlodipine, 6-month Prolia injection on January 8, 2021.

Current Illness: none

ID: 1011900
Sex: F
Age: 68
State: TX

Vax Date: 01/23/2021
Onset Date: 02/01/2021
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: penicillin, aspirin

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

Symptoms: red itchy rash on right arm, swelling and pain. this began about 10 days after receiving the vaccine. these symptoms have persisted despite use of topical hydrocortisone cream and benadryl.

Other Meds: metformin, losartan, letrozole, gabapentin

Current Illness:

ID: 1011901
Sex: F
Age: 73
State: MI

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

Lab Data:

Allergies: None known

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Raised, red, bumpy, itchy rash began to develop peri-axially and down upper arms bilaterally 10.5 hours post injection, becoming increasingly angry, raised and itchy over the next two days, and was still present, pronounced, angry and itchy by the date of this report (Monday, 08 February.)

Other Meds: Amlodipine, Levothyroxine, Estradiol, Topiramate, fish oil, Vitamin D, probiotic

Current Illness: None

ID: 1011902
Sex: F
Age: 67
State: TX

Vax Date: 01/28/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Itchy, painful, red, hot upper arm 7 days post vaccination

Other Meds: Zoloft. Synthroid. Crestor. Calcium. Vitamin D. Multivitamin.

Current Illness: None

ID: 1011903
Sex: F
Age: 69
State:

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

Lab Data:

Allergies:

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

Symptoms: 10:20 am Approximately 15 minutes after receiving her COVID vaccine dose, patient reported dizziness and lightheadedness. Vitals BP 63/36, HR 80, 02 98% on RA. Pt A&Ox4, denied other symptoms 10: 25am: NS infusion initiated, repeat BP 5 minutes later 151/87, HR 96, 02 97%, no temperature, RR normal. Fluids discontinued 10:30am : Repeat BP manually 138/96, pt remained asymptomatic ~10:45: EMS arrived & evaluated pt, BP 144/82, 98%, per EMS no intervention necessary Primary MD made aware of pt's condition, no further interventions required ~11:15am: BP 135/83, HR 86, 02 97%; pt denying any symptoms, able to ambulate with steady gait without dizziness or any further sx (CP, SOB, diaphoresis) ~11:30: Remains asymptomatic, pt discharged in no acute distress

Other Meds:

Current Illness:

ID: 1011904
Sex: F
Age: 61
State: NE

Vax Date: 01/29/2021
Onset Date: 01/29/2021
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: Pencillian

Symptom List: Pain in extremity

Symptoms: Around 11:00 P.M. the (evening of the day I received the 2nd dose) I started experiencing symptoms: I experienced Fever,, body aches, jaw pain (my teeth hurt), injection site pain, fatigue, headache, muscle pain, joint pain, chills, nausea, weakness, and a fast heartbeat Of course, I did not sleep well. . At around 11:00 the next morning all symptoms had subsided with the exception of feeling exhausted. I was using v-safe to report my symptoms but never received any reminders about the second shot, and did not get a reminder until Sunday, which of course by then, all symptoms were gone and answered how I felt that day which was fine. I just felt it was important to report the symptoms accurately.

Other Meds: None

Current Illness: None

Date Died: 02/02/2021

ID: 1011905
Sex: F
Age: 91
State: NH

Vax Date: 01/08/2021
Onset Date: 01/20/2021
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: NKA

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

Symptoms: Ongoing decline overall. Remained on Hospice with increased lethargy documented on 1/20/21 and progressively worsening thereafter.

Other Meds: Refused medications on day of vaccine. Aspirin Tablet 81 MG(Last dose 1/6 8am), Docusate Sodium Tablet 100 MG(Last dose 1/6 8am), FLUoxetine HCl Capsule 20 MG(Last dose 8am), Lisinopril Tablet 10 MG(Last dose 1/6 8am), Melatonin Tablet 3 MG

Current Illness: Recent overall decline with generalized weakness, refusal of meals and medications, weight loss, and frequent falls. 1/5 Overall decline reviewed with APRN and ADPOA updated. 1/6-CBC WNL, BUN/Cr 55/1.93, GFR 24. Admitted to Hospice Services on 1/6. Covid Antigen Test negative on Jan 4th, 5th, 6th, 7th, 8th, & 9th. Covid positive on 1/10.

ID: 1011906
Sex: F
Age: 40
State: MT

Vax Date: 12/29/2020
Onset Date: 12/30/2020
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: Norco

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

Symptoms: Noticed extra fatigue evening after vaccine adminisrered. Fatigue, dizziness, tremors when I awoke the next morning and increased with time. By 6 am, felt very dizzy, vertigo and as if limbs and head were filling with lead. Felt like I was going to go down so layer on the floor at work. Coworkers took me to the emergency department. Symptoms ongoing, lost consciousness multiple times, through today. Not able to work since emergency room visit.

Other Meds: N/a

Current Illness: N/A

ID: 1011907
Sex: F
Age: 61
State: GA

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

Lab Data:

Allergies: None

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

Symptoms: One week after receiving the vaccine, I started having a chemical smell 24/7 that no one else can smell. It?s been over a week now and the smell continues to be a problem 24/7 for me. It started in the middle of the night while I was getting ready for bed.

Other Meds: Benicar HCT 20-12.5 mg, Effexor 37.5, simvastatin 40mg, flexeril10 mg, restoril 15mg, and omeprazole 40mg, Allegra, singulair 10mg & phentermine 30mg

Current Illness: Sinus infection

ID: 1011908
Sex: M
Age: 41
State: NJ

Vax Date: 01/08/2021
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: None

Symptom List: Vomiting

Symptoms: Sudden Sensoryneural Hearing Loss with associated Tinnitus

Other Meds: None

Current Illness: None

ID: 1011909
Sex: M
Age: 72
State: CA

Vax Date: 02/02/2021
Onset Date: 02/04/2021
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: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: For 2 days post injection, I only had injection site pain. Starting the third day, I have had itching in both arms and both legs. It is always present. I try hard not to scratch. Applying topical emollients has yielded minimal benefit. I have been reluctant so far to take Benadryl.

Other Meds: Amlodipine, HCTZ, Lisinopril, Tamsulosin, 81mg Aspirin

Current Illness: None

ID: 1011910
Sex: F
Age: 67
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: Penicillin, most "mycins"

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

Symptoms: Within 2 minutes of receiving the COVID19 vaccine I became moderately mentally foggy with mild dizziness and headache. I then experienced tightness in the center of my chest and a generally mild shakiness. After waiting my 20 minute observation time, I recovered enough to drive home. However, mild mental fogginess, headache, tightness in chest and generally feeling unwell remain for 24 hours.

Other Meds: Glipizide ER 5mg, Wixela as needed

Current Illness: type 2 diabetes, asthma

ID: 1011912
Sex: F
Age: 70
State: NY

Vax Date: 01/30/2021
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: penicillin, occasionally shrimp, dust

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Itchy Red round patch at injection site

Other Meds: Atorvastatin Omeprazol Calcium Daily Vit Ginko Biloba BabyAspi

Current Illness: none

ID: 1011913
Sex: F
Age: 57
State: CA

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

Lab Data:

Allergies: No known allergies

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

Symptoms: Pt reported itching on arm at site if injection that spread down her arm to her chest and back. No visible rash. VSS with slightly elevated blood pressure. Itching persisted for 30 minutes, Pt given Benadryl IM and reported feeling better with less itching.

Other Meds: None

Current Illness: None

ID: 1011914
Sex: F
Age: 50
State: TX

Vax Date: 02/04/2021
Onset Date: 02/06/2021
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: Nome

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

Symptoms: Below my injection site my arm became red, raised, itchy, painful.

Other Meds: Vitamin d Krill oil Multivitamin

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm