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: 1014747
Sex: M
Age: 99
State: FL

Vax Date: 01/25/2021
Onset Date: 01/31/2021
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: Penicillin Strawberries Peanuts (not fatal just allergy )

Symptom List: Dysphagia, Epiglottitis

Symptoms: About 5 days after second dose he developed a red rash.. blotchy. Then a few days later he was very weak, especially his hands and had difficulty swallowing. Today the rash developed liquid filled pustules.

Other Meds: Oxybutynin, ezetimibe, simvastatin, cardioaspirin

Current Illness: No

ID: 1014748
Sex: M
Age: 36
State:

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

Lab Data:

Allergies: None

Symptom List: Anxiety, Dyspnoea

Symptoms: 17 hours later body aches, fever, lower back pain, tired

Other Meds: None

Current Illness: None

ID: 1014749
Sex: F
Age: 43
State:

Vax Date: 01/30/2021
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: N/a

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

Symptoms: Right arm bicep where moderna injection shot was given was tender, irritated, itchy, red and slightly rashy, 7 days after shot was given. Looked it up online may be "covid arm." Better 10 days after shot was given.

Other Meds: Ortho tri cyclen lo

Current Illness: N/a

ID: 1014750
Sex: F
Age: 32
State: OH

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: About 30 minutes after the shot, my face became very red and flushed. I continued driving home and took xyzal when I arrived. My face cleared up about an hour later. My left arm has been sore since the shot (3 days now). Also the next day after my shot, I was completely exhausted.

Other Meds: One a day women?s multivitamin

Current Illness: Tested positive for Covid one month prior

ID: 1014751
Sex: F
Age: 22
State: PA

Vax Date: 02/07/2021
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: LA

Lab Data:

Allergies: None

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

Symptoms: Adverse events: 0600-1030 - Pain in arm got increasingly worse. 1015 - Felt super cold and nauseous. 1020 - Got a hot flash, felt dizzy and lightheaded, and heard ringing in my left ear. 1025 - I had trouble breathing and my throat felt tight. I developed hives on my forehead, cheeks, neck, chest, and arms. The fingers on both my hands and my lips were tingling. Treatment: I was rushed to the ER and given an IV steroid, IV fluids (2 bags), and IV benadryl. Outcome: All the reactions went away within 4 hours and I was discharged from the ER. I was advised to take benadryl for 48 hours afterwards as needed and given a 5 day course of prednisone; 2 tablets taken daily.

Other Meds: Tylenol, Depo-Provera

Current Illness: None

ID: 1014752
Sex: F
Age: 64
State: MO

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: Bactrim, Dilaudid, Erythromycin, Reglan, Augmentin

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

Symptoms: Patient reported shortness of breath Saturday morning, and reported to ER for evaluation.

Other Meds: Vitamin B12, Ferrous Sulfate, Januvia, Salagen, Norco, Lyrica, Zolpidem, Esomeprazole Magnesium, Cetirizine, Celexa, Bydureon, Humalog, Premarin, Lisinopril, Citalopram, Lantus, Pro Air, Diltiazem, Claritin D, Simethicone, Detrol LA,

Current Illness: None

ID: 1014753
Sex: F
Age: 64
State: PA

Vax Date: 12/02/2020
Onset Date: 12/06/2020
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: NONE

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient complained of delayed adverse reaction after Shingrix vaccine. 3-4 days after vaccine the patient developed constant stabbing Cervical & Thoracic back pain for 3 weeks. Patient also complained of lightheadedness on some of those days.

Other Meds: NONE

Current Illness: ADMITTED TO DEGENERATIVE BACK ISSUES PREVIOUSLY

ID: 1014754
Sex: F
Age: 70
State: PA

Vax Date: 01/27/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: Patient is a 70 y.o. female presenting to the ED with chief complaint of generalized feeling unwell, nausea, vomiting, dizziness, weakness. Patient had Covid 1 month ago. She received her first COVID-19 vaccine Moderna version yesterday. Cough well last evening. This morning started having symptoms. Overall just feels weak dizzy with vomiting. In addition to the other symptoms patient has noticed some diffuse erythema redness to her left side of her body. Did receive her vaccine on the left side. No alleviating factors. No specific aggravating factors. Diffuse body aches but no specific focal pain. No passing out. Dizziness and weakness is worse with exertion. No other complaints

Other Meds: Fosamax Lipitor cormax kenalog ointment alphagan eye drops xalatan eye drops

Current Illness:

ID: 1014755
Sex: F
Age: 57
State: AZ

Vax Date: 01/28/2021
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: none

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: I started feeling achy with chills on day 8 in the afternoon and on day 9 I was in bed all day on day 9 with ache/fever and headache. I am never ever just lay around but I had to. I noticed that my arm at injection site was really sore, but the time I took off long sleeves and looked at it that night, injection site was red, swollen and hot. I saw that I had Covid arm (after googling it). I took 2 Benedry, went to bed and in the morning was feeling much better. This is day 11 and I am fine, red swollen area in arm is slowly going away.

Other Meds: Bupropion

Current Illness: none

ID: 1014756
Sex: F
Age: 29
State: CA

Vax Date: 01/18/2021
Onset Date: 01/18/2021
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: Doxycycline -swelling

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Headache, fatigue started same day. Arm soreness that evening, lasted for 2-3 days.

Other Meds: Fluoxetine 20 mg Loratidine 10 mg

Current Illness: Seasonal allergies

ID: 1014757
Sex: F
Age: 72
State: PA

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

Lab Data:

Allergies: Sulfa drugs Nickel

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

Symptoms: Bruising and soreness noted next morning2/5/21. Site continued to get darker and reddened and itchy more each day. On 2/8 I contacted my doctor and sent him a photo of my arm and he saw me in his office. He described it as hemorrhagic dermatitis. He didn?t prescribe an antibiotic as he thought it might interfere with vaccine. Prescribed Claritin , ice packs to area and forward daily photos to monitor closely. The injection site is bslow the deltoid.

Other Meds: Protonix, zocor, preservision, calcium, vitaminD, multivitamin

Current Illness: None

ID: 1014758
Sex: M
Age: 16
State: OK

Vax Date: 09/18/2020
Onset Date: 09/21/2020
Rec V Date: 02/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Rash, Urticaria

Symptoms: Vaccine on Friday, September 18th, Severe nausea and loss of appetite on Monday, September 21. After being sick all week patient taken back into his pediatrician and was told it was possibly a viral infection. He was given nausea medications and reflux medications. Then over the next 3 months patient had severe nausea off and on, dizziness, heart racing, chest discomfort, tingling in his arms and chest, eye discomfort, severe loss of appetite and weight loss. It finally resolved after about a 3 month period.

Other Meds: None

Current Illness: None

ID: 1014759
Sex: F
Age: 35
State: UT

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: LA

Lab Data:

Allergies:

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

Symptoms: round red lesion on arm at site of Covid vaccination

Other Meds:

Current Illness:

ID: 1014760
Sex: F
Age: 49
State:

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: SYR
Vax Site: LA

Lab Data:

Allergies: Adhesive (bandages) Nickel

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

Symptoms: Received the vaccine 1/30/2021 and had expected discomfort in right arm. Some swelling, warmth to the touch, painful. Lasted 2 days. In the middle of the night between 2/6/2021 and 2/7/2021 I started experiencing enough pain in my right armpit that woke me up in the middle of the night. I felt that it was likely swollen lymph nodes and took some Advil to relieve the discomfort. My armpit was sore through the weekend and the discomfort has slowly decreased. Today the area feels slightly swelled and I have experienced some aching in my right breast. It also feels as if my lymph nodes have started to get inflamed in my right groin area (2/8/2021).

Other Meds: Vicotoza 1.2mg 1x daily Metformin 1000mg 2 Tablets 2x daily Losartan 500mg 1x daily Levothyroxine o.125MCG 1x daily Atorvastatin 20mg 1x daily Adderall XR 25mg 1x daily.

Current Illness: None

ID: 1014761
Sex: M
Age: 29
State:

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: 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: Fatigue, muscle pain in arm, and confusion

Other Meds: Sertraline

Current Illness:

ID: 1014762
Sex: F
Age: 41
State: IL

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

Lab Data:

Allergies: None

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

Symptoms: Feverish, chills, headache, nausea, swollen glands

Other Meds: None

Current Illness: None

ID: 1014763
Sex: F
Age: 27
State: GA

Vax Date: 02/06/2021
Onset Date: 02/08/2021
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: Doxycycline

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

Symptoms: Redness under site, heat

Other Meds:

Current Illness:

ID: 1014764
Sex: F
Age: 39
State: MA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
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: Feraheme, Phenergan, Ceclor

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Approx 5 min post Injection, mouth become tingly and throat felt thicker. No difficulty breathing. Received Benadryl 25mg, no further exacerbation of symptoms.

Other Meds: None

Current Illness: None

ID: 1014765
Sex: F
Age: 36
State: IL

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: None

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: "Covid Arm" began a few hours after injection. Started at quarter sized and is now about half dollar sized. Circular itchy rash at injection site, painful upon touch. Have applied ice once or twice per day and it seems to be helping so far.

Other Meds:

Current Illness: None

ID: 1014766
Sex: M
Age: 53
State: PA

Vax Date: 01/29/2021
Onset Date: 02/02/2021
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: none

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

Symptoms: stroke on 02/02/21, vaccine given on 01/29/21

Other Meds: Trileptal

Current Illness: none

ID: 1014767
Sex: F
Age: 78
State: HI

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: About 10 minutes after receiving the covid vaccine, I developed a red flush on my face which was bright, hot and uncomfortable. The flush appeared nowhere else on my body so I concluded that the vaccine must have interacted with the tretinoin cream I use nightly. That is the only area of my skin on which i apply the cream. When I got home, I applied soothing skin cream but no relief. I then tried aloe, which grows in the area, and the flush/burning abated somewhat. The next day, my face was still flushed but less red. the skin surface was scaly. I am continuing to treat at home. No MDs involved.

Other Meds: Venlafaxine - 75 mg Tretinoin cream - .05% Kirkland multi-vitamin Kirkland cal citrate, mg, zinc, Vit D Qunol Turmeric Nature Made D3 2000 iu Equaline Vit # 400 IU

Current Illness: none

ID: 1014768
Sex: F
Age: 52
State: VA

Vax Date: 01/31/2021
Onset Date: 01/31/2021
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: Ampucillin

Symptom List: Unevaluable event

Symptoms: One week later, I have a rash at the injection site and itching this morning that is now a burning sensation. It is now red, spread over 2-3 1/2 diameter and feels warm to the touch. Other than a very sore arm, I had not experienced any side effects but two days ago I felt like I was coming down with the flu. I don?t notice that anymore.

Other Meds: Forteo daily injections Women?s multivitamins D2 supplement Probiotics Lutein Cranberry supplement Fish oil Turmeric

Current Illness: None

ID: 1014769
Sex: M
Age: 19
State:

Vax Date: 02/03/2021
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: NKDA

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

Symptoms: fever,H/A,chils. Presents with HA, chills, fever. Received second moderna COVID vaccine on 2/3. HISTORY OF PRESENT ILLNESS: 19-year-old male presents with headache, body aches and subjective fever following second COVID vaccination. She received a vaccination 2 days ago, and yesterday developed acute onset of generalized body aches, mild, constant with gradual onset of bitemporal frontal pressure headache, similar to priors. He also reports subjective fevers but has not checked his temperature. He took Motrin yesterday with some improvement. Denies objective fever, chills, nausea, vomiting, neck pain, vision changes, chest pain, dyspnea, abdominal pain, back pain, weakness or numbness.

Other Meds: UNK

Current Illness: N/A

ID: 1014770
Sex: F
Age: 66
State: CA

Vax Date: 02/02/2021
Onset Date: 02/02/2021
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: Bactrim-Septra

Symptom List: Injection site pain, Pain

Symptoms: Increased headaches, IBS symptoms worsened, and GERD worsened.

Other Meds: Alprazolam 1 Mg, Atorvastatin 40 Mg, Baclofen 20 Mg, Dexilant 60Mg, Lidocaine Patch 5%, ZTLido 1.8% Patch, Fluoxetine 60 Mg, Align 1 Cap, Clonazepam .5 Mg, Trazodone 50 Mg

Current Illness: Migraine, IBS, GERD

ID: 1014771
Sex: F
Age: 44
State: IN

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

Lab Data:

Allergies: Penicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: 2/5/21 started having aches/chills at 11:30 a.m. Took temp that read 99 and throughout day went to 101. 2/6/21 had temp of 99 all day with chills/aches still present but not as bad. 2/7/21, temp normal but very tired. 2/8/21 feel good!

Other Meds: none

Current Illness: None

ID: 1014772
Sex: F
Age: 69
State: IL

Vax Date: 01/26/2021
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: Penicillin, Latex, Cipro and a preservative Cl+Me- Isothiazolinone (also known as Methylisothiazoline, MCI, MI, Kathon CG)

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

Symptoms: My arm was fine after receiving the vaccine but nine days after receiving the vaccine, I experienced itching, redness, a raised bump and it was warm to the touch at the vaccination site (right arm). After two days most side effects went away. I still have a pale red circle at the site.

Other Meds: Crestor 10Mg, Dexilant 60mg, Vascepa 1 gram 2/twice daily, Metformin HCL ER 500mg 1Xday. Multivitamin, Vitamin C 1000 mg, Vitamin D 1000 units, Vitamin B-12 1000 mcg day.

Current Illness: None

ID: 1014773
Sex: M
Age: 78
State: AK

Vax Date: 02/06/2021
Onset Date: 02/07/2021
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:

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt concerned about mild headache, chills, and fatigue after first dose of covid vaccine yesterday afternoon. Denies pain at injection site L. Deltoid. Denies NVD. States he feels a little dizzy when he stands. Denies chest pain or shortness of breathe.

Other Meds:

Current Illness:

Date Died: 01/15/2021

ID: 1014774
Sex: M
Age: 71
State: WA

Vax Date: 01/13/2021
Onset Date: 01/15/2021
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 Reported

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: We were informed the patient passed away 2 days after receiving the vaccine. We do not have any details about what happened, we were informed by one of his employees. We have no knowledge that this had anything to do with the vaccination in any way.

Other Meds: Unknown

Current Illness: Unknown

ID: 1014775
Sex: M
Age: 32
State:

Vax Date: 02/02/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

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

Symptoms: The main side effect I wish to report is severe joint pain in both knees, lower back, and ankles. Started around 3:00AM the night of the vaccine and lasted about 32 hours. I also experienced severe headache, restlessness, a 100.4-101.0 F fever lasting about 16 hours from 3:00 am of the night of vaccine. I did not take any medications. Side effects resolved on their own.

Other Meds: None

Current Illness: N/A

ID: 1014776
Sex: F
Age: 35
State: OR

Vax Date: 01/07/2021
Onset Date: 01/15/2021
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:

Symptom List: Nausea

Symptoms: reported she had 8 days after her first Moderna shot (/702021) a thick red, raised, itchy and painful rash. Rash was also hot to touch. Rash started 8 days after injection to Left Deltoid. It started from injection site and spread down to abover her elbow-grew to 4 by 6 inch long rash. It was most painful te 15th, 16Th, and 17 Th. She also reported feeling faint, dizzy, and weak/ unsteady gait at the time of the rash. By Jan 19 the she started to feel better. By 2/4/21 when seen again in clinic rash still ad some redness and rash was 1.5 by 1.5 inches but no longer raised and painful. All other symptoms had resolved. She was not given a second dose of the Moderna vaccine . She was instructed that the rash is not an absolute contraindication for the second Moderna vaccine dose but that she should see her primary care provider to discuss the rash/other symptoms and make a medical plan if she were to get the second dose.

Other Meds:

Current Illness:

ID: 1014777
Sex: F
Age: 85
State: NV

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

Lab Data:

Allergies: none listed

Symptom List: Injection site pain

Symptoms: Patient had a bruise at the site, she had a rash. It appears that the rash is already getting better. She has had the rash for just under a week. She is monitoring the rash and self treating with topical anti-itch medications.

Other Meds: unknown

Current Illness:

ID: 1014778
Sex: M
Age: 64
State:

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

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

Lab Data:

Allergies:

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

Symptoms: 15 minutes after second dose of COVID 19 vaccine patient was brought to nurses due to lip swelling. Patient took personal liquid benadryl prior to nurses. Unsure of dose patient states took "2 large swigs". VS taken. 911 called by patient refuses ambulance dispatch. Patient denies need to go to hospital states already took own benadryl and they will not do anything else. VS monitored q 5 minutes by nursing. House supervisor called and down to speak with patient. Patient denies difficulty breathing. Continues to deny need for ambulance to hospital for assessment. Patient alert and oriented and carrying on conversation without difficulty. No further increase in lower lip swelling noted by nursing. Nursing noted some flushing to face, patient states he does that from time to time but does not notice it but coworkers will tell him he has flushing. No increase in lip swelling but states now feels some nasal congestion. Patient continues to deny difficulty breathing. Patient does states still does not feel "quite right". Patient encouraged by multiple nurses to allow 911 transport. After 15 minutes of monitoring patient now agreeable to be assessed by ER and 911 called. Patient did notify spouse by phone that he was going to requested hospital- hospital Patient continued to be monitored by multiple nursing staff until ambulance arrival and transport to hospital.

Other Meds:

Current Illness:

ID: 1014779
Sex: F
Age: 84
State:

Vax Date: 01/23/2021
Onset Date: 01/24/2021
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:

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

Symptoms: Patient reports high blood pressure daily since receiving vaccine for the past 2 weeks. No other changes to medications/diet/conditions.

Other Meds:

Current Illness:

ID: 1014780
Sex: F
Age: 45
State: AR

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: Zpack antibiotics and Hydrocodone

Symptom List: Tremor

Symptoms: Fever, body aches, my arm got red, hot, and swollen

Other Meds: Lasix 20 mg Potassium Chloride 10 meq. 2 a day Hctz 25 mg Norvasc (amlodipine) 5 mg Diclofenac sod 75 mg twice a day - for inflammation Tizanidine 4 mg- I take once a day at bedtime - muscle relaxer Maxalt 10 mg as needed Amaryl (glimep

Current Illness: Asthma, allergies and sinus issues, diabetes, migraines, high blood pressure

ID: 1014781
Sex: F
Age: 70
State: AK

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:

Symptom List: Erythema, Pruritus

Symptoms: Headache the night of injection

Other Meds:

Current Illness:

ID: 1014782
Sex: M
Age: 46
State: MA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: tegretol, trulicity, bees

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

Symptoms: Sore arm at injection site 1 hour post vaccination, severe headache 6 hours post vaccination, low-grade fever (99.7 to 100.7) 6 hours post vaccination, extreme fatigue 12 - 14 hours post vaccination, body chills 36 -38 hours post vaccination. All symptoms except low-grade fever were gone 48 post vaccination, low-grade fever was gone 52 hours post vaccination.

Other Meds: Ozempic, metformin, lisinopril, crestor, omeprazole, invokanna, vitamin D, zyrtek, 81 mg aspirin

Current Illness: N/A

ID: 1014783
Sex: F
Age: 35
State: AZ

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

Lab Data:

Allergies: Gluten

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

Symptoms: Enlarged Lymph Nodes in the right armpit, headache, shortness of breath.

Other Meds: Ibprofein

Current Illness: none

ID: 1014784
Sex: F
Age: 45
State: VA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
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: Nuts

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Knot on arm Itchy Round Large Rash after a week

Other Meds: Amlodipine Besylate Allegra Lo Loestrin

Current Illness:

ID: 1014785
Sex: M
Age: 49
State: OK

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: 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: Fever, chills, flu like symptoms, diffuse body ache, malaise. Lasted 1 day

Other Meds: Claritin Vitamin C Vitamin D Zinc

Current Illness: none

ID: 1014786
Sex: F
Age: 40
State: OH

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

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

Symptoms: Chills, fatigue, HA for 24 hrs Rash and itchy skin began 9 days later

Other Meds: Birth control pill

Current Illness: None

ID: 1014787
Sex: F
Age: 43
State: MD

Vax Date: 01/28/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Pain in extremity

Symptoms: Rash and itching at injection site 12 days after vaccine

Other Meds: None

Current Illness: None

ID: 1014788
Sex: F
Age: 40
State:

Vax Date: 02/03/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Doxycylin, LATEX

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

Symptoms: headache,nausea. patient received 2nd moderna COVID vaccine 2 days ago. Presents with headache and nausea. CHIEF COMPLAINT & HPI: 40 yo F had her 2nd covid vaccine 2 days ago. Yesterday night or this morning, she started developing body aches, chills, nausea, and headache. No rash. No neck stiffness. no CP/SOB. no abd pain. no dysuria/hematuria.

Other Meds: UNK

Current Illness: Depression, Anxiety

ID: 1014789
Sex: M
Age: 81
State: OH

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

Lab Data:

Allergies: NKA

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

Symptoms: Swelling, redness, warm-to-the touch on vaccinated arm beginning 7 days after vaccination. Reaction occurred on entire upper arm and did not begin at injection site. Pt did not experience any initial swelling or soreness at injection site.

Other Meds:

Current Illness: None known

ID: 1014790
Sex: F
Age: 82
State: AK

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

Lab Data:

Allergies:

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

Symptoms: Injection site pain

Other Meds:

Current Illness:

ID: 1014791
Sex: F
Age: 36
State: MD

Vax Date: 01/26/2021
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: morphine - hives

Symptom List: Vomiting

Symptoms: Left TMJ pain, persistent since 48 hours after vaccine. Continues daily. Intermittent frontal headaches 3 times a week

Other Meds: Zoloft, nuva ring, meloxicam, zyrtec, probiotic, vitamin d, methyl-pro

Current Illness:

ID: 1014792
Sex: F
Age: 34
State: OR

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Blurry vision, racing heart, dizziness, hot/clammy, chills after being really hot, anxiety all within 20 mins from injections. At 7:30 when home, cold, dull ache at base of skull.

Other Meds: Vitamin D, hair skin and nails, probiotic, vitamin C, Imitrex

Current Illness: None

ID: 1014793
Sex: F
Age: 70
State: NC

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

Lab Data:

Allergies: Penicillin, Seconal, Darvon, invertebrate seafood, chocolate, cat dander

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

Symptoms: itchy rash at injection site, started on Feb 6, still present as of Feb 8.

Other Meds: Calcium citrate, Magnesium aspartate, Vit D3, Turmeric extract, cinnamon bark extract, choline, silicon,rhodiola rosea, Vit B complex, glucosamine sulfate, flax seed oil, ground flax seed

Current Illness: no acute illnesses

ID: 1014794
Sex: M
Age: 77
State: TX

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Received vaccine at approximately 1430 at 2300 started having, fever highest 102.1 fever would return to 98.2 after taking Tylenol, aching in the whole body. The symptoms lasted until Friday morning at around 0900.

Other Meds: Tylenol

Current Illness: N/A

ID: 1014795
Sex: M
Age: 59
State: NJ

Vax Date: 01/20/2021
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: RA

Lab Data:

Allergies: None

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

Symptoms: I was administered the Moderna vaccination on January 20, (lot # 032L20A). Exactly two weeks afterwards, February 2. I began to notice small red dots to the front of my lower extremities. As each day followed the red dots became larger and have progressed to the calfs, and behind my tricep area. They do not hurt but occasionally itchy. I am applying Cortizone cream to the areas affected. To your knowledge, has this rash been reported by anyone post vaccination?Should I be concern? Is it safe to take the second dosage? I am schedule to receive it February 18.

Other Meds: Metformin ER 500mg Jardiance 25mg Glimipride 4mg Aspirin 81mg Vitamin D3 2,000 IU 2x Vitamin C 60mg Vitamin B-Complex Calcium 666 mg & Zinc 266 mg Ginger Root 550mg Ginseng Complex 400mg Raw Resveratrol 600mg Zinc 50mg

Current Illness: None

ID: 1014796
Sex: M
Age: 20
State: AK

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

Lab Data:

Allergies:

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

Symptoms: Injection site pain

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm