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: 0917751
Sex: F
Age: 31
State: NY

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: I developed shingles after vaccine. First day after vaccine developed pain then rash 2 days later

Other Meds:

Current Illness:

ID: 0917752
Sex: M
Age: 50
State: VA

Vax Date: 12/24/2020
Onset Date: 12/24/2020
Rec V Date: 01/03/2021
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: Flu-like symptoms started 12 house after receiving the vaccine. Chills, fever, joint pain, felt like all my muscles were spasming. I took Tylenol and ibuprofen, These symptoms last about 4 hours. I continued with weakness and overall feeling of weakness for the next 12 hours. Back to normal after 3 days.

Other Meds: Amlodipine Zyrtec Flonase

Current Illness: None

ID: 0917753
Sex: F
Age: 47
State: PR

Vax Date: 12/21/2020
Onset Date: 12/28/2020
Rec V Date: 01/03/2021
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: No

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

Symptoms: dizziness weakness headache neck pain

Other Meds: Synthesis 100mg Vit C Vit D

Current Illness: No

ID: 0917754
Sex: F
Age: 38
State: ME

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Tylenol, Anaphylaxis to shellfish,

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Tingling around the mouth, tightness in the throat, and redness on the upper chest. Benadryl 25 mg po once and observed for more than 1 hr and improved

Other Meds:

Current Illness: None

ID: 0917755
Sex: M
Age: 33
State: OH

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/03/2021
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: On 12/24 patient experienced headache, fatigue, fever of 101.5, body aches, site pain, joint pain, and nausea.

Other Meds:

Current Illness:

ID: 0917756
Sex: F
Age: 31
State: PA

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: Cephalosporins

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

Symptoms: Developed mild redness, hives, and itching at site of injection on days 2 and 3. Symptoms completely resolved independently on days 4 and 5. On day 6, developed significant welt-like hives, intense burning and itching, and numbness/tingling of entire extremity. Also developed a non-pruritic, flat, diffuse, pinpoint rash to the trunk. Rash and itching resolved with Benadryl. Right upper extremity burning, pain, and numbness persist.

Other Meds: None

Current Illness: None

ID: 0917757
Sex: F
Age: 44
State: IA

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: 11:30 am developed bad stomach cramps/ nausea. Around 10:30 pm chills. 11:30 pm fever100.5, bad body aches, headache, nausea, slight periodic numbness in hands. Next day fever gone. On day 6 and still have bad stomach cramps. Some nausea and slight headache, scratchy throat.

Other Meds: Mirtazapine 15 mg as needed

Current Illness: None

ID: 0917758
Sex: F
Age: 61
State: LA

Vax Date: 12/21/2020
Onset Date: 12/21/2020
Rec V Date: 01/03/2021
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: Violently throwing up and diarrhea at same time for 12-24 hours

Other Meds: Tylenol, B12, methadone, gabapentin

Current Illness: None

ID: 0917759
Sex: F
Age: 35
State: ME

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Allergic to Moxifloxacin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Tingling sensation in the face, tightness in the throat, and redness on the arms and chest Benadryl 25 mg po once given

Other Meds:

Current Illness: COVID-19 Infection on 11/25/20

ID: 0917760
Sex: F
Age: 34
State: MI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: Penicillin, tree nuts, sulfa drugs

Symptom List: Diarrhoea, Nasal congestion

Symptoms: I had an allergic reaction within ten minutes and was taken to the emergency room with throat pain, itching in the throat and mouth and a swollen uvula. I was given multiple doses of Benadryl and steroids. The next day I developed a temperature of 102 degrees and had a severe headache, nausea, and body aches. The headache and fatigue are still present now 4 days later.

Other Meds: None

Current Illness: None

ID: 0917761
Sex: M
Age: 31
State: NJ

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: Experienced body aches, fatigue, scratchy throat. No treatment. After going back to bed that morning and sleeping for approximately 2 hours symptoms started to relieve themselves

Other Meds: Vyvanse, claritin prilosec

Current Illness: none

ID: 0917762
Sex: M
Age: 33
State: CA

Vax Date: 12/23/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: Shellfish

Symptom List: Rash, Urticaria

Symptoms: Left supraclavicular and left anterior cervical lymphadenopathy mildly tender and mobile. Started 6 days after vaccine to the left deltoid and persisting

Other Meds: Pantoprazole 20 mg Vitamin D 1000 IU

Current Illness: None

ID: 0917763
Sex: M
Age: 28
State: CA

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Na

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

Symptoms: 9:38 am -8-10 minutes after vaccine injection patient felt nausea and dry heaving 9:42 am - patient evaluated by by EMS BP 142/100 Pulse 120 9:48 am patient transported to ER.

Other Meds: Lisinopril

Current Illness: na

ID: 0917764
Sex: F
Age: 32
State: TX

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: No allergies

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

Symptoms: Chest tightness, shivers, fever, headaches Fatigue

Other Meds: Tylneol

Current Illness: No illnesses

ID: 0917765
Sex: F
Age: 63
State: PR

Vax Date: 12/26/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: allergic to sea food

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

Symptoms: On 01/01/2021 I began to feel excessive itching, redness and swelling in the vaccination area. It appears to be cellulite. Also I present mild daily headache from that day.

Other Meds: none

Current Illness: none

ID: 0917767
Sex: M
Age: 74
State: PA

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: Started feeling light headed 15 to 20 minutes after getting the vaccine.Had tachycardia for 2 to 3 minutes.Lightheadedness lasted about 10 minutes.Next morning woke up with true vertigo .Lasted few minutes.That night mild vertigo returned, mostly positional.Ever since mild light headedness.Have to sleep in a recliner.Vomited once, but continue to have mild nausea.

Other Meds: Flomax ,Ecotin,Crestor

Current Illness: Tinnitis left ear

ID: 0917768
Sex: F
Age: 34
State: FL

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

Vax Type: DTAPHEPBIP
Manufacturer: GLAXOSMITHKLINE BIOLOGICALS
Vax Name: DTAP + HEPB + IPV (PEDIARIX)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies:

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

Symptoms: About 12 hours after the vaccine, I started developing chills and joint pain. That night, I developed fevers that persisted for about 24h (spiked about 5 separate times - highest fever was 102). Then, on the third night after the vaccine (about 60 hours post vaccine), I had two separate episodes of night sweats (clothes were drenched, no fever). Later that night I had a bowel movement with bright red blood. I then went to an urgent care where they drew labs, send a Covid swab, ordered stool studies, and ordered a CT abdomen.

Other Meds:

Current Illness:

ID: 0917769
Sex: F
Age: 59
State: MO

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

Vax Type: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: penicillin

Symptom List: Ear pain, Hypoaesthesia

Symptoms: At 2 am woke to severe chills and hyperventilating. Took 45 minutes for everything to stop. (very scary) At 6:30 am began running a temp of 101.1. Starting taking tylenol. Fever never did go away. Still had fever at 8 pm when I went to bed. Woke up next morning and was fine.

Other Meds: Synthroid cozar claritan

Current Illness: none

ID: 0917770
Sex: M
Age: 62
State: CA

Vax Date: 12/29/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: I have constant tinnitus since about a day after receiving the first dose to the Covid-19 vaccine. It got worse over the New Year's weekend, and now seems to be stabilized as a constant ringing. I will be making an appointment this coming week to have it investigated, but wanted to get the preliminary information to you. I have experienced a much lesser degree of tinnitus in the past, always a momentary transient event, not nearly as loud as I am currently experiencing.

Other Meds: Multivitamin, fish oil, garlic, turmeric, vitamin K, vitamin D, vitamin C, magnesium.

Current Illness: None

ID: 0917771
Sex: F
Age: 29
State: IL

Vax Date: 12/31/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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: Numbness to right side of upper body, arm, and face. Clammy, hot flashes, severe headache. Throat was swelling shut. Could feel it closing each time I swallowed. Emergency room gave steroids, Benadryl, and a coating for stomach.

Other Meds: Adderall

Current Illness: None

ID: 0917772
Sex: F
Age: 42
State: AL

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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: Cipro, keflex Shrimps

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

Symptoms: Fatigue, muscle aches and fever

Other Meds: None

Current Illness: None

ID: 0917773
Sex: F
Age: 64
State: TX

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
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: Unevaluable event

Symptoms: Moderna COVID-19 Vaccine EUA Soreness in arm around injection site for two days.

Other Meds:

Current Illness:

ID: 0917774
Sex: F
Age: 40
State:

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
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: Chills, Dizziness, Injection site pain, Myalgia, Pyrexia

Symptoms: SOB and tachycardia

Other Meds:

Current Illness:

ID: 0917775
Sex: F
Age: 35
State: CA

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/03/2021
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: Local reaction to vaginal estrace cream (likely allergic to polyprene glycol ingredient)

Symptom List: Injection site pain, Pain

Symptoms: 12/23/20: within 2 minutes of receiving the vaccine I felt pulsing in my left wrist and weakness in my left hand, within 30 minutes my left ear felt like it needed to pop, I had the normal/expected side effects for the first 1-2 days (very sore arm, headache, achy, fatigue, mild joint pain) 12/24/20: weakness/numbness/cold feeling in my left lower leg and foot, fullness in left ear continued 12/27/20: same sx as 12/24, plus weakness/numbness in left forearm, pinky and ring finger 12/28/20: same sx as above, plus fullness in R earned weakness/numbness in right forearm, pinky, and ring finger 12/30/20: same sx as above, plus weakness/numbness on the left side of my face, no drooping 12/31/20: same sx as above, now with weakness/numbness/cold sensations on both sides of face (although only one side at a time), in both legs, both arms down into pinky and ring fingers (weakness noticed when typing and writing). Both ears still with fullness feeling (only one side at a time). I can still walk/run, these symptoms are still present as of today 1/3/21.

Other Meds: Levothyroxine 50 mcg daily

Current Illness: None

ID: 0917776
Sex: F
Age: 58
State: TX

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: Pennicillin

Symptom List: Injection site pain, Menorrhagia

Symptoms: muscle and skin soreness at injection site radiating out approximately 2 inches lasting approximately 36 hours general fatigue starting on 1-1-221 lasting approximately 24 hours

Other Meds: multi-vitamin

Current Illness: none

ID: 0917777
Sex: F
Age: 47
State: TX

Vax Date: 12/01/2020
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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: No

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

Symptoms: Moderna COVID-19 Vaccine EUA I am currently experience tenderness in my lymph nodes under my left arm (injection arm). I did experience other side effects as well but this one more intrusive. I experienced soreness at the injection site for a few days and a headache.

Other Meds: No

Current Illness: No

ID: 0917778
Sex: F
Age: 29
State:

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
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: 1121 Patient started feeling hot, face red, throat feeling dry and tight. Vital signs: Blood pressure 122/78 Heart rate 88 SATS 99% ON ROOM AIR. Patient was given Benadryl 25 mg by mouth. After about 15 minutes after administration, patient noted her "hot flash" had dissipated and her "funny feeling in throat" had minimized. She denied difficulty breathing or swallowing. Patient was discharged at 12:00. At 12:15, patient returned appearing slightly flushed and complaining of feeling warm again. While accompanying patient to Convenient Care, patient noted her throat "felt funny" and had to clear her throat to speak. Patient was transferred to convenient care nurse at 12:20

Other Meds:

Current Illness:

ID: 0917779
Sex: M
Age: 38
State: OH

Vax Date: 12/26/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Moderna COVID-19 Vaccine EUA Lymphadenopathy, axillary node on injection side. Palpable and painful, approximately 3-5 cm in diameter.

Other Meds:

Current Illness:

ID: 0917780
Sex: F
Age: 25
State: AZ

Vax Date: 01/02/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Sore arm. Sore throat. Back ache. Headache. Chills in feet

Other Meds:

Current Illness:

ID: 0917781
Sex: F
Age: 50
State: NJ

Vax Date: 01/03/2021
Onset Date: 01/03/2021
Rec V Date: 01/03/2021
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: Severe headache and very tired.

Other Meds:

Current Illness: None

ID: 0917782
Sex: F
Age: 65
State: NJ

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: Temp. 102, chills, body aches, headache, extreme fatigue; slept most of the day on the 1st; still w/body aches, less fatigue, decreased headache, temp 100 on 01/02; back to normal by 2:00 on 01/02

Other Meds: Paroxitine HCL

Current Illness:

ID: 0917783
Sex: F
Age: 61
State: KY

Vax Date: 12/23/2020
Onset Date: 12/23/2020
Rec V Date: 01/03/2021
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, Fluoroscein

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

Symptoms: To preface, I'm a physician (pediatrician). I developed a swollen, indurated, erythematous itchy area approx 3x5 cm at the site of the vaccine the evening I received the vaccine, persisted a couple days, finally resolved leaving very slight induration behind. EIGHT days after vaccine (on Dec 31), I received my regular allergy injections (one in each arm, below site of Moderna vaccine), that evening the site of the Moderna vaccine again became indurated, swollen, itchy/painful, red (redness was more widespread than the original reaction, I have pictures if needed), this lasted for about 72 hours, again leaving a very slightly indurated area behind. Plan to do both allergy shots in the OTHER arm this week.

Other Meds: Famotidine, QVar, Advil, Nasacort, Melatonin, Calcium, Vitamin D3, Allergy injections for seasonal and cat allergies

Current Illness:

ID: 0917784
Sex: M
Age: 79
State: TX

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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: None

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

Symptoms: Pt had vaccination at city site. Waitied 15 min after shot and was cleared to go. Reported to wife that he was very thristy, so they stopped at a convenience store on the way home. While there, he felt worse and asked to go to the Emergency room. They chose Methodist to enter. Pt went to triage and while at triage, had syncopal episode, then full arrest. After short course of CPR and defib, he had ROSC. Was taken to cath lab for intervention (stents) and is now in ICU.

Other Meds: None

Current Illness: None

ID: 0917785
Sex: M
Age: 43
State: NY

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: has had allergic reaction in past to medications and a vaccine

Symptom List: Tremor

Symptoms: member was vaccinated on 12/29 - 1-2 hours later developed injection site soreness/swelling/chills/fatigue/intermittent headaches/"head cold like symptoms" - yesterday evening developed R facial swelling including to upper lip and numbness in face - is able to smile and use muscles normally no facial dropping but face is still puffy today after 50 mg Benadryl. Member has R inner ear itching but denies throat tightness/difficulty breathing

Other Meds: multivitamin

Current Illness: none reported

ID: 0917786
Sex: F
Age: 53
State: CA

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: PCN, Sulfa, Bactrim, oxycodone, iodine, latex, codeine

Symptom List: Erythema, Pruritus

Symptoms: Left arm cellulitis, redness with induration at injection site started the day after injection. Chills and sleepy. Given Rocephin IM 12/30/2020. Prescribed clindamycin 300mg 2 tab q8 for 7 days.

Other Meds: D3 vitamin supplement B12 Centrum MVI

Current Illness: Cold sore on lip one month ago

ID: 0917787
Sex: F
Age: 77
State: FL

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/03/2021
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: Phenothyazines, penicillin, epi, lidocaine patch

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

Symptoms: Starting same day sore arm, by Tuesday late/Wednesday sore shoulder and knife like pains under left shoulder blade. Pain bad enough Wednesday night/Thursday early morning to contact Dr. Thursday. He determined my pain was muscle pain. Suggested Aleve (as Tylenol and Advil weren't working) and heating pad (which I had used on Wednesday during day). Aleve helped a lot. Pain by today (Sunday) is minimal but still some minimal discomfort.

Other Meds: HBP meds, HCh med, Omeprazole, Restasis, Premarin cream, low-dose aspirin, fish oil, calcium, D3

Current Illness: none

ID: 0917788
Sex: M
Age: 75
State: FL

Vax Date: 12/31/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
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: Moderna COVID-19 Vaccine EUA I had the Qovid-19 virus back in March of 2020 and symptoms such as fever, chills, fatigue, muscle and body aches. approximately 5-6 hours after receiving the vaccine i felt most of those same symptoms but on a much lesser scale. all of those symptoms went away after 36 hours. I spoke to some of my friends that took the vaccine the same day i took it and in general most of the friends that previously had the virus had similiar symptions again while those that never had the virus did not have any reraction to the vaccine.

Other Meds:

Current Illness:

ID: 0917789
Sex: F
Age: 45
State: IN

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: Severe vertigo began at 3:00 PM on 12/31/2020. Vomiting lasting approx. 9 hours (8 episodes). Unable to open eyes due to vertigo, vasovagal upon standing lasting until approx. 3:00 pm 1/2/2021. Diarrhea began approx. 8:00 pm 1/1/2021 with episodes each time after trying to eat 4 episodes. Headache lasted 3 days. Today on 1/3/2021 I have been able to keep down soup. Eyes feel tired, minimal vertigo upon moving head. No further diarrhea, vomiting.

Other Meds: sertraline 100 mg qd; protonix 40 mg qd

Current Illness: None

Date Died: 01/03/2021

ID: 0917790
Sex: F
Age: 90
State: AR

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: At the time of vaccination, there was an outbreak of residents who had already tested positive for COVID 19 at the nursing home where patient was a resident. About a week later, patient tested positive for COVID 19. She had a number of chronic, underlying health conditions. The vaccine did not have enough time to prevent COVID 19. There is no evidence that the vaccination caused patient's death. It simply didn't have time to save her life.

Other Meds: Torsemide, Trazadone, Amitizide, Morphine Sulfate, Fentanyl, Carbidoba-Levodopa, Prednisone, Potassium Chloride, Escalitapram, Incruse Ellipta, Mirtazipane, Clonazepam, Levothyroxine

Current Illness: Patient was a resident of a long term care facility and had numerous chronic conditions prior to vaccination.

ID: 0917791
Sex: F
Age: 34
State: NY

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: None

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

Symptoms: Arm redness and sore

Other Meds: None

Current Illness: None

ID: 0917792
Sex: M
Age: 56
State: FL

Vax Date: 12/29/2020
Onset Date: 12/31/2020
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: MSG

Symptom List: Pain in extremity

Symptoms: BAD HEAD ACHE, STUFFYNESS, CHEST CONGEST. TIREDNESS, GRUMPY AS HELL

Other Meds: VITS AND MOTRIN

Current Illness:

Date Died: 01/02/2021

ID: 0917793
Sex: F
Age: 78
State: AR

Vax Date: 12/22/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: Prior to the administration of the COVID 19 vaccine, the nursing home had an outbreak of COVID-19. Patient was vaccinated and about a week later she tested positive for COVID-19. She had underlying thyroid and diabetes disease. She died as a result of COVID-19 and her underlying health conditions and not as a result of the vaccine.

Other Meds: Metoprolol-Tartrate, Latanoprost, Glipizide, Pravastatin, Metformin, Benaprezil, Potassium-Chloride, Levothyroxine

Current Illness: Diabetes, Thyroid disease

ID: 0917794
Sex: F
Age: 40
State: GA

Vax Date: 12/23/2020
Onset Date: 12/24/2020
Rec V Date: 01/03/2021
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: Sudafed, Sulfa drug

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

Symptoms: Patient received Moderna vaccine on 12/23/20 at approximately 1530. No adverse events observed immediately following injection. Approximately 12 hours later (12/24/2020 @ 0300) patient developed fever, chills, body aches, fatigue and headache that last for approximately 24 hours. On 12/24/2020 @ 1200 patient experienced near syncopal episode. On 12/24/20 @ 1500 patient developed hive on b/l legs and arms. Symptoms treated with motrin and benadryl. All symptoms resolved by 12/25/2020

Other Meds: Imitrex 100mg PRN migraine, Loestrin 1.0/30, multivitamin

Current Illness:

ID: 0917795
Sex: F
Age: 24
State: CT

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: Pineapple, poison ivy

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

Symptoms: Rash, fever

Other Meds: Birth control

Current Illness:

ID: 0917796
Sex: F
Age: 59
State: HI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
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: Bee stings, poison ivy, seasonal allergies. Took allergic test on arms, had a reacation to everything, including the saline solution control. I can have adverse reactions being congested when ocean swimming without a nose plug.

Symptom List: Vomiting

Symptoms: Within the night I felt pain on the insde area of the FOREARM of the injected arm. The pain was something I have never felt before. A pain like I had been hit on the arm. The pain was not intense ALL night and it did not keep me awake all night. The following day I felt the pain again, same place, but only for a half hour or so. I have not felt that pain since, but there remains a swelling and hard lump in the place I felt the pain, with a slight pain if pressed. The lump and swelling remains constant. No worse, not sure if any better either. No redness, and not hot to the touch. No other swelling anywhere else. Other reactions are just a slight overall sluggish feeling, that is better after sleep.

Other Meds: ??Morning pills Allopurinol 300 mg tab Metoprolol er succinate 100 mg tabs Losartan Potassium 100 mg tab Cetirizine Hydrochlororide 10 mg. -1 daily [antihistamine] *Guaifenesin 400 mg/10 mg Phenylephrine HCI? [expectorant] -1 daily Tylenol

Current Illness: Artritis, High blood pressure.

ID: 0917797
Sex: F
Age: 43
State: IN

Vax Date: 12/29/2020
Onset Date: 12/29/2020
Rec V Date: 01/03/2021
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: no

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Swelling and redness at site of vaccine. Entire muscle of left arm swollen around injection site for 4 days. Painful to touch and hot. Increased tiredness within first 24 hours.

Other Meds: Synthroid Trintillix Vitamin C Zinc Vitamin D

Current Illness: none

ID: 0917798
Sex: F
Age: 49
State: CT

Vax Date: 12/31/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
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: PCN, Dust mites and tree pollen

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

Symptoms: Flu like symptoms, body aches & pains, chills, headache, soreness at injection site., tiredness all symptoms started 24 hours after I received the vaccine.

Other Meds: no

Current Illness: no

ID: 0917799
Sex: F
Age: 46
State: FL

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/03/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Within an hour and a half after vaccination my skin was flush and red and I developed hives. I work at this facility and was sent to the ER where I was monitored for two hours and received IV Benadryl, solumedrol, and Pepcid. The redness was gone within an hour and the hives disappeared after having to take an additional 25mg Benadryl pill after 6 hours. The next day I experienced fatigue, severe muscle pain, chills and this continued for an additional 2 days.

Other Meds: none

Current Illness: none

ID: 0917800
Sex: F
Age: 51
State: NC

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 01/03/2021
Hospital:

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

Lab Data:

Allergies: NKA

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

Symptoms: I have been having severe hot flash like feeling. Feel like I have a fever. I check my temp and it is usually 97.0 - 99.0. I have been taking Tylenol 1000mg 1 x a day and Naproxen 220mg 2 tabs 1 x a day to help with the discomfort. My skin feels hot from my neck down to my hips. I have occasional body aches. My arm was very sore the day after the injection. The 2nd day after it started feeling better than by the30th my arm was fine. I am getting Covid tested weekly at my work and all have been negative so far. I am getting tested tonight and will let you know what the results are.

Other Meds: MVI, Vitamin B complex, Hair/nail vitamin with Biotin 5000mcg take Q O Day. Vitamin C 1000mg Daily

Current Illness: none

ID: 0917801
Sex: F
Age: 33
State: TX

Vax Date: 01/02/2021
Onset Date: 01/02/2021
Rec V Date: 01/03/2021
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: Cipro, chlorhexadine, cefdinir, adhesives

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

Symptoms: Severe migraine, nausea, dizziness

Other Meds: Xeljanz, methotrexate, plaquenil, magnesium, wellbutrin xl, sertraline, topiramate, buspirone, nexium, pirmella, folic acid, leucovorin, gabapentin, metaxolone

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm