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: 1020510
Sex: F
Age: 17
State: PR

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
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: not known

Symptom List: Dysphagia, Epiglottitis

Symptoms: When immunizing at a LTCF there was an employee under age (17 years old) who was vaccinated and the FDA approval is for 18 years old or older. No adverse effects have been reported from the patient o representative.

Other Meds: none

Current Illness: none

ID: 1020511
Sex: M
Age: 74
State: CA

Vax Date: 01/28/2021
Onset Date: 01/29/2021
Rec V Date: 02/10/2021
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: cipro

Symptom List: Anxiety, Dyspnoea

Symptoms: Moderately severe headache, muscle aches persisting for 5-7 days. Dizziness/Vertigo moderately severe continuing for 7-9 days. reasonably diminished at 14 days.

Other Meds: Methotrexate, folic acid, tadalafil, hcg, LCitruline, motrin,

Current Illness: none

ID: 1020512
Sex: F
Age: 32
State: IL

Vax Date: 02/01/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
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: Latex

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

Symptoms: 36 hours following shot: extreme soreness around the injection site, which then went away. 6 days after injection, the lymph nodes under my armpit in the arm I had the injection were swollen and hurt. 7 days after injection, the injection arm had extreme soreness (and continued lymph node pain). 8 days after injection, I had a 4 x 4 inch raised red rash around the injection site (hot to the touch, sore, and itchy). 9 days after injection, rash and soreness are starting to lessen.

Other Meds: Junel FE birth control

Current Illness:

ID: 1020513
Sex: F
Age: 25
State: NV

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: benadryl and IV fluids (N/S) 1000ml

Other Meds: birth control pills

Current Illness: none

ID: 1020514
Sex: F
Age: 72
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: antibiotics

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

Symptoms: I had a large grapefruit size red spot come up that was painful and was hard under the skin.

Other Meds: no

Current Illness: no

ID: 1020515
Sex: F
Age: 88
State: IN

Vax Date: 01/13/2021
Onset Date: 01/14/2021
Rec V Date: 02/10/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Unknown

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

Symptoms: Daughter of client reported that her mother had 2 "seizures" with loss of consciousness 24 hours post vaccination. No history of seizures. Patient reportedly had COVID with significant "brain fog" 1 month prior to 1st dose of vaccine.

Other Meds: Unknown

Current Illness: COVID 19 1 month prior

ID: 1020517
Sex: F
Age: 60
State: PA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
Hospital: Y

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

Lab Data:

Allergies: Sulfonamide antibiotics

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Five days following the first dose of the Moderna COVID-19 vaccine, the patient developed diffuse body pain, beginning in the right shoulder (for which she received a steroid injection), but then spreading to the entire body. This pain became so severe that she presented to the hospital via EMS, and was found to have a platelet count of 41 (9 days following the vaccine). No baseline platelet count is available prior to the vaccine (most recent was from 2019). Immune-mediated thrombocytopenia is being considered, and the patient has been placed on IVIG and steroids. It is now 4 days into the patient's admission, and platelets continue to fall (currently 26). Hemoglobin appears normal at the time and there is no sign of active bleeding. Of note, the patient also has positive blood cultures, so thrombocytopenia as a result of sepsis is also a possibility.

Other Meds: Gabapentin, glimepiride, insulin, liraglutide, lisinopril, metformin, tramadol

Current Illness: Right shoulder pain (attributed to "sleeping on it wrong"), which progressed into diffuse body pain for which the patient was admitted before discovering the adverse event being reported

ID: 1020518
Sex: F
Age: 87
State: CT

Vax Date: 02/03/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Tramadol

Symptom List: Pharyngeal swelling

Symptoms: Circular itchy rash, 6ish days after injection. No other symptoms. Reporting because online said report it.

Other Meds: One A Day Silver Multivitamin for Women Levothyroxin Pravastatin Atenol/chlor

Current Illness: None known

ID: 1020519
Sex: U
Age: 73
State: NY

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Clinic patient so information is not available with us. Please contact the nursing home to get the patient's medication list.

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Received a 3rd COVID shot, will state None of the Above for Item 21 because we were unable to get a hold of the nursing staff to see how patient is doing.

Other Meds: Clinic patient so information is not available with us. Please contact the nursing home to get the patient's medication list.

Current Illness: Clinic patient so information is not available with us. Please contact the nursing home to get the patient's medication list.

ID: 1020520
Sex: F
Age: 79
State: OH

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
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: tetracycline (causes mouth ulcers)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Client reports developing shingles after vaccination on right side of face and has right eye involvement. Client reports started with runny nose and watery eyes on 2-1-2021. Was recommended to get COVID-19 testing which was completed on 2-2-2021 and results returned negative. Client was given prescriptions for amoxicillin and prednisone dose pack on 2-2-2021 by COVID testing site practitioner. Client then developed nausea, vomiting and diarrhea after starting amoxicillin and stopped taking it. She spoke with her MD who placed her on another ATB, which she has not taken. On 2-4-2021, she went to the ER as recommended by her PCP for dehydration. The ER noted eye swelling and that she had increased eye pressure after running some tests. She saw her eye doctor on 2-5-2021 and is scheduled for an MRI and MRA on 2-11-2021 and will follow-up with eye doctor on 2-12-2021 as well.

Other Meds: simvastatin 20mg daily, Lexapro 20mg daily, Dizide and Lasix, Lomotil, vitamins B, E, B12 and B6, Tylenol and ibuprofen as needed.

Current Illness: reports none

ID: 1020521
Sex: M
Age: 54
State: VA

Vax Date: 01/14/2021
Onset Date: 01/18/2021
Rec V Date: 02/10/2021
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: 1st incident: Uncontrollable nose bleed for 40 minutes. Went to ER. This occurred four days after the first shot. 2nd incident: After the second shot, the same thing happened three days later, uncontrollable nose bleed.

Other Meds: Sertraline, 50 mg

Current Illness: COVID 19 Symptomatic

ID: 1020522
Sex: F
Age: 36
State: WI

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: Face, mouth, neck, and throat tingling and then numb for an hour. No difficulty breathing and the numbness stopped on its own.

Other Meds: Sertraline, levothyroxine

Current Illness: None

ID: 1020523
Sex: F
Age: 28
State: IL

Vax Date: 01/11/2021
Onset Date: 01/11/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Bactrim

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

Symptoms: 1/11, 7pm: Headache, nausea 1/12, 4:30am: Body aches 1/12, 7pm: Vaginal lesions 1/13, 5am: Increase in number of vaginal lesions 1/13, 2:30pm: Seen by primary care physician, increased number of lesions, open and bloody, labs and cultures drawn, prescribed topical Lidocaine and Valacyclovir 1/13, 7pm: Lesions progressed to open ulcers 1/13, 11pm: Development of new lesion on labia majora 1/14, 5am: Increased edema and deterioration of ulcers 1/14, 7pm: Worsening edema and further deterioration of ulcers 1/15: Seen in clinic by a dermatologist, prescribed topical Clobetasol, additional blood work drawn 1/16: Started topical Clobetasol 1/22: Follow-up lab work 2/1: Ulcers started to heal 2/8: Internal ulcers nearly healed 2/10: Labia majora ulcer nearly healed

Other Meds: Cetirizine and NuvaRing

Current Illness:

ID: 1020524
Sex: F
Age: 81
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: N\A

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

Symptoms: Flu like symptoms and treated with Tylenol every 4 hours.

Other Meds: Atorvastatin, Amlodipine, Hydrochlorothiazide

Current Illness: N\A

ID: 1020525
Sex: F
Age: 69
State: TX

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: No allergies to medications, or food

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

Symptoms: I had the cheers, headache, pain, fatigue

Other Meds: atorvastatin 20mg, tramadol HCL 50mg, losartan-HCTZ 12.5mg, centrum silver, D3 50mg (2000iu) bone health, iron 27mg, aspirin 81mg, all medication 1x daily.

Current Illness: Kidney disease, high blood pressure, obesity, gout

ID: 1020526
Sex: F
Age: 56
State: TN

Vax Date: 12/22/2020
Onset Date: 01/13/2021
Rec V Date: 02/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

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

Symptoms: FEVER BODY ACHES VERY TIRED

Other Meds: Wellbutrin Trazodone

Current Illness: no

ID: 1020527
Sex: M
Age: 63
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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: Sore arm Headache Twitch in right eye

Other Meds: Atorvastatin

Current Illness: None

ID: 1020528
Sex: F
Age: 76
State: DC

Vax Date: 01/12/2021
Onset Date: 01/12/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: iodine contrast, gluten, casein

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Swelling the size of an apple which lasted for 11 days Strong joint pain left wrist and both knees still present 3 weeks after the injection Throbbing pain in all past scars from surgeries including my skull (40 years ago) abdominal sutures ( 6 years ago ) and right thigh ( 4years ago). The pain started within hours after the injection in scars which never hurt once they healed after the surgeries but now the pain is hard to bear. The strangest pain is the site of vein ablation in the right thigh where the tissue looked normal before but now it looks hollow and throbbing.

Other Meds: none

Current Illness:

ID: 1020529
Sex: F
Age: 44
State: OR

Vax Date: 02/03/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Fatigue, fever, headache, joint pain, malaise, muscle pain and pain at the injection site for approximately 48 hours after receiving vaccine.

Other Meds:

Current Illness:

ID: 1020530
Sex: F
Age: 55
State: TX

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: 56 years old complaints of nausea 10 minutes after given Moderna 2 nd dose. Given Zofran by sublingual by EMS. Felt better ater 10 minutes. Cleared by EMS and NP>

Other Meds: None

Current Illness: None

ID: 1020531
Sex: F
Age: 69
State: CA

Vax Date: 02/03/2021
Onset Date: 02/03/2021
Rec V Date: 02/10/2021
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: No known allergies

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

Symptoms: Within 1 minute of receiving vaccine there was a strong metallic taste in my mouth that lasted until the next morning. There was also a slight dizziness and moderate nausea which dissipated after a meal. Eating did not eliminate the metallic taste. Sleep was disturbed on the night of the 3rd, restless body, and slight headache. The following days I experienced a light headed feeling.

Other Meds: levothyroxine, multi vitamin, including, vitamin C, zinc, vitamin D3, quercetin

Current Illness: None

ID: 1020532
Sex: F
Age: 61
State: PA

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Bactrim,Hctz,atenolol,beta blocker,nsaids,toradol,codeine,metoprolol,morphine,pregabalin,exetimibe,escitalopram,tramadol,fludtocortison,amytriptyline,sulfamethoxazole,with trimethoprin,atenolol,duloxetine,fexofenadine,asa,ezetimine,toradol,

Symptom List: Unevaluable event

Symptoms: 104.9 temp for 1 day following 103.9 temp weakness,very lightheaded dizziness I was feeling like if I was waking from anesthesia aanesthesia very tire vertigo headaches severe body aches was not able to lift my head or move my body

Other Meds: Bcomplex, Vit d probiotic,multivitamin

Current Illness: Covid 12/26/20

ID: 1020533
Sex: F
Age: 60
State: TX

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: Allergic to many antibiotics, tetanus vaccine, eggs, shrimp, tomatoes, rice, avocado, banana

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

Symptoms: Body aches, very sore arm, feverish feeling, eye pain, mild headache, chills, restless legs, fatigue

Other Meds: Levoxyl, xanax, ziac, AREDs vitamins, cod liver oil, Advil

Current Illness:

ID: 1020534
Sex: F
Age: 47
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: The next morning couldn't move left arm without pain, had to call in to work, fever cold, chills, body hurtshurts ?

Other Meds: N/A

Current Illness: N/A

ID: 1020535
Sex: F
Age: 39
State: TN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: I have a rash on my right arm, close to my wrist (opposite arm of injection). I have not done or eaten anything out of the ordinary other than get the vaccine yesterday, but I cannot be sure it?s related. Reporting just in case.

Other Meds:

Current Illness:

ID: 1020537
Sex: F
Age: 44
State: NY

Vax Date: 01/13/2021
Onset Date: 01/23/2021
Rec V Date: 02/10/2021
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: None

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

Symptoms: Neuropathy in lips and tongue and left side of face. Lasted about less than a minute.

Other Meds: None

Current Illness: None

ID: 1020538
Sex: F
Age: 55
State: OH

Vax Date: 02/04/2021
Onset Date: 02/04/2021
Rec V Date: 02/10/2021
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: Ampicillin Bactrim

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: As occurred when I got the 1st shot, I experienced 48 hours of a 102* fever, significant headache, chills, and severe whole body pain after the 2nd shot. This began exactly 5 hours after receiving the shot. I also had significant injection sight pain for 4 days.

Other Meds: Multivitamin Claritin Meloxicam Zoloft All taken the morning of the vaccine

Current Illness: Reaction to first round of vaccine 28 days prior to this.

ID: 1020539
Sex: F
Age: 50
State:

Vax Date: 01/13/2021
Onset Date: 01/21/2021
Rec V Date: 02/10/2021
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: States 8 days after vaccine had clavicle lymph node in vaccination arm left. Her arm also started to get sore again. Things resolved itself in a few days.

Other Meds:

Current Illness:

ID: 1020540
Sex: F
Age: 77
State: IN

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/10/2021
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: By the time 24 hours passed, I felt fine. Around 1:00 the following day I began to feel generally sick. I felt tired, headachy, nauseous. I rested and felt worse and worse. I soon began chilling -- couldn't get warm. After a couple hours, I took my temp and it registered 101.1. I went to bed feeling quite unwell. When I awoke the next morning, I felt pretty good and felt fine all the next day.

Other Meds: (1) Losartan potassium-100mg; (1) Atorvastatin-20mg; (1) Sulfasalazine-500mg; (1) Metoprolol ER-200mg; (1) Zyrtec-650mg; (1) Calcium-333mg; (1) Celebrex-200mg; (1)Fish oil-1200; (1)Aspirin-325mg; (1) Lexapro-10mg

Current Illness: I had Covid 19 starting on December 25.

ID: 1020541
Sex: F
Age: 70
State: IN

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: Morphine, Wellbutrin and sertraline

Symptom List: Nausea

Symptoms: Fever, aching, nausea, loss of appetite, and fatigue. Used 2 Tylenol ES. Nothing really changed. This morning fever was 100.6 F. That has now dropped to normal w/Tylenol. Appetite is coming back.

Other Meds: Atenolol 25 mg, amlodipine 2.5mg, alendronate70 mg, Provex plus antioxidant, multi-vitamin, calcium, vitamin D3, and vitamin C

Current Illness: COVID-19 Jan 18th

ID: 1020542
Sex: M
Age: 92
State: MN

Vax Date: 01/27/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: coeine, bee venom

Symptom List: Injection site pain

Symptoms: No adverse events have occurred. Resident was admitted on 1/21, got his first mantoux on 1/22, got the Covid Vaccine on 1/27 and got his 2nd mantoux on 2/1.

Other Meds: mometasone ointment toprol aricept levoxyl cephalexin apixaban acetaminophen

Current Illness: dementia hyperlipidemia peripheral vascular disease obesity hypertension hypothyroidism malignant neoplasm of prostate bursitis, right hip tendinitis, right hip impaired fasting glucose weakness edema dermatitis cataract pain

ID: 1020543
Sex: F
Age: 22
State: IN

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/10/2021
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 induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Nauseous all day after dose, went away with time Sore arm for 2 days, took ibuprofen every few hours

Other Meds: BCP, acetaminophen, ibuprofen, garlic oil, B complex, vitamin D, folic acid

Current Illness:

ID: 1020544
Sex: F
Age: 61
State: NM

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: morphine

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

Symptoms: customer works at a physician office and the doctor called to let us know that the customer received a booster dose of the moderna and has a warm red patch at the site of injection.

Other Meds: na

Current Illness: na

ID: 1020545
Sex: F
Age: 79
State: MI

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Neomycin - rash years ago

Symptom List: Tremor

Symptoms: I had no issues with the first dose. When they gave the 2nd dose, I felt strange feeling in my arm. I felt fine after that until the night. About 8PM I got a bad headache, I was so cold all over and I could not get warm, My blood pressure was 153/93. Body aches all over. My skin be sensitive it felt like it hurt to touch my skin. I couldn't sleep last night and was up and down all night. Today I still got a headache. I have been taking Tylenol which didn't help and tried Excedrin. I feel very tired today but I was awake a lot last night. I still have the chills as well.

Other Meds: Calcium, vitamin D, cetirizine, probiotic alen, prevagen, verapamil 120 MG twice a day, levothyroxine 75 MG Monday, Wednesday Friday and 100 MG Tuesday, Thursday, Saturday and Sunday, meloxicam 50 MG, sertraline 25 MG daily, nasal wash for

Current Illness:

ID: 1020546
Sex: F
Age: 46
State: MA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Levofloxacin, sulfa, ciprofloxacin, clarithromycin, erythromycin, flouride, Bacitracin-zinc-polymycin, Penicillin.

Symptom List: Erythema, Pruritus

Symptoms: Hive approx 2 hours after vaccine. Resolved within 15 min skin discoloration a few hours after vaccine and day after Fatigue- day of and day after vaccine tingling in mouth- day after vaccine took Claritin and symptoms resolved

Other Meds: Claritin. Others unknown.

Current Illness: unknown

ID: 1020547
Sex: F
Age: 25
State: TX

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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: Benzyl Peroxide

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

Symptoms: 1st event: 5 hours to 36 hours after first dose (Symptoms: Arm Pain, Joint Pain, Muscle Aches, Fever (101.4 - highest)) 2nd event: Started 2/5/2021 and continuing until today 2/10/2021; (Symptoms: Joint Pain, Fever (101.6 - highest on 02/06/2021), Muscle Aches, Extreme Fatigue)

Other Meds: Birth Control

Current Illness: None

ID: 1020548
Sex: F
Age: 72
State: NY

Vax Date: 01/27/2020
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: NONE

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

Symptoms: SLIGHT PAIN NEXT DAY IN ARM. FOLLOWING DAY A BIT BETTER. THEREAFTER IT REMAINED ACHY. THE FOLLOWING MONDAY THE PAIN SEEMED TO BE SPREADING UP ARM TOWARDS SHOULDER. NEXT DAY SHOULDER & NECK. TOLD DOCTOR, THEY SAID IT COULD BE RELATED TO VACCINE SINCE ITS SAME ARM. MID WEEK CALLED PHARMACIST IF HE EVER HEARD OF ANYONE'S SHOULDER HURTING. HIS RESPONSE WAS NO BUT IF IT WERE DUE TO SHOT IT SHOULD DIMINISH. THIS IS THE 3RD WEEK & I HEARD ON NEWS LAST NIGHT SOME ADVERSE REACTIONS WERE PAIN IN UPPER ARM & SHOULDER. I WAS ADVISED TO FILL OUT REPORT.

Other Meds: HYDROXYCHLORQUIN LEVOTHRYOXINE VITAMIN D

Current Illness: NONE

ID: 1020549
Sex: F
Age: 46
State: HI

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 02/10/2021
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: Eggs, morphine, bee venom.

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Swelling and itching on my arm. Really tired and nauseated the next day.

Other Meds: Zoloft, Methotrexate, Claritin, Tylenol

Current Illness:

ID: 1020550
Sex: F
Age: 44
State: MI

Vax Date: 01/28/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: NKDA

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

Symptoms: fever 103.5 with chills, pounding headache, insomnia at first transitioning into extreme fatigue. bp 129/93 heart rate 115. Headache with flush face and arms and legs super heavy feeling on Sunday. Tuesday night experienced facial and head swelling, started in the middle of my forehead gradually filling up my entire head and face. Wednesday my whole face/eyes and head swollen, with tightness on my chest. My primary care provider prescribed methylprednisolone tablets USP Dosepak 4mg. I did take Benadryl and tylenol Tuesday. I also applied ice packs to my head and face. Headache still comes and goes with brain fog. Slight swelling remains on my forehead and eyes.

Other Meds: multivitamin

Current Illness: no illnesses

ID: 1020551
Sex: F
Age: 34
State: PA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/10/2021
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: Chest tightness and shortness of breath with slight wheezing, chills, fever, body aches

Other Meds: Flovent inhaler, albuterol inhaler, birth control pill

Current Illness: None

ID: 1020552
Sex: M
Age: 96
State: NY

Vax Date: 01/14/2021
Onset Date: 01/15/2021
Rec V Date: 02/10/2021
Hospital:

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

Lab Data:

Allergies: NKA

Symptom List: Pain in extremity

Symptoms: Fever-101.8 F

Other Meds:

Current Illness:

ID: 1020553
Sex: F
Age: 71
State: LA

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Penicillin, Sulfur

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

Symptoms: 2/10/21 at 12:45 received vaccination, within hour, vomiting, dizzy

Other Meds: Omeprazole, Valsartan, Metformin, Oxybutynin, Akinesia, Fish Oil, Thyroxine

Current Illness: Diarrhea 2/9/2021

ID: 1020554
Sex: M
Age: 56
State: CA

Vax Date: 01/30/2021
Onset Date: 02/01/2021
Rec V Date: 02/10/2021
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: Penicillin, Flovent, Fluticasone Propionate, Atorvastin Calcium, Benadryl, Zyrtec

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

Symptoms: January 31-Feb1 Fever to 102.7, muscle rigidity, spasm and pain, bone pain over entire body lasting 7 hours overnight, tylenol 1000mg fever broke and pain subsided. Wanted to call 911. Feb 1st muscle pain increased during the morning and by noon fever of 102.5 with extreme fatigue, tylenol 1000 mg, unable to work. Injection site intense pain radiating down to wrist. Feb1st overnight sweats and bone pain, muscle pain tylenol 1000mg, injection site pain and redness appearing similar to a sunburn near injection site, swelling of lymph nodes under right arm with pain. Headache, moderate to intense. Feb 2nd fever to 100.5 with moderation of the above symptoms. Asthma chest tightness, asthma related productive cough. Tylenol 500mg every 3-4 hours, working from home. Headache continues moderate level. Feb 3rd, no fever all symptoms continue with injection site pain, new increased asthma related wheezing. Tylenol 500 mg every 4 hours. Headache continues with fatigue. Feb 4th, no fever, symptoms moderating, asthma and allergy symptoms increasing. Fatigue increasing. Itching of injection site. Feb 5-current. No fever pain in injection site and lymph node area is moderating, still with Fatigue, Headache, Asthma and allergy symptoms staying steady with period of increased levels. Tylenol 500 mg 6-8 times a day.

Other Meds: QVAR 80 MG 2x day Albuterol Sulfate HFA 2 puff, 4-6x day Singulair 10mg qday Meloxicam 15mg qday Vitamin C, B12, Calcium, Zinc supplements qday

Current Illness: None

ID: 1020555
Sex: F
Age: 53
State: MD

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: After 5 minutes of receiving the vaccine the patient c/o having numbness from the site of injection up her neck and face. Neuro assessment WNL, Vital signs WNL. Patient left clinic after 30 minutes of observation, denied need to go to ER for further workup.

Other Meds:

Current Illness:

ID: 1020556
Sex: M
Age: 40
State: UT

Vax Date: 02/08/2021
Onset Date: 02/09/2021
Rec V Date: 02/10/2021
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: Had zero adverse effects from 1st dose, but 2nd dose I went to bend feeling fine then woke up at 01:30 a.m. burning up head to toe and extreme body aches. I had to take max dose of Tylenol and sleep on 6 six packs over my hold body just to take the edge off. I had to do this for 4 hours. After that I spent the next 24 hours with body aches and exhaustion.

Other Meds: None

Current Illness: None

ID: 1020557
Sex: M
Age: 29
State: OH

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 02/10/2021
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: Left side of tonge and mouth was numb Benadryl

Other Meds: Lisinopril, Prestore

Current Illness: None

ID: 1020558
Sex: F
Age: 51
State: OH

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/10/2021
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: Sulfa

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

Symptoms: My left arm was sore and about 24hrs after the shot , I felt very warm and tired. I took my temperature and it was 100.0. I took a Tylenol around 7pm and went to bed and I was fine around 10:30 pm

Other Meds: Lisinopril-hydrochlorothiazide ,atorvastatin, Vitamin D and losartan

Current Illness:

ID: 1020559
Sex: M
Age: 36
State: ME

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/10/2021
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: shellfish

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Dizziness, headache, abdominal pain within 10 minutes of vaccine. Similar to prior symptoms which occurred 4 hours after first vaccine.. Tylenol given. Symptoms improved within 45 minutes. but not back to normal. Patient went home.

Other Meds: sertraline

Current Illness: none

ID: 1020560
Sex: F
Age: 47
State: WI

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 02/10/2021
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: Chills, Diarrhoea, Fatigue, Feeling abnormal, Headache

Symptoms: Employee received the COVID 19 vaccine on 12/30/2020 in her left deltoid. At time of vaccination left arm was sore, but no other issues. In early January the employee noticed she could not lift the normal weights while doing overhead presses or working the left shoulder. On 1/24/2021 she noticed she could not lift a half gallon jug of milk into the refrigerator with her left arm. Employee states the shoulder is not painful when lifting, but she can't lift more than 5 lbs with her left arm because it "gets stuck" when the arm is parallel to the shoulder. Left shoulder feels weak. Left deltoid area is still tender to the touch, but not painful when moving it. Employee denied bruising, lumps, or swelling in lef

Other Meds:

Current Illness:

ID: 1020561
Sex: M
Age: 71
State: WV

Vax Date: 01/29/2021
Onset Date: 02/06/2021
Rec V Date: 02/10/2021
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: moderna COVID=19 EUA. Sore arm, small lump that itched. reddish/pink around injection site. Symptoms disappeared within 2 days

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm