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: 1027492
Sex: F
Age: 48
State: IL

Vax Date: 02/09/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: Allergic to topical and pill version of acne medicine including Ciprofloxacin, Metronidazole, and Oximetazoline

Symptom List: Dysphagia, Epiglottitis

Symptoms: ?Covid Arm? Red spot by vaccine site, very warm to touch , swollen and very itchy all of the time, very tender and can feel the pressure all day even while sleeping, feels like liquid/puss inside

Other Meds: Lisinipril Accutane Birth control pill

Current Illness:

ID: 1027493
Sex: F
Age: 63
State: OH

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Contrast dye Prednisone Cortisone Erythamyacin NSAIDs

Symptom List: Anxiety, Dyspnoea

Symptoms: Started with itchy eyes (15-20 minutes afterwards), felt swelling in nose and then within approximately 30 minutes of injection tongue felt strange and started swelling like it was getting too big for my mouth. Increased BP. Given injection of Benadryl at 4pm. and squad was called for transport to ER. Had tachachardia in ambulance BP still high. Had BP cuff on, oximeter and leads on chest. Hospital monitored me. At six was given liquid Benadryl and Pepcid as felt like symptoms getting worse. Swollen nose and roof of moth felt swollen. At one point in time male nurse said my face was red. Not sure how long that persisted. Also, sounded funny when I talked when symptoms had returned. Like I had a clothes pin on my nose and sinus clogged. After 4 hours was sent home with instructions to take Pepcid once a day for 14 days and to take Benadryl every 8 hours. About 1am I was still awake. Felt like my heart did a flUp flop for lack of better words. Few minutes later felt fluttering. 2am I?m taking Benadryl and going to sleep.

Other Meds: Amlodapine Muscle relaxer Prevacid Vit D3 Vitamin B-12 Tylenol

Current Illness: None

ID: 1027494
Sex: F
Age: 45
State: OH

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/13/2021
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: Macrobid Keflex

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

Symptoms: Nurse gave injection over acromion. Severe pain for three days so far. Constant stabbing 10/10 pain for first 48 hours. Little improvement.

Other Meds: One a day women?s multivitamin Digestive Advantage Probiotic Vitamin D3

Current Illness: None

ID: 1027495
Sex: F
Age: 28
State: WA

Vax Date: 01/30/2021
Onset Date: 01/30/2021
Rec V Date: 02/13/2021
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 sulfa-based drugs, dairy (hives), alcohol (hives)

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: With 15 minutes of first dose patient experienced dizziness, blurred vision, face swelling and extreme fatigue. These symptoms subsided and the patient slept. The following day patient woke up with a 8 pain scale neck pain, stiffness and some head pain in the back of the skull, and arm soreness. Patient focused on hydration and rest. Today (02/12/2021) neck pain and stiffness has persisted, with slight headache on the back of the head. Reduced to a 4 pain scale. Overtime patient has also consistently experienced low-appetite, and fatigue. Patient is looking to understand why these symptoms have persisted, and how it can be resolved.

Other Meds: Vitamin D supplement

Current Illness: Significant Vitamin D deficiency (prescribed supplement).

ID: 1027496
Sex: F
Age: 43
State: CA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Left arm pit really sore- swollen lymph nodes

Other Meds: Birth control, trintrellex, Lipitor, Pepcid

Current Illness:

ID: 1027497
Sex: F
Age: 63
State: NV

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Feeling unwell with elevated blood pressure

Other Meds: None but took Repatha 2 weeks prior and prescribed 50,000 mg vit d day before

Current Illness: None

ID: 1027498
Sex: M
Age: 55
State: CA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: SORE LEFT ARM ON 2ND DOSE, FATIGUE, ITCHY LEFT & RIGHT ARMS AND HANDS, ITCHING NECK AND UPPER BACK. TOOK BENADRYL AND RESOLVED

Other Meds: Xarelto (20mg), Lisinopril (20mg); Metoprolol (50mg); Isosorbide (30mg); Hydralazine (10mg); Fenofibrate (43mg); Ferrous Sulfate (325mg); Metformin (500mg); Aspirin (81mg); Furosemide (20mg); Atorvastatin (40mg)

Current Illness: Diabetes Type 2, HBP

ID: 1027499
Sex: F
Age: 56
State: IL

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Lavoquin

Symptom List: Pharyngeal swelling

Symptoms: Headache 5 1/2 hours after the shot, mostly on the left side of my head. Left arm and shoulder pain about 5 hours after the shot. Took 250mg advil. Headache and sore arm were much less.

Other Meds:

Current Illness: Prior 1 week, experienced strong fatigue, no fever. Lasted about 24 hours. Doctor's office said it could have been a different virus or 24 hour flu.

ID: 1027500
Sex: F
Age: 18
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: fever, chills

Other Meds:

Current Illness:

Date Died: 01/16/2021

ID: 1027502
Sex: M
Age: 86
State: MO

Vax Date: 01/14/2021
Onset Date: 01/16/2021
Rec V Date: 02/13/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: My dad received his first COVID vaccine on January 14, 2021. On January 16, 2021 he ate breakfast around 7:00 am and went back to his room. When the staff checked on him around 8:00 am they found my dad unresponsive. His blood pressure was over 220 and his pulse was 43. They began manual CPR until the paramedics arrived, but my dad died.

Other Meds: Symbicort, Xanax, Albuterol, Flomax, Polyethylene glycol

Current Illness: N/A

Date Died: 02/08/2021

ID: 1027503
Sex: M
Age: 77
State: MA

Vax Date: 02/02/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
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: Vaccination site erythema, Vaccination site pruritus, Vaccination site swelling

Symptoms: Patient died on 02/08/2021

Other Meds:

Current Illness:

ID: 1027504
Sex: F
Age: 42
State: OR

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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:

Symptom List: Rash, Urticaria

Symptoms: Injection site is slightly red, and has hardened under the surface. An oval of about 3 inches by 2 inches wide is red on the surface. And it is very itchy. When I first got the injection it was red and has stayed red. The itchy hardness just started today, 9 days after.

Other Meds:

Current Illness:

ID: 1027505
Sex: M
Age: 58
State: IN

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
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: Blood pressure decreased, Chest pain, Chills, Confusional state, Decreased appetite

Symptoms: Fever 100.1 and 100.3, chills, upset stomach and weak and it lasted about 2 days.

Other Meds: None

Current Illness: None

ID: 1027506
Sex: F
Age: 68
State: NC

Vax Date: 02/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Initially just a sore arm, but a week after vaccination itching began at injection site with large oval reddish ring at injection site, lasting 48 hours so far and continuing. Mild discomfort and does not appear to be a dangerous reaction.

Other Meds: melatonin, calcium, vitamin D, Preservision

Current Illness: none

ID: 1027507
Sex: F
Age: 24
State: TX

Vax Date: 02/04/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: 1 week after shot, developed large rash at injection site, maybe 4 to 5 inch diameter. Skin is red and raised, warm to touch, and mildly itchy.

Other Meds: Bupropion Adderall Junel

Current Illness:

ID: 1027508
Sex: F
Age: 43
State: TX

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
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: Possible Peanut Otherwise no

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

Symptoms: Extremely significant swelling under left eye and left cheek from dermal filler received months ago. The product most recently used was Volure. Voluma was used in the past. Swelling only occurred on one side..

Other Meds: Topomax, Junel, Hydroxyzine, Benedryl

Current Illness: N/A

ID: 1027509
Sex: F
Age: 24
State: WA

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
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: Lidocaine

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

Symptoms: Rash at the site of injection, raised & firm to the touch, warm to the touch, itchy at times from approximately 34 hours after the injection, still currently in effect approximately 72 hours after injection. Headache starting approximately 8 hours after injection, lasting for approximately 24 hours. Fatigue starting approximately 8 hours after injection, lasting for approximately 24 hours.

Other Meds: Birth control, probiotic, daily vitamin, Tylenol, antihistamine

Current Illness:

ID: 1027510
Sex: F
Age: 25
State: MN

Vax Date: 12/24/2020
Onset Date: 01/14/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Chills, body aches, fatigue, low grade fever.

Other Meds: Multivitamin .

Current Illness: No

ID: 1027511
Sex: F
Age: 68
State: WV

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Penicillin; dust mites; strong odors

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Red splotches on right arm below injection site starting with large circle, now goes down much of upper arm. Very itchy. Also, extreme irritability.

Other Meds: Lipitor; omoprezole; multivitamin; calcium; occuvite; glucosamine with tumeric; vitamin b complex

Current Illness: None

ID: 1027512
Sex: F
Age: 56
State: WI

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

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

Lab Data:

Allergies: Sulfa

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

Symptoms: 12 days post vaccine development of shingles left torso

Other Meds: No

Current Illness: None

ID: 1027513
Sex: F
Age: 22
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Pineapples

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

Symptoms: Chills, Fever, redness, pain, multiple swelling by injection site.

Other Meds: Nexplanon

Current Illness: None

ID: 1027514
Sex: F
Age: 36
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Unevaluable event

Symptoms: Fatigue, mild headache

Other Meds: Blood pressure med, IUD

Current Illness: None

ID: 1027515
Sex: F
Age: 46
State: MA

Vax Date: 02/06/2021
Onset Date: 02/01/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Daily headache since injection. Now 1 week past

Other Meds: B12 vitamin, vitamin D

Current Illness: None

ID: 1027517
Sex: M
Age: 38
State: ID

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/13/2021
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: Sulfa

Symptom List: Injection site pain, Pain

Symptoms: Severe muscle spasms, body aches, sore throat and vomiting for 3 days, low blood pressure 6 hrs later after the injection. Finally feeling better on the 4th day

Other Meds: None

Current Illness: Sinus and sore throat

ID: 1027518
Sex: F
Age: 53
State: FL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: slight fatigue and achiness dry eyes acute pain in lymph nodes on the right side of the neck around 11 pm. lasting only 10 minutes.

Other Meds: Wellbutrin Vitamin D Calcium Magnesium Zinc

Current Illness: None

ID: 1027520
Sex: M
Age: 26
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: N/a

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

Symptoms: Restlessness, and chills around 2 hours later

Other Meds: N/a

Current Illness: N/a

ID: 1027521
Sex: F
Age: 42
State:

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: 7 days after the vaccination the injection site started to itch and a slight red circle appeared with a diameter of about 2 inches. The red area was swollen and there was mild pain in addition to the itching.

Other Meds:

Current Illness:

ID: 1027522
Sex: F
Age: 39
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Peanut Butter

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: I have a strange noise after I exhale. It sounds like a cross between a cat's purr and a duck call. I do not have labored breathing. My breathing feels normal. I feel like I am getting plenty of air and my oxygen levels are normal according to my fitbit. As far as I can tell, it is just an odd noise.

Other Meds: Paroxotene Spironolactone Metformin Vitamin D Amlodopine Lamictal Zertec

Current Illness: None, just seasonal allergies

ID: 1027523
Sex: F
Age: 67
State: GA

Vax Date: 01/31/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
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, tape

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

Symptoms: irregular 5x5 cm induration at vaccination site, round with irregular edges, slightly tender

Other Meds: inderral, pravacid, omeprazole, vit D, Vit B, colace, CoQ10

Current Illness: ovarian cancer and chemo

ID: 1027524
Sex: M
Age: 43
State: SC

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Sunflower Seeds an Oil Uluric Lipitor

Symptom List: Nausea

Symptoms: Slightly Flushed Skin; Numb tip of tongue; 30 minutes after leaving; Slight fever and arm pain; 10 hours after leaving

Other Meds:

Current Illness: Common Cold

ID: 1027525
Sex: F
Age: 43
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Injection site pain

Symptoms: pain at the injection arm

Other Meds: Amlodipine a nd valsartan

Current Illness: none

ID: 1027526
Sex: F
Age: 49
State: TX

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Patient reports feeling lightheaded, flushing, and feeling nauseous. Patient is currently on cancer medication and cleared by EMS.

Other Meds:

Current Illness:

ID: 1027527
Sex: F
Age: 47
State: VA

Vax Date: 01/27/2021
Onset Date: 01/29/2021
Rec V Date: 02/13/2021
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: None

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

Symptoms: Left shoulder pain and weakness and decreased range of motion. Can?t stretch arm out behind me and have loss of strength in left arm ( can?t prop myself up on that side )

Other Meds: Lisinopril, one a day vitamin

Current Illness: None

ID: 1027528
Sex: M
Age: 71
State: PA

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: simvastatin, pravastatin, Cialis

Symptom List: Tremor

Symptoms: Chills, temperature 100.5, starting about 2:15 am and contiuing through current time, 6:30 am. Also mild weakness.

Other Meds: Rosuvastatin, finasteride, lisiopril, Calcium Vit D, Mesalamine, Acetaminophen

Current Illness: none

ID: 1027530
Sex: F
Age: 64
State: AR

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: bug bites, bee stings

Symptom List: Erythema, Pruritus

Symptoms: Flu-like sx for 2.5 days (achy, chills, sweats), rash, itching and swelling at and around injection site. Took Tylenol every 6 hours which helped. No fever.

Other Meds: Duloxetine, Sertraline, Rosuvastatin, Omeprazole, Hydrochlorothiazide,

Current Illness: none

ID: 1027531
Sex: M
Age: 48
State: AZ

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

Vax Type: UNK
Manufacturer: UNKNOWN MANUFACTURER
Vax Name: VACCINE NOT SPECIFIED (NO BRAND NAME)
Lot:
Dose Series: UNK
Vax Route: SYR
Vax Site: UN

Lab Data:

Allergies: None

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

Symptoms: Soreness of right arm, stiffness of muscles on the right side of my neck, headache on the back side of my head temperature as hi as 103.2 swollen lymph nodes in right armpit

Other Meds: None

Current Illness: None

ID: 1027532
Sex: M
Age: 46
State:

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
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: sensitivity to levaquin

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

Symptoms: Localized acute left axillary lymphadenopathy. Also expiratory wheeze, intermittent non-productive cough.

Other Meds: multivitamins, naproxen

Current Illness: Minor intermittent cough

ID: 1027533
Sex: M
Age: 71
State: IN

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: no

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Slight fever, muscle aches in area of injection, extreme fatigue Symptoms began around 2:00 a.m. night following 2nd injection of Pfizer Covid19 vaccine. Lasted approximately 18 hours with diminishing symptoms. Back to normal 48 hours after injection

Other Meds: Losartin HCTZ metroprolol

Current Illness: no

ID: 1027534
Sex: F
Age: 56
State: NY

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/13/2021
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: Penicillin

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

Symptoms: headache, body aches, chills, sweats, swollen lymph node in left neck

Other Meds: Ezetimibe - 10 mg once daily; Nexletol - 180 mg once daily

Current Illness: None

ID: 1027535
Sex: F
Age: 54
State: MO

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: Imodium AD

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

Symptoms: 1st shot-Head ache and swollen neck lymph nodes started 12 hrs after injection and ended 3 days later. Tylenol/Advil for treatment 2nd shot- fever/chills/body aches started 16 hrs after injection and lasted 36 hrs after. Tylenol/Advil for treatment. Rash on left shoulder, neck and back/chest mid trunk and above. No itch or pain. No treatment. Currently less noticeable, but still present 48 hrs later

Other Meds: Vitamin D

Current Illness: None

ID: 1027536
Sex: F
Age: 53
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Pain in extremity

Symptoms: Fever, headache, body aches, chills

Other Meds:

Current Illness:

ID: 1027537
Sex: M
Age: 40
State: NY

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Nond

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

Symptoms: Violent tremors or chills in the middle of the night for half an hour, followed by a burning electric feeling in my muscles. Not able to sleep afterwards. Woke up and muscles in body are very tight and tense.

Other Meds: Multivitamin, atorvastatin

Current Illness: None

ID: 1027538
Sex: F
Age: 50
State: AZ

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: bananas penicillin latex

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

Symptoms: i received the vaccine at 1455 ... about 3 hours after the shot there was tenderness in my arm at the injection sight ... during the night I got chills and my muscles were sore ... I got up to try and go to work at 0300 and felt faint and muscle weakness ... during the day i was just completely exhausted and had major muscle weakness where i could barely walk around at all any my skin felt like it was crawling ... i took my temp and it was 99.5 ... that night around 1800 i took nyquil and went to bed ... woke up at 0100 covered in sweat and had chills ... got up at 0300 with my alarm and have no symptoms at all except minor pain at the injection site

Other Meds: biotin Estroven complete menopause relief Centrum women 50+ vitamins zyrtec

Current Illness: none

ID: 1027539
Sex: F
Age: 37
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: Hypotonia, Lethargy, Respiratory rate decreased, Screaming, Skin warm

Symptoms: Pain, from shoulders down to hands. Shooting constantly as If I hit my elbow.

Other Meds: Blood pressure, water pill, weightloss

Current Illness: No

ID: 1027540
Sex: F
Age: 42
State: KS

Vax Date: 02/01/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
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: On Thursday I noticed that where I received my vaccine I could feel a 'hardness'. by Saturday morning I have a red patch, about 5 inches in diameter that is swollen and warm to the touch. It also itches. It doesn't hurt when I touch it and it does not affect the use of my arm. I have not seen a doctor, but will if it starts to affect the use of my arm.

Other Meds: none

Current Illness: none

ID: 1027541
Sex: M
Age: 81
State: IN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: sulfa drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: EUA sore arm, achy muscles, pain in foot, tiredness, lethargy, and nausea.

Other Meds: aspirin

Current Illness: none

ID: 1027542
Sex: F
Age: 32
State: RI

Vax Date: 01/03/2021
Onset Date: 02/11/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: I conceived a pregnancy within 2 weeks of my vaccine which ultimately resulted in a miscarriage less than 6 weeks after the injection.

Other Meds: Multivitamin

Current Illness: None

ID: 1027543
Sex: F
Age: 45
State: TX

Vax Date: 01/19/2021
Onset Date: 01/20/2021
Rec V Date: 02/13/2021
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: NKA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Flu like symptoms: 101-102 fever, chills, HA, and severe bone and joint aches. Tylenol 650mg alternated with Ibuprofen 600mg every 4-6hrs. Resolved 48 hours later.

Other Meds: Estradiol, testosterone, collagen, B multivitamin HCTZ

Current Illness: None

ID: 1027544
Sex: F
Age: 36
State: KS

Vax Date: 02/04/2021
Onset Date: 02/10/2021
Rec V Date: 02/13/2021
Hospital:

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

Lab Data:

Allergies: Sulfa drugs

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

Symptoms: Six days post-vaccine, my arm began hurting again, but more of a deep muscle pain. Over the next 2 days, there is a baseball sized knot on my arm that hurts, itches, and is hot to the touch.

Other Meds: None

Current Illness: None

ID: 1027545
Sex: M
Age: 93
State: VA

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/13/2021
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: none

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

Symptoms: seizure at 1:30 pm on 2/12/21; patient unresponsive x 20 min then somnolent x 3 hours

Other Meds: levothyroxine, atorvastatin, vit D3

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm