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: 1027654
Sex: F
Age: 37
State: NH

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

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: Headache, fatigue, joint pain, injection site pain, lymph node swelling, fever, chills, sweats, neck pain, nausea

Other Meds: Multivitamin, D3, probiotic, melatonin, Tylenol, ibuprofen, Flonase, Dramamine

Current Illness: None

ID: 1027655
Sex: F
Age: 33
State: TX

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

Lab Data:

Allergies: NONE

Symptom List: Anxiety, Dyspnoea

Symptoms: SWELLING/ITCHING @ INJECTION SITE

Other Meds: ZOLOFT ZYRTEC

Current Illness: NONE

ID: 1027656
Sex: F
Age: 55
State: TX

Vax Date: 02/06/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Developed Severe pain in left hip and thigh rain down the leg that started shortly after getting the vaccine. The pain lasted approximately 48 hours.

Other Meds:

Current Illness:

ID: 1027657
Sex: F
Age: 46
State: PA

Vax Date: 02/13/2021
Onset Date: 02/13/2021
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:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Approximately 2 minutes after inject, patient expressed "I do not feel good". Patient experienced flushness, and difficulty breathing. Patient self-administered 2 chewable children's Benadryl while RN drew up 0.3mL of epinephrine and administered in left thigh at 0757 time. EMS was notified. Vitals obtained at 0800 were BP 180/100, HR 133, o2 100%. Vitals obtained at 0803 were BP 176/96, HR 94, o2 100%. EMS on scene by 0805. Patient transported via ambulance to emergency room for observation. Patient was able to ambulate on her own with EMS at side.

Other Meds:

Current Illness:

ID: 1027658
Sex: F
Age: 48
State: PA

Vax Date: 02/05/2021
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: Allergy to sulfa drugs

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

Symptoms: Seven days post vaccine, I developed a rash on the spot where the vaccine was given on my left arm. It is red, slightly raised & the size of a quarter. It is hot to the touch and slightly sore.

Other Meds: Prozac, 20 mg/day Omeprazole, 20 mg/day Vitamin D

Current Illness: none

ID: 1027659
Sex: F
Age: 46
State:

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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:

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

Symptoms: Headache, body aches, fever, chills, chest tightness, jaw pain

Other Meds:

Current Illness:

ID: 1027660
Sex: F
Age: 55
State: OH

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

Lab Data:

Allergies: adverse reaction to codeine

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Maderna COVID-19 Vaccine EUA Red rash on face, neck, and chest

Other Meds: citalopram 10mg,

Current Illness: none

ID: 1027661
Sex: F
Age: 73
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Opiates, scallops, dust

Symptom List: Pharyngeal swelling

Symptoms: Headache, fatigue, loss of appetite, Lasted approx 6 hrs then ok

Other Meds: Levothyroxine, amlodipine, Breo-Elipta, Ibuprophen, flaxseed oil, coq10, preservision, cod liver oil, iron, zinc, D3, vit C

Current Illness: None

ID: 1027662
Sex: F
Age: 23
State: IN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: Abdominal pain, Chills, Sleep disorder

Symptoms: Fever and body aches lasted for over 24 hrs

Other Meds: Lexapro

Current Illness: None

ID: 1027663
Sex: F
Age: 26
State: CT

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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Swelling and pain in left axillary lymph node

Other Meds: None

Current Illness: None

ID: 1027664
Sex: M
Age: 82
State: IN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: None known

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

Symptoms: Aches all over and chills

Other Meds: Metformin, lepitor

Current Illness: Diabetes 2

ID: 1027665
Sex: F
Age: 66
State:

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: augmentin

Symptom List: Rash, Urticaria

Symptoms: aches, tiredness,

Other Meds: eliquis, lisinopril, ditalizem, lipator, metformin, vitamin d, vitamin b, calcium, multivitamin

Current Illness: none

ID: 1027666
Sex: F
Age: 47
State: TX

Vax Date: 01/19/2021
Onset Date: 01/26/2021
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: eggs, garlic

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

Symptoms: Large itchy red rash around injection site on left arm starting around 8 days out. Injection site also bruised. Took a tylenol and benadryl. Rash lasted for a couple of days. Putting hydrocortisone cream seemed to aggravate it, but the benadryl helped with the itching.

Other Meds: low dose oral contraceptive, Multi, B12, Biotin, liquid turmeric, pro-biotic

Current Illness: none

ID: 1027667
Sex: F
Age: 65
State: MI

Vax Date: 02/02/2021
Onset Date: 02/09/2021
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: Penicillin

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

Symptoms: Small red, raised bumps (hives) in a 4" area just below injection site. Very itchy, slightly sore to touch. This started seven days after the injection.

Other Meds: Fluoxetine HCL, aspirin, cholecalcif, simvastatin, albuterol inhaler

Current Illness: None

ID: 1027668
Sex: F
Age: 86
State: IN

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

Lab Data:

Allergies: Codeine

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

Symptoms: Whole body itching, feeling excessively cold all day

Other Meds: Blood pressure, cholesterol, raloxifene

Current Illness: None

ID: 1027669
Sex: F
Age: 66
State: FL

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

Lab Data:

Allergies: cosmetics and sunscreen

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

Symptoms: I received the dose 9 days ago. Arm was sore, but no fever no fatigue. Perhaps headaches. Today, arm is itchy, still aches, is warm (not hot), swollen, red and hard.

Other Meds: Zinc, daily vitamin, Vit D3, Vit C

Current Illness: none

ID: 1027670
Sex: F
Age: 48
State: VA

Vax Date: 02/02/2021
Onset Date: 02/07/2021
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: Food-corn, eggs, and soy

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

Symptoms: Large red circle rash near injection site. Itchy and tender to the touch. Still present as of Feb 13th, 2021. Rash is moving away from injection site towards inner bicep. Rash is changing size by getting larger and redness disappearing from center of circle.

Other Meds: None

Current Illness: None

ID: 1027671
Sex: M
Age: 33
State:

Vax Date: 02/11/2021
Onset Date: 02/12/2021
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:

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Onset of facial swelling and hives, including around lips, but no throat or tongue involvement, about 30 hours after vaccination. Worsened and spread to neck within 80 minutes of onset. Mild chest tightness. No shortness of breath.

Other Meds:

Current Illness:

ID: 1027672
Sex: F
Age: 71
State: OH

Vax Date: 02/05/2021
Onset Date: 02/12/2021
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: amoxicillin, bactrin, doxycycline, erythromycin, keflex, minocin, pcn, penvk, sulfa, tetracycline, cat scan dye, MRI contrast dye

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Swelling and redness right upper arm between elbow and injection site. Slightly warm to touch, but no fever (98.8) Arm sore, but minimal pain. Began Friday evening February 12, 2021 and still ongoing Saturday morning. Have used acetaminophen, benedryl, ice and heat compresses. I have reported to hospital and physician.

Other Meds: Lisinopril 10 mg, Famotidine 80 mg, Diphenoxylate/Atropine 2.5 mg Multi vitamins and 415mg fish oil

Current Illness: -0-

ID: 1027673
Sex: F
Age: 52
State: PA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
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: N/a

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

Symptoms: Fever, chills, nausea, headache, bodyaches, rash on chest, itchiness Fever headache and bodyaches started 12 hours after vaccine and rash started over a day after the vaccine.

Other Meds: Lisinopril Trazodone Vitamin D Vitamin C Zinc

Current Illness: N/a

ID: 1027674
Sex: F
Age: 40
State: WI

Vax Date: 02/10/2021
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:

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

Symptoms: Swollen eye lid

Other Meds: Omeprazole

Current Illness:

ID: 1027675
Sex: F
Age: 76
State: NY

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: Sulphate Penicillin

Symptom List: Unevaluable event

Symptoms: Red rash on arm where injections was given about 4 inches long. It itches and a bit sore. Received Moderna type

Other Meds: Metformin 5000 mg 2 times a day Lisinopril 10mg daily Atorvastatin 40 mg daily Calcium with Vitamin D Multi vitamin

Current Illness: None

ID: 1027676
Sex: F
Age: 75
State: MI

Vax Date: 02/03/2021
Onset Date: 02/08/2021
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: red , warm skin at shot location on arm. No soreness or fever

Other Meds: Levothyroxine 112mg, hydrochlorothiazide 12.5mg, Simvastain 40mg, Metoprolol 25mg, AMlodipine 10mg, Losartan 100mg

Current Illness: none

ID: 1027677
Sex: F
Age: 66
State: PA

Vax Date: 02/07/2021
Onset Date: 02/08/2021
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: NONE

Symptom List: Injection site pain, Pain

Symptoms: Sharp pain - patient described as muscle pain - going from elbow up to her neck. Pain started day following the vaccination and is still 5 days past the vaccination day.

Other Meds:

Current Illness: NO

ID: 1027678
Sex: F
Age: 52
State: NY

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:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Upper arm pain, above average, deltoid muscle region. Induration around injection site and pain.

Other Meds:

Current Illness:

ID: 1027679
Sex: F
Age: 38
State: MO

Vax Date: 02/11/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: Nka

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

Symptoms: Itchiness around injection site happened about 3 hours after injection. A couple hours afterwards, 5 hours after injection, the injection site was tender and hard to the touch. A 1 inch hard spot was observed by 7pm on daybed injection. The spot increased in size by 50% the next day and was noticeable under clothes. The area was red, hard, and tender. As of 2/13, the area is red, itchy, hard, and tender. The size has decreased by about 25%.

Other Meds: Irbesartan, zrytec, Klonopin, Celexa, Triamterene HCTZ 37.5 25 mg

Current Illness: None

ID: 1027680
Sex: M
Age: 46
State: IN

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

Lab Data:

Allergies: None

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Severe flu like symptoms. Fever of 102, aching body, chills, severe exhaustion.

Other Meds: None

Current Illness: None

ID: 1027681
Sex: F
Age: 75
State: NC

Vax Date: 01/25/2021
Onset Date: 01/31/2021
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: Ampicillin Levaquin

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: "covid arm" large red itchy skin at vaccine site

Other Meds: lisinopril/HCTZ lovastatin esomeprazole mag. vit. D Caltrate+D probiotic pantoprazole naproxen multivitamin fibercon low dose asa. melatonin zzquil

Current Illness:

ID: 1027682
Sex: F
Age: 72
State: IN

Vax Date: 02/13/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

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

Symptoms: Woke up with chills and all over muscle pain. Went back to sleep, In the am had nausea, headache and 99.5 fever. Took tylenol; side effects went away later that day on 02/11/2021.

Other Meds: BREO inhaler, 81 mg aspirin

Current Illness: N/A

ID: 1027683
Sex: F
Age: 53
State: KY

Vax Date: 01/26/2021
Onset Date: 02/01/2021
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: Tetracycline Levaquin

Symptom List: Nausea

Symptoms: Red rash around injection site for 6 days (2/1-2/6/21). It was hot to the touch and had some burning and itching. toward the last couple of days of the rash.

Other Meds: Calcium Multi-Vitamin Vitamin C Estradiol Super Collagen Biotin Gabapentin

Current Illness:

ID: 1027684
Sex: F
Age: 73
State: MI

Vax Date: 01/29/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Bandage

Symptom List: Injection site pain

Symptoms: Large itch, erythema area on left upper arm at injection site with swelling

Other Meds: Asa, vitD

Current Illness: Nka

ID: 1027685
Sex: F
Age: 50
State: AZ

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

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

Lab Data:

Allergies: No

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

Symptoms: Vomiting, rigors, headache, left axillary lymphadenopathy and breast tenderness

Other Meds: No

Current Illness: No

ID: 1027686
Sex: M
Age: 89
State: IN

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

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

Symptoms: Weakness in legs. This occurred during the 1st and 2nd dose to the point of unable to stand. Symptoms disappeared within 24 hours. Please be advised that patient had previously tested positive for Covid.

Other Meds:

Current Illness:

ID: 1027687
Sex: F
Age: 82
State: PA

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:

Symptom List: Tremor

Symptoms: Shaking chills, much sneezing, runny nose. Much like common cold. Sore arm, malaise. No fever or cough.

Other Meds: Metformin

Current Illness:

ID: 1027688
Sex: F
Age: 34
State: MN

Vax Date: 02/02/2021
Onset Date: 02/04/2021
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: Bee venom (hives), intolerances to shrimp and other shell fishes (gi upset, nausea, vomiting, and tingling of tongue/mouth/lips)

Symptom List: Erythema, Pruritus

Symptoms: After my second shot of the COVID19 Pfizer vaccine, I did get the fevers, chills, body ache, stiff neck/back soreness/pain, major headache, fatigue, and nausea/lightheadedness when standing. These started 15 hours after the vaccine was received. Along with soreness of the right arm injection site. Some of these symptoms where for 24 hours. So fevers, chills, and nausea/lightheadedness resolved first. I continued to have the sore right arm, body ache, stiff neck/back soreness/pain, and major headache for a few days after. Two days after the vaccine, I also noticed that my right armpit was sore and tender to touch. No lump or redness noted. It took a few days but that pain when away. Along with the right armpit soreness, I noticed I had some numbness and tingling of my left arm and hands. It was intermittently to my left leg and foot. Felt like pins and needles. Yesterday, I notices it also intermittently to my right leg and foot. I have never had this prior to the vaccine. It still remains, but feels like it may be more dull feeling today than yesterday. I took Extra Strength Tylenol and Extra strength Excedrin headache for most of the pain. I added ibuprofen 4 days in to see if will help me feel better faster.

Other Meds: Tylenol extra strength and Excedrin extra strength headache

Current Illness: None

ID: 1027689
Sex: F
Age: 50
State: TX

Vax Date: 01/27/2021
Onset Date: 01/27/2021
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: Penicillin

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

Symptoms: Approximately three hours after administration of the first dose in the COVID-19 vaccination series, I experienced difficulty breathing during exertion. This was relieved at rest. Walking 20 feet, for instance, returned the symptom of difficulty breathing. This subsided by the next morning and did not affect my ability to sleep.

Other Meds: Multi-vitamin

Current Illness: None

ID: 1027690
Sex: M
Age: 67
State: IN

Vax Date: 02/11/2021
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: NKA

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

Symptoms: Extreme fatigue approximately 48 hrs Pain at injection site , mild, ongoing at 48 hrs Headache 4 hours after onset resolving the next day Mild, diffuse muscle aches and joint pain ongoing at 48 hrs

Other Meds: 81mg aspirin Carvedilol 12.5mg x 2 Trazadone 100mg Atorvistatin 40mg NiacinER 500mg

Current Illness: N/A

ID: 1027691
Sex: F
Age: 73
State: MO

Vax Date: 02/03/2021
Onset Date: 02/04/2021
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: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: moderna covid 19 vaccine red rash on arm vaccined. itches

Other Meds: motropozol

Current Illness: n copd

ID: 1027692
Sex: M
Age: 37
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: 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: 12 hours following vaccination experienced headache, body aches, fever, injection site pain, lethargy

Other Meds: Losartan 100mg Sertraline 100mg BID Clonazepam 1mg BID

Current Illness:

ID: 1027693
Sex: F
Age: 66
State: TX

Vax Date: 02/09/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

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

Symptoms: Mild anaphylactic reaction. Tight chest, trouble breathing, rash, itching palms

Other Meds: Breo Ellipta, montelukast sodium, olmesartan, Pepcid AC

Current Illness:

ID: 1027694
Sex: F
Age: 58
State: MA

Vax Date: 12/31/2020
Onset Date: 01/02/2021
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: Pain in extremity

Symptoms: Fevers- 102 max, Full body rash, severe occipital headache, vomiting, bronchospastic cough, decreased oxygen saturations, mild pulmonary edema, myalgias, arthralgias, severe fatigue and weakness. Severe symptoms lasting 10 days, moderate symptoms additional 1week and mild residual symptoms 1 week. Totally recovery from symptoms ~ 21 days

Other Meds: Metoprolol, carbamezapine, citralopram,

Current Illness: None

ID: 1027695
Sex: F
Age: 49
State: ID

Vax Date: 01/15/2021
Onset Date: 01/17/2021
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: penicillin

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

Symptoms: Patient developed hives over her body. Took Benadryl for about 3 days and recovered. No respiratory issues.

Other Meds: none

Current Illness: none

ID: 1027696
Sex: F
Age: 59
State: IL

Vax Date: 01/01/2021
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: None

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

Symptoms: Tachycardia. After about 5 minutes I felt my heart racing, it was about 125 beats per minute. It resolved within about 15 minutes on its own and I didn't mention it to anybody in the room other than couple of the people sitting around me. I just did some deep breathing and it went away.

Other Meds: None

Current Illness: None

ID: 1027697
Sex: F
Age: 36
State: TX

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: None

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

Symptoms: No initial adverse effects. Soreness on day 2. Headache on day 2. 101 fever day 3 with chills, nausea, fatigue and sever cough.

Other Meds: Allegra D

Current Illness: Headache

ID: 1027698
Sex: M
Age: 60
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa drugs (rash)

Symptom List: Vomiting

Symptoms: Headache, fever, body aches, nausea, fatigue, lethargy, injection site pain over first 12-18 hours. Fluids only for treatment

Other Meds: Atenolol 100 mg BID Atorvastatin 20 mg QD Prilosec 10 mg QD

Current Illness: None

ID: 1027699
Sex: F
Age: 29
State: IL

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

Lab Data:

Allergies: None

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red circle itchy swollen

Other Meds: None

Current Illness: None

ID: 1027700
Sex: F
Age: 28
State: IN

Vax Date: 02/11/2021
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: fatigue, muscle and joint aches, fever, chills

Other Meds: Bupropion XL, vitamin B Complex, vitamin D, calcium

Current Illness: None

ID: 1027701
Sex: M
Age: 70
State: NJ

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: I have frequent sneezing due to itching in my right sinus. It quiets down if I'm still and increases greatly if I move around. Otherwise I feel fine.

Other Meds:

Current Illness: None

ID: 1027702
Sex: M
Age: 78
State: IN

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

Lab Data:

Allergies: None

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

Symptoms: Chills and fever of 100.6 at 2:00 AM on 2-13-21. Took Ibuprofen 400 mg. Fever gone by morning.

Other Meds: Multivitamin, Fish oil 1300 mg, Magnesium 250 mg, Vitamin D3 5000IU

Current Illness: None

ID: 1027703
Sex: M
Age: 67
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Sore joints knees and ankles Shakes Chills Headache Fever 101.7 Tired Sore throat Sore arm from injection site

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm