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: 1028682
Sex: F
Age: 23
State: ID

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/13/2021
Hospital: Y

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Latex Phenegren

Symptom List: Dysphagia, Epiglottitis

Symptoms: Nausea and fever beginning around 3:00 AM the morning following the shot. Dehydration the next day, culminating to an Addisonian Crisis. I had to go to the hospital, where I received fluids and other treatments from Saturday to Wednesday. I developed more nausea and diarrhea in the hospital the last two days I was there, which were attributed to a stomach bug that had been going around in my home.

Other Meds: Hydrocortisone - 10 mg Fludrocortisone - 0.1 mg Keppra - 1500 mg twice daily

Current Illness: Stomach Bug

ID: 1028683
Sex: F
Age: 33
State:

Vax Date: 02/05/2021
Onset Date: 02/13/2021
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:

Symptom List: Anxiety, Dyspnoea

Symptoms: I have "covid arm"--a rash on the arm where I received the shot. I noticed it about a week after receiving the injection.

Other Meds: Sertraline, Loratadine, Prenatal vitamins

Current Illness:

ID: 1028684
Sex: F
Age: 62
State: PA

Vax Date: 02/09/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Ampicillin, amoxicillin, erythromycin, macrodantin, cleocin, zantac

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

Symptoms: Large, indurated , tender, erythematous , pruritic area at site 3x5 inches!

Other Meds: Vitamins D, B complex, Magnesium, biotin

Current Illness: None

ID: 1028685
Sex: M
Age: 65
State: CA

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Redness around injection area, about 3 inches circumference

Other Meds: Aspirin 81 mg once daily Allopurinol 300 mg once daily Atorvastatin 20 mg once daily Carvedilol 3.125 mg twice daily Mometasone Furoate Nasal Spray 50 mcg once daily CBD salve

Current Illness: None

ID: 1028686
Sex: F
Age: 38
State: CA

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: Penicillin and sulfa drugs

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

Symptoms: Lethargy, diarrhea, nausea, all over body aches, intense throbbing headache, temperature ranging from 101-104 lasting 24 hours, dull chest pain.

Other Meds: Zoloft

Current Illness:

ID: 1028687
Sex: F
Age: 39
State: WI

Vax Date: 01/20/2021
Onset Date: 01/22/2021
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: grass, trees, cats, dogs, cockroaches, mice, dust mites, lactose intolerant, gluten intolerant, sulfa meds, cycline meds

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

Symptoms: My Chemical numbers have been off the charts since receiving the vaccine. I have never had a liver problem or high numbers. Since then, I get nauseous easily and feel as though I am going to pass out. This week I have felt weak in the body.. I had an EKG, Eco cardiogram and ultrasound of the liver and those were fine. We are still trying to figure out why my liver, BUN/ Cratinine, AST, ALT and Alkaline Phosphatase numbers are as horrible as they are. The only thing that changes was the injection.

Other Meds: Wellbutrin XL 300 mg Dextramphetamine 20 MG QAM zyrtec 10 MG Xyangular multivitamin fish oil lovothyroxine 75mcg qam

Current Illness:

ID: 1028688
Sex: F
Age: 56
State: SD

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

Lab Data:

Allergies: NA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Swollen Red itchy spot at injection site,, seven days after getting the shot. Took Benadryl

Other Meds:

Current Illness: NA

ID: 1028689
Sex: M
Age: 21
State: NJ

Vax Date: 02/12/2021
Onset Date: 03/13/2021
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: Augmentin

Symptom List: Pharyngeal swelling

Symptoms: 101 fever, chills, aches, foggy thinking

Other Meds: Aswangda vitamins

Current Illness:

ID: 1028690
Sex: F
Age: 74
State: FL

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: LA

Lab Data:

Allergies: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Sore, Itching and large red warm ball around shot access. for one day so far. Treating with cold compress. Benadryl and Acetaminophen .

Other Meds: Metoprolol ER, Sulfasalazine EC, Warfarin, Atorvastatin, calcium + vitamin D3.

Current Illness: None

ID: 1028691
Sex: F
Age: 72
State: CA

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

Lab Data:

Allergies: Allergy to penicillin from 50 years ago

Symptom List: Diarrhoea, Nasal congestion

Symptoms: One week after vaccine hives on arm around injection site.

Other Meds: statin, wellbutin, effexor, baby aspirin, glucosamine.

Current Illness: None

ID: 1028692
Sex: F
Age: 46
State: IL

Vax Date: 02/09/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: Left arm were sore and heavy feeling 5 hrs after the shot. Had chills, fever, night sweats and splitting like headache, some abdominal cramping, back pain and some shooting pain to joints around 2:00 am post shot. I was unable to get up due to lightheadedness, headaches, whole body aches and left arm soreness. I could not move from side to side. 2 Ibufropen 250 mg taken that morning upon waking up with food and with 101.6 temp. Some off and on chest pressure, does not last long. On the second day, body sore still present, more on the left arm, lightheaded, headches, some cramping. 2 Ibufropen taken again.

Other Meds: None at the time but had taken the night prior vitamin D3, zinc

Current Illness:

ID: 1028693
Sex: F
Age: 70
State: CA

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: Sulfa

Symptom List: Rash, Urticaria

Symptoms: Itchiness, soreness,red skin around site of injection appeared one week later

Other Meds: Warfarin, combigan, fish oil, calcium/D

Current Illness: None

ID: 1028694
Sex: F
Age: 35
State: WI

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: LA

Lab Data:

Allergies: Strawberries

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

Symptoms: Red raised rash around injection site

Other Meds: None

Current Illness: None

ID: 1028695
Sex: F
Age: 25
State: NC

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: 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: Day 1 (starting about 12 hours after vaccine): chills, fever, body aches Day 2: body aches, fatigue - both all day Day 3: headache all day, vomiting (x2) within 1 hour of waking

Other Meds: Yaz birth control

Current Illness: none

ID: 1028696
Sex: F
Age: 49
State: KY

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

Lab Data:

Allergies: No

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

Symptoms: Abdominal Pain under middle to left rib cage

Other Meds: Plaquenil, Fish Oil, Turmeric, Ginger, Multivitamin, Zyrtec, Flonase, Astepro,

Current Illness: UCTD (Undifferentiated Connective Tissue Disease)

ID: 1028697
Sex: F
Age: 51
State: CA

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

Lab Data:

Allergies: Contrast dye used for cat scans, allergy to cats

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

Symptoms: Rash surrounding where the vaccine was given

Other Meds: Rash on arm surrounding vaccination area

Current Illness: None

ID: 1028698
Sex: F
Age: 56
State: IL

Vax Date: 02/04/2021
Onset Date: 02/12/2021
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: walnuts (mild)

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

Symptoms: 8-days post vaccine, I developed a raised, red mark at injection site. The visibly red area was originally the size of a mosquito bite but the tricep area overall was swollen and hard. Within 8 hours the redness expanded to an irregular shape, about 4 inches x 2 inches. Mine did not itch, but was raised and blotchy and tender to the touch. After reading about "Covid Arm" on some medical sites, I took a Zyrtec antihistamine . The symptoms resolved within 2 hours.

Other Meds: Probiotics: Lactobacillus

Current Illness: none

ID: 1028699
Sex: F
Age: 32
State: WI

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Back pain in right side rib area. Felt like a rib was out of place. Hurt to take deep breaths. Had a sharp pain in one particular area and then an entire backache. Started the night (Thursday) I got the vaccine and was completely gone by Saturday morning, like nothing had happened. I also experienced inability to get good sleep, fatigue, nausea, headache and head fog. But, the back pain was the most significant.

Other Meds: None

Current Illness: None

ID: 1028700
Sex: F
Age: 23
State: MA

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Really sore arm at the time of injection. About 3 days later it still was sore and there was a large bump. Now a week out I still have a itchy bump at the site of injection

Other Meds: 600 mg advil 30 mg flouxitine

Current Illness:

ID: 1028701
Sex: F
Age: 55
State: PA

Vax Date: 02/05/2021
Onset Date: 02/13/2021
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: penicillins, sulfa antibiotics, ciprofloxacin, Salicylates, Iodinated Diagnostic Agents, mold allergy

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

Symptoms: Day of vaccine I experienced swelling and pain at the injection site, entire arm hurt. This resolved within a few days. On 2/13/2021 I woke up and noticed my arm was itchy at the injection site. The injection site is swollen with a 2 inch red area that is hard to the touch and warm as of 11:00 pm. Entire arm hurts, I also have pain into my armpit. Have fatigue and generally feel unwell. Will seek medical attention if not resolved within 24 hours.

Other Meds: none

Current Illness: none

ID: 1028702
Sex: F
Age: 23
State: NC

Vax Date: 01/01/2021
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: Penicillin, and the entire Cillin family of medicines.

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

Symptoms: I have had the same symptoms with both doses of the Moderna Vaccine. The weeks following after my first shot, my symptoms didn?t show up as strong until about 1-2 weeks post the vaccination. I called out if work at 2:45 in the morning for that day and slept all day/night. My 2nd shot was yesterday 2/12/21 @ 11:30 AM && around 5pm yesterday afternoon I started feeling symptoms and they have just gotten worse through the night and day. Which in turn caused me to have to miss a State Final Exam I?ve had scheduled for months now and have had to reschedule due to Covid multiple times.

Other Meds: Nexplonon Birth Control

Current Illness: None

ID: 1028703
Sex: F
Age: 61
State: TX

Vax Date: 02/06/2021
Onset Date: 02/06/2021
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: Alendronic Acid

Symptom List: Unevaluable event

Symptoms: Patient reports feeling unwell after injection. She felt like "throat was swollen." Also reports having nausea/vomiting, fatigue and headache that persisted until 2/9/2021 (approximately 2-3 days after injection). She did not eat Saturday and Sunday (day of the injection and day after injection). She was finally feeling able to eat on 2/9/2021. She also reported sensation of heart going "fast" up to 93 on Sunday (2/7/2021). She denies any fevers or diarrhea. She also developed soreness in left arm at area of injection site, but did not have any redness at injection site.

Other Meds: vitamin D, evista

Current Illness: none

ID: 1028704
Sex: M
Age: 70
State: TX

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: N/A

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

Symptoms: Dizziness came over me while sitting at table working at computer about an hour and a half after experiencing moderate chills. Then apparently I blacked out for approximately 5 minutes and my wife noticed and tried to rouse me. When I came to, I was still dizzy and went to lie down. Symptoms abated within a half hour or so. After about 2 hours, following phone calls to primary care Dr., we went to hospital ER for examination. Following intake we were seen by ER Dr. after approx. 7 hours.

Other Meds: Carbidopa/Levadinopa 25mg/100mg Amantadine, 100 mg Vitamin C,B-12, D-3, B complex, multivitamin, Magnesium, CO-Q10, Lutein Fish Oil, Beta Carotene, Glucosamine/Chondroitin, Folate, Turmeric

Current Illness:

ID: 1028705
Sex: F
Age: 71
State: OH

Vax Date: 02/06/2021
Onset Date: 02/13/2021
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: Meloxicam Nembutal Vicodin

Symptom List: Injection site pain, Pain

Symptoms: Itching, warm to touch, and redness at injection site. I have not contacted my family Dr. will call on Monday

Other Meds: Omeprazole 20 mg daily Vitamin D3 4000 units B12 1000mcg daily Aspirin 81 mg daily

Current Illness: Acid reflux Osteoarthritis

ID: 1028706
Sex: M
Age: 38
State: MO

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: Some antibiotics

Symptom List: Injection site pain, Menorrhagia

Symptoms: Fever (101 degrees) Intense joint pain Muscle pain Increased heart rate Nausea

Other Meds: Crestor Zetia Aleve

Current Illness: N/a

ID: 1028707
Sex: F
Age: 50
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: 025J20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Fever, body aches, exhaustioon

Other Meds:

Current Illness:

ID: 1028708
Sex: F
Age: 43
State: RI

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

Lab Data:

Allergies: Lactose intolerance

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: About 4 hours after vaccine I felt exhausted and a little light headed. I went to bed early and the next day I woke up with extreme body aches and a fever. That last until Thursday. I then started feeling better still exhausted but then that late afternoon 3pm, I got stomach cramps and began vomiting. That lasted on and off thru Friday. Then I just felt nauseous. Still today which is 4 days later still nauseous and vomiting on and off.

Other Meds: Aleve

Current Illness: None

ID: 1028709
Sex: F
Age: 68
State: CA

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

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: 1st shot, no reaction other than sore arm. Then 2 weeks to the day of injection, my injection site developed a hot red rash, it lasted 5 days. After second shot I was VERY sick the next day with sore arm, headache, nausea, weakness symptoms and a 100.4 temp. Slept all day, ate nothing till 6 pm, then started to feel better. Seemed Ok the next day (Thursday) except a little weakness and sore neck. On Friday still a sore neck. On Saturday still a sore neck and a bit of headache then I noticed a lump in lower neck area around the clavicle which is very sore. That is where I am today 021321.

Other Meds: Lisinopril, Previcid, Htcz, simvistaten,

Current Illness: none

ID: 1028710
Sex: F
Age: 44
State: AZ

Vax Date: 02/05/2021
Onset Date: 02/07/2021
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: Headache, Heart rate increased, Injection site erythema, Injection site pain, Injection site swelling

Symptoms: Developed a hive like rash, redness of skin with bumpy texture around both armpits. Affected area feel warm to touch, itchy and painful at times.

Other Meds: None

Current Illness: None

ID: 1028711
Sex: F
Age: 32
State: CA

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

Lab Data:

Allergies:

Symptom List: Nausea

Symptoms: Slight nausea Stomach ache Intermittent fatigue

Other Meds:

Current Illness:

ID: 1028712
Sex: F
Age: 40
State: MA

Vax Date: 02/05/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Ibuprofen, dust, seasonal change

Symptom List: Injection site pain

Symptoms: The adverse event, not including some slight pain and fatigue right after, is mild in nature. However, I felt it was appropriate to report anyhow. From the research I have read, I believe it's called "Covid Arm." I have had no symptoms since two days after and now, suddenly this morning, my arm was tender to the touch again and there was some redness around the injection site.

Other Meds: Tamoxifen, Venlafaxine, Solifenacin, Aspirin, Multivitamin, Biotin, Vitamin D, Calcium + D, Vitamin C

Current Illness: None

ID: 1028713
Sex: F
Age: 39
State: SD

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: LA

Lab Data:

Allergies: N/A

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

Symptoms: large round red mark around injection sight. Swollen lymph nodes of armpit on left arm

Other Meds: zyrtec, multivitamin,

Current Illness: none

ID: 1028715
Sex: F
Age: 52
State: CA

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Amoxicillin, Bee Venom

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

Symptoms: Fever 102 fatigue beginning on 02/11/2021 Aches chills, diarrhea, fatigue and low fever 99.7 on 02/12/2021 Aches chills, diarrhea, less fatigue low fever 99.4 on 2/13/2021.

Other Meds: Tylenol, Claritin

Current Illness: UTI 1/15/21 day after first dose of Moderna CoVid vaccine on 1/14/21.

ID: 1028716
Sex: F
Age: 41
State: SD

Vax Date: 02/01/2021
Onset Date: 02/03/2021
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: Amoxicillin, sulfa, Wellbutrin, adhesives

Symptom List: Tremor

Symptoms: Moderna COVID-19 Vaccine EUA: I had fatigue and body aches within the first 24 hours. Around 48 hours after, I had about 16 hours of dizziness with certain movements. All has passed and I am fine. No treatments needed, just rest.

Other Meds:

Current Illness:

ID: 1028717
Sex: M
Age: 41
State: NM

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: IM
Vax Site: LA

Lab Data:

Allergies: Ceclor

Symptom List: Erythema, Pruritus

Symptoms: Fever (102.6 while on ibuprofen) about 18 hours, Fatigue about 36 hours, Severe joint pain head to toe about 24 hours.

Other Meds: Flo-nase for allergies.

Current Illness: None

ID: 1028718
Sex: F
Age: 58
State: AK

Vax Date: 02/09/2021
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: Bee venom, super glue, cipro, sulfa drugs,

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

Symptoms: Extreme fatigue and dizziness. Mental confusion. Fever. Extreme chills. Within 10 hours of receiving shot. Mild Right arm swelling noted down two fingers wrist pain on right arm because of swelling fingers stiff and painful to move. Could not lift right arm elbow back or up more than 45?. Could not use right arm to lift cup of water to mouth or move pillow. 20 hours after immunization extreme chills unable to get warm. Arm swelling improved hand pain wrist pain improved still cannot lift arm. Unable to go to work. Day two still unable to go to work. Chills improved but extreme muscle aches rash on chest and facial swelling. Faigue.

Other Meds: Thyroid

Current Illness: None

ID: 1028719
Sex: F
Age: 38
State: CA

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

Lab Data:

Allergies:

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

Symptoms: I had pain on my injection site for about 5 days. Today is day ninth of my vaccination and I have a red rash near my injection site. The area feels warm to the touch.

Other Meds:

Current Illness:

ID: 1028720
Sex: F
Age: 34
State: TX

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: Penicillin, medical tape

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: I got a rash/hive on my right leg the night I got my shot. I thought it was a bug bite but it?s not getting better, the rash is spreading and getting more hives and bigger. It itches a lot

Other Meds: Tylenol 500 after the shot was given

Current Illness: None

ID: 1028721
Sex: F
Age: 39
State: WA

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

Lab Data:

Allergies: Contact irritation to bandaid adhesive with an itchy rash, also Possible shrimp intolerance (vomiting)

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

Symptoms: Red itchy rash on skin about an inch past my injection site, not right at the site, closer to the front of my arm/body. (More anterior?) None It showed up 8 days after my first vaccine. It was about the size of a quarter the first day I discovered it and bigger the second day (today), about 3 inches in diameter.

Other Meds: Sertraline 100mg, Vitamin D, Prenatal multivitamin, Calcium Magnesium, Fish oil, Probiotics

Current Illness: None other than temporary rash from the vaccine site bandaid adhesive just the day of vaccine

ID: 1028722
Sex: F
Age: 39
State: WA

Vax Date: 02/05/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Minocin

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

Symptoms: Very uncomfortable ache in arm for 3 days several days (after initial expected and familiar post-injection soreness that only lasted 24 hours). New ache impacted sleep and daily activities. Feels like what I would imagine a blood clot would feel like but did not notice redness and heat. Discomfort currently focused near inner elbow and underarm area. Discomfort increases with applied pressure to area. Massage has not helped. Sx have diminished since insert but still present after 3 days.

Other Meds: Birth control pills, lactase pills

Current Illness: None

ID: 1028723
Sex: F
Age: 60
State: CA

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: Penicillin Citrus

Symptom List: Pain in extremity

Symptoms: About 31 hours after the vaccine, I was woke up by pain amd itching on the site of my vaccine. There was about a 1 1/2 inch raised welt on my arm. My arm continues to hurt and the welt is still there at 8:00 on 2/13/21

Other Meds: Magnesium Cod liver oil

Current Illness: None

ID: 1028724
Sex: F
Age: 81
State: IA

Vax Date: 02/10/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: None

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

Symptoms: Left eye lid is red and swollen. Does not really hurt.

Other Meds: ocuvite, fish oil, multivitamin, calcium citrate, magnesium citrate, citrucel, Vit D3, Benefiber, Geri-kit

Current Illness: None

ID: 1028725
Sex: F
Age: 50
State: IA

Vax Date: 02/05/2021
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: Penicillin, sulfa drugs

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

Symptoms: On day 8, circular red rash at injection site. Swelling and itching at injection site. Swollen lymph node in right side of neck.

Other Meds: Nexium

Current Illness: None

ID: 1028726
Sex: F
Age: 72
State: NC

Vax Date: 02/05/2021
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: Adhesive. I had a reaction to the preservative that was used when I was donating platelets about 15 years ago. It was not a skin reaction.

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

Symptoms: Injection site whelps, raised warm to touch, mild pain, mild itching

Other Meds: Atorvastin; Losartan; Hctz; Bisoprolol; Levothyroxin; Metoprlol; Calcium; Vit. D3; Magnesium;

Current Illness: None

ID: 1028727
Sex: F
Age: 71
State: CA

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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Penecylin sulfa antihistamine Cipro negram keflex plavix Losartin

Symptom List: Vomiting

Symptoms: Swelling red itchy

Other Meds: Brilinte eliquis premarin synthroid water pill sotalol Stating probiotic fiber herb

Current Illness:

ID: 1028728
Sex: F
Age: 71
State: AZ

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: Vaccination site red; fever, chills, fatigue

Other Meds: Vitamin D3

Current Illness: None

ID: 1028729
Sex: F
Age: 53
State: MA

Vax Date: 02/04/2021
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: Amoxicillin and Sulfa in past Latex sensitivity

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

Symptoms: Injection site swollen, sore, hard. Took allergy medicine and ibuprofen

Other Meds: None

Current Illness: None

ID: 1028730
Sex: F
Age: 71
State: AZ

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

Lab Data:

Allergies: Sensitive to doxycycline

Symptom List: Injection site swelling, Limb discomfort

Symptoms: 5 pm soreness increasing at injection site, bruise, very tender still 7pm aching, fever. bad chills for appx 15 minutes, felt very ill. Fever was intermittent and mostly controlled by tylenol, mild chills, extreme fatigue, muscle and joint pain, and feeling overall very sick has lasted 24 hours

Other Meds: Atenolol, baby aspirin, multiple vitamins, extra vitamin d, st John's Wort, d-mannose, melatonin

Current Illness: Headcold

ID: 1028731
Sex: F
Age: 37
State: CO

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: RA

Lab Data:

Allergies: Sulfa

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

Symptoms: I developed a 3-4 inch diameter red, swollen, painful, and warm area just below the injection site on my left arm, the day following my second dose of the Covid vaccine. I reported it to today and they have proceeded to treat the reactions as a possible case of cellulitis and they have placed me on dicloxacillin 500mg four times a day for 7 days. I?ve been using an ice pack to cool the area and help with the pain as well as alternating between ibuprofen and Tylenol for pain.

Other Meds: None

Current Illness: None

ID: 1028732
Sex: F
Age: 62
State: CA

Vax Date: 01/29/2021
Onset Date: 02/04/2021
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: Norco

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

Symptoms: 7 days after injection, whole upper arm became red, itchy, hard, swollen and sore. Persisted for 1 week.

Other Meds:

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm