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: 1028821
Sex: F
Age: 39
State: OH

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: 2/13/21, 18 hours after vaccine: Nausea, dizzy and diaphoretic. Lost consciousness, fell into wall resulting in head injury requiring ER visit and receiving stitches and CT scan.

Other Meds: None

Current Illness: None

ID: 1028822
Sex: F
Age: 64
State: PA

Vax Date: 01/21/2021
Onset Date: 02/01/2021
Rec V Date: 02/14/2021
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: NKDA

Symptom List: Anxiety, Dyspnoea

Symptoms: 2/1 woke up with severe/stabbing upper right back/scapular pain. took NSAIDs and comfort measures. Had an X-ray. 2/7 developed a rash in the same area in a line.

Other Meds: Zinc, D3, Calcium with D, Atorvastatin, Trazadone, Meloxicam

Current Illness: None

ID: 1028823
Sex: F
Age: 40
State: TX

Vax Date: 02/09/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: NKDA

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

Symptoms: "Received 2nd shot 2/9/21. 101.2 temp the next day and fatigued. Last night felt better. Today still fatigued and sore throat. Temp is 98 now."

Other Meds: Lisinopril, HCTZ, Sertraline, Levothyroxine, Alprazolam, Tylenol

Current Illness: None

ID: 1028824
Sex: M
Age: 33
State:

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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: General dizziness that appeared this morning after the second shot. Felt like flu symptoms. Temperature below 37.3. It started to dissappear at 14:00

Other Meds:

Current Illness:

ID: 1028825
Sex: F
Age: 47
State: TX

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Egg

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

Symptoms: Covid arm (rash, tenderness, swelling, firmness) beginning 2/11, less painful/more itchy by 2/14

Other Meds: Levothyroxine, spironolactone

Current Illness:

ID: 1028826
Sex: F
Age: 32
State: MI

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Sensitivity to dilaudid

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

Symptoms: Lupus flare up with severe joint pain and inflammation

Other Meds: Hydroxychloroquine, baclofen, bupropion XL, buspirone, propranolol, vitamin b complex supplement, calcium + vitamin d3 supplement

Current Illness:

ID: 1028827
Sex: M
Age: 23
State: NC

Vax Date: 02/09/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital: Y

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

Lab Data:

Allergies: none

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: pulmonary embolism

Other Meds: Gabapentin 300mg qhs

Current Illness: recovering from back surgery performed 8 weeks ago

ID: 1028828
Sex: F
Age: 31
State: NY

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: ?Covid arm? all of the sudden I have a large red raise lump about two inches round, at the site of the injection. It?s sore, red, and hard

Other Meds:

Current Illness:

ID: 1028829
Sex: M
Age: 66
State: PA

Vax Date: 01/31/2021
Onset Date: 02/01/2021
Rec V Date: 02/14/2021
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, sulfa antibiotics, relafen, daypro, steroidal compounds, iodine contrast, bee venom ,grasses,

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: see other boxes

Other Meds: carvedilol, atorvastatin, clopidogrel, amlodipin, baby bayer, multi

Current Illness: 2/1 left work to go home sick almost nausea, weak, cough, could not think straight,-------left work 2/10 to go to ER--borderline ECG------stayed home 2/11-----went to ER 6AM 2/12 with (same both times) -> pain in left chest NOT stitches healing pain, flutter above collarbone-then headache, weakness, vertigo, articulation and concentration difficulties, weakness, chills, hacking cough, infection at shot site....you do not ask if 1 or 2 but it was 2nd.....crusty blood 4 days later ravines of open skin breaking away from dime size crust up and down ....crusting over now...2/14 730 AM....chest hurts from coughing, tough to breathe fully ....I write this only to report and can not know why these things are happening....have appt with Heart Doctor Wed 2/17 ....will try to go to work 2/15

ID: 1028830
Sex: F
Age: 65
State: NY

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/14/2021
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: Allergic to aspirin/NSAID's (anaphylaxis)

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Woke up with body shaking with chills. Fever 99.4 Left arm, site of injection sore (not swollen). Headache and neck ache. Bundled up in sweats and took Tylenol. Returned to sleep. Woke up with 99.7 fever. Now 99.5. Body aches and headache continues.

Other Meds: Synthroid -88 mcg. daily Topiramate: 100 mg: 2x day Bupropion HCL XL - 150 mg. Plaquenil 200 mg. 2 x a day , 6 days a week (none on Sunday) Valtrex 500 mg. Bromelain 2400 gdu-500 mg. 2x a day (NOW brand) Vitamin B-100 (b complex) 1x dail

Current Illness: none

ID: 1028831
Sex: F
Age: 32
State: IL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
Rec V Date: 02/14/2021
Hospital: Y

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

Lab Data:

Allergies: Marijuana

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

Symptoms: Ramsey Hunt Syndrome (2nd Dose)

Other Meds: Leviteracitam, Amytriptyline, Baclofen, Bumex

Current Illness:

ID: 1028833
Sex: F
Age: 68
State: MD

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
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: allergies: sulpha, iodine contrast, vicadin, percocet, minocycline

Symptom List: Rash, Urticaria

Symptoms: The Carbedopa/Levadopa I took the rest of the day of 2/5 didn't work. I was stiff and uncomfortable. I usually take 4 doses a day, at 7am, 11 am, 3pm and 7 pm. The 3 pm and 7pm didn't work. I was ok on the morning of 2/6, but the 3pm dose didn't work. The 7pm dose took until 8:20 to work (around 30 minutes longer than usual).

Other Meds: Carbidopa-Levadopa, Pramipexole, Azilect, Atorvastatin, Symbicort, Omeprazole, Restasis, Linzess, estring, Vitamins D (1 per week) and B12 daily

Current Illness: n/a

ID: 1028834
Sex: F
Age: 55
State: PA

Vax Date: 02/08/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Synvisc Bextra

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

Symptoms: Swollen eyelids approximately 36 hours after injection.

Other Meds: Levothyroxine Zinc metoprolol Vitamin D Liothyronine Mega Green Tea Extract Pomegranate extract HomocysteX Plus

Current Illness: None

ID: 1028835
Sex: M
Age: 39
State: NC

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
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: Severe convolutions/involuntary movements lasting 9 hours. temperature up to 103.3 that persisted >24 hours. One episode of emesis without nausea. Headache, dry mouth, fatigue, joint pain lasting >5 days.

Other Meds: Nexium

Current Illness: None

ID: 1028836
Sex: F
Age: 67
State: MI

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Novacacine

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

Symptoms: Slight headache Nausea lasting 10 hours or more

Other Meds: Levothyroxine 137 Lisinsopril 10 mg Provastatin 20 mg

Current Illness: None

ID: 1028837
Sex: F
Age: 55
State: NH

Vax Date: 02/05/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: My left arm had a raised red swollen rash 1 day after vaccine. This lasted about 4 days. Then this went away and came back. A week from my first vaccine my arm has become swollen, red and sore. I've also been feeling very fatigued since this vaccine.

Other Meds: Metropolol, Diltiazem, Lisinopril, Potassium, Vitamin D, Super B Complex, Caltrate 600+D,

Current Illness: None

ID: 1028838
Sex: F
Age: 52
State: NV

Vax Date: 01/23/2021
Onset Date: 01/24/2021
Rec V Date: 02/14/2021
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: penicillin

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

Symptoms: Shot 12 pm 1/23/21 Woke up at 2:30 am with chills, headache, dizzy Got up at 5:30 am nauseous, very sore arm, and every part of my body hurt. Sickest I have ever felt. Worse than when I had covid. Lasted until 3pm. Then felt exhausted through 1/25. Felt normal 1/26. However, I have not been able to go to bathroom (bm) since 1/26 without using laxatives. This pronto have now was never a problem before.

Other Meds: Xanax, amitriptylene, LDN, vitamin d, c, a, zinc, calcium, glutathione

Current Illness: Lingering covid effects, Lyme disease

ID: 1028839
Sex: M
Age: 37
State: NY

Vax Date: 01/16/2021
Onset Date: 01/01/2021
Rec V Date: 02/14/2021
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: sore arm, chills.

Other Meds:

Current Illness:

ID: 1028840
Sex: F
Age: 42
State: TX

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

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

Lab Data:

Allergies: NKDA

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: "Pt stated got Pfizer COVID-19 vaccine 1st dose. Last night HA, fatigue this AM migraine. Pt states has 75 mg and 100 mg imitrex, has not taken imitrex"

Other Meds: Januvia SUMAtriptan 100 mg tablet Hydroxychloroquine Flovent HFA Ventolin HFA propranoloL Actos metFORMIN Crestor FLUoxetine Singulair Loestrin Fe 1.5/30 Lisinopril-Hydrochlorothiazide Levothyroxine

Current Illness: N/A

ID: 1028841
Sex: M
Age: 69
State: OH

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: 12 hours after my injection I had very strong chills and maybe a fever which lasted approximately 3.5 hours followed by a low grade headache which lasted several hours. The following day I was fine.

Other Meds: Tamsulosin and Atorvastatin

Current Illness: None

ID: 1028842
Sex: M
Age: 36
State:

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

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: Pain in injection area (worst 1-2 days after), swelling at injection site (worst 1 day after), muscle/joint soreness (upper body only 1-2 days after), limited arm movement (injected arm, severe pain when raising above 90 degrees, worst 1-2 days after), exhaustion (1 day after), headache (mild 1-2 days after, worsened when moving),

Other Meds: Daily Multivitamin, aller*ease, Esomeprazole Magnesium

Current Illness: None

ID: 1028843
Sex: F
Age: 55
State: VT

Vax Date: 02/03/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Seasonal allergies/hay fever No other allerrgies

Symptom List: Unevaluable event

Symptoms: ?Covid arm?, on 9th day post vaccine, sit of injection became painful, swelled, red, hot to the touch. Symptoms slowly abated over a few days.

Other Meds: Lisinopril, multi vitamin, Estradiol patch, krill oil

Current Illness: None

ID: 1028844
Sex: F
Age: 30
State: VA

Vax Date: 02/02/2021
Onset Date: 02/08/2021
Rec V Date: 02/14/2021
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: Nickel allergy

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

Symptoms: A large rash formed on my arm that was rounded and raised. It was warm to the touch, itched, and caused muscle soreness. This occurred a week after the shot and is ongoing, though lessening every day.

Other Meds: Levothyroxine Drospirenone-EE

Current Illness: Skin rash (prescribed and completed prednisone in January)

ID: 1028845
Sex: M
Age: 74
State: CT

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Discomfort and minor swelling inferior to right mandible, possibly lymph gland.

Other Meds: Multi-Vitamin, Calcium

Current Illness: none

ID: 1028846
Sex: M
Age: 70
State: WA

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

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

Lab Data:

Allergies: Composine, soy products

Symptom List: Injection site pain, Menorrhagia

Symptoms: 101-degree fever, body aches, fatigue, mild vertigo, nausea, three bowel movements

Other Meds: None

Current Illness: None

ID: 1028847
Sex: F
Age: 61
State: PA

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

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

Symptoms: 6:00 am next day woke with a really bad backache hard to walk or bend or pick up something. Felt like that all day...very hard and stiff near back middle rib area both sides. Felt better if rested but if got up bad again. Very uncomfortable continued until the following morning. Got up today am 2/14 feel a lot better but slightly still there. Also had lymph node swelled a little in same arm as shot under collarbone. Hopefully my back isn't as bad as yesterday. Had to lay in bed a lot 2/13.

Other Meds: Victoza , multi vit, Aremidex, calcium citrate, viviscal, fish oil, collegan shake, lipitor,biotin, Lantus, vit b

Current Illness: None

ID: 1028848
Sex: F
Age: 35
State: CT

Vax Date: 01/14/2021
Onset Date: 01/20/2021
Rec V Date: 02/14/2021
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: Redness/swelling at injection site

Other Meds: Levothyroxine, prenatal vitamin

Current Illness: None

ID: 1028849
Sex: F
Age: 48
State: VA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: nsaids(sweeling of face/itching)

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: "Patient reports - sluggish / dizzy /nauseated/ vomited today/HA/ fever - temp 102-"

Other Meds: maxide for HTN, multivitamin, vit D3

Current Illness: dx with influenza and uri january 22, 2021

ID: 1028850
Sex: F
Age: 66
State: NC

Vax Date: 02/06/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Vitamin C, chamomile tea,

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

Symptoms: It is now quite itchy, and it is a red circle. Also feels like my 'glands' are swollen under my arm, my armpit is sensitive to touch. Feels swollen.

Other Meds: none

Current Illness: none known

ID: 1028851
Sex: F
Age: 32
State: CA

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

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Red rash at sure of injection. Very painful and swollen. Started the next day after injection.

Other Meds: Cymbalta

Current Illness: None

ID: 1028852
Sex: F
Age: 32
State: IL

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

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

Lab Data:

Allergies: Zithromax ZIthromyacyn

Symptom List: Injection site pain

Symptoms: Right after: discomfort in elbow, eye sensitivity Next day: sore arm, fever (101.5), body aches, severe chills. Third day: sore arm, inflamed lymphnode in left side armpit.

Other Meds: None

Current Illness: None

ID: 1028853
Sex: F
Age: 74
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: Tetracycline

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

Symptoms: Headache the night of the shot - took Advil. Awoke at 2 a.m. with body aches everywhere on my body. Took Ibuprofen. All day that day (which was the day after the shot) had severe body aches and temperature was a high of 100.9. Also very tired. Took ibuprofen during the day. Symptoms subsided somewhat by 7 p.m Woke up the next day with just a slight headache and body aches are gone.

Other Meds: Atorvastatin Stiolto Inhaler'' Montelukast Escitalopram Aspirin Daily Vitamin

Current Illness: COPD

ID: 1028855
Sex: F
Age: 32
State: PA

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Band aids/adhesive, neosporin, sulfa, nsaid, ibuprofen, aspirin

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

Symptoms: Due date 7/21. 17 weeks pregnant. Covid arm rash, raised and red started today. Very sore and warm to touch. Since aches, fatigue, nausea and vomiting. Low grade fever.

Other Meds: Diclegis, prenatal vitamins, Tylenol

Current Illness: None.

ID: 1028856
Sex: F
Age: 58
State: PA

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Seasonal allergies, oral allergy syndrome (stone fruit allergy) currently being treated with allergy drops for desensitization

Symptom List: Tremor

Symptoms: Itching, redness and minor swelling at injection site (2 inches in diameter) 8 days after receiving injection.

Other Meds: Anastrazole, Valtrex, One-a-day multivitamin, Vitamin D

Current Illness: Minor genital herpes outbreak

ID: 1028857
Sex: F
Age: 65
State: FL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Sulfites, penicillin, amoxicillin, red meats, shellfish, pollens, molds, cats, dogs.

Symptom List: Erythema, Pruritus

Symptoms: Severe vomiting for 12 hours (unable to keep down food or water), lowered body temperature, rapid heart rate and tachycardia, headache. No fever or chills or body aches. These are the identical symptoms for me, patient, for sulfite reactions.

Other Meds: None

Current Illness: No illness.

ID: 1028858
Sex: F
Age: 59
State: TX

Vax Date: 02/01/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Stomach upset to amoxicillan and erythromiacin

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

Symptoms: Herpes outbreak on the 12 day after getting the first Pfizer dose. The outbreak is the same as usual, but I have been taking antiviral medication for a full year and have had no outbreaks during that time.

Other Meds: Vitamin D, low dose hormone replacement therapy, allegra, vyclovier

Current Illness: None

ID: 1028859
Sex: F
Age: 76
State: FL

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: extreme Chills followed by being very Hot and then chills again , headache , teeth hurt , eyes sensitive to light and eye balls aching and still are ,temperature 3rd day morning 100.2 never checked on 2nd day. Shot in the arm hurt 1 st day where a 1st doze shot did not hurt till next day, nausea, weakness all over and joints hurt. I took1/2 of 2 percocets 1half every 3 hours for 12 hours and that helped with headache and teeth..tylenol did not help headache and I never have headaches. I thought I was dying. I spoke to friends who have had 2nd dose and most experienced some but not all and many nothing after 2nd dose.

Other Meds: General Vitamins - Calcium, Magnesium , C, D & D3, Ginkgo Biloba, glucosamine Chondroitin for eyes - Lutein, Areds 2, Medication - Fosamax, Rosuvastatin 10mg, Pantoprazole 40mg (occasionally), Temazepam 30mg

Current Illness: none

ID: 1028860
Sex: F
Age: 66
State:

Vax Date: 01/27/2021
Onset Date: 02/05/2021
Rec V Date: 02/14/2021
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: Asthenia, Chills, Headache, Myalgia

Symptoms: 9 days after the vaccine I developed a large, circular rash at the injection site. It did not hurt or itch. The rash remained for a week. It occasionally itched, but not often. I iced it a couple of times. One week later it pretty much disappeared. It did not cause me any discomfort. I wanted to report this since the vaccine is new and I figured every bit of information helps.

Other Meds: zyrtek, calcium, vitamin C

Current Illness:

ID: 1028861
Sex: F
Age: 43
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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, cephalosporin

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

Symptoms: Rash, redness, swelling, itching at site of injection

Other Meds: Asmanex, levothyroxine, amlodipine

Current Illness:

ID: 1028862
Sex: M
Age: 25
State: NM

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/14/2021
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: Penicillins

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

Symptoms: "had covid shot, then developed aching in his L side of face and aching in his L ear. This started 4d ago. no fever. He is using otc drops. not helping."

Other Meds: Xyzal

Current Illness:

ID: 1028863
Sex: M
Age: 92
State: IN

Vax Date: 02/01/2021
Onset Date: 02/10/2021
Rec V Date: 02/14/2021
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: Diarrhea, achy, temperature and fatigue

Other Meds: Hydrochlorothiazide Clopidogrel Bensyepril Atenolol Atorvastatin D3

Current Illness: None

ID: 1028864
Sex: F
Age: 69
State: SC

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

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

Lab Data:

Allergies: codeine

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

Symptoms: Noticed that my arm was red and itchy around the vaccination area about 11 days after injection. No other symptoms. Had a sore arm for the first 2 days then fine until I noticed my arm last night. Read about "Covid Arm" and decided I should report

Other Meds: Levothyroxine, multi vitamins, vitamins c and d, biotin, low dosage aspirin

Current Illness: none

ID: 1028865
Sex: M
Age: 65
State: NY

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/14/2021
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: Nuts, cats

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

Symptoms: My throat started closing within 30 minutes. I had difficulty swallowing. It was similar to an anaphylactic reaction I get to nuts. It lasted about three hours.

Other Meds: None

Current Illness: None

ID: 1028866
Sex: M
Age: 31
State: KY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: "Patient reports he had his 2nd covid vaccine yesterday. He noticed last night he developed fatigue, headache, fever(subjective, he does not have a thermometer). He continues to have these symptoms. After his first vaccine he had just a headache."

Other Meds: tylenol

Current Illness: None

ID: 1028868
Sex: F
Age: 67
State: NY

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: NKDA

Symptom List: Vomiting

Symptoms: At end of 15 minute observation she became, " little lightheaded." Gave patient some water. She then felt better, but return shortly after discharge complaining of chest tightness. VSS, physical exam and EKG normal. Advised ED evaluation but pt refused and signed AMA. After further observation she felt better and requested discharge. VSS on discharge.

Other Meds: none

Current Illness: none

ID: 1028869
Sex: F
Age: 54
State: GA

Vax Date: 02/04/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Redness, warmth, and soreness at the injection site has reappeared. Initially soreness / redness lasted for a day or so. Also accompanied by increased fatigue.

Other Meds: PREDNISOLONE AC 1% EYE DROP drops,suspension for anterior uveitis in my right eye Recently discontinued Doxylamine succinate (5mg) as sleep aid Fish oil 1000mg, twice a day for eye dryness Occasional ibuprofen.

Current Illness: Anterior uveitis in my right eye

ID: 1028870
Sex: F
Age: 37
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/14/2021
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: nuts

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

Symptoms: Within 30-45 minutes my arm began to hurt and the pain intensified throughout the day to the point that I could barely lift my arm. Around 3-4PM I started to have some headache which was light at first but got worse as the evening went on, I finally had to give in and take tylenol around 9PM. I also started to get tired into the evening. The following day I continues to have a headache, arm pain, some neck/upper back pain, fatigue. I slowly improved throughout the day day to the point that I barely had a headache or pain by the time I went to bed. I woke up feeling much better the next day. I also was very congested and sneezing a lot starting the day following the vaccine throughout the second day after it, I think this was related to weather changes.

Other Meds: none, tylenol was taken later that night

Current Illness: ovarian cyst ruptured 1/10

ID: 1028871
Sex: F
Age: 23
State:

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
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: Fever (102.5F at one point) and chills 6 hours after injection and continuing for a day, headaches, slight nausea, body and joint aches

Other Meds:

Current Illness:

ID: 1028872
Sex: F
Age: 73
State: SC

Vax Date: 02/01/2021
Onset Date: 02/09/2021
Rec V Date: 02/14/2021
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: On day 7 arm began to itch. On the 9th day, arm was swollen, red, and hot to the touch. Spot is red approximately 6 inches in diameter at site of vaccination. Arm ached. Now on the 12th day, still aching but to a much lesser degree. Swelling and redness have gone down.

Other Meds: None

Current Illness: None

ID: 1028873
Sex: F
Age: 39
State: TX

Vax Date: 02/05/2021
Onset Date: 02/13/2021
Rec V Date: 02/14/2021
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: Shellfish

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

Symptoms: I had a very bad migraine on day 2 and 3, mild headache on day 5 ; but on day 8 (night) I noticed my arm swollen and area of the shot harden. I also have a scar from smallpox vaccine on the same arm (looks like a perfect circle), it?s red and swollen too (although the Covid vaccine was administered about an inch from it).

Other Meds: Ibuprofen

Current Illness: I have migraines - (menstrual) - I happen to be on my period right this week - not sure if this sudden side effect on my arm could?ve related...

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm