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: 0930333
Sex: F
Age: 36
State: CA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: Felt I warm sensation through my whole body, got light headed and could feel my heart beating strong.

Other Meds: Elderberry, emergenc gummed, melatonin.

Current Illness: None

ID: 0930334
Sex: F
Age: 21
State: NC

Vax Date: 12/26/2020
Onset Date: 12/27/2020
Rec V Date: 01/08/2021
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: Extremely sore arm, muscle twitching, strange nerve sensations since after vaccine

Other Meds: Bromocriptine, Levothyroxine, Vitamin D

Current Illness: None

ID: 0930335
Sex: F
Age: 59
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: Naproxen Anaprox Macrobid Sulfa Statins

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

Symptoms: Swelling and pain of knees. Ankles. Fingers. Toes. SOB. Extreme fatigue.

Other Meds: Levothyroxin Asa 81mg Estrogen 1mg Spironolactone 50mg

Current Illness:

ID: 0930336
Sex: F
Age: 53
State: OH

Vax Date: 12/28/2020
Onset Date: 12/30/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: minocycline Allergy= Sever itching Seasonal allergies,: hay fever, dust mites, mold, rag weed, golden rod, grass

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Generalized arm soreness turned into severe right arm/shoulder pain with limited arm movement. Prescription provided for Medrol pack (steroids) dues to severed arm/shoulder inflammation.

Other Meds: Synthroid 112 mcg PO daily

Current Illness: none

ID: 0930337
Sex: M
Age: 26
State: NM

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: phenobarbitol

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

Symptoms: I woke up around 3 am because of body aches. The body aches worsened and i checked and had a fever of 100.6 degrees Fahrenheit. My head started to pound and my pulse was accelerated to probably 80 bpm (normally rest at 60 bpm). I felt a little lightheaded and a bit nauseas. I took 2 200 mg tablets of EC ibuprofen and did not take Tylenol because i knew my immune response needed to take its course. it is about 3:33 in the afternoon and my body is still aching but my fever has dissipated and I still have a headache that throbs when I walk.

Other Meds: none

Current Illness: none

ID: 0930338
Sex: F
Age: 33
State: KY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: Nubain

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

Symptoms: Checked on patient frequently. Patient talking and using her phone 0930, 0935, 0945. Checked on patient again at 0950. She reported a bad headache. Patient reported feeling uneasy at 0955. Called for Medical Response Team. 0956 patient shaky but talking. 0957 patient hooked up to heart monitor. 1004 taken to Emergency Department.

Other Meds: Citalopram 20 mg orally daily Lisdexamfetamine 30 mg orally daily Trazodone 50 mg orally every day at bedtime

Current Illness: Depression Dysmenorrhea Menometrorrhagia Menorrhagia

ID: 0930339
Sex: F
Age: 70
State: MO

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Had my 2nd vaccine on Jan 7, 2021. My arm was sore when I went to bed that night. I woke at 5:15 AM feeling achy. I took my temp and it was 98.8F which is a temp for me since I run low, around 96.9F I got ready for work at the hospital and went in. around 0830 my temp was 99.5 and I was more achy and sore. I called Employee Health and they said to continue to monitor my temp and call back if it passes 100. Then around 3PM , my temp was 101.5F I remain very achy and have some occasional ear pain and a mild headache,

Other Meds: NP Thyroid, Low dose Naltrexone, Melatonin, Vit C, D, E, omega 3, Bone Restore,

Current Illness: No illness but I did had a gum graft at the dentist 2 days before my second dose.

ID: 0930340
Sex: F
Age: 41
State: TX

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa, unidentified type of fish

Symptom List: Pharyngeal swelling

Symptoms: Upon receipt of vaccine: pain/redness/swelling at injection site and headache (expected and resolved by 12/31/2020); then on 1/7/2021, redness returned with swelling consistent with hives, accompanied by intense, prolonged itching at the injection site. Swelling and redness persists.

Other Meds: Kirkland Aller-Tec, Multivitamin, Vitamin D

Current Illness: None

ID: 0930341
Sex: F
Age: 31
State: IL

Vax Date: 12/17/2020
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
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: Heart palpitations, tachycardia, PVCs and shortness of breath, fatigue, weakness started on Monday (1/4), worsened over next 2 days. Saw primary doctor on 1/7 who called paramedics to take me to the ER due to EKG results and increased work of breathing. ER doctor suspects mild guillain-barre reaction, I will be following up with cardiology and pulmonology as soon as possible as they were unable to determine exact cause or fix the issues.

Other Meds: Pantoprazole, Klonopin, Wellbutrin, Humira

Current Illness: none

ID: 0930342
Sex: F
Age: 61
State: OK

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
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: Penicillin, adhesive

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Started with headache earlier in day, then arm pain at injection site by 530 pm , then my whole body hurt around the same time, 530 pm., about 130 am I woke up with chills and vomiting. Vomiting was short time, but aches and arm pain remained throughout next day. The body aches stopped by 1/6 am and the arm pain was mostly gone by 1/7. No treatment required.

Other Meds: Vit D, Zyrtec, Tagamet, naproxyn, Norco 7.5;

Current Illness: none

ID: 0930343
Sex: F
Age: 49
State: MA

Vax Date: 12/30/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Tegaderm

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

Symptoms: delayed large hive at arm 8 days after vaccination

Other Meds: n/a

Current Illness: none

ID: 0930344
Sex: F
Age: 27
State:

Vax Date: 01/08/2020
Onset Date: 01/08/2020
Rec V Date: 01/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: 10:51 metallic taste in mouth 10:58 tongue numbness, not able to feel tongue and on roof of mouth 11:08 hr 100-113 resp 20 bp 124/72 11:10 progressibly more difficulty when swallowing, lungs cta, individual was anxious 11:12 transferred to ED via wheelchair

Other Meds:

Current Illness:

ID: 0930345
Sex: F
Age: 53
State: CA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Headache and lightheadedness 15 min post vax Observation, fluids, food Sxs resolved after 10 mins of close monitoring NKA

Other Meds:

Current Illness:

ID: 0930346
Sex: M
Age: 43
State: WA

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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:

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

Symptoms: Member received vaccine at clinic around 1002. He then returned to work at clinic. He reports he started feeling dizzy and nauseated around 1200. A medical emergency was called around 1215. Symptoms progressed to flushing, red raised rash and seeing spots. Member was given epi 0.3 mg IM and Benadryl 50mg IM with resolution of symptoms. Member was observed for 1 hour then discharged to home with a follow up phone visit 1/8/21 PM. He was advised to continue taking Benadryl 50 mg PO every 6 hours x 24 hours and was given an epi pen to use in case emergent symptoms returned.

Other Meds:

Current Illness:

ID: 0930347
Sex: M
Age: 24
State: NY

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Severe chills, uncontrollable shivering, severe headache

Other Meds: Bupropion

Current Illness: None

ID: 0930348
Sex: F
Age: 33
State: NJ

Vax Date: 12/28/2020
Onset Date: 01/01/2021
Rec V Date: 01/08/2021
Hospital: Y

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

Lab Data:

Allergies: Tree nuts and shellfish

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

Symptoms: I am breastfeeding. My daughter had seizure like episodes starting on Saturday 1/2, Sunday 1/3, Monday, 1/4 and 2 times on Tuesday 1/5.

Other Meds: Prenatal, sunflower lecithin

Current Illness: No

ID: 0930349
Sex: F
Age: 34
State: OK

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: Yellow Jackets

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

Symptoms: Severe pain, tenderness and swelling in L axillary, Ibuprofen, Tylenol and warm compress to site effected

Other Meds: Levothyroxine 75mcg Vitamin C Vitamin D Vitamin B12 Zinc Pre natal vitamin Fish oil Chlorthalizone Metoprolol Ibuprofen Hydroxizine Tylenol PM

Current Illness: NONE

ID: 0930350
Sex: M
Age: 40
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: 6 hours after injection, swelling around inject site, pain of deltoid. Next day: Mild chills, slight nausea, malaise, mild headache at 32 hours after injection, lasting 2 hours till went to bed. Woke up next morning tired, mild headache.

Other Meds: None

Current Illness: None

ID: 0930351
Sex: F
Age: 54
State: AZ

Vax Date: 12/30/2020
Onset Date:
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: normal

Other Meds:

Current Illness:

ID: 0930352
Sex: M
Age: 38
State: KS

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

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

Lab Data:

Allergies:

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

Symptoms: Progress Notes (Physician Assistant) ? ? Family Medicine Cosign Needed Expand All Collapse All 1/8/2021 ? Date: 1/8/2021 ? Subjective Patient is a 38 y.o. male who was seen at COVID Vaccine Clinic today for his second dose of the COVID 19 vaccination. He denied any history of previous adverse reactions to other vaccines, but does note he had tingling to the right side of his face after his first dose that lasted 3 days. ? He was given the Pfizer vaccination in the right deltoid muscle.During his 15 minute waiting period after the injection, the patient began to experience tingling to right side of face. He denied difficulty breathing, throat tightness, itching, lightheadedness and facial swelling. This provider was notified of patient reaction and he was then assessed in the emergency bay area. Monitored patient for severe reaction symptoms, including but not limited to rapid progression of symptoms. ? ALLERGY REVIEW OF SYSTEMS: Patient denies chest tightness, shortness of breath, wheezing, rash and dizziness +right sided facial tingling.: ? Previous Reactions: Patient states he had right sided facial tingling after receiving his first vaccination, but was not evaluated in the medical bay. He states the numbness and tingling lasted approx. 3 days. Denied weakness in right sided facial muscles at that time. ? Objective ? Vitals Vitals: ? 01/08/21 1318 01/08/21 1337 01/08/21 1342 BP: (!) 153/101 137/88 125/85 Pulse: 69 71 60 SpO2: 98% 99% 98% ? Physical Exam Constitutional: Appearance: Normal appearance. HENT: Head: Normocephalic. Mouth/Throat: Mouth: Mucous membranes are moist. Pharynx: Oropharynx is clear. No posterior oropharyngeal erythema. Comments: No swelling or lips or tongue. Cardiovascular: Rate and Rhythm: Normal rate and regular rhythm. Pulmonary: Effort: Pulmonary effort is normal. No respiratory distress. Breath sounds: Normal breath sounds. No wheezing or rales. Skin: General: Skin is warm and dry. Neurological: General: No focal deficit present. Mental Status: He is alert and oriented to person, place, and time. ? ? Assessment/Plan Treatment included: antihistamines and Tylenol 1000mg. Tylenol was given by patients wife at 1331. Follow up response to treatment: Patient continues to have tingling to right side of his face. His respirations have decreased however and he is feeling better. BP and HR have improved throughout visit. Patient discharge: Stable to go home and follow up with PCP. Discussed returning to work for the remainder of the day. ? Instructed to F/U in ER if symptoms worsen. ? Electronically Signed 1/8/2021 1:44 PM ? ?

Other Meds:

Current Illness:

ID: 0930353
Sex: F
Age: 16
State: MN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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

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

Symptoms: Patient in clinic for chief complaint of possible side effect of the covid vaccine which she received yesterday. She states that she woke up at 0200 with chest tightness, achyness and headache. She rates the discomfort 7/10 last night and improved now to 5/10. She denies any worsening with any type of exertion and states that she can do simple things like take a shower, walk across the room, down the street or even stairs without any worsening. She denies any SOB or chest pain--just feels tight. Doesn't feel like she can't get a full breath or get the air out of her lungs either. She received her first of two doses of the Pfizer vaccine yesterday (4:23pm) and had no difficulty with the injection itself and then 9.5 hours later woke up from sleep with this chest tightness as well as achyness and headache. ?She states that she had the exact same symptoms when she had positive covid test back in August of this year with the addition of fatigue which lasted for 5 days. At that time it was not felt necessary to do any further testing nor treat with steroids according to cardiology. She does have history of LV non-compaction cardiomyopathy and her last visit with cardiology was about 2 years ago and she had a normal EKG and echo only showed "mild LV non compaction at the apex" at that time. He did not need to see her again until she is 18 unless she has problems. She states that she generally does very well and other than this tightness she does not have any other significant symptoms.

Other Meds: None

Current Illness: None

ID: 0930354
Sex: F
Age: 41
State: TX

Vax Date: 12/23/2020
Onset Date: 01/01/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Unevaluable event

Symptoms: Redness,swelling, tenderness, bruising, cellulitis, warmth, itching at injection site

Other Meds: zoloft, vraylar

Current Illness: none

ID: 0930355
Sex: M
Age: 72
State: TX

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: no

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

Symptoms: Pain in joints, pain in back and shoulder, fever101+. Gross fatigue.

Other Meds: lisinopril 20mg, Rosuvastatin, flexeral

Current Illness: no

ID: 0930356
Sex: F
Age:
State: TX

Vax Date:
Onset Date:
Rec V Date: 01/08/2021
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: Redness itching and increased swelling at injection site.

Other Meds: Zoloft, prenatal vitamins, vitamin d.

Current Illness: None

ID: 0930357
Sex: F
Age: 24
State:

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: Sore arm for 24 hours and headache on and off for 12 hours

Other Meds:

Current Illness:

ID: 0930358
Sex: F
Age: 40
State: NY

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: raw parsnips many household cleaning products

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

Symptoms: low-level headache (was able to go to work, but a bit miserable), tired/run down-lasted several hours (no more than 10) arm pain (at injection site)-it is a bit warm to the touch and a small bruise- still occuring (approximately 12 hours after it started this morning)

Other Meds: multi-vitamins with iron iron supplement elderberry plus supplement vitamin B

Current Illness: N/A

ID: 0930359
Sex: M
Age: 52
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: Extreme Chills, Very Cold, Terriable Headache, Low Grade Fever, Very Weak, Upset Stomach. Felt like I had a bad case of the flu. I had to stay home from work 1/7/21 and 1/8/21 Most of the effects are gone but I still do not feel good but alot better than before. Its 2 Days after the shot.

Other Meds: Testosterone CYP 200 MG/ML OIL Lisinopril 20 MG Tablet Multi Vitamin Vitamin C Melatonion Glucosamine

Current Illness: None

ID: 0930360
Sex: U
Age: 45
State: CO

Vax Date: 01/02/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe bloody nose that would not stop bleeding. 911 called and came to office. 911 used medication to stop the bleeding but could not. Went to ER and a balloon rocket was placed in nose after several hours of trying to get the bleeding under control.

Other Meds:

Current Illness:

ID: 0930361
Sex: F
Age: 30
State: NC

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: SHELLFISH

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

Symptoms: APROXIMATELY 25 MIN AFTER RECEIVING VACCINE DOSE C/O FEELING LIGHTHEADED, SOB,C/O FEELING WHEEZY, HAD NON PRODUCTIVE COUGH. VS 121/71, HR 66, RR24, O2 SAT 100% ON RM AIR. STATED SHE HAD SIMILAR SYMPTOMS A FEW YEARS AGO AFTER RECEIVING FLU SHOT WITH PRESERVATIVE BUT HAD FLU SHOT PAST FEW YEARS WITH NO PROBLEM,PATIENT WAS TAKEN TO ED AT MSMHC

Other Meds: EPINEPHRINE PEN PRESCRIBED, ASTHMA INHALER

Current Illness:

ID: 0930362
Sex: M
Age: 67
State: MT

Vax Date: 12/17/2020
Onset Date: 12/25/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: No

Symptom List: Nausea

Symptoms: On 12/25/2021 I started developing Covid symptoms & on 12/26/2021 I tested positive for covid. Just had a video chat with doctor and he recommended a covid test.

Other Meds: Vitamins doxazosin Tamsulosin

Current Illness: no

ID: 0930363
Sex: F
Age: 48
State: CA

Vax Date: 12/18/2020
Onset Date: 12/19/2020
Rec V Date: 01/08/2021
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: Injection site pain

Symptoms: Patient describes sore arm,

Other Meds:

Current Illness:

ID: 0930364
Sex: F
Age: 49
State: CA

Vax Date: 12/27/2020
Onset Date: 12/27/2020
Rec V Date: 01/08/2021
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: Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: Reported rapid heart rate and chest heaviness and weakness. Symptoms resolved after 1 hour. Eval by MD on site. Employee put in Uber? and told to rest at home. Texted us later and said she arrived home safely and symptoms had resolved. During call 1/6 stated she is still having heaviness in her chest and is using her inhaler. she is following up with her PCP. .

Other Meds: Albuterol inhaler, Estrogen, Progastrin, Magnesium, Ashwagandha, Vitamin D3

Current Illness: Asthma Postmenopausal Bleed

ID: 0930365
Sex: M
Age: 39
State: CA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
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: Dizziness and lightheadedness 20 min post vax Observation and fluids Sxs resolved after 30 mins of close monitoring NKA, but does have hx of asthma

Other Meds:

Current Illness:

ID: 0930366
Sex: F
Age: 62
State: TX

Vax Date: 12/29/2020
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: Tremor

Symptoms: Moderna COVID-19 Vaccine EUA Ten days after vaccination the injection site became tender. The eleventh day my left arm at the injection site became red and my arm was swollen and tender to the touch.

Other Meds: ZINC, VITAMIN D3, VITAMIN C, FISH OIL, HYDROXYCHLOROQUINE (ONE TABLET PER WEEK), PROVITALIZE (WEIGHT MANAGEMENT)

Current Illness: NONE

ID: 0930367
Sex: F
Age: 53
State: OH

Vax Date: 12/28/2020
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: Minocycline Seasonal Allergies: hay fever, rag weed, golden rod, grass, mold, dust mites

Symptom List: Erythema, Pruritus

Symptoms: right peripheral photopsia , with floaters and new onset of retina scarring.

Other Meds: Synthroid 112 Mcg PO daily

Current Illness: None

ID: 0930368
Sex: F
Age: 61
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Began with fatigue and progressed to fever 101.7, severe body aches, severe headache, malaise, cough lasting 24 hours at which time fever subsided with symptoms resolving. Headache persistent.

Other Meds: None

Current Illness: COVID-19

ID: 0930370
Sex: F
Age: 57
State: NC

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
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: Buspar, Ibuprofen, hydroxyzine, Wellbutrin, naproxen, erythromycin, tetracycline, lamictal

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

Symptoms: Pt developed papular pruritic rash over arms, legs abd, face, chest, back (entire body) within 12 hrs of receiving the vaccine. Slight tickle in throat. No fever, no shob, no vomiting at 24 hrs in. Was treated with steroids.

Other Meds: Synthroid, Seroquel, HCTZ, Losartan, ropinerole, Meloxicam, Vyvanse, hydrocodone-acetaminophen, flexeril, Wixela Inhub

Current Illness: none

ID: 0930371
Sex: M
Age: 0
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/08/2021
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: NKA

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Patient had swelling of left leg from hip to thigh as well as fussy and uncomfortable

Other Meds:

Current Illness:

ID: 0930372
Sex: F
Age: 38
State: CA

Vax Date: 01/05/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
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: Received vaccine 1/5/21. On 1/8/21 she felt dizzy and nauseated and fatigued. Blood pressure, pulse, temperature, O2 level all within normal limits.

Other Meds: Hydroxychloroquine, Wixela

Current Illness: celiac, sjogren's, rheumatoid arthirits

ID: 0930373
Sex: M
Age: 55
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None known.

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

Symptoms: Chills, overall body aches, headache, nausea, vomiting (one episode), fatigue. First side-effects noticed about 15 hours after vaccination (vaccination was Wednesday morning; first symptoms mid-night that night). Spent one full day in bed with side-effects (Thursday). Appear to have fully recovered by following day (Friday). I had no negative reactions to first dose of Shingrix administered on 11/04/2020. Only medication taken during side-effects was Acetaminophen.

Other Meds: Testosterone (gel) applied daily.

Current Illness: None.

ID: 0930374
Sex: F
Age: 49
State: MT

Vax Date: 01/04/2021
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Cephalexin, doxycycline

Symptom List: Pain in extremity

Symptoms: Metallic taste in mouth after injection. Then 45 minutes later, had rapid heart rate and itching over the injection side. Later that night had itching throughout body. She has since had a HA.

Other Meds: Tylenol.

Current Illness: None

ID: 0930375
Sex: F
Age: 21
State: VA

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

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

Lab Data:

Allergies: nka

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

Symptoms: patient got vaccine at 13:34, went thru observation period, went back to work. Returned to vaccination clinic for complaints of right hand swelling and right arm was the site of vaccination. Patient had elastic wristband on right wrist. Patient does not report loss of sensation in hand, grips equal, no shortness of breath, no swelling of tongue or difficulty swallowing. bp 127/90, hr 108, o2 sat 98%. Benadryl 25 mg liq and Pepcid 20 mg tab administered. 15:20 bp 124/88, hr 112, o2 sat 97%, patient reports that hand was less swollen. and she feels better. 16: 10 patient reorts she feels much better, cap refill < 3 secs, grips equal, decrease swelling of hand, no shortness of breath, no racing of heart, no swelling of tongue or difficulty breathing. 16:30 patient reports they feel fine and left clinic

Other Meds: unknown

Current Illness: unknown

ID: 0930376
Sex: F
Age: 54
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

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

Symptoms: body chills aches and headace

Other Meds: no

Current Illness: no

ID: 0930377
Sex: F
Age: 35
State: CA

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Left hand weakness and tingling, dizziness, injection site throbbing 10 min post vax Observation, fluids, food Sxs largely resolved after 30 mins of close monitoring, returned to shift feeling a little lightheaded NKA

Other Meds:

Current Illness:

ID: 0930378
Sex: M
Age: 52
State: IN

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: NONE

Symptom List: Vomiting

Symptoms: Extreme Chills, Very Cold, Terriable Headache, Nausea, Diarrhea, low grade fever 99.2, No energy, Very Weak. Felt like I had a bad case of the flu. Had to take 1/7/21 and 1/8/21 off of work. My symptoms are better now at 5:49 pm on 1/8/21 but still feeling run down no energy.

Other Meds: Testosterone CYP 200 MG/ML OIL Lisinopril Vitamin C Glucosamine Melatonin Baby Asprin 80 mg

Current Illness: NONE

ID: 0930379
Sex: F
Age: 73
State: PA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
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: NKA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 7AM -PATIENT FELT DIZZY AND WARM AND SWEATY - PASSED OUT - VOMITED 8:30AM - PATIENT FELT DIZZY AND WARM AGAIN

Other Meds: SIMVASTATIN 20MG, RISENDRONATE 35MG,

Current Illness: NONE

ID: 0930380
Sex: F
Age: 42
State: TN

Vax Date: 12/26/2020
Onset Date: 01/04/2021
Rec V Date: 01/08/2021
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: NKA

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

Symptoms: Patient came through COVID vaccine line stating she had a reaction to the COVID vaccine she received 12/26. Patient's right upper arm had a large red area that was swollen and hot to the touch. Patient reported that it was very itchy. She stated that it did not swell and turn red until about 8-9 days after receiving the injection. Referred to PCP to rule out infection.

Other Meds: unknown

Current Illness: unknown

ID: 0930381
Sex: F
Age: 40
State: CA

Vax Date: 08/22/2020
Onset Date: 08/24/2020
Rec V Date: 01/08/2021
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: NKDA

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient experienced pain at injection site with swelling and tingling in fingers. Patient went to see neurologist and has experienced nerve damage due to injection.

Other Meds:

Current Illness: N/A

ID: 0930382
Sex: F
Age: 41
State: CA

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Nausea Injection site really sore Tired Left arm was swelling Headache

Other Meds:

Current Illness:

ID: 0930383
Sex: F
Age: 37
State: TX

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: vaccine area is itchy, red and swollen on the area of vaccine.

Other Meds: none

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm