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: 1029241
Sex: F
Age: 73
State: MO

Vax Date: 02/14/2021
Onset Date: 02/14/2021
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: Patient did have an anaphylactic reaction to having an allergy shot years ago

Symptom List: Dysphagia, Epiglottitis

Symptoms: At 10:50am, the patient stated that she was started to have a weird taste in her mouth and then she stated she started to feel light headed. By 10:55am she was given 25mg of liquid Benadryl and we had placed a cold cloth on the back of her neck. We had the patient stay a little longer to ensure it started to kick in and she asked us for a lemon drop. We don't have those in the store, so I grabbed her peppermint. When I got back from getting that, the light headedness went away and was starting to feel better and normal taste was returning. We also grabbed the patient a water. By 11:05am she was feeling much better and she went home. She was going to call me if anything else came up after she left. I will follow up with her tomorrow.

Other Meds:

Current Illness:

ID: 1029242
Sex: F
Age: 30
State: IN

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

Lab Data:

Allergies: Latex and morphine

Symptom List: Anxiety, Dyspnoea

Symptoms: Around 12 hours after vaccination, I spiked a temp of 103.5. I had chills, nausea, and body aches. My heart rate also stayed in the 140s. I also have a large grapefruit sized red welp on my arm at the site of injection. I am currently having palpitations frequently and more than 36 hours after vaccines continue to spike a low grade temp.

Other Meds:

Current Illness: None

ID: 1029243
Sex: F
Age: 42
State:

Vax Date: 02/14/2021
Onset Date: 02/14/2021
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:

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

Symptoms: Lightheadedness dizziness hypotension with BP 80/40 thought to be vagal but persistent given Epi.

Other Meds:

Current Illness:

ID: 1029244
Sex: F
Age: 61
State: MN

Vax Date: 02/06/2021
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: Kiwi fruit (20 years ago, not eaten since) - nausea, itchy hives

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: "Covid arm" - itchiness/redness around injection site. No other adverse reactions prior to this.

Other Meds: Fluticasone, magnesium supplement, COQ10 supplement, women 50+ multivitamin Started pravastatin 2/8/21

Current Illness: None

ID: 1029246
Sex: F
Age: 70
State: KY

Vax Date: 02/06/2021
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: no

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

Symptoms: Arm was sore first two days, then about six days later was red, hot, itchy like poison ivy and has got worse since - larger, itcher, redder, hotter - this is 8th day since vaccine.

Other Meds: Amlodipine Besylate - 5 mg, Hydrochlorothiazide 1/2 of 25 mg, Pravastatin siden 40mg, Omeprazole D4-40 mg, fish oil 1400 mg, Women's Multivitamin, CoQ10-400mg, aspirin 81mg, B complex.

Current Illness: no

ID: 1029247
Sex: M
Age: 68
State: PA

Vax Date: 02/04/2021
Onset Date: 02/10/2021
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: None

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

Symptoms: Left side of scalp sensitive to touch, a day later, left cheek and edge of left lip sensitive to touch. Three red blotches appeared on outside of left cheek the size of a dime.

Other Meds: None

Current Illness: None

ID: 1029248
Sex: F
Age: 34
State: VA

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: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Overall body weakness lasting 36 hours, chills lasting 4 hours, tremors lasting 2 hours, vomiting lasting 2 hours, brain fog lasting 36 hours, night sweats lasting 2 days, low grade fever

Other Meds: Levothyroxine, 100mcg Tylenol 1000mg

Current Illness:

ID: 1029249
Sex: M
Age: 75
State: TN

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: LA

Lab Data:

Allergies: none

Symptom List: Pharyngeal swelling

Symptoms: Moderna COVID-19 Vaccine EUA Fever, joint pain, fatigue, headache, chills

Other Meds: Lisinopril 10 mg once daily, Pravastatin 20 mg once daily

Current Illness: none

ID: 1029250
Sex: M
Age: 23
State:

Vax Date: 01/28/2021
Onset Date: 02/04/2021
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:

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: received dose 1 on 1/28. Tested for asymptomatic surveillance screening with his unit, found to be positive on 2/4/2021

Other Meds:

Current Illness:

ID: 1029251
Sex: F
Age: 83
State: FL

Vax Date: 02/02/2021
Onset Date: 02/12/2021
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: None

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Itching started on 2/11/21, rash and swelling started 2/12, swelling has started to subside

Other Meds: Lisinopril

Current Illness: None

ID: 1029252
Sex: M
Age: 46
State: PA

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

Lab Data:

Allergies:

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

Symptoms: Fever, aches, terrible chills, nausea

Other Meds:

Current Illness:

ID: 1029253
Sex: F
Age: 43
State: IL

Vax Date: 02/08/2021
Onset Date: 02/14/2021
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: Amoxicillin Penicillin

Symptom List: Rash, Urticaria

Symptoms: Developed hives on right forearm and left form arm. Right arm covers the most.

Other Meds: Flonase Zurtek

Current Illness: None

ID: 1029254
Sex: F
Age: 81
State: IN

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

Lab Data:

Allergies: Trimox Amoxicillin

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

Symptoms: Chills

Other Meds: Fosamax Calcium Vitamin D 3 Folic Acid 2 Tylenol daily Ginkgo Biloda Fish oil Garlic Infusion Remicade

Current Illness: None

ID: 1029255
Sex: F
Age: 66
State: CA

Vax Date: 02/10/2021
Onset Date: 02/13/2021
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: Allergies to some plants and supplements producing systemic rash.

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

Symptoms: I developed a significant rash 3 days after my second Moderna vaccine. The rash began on my thighs and groin and have spread to my torso front and back. The rash then spread to my elbows and my calves. I also have a round rash several inches from the injection site. The rash is consistent with previous rashes I have after a systemic reaction to something I've eaten of been exposed to, Typically I can trace a rash to a new supplement or body lotion, This time I have no other suspect beyond the vaccine as I have not taken or applied any new supplement or cream in the last 2 months,

Other Meds: Armour thyroid, Prometrium, Dyazide, estradiol patch

Current Illness: none

ID: 1029256
Sex: F
Age: 72
State: MI

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: Blue dye, latex

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

Symptoms: Rash on arm where shot was given, swelling, and warm to touch.

Other Meds: Synthroid 1 and 1/2 daily 50 mg allergic to glue dye in 75 mg no pill taken Weds. and Sunday, Metropol succinate ER 25 mg 1 in morning and 1 at night, Simvastatin 20 mg 1 a day, baby aspirin 81 mg daily

Current Illness: None

ID: 1029257
Sex: F
Age: 70
State: OK

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: Unknow

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

Symptoms: Pt stated ?feels like my tongue has doubled in size ? difficulty swallowing and chest tightness

Other Meds: Unknown

Current Illness: Unknown

ID: 1029258
Sex: F
Age: 69
State: FL

Vax Date: 02/05/2021
Onset Date: 02/06/2021
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: none

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

Symptoms: Swelling started 2/6/21 and lasted for 5 days, redness and warmth started 2/14/21

Other Meds: unknown

Current Illness: none

ID: 1029259
Sex: F
Age: 23
State:

Vax Date: 02/14/2021
Onset Date: 02/14/2021
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: states she has hx of medication reactions to sulfa

Symptom List: Ear pain, Hypoaesthesia

Symptoms: felt bumps on tongue which was like her previous allergic reactions to medicines. posterior pharynx clear to MD exam. took 50 mg of benadryl and felt better.

Other Meds:

Current Illness:

ID: 1029260
Sex: M
Age: 72
State: AZ

Vax Date: 01/26/2021
Onset Date: 02/08/2021
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: None known.

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Dizziness. Periodic throughout the day. Most noticeable in morning. Usually not very severe; pronounced enough to file this report. My wife who received the vaccine the same day , same location 15 minutes prior also is complaining about some dizziness.

Other Meds: Lisinopril 10 mg/day Saw palmetto 1 capsule/day Multiple vitamin 1/day

Current Illness: None.

ID: 1029261
Sex: F
Age: 55
State: VA

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

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

Symptoms: Red, warm spot on my arm at injection site.

Other Meds: Synthroid, Advair, Lunesta, vitamin C & D, calcium.

Current Illness: none

ID: 1029262
Sex: F
Age: 88
State: IN

Vax Date: 02/05/2021
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: Itch swollen red patch around injection site

Other Meds: None

Current Illness: None

ID: 1029263
Sex: M
Age: 83
State: CA

Vax Date: 02/11/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Unevaluable event

Symptoms: Developed increasing mild soreness at site, also slight redness from injection site extending to elbow. Now slight itchness. continues to date.

Other Meds: Sodium Bicarbonate, Vitamin D-3, Aspirin, Metoprolol, Furosemide, Atorvastatin

Current Illness: Stage 4 Kidney disease

ID: 1029264
Sex: F
Age: 65
State: FL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
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:

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

Symptoms: 18 hours after shot-body aches, headache, fever, fatigue,sore arm, fever. 2 days later arm started to swell, get red, and hard as a rock. As the week continued, swelling increased, arm got redder and hot to the touch, a rash appeared, lymph nodes under my arm swollen. 8 days after the shot I woke up with swelling below my elbow in addition to all the other symptoms.

Other Meds: Omezerapole

Current Illness:

ID: 1029265
Sex: M
Age: 80
State: WA

Vax Date: 01/23/2021
Onset Date: 02/04/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: Some swelling of my arm near the injection site and a bright rash on my skin of about 40 mm x 50 mm with slight itch was first noticed February 4th. Over the course of the next week the spot got bigger, about 65 mm x 100 mm, but began to fade away. By February 12 it seems everything was back to normal. I did not seek treatment because of the many articles I saw about "Covid Arm".

Other Meds: lisinopril, hydrochlorothiazide, AREDS 2, Omega 3

Current Illness:

ID: 1029266
Sex: M
Age: 26
State: NJ

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: None

Symptom List: Injection site pain, Menorrhagia

Symptoms: Back spasms, fatigue, dizziness when standing/moving.

Other Meds: None

Current Illness: None

ID: 1029267
Sex: F
Age: 37
State: MN

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

Lab Data:

Allergies: Latex, peanut, amoxicillin

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

Symptoms: Severe aches through whole body started at 3am along with a pain under my left armpit. By 9am there was a golf ball size lump, I'm assuming it's a lymph node. The lump is painful when I move around and makes me unable to sleep. The lump has increased a bit in size and pain has increased to just above my left breast. I have been taking Naproxen and Tylenol for discomfort. I feel flushed but so far no fever has registered.

Other Meds: Turmeric, magnesium.

Current Illness:

ID: 1029268
Sex: F
Age: 54
State: IL

Vax Date: 02/06/2021
Onset Date: 02/07/2021
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: Pineapple No known sensitivity but history of use of PEG as solvent for drug for 5 years while in graduate school

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: One day after vaccine and again six days after vaccine experienced numbness of lips and tongue-no difficulty breathing-I took benadryl and the symptoms resolved by the next day

Other Meds: Omeprazole Zyrtec Green tea Fiber Vitamin D Fish oil Vitamin A Calcium Magnesium Tumeric

Current Illness: N/A

ID: 1029269
Sex: F
Age: 58
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
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: None

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Head ache, joint pain, tiredness, loss of appetite, and dizziness for about 12 hours.

Other Meds: 81mg. Aspirin, 40 mg. Atorvastatin, 37.5-25 mg. Triamterene-HCTZ, 2/day Klor-Con M20

Current Illness: None

ID: 1029270
Sex: F
Age: 78
State: FL

Vax Date: 02/12/2021
Onset Date: 02/14/2021
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: peanuts

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

Symptoms: Tingling then Large rash on arm

Other Meds: spiranolactone vitamin D vertigoheel

Current Illness: NO

ID: 1029271
Sex: F
Age: 77
State: NY

Vax Date: 01/16/2021
Onset Date: 01/23/2021
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: Exactly one week after vaccination, I experienced redness, heat, and extreme swelling around the vaccination site. It lasted for 4 days and subsided without treatment. I did not report it at the time. It was exactly like the experience I had with Pneumovax about 10 years ago.

Other Meds: Dorzolamide drops BID for glaucoma

Current Illness: None

ID: 1029272
Sex: F
Age: 36
State: MA

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

Lab Data:

Allergies: N/A

Symptom List: Injection site pain

Symptoms: 1 hour after vaccine, I experienced light headedness. Felt very airy; as if I was walking on clouds. 12 hours after vaccine, I developed body aches, body chills, low grade fever (100).

Other Meds: N/A

Current Illness: N/A

ID: 1029274
Sex: M
Age: 37
State: PA

Vax Date: 02/04/2021
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:

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

Symptoms: 'Covid Arm' - Rash on Arm, not at injection area but just below, started 1-2" now a few days later 3-4". Itchy, red, circular, warm to touch, a little sore.

Other Meds: Atorvastatin 10 mg

Current Illness: N/A

ID: 1029275
Sex: F
Age: 51
State: MA

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: IM
Vax Site: RA

Lab Data:

Allergies: PCN Lorabid Sulfa Demerol Vicryl sutures

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

Symptoms: Woke with visual distortions, elevated mood, whole body increased nerve sensations, impulsive thinking (symptoms akin to tripping on LSD). Symptoms had started in sleep state and invaded dream space and woke with them still active. Lasted about 4 hours after waking. Then fatigue and headache with no further of the symptoms that were awoken with.

Other Meds: Cymbalta 40mg QAM (all medication not taken yet on 2/12/21 when reaction reported) Meloxicam 15mg Xyzal Migrelief Gentle Iron Vit D3 Trader Joe's multivitamin

Current Illness: Migraine

ID: 1029276
Sex: F
Age: 44
State: CT

Vax Date: 02/11/2021
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: None

Symptom List: Tremor

Symptoms: Multiple mouth sores (aphthous ulcers on left cheek) within 2 days of receiving the vaccine which caused seve p

Other Meds: None

Current Illness: None

ID: 1029277
Sex: M
Age: 59
State: IN

Vax Date: 01/30/2021
Onset Date: 01/30/2021
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: Erythema, Pruritus

Symptoms: Body aches for only 10-12 hours. Daily glucose levels increased by 10-20 points.

Other Meds: Amlodipine 10mg daily

Current Illness: None

ID: 1029278
Sex: F
Age: 34
State: IL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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:

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

Symptoms: Rash on stomach that looked like pimply bumps. Had worn new shirt the same day but no rash anywhere else on my body besides the stomach. Not identified as hives.

Other Meds:

Current Illness:

ID: 1029279
Sex: M
Age: 59
State: MD

Vax Date: 02/14/2021
Onset Date: 02/14/2021
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:

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

Symptoms: Injection site redness approx 5 min after injection small approx 3 cm in size

Other Meds:

Current Illness:

ID: 1029280
Sex: F
Age: 76
State: CA

Vax Date: 02/04/2021
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: Ampicillin, gluten, chocolate

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Itchy red raised warm firm area swelling just at and below injection site. 4 inch circle On early morning 8th day.

Other Meds: Thyroid meds Because ehyroidectomy 2013

Current Illness: None

ID: 1029281
Sex: F
Age: 56
State: CA

Vax Date: 02/14/2021
Onset Date: 02/14/2021
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: NKDA

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

Symptoms: Reported blurry vision, dry mouth. HTN 170-200/90-110, Did not take her BP medication or eat this morning. She normally takes her BP med at night. EMT evaluation. Given juice and water. BP 185/98, reports no further blurry vision. MD evaluated. BP 160/88 by paramedic. Patient released home, will call her primary physician and seek immediate care if symptoms recur

Other Meds: Synthroid, Atenolol

Current Illness:

ID: 1029282
Sex: F
Age: 52
State: MI

Vax Date: 02/11/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Demerol and morphine

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

Symptoms: 2:15 am woke up with chills (as expected) followed by a raging headache. By 4:00 am I had severe vertigo where it was difficult to keep my eyes open because the room was spinning horizontally at a rapid rate, not long after I began vomiting. I attempted to take 800 mg of Extra Strength Tylenol. I called my doctor at 8:30 am and was told that the effects are common but if headache got worse I should go in. I was told to take 1000 mg of Motrin which was an issue because I was vomiting. My husband placed ice packs on my head. The vomited stopped at 2:00 pm on 2/12/2021. I took 800 mg of Motrin at that time. The headache at this point was more like a severe sinus headache and that remained with little relief until 3:30 am on 2/13/2021. I will not do a 3rd booster if it is recommended with variants. I just felt it was necessary that you knew about this reaction/side effect. This was so much more than a headache or dizziness.

Other Meds: B12

Current Illness: None

ID: 1029283
Sex: F
Age: 65
State: SC

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: LA

Lab Data:

Allergies: pollen, dust

Symptom List: Pain in extremity

Symptoms: Minor injection site pain was present the afternoon of vaccination, approximately 7 hours after receiving the vaccine. I woke up about 2:15 am the next morning with chills and was unable to get warm. When I got out of bed, the morning of the 13th, I started to feel unwell and became overly warm. I had to go back to bed and lie down. I did not have a fever. Through the rest of the morning I alternated between feeling chilled and overly warm. I was feeling better by about 2:00pm. No additional problems were noted except for continued injection pain site

Other Meds: levothyroxine, losartan, lovastatin, metoprolol tartrate, loratadine, melatonin, low dose aspirin, calcium plus vitamin D, multiple vitamin, Vitamin B complex, fish oil, vitamin C, ibuprofen

Current Illness:

ID: 1029284
Sex: M
Age: 72
State: NY

Vax Date: 02/12/2021
Onset Date: 02/01/2021
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: None

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

Symptoms: Sore Achy Muscles and Joint Pain

Other Meds: Morphine Sulfate ER 20 MG. For severe Spinal Stenosis pain.

Current Illness: None

ID: 1029285
Sex: F
Age: 25
State: KY

Vax Date: 02/04/2021
Onset Date: 02/14/2021
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: Consciousness fluctuating, Crying, Dry skin, Epistaxis, Headache

Symptoms: 25-year-old female presents to the emergency room for evaluation. Patient reports that this morning she was taking a warm shower. She started having very fast palpitations and felt short of breath with associated lightheadedness. This was very severe for approximately 2 minutes. States she got out of the shower and had to sit down. She put on her smart watch and states her heart rate was greater than 200 at that time. After approximately 2 minutes her heart rate decreased in the 130-150 range and she had mild symptoms for approximately 30 minutes. Her symptoms have subsequently resolved.

Other Meds:

Current Illness:

ID: 1029286
Sex: M
Age: 73
State: AZ

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

Lab Data:

Allergies: None

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

Symptoms: Covid shot 2/2, on 2/13 chest itch, on 2/14 chest arm back rash & itch. Appears to be 'like' Shingles, had shingles +- 2005, and shingles vaccine +- 2014

Other Meds: Levothyroxine, Losartan Potassium, Alfuzosin Hcl.

Current Illness: None

ID: 1029287
Sex: F
Age: 28
State: TN

Vax Date: 02/03/2021
Onset Date: 02/14/2021
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: None

Symptom List: Vomiting

Symptoms: Woke up with swollen red arm, large area, not painful, slightly tender, no other symptoms

Other Meds: Ibuprofen as needed since vaccination date

Current Illness: None

ID: 1029288
Sex: F
Age: 51
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: Erythromycin, sulfa drugs

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Red, blotchy spot appearing on day 8 post vaccination.

Other Meds: Hydroxychloroquine 400mg, aspirin 325mg, zinc, magnesium, D3, calcium, potassium, Quercetin

Current Illness:

ID: 1029289
Sex: M
Age: 80
State: MN

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/14/2021
Hospital: Y

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: lisinopril

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

Symptoms: Patient with achiness that eventually progressed to severe muscle pain with movement and experienced elevation of CK to 6546 on 2/14 and required hospitalization.

Other Meds: alogliptin, empagliflozin, finasteride, glargine insulin, losartan, metformin, pioglitazone, Tamsulosin, insulin aspart, acetaminophen

Current Illness: Mild achiness in arm after first COVID vaccine

ID: 1029290
Sex: F
Age: 55
State: MD

Vax Date: 02/14/2021
Onset Date: 02/14/2021
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: flushed feeling and dizziness soon after having vaccine. resolved after 30 min obs.

Other Meds: Lisinopril

Current Illness: HTN

ID: 1029291
Sex: M
Age: 53
State: TN

Vax Date: 01/28/2021
Onset Date: 01/29/2021
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: For 2 days following vaccination, chills, aches throughout body, dizziness, spaghetti legs, nausea, sharp pains in muscles, loss of appetite, fatigue, weakness. Felt worse than flu. Felt same as when I had Covid in November 2020 (also a bad reaction).

Other Meds: Collagen protein, multivitamin, vitamin D, vitamin C, turmeric, Omega 3 fish oil, Resveratrol, magnesium citrate.

Current Illness: None

ID: 1029292
Sex: F
Age: 42
State: MI

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

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

Lab Data:

Allergies: Scapolimine tramadol

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

Symptoms: Started with my lips and the tip of my tongue went numb and tingling later that night and the next day low grade fever chills fatigued body and joint pain headache

Other Meds: Omeprizol Tylenol Mobic robaxin

Current Illness: Covid positive November 16th2020 lingering symptoms until January 4th2021 fatigued sob

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm