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: 0930547
Sex: F
Age: 29
State: IN

Vax Date: 01/07/2021
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: LA

Lab Data:

Allergies: None

Symptom List: Dysphagia, Epiglottitis

Symptoms: 2 hours after receiving vaccine started having severe pain in shoulder. Progressively got worse as the night went on. Jolting sharp pain with certain movements.

Other Meds: Phentermine, prenatal, vitamin c

Current Illness: None

ID: 0930548
Sex: M
Age: 45
State: WA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: Penicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: While on duty and in uniform as an emergency paramedic I received my second scheduled covid19 vaccination. Approximately five minutes after receiving C19 dose 2 vaccination (1335hrs). I experienced a syncopal episode while walking back to my work area and was lowered to the ground by another EMS provider. I was then placed in a wheelchair by the EMS provider and an RN and taken to the emergency department at Medical Center. (1337hrs) I regained alertness and felt severe nausea and general weakness and was assisted into in ER bed. Staff doctor attended along with RN . An assessment was completed, 12 lead EKG completed, IV established, 8mg Zofran administered, 1000ml of Normal Saline was bolused. Labs were drawn. ED staff continued to monitor me for the next 2 plus hours I was monitored for anaphylaxis and other symptoms. My symptoms of nausea mostly resolved and my strength returned. A Resident MD completed a final evaluation and determined it was safe for me to be discharged. (1607hrs)

Other Meds: none

Current Illness: none

ID: 0930549
Sex: F
Age: 58
State: WV

Vax Date: 12/24/2020
Onset Date: 01/06/2021
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:

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

Symptoms: I had a mammogram on 1/6/2021. The mammogram showed that I had inflamed lymph nodes in my left breast, which is the same side on which I received the injection (left arm). I had an ultrasound the same day. The same radiologist read the mammogram and the ultrasound. There were multiple axillary lymph nodes on the left side.

Other Meds:

Current Illness:

ID: 0930550
Sex: F
Age: 40
State: FL

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

Lab Data:

Allergies: None

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: The next day had headache and right axillary swelling and tender right axillary lymph nodes.

Other Meds: None

Current Illness: None

ID: 0930551
Sex: F
Age: 23
State: IN

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: LA

Lab Data:

Allergies:

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

Symptoms: Nauseous, hot, cold, fatigue, headache

Other Meds: Escitalopram, montelukast

Current Illness:

ID: 0930552
Sex: F
Age: 44
State: WA

Vax Date: 01/06/2021
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: None

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

Symptoms: I am a physician and received 2 doses of the Pfizer COvID vaccine. First dose 12/20/20. Second dose 1/6/2021. Forty- eight hours after second dose I had moderate to severe under eye swelling at site of dermal fillers I received May 20,2020 requiring steroids and antihistamine. I also had severe myalgias and fever 12 -36 hours after my second dose.

Other Meds: Atorvastatin History of under eye dermal fillers injected 5/20/2020 History of lip cheek fillers injected 12/09/2020

Current Illness: No

ID: 0930553
Sex: F
Age: 54
State:

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

Lab Data:

Allergies: NKA

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient reported red injection site, itchy throat and cough while being monitored. Patient was taken to emergency department for evaluation.

Other Meds: Hydrochlorothiazide 25mg oral daily Promethazine/dextromethorphan Albuterol HFA daily as needed Propranolol 80mg oral daily

Current Illness:

ID: 0930554
Sex: F
Age: 53
State: NC

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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Narcotics

Symptom List: Pharyngeal swelling

Symptoms: Low back pain so I went to neuromuscular massage where I go 1-2x a month. My back seized up in so much pain I could not get off the table. I had to stay another hour and still had to crawl off onto the floor before I could drive home.

Other Meds: Lexapro 20 mg, Vyvanse 10 mg

Current Illness: Swollen left knee

ID: 0930555
Sex: M
Age: 42
State: OR

Vax Date: 12/21/2020
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: ? Adhesive Tape Rash ? ? Pt reports rash with "certain type of plastic tape" ? Iodinated Contrast Media Edema ? ? Pt reports "facial swelling" with contrast ?

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Went to ED 6 days after vaccination. "42yoM with a hx of covid-19 infection in 3/2020 with sequelae of chest pain, insomnia, SIBO, and distant hx of testicular malignancy who presents with chest pain and chest palpitations. ?Pt received COVID vaccine on Monday, then started to have symptoms reminiscent of his original covid infection on Wednesday, including chills, myalgias, substernal chest pain, heart palpitations, and fatigue. Denies any fevers recorded at home. He feels like he has extra beats intermittently. Also reports some nausea, but denies vomiting or diarrhea. He has maintained good PO intake since symptoms started, but is worried he may be a bit dehydrated because he had a small AKI when he had covid back in March?. Etiology of chest pains unclear, but given all of the above workup, unlikely to be due to an acute cardiac or pulmonary etiology." He continued to have palpitations for the next week and had further EKG's don thru urgent care.

Other Meds: None

Current Illness: Covid infection 3/2020 with prolonged course.

ID: 0930556
Sex: F
Age: 60
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: 011J201A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None that I'm aware of.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Injection site was swollen and tender to touch from Thursday until Sunday, then subsided. On Thursday, injection area began to itch. Then large area surrounding site became firm. No pain. Size approximately that of human palm.

Other Meds: Venlafaxine XR 75 mg

Current Illness: None

ID: 0930557
Sex: F
Age: 42
State: NY

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

Lab Data:

Allergies: NKA

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

Symptoms: Red,blotchy generalized rash and lethargy noted day after vaccine. Evaluated in Urgent Care, and sent for consult with allergist. Dr. prescribed course of prednisone and recommends employee not receive second dose. Dr. notes that employee has had positive COVID titers in the past.

Other Meds: none

Current Illness: none

ID: 0930558
Sex: F
Age: 70
State: CO

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: 039k20a
Dose Series: 1
Vax Route: SYR
Vax Site: RA

Lab Data:

Allergies: unknown

Symptom List: Rash, Urticaria

Symptoms: Patient was waiting out her 15 mins in the waiting room after receiving the first dose of her Moderna COVID19 vaccine when she began to fill like her tongue was a little swollen. Brought patient into an exam room and took her vitals at 1028 which were BP 135/83, HR 82, O2 96%, and RR 15. Also looked at patients throat to assess signs of angioedema or restricted airway. Patients tongue did appear swollen and was unable to clearly see the back of her throat. 1020 IM Benadryl 50mg was given per standing order and retook vitals at 1032 vitals remained stable at BP 131/52, HR 79, and O2 96%. Patient was moved to a more private room and laid down on a yoga matt for 15-20 min. She began to feel better and continued to be able to swallow and maintain airway. Tongue swelling does appear to have decreased. Could not see uvula but patient states she is not sure if you ever can she may have different anatomy. Vital taken for final time around 1100 and were BP 125/76 O2 96% and HR 74 which she says is normal for her. Made patient aware that after her husband drives her home that she should monitor symptoms and if they become worse she needs to call 911. Scheduled second dose of vaccine but told her to anticipate getting vaccine in Urgent care if okay with Director.

Other Meds: unknown

Current Illness: unknown

ID: 0930559
Sex: F
Age: 46
State: MI

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

Symptoms: Fine rash (almost petechiae appearance) upper body appeared 18 hrs post-injection - still present Facial flushing accompanying rash Severe body and joint aches appeared 18 hrs post-injection - responsive to ibuprofen-still present Severe headache appeared 16 hrs post-injection - responsive to Excedrin/Tylenol - still present Low-grade fever 100.1F (taken 3 hrs post ibuprofen)

Other Meds: Zyrtec, Prilosec, B-complex vitamin, Vitamin D-3, Green Tea extract, Ibuprofen, Zinc, Elderberry, tranexamic acid

Current Illness: Nausea and diarrhea in the week prior accompanied by mild malaise. GI symptoms attributed to monthly menses but symptoms worse than normal and husband also had mild GI symptoms.

ID: 0930560
Sex: F
Age: 60
State: OH

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: 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: shaking chills, fever, myalgias, fatigue increasing over course of 8-24 hours after injection; severe enough that could not work

Other Meds: levothyroxine, metformin, pramipexole, bupropion, methylphenidate, zolpidem

Current Illness: none

ID: 0930561
Sex: M
Age: 32
State: OK

Vax Date: 01/06/2021
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: Allergy to Haldol - swollen uvula

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

Symptoms: -Swollen left supraclavicular lymph nodes (1 medium and 1 large that are hard like marbles) -Entire left supraclavicular fossa region is swollen around hardened lymph nodes

Other Meds: Testesterone cypionate Adderall

Current Illness: Covid within 4 weeks prior to vaccine

ID: 0930562
Sex: F
Age: 49
State: MI

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

Lab Data:

Allergies: Penicillin, and Sulfur.

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

Symptoms: 1/7/2021 I was extremely tired and could not raise left arm without assistance. I also, experience quit a bit of pain at the injection site. Arm pain decrease the next day and was able to raise arm without assistance. 1/8/2021 Tired and lightheaded. I felt like I would pass out if I did not sit down. Cannot stand on my feet longer than 30 minutes at a time. Also experience shortness of breath.

Other Meds: Singulair 10mg, Spiriva Respimat 1.25 mcg, Zioptan, and Nature's Bounty Hair, Skin, and Nails.

Current Illness: No

ID: 0930563
Sex: F
Age: 24
State: CO

Vax Date: 01/08/2021
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: No

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

Symptoms: Client became dizzy 10 minutes into her waiting period. Laid prone X 10, drank juice then sat X 10 and escorted to husbands car.

Other Meds: No

Current Illness: No

ID: 0930564
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: HIBV
Manufacturer: MERCK & CO. INC.
Vax Name: HIB (PEDVAXHIB)
Lot:
Dose Series: UNK
Vax Route:
Vax Site: LG

Lab Data:

Allergies: Codeine Imitrex [Sumatriptan]

Symptom List: Ear pain, Hypoaesthesia

Symptoms: During observation period, patient developed itching in her throat that did not resolve on its own. Was given 50mg PO of Benadryl and observe for another hour. Sx resolved and patient went home.

Other Meds: oxyCODONE (ROXICODONE) 5 mg Oral Tab Ondansetron (ZOFRAN) 4 mg Oral Tab Docusate Sodium (COLACE) 100 mg Oral Cap Ondansetron (ZOFRAN) 4 mg Oral Tab oxyCODONE (ROXICODONE) 5 mg Oral Tab STOOL SOFTENER 100 mg Oral Cap PAIN RELIEF,

Current Illness:

ID: 0930565
Sex: F
Age: 41
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: Dizziness, unable to walk but she is okay now

Other Meds: Vitamin D

Current Illness:

ID: 0930566
Sex: F
Age: 35
State: MA

Vax Date: 12/23/2020
Onset Date: 12/31/2020
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: Bactrim, Trimethoprim, Sulfamethazole Doxycycline

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

Symptoms: Noticed a tingling sensation in her left arm radiating down to her fingertips on 12/31/2020. Redness at the injection site and hives on the left arm where injection was given. Patient went to ER on 01/01/2021 due to numbness and tingling. Received Benadryl at the ER.

Other Meds: No

Current Illness: No

ID: 0930567
Sex: F
Age: 17
State: TX

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: Eh9899
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

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

Symptoms: patient had a syncopal episode at time of injection. lasted <10 seconds. Also reporting due to patient age 17 years old. Patient stated she thought she could take vaccine so she registered for it.

Other Meds: none

Current Illness: none

ID: 0930568
Sex: F
Age: 53
State:

Vax Date: 01/04/2021
Onset Date: 01/05/2021
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:

Symptom List: Unevaluable event

Symptoms: Developed a fine rash across her forehead and chest. Cheeks were firey red and warm to the touch. Rash lasted a couple of days.

Other Meds:

Current Illness:

ID: 0930569
Sex: M
Age: 38
State: ME

Vax Date: 12/29/2020
Onset Date: 12/31/2020
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: NKA

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

Symptoms: 12/30/20 pressure in neck (like someone cupping it), mild 12/31/20 myofacial fatigue, jaw fatigue/weakness making chewing difficult 1/2/21 numbness and tingling in hands, worse left. Global mild analgesia 1/3/21 paresthesias in hands and feet. Legs weak, left worse than right. Severe myofacial fatigue. Headache. Malaise. Severe neck pain 8/10, general body pain 5/10 1/4/21: lymphadenopathy left deep cervical chain. Significant, visible through skin, easily palpable. Other symptoms improved 50% 1/8/21 (today) lymphadenopathy ongoing and unchanged, still severe. Assessed by PCP, felt to be adverse event. Still some paresthesia in hands, malaise.

Other Meds: pantoprazole clonidine lamotrigine hyocyamine prn allegra prn

Current Illness: none

ID: 0930570
Sex: F
Age: 34
State: MA

Vax Date: 12/30/2020
Onset Date: 01/06/2021
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: gluten

Symptom List: Injection site pain, Pain

Symptoms: Patient woke up at 10:30am on 1-6-21 with her (L) upper arm itchy. Area of injection was red, swollen, and hot to touch. Patient saw PCP on 1-6-21 and was prescribed a prednisone taper, Atarax, and betamethasone cream. As of 1-7-21 the area is still red and swollen.

Other Meds: none

Current Illness: none

ID: 0930571
Sex: F
Age: 24
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: none

Symptom List: Injection site pain, Menorrhagia

Symptoms: On 1-721 at approximately 8pm. patient started with itching to the (L) deltoid. Patient then noticed that (L) deltoid injection site was red & swollen. Patient works in PCP office & was evaluated by PCP. Prescribed prednisone taper, Atarax, & betamethasone cream on 1-8-21. Still with redness/swelling.

Other Meds: none

Current Illness: no

ID: 0930572
Sex: F
Age: 29
State: NH

Vax Date: 12/31/2020
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:

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

Symptoms: (L) upper arm Cellulitis

Other Meds:

Current Illness:

ID: 0930573
Sex: F
Age: 50
State: AZ

Vax Date: 12/31/2020
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: unknown

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Patient reported the following to employer via email on 1/8/20201: "I have been experiencing a reaction to the vaccine all week and this morning it got worse. I called my doctor and they want me to go to urgent care this morning. She told me that 100% of healthcare workers are seeing the same thing 7-10 days after the Moderna vaccination. My lymph node (armpit where vaccination was administered) is swollen and painful, neck hurts, and have a very low fever. The vaccination site is swollen, warm, hard and has a red circle below injection site that was the size of a nickel day 1 but now it takes up my entire deltoid region".

Other Meds: unknown

Current Illness: unknown

ID: 0930574
Sex: F
Age: 34
State: FL

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: N/A

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Severe nausea, fatigue Tunnel vision, and delayed speech. Lasting 15 min.

Other Meds: N/A

Current Illness: unknown

ID: 0930575
Sex: F
Age: 1
State: LA

Vax Date: 12/15/2020
Onset Date: 12/15/2020
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:

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

Symptoms: Cheeks & forehead flushed. Inj. site with mild erythema. Mom instructed to apply cool compresses & give Benadryl q 6 hrs x 3 days if itching. May give OTC Motrin/ Tylenol x 48hrs. RTC over if gets distressed

Other Meds:

Current Illness:

ID: 0930576
Sex: F
Age: 53
State: NY

Vax Date: 12/29/2020
Onset Date: 01/05/2021
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: None

Symptom List: Nausea

Symptoms: (L) Deltoid has been warm since vaccine. She Noticed redness to injection site on 1/5/2021

Other Meds: None

Current Illness: None

ID: 0930577
Sex: F
Age: 38
State: NY

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: Developed site redness 9 days after vaccine. Arm is warm & hard at site

Other Meds: Baclofen, Topiramate

Current Illness:

ID: 0930578
Sex: F
Age: 51
State: NY

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: IM
Vax Site: LA

Lab Data:

Allergies: Sulfur , shellfish

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

Symptoms: Notice lymph node swelling on left side on 1/7/20. Had vaccine 12/30/20. Just stopped sinus infection treatment on 1/7/21

Other Meds: Rosuvastin, Humalog, tresiba

Current Illness: Sinus Infection

ID: 0930579
Sex: F
Age: 26
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: RA

Lab Data:

Allergies: PCN, Doxcycline, Latex, Tape

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

Symptoms: Dizziness, rash around shoulders back/chest, and arms. Short of breath ER gave prednisone, 50mg Benadryl and d/c with steroids

Other Meds: Lexapro, VtD3

Current Illness: n/a

ID: 0930580
Sex: F
Age: 56
State: TX

Vax Date: 12/28/2020
Onset Date: 12/29/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Codeine, seasonal allergies, dairy

Symptom List: Tremor

Symptoms: 1/2dollar size red circle @ injection site. Low grade fever Runny nose, itchy watery eyes, earache, allergy symptoms. Fatigue.

Other Meds: Plaquenil. Benicar

Current Illness: SLE

ID: 0930581
Sex: F
Age: 62
State: OR

Vax Date: 01/04/2021
Onset Date: 01/05/2021
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: None

Symptom List: Erythema, Pruritus

Symptoms: Pfizer-BioTech COVID-19 Vaccine EUA 24 hrs post vaccination I started feeling fatigued, muscle and headaches which seemed to move around my body for about 24 hrs. At one point it seemed to settle into my hand. Knuckles swelled arthritis like. When walking up stairs I had significant muscle weakness in my legs and exertional dyspnea. Eyes felt "feverish" but had no fever. The next morning while trying to do a routine workout the same thing happened. It was a significant change to my normal condition. The dyspnea was the most concerning. The body aches settled into my lower back. Fatigue was moderate-moderately severe. As the day went on things waxed and waned. By the end of 72 hrs. most symptoms subsided. Friday 01/08/2021 I had a completely normal workout, no exertional dyspnea, fatigue subsided, no body aches. Back to normal. I would consider the symptoms to have been Moderate+.

Other Meds: linsinapril, synthroid, BiFlex

Current Illness: N/A

ID: 0930582
Sex: F
Age: 35
State: TX

Vax Date: 12/31/2020
Onset Date: 12/31/2020
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: 5 hours after injection in left deltoid, my arm was was in pain/sore but just at injection site. Day 2 my arm was still in pain . Day 3 pain was gone and I felt ok. At day 8 injection site is itchy/ tender and I now have a welt. Day 9 itching is gone but now I have a welt and injection site is red and hot to touch.

Other Meds: Vybriid 40 mg , one tab daily. Biotin 1,000 mg, Three tabs daily.

Current Illness: Depression

ID: 0930583
Sex: F
Age: 37
State: DC

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

Lab Data:

Allergies: Solodyne

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

Symptoms: 16 hours post shot, developed severe myalgias all over body, fever of 101, pain in my spine, back neck, most of my muscles. Nausea. Lightheaded, dizzy. Left neck, chest and armpit lymphadenopathy.

Other Meds: Multivitamin

Current Illness:

ID: 0930584
Sex: F
Age: 28
State: UT

Vax Date: 12/30/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Maxalt

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Reduced Breast Milk Production

Other Meds: Tylenol

Current Illness:

ID: 0930585
Sex: F
Age: 51
State: IL

Vax Date: 12/01/2020
Onset Date: 12/31/2020
Rec V Date: 01/08/2021
Hospital:

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

Lab Data:

Allergies: Cephalaxin. Environmental Had similar reaction to ajovy shot for migraines

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

Symptoms: Day 9 swelling redness warmth on injection site 2 inch by 2 inch circle started dime size day one and has increased photo available

Other Meds: Amitryptline 25 mg for migraines

Current Illness: None

ID: 0930586
Sex: F
Age: 38
State: TN

Vax Date: 12/30/2020
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: Penicillin

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

Symptoms: Moderate pain at the injection site for two days. Developed a rash on at injection site 9 days after. Itching comes and goes and is not severe itching. Very mild. The rash is about 3 inches by 2 inches in size.

Other Meds: Vitamin D and C

Current Illness: None

ID: 0930587
Sex: F
Age: 28
State: NH

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

Lab Data:

Allergies: latex, medications (welbutrin)

Symptom List: Pain in extremity

Symptoms: patient received the Moderna vaccine at 4:30 pm. Patient waited in observation lot for 15 minutes and proceeded to vacate the area. Patient returned to the site at 5:35 p.m. with hives on neck and tingle in throat. Pulse 92, 02 95%, and Blood pressure 142/92, and temp at 98.3. Patient has history of reaction to welbutrin. Patient administered 50 mg of Diphenhydramine HCL at 5:38 p.m. Pulse at 92, 02 99%, BP 134/84 and temp 98.4 at 6 p.m. Patient recovered and left in her friends vehicle at 6:53 p.m.

Other Meds:

Current Illness:

ID: 0930588
Sex: M
Age: 52
State:

Vax Date: 01/02/2021
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:

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

Symptoms: Patient had severe nausea/vertigo episode upon awakening on 1/8/21. Patient fainted and collapsed onto bathroom floor. He hit his head on the wall during the fall. Patient was found barely conscious by his wife right after the fall. Patient temperature, O2 sat and BP all within normal limits measured within 5 minutes of fall. Patient does have history of Meniere's disease x 5 years, but is well-controlled with medication and middle ear steroid injections. Patient has not had severe vertigo episode in 2+ years.

Other Meds: Lisinopril, pravastatin, cyproheptadine, cetirizine, levothyroxine, azelastine nasal spray, budesonide nasal spray, Dupixent, glucosamine/chondroitin

Current Illness:

ID: 0930589
Sex: F
Age: 33
State: CO

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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Seasonal allergies/animal dander

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

Symptoms: Within 5 minutes of administration felt tongue/throat tingling, then felt them starting to swell, making it difficult to swallow, flushing feeling, felt like I was getting tunnel vision (how you feel before you pass out). Reported symptoms to RN who administered shot. Given PO liquid benadryl and epi pen injection quickly- symptoms started to fade within 10-15 minutes, tongue tingly for a few hours. Monitored x 1 1/2 hours with frequent VS checks- HR/BP/SaO2 remained within normal limits

Other Meds: Synthroid, Allegra, Multivitamin

Current Illness: N/A

ID: 0930590
Sex: F
Age: 41
State: KS

Vax Date: 01/05/2021
Onset Date: 01/07/2021
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: None

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

Symptoms: The first day all I had was some soreness and by Wednesday it had faded. Thursday night 1/7 I started getting chills off and on. I felt like I couldn?t get warm. No fever. Took 800 mg of Ibuprofen l, went to bed. Still felt like I couldn?t get warm. At about 2:00 am I suddenly awoke to severe nausea and thought I was going to vomit, but it didn?t come up. Then, I felt like I was going to have diarrhea. No BM. Went back to bed eventually and continued to have chills and hot sweats back and forth. Nausea and stomach turning feeling off and on. No fever. Normal temperature. 1/8 stayed home from work due to nausea. Off and on during the day today and some light chills about 5 times so far. Some headache and possible shoulder stiffness.

Other Meds: Ibuprofen, Arnica

Current Illness: None

ID: 0930591
Sex: F
Age: 34
State: MI

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

Lab Data:

Allergies: Naproxen

Symptom List: Vomiting

Symptoms: Metallic taste in mouth and dry mouth that has persisted

Other Meds: Adderall

Current Illness: None

ID: 0930592
Sex: F
Age: 71
State: CA

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

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Mild headache Mild body aches

Other Meds:

Current Illness:

ID: 0930593
Sex: F
Age: 39
State: WI

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: RA

Lab Data:

Allergies: Imitrex Cattails, pussywillows

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

Symptoms: No symptoms for about 12 hours. But woke up with arm sore, quite inflamed, red and hot at injection site. I don't get a reaction with other vaccines. My coworkers have had the same problem.

Other Meds: Omeprazole Yasmin Cyclobenzaprine Duloxetine Sertraline Bisoprolol Bupropion Levothyroxine

Current Illness: Migraine

ID: 0930594
Sex: F
Age: 52
State: NJ

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: IM
Vax Site: LA

Lab Data:

Allergies: no

Symptom List: Injection site swelling, Limb discomfort

Symptoms: loss of conciousness , faint ,

Other Meds: Metformin, Effexor xr , Zyprexa

Current Illness: unknown

ID: 0930595
Sex: F
Age: 64
State: MI

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: RA

Lab Data:

Allergies: N/A

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

Symptoms: Stiff and sore neck 01/08/2021 10:00am to approx 2:00pm

Other Meds: Metformin, lisinopril, fish oil, citalopram, victoza

Current Illness: N/A

ID: 0930596
Sex: M
Age: 38
State: HI

Vax Date: 01/07/2021
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 that I am aware of

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

Symptoms: Officially I fainted, but I describe in detailed events of occurrence below. I was using my laptop doing some busy work while I waited the 15 minutes after taking the first shot of the Pfizer/BT Vaccine. I had the feeling that I could feel the vaccine coursing through my chest but I thought that was irrational and my mind and nerves playing tricks. I continued to work and let my mind wander for a moment. Next thing I know I was dreaming for a time and then I slowly awakened by the staff calling my name asking "are you OK, do you know where you are?" I was able to answer correctly, but my mind felt fuzzy/foggy where I felt as if I was running on automatic but my conscious mind was not in full control. At the time, It was hard to describe at the time how I was feeling as I was trying to note it down for future reference. All I could put down were simple words and I could not form full statements. Though I was very present in the moment. I can remember the name of the Nurses who I was talking to, and what we were talking about. They took me to be observed for about an hour longer. While I waited, I felt warm, especially in the areas of the back of my head and chest. I was not in any pain, but I was very thirsty. I was also getting pretty hot sitting there, but that may be because of the fact the ER Triage room has full glass wall in full sun. At the end of the hour the sun dropped lower in the sky I felt the normal cold refrigerated Hospital I am used to. I felt weak initially but by an hour I had regained most of my strength by the time the triage nurse took my vitals. After the physician looked over me and my report, they did not give me a reason of concern that would warrant keeping me and let me go home to rest.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm