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: 0930647
Sex: F
Age: 41
State: MA

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: I was sitting in observation at minute 10 or 11. All of the sudden I felt as though my heart was racing, I developed numbness and tingling of both my arms as well as my legs. I then develop tingling and numbness of my face. I felt dizzy and as though I was going to pass out. I then sought help

Other Meds: Wellbutrin and lexapro

Current Illness: None

ID: 0930648
Sex: M
Age: 32
State: NY

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

Lab Data:

Allergies: no known drug allergies.

Symptom List: Anxiety, Dyspnoea

Symptoms: severe injection site soreness (left arm) about 12-16 hours post moderna covid vaccine dose 1. Severe tension headaches daily on days 2-5 post vaccine that could not be linked to other causes

Other Meds: omperazole 40mg once daily

Current Illness: none

ID: 0930649
Sex: F
Age: 22
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: no

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

Symptoms: Body aches, joint pain, fatigue, axillary lymph node swelling and pain

Other Meds: Paxil, apri

Current Illness: no

ID: 0930650
Sex: F
Age: 62
State: UT

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: At 2 am, I woke up to severe chills and body aches, and horrible migraine. I checked my temperature and it was 100.7. It continued to climb to 102.8. I took Tylenol and Ibuprofen all night and all day and could not get relief. I missed a day of work because of this. I am still with fever as of 5:55 pm and the body aches and migraine. This was not explained to me. I feel like I did when I had Corona on the worst days. I am really praying that this ends so that I can go back to work tomorrow. I thought that someone was supposed to call and check on us each day....

Other Meds: Prozac, Topamax, Ropinirol, Trulicity

Current Illness: None

ID: 0930651
Sex: U
Age: 32
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:
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: antiseptic taste in mouth, numb lips, resolved soon after.

Other Meds:

Current Illness:

ID: 0930652
Sex: F
Age: 50
State: TN

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: Shellfish

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

Symptoms: Mild itching that started within 20 minutes of injection that I thought was a result of my sweater material. But itching increased over a couple hours of time even after changing clothes. No rash on body. Just itching all over. Benadryl helped calm itching and it finally started subsiding around 4 hours later.

Other Meds: Bystolic, Junel Fe, Vyvanse, Trazadone, Ibuprofen

Current Illness: None

ID: 0930653
Sex: F
Age: 37
State: AK

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: Wasp Venom (sting- anaphylaxis) Morphine (rash) Demerol (rash) Levaquin (muscle pain) Macrobid (rash)

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Season received the Pfizer-BioNTech COVID 19 vaccine today at 8:30 and scheduled for 30 minute wait time because of prior history of anaphylaxis (non-vaccine). Within a few minutes she developed light-headedness and dizziness, these symptoms continued to worsen so she notified our nurse who was observing post-vaccine patients. She was promptly wheeled to our anaphylaxis room at 8:50 and placed in semi-Trendelenburg position. In addition to light-headedness and dizziness. she reported mild neck tightness and throat fullness. She had facial flushing and conjunctival injection with some tearing. She was monitored for Vital Signs and Oxygen Saturation. Within 20 minutes her symptoms progressed to chest heaviness, increased effort to take a breath and shortness of breath. She was mildly tachycardic with HR 96, though did not become hypotensive, B/P was 140/92. She had no gastrointestinal symptoms. She was anxious and "did not feel right", but did not report "impending doom". At 9:05 Epinephrine 1:1000, 0.3mL was administered IM, upper-outer thigh. Symptoms began improving within 8 to 10 minutes and were mostly gone by 9:20. At 9:17 she was given Diphenhydramine Solution 25mg, Famotidine 20mg, Prednisone 20mg. Her vital signs and Oxygen Saturation remained stable. (see flow sheet) Patient was monitored by an RN for 2 hours in our anaphylaxis room, on monitors, full crash cart present.

Other Meds: Xopenex Ipratropium Bromide nasal Pantoprazole Synthroid Clobetasol B12 injection Epi-Pen

Current Illness: none

ID: 0930654
Sex: F
Age: 48
State: WI

Vax Date: 12/28/2020
Onset Date: 12/01/2020
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: None

Symptom List: Pharyngeal swelling

Symptoms: 1/29/20: Mild arm pain at 0030, applied cold pack and took ibuprofen. At 0445, woke up with rigors, uncontrolled shaking (not just chills) and temp was 100.4. Re-dosed with ibuprofen 600 mg (had taken 600 mg 4 hrs earlier). Three hours later fever to 102.6, and fever persisted for 2+days. Fever persisted for the first 36 hrs despite fever reducers. Extreme muscle aches (as bad/worse than when ill with Covid), headache, fatigue, joint pain, unable to get out of bed for 48+ hrs. See V-safe information as well for details. 12/30/20: to walk in/urgent care as recommended by my employer for Covid/influenza testing and tests all neg. Missed 3 days of work, unpaid. 1/2/2021: left arm/shoulder pain/joint pain and swelling, continued fatigue/headache but symptoms improving.

Other Meds: None Ibuprofen (600 mg) was taken that afternoon/eve, and 4 hrs before fever started (Ambien as needed hs, Gabapentin bid headaches/menopause s/p shingles 18 mos ago)

Current Illness: None

ID: 0930655
Sex: F
Age: 35
State: IN

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

Lab Data:

Allergies: Amoxicillin, vancomycin, erythromycin, keflex

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Upset stomache, nausea, bloating, insomnia, extreme body and joint pain, sensitivity to light, chest and back pain, head ache, dizziness. Spoke to Doctor and suggested rest, pushing fluids, and switching between Tylenol and ibuprofen every 6 hours.

Other Meds: Synthroid, loratadine, omeprazole, venlafaxine, vitamin c, probiotic, elderberry

Current Illness: N/A

ID: 0930656
Sex: F
Age: 21
State:

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

Lab Data:

Allergies: penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: headache

Other Meds: trintellix zoloft trazodone prn for sleep buspar bid

Current Illness:

ID: 0930657
Sex: F
Age: 36
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: 10 minutes after injection given, member reported that she felt swelling in throat and mouth. Was given 1 dose of epi 0.3mg IM in left thigh. Also given diphenhydramine 50mg PO. No worsening in symptoms but no improvement either. Dr recommended patient be sent to ER for further observation. Patient transported to ER .

Other Meds:

Current Illness:

ID: 0930658
Sex: M
Age: 49
State: MT

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: SYR
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: body aches and HA started at noon

Other Meds:

Current Illness:

ID: 0930659
Sex: F
Age: 26
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: None

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

Symptoms: Flu-like symptoms (severe body aches, fever, headache, fatigue)

Other Meds: Sertraline

Current Illness: None

ID: 0930660
Sex: F
Age: 43
State: NY

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: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies: Gluten/Celiacs

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

Symptoms: Chills, body shaking feeling very cold in hands, feet and shoulders /neck from 8pm til 11pm and then very warm. Restless due to pain throughout body and poor sleep Vs unable to sleep. Woke at 2:30 am to call into work. Checked temp at 101,6 (temps throughout Covid no higher than 98.5). Very tired and weak throughout 1/5/21 with lying in bed except to use bathroom abs brush teeth at 6pm.

Other Meds: Levothyroxine, elderberry gummies

Current Illness: Cough and severe headache 12/24/20 with positive Covid test 12/25/20

ID: 0930661
Sex: M
Age: 4
State:

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: no known

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

Symptoms: swelling and redness to site; treated with antibiotics and antihistamines

Other Meds: none

Current Illness: none

ID: 0930662
Sex: F
Age: 47
State: WA

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

Lab Data:

Allergies: Gluten meal

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

Symptoms: Reported itchy throat, tongue, face apprx 10 mins after vaccine. Later that night she had all over body itching with no rash and mouth swelling, eye swelling. No SOB, or difficulty swallowing.

Other Meds: unknown

Current Illness:

ID: 0930663
Sex: F
Age: 49
State: MA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: Egg and peppers intolerance, pet allergies.

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

Symptoms: With seconds after injection, at about 5:15 pm, there was a rush to my head. My nose became immediately and intensely congested to the point there was pressure, I felt heated and as I communicated that I may be having a reaction my throat started to swell. Then it suddenly released. A heat ban moved down my body to my abdomen. I waited for about 20-25 minutes and felt fine. Then about 45 minutes later, I experienced tingling in my lips and very mild congestion. The tingling and mild congestion would perhaps come on and subside with less intensity over the next hour. Very mild congestion continued on and off until the next afternoon.

Other Meds: None

Current Illness: None

ID: 0930664
Sex: F
Age: 26
State: TX

Vax Date: 12/24/2020
Onset Date: 12/25/2020
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: no

Symptom List: Ear pain, Hypoaesthesia

Symptoms: DPH (after the Lot number); I started with a very severe pounding tension headache - 6:00 am; very severe fatigue; very severe arm pain at injection site. And then unable to complete daily functions: do to headache; suffered from headache - took one gram tylenol to address a low grade fever that day and the headache, too. fever subsided with tylenol. Headache was relentless; I tried 600 mg of ibuprofen as well to treat headache with no success; Started to suffer severe pain; couldn't open eyes from pressure of headache. Went to ER due to never having such a severe headache before. Tests did not show pathology that would cause headache. Was given one liter of IV fluids. Was given 25 mg of benydryl ; 10 mg of compazine. Along with toradol. And 20 meq of potassium. Discharged home with two prescription migraine medications. Resolution of symptoms by 27th. COVID Test was negative result.

Other Meds: no

Current Illness: headache

ID: 0930665
Sex: F
Age: 0
State: KY

Vax Date: 01/08/2021
Onset Date: 01/08/2021
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: Rash present at the top of the neck that appeared 30 minutes after vaccination

Other Meds:

Current Illness:

ID: 0930666
Sex: F
Age: 29
State: CT

Vax Date: 12/30/2020
Onset Date: 01/07/2021
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: left upper arm cellulitis

Other Meds:

Current Illness:

ID: 0930667
Sex: F
Age: 53
State: PA

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

Lab Data:

Allergies: Epinephrine Red Dye Strawberry

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

Symptoms: 1/7/2020 in am- injection site size of a quarter, red, hot to touch, itchy, painful. Upper lip itchy for 3 hours. Late afternoon developed joint pain, muscle aches, fatigue, chills, headache, nausea. 1/8/2020 3am injection site size of 50 cent piece , red, hot to touch, itchy, painful , small bumps on upper arm and upper chest. Chills, headache, joint pain, muscle aches, fatigue, nausea and diarrhea

Other Meds: Levothyroxine Zoloft Protonix Pravachol Lumigan Eye Drop

Current Illness: Covid 19 Swab taken 11/23/2020

ID: 0930668
Sex: F
Age: 43
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: unknown , pt denied any hx of anaphylaxis to anything

Symptom List: Unevaluable event

Symptoms: This morning Friday 1/8/21 pt was given injection at 0912. At about 0930 pt C/O diaphoresis, lightheadness. Water was offered. BP taken manually in 80s. 911 was called. Pt suffering substernal pain. A/OX4 no fainting. Paramedics arrived at 0940, assessed pt and EKG performed. Paramedics encouraged for pt to go to her hospital, Pt declined and exited clinic on her own.

Other Meds: unknown

Current Illness: none declared

ID: 0930669
Sex: M
Age: 56
State: AR

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

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 reported

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

Symptoms: patient begin to feel bad that night was admitted into hospital sometime in the next couple of days for dehydration, patient discharged home and then readmitted to hospital for positive covid testing after feeling very ill.

Other Meds: none reported

Current Illness: none reported

ID: 0930670
Sex: F
Age: 48
State: NY

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: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillian

Symptom List: Injection site pain, Pain

Symptoms: The patient reported shortness of breast and difficulty breathing. The patient's husband stated that he witnessed the patient having a seizure. Patient advised to call EMS. EMS took the patient to hospital. The patient was stabilized after receiving emergency treatment.

Other Meds: Vitamin-D, Levathyroxine, and a Iron supplement

Current Illness: No

ID: 0930671
Sex: F
Age: 51
State: PA

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

Lab Data:

Allergies: Kefkex, amoxicillin, latex

Symptom List: Injection site pain, Menorrhagia

Symptoms: Tinnitus, generalized fatigue, muscle- specifically mid back, achiness, neck muscle/trapezius achiness, soreness at injection site

Other Meds: Zyrtec

Current Illness: None

ID: 0930672
Sex: F
Age: 51
State: NY

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

Lab Data:

Allergies: Shellfish Latex Sulfate Lemongrass Grass Pet dander Dust mites Mold/mildew

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

Symptoms: Symptoms started at 3pm 1/5/2021 were: Chills Muscle anf joint aches Low grade Fever Runny nose Severe headache Reaction were: Swelling of face arm Tightening and Heavy chest deep breathing Tightening of throat when upright

Other Meds: 0

Current Illness: Arthritis Asthma Prone to Tissue inflamation

ID: 0930673
Sex: F
Age: 48
State: CO

Vax Date: 12/29/2020
Onset Date: 01/05/2021
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: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: 1 week after injection I developed well demarcated, red, hot, painful induration at the injection that traveled slightly down the arm

Other Meds: levothyroxine, Mirecette, omeprazole, Ritalin LA, Zyrem, vitamin C and D and B12

Current Illness: None

ID: 0930674
Sex: F
Age: 38
State: WI

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

Lab Data:

Allergies: Sulfa and Allegra

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Light headed, dizziness, pain in left arm from shoulder to elbow, fluzzy and numb feeling on roof of mouth, sob, constricted throat, altered sense of taste. Episode lasted for about 30 minutes. I sat and rested, focusing on my breathing and not panicking. I did not seek medical attention.

Other Meds: Zyrtec and Conception

Current Illness: None

ID: 0930675
Sex: F
Age: 65
State: WA

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: RA

Lab Data:

Allergies: NKA

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

Symptoms: awakened at 0500 the following morning with a blinding migraine and nausea. Prior to that there were no sequelae. No redness or swelling at the injection site; mild generalized muscle aches. Took ibuprofen 600 mg tid for 36 hours. Additional -- difficulty concentrating, some word finding issues and fatigue. Symptoms resolved after 52 hours.

Other Meds: fluoxetine 30 mg, caltrate bid, salmon oil

Current Illness: depression, chronic post nasal drip

ID: 0930676
Sex: F
Age: 36
State: CA

Vax Date: 12/19/2020
Onset Date: 12/24/2020
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: 12/23/2020 I started expecting the congestion on 12/25/2020 I lost taste and smell & I felt out of breath and also had diarrhea. 12/26/2020 a doctor called me I express my symptoms he ordered a test for covid & I tested positive. On Saturday 01/02/2020 visited the ER to get help to breath

Other Meds: Wellbrutin Celexa Adderall

Current Illness: No

ID: 0930677
Sex: F
Age: 39
State: CA

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

Lab Data:

Allergies: None

Symptom List: Injection site pain

Symptoms: ?Moderna COVID?19 Vaccine EUA? On day 1 I felt as though I might faint when sitting down. On day 2 I am having significant arm pain, low grade fever, sore throat and I am just not hungry. I feel nauseated when I think of food. I am just exhausted. My blood type is O positive if that matters

Other Meds: None

Current Illness: None

ID: 0930678
Sex: F
Age: 45
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Codeine, Morphine, Maxalt

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

Symptoms: 11 hours after vaccination (12 midnight), I noticed a small redness on the injection site. Right after I saw that, I took a shower and minutes after a shower I developed red itchy rash all over my arms and legs. Then my abdomen and back started to itch as well. Immediately I took 50 mg of Benadryl and went to sleep. Itch continued while I was trying to fall asleep. In the morning there was no rash on my body except for a small redness on my injection site. By the way, with the first shot that I had on December 19, 2020, Pfizer Lot # EH9899 in the same facility , I developed red, hot to touch, not raised rash all over my deltoid muscle of the left arm 2 days after the shot was administered and it lasted for 3 days with no change. Benadryl and Allegra did not help with shot # 1.

Other Meds: Vivelle dot, Norethidrone, Multivitamins,Fish oil, Probiotics, St John's Wart.

Current Illness: N/A

ID: 0930679
Sex: M
Age: 20
State: CA

Vax Date: 12/21/2020
Onset Date:
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: none

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

Symptoms: reported as "severe"- Pain in the entire arm of vaccination- at which MCV4 and Mening B were administered..... also reported were low grade fever, fatigue and sweats

Other Meds: unknown

Current Illness: denied by client

ID: 0930680
Sex: F
Age: 67
State: WY

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: No known

Symptom List: Tremor

Symptoms: Patient presented to the vaccine clinic to receive her first dose of COVID vaccine. Administration and post vital signs went smoothly and vitals were stable. After patient left the facility it was discovered that the patient was given an undiluted dose of COVID vaccine.

Other Meds: None

Current Illness: No known

ID: 0930681
Sex: F
Age: 69
State: TX

Vax Date: 12/30/2020
Onset Date: 01/01/2021
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: no known

Symptom List: Erythema, Pruritus

Symptoms: redness, extensive swelling at injection site and "fever" at injection site. 7 days after injection intense itching started

Other Meds: flonase, singulair, valsartan, levothyroxin, pantprazole, dotti patch, simvastatin and meloxicam

Current Illness: not known

ID: 0930682
Sex: F
Age: 49
State: TX

Vax Date: 12/28/2020
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: Itching and burning raised rash on hands, wrists, injection site. Tx: Benadryl, cold compress

Other Meds: Vitamin D; Elderberry

Current Illness:

ID: 0930684
Sex: M
Age: 54
State: WV

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: LA

Lab Data:

Allergies: None

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

Symptoms: "Moderna COVID-19 Vaccine Symptoms: chills, Fever 101, joint pain, headache, loose stools

Other Meds: Dose per day: Wellbutrin XL 450mg; Citalopram 40mg; Depakote 1000mg; Losartan 100mg; Flomax .4mg; Eliquis 10mg; ASA 80mg; Glucosamine chondroitin complex 2 tabs; Vitamin D3 5000IU; Zinc 50 mg; Vitamin E 400 IU; Prevagen Reg Strength; Suga

Current Illness: None

ID: 0930685
Sex: F
Age: 52
State: MA

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: Zantac, Reglan, Amoxacillin, Nutrasweet, Aspartame, Colophony, Rubber/adhesives

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Tues 1/5/21 heart flutter feeling shortly after vaccine administered (within 10 min.- went away Dizziness approx. 30 min later-went away 4pm- headache, dizziness, pain at injection site, lower back pain, scapulae pain 10pm-5am- chills, no fever Wed 1/6/21 shaking chills in/out of shower despite hot water; chattering teeth Chills and freezing all day at work- wore scarf all day and had personal heater directly on me as well as hospital heat- still freezing Felt feverish at times, though did not check temp, no sweating headache all day, severe achiness at injection site, scapulae area, lower back, hips, joints- Took Tylenol throughout day/eve Eve took 2 hr nap then bedtime around 10:30pm Shaking shills all night long/ more like rigors; husband woke me up to ask if OK as I was shaking entire bed. Freezing feeling continued No fever, did not feel hot; short time later completely soaked- nightshirt, blankets, hair as if I had been in shower Took Tylenol Thursday 1/7 Headache, achiness severe Continued feeling freezing cold ( I am NEVER cold)- could not get warm despite covered with blankets Took nap then went to bed Friday 1/8 woke with headache still- Tylenol though does not take away headache- have had continually since vaccine blisters on upper lips; blisters under both nostrils; swelling, pain of mucous membranes in nose L arm injection site red, very warm Entire upper arm hard and swollen Still with symptoms as of 8pm this eve

Other Meds: Prozac 60mg by daily Tylenol 1000mg by mouth 2 x day Multivitamin 1 by mouth daily

Current Illness: N/A

ID: 0930686
Sex: F
Age: 50
State: PR

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: SYR
Vax Site: LA

Lab Data:

Allergies: Tetracicline, Penincillin, Iodine

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

Symptoms: Swollen Axillary Lymph Nodes up to the breast area.

Other Meds: Lisinopril 40mg

Current Illness: No.

ID: 0930687
Sex: M
Age: 65
State:

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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Patient felt "tickle/scratchiness in throat" 10 minutes after vaccine; BP and pulse stable; no hives, itching, shortness of breath. Took 25 mg of Benadryl and monitored another 15 minutes. VSS; patient felt comfortable leaving; would be in hospital another hour or so,

Other Meds:

Current Illness:

ID: 0930688
Sex: F
Age: 60
State: NM

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: Acetaminophen Amoxicillin

Symptom List: Pain in extremity

Symptoms: Facial flushing, different sensation to head and ears, anxiety, unable to think. Pt. evaluated by MD, Benadryl 50mg IM administered with 1 hour in clinic observation. Pt. with improved breathing and relaxation, vitals stable.

Other Meds: ALBUTEROL HFA 90MCG/SPRAY INHL,ORAL FLUTICASONE SOLN,NASAL SUMAtriptan TAB 25MG MULTIVITAMIN TAB FISH OIL CAP,ORAL 1000MG metFORMIN TAB,SA 500MG TIOTROPIUM INHL,ORAL 2.5MCG/ACTUAT diphenhydrAMINE CAP,ORAL 25MG PIOGLITAZONE TAB 30MG

Current Illness: Diabetes Mellitus GERD PTSD

ID: 0930689
Sex: F
Age: 36
State: AR

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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: Celiac; gluten

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

Symptoms: Chills, fever, muscle aches, sweating spells, redness traveling down my arm under the injection site, severe arm pain, runny nose , increasing redness and swelling down anterior tricep under injection site

Other Meds: Aczone Benzoyl peroxide gel Rizatriptan Benzoate

Current Illness: None

ID: 0930690
Sex: F
Age: 39
State: NY

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

Lab Data:

Allergies: Apples, chlorhexidine (when on skin)

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

Symptoms: I got the vaccine at 9:45am. I got a sudden sharp migraine after 3:15pm, which lasted till around 8pm. Around the same time I also experienced severe nausea, which lasted all night and I woke up with it today. I went to restroom to wash my hands and when I looked in the mirror I noticed 3 hives- 1 on my face under my left eye and 2 on my neck. My left eye was also itchy for about an hr or so.

Other Meds: Omeprazole (reflux disease), topiramate (migraines)

Current Illness:

ID: 0930691
Sex: F
Age: 25
State: MT

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

Lab Data:

Allergies:

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

Symptoms: body aches, nausea, chills

Other Meds:

Current Illness:

ID: 0930692
Sex: U
Age: 23
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

Symptom List: Vomiting

Symptoms: sharp abdominal pain on left side, bloating. Pain subsided but bloating still present at time employee left work at 4:30pm.

Other Meds:

Current Illness:

ID: 0930693
Sex: F
Age: 33
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: SYR
Vax Site: LA

Lab Data:

Allergies: latex, nuts, foods

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: 4: 50 pm - 20 minutes after injection, pt reports feeling flushed, hot and itchy. pt denies breathing trouble. 5: 03 pm pt was evaluated by EMS BP 162/105, P91, O2 sat 100%, EKG done 5: 09 pm BP 136/84 P 86, O sat 100 %. Pt reports reports feeling better, declined transport to ED. Pt left AMA.

Other Meds: gabapentin, lithium, seroquel

Current Illness: none

ID: 0930694
Sex: M
Age: 58
State: IN

Vax Date: 01/06/2021
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:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Arm started getting sore then it ran through my body and I got very a hey and got a temperature. Also got chill. Went away 2 days after vaccine

Other Meds:

Current Illness:

ID: 0930695
Sex: F
Age: 26
State: FL

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: IM
Vax Site: LA

Lab Data:

Allergies: Shellfish

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Flu-like body aches and shivers; increased pain with migraine; significant lethargy

Other Meds: Rizatriptan; Aimovig

Current Illness: Migraine disease

ID: 0930696
Sex: F
Age: 39
State: OR

Vax Date: 12/30/2020
Onset Date: 12/30/2020
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: Allergies to PCN and Percocet; Had anaphylactic reaction to sucralose for fit test.

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

Symptoms: Had itchy hives on face and neck, some lip swelling, dizziness; Denied SOB or throat tightness. Pfizer vaccine was given at 11:45 AM and reaction onset at 11:55. VS at 12:10: BP 132/67; HR: 100; O2 96%; Epi given at 12:22; Was taken to ED for observation. Patient has PMHx of RA and Asthma; Meds include Methotrexate, Advair, Omeprazole, Vit D; Allergies to PCN and Percocet; Had anaphylactic reaction to sucralose for fit test.

Other Meds: Methotrexate, Advair, Omeprazole, Vit D

Current Illness: N/A

ID: 0930697
Sex: F
Age: 24
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: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Aches, tiredness, joint pain, nausea, vomiting, injection site swelling and redness

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm