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: 1033256
Sex: F
Age: 46
State: CO

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
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:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Administered on 23rd day

Other Meds:

Current Illness:

ID: 1033257
Sex: F
Age: 58
State: MI

Vax Date: 12/28/2020
Onset Date: 12/28/2020
Rec V Date: 02/16/2021
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: Sulfa

Symptom List: Anxiety, Dyspnoea

Symptoms: The area where they gave me first vaccine, they applied a band aid and the band aid mark will not go away, it is like a tatoo on my arm.

Other Meds: Ibuprofen 800; Phentermine 15 mg

Current Illness: none

ID: 1033258
Sex: M
Age: 72
State: CO

Vax Date: 02/04/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
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: Redness, itchiness at injection site 5 days post vaccination. Continues through today (2/16/21) but improving

Other Meds:

Current Illness:

ID: 1033259
Sex: F
Age: 72
State: NJ

Vax Date: 02/14/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
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: I wanted to report that the pharmacist that administered the vaccine gave my mother the 1st dose of the vaccine 2 times in under a minute while being distracted. This was a horrifying and careless mistake. My mother is experiencing a headache that has been intense for 48 hours now, a very large visible lump at the injection site along with a red rash. She has had dizziness and lightheadedness. She also has ringing in her ears. The main reason for filing this report is because of the error made and the concern of what other effects getting a double dose of the 1st shot will cause her.

Other Meds: Sometimes Melatonin at night.

Current Illness: none

ID: 1033260
Sex: F
Age: 71
State: MD

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Penicillin,clindamyacin,doxycycline,epinephrine

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

Symptoms: I received the vaccine at 3;30 in the afternoon of 2/12/21. I felt fine and after waiting for 20 minutes, I drove home. I had no pain at the injection site and did not need any medication. I ate dinner and went to bed at 10:30 pm. I awoke at 1:30 am with pain in my mouth. I had had a temporary bridge put in my upper right side of my mouth on Tuesday, 2/9/21. I had had no pain from that dental procedure till 2/13/21 at 1:30 am. I needed to take an Advil to relieve the pain. After 20 minutes the pain was gone. This pattern of waking at night with pain has continued since that night. I called my dentist today and reported what was going on. He told me to get in touch with the CDC and file a report. He reported that he has heard of this pain occurring in other dental patients after having received the vaccine.

Other Meds: Atorvastatin, lisinopril, Lumigan, multivitamin, Vitamin C, Vitamin D

Current Illness: N/A

ID: 1033261
Sex: F
Age: 39
State: DC

Vax Date: 02/02/2021
Onset Date: 02/02/2021
Rec V Date: 02/16/2021
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:

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

Symptoms: Adverse effects: fatigue/dizziness/headache, resolved after 24 hours, left arm pain and swelling around injection site persist for 2-3 days, swelling is continue getting bigger, warm and tender to touch. Tx: possible post-vaccination cellulitis (left arm), given Keflex 500mg tid for 7 days, OTC NSAID prn for pain, swelling edge marked and advised monitor swelling edge, seek immediate care if getting worse, follow up with PCP.

Other Meds: HCTZ

Current Illness:

ID: 1033262
Sex: F
Age: 59
State: ND

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/16/2021
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: wellbutrin, prozac, nsaids, sulfa

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: After first dose, some discomfort in arm and low grade fever about 24 hours after administration. After second dose, approximately 12 -18 hours after, severe body aches, migraine headache which lasted for about 24 hours.

Other Meds: Protonix, Carafate, Gabapentin, Nadolol, Metaxalone, Paroxitene, Vitamin B & folic acid, magnesium, calcium w/vitamin D, collagen, Lysine, Airborne, Turmeric w/Curcumin, Imitrex, Tylenol, Advil, Multi vitamin, Botox for migraine

Current Illness: Migraine Neck pain/back pain Fibromyalgia

Date Died: 02/14/2021

ID: 1033263
Sex: F
Age: 69
State:

Vax Date: 01/27/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Pharyngeal swelling

Symptoms: patient passed away within 60 days of receiving COVID vaccine

Other Meds:

Current Illness:

ID: 1033264
Sex: F
Age: 59
State: CO

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
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: Administered on 23rd day

Other Meds:

Current Illness:

ID: 1033265
Sex: F
Age: 39
State: CA

Vax Date: 01/19/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
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: TETRACYCLINE, NOT SUPPOSED TO TAKE BECAUSE OF PSEUDO TUMOR CEREBRI.

Symptom List: Diarrhoea, Nasal congestion

Symptoms: COVID ARM. AFTER FIRST DOSE. NOTICED A GRAPE SIZED, HARD BUMP AND IT FELT ITCHY. IT GREW PRETTY QUICKLY TOOK OVER AT LEAST HALF MY ARM. ITCHY. I TOOK BENADRYL THE LAST FEW DAYS BEFORE IT WENT AWAY AND APPLIED CORTIZONE ONTO AREA. ICED AREA. I STILL HAVE A DISCOLORATION ON MY ARM WHERE THE RASH WASH. IT'S LIKE A LIGHT BROWN OUTLINE OF WHERE THE RASH WAS.

Other Meds: ACETAZOLAMIDE 500 MG TID, HAIR, SKIN AND NAILS SUPPLEMENT HALO BEAUTY BRAND, VITAMIN D3.

Current Illness: CHRONIC BACK PAIN, CHRONIC SCIATIC PAIN ON BOTH LEGS, CHRONIC NECK/SHOULDER PAIN, TENDONITIS, GRANULOMA ANNULARE ON BOTH ANKLES.

ID: 1033266
Sex: F
Age: 56
State: OR

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
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: Patient experienced nausea. Given water and snack. Patient left on her own after approx 25 minutes in the obs area.

Other Meds:

Current Illness:

ID: 1033267
Sex: F
Age: 54
State: NE

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
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: The day after the second dose vaccine, severe chills, aches and pains. Progressive chills and rigors with increasing pain. Sent to treatment room for LR IV fluids and Ofermev1 gram IV.

Other Meds:

Current Illness:

ID: 1033268
Sex: F
Age: 87
State: ND

Vax Date: 02/11/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: Iodinated Contrast Media;

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

Symptoms: Patient presents to our emergency department on 2/13/2021 with complaints of nausea, vomiting & diarrhea, dehydration and headache. Iv fluids administered, patient kept observation for 24+ hours.

Other Meds:

Current Illness: Unknown

ID: 1033269
Sex: F
Age: 50
State: PA

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20-2A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Body aches, chills, fever, headache, arm soreness

Other Meds:

Current Illness:

ID: 1033270
Sex: U
Age: 90
State: CA

Vax Date: 01/15/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
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 (NKA)

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

Symptoms: Patient vaccinated with first dose on 01/15/21, reported having loose stools and diarrhea on 01/22/21, occurring a few days prior to the phone call. Patient's husband also vaccinated on the same day, reported also as sick with no other known sick contacts. Patient was admitted to Hospital on 01/27/21, 02/02/21 with weakness, hypoxia and pneumonia due to positive COVID-19 virus and again on 02/09/21 with hyperglycemia, elevated Troponin level, Acute renal failure and COVID-19 with a stay of 2 days and discharge to SNF.

Other Meds: Insulin, losartan, metoprolol, glipizide, Janumet, amlodipine,

Current Illness:

ID: 1033272
Sex: F
Age: 31
State: AK

Vax Date: 01/14/2021
Onset Date: 01/14/2021
Rec V Date: 02/16/2021
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: N/A

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

Symptoms: Extreme fatigue. At approximately 6:30 PM on the same evening of the vaccination, I was unable to stay awake. I fell asleep at the dinner table. A household member assisted me in getting to bed for the evening. The following morning I was fine and there were no more effects.

Other Meds: N/A

Current Illness: N/A

ID: 1033273
Sex: F
Age: 39
State: OR

Vax Date: 02/10/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
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:

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

Symptoms: Patient experienced facial itching approx 5 minutes after vaccination. Denies swelling in throat, mouth. BP 141/90, Sp02: 98%. RRT called and patient refused ED transport. Sat for approx 30 minutes in obs area before leaving on her own. Airway assessed by RRT and no concern for respiratory compromise.

Other Meds:

Current Illness:

ID: 1033274
Sex: F
Age: 63
State: NC

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: plavix, vitorin, omniceph, sulfer drugs

Symptom List: Ear pain, Hypoaesthesia

Symptoms: site pain, next day body aches, joint pain, headache, chills, no fever. tiredness. for two days

Other Meds: crestor, coreg, insulin, jardience, losartin, fenofibrate, lasix, verapamil, benadril, aspirin, cranberry concentrate, multivitamin gummie, grapeseed vitamin

Current Illness:

ID: 1033275
Sex: F
Age: 71
State:

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Possible Penicillin allergy reported as a child? No other known allergies beyond recent seasonal allergy to cedar, etc

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: "COVID arm" started to appear about 24 hours after vaccination. Hot, red, itchy and about 2 inches in diameter. Took Benedryl to relieve symptoms. Also developed raised bump at injection site. After 48 hours post injection, inflamed area extended about 4 inches with same symptoms- no antihistamine or Tylenol taken at all. Today, at 72 hours post injection, inflmamed area extends to about six inches with same symptoms- warm to touch, red, itchy, hard center at injection site. Took one Benedryl to relieve symptoms. This did not occur after first COVID shot. This allergic reaction only appeared after the second COVID vaccination. Vaccination was given in same arm as first shot exactly four weeks prior.

Other Meds: Aspirin,Atorvastatin, Hydrochlorothiazide,Carvedilol,MetforminER,Amlodipine, Nexium

Current Illness: None

ID: 1033276
Sex: F
Age: 72
State: MI

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: none

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

Symptoms: sore right arm and headache beginning at 10:45 p.m. of injection day; body aches and fatigue beginning next morning; some tightness in throat; no fever (taken with touchless forehead thermometer)

Other Meds: atorvastatin/ metoprolol; levothyroxine

Current Illness: none

ID: 1033277
Sex: M
Age: 53
State: NY

Vax Date: 02/14/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
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: shellfish

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

Symptoms: After 24 hours of taking the second shoot, the arm where I was given the vaccine was a severe pain, body aches and headache, 48 hours after the vaccine, I feel better.

Other Meds: None

Current Illness: None

ID: 1033278
Sex: F
Age: 68
State: MN

Vax Date: 02/11/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: PAIN MEDS- NAUSEA

Symptom List: Unevaluable event

Symptoms: Body aches, chills, fever, nausea, cough and fatigue after COVID vaccine

Other Meds: ARMOUR THYROID, CALCIUM, CLARITIN, FISH OIL, PROZAC, DUONEB, PROAIR, SINGULAIR, VITAMIN A AND D, VITAMIN B12, VITAMIN C, VITAMIN D, VITAMIN E

Current Illness: NONE

ID: 1033279
Sex: F
Age: 64
State: CO

Vax Date: 02/12/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
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: echinachea, topical aloe vera, sorbitol

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

Symptoms: All of a sudden, day 3 after the vaccination, her right eye is swollen. Eye lid was red and swollen, She went home and applied ice to the eye. Three hours later the swelling had gone down.

Other Meds: lisinopril, pravastatin, januvia, metformin, levothyroxine, megaRed, naproxen, MoveFree, tumeric, potassium citrate;

Current Illness:

ID: 1033281
Sex: F
Age: 46
State: MA

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 02/16/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011L20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Injection site pain, Pain

Symptoms: Received first dose of covid 19 vaccine on 12/18/2020 and experienced side effects of joint pain and fatigue that extended until next dose. I was unable to return to pre vaccine workout schedule feeling completely exhausted after 30 minutes of sustained exercise, when previously I could work out without issue and for rest of day. Fatigue and joint pain improved slightly and then I received 2nd dose on 1/8/2021. Fatigue and joint pain worsened and I continue to not be able to exercise experiencing tired muscles and joints very quickly with fatigue that does not resolve. I have not been able to return to pre vaccine activities.

Other Meds: levoxyl 25 mcg daily protonix 40 mg daily ferrous gluconate daily vit d 1,000 units daily metoprolol xl 50 mg daily amitriptyline 10 mg QHS

Current Illness: viral illness with post nasal drip and rhinorrhea one week prior to first vaccine dose on 12/18/2020

ID: 1033282
Sex: F
Age: 76
State: WI

Vax Date: 01/26/2021
Onset Date: 02/02/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: SEAFOOD

Symptom List: Injection site pain, Menorrhagia

Symptoms: RIGHT FOOT RASH; REPORTED 1 WEEK AFTER INITIAL VISIT; ALERTED PHARMACY WHEN SHE CAME IN FOR THE 2ND DOSE ON 2-16-21.

Other Meds:

Current Illness:

ID: 1033283
Sex: F
Age: 74
State: GA

Vax Date: 02/05/2021
Onset Date: 02/06/2021
Rec V Date: 02/16/2021
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: fresh pineapple, walnuts, and Swiss cheese Achromycin, Cymbalta, Lidocaine, Prilocaine, Buspirone

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

Symptoms: Next day after vaccine, Feb. 6 - chills, fever (about 3 and a half degrees higher than normal), increasing pulse and bp 2 and a half days after vaccine, Feb. 8 - TWO rashes above elbow on right arm -- today, 8 days later, the rashes are worse -- have a virtual doctor's appointment tomorrow, Feb. 17

Other Meds: None taken at vaccination time. I take Synthroid, Pravastatin, and Losartan every day.

Current Illness: None

ID: 1033284
Sex: F
Age: 48
State: AK

Vax Date: 02/13/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
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: Allergic to sulfa

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Approximately 24 hours after vaccine, I woke feeling very weak and tired, experienced body aches, headache, clumsiness, foggy thinking, and fevers/chills/sweats?highest measured was 100.9. All these symptoms resolved approximately 24 hours later as well. Now, 3 days later, I have skin rash and arm swelling in area of injection.

Other Meds: None

Current Illness: None

ID: 1033285
Sex: F
Age: 76
State: FL

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Soy

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Chills, extreme fatigue, nausea, stomach pains - 48 hours; Cramps and lack of appetite 10 days

Other Meds: Preservision, vitamin B12

Current Illness: None

ID: 1033286
Sex: M
Age: 49
State: PA

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/16/2021
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: Chlorthalidone, Penicillin

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

Symptoms: Patient stated she felt like her throat was closing and started sounding hoarse. Doctor examined patient and took her vitals which was stable. Patient was given a Benadryl and then sat for a couple of minutes. Patient then stated she had difficulty breathing and was given a Epi Pen and 911 was called for a Ambulance. Took patients vitals before Ambulance arrive and it was still stable. Ambulance arrived and patient was taken to the hospital.

Other Meds: N/A

Current Illness: No

ID: 1033287
Sex: F
Age: 44
State: UT

Vax Date: 12/17/2020
Onset Date: 12/22/2020
Rec V Date: 02/16/2021
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: Unsure of onset of VZV rash, but first noticed it about a week after receiving first dose of COVID vax. Rash was under left armpit, was associated with mild pain/irritation. When rash did not resolve, ultimately saw dermatologist on 1/8/2021. PCR of scraping from rash confirmed VZV. Was prescribed Valtrex for rash on 1/8/2021, but did not take it due to receipt of 2nd dose of covid vax on 1/8/2021 and wanted to avoid taking meds concomitantly. Rash resolved slowly on its own.

Other Meds: None

Current Illness: None

ID: 1033288
Sex: M
Age: 88
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/16/2021
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: He was very very weak, and very off balance. He fell down and couldn?t get up he was so weak. Mixed up all day.

Other Meds: Metoprolol, simvastatin, losartan, omeprazole, baby aspirin, fish oil.

Current Illness: None

ID: 1033290
Sex: F
Age: 70
State: MO

Vax Date: 01/25/2021
Onset Date: 01/25/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: nuts, seeds, artificial flavors

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

Symptoms: 1318; patient c/o palpitations& SOA. Trembling to B UE. pt showing "EKG" result from apple watch that she describes as "afib". Denies need to be seen in ED PB 197/102, HR 62, SpO2 98%; 1325; BP 174/85, HR 65, SpO2 98%; 1334; BP 138/84, HR 65, SpO2 98%

Other Meds: warfarin, prozac, topomax, flecainide, tylenol, vitamin D3, fish oil, sulfa

Current Illness:

ID: 1033291
Sex: M
Age: 56
State: VA

Vax Date: 01/12/2021
Onset Date: 01/13/2021
Rec V Date: 02/16/2021
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: Developed tinnitus in both ears

Other Meds: Lipitor 80 mg

Current Illness: None

ID: 1033292
Sex: F
Age: 51
State: GA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
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: peanuts and IVP dye

Symptom List: Tremor

Symptoms: My face became "tingly" almost immediately, especially around my nose and side of my face; my throat felt like it had a lump in it and it felt as if I could feel my heart beating in that lump; my heart felt rapid/fluttery; my head hurt and I felt dizzy with slightly blurred vision. I was kept at the facility extra time (around 40 minutes in total) and left with a friend to return about an hour or so later to drive home. I did not have any difficulty breathing but did have some rashy/redness on my chest but that is not unusual for me when I am having any kind of distress. The other s/s were not typical for me.

Other Meds: Benadryl (at night)

Current Illness: none

ID: 1033293
Sex: F
Age: 65
State: NC

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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: Augmentin- anaphylaxis

Symptom List: Erythema, Pruritus

Symptoms: Difficulty raising arm without pain, tingling in distal arm, fingers

Other Meds: Amlodipine Enapril Maxide Pravastatin Multivit Caltrate Probiotic

Current Illness: None

ID: 1033294
Sex: M
Age: 50
State: PA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
Rec V Date: 02/16/2021
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: Flu like symptoms, fever 102, chills, headache, bodyache

Other Meds:

Current Illness:

ID: 1033295
Sex: F
Age: 70
State: SC

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
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: Right arm became very sore 2 hours after vaccination. But no rash or swelling. Soreness gradually got better over 4 days, but soreness returned 1 week after vaccination and has persisted to current time which is almost 3 weeks since receiving shot. Interferes with sleep. Tylenol helps. Still no swelling or rash.

Other Meds: Xarelto, Flecanide, Metoprolol, Rosuvastatin, Fomotodine, multivitamin, Preservision Areds 2

Current Illness: None

ID: 1033296
Sex: F
Age: 28
State: NE

Vax Date: 01/28/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: 01/29/2021: Presents to clinic with chilling/shivering to the point of being in pain, loose stool, sweating. Placed in treatment room. Had taken advil and tylenol at home. Warmed fluids IV gen. Valium 2.5 mg IV given. Has muscle relaxants at home to use. Told no work for the weekend.

Other Meds:

Current Illness:

ID: 1033297
Sex: M
Age: 71
State: IL

Vax Date: 02/11/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: amlodipine

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

Symptoms: Pt had fever to 102, headache, weakness and needed help out of bed, fell once and even had some confusion. He had to be watched overnight in the hospital 2/11-2/12. By 48 hours after the vaccine, he felt improved and normal by 72 hours. Note that pt had similar but not as severe reaction the first vaccine(Pfizer EL9882) that I was not aware of til now. Also note that pt had covid infection about 3 months prior to this vaccine.

Other Meds: aspirin, atenolol, atorvastatin, finasteride, hctz, lantus, jardiance, lisinopril, metformin, omeprazole, terazosin

Current Illness: no acute illness. pt is diabetic and has htn and hyperchol as well as gerd and bph

ID: 1033298
Sex: F
Age: 54
State: IL

Vax Date: 01/29/2021
Onset Date: 01/29/2021
Rec V Date: 02/16/2021
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: N/A

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

Symptoms: Patient reported, throat and head filling with mucus, roughly 45 minutes after receiving vaccine. She took a single dose of over the counter Benadryl. She developed a cough and some shortness of breathe. She used her personal rescue inhaler using 3 pumps and took a second dose of the over the counter Benadryl. She did not seek emergency care. She reported that symptoms subsided, feeling back to normal within 4 hours of the first symptom.

Other Meds: N/A

Current Illness: NONE

ID: 1033299
Sex: F
Age: 53
State: WA

Vax Date: 02/09/2021
Onset Date: 02/09/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: Yes I?m very drug sensitive.

Symptom List: Pain in extremity

Symptoms: Immediate dizzy, nausea, malaise, fatigue; After 72 hours painful chapped lips, canker sore and bleeding gums. Rash on chest area.

Other Meds: None at time I stopped prior

Current Illness: Long haul COVID19 survivor Date of illness 04/01/2020

ID: 1033300
Sex: F
Age: 67
State: ND

Vax Date: 02/11/2021
Onset Date: 02/14/2021
Rec V Date: 02/16/2021
Hospital:

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

Lab Data:

Allergies: No known drug allergies No known allergies

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

Symptoms: Patient reported to the ED with complaints of right sided facial drooping. Right eye watering. Inability to close right eye. No motor weakness in her body. Right sided ear pain. loss of right nasolabial fold.

Other Meds: Patient unable to state her medications

Current Illness: none reported

ID: 1033301
Sex: F
Age: 31
State: AK

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
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: N/A

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

Symptoms: 02/13/2021 (beginning at 3:30 PM): Slight fever (99.8), chills, soreness at the injection site, headache, slightly stuffy nose; 2/14/2021 (all day): Slight fever (peaked at 100.3), chills, soreness at the injection site, swelling of the arm above the injection site, hot to the touch above the injection site, headache, tightness of chest, slightly stuffy nose; 2/15/2021 (all day): Soreness at the injection site, swelling of the arm above the injection site, hot to the touch above the injection site, headache, nausea, diarrhea; 2/16/2021: Soreness at the injection site, swelling of the arm above the injection site, hot to the touch above the injection site, swollen lymph nodes in the armpit of the same arm as the injection, headache, nausea

Other Meds: N/A

Current Illness: N/A

ID: 1033302
Sex: F
Age: 28
State:

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/16/2021
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: Eggs - non life threatening

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

Symptoms: Injection site has become a large, red, circular (2'' D) welt. It is no longer hot or sore, but it is not dissipating. It began about a week after I received the injection. Initially, I had zero reaction whatsoever.

Other Meds:

Current Illness:

ID: 1033303
Sex: F
Age: 19
State: PA

Vax Date: 01/27/2021
Onset Date: 02/08/2021
Rec V Date: 02/16/2021
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: Amoxicillin

Symptom List: Vomiting

Symptoms: I developed an initial fever of 101.2? and was completely bed bound, then that same initial day I began to develop extremely painful and unexplainable mouth sores and lesions. Some developed on my cheeks, some developed on my tongue and they were so painful that I could not eat, drink water, or even talk. I continued to spike fevers for an entire week without being able to control it. The pain was so unbearable and nothing was helping the pain go away, I am still unable to eat solid foods although I no longer have fevers. My throat also really hurt and my neck lymph nodes felt sore to the touch. The lesions in my mouth are beginning to heal but I am still bed bound and am trying to recover. Only thing I can bring myself to eat is chicken broth. I saw multiple doctors, not one of them was able to figure out the source of these awful lesions. They put me on acyclovir and cefuroximeacetil as an antibiotic.

Other Meds: Metformin, Spironolactone, vitamin D, birth control

Current Illness: None

ID: 1033304
Sex: F
Age: 80
State: IN

Vax Date: 02/12/2021
Onset Date: 02/12/2021
Rec V Date: 02/16/2021
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: The injection on the first dose was totally painless. Thus, it was a shock when the injection stung so much at the time it was administered. The pain in my arm continued throughout the 12th and 13th necessitating being on pain relievers. By the evening of the 13th , a 3" red swollen area became apparent . The pain continued which was annoying but did not limit my activities . I remain puzzled as to why I responded as I did when I hadn't before; it almost appears I have a cystitis issue now.

Other Meds:

Current Illness:

ID: 1033305
Sex: M
Age: 70
State: FL

Vax Date: 02/12/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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: Numbness + dull pain in lower right arm/ hand

Other Meds: Aspirin, Vit D, etc

Current Illness: none

ID: 1033306
Sex: F
Age: 57
State:

Vax Date: 01/27/2021
Onset Date: 01/27/2021
Rec V Date: 02/16/2021
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: Tachycardia, flushed, short of breath, swollen eyes, dizzy. Given Benadryl 50 mg po with minimal relief. Then taken to the ED where she received methylprednisolone and famotidine IV. She was observed for a few hours and discharged home with steroids and Pepcid prescriptions.

Other Meds:

Current Illness:

ID: 1033307
Sex: M
Age: 84
State: FL

Vax Date: 01/27/2021
Onset Date: 01/28/2021
Rec V Date: 02/16/2021
Hospital: Y

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

Lab Data:

Allergies: Eliquis not tolerated

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

Symptoms: Following morning a sore throat leading two days later an inability to swallow, constant mucus production, several boxes of tissues dsily; hospitalized for 4 days on intravenous fluids and anti biotics.

Other Meds: Pravastatin, Nifedipine, Omeprazole, Sertraline, Doxazosin Mesylate, Furosemide, Latanoprost, Tartrate

Current Illness:

ID: 1033308
Sex: F
Age: 23
State: MD

Vax Date: 02/16/2021
Onset Date: 02/16/2021
Rec V Date: 02/16/2021
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: PNC

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

Symptoms: Client reported feeling dizzy and with chest tightness. She does report she has anxiety and is not sure if this is a panic attack or a reaction. Client looks very pale, O2 99, BP 120/80, HR 96, RR20 Lung sounds clear. Had client sit down, she refused to lie down. Given juice box and crackers. Rested for more 10 minutes, Pallor improved , reported dizziness and tightness of the chest are gone. She is asking to leave, her husband is picking her up.

Other Meds: None

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm