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: 1033684
Sex: F
Age: 79
State: NY

Vax Date: 02/08/2021
Onset Date: 02/09/2021
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: Rash due to ?, was on steroids at the time of the 1st dose.

Symptom List: Dysphagia, Epiglottitis

Symptoms: She was in bed after her vaccine, she had to go to her sisters to get her to sign a will. She actually slept for 4 days. Tuesday was the worst day, it got slightly better. She was just feeling lousy. She felt fuzzy and weak. On 2/8/21 her temp was 97.3, she felt well. On 2/14/21 and it was 97.5, before that she had been in bed and did not take her temperature. Today she is feeling like a human being, but does not feel as though she is functioning normally mentally. She is upset about her sister who is dying and plays a large part in how she feels mentally.

Other Meds: Just finished a round of steroids when she had the 2nd vaccine, Medrol dose pack. Amlodipine, Eliquis, Metoprolol succinate, Atorvastatin, folic acid, thiamin, Synthroid, vitamin C, Vitamin D, zinc, fish oil, omega 3, Biotinate, Melatonin,

Current Illness: None.

ID: 1033685
Sex: F
Age: 43
State: GA

Vax Date: 02/01/2021
Onset Date: 02/15/2021
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: Insect bites

Symptom List: Anxiety, Dyspnoea

Symptoms: Horrible muscle aches headache diarrhea nausea chills and difficulty sleeping

Other Meds: Prozac, estradiol plus progesterone

Current Illness:

ID: 1033686
Sex: M
Age: 70
State: TX

Vax Date: 02/12/2021
Onset Date: 02/13/2021
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: Environmental/seasonal allergies

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

Symptoms: Got shingles, fever, pain and itching and blisters on right chest and right back

Other Meds: Lisinopril Atorvastatin Tamsulosin

Current Illness: none

ID: 1033687
Sex: M
Age: 62
State:

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

Lab Data:

Allergies:

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Headache, nausea

Other Meds:

Current Illness:

ID: 1033688
Sex: M
Age: 51
State: HI

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

Symptoms: Client came to clinic, stated had an appt for 2nd dose, could not locate appt or client, did not have previously issued vaccination card to verify since unlocated to verify 1st dose date. Vaccinator went ahead and proceeded with vaccination. While client was waiting in observation area was able to be located and discovered 1st dose was administered on 1/28/21 and received second dose after 2 weeks on 2/11/21

Other Meds:

Current Illness:

ID: 1033689
Sex: F
Age: 23
State: KS

Vax Date: 02/15/2021
Onset Date: 02/15/2021
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: None

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

Symptoms: Patient experienced light-headedness and syncope 5-10 minutes following administration. Patient began feeling normal again shortly after. Vitals checked normal by EMS personel and patient was released.

Other Meds: Unknown

Current Illness: None

ID: 1033690
Sex: F
Age: 50
State:

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

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Patient self-reported the following symptoms: "I received the Covid vaccine Feb 6 at 1115 am. When I got up for work I had a bad headache, body aches, chills, lightheaded and nauseated. Day 2 I still had body aches, lightheadedness, headache, chills nausea and started running a temp 101.4. Day 3 continue with same symptoms temp and emesis. DAY 4 still have symptoms haven't been able to eat for 3 days. Day 5 felt a little better was able to get up symptoms subsiding. Day 6 started running a temp again 101.7 chills, headache, nausea, vomiting, body aches. Day 7 all symptoms have subsided. Now feeling back to normal."

Other Meds:

Current Illness:

ID: 1033691
Sex: F
Age: 57
State: CO

Vax Date: 01/13/2021
Onset Date: 02/03/2021
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: Pharyngeal swelling

Symptoms: Developed erythematous papular rash on torso (98%) few lesion on upper arm and into groin area. Rash remains in same place daily, can be pruritic. Consulted with Dermatologist, sent photos, felt to be consistent with Pityriasis Rosea. (NOT urticaria) Difficult to control with topical corticosteroid and oral anti-histamines. Currently taking 6 day taper of oral prednisone with some rash improvement.

Other Meds: low dose estrogen replacement

Current Illness: none

ID: 1033692
Sex: F
Age: 26
State: PR

Vax Date: 01/28/2021
Onset Date: 01/29/2021
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: None

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Lymphadenopathy in left axillary side, lasted until February 1st (4 days) Also experimented fatigue, malaise and headache. Took Acetaminophen for pain.

Other Meds: None

Current Illness: None

ID: 1033693
Sex: M
Age: 33
State: CO

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

Lab Data:

Allergies: Garlic, Wheat, Soy

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Patient had a tingly face and lips 10 minutes after dose, same as last time. Last time resolved after 45 mins and a workout. Feels same, refused ambulance evaluations.

Other Meds: Unknown

Current Illness: Unknown

ID: 1033694
Sex: F
Age: 49
State: MD

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

Lab Data:

Allergies: Amoxycillian

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

Symptoms: Body aches, entire head ache, congested, sore eyes that lasted 36 hours

Other Meds: Vit C, Calcium, Vit D, B12

Current Illness: n/a

ID: 1033695
Sex: F
Age: 50
State: TX

Vax Date: 12/18/2020
Onset Date: 12/22/2020
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: no

Symptom List: Rash, Urticaria

Symptoms: I had the usual arm soreness. Foot pain started on 22nd and worse on 23rd. Left foot hurt the most. This foot was the one that hurt a little before vaccine. It was in the center of my foot where the arch is but inside the foot - an achy pain. It would shoot through my foot with pain if I stepped a certain a way. I was limping a bit. I tried to stay off my feet as much as I could. It continued through Christmas holidays. December 28 -(my PCP) - she thought it was tendonitis - could see a red circle and swelling where most of the pain was. Dec 28 - x-ray of foot was done. There was no fractures Meloxicam - anti-inflammatory 15 mg daily starting 12/28/2020. Pain continued - trouble walking and started having hip pain and left leg pain maybe from compensating. I saw Dr. on January 7th. He said it was posterior tibialis tendonitis. He gave me a foot brace to wear - around ankle and foot. It helped but I was still having pain. I was still taking Meloxicam every day. A chiropractor and a physical therapist -they gave me foot exercises and leg exercises and that has been helpful - I see them once a week still. Dr check-up on February 9 and he ordered an MRI and I had that done on February 11th. Report says Tendinopathy and not tendonitis. I got the second dose on January 8th.

Other Meds: Multi-Vitamin; Xythal -an allergy medication; Nurtec

Current Illness: Experiencing a little foot pain before the vaccine - no injury Migraines - had 2 before vaccine in December

ID: 1033696
Sex: F
Age: 41
State: FL

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: Pertusis

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

Symptoms: 1. soreness in L arm about an hour later. 2. whole body muscle aches increasing in severity ~8 hours later. 3. HA/ fatigue 12 hours later. 4. Chills/ fever 100.3 ~20 hours later. Treated muscle aches and fever with alternating Tylenol and Ibuprofen, drank plenty of fluids, rested.

Other Meds: none

Current Illness: none

ID: 1033697
Sex: F
Age: 28
State: OH

Vax Date: 01/05/2021
Onset Date: 01/06/2021
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: Aspirin

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

Symptoms: Blindness (loss of vision); Neurocardiogenic syncope; Tingling in hands and feet/lower legs; Panic attack/unable to breathe; Nausea; Vomiting; Dehydration; Tiredness; Body aches

Other Meds: Liothyronnine

Current Illness: None

ID: 1033698
Sex: F
Age: 34
State: AL

Vax Date: 01/11/2021
Onset Date: 02/16/2021
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: Heart rate decreased, Heart rate increased, Hypertension, Injection site pain, Musculoskeletal chest pain

Symptoms: Bell?s palsy

Other Meds: Metoprolol, Losartan, Spironolactone, Zoloft

Current Illness: None

ID: 1033699
Sex: F
Age: 39
State: SC

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:

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

Symptoms: Headache, flushing, nystamus

Other Meds:

Current Illness:

ID: 1033700
Sex: F
Age: 29
State:

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: Fever, rigors, body and had aches and nausea.

Other Meds:

Current Illness:

ID: 1033701
Sex: M
Age: 77
State: MO

Vax Date: 02/12/2021
Onset Date: 02/13/2021
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: None

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Joint pains, muscle aches, fatigue

Other Meds: CHOLECALCIF 25mg, DIPHENHYDRAMINE HCL 50MG, LORATADINE 10MG, RIVAROXABAN 10MG, SIMVASTATIN 20MG, HYDROCODONE 5MG/ACETAMINOPHEN 325MG, ALOGLIPTIN 6.25MG, LISINOPRIL 20MG , MULTIVITS W/MINERALS TAB, GLIPIZIDE 5MG, FAMOTIDINE 20MG, METFORMIN H

Current Illness: none

ID: 1033703
Sex: F
Age: 81
State: IN

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Muscles in both upper arms ached for several days. A small patch of rash appeared below the injection spot, General feeling of being tired or exhausted at times.

Other Meds:

Current Illness: none

ID: 1033704
Sex: F
Age: 28
State: IL

Vax Date: 02/04/2021
Onset Date: 02/11/2021
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: Red ring around arm Soreness reappeared 7 days post vaccination

Other Meds: Armor thyroid Vitamin D

Current Illness: None

ID: 1033705
Sex: F
Age: 56
State: WI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
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: Metropole-Fatigue

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

Symptoms: 1/7/21 arm soreness overnight, 10 AM 1/8/21 next morning pt noticed pulse was about 135 resting, pt went to work and felt out of it, overall unwell feeling, went to walk in clinic, blood pressure was high even after meds, EKG showed tachycardia but normal rhythm, pt went home went to bed at 2 PM slept until next morning, 1/9/21 fatigue, swollen lymph node under left arm, small lymph node in neck also swollen, headaches, flushed/grey looking, as of 2/16/21 pt is feeling much better

Other Meds: Lisinopril, Bupropion, Paroxetine, Baby Aspirin, Multivitamins, Magnesium, Vitamin D

Current Illness:

ID: 1033706
Sex: M
Age: 39
State: CA

Vax Date: 01/27/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: NKDA

Symptom List: Unevaluable event

Symptoms: Had fever, malaise, body aches after 8 hours which lasted 2-3 days. After 8-9 days ended up in ER for severe dizziness, nausea and vomiting. Diagnosis was BPPV. Still feeling dizzy and nausea after 1 week from that time.

Other Meds: NA

Current Illness: Back and shoulder pain

ID: 1033707
Sex: F
Age: 66
State: NC

Vax Date: 02/04/2021
Onset Date: 02/06/2021
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: None known

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

Symptoms: Fever, chills, headache, malaise, diarrhea onset within about 36 hours post vaccine. Lasted about 24 hours. Fatigue and limited stamina next 24 hours. One week to the day post vaccine, developed a raised, red, swollen and itchy patch in upper left arm at site of vaccine. The swelling lasted about 36 hours. Reduced with periodic massage.

Other Meds: Fluoxtetine 40 mg Losartan 100 mg Metoprolol ER Succinate 25 mg Amlodipine Besylate 5 mg SAMe 400 mg ISOThrive Prebiotic Nectar Complete Probiotics 70 Billion CFU Krill Oil 1250 mg

Current Illness: None

ID: 1033708
Sex: F
Age: 51
State: OH

Vax Date: 02/04/2021
Onset Date: 02/12/2021
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: penicillin, erythromiacin

Symptom List: Injection site pain, Pain

Symptoms: Friday noticed a lump on left arm where shot was given, had a rash on my abdomen area - only on the left side. On the following Saturday, Feb. 13th the lump was still there but much more noticeable, I had a big red ring around the shot area and a rash back on my abdomen - left side again. I contacted my primary care physician and spoke to the on call nurse they have set up. She recommended I take a marker to mark the area to make sure it did not get bigger and to take a Zytec to see if that would help. On Sunday, the lump was almost gone, the red ring was gone and the rash was as well.

Other Meds: estradiol, synthroid

Current Illness:

ID: 1033709
Sex: F
Age: 58
State:

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: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site pain, Menorrhagia

Symptoms: Arm soreness, chills, fever and headache.

Other Meds:

Current Illness:

ID: 1033710
Sex: F
Age: 51
State: NJ

Vax Date: 02/11/2021
Onset Date: 02/12/2021
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: no

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

Symptoms: The day following vaccine started to have chills and a headache. Saturday woke up with chest and back red "like a sunburn". Went away the next day following use of aloe vera.

Other Meds: no

Current Illness: no

ID: 1033711
Sex: F
Age: 80
State: OR

Vax Date: 02/06/2021
Onset Date: 02/08/2021
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: black truffle, lidocaine, marcaine, tetracycline, cipro,

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Day 1: sore arm. Day 2: severe bladder pain with chemical smell to urine ( 6 hours), mild headache resolved with APAP, fatigue, mild stiffness. Day 3: bladder pain gone but mild chemical smell to urine, increasing stiffness and joint pain, mild muscle pain. Day 4: chemical smell in urine slight but still present, severe joint pain and swelling requiring narcotics, mild muscle pain, moderate stiffness, moderate fatigue. Day 5: chemical smell gone, severe joint pain and swelling requiring narcotics, drenching sweats, significant stiffness, fatigue with 12-14 hours sleep, inability to manage ADL w/o help; Days6-8 same as Day 5; Day 9-10 mod fatigue, less jt pain, no narcotics, able to do ADL's w/o help;

Other Meds: prednisone, candasartan,leucovorin,probiotic, warfarin,

Current Illness: no acute

ID: 1033712
Sex: F
Age: 65
State: IN

Vax Date: 01/26/2021
Onset Date: 02/25/2021
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: Latex

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Next day 1/27/2021 fever of 101.3, chilling, and increased tinnitus, headache. Felt like I had a bad case of the flu. Actually felt worse than when I had covid!!

Other Meds: Vit d3, ranalizine, ropinerole, losartin, omeprazole, hydrochlorothiazide, carvedilol, omega 3 fish oil,

Current Illness: None

ID: 1033714
Sex: M
Age: 12
State: PR

Vax Date: 02/11/2021
Onset Date: 02/11/2021
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: no

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

Symptoms: Extreme pain in the arm from the first day of vaccination, inability to move the arm the next day and for the next 4 days, fever from the day of vaccination and for the next 2 days, dizziness, weakness in the lower extremities, nausea and stomach pain.

Other Meds: None

Current Illness: None

ID: 1033715
Sex: F
Age: 84
State: MO

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: RA

Lab Data:

Allergies: sulfite, erythromycin, amoxicillin, penicillin, Efudex cream, hydrocodone-pseudophedrine

Symptom List: Nausea

Symptoms: fell & hit head, +HA, lost vision left eye x 20mins, +weak

Other Meds: alprazolam prn, aleve prn, alphagan eye drops, Celebrex prn, Claritin prn, cosopt eye drops, fish oil, Restoril prn, Tazorac cream, Tylenol prn, vit c, vit D3, xalatan eye drops, Zoloft, amitriptyline, asa, levothyroxine, omeprazole

Current Illness: skin tear, cellulitis

ID: 1033716
Sex: F
Age: 64
State: TX

Vax Date: 01/19/2021
Onset Date: 01/19/2021
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: sulfa Flagel

Symptom List: Injection site pain

Symptoms: within 10 hours I had chills which I had for about 3-4 days. then I developed "Covid Arm". the injection site was 3x3 red, hot, swollen, rash on my arm. I had nausea and vomiting. my asthma also flared up. I also had joint pain. On Saturday the 13th I started having some weird things going on. I had mild paralysis and I was diagnosed with Bells Palsy in the right side of my face. (notably the same side as the shot was administered)

Other Meds: alendronate levothyroxine azelastine calcium glucosamine chondroitin coQ10 aspirin

Current Illness: no

ID: 1033717
Sex: F
Age: 53
State: IL

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: Allergic to pineapple; intolerant to shrimp

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

Symptoms: Facial numbness within 2 hours of administration with resolved within the hour.

Other Meds: Singulair for asthma and Benadryl

Current Illness:

ID: 1033718
Sex: F
Age: 37
State: IL

Vax Date: 02/10/2021
Onset Date: 02/11/2021
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: ceclor, famotadine

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

Symptoms: Chills, drenching sweats, severe muscle and joint pain- started 12 hours after vaccine and continued for 48hrs Headache- ongoing for 6 days; Rash (itchy with some hives) on face, arms and shoulders- showed up on day 5 post vaccine and resolved with benadryl; Hot flashes- ongoing for 6 days; Fatigue- severe for 48hrs and moderate ongoing still on day 6 post vaccine; Diarrhea- day 5 has since resolved; Arm pain- moderate for 48hrs and resolved by day 4 Lack of appetite- ongoing for 6 days; Generally I just do not feel good and am surprised many of these side effects have lasted so long.

Other Meds: levothyroxine, doxycycline, probiotic, magnesium glycinate, zyrtec, and CoQ10

Current Illness: none

ID: 1033719
Sex: F
Age: 47
State: IL

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: Tremor

Symptoms: At a clinic, a patient's second dose of Moderna vaccine was inadvertently administered 22 days after the initial dose. The initial dose was on 01/06/2021 and the second dose was due 02/04/2021. The patient was observed for 15 minutes and had no reaction to administration.

Other Meds:

Current Illness:

ID: 1033720
Sex: F
Age: 37
State: PA

Vax Date: 02/11/2021
Onset Date: 02/12/2021
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: Erythema, Pruritus

Symptoms: Low grade fever, Chills, myalgia, fatigue, headache - onset 19 hours after vaccine administration in the order listed. Duration: low grade fever, chills, myalgia, fatigue lasted 8 hours. Headache lasted 2 days, intermittent. Treatment: Tylenol for myalgia and low grade fever.

Other Meds: N/A

Current Illness: N/A

ID: 1033721
Sex: M
Age: 83
State: GA

Vax Date: 02/16/2021
Onset Date: 02/16/2021
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: No known allergies

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

Symptoms: Patient notified RN after his 15 minute observation time and said he was feeling woozy. Blood pressure and heart rate obtained. 181/108; 80. Patient then notified RN lead of clinic who spoke with patient. Patient stated he felt "fuzzy all over". Encouraged patient to go to ER. Nurse lead got wheelchair and notified wife. Patient was escorted via wheelchair to ED by RN.

Other Meds: carboxymethylcellulose sodium (REFRESH OPHT) Apply 3 drops to eye daily; cyclosporine (RESTASIS OPHT); Place 1 drop into both eyes daily; dorzolamide (TRUSOPT) 2 % eye drop; Place 1 drop into both eyes daily; fluticasone propionate (FLONASE

Current Illness:

ID: 1033722
Sex: F
Age: 50
State: TX

Vax Date: 01/08/2021
Onset Date: 01/10/2021
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: No

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

Symptoms: On the 10th, I started to feel achy that morning. It seemed like it had a focal point in my right hip and thigh that was a deep shooting pain. It continued to be there. I have been taking Tylenol - 1000 mg once a day and sometimes I skip it because I don't want to hurt my liver - so daily as needed. It seems like my foot pain got worse during the time after the second dose and the week after. At this time it has plateaued - not getting worse - as long as I walk on the side of my foot, I'm okay. Can't walk on it in a regular way. My right hip and thigh is a continuous ache unless I take Tylenol and sometimes that wakes me up. If I lose sleep I get a migraine. I see the chiropractor weekly and the physical therapist weekly.

Other Meds: Multi-Vitamin; Xythal - an allergy medication; Nurtec ; Meloxicam

Current Illness: adverse health event - foot pain 4 - migraine headaches after 1st dose of vaccine and before 2nd dose - December24th - 25th; 28th; January 6; January 8

ID: 1033723
Sex: F
Age: 37
State:

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: Amoxicillin, Penicillin, Sulfa Drugs

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: After receiving the second shot at approximately 1030AM, I returned home and felt fairly normal. In the evening, I started to feel very weak and developed a fever of 101.9 and took 500mg tylenol and continued to hydrate with water and powerade. Throughout the evening, I checked my temperature, it ranged from 101.9-102.8. I also developed strong chills, which caused me to shiver to the point where my significant other thought I may be seizing. (this also happened with the first shot - fevers and chills). I went to bed, waking up 3 hours later and I had to change my pajamas as I was soaked in sweat. I became nauseous and vomited a decent amount of what appeared to be red blood - but did not want to go to the ER as I was cold and exhausted and extremely feverish. Throughout the next 36 hours I continued to run a fever and struggled to do basic household chores (wash a dish, walk up and down the stairs, change shirts, etc) without assistance - normally not things I would need help with. Having had COVID nearly 90 days ago, the aftermath of the vaccination was worse than the actual illness for me.

Other Meds:

Current Illness:

ID: 1033724
Sex: M
Age: 25
State: NJ

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

Lab Data:

Allergies:

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

Symptoms: Patient, who was staff member, passed out about 10 minutes after vaccination. Was administered oxygen and given water. Blood pressure was a little elevated. Oxygen saturation was normal. Refused to go to hospital. Was observed for 30 minutes then allowed to go home.

Other Meds:

Current Illness:

ID: 1033725
Sex: F
Age: 59
State: MO

Vax Date: 02/09/2021
Onset Date: 02/10/2021
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: unknown

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

Symptoms: Inflammation, headache. Felt like all my organs were swollen. Especially uncomfortable during sleep from 2-4:30am. Seemed reduced upon waking. Managed to work a few hours at computer, then back to bed with body aches. Pretty much gone within 30 hours of receiving shot.

Other Meds: Sudafed, multi-vitamin

Current Illness:

ID: 1033726
Sex: F
Age: 71
State: PA

Vax Date: 01/27/2021
Onset Date: 02/04/2021
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

Symptom List: Pain in extremity

Symptoms: Approximately eight days following the Moderna injection, my arm at the injection site was itchy, then became red and blotchy and warm to the touch. Over the next several days it?s spread to my elbow. After approximately four days the symptoms went away

Other Meds: Venlafaxine 37.5 mg Atorvastatin 40 mg Nadolol 40mg Hydrochlorothiazide 12mg Preservision

Current Illness: None

ID: 1033727
Sex: F
Age: 70
State: FL

Vax Date: 02/13/2021
Onset Date: 02/13/2021
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: Cipro, Zithromax,

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

Symptoms: pt stated that right after the vax she got really bad back pain. Later that day she had muscle pain, joint pain and fatigue. Next day she still had muscle and joint pain. On 2/15/21 she had developed a itchy rash on both elbows and later spread almost over her entire body. Pt contacted her PCP which instructed to go to the ER. She was given prednisone and Benadryl at the ER. They wrote her a rx for prednisone and she is to FU w/ PCP on 2/19/2021.

Other Meds: Effexor xr, nortriptyline, Ativan, tizanidine, Excedrin

Current Illness: no

ID: 1033728
Sex: F
Age: 64
State: SC

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

Lab Data:

Allergies: PCN, vancomycin, erythromycin, metronidazole, sulfa, treenuts

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

Symptoms: pt presented approx. 25 mins after receiving Moderna vaccine in which she complained of throat tightness she remained upright and talking during event and was immediately pulled back for tx. Code team called to assess allergist on call during team who tx pt for sx at the time of event in clinic. epi pen administered in clinic, EMS called for pt transport. Pt stable upon leaving and oxygen remained 99% both before and after the administration of epi-pen.

Other Meds: snthroid, valsartan, setia, acyclovir, amtriptiline, restasis, mimvey hrt, singulair, Claritin, Proventil, alcoril, EpiPen, aleive, iburprofen

Current Illness:

ID: 1033729
Sex: F
Age: 55
State: IL

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: 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: At 11:30 am, Patient returned to clinic with complaint of redness and heat on both cheeks with lightheadedness, general feeling of weakness. BP=170/90, O2 Sat= 100% room air, P=89, R= 24, T= 97.8F. Paramedics were called, arrived at 11:50 AM. Patient was taken to Hospital. Per Patient, She was given Benadryl and was sent home the same day.

Other Meds: None

Current Illness: None

ID: 1033730
Sex: F
Age: 71
State: CT

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

Lab Data:

Allergies: Sulfa drugs

Symptom List: Vomiting

Symptoms: I felt fine after the injection. 3-4 days later I feel like I got a cold. Very achy and tired. Probably has nothing to do with the vaccination but I wear 2 masks and go out very infrequently. I?m very careful. If it?s a cold I must have gotten it at the hospital.

Other Meds: HRT Vitamin C and D

Current Illness: None

ID: 1033731
Sex: M
Age: 42
State: VA

Vax Date: 02/04/2021
Onset Date: 02/05/2021
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: amoxicillin: childhood, unknown

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: received COVID #2 on Thursday 2/4/21 in the morning. The next morning, developed a rash to my neck, ears, back and abdomen, with a little on my arms and legs. Its pruritic, lesions come and go, are erythematous, raised. No blisters, pustules or tenderness. No oral/face/throat/tongue swelling, watery eyes, SOB, wheeze, cough, CP, n/v/d. Photos sent and reviewed which demonstrate remarkable coalescing urticaria to trunk. improved with Zyrtec 10 q12

Other Meds: none

Current Illness: allergic rhinitus

ID: 1033732
Sex: F
Age: 36
State: NY

Vax Date: 01/28/2021
Onset Date: 01/28/2021
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: none

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

Symptoms: arm pain- lasted several days; muscle aches- lasted approximately 12 hours; chills- lasted approximately 12 hours; fatigue- lasted approximately 12 hours; fever (101)- lasted approximately 12 hours

Other Meds: none

Current Illness: none

ID: 1033733
Sex: M
Age: 25
State: MI

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: 025j20-2A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Headache, Body ache, chills

Other Meds:

Current Illness:

ID: 1033734
Sex: M
Age: 70
State: KY

Vax Date: 02/06/2021
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: RA

Lab Data:

Allergies:

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

Symptoms: 1st Vaccine 2/6/21; developed chest pain with SOA on exertion 2/13/21; Seen in ED 2/16/21 for worsening symptoms and admitted to hospital.

Other Meds:

Current Illness:

ID: 1033735
Sex: F
Age: 65
State: WI

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: IM
Vax Site: RA

Lab Data:

Allergies:

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

Symptoms: Only air was administered, no vaccine was given. No adverse event was reported.

Other Meds:

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm