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: 1033996
Sex: F
Age: 59
State: IL

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

Lab Data:

Allergies: n/a

Symptom List: Dysphagia, Epiglottitis

Symptoms: severe pain in neck, ear, head on right-side, lump in neck on right side

Other Meds: n/a

Current Illness: n/a

ID: 1033997
Sex: F
Age: 67
State: CA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
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: Beta blockers Shrimp Orange cheese

Symptom List: Anxiety, Dyspnoea

Symptoms: Chills Nausea Muscle aches Headache

Other Meds: Pradaxa DILT-XR Hydrochlorothiazide Levotgroxine Cetirzine Hydrochloride

Current Illness:

ID: 1033998
Sex: F
Age: 26
State: MA

Vax Date: 02/15/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Site: Pain at Injection Site-Medium, Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Allergic: Difficulty Swallowing, Throat Tightness-Medium, Systemic: Allergic: Swelling of Face / Eyes / Mouth / Tongue-Medium

Other Meds:

Current Illness:

ID: 1033999
Sex: F
Age: 41
State: MI

Vax Date: 01/19/2021
Onset Date: 01/26/2021
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: Avocados, cats, mold, environmental

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Raised red welt, appx 4 inches diameter at infection site

Other Meds: Oral contraceptives, Vitamin D, vitamin b, adult multivitamin

Current Illness: None

ID: 1034000
Sex: F
Age: 33
State: VA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Tongue felt swollen and dizzy after vaccine. Evaluated by EMS. Pulse ox 99% BP 100/62 To stay extra 15 minutes. Benadryl and ER prn. Client felt better and went home.

Other Meds:

Current Illness:

ID: 1034001
Sex: F
Age: 29
State: IL

Vax Date: 02/08/2021
Onset Date: 02/14/2021
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: About 1 week after my first Moderna vaccine, my right arm started to hurt tremendously where I had the first vaccine. I am very healthy and I do not have any allergies. I developed a delayed, large rash (about 6-7 inches) in diameter right around the injection spot. It is very itchy, swollen, hot, and red. This happened after 6 days of receiving the first dose. I did not experience any significant adverse events right after the first dose except for a sore arm for a few days. I went skiing on the 6th day after receiving the vaccine. When I got home, I noticed this large rash breaking out on my arm. It felt as if I just received the shot. It is very swollen and tender to touch. Benadryl helped alleviate the pain. The rash seems to be getting better after 48 hours.

Other Meds: Mononessa Birth Control

Current Illness: None

ID: 1034002
Sex: F
Age: 74
State: MA

Vax Date: 02/16/2021
Onset Date:
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: Pyrexia, White blood cell count decreased

Symptoms: NONE

Other Meds: Calcitriol hydrachlorathiazide

Current Illness: none

ID: 1034003
Sex: F
Age: 34
State: NY

Vax Date: 02/13/2021
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: Ambien, Ativan, Bactrim, Hydrocodone, Sulfa, treenut,

Symptom List: Pharyngeal swelling

Symptoms: generalized malaise, subjective memory trouble, chest pressure, lips tingling

Other Meds: unknown

Current Illness: none

ID: 1034006
Sex: F
Age: 87
State: KY

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: Some antibiotics

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Started with chills approx. 16 or 17 hours after injection, followed by fever and flu like symptoms . Lasted approx. 24 hours. Soreness at injection site.

Other Meds:

Current Illness:

ID: 1034007
Sex: F
Age: 66
State: FL

Vax Date: 02/08/2021
Onset Date: 02/15/2021
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: Penicillin

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Large red blotch developed starting below the injection spot. It is hot, itches and feels like it has small bumps across it.

Other Meds: Metoprolol, lisinopril, ibuprofen, bioidentical hormones (estrogen, testosterone, progesterone), levocetirizen - e, vitamin D, biotin

Current Illness:

ID: 1034008
Sex: F
Age: 51
State: PA

Vax Date: 01/02/2021
Onset Date: 01/02/2021
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: no

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

Symptoms: At arm pain at 11:00 pm. The following day, my left arm swelled up from wrist to shoulder - three times it's size. I couldn't move my arm for 24 hours. Arm pain was gone after 24 hours. Two days after - I was freezing cold, on the couch. Following day, I called my doctor. He told me to rest. I had a high fever and I had body aches. I was really cold. I felt like I had the flu for about a week - missed a couple days of work.

Other Meds: no

Current Illness: no

ID: 1034009
Sex: M
Age: 34
State: CO

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

Lab Data:

Allergies:

Symptom List: Rash, Urticaria

Symptoms: Fever (102 degrees), headache, nausea, hematuria, foul smelling urine

Other Meds: Kirkland Multivitamin, 200 mg chelated magnesium, valerian

Current Illness:

ID: 1034010
Sex: F
Age: 27
State: MI

Vax Date: 02/06/2021
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: None

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

Symptoms: COVID-19 Vaccine EUA; A week after vaccination my left arm developed a large rash just below the injection site, about 7in x 4in. It is warm to the touch. It was sore the first day and is sometimes slightly itchy. It has been 4 days and it appears to be resolving (it is not as red).

Other Meds: Metoprolol Triamterene Hydrochlorathiazide

Current Illness: None

ID: 1034011
Sex: F
Age: 71
State: CA

Vax Date: 02/03/2021
Onset Date: 02/06/2021
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:

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

Symptoms: Systemic: Flushed / Sweating-Mild, Systemic: O2 levels dropped. No flushing/sweating but system would not let me uncheck section-Medium, Additional Details: her oxygen saturations were 93-96% on room air all of January, she received her first vaccine January 20, 2021. She received her second vaccine February 3, 2021. Her sats for February were 92-94% up until the sixth of February when she noticeably dropped to 91% on room air, she started being supplemented occasionally with oxygen on the 8th. She continues to be supplemented with oxygen. Not sure if related to vaccine or not

Other Meds:

Current Illness:

ID: 1034012
Sex: F
Age: 72
State: CO

Vax Date: 02/11/2021
Onset Date: 02/13/2021
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: LA

Lab Data:

Allergies: Clindamycin, bee stings, bisphosphonates

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

Symptoms: Redness at the site of the injection on Saturday, 02/13. Redness improved on Monday, 02/15. Woke up on Tuesday, 02/16 with increased redness and itchiness.

Other Meds: Multivitamins, Clobetasol, Vitamin E, Vitamin D, Calcium Citrate, Losartan, Amlodipine, Neurontin

Current Illness: n/a

ID: 1034013
Sex: F
Age: 43
State: NY

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: epinephrine,znozymine,quetaoine,macrobid,lamicytal,celbrex,bactrim,pen,pyroxicam,meloxicam

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

Symptoms: fainted after injection

Other Meds: topomax,ritalin,nexium,singular,naproxen,symbicort,buspirone,cymbalta,metoprolol,restoril, ventolin benlysta, penicillan meloxicam

Current Illness:

ID: 1034014
Sex: M
Age: 70
State: AL

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

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

Symptoms: central retinal vein occlusion involving the right eye

Other Meds:

Current Illness:

ID: 1034015
Sex: F
Age: 40
State: NY

Vax Date: 02/11/2021
Onset Date: 02/15/2021
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: Benzoyl peroxide

Symptom List: Ear pain, Hypoaesthesia

Symptoms: At 7:15PM on Monday, 2/15/2021, I experienced blurred vision in the periphery of my right eye. At the same time, I felt some body tingling and mild numbness, most notably in my right fingertips. It lasted for approximately 3-5 minutes. After, the blurred vision and tingling dissipated, I had a mild headache across my forehead and eye socket area that felt like a pressure in the area. The mild headache continued when I woke up on Tuesday, 2/16/2021.

Other Meds: Penicillin VK 500MG tab 4x per day Blisovi 24 Fe 1mg 1x per day Women?s Multivitamin

Current Illness: Endometritis

ID: 1034016
Sex: F
Age: 37
State: NY

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

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: lymph nodes to the left side of her neck

Other Meds:

Current Illness:

ID: 1034017
Sex: F
Age: 67
State: NC

Vax Date: 02/13/2021
Onset Date: 02/14/2021
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: Bp increase usually normal 140/94, pulse 94 ;154/88 pulse 102, 146/99 pulse 101

Other Meds: Synthroid

Current Illness: None

ID: 1034018
Sex: F
Age: 56
State: AR

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

Lab Data:

Allergies: Norvasc Stadol Nuprin

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

Symptoms: Approximately 4 inches of redness and swelling with pain just below injection site. Symptoms began 24 hours after injection and are still present on day 4 after the injection. Site is very tender to the touch and I am not able to sleep on that side. I am not able to medicate with anti-inflammatories due to kidney disease but am using ice packs with some relief.

Other Meds: Plaquenil Topamax Evoxac Singular Carvedilol Omeprazole Tizanidine Fish oil Vitamin D Vitamin C Probiotic Sertraline

Current Illness: None

ID: 1034019
Sex: F
Age: 81
State: UT

Vax Date: 02/08/2021
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: IM
Vax Site: LA

Lab Data:

Allergies: No

Symptom List: Unevaluable event

Symptoms: Swollen, red itching arm from shoulder to elbow.

Other Meds: aspirin synthroid

Current Illness:

ID: 1034020
Sex: F
Age: 0
State: CA

Vax Date: 02/04/2021
Onset Date: 02/04/2021
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: CT Contrast Dye, Augmentin, Bactrim, Lactose intolerant

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

Symptoms: Waited 1/2 hour and left. On way home, 10 minutes out, throat started to close up. Took 25 mg of Benadryl and got home. Could talk and breath ok but increasingly difficult to swallow.

Other Meds: Estradiol patch .025

Current Illness: None

ID: 1034021
Sex: F
Age: 60
State: AZ

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

Lab Data:

Allergies: None

Symptom List: Injection site pain, Pain

Symptoms: About 4 hours after my administered 2nd dose I experienced severe pain in my TMJ mostly on the left but milder on the right. That developed into a bad headache but was relieved with 200mg Motrin in the evening. The following day I experienced flu-like symptoms, chills (I did not take my temperature), muscle joints, fatigue, continued headache and milder pain in my bilateral TMJ. I continue to take Motrin every few hours. I did not experience the TMJ pain with my first dose in January 2021 but I did have mild flushing, flu-like symptoms. I thought I would report this as I have bilateral TMJ implants since 1997.

Other Meds: None

Current Illness: None

ID: 1034022
Sex: F
Age: 65
State: CA

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

Lab Data:

Allergies: Per her partner, patient has an allergic reaction to sedatives.

Symptom List: Injection site pain, Menorrhagia

Symptoms: After receiving the COVID vaccine at 12:43 patient stated that she couldn't breath and her arms & legs were numb at 1:10 pm. Patient received an Epinephrine pen at 1:12 pm and the paramedics were contacted.

Other Meds: Unknown

Current Illness: Unknown

ID: 1034023
Sex: M
Age: 79
State: GA

Vax Date: 02/01/2021
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: SYR
Vax Site: LA

Lab Data:

Allergies: codeine

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

Symptoms: Large area of rash on arm where COVID vaccination was given. Also some rash on both arms between elbows a d wrists

Other Meds: zocar, one a day for men, omega 3

Current Illness: none

ID: 1034024
Sex: F
Age: 69
State: CA

Vax Date: 02/01/2021
Onset Date: 02/01/2021
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: Onions kidney beans

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Left arm red and swollen at injection site

Other Meds: Tramadol Zoloft seroquel atenatol calcium vitamin D

Current Illness: None

ID: 1034025
Sex: F
Age: 43
State: SD

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: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: bees, eggs, Dilaudid, Vicodin, Hydrocodone, Floxin, Zithromax, Zoloft

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: body aches, hot and cold spells, chest tightness, nausea, headache, chills, sore throat started 8 pm day of vaccine. Lasted 3 days

Other Meds: Metolazone, Progesterone, Pantoprazole, Fexofenadine, Citalopram, Montelukast, Potassium, Prazosin, Flonase, Lidocaine patch, Hydroxyzine, NTG as needed, Naproxen as needed, Tums as needed, Lactobacillus, Bupropion, Hydroxyzine, Tramadol, A

Current Illness:

ID: 1034026
Sex: F
Age: 53
State: CA

Vax Date: 01/26/2021
Onset Date: 01/27/2021
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: Ampicillin

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

Symptoms: Called into Covid hotline 2/10/21 about an exposure to a covid + coworker. In obtaining the history, offered that she received #2 Moderna on 1/26/21. Reports fatigue, myalgias 24-48 hrs post vaccine. Also tingling in bilateral feet x 4 days post vaccine which she also experienced x 4 days after #1 Pfizer. Approx 24 hrs post vaccine, experienced one acute episode of SOB and a sensation of choking. Describes a sensation of her "neck closing in." Denies swelling of lips, tongue, throat. She called 911, was taken to ED. Episode resolved after 10-15 min en route to ED, was given O2 in ambulance, IV fluids, Tylenol in ED. Labs, EKG, CXR WNL. ED states patient "likely is feeling effects of 2nd Coivd vaccine." was d/c'd home. felt "great" the next day and went to work. No similar sxs since this event. Smoker 1/2 ppd x 35 yrs.

Other Meds: Unknown

Current Illness: Unknown

ID: 1034027
Sex: F
Age: 63
State: GA

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

Lab Data:

Allergies: None

Symptom List: Nausea

Symptoms: Patient started with itching all over. Redness and hives on chest. "Itchy throat" with frequent clearing of throat observed. Bilateral breath sounds were clear and equal. No angioedema noted. Vital sings were monitored. Pulse was 98-99% on room air. Later felt a headache and felt jittery. Benadryl 50 mg PO was administered. Within 20 minutes of Benadryl symptoms improved. Prior to discharge the patient was no longer clearing her throat. Patient states she felt better. Husband reports chest and hive are basically gone. Patient remained alert and oriented x4 the entire visit. Reviewed to continue with over the counter Benadryl and take per directions on bottle. Husband reported he would stop and get Pepcid to take with Benadryl. Patient ambulates out of clinic without problems. 4:28 pm 161/88 89 16 97% 4:36 pm 149/82 79 17 99%. 4:43 pm 142/66 71 17 99%. 5:00 pm 124/ 83 72 15 98%.

Other Meds: Not Listed

Current Illness: None

ID: 1034028
Sex: F
Age: 37
State: OH

Vax Date: 01/07/2021
Onset Date: 01/07/2021
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: I am allergic to aspartame, tessalon perles, imitrex, mold.

Symptom List: Injection site pain

Symptoms: At about 45 min out, I had dizziness and felt like my heart was racing. I checked it and it was 120 to 125 BPM. Walking my heart rate went up to 154 BPM. I called my PCP and rested as prescribed. My heart rate stayed at 120 BPM. I did have the same reaction to Dose 2 which we treated the same way.

Other Meds: No

Current Illness: No

ID: 1034029
Sex: F
Age: 73
State: OK

Vax Date: 02/13/2021
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: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Notice a very large bruise just below the injection site the following day. No other symptoms at this time.

Other Meds: High blood pressure meds, baby aspirin, fish oil, Vita E,

Current Illness:

ID: 1034030
Sex: F
Age: 72
State: OH

Vax Date: 02/11/2021
Onset Date: 02/13/2021
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: no

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

Symptoms: Sunday evening around 9pm I had the chills and I got a severe headache. I shook for 3 hours. I had a fever of 99.7. I was cold all night. I started shivering again the next morning for 2 hours. around 1:30 in the afternoon I was a little better. Sunday night I had fever again and was shaking and very cold. I had a bad headache the whole time. Monday I seemed to be ok, but I did wake up itching. I have a red splotchy rash all over my body. my legs are bright solid red and I itch all over!

Other Meds: antibiotic- ic fulfamethoxazole-tmp df aspirin levaroxine metoprolol Nexium duloxetine

Current Illness: UTI and Hip replacement

ID: 1034031
Sex: F
Age: 66
State: IN

Vax Date: 02/05/2021
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: Nexium,

Symptom List: Tremor

Symptoms: Right upper arm, just below the injection site became warm, red, firm and itchy. Size 3 inch x 2 inch. Resembles an allergic hive. No other effects noted. No treatment needed. Continues for 30 hours after initial indication.

Other Meds: Atenolol, Verapamil, Detrol LA, pepcid, MVI, biotin, calcium, tylenol

Current Illness: None

ID: 1034032
Sex: F
Age: 75
State: MI

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

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 025J20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Penicillin

Symptom List: Erythema, Pruritus

Symptoms: What I know so far is they gave her the shot her heart stopped for about 3-4 minutes they did cpr until the ambulance got there they took her to main. They are going to do a bunch of test . They are going to keep her she has too see the cardiologist they are going to do an eco cartogram and an ultrasound of her heart. They had to my mom on a ventilator because they where putting the defibrillator in and she started throwing up and they had to do compression again cause her heart stopped again and she stopped breathing

Other Meds: 81 mg aspirin. Metoprolol 50mg, citalopram 20mg ,Aleve

Current Illness: None

ID: 1034033
Sex: F
Age: 90
State: CO

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1034034
Sex: F
Age: 32
State: FL

Vax Date: 02/05/2021
Onset Date: 02/12/2021
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: Full body rash started 1 week after vaccine. Consistent with Urticaria.

Other Meds: None

Current Illness: None

ID: 1034035
Sex: F
Age: 75
State: NC

Vax Date: 02/04/2021
Onset Date: 02/08/2021
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: Codeine-hives, intolerant of diuretics and stimulants, poison ivy-severe rash, latex hives, macadamia nuts-vomiting/diarrhea

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Had no reaction to 1st dose of Moderna COVID vaccine 1/6/2021. 2nd dose Moderna COVID vaccine 2/4/2021 had no immediate reaction but developed fever and fatigue that lasted 36 hr 1 d after vaccination. On 2/7 had redness and local swelling at site of injection. Next day 2/8 rash on chest then broke out face, neck , abdomen, back. Was seen in local ER where she was diagnosed with an allergic reaction to the vaccine. Treated Solumedrol, Toradol, lorazepam, Benadryl and Pepcid and dishcarged with Rx for Prednisone and advised to continue Benadryl and Pepcid. Rash worsened, became purple and morbilliform on face, arms, legs, back and abdomen over next 3 d. Was seen by PCP on 2/11. Prednisone increased to 40 mg x 3 d. Rash improved with this and was resolving by the time I examined her on 2/15/2021. Face was beginning to peel but had no mucosal surface involvement.

Other Meds: Diltiazem ER, Estradiol, Fluoxetine, Lipitor, medroxyprogesterone, progesterone, Restasis, testosterone, valsartan., citrucel

Current Illness: Hypertension Recent syncope x 3 ? arrhythmia

ID: 1034036
Sex: M
Age: 70
State: CA

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

Lab Data:

Allergies: Iodine

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

Symptoms: 1300 Pt with head pressure and chest squeezing. 1333 Pt HR-64,o2 sat 93%RA, B/P 122/70. Pt reports 15-20 min after the vaccine he started in with head pressure, chest squeezing gone and weakness. Pt states he took hit am long and short acting insulins and did not eat anything because it takes him quite some time to fix his meal. Pt A&Ox3, 1400 reports less pressure in head and palpitations gone. 116/66 b/p, hr-72, 94&ra, 1410 O2 sat 94% hr-72 , pt reports head pressure is gone, no chest discomfort, no palpitations, no longer feels weak. Pt reports this is not his usual reaction to low blood sugar. 1415- o2 sat 92% ra, hr-75, pt reports he feels much better and would like to go home. Escorted to his car with staff. Instructed to follow-up with MD if any further issues are noted. Pt verbalized understanding of these instructions.

Other Meds: Metformin, NPH insulin, Reg insulin, Isosrbide, Lisinopril, Baby asa, Atorvastatin, Furosemide, potassium, Famotidine, Pantoproloze

Current Illness: none

ID: 1034037
Sex: M
Age: 84
State: CO

Vax Date: 02/08/2021
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: EK9231
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: Error: Wrong Dose of Vaccine - Too High

Other Meds:

Current Illness:

ID: 1034038
Sex: F
Age: 29
State: CA

Vax Date: 02/06/2021
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: Food intolerance: Quinoa (stomach upset), kiwi (tingling on tongue/mouth)

Symptom List: Pain in extremity

Symptoms: "Covid Arm" - large bullseye-looking rash a few inches around/outside of vaccination point. Itched a lot, and hurt as well. Pain wrapped around towards armpit area. Also, had itchy rash on neck a few days later (not sure if related).

Other Meds: Birth control (Blisovi Fe)

Current Illness: n/a

ID: 1034039
Sex: F
Age: 23
State: CA

Vax Date: 02/09/2021
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: 2
Vax Route:
Vax Site:

Lab Data:

Allergies: NKDA

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

Symptoms: FEVER, BODY ACHES, CHILLS, RASH ON INJECTION SITE

Other Meds: Lo loestrin fe- ocp

Current Illness: NONE

ID: 1034040
Sex: F
Age: 40
State: WA

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

Lab Data:

Allergies: Penicillin

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

Symptoms: Patient began having throat swelling and shortness of breath, administered EpiPen, Solumedrol 125mg IV push, DuoNeb breathing treatment, 2L of O2 via nasal cannula. Patient taken by ambulance to ER.

Other Meds:

Current Illness:

ID: 1034041
Sex: F
Age: 78
State: MO

Vax Date: 01/28/2021
Onset Date: 02/05/2021
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: Bell's Palsy diagnose 2/5/2021 and treated with Prednisone and antiviral. Has history of Bell's palsy in the past. She started with right sided facial droop and was choking with swallowing.

Other Meds: Metformin

Current Illness:

ID: 1034042
Sex: F
Age: 75
State: NY

Vax Date: 02/07/2021
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: Penicillin

Symptom List: Vomiting

Symptoms: Delayed cutaneous hypersensitivity at injection site: 8 days following vaccination, red, itchy, and hot-to-the touch rash (approximately 3 inches long) appeared at injection site; still present today (24 hours later). Took one tablet of Benadryl and applied 1% hydrocortisone cream to provide relief of itchy, burning sensation. This has helped somewhat. Note: This delayed injection-site reaction has been reported in the Moderna clinical trial, both after the first and second doses.

Other Meds: Valsartan, 40 mg once daily ursodiol, 300 mg once daily amitriptyline, 10 mg once daily Centrum (Silver) Multivitamin, 1 tablet daily

Current Illness: None

ID: 1034043
Sex: M
Age: 76
State: MI

Vax Date: 02/03/2021
Onset Date: 02/15/2021
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: NA

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: He came down with Shingles 2 days ago.

Other Meds: Hydrocodone/acet 10/325...Valacyclovir 1gm

Current Illness:

ID: 1034044
Sex: F
Age: 76
State: CA

Vax Date: 02/03/2021
Onset Date: 02/12/2021
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: On 2/12/21, 9 days after my shot, a rash appeared on my left arm between my shoulder and my elbow, 2 to 3 inches wide. The rash as of today 2/16/21 is still there...some tenderness, not itchy. I had no symptoms after the shot initially except some soreness at the injection site briefly. The internet has identified the rash as "Covid Arm".

Other Meds: none

Current Illness: none

ID: 1034045
Sex: F
Age: 69
State: NJ

Vax Date: 02/04/2021
Onset Date: 02/16/2021
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: Sulphur drugs

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Itchy red rash appeared on upper arm.

Other Meds: Amlodipine 5mg Vascepa 1gm

Current Illness:

ID: 1034046
Sex: F
Age: 60
State: MA

Vax Date: 02/11/2021
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: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Sulfa, oxycodone, tizanidine, sensitive to Nsaids

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

Symptoms: Day 4 sudden feeling unwell, out of it, severe burning pain throughout whole body, joint pain , headache, cough, fatigue, upset stomach, diarrhea. Subsided in about 36 hours.

Other Meds: Prozac, klonopin, depakote, remeron, nexium, losartin potassium, propanol, concerta, vitamin b 12, calcitriol, turosemide, sodium bicarbonate, amioderone, low dose aspirin, Tylenol , Gaviscon, levothyroxine,

Current Illness: None

ID: 1034047
Sex: F
Age: 81
State: PA

Vax Date: 02/06/2021
Onset Date: 02/10/2021
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: Epinephrine, Ciprofloxacin, Tramadol, Actonel, Clindamycin, Lipitor, Shingrix vaccine (severe reaction)

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

Symptoms: Severe dizziness, nausea, weakness, racing heart

Other Meds: Vit. D (1000 IU daily), Metoprolol (12.5 mg AM & PM, for irregular heartbeat), Simvastatin (5 mg) PM, Prednisone (1.5 mg daily), Cetirizine (10 mg PM).

Current Illness: Polymyalgia rheumatica

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm