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: 1034203
Sex: F
Age: 73
State: CA

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

Lab Data:

Allergies: Tramadol, sunflowers, msg

Symptom List: Dysphagia, Epiglottitis

Symptoms: chills, sweats, (no fever), severe stomach cramping, vomiting for 24 hours, called immunologist, prescribed medication to stop nausea, son had to drive 4 hours to be with me for 48 hours until I could hold liquids. Day 4 after onset much better. Day 5, getting back to normal.

Other Meds: Asacol, Colestipol, Levothyroxin, immodium, vit B-12

Current Illness: none

ID: 1034204
Sex: F
Age: 49
State: ID

Vax Date: 01/30/2021
Onset Date: 01/30/2021
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: Promethazine - itching Penicillin - rash Nickel - mild skin reaction

Symptom List: Anxiety, Dyspnoea

Symptoms: Patient developed left thumb swelling with subsequent bruising and significant localized tenderness. This went away, but reoccurred on 2 separate occasions frequent to the vaccine. Resolved independently without evaluation or additional diagnostic testing/pharmacological therapy.

Other Meds: Lorazepam, lamotrigine, estradiol, levothyroxine, fish oil, omega-3, probiotic formula, xiidra 5% solution eyedrop, alrex 0.2% solution eyedrop, multivitamin, doxycycline, vitamin D, calcium and emergen-C

Current Illness: See below. No acute illness identified 1 month prior to vaccine.

ID: 1034205
Sex: F
Age: 35
State: CA

Vax Date: 02/12/2021
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: EL1284
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: No

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

Symptoms: About 8PM (so roughly 8,5 hours) after the 2nd Pfizer dose, I started to experience chills, body aches, and a fever. It kept me up all night. At 7AM, I had 100.4 degree fever and took a 500 mg Tylenol and the symptoms subsided for about 5 hours. Around 12PM, had chills again and fever and took another 500 mg Tylenol. Fever went up to 101 at 7PM (almost 24 hours since first onset) and took another 500 mg Tylenol. Since Sunday night, I have been waking up in the middle of the night with weird, vivid dreams/images. The other symptoms don't worry me but this certainly does. The first night (Sunday) I woke up at 2AM and last night 12:50AM. I am hoping it doesn't continue but I have not done anything differently since the second Pfizer vaccine. No added stress nothing.

Other Meds: Probiotics (Enterogenic Intensive 100 Billion CFU)

Current Illness: No

ID: 1034207
Sex: F
Age: 64
State: CT

Vax Date: 02/05/2021
Onset Date: 02/13/2021
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: Cefalaxin (rash), iv contrast (hives), epinephrine (palpitations )

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: One week and one day post second vaccination developed left sided teeth pain both upper and lower. Worsened over past few days, today, 2/16, have what seems like trigeminal neuralgia which I never had before. Intense facial and tooth pain and burning left side of face. Will report to MD tomorrow.

Other Meds: None

Current Illness: None

ID: 1034208
Sex: F
Age: 66
State: IL

Vax Date: 01/29/2021
Onset Date: 02/01/2021
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: Sulfur

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

Symptoms: I did not report this to my doctor, I just assumed it was a reaction to the shot. I had a rash from the vaccine site for about three inches and it was itchy. After a shower it was bright red. Lasted about 7 days then went away. Saw a report about this so I thought I would fill this out because it was exactly as stated in the report.

Other Meds: Losartan and Atorvastatin

Current Illness: No e

ID: 1034209
Sex: F
Age: 47
State: NC

Vax Date: 01/31/2021
Onset Date: 02/01/2021
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: Known allergies are to benzoyl peroxide and sulfa antibiotics

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

Symptoms: Significant lymphadenopathy. Left clavicular LN approx 3 cm in diameter approx 24 hrs after dose. Painful with light touch. Remained significantly enlarged for ~4 days then began to decrease in size. Remained painful to touch for 10 days. At two weeks out is still mildly enlarged and tender. Some associated neck pain

Other Meds: Salvella BID, equilis BID, levocarnitine BID, green tea supplement BID, maxalt PRN, Vit B12 q24, Vit D3 q24, magnesium q24, CoQ10 q24

Current Illness: 10 yr history of unnamed neuromuscular disorder with recurrent rhabdomylosis (patient at hospital, PVT 4 yrs ago, migraines since childhood

ID: 1034210
Sex: M
Age: 79
State: CT

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

Lab Data:

Allergies: None

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: Itching on side of both knees has occurred each of the 3 nights since the day of the vaccine

Other Meds: Warfarin Meteprolol Prevastatin Vascepa

Current Illness: None

ID: 1034211
Sex: F
Age: 72
State: FL

Vax Date: 02/02/2021
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: UNK
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: Lisinopril, Demerol no foods

Symptom List: Pharyngeal swelling

Symptoms: Eleven days after shot I developed cellulitis in my left breast. I have breast implants. This cellulitis covered my entire breast. It was very hot to the touch and hurt. Since it began on a Saturday I waited until Monday to go to my doctor. He diagnosed it as cellulitis and gave me a script for Clindamycin and a steroid dose pack. I started taking those yesterday. Today the redness has gone down quite a bit and the pain is diminished. It is still red though. He informed me to take second shot in the other (right) arm. I also take Actemera for my RA which also lowers my immune response. I was worried about taking it because of my lower immunity. I even called MODERNA, but they and my rheumatologist told me it would be all right. My second shot is on March 2nd. I will not be getting my IV dose of Actemera until three weeks after the second Moderna shot.

Other Meds: Vit D 2000meq, 1qd, ASA 81mg 1qd, Metoprolol ER 25mg 1qd, Rosuvastatin 10mg 1qd, Nexium 20mg 1qd, Eszopiclone 3mg 1qhs, Vit B12 1000mcq I shot every other week. Morphine 30 mg tid. Morphine 15mg as needed for breakthrough pain.

Current Illness: Nothing

ID: 1034212
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:
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: UNKNOWN

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: Gave pt COVID vaccine this morning. Was using a different syringe than normal and accidentally gave pt 1 mL instead of 0.5. Called pt 2/16/21 at 3 pm said he was doing fine just had a sore arm. Told him to call me back if he is having any issues.

Other Meds: UNKNOWN

Current Illness: UNKNOWN

ID: 1034213
Sex: F
Age: 58
State: GA

Vax Date: 01/26/2021
Onset Date: 01/26/2021
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: Ten minutes after getting the vaccine I experienced tingling on both sides of my mouth and my tongue. About 5 minutes after that, I had a metallic taste in my mouth. I was monitored and my blood pressure was elevated. My pulse was normal. They monitored me for 1 hour and then let me go home. The tingling continued through the night. Around 8 hours after the vaccine, the tingling was only on the left side of my mouth and tongue. Two days after the vaccine, my heart began to race. My blood pressure remained high for approx. 2 1/2 weeks. My heart beat continues to race at times. I followed up with my PCP and cardiologist who both took EKGs which were normal.

Other Meds: DiCartizem 120 XL mg

Current Illness: High Blood Pressure

ID: 1034214
Sex: M
Age: 60
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:
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: After giving vaccination we realized patient had had a pneumovax on 2/13/21 3 days prior, this is outside the 2 week recommendation.

Other Meds:

Current Illness:

ID: 1034215
Sex: F
Age: 80
State: NM

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

Lab Data:

Allergies: NKDA

Symptom List: Rash, Urticaria

Symptoms: PT HAD CHILLS, NAUSEA AND VOMITING. STOMACH UPSET, HEADACHE, FOR 6 DAYS, TOOK TYLENOL. ONDANSETRON

Other Meds:

Current Illness:

ID: 1034216
Sex: M
Age: 51
State: CA

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: None

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

Symptoms: Enlarged lymph node in armpit on side of injection. Became sore and tender for 24hrs then started to resolve. Now 72 hours after injection and continues to improve. Had similar reaction to flu shot in September but not as severe.

Other Meds: None

Current Illness: Had Covid 19 in January 1-14

ID: 1034217
Sex: F
Age: 41
State: CA

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

Lab Data:

Allergies: NA

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

Symptoms: Within 12 hours was having trouble breathing heart pounding thought I could just rest and could not it was so bad went to the ER on 2/14/21 @ 8:30 am my O2 was at 87 dropped to 81 BP was 158/101

Other Meds: NA

Current Illness: NA

ID: 1034218
Sex: F
Age: 67
State: VA

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

Lab Data:

Allergies:

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

Symptoms: C/o hot flash dizziness while being monitored. BP86/50 99/55 P55. EkG abnormal. EMS transported patient to ER.

Other Meds:

Current Illness:

ID: 1034219
Sex: F
Age: 66
State: FL

Vax Date: 02/14/2021
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: None

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

Symptoms: Patient states she developed "frozen shoulder". She also states the same thing happened to her years ago from a Shingles Vaccine.

Other Meds: not known

Current Illness: None

ID: 1034220
Sex: F
Age: 76
State:

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

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

Symptoms: After the patient received her dose she was getting out of the chair she became dizzy. I sat her back on her chair and took her BP. Her BP was 73/46 we had the patient drink some water and took her BP again and it began to rise it read 113/76 we continued to watch her and took her BP again which it was 128/70. Her symptoms started to go away and she stated she felt better about 15 minutes after her dose and we took her BP again and it was 132/69 which then we moved her to our observation area and she no longer felt dizzy or was complaining of any symptoms. We continued to watch her for another 15 minutes and took her BP one last time and it read 138/82 in which she went home after.

Other Meds: Amlodipine, Carvedilol, ASA

Current Illness: No known illness

ID: 1034221
Sex: M
Age: 44
State: WA

Vax Date: 02/08/2021
Onset Date: 02/08/2021
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: iodine, sulfa meds, environmental

Symptom List: Ear pain, Hypoaesthesia

Symptoms: Reported palpitations which is a feeling of a single strong heart beat w/ associated catching of his breath and feeling of startle and mild anxiety which started w/ other post COVID vaccine symptoms of f/c, fatigue, and body aches. Other symptoms resolved but not startle symptoms and pt now also having cough and nasal congestion. Normal exam other than congestion. EKG NSR w/ no feeling of the startle while here and no CP or SOB. CXR normal. Full lab eval also normal including neg CRP, Trop, BNP, and D dimer. CBC and CMP also normal. TSH mildly elevated but normal T4 so likely c/w pt's prior minor thyroid abn but unlikely to be source of current symptoms. Given normal exam and w/u do not feel myocarditis, pericarditis, or clots or other significant process associated w/ current symptoms. Pt retested for COVID since not fully immune prior to symptom onset.

Other Meds: allegra

Current Illness: none

ID: 1034222
Sex: F
Age: 50
State: WA

Vax Date: 02/15/2021
Onset Date: 02/15/2021
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: morphine, codeine, ibuprofen, nsaids, alcohol, asprin

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: chills, nausea, runny nose, appetite loss

Other Meds: n/a

Current Illness: n/a

ID: 1034223
Sex: F
Age: 49
State: CA

Vax Date: 12/30/2020
Onset Date: 01/01/2021
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: Sulfa drugs Walnuts

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

Symptoms: I had body aches, chills, fever, joint pain and headaches. It was pretty mild. I took some Tylenol and drank a lot of water. It lasted for about 2 days and lingered a few days. After that, I was okay. I got diagnosed with COVID 6 days after I received the vaccine.

Other Meds: Decongestant (Walgreen's generic with no sudafed) Women's Megavitamin from GNC

Current Illness:

ID: 1034224
Sex: F
Age: 67
State: CA

Vax Date: 02/11/2021
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: Naproxen

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

Symptoms: Noticed on Saturday, redness on neck down to chest and shoulders. Like a sunburn.

Other Meds: multivitamins

Current Illness: no

ID: 1034225
Sex: F
Age: 40
State: IL

Vax Date: 02/03/2021
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: None

Symptom List: Unevaluable event

Symptoms: Redness itching swelling. Lump. Started with itching progression to rash covering bicep of left arm

Other Meds: Synthroid advair

Current Illness: None

ID: 1034226
Sex: F
Age: 53
State: DE

Vax Date: 02/12/2021
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: None

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

Symptoms: Cold sore type of reaction under my nose which has now spread to the ball of my nose with swelling

Other Meds: Multi vitamin; Spironolactone

Current Illness: Covid -19 on 1/5/2021

ID: 1034227
Sex: F
Age: 59
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: After 8+ hours post vaccine, I was running a low grade fever and had all over body aches. The body aches continued through the second day off/on all day.

Other Meds: B-12, linsinopril, metapropolol, 81 mg aspirin, zoloft

Current Illness: None

ID: 1034228
Sex: F
Age: 58
State: FL

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

Lab Data:

Allergies: Nkda

Symptom List: Injection site pain, Menorrhagia

Symptoms: Extreme pain at injection site, swelling redness. Cold chills, terrible Headache, hallucinations , fatigue the next day and general malaise. Redness and swelling lasted 5 days at injection site.

Other Meds: None

Current Illness: None

ID: 1034229
Sex: F
Age: 42
State: OR

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

Lab Data:

Allergies: none

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

Symptoms: body aches, fever, nausea Swelling of lymph node in armpit of vaccinated arm at day 2. Swelling and pain lasted 3 days, pain radiated into breast and nipple.

Other Meds: none

Current Illness: none

ID: 1034230
Sex: F
Age: 69
State: CA

Vax Date: 02/12/2021
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: LA

Lab Data:

Allergies: NKDA

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Pt wanted to report facial swelling possibly due to coronavirus vaccines. Pt noted the day before she got her CV19 vaccines she was having discomfort in her tooth (a molar on the left side). Pt notes after she got the vaccine she had Left sided facial swelling of sinus/cheeks/neck- denies and swelling throat/mouth. Went to the dentist who took xrays and prescribed penicillin, informed pt facial swelling is most likely the result of the vaccine.

Other Meds: Current Outpatient Medications: ? Calcium Citrate-Vitamin D3 (CITRACAL + D MAXIMUM) 315-250 mg-unit Tablet, Take 1 tablet by mouth 2 times daily., Disp: , Rfl: ? Cholecalciferol, Vitamin D3, (VITAMIN D) 2,000 unit Cap, Take 1 Tab by mou

Current Illness: N/A

ID: 1034231
Sex: M
Age: 71
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:
Dose Series: UNK
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: First night (Monday) had a slight numbing in my tongue, second night my tongue was starting to fill my throat and I called 911, Thursday night my left side of my lip and cheek/face swelled up took a shot of children's Benadryl and a adult pill.

Other Meds: tamsolosin, multiple vitamins, selenium, cumin

Current Illness: no

ID: 1034232
Sex: F
Age: 60
State: CA

Vax Date: 02/11/2021
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: Codeine

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

Symptoms: 8:30 pm - extreme shivering, teeth chattering, extremities freezing cold, particularly the feet; severe body aches; injection site throbbing; upset stomach and a feeling of nausea. Temperature 100.2 at 8:45. Took temp every hour. By midnight temp reached 102.7. Head ache started. Couldn?t sleep on my left side because of the extreme pain around the injection site and down my left arm. Finally fell asleep around 2:30 and woke at 5:30. Fever was gone. Temp read 98.9. Body aches still present but not as severe. Arm pain had eased but head ache remained most of the day. Felt much better but just very tired.

Other Meds: 1 Naproxen Sodium 220 mg, 2 ibuprofen 200 mg, 1 Vita Super Multi vitamin, 1 Omega-3 1000mg, 1 Calcium 500 mg, 1 Inner Balance Digestive Health, 2 D3 25 mcg

Current Illness: None

ID: 1034233
Sex: M
Age: 24
State: OR

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: No known allergies

Symptom List: Nausea

Symptoms: Itchy arm at the injection site

Other Meds:

Current Illness:

ID: 1034234
Sex: F
Age: 88
State: CO

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

Lab Data:

Allergies: Ibuprofen/Shortness of breath Ace Inhibitors/Cough Codeine/Headaches Levaquin/Diarrhea Penicillins/Hives Sulfa Antibiotics/Rash Tetanus Toxoid/Hives

Symptom List: Injection site pain

Symptoms: Eye Stroke / Retinal Occlusion Lost eyesight in left eye

Other Meds: Amlodipine 10MG Atorvastatin 40MG Calcium Carbonate 600MG Cholecalfiferol (Vitamin D3) Clopidogrel 75MG Mirtazapine 7.5 MG tablet Multivitamin Oxbutynin 5 MG Xarelto 20 MG

Current Illness: N/A

ID: 1034235
Sex: F
Age: 56
State: NJ

Vax Date: 02/06/2021
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: Sulfa Pineapples

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

Symptoms: 8 days after the injection, my left arm where the needle went in because itchy. I looked at it, and it was red, inflamed and hot to the touch. The affected area grew to a circular 3" in diameter, puffy, blotchy, itchy, hot rash surrounding the injection site. I panicked at first because I never heard of such a delayed reaction. I did read of this sometimes happens with the COVID vaccine, so I thought I should report it. As of today, 2 days later the rash is fading, but it is still there.

Other Meds: Atorvastatin Chlorzoxazone Desmopressin Acetate Levothyroxine Venlafaxine Bayer Asprin

Current Illness: None

ID: 1034236
Sex: F
Age: 17
State: OR

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: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: Unknown

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

Symptoms: Patient was erroneously administered the COVID Vaccine at one of our mass vaccination clinics, and she does not meet the minimum age requirement per the EAU guideline.

Other Meds: Unknown

Current Illness: Unknown

ID: 1034237
Sex: F
Age: 41
State: CA

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:

Symptom List: Tremor

Symptoms: Nausea within 15 minutes of vaccine, vomiting approximately 30 minutes later.

Other Meds:

Current Illness:

ID: 1034238
Sex: F
Age: 28
State: NV

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

Lab Data:

Allergies: None

Symptom List: Erythema, Pruritus

Symptoms: cc: tachycardia; Joint aches, malaise, fever, chills and tachycardia. She presented on the 11 Feb saying the malaise/fever/chills had cleared after 5 days or so but the tachycardia persisted - consistently 110+ during clinic visit. Sinus rhythm on EKG

Other Meds: Insulin lispro and glargine, ParaGard IUD

Current Illness:

ID: 1034239
Sex: F
Age: 49
State: CA

Vax Date: 01/28/2021
Onset Date: 01/30/2021
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: Sulfa drugs Walnuts

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

Symptoms: That night, headaches and chills really bad. By that evening, around 6, I couldn't get off the couch by myself. I got up and it felt like my ribs were rubbing against my kidneys. It was hurting that bad. I felt like I did when I had COVID the first time. I just laid on the couch. I took 2 Ibuprofen that helped more than Tylenol. My lymph nodes were swollen and I couldn't even put my bra on. The swelling was also in my neck. I continued to have chills and a fever. I was sweaty. From Friday to Sunday, it started to dissipate and then I was able to get around better. My lymph nodes were swollen for about 5 days. I started to feel better, with the exception of my arm which is still bothering me. I experienced sharp pains in my arm last night and it's been itchy.

Other Meds: Decongestant with no sudafed) Megavitamin

Current Illness:

ID: 1034240
Sex: F
Age: 64
State: PA

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: IM
Vax Site: LA

Lab Data:

Allergies: n/a

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

Symptoms: swelling of mouth, light headache,

Other Meds: Symbicort

Current Illness: n/a

ID: 1034241
Sex: F
Age: 45
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: 039K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies: none

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: patient was dizzy and 'woozy' immediate after injection. blood pressure was checked and was slightly elevated but patient reported skipping her blood pressure medicine in the morning. gave patient water and monitored for 30 mins. after 30 mins patient was feeling 'much better'. made sure patient could stand and walk okay before allowing patient to leave

Other Meds: levothyroxine lisinopril-hctz vitamin d

Current Illness:

ID: 1034242
Sex: F
Age: 28
State: IA

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

Lab Data:

Allergies: penicillin

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

Symptoms: Extreme fatigue; headache; heart was racing; nausea; diarrhea and body aches. These lasted until 06:00 AM the next day. A little headache and arm soreness still that next day - by noon that day I was feeling myself again.. I took ibuprofen for the headache and that helped.

Other Meds: Spironolactone -50 mg daily

Current Illness: no

ID: 1034243
Sex: F
Age: 31
State: IN

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

Lab Data:

Allergies: Azithromycin apples and pears

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

Symptoms: Morbidiform Rash present on abdomen, trunk and back. Symptoms lasted for 4 days. I also had fever of 100.2F for 1 night which resolved with Tylenol.

Other Meds: Effexor and metformin claritin/Zyrtec

Current Illness:

ID: 1034244
Sex: F
Age: 48
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: IM
Vax Site: LA

Lab Data:

Allergies: gluten food allergy

Symptom List: Pain in extremity

Symptoms: 1. Shortness of breath - tightness in chest; moderate x 1 day; intermittent; 2. Headache moderate - severe x 2 days 3. Muscle/joint pain entire body and injection site - moderate x 2 days; mild continuous; 4. Fever, chills x 1.5 day 5. Fatigue - mild ongoing; 6. Swollen lymph node in neck on the left side (same side received injection).

Other Meds: probiotics, multi-vitamins

Current Illness:

ID: 1034245
Sex: M
Age: 15
State: OR

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

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

Symptoms: Patient was given the COVID vaccine though he does not meet the age requirement per the EAU guidelines.

Other Meds: Unknown

Current Illness: Unknown

ID: 1034246
Sex: F
Age: 70
State: TX

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

Lab Data:

Allergies: none

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

Symptoms: SEVERE ACHING, UNABLE TO SLEEP ALL NIGHT, CHILLS, NAUSEA. STARTED AT 10 PM DAY OF INJECTION , SYMPTOMS LASTED 24 HOURS (IT FELT JUST LIKE THE SYMPTOMS WHEN I HAD THE SNIFFLES AND ALL THE OTHER SYMPTOMS AND GOT TESTED FOR COVID-19 1/23/21 AND TESTED POSITIVE. I GOT THE FIRST COVID-19 VACCINE ON 1/15/2021 LOT # 041L20A (LEFT ARM). SO NOW I WONDER IF THE 1/23/021 SYMPTOMS WERE ACTUALLY A RESULT OF THE FIRST VACCINE.

Other Meds: none

Current Illness: tested positive for COVID-19 1/23/2021

ID: 1034247
Sex: F
Age: 59
State: AK

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

Lab Data:

Allergies: Gluten intolerant -- > bloat, GI distress

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

Symptoms: Four hours after receiving the vaccine noticed that voice was lower and had a wet cough, "breathing was noisy. and noticeable" States breathing was not difficult but it felt like, "my chest was not right." About 12 hours later back to breathing normally. Tongue looks like all taste buds are gone on one section of tongue. Color is different than rest of tongue. Noticed metal taste on tongue on 02/11/2021 two days after vaccine. Food does not taste the same. Continues to have these concerns. 02/15/2021 chest was "pinkish, lacy redness." This was gone by 02/15/2021

Other Meds: estrogen patch turmeric daily multivitamin daily vitamin daily

Current Illness: none

ID: 1034248
Sex: F
Age: 71
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: 026LZOA
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: None

Symptom List: Vomiting

Symptoms: Nystagmus about 5 minutes after vaccine. Self resolved and patient able to leave on her own.

Other Meds: Diltiazem, Coreg

Current Illness: none

ID: 1034249
Sex: F
Age: 40
State: MA

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

Lab Data:

Allergies: Penicillin Amoxacillian Ceclor Morphine

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Extreme thirst for 3 days; Extreme energy/hyperactivity for 2 days; Insomnia for 3 nights

Other Meds: Lipitor; Concerta; Baby Aspirin

Current Illness: No

ID: 1034250
Sex: F
Age: 37
State: MN

Vax Date: 02/05/2021
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: Zithromax, gluten

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

Symptoms: Body/head pain 8 hrs after first dose, lasting 36 hours. Arm rash at injection site 11 days after first dose, slightly itchy and red.

Other Meds: Probiotic, advil, cetirizine, unisom

Current Illness: No

ID: 1034251
Sex: F
Age: 41
State: IA

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

Lab Data:

Allergies:

Symptom List: Injection site swelling, Limb discomfort

Symptoms: epistaxis one day after and two days after. Also with one episode of rectal bleeding the day after. CBC, PT and PTT were all normal.

Other Meds:

Current Illness:

ID: 1034252
Sex: F
Age: 51
State: NY

Vax Date: 01/05/2021
Onset Date: 02/16/2021
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: None

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

Symptoms: After 1st dose 1/6/21 at 6:10am I had severe chest pain, Went to ER . Had a cardiac cath that day and a stent placed in my LAD

Other Meds: Otzela, Losartan, Metroprol, Fluoxetine, Asprin, Zyrtec, valacyclovir

Current Illness: None

ID: 1034253
Sex: M
Age: 79
State: CA

Vax Date: 01/26/2021
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: RA

Lab Data:

Allergies: none

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

Symptoms: On February 9, 2021 (exactly 2 weeks after receiving my first vaccine dose) I woke up with double vision.. Saw eye doctor that afternoon and was diagnosed with Left Cranial Nerve 4 Palsy.

Other Meds: Caduet Dexilant

Current Illness: none

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm