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: 1042704
Sex: M
Age: 76
State: OR

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
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: Androgel, Coreg.

Symptom List: Dysphagia, Epiglottitis

Symptoms: High Fever, shakes, chills, headache Feb 17 p.m. - Feb 18 plus all over ache. Tylenol time release. Felt good on Feb 19.

Other Meds: Dofetilide, Eliquist, Calcium, Vit D, Gluclosomine.

Current Illness: None

ID: 1042705
Sex: F
Age: 31
State: MN

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Amoxicillin

Symptom List: Anxiety, Dyspnoea

Symptoms: Injection site redness and swelling, headache, body aches, fever/chills, fatigue, nausea, pain radiating into left chest area

Other Meds: Venlafaxine Bupropion Apri Omeprezole Cranberry

Current Illness:

ID: 1042706
Sex: M
Age: 28
State: NY

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Curry, walnut, birch, molds, pollen, marijuana, hemp, cannabis, cannabis sativa, trazodone, Budesonide-Formoterol Fumarate, Linaclotide, Gabapentin, Beclomethasone, Restoril, Ambien, Symbicort, Ventolin, Breo, Bupropion, Adderall (Not to be confused with regular Dextroamphetamine generic for Dexedrine), melatonin, Rozerem, Mushrooms (multiple types), Almonds, Almond Milk, Lactose Intolerant, Doxycycline, Ativan, Qvar, Ragweed, Dock-Sorrel, Cocklebur, English Plantain, Mugwort, Lamb's Quarters, Nickel, Nettle, Pigweed, Various grass types, Sycamore, Mulberry, Maple Box Elders, Hickory, Cottonwood, Ragweed, Ash Trees, Dust Mites, Dust, Mixed Feathers, Cat Hair/Dander, Molds, Cockroach, Brep, Amoxicillin, Morphine, Solid multivitamin tablets (metabolic issues), Symbicort, Ventolin, Advair,

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

Symptoms: After about an hour following my second COVID-19 Injection I began feeling warm. My forehead felt warmer so I figure I may have had a slight fever at that point. I received a metallic (Note I say metallic but I know it wasn't actually metal but that's simply the best way I can describe the taste I experienced) following the injection about 5 minutes after. My arm remained sore following and still remains sore as of this report. I experienced a decline in mental acuity following about an hour after injection. I began to feel lightheaded and exhausted to the point I was experiencing severe disorientation and confusion. I was having trouble putting sentences together and experienced a ringing sensation in the ears. I felt like I wasn't even present anymore. I couldn't comprehend things around me and apparently had conversations I don't even remember having. Note that at that point I had gotten home but don't even remember getting home. I just know that this did not begin to wear off until around 8:45pm when it was like someone flipped a switch and I suddenly was coherent again. It was an odd sensation to experience. The arm remained sore and the metallic taste returned briefly after this experience. I experienced a similar feeling from the HPV injection years ago, but just like this it was a temporary thing that resulted in no long term issues. However, I cannot tell you fully what we did the rest of the day until around 845-9 pm. I also remember becoming partly agitated after the injection like my body just all of a sudden took notice of something and shot into action. I had received my allergy injections this same day about two hours earlier as well and none of these reactions ever occur with those for me. I continued to drink liquid as far as I know as there were a few empty bottles of water next to me. I have no recollection of getting them. It's odd. There's just this brief moment in time that is just missing from my memory with a few short bits and pieces that are there like a puzzle with some missing pieces. I feel I became so fatigued I could not function. My emotions I remember were off and hard to control during this period too. I felt like I was having some random mood swings. I feel ok now though aside from the upset stomach occasionally and the fatigue and arm pain (but even the arm pain has partly decreased now). It all ceased. I have a number of health issues outside of this but have not experienced this long of a period of almost intermittent amnesia and incoherency following an injection before. I believe it made me that much more tired or reacted with one of my many conditions or genetic variants that perhaps may have been part of this. I'm happy to provide anything I can to help with this. I am greatly appreciative of all the CDC has done to get us this vaccine and continues to do to ensure our safety both before and after injection. It is commendable. I did fill out my survey through the V-Safe portal as well and will continue to follow up there should I have any changes. I have not sought medical care following this event as the coherency and such have seemed to resolve in regards to the vaccine injection. Only thing left are known side effects at this point besides an occasional increase in numbness and tingling that I already experience in my legs and feet. My absolute best guess for the cause is my immune system which already has some issues regulating (doesn't always like to learn everything it should and we are currently searching for an undiagnosed autoimmune disorder currently going on as well in me) on top of allergy shots today. it was perhaps just a bit too much demand on it all at once. But it seems to be balancing out again now.

Other Meds: Citalopram, Lamotrigine, Dextroamphetamine (Dexedrine generic), Pantoprazole, Amlodipine, Allegra, Nasacort, Low Dose Naltrexone (Compounded 4.5mg for chronic pain and neurological conditions),

Current Illness: unexplained weight loss, bleeding disorder including very high protime and INR due to unknown cause, widespread bruising, Other known conditions and unknown but chronicly existing Listed below.

ID: 1042707
Sex: F
Age: 69
State: DC

Vax Date: 02/11/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: slight itching from tomatoes iodine, penicillin

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: left injection arm itch with 2 hives around the injection with some redness

Other Meds: methimazole, vitamin c, vitamin d, proprietary blend: green walnut hull, clove bud, pumpkin seed, gentian root, hyssop leaf, cumin seed, cramp bark, thyme leaf, fennel seed, Chinese rhubarb root, peppermint leaf(oil), oregano leaf(oil)

Current Illness:

ID: 1042708
Sex: F
Age: 28
State: LA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: fever up to 39, continue to have fever for 2 days. acetaminophen is good to relieve but can't eliminate. start to have chest pain under breast when heavily breathing in after 48hrs.

Other Meds: none

Current Illness: none

ID: 1042709
Sex: M
Age: 48
State: CA

Vax Date: 02/17/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
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: Amoxicillin: anaphylaxis Adverse reaction to MMR vaccine in high school

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

Symptoms: Difficulty breathing, swelling of throat, cough, warmth in chest, dry mouth, chills, violent shaking

Other Meds: Albuterol inhaler

Current Illness:

ID: 1042710
Sex: F
Age: 23
State: GU

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
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: Tongue began to swell 4 hours after both injections. Extremely painful.

Other Meds:

Current Illness:

ID: 1042711
Sex: F
Age: 47
State: IA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Levaquin Bactrim Keflex

Symptom List: Pharyngeal swelling

Symptoms: Headache, sinus pressure, cough, muscle aches, joint aches, pain throughout body, sore throat, chest discomfort, fatigue,

Other Meds:

Current Illness:

ID: 1042712
Sex: M
Age: 39
State: CA

Vax Date: 12/22/2020
Onset Date: 01/02/2021
Rec V Date: 02/20/2021
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

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: On January 1 and 2nd, approximately 10 days following administration of Moderna vaccination, I began to experience both hearing loss and tinnitus in my right ear. The hearing loss and ringing noise in my right ear came on rather slowly, and progressed over a week's time. There was no illness otherwise, and no trauma. The ringing continued, and I sought out medical care from both Neurology and Otolaryngology. My otolaryngologist could not find any cause and speculated that it could in fact be from the vaccination. I underwent oral steroid treatment as well as a series of 3, sequential weekly steroid injections into my middle ear space, though my tympanic membrane. I also started taking oral L-Lysine at the recommendation of my neurologist as well as other herbals including oral flavonoids to help reduce tinnitus. None of the above treatments have made any improvement in my symptoms. I had my hearing rechecked every week at ENT office and the same degree of hearing loss is evident. None of which has returned to date. I have most recently just last week begun to a pursue hearing aid device at the recommendation of my ENT physician. I am currently scheduled for brain MRI to make sure there is not another physiologic cause such as a tumor or hemangioma on my nerve that would possible explain my new symptoms in the right ear. That study is not completed yet. The hearing loss and tinnitus is constant, and unchanged, now nearly 7 weeks. The noise is significant and disturbs my sleep, and much of my daily function.

Other Meds: Omega-3. DHA 1280/day Vit D 2000IU/ day

Current Illness: none

ID: 1042714
Sex: F
Age: 35
State: CA

Vax Date: 02/16/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
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: N/A

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Symptoms started after almost 24 hours. Severe chills, throbbing headache, joint pains, sweating, extremely tender boobs ( nursing mom ) symptoms still going on after 72 hours of vaccine administered. Taking tylenol

Other Meds: Prenatal vitamins

Current Illness: N/A

ID: 1042715
Sex: M
Age: 65
State: CA

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: 1. Allergic to MSG, sulfates, nitrates and propionic acid (a preservative). 2. No medication allergies.

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

Symptoms: 1. Upper shoulder achiness , increasing temperature ( peaked at 100.2 degrees F), body chills, slight nausea, overall body weakness. 2. Symptoms began decreasing Friday 19Feb21, disappearing by late afternoon, except for slight headache. 3. Symptoms almost gone as of this writing (9:30 P.M. 19Feb21).

Other Meds: 1. No prescriptions. 2. Low dose aspirin. 3. Multi-vitamin, multi-mineral. 4. No herbal supplements.

Current Illness: 1. None.

ID: 1042716
Sex: F
Age: 74
State: CT

Vax Date: 02/12/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Codine

Symptom List: Rash, Urticaria

Symptoms: Swollen arm 7vdays after

Other Meds: None

Current Illness: None

ID: 1042717
Sex: M
Age: 90
State: CA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: NA

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

Symptoms: Patient, who wears a hearing aid, claim that his hearing was affected. He said sound had diminished and was slightly dizzy.

Other Meds: NA

Current Illness: NA

ID: 1042718
Sex: F
Age: 39
State: WI

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: None

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

Symptoms: Severe speech impediment (neurological). Onset within 20 min of receiving 2nd dose. ER visit plus doctors visit. No brain swelling or sign of stroke. 36 hours later, speech has not improved. Severe stutter, and stopping/pausing when speaking. Also am experiencing severe flu like symptoms including low grade PM fever, chills, vomited once, fatigue, arm shoulder neck and back pain.

Other Meds: Lexapro 10mg daily

Current Illness: None

ID: 1042719
Sex: F
Age: 71
State: WA

Vax Date: 02/10/2021
Onset Date: 02/17/2021
Rec V Date: 02/20/2021
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: Patient describes a rash that started at the site of the immunization and goes down the arm. Patient states it started a week after the immunization. Patient has not received medical care and refused to show the rash to the pharmacist.

Other Meds: Losartan 25 mg

Current Illness:

ID: 1042720
Sex: F
Age: 43
State:

Vax Date: 02/17/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Temperature 99.5 Dizziness Sleeping for more than 8 hours Elevated heart rate over 100 Extremely tired Body ache Headache Blurred vision Extreme thirst Dry mouth

Other Meds: Albuteral inhalers, Acetaminophen

Current Illness: Asthma

ID: 1042721
Sex: M
Age: 74
State: AZ

Vax Date: 02/12/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
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: none

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

Symptoms: runny nose, headache, fatigue, 101.4 temperature, body ache. Treated with 500mg of acetaminophen and rest. Symptoms ceased in 24 hours.

Other Meds: atorvastatin, hydrochloriazide, eliquis, dorzolomide timolo, latanoprost, lisinopril multi-vitamin

Current Illness: covid-19

ID: 1042722
Sex: F
Age: 42
State: NM

Vax Date: 01/26/2021
Onset Date: 02/03/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Aspirin, crab shellfish

Symptom List: Ear pain, Hypoaesthesia

Symptoms: About 4 hours after getting the vaccine, I became very tired. Soreness on area of vaccination. 7 days after the vaccine, area surrounding the vaccination area became swollen and stayed that way for about 3 days. No other symptoms other than these listed.

Other Meds: Arnuity Ellipta, Proventil hfa inhaler, Azelastine, Fluticasone

Current Illness:

ID: 1042724
Sex: F
Age: 32
State: FL

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Ceclor

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Rash non itchy covering trunk of body, front and back. Insomnia first night. Headache, muscle pain. Neck stiffness. I have photos available of the rash if someone can contact me for them.

Other Meds: Effexor XR 150 mg 1/day at bed.

Current Illness: Have had a temperature of 99.3 for the last few months but don't know why. Otherwise, cardiomyopathy, dysautonomia, POTS, ehlers danlos syndrome.

ID: 1042725
Sex: F
Age: 55
State: MO

Vax Date: 01/28/2021
Onset Date: 02/04/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: tetracyline

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

Symptoms: A week after receiving the shot I woke up with severe itching and a 2 to 4 inch long set of hives on my injection site.

Other Meds: humalog insulin, levothyroxine, simvastatin, hydrachlorathyazide, iron, lisinopril, butterbur, fluoxetine, motrin

Current Illness:

ID: 1042726
Sex: F
Age: 37
State: TN

Vax Date: 02/09/2021
Onset Date: 02/20/2021
Rec V Date: 02/20/2021
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: Sulfa drugs

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

Symptoms: Red, warm, itchy Rash on upper arm of injection near injection site, also on opposite elbow. All over random itching (all started 10 days after 1 st injection).

Other Meds: Metformin, lexapro, zyrtec, lisinopril, probiotic, potassium citrate.

Current Illness: None

ID: 1042727
Sex: F
Age: 42
State: GU

Vax Date: 01/16/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
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

Symptom List: Unevaluable event

Symptoms: Heart palpitations, numbness on left side of face, left arm and hand, left foot

Other Meds: Magnesium, Zinc

Current Illness: None

ID: 1042728
Sex: F
Age: 73
State: WA

Vax Date: 02/16/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Citroen; Augmentan (causes severe stomach pain)

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

Symptoms: Severe pain due to very red rash from top of the shoulder to my elbow; hot to touch and very itchy

Other Meds: Bupropion XL 150 mg ; Hydrochlorothiazide 25 mg; Xiidra 5%; Bariatric vitamin

Current Illness: None

ID: 1042729
Sex: F
Age: 38
State: WI

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Amoxicillin

Symptom List: Injection site pain, Pain

Symptoms: Huge bump and redness at vaccine site. Bones hurt all throughout the body. It hurts even to lay down. My skull even hurts. Fever and dizziness.

Other Meds: None

Current Illness: No

ID: 1042730
Sex: F
Age: 65
State: CA

Vax Date: 02/04/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: 02/19/2021 - woke up with a rash at the injection site of my left arm. I took a photograph and looked on the internet. Covid arm is a side effect. 02/04/2021 - Moderna vaccine administered via injection

Other Meds:

Current Illness:

ID: 1042731
Sex: F
Age: 44
State: CA

Vax Date: 02/01/2021
Onset Date: 02/08/2021
Rec V Date: 02/20/2021
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:

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

Symptoms: Numbness and tong lines in right hand. Pain at site of injection. Muscle aches, migraine, 101 fever. Swollen lymph node in armpit closest to injection site.

Other Meds:

Current Illness:

ID: 1042732
Sex: F
Age: 41
State: OR

Vax Date: 02/01/2021
Onset Date: 02/02/2021
Rec V Date: 02/20/2021
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: Allergy : Reglan

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: Significant high fevers (>102) along with rigors, headaches, muscle ache, fatigue, night sweats. Tlaxcala 102.8. Symptoms have persisted for 18 days post injection and remain ongoing. Fevers are cyclic and occur approximately every 8-12 hours. Fevers are not responsive to Tylenol, NSAID. Fever duration 4-5 hours.

Other Meds: Vitamin D supplement

Current Illness: None

ID: 1042733
Sex: F
Age: 43
State: VA

Vax Date: 02/15/2021
Onset Date: 02/16/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: cillin drugs

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: The morning after the vaccination, I awaked to chills, later I experienced fatigue and fever, shortness of breath with exertion for 2 1/2 days, loss of appetite and nausea for 5 days, all resulting 1 missed day from work. and I am still after nausea after eating at the time of this report.

Other Meds: Mesalamine, Pre natal vitamins

Current Illness: Ulcerative colitis (no flare up)

ID: 1042734
Sex: F
Age: 72
State: PA

Vax Date: 02/04/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
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: Penicillan

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

Symptoms: Red area about 4 inches in diameter near injection site; warm, tender, hardened to touch; some swelling/raised Some itching or discomfort. No systemic symptoms or fever. Lasted 4 days. ( retired RN)

Other Meds: None

Current Illness: None

ID: 1042735
Sex: F
Age: 51
State: HI

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, bactrium, cipro Dust

Symptom List: Nausea

Symptoms: Left arm redness and hives one week later after injection. At injection site, Warm to touch. Slight itch. Redness grew double in size after first day of reaction.

Other Meds: Vitamin D3 and women centrum silver Multi- vitamins

Current Illness: Bladder infection just finished taking Antibiotics microbes two days prior

ID: 1042736
Sex: F
Age: 61
State: CA

Vax Date: 02/06/2021
Onset Date: 02/06/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: NKDA

Symptom List: Injection site pain

Symptoms: Vertigo: started approx 6 hours after dose, along with fatigue, bone, muscle aches. Initially Vertigo was with any head movement, feeling unstable on feet ,heavy feeling in head, feeling of nystagmus . Vertigo has improved but still persisting 2 weeks later, especially with change of position, especially lying down or getting up, instability is present but improved from initial stage. Since vertigo started after vaccine, is persisting, think it is directly related to vaccination. Was fine before vaccine.

Other Meds: Synthroid : 75 mcg/qd Lipitor: 10 mg qod

Current Illness: None

ID: 1042737
Sex: U
Age: 38
State: OR

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillins

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

Symptoms: Patient developed facial urticaria within 30 minutes

Other Meds: Testosterone Cypionate

Current Illness: N/A

ID: 1042738
Sex: F
Age: 57
State: NM

Vax Date: 02/10/2021
Onset Date: 02/11/2021
Rec V Date: 02/20/2021
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: Cipro, gadolinium dye.

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

Symptoms: Sore at injection site, used rubbing alcohol. Felt better after a few rubs. Nausea, a few days after, drank tea and honey. Came and left for a couple days Slight headache the next day, did not take anything. Meditation, Cramps in pelvic area, did stretches and yoga.

Other Meds: Celebrex, Prilosec Zyrtec, calcium, B12, magnesium,, multiethnic, Tulsi, probiotic, forfivo, vitamin D, fish oil.

Current Illness:

ID: 1042739
Sex: F
Age: 92
State: CA

Vax Date: 02/18/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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 known

Symptom List: Tremor

Symptoms: Signed ? Encounter Date: 2/18/2021 Vaccination site 02/18/2021 REACTION AFTER MODERNA VACCINATION patient vomited after 1st moderna vaccine Patient vomited post Moderna Vaccination lot number vomited for 10 minutes denied any pain/discomfort a ox4 mae vs 130/98 84 24 Patient stopped vomiting and went home with daughter and will be with other daughter Occurred at Vaccination Site Pt was stable and DC'd home with daughter

Other Meds: Effexor, levothyroxine, Dramamine aspirin, losartan, atorvastatin, lutein centrum, calcium citrate, mybreg, vitamin, nature made vbr, centrium b12

Current Illness: none

ID: 1042740
Sex: F
Age: 28
State: MN

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Chills, Nausea started around 8pm

Other Meds: None

Current Illness: None

ID: 1042741
Sex: F
Age: 38
State: CA

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Swollen, red and painful lymph nodes in armpit, vesicular varicella like rash over trunk and buttocks.

Other Meds: Levothyroxine

Current Illness:

ID: 1042742
Sex: M
Age: 75
State: NC

Vax Date: 02/10/2021
Onset Date: 02/12/2021
Rec V Date: 02/20/2021
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: Fever congestion loss of energy.

Other Meds: Rapaflo

Current Illness: None

ID: 1042743
Sex: F
Age: 24
State: IN

Vax Date: 02/09/2021
Onset Date: 02/10/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies:

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Soreness at injection site, swollen red area approx 3 in in diameter. Irregular shape. Itchy and hard tissue at injection site for over a week. I have taken Benadryl and a topical steroid. Iced as well.

Other Meds:

Current Illness:

ID: 1042744
Sex: F
Age: 67
State: CA

Vax Date: 02/05/2021
Onset Date: 02/05/2021
Rec V Date: 02/20/2021
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: allergic to bee stings, mosquito bites. elastic materials. I have type 0 blood.none

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

Symptoms: 2 hours after shot, arm soreness, mild sore throat, headache, almost whole body soreness. the next day they soreness got worse, it hurt to try and walk, headache got worse, 3rd day felt better. On 11th day the headache returned and the arm was sore and weaker. It arm started getting a hot red rash, about 3 in round, skin was hard and hot and itchy, had some body aches and bad headache. Due to holiday, went to urgent care, the red rash had grown to about a 6in oval growing around my arm, mild itch, haedache and soreness, arm was weak, my blood pressure was elevated., not normal. Was told this is covid arm, dr more concerned about blood pressure. Today is 14 days after the 1st vaccine, still have the large rash around my arm, arm is warm, not hot, rash has grown, not itchy. headache is mostly gone. Some body aches, especially in the legs and neck. Arm where got the shot is a little weak still. I will not be getting the 2nd vaccine.

Other Meds: none

Current Illness: none

ID: 1042745
Sex: M
Age: 56
State: MI

Vax Date: 01/21/2021
Onset Date: 01/22/2021
Rec V Date: 02/20/2021
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: Mild soreness at vaccination site, mild body aches, low grade fever (99.1) lasted 1 1/2 days. Did not inform doctor.

Other Meds:

Current Illness:

ID: 1042746
Sex: F
Age: 51
State: CA

Vax Date: 01/30/2021
Onset Date: 02/07/2021
Rec V Date: 02/20/2021
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: Pain in extremity

Symptoms: redness at injection site 8 days post vaccination

Other Meds: none

Current Illness: none

ID: 1042747
Sex: M
Age: 56
State: MI

Vax Date: 02/11/2021
Onset Date: 02/11/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: Severe Chills, uncontrolled shaking, for 2 hours, moderate fever 102.4, moderate muscle aches. Each for 2 nights.

Other Meds:

Current Illness:

ID: 1042749
Sex: F
Age: 70
State: NV

Vax Date: 02/10/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: itchy, red, hardened area about 2 inches in diameter at the injection site 8 days after injection

Other Meds: Amlodipine, Lipitor, Premarin cream weekly

Current Illness: none

ID: 1042750
Sex: F
Age: 39
State: NY

Vax Date: 02/13/2021
Onset Date: 02/13/2021
Rec V Date: 02/20/2021
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: During the first 2 minutes after the injection, I experienced a quick heart palpitation that lasted for half a second, one quick hot flash, very mild muscle weakness that lasted for approx. 1 hour, gas (burping). I stayed for approx 1 hour in hospital to be monitored after vaccination that day. Experienced mild pain in the injection site for two days after vaccination. One day after vaccination, woke up with dry mouth, ate something then it went away. Began to feel better and better as days progressed.

Other Meds: Abilify; Hydroxyzine HCL; Centrum multivitamin chewables

Current Illness: None

ID: 1042751
Sex: F
Age: 73
State: AK

Vax Date: 02/08/2021
Onset Date: 02/18/2021
Rec V Date: 02/20/2021
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: Dairy-probable inflammatory response; Maybe prednisone(2004 -reaction during chemotherapy when administered as IV push too quickly, OK when introduced slowly)

Symptom List: Vomiting

Symptoms: Rash and itching in various body parts. Last night midnight left ear. Today2/19 right upper arm and right shin; by 11 pm rash and more intense itching on upper left arm, and rash plus welts on upper right arm and left hip , and rash on upper left arm. Itching pretty intense. During the day on 2/17 I notice slight itching on upper right arm but not too intense. Site of injection on 2/08 was left arm.

Other Meds: Calcium, magnesium, vit.D, melatonin

Current Illness: None

ID: 1042752
Sex: F
Age: 43
State: AK

Vax Date: 02/08/2021
Onset Date: 02/08/2021
Rec V Date: 02/20/2021
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: Preservatives, sulphite, sulphur, nitrate , nitrite, peppers, latex, flaxyl, Paxil

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: Tachycardia, agitation, hive on site of injection,

Other Meds: Montelukast, loradatine, albuterol, atorvastatin, benadryl

Current Illness: None

ID: 1042753
Sex: F
Age: 51
State: MD

Vax Date: 12/01/2020
Onset Date: 12/01/2020
Rec V Date: 02/20/2021
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: Initially nerve pain from left neck to left fingers lasting 12 hours. Woke up with a migraine. Have had nearly daily headaches or migraines ever since. Previous to vaccination I would get one or two migraines per month. I also had joint pain in joints previously affected by Lyme disease 9 years ago that hadnt bothered me since being treated. That lasted about 6 weeks and has now finally subsided.

Other Meds: Vit C, D, K2, glutathione, probiotics

Current Illness: None

ID: 1042754
Sex: F
Age: 61
State: AK

Vax Date: 02/19/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Latex

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Patient presented with tongue swelling and facial swelling, it was barely perceptive to medical personnel but patient has subjective symptoms. Symptoms started 30 minutes after her injection and worsened over the course of 30 minutes. Symptoms then stabilized and she was seen in the ER 2-1/2 hours after symptom onset. She was treated with epinephrine 0.3 mg IM with improvement. She was observed in the ER for 2 hours. She had subjective return of sensation of tongue swelling though no objective findings. She was observed for another hour with no change in status. No further intervention initiated.

Other Meds: atorvastatin, levothyroxine, montelukast, nortriptyline

Current Illness: She had a similar episode of tongue swelling 2 weeks prior to the vaccination that resolved after taking prednisone.

ID: 1042755
Sex: F
Age: 35
State: KY

Vax Date: 02/18/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
Hospital:

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

Lab Data:

Allergies: Penicillin, reglan, tetracyclines

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

Symptoms: Extremely swollen lymph nodes- armpit, collarbone, neck, chest left side. . Pain/ pressure/swelling/hardness on left side of body. Chest hard and visibly swollen above breast, wrapping around to armpit and up neck.

Other Meds: Nexium, vit d, vit b12, omega 3

Current Illness: None

ID: 1042756
Sex: F
Age: 42
State: NV

Vax Date: 02/17/2021
Onset Date: 02/19/2021
Rec V Date: 02/20/2021
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: Tree Nuts

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

Symptoms: 2/18/21: Chills, body aches, and fatigue. Lasted all day. 2/19/21: little body aches, headache. Lasted all day. 2/20/21: At 1am, started feeling chills, body aches, and fatigue. Currently experiencing at the time of this posting (2:05am).

Other Meds: Levothyroxine, vitamin D3, Victoza

Current Illness:

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm