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: 0931235
Sex: F
Age: 36
State:

Vax Date: 12/29/2020
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: IM
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Dysphagia, Epiglottitis

Symptoms: Redness, itching and soreness appeared 10 days after vaccine received. No issues encountered initially.

Other Meds:

Current Illness:

ID: 0931236
Sex: M
Age: 38
State: TX

Vax Date: 12/31/2020
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: None.

Symptom List: Anxiety, Dyspnoea

Symptoms: Redness and swelling at the site of injection 8 days after receipt of the Moderna Covid vaccine. Size was 2-3 inches in diameter and warm to touch with mild discomfort.

Other Meds: None.

Current Illness: None.

ID: 0931237
Sex: F
Age: 32
State: MD

Vax Date: 12/30/2020
Onset Date: 12/30/2020
Rec V Date: 01/09/2021
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: Macadamia nuts, Duricef, Penicillins, Sulfa drugs, augmentin, azithromyocin,

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

Symptoms: After 10 minutes, throat began to become numb/tingly/itchy. Then at 20 minutes, I started to have difficulty swallowing. I told the medical provider who was there in the observation room. My vitals were stable. They sent me to the ER to be watched and observed for 6 hours. my throat's numb/itchiness/tingling went away, but remained difficult to swallow until the next morning. My vitals stayed stable.

Other Meds: Apriso, Orsthyia, Lexapro, Wellbutrin

Current Illness: none

ID: 0931238
Sex: M
Age: 62
State: CA

Vax Date: 01/06/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: none

Symptom List: Dizziness, Fatigue, Mobility decreased

Symptoms: Moderna COVID-19 Vaccine EUA - I have experienced the following : The injection site is very tender to the touch. The soles of my feet have become numb. Slight exhaustion through the first 24 hours after the vaccine.

Other Meds: 80 mg aspirin 1 tablet Citrucel

Current Illness: none

ID: 0931239
Sex: F
Age: 55
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth

Symptoms: 2 inch red area around injection, fever, aches, fatigue, headache Taking tylenol and ibuprofen

Other Meds: Lipitor,Effexor,Norvasc,Toprol,baby aspirin

Current Illness: none

ID: 0931240
Sex: M
Age: 92
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type: FLUC4
Manufacturer: SEQIRUS, INC.
Vax Name: INFLUENZA (SEASONAL) (FLUCELVAX QUADRIVALENT)
Lot: 276563
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

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

Symptoms: No treatment - Very sore arm - red streak below injection 2 in" wide and 4 in" long Spent next day (Friday) after shot in bed most of the day. Didn't eat all day - wasn't hungry. Felt all washed out, no energy - much like COVIT that I contacted 1st week of August 2020 - but not as bad The next day (Saturday)I felt much better with some energy. Ate a good breakfast

Other Meds: Metoprolol Furosemide Pota Chloride

Current Illness:

ID: 0931241
Sex: F
Age: 59
State: IL

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

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

Lab Data:

Allergies: no

Symptom List: Pyrexia, White blood cell count decreased

Symptoms: temperature 100.2 chills and body ache and headache

Other Meds: no

Current Illness: no

ID: 0931242
Sex: U
Age: 61
State: CA

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

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

Lab Data:

Allergies: Hydrocodone-acetaminophen Isoniazid Leflunomide Non-steroidal Anti-inflammatory Agents Sulfa (sulfonamide Antibiotics) Bacitracin

Symptom List: Pharyngeal swelling

Symptoms: Pt with scratchy throat and dry cough approximately 20 minutes after receiving her 1st dose of Moderna vaccine.

Other Meds: Azelastine (ASTELIN) 137 mcg (0.1 %) Nasl Aero Spray Use 2 Sprays in each nostril 2 times a day 30 mL Xeljanz XR 11 mg Oral 24hr SR Tab Take 1 tablet by mouth daily 30 tablet

Current Illness: n/a-see below

ID: 0931243
Sex: F
Age: 58
State: NY

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Codine, aspirin

Symptom List: Abdominal pain, Chills, Sleep disorder

Symptoms: itchy arm, redness, mild swelling at injection site

Other Meds: Kepra, albuterol,

Current Illness: asthma

ID: 0931244
Sex: F
Age: 43
State: IN

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
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: Sulfa

Symptom List: Diarrhoea, Nasal congestion

Symptoms: Approx 9 hours after receiving the vaccine I started having muscle aches, high fever 102-105, joint pain and nausea. The next day I developed a bad headache that I currently still have along with fever. I?m alternating Tylenol with Ibuprofen. I have not called my doctor yet as it?s the weekend but will on Monday.

Other Meds: Aller-Tec, Nortriptyline10mg, Fluticasone Nasal Spray, Azelastine eye drops

Current Illness: Had a positive covid test 11/30/2020 and symptoms for 2weeks. Still have some nasal congestion.

ID: 0931245
Sex: F
Age: 33
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

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

Symptoms: Body aches and chills. Requiring Motrin 600mg to relieve pain. Even with 600mg of Motrin, body aches are still felt present. Relieved pain from 8/10 to a 1/10.

Other Meds: None

Current Illness: None

ID: 0931246
Sex: F
Age: 34
State: IN

Vax Date: 01/08/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: Bees

Symptom List: Rash, Urticaria

Symptoms: Was being monitored for 15 minutes. About 7 minutes after vaccine a fine rash started on left arm, spread to chest and other arms. Mild itchiness. No shortness of breath, no lip swelling, no tingling. Self medicated with 50mg Benadryl. I called her 1-9-21 at 9:50am. No rash, no itchiness. No issues at this time. Instructed she may want to pre-medicate or at least bring with her for her 2nd dose.

Other Meds: Duloxetine, Metoprol SucE, Sharobel, Fluticasone, Motelukast

Current Illness: none

ID: 0931247
Sex: F
Age: 38
State: IL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: PCN, clyndomycin, Seasonal allergies

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

Symptoms: Feeling lightheaded about 15 minutes after vaccination. Denies any other symptoms No swelling, hives, or respiratory symptoms noted. Patient calm, speaking voice monitored. Dr. called & interviewed patient. Patient observed additional 15 min & reported sx improved before leaving. 38 y/o F who c/o dizziness after vaccination No other complaints Exam - unremarkable Plan - home with monitoring Unlikely to be allergic Rxn

Other Meds: 0

Current Illness: 0

ID: 0931248
Sex: F
Age: 29
State: IL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
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: Complained of racing heart. Rested. Drank water. Paced outside of car. Complained of numbness in thumbs. Fully alert and verbal. VS WNL. Escorted patient to restroom. Patient states s/s resolved. Unlikely to be allergic Rx

Other Meds: Albuterol

Current Illness: Asthma

ID: 0931249
Sex: F
Age: 41
State: IL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
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 Seasonal allergies

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

Symptoms: Patient became flushed - face about 5 minutes after vaccination. Denies any other symptoms. No swelling or rash noted. No respiratory symptoms noted. Unlikely to be allergic RX.

Other Meds: None

Current Illness: None

ID: 0931250
Sex: F
Age: 53
State: IL

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
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: Sulfa

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

Symptoms: -tachycardia, flushed -lung sounds clear -pulse come down, but cheeks reamined flush. -administered 25mg Benedryl; 40mg Pepcid AC 53 y/o F who c/o facial flushing after vaccination No other complaints Exam - cheeks flushed otherwise negative Plan - Benadryl & Ranitidine PO. home monitoring Possible mild allergic reaction

Other Meds: Vit D

Current Illness: none

ID: 0931251
Sex: F
Age: 59
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
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: patient complained of tingling in lips & tongue. Vitals taken; airway checked - no signs of swelling. Onset @ 1235, 8 minutes after injection. Lasted for ~ 10 mins then subsided. No rash/itch. Agree with assessment unlikely to allergic rxn

Other Meds: history of IBS, thyroid, depression (nortriptoleum, paroxetine, bupropion)

Current Illness: none

ID: 0931252
Sex: F
Age: 20
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: no

Symptom List: Ear pain, Hypoaesthesia

Symptoms: 10/30-tested + for COVID; recovered @ home suffers from chronic anxiety after 10 mins after vac, patient thought throat was Scratchy & closing. leading to crying/hysteria/panic attack. Once attended to, all calm. 20% of who presents with throat itchy & swelling that occurred shortly after her vaccination. Pt thinks it could be a panic attack. PE - unremarkable. Plan - home with monitoring.

Other Meds: floxipro(anxiety)//isablume (birth control)

Current Illness: no

ID: 0931253
Sex: F
Age: 78
State: FL

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

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

Lab Data:

Allergies: none

Symptom List: Abdominal pain upper, Dizziness, Dysgeusia

Symptoms: Rapid heart rate and pain in upper chest for about 15-20 minutes. Called 911, they gave two EKGs which appeared to be normal.

Other Meds: Lisinopril, Indapamide, Allopurinol, latanoprost - Multi vitamin, Vitamin D3, Lutein, Magnesium citrate

Current Illness: None

ID: 0931254
Sex: F
Age: 62
State: FL

Vax Date: 01/07/2021
Onset Date: 01/01/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Penicillin Biaxin Bee and Wasp stings

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

Symptoms: on 1/7/2021 day of vaccine, during the evening i began to feel flu like symptoms, Cognitive lethargy, all over lethargy, muscle pains, and chills.100.4 I had severe shaking and chills. I took 1/3 of percocet 7.5mg and went to bed. I shivered most of the night, sleeping in my clothes, which is not norm for me. I also had 3 blankets on. On 1/8/2021 I woke with fever of 100.4 and it receded to 99.8 during the day. Chills were diminshed greatly, moderate muscle pain all over . . I relaxed all day, slept. I sweated during the night requiring me to change once. On 1/9/2021 I woke with normal temp, still feeling lethargic, muscle pain. still present but less than yesterday. My cognitive clarity is better.

Other Meds: Effexor 75 mg po daily.

Current Illness: Na

ID: 0931255
Sex: F
Age: 54
State: CA

Vax Date: 12/31/2020
Onset Date: 01/04/2021
Rec V Date: 01/09/2021
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: allergy to sulfa, bee stings, star anise

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

Symptoms: Moderna COVID-19 Vaccine EUA - vaccine administered 12/31/20. mild injection site soreness 1/1/21 and 1/2/21. no events 1/3. On 1/4/21, developed temperature of 100.6 intermittently throughout the day. 1/5-1/8, no symptoms. Covid-19 test on 1/8 generated negative result. On 1/9/21, injection site red, warm to touch, itchy and swollen.

Other Meds: Lisinopril, metformin, nora-b, lipitor

Current Illness: none

ID: 0931256
Sex: F
Age: 32
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: I developed fever (102 F) chills, muscle aches, and extreme fatigue. The fever has subsided. The muscle aches and fatigue are still occurring. I did have a confirmed COVID infection in March 2020.

Other Meds: Cetirizine 10 mg daily

Current Illness: None

ID: 0931257
Sex: F
Age: 51
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
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: aspirin/motrin/aleve

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

Symptoms: Observed patient aggressively scratching arm. Occurred ~ 5 mins, lasted 30 mins. vitals/ lung sounds clear. administered 25mg Benadryl + 40mg Pepci AC patient left under own accord. 61 y/o female who presents with (L) arm itching shortly after her vaccine, no other symptoms. No significant Physical findings Probable localized allergic rxn.

Other Meds: Flonase {Blood sugar

Current Illness: No

ID: 0931258
Sex: F
Age: 55
State: IL

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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:

Symptom List: Injection site pain, Pain

Symptoms: 2 inch area red and swollen around injection site, headache, fatigue, fever Tylenol and ibuprofen taken

Other Meds:

Current Illness:

ID: 0931259
Sex: M
Age: 23
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Keflex

Symptom List: Injection site pain, Menorrhagia

Symptoms: body aches after 4 hrs, fever of 102 the evening after the shot that lasted about 14 hrs, Now he has nausea, headache, vomiting, body aches. He was COVID-19 positive back in October.

Other Meds: None

Current Illness: none

ID: 0931260
Sex: F
Age: 66
State: NY

Vax Date: 12/27/2020
Onset Date: 01/03/2021
Rec V Date: 01/09/2021
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: Delayed local reaction at the site of the IM injection (1 week post vaccine). The left upper arm was hot, red, swollen and painful. The area was also very itchy. The size of the affected area was about 8 cm X 6 cm. This delayed local reaction lasted about 3 days.

Other Meds: metoprolol; amlodipine; aspirin; Vitamin D; atorvastatin; Prolia q 6 months

Current Illness: NONE

ID: 0931261
Sex: F
Age: 26
State: SC

Vax Date: 12/22/2020
Onset Date: 12/22/2020
Rec V Date: 01/09/2021
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: sulfa-based drugs

Symptom List: Nausea, Pain in extremity, Pyrexia

Symptoms: I had post nasal drip before I got the injection. because of the drip had a wet cough, then later day i started feeling tired. On Christmas eve i went to doctors care and they did a Covid test which was positive. Two weeks later i got an anti-body test.

Other Meds: Tylenol, Sudafed, Mucinex

Current Illness: none reported

ID: 0931262
Sex: F
Age: 56
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Sulfa

Symptom List: Chills, Fatigue, Headache, Myalgia

Symptoms: Next day felt extremely tired, chills, sore throat, headache, body ache

Other Meds: Synthetic Cytomel Chromium Phetermine

Current Illness: None

ID: 0931263
Sex: M
Age: 23
State: TX

Vax Date: 12/18/2020
Onset Date: 12/20/2020
Rec V Date: 01/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: PFIZER\BIONTECH
Vax Name: COVID19 (COVID19 (PFIZER-BIONTECH))
Lot:
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: no

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

Symptoms: Symptoms began Monday 21st- headache, body aches, injection site sore; couldn't taste or smell -went Emergency Room - Medical Center; was given Tylenol and ibuprofen and was given Covid Test - test result positive.

Other Meds: Doxycycline

Current Illness: no

ID: 0931264
Sex: F
Age: 47
State: WV

Vax Date: 01/05/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
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: Patient had previously been diagnoses with COVID 19 in October 2020. She had a fairly serious case that nearly required hospitalization. The night after receiving vaccine, she had a reaction that she described as "Like having COVID again." She experience fatigue, fever (101.4), aches. Pain started in neck and worked its way down the body. Symptoms lasted approximately 16 hours.

Other Meds: Unknown

Current Illness: None

ID: 0931265
Sex: M
Age: 47
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: Latex

Symptom List: Injection site pain

Symptoms: Fever of 101.5,chills,aches,headache

Other Meds: Lexapro 20mg Buspar 20mg once a day

Current Illness:

ID: 0931266
Sex: M
Age: 39
State: AR

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

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

Lab Data:

Allergies: Soy

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

Symptoms: Sore arm at injection site & fatigue

Other Meds: None

Current Illness: Sinus infection

ID: 0931267
Sex: F
Age: 64
State: OH

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 011j20a
Dose Series: 1
Vax Route: IM
Vax Site: RA

Lab Data:

Allergies: none

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

Symptoms: headache, sore arm, fever, body aches, tiredness

Other Meds:

Current Illness: none

ID: 0931268
Sex: F
Age: 23
State: NY

Vax Date: 01/06/2021
Onset Date: 01/06/2021
Rec V Date: 01/09/2021
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: Tremor

Symptoms: Approximately 2 hours after the vaccine, I developed severe pain to the injection site and arm. Inability to lift arm. I had severe night sweats that night, but no fever. Now it is day 3 post vaccine and I have a severe headache causing dizziness and nausea.

Other Meds: Fluoxetine 20mg 1 tab PO QD. Organic Spearmint tea, 2 cups QD Berberine 1000mg QD Zinc 50mg QD Doxycycline HYC 100mg capsules BID

Current Illness: Moderate Cystic Acne

ID: 0931269
Sex: F
Age: 26
State: TX

Vax Date: 01/02/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: On Friday, January 8th, I started to feel pain/tenderness in my left armpit. It also felt firmer than my right armpit. I still feel pain/tenderness today, Saturday, January 9th. The pain is mild/moderate. I am still able to do my day-to-day activities. (I did not think it was vaccine related, so I did not make note of this during my v-safe daily check in.)

Other Meds: 1. Progesterone Micro 100mg (Two a night for 10 days, or until my period arrives. Whichever comes first.) 2. Pantoprazole 40mg (One pill every morning to help with acid reflux.)

Current Illness: None.

ID: 0931270
Sex: F
Age: 71
State: IL

Vax Date: 01/05/2021
Onset Date: 01/05/2021
Rec V Date: 01/09/2021
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, ergotamie (migraines)

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

Symptoms: patient feeling flushed & light headed. Onset occurred about 10 mins after vac Vitals monitored; no swelling throat/face. After calming patient, symptoms subsided. Called Dr. for release/review. 71 y/o female who presents with facial flushing & light headedness that began after her vaccination. No progression or other symptoms. Hx of similar RXN after exercise symptoms. P.E - Mild facial flushing started Possible mild allergic rxn. Plan - home with monitoring.

Other Meds: No - just supplements

Current Illness:

ID: 0931271
Sex: F
Age: 35
State: CA

Vax Date: 12/20/2020
Onset Date: 12/20/2020
Rec V Date: 01/09/2021
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: ? After her shot in the afternoon, she sat outside for 15 minutes. She came back in and said her throat is warm and scratchy, and her left hand felt cold. ? I escorted her over to the ER and she was checked in. I then went right back to HD since we were so busy. ? Around 4pm in the afternoon after we closed HD, I went back to the ER. She was recovering and doing fine. Her ER nurse and patient did have a question about receiving the 2nd dose, and I provided the same answer that Dr provided to Dr about taking an Allegra 30 minutes before the second dose. ED Note: Patient presents with symptoms concerning for angioedema or anaphylaxis after immunization with Covid vaccine. Patient described a sensation of warmth and also later tingling in her throat which was treated aggressively with medication for this problem so as to prevent airway closure or further worsening symptoms. Patient was treated with IV fluid hydration along with H1 and H2 blockers, IV steroids and also subcutaneous epinephrine. On my reevaluation, her symptoms completely resolved with treatment. She was without other concerning findings on examination or by history and was without further angioedema or anaphylaxis after period of observation. She was discharged with prescription medication in good condition and asked to return should she have any further problems. Immpression: Angioedema, allergic reaction to vaccine, throat tingling, throat warmth MEDS in ED: Sodium Chloride 0.9% (Sodium Chloride 0.9% Bolus) 1,000 mL once IV Bolus, Reason for Infusion = Abnormal fluid losses diphenhydrAMINE (Benadryl) 25 mg = 0.5 mL once IV push methylPREDNISolone (SOLUMedrol) 125 mg = 2 mL once IV push famotidine (Pepcid) 20 mg = 2 mL once IV push EPINEPHrine 0.3 mg = 0.3 mL once intraMUSCULAR

Other Meds: none

Current Illness: none

ID: 0931272
Sex: F
Age: 47
State: UT

Vax Date: 12/18/2020
Onset Date: 12/18/2020
Rec V Date: 01/09/2021
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: All melons and blue cheese

Symptom List: Asthenia, Chills, Headache, Myalgia

Symptoms: Dryness in mouth immediately as vaccine was being administered. Within 2-3 minutes mouth, tongue and throat started to swell. 50 mg of Benadryl was given. Started to feel better but 45 minutes later swelling started back up. Dryness in mouth still there and water couldn?t quench my thirst. Escorted to Emergency department. Epinephrine shot given 40mg of prednisone, 20 mg of Pepcid and 10 mg of Zyrtec given. Given another 20mg of prednisone, 10 mg of Pepcid and 10 mg of Zyrtec 1.5 hours later. Release after 4.5 hours. Given 3 days of medicine previously given. Swelling started back up 6 hours later so I took 50 mg of Benadryl. Swelling continued every 6-8 hours. Mouth was still really dry but as long as I drank 100 oz of water a day I was ok. Tuesday I had a small fever and very achy. Went to doctor and he prescribed 20 mg of prednisone twice daily tapering off for 11 days, 10 mg of Pepcid and Zyrtec twice daily for 11 more days. Finished my medicine Saturday January 2nd. I have been feeling better but still have swelling occasionally.

Other Meds: Zyrtec, Flonase, Tylenol, albuterol, symbicort and ibuprofen as needed.

Current Illness: None

ID: 0931273
Sex: F
Age: 63
State: IN

Vax Date: 01/01/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
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: Keflex tolectin

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

Symptoms: Chills, body aches, headache, fever. Took OTC Tylenol for fever. Naproxen for body aches. Lasted about 12 hours

Other Meds: Over the counter vitamin B

Current Illness: None

ID: 0931274
Sex: F
Age: 41
State: PA

Vax Date: 01/06/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: None

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

Symptoms: Oral dysaesthesia - scratchy throat morning after vaccination, then developed tongue burning and progresses to full mouth Fatigue, headache, body aches

Other Meds: Flonase

Current Illness: None

ID: 0931275
Sex: F
Age: 35
State: TX

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
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: Pain in extremity

Symptoms: Dizziness, headache, feeling faint, nausea, vomiting

Other Meds: Flagyl

Current Illness:

ID: 0931276
Sex: M
Age: 38
State: CA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies: None

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

Symptoms: Vomit Diarrhea Fever Muscle aches Fatigue Shivering Headache Dizziness

Other Meds: None

Current Illness: Covid-19 prior not during time of vaccination. Negative test was December 21

ID: 0931277
Sex: F
Age: 59
State: IN

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: Latex

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

Symptoms: Fever 100.3,body aches headache,tired

Other Meds: Metoprolol,lisinopril ,venlafaxine,hydroclothoriazide,metformin xr,ibuprofen, omeprazole,vitamin b12 daily vitamin

Current Illness: None

ID: 0931278
Sex: F
Age: 42
State: WI

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: NKA, NKDA

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

Symptoms: The day of vaccine: sore left arm. Took Ibuprofen to be able to sleep. Woke up in the middle of the night with pain. The day after: moderate to severe pain on the left arm that radiates to the neck and back. Took Ibuprofen in the morning. Pain was getting better as the day pass. At night, around 6 pm started to feel that something is not OK. I am not the same as before. My legs are not very strong (feeling it, not a problem that I can?t walk - it feels like). Feeling dizzy at times. Went to bed and pain on the left arm is much better. Two days after the vaccine: woke up with body aches, feeling dizzy at times, weak, nauseous. Not feeling OK. It is now around11:30 am two day after the vaccine and I am starting to get worried. Please contact me for advise. Thanks

Other Meds: Vitamine D, citrucel, complex B, birth control

Current Illness: None

ID: 0931279
Sex: F
Age: 26
State: AL

Vax Date: 01/08/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
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:

Symptom List: Vomiting

Symptoms: Sore arm, entire muscle is very sore, very hard to lift arm. Painful to the touch and painful just went not using. Arm feels very heavy, hard to lift and use at all. Around 4 am, started being nauseas, having stomach cramps, diarrhea, and vomiting. This continued throughout the night and finally calmed down to just stomach pains around 11am.

Other Meds: Zyrtec, symbicort (inhaler)

Current Illness:

ID: 0931280
Sex: F
Age: 45
State:

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

Vax Type: COVID19
Manufacturer: MODERNA
Vax Name: COVID19 (COVID19 (MODERNA))
Lot: 037K20A
Dose Series: 1
Vax Route: SYR
Vax Site: LA

Lab Data:

Allergies:

Symptom List: Headache, Limb discomfort, Nasal congestion

Symptoms: pt c/o sore throat and feeling of anxiety; she sat down on a cot for about 20 minutes, offered water and she refused; 02 sat measured 99% on RA; eventually she said she felt better and left, she mentioned that she has benadryl in her car that she'll take if needed

Other Meds:

Current Illness:

ID: 0931281
Sex: F
Age: 66
State: NY

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
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: Sharp, painful muscle cramps in both left and right feet and ankles, relieved by self-administered massage. Cramping began when first lying down in bed, relieved by massage, then recurred about 20 minutes after falling asleep, and again relieved by self-administered massage. Not persistent. Did not recur after being relieved by self-administered massage the second time. I was physically exhausted due to only 3 hours sleep the night before, so this may have been the result of exhaustion and not the vaccine, but has never happened before and seemed severe enough to file a report about it. My arm was not particularly sore where vaccine administered and no other SE.

Other Meds: Olmesartan, plavix, rosuvastatin, buspirone, levocetirizine, gabapentin, vit C, Vit D, glucosamine Chondroitin mix, EPA,

Current Illness: none

ID: 0931282
Sex: M
Age: 30
State: LA

Vax Date: 01/07/2021
Onset Date: 01/07/2021
Rec V Date: 01/09/2021
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: None

Symptom List: Injection site swelling, Limb discomfort

Symptoms: Severe pain in arm that was injected, it started 3 hours after vaccine and progressively got worse to the point where it hurts to use the arm.

Other Meds: None

Current Illness: None

ID: 0931283
Sex: F
Age: 23
State:

Vax Date: 01/09/2021
Onset Date: 01/09/2021
Rec V Date: 01/09/2021
Hospital:

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

Lab Data:

Allergies:

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

Symptoms: pt c/o feeling lightheaded, dizzy, faint; she was escorted to a cot to lie down for several minutes, she used an ice pack on her head and neck; she never lost consciousness; she eventually stated that she felt better and left the premises on her own

Other Meds:

Current Illness:

ID: 0931284
Sex: F
Age: 48
State: AZ

Vax Date: 01/07/2021
Onset Date: 01/08/2021
Rec V Date: 01/09/2021
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: Neosporin Ointment

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

Symptoms: low grade fever/chills/weakness/body aches/extreme tiredness Treated with Ibuprofen 600mg once - relief from chills/fever/body aches

Other Meds: Enalapril-HCTZ 5-12.5mg x1 tab daily Zinc 50mg x1 tab daily Cranberry softgels x2 tabs daily Vitamin D3 50mcg x1 tab daily Fish Oil Softgels 1000mg x2 tabs daily

Current Illness: None

Total 2021 VAERS Injuries: 636,615

Page last modified: 03 October 2021 5:28pm